Social and Behavioral Sciences Commons^™

A Contemporary Case Study Illustrating The Integration Of Health Information Technologies Into The Organisation And Clinical Practice Of Radiation Oncology, Andrew Alexis Miller, Aaron Phillips

Faculty of Science, Medicine and Health - Papers: part A

The development of software in radiation oncology departments has seen the increase in capability from the Record and Verify software focused on patient safety to a fully-fledged Oncology Information System (OIS). This paper reports on the medical aspects of the implementation of a modern Oncology Information System (IMPAC MultiAccess, also known as the Siemens LANTIS) in a New Zealand hospital oncology department. The department was successful in translating paper procedures into electronic procedures, and the report focuses on the changes in approach to organisation and data use that occurred. The difficulties that were faced, which included procedural re-design, management of …

New Informatics-Based Work Flow Paradigms In Radiation Oncology: The Potential Impact On Epidemiological Cancer Research, Andrew Alexis Miller

Faculty of Science, Medicine and Health - Papers: part A

Epidemiological research is worthless without verifiable source data. Much of this data is common to the clinical environment. Currently, substantial resources are allocated to data management bureaucracies in attempts to ensure data accuracy. These bureaucracies developed in the era of paper records, but in the present health information climate, the ability to share electronic data presents exciting possibilities, while placing new responsibilities on the gatherers of information and challenging them to develop new work flow paradigms. Radiation oncologists have a pivotal role to play in the processing of oncological data for future epidemiological research because of the substantial overlap in …

Using Market Segmentation Theory To Select Target Markets For Sun Protection Campaigns, Sandra C. Jones, L. Rees, Danika Hall, A. Tang

Faculty of Health and Behavioural Sciences - Papers (Archive)

This paper describes the initial steps in target market segmentation and evaluation as part of an industry-linked research project to develop a social marketing program for sun protection. The Project Reference Group developed a set of segmentation evaluation criteria based on recommendations from marketing and health promotion literature, as well as adding criteria specifically relevant to the industry partner. The process enabled an informed, representative and defensible selection of a primary target market as an initial starting point for further target market research and segmentation. It also demonstrated that bridging terminology from the fields of marketing and health promotion as …

Increasing The Efficacy Of Breast Cancer Risk Communications: Contributiolns From Behavioural Science And Marketing, Sandra C. Jones, Donald C. Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Breast cancer is the most common cancer diagnosed in women in Australia. Women are faced with numerous decisions in relation to breast cancer including: actions they can take to reduce their risk of developing breast cancer; whether to participate in screening programs; and selection of the most appropriate treatment option if diagnosed with breast cancer. This paper discusses ways in which theories and findings from two disciplines, behavioural science and marketing, can be used collaboratively to design effective communications to increase the uptake of health behaviours that have the potential of reducing morbidity and mortality from breast cancer. From marketing …

Motivational Factors In The Food Buying Behaviour Of Parents Of Pre-School Age Children: A Projective Technique Study, Gary Noble, Sandra C. Jones, Danielle Mcvie

Faculty of Health and Behavioural Sciences - Papers (Archive)

There is growing concern over childhood obesity levels around the world with many overweight children developing into obese adults. Research shows that the food choices of young children are determined largely by parents and that many parents are aware of what constitutes ‘healthy’ food yet continue to purchase ‘unhealthy’ food for their children’s consumption. This study explores this apparent paradox by identifying the motivations of parents of pre-school children in the purchase of both ‘healthy’ and ‘unhealthy’ food in the context of a supermarket shopping experience. Data was collected from 116 respondents using projective story and photograph techniques and then …

Western Australians' Perceptions Of The Survivability Of Different Cancers: Implications For Public Education Campaigns, Robert J Donovan, Owen Bj Carter, Geoffrey Jalleh, Sandra C. Jones

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Viewpoint Dependent Performance For Faces Rotated About Pitch And Yaw Axes, Simone K. Favelle, Stephen A. Palmisano, Ryan T. Maloney

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Use Of Systematic Screening To Increase The Provision Of Reproductive Health Services In Bolivia, James R. Foreit, Ricardo Vernon, Patricia Riveros Hamel

Reproductive Health

The objective of this study was to determine if the use of a checklist to screen for unmet service needs could increase the number of services per visit provided to clients using rural Bolivian health facilities. Measurement included changes in services per visit before and after the introduction of the intervention, and a comparison of services received at screened and non-screened visits. Findings show that, to the degree that provider compliance can be secured, systematic screening of clients appears to be an effective method for reducing unmet health service needs. The findings of this study replicate those of other studies …

Oppositional Defiant Disorder : Using Family Therapy And Parent Training Techniques For Effective Treatment Outcomes, Caroline S. Dieken

Graduate Research Papers

Oppositional Defiant Disorder (ODD) clinically affects children and adolescents through the display of unwanted disruptive, hostile, defiant, and oppositional behaviors. Development of these can be linked to parental psychopathology, family and marital dysfunction, poor parent-child interaction, atypical parenting, maternal age, substance abuse, poor supervision, and inconsistent or harsh discipline. The effects of ODD lead to impaired social functioning, depression, low self-esteem, academic failure, substance abuse, delinquency, and family discord. Compared to other treatments ( e.g., medication, behavior modification, punishment, or removal from the home) the most effective course of treatment for ODD is the use of family therapy and parent …

Project Cobweb Report, Carlos Eduardo Siqueira

C. Eduardo Siqueira

Project COBWEB (Collaboration for a Better Work Environment for Brazilians) or Parceria in Portuguese began in 2003 with the combined efforts of the Work Environment Department at the University of Massachusetts Lowell (UMass Lowell), the Brazilian Immigrant Center (BIC) – a non-governmental organization (NGO) founded in 1995 for Brazilian immigrant workers in Boston – the Massachusetts Coalition for Occupational Safety and Health (MassCOSH), a NGO that fights for the rights of workers in the state, and from two health care centers: the Lowell Community Health Center and the Massachusetts General Chelsea Health Center. This last partner withdrew from the project …

The Journal Of Undergraduate Research: Volume 03

The Journal of Undergraduate Research

This is the complete issue of the South Dakota State University Journal of Undergraduate Research, Volume 3.

An Assessment Of Trends In The Use Of The Iud In Ghana: National Results Dissemination And Utilization, Ivy Osei, John Gyapong, Monica Wanjiru, Ian Askew

Reproductive Health

The overall aim of this study was to inform the Ghana Health Service, USAID, and other partners involved in providing family planning services in Ghana about future directions that could be taken to reinvigorate the IUD within the context of a family planning service based on the principles of free and informed choice. The Health Research Unit conducted the study, with technical assistance from FRONTIERS and funding from USAID. The findings showed that the declining interest in and use of the IUD as a family planning method could be attributed to several factors, including negative perceptions and false beliefs about …

Improving The Ghanaian Safe Motherhood Programme, Ivy Osei, Bertha Garshong, Gertrude Banahene, John Gyapong, Placide Tapsoba, Ian Askew, Clement Ahiadeke, Richard Killian, Edward Bonku, Perle Combary, William Sampson

Reproductive Health

Prior to the Ghana Ministry of Health scaling up the country’s Safe Motherhood program, they requested support from the Population Council’s USAID-funded Frontiers in Reproductive Health program to undertake an operations research study to evaluate and compare the cost-effectiveness of two training approaches and other performance improvement interventions. The study measured and compared changes in provider knowledge and skills and the costs of implementing a three-week residential vs. self-paced learning (SPL) approach. The SPL approach costs more per trainer than the traditional residential approach, both in financial costs alone and when opportunity costs are added, however, a cost-effectiveness analysis showed …

Early Oral-Motor Interventions For Pediatric Feeding Problems: What, When And How, C. J. Manno, C. Fox, P. S. Eicher, Mary Louise Kerwin

College of Science & Mathematics Departmental Research

Children with developmental delays often have feeding difficulties resulting from oral-motor problems. Based on both clinical experience and a review of published studies, oral-motor interventions have been shown to be effective in improving the oral function of preterm infants and children with neuromotor disorders, such as cerebral palsy. However, oral-motor problems may be under identified in other populations of children with developmental difficulties. The purpose of this paper is to provide a conceptual framework for understanding oral-motor skill development and problems that can occur in any infant and young child and to review oral-motor treatment techniques and their empirical support.

Play Therapy, Melissa A. Hardman

Graduate Research Papers

Play therapy techniques are valuable tools for a variety of professionals who work with children. One need not be a registered play therapist to implement play techniques when working with child clients. There are many types of clients that would benefit from play therapy. There are several different theoretical approaches, but the researcher chose to focus on Adlerian Play Therapy, Client-Centered Play Therapy, Cognitive-Behavioral Play Therapy, and Psychodynamic Play Therapy. The paper considers the best location to implement play techniques, by urging the counselor to be aware of the setting's location within the building, ease of cleaning, available space, and …

Evaluating Awareness Of Community Health And Human Services By The Hispanic Population In Lexington, Kentucky, Pilar Corbellini

MPA/MPP/MPFM Capstone Projects

Over the past 10 years, Hispanics, predominately Mexicans, have become a notable component of immigration in Kentucky. At the same time, the city of Lexington has striven to increase and stimulate community efforts to help and support people in need. Over 2000 non-profit organizations exist in the city and surrounding areas that unite community support to assist people seeking help.

Among non-profit agencies, particularly the United Way of the Bluegrass, there is a perceived idea that people in need and seeking help are overwhelmed with information about available community human and health services. Notwithstanding this perception, a different reality seems …

Programming For Hiv Prevention In South African Schools: A Report On Program Implementation, Priscilla Reddy, Shegs James, Ann P. Mccauley

HIV and AIDS

An evaluation study conducted in KwaZulu Natal, South Africa, provides important insights into whether learners who participated in a fact-based, interactive course had more knowledge about HIV risks, prevention, and care practices; more positive attitudes toward prevention practices and people living with HIV and AIDS; and a higher prevalence of reported safe behaviors than comparable learners who did not participate in the course. Results show that the Life Skills Grade 9 Curriculum had a positive impact of students’ knowledge of HIV/AIDS, attitudes about abstinence, and intention to use condoms. There was, however, no evidence of increased adoption of such protective …

Reducing The Transmission Of Hiv And Sexually Transmitted Infections In A Mining Community: Findings From The Carletonville Mothusimpilo Intervention Project: 1998 To 2001, Lewis Ndhlovu, Catherine Searle, Johannes Van Dam, Yodwa Mzaidume, Bareng Rasego, Solly Moema

HIV and AIDS

The Horizons program, in collaboration with the Center for Scientific and Industrial Research, the South African Institute for Medical Research, and the London School of Economics, conducted an intervention study in the mining town of Carletonville, South Africa to examine the social determinants of the HIV epidemic, and to assess the impact of a targeted program of HIV and STI prevention and service delivery. The project did not reduce STI prevalence or HIV prevalence, as changing sexual behavior is far more complex than educating individuals about HIV. The report recommends interventions to support behavioral change education, STI treatment, the role …

Population And Sustainability, Geoffrey Mcnicoll

Poverty, Gender, and Youth

Sustainability refers to the preservation of human-valued natural capital—the resources that provide environmental services—at a level sufficient to assure the well-being of future generations. This Population Council working paper assess the effects on the total and per capita availability of those services. The degradation of environmental services—exemplified by the overuse of aquifers or (at a global level) of the atmospheric carbon sink—is a significant threat to sustainable development, one that is often exacerbated by population growth. The critical management issue in such cases is the design of effective governing institutions to restrain service demand and safeguard supply. Uncertainties arising from …

How Many Years Of Life Could Be Saved If Malaria Were Eliminated From A Hyperendemic Area Of Northern Ghana?, Ayaga A. Bawah, Fred N. Binka

Poverty, Gender, and Youth

For some time, Chinese government policies have treated rural and urban areas very differently, and a by-product of China’s rapid development seems to be an even greater differentiation between urban and rural social and economic life. Over the next several decades, in part because of rapid fertility declines and in part as a result of mortality declines at older ages, China and other developing countries will experience enormous increases in the proportion of older adults and the proportion of the “oldest-old.” It is reasonable to expect that these age structure changes will alter the provision of health care, making an …

Narrative Art Therapy For Families That Have A Child With A Life-Threatening Illness, Andrea A. Seitz

Art Therapy | Master's Theses in Print

Researchers have recognized the importance of meaningful collaboration between family medical and family therapy practitioners. A report published this year (2005) by the American Academy of Pediatrics spells out the need for pediatricians to be cognizant of the entire family’s needs when treating a child. Given the demands on pediatricians it seems almost impossible for them to provide psycho-social support needed by families. Therefore, a partnership between an MFT and a physician is a more realistic alternative. This proposal will offer an intervention model for working with families who have a child with a catastrophic illness. The treatment modality. Narrative …

Deference, Denial, And Exclusion: Men Talk About Contraception And Unintended Pregnancy, Scott D. Johnson, Lindy B. Williams

Rhetoric and Communication Studies Faculty Publications

Individual in-depth interviews were conducted with 20 men, ages 21-48, who have fathered at least one unintended pregnancy. The goal of the interviews was to explore the experiences of these men with unintended pregnancy, their communication with partners and others, contraceptive beliefs and practices, their relationships with their partners, and the outcomes and consequences of the unintended pregnancies. This essay describes results derived from their comments regarding their contraceptive practices and the pregnancy-outcome decisions, with thematic analysis used to identify prominent themes from participant comments. Two strong themes, "deference" and "denial," and one lesser theme, "exclusion," emerged from participant responses. …

The Changing Context Of Sexual Initiation In Sub-Saharan Africa, Barbara Mensch, Monica J. Grant, Ann K. Blanc

Poverty, Gender, and Youth

This working paper investigates the links between changing age at marriage and premarital sexual behavior in 27 sub-Saharan African countries in which Demographic and Health Surveys were conducted between 1994 and 2003. Using multiple-decrement life tables to examine the competing risks of premarital sex and marriage without prior sexual experience, we answer the largely unaddressed question of how reductions in the prevalence of early marriage have affected the likelihood of initiating premarital sex. Our analysis reveals that although the age of first sexual activity has either remained the same or increased, a shift in the context of sexual debut from …

Building Assets For Safe, Productive Lives: A Report On A Workshop On Adolescent Girls' Livelihoods, Population Council

Poverty, Gender, and Youth

For the 1.5 billion adolescents currently living in developing countries (325 million of them living on less than US$1 a day), the transition to becoming economically productive is particularly pivotal. Girls face numerous challenges in making this transition successfully, since in many settings females have less access than males to critical resources such as secondary school education, credit, land, training, and technology, and their labor is often unrecognized and unremunerated. A growing number of organizations and institutions have been using a livelihoods approach (which centers around the capabilities, assets, and activities required for gaining a means of living) to reach …

Women's Participation In Disaster Relief And Recovery, Ayse Yonder, Sengul Akcar, Prema Gopalan

Poverty, Gender, and Youth

Too little attention has been given to the gender-differentiated effects of natural disasters, that is, women’s losses relative to men’s, how women’s work time and conditions change (both in terms of care-giving and income-generating work), or how disaster-related aid and entitlement programs include or marginalize affected women. The detailed case studies from three earthquake-stricken areas in India and Turkey that are contained in this issue of SEEDS help fill this information gap. They provide examples of how low-income women who have lost everything can form groups and become active participants in the relief and recovery process. Readers learn how women …

Kutibu Majeraha, Kutia Matumaini: Ushirikiano Wa Watanzania Dhidi Ya Fistula Obstetrikia, Thoraya Ahmed Obaid, Erica Chong

Poverty, Gender, and Youth

This edition of Quality/Calidad/Qualité describes a partnership formed to combat obstetric fistula in Tanzania. The Bugando Medical Center, the Women’s Dignity Project, the Tanzania Midwives Association, and the government cooperated on an extensive program for surgical repair, prevention, and policy research and activities. Lessons learned: 1) Fistula programs need to address social as well as medical issues. 2) Most repairs are successful, making an enormous difference in women’s lives. 3) Relatively little funding is necessary to start up a fistula program. 4) Fistula programs are vehicles for broader conversations about gender and poverty.

Education Of Adult Children And Mortality Of Their Elderly Parents In Taiwan, Zachary Zimmer, Linda G. Martin, Mary Beth Ofstedal, Yi-Li Chuang

Poverty, Gender, and Youth

Research shows an older adult’s education is strongly associated with mortality. But in societies such as Taiwan, where families are highly integrated, the education of family members may be linked to survival. Such may be the case in settings where there are large gaps in levels of education across generations and high levels of resource transfers between family members. This Population Council study employs 14 years of longitudinal data from Taiwan to examine the combined effects of education of older adults and their adult children on mortality outcomes of older adults. Results indicate that educational levels of both parent and …

Intuitive Decision Making And Leadership Style Among Healthcare Executives In The United States, Cherie Whiting

Dissertations

The purpose of this two-phased, sequential, exploratory, mixed-methods study was to survey a sample of Fellows in the American College of Healthcare Executives in the United States and then interview selected individuals who scored in the highly intuitive category on the intuition survey to explore how they made intuitive decisions. In the first phase, quantitative research questions addressed the relationship between leadership style and the potential to make intuitive decisions, as well as the relationship and interaction between the potential to make intuitive decisions and age, gender, and size of company. In the second phase, qualitative interviews were used to …

Poverty And Children's Schooling In Urban And Rural Senegal [Arabic], Mark R. Montgomery, Paul C. Hewett

Poverty, Gender, and Youth

This paper presents findings of an investigation into the effects of living standards and relative poverty on children’s schooling in urban and rural areas of Senegal. To measure living standards, we apply a multiple-indicator, multiple-cause (MIMIC) factor-analytic model to a set of proxy variables collected in the 2000 Multiple Indicator Cluster Survey and extract an estimate of the relative standard of living for each household. Using this estimate, we find that in Senegal’s urban areas, living standards exert substantial influence on three measures of schooling: Whether a child has ever attended school; whether he or she has completed at least …

Trends In The Timing Of First Marriage Among Men And Women In The Developing World [Arabic], Barbara Mensch, Susheela Singh, John B. Casterline

Poverty, Gender, and Youth

The timing of first union merits investigation not only because of the close temporal link between marriage and the onset of childbearing, but also because the age when men and women marry has implications for the organization of family life and for gender relations within society. This paper begins by reviewing the contributions of various social science disciplines to an understanding of the timing of marriage. Using current status data from 73 countries provided by the United Nations Population Division and retrospective data from 52 Demographic and Health Surveys conducted between 1990 and 2001, we then examine recent trends in …