1,721,092 research outputs found
Content comparison of worker productivity questionnaires in arthritis and musculoskeletal conditions using the International Classification of Functioning, Disability, and Health framework
No full textBackground: Worker productivity outcome is essential in examining the rehabilitation of workers with arthritis and other musculoskeletal conditions. There is great variation in the contents of worker productivity questionnaires. The International Classification of Functioning Disability and Health (ICF) offers the possibility to serve as a reference to describe and compare the contents of these questionnaires.Methods: A literature review identified published self-report worker productivity questionnaires. All meaningful concepts were identified and linked to the corresponding ICF category according to established rules.Results: Eighteen questionnaires were identified which contained a total of 519 meaningful concepts and which were linked to 64 unique 2nd level ICF categories. All questionnaires addressed Activities and Participation, thirteen (72%) addressed Body Functions, seven (39%) addressed Environmental Factors, seven (39%) addressed Personal Factors and only one questionnaire (6%) for Body Structures component. Overall, Work Role Functioning (WRF) questionnaire addressed the most number of different categories while Quantity and Quality method contained only one ICF category. The Rheumatoid Arthritis-Work Instability Scale had the highest number of categories for Body Functions, the Work Activity Limitations Scale and WRF had the most number of categories for Activities and Participation. The Health and Labour Questionnaire had the highest number of categories referring to unpaid work participation. The Health and Work Questionnaire was the only that included contextualization of both Environmental and Personal Factors.Conclusion: Self-report worker productivity questionnaires differed largely in their contents. This content analysis study could guide us in selecting an appropriate questionnaire for a specific study question
Development and Testing of the Canadian Physiotherapy Assessment of Clinical Performance
Full text linkClinical education is a core component of the Canadian university physiotherapy (PT) entry-to-practice curricula. Assessment of students during clinical experiences is a critical element of the clinical education courses. A standardised tool to measure PT students' clinical performance in relation to the level of competence expected for an entry-level physiotherapist that is specific to the Canadian context does not exist. The main objective of this thesis was to develop and explore the psychometric properties of the Canadian Physiotherapy Assessment of Clinical Performance (ACP). The ACP is to be used by PT students and their clinical instructors to describe the PT students' clinical performance behaviours as observed in the clinical education setting relative to what might be expected of a physiotherapist in Canada. The first study of this thesis refined the items that would compose the new measure, identified the items that would have a comment box and also gained consensus on the rating scale anchors through Delphi methodology. The second and third studies provided evidence for the substantive nature (face and content validity) of the ACP. Interviews were conducted in the second study with stakeholders including clinical instructors, recent graduates and individuals with expertise in measurement and /or clinical education. The third study entailed broad consultation with physiotherapists who had clinical education experience via a national online survey. The fourth study piloted the ACP in 10 PT university education programs across Canada from March to December 2013. The analyses performed in this study provided evidence to support our scoring and generalization inferences and, in addition, also provided evidence for the structure and external relationships (construct validity) of the ACP. The ACP was also found to be a practical measure. Cronbach's alpha coefficients for each role ranged from 0.94-0.99; scores at final internship points were higher than at midpoint; senior students performed better than junior students; students who performed well/poorly on the ACP also perform well/poorly on the current measure. The ACP can be used with confidence to assess the clinical performance behaviours of entry-level physiotherapy students in the clinical education setting.Ph.D.2017-06-16 00:00:0
Development and Testing of the Canadian Physiotherapy Assessment of Clinical Performance
No full textClinical education is a core component of the Canadian university physiotherapy (PT) entry-to-practice curricula. Assessment of students during clinical experiences is a critical element of the clinical education courses. A standardised tool to measure PT students' clinical performance in relation to the level of competence expected for an entry-level physiotherapist that is specific to the Canadian context does not exist. The main objective of this thesis was to develop and explore the psychometric properties of the Canadian Physiotherapy Assessment of Clinical Performance (ACP). The ACP is to be used by PT students and their clinical instructors to describe the PT students' clinical performance behaviours as observed in the clinical education setting relative to what might be expected of a physiotherapist in Canada. The first study of this thesis refined the items that would compose the new measure, identified the items that would have a comment box and also gained consensus on the rating scale anchors through Delphi methodology. The second and third studies provided evidence for the substantive nature (face and content validity) of the ACP. Interviews were conducted in the second study with stakeholders including clinical instructors, recent graduates and individuals with expertise in measurement and /or clinical education. The third study entailed broad consultation with physiotherapists who had clinical education experience via a national online survey. The fourth study piloted the ACP in 10 PT university education programs across Canada from March to December 2013. The analyses performed in this study provided evidence to support our scoring and generalization inferences and, in addition, also provided evidence for the structure and external relationships (construct validity) of the ACP. The ACP was also found to be a practical measure. Cronbach's alpha coefficients for each role ranged from 0.94-0.99; scores at final internship points were higher than at midpoint; senior students performed better than junior students; students who performed well/poorly on the ACP also perform well/poorly on the current measure. The ACP can be used with confidence to assess the clinical performance behaviours of entry-level physiotherapy students in the clinical education setting.Ph.D.2017-06-16 00:00:0
Exploring Patients' Perception of Osteoporosis Following a Fragility Fracture: Results of a Literature Review and Analysis of a Provincial Database
Full text linkMany patient-level barriers to more effective post-fracture osteoporosis (OP) management are associated with patients’ perceptions of their bone health and the link between their fracture and OP. These barriers could be addressed by interventions which account for the role of patients’ perceptions, such as those based on theories of behaviour change. This thesis had two objectives: to review the literature and determine whether these theories have been integrated in post-fracture OP management and to examine patients’ awareness of the OP-fracture link. The results showed that theories of behaviour change have not been integrated into post-fracture interventions, that most patients do not perceive the OP-fracture link even after a baseline intervention and that two baseline factors predict who is less likely to make the OP-fracture link at follow up. Based on these findings, modifications to current OP interventions were proposed and guidance that could help create new, patient-centered interventions was provided.PMA
Exploring Patients' Perception of Osteoporosis Following a Fragility Fracture: Results of a Literature Review and Analysis of a Provincial Database
No full textMany patient-level barriers to more effective post-fracture osteoporosis (OP) management are associated with patients’ perceptions of their bone health and the link between their fracture and OP. These barriers could be addressed by interventions which account for the role of patients’ perceptions, such as those based on theories of behaviour change. This thesis had two objectives: to review the literature and determine whether these theories have been integrated in post-fracture OP management and to examine patients’ awareness of the OP-fracture link. The results showed that theories of behaviour change have not been integrated into post-fracture interventions, that most patients do not perceive the OP-fracture link even after a baseline intervention and that two baseline factors predict who is less likely to make the OP-fracture link at follow up. Based on these findings, modifications to current OP interventions were proposed and guidance that could help create new, patient-centered interventions was provided.PMA
Work Disability Among Injured Workers with Chronic Upper Extremity Disorders: Measurement and Determinants
Full text linkWork disability represents an important source of the burden for individuals recovering from a work-related upper-extremity disorder (WRUED). Historically, a small subset of injured workers has shown to experience a prolonged recovery course characterized by poor health and work outcomes, which are associated with high workers' compensation costs. Beyond achieving an initial return-to-work, the sustainability of work (i.e. staying at work) and health-related work limitations (i.e. "on-the-job" problems) are increasingly recognized as relevant concerns in this population. In this thesis, three quantitative studies were conducted to contribute insights to the measurement and determinants of work disability associated with WRUEDs, using survey data gathered from injured workers attending a Workplace Safety Insurance Board Upper-Limb Specialty Clinic in Ontario. Specifically, these studies investigated 1) the factorial validity of the Work Limitations Questionnaire (WLQ-25), 2) the predictive ability of the Upper-Limb Work Instability Scale (UL-WIS) for subsequent transitioning out of work (i.e. poor sustainability of work), and 3) the relationship between the work environment and health-related work limitations, among injured workers with a WRUED. Study findings suggest that: 1) due to a specific area of psychometric underperformance, some adaptations are needed for the WLQ-25 before it is suitable for use; 2) the UL-WIS is an independent predictor of transitioning out of work, although some limitations as a standalone prognostic tool were also revealed; and 3) against initial hypothesis, broad differences in the work environment (based on variations across 12 specific workplace characteristics) did not have significant associations with the extent of health-related work limitations experienced by injured workers with a WRUED. Study findings were discussed in terms of how they advance current understanding on the measurement and determinants of work disability, and potential implications in terms of the assessment and management of work disability among injured workers recovering from a WRUED. Future research directions were also proposed to build on current work.Ph.D.2016-11-30 00:00:0
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Concordance between Need and Receipt of Social Support, Independence and Associations with Well-being in Women with Systemic Lupus Erythematosus
Full text linkWomen living with Systemic Lupus Erythematosus (SLE) have the potential for increased support needs due to SLEâ s often severe and unpredictable symptoms. However, they may also strive to maintain their independence. A cross-sectional survey examined need for and evaluations of three types of social support in five diverse life domains and their associations with well-being and disease appraisals, demographic, clinical and social network characteristics. One hundred sixty-three (163) women, aged 19 â 88, were surveyed, drawing on an existing clinical cohort. Across domains, occurrences of concordance between the respondentsâ reported need for support and the support they received were associated with significantly greater well-being than occurrences of discordance. These findings held regardless of whether respondents were independent or dependent on others. This study highlights the need for interventions that emphasize optimizing social support - balancing independence and support needs - rather than assuming that maximizing support is always desirable.M.Sc
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