3,378 research outputs found
Evaluating the 5+YourWay Coach Service in General Practice: Staff Adoption and Patient Reach
No full textBackground: Computer-tailored communications, particularly those delivered via the Internet, may be a cost-effective strategy to improve population health; however, “real- world” implementation research is necessary to establish their public health impact.
The 5+YourWay® Coach is an online behavioural intervention, designed to increase adult fruit and vegetable intakes using computer-tailored communications. This study is part of a 2.4-year implementation research project, evaluating the population public health impact of the 5+YourWay® Coach service in selected Otago general practices, using RE-AIM. Preliminary evaluations after five weeks of service delivery highlighted the need to improve Staff Adoption and patient registrations.
Objective: The present study aims to implement strategies to increase Staff Adoption and patient registrations, and to conduct interim analyses of Staff Adoption, Patient Reach, and Effectiveness at six months.
Methods: Personalised quarterly progress reports were sent to the six participating practices, providing feedback on patient registrations and offering target-based incentives. A single site visit was conducted with three available practices, to discuss their progress and strategies to increase service offers. Staff completed a questionnaire, which acted as a behavioural intervention to encourage them to offer the service to their patients, in addition to quantifying service offers and declines and understanding factors influencing their participation (Staff Adoption). The 5+YourWay® computer system documented participating patient characteristics including website access, session completions and feedback, fruit and vegetable intakes and stage of change (Patient Reach and Effectiveness). Structured telephone interviews were carried out with patients who did not access an initial (n=7) or follow-up session (n=6), to document their characteristics and explore factors influencing their participation (Patient Reach).
Results: At six months, twelve staff members had registered at least one patient with the service, producing a Staff Adoption rate of 20%. GP and practice nurses were equally likely to participate, although nurses registered more patients; two experienced nurses were responsible for more than 60% of total registrations at six months. “Time,” and “forgetting” were cited by responding staff (n=21) as the main barriers to offering the service to patients. Patient Reach was 14%; 18 patients accessed the service out of an estimated 132 patients offered the service during the first six months. Participating patients were more likely to be in pre-action stages of change (n=12) and have no or basic secondary school qualifications (n=11). Eight patients completed at least two online sessions by 14 May 2014. By the start of their second session, a greater proportion of patients met the fruit goal (n=6), while maintaining the vegetable goal (n=7). Five patients increased their baseline fruit intake by 1.0-2.0 servings per day and progressed one to three stages of change, and five patients increased their baseline vegetable intake by 0.8-2.0 servings per day, of which three patients progressed one to three stages of change.
Conclusion: Despite low Staff Adoption and Patient Reach at six months, the 5+YourWay® Coach appears to be a well-received and effective service for those patients it reaches, which includes groups that are difficult to engage. Further efforts are required to increase Staff Adoption and service offer and acceptance rates, in order to improve Patient Reach and evaluate Effectiveness in future analyses
Letter from Rose Cecil O'Neill to Mary Louise Clifton
No full textA handwritten letter from Rose Cecil O'Neill to Mary Louise Clifton Womer regarding folk art in the Ozarks
From the IBPP Research Associates. Brazil: Louise Madeira
No full textThe author -Louise Madeira - is a psychologist working in Brazil. In this article, the Brazilian Economic Crisis is discussed
Payton, Amy Louise. "Looking Back" radio show on Paytons book on Georgina Stirling.
No full textCBC freelance broadcaster Cathy Porter talking to author Amy Louise Payton about the life of Georgina Stirling, Soprano Premadonna from Twillingate. Payton talks about her interest in the singer and her book on Stirling; Hiram Silk interviews Amy Louise Payton on the program Looking Back about her book Nightingale of the North about Georgina Stirling. Payton talks about Stirling and the history of the Twillingate area
Talking to Louise Bourgeois
No full textA narrative text describing a fictive series of events.
The narrator (first person) attempts to interview the celebrated artist Louise Bourgeois in her London studio, and events unfold, leading to his becoming her studio assistant.
The text is interwoven with the narrative of an artist from an unspecified South or Central American country, living in London. There is another text including elements of the first narrative set in a different context, and a further text describing thought processes involved in making a particular painting. The texts serve to problematise the notion of authenticity, identity, originality and the role of the artist. The text is derived from several paintings by the author
Louise Phillips scrapbooks
No full textTwo scrapbooks compiled by Louise Phillips, a University of Maryland Alumna. She graduated with a Bachelor's of Science in Early Childhood Education in 1960 and with an Med. in Curriculum and Instruction in 1991. Phillips was a Montgomery County public school teacher and is the author of children's books. In 1986 she made a documentary about her teaching experiences. The scrapbooks include statements of her philosophy on teaching, vacation photographs, and correspondence. Also included are her two books, The Bald Eagle's Flying Shadow: A Fourth of July Celebration and The First Snowflake of Winter
Louise Juneau
No full textPhotograph - Louise Juneau, an Alberta Government Telephone operator, Athabasca, Albert
Louise Juneau - 03
No full textPhotograph - Louise Juneau, an Alberta Government Telephone operator, Athabasca, Albert
Dietary factors contributing to Māori dental health in Northland, New Zealand
No full textBackground: Despite being preventable, dental diseases are the most prevalent non-communicable disease worldwide. Dietary factors can harm and protect dental health. Sugar consumption significantly increases dental caries risk, while acidic foods and beverages can contribute to tooth wear. Cheese and plain milk have protective qualities. In New Zealand, Northland is a region with poor dental health, particularly in children, but little is known about dietary intakes in this region, especially in the Māori population.
Objective: To investigate the relationship between parent/caregiver and child frequency of consuming foods and beverages that could harm and protect dental health among Māori families/households residing in Northland, New Zealand
Methods: A convenience sample of 31 Māori households (131 participants), living in high deprivation areas of Whangarei and Paihia, participated in this cross-sectional observational study. Children ages 5-14 years completed a qualitative food frequency questionnaire (FFQ), which assessed how often they usually consumed sugar-sweetened foods and beverages, citrus/acidic fruit, and cheese/plain milk per day over the past month. Parents/caregivers and older children (15+ years) completed a semi-quantitative FFQ, which assessed consumption frequency (and amount) of similar food and beverage items for the same food categories over the same time period. Consenting participants also provided a 3cm hair sample to quantify 13Carbon (ratio of 12C:13C), claimed to assess corn and cane sugars intake over the past three months. Each parent/caregiver was matched with a randomly selected child from their household for analysis (N=64, 32 dyads).
Results: Among 32 dyads, sugar-sweetened foods and beverages were consumed frequently by parents/caregivers and their children (medians 4.5 and 5.3 times a day, respectively). No statistically significant relationship between consumption frequency and hair 13Carbon was observed (rs= 0.29 [Adult QFFQ] and 0.06 [Child FFQ]). As a group, parents/caregivers and children had similar mean hair 13Carbon (18 adults: -19.94; 40 children: -20.05; p=0.204); the mean difference between 15 parent/caregiver-child dyads was insignificant (0.33 [95%CI: -0.21, -0.86], adjusted for 15N, sex, age). Between 32 parent/caregiver-child dyads, a significant association was found for sugar-sweetened beverages (rs= 0.49, p=0.004), but no other food category. On average, both groups consumed citrus/acidic fruit 0.7 times a day and cheese/plain milk 1.8-1.9 times a day.
Conclusions: This study offers insight into the food and beverage consumption patterns of 31 Māori families living in Northland, improving our understanding of dietary factors that may be influencing their dental health. Sugar intakes are the most pressing concern. More than half of the parents/caregivers and children in this sample need to reduce their sugary food and beverage consumption to meet recommended levels (<4 times a day), which indicates an urgent need for public health intervention. The next step for this research is to refine food frequency calculations, so diet and dental disease relationships can be explored
Louise Juneau - 02
No full textPhotograph - Louise Juneau, an Alberta Government Telephone operator, Athabasca, Albert
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