scholarly journals Managerial perceptions of factors affecting the design and delivery of sport for health programs for refugee populations

2019 ◽  
Vol 22 (1) ◽  
pp. 80-95 ◽  
Author(s):  
Arden Anderson ◽  
Marlene A. Dixon ◽  
Kristi F. Oshiro ◽  
Pamela Wicker ◽  
George B. Cunningham ◽  
...  
2019 ◽  
Author(s):  
Kristian Hudson ◽  
Rebecca Lawton ◽  
Siobhan Hugh-Jones

Abstract Background Preventing the onset of poor mental health in adolescence is an international public health priority. Universal, whole school preventative approaches are valued for their reach, and anti-stigmatising and resilience building principles. Mindfulness approaches to well-being have the potential to be effective when delivered as a whole school approach for both young people and staff. However, despite growing demand, there is little understanding of possible and optimal ways to implement a mindfulness, whole school approach (M-WSA) to well-being. This study aimed to identify the determinants of early implementation success of a M-WSA. We tested the capacity of the Consolidated Framework for Implementation Research (CFIR), to capture the determinants of the implementation of a mental health intervention in a school setting.Methods Key members of school staff (n=15) from five UK secondary schools attempting to implement a M-WSA were interviewed at two-time points, six months apart, generating a total of 30 interviews. Interviews explored participants’ attitudes, beliefs and experiences around implementing a M-WSA. Interview data were coded as CFIR constructs or other (non CFIR) factors affecting implementation. We also mapped school-reported implementation activity and perceived success over 30 months.Results The CFIR captured the implementation activities and challenges well, with 74% of CFIR constructs identifiable in the dataset. Of the 38 CFIR constructs, 11 appeared to distinguish between high and low implementation schools. The most essential construct was school leadership. It strongly distinguished between high and low implementation schools and appeared inter-related with many other distinguishing constructs. Other strongly distinguishing constructs included relative priority, networks and communications, formally appointed implementation leaders, knowledge and beliefs about the intervention, and executing.Conclusions The CFIR appears useful for assessing the implementation of mental health programs in UK secondary schools. Our findings suggest key implementation constructs that schools, commissioners and policy makers should focus on to promote successful early implementation of mental health programs. School leadership is a key construct to target at the outset.


2020 ◽  
Author(s):  
Kristian Hudson ◽  
Rebecca Lawton ◽  
Siobhan Hugh-Jones

Abstract Background Preventing the onset of poor mental health in adolescence is an international public health priority. Universal, whole school preventative approaches are valued for their reach, and anti-stigmatising and resilience building principles. Mindfulness approaches to well-being have the potential to be effective when delivered as a whole school approach for both young people and staff. However, despite growing demand, there is little understanding of possible and optimal ways to implement a mindfulness, whole school approach (M-WSA) to well-being. This study aimed to identify the determinants of early implementation success of a M-WSA. We tested the capacity of the Consolidated Framework for Implementation Research (CFIR), to capture the determinants of the implementation of a mental health intervention in a school setting. Methods Key members of school staff (n=15) from five UK secondary schools attempting to implement a M-WSA were interviewed at two-time points, six months apart, generating a total of 30 interviews. Interviews explored participants’ attitudes, beliefs and experiences around implementing a M-WSA. Interview data were coded as CFIR constructs or other (non CFIR) factors affecting implementation. We also mapped school-reported implementation activity and perceived success over 30 months. Results The CFIR captured the implementation activities and challenges well, with 74% of CFIR constructs identifiable in the dataset. Of the 38 CFIR constructs, 11 appeared to distinguish between high and low implementation schools. The most essential construct was school leadership. It strongly distinguished between high and low implementation schools and appeared inter-related with many other distinguishing constructs. Other strongly distinguishing constructs included relative priority, networks and communications, formally appointed implementation leaders, knowledge and beliefs about the intervention, and executing. Conclusions The CFIR appears useful for assessing the implementation of mental health programs in UK secondary schools. Our findings suggest key implementation constructs that schools, commissioners and policy makers should focus on to promote successful early implementation of mental health programs. School leadership is a key construct to target at the outset.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Benjamin Naccache ◽  
Laure Mesquida ◽  
Jean-Philippe Raynaud ◽  
Alexis Revet

Abstract Background Anorexia Nervosa (AN) is a key target for E-Health programs considering the many barriers hindering patients’ access to care and the disorder’s severity. Although these programs have become more common and effective, they often have low adherence, especially among youth. This can hinder their implementation and effectiveness in real-world settings. User experience partly overlaps with the acceptability field and may provide insight into factors affecting adherence and adoption of E-Health programs. This study aimed to explore early acceptability and user experience of a companion app prototype for adolescents with AN using user-centered design methods. Methods We developed a prototype containing self-help material and emotions and behaviors evaluation and management features. Then we conducted a mixed evaluation combining semi structured focus group interviews and questionnaires in a clinician group and an AN patient group. We analyzed data using thematic analysis and descriptive statistics. Results The app’s overall appeal was adequate. The user experience questionnaire revealed the weakest dimensions, including novelty, dependability, and efficiency versus stimulation (i.e., ability to induce motivation to use the product) and perspicuity (i.e., easy to understand, to get familiar with). The qualitative data analysis revealed three central axes: acceptability, features, and use. We identified acceptability barriers and facilitators such as the importance of design and customization, especially for adolescents. Psychoeducation was a major feature for participants, as patients highlighted the difficulties they encountered when seeking disorders-related information. Conclusions This study shows the importance of including users in the different stages of an e-health intervention development, in order to identify their needs, general use and compliance patterns, to improve adherence and adoption of the program and its effectiveness.


2021 ◽  
Vol 20 (4) ◽  
pp. 2900
Author(s):  
E. A. Zhidkova ◽  
K. G. Gurevich ◽  
A. V. Kontsevaya ◽  
O. M. Drapkina

Preventive workplace programs are one of the optimal organizational models for the prevention of noncommunicable diseases in the workingage population. Corporate health programs allow to effectively influence the lifestyle of employees, which makes it possible to reduce human resource risks due to morbidity and increase labor efficiency. First, programs for the prevention of cardiovascular diseases are being implemented. A number of researchers report that implementing prevention programs in the workplace can reduce the number of people with bad habits. The effectiveness of preventive workplace programs largely depends on the mechanisms of their implementation. A feature of railway companies is the presence of a large staff of employees of various specialties. Many factors affecting health are, in one way or another, related to the workflow, since most railway companies operate continuously. Low health literacy of railway workers on health protection and disease prevention was noted. Measures such as financial incentives, preventive counseling, the creation of personalized health profiles and the availability of healthy food in the workplace have been shown to be effective. The review also discusses Russian corporate preventive workplace programs.


1992 ◽  
Vol 26 (2) ◽  
pp. 395-415 ◽  
Author(s):  
Ka-Che Yip

In 1928, the newly established Nationalist government faced the formidable task of rebuilding the country after years of political disintegration. The central concern was national strengthening and modernization, and the government embarked on various programs of political, social and economic reconstruction. Medical modernization was part of this process. A study of the Nationalist efforts in this area is crucial to our understanding of the complexity of health developments in modern China since the Nationalist decade of 1928–1937 was the only period in pre-1949 China when a central government was able to assert some measure of control over the nation and preside over the construction of a modern health system. This process would include not only the initiation of new programs but also the consolidation and coordination of efforts on the part of individual reformers and groups. The examination of the evolution of such a system will illuminate a much neglected but important aspect of social and institutional developments in the Republican period. It will also lend historical perspective to the understanding of health developments after 1949. This essay focuses on the development and implementation of rural health programs in the Nationalist decade as well as the factors affecting the establishment of a viable health care system in the countryside.


2021 ◽  
Vol 6 (1) ◽  
pp. 1-6
Author(s):  
Cevriye Ozdemir ◽  
AyÅŸegül Yıldız ◽  
Seda Åžahan

Background: With the declaration of the new coronavirus (COVID ‐ 19) pandemic, which was detected in the Wuhan region of China and later seen in many countries of the world, education and training were significantly affected in all countries, and distance education started to be used in all areas of education. To this end, students can exhibit cyberloafing behaviors during distance education for various reasons. Thus, this study aims to determine the levels of cyberloafing and the factors affecting these behaviors of students studying in health programs during distance education. Methods: In this descriptive study, 405 students studying in the health programs of various private and public universities in Turkey and met the criteria for inclusion in the study formed the research sample. Results: When the students’ tools to access distance education during the pandemic process were compared, it was found that students using computers had higher levels of cyberloafing activities than those using other tools (p<0,05). Conclusions: Distance education keeps students connected to technological tools, increases the risk of engaging in activities irrelevant to the course, and thus leads them to exhibit cyberloafing behaviors. Keywords: Distance education; cyberloafing; COVID-19


Author(s):  
F. A. Heckman ◽  
E. Redman ◽  
J.E. Connolly

In our initial publication on this subject1) we reported results demonstrating that contrast is the most important factor in producing the high image quality required for reliable image analysis. We also listed the factors which enhance contrast in order of the experimentally determined magnitude of their effect. The two most powerful factors affecting image contrast attainable with sheet film are beam intensity and KV. At that time we had only qualitative evidence for the ranking of enhancing factors. Later we carried out the densitometric measurements which led to the results outlined below.Meaningful evaluations of the cause-effect relationships among the considerable number of variables in preparing EM negatives depend on doing things in a systematic way, varying only one parameter at a time. Unless otherwise noted, we adhered to the following procedure evolved during our comprehensive study:Philips EM-300; 30μ objective aperature; magnification 7000- 12000X, exposure time 1 second, anti-contamination device operating.


Author(s):  
Christine M. Dannels ◽  
Christopher Viney

Processing polymers from the liquid crystalline state offers several advantages compared to processing from conventional fluids. These include: better axial strength and stiffness in fibers, better planar orientation in films, lower viscosity during processing, low solidification shrinkage of injection moldings (thermotropic processing), and low thermal expansion coefficients. However, the compressive strength of the solid is disappointing. Previous efforts to improve this property have focussed on synthesizing stiffer molecules. The effect of microstructural scale has been overlooked, even though its relevance to the mechanical and physical properties of more traditional materials is well established. By analogy with the behavior of metals and ceramics, one would expect a fine microstructure (i..e. a high density of orientational defects) to be desirable.Also, because much microstructural detail in liquid crystalline polymers occurs on a scale close to the wavelength of light, light is scattered on passing through these materials.


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