A Multidimensional Evaluation of Therapist Behaviour

1989 ◽  
Vol 17 (3) ◽  
pp. 253-266 ◽  
Author(s):  
Derek Milne
Keyword(s):  
Clinical Outcomes ◽  
Random Sample ◽  
Outcome Data ◽  
Four Dimensions ◽  
Interpersonal Effectiveness ◽  
Satisfactory Level ◽  
Multidimensional Evaluation ◽  
Process And Outcome ◽  
Predicting Outcome

The difficulty in predicting outcome from therapist behaviour has been attributed to the neglect of some important variables, including the amount and type of therapy, and the skilfulness and interpersonal manner of the therapist. The present study investigated one therapists behaviour in terms of these four dimensions for a random sample of 10 adult outpatients, for whom outcome data were available. Results indicated that the type of therapy was intermediate between prescriptive and exploratory modes, that it was practiced at a satisfactory level of proficiency, and that interpersonal effectiveness was high. The related Clinical outcomes were also satisfactory in relation to the amount of therapy. In addition to illustrating a procedure for evaluating therapist behaviour and showing the correspondence between process and outcome, this “case study” provides evidence to support the need for more objective accounts of therapist behaviour.

Linguistic Interactions: A Therapeutic Consideration for Adults With Aphasia

2008 ◽  
Vol 17 (3) ◽  
pp. 93-98
Author(s):  
Lynn E. Fox
Keyword(s):  
Clinical Outcomes ◽  
Social Contexts ◽  
Interaction Models ◽  
Social Communities ◽  
Wernicke's Aphasia ◽  
Communication Challenges ◽  
Therapeutic Consideration ◽  
Patterns Of Interaction ◽  
Structural Language

Abstract Linguistic interaction models suggest that interrelationships arise between structural language components and between structural and pragmatic components when language is used in social contexts. The linguist, David Crystal (1986, 1987), has proposed that these relationships are central, not peripheral, to achieving desired clinical outcomes. For individuals with severe communication challenges, erratic or unpredictable relationships between structural and pragmatic components can result in atypical patterns of interaction between them and members of their social communities, which may create a perception of disablement. This paper presents a case study of a woman with fluent, Wernicke's aphasia that illustrates how attention to patterns of linguistic interaction may enhance AAC intervention for adults with aphasia.

Revisiting Tourism Destination Image: A Holistic Measurement Framework Using Big Data

2021 ◽  
pp. 004728752110247
Author(s):  
Vinh Bui ◽  
Ali Reza Alaei ◽  
Huy Quan Vu ◽  
Gang Li ◽  
Rob Law
Keyword(s):  
Large Scale ◽  
Structural Model ◽  
Destination Image ◽  
Tourism Destination ◽  
Computational Framework ◽  
Four Dimensions ◽  
Tourism Management ◽  
Measurement Framework ◽  
Compare And Contrast

Understanding and being able to measure, analyze, compare, and contrast the image of a tourism destination, also known as tourism destination image (TDI), is critical in tourism management and destination marketing. Although various methodologies have been developed, a consistent, reliable, and scalable method for measuring TDI is still unavailable. This study aims to address the challenge by proposing a framework for a holistic measure of TDI in four dimensions, including popularity, sentiment, time, and location. A structural model for TDI measurement that covers various aspects of a tourism destination is developed. TDI is then measured by a comprehensive computational framework that can analyze complex textual and visual data on a large scale. A case study using more than 30,000 images, and 10,000 comments in relation to three tourism destinations in Australia demonstrates the effectiveness of the proposed framework.

Practice-based Outcomes Research: Crucial, Feasible, and Neglected

PEDIATRICS ◽  
1996 ◽  
Vol 97 (1) ◽  
pp. 113-114
Author(s):  
Jerry Avorn
Keyword(s):  
Health Care ◽  
Clinical Outcomes ◽  
Outcomes Research ◽  
Cost Containment ◽  
American Health Care System ◽  
American Health Care ◽  
Experimental Subjects ◽  
Contemporary Medicine ◽  
Pharmacologic Therapies

The article from the Vermont-Oxford Neonatal Network1 in this issue of Pediatrics comparing two surfactant preparations represents an important case study of a central issue in contemporary medicine: the need for rigorous, even-handed evaluation of competing therapies. Even at a time in which patients and payers are expecting ever-higher standards for clinical outcomes, and policymakers and insurers are demanding more and more stringent cost containment, the American health care system lacks a coherent mechanism for assembling and analyzing the data needed to meet these goals. For pharmacologic therapies, the Food and Drug Administration (FDA) prefers that mew agents be tested against placebos whenever possible, unless this would result in harm to experimental subjects.

A comparative multidimensional evaluation of conservation agriculture systems: A case study from a Mediterranean area of Southern Italy

2017 ◽  
Vol 68 ◽  
pp. 326-333 ◽  
Author(s):  
Antonella Vastola ◽  
Pandi Zdruli ◽  
Mario D’Amico ◽  
Gioacchino Pappalardo ◽  
Mauro Viccaro ◽  
...  
Keyword(s):  
Southern Italy ◽  
Conservation Agriculture ◽  
Mediterranean Area ◽  
Multidimensional Evaluation ◽  
Agriculture Systems

scholarly journals Trends in Qualitative Research in Three Major Language Teaching and Learning Journals, 2006–2015

2017 ◽  
Vol 4 (1) ◽  
pp. 37 ◽  
Author(s):  
Hiroko Tojo ◽  
Akiko Takagi
Keyword(s):  
Qualitative Research ◽  
Teaching And Learning ◽  
Language Teaching ◽  
Four Dimensions ◽  
Current Trends ◽  
Major Language ◽  
Data Collection And Analysis ◽  
Learning Journals ◽  
Language Teaching And Learning

This study examines the current trends and complexities in qualitative research in three major language teaching andlearning journals published from 2006–2015. After categorizing 781 articles into quantitative, qualitative, mixedmethods, and other approaches, 226 qualitative research articles were closely examined and further analyzed in termsof four dimensions: approaches, methods, number of participants, and length of research period. The findingsshowed that case study was the most frequently employed approach, followed by ethnography. The study alsoidentified that while interviews, observations, discourse analysis, and conversation analysis were relatively wellutilized, more than 150 different data collection and analysis methods were used. Although the results of the studyshow a tendency to use certain approaches and methods in qualitative research more than others, they alsodemonstrate the complexity and diversity of qualitative research and the difficulty in clarifying and categorizingtypes of qualitative research in language teaching and learning.

scholarly journals Predicting Outcome in the COURAGE Trial (Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation)

2014 ◽  
Vol 7 (2) ◽  
pp. 195-201 ◽  
Author(s):  
G.B. John Mancini ◽  
Pamela M. Hartigan ◽  
Leslee J. Shaw ◽  
Daniel S. Berman ◽  
Sean W. Hayes ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Drug Evaluation ◽  
Predicting Outcome

scholarly journals Dialogical Processes Examined: A Victim offender dialogue case study

2014 ◽  
Vol 1 (1) ◽  
pp. 1-8
Keyword(s):  
Restorative Justice ◽  
Evolution And Development ◽  
Process And Outcome

This article outlines the evolution and development of Victim Offender Dialogue now seen as a growing part of the Restorative Justice movement worldwide. A case study outlines the rationale given by both victims and offender for participation and the necessary preparation undertaken to conduct an authentic process with both. An examination is made of the nature and extent of the issues explored during the dialogue and the process and outcome of the dialogue itself. This review describe moments of heartbreak, sadness and humour as the dialogue unfolds, capturing key transformational moments in the process. In conclusion, the question of forgiveness is considered, whether it was given or received.

scholarly journals QHAR: Q-Holonic-Based ARchitecture for Self-Configuration of Cyber–Physical Production Systems

2021 ◽  
Vol 11 (19) ◽  
pp. 9013
Author(s):  
Douha Macherki ◽  
Thierno M. L. Diallo ◽  
Jean-Yves Choley ◽  
Amir Guizani ◽  
Maher Barkallah ◽  
...  
Keyword(s):  
Decentralized Control ◽  
System Performance ◽  
Production Systems ◽  
Control Level ◽  
Centralized Control ◽  
Four Dimensions ◽  
Potential Capacity ◽  
Heterarchical Control ◽  
Cyber Physical Production Systems

Production systems must be able to adapt to increasingly frequent internal and external changes. Cyber-Physical Production Systems (CPPS), thanks to their potential capacity for self-reconfiguration, can cope with this need for adaptation. To implement the self-reconfiguration functionality in economical and safe conditions, CPPS must have appropriate tools and contextualized information. This information can be organized in the form of an architecture. In this paper, after the analysis of several holonic and nonholonic architectures, we propose a holonic architecture that allows for reliable and efficient reconfiguration. We call this architecture QHAR (Q-Holonic-based ARchitecture). QHAR is constructed based on the idea of a Q-holon, which has four dimensions (physical, cyber, human, and energy) and can exchange three flows (energy, data, and materials). It is a generic Holon that can represent any entity or actor of the supply chain. The QHAR is structured in three levels: centralized control level, decentralized control level, and execution level. QHAR implements the principle of an oligarchical control architecture by deploying both hierarchical and heterarchical control approaches. This ensures the overall system performance and reactivity to hazards. The proposed architecture is tested and validated on a case study.

New Product Decisions - The Process and Outcome for a Community Health System

2011 ◽  
Vol 16 (2) ◽  
pp. 74-84 ◽  
Author(s):  
Jose Delp ◽  
Lynn Hadaway
Keyword(s):  
Clinical Outcomes ◽  
Patient Outcomes ◽  
Negative Impact ◽  
Relevant Literature ◽  
Outcome Data ◽  
Passive Safety ◽  
Radiology Department ◽  
Complication Rates ◽  
Safety Mechanism ◽  
Catheter System

Abstract Purpose: To compare patient outcomes and evaluate safety features and costs associated with a new catheter system and securement dressing. Background: The need to improve dwell times for short peripheral catheters and reduce complication rates, along with improvements in clinical practice in radiology and enhanced staff safety were driving factors leading to a change in peripheral catheters and securement systems. Review of Relevant Literature: Several reports of catheter stabilization devices have shown improved clinical outcomes with their use. Currently available studies on this new catheter system include one small evaluation and a randomized trial comparing a traditional round hub catheter coupled with a supplemental securement device and the new catheter system with an integrated stabilization platform combined with a securement dressing. Passive safety mechanisms on peripheral catheters may produce fewer needlestick injuries than mechanisms requiring the user to activate the device. Methods: After a learning period, the following seven months were designated the intervention period. Outcome data from the same seven-month period of the preceding year were used for comparison. The data were divided into scheduled and unscheduled restarts. Data from two hospitals are reported separately and in combination. Data from the two periods were analyzed for equivalence or noninferiority. Results: Clinical outcomes for both periods are virtually equivalent, demonstrating that one system is not inferior to the other regarding catheter complications. However the catheter system with the integrated stabilization platform was less costly and safer due to a passive safety mechanism. Problems with high pressure injection in the radiology department were also solved with the new catheter system. Conclusions: While any product change can be a challenging experience, we accomplished these changes in an orderly manner without negative impact on patient outcomes and reducing costs. Improvements in radiology were also attributed to these changes, along with enhanced staff safety. Implications for Practice: The catheter designed with an integrated stabilization platform, a pre-attached extension set, and a passive safety mechanism produced benefits for radiology staff without negatively affecting patient outcomes in other clinical areas. These product changes were implemented in an organized manner and involved all stakeholders in the process.

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