How a Therapy-Based Quality Improvement Intervention for Depression Affected Life Events and Psychological Well-Being Over Time

Medical Care ◽  
2008 ◽  
Vol 46 (1) ◽  
pp. 78-84 ◽  
Author(s):  
Cathy Donald Sherbourne ◽  
Maria Orlando Edelen ◽  
Annie Zhou ◽  
Chloe Bird ◽  
Naihua Duan ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Life Events ◽  
Well Being ◽  
Quality Improvement Intervention ◽  
Psychological Well Being ◽  
Improvement Intervention ◽  
Over Time

The Impact of Familial and Environmental Factors on the Adjustment of Immigrants

2008 ◽  
Vol 30 (1) ◽  
pp. 92-123 ◽  
Author(s):  
Vered Slonim-Nevo ◽  
Julia Mirsky ◽  
Ludmila Rubinstein ◽  
Bernhard Nauck
Keyword(s):  
Life Events ◽  
Language Proficiency ◽  
Stressful Life Events ◽  
Perceived Discrimination ◽  
Family Relations ◽  
Well Being ◽  
Stressful Life ◽  
Psychological Well Being ◽  
The Impact ◽  
Over Time

This study examined the impact of family interaction, perceived discrimination, stressful life events, and the hosting country on the adjustment of Israeli and German immigrants. Results show that changes in self-esteem between the 1st year of immigration and 2 and 4 years later were significantly related to family relations: the better the functioning, the greater the improvement. The patterns of relationships in the family, however, only partially explained changes in psychological well-being and language proficiency. Perceived discrimination explained discrepancies over time in psychological well-being among fathers and adolescents and the discrepancies in language proficiency among mothers: the lower the discrimination, the greater the improvement. Adult immigrants who experienced more stressful life events presented deterioration in their psychological well-being over time. Finally, adults who immigrated to Germany were more likely to acquire the new language than their counterparts who immigrated to Israel.

scholarly journals Evaluating context-specific evidence-based quality improvement intervention on lymphatic filariasis mass drug administration in Northern Ghana using the RE-AIM framework

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Alfred Kwesi Manyeh ◽  
Tobias Chirwa ◽  
Rohit Ramaswamy ◽  
Frank Baiden ◽  
Latifat Ibisomi
Keyword(s):  
Quality Improvement ◽  
Needs Assessment ◽  
Lymphatic Filariasis ◽  
Drug Administration ◽  
Mass Drug Administration ◽  
Northern Ghana ◽  
Quality Improvement Intervention ◽  
Evidence Based ◽  
Context Specific ◽  
Improvement Intervention

Abstract Background Over a decade of implementing a global strategy to eliminate lymphatic filariasis in Ghana through mass drug administration, the disease is still being transmitted in 11 districts out of an initial 98 endemic districts identified in 2000. A context-specific evidence-based quality improvement intervention was implemented in the Bole District of Northern Ghana after an initial needs assessment to improve the lymphatic filariasis mass drug administration towards eliminating the disease. Therefore, this study aimed to evaluate the process and impact of the lymphatic filariasis context-specific evidence-based quality improvement intervention in the Bole District of Northern Ghana. Method A cross-sectional mixed methods study using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate the context-specific evidence-based quality improvement intervention was employed. Quantitative secondary data was extracted from the neglected tropical diseases database. A community survey was conducted with 446 randomly selected participants. Qualitative data were collected from 42 purposively selected health workers, chiefs/opinion leaders and community drug distributors in the study area. Results The evaluation findings showed an improvement in social mobilisation and sensitisation, knowledge about lymphatic filariasis and mass drug administration process, willingness to ingest the medication and adherence to the direct observation treatment strategy. We observed an increase in coverage ranging from 0.1 to 12.3% after implementing the intervention at the sub-district level and reducing self-reported adverse drug reaction. The level of reach, effectiveness and adoption at the district, sub-district and individual participants’ level suggest that the context-specific evidence-based quality improvement intervention is feasible to implement in lymphatic filariasis hotspot districts based on initial context-specific needs assessment. Conclusion The study provided the groundwork for future application of the RE-AIM framework to evaluate the implementation of context-specific evidence-based quality improvement intervention to improve lymphatic filariasis mass drug administration towards eliminating the disease as a public health problem.

scholarly journals A quality improvement intervention to reduce emergency department radiography for bronchiolitis

2018 ◽  
Vol 137 ◽  
pp. 1-5 ◽  
Author(s):  
Joel Reiter ◽  
Adin Breuer ◽  
Oded Breuer ◽  
Saar Hashavya ◽  
David Rekhtman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Quality Improvement ◽  
Quality Improvement Intervention ◽  
Improvement Intervention
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