Intensive Fostering: An Independent Evaluation of MTFC in an English Setting

2012 ◽  
Vol 36 (1) ◽  
pp. 13-26 ◽  
Author(s):  
Nina Biehal ◽  
Sarah Ellison ◽  
Ian Sinclair
Keyword(s):  
Young People ◽  
Total Sample ◽  
High Risk Group ◽  
Eligibility Criteria ◽  
Independent Evaluation ◽  
Quasi Experimental ◽  
One Year ◽  
Stage 1 ◽  
Official Data

Nina Biehal, Sarah Ellison and Ian Sinclair present the results of an independent evaluation of the Multidimensional Treatment Foster Care (MTFC) programme for young offenders in England, where it is known as Intensive Fostering (IF). A quasi-experimental, mixed-methods study was carried out at the three pilot sites, with a total sample of 47 at follow-up. Young people sentenced to IF were compared to a similar group, matched on the eligibility criteria for IF, the majority of whom were sentenced to custody. The groups were well matched in terms of their characteristics and criminal histories. Official data on reconviction were collected at baseline and one year after entry to the IF placement or release from custody (Stage 1), and further data on programme completion and secondary outcomes were collected via interviews with young people and parents, and questionnaires to professionals at baseline and follow-up. Official data on reconviction were also collected one year after exit from the IF placements (Stage 2). At Stage 1 the IF group were less likely to be reconvicted, had committed fewer and less-serious recorded offences, on average, and took longer to commit their first recorded offence. At this point the IF group were more likely to be living with their families and less likely to be in custody than the comparison group. However, by Stage 2 no significant differences in patterns of reconviction remained. IF successfully contained a high-risk group in the community, but the effects of the intervention diminished once they left their foster placements. Environmental effects on entry to and exit from the IF placements may help to explain the results at both stages.

scholarly journals One-Year Change in Locus of Control among People with Dementia

2021 ◽  
pp. 298-305
Author(s):  
Ingeborg Halse ◽  
Guro Hanevold Bjørkløf ◽  
Knut Engedal ◽  
Geir Selbæk ◽  
Maria Lage Barca
Keyword(s):  
Locus Of Control ◽  
Depressive Symptomatology ◽  
Personal Control ◽  
Total Sample ◽  
Daily Activities ◽  
Dementia Severity ◽  
People With Dementia ◽  
The Mean ◽  
One Year

<b><i>Introduction:</i></b> Knowledge of how perceptions of personal control change over time may provide valuable insights into how people cope with having dementia. The present study aimed to examine change in locus of control over a 12-month period in persons with dementia. <b><i>Method:</i></b> The study included 52 participants with dementia. Locus of control was measured with the Locus of Control of Behavior Scale (LoCB), with higher scores indicating a more external locus of control, interpreted as perceiving less personal control. A ≥5% change on the LoCB was considered clinically meaningful. We recorded sociodemographic characteristics and assessed dementia severity, cognition, ability to function independently in daily activities and physical self-maintenance, depressive symptomatology, and number of prescribed medications. Analyses were performed to examine differences between those with increases (more external) or decreases (less external) in the LoCB score after 12 months and to examine associations between baseline variables and change in the LoCB score. <b><i>Results:</i></b> The mean LoCB score for the total sample did not change after 12 months (baseline mean 29.33 vs. follow-up mean 30.33, <i>p</i> = 0.553); however, 2 subgroups emerged. Using the ≥5% cutoff revealed that the LoCB score changed for 92.3% of the sample, becoming less external (lower LoCB) for 21 participants and more external (higher LoCB) for 27 participants. At baseline, the mean LoBC score was higher in the group that became less external (33.81 vs. 24.56), <i>p</i> = 0.006, while this was reverse at follow-up (23.57 vs. 34.41), <i>p</i> = 0.001. Dementia severity and dependence in physical self-maintenance increased during the 12 months in both groups. Among those becoming more external, we also found a decline in cognition (<i>p</i> = 0.002), an increase in dependence in daily activities (<i>p</i> = 0.003), an increase in the use of prescribed medication, and a decrease in depressive symptomatology (<i>p</i> = 0.003). The baseline LoCB score was the only variable associated with 12-month change in LoCB scores (<i>p</i> = 0.001). <b><i>Conclusion:</i></b> Most participants showed a clinically meaningful change in locus of control after 12 months. Those with more signs of dementia progression reported a decrease in personal control but also a decrease in depressive symptoms. These findings are interesting for our understanding of coping but must be replicated with a larger sample.

scholarly journals Hysterectomy optimization technology in patients with overweight

2020 ◽  
Vol 3 (13) ◽  
pp. 22-26
Author(s):  
B. Khabrat ◽  
O. Lytvak ◽  
B. Lysenko ◽  
A. Khabrat ◽  
V. Pasko
Keyword(s):  
High Frequency ◽  
Uterine Fibroids ◽  
Control Group ◽  
Proximal Point ◽  
Testing Method ◽  
Inflammatory Processes ◽  
Serious Injury ◽  
One Year ◽  
Stage 1

Aim. The aim of our work was the development and testing method of hysterectomy, which would greatly facilitate radical hysterectomy in patients who are overweight. Materials and methods. In the main group of supervision were included 76 women who had 0 and stage 1 prolapse by POP-Q classification and were operated under minimally invasive surgery of RPCPCM in the period from 2019 to 2020because of uterine fibroids by the method developed by us.The control group consisted of 50 women whom was performed intrafascial hysterectomy by the method of Oldridge. To study the vaginal profile marked by two indicators: the length of the vagina and the range of displacement of the proximal point of the vagina (apex), which were determined before surgery and 24 months after surgery at intervals of one year. Determining the length of the vagina was performed in the supine position, immediately determine the most proximal point of the vagina. Results and discussion Conclusions. Methods of intrafascial hysterectomy using high-frequency diathermy are effective in preventing prolapse stump and shortening of the vagina. Shortening of the vagina in patients in the control group may have been caused by the degenerative processes due to serious injury of support structures and vessels of proximal vagina with the emergence in this context of inflammatory processes in the stump. Shortening of the vagina in patients operated on the proposed method was observed. Trends shortening of the vagina or prolapse at follow-up were found.

scholarly journals A Healthy Retirement Program for Thai government teachers: a quasi-experimental and comparison groups study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Numporn Insin ◽  
Chanuantong Tanasugarn ◽  
Sarunya Benjakul
Keyword(s):  
Chronic Disease ◽  
Health Information ◽  
Healthy Lifestyle ◽  
Subjective Health ◽  
Content Type ◽  
Comparison Groups ◽  
Quasi Experimental ◽  
One Year ◽  
Experimental Group

PurposeThe purpose of this study is to evaluate the Healthy Retirement Program's effectiveness toward skills improvement and evaluate changes in subjective health.Design/methodology/approachA quasi-experimental, pre and posttest of the comparison groups was conducted. Teachers who were going to retire within one year were recruited into the experimental (n = 47) and the comparison groups (n = 43). Questionnaires were administered at baseline, posttest and at the 6-months follow-up. An independent t-test and Mann–Whitney U test were applied to determine the differences in outcomes between groups.FindingsThe results revealed different effects regarding teachers' health status. In those who had no chronic disease, the experimental group had higher skills to understand health information at posttest and at follow-up (p = 0.036, 0.028). Skills to apply health information was also greater at follow-up (p = 0.042). Among those suffering from a chronic disease, skills to access and apply health information were significantly higher in the experimental group than that of the comparison at follow-up (p = 0.011, 0.046). Greater perceived health of the experimental group was also indicated (p = 0.032).Originality/valueWhile the health conditions of teachers at the preretirement period are inconsistent, healthy lifestyle management after retirement is a crucial skill for retirement adjustment. Supporting teachers to be health literate should be included in the retirement planning program which emphasizes preretiree's ability to understand and take control of their health.

scholarly journals A quasi-experimental text messaging trial to improve adolescent sexual and reproductive health and smoking knowledge in Indonesia

Sexual Health ◽  
2020 ◽  
Vol 17 (2) ◽  
pp. 167
Author(s):  
Alisa E. Pedrana ◽  
Jamie Pina ◽  
Retna S. Padmawati ◽  
Ririh Zuhrina ◽  
Lutfan Lazuardi ◽  
...  
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Text Messaging ◽  
Healthy Lifestyle ◽  
Text Message ◽  
Knowledge Score ◽  
Baseline Survey ◽  
Sms Intervention ◽  
Quasi Experimental

Background To evaluate the feasibility and acceptability of a text message intervention to improve young people’s knowledge of sexual reproductive health (SRH) and harms related to smoking in Indonesia. Methods: A quasi-experimental short message service (SMS) trial of young people aged 16–24 years receiving twice weekly SMS over a 10-week intervention period. Pre- and post-online demographic and risk behaviour surveys were used to assess changes in knowledge. Among respondents who completed both surveys, we assessed changes in knowledge before and after SMS intervention using paired McNemar’s test and differences in mean knowledge score using a paired t-test. Results: In total, 555 eligible young people were enrolled into the SMS intervention; 235 (42%) completed a follow-up survey, of which 198 (84%) were matched to a baseline survey. Median age of participants was 19 years and the majority were female (63%). The mean knowledge score significantly increased between baseline and follow-up surveys for SRH questions [2.7, (95% CI 2.47, 2.94) vs 3.4 (95% CI 2.99, 3.81) (P = &lt;0.01)] and smoking-related questions [3.8 (95% CI 3.66, 3.99) vs 4.1 (95% CI 3.99, 4.28) (P = 0.03)]. A majority of participants reported that the SMS intervention increased their knowledge (95%) and were a useful reminder (95%). Conclusions: An SMS intervention was feasible, acceptable and improved adolescents’ SRH knowledge and smoking knowledge in a low- to middle-income setting. SMS interventions targeting young people need to be scaled up, with the potential to explore additional topics around healthy lifestyle, nutrition and physical activity.

scholarly journals One-year efficacy and safety of the Trufill DCS Orbit and Orbit Galaxy detachable coils in the endovascular treatment of intracranial aneurysms: Results from the TRULINE study

2017 ◽  
Vol 23 (5) ◽  
pp. 485-491 ◽  
Author(s):  
Benjamin Gory ◽  
Laure Huot ◽  
Roberto Riva ◽  
Paul E Labeyrie ◽  
Olivier Levrier ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Real Life ◽  
Data Safety Monitoring Board ◽  
Endovascular Coiling ◽  
Independent Evaluation ◽  
Detachable Coils ◽  
One Year ◽  
Intent To Treat ◽  
The One

Background and purpose No series reported the mid-term results of Trufill DCS Orbit and Orbit Galaxy detachable coils with independent evaluation. We present the one-year safety and efficacy of these coils in real-life routine clinical practice. Methods A total of 167 patients with 167 aneurysms (39.1% ruptured) were enrolled in the prospective TRULINE study. The primary endpoint was the safety, assessed by the combined morbidity-mortality rate observed since the time of the procedure and up to one-year follow-up. For safety, primary analyses were performed on intent-to-treat population (attempted coils procedure) and all adverse events have been reviewed by an independent Data Safety Monitoring Board. For efficacy, primary analyses were performed on the per-protocol population (patients treated with more than 70% of Trufill coils and not retreated during the follow-up period) and an independent core laboratory evaluated angiographic results. Results At one-year post-procedure, neurologic impairment was observed in 6.5% (95% confidence interval: 3.5–11.8) of the patients, and 2.6% (95% confidence interval: 1.0–6.8) had a permanent neurological deterioration. Three deaths were observed, unrelated to the procedure or coils. At one year, complete occlusion was seen in 52 aneurysms (54.2%), neck remnant in 28 aneurysms (29.2%), and aneurysm remnant in 16 aneurysms (16.7%). During the one-year follow-up, the overall incidence of recurrence was 30.2% with a mean interval of 13.8 ± 4.5 months and the retreatment for major recanalization was needed in nine patients (6.3%). Conclusions The TRULINE study confirms that endovascular coiling with Trufill DCS Orbit and Orbit Galaxy detachable coils is safe and effective.

scholarly journals One-Year Progression and Risk Factors for the Development of Chronic Kidney Disease in Septic Shock Patients with Acute Kidney Injury: A Single-Centre Retrospective Cohort Study

2018 ◽  
Vol 7 (12) ◽  
pp. 554 ◽  
Author(s):  
June-sung Kim ◽  
Youn-Jung Kim ◽  
Seung Ryoo ◽  
Chang Sohn ◽  
Dong Seo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Kidney Disease ◽  
Septic Shock ◽  
Acute Kidney Injury ◽  
Cohort Study ◽  
Retrospective Cohort ◽  
Kidney Injury ◽  
One Year ◽  
Stage 1

(1) Background: Sepsis-associated acute kidney injury (AKI) can lead to permanent kidney damage, although the long-term prognosis in patients with septic shock remains unclear. This study aimed to identify risk factors for the development of chronic kidney disease (CKD) in septic shock patients with AKI. (2) Methods: A single-site, retrospective cohort study was conducted using a registry of adult septic shock patients. Data from patients who had developed AKI between January 2011 and April 2017 were extracted, and 1-year follow-up data were analysed to identify patients who developed CKD. (3) Results: Among 2208 patients with septic shock, 839 (38%) had AKI on admission (stage 1: 163 (19%), stage 2: 339 (40%), stage 3: 337 (40%)). After one year, kidney function had recovered in 27% of patients, and 6% had progressed to CKD. In patients with stage 1 AKI, 10% developed CKD, and mortality was 13% at one year; in patients with stage 2 and 3 AKI, the CKD rate was 6%, and the mortality rate was 42% and 47%, respectively. Old age, female, diabetes, low haemoglobin levels and a high creatinine level at discharge were seen to be risk factors for the development of CKD. (4) Conclusions: AKI severity correlated with mortality, but it did not correlate with the development of CKD, and patients progressed to CKD, even when initial AKI stage was not severe. Physicians should focus on the recovery of renal function, and ensure the careful follow-up of patients with risk factors for the development of CKD.

Good idea, bad prerequisite, zero result – the meaning of context in implementing aftercare for young people in secure unit care

2014 ◽  
Vol 9 (3) ◽  
pp. 248-260 ◽  
Author(s):  
Maria Andersson Vogel ◽  
Marie Sallnäs ◽  
Tommy Lundström
Keyword(s):  
Experimental Design ◽  
Young People ◽  
Target Group ◽  
Outcome Study ◽  
Content Type ◽  
Care Services ◽  
Care Project ◽  
Quasi Experimental ◽  
Secure Unit

Purpose – The purpose of this paper is twofold: first, to report results from a quasi-experimental study of outcomes of a leaving care project for youth placed in secure unit care and second, based on the (zero) results, to analyse and discuss the interplay between organisational boundaries, social work and the target group when implementing a project such as the one studied. Design/methodology/approach – The outcome study had a quasi-experimental design. The young people in the leaving care programme were compared with a matched reference group who did not get the special leaving care services. Data were collected (structured Adolescent Drug Abuse Diagnosis-interviews) when the young people entered secure units and on follow-up (registered crime and re-entry into care). Findings – The outcome study showed that the leaving care project had no effect on the young people's situation at follow-up regarding re-offending and re-entry into secure unit care. This is understood and discussed in relation to the poor implementation of the leaving care project along with an inbuilt conflict between state and local municipality that overshadowed the good intentions of the project. Research limitations/implications – The effect study has a quasi-experimental design, and hence differences between the project group and the comparison group at T1 cannot be fully precluded, although nothing is pointing in such a direction. The unclear content of the intervention makes it difficult to decode how the variation in the support given to the young people eventually impacted the results. The zero-results apply to group level, but that may not be valid for each and every one in the project. Practical implications – According to earlier research, a key person following young persons through different phases of the care trajectory may be of importance. Learning from the CoC project, one can conclude that such a key person should preferably take the role of advocate for the young person, and not be an administrator mainly concerned with coordinating other professionals. Further, when planning and financing is split between organisations, that split hinders efforts to actually mobilise support for young people leaving secure unit care. Originality/value – Few leaving care services are designed for youth with severe behavioural problems and hence, the research is scarce. This study contributes with important knowledge about leaving care interventions for the target group.

scholarly journals Does How We Remember Predict How We Will Feel? A Longitudinal Study of the Influence of Overgeneral Memory on the Development of Depression in Young People

2021 ◽  
Author(s):  
◽  
Zara Mansoor
Keyword(s):  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Young People ◽  
Longitudinal Research ◽  
Community Sample ◽  
Future Directions ◽  
Overgeneral Memory ◽  
One Year ◽  
Over Time

<p>An increased tendency towards overgeneral memory (OGM) has been associated with depression in young people. How this may impact the early development of depressive symptoms is unclear. This has been difficult to determine due to the lack of longitudinal research in this area, in particular with young people in the community prior to the development of significant depressive symptoms. The current study aimed to investigate how OGM related to the development of depression in a community sample of 235 young people aged 10- to 15-years at baseline. Measures of depression, OGM, and rumination were obtained at baseline and follow-up, one year later. As predicted, and consistent with past findings, an increased tendency towards OGM at follow-up was associated with greater depressive symptoms. However, despite indications from previous work that OGM may also predict depression prior to the emergence of symptoms, the reverse was found with depression predicting OGM over time. This suggests that among the general population, while OGM may be an associated and possible maintaining feature of depression, it appears to be a consequence of experiencing depressive symptoms rather than a significant early predictive or vulnerability factor. Contrary to evidence that rumination may also increase OGM, rumination was not significantly associated with OGM. Limitations, strengths and future directions based on these findings are discussed.</p>

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