Feasibility and acceptability of Otago Exercise Programme and Prevention of Falls for Adults with Intellectual Disability: a multiple case study design

2019 ◽  
Vol 26 (6) ◽  
pp. 1-15 ◽  
Author(s):  
Leigh Hale ◽  
Emile Vollenhoven ◽  
Lisa Caiman ◽  
Alice Dryselius ◽  
Yvette Buttery

Background/AimsMany people with intellectual disability fall frequently. Understanding fall prevention intervention characteristics will assist efficacy trials to target appropriate people. An exploration of two exercise-based fall prevention interventions is reported, focusing on viability and acceptability.MethodsA multiple case study of adults with intellectual disability completing either the group Otago Exercise Programme or the Prevention of Falls for Adults with Intellectual Disability intervention was performed. Integrated data sources were used: semi-structured interviews with participants and support workers, observations, attendance/adherence, falls, adverse events and balance measures.ResultsIn total, seven adults with varying intellectual disability levels participated. Overall, three themes enabled understanding of suitability of people to each intervention: suitability of the exercises; role of the environment; and benefits to participants.ConclusionsEducating adults with intellectual disability and their support workers of the importance of regular exercise is key to participation. Both programmes required high levels of support and prioritisation to ensure exercises occurred and were carried out safely.

2018 ◽  
Vol 64 (4) ◽  
pp. 810-854 ◽  
Author(s):  
Susan L. Cohen ◽  
Christopher B. Bingham ◽  
Benjamin L. Hallen

Using a nested multiple-case study of participating ventures, directors, and mentors of eight of the original U.S. accelerators, we explore how accelerators’ program designs influence new ventures’ ability to access, interpret, and process the external information needed to survive and grow. Through our inductive process, we illuminate the bounded-rationality challenges that may plague all ventures and entrepreneurs—not just those in accelerators—and identify the particular organizational designs that accelerators use to help address these challenges, which left unabated can result in suboptimal performance or even venture failure. Our analysis revealed three key design choices made by accelerators—(1) whether to space out or concentrate consultations with mentors and customers, (2) whether to foster privacy or transparency between peer ventures participating in the same program, and (3) whether to tailor or standardize the program for each venture—and suggests a particular set of choices is associated with improved venture development. Collectively, our findings provide evidence that bounded rationality challenges new ventures differently than it does established firms. We find that entrepreneurs appear to systematically satisfice prematurely across many decisions and thus broadly benefit from increasing the amount of external information searched, often by reigniting search for problems that they already view as solved. Our study also contributes to research on organizational sponsors by revealing practices that help or hinder new venture development and to emerging research on the lean start-up methodology by suggesting that startups benefit from engaging in deep consultative learning prior to experimentation.


2016 ◽  
Vol 31 (1) ◽  
pp. 79-101 ◽  
Author(s):  
Stephan Zimmermann ◽  
Christopher Rentrop ◽  
Carsten Felden

ABSTRACT In several organizations, business workgroups autonomously implement information technology (IT) outside the purview of the IT department. Shadow IT, evolving as a type of workaround from nontransparent and unapproved end-user computing (EUC), is a term used to refer to this phenomenon, which challenges norms relative to IT controllability. This report describes shadow IT based on case studies of three companies and investigates its management. In 62 percent of cases, companies decided to reengineer detected instances or reallocate related subtasks to their IT department. Considerations of risks and transaction cost economics with regard to specificity, uncertainty, and scope explain these actions and the resulting coordination of IT responsibilities between the business workgroups and IT departments. This turns shadow IT into controlled business-managed IT activities and enhances EUC management. The results contribute to the governance of IT task responsibilities and provide a way to formalize the role of workarounds in business workgroups.


2010 ◽  
Vol 07 (02) ◽  
pp. 161-181 ◽  
Author(s):  
HAIRULLIZA MOHAMAD JUDI ◽  
ROGER BEACH

This study examines the contribution of a pair of opposite factors: technology versus people, and innovation vs. continuous improvement to obtain manufacturing flexibility. These factors are opposing as they play different roles in TQM and BPR. An exploratory multiple case study was conducted that involves three Malaysian manufacturing companies from electronic and electric sector. The results show that flexibility could not be achieved through technology solely, but by combining technology with people, the required outcome is attainable. By applying innovation and continuous improvement simultaneously, it will yield better flexibility than if only one of them was used. The contribution of these factors in the selected manufacturing setting could guide practitioners to obtain flexibility and verify the research model that could be tested further in a survey.


2020 ◽  
Vol 51 ◽  
pp. 101386 ◽  
Author(s):  
Friederike Sommer ◽  
Vincenz Leuschner ◽  
Nora Fiedler ◽  
Eric Madfis ◽  
Herbert Scheithauer

2006 ◽  
Vol 9 (3) ◽  
pp. 237-255 ◽  
Author(s):  
Sarah White ◽  
Elizabeth Milne ◽  
Stuart Rosen ◽  
Peter Hansen ◽  
John Swettenham ◽  
...  

2021 ◽  
Vol 30 ◽  
Author(s):  
Letícia Roberta Pedrinho ◽  
Bianca Machado Cruz Shibukawa ◽  
Gabrieli Patrício Rissi ◽  
Roberta Tognollo Borotta Uema ◽  
Maria de Fátima Garcia Lopes Merino ◽  
...  

ABSTRACT Objective: to analyze the role of the therapeutic toy as a tool for the nursing diagnosis in the setting of care for the child with diabetes. Method: a qualitative multiple-case study conducted with children diagnosed with Type 1 Diabetes mellitus and living in the inland of Paraná. The data were collected in 2018 through interviews, field diary and sessions using the therapeutic toy. Nursing diagnoses were elaborated according to the North American Nursing Diagnosis Association Taxonomy I and a targeted content analysis was performed, resulting in four categories. Results: using the dramatic therapeutic toy allows the child to show their perception of the disease and of the care provided. The sessions with the dramatic therapeutic toy made it possible to identify five nursing diagnoses, which were later worked on by means of an instructional therapeutic toy. Conclusion: systematization of assistance mediated by the use of the toy allows nurses to establish bonds with the child with diabetes and their family, revealing their perceptions of the disease and treatment, thereby stimulating a more active participation of the binomial in the management of this coping process.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Pratiwi Pratiwi

<p>Intermediary actors in rural areas are expected to stimulate not only economic growth but also social inclusion. The studies of innovation intermediaries in rural areas are under-researched. This study investigates the role, capabilities, and the outcome of the engagement of local community associations as intermediaries in different sectors such as agriculture, food processing, and tourism product. This study describes the way innovation promotes rural development. This research employs a multiple case study method and analyzes data triangulation. The interviews have indicated that intermediaries in different sectors need to play different roles due to their sector drivers, stakeholders, and challenges. This study also describes the outcome of the engagement of the intermediaries in increasing well-being, trust among stakeholders, and local people capability to innovate. Further, the study draws policy recommendations for the governments to enhance the skills and impact of the intermediaries, including collaborations, proposal competition, annual awards, organizational learning, training, and benchmarking.</p>


Forests ◽  
2021 ◽  
Vol 12 (12) ◽  
pp. 1622
Author(s):  
Camila Fagundes ◽  
Dusan Schreiber ◽  
Moema Pereira Nunes ◽  
Maria Eduarda Fernandes

Concern with the adequate use of natural resources has increased the relevance of products certifications in the wood supply chain, especially in companies established in Brazil, the cradle of one of the largest forest reserves. This study investigates the perception of companies on the potential and concrete benefits resulting from the Forest Stewardship Council (FSC) certification. To achieve this, a multiple case study was carried out with data triangulation through semi-structured interviews, documentary research and non-participant observation. Four FSC certified industries established in Brazil were analyzed. The results showed that of the four companies participating in the study, only one did not achieve the desired economic benefits, whereas all organizations accomplished the advantages of the other areas of sustainability, both the social and environmental.


Sign in / Sign up

Export Citation Format

Share Document