scholarly journals INFLUENCE OF PRE-MARITAL COUNSELLING ON SUSTAINABILITY OF MARRIAGES IN GREATER ACCRA REGION, GHANA

2021 ◽  
Vol 8 (8) ◽  
pp. 538-549
Author(s):  
Bernard Kissi-Abrokwah ◽  
Isaac Aboyom Anontise

The study focused on elements discussed during pre-marital counselling and how those elements mediate on the sustainability of marriages in Greater Accra Region. Concurrent triangulation mixed method design was chosen for the study. For the quantitative phase 100 marriage people were randomly selected from 10 churches. At the qualitative phase 4 head pastors were conveniently selected from the 10 churches. Mean and standard deviation was used to analysed the questionnaire for the quantitative phase while the semi-structured interview scheduled was thematically analysed to explain issues as they emerged in the study. The study showed conflict resolution, communication, adjusting to individual difference, sex and romance, family lifecycles in marriage and separation from past-memories and families were some elements discussed during pre-marital counselling to help sustain the marriages. Again, respondents were of the view that pre-marital counselling is vital for the sustainability of marriages and should be made compulsory for new couples. Lastly, it was revealed the philosophy of pre-marital counselling is not only being aware of potential land mines in their relationship, but to equip married people to learn the skills necessary to successfully deal with challenges throughout their marriage which help in the sustainability. Therefore, it was recommended that the churches should employ professional counsellors who understand the principle of marriage counselling to perform the act of counselling and follow-up service should be done to check if the elements discussed during pre-marital counselling are being put into practice.

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Daniel Ignacio da Silva ◽  
Débora Falleiros de Mello ◽  
Renata Ferreira Takahashi ◽  
Cody Stonewall Hollist ◽  
Verônica de Azevedo Mazza ◽  
...  

ABSTRACT Objectives: to validate the vulnerability markers of dysfunctions in the socioemotional development of infants. Methods: study with a sequential exploratory mixed-method design. The vulnerability markers elaborated in the qualitative phase were analyzed by experts in the quantitative phase using the Delphi technique with a minimum consensus of 70%. Seventeen judges answered the questionnaire in the first round of analysis and 11 answered in the second round. Results: in the first round, two markers did not reach minimum consensus: the presence of instability in family relationships (66%) and delinquency and/or drug abuse by parents/caregivers (65%). In the second round, all markers were validated, with more than 90% agreement in most of the attributes, and reached the minimum consensus of 73%. Conclusion: the eight vulnerability markers reached the minimum consensus for validation, and a relevant instrument for infant care can be developed after assessing the reliability and clinically validating these markers.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sabine Stamm-Balderjahn ◽  
Rebecca Faliniski ◽  
Susanne Rossek ◽  
Karla Spyra

Abstract Background Patients with cardiovascular diseases (CVD) are treated over a long period of time by physicians and therapists from various institutions collaborating within a multidisciplinary team. Usually, medical records detailing the diagnoses and treatment regimens are long and extensive. Brief overviews of relevant diagnostic and treatment data in the form of a patient passport are currently missing in routine care for patients with CVD. This study aimed to develop and evaluate a patient passport (the Kardio-Pass) based on the needs of patients who had undergone cardiac rehabilitation, and of healthcare professionals. Methods A mixed method design was adopted consisting of an explorative qualitative phase followed by a quantitative evaluation phase. Interviews with patients and experts were conducted to develop the Kardio-Pass. CVD rehabilitees (N = 150) were asked to evaluate the passport using a semi-standardized written questionnaire. Results Patients and experts who were interviewed in the qualitative study phase considered the following passport contents to be particularly important: documentation of findings and diagnoses, cardiac diagnostics and intervention, medication plan, risk factors for heart disease, signs of a heart attack and what to do in an emergency. During the evaluation phase, 93 rehabilitees (response rate: 62%) completed the questionnaire. The Kardio-Pass achieved high overall approval: All respondents considered the information contained in the passport to be trustworthy. The professionalism and the design of the passport were rated very highly by 93 and 92% of participants, respectively. Use of the Kardio-Pass prompted 53% of participants to regularly attend follow-up appointments. The most common reasons for non-use were a lack of support from the attending doctor, failure by the patient to make entries in the passport, and loss of the passport. Conclusions By documenting the course of cardiac diseases, the patient passport pools all medical data–from diagnosis to treatment and aftercare–in a concise manner. Rehabilitees who used the cardiac passport rated it as a helpful tool for documenting follow-up data. However, with regard to this explorative study there is a need for further research, particularly on whether the patient passport can improve heart patient care.


Children ◽  
2018 ◽  
Vol 5 (10) ◽  
pp. 135
Author(s):  
Emma Powell ◽  
Lorayne Woodfield ◽  
Alexander Powell ◽  
Alan Nevill ◽  
Tony Myers

Despite the known benefits of engaging in daily moderate to vigorous physical activity (MVPA), only 22% of children in England are meeting the recommended guidelines. School break times have been advocated as a key part of children’s daily routines in which their MVPA can be increased. The main aim of this study was to evaluate the effect of installing a walking-track on children’s MVPA during school break times. A mixed method design was employed which allowed for the quantitative measurement of children’s PA at three time points (baseline, mid-intervention (1–5 weeks) and follow-up (6–9 weeks)), using pedometers (n = 81, 5–9 years) and systematic observation (n = 23, 7–9 years). A semi-structured interview (n = 1) was also conducted at 10 weeks’ follow-up. The installation of the walking-track was grounded in a unique set of theoretical constructs to aid the behaviour change of the teachers. Short term positive increases in girls’ and boys’ MVPA and longer term increases in boys’ vigorous PA (VPA) were found. Qualitative data highlighted that boys dominated the walking-track and the inconsistent behaviour of school staff negatively impacted upon children’s MVPA. A set of principles to guide the installment of walking-tracks in school playgrounds are recommended.


2019 ◽  
Vol IV (II) ◽  
pp. 173-181
Author(s):  
Amen Imran ◽  
Sundus Wasai ◽  
Henna Gul Nisar

Affective Commitment (AC) is a key determinant of positive organizational outcomes. However, certain climatic factors like lack of leader openness to voice (LLV), lack of open communication opportunity (LOC), defensive norms of organizational culture (DNO) and defensive silence (DS) may lead to low level (AC). A mixed method, sequential explanatory design based on quantitative phase followed by qualitative phase is used. The quantitative phase used the probability sampling, questionnaire, structural equation modelling, whereas the qualitative phase used a semi-structured interview, thematic coding and causal networking for sampling, data collection and interpretation respectively. All hypotheses were supported by evidence and explanation was provided for why such relationships exist in the banking context of Pakistan. The implications, future guidelines and study limitations are also discussed.


2021 ◽  
Vol 12 (6) ◽  
pp. 167
Author(s):  
Hansen Akoto-Baako ◽  
Prem Jotham Heeralal ◽  
Bernard Kissi-Abrokwah

This study investigated the effects of increase in enrolment on teachers in second cycle institutions in Ghana. The effects of increase enrolment on teacher’s work load, classroom management, health, social life and classroom interaction. The study employed the pragmatic paradigm and mixed method approach. Concurrent triangulation comprising descriptive survey for the quantitative phase and a case study for the qualitative phase.  Self-developed questionnaire and semi-structured interview schedule were used to collect data from respondents. A total of hundred and forty-seven (147) respondents were used for the study. It was made up of one hundred and forty (140) teachers used at the quantitative phase and seven (7) head teachers used in the qualitative phase. The study found out that increase enrolment increased the workload of teachers significantly, and exposed teachers to health challenges. The study also revealed that increase enrolment made it very difficult for teachers to manage their classrooms and interact with students during instructional periods. The study recommended that teaching assistants be assigned to all teachers, government should set up a special body which is made up of occupational counsellors, psychologists, physicians who will tasked to organize programs on monthly bases to educate teachers on how to manage work related stress they encounter. Finally, the government should build more schools and make it a priority to train more teachers.   Received: 15 September 2021 / Accepted: 16 October 2021 / Published: 5 November 2021


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S111-S111
Author(s):  
Gwen McGhan ◽  
Kimberly Shapkin ◽  
Whitney Alpaugh ◽  
Jessica Power Cyr

Abstract Tailored care strategies have potential to address declines in physical and cognitive functioning for people living with dementia (PLWD) while making a positive difference in their daily lives; however, these services are not commonplace. As dementia progresses, PLWD become more dependent upon caregivers, increasing caregiving strain and negatively affecting their ability to provide support. The purpose of this study is to examine the feasibility of a tailored community dementia program (TCDP) prescribed for individual abilities of PLWD and measure the impact on the caregiving dyad. A mixed method design was used for a 12-week TCDP with 8 dyads living in the community. Recreational therapy and exercise physiology specialists led the cognitive and physical components of the program. PLWD and caregivers completed assessments at baseline, 6, 12 and 18 weeks. Daily activity was measured in PLWD with no decline observed during the assessment period. Measurements for family caregivers included caregiver strain, satisfaction and assessment of the PLWD’s abilities. Although quantitative findings were not significant, caregivers praised the program in the follow-up focus group with one commenting that “it is important for the mental health of the family and for the patient to keep them active…and (for) socialization”. Another caregiver wrote in their journal “I feel he has really benefited from this program. It keeps him engaged with people and I do think he is more fit”. Overall the TCPD shows promise as a meaningful intervention. Cohort 2 begins in summer 2019 and will implement changes suggested by the caregiving dyads.


2021 ◽  
Vol 30 (2) ◽  
pp. 48-56
Author(s):  
Edenia López-Hernández ◽  
Pamela Acosta-Rodas ◽  
Jorge Cruz-Cárdenas ◽  
Carlos Ramos-Galarza

Dyslalia is a language disorder that is present in a wide percentage of children. This work proposes an intervention protocol in music therapy to improve attention, memory, and language for children with the dyslalia disorder. A confirmatory mixed-method design composed of two studies was conducted: the first included a quantitative and pre-experimental design with a sample of 20 children aged between 5 and 8 years (Mage=6.45, SD=1.23) diagnosed with dyslalia. The second study used a qualitative confirmatory methodology, where participants’ parents and therapists participated. Wepman’s and the initial Luria pre- and post-tests measurements were applied. The results of the pre-experiment found statistically significant improvements in verbal regulation t(19)=-5.03, p=<.001, d=.76, attention t(19)=-5.05, p=<.001, d=.76, and memory t(19)=-2.88, p=.009, d=.55. In the qualitative phase, narratives were found that affirmed the positive results of the pre-experiment. Moreover, data surrounding the benefits of the music therapy intervention protocol in the improvement of cognitive processes and the relationship with previous literature that found positive results with this type of intervention are discussed.


Author(s):  
Ngawang Chogyel ◽  
Norbu Wangdi

This study investigated the factors influencing the teaching of chemistry in class nine and ten in the schools under Chhukha District, Bhutan. Adopting convergent mixed method design, the study employed structured questionnaire to collect quantitative data and semi-structured interview and classroom observation to collect qualitative data. The sample comprised of 10 Chemistry teachers and 500 students from class nine and ten from three middle secondary schools and two higher secondary schools. Quantitative data were analyzed using descriptive statistics in the form of tables, mean and standard deviation whereas the qualitative data were analyzed based on content analysis technique. The findings of this study highlighted that the lack of laboratory resources, limited time allocated for chemistry theory and practical classes, and teachers’ heavy workload impacted teaching of chemistry negatively while the teacher’s sound knowledge on the chemistry subject impacted the teaching of chemistry positively.


2020 ◽  
Vol 13 (2) ◽  
pp. 69
Author(s):  
Ahmad Sugianto ◽  
Ilham Agung Prasetyo

AbstractThis study aimed to reveal the lecturer’s feedback quality intertwined with students’ engagement in online learning through a WhatsApp group. Also, it unraveled the follow-up actions conducted by the students regarding the feedback. 24 graduate students studying in one of the universities in Bandung city involved. A mixed-method, an explanatory sequential design, was used. Utilizing questionnaires, the study reveals that with a mean of 82.38 and standard deviation of 6.51, the lecturer’s feedback was deemed good with some qualities emanated through the in-depth interviews comprising ‘timely’, detail and relevant to the materials learned, facilitative, supportive, and objective. Meanwhile, with the mean of 73.43  and standard deviation of 10.92, the students’ engagement is considered good, yet challenging issues were found concerning the learner autonomy and the students’ motivation. Moreover, it was found that with the 95%  level of confidence the p-value obtained was higher than the 95% level of significance, i.e. p>.05=.98>.05, hence the regression model between the two variables was considered linear. However, at the level of 95% level of significance, it was found that there was no significant relationship between the two variables, i.e. .097 >.050. Moreover, consulting with friends and the lecturer and reading relevant materials constituted the alternatives the students did to handle issues concerning the feedback.Keywords: assessment for learning, online learning, students’ engagement, lecturer’s feedback


2021 ◽  
Vol 15 (1) ◽  
pp. 218-228
Author(s):  
Amina Lhbibani ◽  
Abderrahmane Lamiri ◽  
Said Lotfi ◽  
Malika Tridane ◽  
Said Belaaouad

Aim: This study aimed to identify the factors hampering the participation of nurses in the activities of CE sessions at the level of hospitals in the region of Casablanca. Background: Continuing education (CE) for nursing staff represents a strategic asset for hospitals, identifying the constraints of nursing staff participation in continuing training could help improve the quality of care for patients and the population in general. Objective: This study aimed to identify the factors hampering the participation of nurses in the activities of CE sessions at the level of hospitals in the region of Casablanca. Methods: The study used a two-phase mixed method design. First of all, a questionnaire was administered to 930 nurses belonging to 9 hospital centers in the Casablanca-Settat region in order to explore and estimate the frequencies of the factors hindering the participation of nurses in the activities of the FC sessions at the level of hospitals, and a semi-structured interview with 9 persons in charge of continuing education from these different hospitals to complete and explain the data collected by the questionnaire. Results: The data analysis confirmed that the work overload is the first individual difficulty hindering the participation of nurses in CE sessions, i.e., 85.4%. The most mentioned organizational difficulties are schedule recommended in the FC not encouraging and not suitable, i.e., 23%, non-targeted content (does not meet the needs of the nursing staff), i.e., 66.7%. Finally, the absence of support measures in terms of monitoring and evaluation to maintain the knowledge and skills acquired during FC sessions in real situations at the workstation occupied is the first institutional difficulty mentioned by the interviewed (88%). Conclusion: Those responsible for training should take into account the factors nurse’s face in participating in continuing education sessions when designing, developing, and implementing continuing education sessions.


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