scholarly journals Psychotherapists’ Challenges With Online Therapy During COVID-19: Concerns About Connectedness Predict Therapists’ Negative View of Online Therapy and Its Perceived Efficacy Over Time

2021 ◽  
Vol 12 ◽  
Author(s):  
Vera Békés ◽  
Katie Aafjes-van Doorn ◽  
Xiaochen Luo ◽  
Tracy A. Prout ◽  
Leon Hoffman
Keyword(s):  
Working Alliance ◽  
Large Scale ◽  
Online Therapy ◽  
Real Relationship ◽  
Negative Attitudes ◽  
Perceived Efficacy ◽  
Emotional Connection ◽  
Space Boundary ◽  
The Relationship

Therapists’ forced transition to provide psychotherapy remotely during the COVID-19 pandemic offers a unique opportunity to examine therapists’ views and challenges with online therapy. This study aimed to investigate the main challenges experienced by therapists during the transition from in-person to online therapy at the beginning of the pandemic and 3 months later, and the association between these challenges and therapists’ perception of the quality of the relationship with their online patients, and therapists’ attitudes and views about online therapy and its efficacy at these two timepoints. As part of a large-scale international longitudinal survey, we collected data from 1,257 therapists at two timepoints: at the start of COVID-19, when many therapists switched from providing in-person therapy to online therapy, as well as 3 months later, when they had had the opportunity to adjust to the online therapy format. At both timepoints, therapists reported on perceived challenges, quality of working alliance and real relationship, attitudes toward online therapy, and their views on online therapy’s efficacy compared to in-person therapy. Factor analysis of individual survey items at both timepoints identified four different types of challenges among this therapist sample: Emotional connection (feeling connected with patients, reading emotions, express or feel empathy), Distraction during sessions (therapist or patient), Patients’ privacy (private space, confidentiality), and Therapists’ boundaries (professional space, boundary setting). Older and more experienced therapists perceived fewer challenges in their online sessions. At baseline, all four types of challenges were associated with lower perceived quality of the therapeutic relationship (working alliance and real relationship), and more negative attitudes toward online therapy and its efficacy. After 3 months, perceived challenges with three domains – Emotional connection, Patients’ privacy, and Therapists’ boundaries significantly decreased – whereas challenges in the fourth domain – Distraction – increased. In our study, therapists’ concerns about being able to connect with patients online appeared to be the most impactful, in that it predicted negative attitudes toward online therapy and its perceived efficacy 3 months later, above and beyond the effect of therapists’ age and clinical experience. Clinical and training implications are discussed.

scholarly journals Are “Internet+” tactics the key to poverty alleviation in China’s rural ethnic minority areas? Empirical evidence from Sichuan Province

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Xiang Yin ◽  
Zhiyi Meng ◽  
Xin Yi ◽  
Yong Wang ◽  
Xia Hua
Keyword(s):  
Ethnic Minority ◽  
Poverty Alleviation ◽  
Large Scale ◽  
Sichuan Province ◽  
Infrastructure Investment ◽  
Communication Infrastructure ◽  
Gdp Growth Rate ◽  
The Relationship ◽  
Positive Effect

AbstractChina has made great efforts to alleviate poverty in rural ethnic minority areas and targeted achieving the poverty-alleviation task by the end of 2020. Aba, Ganzi, and Liangshan, three of the poorest ethnic prefectures in Sichuan Province, Southwest China, have all implemented “Internet+” tactics since 2013, which have had the positive effect of increasing family revenues by improving communication infrastructure and encouraging the large-scale use of e-commerce. This paper aims to comprehensively investigate whether “Internet+” tactics play a key role in poverty alleviation in Sichuan’s rural ethnic minority areas and to propose further measures to enhance the efficiency of e-commerce practice. To this end, we conduct an analysis using the framework of classic growth theory and use panel data from 2000 to 2018 to examine the relationship between Communication Infrastructure Investment (CII) and a set of poverty-alleviation indicators, including local GDP growth rate (LGGR), local government revenue (LGR), and per-capita income of residents (PCIR). The results indicate that strengthening CII improves the PCIR and local economic growth, playing a key role in poverty alleviation. However, the stimulation of CII on LGGR and LGR wanes as time passes. More financial and technical actions will be needed to improve the efficiency and quality of current strategies for sustainable development in those areas.

scholarly journals Relationship of patient shame to working alliance and satisfaction: a preliminary investigation

2019 ◽  
Vol 14 (4) ◽  
pp. 251-263
Author(s):  
Daniel J. Carabellese ◽  
Michael J. Proeve ◽  
Rachel M. Roberts
Keyword(s):  
Patient Satisfaction ◽  
Working Alliance ◽  
Preliminary Investigation ◽  
Community Members ◽  
Content Type ◽  
Mediation Analyses ◽  
External Shame ◽  
Relationship Of ◽  
The Relationship

Purpose The purpose of this paper is to explore the relationship of two distinct variants of dispositional shame (internal and external shame) with collaborative, purpose-driven aspects of the patient–provider relationship (working alliance) and patient satisfaction. The aim of this research was to conduct a preliminary investigation into the relevance of dispositional shame in a general healthcare population. Design/methodology/approach In total, 127 community members (mean age 25.9 years) who reported that they had regularly seen a GP over the past year were recruited at an Australian university. Participants were asked to reflect on their relationship with their GP, and completed instruments assessing various domains of shame, as well as working alliance and patient satisfaction. Findings Non-parametric correlations were examined to determine the direction and strength of relationships, as well as conducting mediation analyses where applicable. Small, negative correlations were evident between external shame and working alliance. Both external and internal shame measures were also negatively correlated with patient satisfaction. Finally, the relationship of external shame to patient satisfaction was partially mediated by working alliance. Practical implications Both the reported quality of patient–provider working alliance, and level of patient satisfaction are related to levels of dispositional shame in patients, and working alliance may act as a mediator for this relationship. Originality/value The findings from this preliminary study suggest that internal and external shame are important factors to consider in the provision of medical care to maximise the quality of patient experience and working alliance.

scholarly journals Perceptions of close relationship through the Machiavellians´ dark glasses: Negativity, distrust, self-protection against risk and dissatisfaction

2018 ◽  
Vol 14 (4) ◽  
pp. 806-830 ◽  
Author(s):  
Tamás Ináncsi ◽  
Attila Pilinszki ◽  
Tünde Paál ◽  
András Láng
Keyword(s):  
Relationship Satisfaction ◽  
Close Relationships ◽  
Romantic Partners ◽  
Heterosexual Couples ◽  
Negative Attitudes ◽  
Actor Partner Interdependence Model ◽  
Close Relationship ◽  
Self Protection ◽  
The Relationship

It is commonly known from the literature that Machiavellian individuals have negative attitudes towards people and in general towards the world´s affairs. They are distrustful of the intentions of others, and they get cautiously involved into interpersonal interactions and take risks only if that may not have any severe negative consequence. It is also a fact that there are few ventures in life that potentially involve as much insecurity and personal vulnerability as the establishment and maintenance of close relationships. In our study, we were seeking the answer to the question: do people with high levels of Machiavellianism show a generally negative, distrustful and cautious attitude in their intimate relationships, as well? What effect their pessimistic approaches have on the other consequences of the relationship (satisfaction, commitment, investment, quality of alternatives)? This question was investigated on a dyadic sample of heterosexual couples (N = 101 pairs) with Actor-Partner Interdependence Model (APIM). The results of the correlations and actor effects show that men with high levels of Machiavellianism perceive in a negative way not just people in general, but their romantic partners and relationships as well and they experience an increased level of distrust, risk, and dissatisfaction into their close relationships. Women with high levels of Machiavellianism are less negativistic and feel less discontent towards their intimate partner and relationship, but even they are unable to put their distrust and precaution aside. The results of partner effects have revealed that women's Machiavellianism undermines men's trust, while men's Machiavellianism has the effect of minimizing women's investment into their relationship.

scholarly journals Proactive Health Support: Exploring Face-to-Face Start-Up Sessions Between Participants and Registered Nurses at the Onset of Telephone-Based Self-Management Support

2020 ◽  
Vol 7 ◽  
pp. 233339362093002
Author(s):  
Susanne Winther ◽  
Mia Fredens ◽  
Marie Brund Hansen ◽  
Kirstine Skov Benthien ◽  
Camilla Palmhøj Nielsen ◽  
...  
Keyword(s):  
Registered Nurses ◽  
Large Scale ◽  
Self Management ◽  
Management Support ◽  
Continuous Contact ◽  
Face To Face ◽  
Start Up ◽  
Health Support ◽  
The Relationship

Proactive Health Support (PaHS) is a large-scale intervention in Denmark carried out by registered nurses (RNs) who provide self-management support to people at risk of hospital admission to enhance their health, coping, and quality of life. PaHS is initiated with a face-to-face session followed by telephone conversations. We aimed to explore the start-up sessions, including if and how the relationship between participants and RNs developed at the onset of PaHS. We used an ethnographic design including observations and informal interviews. Data were analyzed using a phenomenological–hermeneutical approach. The study showed that contexts such as hospitals and RNs legitimized the intervention. Face-to-face communication contributed to credibility, just as the same RN throughout the intervention ensured continuity. We conclude that start-up sessions before telephone-based self-management support enable a trust-based relationship between participants and RNs. Continuous contact with the same RNs throughout the session promoted participation in the intervention.

scholarly journals Understanding the relationship between postpartum depression one month and six months after delivery and mother-infant bonding failure one-year after birth: results from the Japan Environment and Children's study (JECS)

2019 ◽  
Vol 50 (1) ◽  
pp. 161-169 ◽  
Author(s):  
Haruka Kasamatsu ◽  
Akiko Tsuchida ◽  
Kenta Matsumura ◽  
Moeko Shimao ◽  
Kei Hamazaki ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Large Scale ◽  
Depression Scale ◽  
Japanese Version ◽  
Mental Health Issue ◽  
Bonding Failure ◽  
One Year ◽  
Adjusted Model ◽  
The Relationship

AbstractBackgroundPostpartum depression is a major mental health issue. It not only adversely affects the mother's quality of life, but also mother-infant bonding. However, the relationship between postpartum depression (at multiple points after childbirth) and mother-infant bonding failure one year after birth is not well understood. This study investigates the relationship between postpartum depression at 1-month and 6-month after birth and mother-infant bonding failure at 1 year after birth with a large cohort.MethodsData from 83 109 mothers from the Japan Environment and Children's Study were analyzed. Mother-infant bonding 1-year after delivery was assessed using the Mother-to-Infant Bonding Scale Japanese version (MIBS-J). Postpartum depression was measured using the Edinburgh Postnatal Depression Scale (EPDS) at 1-month and 6-month after delivery. Twenty covariates during pregnancy and one month after delivery were controlled for deriving the odds ratios (ORs) describing postpartum depression to mother-infant bonding.ResultsEPDS Total Score crude ORs and adjusted ORs against the MIBS-J Total Score at 1-month and 6-month after delivery were calculated. Crude ORs were 1.111 (95% CI 1.110–1.112) and 1.122 (95% CI 1.121–1.124) respectively. In the fully adjusted model, ORs were 1.088 (95% CI 1.086–1.089) and 1.085 (95% CI 1.083–1.087), respectively.ConclusionsThis study demonstrated prospectively, in a large-scale cohort, that depression at multiple postpartum points, including associations with each EPDS and MIBS-J factors, may be a robust predictor of mother-infant bonding failure 1-year after birth.

scholarly journals The Prognostic Value of Autophagy-Related Markers Bclin-1 and LC-3 in Colorectal Cancers: A Systematic Review and Meta-analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Jin-xiao Li ◽  
Qian Yan ◽  
Na Liu ◽  
Wen-jiang Zheng ◽  
Man Hu ◽  
...  
Keyword(s):  
Large Scale ◽  
Meta Analysis ◽  
Prognostic Significance ◽  
Beclin 1 ◽  
Cochrane Library ◽  
Comprehensive Treatment ◽  
Newcastle Ottawa Scale ◽  
Related Proteins ◽  
The Relationship

Objective. At present, the relationship between autophagosomes and the prognosis of various cancers has become a subject of active investigation. A series of studies have demonstrated the correlation between autophagy microtubule-associated protein light chain 3 (LC-3), Beclin-1, and colorectal cancer (CRC). Since autophagy has dual regulatory roles in tumors, the results of this correlation are also uncertain. Hence, we summarized the relationship between Beclin-1, LC-3, and CRC using systematic reviews and meta-analysis to clarify their prognostic significance in it. Methods. PubMed, EMBASE, Cochrane Library, and Web of Science databases were searched online up to April 1, 2019. The quality of the involving studies was assessed against the Newcastle-Ottawa Scale (NOS). Pooled hazard ratio (HR) and 95% confidence interval (CI) in a fixed or random effects model were used to assess the strength of correlation between Beclin-1, LC-3, and CRC. Results. A total of 9 articles were collected, involving 2,297 patients. Most literatures scored more than 6 points, suggesting that the quality of our including research was acceptable. Our finding suggested that the expression of Beclin-1 was not associated with overall survival (HR = 0.68, 95% CI (0.31–1.52), P=0.351). Nonetheless, LC-3 expression exerted significant impact on OS (HR = 0.51, 95% CI (0.35–0.74), P<0.05). Subgroup analysis exhibited that Beclin-1 expression was associated with OS at TNM stage III (HR = 0.04, 95% CI = 0.02–0.08, P<0.05), surgical treatment (HR = 1.53, 95% CI (1.15–2.02), P=0.003), and comprehensive treatment (HR = 0.27 95% CI (0.08–0.92), P=0.036), respectively. Similarly, the results showed the increased LC-3 expression in CRC was related to OS in multivariate analyses (HR = 0.44, 95% CI (0.34–0.57), P<0.05), stages (HR = 0.51, 95% CI (0.35–0.74), P<0.05), and comprehensive treatment (HR = 0.44, 95% CI (0.34–0.57), P<0.05). Conclusions. Autophagy-related proteins of LC-3 might be an important marker of CRC progression. However, since the number of the original studies was limited, more well-designed, large-scale, high-quality studies are warranted to provide more convincing and reliable information.

DO INNOVATIVE ORGANISATIONS COMPETE ON SINGLE OR MULTIPLE OPERATIONAL CAPABILITIES?

2014 ◽  
Vol 18 (03) ◽  
pp. 1440001
Author(s):  
ALKA ASHWINI NAND ◽  
PRAKASH J. SINGH ◽  
ANANYA BHATTACHARYA
Keyword(s):  
Cost Efficiency ◽  
Large Scale ◽  
Trade Off ◽  
Manufacturing Plants ◽  
Operational Level ◽  
Operational Capabilities ◽  
Quality Of Products ◽  
Operations Capabilities ◽  
The Relationship

Organisations lack clear guidance on how they can become more innovative at the operational level. The operations strategy literature shows that organisations compete on four generic capabilities: cost efficiency, quality of products or services, speed of delivery, and flexibility of operations. Should organisations choose between these capabilities, i.e., engage in trading-off these capabilities and focussing on one capability ("trade-off" model), or combine them, thereby competing on multiple capabilities simultaneously ("cumulative capabilities" model), remains an unresolved issue. Our paper addresses this by empirically testing the relationship between the four operations capabilities and innovation performance through a large-scale global study of manufacturing plants. Our results show support for the cumulative capabilities model and not the trade-off model. Furthermore, both delivery and flexibility capabilities are comparatively stronger predictors of innovativeness than cost efficiency and quality capabilities. This study provides interesting insights for practitioners and managers in generating clearer guidelines as to what organisations need to do with their key operational capabilities, in order to become more innovative.

scholarly journals THE EFFECT OF CUSTOMER EXPERIENCE DESIGN, RELATIONSHIP QUALITY, AND EMOTION CONNECTION ON LOYALTY

2014 ◽  
Vol 13 (1) ◽  
Author(s):  
Elia Ardyan
Keyword(s):  
Relationship Quality ◽  
Customer Loyalty ◽  
Structural Equation ◽  
Customer Experience ◽  
Equation Model ◽  
Consumer Experience ◽  
Experience Design ◽  
Emotional Connection ◽  
The Relationship

The purpose of this study is to determine the effect of customer experience design, emotion connection and relationship quality on customer loyalty. Hotel must manage the consumer experience well. When the consumer experience increase, it will give effect to increasing relationships quality and emotional connection. Increasing the quality of the relationship and emotional connection between the consumer and hotel is expected to increase customer loyalty. The sample in this study is 142 respondents. The analysis in this study uses a structural equation model, in which we use Amos version 20 to help data analysis. The result of this study : (1) there are positive and significant effects between customer experience design on relationship quality and between customer experience on emotional connection; (2) there are not any positive and significant effects between customer experience design, emotional connection, and relationship quality on custimer loyalty.

scholarly journals CodeMatcher: Searching Code Based on Sequential Semantics of Important Query Words

2022 ◽  
Vol 31 (1) ◽  
pp. 1-37
Author(s):  
Chao Liu ◽  
Xin Xia ◽  
David Lo ◽  
Zhiwe Liu ◽  
Ahmed E. Hassan ◽  
...  
Keyword(s):  
Large Scale ◽  
Fuzzy Search ◽  
Code Search ◽  
Proposed Model ◽  
Accuracy Measure ◽  
Indexing Technique ◽  
Google Search ◽  
The Relationship ◽  
Sequential Semantics

To accelerate software development, developers frequently search and reuse existing code snippets from a large-scale codebase, e.g., GitHub. Over the years, researchers proposed many information retrieval (IR)-based models for code search, but they fail to connect the semantic gap between query and code. An early successful deep learning (DL)-based model DeepCS solved this issue by learning the relationship between pairs of code methods and corresponding natural language descriptions. Two major advantages of DeepCS are the capability of understanding irrelevant/noisy keywords and capturing sequential relationships between words in query and code. In this article, we proposed an IR-based model CodeMatcher that inherits the advantages of DeepCS (i.e., the capability of understanding the sequential semantics in important query words), while it can leverage the indexing technique in the IR-based model to accelerate the search response time substantially. CodeMatcher first collects metadata for query words to identify irrelevant/noisy ones, then iteratively performs fuzzy search with important query words on the codebase that is indexed by the Elasticsearch tool and finally reranks a set of returned candidate code according to how the tokens in the candidate code snippet sequentially matched the important words in a query. We verified its effectiveness on a large-scale codebase with ~41K repositories. Experimental results showed that CodeMatcher achieves an MRR (a widely used accuracy measure for code search) of 0.60, outperforming DeepCS, CodeHow, and UNIF by 82%, 62%, and 46%, respectively. Our proposed model is over 1.2K times faster than DeepCS. Moreover, CodeMatcher outperforms two existing online search engines (GitHub and Google search) by 46% and 33%, respectively, in terms of MRR. We also observed that: fusing the advantages of IR-based and DL-based models is promising; improving the quality of method naming helps code search, since method name plays an important role in connecting query and code.

scholarly journals An investigation of the thermo-mechanical fusing process of innovative textile materials

2021 ◽  
Vol 72 (06) ◽  
pp. 601-605
Author(s):  
SNEZHINA ANDONOVA ◽  
ALEKSEY STEFANOV ◽  
IVAN AMUDZHEV
Keyword(s):  
Temperature Change ◽  
Large Scale ◽  
Complex Structure ◽  
The Other ◽  
Textile Materials ◽  
Effective Implementation ◽  
Composition And Structure ◽  
Continuous Feedback ◽  
The Relationship

The process of thermo-mechanical fusing (TMF) is one of the major technological processes in the sewing industry. The quality of the sewing article as a whole depends largely on the effective implementation of this process. The good appearance of the finished product and the preservation of the shapes given during the operation of the product depend on the proper choice of the parameters for the TMF. It is therefore important to carry out research to optimize this process. On the other hand, new and different textile materials (TM) with more complex structure and multicomponent composition have appeared in recent years. This determines the different properties of each TM. Therefore, it is extremely important to conduct numerous preliminary studies and analyses to determine the specific effective values for defining the TMF process for a particular type of TM. This is especially important namely for large-scale companies. In the context of the above, it is of particular interest to study the TMF process for an innovative TM (with complex structure and multicomponent composition) registered with a patent for an invention in recent years. The purpose of the present work is to investigate and analyse the nature of the change in temperature between basic and adhesive TM in TMF of innovative /complex in composition and structure/TM. As a result of the performed research and analysis, a method for establishing continuous feedback with the processed textile materials at TMF has been proposed. The nature of the temperature change of the treated innovative TM has been defined. The relationship between the time for conducting the TMF process and the temperature of the pressing plate for the respective innovative TM has been established.

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