Introducing the Adherence Strategy Engineering Framework (ASEF)

2013 ◽  
Vol 52 (03) ◽  
pp. 220-230 ◽  
Author(s):  
T. S. Toftegaard ◽  
O. W. Bertelsen ◽  
S. Wagner
Keyword(s):  
Case Studies ◽  
Patient Adherence ◽  
Treatment Plan ◽  
Self Care ◽  
Individual Case ◽  
Perceived Usefulness ◽  
Questionnaire Study ◽  
Context Aware ◽  
The Individual

SummaryBackground: Patients performing self-care in the unsupervised setting do not always adhere to the instructions they were initially provided with. As a consequence, a patient’s ability to successfully comply with the treatment plan cannot be verified by the treating healthcare professional, possibly resulting in reduced data quality and suboptimal treatment.Objectives: The aim of this paper is to introduce the Adherence Strategy Engineering Framework (ASEF) as a method for developing novel technology-based adherence strategies to assess and improve patient adherence levels in the unsupervised setting.Methods: Key concepts related to self-care and adherence were defined, discussed, and implemented as part of the ASEF framework.ASEF was applied to seven self-care case studies, and the perceived usefulness and feasibility of ASEF was evaluated in a questionnaire study by the case study participants. Finally, we reviewed the individual case studies usage of ASEF.Results: A range of central self-care concepts were defined and the ASEF methodological framework was introduced. ASEF was successfully used in seven case studies with a total of 25 participants. Of these, 16 provided answers in the questionnaire study reporting ASEF as useful and feasible. Case study reviews illustrated the potential of using context-aware technologies to support self-care in the unsupervised setting as well as ASEF’s ability to support this.Conclusion: Challenges associated with moving healthcare to the unsupervised setting can be overcome by applying novel context-aware technology using the ASEF method. This could lead to better treatment outcomes and reduce healthcare expenditures.

Andrea Handley in conversation with Jerome Carson

2020 ◽  
Vol 24 (3) ◽  
pp. 125-130
Author(s):  
Andrea Handley ◽  
Jerome Carson
Keyword(s):  
Mental Health ◽  
Case Studies ◽  
Mental Health Problems ◽  
Individual Case ◽  
First Person ◽  
Short Account ◽  
Content Type ◽  
The Individual ◽  
Practical Implications

Purpose The purpose of this paper is to provide a profile of Andrea Handley. Design/methodology/approach In this case study, Andrea gives a short account of her background and is then interviewed by Jerome. Findings Andrea outlines a number of issues from her childhood that led to her later mental health problems. Research limitations/implications Individual case studies are of course just the story of one person’s difficulties. For too long in psychiatry, case studies were written by professionals about their lives and problems. First person accounts allow the individual to tell their own narrative. Practical implications Andrea is not the first person to talk about the delay in access to mental health services. As she notes, 16 years on, she is still waiting for that referral! She notes that a friend of her could not wait even the three months that she had been and tragically took her own life. Social implications So much of Andrea’s story is overshadowed by loss, especially the death of her brother when she was a teenager. As a society, we are no as well “prepared” for death, as older generations. The coronavirus pandemic is bringing our mortality home to all of us. Originality/value Patricia Deegan once asked, “How much loss could a human heart hold?” In this moving account Andrea lets us see the huge losses she has sustained and yet she is still determined to try and help others who are suffering. Hers is truly a remarkable life.

Aids Alarm: A Case Study

1988 ◽  
Vol 33 (5) ◽  
pp. 409-411 ◽  
Author(s):  
Janette Mcmillan ◽  
Joseph Noone ◽  
Tom Tombaugh
Keyword(s):  
Immune Deficiency Syndrome ◽  
Individual Case ◽  
Deficiency Syndrome ◽  
Optimal Intervention ◽  
History Of ◽  
The Individual ◽  
Acquired Immune Deficiency ◽  
Delusional Belief ◽  
Dynamic Interplay

Acquired Immune Deficiency Syndrome (AIDS) has made a wide impact not limited to those persons who have or are likely to contact it. A case history of a man with a near-delusional belief he had AIDS is presented to exemplify the individual issues that concern about AIDS may raise. Thorough exploration of the dynamic interplay of biological, psychological and social factors is recommended in each case before reassurance may be effective. Psychiatric consultation should assist in developing optimal intervention in each individual case.

Juggling Porcupines

2015 ◽  
Author(s):  
W. Brad Johnson ◽  
Gerald P. Koocher
Keyword(s):  
Case Studies ◽  
Individual Case ◽  
Work Settings ◽  
The Individual

This chapter presents an introduction to the title, and discusses the difficulties in being ethical in challenging roles and work settings. It explores the rationale for the title, and presents an overview of the structure that the individual case studies will take.

scholarly journals Elementary Principal/Superintendent Relationship as Perceived by Teachers

2001 ◽  
Vol 9 ◽  
pp. 45
Author(s):  
Catherine H. Glascock ◽  
Diane Taylor
Keyword(s):  
School Climate ◽  
School District ◽  
Case Studies ◽  
School Change ◽  
Elementary Principal ◽  
Individual Case ◽  
Comparative Case Study ◽  
Top Down ◽  
Bottom Up

Despite more than a decade of research on bottom-up school change, the principal/ superintendent relationship continues to be studied primarily as a traditional flow of power from the top down. There is little research that considers the proposition that power vested in principals can be exercised upwardly within the school district hierarchy in the form of independence from and influence on the superintendent. Given the lack of research on these phenomena, it is not surprising that we could find no studies that explore the effects of hierarchical independence and influence on school climate. The present study investigates both. Two schools form the basis of this comparative case study. The schools were chosen based on scores obtained through the OCDQ and TAI instruments. The first school is selected for its high scores on both instruments and the second school is selected based on average scores on the OCDQ and the TAI. Both schools are in the same school district and a brief description of that district begins the discussion. Individual case study findings as well as a comparison of the two case studies follow.

Democracy learning as failing template for establishing student participation for school improvement: A participatory case study within a secondary school

2019 ◽  
Vol 103 (1) ◽  
pp. 68-84
Author(s):  
Manuela Gamsjäger ◽  
Roman Langer
Keyword(s):  
School Improvement ◽  
Secondary School ◽  
Social Practice ◽  
Qualitative Content Analysis ◽  
Student Participation ◽  
Individual Case ◽  
School Improvements ◽  
Participative Research ◽  
The Individual

Participation of students is defined as a conditional factor for the acquisition of democracy learning and is increasingly taken into account in Austrian schools. Nevertheless, in contrast to other countries, little research has been conducted in Austria about if or how democracy learning provides a template for the social practice of student participation within school improvements. The current qualitative case study sought to investigate, explanatively from the perspective of school actors, how a secondary school tries to implement a self-imposed demand for more student participation in school improvement by using aspects of democracy learning as template. Qualitative guideline-based interviews using a participative research method were conducted and the data were analysed by means of content-structuring qualitative content analysis. A total of 33 school actors (students, teachers, parents) participated. The two central findings emerged due to marginal rights and a limited understanding of student participation based on democracy learning. First, despite the demand for greater participation in school improvement, students remain dependent on individual actors and can only assert their interests within school objectives and not against the interests of the teachers or the school management. Second, participation within the framework of school development promotes not so much the strengthening of pupils as subjects as the strengthening of the identity of the school’s organization. The individual case study is thus a hypothesis-generating example of how the depoliticized participation rhetoric of imparting democratic competencies leaves the claim to equal consideration of students’ perspectives unfulfilled and ultimately prevents the redistribution of rights of disposal.

Thinking in multitudes: Questionnaires and composite cases in early American psychology

2020 ◽  
Vol 33 (3-4) ◽  
pp. 160-174 ◽  
Author(s):  
Jacy L. Young
Keyword(s):  
Scientific Reasoning ◽  
Large Scale ◽  
Individual Case ◽  
Early American ◽  
Large Scale Data ◽  
American Psychology ◽  
Questionnaire Research ◽  
The Individual ◽  
Scale Data

In the late 19th century, the questionnaire was one means of taking the case study into the multitudes. This article engages with Forrester’s idea of thinking in cases as a means of interrogating questionnaire-based research in early American psychology. Questionnaire research was explicitly framed by psychologists as a practice involving both natural historical and statistical forms of scientific reasoning. At the same time, questionnaire projects failed to successfully enact the latter aspiration in terms of synthesizing masses of collected data into a coherent whole. Difficulties in managing the scores of descriptive information questionnaires generated ensured the continuing presence of individuals in the results of this research, as the individual case was excerpted and discussed alongside a cast of others. As a consequence, questionnaire research embodied an amalgam of case, natural historical, and statistical thinking. Ultimately, large-scale data collection undertaken with questionnaires failed in its aim to construct composite exemplars or ‘types’ of particular kinds of individuals; to produce the singular from the multitudes.

scholarly journals Collecting case studies / exemplars of good practice to enrich The National Information Literacy Framework (Scotland)

2010 ◽  
Vol 33 (105) ◽  
pp. 10-19 ◽  
Author(s):  
Christine Margaret Irving
Keyword(s):  
Case Studies ◽  
Information Literacy ◽  
Good Practice ◽  
Lessons Learned ◽  
Background Information ◽  
Literacy Framework ◽  
The Individual ◽  
National Information ◽  
National Framework

This paper discusses the challenges, process and reasons for collecting case studies / exemplars of good practice from practitioners to enrich The National Information Literacy Framework (Scotland). The lessons learned show that there is a tendency for people to think they are not doing anything special and therefore do not respond to emails for exemplars of good practice. They are however once contacted happy to share their practice. It is therefore essential to use networks of contacts, leave plenty of time to talk, visit and work with people on submitting their work as a case study / exemplar. Sharing practice also contributes to professional development both for the individual and their community and to the field of research. Background information is provided on the national framework, the project funding, the project partners and the range of examples collected for different sectors. Plus use of templates and Web 2 tools.

scholarly journals An Aristotelian interpretation of practical wisdom: the case of retirees

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Peter Massingham
Keyword(s):  
Case Studies ◽  
Practical Wisdom ◽  
Workforce Planning ◽  
Individual Case ◽  
Structured Interview ◽  
Face To Face ◽  
Knowing That ◽  
The Individual ◽  
Global Population

Abstract This paper aims to improve understanding of the concept of practical wisdom. The theoretical lens used is Aristotle’s practical rationality or ‘phronesis’. Researchers argue that practical wisdom should be used as an organising framework for professional knowledge. Aristotle believed that practical wisdom as the highest intellectual virtue. Phronesis is the complicated interactions between general (theory) and practical (judgement). The contribution of this paper is to discuss the properties of practical wisdom and how they interact based on an interpretation of retirees’ knowledge. The paper summarises in-depth face-to-face interviews with nine retirees, i.e., nine separate case studies. A structured interview guideline based on a conceptual framework derived from literature was used to examine the nature of retirees’ practical wisdom. People with wisdom make better decisions. Whereas episteme’s technical knowledge may address complicated tasks, techne’s wisdom enables people to resolve truly complex tasks. Techne provides personal judgement which enables the professional to judge their actions from an external and internal perspective. Knowing that others and the individual themselves are happy with the quality of their work creates a morality that enables an inner calm and personal satisfaction leading to eudaimonia (feeling happy about life). People with wisdom behave differently. Phronesis’s cognitive properties create awareness of the knowledge that may be trusted to be seen to be behaving normally or appropriately in the organisation. The global population is ageing. This has implications for future workforce planning as experience is lost and capability gaps emerge. Retires may represent a valuable source of knowledge to help address this gap. The results are limited to nine individual case studies and four disciplines. The findings provide exciting opportunities for further research. The conceptual models may be further investigated with retirees in other disciplines.

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