Development of strategies to support home-based exercise adherence after stroke: a Delphi consensus

ObjectiveTo develop a set of strategies to enhance adherence to home-based exercises after stroke, and an overarching framework to classify these strategies.MethodWe conducted a four-round Delphi consensus (two online surveys, followed by a focus group then a consensus round). The Delphi panel consisted of 13 experts from physiotherapy, occupational therapy, clinical psychology, behaviour science and community medicine. The experts were from India, Australia and UK.ResultsIn round 1, a 10-item survey using open-ended questions was emailed to panel members and 75 strategies were generated. Of these, 25 strategies were included in round 2 for further consideration. A total of 64 strategies were finally included in the subsequent rounds. In round 3, the strategies were categorised into nine domains—(1) patient education on stroke and recovery, (2) method of exercise prescription, (3) feedback and supervision, (4) cognitive remediation, (5) involvement of family members, (6) involvement of society, (7) promoting self-efficacy, (8) motivational strategies and (9) reminder strategies. The consensus from 12 experts (93%) led to the development of the framework in round 4.ConclusionWe developed a framework of comprehensive strategies to assist clinicians in supporting exercise adherence among stroke survivors. It provides practical methods that can be deployed in both research and clinical practices. Future studies should explore stakeholders’ experiences and the cost-effectiveness of implementing these strategies.

Reflections of Teaching Narratives

This narrative describes the experiences of a high school English teacher who uses innovative teaching methods to adapt to online teaching during the recent pandemic. Students relied on writing to reflect on their emotional health and found comfort in relating to works of literature. The creative projects and motivational strategies discussed can apply to anyone looking to cope with difficult times, find more motivation to achieve a goal, or practice self-compassion when confronted with unexpected events.

Motivational Strategies of Retail Company during Work from Home

According to the management scholars Richard Kreitchner and Carlene Cassidy, “the term motivation, refers to a physiological process that gives behavior purpose and direction”. It is thought that if an employee is motivated, they will be usually content with his employment, and since they will be happy, they will be able to provide their best effort and contribution to the task at hand. However, there are numerous sorts of motivation for everyone, and it is unlikely that every individual in the firm or in that particular area will be motivated in the same way. Employee Motivation Is defined as the Power That Propels Employees toward Achieving the Organization's Unique Goals and objectives. As the covid-19 epidemic affects our country, the goal of this study is to examine motivating elements that might influence employee performance while working from home. The respondents were chosen using standard random sampling procedures. The data was collected from 46 administrative personnel. The researcher studied several motivating elements and investigated how employee demographics such as age, gender, position, department, marital status, and housing situation may affect their degree of job satisfaction in this research study.

PROVIDING MOTIVATIONAL STRATEGIES FOR STUDENTS VIA THE DISTANCE LEARNING

The article discusses the practical aspects of implementing e-learning technologies as a factor of various types of motivation for students in the higher education system. It shows acute problems of nowadays distance learning and the importance of motivation in the condition of distance learning. Distance learning - a wide range of educational services in which students learn from a distance, rather than being located in the classroom. It solves problems that traditional training can not solve, it is, first of all: strengthening the active role of students in their own education; the use of available educational resources; increase motivation to learn; use of interactive forms of classes; strengthening the creative component of education; availability of conditions for self-expression; saturation and intensity of training; the possibility of obtaining an expert opinion on the results of their training activities without wide publicity

Challenges facing Saudi public sector leaders during change

Organization change management has a poor success record and confronts leaders with many challenges, including employee resistance. The Saudi public sector is undergoing widespread changes under the government’s reform agenda, Vision 2030. However, there is little research on organizational change in the Arab world; what exists locks depth and pays little attention to leaders’ roles. This paper explores the challenges facing Saudi public sector leaders and the response strategies adopted in two public sector organizations undergoing a recent change. Qualitative data were collected by unstructured interviews with six department leaders and 21 subordinates involved in change implementation. Challenges faced included the hierarchical organizational and sectoral structure, bureaucracy, high power distance, constraints on leaders’ autonomy, the gender-sensitive national culture, and employee resistance. Leaders employed a variety of strategies to cope with and mitigate these challenges, to achieve change success, notably, improving communication to explain the change, provide clarity and alleviate concerns. Leaders also become less authoritarian and more employee-focused, applying flexibility, providing opportunities for employee participation, and using various motivational strategies to gain employee commitment and improve productivity limitations of the study are the small convergence sample reflecting one project in one sector and the inability to follow change progress over time. The insight afforded by rich qualitative data on experienced challenges and leader behavior enables implications to be drawn for motivational strategies and communication with other public sector organizations involved in change projects.

Clinician Delivery of Virtual Pivotal Response Treatment with Children with Autism during the COVID-19 Pandemic

This concept paper describes how the evidence-based Pivotal Response Treatment (PRT) model of autism treatment was adapted for delivery via telehealth during the COVID-19 pandemic. Multiple features of existing video conference technology were utilized for implementation of PRT motivational strategies with young children with autism spectrum disorder (ASD). PRT is an empirically supported treatment for ASD which can be taught to parents and delivered directly by trained therapists. During the COVID-19 pandemic, when the majority of clinical care for children with ASD had to be transitioned to telehealth delivery, models for parent training had been previously established. However, no model for direct clinician delivery of virtual PRT existed. This manuscript outlines practical details of the model developed by our team and provided to a total of 17 families between April 2020 and May 2021. Key lessons from technological adaptations of the PRT motivational strategies are described in order to inform future empirical investigation of this approach. The virtual PRT delivery model can serve as a guide for engaging children in meaningful social interaction and communication practice via video conference software, with implications for expanding access to autism treatment as well as for motivating a wide range of children in distance learning activities.

Review on Motivation of Second Language Learners in Class

This paper will provide insight into motivation through the lenses of learning style, interaction and feedback. If the relationship between motivation and three factors are well understood, then the learning of second foreign language can be facilitated in the classroom. Motivational strategies also will be presented after each lens. At the end of the paper, it concludes with the limitations of these researches and specific implications such as classroom environment for further teaching practice.