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At least 667 records · Page 37Linked to original sources
PubMed2003

Print versus website physical activity programs: a randomized trial.

BACKGROUND: Mediated physical activity interventions can reach large numbers of people at low cost. Programs delivered through the mail that target the stage of motivational readiness have been shown to increase activity. Communication technology (websites and e-mail) might provide a means for delivering similar programs. METHODS: Randomized trial conducted between August and October 2001. Participants included staff at an Australian university (n=655; mean age=43, standard deviation, 10 years). Participants were randomized to either an 8-week, stage-targeted print program (Print) or 8-week, stage-targeted website (Web) program. The main outcome was change in self-reported physical activity. RESULTS: There was no significant increase in total reported physical activity within or between groups when analyzed by intention to treat (F [1,653]=0.41, p=0.52). There was a significant increase in total physical activity reported by the Print participants who were inactive at baseline (t [1,173]=-2.21, p=0.04), and a significant decrease in the average time spent sitting on a weekday in the Web group (t [1,326]=2.2, p=0.03). CONCLUSIONS: There were no differences between the Print and Web program effects on reported physical activity. The Print group demonstrated slightly larger effects and a higher level of recognition of program materials.

Adult↗
PubMed1998

Evaluating an alternative funding plan.

There have been increasing levels of interest shown across Canada in the potential application of alternative funding arrangements for academic health science centres. This article outlines the approach, and some preliminary results, of the alternative funding plan evaluation at Queen's University. Following a discussion of the AFP itself, the article describes the first phase of the evaluation process. Several studies nearing completion are outlined, as are other pieces of research that will be conducted before the AFP is renegotiated in 1999. Finally, the authors provide a brief discussion of the organizational and methodological issues that emerge when evaluating an AFP.

Academic Medical Centers↗
PubMed2002

The meaning of fatigue and tiredness as narrated by women with fibromyalgia and healthy women.

1. The aim of this study was to elucidate the meaning of fatigue and tiredness as narrated by women with fibromyalgia (FM) and healthy women. Twenty-five women with FM were interviewed with a narrative approach about the meaning of the lived experience of fatigue and tiredness. A reference group of 25 healthy women was interviewed about the same topic. 2. A phenomenological-hermeneutic method inspired by the French philosopher Ricoeur was used to interpret the interview text. 3. The meaning of fatigue and tiredness was related differently by women with FM and healthy women. The findings are presented in four major themes for women with FM -- the body as a burden, an absent presence, an interfering obstacle and being in hope of alleviation -- and in one major theme for healthy women: needing recovery. 4. Women with FM narrated fatigue as making it obvious that I have a body, instead of I am my body; the lived body becomes urgently present, as an 'it'. Healthy women narrated tiredness as a natural phenomenon when they need recovery and time to rest. 5. The findings are interpreted in the light of the phenomenological work on the lived body by Leder, Toombs and Merleau-Ponty.

Activities of Daily Living↗
PubMed2005

Interview with Jeffrey Bronfman, representative mestre for the União do Vegetal Church in the United States. Interview by Marlene Dobkin de Rios and Charles S Grob.

A telephone interview was held in November of 2004 with Mr. Jeffrey Bronfman, representative mestre for the União do Vegetal Church in the United States, which utilizes ayahuasca as a religious sacrament. At the time of this writing, the U.S. Supreme Court has agreed to hear a case in which a large quantity of the ayahuasca tea was seized in the U.S. destined for sacramental use in church ritual. Mr. Bronfman discusses his church's attempt to seek remediation in the courts on this freedom of religion issue, in conflict with current drug legislation outlawing the ayahuasca tea as a scheduled drug.

Banisteriopsis↗
PubMed2002

Women living with ovarian cancer: dealing with an early death.

Our intent to explore the emotion of anger in women living with ovarian cancer revealed a basic social concern of "dealing with an early death." The findings of this grounded theory study also identified the core variable of "finding meaning in life" as assisting the nine women in dealing with an early death. The categories of hope and physical wellness influenced the women's search for meaning after a diagnosis of ovarian cancer. Several action and interactional coping strategies were identified as positive coping behaviors. The consequences of finding meaning in life was a perception of well-being defined by the women as satisfaction with their lives. Conversely, an inability to find meaning in life resulted in feelings of despair. The women's perceptions of well-being were not static and could fluctuate as they lived with ovarian cancer. Implications for further research and practice are discussed.

Adaptation, Psychological↗
PubMed2002

Factors affecting response rates to the Consumer Assessment of Health Plans Study survey.

OBJECTIVES: Assess the determinants of nonresponse to a consumer health care survey. METHODS: The first (1997; CAHPS 1.0) and third (1999; CAHPS 2.0) Medicare managed care (MMC) CAHPS surveys collected data on 215 and 365 health plan reporting units, respectively. Data indicated which beneficiaries responded by mail, responded by phone, could not be located, and did not respond. InterStudy data described plan characteristics. chi2 tests and logistic regression models, adjusted for clustering by plan, were used to test associations of individual and plan characteristics with availability of good contact information and response given good contact information. RESULTS: Response rates in the 1997 and 1999 surveys were 75% and 80%, respectively. Older and disabled beneficiaries, women, nonwhite beneficiaries, and persons living in areas with more residents who were nonwhite, on public assistance, and less educated had lower response rates. These associations were partly explained by the distribution of bad contact information, but even among beneficiaries who could be located plan response rates varied greatly. For-profit plans are significantly more likely to have high rates of bad contact information and lower response rates. Telephone follow-up improved the sociodemographic representativeness of the sample, for both high and low response rate plans. CONCLUSION: CAHPS-MMC survey procedures, in particular telephone follow-up, have resulted in high response rates, and current case-mix strategies compensate for some of the remaining effects of differing response rates on comparisons among plans. Further efforts to explore the determinants of response rates are warranted.

Age Distribution↗