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81.
A Cost–Benefit Analysis of a Family Systems Intervention for Managing Pediatric Chronic Illness 下载免费PDF全文
Brian J. Distelberg Natacha D. Emerson Paul Gavaza Daniel Tapanes Whitney N. Brown Huma Shah Jacqueline Williams‐Reade Susanne Montgomery 《Journal of marital and family therapy》2016,42(3):371-382
Despite recent increases of psychosocial programs for pediatric chronic illness, few studies have explored their economic benefits. This study investigated the costs–benefits of a family systems‐based, psychosocial intervention for pediatric chronic illness (MEND: Mastering Each New Direction). A quasi‐prospective study compared the 12‐month pre–post direct and indirect costs of 20 families. The total cost for program was estimated to $5,320. Families incurred $15,249 less in direct and $15,627 less in indirect costs after MEND. On average, medical expenses reduced by 86% in direct and indirect costs, for a cost–benefit ratio of 0.17. Therefore, for every dollar spent on the program, families and their third payers saved approximately $5.74. Implications for healthcare policy and reimbursements are discussed. 相似文献
82.
Occupational Engagement and Academic Major Satisfaction: Vocational Identity's Mediating Role 下载免费PDF全文
Daniel W. Cox Abby L. Bjornsen Thomas S. Krieshok Yan Liu 《The Career development quarterly》2016,64(2):169-180
This study examined vocational identity as a mediator of the relationship between occupational engagement (i.e., participation in a breadth of activities and interactions) and academic major satisfaction. Furthermore, the authors evaluated whether satisfaction with academic major related to academic success (i.e., grade point average). The mediational model was tested in a sample of undergraduate students (N = 215). Results indicated that occupational engagement significantly predicted academic major satisfaction and that vocational identity fully mediated that relationship. These findings support occupational engagement as an important contributor to adaptive career decision making and encourage research on occupational engagement as an intervention point for career counselors. 相似文献
83.
Johan A. Oldekop Lorenza B. Fontana Jean Grugel Nicole Roughton Emmanuel A. Adu‐Ampong Gemma K. Bird Alex Dorgan Marcia A. Vera Espinoza Sara Wallin Daniel Hammett Esther Agbarakwe Arun Agrawal Nurgul Asylbekova Clarissa Azkoul Craig Bardsley Anthony J. Bebbington Savio Carvalho Deepta Chopra Stamatios Christopoulos Emma Crewe Marie‐Claude Dop Joern Fischer Daan Gerretsen Jonathan Glennie William Gois Mtinkheni Gondwe Lizz A. Harrison Katja Hujo Mark Keen Roberto Laserna Luca Miggiano Sarah Mistry Rosemary J. Morgan Linda L. Raftree Duncan Rhind Thiago Rodrigues Sonia Roschnik Flavia Senkubuge Ian Thornton Simon Trace Teresa Ore Ren Mauricio Valds Bhaskar Vira Nicola Yeates William J. Sutherland 《Development policy review : the journal of the Overseas Development Institute》2016,34(1):55-82
The Sustainable Development Goals (SDGs) herald a new phase for international development. This article presents the results of a consultative exercise to collaboratively identify 100 research questions of critical importance for the post‐2015 international development agenda. The final shortlist is grouped into nine thematic areas and was selected by 21 representatives of international and non‐governmental organisations and consultancies, and 14 academics with diverse disciplinary expertise from an initial pool of 704 questions submitted by 110 organisations based in 34 countries. The shortlist includes questions addressing long‐standing problems, new challenges and broader issues related to development policies, practices and institutions. Collectively, these questions are relevant for future development‐related research priorities of governmental and non‐governmental organisations worldwide and could act as focal points for transdisciplinary research collaborations. 相似文献
84.
85.
Tropical forested ecosystems provide multiple ecosystem services to rural and urban landscapes, with carbon storage gaining particular attention. Deforestation due to rural-urban transitions may lead to a reduction in carbon storage ability. Coastal mangrove forests are particularly at risk from deforestation due to their location in the rapidly urbanizing coastal zone, and the city state of Singapore is an extreme example, losing as much as 90 % of its original mangrove cover due to land reclamation and reservoir construction. Knowledge of mangrove ecosystem services may allow better conservation, restoration and incorporation of remaining mangrove patches into the urban landscape. Focusing on the regulating ecosystem service of carbon storage, mangrove carbon stocks have been estimated for Singapore using a combination of field and remote sensing techniques. Biomass carbon showed substantial spatial variation, with old, contiguous mangrove patches containing a higher density of biomass carbon than fragmented, river-fringing or restored mangroves. In total, national biomass carbon equated to 116,117.1 megagrams of carbon (Mg C), and a coarse estimate of the total carbon stock (including soil carbon) suggests that Singapore’s mangroves may store 450,571.7 Mg C. While lower than other regional estimates focused on natural, oceanic mangroves, this is a significant carbon stock for a disturbed, urban mangrove system, and may be equivalent to the average annual carbon emissions of 621,000 residents. This analysis, alongside a review of other urban forest studies, highlights the importance of forested ecosystems such as mangroves in providing a carbon storage ecosystem service to urban areas. 相似文献
86.
Daniel E. O'Leary 《决策科学》1993,24(2):395-408
In knowledge acquisition, it is often desirable to aggregate the judgments of multiple experts into a single system. In some cases this takes the form of averaging the judgments of those experts. In these situations it is desirable to determine if the experts have different views of the world before their individual judgments are aggregated. In validation, multiple experts often are employed to compare the performance of expert systems and other human actors. Often those judgments are then averaged to establish performance quality of the expert system. An important part of the comparison process should be determining if the experts have a similar view of the world. If the experts do not have similar views, their evaluations of performance may differ, resulting in a meaningless average performance measure. Alternatively, if all the validating experts do have similar views of the world then the validation process may result in paradigm myopia. 相似文献
87.
In this study the potential performance benefits of easy goals were examined within the multiple cue probability learning paradigm (MCPLP). Specifically, the effects of varying levels of goal difficulty on performance and risk propensity (used to define a form of commitment) were investigated. With few exceptions, previous studies demonstrated support for difficult goals. In this study, contrary to the majority of past evidence, as goals became easier decision quality significantly improved. Moreover, risk propensity increased with easier goals and, as suggested by a post-hoc analysis, had more direct impact on decision makers’ behaviors than goal levels. Goal-related behavior in complex MCPLP tasks appears to significantly differ from the majority of goal evidence in other types of research due to the tendency for subjects to view complex task properties in the same context as goal levels. 相似文献
88.
In the study of risks
, different sciences use the same category in different ways, each related to its own ontological assumptions. But many of
these fields communicate very little with one another. This article seeks to approximate two of these areas of study that
have shown similar concerns and that can mutually strengthen one another, namely, geography and demography. Geography was
one of the first disciplines to include risk in its environmental dimension and has had broad experience in simultaneously
focusing on social and natural dynamics. Demography, on the other hand, faces greater difficulties because only recently has
it incorporated the environmental dimension into its scientific scope. Both have brought the concept of vulnerability into
their conceptual framework as complementary to that of risk. Geographers understand vulnerability as a more symbiotic form
of the relationship between society and nature, whereas demographers give it a strong socioeconomic component. In this regard,
the conceptual discussion on risks and vulnerabilities, in its attempt at approximating these two fields, is a way of conceptually
advancing and strengthening the different approaches to empirical work, especially in population–environment studies which
is the common ground for the dialogue between the two disciplines.
相似文献
Daniel Joseph HoganEmail: |
89.
90.
Jacqueline M. Williams-Reade Daniel Tapanes Brian J. Distelberg Susanne Montgomery 《Journal of marital and family therapy》2020,46(1):135-148
In pediatric chronic illness, little is known about the relational interactions between adolescent patients, parents, and illnesses and how they influence self-management of illness. We conducted interviews with 32 individuals (16 dyads) representing adolescents diagnosed with a chronic illness and their primary parent who had been referred to a psychosocial treatment program for challenges with illness management. Interviews were conducted individually and analyzed dyadically using grounded theory to better understand the relational processes that may be contributing to illness management difficulties. Results include a theory of patient–parent illness responses and how parental illness meanings play a role in adolescent self-management. Results can be used to better understand and treat family relational patterns that may be influencing pediatric illness management challenges. 相似文献