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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
23.
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
24.
Megan Woods Rob Macklin Gemma K. Lewis 《International Journal of Social Research Methodology》2016,19(4):385-403
Computer-assisted qualitative data analysis software (CAQDAS) programs are established tools for qualitative research. Making informed decisions when using them requires researchers to understand how they affect research practices and outcomes. In this article we consider the impact of CAQDAS on researcher reflexivity. Reviewing three decades of literature, we identify specific ‘reflexive moments’ experienced by CAQDAS users, the contexts in which they occur, the issues they raise, and the reflexive awareness they generate. The ways in which CAQDAS can enhance or undermine researcher reflexivity are also reported. By doing so, we aim to help researchers and especially research students (and their supervisors) understand the relationship between CAQDAS and reflexivity and the reflexive moments they may encounter when using such software. 相似文献
25.
This study explored parenting styles and values internalization. Perceived parenting styles were measured in Grade 7 (n = 749) and Grade 12 (n = 468), and values were measured in Grade 12 (n = 271) and one year postschool (n = 291). We measured three aspects of valuing: priority (extrinsic, intrinsic importance); regulation (controlled, autonomous); and successful enactment of values (success). Mothers’ authoritative parenting in Grade 7 predicted increased importance and autonomous regulation of values one year postschool. Fathers’ authoritative parenting in Grade 7 predicted decreased importance of extrinsic values. Fathers’ permissive parenting in Grade 7 predicted decreased importance of intrinsic values. Authoritarian parenting in Grade 12 predicted more controlled values regulation postschool, particularly for extrinsic values. Parenting in early and late adolescence predicts values internalization in emerging adulthood. 相似文献
26.
Gemma M. Carney 《Journal of women & aging》2018,30(3):242-258
The article proposes a Gender Politics of Aging approach to the study of aging societies. The approach recognizes the feminization of old age, ageism’s roots in sexist discourse, and the need to recognize the role of politics in driving demographic debates. Drawing together arguments from feminist gerontology and political demography, the article argues that the intersection of politics and gender must be considered if appropriate responses to an older, feminized demography are to be produced. I conclude that the work of aging feminists provides a rich vein of research and praxis from which a gender politics of aging approach can draw. 相似文献
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Gemma Sicouri Lucy Tully Daniel Collins Matthew Burn Kristina Sargeant Paul Frick Vicki Anderson David Hawes Eva Kimonis Caroline Moul Roshel Lenroot Mark Dadds 《Australian and New Zealand Journal of Family Therapy》2018,39(2):218-231
Levels of father participation in parenting interventions are often very low, yet little is known about the factors which influence father engagement. We aimed to qualitatively explore perceived barriers to, and preferences for, parenting interventions in a community sample of fathers. Forty‐one fathers across nine focus groups were interviewed using a semi‐structured interview. Data were analysed using inductive thematic analysis. Key barriers to father participation identified included: the perception that interventions are mother‐focused; beliefs about gender roles regarding parenting and help‐seeking; mothers’ role as ‘gatekeeper’; lack of knowledge and awareness of parenting interventions; and lack of relevance of interventions. Fathers reported preferences for specific content and intervention features, facilitator characteristics, practical factors, and highlighted the need for father‐targeted recruitment and advertising. Many of the barriers and preferences identified are consistent with previous research; however, fathers’ beliefs and attitudes around gender roles and help‐seeking, as well as the perception that interventions are predominantly mother‐focused, may be key barriers for community fathers. Strategies to overcome these barriers and better meet the needs of fathers in promoting and delivering parenting interventions are discussed. 相似文献
29.
Using the Theory of Planned Behaviour to Understand Motivation to Register Births in Lombok,Indonesia 下载免费PDF全文
Anaise Williams Santi Kusumaningrum Cyril Bennouna Rahmadi Usman Wenny Wandasari Lindsay Stark 《Children & Society》2018,32(5):368-380
Despite government interest in promoting birth registration, more than a third of Indonesian children do not have a birth certificate, affecting the realisation of both their human and citizen rights. While barriers to registering children's births in Indonesia have been assessed, there is limited research on how communities perceive the importance of having a birth certificate. This study used focus group discussions to explore parental motivations around birth registration. The results of a thematic analysis found that perceived use of birth certificates, perceived control over the application process and social norms related to certificate ownership affect the intention to apply. 相似文献
30.
Small Area Indices of Multiple Deprivation in South Africa 总被引:1,自引:0,他引:1
Michael Noble Helen Barnes Gemma Wright Benjamin Roberts 《Social indicators research》2010,95(2):281-297
This paper presents the Provincial Indices of Multiple Deprivation that were constructed by the authors at ward level using
2001 Census data for each of South Africa’s nine provinces. The principles adopted in conceptualising the indices are described
and multiple deprivation is defined as a weighted combination of discrete dimensions of deprivation. The methodological approach
used is outlined and key findings are presented for one province—the Eastern Cape. The paper summarises the ways in which
the research is being developed further and the potential uses of these tools for policy and research. 相似文献