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The purpose of this research was to evaluate a reward program designed to reduce absenteeism among staff (N = 38) at a grocery store. The intervention included public feedback and a credit reward system whereby participants got store dollars for attendance and authorized rescheduling of work assignments. Results showed that absenteeism decreased from a group mean of 8 shifts missed per week during baseline to 4.25 shifts missed per week during the intervention before increasing to 6.75 shifts missed per week during the reversal phase. The mean total rescheduling occurrences were reduced from a baseline average of 19.83 per week to 9.25 per week during the intervention and returned to 22.25 per week during the reversal. Employees were also less likely to leave early during the intervention period.  相似文献   
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Osteoarthritis of the knee is seen more frequently in females than males. However, few studies have examined the interplay of gender, gait mechanics, pain, and disability in persons with osteoarthritis. This study examines the influence of anthropometrics, radiographic disease severity, pain, and disability on gender differences in gait mechanics in patients with knee osteoarthritis. Gait mechanics for 26 men and 30 women were collected using 3-D kinematics and kinetics. Women had a significantly lower knee adduction moment than men and a significantly higher stride frequency. Within female subjects, variations in gait mechanics were primarily explained by weight, BMI, pain, and disability. In males, variations in gait mechanics were primarily explained by age and disability.  相似文献   
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This study tested the effectiveness of a forgiveness intervention for young adult children of divorce. Adults between the ages of 20 and 40 were recruited from counties in a state along the West Coast and from a state in the Midwest. Participants were randomly assigned to either a forgiveness intervention or an alternative treatment control group. Measures of psychological well-being and the quality of social relationships were administered at pretest, posttest, and 8-week follow-up. Results were mixed; between-group analysis revealed little difference between the two interventions, whereas within-group difference indicated the forgiveness group made significant and positive changes on measures of forgiveness, parent–child relationships, and anxiety. Implications for research and practice with young adults are discussed.  相似文献   
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In this article I discuss the emergence of practices of hearing in the midst of English language learning activities. I focus on listening activities during oral English lessons at two public high schools in Tokyo, Japan. One setting is a liberal arts high school. The other is a technical high school where students are trained in specializations such as industrial chemistry and electrical engineering. The different organization of listening activities in each of the schools has consequences for the different shape, texture, and categorization of what is heard. I show how hearing, therefore, is an act not solely located the moment sound meets the ear of an individual. Rather, it is socially rationed, controlled, and imagined through the joint actions of participants before, during, and after such physiological hearing takes place. This constitutes hearing as a social act, cognitively distributed among participants and over space and time in the classroom.  相似文献   
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The January 12, 2010 earthquake in Haiti severely undermined HIV service provision in the country. Almost 10 percent of Haitians were displaced and now live in temporary tent communities. Little is known about how HIV services are being provided to Haitians with HIV in these encampments. This study addresses this lacuna by conducting a process evaluation of the manner in which a collaboration among Haitian community‐based HIV service providers, a US‐based HIV service provider, and a US‐based academic research team resurrected HIV services in the encampments. Efforts to set up HIV services in the encampments proceeded through three stages: (i) an initial crisis response that activated established networks and identified feasible goals; (ii) the development of services by building research capacity, conducting needs assessments, addressing logistical challenges, and establishing community‐based services; and (iii) the sustaining of the initiative by targeting resources and negotiating in the political arena. Implications of the protocol for future efforts are discussed. Key Practitioner Message: ● Resurrecting HIV services in post‐disaster zones;Utilizing cross‐country, provider–academic partnerships to develop service capacity;Targeting structural barriers to establish HIV services in resource‐poor settings.  相似文献   
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Dementia is one of the costliest and most time-consuming diseases among older persons. Although informal caregivers provide the majority of care for persons with dementia, little is known about the self-perceived need for social services of caregivers of persons with dementia within rural areas. This pilot study examined the knowledge, access and intent of the practice-oriented service model of caregivers of persons with dementia in rural communities in the Midwest U.S. After a systematic training, researchers interviewed 11 rural caregivers of persons with dementia (n = 11). Data were analyzed using thematic analysis. Although similarities with other caregivers of persons with dementia were found, important differences suggesting unique issues among these rural caregivers of persons with dementia. Many participants found strength in their community, which often served as a safety net of support. Consistent with existing literature, participants expressed financial concerns, geographic barriers and lack of dementia-specific services when using formal services. The need for more specialized formal services in rural areas to supplement existing informal care networks is discussed. Policies and services based on rural caregivers’ unique concerns and challenges and that build upon their existing care networks are recommended.  相似文献   
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