The Relation Between Therapeutic Alliance and Treatment Motivation in Residential Youth Care: A Cross-Lagged Panel Analysis

This study investigated the longitudinal relation between therapeutic alliance and treatment motivation in a sample of 174 adolescents receiving residential treatment in the Netherlands. Structural equation modeling with a cross-lagged panel design was used to examine the relation between therapeutic alliance and treatment motivation up to 9 months of treatment. Results revealed that autoregressive associations between initial therapeutic alliance and alliance at subsequent time points were significant, whereas for treatment motivation a significant association was found after 6 months, but not after 9 months. Results also showed that a higher level of therapeutic alliance after 3 months was predictive of a higher level of treatment motivation after 6 months. Furthermore, a higher level of therapeutic alliance after 6 months was predictive of a higher level of treatment motivation after 9 months. Implications for research and clinical practice are discussed.     

Characteristics of a central change programme within a governmental bureaucracy: a grounded theory study

Purpose The purpose of the paper is to present a theory of organisational change within the setting of a governmental bureaucracy. Design/methodology/approach Orthodox grounded theory is employed in the setting of a change programme in 12 Audit departments of the Dutch Ministries (public-sector). Findings The examined organisational change has specific characteristics. The Dutch ‘ministerial autonomy’ and the clearly recognizable role types of the key figures involved have a strong impact on the change programme and the realisation of its goals. Research limitations/implications Findings are derived on the basis of a substantive case study of the change programme of the Dutch Departmental Audit function. The research sheds new light on characteristics related to the occupational group of Chartered Accountants and characteristics of a governmental bureaucracy and it helps to understand change programmes within this bureaucracy. Practical implications The grounded theoretical model draws attention to the impact of key figures and circumstances on a change programme within the central government. Originality/value The paper builds on theories of organisational change but applies them in the typical context of the Dutch civil service where ministerial autonomy, on the one hand, and a move in the direction of more centrally organised activities (concern idea), on the other, require a difficult balancing act of all players in the change arena.     

Virtuelles Selbstcoaching — Konzept und erste Erfahrungen

Combining management consultation with psychotherapy in the early nineties, coaching is a real innovation. Its success story grounds on a huge market demand. Nevertheless, actual market observations revealed a declining success progress over the past years caused by two factors. The first one refers to economic reasons since coaching is a high-budget-product and focuses mainly on managers and important specialists. The second factor is a psychological one: many potential clients associate coaching with psychotherapy and therefore react with resistance. To continue the progress, it is necessary to overcome both restrictions. The solution is virtual self-coaching as an innovative combination of coaching and e-learning. It is an online-tool that guides the user through a well-defined path of problem solving questions. This is for many users attractive because of the low costs in combination with the fact that working with an online-tool is associated with further education and not therapy. Our tests have demonstrated that the program is useful for a big variety of different problems and that best results can be expected if virtual self-coaching is combined with telephone coaching.     

Using the End‐User Computing Satisfaction (EUCS) Instrument to Measure Satisfaction with a Web Site

The purpose of this study is to revise and revalidate the End‐User Computing Satisfaction (EUCS) instrument to measure satisfaction with a Web site from a usability perspective. This study is especially important given the increased significance of the Web and the uniqueness of the Web as a computing environment. A total of 176 students participated in a lab simulation that involved a usability evaluation of the Lands' End Web site ( http://www.landsend.com ). Students were asked to complete a set of tasks, record their answers, and then complete the EUCS instrument. Confirmatory factor analysis and invariance analyses were conducted to test the reliability, validity, and generalizability of the revised EUCS. The results show that the EUCS is a valid and robust instrument in the Web environment but that one of the subfactors, timeliness, will need further refinement in the future. Usability practitioners can use the EUCS to measure end‐user satisfaction with a Web site and use the feedback for improving Web‐site design. We describe a case study of an actual usability application that utilized the revised EUCS effectively to support the design of building supply Web sites involving two types of end users, homeowners and contractors. We also propose a typology that researchers can use as a starting point to judge when it is necessary to revalidate an instrument like the EUCS. Finally, we discuss the limitations of our study and present avenues for future research.     

现代消费主义的理性思考

消费是人为了生存而进行的一种基本活动,一种生活方式。但随着科学技术的发展和经济的增长,现代社会已经进入到了生产过剩的时代,这必然引起大量的挥霍性消费随之而来。为此,本来作为人的生存方式的消费就成为一种违背人类可持续生存和发展利益的消费,最终也成为人类生存的最大威胁之一,因而,再次审视现代社会的消费观的理论基础是一项迫切的任务。     

Optimal stimulation level theory, exploratory consumer behaviour and product adoption: an analysis of underlying structures across product categories

Research of the last decades focused on answering several questions in view of optimum stimulation theory. Which variables do influence general explorative tendencies such as risk taking, variety seeking, or curiosity-motivated behaviour and how do the general explorative tendencies effect the willingness to choose new or familiar products on a repurchase occasion? The approach of this research is the attempt to analyse a wide range of variables, which have successfully been tested to influence innovative behaviour, within one simultaneous model. This research is applied across different product-categories. It is confirming the nomological validity of OSL-theory including some contextual variables by attesting a principal consistency between all (six) models that have been established throughout the range of several examined product categories. The parameters between inherent factors do not contradict when comparing the single models with each other, parameter values do only differ slightly according to category-specific peculiarities. As a consequence of these results, an overall fairly good picture is drawn of what is behind the keenness for innovations of early adopters in general (regardless of the product category).     

Temperamental,Parental, and Contextual Contributors to Early‐emerging Internalizing Problems: A New Integrative Analysis Approach

This study evaluated a comprehensive model of factors associated with internalizing problems (IP) in early childhood, hypothesizing direct, mediated, and moderated pathways linking child temperamental inhibition, maternal overcontrol and rejection, and contextual stressors to IP. In a novel approach, three samples were integrated to form a large sample (N = 500) of Canadian children (2–6 years; M = 3.95 years; SD = .80). Items tapping into the same constructs across samples were used to create parallel measures of inhibited temperament, maternal positive, critical, and punitive parenting, maternal negative emotionality, family socioeconomic and structural stressors, and child's IP. Multiple‐groups structural equation modeling indicated that associations were invariant across samples and did not differ for boys and girls. Child inhibition, less positive and more critical parenting, maternal negative emotionality, and family socioeconomic disadvantage were found to have direct associations with IP. In addition, maternal negative emotionality was associated with IP through more critical parenting, and both maternal negative emotionality and socioeconomic stress were associated with IP through less positive parenting. Results highlight the multiple independent and cumulative risk factors for early IP and demonstrate the power of integrating data across developmental studies.     

Design and Analysis of Hospital Admission Control for Operational Effectiveness

Variability in hospital occupancy negatively impacts the cost and quality of patient care delivery through increased emergency department (ED) congestion, emergency blockages and diversions, elective cancelations, backlogs in ancillary services, overstaffing, and understaffing. Controlling inpatient admissions can effectively reduce variability in hospital occupancy to mitigate these problems. Currently there are two major gateways for admission to a hospital: the ED and scheduled elective admission. Unfortunately, in highly utilized hospitals, excessive wait times make the scheduled gateway undesirable or infeasible for a subset of patients and doctors. As a result, this group often uses the ED gateway as a means to gain admission to the hospital. To better serve these patients and improve overall hospital functioning, we propose creating a third gateway: an expedited patient care queue. We first characterize an optimal admission threshold policy using controls on the scheduled and expedited gateways for a new Markov decision process model. We then present a practical policy based on insight from the analytical model that yields reduced emergency blockages, cancelations, and off‐unit census via simulation based on historical hospital data.     

Systematisierung der Erfolgsfaktoren von Wissensmanagement auf Basis der bisherigen empirischen Forschung

Zusammenfassung  Der vorliegende Beitrag leitet aus einer umfassenden Bestandsaufnahme der empirischen Forschung zum Wissensmanagement einen Bezugsrahmen der Erfolgsfaktoren ab. Ziel ist die Zuordnung der identifizierten Erfolgsfaktoren zu übergeordneten Aggregationsniveaus (Untersuchungsfelder, Kategorien und Dimensionen) und damit die Reduzierung von Komplexit?t und Systematisierung der bisherigen Befunde. Weiterhin sollen aus den Ergebnissen der vorliegenden Analyse Implikationen für die weitere Forschung im Wissensmanagement abgeleitet werden. Als Ergebnis resultiert ein Modell, welches die Inhalte als auch die hypothetischen Beziehungen zwischen den identifizierten Aggregationsebenen veranschaulicht. Er bildet damit Grundlage für eine weitere Analyse der Erfolgsfaktoren, ihrer Auspr?gungen und Interdependenzen. Aus der Heterogenit?t der Studien konnten weitere Implikationen für die theoretische Wissensmanagement-Forschung abgeleitet werden.

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Knowledge management factors of success: A review of empirical findings and a model for future research

Summary  This paper derives a framework of key success-factors from an in-depth review of empirical research in knowledge management. Our first objective was to reduce the complexity of previous findings in the field of knowledge management by developing a model-structure that focuses on the interdependencies of the identified variables and to develop a framework that would allow for further research. We thus iteratively aggregated the identified factors of success to superior fields of analysis (named research fields, categories and dimensions). Our second objective was to extract from the analysis further implications for future research. The derived hypothetical framework maps the identified levels of aggregation and its describing factors, as well as the hypothetical interdependencies among them. Therefore this framework not only structures the findings, but also provides a basis for further analysis that aims at sound confirmation of the knowledge management factors of success, their characteristics and interdependencies. The observed heterogeneity of existing research points towards further research implications for knowledge management theory.

Forschungsschwerpunkte: Mergers & Acquisitions, Projektmanagement, Wissensmanagement