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Lived Experiences of Persons with Chronic Schizophrenia Living in the Community 社区慢性精神分裂症患者的生活经历
Pub Date : 2019-09-27 DOI: 10.7565/ssp.2019.2656
A. Rani, S. Prabhu, Thirumoorthy Ammapattian, Janaki Trichy, Sojan Antony
Background and Purpose: Schizophrenia is a chronic and severe mental disorder which impacts a person’s ability to successfully function in the community. When it interacts with structural and situational stress like poverty, homelessness and unemployment, it can lead to negative experiences and makes a person vulnerable to abuse or even develop resilience or retaining a meaningful life within the limitation of the disorder. The study aims to understand how individuals diagnosed with schizophrenia define and evaluate their experience of living in the community; personal and environmental strengths, impact of illness on their personal and social life, the challenges and barriers they meet in their day to day life and how they overcome those challenges. Methods: The study focuses on lived experiences and deriving meaning from those experiences from a service user perspective. Therefore, Hermeneutic phenomenological approach will be used. In-depth interviews will be conducted over the course of four months to elicit client’s narratives of their experiences. The interviews are transcribed, read and coded to cluster thematic aspects in each case by using ATLAS.ti.v.7. Data will be collected till saturation point is reached and participants are from various age-group, socio-economic status, ethnicity and educational background, living in the Community. Implication: Participants’ stories would narrate sources of strength, process of normalization, describing instances of discrimination, social and structural factors which they encounter affecting their help-seeking behaviour and how these factors act as facilitator and barriers in their day to day life. Findings would suggest the need for advocacy services which are discussed through recommendations and suggestions.
背景和目的:精神分裂症是一种慢性严重的精神障碍,影响一个人在社区中成功运作的能力。当它与贫困、无家可归和失业等结构性和情境性压力相互作用时,可能会导致负面体验,使人容易受到虐待,甚至发展出韧性,或在障碍的限制下保持有意义的生活。该研究旨在了解被诊断为精神分裂症的个体如何定义和评估他们在社区中的生活体验;个人和环境优势,疾病对他们个人和社会生活的影响,他们在日常生活中遇到的挑战和障碍,以及他们如何克服这些挑战。方法:本研究从服务用户的角度关注生活体验,并从这些体验中获得意义。因此,将采用解释学现象学方法。将在四个月内进行深度访谈,以引出客户对其经历的叙述。使用ATLAS.ti.v.7对访谈进行转录、阅读和编码,以对每种情况下的主题方面进行聚类。将收集数据,直到达到饱和点,参与者来自不同年龄组、社会经济地位、种族和教育背景,居住在社区。含义:参与者的故事将讲述力量的来源、正常化的过程、描述歧视的例子、他们遇到的影响他们寻求帮助行为的社会和结构因素,以及这些因素如何在他们的日常生活中起到促进者和障碍的作用。调查结果表明有必要提供宣传服务,并通过建议和建议进行讨论。
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引用次数: 0
The Impact of Heritage Tourism on Sustainable Community Development, Health and Wellbeing 遗产旅游对社区可持续发展、健康和福祉的影响
Pub Date : 2019-08-20 DOI: 10.7565/SSSP.2019.2655
Nidhi Wali, B. Akombi, P. James, E. Waterton, H. Saul, Anyier Yuol, A. Renzaho
This systematic review aims to understand the impact of heritage tourism on sustainable community development, including the health and wellbeing of local host communities. The protocol is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) guidelines. It highlights the scope and methodology for the systematic review to be conducted. Studies will be included if they: (i) were conducted in English; (ii) were published between January 2000 and December 2018; (iii) used quantitative and/or qualitative methods; and (iv) analysed the impact of heritage tourism on sustainable community development and/or the health of local host communities. Data extraction will be informed by Cochrane Collaboration. The quality of evidence of the studies included will be assessed using validated tools. Findings will be summarised into themes and narrated. The systematic review will establish the impact of heritage tourism on sustainable community development including health and well-being. It also aims provide a theoretical framework which will inform recommendations to improve the life-worlds of local host communities and moderate any tensions between the expanding heritage reach of states and the maintenance of customary and traditional value systems, community governance structures, and associated community development and health benefits.
本系统综述旨在了解遗产旅游对可持续社区发展的影响,包括对当地接待社区的健康和福祉的影响。该方案以系统评价和荟萃分析方案首选报告项目(PRISMA-P)指南为指导。它突出了要进行的系统审查的范围和方法。如果研究:(i)以英文进行;(ii)于2000年1月至2018年12月期间发布;(iii)采用定量及/或定性方法;(四)分析遗产旅游对可持续社区发展和/或当地收容社区健康的影响。数据提取将由Cochrane Collaboration提供信息。纳入研究的证据质量将使用经过验证的工具进行评估。调查结果将总结成主题并加以叙述。系统审查将确定遗产旅游对包括健康和福祉在内的可持续社区发展的影响。它还旨在提供一个理论框架,为改善当地收容社区的生活世界提供建议,并缓和国家不断扩大的遗产范围与维护习惯和传统价值体系、社区治理结构以及相关的社区发展和健康利益之间的紧张关系。
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引用次数: 4
Study Protocol for ‘Informing American Muslims about Organ Donation (I AM a LD)’ “告知美国穆斯林关于器官捐赠(我是一名LD)”的研究方案
Pub Date : 2019-08-06 DOI: 10.7565/SSP.2019.2654
A. Padela, R. Duivenbode, M. Quinn, M. Saunders
Background: American Muslims tend to hold more negative attitudes towards organ donation than other American populations, and these attitudes are contributed to by gaps in biomedical and religious knowledge. As a result, there is significant need for religiously-tailored health education on organ donation within this community. Thus our study sought to test the effectiveness of a mosque-based, religiously-tailored health education program that addressed biomedical and religious knowledge gaps regarding living organ donation amongst Muslim Americans. Methods: A randomized, controlled, cross-over trial of religiously-tailored educational workshops held at four mosques in Washington D.C. and Chicagoland. Mosques are randomized into early and late intervention arms and participants are recruited at worship services and other mosque events. The primary study outcomes are changes in biomedical and religious knowledge regarding living organ donation. Secondary outcomes include change in procedural knowledge about the process and types of living organ donation, beliefs regarding organ donation, and religious knowledge regarding end-of-life care. Funding and Ethics: This study is supported by a grant from the U.S. Human Services Health Resources and Services Administration and received ethics approval from the University of Chicago’s Biological Sciences Division Institutional Review Board.
背景:与其他美国人群相比,美国穆斯林倾向于对器官捐赠持更消极的态度,而这些态度是由生物医学和宗教知识的差距造成的。因此,这个社区非常需要针对不同宗教的器官捐赠健康教育。因此,我们的研究试图测试一个以清真寺为基础的、为宗教量身定制的健康教育项目的有效性,该项目旨在解决美国穆斯林在活体器官捐赠方面的生物医学和宗教知识差距。方法:在华盛顿特区和芝加哥的四个清真寺进行了一项针对宗教量身定制的教育研讨会的随机、对照、交叉试验。清真寺被随机分为早期和晚期干预武器,参与者在礼拜服务和其他清真寺活动中招募。主要研究结果是关于活体器官捐献的生物医学和宗教知识的变化。次要结果包括关于活体器官捐赠过程和类型的程序性知识的改变,关于器官捐赠的信仰,以及关于临终关怀的宗教知识。经费和伦理:本研究得到了美国人类服务卫生资源和服务管理局的资助,并获得了芝加哥大学生物科学部机构审查委员会的伦理批准。
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引用次数: 8
Key Issues of Research Ethics and Integrity in Global Challenges Research 全球挑战研究中的研究伦理与诚信关键问题
Pub Date : 2019-08-05 DOI: 10.7565/SSP.2019.2653
Cristóbal Guerra, Matilda Anderson, Corinne Reid
Global challenges research brings with it the challenge of integrating diverse cultural and disciplinary perspectives in the service of addressing persistent and complex problems. In fragile and resource poor contexts this also brings with it a swathe of operational, legal and logistic challenges which can generate ethical conflicts. A scoping review is needed to identify key issues of research ethics and integrity, as well as strategies that have been brought to bear in an effort to resolve them. This protocol followed Prisma guidelines for Scoping Reviews (Prisma-ScR) and provides details of the review scope and parameters.
全球挑战研究带来了整合不同文化和学科视角的挑战,以解决持续和复杂的问题。在脆弱和资源匮乏的环境中,这也带来了一系列可能产生道德冲突的业务、法律和后勤挑战。需要进行范围审查,以确定研究伦理和诚信的关键问题,以及为解决这些问题而采取的策略。本协议遵循Prisma范围审查指南(Prisma- scr),并提供审查范围和参数的详细信息。
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引用次数: 3
Humanitarian Leadership 人道主义领导
Pub Date : 2019-07-02 DOI: 10.7565/ssp.2019.2652
Vincenzo Bollettino, Allyson Brown Kenney, Sarah Schwartz, G. Burnham
Leadership skills are essential to addressing today’s humanitarian challenges. While leadership training programs abound in the private sector and within the military, the same is not true for the humanitarian field. International donors have recognized this gap and have recently invested in formal leadership training programs for aid workers. This paper presents a protocol to evaluate the effectiveness of the National NGO Program on Humanitarian Leadership, a leadership training course targeted to humanitarians working for national non-governmental organizations (NGOs) worldwide. The protocol establishes a model for evaluating the impact of NNPHL participants’ ability to make decisions about complex challenges in a manner that is consistent with a core set of leadership competencies introduced in the course. The evaluation consists of scenario-based vignettes that the participants answer in order to assess their leadership competencies through a series of illustrative indicators. This paper also includes a discussion of the definition of leadership, both broadly and through the NNPHL course, and the study’s strengths and limitations along with avenues for future research.      
领导技能对于应对当今的人道主义挑战至关重要。尽管私营部门和军队内部有很多领导力培训项目,但人道主义领域却并非如此。国际捐助者已经认识到这一差距,并于最近投资于援助工作者的正式领导力培训项目。本文提出了一项评估国家非政府组织人道主义领导力方案有效性的议定书,该方案是一个针对为世界各地的国家非政府机构工作的人道主义工作者的领导力培训课程。该协议建立了一个模型,用于评估NNPHL参与者以与课程中引入的一套核心领导能力相一致的方式对复杂挑战做出决策的能力的影响。评估包括基于情景的小插曲,参与者回答这些小插曲,以便通过一系列说明性指标评估他们的领导能力。本文还包括对领导力的定义的讨论,包括广泛的和通过NNPHL课程,以及该研究的优势和局限性,以及未来研究的途径。
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引用次数: 4
Extending School-Wide Positive Behavior Support (SWPBS) with Emotional Support Systems: A Non-Randomized Study Testing the Effectiveness of a School-Wide Health Care Policy TIME-IN in Special Education 用情感支持系统扩展全校积极行为支持:一项检验全校特殊教育卫生保健政策实施效果的非随机研究
Pub Date : 2019-07-01 DOI: 10.7565/SSP.2019.2651
Henk Weymeis, K. Van Leeuwen, C. Braet
Children’s readiness for school is often threatened by the occurrence of both externalising (EP) and internalising (IP) problems. In search for solutions, research has shown that School-Wide Positive Behaviour Support (SWPBS) is particularly effective for fostering children’s behavioural skills and reducing EP. However, whether SWPBS can enhance children’s emotional skills and reduce IP is less clear. Therefore, TIME-IN was developed, which extends SWPBS by also including emotional support systems. It will be tested whether TIME-IN is effective for (a) improving emotion regulation (ER) and (b) reducing depressive symptoms. Furthermore, it will be tentatively explored whether TIME-IN is accompanied by more than natural fluctuations in both children’s EP and IP. The effectiveness of TIME-IN will be evaluated in a non-randomized study, in which an intervention group will be compared with a matched control group. Both research questions will be addressed in a sample consisting of children between 8 and 12 years of age with special educational needs (SEN), who have been argued to benefit most from school readiness interventions. Questionnaires for teachers, children, and their parents will be administered at the beginning (T0) and the end of the school year (T1) using multi-informant assessment. Practical implications, strengths, and limitations were discussed. ISCRTN registry 54456609.Registered on 28 March 2017. Ethical requirements were fulfilled.
儿童的入学准备往往受到外在(EP)和内在(IP)问题的威胁。在寻找解决方案的过程中,研究表明,学校范围的积极行为支持(SWPBS)在培养儿童的行为技能和减少EP方面特别有效。然而,SWPBS是否能提高儿童的情感技能并减少IP还不太清楚。因此,TIME-IN被开发出来,它通过还包括情感支持系统来扩展SWPBS。将测试TIME-IN是否对(a)改善情绪调节(ER)和(b)减轻抑郁症状有效。此外,还将初步探索TIME-IN是否伴随着儿童EP和IP的自然波动。TIME-IN的有效性将在一项非随机研究中进行评估,其中干预组将与匹配的对照组进行比较。这两个研究问题都将在一个由8至12岁有特殊教育需求(SEN)的儿童组成的样本中解决,他们被认为从入学准备干预中受益最多。教师、儿童及其父母的问卷调查将在学年初(T0)和学年末(T1)使用多信息者评估进行。讨论了实际意义、优势和局限性。ISCRTN注册号544566092017年3月28日注册。符合道德要求。
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引用次数: 3
Understanding the Relationship BetweenHumanitarian and Development Interventions: A Mixed-Methods Systematic Review Protocol 理解人道主义和发展干预之间的关系:一种混合方法的系统评价方案
Pub Date : 2018-12-23 DOI: 10.7565/SSP.2018.2649
G. Stevens, Nidhi Wali, Nichole Georgeou, Z. Tadjoeddin
The rising number of natural disasters and emergent conflicts that require coordinated international response has re-focused attention on linking relief, rehabilitation and development (LRRD). This systematic review protocol aims to inform a systematic review to identify primary operational strategies employed to link humanitarian and development interventions. This protocol is guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA) guidelines and details the review scope and parameters. Findings from this review can contribute to articulation of an integrated LRRD practice framework and its potential application to resilience and related policy instruments.
越来越多的自然灾害和紧急冲突需要协调的国际反应,因此重新把注意力集中在把救济、恢复和发展联系起来。本系统审查议定书旨在为系统审查提供信息,以确定用于将人道主义和发展干预措施联系起来的主要业务战略。本方案以系统评价和荟萃分析方案首选报告项目(PRISMA)指南为指导,详细说明了评价范围和参数。这一综述的发现有助于阐明一个综合的LRRD实践框架及其在复原力和相关政策工具中的潜在应用。
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引用次数: 0
Deterrents to Viewing Indecent Images of Children Online: A Protocol for a Meta-Narrative Review 在线观看儿童不雅图像的威慑:元叙事评论的协议
Pub Date : 2018-09-08 DOI: 10.7565/SSP.2018.2648
Emily Newman, E. Quayle, Laura A. Cariola, Karen Cooper, Nikolaos Koukopoulos, K. Beier, T. Squire, R. Wortley
BACKGROUND: Evidence indicates that the viewing of indecent images of children (IIOC) has increased due to the emergence of, and increased access to, the Internet. Over the last 20 years there has been a high level of collaboration between various stakeholders to prevent and restrict access to IIOC. Nevertheless, there is no comprehensive review of these approaches or their effect as deterrents to viewing IIOC. METHODS/DESIGN: This paper presents a protocol for a meta narrative review of the deterrents to viewing indecent images of children (IIOC) online. The meta narrative review methodology allows researchers to systematically identify and review different understandings, or narratives, of a subject across a range of disciplines, with the aim of synthesising this diverse literature and providing recommendations to researchers, practitioners and policymakers. We outline the authors’ approach to the review, focusing on six methodological steps: planning the review scope, questions and outputs, systematic searching of academic and grey literature, mapping the identified articles according to disciplines and their narratives, appraising the evidence within narratives, then synthesising the conceptualisations and evidence from the different disciplines to generate overarching narratives and recommendations to stakeholders. DISCUSSION: The discussion considers the anticipated benefits and challenges of conducting the review, and makes recommendations for other researchers embarking on this type of review.
背景:证据表明,观看儿童不雅图像(IIOC)已经增加,由于出现和增加访问,互联网。在过去的20年里,各利益攸关方之间进行了高水平的合作,以防止和限制对IIOC的获取。然而,没有对这些方法或它们作为观看IIOC的威慑作用进行全面审查。方法/设计:本文提出了一种方案,对在线观看儿童不雅图像(IIOC)的威慑进行元叙事审查。元叙事回顾方法允许研究人员系统地识别和回顾不同的理解,或叙述,横跨一系列学科的主题,目的是综合这些不同的文献,并为研究人员,从业者和政策制定者提供建议。我们概述了作者的审查方法,重点关注六个方法步骤:规划审查范围,问题和产出,系统地搜索学术文献和灰色文献,根据学科及其叙述绘制已确定的文章,评估叙述中的证据,然后综合来自不同学科的概念化和证据,以生成总体叙述和向利益相关者提出建议。讨论:讨论考虑了进行综述的预期收益和挑战,并为其他研究人员进行此类综述提出了建议。
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引用次数: 3
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Social science protocols
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