A PhD Confirmation seminar:
Physical activity decreases pain and increases physical function for people with osteoarthritis (OA), however most people with OA do not meet recommended physical activity guidelines. If there are clear benefits to engaging in physical activity, then why aren’t more people in this population motivated to be active? Existing models of behavior change for physical activity for people with OA commonly focus on barriers and facilitators that require deliberate reasoning, however, recent findings suggest that non-conscious processes also drive health behavior. In this dissertation, I use the reflective-impulsive model to explore the relationship between implicit and explicit processes of behavior to broaden our understanding of motivation for physical activity for people with OA. I use a systematic approach to develop a protocol for a pilot randomized controlled trial that uses financial incentives as a behavior change technique to increase and sustain physical activity levels of adults with lower limb osteoarthritis.
Fitts' law shows that movement time is influenced by the combination of movement amplitude and target width, such that movement speed and accuracy are inversely related. This speed-accuracy tradeoff is important because many tasks require both speed and accuracy, as seen when teaching children to hit in tee ball. It also applies to exercise science and can be demonstrated using a tapping test where increasing the distance between targets or decreasing their size results in longer movement times.
1) The study evaluated the effects of the SmartBreathe respiratory training device on mobility and community participation in elderly individuals in New Delhi, India.
2) Six physical therapists were trained to use the SmartBreathe device and administered an 8-week respiratory training program to elderly subjects.
3) Using the International Classification of Functioning framework, the study assessed changes in respiratory functions, mobility, and community participation pre- and post-training, finding significant improvements in sensations associated with cardiovascular and respiratory functions, mobility status, and community life.
On June 9th, 2016 Fitabase had the pleasure of taking part in the annual Fitbit Captivate Summit, where founder and CEO, Aaron Coleman, was invited to share insights on using wearables sensors for health research. Aaron presented on the Fitabase platform and how it’s being used to understand participant activity, sleep, and overall health in over 150 research studies.
The third interactive webinar in the series builds on the second session by focusing on the question: once we have evidence to justify implementing a new patient safety initiative, what next?
ImagineCare: Empowering Patients with Behavioral Science and TechnologyLiz Griffith
Mad*Pow's Jamie Thomson, Experience Design Director, and Olga Elizarova, Senior Behavior Change Analyst share their experience and findings from the ImageinCare project.
Fitts' law shows that movement time is influenced by the combination of movement amplitude and target width, such that movement speed and accuracy are inversely related. This speed-accuracy tradeoff is important because many tasks require both speed and accuracy, as seen when teaching children to hit in tee ball. It also applies to exercise science and can be demonstrated using a tapping test where increasing the distance between targets or decreasing their size results in longer movement times.
1) The study evaluated the effects of the SmartBreathe respiratory training device on mobility and community participation in elderly individuals in New Delhi, India.
2) Six physical therapists were trained to use the SmartBreathe device and administered an 8-week respiratory training program to elderly subjects.
3) Using the International Classification of Functioning framework, the study assessed changes in respiratory functions, mobility, and community participation pre- and post-training, finding significant improvements in sensations associated with cardiovascular and respiratory functions, mobility status, and community life.
On June 9th, 2016 Fitabase had the pleasure of taking part in the annual Fitbit Captivate Summit, where founder and CEO, Aaron Coleman, was invited to share insights on using wearables sensors for health research. Aaron presented on the Fitabase platform and how it’s being used to understand participant activity, sleep, and overall health in over 150 research studies.
The third interactive webinar in the series builds on the second session by focusing on the question: once we have evidence to justify implementing a new patient safety initiative, what next?
ImagineCare: Empowering Patients with Behavioral Science and TechnologyLiz Griffith
Mad*Pow's Jamie Thomson, Experience Design Director, and Olga Elizarova, Senior Behavior Change Analyst share their experience and findings from the ImageinCare project.
1. The document discusses strategies for promoting physical activity, including theoretical models like the stages of change model. It describes the stages of change model and gives examples of strategies like counseling, environmental approaches, and mass media campaigns.
2. Cognitive and behavioral strategies are described for each stage of change to help individuals increase their physical activity levels. These include increasing knowledge, social support, and goal-setting.
3. Population-based promotion strategies are compared to individual-based approaches. Environmental and policy interventions can promote activity for whole communities, while counseling uses models of behavior change for individuals.
This final webinar will emphasise the importance of understanding the problem before brainstorming solutions to better ensure a match between barriers and the solutions.
MORE INFO: http://bit.ly/2KctiLH
MCH Curricula: Strategies for Developing Materials_Hanold_5.11.11CORE Group
The document discusses facilitation cues for effective behavior change communication. It notes that technical messages alone have not led to behavior change and root causes like beliefs and attitudes need to be addressed. It recommends standard guides for trainers that integrate behavior change theory, formative research, and participatory methods. The ASPIRE model is introduced which uses cues like asking about current practices, showing new skills, discussing barriers, and requesting commitments. Research supports each step of the model. Facilitation cues are added to supervision tools to check that key steps are followed in order to better facilitate behavior change.
This document discusses factors to consider when developing and implementing clinical protocols for older adult patients. It outlines a 4-step process: 1) recognizing areas for improvement, 2) selecting evidence-based protocols, 3) implementing protocols through strategies like education and hardwiring into documentation, and 4) measuring performance through reliable tools. Interprofessional collaboration and support from administrators are also emphasized as key to successful protocol adoption.
This document discusses factors to consider when developing and implementing clinical protocols for older adult patients. It outlines a 4-step process: 1) recognizing areas for improvement, 2) selecting evidence-based protocols, 3) implementing protocols through strategies like education and hardwiring into documentation, and 4) measuring performance through reliable tools. Interprofessional collaboration and support from administrators are also emphasized as key to successful protocol adoption.
This document summarizes the benefits of physical activity for health and reducing cancer risk. It discusses how physical inactivity has reached pandemic proportions and interventions are needed. Regular physical activity reduces the risk of several health issues including different cancer types. Inactivity is as harmful as smoking. Walking is presented as an easy and effective form of physical activity that provides health benefits using tools like pedometers to help monitor goals.
Human Behavior And Psychosocial AssessmentKayla Muth
This document provides an overview of psychological theories and their application to health behavior change and counseling. It discusses theories like learning theory, the health belief model, the transtheoretical model of change, and social cognitive theory. It also covers topics like the stages of change, cognitive-behavioral principles, common psychological issues like stress, anxiety, and depression, and tools for measuring health behavior change.
HealthIT.gov
National Learning Consortium logo
Advancing America's Health Care
Continuous Quality
Improvement (CQI)
Strategies to Optimize
your Practice
Primer
Provided By:
The National Learning Consortium (NLC)
Developed By:
Health Information Technology Research Center (HITRC)
The material in this document was developed by Regional Extension Center staff in the
performance of technical support and EHR implementation. The information in this document is
not intended to serve as legal advice nor should it substitute for legal counsel. Users are
encouraged to seek additional detailed technical guidance to supplement the information
contained within. The REC staff developed these materials based on the technology and law
that were in place at the time this document was developed. Therefore, advances in technology
and/or changes to the law subsequent to that date may not have been incorporated into this
material.
�
Illustration titled the EHR Implementation Lifecycle shows 6 arrows, arrow 6 is highlighted. Step 6: Continue Quality Improvement
NATIONAL LEARNING CONSORTIUM
The National Learning Consortium (NLC) is a virtual and evolving body of knowledge and resources
designed to support health care providers and health IT professionals working toward the implementation,
adoption, and Meaningful Use of certified electronic health record (EHR) systems.
The NLC represents the collective EHR implementation experiences and knowledge gained directly from
the field of ONC’s outreach programs (REC, Beacon, State HIE) and through the Health Information
Technology Research Center (HITRC) Communities of Practice (CoPs).
The following resource can be used in support of the EHR Implementation Lifecycle. It is recommended
by “boots-on-the-ground” professionals for use by others who have made the commitment to implement
or upgrade to certified EHR systems.
EHR Implementation Lifecycle
EHR Implementation Lifecycle illustration shows 6 arrows. Step 1 Access; Step 2 Plan; Step 3 Select; Step 4 Implement; Step 5 Meaningfully Use; Step 6 Improve Quality.
DESCRIPTION AND INSTRUCTIONS
Continuous Quality Improvement (CQI) is a quality management process that encourages all health care
team members to continuously ask the questions, “How are we doing?” and “Can we do it better?”
(Edwards, 2008). To address these questions, a practice needs structured clinical and administrative
data. EHRs can, if properly designed and implemented, capture these data efficiently and effectively,
thereby transforming patient care in ways that might have been difficult or impossible with paper records
alone.
This Primer introduces CQI concepts, strategies, and techniques a practice can use to design an effective
CQI strategy for EHR implementation, achieve Meaningful Use of the system, and ultimately improve the
quality and safety of patient care. A practice can use CQI throughou ...
Assignment Evidence-Based Capstone Project, Part 6 Disseminating.docxfaithxdunce63732
Assignment: Evidence-Based Capstone Project, Part 6: Disseminating Results
The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.
To Prepare:
· Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
· Consider the best method of disseminating the results of your presentation to an audience.
To Complete:
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
FEED BACK FROM LAST POINT( The powerpoint you did last week)
Olayemi,
-Powerpoints do not require complete sentences.
-Your outcomes, as written are not measurable. Quantify.
-This is an area you need to work on. I suggest reviewing the literature on SMART goals.
-Number your slides.
-I did not see any synthesis. You could synthesis on your summary slide.
-Start with a purpose statement, end with a conclusion.
- very careful about using information from previous assignments. This information is making your SI elevate. Here are examples from your SafeAssign report:
3 In our organization we offer patient-centered care, always keep ourselves updated on the latest practices, practices staff diversity and we are ready to adapt to new change. As members of the facility we make sure that we keep ourselves updated to ensure that the organization is able to develop and advance. 3 The organization is ready to face and adapt to any new changes since it is predicted that the healthcare system will undergo change through implementing current technologies.
Evidence-Based Practice Change
Walden University
NURS 6052- Essentials of Evidence-Based Practice
November 01, 2020
ORGANIZATION CULTURE
My organization seeks diversity in their employees
Value the possibility of enhancing patient communication.
We provide patient-centered care
We treat patient based on their decisions
Members are kept updated with new technology
Readiness to face and adapt to any new changes
In our organization we offer patient-centered care, always keep ourselves updated on the latest practices, practices staff diversity and we are ready to adapt to new change. As members of the facility.
This chapter discusses exercise behavior and adherence. It outlines reasons for and barriers to exercise. Several theories of exercise behavior are described, including the health belief model, theory of planned behavior, social cognitive theory, self-determination theory, transtheoretical model, physical activity maintenance model, and ecological model. Strategies for enhancing exercise adherence and preventing relapses are also discussed.
This document was produced for a Webinar for the Association of Directors of Public Health (ADHP www.adph.org.uk ) on 27th April 2017 in partnership with Public Health England (PHE www.gov.uk/phe) Hertfordshire County Council (www.hertfordshire.gov.uk) and the Health Psychology in Public Health Network (HPPHN www.hppn.org.uk ).
International classification of functioning and clinical reasoning.pptxssuserc88386
The document discusses the International Classification of Functioning, Disability and Health (ICF) framework. It provides an overview of the ICF's historical context and foundations. The ICF aims to provide a universal model of disability that considers functioning at the body, individual, and societal levels across the lifespan. It represents an interactive and integrative approach that considers both personal and environmental factors. The ICF can be used to guide clinical reasoning, documentation, goal setting, and outcome measurement in rehabilitation.
This document discusses a presentation on health promotion given by Fatma Ibrahim Abdel-latif Megahed. The presentation defines key concepts related to health promotion and discusses several models of health promotion. It also identifies three strategies for health promotion practice - empowerment, social marketing, and health education. Finally, it outlines some common health promotion programs and discusses approaches to evaluating health promotion programs.
Physical activity prediction using fitness data: Challenges and issuesjournalBEEI
In the new healthcare transformations, individuals are encourage to maintain healthy life based on their food diet and physical activity routine to avoid risk of serious disease. One of the recent healthcare technologies to support self health monitoring is wearable device that allow individual play active role on their own healthcare. However, there is still questions in terms of the accuracy of wearable data for recommending physical activity due to enormous fitness data generated by wearable devices. In this study, we conducted a literature review on machine learning techniques to predict suitable physical activities based on personal context and fitness data. We categorize and structure the research evidence that has been publish in the area of machine learning techniques for predicting physical activities using fitness data. We found 10 different models in behavior change technique (BCT) and we selected two suitable models which are fogg behavior model (FBM) and trans-theoretical behavior model (TTM) for predicting physical activity using fitness data. We proposed a conceptual framework which consists of personal fitness data, combination of TTM and FBM to predict the suitable physical activity based on personal context. This study will provide new insights in software development of healthcare technologies to support personalization of individuals in managing their own health.
MBA 7294Week 6 Case Study AnalysisPlease discuss the folloAbramMartino96
MBA 7294
Week 6 Case Study Analysis
Please discuss the following in your case study analysis:
(1) Define currency risk.
(2) Discuss factors that cause and contribute to changes in currency exchange rates and a firm’s exposure to exchange rate fluctuations.
(3) Discuss how currency rate fluctuations and currency risks apply to a firm’s:
Discuss the effect on Balance Sheet
Discuss the effect on Income Statement
Discuss the effect on Cash Flow Statement
(4) Discuss the economic performance of Germany and the United Kingdom from 1988 to 1992.
Discuss the effect of differences in economic performance affect exchange rates
How does the Exchange Rate Mechanism (ERM) work
(5) Discuss the attack on the Hong Kong dollar.
Discuss the mechanics of a speculative attack and the “double play” process.
(6) Provide an evaluation of the actions taken by the Hong Kong government compared with alternatives it might have taken.
How does Mundell’s Trinity factor into your analysis?
Was this a first-, second-, or third-generation crisis?
Science of Improvement Model
Continuous quality improvement in the health sector can be defined as the structured organizational process that involves health care professionals in planning and implementation of improvements that are proactive and ongoing in the delivery of care to improve the quality of care and patient outcomes (Bendermacher et al., 2020). A program promoting physical activity in a community with a diverse population may benefit from the Science of Improvement Model adopted by the Institute of Healthcare Improvement. This model has two main parts. In the first part of the model, there are three important questions that must first be answered. The first question seeks to determine the aims of a project. For the program of physical improvement, the aim is to reduce the number of chronic conditions associated with lack of physical exercises by 50% within two years. The other aim is to increase the number of people in the community engaging in physical exercises by 70 percent or higher.
The next question seeks to determine performance measures to be considered in the implementation of the project. It involves the identification of quantitative measures to be used to determine the effect of changes. The performance measures to be used for this program includes the number of new non-communicable diseases diagnosis in health care facilities and the daily attendances in parks and gyms. This will help in identifying an increase or decrease in physical activities in the community and the effects it has on the health of individuals. The third question considers changes that should be implemented. After completion of this first step, the model has a second part which is called the Plan-Do-Study-Act cycle. This model is used in the testing o ...
The document describes a study that explored using iPads and computer-based technology to promote health and wellness for adults with intellectual disabilities. Sixteen participants received weekly behavioral weight loss sessions and accessed internet weight loss resources via iPads over 16 weeks. Overall, participants lost a total of 73.8 pounds, averaging a 4.6 pound reduction per person. Men lost an average of 5.6 pounds each while women lost an average of 3.61 pounds each. The study aims to replicate these procedures with a control group and statistical analysis to measure significant differences in outcomes from the intervention.
This document provides an introduction to quality improvement methods and tools. It defines quality improvement as focusing on methods that facilitate improving quality, structured around systems thinking, the psychology of change, understanding and managing variation, and building knowledge. The document outlines common quality improvement frameworks like the Model for Improvement, which emphasizes defining a specific aim, establishing measures, and testing changes through Plan-Do-Study-Act cycles. Additional tools covered include driver diagrams, fishbone diagrams, and engaging stakeholders in change. The overall purpose is to introduce common approaches used in healthcare quality improvement.
The fifth webinar continues the momentum of the series as it focuses on providing concrete approaches for identifying barriers and enablers, emphasising behaviour change approaches.
READ MORE: http://bit.ly/2LOwbj0
fitness of older adults Helping to delay physical frailty and .docxclydes2
fitness of older adults
Helping to delay physical frailty and improve functional mobility among older adults are two of the most important goals of senior fitness instructors. Many would say the quality of life in later years depends to a large degree on being able to continue to do what you want, without pain, for as long as possible. Designing effective exercise programs that can help older adults maintain or improve their mobility requires two prerequisites:
1. An understanding of the physical attributes needed for mobility tasks in later years; and
2. The ability to assess physical attributes, so that client weaknesses can be detected and then targeted for individualized programming.
Many senior fitness instructors have been especially frustrated with the lack of tests available to assess the functional fitness of older adults, particularly tests that have accompanying performance standards.
Recognizing the need for a tool to evaluate the functional fitness performance of older adults, researchers at California State University, Fullerton, recently developed and validated a new fitness test battery especially for older adults: the Senior Fitness Test (Rikli and Jones, 2001).
The test is based on a functional fitness framework (see Figure 1), which points out that being able to perform everyday activities (e.g. personal care, shopping, housework) requires the ability to perform functional movements, such as walking, stair climbing and standing up; and that these functional movements, in turn, are dependent on having sufficient physiologic reserve (i.e. strength, endurance, flexibility, balance). One unique feature of the Senior Fitness Test is that it measures physiologic parameters using functional movement tasks, such as standing, bending, lifting, reaching and walking.
Figure 1. A functional ability framework indicating the physiologic parameters associated with functions required for basic and advanced everyday activities. R.E. Rikli & C.J. Jones, 2001, Senior Fitness Test Manual (Champaign, IL: Human Kinetics). Adapted with permission.
PHYSICAL PARAMETERS
FUNCTIONS
ACTIVITYGOALS
Muscle strength/endurance Aerobic endurance Flexibility
Motor ability power
speed/agility balance
Body composition
Walking
Stair climbing Standing up
from chair Lifting/reaching
Bending/kneeling Jogging/Running
Personal care Shopping/errands H ousework Gardening Sports
Traveling
Physical impairment
Functional limitation
Reduced ability/ Disability
result in falls and physical frailty (Alliance for Aging Research, 1999).
One goal of fitness practitioners should be to help with the early identification of at-risk participants, and either to provide a targeted intervention program or to make appropriate medical referrals for a complete diagnosis, treatment and maintenance plan.
Program planning and evaluation. To plan safe and effective exercise or physical activity programs for older adults, it is important to know as much as possible abo.
BBB and BCF
control the entry of compounds into the brain and
regulate brain homeostasis.
restricts access to brain cells of blood–borne compounds and
facilitates nutrients essential for normal metabolism to reach brain cells
More Related Content
Similar to Using financial incentives to increase and sustain physical activity for adults with lower limb osteoarthrritis
1. The document discusses strategies for promoting physical activity, including theoretical models like the stages of change model. It describes the stages of change model and gives examples of strategies like counseling, environmental approaches, and mass media campaigns.
2. Cognitive and behavioral strategies are described for each stage of change to help individuals increase their physical activity levels. These include increasing knowledge, social support, and goal-setting.
3. Population-based promotion strategies are compared to individual-based approaches. Environmental and policy interventions can promote activity for whole communities, while counseling uses models of behavior change for individuals.
This final webinar will emphasise the importance of understanding the problem before brainstorming solutions to better ensure a match between barriers and the solutions.
MORE INFO: http://bit.ly/2KctiLH
MCH Curricula: Strategies for Developing Materials_Hanold_5.11.11CORE Group
The document discusses facilitation cues for effective behavior change communication. It notes that technical messages alone have not led to behavior change and root causes like beliefs and attitudes need to be addressed. It recommends standard guides for trainers that integrate behavior change theory, formative research, and participatory methods. The ASPIRE model is introduced which uses cues like asking about current practices, showing new skills, discussing barriers, and requesting commitments. Research supports each step of the model. Facilitation cues are added to supervision tools to check that key steps are followed in order to better facilitate behavior change.
This document discusses factors to consider when developing and implementing clinical protocols for older adult patients. It outlines a 4-step process: 1) recognizing areas for improvement, 2) selecting evidence-based protocols, 3) implementing protocols through strategies like education and hardwiring into documentation, and 4) measuring performance through reliable tools. Interprofessional collaboration and support from administrators are also emphasized as key to successful protocol adoption.
This document discusses factors to consider when developing and implementing clinical protocols for older adult patients. It outlines a 4-step process: 1) recognizing areas for improvement, 2) selecting evidence-based protocols, 3) implementing protocols through strategies like education and hardwiring into documentation, and 4) measuring performance through reliable tools. Interprofessional collaboration and support from administrators are also emphasized as key to successful protocol adoption.
This document summarizes the benefits of physical activity for health and reducing cancer risk. It discusses how physical inactivity has reached pandemic proportions and interventions are needed. Regular physical activity reduces the risk of several health issues including different cancer types. Inactivity is as harmful as smoking. Walking is presented as an easy and effective form of physical activity that provides health benefits using tools like pedometers to help monitor goals.
Human Behavior And Psychosocial AssessmentKayla Muth
This document provides an overview of psychological theories and their application to health behavior change and counseling. It discusses theories like learning theory, the health belief model, the transtheoretical model of change, and social cognitive theory. It also covers topics like the stages of change, cognitive-behavioral principles, common psychological issues like stress, anxiety, and depression, and tools for measuring health behavior change.
HealthIT.gov
National Learning Consortium logo
Advancing America's Health Care
Continuous Quality
Improvement (CQI)
Strategies to Optimize
your Practice
Primer
Provided By:
The National Learning Consortium (NLC)
Developed By:
Health Information Technology Research Center (HITRC)
The material in this document was developed by Regional Extension Center staff in the
performance of technical support and EHR implementation. The information in this document is
not intended to serve as legal advice nor should it substitute for legal counsel. Users are
encouraged to seek additional detailed technical guidance to supplement the information
contained within. The REC staff developed these materials based on the technology and law
that were in place at the time this document was developed. Therefore, advances in technology
and/or changes to the law subsequent to that date may not have been incorporated into this
material.
�
Illustration titled the EHR Implementation Lifecycle shows 6 arrows, arrow 6 is highlighted. Step 6: Continue Quality Improvement
NATIONAL LEARNING CONSORTIUM
The National Learning Consortium (NLC) is a virtual and evolving body of knowledge and resources
designed to support health care providers and health IT professionals working toward the implementation,
adoption, and Meaningful Use of certified electronic health record (EHR) systems.
The NLC represents the collective EHR implementation experiences and knowledge gained directly from
the field of ONC’s outreach programs (REC, Beacon, State HIE) and through the Health Information
Technology Research Center (HITRC) Communities of Practice (CoPs).
The following resource can be used in support of the EHR Implementation Lifecycle. It is recommended
by “boots-on-the-ground” professionals for use by others who have made the commitment to implement
or upgrade to certified EHR systems.
EHR Implementation Lifecycle
EHR Implementation Lifecycle illustration shows 6 arrows. Step 1 Access; Step 2 Plan; Step 3 Select; Step 4 Implement; Step 5 Meaningfully Use; Step 6 Improve Quality.
DESCRIPTION AND INSTRUCTIONS
Continuous Quality Improvement (CQI) is a quality management process that encourages all health care
team members to continuously ask the questions, “How are we doing?” and “Can we do it better?”
(Edwards, 2008). To address these questions, a practice needs structured clinical and administrative
data. EHRs can, if properly designed and implemented, capture these data efficiently and effectively,
thereby transforming patient care in ways that might have been difficult or impossible with paper records
alone.
This Primer introduces CQI concepts, strategies, and techniques a practice can use to design an effective
CQI strategy for EHR implementation, achieve Meaningful Use of the system, and ultimately improve the
quality and safety of patient care. A practice can use CQI throughou ...
Assignment Evidence-Based Capstone Project, Part 6 Disseminating.docxfaithxdunce63732
Assignment: Evidence-Based Capstone Project, Part 6: Disseminating Results
The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.
To Prepare:
· Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
· Consider the best method of disseminating the results of your presentation to an audience.
To Complete:
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
FEED BACK FROM LAST POINT( The powerpoint you did last week)
Olayemi,
-Powerpoints do not require complete sentences.
-Your outcomes, as written are not measurable. Quantify.
-This is an area you need to work on. I suggest reviewing the literature on SMART goals.
-Number your slides.
-I did not see any synthesis. You could synthesis on your summary slide.
-Start with a purpose statement, end with a conclusion.
- very careful about using information from previous assignments. This information is making your SI elevate. Here are examples from your SafeAssign report:
3 In our organization we offer patient-centered care, always keep ourselves updated on the latest practices, practices staff diversity and we are ready to adapt to new change. As members of the facility we make sure that we keep ourselves updated to ensure that the organization is able to develop and advance. 3 The organization is ready to face and adapt to any new changes since it is predicted that the healthcare system will undergo change through implementing current technologies.
Evidence-Based Practice Change
Walden University
NURS 6052- Essentials of Evidence-Based Practice
November 01, 2020
ORGANIZATION CULTURE
My organization seeks diversity in their employees
Value the possibility of enhancing patient communication.
We provide patient-centered care
We treat patient based on their decisions
Members are kept updated with new technology
Readiness to face and adapt to any new changes
In our organization we offer patient-centered care, always keep ourselves updated on the latest practices, practices staff diversity and we are ready to adapt to new change. As members of the facility.
This chapter discusses exercise behavior and adherence. It outlines reasons for and barriers to exercise. Several theories of exercise behavior are described, including the health belief model, theory of planned behavior, social cognitive theory, self-determination theory, transtheoretical model, physical activity maintenance model, and ecological model. Strategies for enhancing exercise adherence and preventing relapses are also discussed.
This document was produced for a Webinar for the Association of Directors of Public Health (ADHP www.adph.org.uk ) on 27th April 2017 in partnership with Public Health England (PHE www.gov.uk/phe) Hertfordshire County Council (www.hertfordshire.gov.uk) and the Health Psychology in Public Health Network (HPPHN www.hppn.org.uk ).
International classification of functioning and clinical reasoning.pptxssuserc88386
The document discusses the International Classification of Functioning, Disability and Health (ICF) framework. It provides an overview of the ICF's historical context and foundations. The ICF aims to provide a universal model of disability that considers functioning at the body, individual, and societal levels across the lifespan. It represents an interactive and integrative approach that considers both personal and environmental factors. The ICF can be used to guide clinical reasoning, documentation, goal setting, and outcome measurement in rehabilitation.
This document discusses a presentation on health promotion given by Fatma Ibrahim Abdel-latif Megahed. The presentation defines key concepts related to health promotion and discusses several models of health promotion. It also identifies three strategies for health promotion practice - empowerment, social marketing, and health education. Finally, it outlines some common health promotion programs and discusses approaches to evaluating health promotion programs.
Physical activity prediction using fitness data: Challenges and issuesjournalBEEI
In the new healthcare transformations, individuals are encourage to maintain healthy life based on their food diet and physical activity routine to avoid risk of serious disease. One of the recent healthcare technologies to support self health monitoring is wearable device that allow individual play active role on their own healthcare. However, there is still questions in terms of the accuracy of wearable data for recommending physical activity due to enormous fitness data generated by wearable devices. In this study, we conducted a literature review on machine learning techniques to predict suitable physical activities based on personal context and fitness data. We categorize and structure the research evidence that has been publish in the area of machine learning techniques for predicting physical activities using fitness data. We found 10 different models in behavior change technique (BCT) and we selected two suitable models which are fogg behavior model (FBM) and trans-theoretical behavior model (TTM) for predicting physical activity using fitness data. We proposed a conceptual framework which consists of personal fitness data, combination of TTM and FBM to predict the suitable physical activity based on personal context. This study will provide new insights in software development of healthcare technologies to support personalization of individuals in managing their own health.
MBA 7294Week 6 Case Study AnalysisPlease discuss the folloAbramMartino96
MBA 7294
Week 6 Case Study Analysis
Please discuss the following in your case study analysis:
(1) Define currency risk.
(2) Discuss factors that cause and contribute to changes in currency exchange rates and a firm’s exposure to exchange rate fluctuations.
(3) Discuss how currency rate fluctuations and currency risks apply to a firm’s:
Discuss the effect on Balance Sheet
Discuss the effect on Income Statement
Discuss the effect on Cash Flow Statement
(4) Discuss the economic performance of Germany and the United Kingdom from 1988 to 1992.
Discuss the effect of differences in economic performance affect exchange rates
How does the Exchange Rate Mechanism (ERM) work
(5) Discuss the attack on the Hong Kong dollar.
Discuss the mechanics of a speculative attack and the “double play” process.
(6) Provide an evaluation of the actions taken by the Hong Kong government compared with alternatives it might have taken.
How does Mundell’s Trinity factor into your analysis?
Was this a first-, second-, or third-generation crisis?
Science of Improvement Model
Continuous quality improvement in the health sector can be defined as the structured organizational process that involves health care professionals in planning and implementation of improvements that are proactive and ongoing in the delivery of care to improve the quality of care and patient outcomes (Bendermacher et al., 2020). A program promoting physical activity in a community with a diverse population may benefit from the Science of Improvement Model adopted by the Institute of Healthcare Improvement. This model has two main parts. In the first part of the model, there are three important questions that must first be answered. The first question seeks to determine the aims of a project. For the program of physical improvement, the aim is to reduce the number of chronic conditions associated with lack of physical exercises by 50% within two years. The other aim is to increase the number of people in the community engaging in physical exercises by 70 percent or higher.
The next question seeks to determine performance measures to be considered in the implementation of the project. It involves the identification of quantitative measures to be used to determine the effect of changes. The performance measures to be used for this program includes the number of new non-communicable diseases diagnosis in health care facilities and the daily attendances in parks and gyms. This will help in identifying an increase or decrease in physical activities in the community and the effects it has on the health of individuals. The third question considers changes that should be implemented. After completion of this first step, the model has a second part which is called the Plan-Do-Study-Act cycle. This model is used in the testing o ...
The document describes a study that explored using iPads and computer-based technology to promote health and wellness for adults with intellectual disabilities. Sixteen participants received weekly behavioral weight loss sessions and accessed internet weight loss resources via iPads over 16 weeks. Overall, participants lost a total of 73.8 pounds, averaging a 4.6 pound reduction per person. Men lost an average of 5.6 pounds each while women lost an average of 3.61 pounds each. The study aims to replicate these procedures with a control group and statistical analysis to measure significant differences in outcomes from the intervention.
This document provides an introduction to quality improvement methods and tools. It defines quality improvement as focusing on methods that facilitate improving quality, structured around systems thinking, the psychology of change, understanding and managing variation, and building knowledge. The document outlines common quality improvement frameworks like the Model for Improvement, which emphasizes defining a specific aim, establishing measures, and testing changes through Plan-Do-Study-Act cycles. Additional tools covered include driver diagrams, fishbone diagrams, and engaging stakeholders in change. The overall purpose is to introduce common approaches used in healthcare quality improvement.
The fifth webinar continues the momentum of the series as it focuses on providing concrete approaches for identifying barriers and enablers, emphasising behaviour change approaches.
READ MORE: http://bit.ly/2LOwbj0
fitness of older adults Helping to delay physical frailty and .docxclydes2
fitness of older adults
Helping to delay physical frailty and improve functional mobility among older adults are two of the most important goals of senior fitness instructors. Many would say the quality of life in later years depends to a large degree on being able to continue to do what you want, without pain, for as long as possible. Designing effective exercise programs that can help older adults maintain or improve their mobility requires two prerequisites:
1. An understanding of the physical attributes needed for mobility tasks in later years; and
2. The ability to assess physical attributes, so that client weaknesses can be detected and then targeted for individualized programming.
Many senior fitness instructors have been especially frustrated with the lack of tests available to assess the functional fitness of older adults, particularly tests that have accompanying performance standards.
Recognizing the need for a tool to evaluate the functional fitness performance of older adults, researchers at California State University, Fullerton, recently developed and validated a new fitness test battery especially for older adults: the Senior Fitness Test (Rikli and Jones, 2001).
The test is based on a functional fitness framework (see Figure 1), which points out that being able to perform everyday activities (e.g. personal care, shopping, housework) requires the ability to perform functional movements, such as walking, stair climbing and standing up; and that these functional movements, in turn, are dependent on having sufficient physiologic reserve (i.e. strength, endurance, flexibility, balance). One unique feature of the Senior Fitness Test is that it measures physiologic parameters using functional movement tasks, such as standing, bending, lifting, reaching and walking.
Figure 1. A functional ability framework indicating the physiologic parameters associated with functions required for basic and advanced everyday activities. R.E. Rikli & C.J. Jones, 2001, Senior Fitness Test Manual (Champaign, IL: Human Kinetics). Adapted with permission.
PHYSICAL PARAMETERS
FUNCTIONS
ACTIVITYGOALS
Muscle strength/endurance Aerobic endurance Flexibility
Motor ability power
speed/agility balance
Body composition
Walking
Stair climbing Standing up
from chair Lifting/reaching
Bending/kneeling Jogging/Running
Personal care Shopping/errands H ousework Gardening Sports
Traveling
Physical impairment
Functional limitation
Reduced ability/ Disability
result in falls and physical frailty (Alliance for Aging Research, 1999).
One goal of fitness practitioners should be to help with the early identification of at-risk participants, and either to provide a targeted intervention program or to make appropriate medical referrals for a complete diagnosis, treatment and maintenance plan.
Program planning and evaluation. To plan safe and effective exercise or physical activity programs for older adults, it is important to know as much as possible abo.
Similar to Using financial incentives to increase and sustain physical activity for adults with lower limb osteoarthrritis (20)
BBB and BCF
control the entry of compounds into the brain and
regulate brain homeostasis.
restricts access to brain cells of blood–borne compounds and
facilitates nutrients essential for normal metabolism to reach brain cells
“Environmental sanitation means the art and science of applying sanitary, biological and physical science principles and knowledge to improve and control the environment therein for the protection of the health and welfare of the public”.The overall importance of sanitation are to provide a healthy living environment for everyone, to protect the natural resources (such as surface water, groundwater, soil ), and to provide safety, security and dignity for people when they defecate or urinate .Sanitation refers to public health conditions such as drinking clean water, sewage treatment, etc. All the effective tools and actions that help in keeping the environment clean come under sanitation. Sanitation refers to public health conditions such as drinking clean water, sewage treatment. All the effective tools and actions that help in keeping the environment clean and promotes public health is the necessary in todays life.
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
As the world population is aging, Health tourism has become vitally important and will be increased day by day. Because
of the availability of quality health services and more favorable prices as well as to shorten the waiting list for medical
services regionally and internationally. There are some aspects of managing and doing marketing activities in order for
medical tourism to be feasible, in a region called as clustering in a region with main stakeholders groups includes Health
providers, Tourism cluster, etc. There are some related and affecting factors to be considered for the feasibility of medical
tourism within this study such as competitiveness, clustering, Entrepreneurship, SMEs. One of the growth phenomenon
is Health tourism in the city of Izmir and Turkey. The model of five competitive forces of Porter and The Diamond model
that is an economical model that shows the four main factors that affect the competitiveness of a nation and its industries
in this study. The short literature of medical tourism and regional clustering have been mentioned.
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)GeorgeKieling1
Home
Organization
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
About AOMA: The Academy of Oriental Medicine at Austin offers a masters-level graduate program in acupuncture and Oriental medicine, preparing its students for careers as skilled, professional practitioners. AOMA is known for its internationally recognized faculty, award-winning student clinical internship program, and herbal medicine program. Since its founding in 1993, AOMA has grown rapidly in size and reputation, drawing students from around the nation and faculty from around the world. AOMA also conducts more than 20,000 patient visits annually in its student and professional clinics. AOMA collaborates with Western healthcare institutions including the Seton Family of Hospitals, and gives back to the community through partnerships with nonprofit organizations and by providing free and reduced price treatments to people who cannot afford them. The Academy of Oriental Medicine at Austin is located at 2700 West Anderson Lane. AOMA also serves patients and retail customers at its south Austin location, 4701 West Gate Blvd. For more information see www.aoma.edu or call 512-492-303434.
Gene therapy can be broadly defined as the transfer of genetic material to cure a disease or at least to improve the clinical status of a patient.
One of the basic concepts of gene therapy is to transform viruses into genetic shuttles, which will deliver the gene of interest into the target cells.
Safe methods have been devised to do this, using several viral and non-viral vectors.
In the future, this technique may allow doctors to treat a disorder by inserting a gene into a patient's cells instead of using drugs or surgery.
The biggest hurdle faced by medical research in gene therapy is the availability of effective gene-carrying vectors that meet all of the following criteria:
Protection of transgene or genetic cargo from degradative action of systemic and endonucleases,
Delivery of genetic material to the target site, i.e., either cell cytoplasm or nucleus,
Low potential of triggering unwanted immune responses or genotoxicity,
Economical and feasible availability for patients .
Viruses are naturally evolved vehicles that efficiently transfer their genes into host cells.
Choice of viral vector is dependent on gene transfer efficiency, capacity to carry foreign genes, toxicity, stability, immune responses towards viral antigens and potential viral recombination.
There are a wide variety of vectors used to deliver DNA or oligo nucleotides into mammalian cells, either in vitro or in vivo.
The most common vector system based on retroviruses, adenoviruses, herpes simplex viruses, adeno associated viruses.
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)MuskanShingari
Skin is the largest organ of the human body, serving crucial functions that include protection, sensation, regulation, and synthesis. Structurally, it consists of three main layers: the epidermis, dermis, and hypodermis (subcutaneous layer).
1. **Epidermis**: The outermost layer primarily composed of epithelial cells called keratinocytes. It provides a protective barrier against environmental factors, pathogens, and UV radiation.
2. **Dermis**: Located beneath the epidermis, the dermis contains connective tissue, blood vessels, hair follicles, and sweat glands. It plays a vital role in supporting and nourishing the epidermis, regulating body temperature, and housing sensory receptors for touch, pressure, temperature, and pain.
3. **Hypodermis**: Also known as the subcutaneous layer, it consists of fat and connective tissue that anchors the skin to underlying structures like muscles and bones. It provides insulation, cushioning, and energy storage.
Skin performs essential functions such as regulating body temperature through sweat production and blood flow control, synthesizing vitamin D when exposed to sunlight, and serving as a sensory interface with the external environment.
Maintaining skin health is crucial for overall well-being, involving proper hygiene, hydration, protection from sun exposure, and avoiding harmful substances. Skin conditions and diseases range from minor irritations to chronic disorders, emphasizing the importance of regular care and medical attention when needed.
Allopurinol, a uric acid synthesis inhibitor acts by inhibiting Xanthine oxidase competitively as well as non- competitively, Whereas Oxypurinol is a non-competitive inhibitor of xanthine oxidase.
CLASSIFICATION OF H1 ANTIHISTAMINICS-
FIRST GENERATION ANTIHISTAMINICS-
1)HIGHLY SEDATIVE-DIPHENHYDRAMINE,DIMENHYDRINATE,PROMETHAZINE,HYDROXYZINE 2)MODERATELY SEDATIVE- PHENARIMINE,CYPROHEPTADINE, MECLIZINE,CINNARIZINE
3)MILD SEDATIVE-CHLORPHENIRAMINE,DEXCHLORPHENIRAMINE
TRIPROLIDINE,CLEMASTINE
SECOND GENERATION ANTIHISTAMINICS-FEXOFENADINE,
LORATADINE,DESLORATADINE,CETIRIZINE,LEVOCETIRIZINE,
AZELASTINE,MIZOLASTINE,EBASTINE,RUPATADINE. Mechanism of action of 2nd generation antihistaminics-
These drugs competitively antagonize actions of
histamine at the H1 receptors.
Pharmacological actions-
Antagonism of histamine-The H1 antagonists effectively block histamine induced bronchoconstriction, contraction of intestinal and other smooth muscle and triple response especially wheal, flare and itch. Constriction of larger blood vessel by histamine is also antagonized.
2) Antiallergic actions-Many manifestations of immediate hypersensitivity (type I reactions)are suppressed. Urticaria, itching and angioedema are well controlled.3) CNS action-The older antihistamines produce variable degree of CNS depression.But in case of 2nd gen antihistaminics there is less CNS depressant property as these cross BBB to significantly lesser extent.
4) Anticholinergic action- many H1 blockers
in addition antagonize muscarinic actions of ACh. BUT IN 2ND gen histaminics there is Higher H1 selectivitiy : no anticholinergic side effects
Using financial incentives to increase and sustain physical activity for adults with lower limb osteoarthrritis
1. Using financial
incentives to
increase and
sustain physical
activity for adults
with lower limb
osteoarthritis
My-Linh Nguyen
Luong, MSPH
9 April 2018
PhD
Confirmation
Seminar
1
3. Have you been physically active lately?
3
Defined as: 150 minutes of moderate-intensity aerobic physical
activity or 75 minutes of vigorous-intensity aerobic physical activity
throughout the week in bouts of at least 10 minutes duration
7. Why were you or were you not successful in being
physically active or maintaining activity levels over the
course of time?
7
8. ISLAGIATT* principle of
intervention design
*It Sounded Like A Good Idea At The Time
8A term coined by Martin Eccles, Emeritus Professor of Clinical Effectiveness, Institute for Health and Society, Newcastle University
9. ISLAGIATT* principle of
intervention design
*It Sounded Like A Good Idea At The Time
9A term coined by Martin Eccles, Emeritus Professor of Clinical Effectiveness, Institute for Health and Society, Newcastle University
12. A systematic approach to intervention development
is more comprehensive and robust than a non-
systematic approach
Behavioral
Problem
Intervention
12
Understanding
the behavior(s)
we are trying to
change
Theory
Behavioral analysis | Inclusion of participants |
Selection of techniques | Tailoring
13. A systematic approach to intervention development
is more comprehensive and robust than a non-
systematic approach
Behavioral
Problem
Intervention
13
Understanding
the behavior(s)
we are trying to
change
Theory
Evidence
Selection of behavior | Effectiveness of technique
14. A systematic approach to intervention development
is more comprehensive and robust than a non-
systematic approach
Behavioral
Problem
Intervention
14
Understanding
the behavior(s)
we are trying to
change
Theory
Evidence
Practical Issues
Feasibility | Acceptability
15. Steps for
developing a
theory-
informed
implementatio
n intervention
(Campbell et al., 2000; UK
Medical Research Council,
2000, 2008; Craig et al., 2008;
French et al., 2012)
Step 4 How can behavior change be measured and
understood?
Step 3
Which intervention components (behavior change
techniques and mode(s) of delivery) could overcome
the modifiable barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and
enablers need to be addressed?
Step 1 Who needs to do what, differently?
15
Theory
Evidence
Practical Issues
16. Steps for
developing a
theory-informed
implementation
intervention
Step 4 How can behavior change be measured and understood?
Step 3
Which intervention components (behavior change techniques
and mode(s) of delivery) could overcome the modifiable
barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and enablers
need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 1. Introduction
16
17. Steps for
developing a
theory-informed
implementation
intervention
Step 4 How can behavior change be measured and understood?
Step 3
Which intervention components (behavior change techniques
and mode(s) of delivery) could overcome the modifiable
barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and enablers
need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 2. Applying the COM-B model to physical
activity for people with lower limb osteoarthritis: a
literature review
Chapter 3. Exploring non-conscious processes and
physical activity for people with osteoarthritis using
the Reflective-Impulsive Model
17
18. Steps for
developing a
theory-informed
implementation
intervention
Step 4 How can behavior change be measured and understood?
Step 3
Which intervention components (behavior change techniques
and mode(s) of delivery) could overcome the modifiable
barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and enablers
need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 4 . Financial Incentives as a behavior change
technique to increase physical activity for adults: a
systematic review protocol
18
19. Steps for
developing a
theory-informed
implementation
intervention
Step 4 How can behavior change be measured and understood?
Step 3
Which intervention components (behavior change techniques
and mode(s) of delivery) could overcome the modifiable
barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and enablers
need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 4. Financial Incentives as a behavior change
technique to increase physical activity for adults: a
systematic review protocol
Chapter 5. Financial incentives as a behavior change
technique to increase physical activity for adults: a
systematic review and meta-analysis
19
20. Steps for
developing a
theory-informed
implementation
intervention
Step 4 How can behavior change be measured and understood?
Step 3
Which intervention components (behavior change techniques
and mode(s) of delivery) could overcome the modifiable
barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and enablers
need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 4. Financial Incentives as a behavior change
technique to increase physical activity for adults: a
systematic review protocol
Chapter 5. Financial incentives as a behavior change
technique to increase physical activity for adults: a
systematic review and meta-analysis
Chapter 6. Investigating subject preferences and traits
to guide development of an intervention that uses
financial incentives to promote physical activity OA: a
discrete choice experiment
20
21. Steps for
developing a
theory-informed
implementation
intervention
Step 4 How can behavior change be measured and understood?
Step 3
Which intervention components (behavior change techniques
and mode(s) of delivery) could overcome the modifiable
barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and enablers
need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 7. A pilot randomized controlled trial to
increase physical activity for people with
osteoarthritis: a protocol
21
22. Steps for
developing a
theory-informed
implementation
intervention
Step 4 How can behavior change be measured and understood?
Step 3
Which intervention components (behavior change techniques
and mode(s) of delivery) could overcome the modifiable
barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and enablers
need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 1. Introduction
Chapter 2. Applying COM-B to physical activity for
people w/ osteoarthritis: a literature review
Chapter 3. Exploring non-conscious processes and
physical activity for people with osteoarthritis using
the Reflective-Impulsive Model
Chapter 4. Financial Incentives as a behavior change
technique to increase physical activity for adults: a SR
protocol
Chapter 5. Financial Incentives as a behavior change
technique to increase physical activity for adults: a SR
& MA
Chapter 6. Investigating subject preferences & traits to
guide development of an intervention that uses
financial incentives to promote physical activity OA: a
discrete choice experiment
Chapter 7. A pilot randomized controlled trial to
increase physical activity for people with osteoarthritis:
a protocol
22
23. Develop a protocol for a
theory-informed
intervention that uses
financial incentives to
increase and sustain
physical activity for adults
with lower limb
osteoarthritis
Overall aim
of the
dissertation
23
24. Steps for
developing a
theory-
informed
implementatio
n intervention
Step 4 How can behavior change be measured and
understood?
Step 3
Which intervention components (behavior change
techniques and mode(s) of delivery) could overcome
the modifiable barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and
enablers need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 1. Introduction
24
27. Moderate, regular physical activity has health benefits, but
the physical activity levels are less than the optimal World
Health Organization recommended level
27
77%
23%
Adults Meeting Recommended Physical Activity Guidelines
Meeting the guidelines
Not meeting the
guidelines
28. Moderate, regular physical activity has health benefits, but
the physical activity levels are less than the optimal World
Health Organization recommended level
66%
33%
High income countries: Adults Meeting Recommended Physical Activity
Guidelines
Meeting the guidelines
Not meeting the
guidelines
28
29. Moderate, regular physical activity has health benefits, but
the physical activity levels are less than the optimal World
Health Organization recommended level
40%
60%
Australian Adults Meeting Recommended Physical Activity Guidelines
Meeting the guidelines
Not meeting the
guidelines
29
30. Physical activity is universally recommended for people
with osteoarthritis, regardless of disease severity
30
2008 Physical Activity Guidelines
for Americans
• 150 minutes of moderate-
intensity aerobic activity
• 75 minutes of vigorous-
intensity activity
• Or a combination of both
31. Physical activity is universally recommended for people
with osteoarthritis, regardless of disease severity
31
32. Physical activity is universally recommended for people
with osteoarthritis, regardless of disease severity
32
33. Physical activity is universally recommended for people
with osteoarthritis, regardless of disease severity
33
34. Physical activity is universally recommended for people
with osteoarthritis, regardless of disease severity
34
35. Physical activity is universally recommended for people
with osteoarthritis, regardless of disease severity
35
36. • Functional performance (Dunlop et
al., 2011; Chmelo et al., 2013)
• Delay of onset of physical limitation
(Egan & Mentes, 2010)
• Weight loss (Pelligrini et al., 2016)
• Reduction in pain severity (Geneen
et al., 2017)
• Improved quality of life (Geneen et
al., 2017)
• Improved fitness, muscle strength
and joint function
• Better management of other
chronic conditions
36
Physical activity has a number of
health benefits for people with OA
Physical Activity
Healthbenefits
37. Yet, the majority of people w/OA don’t
meet these guidelines
37
77%
23%
Adults Meeting
Recommended Physical
Activity Guidelines in
66%
33%
High income countries: Adults
Meeting Recommended
Physical Activity Guidelines
How many people with OA
fail to meet physical activity
guidelines?
a) 0-25%
b) 26-50%
c) 51-75%
d) 75%+
38. Yet, the majority of people w/ OA don’t
meet these guidelines
38
77%
23%
Adults Meeting
Recommended Physical
Activity Guidelines in
66%
33%
High income countries: Adults
Meeting Recommended
Physical Activity Guidelines
How many people with OA
fail to meet physical activity
guidelines?
a) 0-25%
b) 26-50%
c) 51-75%
d) 75%+87%
39. 39
Step 1
Identifying the problem: Who
needs to do what, differently?
Chapter 1.
Introduction
Given the health benefits, the
few adverse effects affiliated
with physical activity, and the
low percentage of adults with
osteoarthritis meeting physical
activity guidelines, it is of
public health significance to
develop an intervention that
increases and sustains
physical activity levels of
people with lower limb
osteoarthritis
40. Steps for
developing a
theory-
informed
implementatio
n intervention
Step 4 How can behavior change be measured and
understood?
Step 3
Which intervention components (behavior change
techniques and mode(s) of delivery) could overcome
the modifiable barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and
enablers need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 2. Applying the COM-B model to
physical activity for people with lower limb
osteoarthritis: a literature review
Chapter 3. Exploring non-conscious processes
and physical activity for people with
osteoarthritis using the Reflective-Impulsive
Model
40
41. Step 2
Assessing the problem: Using
a theoretical framework, which
barriers and enablers need to
be addressed?
41
Chapter 2. Applying
the COM-B to
physical activity for
people with
osteoarthritis: a
literature review
42. Current physical activity interventions may not
promote long-term physical activity behavior
change for people with osteoarthritis
42
12
months
3-6 months
-3
months
Short-term Medium-term Long-term
Williamson et al.,
2013
Lower limb OA
Combined Subj + Obj:
Significant improvement
Subj: Positive but not
significant
Marley et al., 2017
Musculoskeletal
pain: OA subgroup
Subj: No effect
Obj: Positive but not
significant
Subj: Moderate ES and
statistically significant
Obj: Negative
Subj: Small ES and
statistically
significant
Obj: Positive but not
significant
46. 46
Step 2
Assessing the problem: Using
a theoretical framework, which
barriers and enablers need to
be addressed?
Chapter 3. Exploring
nonconscious
processes and
physical activity for
people with
osteoarthritis
47. Dual process models
System 1/Automatic
• Fast, automatic in that
it requires no cognitive
resources and effort
• Impulsive
• Non-conscious
• Stimulus driven
• Associative
System 2/Reflective
• Slower, effortful
reflective in a way that
is comprises controlled
reasoning
• Conscious
• Goal-directed
• Logical, rational
47
95% 5%
48. Dual process models: Reflective-
Impulsive Model (Strack & Deutsch, 2004)
Impulsive system:
clusters of associative
representations
Reflective System
Examples of
measures:
• Beliefs about facts
& values
• Intentions to
exercise
• Outcome
expectancies
48
49. Dual process models: Reflective-
Impulsive Model (Strack & Deutsch, 2004)
Impulsive system:
clusters of associative
representations
Examples of
measures:
• Automatic
evaluation
• Habit
• Approach-
avoidance
tendencies
Reflective System
Examples of
measures:
• Beliefs about facts
& values
• Intentions to
exercise
• Outcome
expectancies
49
50. Dual process models: Reflective-
Impulsive Model (Strack & Deutsch, 2004)
Impulsive system:
clusters of associative
representations
Examples of
measures:
• Automatic
evaluation
• Habit
• Approach-
avoidance
tendencies
Reflective System
Examples of
measures:
• Beliefs about facts
& values
• Intentions to
exercise
• Outcome
expectancies
50
Automatic evaluation: strength of
association and a positive or negative
attribute (e.g. pleasantness)
Habit strength: actions initiated
automatically by environmental cues,
impulsively triggered
Approach-avoidance tendencies: automatic
responses cued by automatic evaluations,
habit
52. 52
Automatic evaluations for PA: runningpleasant,
physical activityfun, vs. exercisetiring, physical
activitypainful
Habit strength: Monday & Wednesday—run club—
pub runs
note context dependent (living in CH v. living in AU)
Approach-avoidance tendencies: Approach tendency
for physical activity, Avoidance tendency for
sedentary behavior
53. • Consistent evidence to support this relationship
• Primarily focused on young adults, healthy populations
53
Non-conscious
processes
Physical Activity
Sedentary
Behavior
54. Participants: ages 45+ who meet the NICE clinical classification
consistent with diagnosis of OA, English-speaking recruited to
participate voluntarily in an online survey (June-September: ~200
participants)
IV: Non-conscious processes: Automatic evaluations (IAT), Habit
strength (SRBAI), Approach-avoidance tendencies (AAT)
DV: Self-reported Physical activity (IPAQ) at 7 day follow-up
Hierarchical multiple regression: (1) Controlling for: Sociodemographic
characteristics (2) Main effect predictors (3) Reflective processes-
intention and strength of intention, reflective measures (4) Interaction
of Pain as moderator
54
Non-conscious
processes
Physical Activity
55. Steps for
developing a
theory-
informed
implementatio
n intervention
Step 4 How can behavior change be measured and
understood?
Step 3
Which intervention components (behavior change
techniques and mode(s) of delivery) could overcome
the modifiable barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and
enablers need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 4. Financial Incentives as a behavior
change technique to increase physical activity
for adults: a systematic review protocol
Chapter 5. Financial incentives as a behavior
change technique to increase physical activity
for adults: a systematic review and meta-
analysis
55
56. 56
Step 3
Forming possible solutions:
Which intervention
components (behaviour
change techniques and
mode(s) of delivery) could
overcome the modifiable
barriers and enhance the
enablers?
Chapter 4. Financial
incentives as a
behavior change
technique to
increase physical
activity for adults: a
systematic review
protocol
58. Incentivization for physical activity
• Michie et al: defines an incentive as a motivating reward
provided contingently on behavioral performance
• Reflective motivation: Incentive can be linked with self-
regulation of behavior
• Automatic motivation: Incentive can operates on System 1
processing due to cognitive biases e.g. present bias
• Primary objective of systematic review: Evaluate the effect of
financial incentives on physical activity participation in adults
58
59. PICO for Systematic Review using Methodological
Expectations of Cochrane Intervention Reviews (MECIR)
are methodological standards
• Population: Adults 18+, with or without health conditions
• Intervention: A financial incentive with the purpose of
encouraging participation in physical activity
• Comparison: Any comparison group provided the only
difference is the specific financial incentive
• Outcomes: Any physical activity outcome, defined using WHO
definition
• Limited to: RCTs, English-language
59
60. Previous studies (4)
• No prior registered protocol
• Specific physical activity
outcomes
• Exclusion of penalties
• Increase in the number of
studies using SRs
• Limited search strategy
• Lacked Risk of Bias
assessment
60
62. 62
Step 3
Forming possible solutions:
Which intervention
components (behaviour
change techniques and
mode(s) of delivery) could
overcome the modifiable
barriers and enhance the
enablers?
Chapter 5: Financial
incentives as a
behavior change
technique to increase
physical activity for
adults: a systematic
review and meta-
analysis
64. We found three times the
number of studies as the most
recent systematic review by
Barte & Wendel-Vos, 2017!
64
65. Steps for
developing a
theory-
informed
implementatio
n intervention
Step 4 How can behavior change be measured and
understood?
Step 3
Which intervention components (behavior change
techniques and mode(s) of delivery) could overcome
the modifiable barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and
enablers need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 4. Financial Incentives as a behavior
change technique to increase physical activity
for adults: a systematic review protocol
Chapter 5. Financial incentives as a behavior
change technique to increase physical activity
for adults: a systematic review and meta-
analysis
Chapter 6. Investigating subject preferences
and traits to guide development of an
intervention that uses financial incentives to
promote physical activity OA: a discrete choice
experiment
65
66. 66
Step 3
Forming possible solutions:
Which intervention
components (behaviour
change techniques and
mode(s) of delivery) could
overcome the modifiable
barriers and enhance the
enablers?
Chapter 6: Investigating
subject preferences &
traits to guide the
development of an
intervention that uses
financial incentives to
promote physical
activity OA: a discrete
choice experiment
67. DCE can be used
to:
• Identify a
promising
physical activity
intervention for
RCT
• Test the effects
when incentives
and/or enrolment
fees are offered
to generate
prediction of
program uptake
67
68. Example development of DCE for physical
activity interventions for people
w/osteoarthritis attributes & levels
• Pinto D, Danilovich
MK, Hansen P, Finn
DJ, Chang RW,
Holl JL, Heinemann
AW, Bockenholt U.
Qualitative
Development of a
Discrete Choice
Experiment for
Physical Activity
Interventions to
Improve Knee
Osteoarthritis.
Archives of physical
medicine and
rehabilitation. 2017
Jun 1;98(6):1210-6.
68
Time per physical activity occasion
≥90min 45–89min 10–44min
Physical activity effort
High: you cannot say more than
a few words without pausing for
breath
Medium: you can talk, but
cannot sing during the activity
Low: you can sing during the
activity
Monthly cost, including equipment or coaching
$80 per month $50 per month $20 per month
Convenience: how well the activity fits into your schedule
With difficulty, and large need for
modification
With some need for modification With ease, and minimal need for
modification
Enjoyment
High: you are happy and very
engaged in the activity
Moderate: you are somewhat
engaged in activity
Low: you are bored and not
engaged in activity
Benefits for my health
Large relief in discomfort, large
increase in strength and ability
to move
Moderate relief in discomfort,
moderate increase in strength
and ability to move
Small relief in discomfort, small
increase in strength and ability
to move
69. Potential ideas
• Include financial
incentive
component (based
on previous SR
findings)
• Measure traits like
impulsivity,
socioeconomic
status, approach-
avoidance
tendencies for
physical activity,
present bias/time
• preferences—
payment at start of
intervention (lose)
vs payment at
conclusion
ointervention (6
weeks)
69
Time per physical activity occasion
≥90min 45–89min 10–44min
Physical activity effort
High: you cannot say more than
a few words without pausing for
breath
Medium: you can talk, but
cannot sing during the activity
Low: you can sing during the
activity
Monthly cost, including equipment or coaching
$80 per month $50 per month $20 per month
Convenience: how well the activity fits into your schedule
With difficulty, and large need for
modification
With some need for modification With ease, and minimal need for
modification
Enjoyment
High: you are happy and very
engaged in the activity
Moderate: you are somewhat
engaged in activity
Low: you are bored and not
engaged in activity
Benefits for my health
Large relief in discomfort, large
increase in strength and ability
to move
Moderate relief in discomfort,
moderate increase in strength
and ability to move
Small relief in discomfort, small
increase in strength and ability
to move
70. Applications of the DCE
• Population: DCE data collected via an online panel
representative of the Australian population w/ OA (approx. 750
w/ OA) + CHESM recruitment (200)
• Outcome: ID of promising interventions to include in RCT
• Low-cost and efficient manner for estimating the effect of
different types of magnitudes/attributes of incentives
• Measuring traits can help with tailoring an intervention, highlight
individuals who should be targeted by the intervention
70
71. Steps for
developing a
theory-
informed
implementatio
n intervention
Step 4 How can behavior change be measured and
understood?
Step 3
Which intervention components (behavior change
techniques and mode(s) of delivery) could overcome
the modifiable barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and
enablers need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 7. A pilot randomized controlled trial to
increase physical activity for people with
osteoarthritis: a protocol
71
72. 72
Step 3
Forming possible solutions:
Which intervention
components (behaviour
change techniques and
mode(s) of delivery) could
overcome the modifiable
barriers and enhance the
enablers?
Chapter 7. A pilot
randomized
controlled trial to
increase physical
activity for people
with osteoarthritis:
a protocol
Step 4
Evaluating the selected
intervention: How can behaviour
change be measured and
understood?
73. Can the key components of a full-scale
study be implemented as planned, or will
some modification(s) need to be made?
73
74. • Proposed protocol for pilot
trial will include
• Clearly defined aims
• Feasibility objectives
• Analytic plans
• Explicit definitions of what
constitutes success
74
75. Thabane et al. categories of outcomes
to include
Process: the feasibility of the research processes (e.g. recruitment
rates per week/month)
Resources: the amount of time and resources of research process
(e.g. length of time to fill out the study forms)
Management: potential human and data management challenges
(e.g. what challenges do study personnel have?)
Scientific: the variance of effect, fidelity, treatment safety (e.g. are
there any adverse effects to participating in the study)
75
76. Implementation outcomes to consider
• Acceptability: Extent to which stakeholders perceive the
treatment to be agreeable or satisfactory
• Appropriateness: The perceived fit of the treatment for a
consumer and/or perceived fit of the treatment to address a
particular issue or problem
• Cost: Financial impact of an implementation of the treatment
76
77. Steps for
developing a
theory-
informed
implementatio
n intervention
Step 4 How can behavior change be measured and
understood?
Step 3
Which intervention components (behavior change
techniques and mode(s) of delivery) could overcome
the modifiable barriers and enhance the enablers?
Step 2 Using a theoretical framework, which barriers and
enablers need to be addressed?
Step 1 Who needs to do what, differently?
Chapter 1. Introduction
Chapter 2. Applying COM-B to physical activity for
people w/ osteoarthritis: a literature review
Chapter 3. Exploring non-conscious processes
and physical activity for people with osteoarthritis
using the Reflective-Impulsive Model
Chapter 4. Financial Incentives as a behavior
change technique to increase physical activity for
adults: a SR protocol
Chapter 5. Financial Incentives as a behavior
change technique to increase physical activity for
adults: a SR & MA
Chapter 6. Investigating subject preferences &
traits to guide development of an intervention that
uses financial incentives to promote physical
activity OA: a discrete choice experiment
Chapter 7. A pilot randomized controlled trial to
increase physical activity for people with
osteoarthritis: a protocol
77
78. Develop a protocol for a
theory-informed
intervention that uses
financial incentives to
increase and sustain
physical activity for adults
with lower limb
osteoarthritis
Overall aim
of the
dissertation
78
79. Big picture
79
Chapter 1. Introduction
To be updated over the course of the dissertation
Chapter 2. Applying COM-B to physical activity for people w/
osteoarthritis: a literature review To be updated over the course of the dissertation
Chapter 3. Exploring non-conscious processes and physical
activity for people with osteoarthritis using the Reflective-
Impulsive Model
Ethics: April
Practical logistics: June
Launch of survey: June-September
Published manuscript: early 2019
Chapter 4. Financial Incentives as a behavior change technique
to increase physical activity for adults: a SR protocol
Publication January 2018
Chapter 5. Financial Incentives as a behavior change technique
to increase physical activity for adults: a SR & MA
Intended completion May 2018
Chapter 6. Investigating subject preferences & traits to guide
development of an intervention that uses financial incentives to
promote physical activity OA: a discrete choice experiment
Methods & Stat plan: March-July 2018
Ethics: July 2018
Launch survey: October 2018-February 2010
Published manuscript: late 2019
Chapter 7. A pilot randomized controlled trial to increase
physical activity for people with osteoarthritis: a protocol TBD: Intended completion of protocol: February
2020
80. Relevance & Significance of study
• Uses a comprehensive systematic approach to behavioral
analysis and intervention development to improve the activity
levels of people with lower limb OA
• Exploration of non-conscious processes and physical activity in
the OA population is of clinical relevance
• Combines knowledge across several disciplines
• Promotes transparent and open science methods
80
81. Acknowledgements
Supervisory committee
Prof Kim L. Bennell
Prof Rana S. Hinman
Prof Anthony Harris, Monash University
Dr. Michelle Hall
Dr. Amanda Rebar, Central Queensland
University
Advisory committee
Dr. Kade Paterson
Dr. Thorlene Egerton
Funding
Melbourne Research Scholarship (MRS)
Australian Government Research Training
Program (RTP) Scholarship
National Health & Medical Research Council
Centre of Research Excellence (#1079078)
81