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Full-Text Articles in Psychiatry and Psychology

An Evaluation Of An Assessment Of Check-In/Check-Out With Children Who Are Homeless In An After School Care Program, Ana Paula Camacho Jun 2016

An Evaluation Of An Assessment Of Check-In/Check-Out With Children Who Are Homeless In An After School Care Program, Ana Paula Camacho

USF Tampa Graduate Theses and Dissertations

Schoolwide Positive Behavior Interventions and Support (SWPBIS) is an approach designed to improve the correct implementation, consistent use, and maintenance of evidence-based practices related to behavior, classroom management and school discipline systems. Check-in/Check-out (CICO) is often recognized as a successful intervention in SWPBIS. However, most of the research on the use of CICO has focused on the school setting. This study provided an extension to the literature by examining the effects of the CICO program with homeless children attending an afterschool program. A non-concurrent multiple baseline across participants design was used to evaluate the CICO program effects. Students were exposed …


Psychological Inflexibility Predicts Attitudes Toward Syrian Refugees And National Security Policies, Arthur T. Hatton Sr., Michael Nielsen Jun 2016

Psychological Inflexibility Predicts Attitudes Toward Syrian Refugees And National Security Policies, Arthur T. Hatton Sr., Michael Nielsen

Psychology: Faculty Presentations (2009-2022)

Our research examines whether psychological inflexibility predicts support for national security policies that limit civil liberties, unfairly target Muslims, and exclude Syrian refugees from entering the country. New research has suggested that high psychological inflexibility may be implicated in prejudice (Vilardaga, Estevez, Levin, & Hayes, 2012). According to that theory, inflexibility may contribute to discriminatory behaviors because it describes a person's tendency to engage in behaviors aimed at down-regulating internal distress. Recently, an enormous number of refugees from Syria have relocated from Syria into the EU, other Middle Eastern Countries, and in the United States. A political backlash to both …


Somatic And Vicarious Pain Are Represented By Dissociable Multivariate Brain Patterns, Anjali Krishnan, Choong-Wan Woo, Luke J. Chang, Luka Ruzic, Xiaosi Gu, Marina Lopez-Sola, Philip L. Jackson, Jesus Pujol, Jin Fan, Tor D. Wager Jun 2016

Somatic And Vicarious Pain Are Represented By Dissociable Multivariate Brain Patterns, Anjali Krishnan, Choong-Wan Woo, Luke J. Chang, Luka Ruzic, Xiaosi Gu, Marina Lopez-Sola, Philip L. Jackson, Jesus Pujol, Jin Fan, Tor D. Wager

Publications and Research

Understanding how humans represent others’ pain is critical for understanding pro-social behavior. ‘Shared experience’ theories propose common brain representations for somatic and vicarious pain, but other evidence suggests that specialized circuits are required to experience others’ suffering. Combining functional neuroimaging with multivariate pattern analyses, we identified dissociable patterns that predicted somatic (high versus low: 100%) and vicarious (high versus low: 100%) pain intensity in out-of-sample individuals. Critically, each pattern was at chance in predicting the other experience, demonstrating separate modifiability of both patterns. Somatotopy (upper versus lower limb: 93% accuracy for both conditions) was also distinct, located in somatosensory versus …


A Public Health-Based Approach To German Gaming Regulation, Knut Walter, Gerhard Buehringer Jun 2016

A Public Health-Based Approach To German Gaming Regulation, Knut Walter, Gerhard Buehringer

International Conference on Gambling & Risk Taking

The current situation of the German gambling market can be characterized by an unrelated framework of different legal systems, different regulatory authorities and different control principles, and has led to (1) an increasing number of court decisions and information requests by European Commission questioning parts of that regulatory system, (2) public tolerance of illicit gambling, and consequently (3) a lack of consumer protection.

Taking RENO Model 1.0 and 2.0 seriously, a new and comprehensive regulatory framework based on common consumer protection standards for all types of gambling – land-based and online, state-owned and private operated – has been developed and …


Relational Frame Theory: Implications For Training Perspective-Taking And Empathy In Children With High Functioning Autism, Lyssa Haase Jun 2016

Relational Frame Theory: Implications For Training Perspective-Taking And Empathy In Children With High Functioning Autism, Lyssa Haase

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Perspective-taking involves the ability to shift one's visual-spatial and affective stance relative to contextual cues. Empathy responses leading to socio-emotional reciprocity depend intimately on perspective-taking processes. Deficits in perspective-taking have been widely documented in individuals with Autism Spectrum Disorders (ASD), and are commonly regarded to underlie impaired interpersonal functioning in this population. The most widely used frameworks for understanding ASD derive from a cognitive science program called Theory of Mind (ToM), and from an applied behavior analytic program based on Operant Theory (OT). Recent research interest has centered on a contemporary contextual behavior analytic approach to perspective taking drawing upon …


Facing Our Demons: Psychiatric Perspectives On Exorcism Rituals, Joel R. Sanford Jun 2016

Facing Our Demons: Psychiatric Perspectives On Exorcism Rituals, Joel R. Sanford

The Hilltop Review

Belief in possession by malevolent spirits exists in many cultures and religions throughout the world, and such beliefs often serve as explanations for a variety of psychological and emotional afflictions. Traditional remedies in these cases often involve exorcism rituals, which are believed to expel spirits from a person's mind and/or body. Some of the cases commonly attributed to involuntary spirit possession are diagnosed within the psychiatric community as schizophrenia or some sort of dissociative disorder and treated with psychotherapy and/or medicine. For some in the psychiatric community, exorcisms and their use by patients are viewed as problematic due to their …


Etiology And Stability Of Problem Gambling, Robert Williams, Rachel A. Volberg Jun 2016

Etiology And Stability Of Problem Gambling, Robert Williams, Rachel A. Volberg

International Conference on Gambling & Risk Taking

Prevention of problem gambling hinges on having research that clearly identifies the variables that are etiologically involved, their temporal sequence, and their causal connections. Longitudinal research is the best way of disentangling the chronology and causal relationships between variables. The present research describes the results of the two major longitudinal studies of gambling in Canada: the Quinte Longitudinal Study (QLS) (n = 4,121) and the Leisure, Lifestyle, Lifecycle Project (LLLP) (n = 1,808). The first part of the presentation describes the stability of gambling classifications over a 5 year period. This is followed by an identification of the univariate and …


Unconfessing Transgender: Dysphoric Youths And The Medicalization Of Madness In John Gower’S “Tale Of Iphis And Ianthe”, M W. Bychowski Jun 2016

Unconfessing Transgender: Dysphoric Youths And The Medicalization Of Madness In John Gower’S “Tale Of Iphis And Ianthe”, M W. Bychowski

Accessus

On the brink of the twenty-first century, Judith Butler argues in “Undiagnosing Gender” that the Diagnostic and Statistical Manual of Mental Disorders (DSM) defines the psychiatric condition of “Gender Identity Disorder” (or “Gender Dysphoria”) in ways that control biological diversity and construct “transgender” as a marginalized identity. By turning the study of gender away from vulnerable individuals and towards the broader systems of power, Butler works to liberate bodies from the medical mechanisms managing difference and precluding potentially disruptive innovations in forms of life and embodiment by creating categories of gender and disability.

Turning to the brink of the 15 …


Reflection, Interrupted: Material Mirror Work In The Confessio Amantis, Jenny Boyar Jun 2016

Reflection, Interrupted: Material Mirror Work In The Confessio Amantis, Jenny Boyar

Accessus

The Confessio Amantis concludes with a revelatory scene in which Venus holds up a mirror to Amans, allowing him to recognize John Gower the poet— a moment that is often read as a mimetic and healing counterpoint to the Confessio’s sickness and self-questioning. My intention in this paper is to very slightly modify certain aspects of this narrative, to consider how the materiality of the mirror can inform its metaphoric deployments in the Confessio. I organize my discussion around two seemingly contrasting moments in the poem in which the self is seen and in different ways recognized through …


Becoming Serpent: Mapping Coils Of Paranoia In A Neocolonial Security State, Rachel J. Liebert Jun 2016

Becoming Serpent: Mapping Coils Of Paranoia In A Neocolonial Security State, Rachel J. Liebert

Dissertations, Theses, and Capstone Projects

What follows is a feminist, decolonial experiment to map the un/settling circulation of paranoia – how it is done, what it does, what it could do – within contemporary conditions of US white supremacy. Drawing on participant observation, interviewing, scientific artifacts, reflexive journaling, and a public art project, I enter white supremacy through a burgeoning form of pre-emptive psy to capture ‘the prodrome’ – a stage-cum-population-cum-figure at the center of a transnational program of research to identify and intervene on ‘pre-psychosis’. I argue that this nascent, contested, and accelerating movement is enacting a contemporary transition from …


Psychological And Psychiatric Comorbidities Associated With Tinnitus: A Systematic Review, Shanna Hymowitz Jun 2016

Psychological And Psychiatric Comorbidities Associated With Tinnitus: A Systematic Review, Shanna Hymowitz

Dissertations, Theses, and Capstone Projects

The purpose of this systematic literature review was to examine the current literature evidence pertaining to the relationship between tinnitus and psychological and psychiatric comorbidities. Literature was found discussing the prevalence of tinnitus with psychological and psychiatric comorbidities, differences in self-reports, and whether the perception of tinnitus is aided with the use of psychological counseling and psychotropic medications. Relative search strings applied to Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline Complete, and PubMed identified studies to be included in this review. (Will put total amount of studies found once collected). An assessment of all research literature found …


Neuroanatomical Alterations In High-Functioning Adults With Autism Spectrum Disorder, Tehila Eilam-Stock, Tingting Wu, Alfredo Spagna, Laura J. Egan, Jin Fan Jun 2016

Neuroanatomical Alterations In High-Functioning Adults With Autism Spectrum Disorder, Tehila Eilam-Stock, Tingting Wu, Alfredo Spagna, Laura J. Egan, Jin Fan

Publications and Research

Autism spectrum disorder (ASD) is a pervasive neurodevelopmental condition, affecting cognition and behavior throughout the life span. With recent advances in neuroimaging techniques and analytical approaches, a considerable effort has been directed toward identifying the neuroanatomical underpinnings of ASD. While gray-matter abnormalities have been found throughout cortical, subcortical, and cerebellar regions of affected individuals, there is currently little consistency across findings, partly due to small sample-sizes and great heterogeneity among participants in previous studies. Here, we report voxel-based morphometry of structural magnetic resonance images in a relatively large sample of high-functioning adults with ASD (n = 66) and matched …


Association Between Quality Of Life And Anxiety, Depression, Physical Activity And Physical Performance In Maintenance Hemodialysis Patients., Yi-Nan Li, Bryan Shapiro, Jun Chul Kim, Min Zhang, Janos Porszasz, Rachelle Bross, Usama Feroze, Rajeev Upreti, David Martin, Kamyar Kalantar-Zadeh, Joel David Kopple Jun 2016

Association Between Quality Of Life And Anxiety, Depression, Physical Activity And Physical Performance In Maintenance Hemodialysis Patients., Yi-Nan Li, Bryan Shapiro, Jun Chul Kim, Min Zhang, Janos Porszasz, Rachelle Bross, Usama Feroze, Rajeev Upreti, David Martin, Kamyar Kalantar-Zadeh, Joel David Kopple

Psychiatry and Behavioral Sciences Faculty Publications

OBJECTIVE: Maintenance hemodialysis (MHD) patients often have impaired quality of life (QOL), anxiety, depression, and reduced daily physical activity (DPA) and physical performance. The contributions of these latter factors to reduced QOL in MHD are poorly understood. We examined the association of QOL with anxiety, depression, DPA, and physical performance.

METHODS: Seventy-two relatively healthy adult MHD patients, vintage ≥6 months, and 39 normals of similar age range and gender distribution were studied. QOL was assessed using the Kidney Disease Quality of Life-Short Form (KDQOL-SF). Anxiety and depression were each evaluated with two questionnaires. DPA and physical performance were assessed with …


National Trends In Off-Label Use Of Atypical Antipsychotics In Children And Adolescents In The United States, Minji Sohn, Daniela C. Moga, Karen Blumenschein, Jeffery C. Talbert Jun 2016

National Trends In Off-Label Use Of Atypical Antipsychotics In Children And Adolescents In The United States, Minji Sohn, Daniela C. Moga, Karen Blumenschein, Jeffery C. Talbert

Pharmacy Practice and Science Faculty Publications

The objectives of the study were as follows: to examine the national trend of pediatric atypical antipsychotic (AAP) use in the United States; to identify primary mental disorders associated with AAPs; to estimate the strength of independent associations between patient/provider characteristics and AAP use. Data are from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey. First, average AAP prescription rates among 4 and 18-year-old patients between 1993 and 2010 were estimated. Second, data from 2007 to 2010 were combined and analyzed to identify primary mental disorders related to AAP prescription. Third, a multivariate logistic …


A Randomized Controlled Trial Of A Faith-Placed, Lay Health Advisor Delivered Smoking Cessation Intervention For Rural Residents, Nancy E. Schoenberg, Christina R. Studts, Brent J. Shelton, Meng Liu, Richard Clayton, Jordan Baeker Bispo, Nell Fields, Mark Dignan, Thomas Cooper Jun 2016

A Randomized Controlled Trial Of A Faith-Placed, Lay Health Advisor Delivered Smoking Cessation Intervention For Rural Residents, Nancy E. Schoenberg, Christina R. Studts, Brent J. Shelton, Meng Liu, Richard Clayton, Jordan Baeker Bispo, Nell Fields, Mark Dignan, Thomas Cooper

Behavioral Science Faculty Publications

Introduction. Rural US residents smoke at higher rates than urban or suburban residents. We report results from a community-based smoking cessation intervention in Appalachian Kentucky.

Study design. Single-blind, group-randomized trial with outcome measurements at baseline, 17 weeks and 43 weeks.

Setting/participants. This faith-placed CBPR project was located in six counties of rural Appalachian Kentucky. A total of 590 individual participants clustered in 28 churches were enrolled in the study.

Intervention. Local lay health advisors delivered the 12-week Cooper/Clayton Method to Stop Smoking program, leveraging sociocultural factors to improve the cultural salience of the program for Appalachian smokers. Participants met with …


Piloting A Screening Tool For Eating And Eating-Related Behavior, Michael N. Reynolds Jun 2016

Piloting A Screening Tool For Eating And Eating-Related Behavior, Michael N. Reynolds

Dissertations

Obesity is a common medical condition associated with negative health and social outcomes. Obesity has a primary malleable behavioral cause, eating more calories than are metabolized. While metabolic rate is malleable with exercise, eating can more quickly add calories than exercising can subtract them. In the past, behavioral weight-loss treatment studies relied on multi-component package interventions that have shown reliable patterns of participant weight-loss during treatment and weight-regain in follow-up. Those findings could be conceptualized as an ABA withdrawal design, eating behavior returns to baseline after the prosthetic contingencies of the treatment study are withdrawn. We must develop ways to …


Partner Interfering Behaviors Affecting Cancer Quality Of Life, Ann L. Coker, Diane R. Follingstad, Lisandra S. Garcia, Heather M. Bush Jun 2016

Partner Interfering Behaviors Affecting Cancer Quality Of Life, Ann L. Coker, Diane R. Follingstad, Lisandra S. Garcia, Heather M. Bush

Obstetrics and Gynecology Faculty Publications

Objective: Because partners are an important and unpaid resource in cancer care, understanding how destructive, controlling or interfering partner behaviors influence women's cancer care may be particularly relevant for health care providers seeking to provide cancer care and enhance recovery. Using a new measure of partner interfering behaviors in cancer care (PIB-C), we investigated whether women with a recent cancer diagnosis who additionally endorsed any PIB-C would report (a) more symptoms of depression and stress, and (b) lower Functional Assessment of Cancer Therapy (FACT-G) and lower Functional Assessment of Chronic Illness Therapy-Spiritual Well-being (FACIT-SP) scale scores indicating poorer quality of …


Portable Sensory Room For The West Orange County Consortium For Special Education, Lindsey Chase, Emma Eskildsen, Alex Fox, Claire Francis, Nate Hoffman, Kaylee Keck, Sarah Sullivan Jun 2016

Portable Sensory Room For The West Orange County Consortium For Special Education, Lindsey Chase, Emma Eskildsen, Alex Fox, Claire Francis, Nate Hoffman, Kaylee Keck, Sarah Sullivan

Biomedical Engineering

This report discusses the development of a Portable Sensory Room to be used at Newland Elementary School in Huntington Beach. Newland Elementary has an exceptional Special Needs program that teaches the children with the most severe cases of autism in its school district. People with autism typically also have sensory processing disorders, which can be extremely disruptive for a child’s development and can make it difficult for a child to be able to concentrate long enough to gain necessary life skills. The idea behind a Sensory Rooms is to create a place to calm the students and to expose them …


Physical Activity Improves Depressive Symptoms In Older Adults, Karen Lee Fahey Jun 2016

Physical Activity Improves Depressive Symptoms In Older Adults, Karen Lee Fahey

Walden Dissertations and Doctoral Studies

Engaging in physical activity can help older adults to take part in community activities, maintain relationships, and initiate new friendships, thus preventing loneliness and depression. The purpose of this quality improvement (QI) project was to evaluate whether participation in physical activity improved depressive symptoms in 15 older adults at a local senior center. Pender’s health promotion model was used to determine nursing and behavioral science views on components that affect health behavior. The Exercise Benefit/Barrier Scale (EBBS) survey was evaluated before implementation of the walking program to measure the benefits of and barriers to exercise. The EBBS results showed that …


Bupropion Induced Hyponatremia In An Elderly Patient: A Case Report And Review Of The Literature, Sahil Munjal, Yvette Smolin May 2016

Bupropion Induced Hyponatremia In An Elderly Patient: A Case Report And Review Of The Literature, Sahil Munjal, Yvette Smolin

NYMC Faculty Publications

We present the case of a 72-year-old female with a major depressive episode who developed hyponatremia associated with bupropion. In reviewing the literature, there are only a few case reports which pertain to this topic. The clinical symptoms of hyponatremia can be misinterpreted as a worsening of the primary psychiatric illness and can lead to potentially serious consequences if not fully evaluated. We recommend that clinicians should be well aware of this side effect and that sodium levels should be checked within the first 2 weeks after initiating treatment in patients, especially those with additional risk factors for hyponatremia, such …


Exercises On Overcoming Perfectionist Tendencies, Jake Yoo May 2016

Exercises On Overcoming Perfectionist Tendencies, Jake Yoo

Bachelor of Fine Arts Senior Papers

In my latest series, I investigate my neurotic perfectionist tendency through repetition of phrases that I understand to be true in my head, but have a problem with accepting it in my heart. This way, I am studying my personal biases and the way I perceive the world in order to break free from unwanted behaviors and process negative emotions. Louise Bourgeois is a historical precedence to my practice as whole, while the series functions similarly to Yayoi Kusama’s dot and net paintings—a psychological portrait achieved through continuous repetition of a few elements.


Science, Symptoms, And Support Groups:Adhd In The American Cultural Context, Kealy D. Fallon May 2016

Science, Symptoms, And Support Groups:Adhd In The American Cultural Context, Kealy D. Fallon

Theses and Dissertations

This thesis is a cultural analysis of the behaviorally- and psychiatrically-defined disorder ADHD, socio-historically contextualizing it in the United States and exploring ethnographically how people affected by it talk about and organize their experience of its symptoms.


Understanding The Employment Barriers And Support Needs Of People Living With Psychosis, Margaret Hampson, Richard Hicks, Bruce Watt May 2016

Understanding The Employment Barriers And Support Needs Of People Living With Psychosis, Margaret Hampson, Richard Hicks, Bruce Watt

The Qualitative Report

This study investigated the employment barriers and support needs of people living with psychosis. A purposive community sample of 137 volunteers drawn from six key stakeholder groups were invited to participate in focus groups and semi-structured individual interviews to elicit their perceptions on the employment barriers and support needs of people living with psychosis. The stakeholder groups included in this study were people with lived experience of schizophrenia or bipolar disorder, carers, health professionals, employers, employment service providers, and community members. Data obtained from 14 focus groups and 31 semi-structured individual interviews were transcribed, imported into NVivo 10, and coded …


Build-Up Effect Of Auditory Stream Segregation Using Amplitude-Modulated Narrowband Noise, Harley J. Wheeler May 2016

Build-Up Effect Of Auditory Stream Segregation Using Amplitude-Modulated Narrowband Noise, Harley J. Wheeler

Senior Honors Projects, 2010-2019

Recent psychoacoustic experiments (Böckmann-Barthel et al., 2014; Deike et al., 2012) have re-examined research regarding stream segregation and the build-up effect. Stream segregation is the ability to discern auditory objects within a stream of information, such as distinguishing one voice amongst background noise or an instrument within an orchestra. Initial works examining this topic proposed that auditory information is not immediately distinguished as various streams, but rather that differences accumulate over time, allowing listeners to segregate information following a period of build-up (i.e., the build-up effect); whereas more current findings indicate a build-up period is unnecessary for segregation. This experiment’s …


Social Communication As An Early Indicator Of Autism In High-Risk Infant Populations, Alexis Marie Brewer May 2016

Social Communication As An Early Indicator Of Autism In High-Risk Infant Populations, Alexis Marie Brewer

Senior Theses

This senior thesis analyzes the social communicative profiles of children at high-risk for autism compared to typically developing controls. The project focuses specifically on the differences in initiating joint attention gaze shifts and joint attention gestures at 12 months in two high-risk groups, children with fragile X syndrome and younger siblings of children already diagnosed with autism. Their frequencies of gaze shifts and gestures were also analyzed to determine whether the joint attention behaviors are indicative of later autism symptom severity at 24 months.


Standpoint: Black Queer Southern Revelations, Mitchell Joseph Sewell May 2016

Standpoint: Black Queer Southern Revelations, Mitchell Joseph Sewell

Senior Theses

This senior thesis project is a collection of spoken word poetry organized around the theme of the experience of one black, southern, queer man.


A Mixed Methods Analysis Of The Relationship Between Attachment, Post-Traumatic Stress, And Post-Traumatic Growth Among United States Service Members, Chauncy T. Brinton May 2016

A Mixed Methods Analysis Of The Relationship Between Attachment, Post-Traumatic Stress, And Post-Traumatic Growth Among United States Service Members, Chauncy T. Brinton

Dissertations, 2014-2019

The impact of secure military relationships on US service members’ response to trauma during military service was examined in this mixed methods study. Veterans with and without combat exposure evidence a high rate of post-traumatic stress disorder (PTSD) and the military has tried to institute resilience-based programs in anticipation of the psychological challenges experienced by soldiers. At the same time, research has shown that some service members report positive outcomes associated with military service including the phenomena of post-traumatic growth (PTG). The constructs from attachment theory (safe haven and exploration) have begun to be the focus of research with service …


A Critical Analysis Of The "Young Life" Program: Implications For The Creation Of A "Leader" Manual, Christina Anne Romano May 2016

A Critical Analysis Of The "Young Life" Program: Implications For The Creation Of A "Leader" Manual, Christina Anne Romano

Senior Theses

The goal of this project was to create a useful and informative manual for current Young Life leaders in Columbia, South Carolina based on research from developmental literature about adolescent needs. Young Life is a nondenominational Christian youth group made up of volunteer leaders and staff people who go into local high schools to build relationships and develop an opportunity for ministry and sharing the Gospel. This project intends to critique what Young Life could be doing better in terms of catering to the needs of adolescents in this critical stage of development while coming from the perspective that the …


What Do We Know About Gmos: A Comparison Of Regulations And Labeling In The United States And Netherlands, Alexa Nicole Black May 2016

What Do We Know About Gmos: A Comparison Of Regulations And Labeling In The United States And Netherlands, Alexa Nicole Black

Senior Theses

This senior thesis will articulate the similarities and differences in food regulations related to organic and GMO foods in the US versus the Netherlands and identify factors that contribute to these differences. The main goal of this thesis is to explain, through research and my own observations, the need for more comprehensive research and labeling of GM foods.


Effect Of A 72 Hour Stroke Care Bundle On Early Outcomes After Acute Stroke: A Non Randomised Controlled Study, Martha Sajatovic, Anthony J. Furlan May 2016

Effect Of A 72 Hour Stroke Care Bundle On Early Outcomes After Acute Stroke: A Non Randomised Controlled Study, Martha Sajatovic, Anthony J. Furlan

Faculty Scholarship

Background Integrated care pathways (ICP) in stroke management are increasingly being implemented to improve outcomes of acute stroke patients. We evaluated the effect of implementing a 72 hour stroke care bundle on early outcomes among patients admitted within seven days post stroke to the national referral hospital in Uganda. Methods In a one year non-randomised controlled study, 127 stroke patients who had ‘usual care’ (control group) were compared to 127 stroke patients who received selected elements from an ICP (intervention group). Patients were consecutively enrolled (controls first, intervention group second) into each group over 5 month periods and followed to …