Social and Behavioral Sciences Commons^™

Subsistence In The Shrinking Forest: Native And Euro-American Practice In 19th-Century Connecticut, William A. Farley

Graduate Masters Theses

Southeastern Connecticut in the 19th century represented a setting in which Native Americans living on reservations were residing in close proximity to Euro-American communities. The Mashantucket Pequot, an indigenous group who in the 19th century resided on a state-overseen reservation, and their Euro-American neighbors both utilized local and regional resources in order to achieve their subsistence goals. This thesis seeks to explore the differences and similarities of the subsistence practices employed by these two groups. It further seeks to examine the centrality of forest landscapes to both Mashantucket and Euro-American subsistence, and to interpret the importance of the reservation to …

Navigating Life As An Avatar: The Shifting Identities-In-Practice Of A Girl Player In A Tween Virtual World, Deborah A. Fields, Yasmin B. Kafai

Instructional Technology and Learning Sciences Faculty Publications

In this chapter we study how one girl learned to participate in what was for her a new setting of play – a virtual world called Whyville.net with an emphasis on science education, populated by over a million young people ages eight to sixteen. Girls in particular have become prominent players in virtual worlds, a trend counter to many early observations that documented the absence of girls and women in gaming and technology at large (e.g., Cassell & Jenkins, 1998). The study of virtual worlds as play spaces then allows us to continue a conversation about gender and gaming to …

Hongkong And Shanghai Bank Financial Reporting Practice 1865-1876, Freda Hui, Kathleen M. Rudkin

Freda Hui

Accounting practices of Hongkong and Shanghai Bank from 1865 to 1876 fostered its repertoire of precocial identities. Hongkong and Shanghai bank used these identities to act opportunistically in commercial dealings with the British colonial administration of Hong Kong, the public of the United Kingdom, and the Emperor of China and his Chinese administration. This paper argues HSBC varied its financial reporting practices to manage its identities in public spaces in different cultural constituencies in order to ensure its longer term survival. The approach taken is to use the example of HSBC’s Foochow loan to demonstrate its use of financial reporting …

Collaborative Goal Technology: Theory & Practice, Samantha Clarke, Lindsay G. Oades, Trevor P. Crowe, Frank P. Deane

Frank Deane

Goal striving promotes hope and enhances motivation, which is important for psychosocial rehabilitation and recovery. The Collaborative Goal Technology (CGn is a new goal striving intervention that is used to support the autonomy and recovery processes of the person with a psychiatric disability. The CGT protocol and its utility are outlined. Theory and research from goal striving, motivation and mental health recovery domains that informed the development of CGT are described. A case example is also provided.

Calculating Clinically Significant Change: Applications Of The Clinical Global Impressions (Cgi) Scale To Evaluate Client Outcomes In Private Practice, Peter Kelly

Peter Kelly

The Clinical Global Impressions (CGI) scale is a therapist-rated measure of client outcome that has been widely used within the research literature. The current study aimed to develop reliable and clinically significant change indices for the CGI, and to demonstrate its application in private psychological practice. Following the guidelines developed by Clement, a file review was conducted of the authors’ first six years working in private practice. A reliable change on the CGI required the participants score to change by 2-points. Depending on the method used to calculate the clinical change indices, between 23% and 50% of the total participants …

Staff Attitudes Towards Evidence Based Practice In A Residential Drug And Alcohol Rehabilitation Service, M Lovett, Peter Kelly, Frank Deane, Trevor Crowe

Peter Kelly

No abstract provided.

Working With Substance Misuse Problems In Private Practice, Peter Kelly

Peter Kelly

Individuals experiencing alcohol and other drug (AOD) problems have typically been under represented within private practice. For example, in the general population the prevalence of substance use disorders (7.7%) is comparable to that of anxiety (9.7%) and affective disorders (5.8%; Andrews, Hall, Teesson & Henderson, 1999). However, a recent APS survey showed that while 48 per cent of people treated by psychologists under the Better Access initiative presented with anxiety or depression, only 6 per cent presented for assistance with substance misuse problems (Giese, Littlefield & Mathews, 2008). Recent changes to the Medicare system have largely reduced financial barriers, presenting …

Deregulation In Theory And Practice, Robert Castle

Robert G. Castle

No abstract provided.

A Study Of Headache In North American Primary Care: Report For The Ambulatory Sentinel Practice Network, L A. Becker, Donald C. Iverson, F M. Read, N Calogne, R S. Miller, W L. Freeman

Don C. Iverson

Headache is a common symptom in primary care about which surprisingly little is known. Over a 14-month period 3847 patients making 4940 consecutive visits for headache to 38 primary care practices in the USA and Canada were studied. The clinical characteristics of patients, as well as the diagnostic and therapeutic strategies employed by their doctors, were examined. Visits for headache represented 1.5% of all visits during this period. Most patients (72.0%) made only one visit, and nearly half of the headaches reported were new. Only a small number of patients (3.0%) received a computerized tomographic scan; other investigations were used …

Do Australian Adolescent Female Fake Tan (Sunless Tan) Users Practice Better Sun-Protection Behaviors Than Non-Users?, Melinda Williams, Sandra Jones, Peter Caputi, Donald Iverson

Don C. Iverson

Objective: To determine differences in sun-protection behaviours, and incidence of sunburn, between Australian adolescent female fake tan users and non-users. Design: Cross sectional survey. Method: 398 adolescent females aged 12 to 18 years participated in a survey at public venues, schools, and online. The main outcome measures were self-reported fake tan usage in the past 12 months, frequency of sunburns and habitual sun-protection behaviours. Setting: Surveys were completed in New South Wales, Australia. Results: The prevalence of self-reported use of fake tanning products in the past 12 months among Australian adolescent females was 34.5%. Female fake tan users were significantly …

The School Health Curriculum Project: Its Theory, Practice, And Measurement Experience, Lawrence Green, Phil Heit, Donald Iverson, Lloyd Kolbe, Marshall Kreuter

Don C. Iverson

The School Health Curriculum Project(SHCP), initiated over a decade ago to provide a health education curriculum package for elemen tary students, has been widely and variously evaluated. In analyzing studies designed to assess the effectiveness of the SHCP, it was recognized that the measured impact of this project (or any health education intervention) would derive from the adequacy of the theory upon which the program is based, the adequacy of its implementation, and the adequacy of its measurement. Hence, an examination of the theoretical base of the SHCP and its variance in practice was conducted. In addition, a metaevaluation of …

How Representative Of Typical Practice Are Practice-Based Research Networks?, Larry Green, Rebecca Miller, Frank Reed, Donald Iverson, Gwyn Barley

Don C. Iverson

OBJECTIVE: To evaluate the patients and practices of family physicians in a national practice-based research network to understand whether results from practice-based research networks are likely to be relevant to other practicing clinicians. STUDY DESIGN: Survey focused on family physicians that replicated the National Ambulatory Medical Care Survey (NAMCS). SETTING: The Ambulatory Sentinel Practice Network Inc (ASPN), a practice-based research network, consisting of volunteer primary care practices that serve approximately 350,000 patients. OUTCOME MEASURES: Comparison of visits reported in ASPN with the visits reported in the 1990 NAMCS in terms of patient demographics, reasons for visit, diagnostic and therapeutic services, …

Family Practice Residents' Identification And Management Of Obesity, R Mcartor, Donald Iverson, D Benken, L Dennis

Don C. Iverson

This study, involving 25 family practice residents and 2746 patients in a family practice residency programme, addressed four hypotheses regarding the identification and management of obesity in the primary care setting: (i) the physician-identified prevalence of obesity is significantly lower than the actual prevalence in the population, (ii) obesity is more likely to be addressed with management actions when it is recorded on the medical record problem list than when it is not recorded, (iii) physician actions dealing with obesity are influenced by the patient's age, sex, level of motivation, and body mass index (BMI) value, and (iv) the type …

Carpal Tunnel Syndrome In Primary Care: A Report From Aspn. Ambulatory Sentinel Practice Network, R Miller, Donald Iverson, R Fried, L Green, Paul Nutting

Don C. Iverson

Carpaltunnelsyndrome is the entrapment neuropathy of the medign nerve at the wrist. It is the most common nerve compression disorder seen by physicians, affecting women up to five times more frequently than men, especially during the reproductive years. Carpaltunnelsyndrome is known to be aggravated during pregnancy and menopause. Primary care physicians can expect to see approximately 1.01 cases of carpaltunnelsyndrome per 1,000 office encounters, with a female age-adjusted rate of 1.49 per 1,000 person-years. Physicians can identify this syndrome with an accurate and detailed history and physical exam. In most cases, electrodiagnostic studies, such as nerve conduction velocities and/or electromyography, …

Does Family Practice At Residency Teaching Sites Reflect Community Practice?, Valerie Gilchrist, William Gillanders, Donald Iverson, Mark Krell, Everett Logue, Rebecca Miller, D Scheid, A Oprandi, D Weldy

Don C. Iverson

Family medicine has aspired to train residents and conduct research in settings that closely resemble community practice. The purposre of this study was to compare the patient characteristics of the ambulatory teaching centers of a consortium of seven community-based university-affiliated familyu practice residency programs in northeast Ohio with the National Ambulatory Medical Care Survey (NAMCS) results for family physicians (FPs) and general practitioners (GPs). Ninety-eight faculty and resident physicians at the residency training site of the Northeastern Ohio Universities College of Medicine collected data on all ambulatory patient visits (N = 1498) for one randomly chosen week between July 1, …

Patients' Attitudes To General Practice Registrars: A Review Of The Literature, Andrew Bonney, Lyn Phillipson, Samantha Reis, Sandra Jones, Donald Iverson

Don C. Iverson

Introduction With the population ageing, it is imperative for training practices to provide GP registrars with sound experience in managing the health problems of older persons, especially chronic conditions. However, it is reported that a significant proportion of these patients will be resistant to consulting registrars, with concerns regarding disruption of continuity of care being a significant factor. The challenge for training practices is to identify approaches to engage registrars in the management of older patients whilst maintaining patient satisfaction. This paper presents a review of the literature on patient attitudes to general practice registrars to better understand the nature …

Older Patients' Attitudes To General Practice Registrars: A Qualitative Study, Andrew Bonney, Lyn Phillipson, Sandra Jones, Donald Iverson

Don C. Iverson

Background Research suggests that older patients may be reluctant to engage general practice registrars (GPRs) in their care. The authors undertook a qualitative study of the attitudes of older patients to GPRs to investigate this issue. Method Thirty-eight patients aged 60 years and over from three training practices participated in semistructured telephone interviews, which explored patients responses to GPRs. The interviews were recorded, transcribed and analysed using a template analysis approach. Results Analysis of the interviews produced five major themes concerning patient attitudes to GPRs: desire for continuity, desire for access, openness, trust and a desire for meaningful communication. Discussion …

The Conference For General Practice 2009, Andrew Bonney, Lyn Phillipson, Sandra Jones, Donald Iverson

Don C. Iverson

Objectives The medical literature suggests that older patients may be reluctant to engage general practice registrars in their medical care. This can lead to distortions in the clinical caseload of general practice registrars and dissatisfaction for older patients when seeing general practice registrars. The authors undertook a qualitative study of older patients to investigate their attitudes to having general practice registrars involved in their medical care to address this issue. Methods The study was conducted in three general practice (GP) training practices in southeast NSW, Australia. Appropriate ethics approval was obtained before commencing the research. Reception staff handed patients invitations …

General Practice Registrars: Attitudes Of Older Patients, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson

Don C. Iverson

Previous research indicates that older patients may be less willing to consult general practice registrars (GPRs), reducing training opportunities in chronic/complex care. This survey explores older patients’ attitudes in order to inform models of interaction that would be acceptable to patients. METHODS Ten training general practices distributed questionnaires for self completion to 50 patients aged 60 years and over. Chi-square, Spearman’s rho and logistic regression were used for analysis. RESULTS The response rate was 47%. Ninetysix percent wanted ongoing contact with their general practitioner if they saw a GPR. Twenty-four percent were comfortable with GPR chronic/complex care, increasing to 73% …

Preparing For An Ageing Population: A Survey Of Older Patients' Attitudes To General Practice Registrars, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson

Don C. Iverson

The ageing population makes it imperative to provide appropriate training for general practice registrars (GPRs) in the community-based care of older patients. However, data suggest that older patients may be less willing to consult GPRs for chronic/complex care; adversely affecting training opportunities and potentially the satisfaction of older patients in training practices. This cross-sectional study was undertaken to investigate this concern in the Australian context and develop models of older patient-GPR interaction that are acceptable to patients.

Local Engagements With Urban Bushland: Moving Beyond Bounded Practice For Urban Biodiversity Management, Nicholas J. Gill, Gordon R. Waitt, Lesley M. Head

Nicholas J Gill

Management of ecologically significant urban green space is likely to be increasingly governed by biodiversity policy frameworks. These frameworks tend to reproduce bounded thinking and strategies that separate green space from its context and characterise people as a disturbance. Like many green spaces these ecologically significant areas are highly valued by visitors and nearby residents. Green space is important for engagement with nature, social interaction, and for respite from daily life: it is strongly connected to surrounding areas and to the lives of people who live there. The dissonance between bounded management thinking and the role of green space in …

The Application Of Coach Leadership Models To Coaching Practice: Current State And Future Directions, Stewart Vella, Lindsay G. Oades, Trevor P. Crowe

Trevor Crowe

No abstract provided.

Collaborative Goal Technology: Theory & Practice, Samantha Clarke, Lindsay G. Oades, Trevor P. Crowe, Frank P. Deane

Trevor Crowe

Goal striving promotes hope and enhances motivation, which is important for psychosocial rehabilitation and recovery. The Collaborative Goal Technology (CGn is a new goal striving intervention that is used to support the autonomy and recovery processes of the person with a psychiatric disability. The CGT protocol and its utility are outlined. Theory and research from goal striving, motivation and mental health recovery domains that informed the development of CGT are described. A case example is also provided.

Accomplishments Behind, Barriers Ahead: Doing Sociology Without Borders, Dave Overfelt

Societies Without Borders

The mission of Societies Without Borders (SWB), to bring “scholars from different continents closer together by showing their different approaches of the same research materials”, creates a space for scholarship like none other. In this article I assess several approaches to doing a sociology without borders that have emerged from SWB, explore some of the remaining barriers to doing this sociology, and offer some ideas on how we might break down the borders that still impede our lives and sciences.

Social Inclusion As An Unfinished Verb: A Practice-Based Approach, Lynne Keevers, Pamela Abuodha

Senior Deputy Vice-Chancellor and Deputy Vice-Chancellor (Education) - Papers

The Australian Government has embarked on a social inclusion agenda that includes ambitious targets to increase and widen participation in higher education. From the evidence to date their approach to social inclusion in higher education focuses attention on statistical indicators of "proportional representation". Most of the available measures of social inclusion and exclusion have an individualistic focus and tend to characterise social exclusion as a "state" in which people are assumed to be "excluded" from access to higher education. Such a perspective focuses attention on the point of entry but backgrounds how the relational experience of under-represented groups in learning …

Public Health Ethics: Informing Better Public Health Practice, Stacy M. Carter, Ian Kerridge, Peter Sainsbury, Julie K. Letts

Faculty of Social Sciences - Papers (Archive)

Public health ethics has emerged and grown as an independent discipline over the last decade. It involves using ethical theory and empirical analyses to determine and justify the right thing to do in public health. In this paper, we distinguish public health ethics from clinical ethics, research ethics, public health law and politics. We then discuss issues in public health ethics including: how to weigh up the benefits, harms and costs of intervening; how to ensure that public health interventions produce fair outcomes; the potential for public health to undermine or promote the rights of citizens; and the significance of …

Animals-As-Patients: Improving The Practice Of Animal Experimentation, Jane Johnson, Christopher J. Degeling

Faculty of Social Sciences - Papers (Archive)

In this paper we propose a new way of conceptualizing animals in experimentation: the animal-as-patient. Construing and treating animals as patients offers a way of successfully addressing some of the entrenched epistemological and ethical problems within a practice of animal experimentation directed to human clinical benefit. This approach is grounded in an epistemological insight and builds on work with so-called "pet models". It relies upon the occurrence and characterization of analogous human and nonhuman animal diseases, where, if certain criteria of homology and mechanism are met, the animal simultaneously becomes a patient and a spontaneous model of the human disease.

Promoting Sexual Healthcare Within General Practice, Ann Dadich, Hassan Hosseinzadeh, Penny Abbott, Jenny Reath, Wendy Hu, Tim Usherwood, Melissa Kang, Carolyn Murray

Faculty of Social Sciences - Papers (Archive)

Poster presented at the 2012 Primary Health Care Research Conference, 18-20 July 2012, Canberra, Australia

Enhancing Sexual Healthcare Within General Practice, Ann Dadich, Hassan Hosseinzadeh, Penny Abbott, Jenny Reath, Wendy Hu, Tim Usherwood, Melissa Kang, Carolyn Murray, K Reakes

Faculty of Social Sciences - Papers (Archive)

Poster abstract presented at IUSTI World Congress, 15-17 October 2012, Melbourne, Australia

Dementia And Driving: An Approach For General Practice, John Carmody, Victoria Traynor, Donald C. Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background As our population ages, the proportion of drivers with dementia will continue to rise. Increasingly, health professionals are faced with the clinical dilemma of determining fitness to drive. Unfortunately, the management of drivers with dementia is fraught with hazards.

Objective This article attempts to provide an overview of the complex issue of driving and dementia as it relates to general practitioners in Australia. In addition, an evidence based management strategy is proposed.

Discussion When determining an individual’s fitness to drive, a clinician’s input may have legal, ethical, emotional and social ramifications. At present, a clear consistent national protocol detailing …