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Biomedical subjects

J M Raeburn

Publications and source records attributed to J M Raeburn.

8 recordsLinked to original sources

Behavioural science at the Auckland Medical School: introduction and evaluation of a revised programme.

This paper provides an overview of developments in the Auckland Medical School behavioural science programme. From 1984 to 1987, an entirely new five year course was phased in, its design based on a survey of 165 clinical teachers. This course has eight topic streams oriented towards producing a behaviourally knowledgeable and skilled clinician. Evaluation of the course shows good acceptance by students. Recent and planned modifications to the course are described.

Behavioral Sciences

A low-cost community approach to weight control: initial results from an evaluated trial.

This article describes a trial of a low-cost, readily disseminatable weight-control program ("Waistline") which uses behavioral, social support, and community strength-building principles. Participants meet for 12 weeks in small, lay-led groups in community settings, and use prepackaged materials designed specifically for those of modest education. Results from 407 participants are presented, showing a mean postcourse weight loss of 5.6 kg (12.3 lb) and a low attrition rate (9-12%). In a subsample followed up at 12 months (N = 96), 80% of this loss had been maintained. A comparison group ("Slimline," N = 26) lost 1.27 kg (2.8 lb) and had an attrition rate of 31-46%. The Waistline results are comparable to those obtained by more intensive and expensive behavioral programs, and demographic data show that those of relatively low educational attainment are well represented. The potential of this approach for cheap, noncommercial dissemination of weight-control programs on a population basis is noted.

Adolescent

Expressed interest in health-related lifestyle change in three communities.

Little is known about the public's motivation to change lifestyles in a healthy direction. This study reports results from surveys conducted in three divergent New Zealand communities, two urban and one rural (total n = 467), and shows a striking degree of interest in changing lifestyles, and a uniformity of preferences. Two-thirds or more of all adults interviewed expressed interest in changing their lifestyles, and three lifestyle areas consistently emerged as being of top priority: fitness, losing weight and stress-management. When a Maori subsample is examined, an even higher degree of interest was found than that for Europeans. The implications of these findings for the planning of health promotion activities are discussed.

Adult

Community Push: a community-oriented evaluation programme in a psychiatric ward.

Evaluation of mental health programmes is a neglected area in New Zealand. This paper describes a community-oriented, experimental programme designed to provide a model for evaluation in the context of an inpatient psychiatric unit. Its primary objective is to improve patient care. This is achieved by emphasizing real-life needs, and dealing with these by a series of clearly specified steps involving goal-setting. Community resources, especially volunteers, are used. A variety of evaluative data are produced and the overall result is a "self-correcting" programme which is appreciated both by patients and staff.

Evaluation Studies as Topic