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PubMed1987

Focus group interview: an underutilized research technique for improving theory and practice in health education.

The purpose of this article is to increase awareness about and stimulate interest in using focus group interviews, a qualitative research technique, to advance the state-of-the-art of education and learning about health. After a brief discussion of small group process in health education, features of focus group interviews are presented, and a theoretical framework for planning a focus group study is summarized. Then, literature describing traditional and health-related applications of focus group interviews is reviewed and a synthesis of methodological limitations and advantages of this technique is presented. Implications are discussed regarding: need for more inductive qualitative research in health education; utility of focus group interviews for research and for formative and summative evaluation of health education programs; applicability of marketing research to understanding and influencing consumer behavior, despite notable distinctions between educational initiatives and marketing; and need for professional preparation faculty to consider increasing emphasis on qualitative research methods.

Adolescent↗
PubMed1999

Asch's social psychology: not as social as you may think.

This article discusses 2 commonly held ideas about Solomon Asch's work in social psychology: (a) Asch was primarily interested in social phenomena in general and in group processes in particular, and (b) Asch was a forerunner of social cognition. Asch's studies on social influence were translations of strictly perceptual experiments. For him, social stimuli had no specificity relative to physical ones provided that the perceptual context presented similar structural properties. Moreover, and contrary to Kurt Lewin (e.g., 1948) Asch focused his attention at the individual level and may have slowed down interest in social interactions or group processes. Asch's studies on impression formation presaged the social cognition approach. In his work, he foresaw the importance of online processing of information, the existence of implicit theories of personality, as well as perception based on exemplars and prototypes. However, Asch's reliance on immediate perceptual experience, on isomorphism between the properties of the external object and the phenomenal experience of this object, and his holistic and dynamic perspective clash with the main stream of social cognition research.

Journal Article↗
PubMed1992

Young children of alcoholics: a group treatment model.

This paper describes a therapeutically oriented psychoeducational group treatment model designed to assist young children of alcoholics. Researchers have identified children of alcoholics as a population at risk of emotional, interpersonal and substance abuse problems. Examples are used to illustrate activities and group processes characteristic of the beginning, middle and termination phases of treatment. While this approach appears promising and can be replicated in many health care settings, controlled studies are needed to measure the model's effectiveness more precisely.

Alcoholism↗
PubMed1991

Self-acceptance, acceptance of others, and SYMLOG: equivalent measures of the two central interpersonal dimensions?

After 50 hours of small group participation during 9 weeks, 91 young adults rated each same-group member's conduct on SYMLOG's dimensions of dominance, friendliness, and task-orientedness. Earlier, they made similar ratings twice, several weeks apart, on separate measures of self-acceptance and acceptance of others. Individuals' mean SYMLOG dominance ratings by group peers correlated much more highly with aggregated ratings for self-acceptance (.83) than for other-acceptance (.02), while SYMLOG friendliness correlated more positively with acceptance of others (.85) than with self-acceptance (.05). Self-ratings yielded parallel, but weaker associations. After attenuation corrections, these divergent approaches to assessing the interpersonal domain's central dimensions yielded empirically equivalent results. Both methods provide measures relevant to small group processes.

Adult↗
PubMed1994

Group therapy with chronically depressed geriatric patients.

The case study and the discussion of a framework for treating severely depressed elderly inpatients with group therapy illustrate many of the modifications in group process necessary for successfully treating chronically depressed geriatric patients. Group therapy is a highly effective treatment modality when integrated into an overall treatment plan that includes medications, activities, and patient/family education.

Aged↗
PubMedDate not supplied

The mental health needs of Mexican-American agricultural workers.

We used three measurement procedures to produce a comprehensive profile of the mental health needs of Mexican-American farmworkers and to determine what kinds of mental health services were required to meet those needs. These measurement procedures were a field survey, a key informant survey, and a nominal group process. The results of the field survey indicated that rural Mexican Americans are not being served by mental health providers, despite their having higher symptom levels than would be expected in the general population and their substantial use of rural primary health clinics and private physicians. The key informant survey included mental health providers, health providers, and community agency personnel. According to these informants, the mental health sector is unable to provide services for the farmworkers; and the ability of other providers to reach them depends on a number of factors, including the nature of the services offered and the socioeconomic characteristics of the farmworkers themselves. Key informants identified the environmental conditions implicated in the farmworkers' psychosocial problems and recommended types of services, sites, and key personnel. Key informants concurred that general health settings and multiservice agencies were the most appropriate for reaching Mexican Americans, and that mental health services must include bilingual and bicultural staff members. Key informants disagreed, however, about the relative value of certain kinds of mental health services. The nominal group process identified 32 design criteria that could be used to improve mental health services for farmworkers.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed2002

Impact of group structure and process on multidisciplinary evidence-based guideline development: an observational study.

RATIONALE, AIMS AND OBJECTIVES: This paper presents selected results from a study investigating the impact of small group processes on the development of clinical practice guidelines by multidisciplinary panels. Observations of one panel developing a guideline for primary care over several months are reported here. METHODS: Non-participant observation with content analy-sis of transcripts aided by field notes. RESULTS: Bales's interaction process analysis was used to categorize interactions in terms of their task-oriented or socioemotional qualities. This revealed a well-functioning, task-oriented group characterized by predominantly positive social behaviours. However, a breakdown of dialogue by speaker indicated a marked effect of professional role and status on the level of contribution to group discussions. This, and marked changes in panel composition across meetings, has implications for the multidisciplinarity of decision-making in such groups and hence for the acceptance and implementation of their outputs. CONCLUSIONS: These findings are likely to generalize to other health care settings in view of the growing emphasis on multidisciplinary decision-making and the clear status hierarchies inherent within the medical and allied fields.

Decision Making↗
PubMed1985

Inpatient group treatment on short-term acute care units.

The diverse levels of individual functioning and constantly changing membership in short-term acute care groups challenge the development of true group process. The authors review the recently developing literature on short-term acute care groups, emphasizing the unique characteristics of the groups, their goals, and the therapeutic techniques that can be used to lead them. They then present an approach to short-term acute care therapy that is based on five processes identified in the literature as therapeutic for inpatient ward milieus: containment, support, structure, involvement, and validation. The applicability of the processes to the ward group serves to unify group therapy with other ongoing inpatient treatment.

Behavior Therapy↗
PubMed1999

Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the Department of Veterans Affairs Cooperative Study Group on Processes, Structures, and Outcomes of Care in Cardiac Surgery.

CONTEXT: Health-related quality of life has not been evaluated as a predictor of mortality following coronary artery bypass graft (CABG) surgery. Evaluation of health status as a mortality predictor may be useful for preoperative risk stratification. OBJECTIVE: To determine whether the Physical and Mental Component Summary scores from the preoperative Short-Form 36 (SF-36) health status survey predict mortality following CABG surgery after adjustment for known clinical risk variables. DESIGN: Prospective cohort study conducted between September 1992 and December 1996. SETTING: Fourteen Veterans Affairs hospitals. PATIENTS: Of the 3956 patients undergoing CABG surgery only and who were enrolled in the Processes, Structures, and Outcomes of Care in Cardiac Surgery study, the 2480 who completed a preoperative SF-36. MAIN OUTCOME MEASURE: All-cause mortality within 180 days after surgery. RESULTS: A total of 117 deaths (4.7%) occurred within 180 days of CABG surgery. The Physical Component Summary of the preoperative SF-36 was a statistically significant risk factor for 6-month mortality after adjustment for known clinical risk factors for mortality following CABG surgery. In multivariate analysis, a 10-point lower SF-36 Physical Component Summary score had an odds ratio (OR) of 1.39 (95% confidence interval [CI], 1.11-1.77; P=.006) for predicting mortality. The SF-36 Mental Component Summary score was not associated with 6-month mortality in multivariate analyses (OR, 1.09; 95% CI, 0.92-1.29; P=.31). CONCLUSIONS: The Physical Component Summary score from the preoperative SF-36 is an independent risk factor for mortality following CABG surgery. The baseline Mental Component Summary score does not appear to be predictive of mortality. Preoperative patient self-report of the physical component of health status may be helpful for risk stratification and clinical decision making for patients undergoing CABG surgery.

Coronary Artery Bypass↗
PubMed2026

International consensus guidance for general population screening for islet autoantibodies to diagnose early-stage type 1 diabetes: a nominal group technique process.

Type 1 diabetes is an autoimmune disease that targets and destroys insulin-producing beta cells in the pancreatic islets. The incidence of type 1 diabetes is rising globally. At the clinical diagnosis of type 1 diabetes, between 20% and 67% of children and adolescents present with diabetic ketoacidosis (DKA) requiring hospitalisation, and one-third of these require intensive care. Type 1 diabetes can be detected in early stages, prior to the insulin-requiring clinical diagnosis, through screening for islet autoantibodies (IAbs). Identifying individuals with early-stage type 1 diabetes, combined with monitoring of and education on disease progression, prevents DKA and results in a milder clinical onset. This allows for timely insulin initiation in outpatient settings and improved long-term glucose management. Early diagnosis also enables access to novel disease-modifying therapies that can delay the clinical onset of diabetes. In this international consensus, we provide guidance on the principles and practice of implementing general population screening for IAbs to diagnose early-stage type 1 diabetes. We also outline the minimum requirements for establishing effective population screening programmes to diagnose early-stage type 1 diabetes through IAb detection. This consensus statement has been endorsed by the following professional associations: Advanced Technologies & Treatments for Diabetes (ATTD); Association of Diabetes Care and Education Specialists (ADCES); Association Belge Du Diabète; Associazione Medici Diabetologi (AMD); Australian Diabetes Society (ADS); Belgian Diabetes Liga; Breakthrough T1D; Czech Diabetes Society (ČDS); EASD; Finnish Diabetes Association (FDS); Fondazione Italiana Diabete (FID); International Diabetes Federation (IDF)-Europe; International Society of Paediatric and Adolescent Diabetes (ISPAD); Paediatric Endocrinology Nursing Society (PENS); Polish Diabetes Society; Portuguese Diabetes Association (APDP); Sociedade Portuguesa de Diabetologia (SPD); Società Italiana di Diabetologia (SID); Société Francophone du Diabète (SFD) and Type 1 Diabetes Exchange (T1D Exchange).

Consensus report↗
PubMed2006

Characterization of atmospheric dry deposition particulates in Kobe, Japan.

The sources and character of individual metal and metalloid particles from atmospheric dry depositions in Kobe, Japan were investigated. Japan faces long-range pollutant transportation from northeastern Asia during winter and spring. Information regarding their properties and sources is useful for evaluating their affects on the environment and human health. Individual metal and metalloid particles that were collected for every 24 h on the plate, which was designed to reduce a local turbulence, were characterized for their composition, diameter, and deposition fluxes using a field emission scanning electron microscope with an energy dispersive X-ray spectrometer. Approximately 3,000 metal and metalloid particles were classified into 14 types based on their composition and further classified into four groups based on their distribution patterns. They are (A) Fe-O, Fe-Ba-Sb-Cu-S-Ti-O, Fe-Zn-O, Zn-O, Ni-O, and Mn-Fe-O; (B) Cu-Zn-O and Cu-Sn-O; (C) Pb-O, Sn-Sb-O, and Ag-O; (D) Pb-Zn-Cl-Si-S-O and Bi-Cl-O. From these data, this study suggests their sources as the Asian continent (Group A), local source (Group B), multiple sources (Group C), and incineration process (Group D). This study shows (1) the sources and character of individual metal and metalloid particles from short-term atmospheric depositions in Kobe, Japan and (2) application of individual particle analysis for atmospheric depositions.

Air Pollutants↗
PubMed1991

Group therapy with mothers of incest victims, Part II: Therapeutic strategies, recurrent themes, interventions, and outcomes.

Part II of this article continues the discussion of group process in a reality-based, ego-supportive therapeutic group for mothers of incest victims that was co-led for 2 years by the authors. Strategies are discussed that fostered development of a therapeutic group. Recurrent themes that emerged in the group are identified. Interventions that provided opportunities for corrective interpersonal experiences are described, as are therapeutic values and beneficial outcomes.

Adolescent↗
PubMed1999

Aspects of intrapsychic, interpersonal and cross-cultural dynamics in Japanese group psychotherapy.

Psychoanalytic psychotherapy is not well developed in Japan (Kotani, 1996). Until recently, group psychotherapy in particular has not been well received by patients or clinicians. Cultural difficulties in using group psychotherapy with Japanese patients have now been overcome and a theory of systematic intervention techniques has been developed. The basic dynamic factors of group psychotherapy such as culturally embedded aspects of social and personality structure are analyzed in this article. Culture-bound psychodynamic characteristics of Japanese patients as activated and worked through in the group process are first described with case illustrations. A systemic hypothesis linking cultural and psychodynamic structure is then delineated and the focal points of interventions are explained in terms of the field dynamics of social structure and boundary dynamics of personality structure.

Humans↗
PubMed1982

Health care team training in U.S. and Canadian medical schools.

This paper reports the results of a survey to determine the extent to which interdisciplinary health team concepts are being taught as part of the undergraduate curriculum in U.S. and Canadian medical schools. Less than a third (29 percent) of the respondents indicated the existence of a formal program or program component designed to teach health care team skills. Although the total number of reported programs is small, 53 percent of these programs were required for all students. Three overall categories of content taught within the programs included group process skills, role and function of the team and its members, and content related to the health care context. Although the team approach is a process orientation, fewer than half of the programs reported using direct application of the process, that is, building groups of students into teams.

Canada↗