자연주의적 탐구조사(Naturalistic Inquiry)

Preparing the books to read every day is enjoyable for many people. However, there are still many people who also don't like reading. This is a problem. But, when you can support others to start reading, it will be better. One of the books that can be recommended for new readers is experience and education. This book is not kind of difficult book to read. It can be read and understand by the new readers.

Experience and Education.

หนงสอเรอง การออกแบบการวจย: วธการวจยเชงคณภาพ วธการวจยเชงปรมาณ และวธการวจยแบบผสม (Research Design: Qualitative, Quantitative, and Mixed Method Approaches) เปนหนงสอทเรยบเรยงเพออธบายเกยวกบความแตกตางของกระบวนทศนการวจยทง 2 แบบ ไดแก การวจย เชงปรมาณ และการวจยเชงคณภาพ และความจำเปนของประเดนปญหาการวจยทตองนำกระบวนทศนทง 2 มารวมกนหาขอคนพบเพอนำไปสผลการวจยทสามารถนำผลการวจยไปใชประโยชนไดอยางจรงมากยงขน เรยกวา “การวจยแบบผสมผสาน” ซงเปนหนงสอทอธบายวธการวจยทง 2 ประเภทไดอยางชดเจน และการรวมกนของกระบวนทศนการวจยทง 2 แบบอยางลงตว

Research Design: Qualitative, Quantitative, and Mixed Method Approaches

This new edition of Ann Bowling's well-known and highly respected text has been thoroughly revised and updated to reflect key methodological developments in health research. It is a comprehensive, easy to read, guide to the range of methods used to study and evaluate health and health services. It describes the concepts and methods used by the main disciplines involved in health research, including: demography, epidemiology, health economics, psychology and sociology.The research methods described cover the assessment of health needs, morbidity and mortality trends and rates, costing health services, sampling for survey research, cross-sectional and longitudinal survey design, experimental methods and techniques of group assignment, questionnaire design, interviewing techniques, coding and analysis of quantitative data, methods and analysis of qualitative observational studies, and types of unstructured interviewing. With new material on topics such as cluster randomization, utility analyses, patients' preferences, and perception of risk, the text is aimed at students and researchers of health and health services. It has also been designed for health professionals and policy makers who have responsibility for applying research findings in practice, and who need to know how to judge the value of that research.

Research Methods in Health. Investigating health and health services

国際生活機能分類(International Classification of Functioning, Disability and Health: ICF)にみた福祉・保健・医療の専門職協働における連携に関する貢献と課題

Response to – Risk reduction of serious complications from manual therapy: Are we reducing the risk?

Background context Musculoskeletal (MSK) pain presents a global challenge. Individual and group pain management programmes (PMPs) are recommended approaches for patients with chronic MSK disorders. With advances in remote healthcare capability, telehealth, and the recent COVID-19 pandemic, the importance of telehealth PMPs has become even more evident. Nevertheless, it is not known how patients perceive PMPs for their MSK complaint when delivered via telehealth. Objective To synthesise the evidence of patients' experiences of group and individual telehealth PMPs for chronic MSK pain. Design A scoping review informed by the PRISMA extension for scoping reviews. Data sources Based on a planned search strategy, modified following initial searches, an electronic search was conducted of key databases: Cochrane Library, Medline, CINAHL, EMBASE, AMED, SportDiscus and APA PsychInfo from 2010 until 11 May 2021. Study selection Any qualitative or mixed methods study reporting patient experiences of telehealth PMPs for patients with MSK disorders. Data extraction and data synthesis Data were extracted and synthesised using thematic analysis. Results From 446 identified studies, 10 were included. Just two studies investigated group telehealth PMPs for patients with MSK disorders, with eight delivered individually. Four main themes emerged: (1) Usability of the technology, (2) Tailored care, (3) Therapeutic alliance and (4) Managing behaviour. The findings highlight patient acceptability of telehealth to support self-management for chronic MSK disorders, with appropriate clinical and technical support. Group telehealth has the potential to empower patients with peer support. Remote delivery of PMPs also impacts on how patients and providers interact, communicate and develop a therapeutic relationship. Conclusions and implications Barriers and enablers to engagement in telehealth PMPs for patients with chronic MSK disorders have been identified. Peer support and group cohesiveness can be achieved remotely to enhance the patient experience. There is a critical need for further research in this area.

Group and individual telehealth for chronic musculoskeletal pain: A scoping review.

Objective There is a lack of high-quality evidence for physiotherapy post lumbar discectomy. Substantial heterogeneity in treatment effects may be explained by variation in quality, administration and components of interventions. An optimised physiotherapy intervention may reduce heterogeneity and improve patient benefit. The objective was to describe, analyse and evaluate an optimised 1:1 physiotherapy outpatient intervention for patients following primary lumbar discectomy, to provide preliminary insights. Design A descriptive analysis of the intervention embedded within an external pilot and feasibility trial. Setting Two UK spinal centres. Participants Participants aged ≥18; post primary, single level, lumbar discectomy were recruited. Intervention The intervention encompassed education, advice, mobility and core stability exercises, progressive exercise, and encouragement of early return to work/activity. Patients received ≤8 sessions for ≤8 weeks, starting 4 weeks post surgery (baseline). Outcomes Blinded outcome assessment at baseline and 12 weeks (post intervention) included the Roland Morris Disability Questionnaire. STarT Back data were collected at baseline. Statistical analyses summarised participant characteristics and preplanned descriptive analyses. Thematic analysis grouped related data. Findings Twenty-two of 29 allocated participants received the intervention. STarT Back categorised n=16 (55%) participants ‘not at low risk’. Physiotherapists identified reasons for caution for 8 (36%) participants, commonly risk of overdoing activity (n=4, 18%). There was no relationship between STarT Back and physiotherapists’ evaluation of caution. Physiotherapists identified 154 problems (mean (SD) 5.36 (2.63)). Those ‘not at low risk’, and/or requiring caution presented with more problems, and required more sessions (mean (SD) 3.14 (1.16)). Conclusions Patients present differently and therefore require tailored interventions. These differences may be identified using clinical reasoning and outcome data. Trial registration number ISRCTN33808269; post results.

https://bmjopen.bmj.com/content/bmjopen/6/11/e012151.full.pdf

Descriptive analysis of a 1:1 physiotherapy outpatient intervention post primary lumbar discectomy: One arm of a small-scale parallel randomised controlled trial across two UK sites

The influence of sedentary behaviour and physical activity on thoracic spinal mobility in young adults: an observational study

Aim: Evidence suggests chronic whiplash is associated with sensory hypersensitivity. Understanding the degree of sensory impairment could enhance rehabilitation strategies. This preliminary study determined whether differences in sensory evaluation occur post whiplash injury. Methods: Single-blinded, case control observational study using a convenience sample of 20 participants (median age 28.5 years, low disability) with chronic grade II whiplash-associated disorder (CWADII) and 22 control participants (median age 26 years) with no history of whiplash/neck injury. Outcome measures included vibration and cold pain perception threshold, and joint position error. Results: Significant associations using Kendall's tau correlation coefficient were found between: vibration thresholds (thenar and hypothenar eminences) for the CWADII group (p<0.01); cold pain thresholds (thenar, 5th metacarpophalangeal, mid cervical spine) in both groups (p<0.01); joint positioning errors (global positioning following right/left ...

Alison Rushton

Papers

Response to – Risk reduction of serious complications from manual therapy: Are we reducing the risk?

Group and individual telehealth for chronic musculoskeletal pain: A scoping review.

Descriptive analysis of a 1:1 physiotherapy outpatient intervention post primary lumbar discectomy: One arm of a small-scale parallel randomised controlled trial across two UK sites

The influence of sedentary behaviour and physical activity on thoracic spinal mobility in young adults: an observational study

Discriminative validity of sensory evaluation in a whiplash-associated disorder II population