Objective: Factors influencing engagement with self-managed rehabilitation are not well understood, but evidence suggests they may change over time. Despite increasing digitalisation of self-managed interventions, little is known about the role of internet-based interventions in patients’ experiences of self-directed rehabilitation. This longitudinal qualitative study investigated individuals’ ongoing experiences of internet-guided, self-managed rehabilitation within the context of rehabilitation for dizziness.
Methods: Eighteen adults aged fifty and over who experienced dizziness used the ‘Balance Retraining’ internet intervention for six weeks. Participants took part in semi-structured telephone interviews at two-week intervals to explore their experiences. Data were inductively thematically analysed.
Results: The internet intervention was reported to facilitate engagement with rehabilitation exercises, providing motivation to continue through symptom reduction and simple but helpful strategies. It was perceived as informative, reassuring, visually pleasing and easy to use. Barriers to engagement included practicalities, symptoms and doubts about exercise efficacy. Participants’ perceptions did not always remain consistent over time.
Conclusion: The internet intervention may be a feasible method of supporting self-managed vestibular rehabilitation. More generally, longitudinal findings suggest that appearance-related perceptions of online interventions may be especially important for initial engagement. Furthermore, intervention features targeting self-efficacy seem important in overcoming barriers to engagement. 相似文献
This study examined associations between level of sport participation, goal and sportspersonship orientations, and moral reasoning in sport and nonsport situations and orientation by sport participation interactions. Participants were individuals with elite (n = 176), high school (n = 183), and youth sport (n = 78) participation. When judging sport situations, individuals who participated in elite sports demonstrated poorer moral reasoning than those who participated in high school and youth sports. At low levels of sportspersonship, individuals who participated in youth sports demonstrated higher moral reasoning than those who participated in high school and elite sports. When judging nonsport situations, moral reasoning was positively related to positive sportspersonship and negatively related to ego orientation but did not differ by sport participation. Within sport, sport participation and goal and sportspersonship orientations play a critical role in moral reasoning. However, these orientations may be more important than sport participation in moral reasoning beyond the sport context. 相似文献
Multiculturalism, in its broadest terms, not only is defined by race and ethnicity but also involves topics of gender, sexual orientation, and disability. Underlying this notion is the assumption that there is no one way to conceptualize human behavior, no one theory that explains the realities and experiences of various forms of diversity, and no particular set of competencies that have been proven to be effective with every form of diversity. Yet, it is possible to seek and provide information that can move psychologists and other social scientists forward in the search for multicultural awareness, respect, and competence. The 2nd National Multicultural Conference and Summit, held in January 2001 in Santa Barbara, California, was designed to promote knowledge about multiculturalism in these broad terms. This introduction to the special section is designed to (a) provide an overview of the proceedings of the Summit, (b) identify themes that emerged throughout the Summit with a special focus on the major keynote addresses, and (c) recommend future directions for education, training, practice, and research in multicultural psychology. 相似文献
The relationships between patient personality variables and outcome for 107 psychiatric outpatients with complicated grief who completed either interpretive or supportive short-term group therapy were investigated. The personality variables were assessed prior to treatment with the NEO-Five Factor Inventory (NEO-FFI). For patients in both forms of therapy, extraversion, conscientiousness, and openness were directly associated with favorable treatment outcome. In contrast, neuroticism was inversely related to favorable outcome for patients in both forms of therapy. Agreeableness was directly related to favorable improvement in grief symptomatology for patients in interpretive therapy, but not for those in supportive therapy. The results highlight the importance of assessing patient personality in order to predict response to short-term group therapy. Possible explanations and clinical implications of these findings are discussed. 相似文献
The purpose of this paper is to expose, and provide a possible solution to, an internal inconsistency in Axel Honneth's critical theory of recognition. 1 Honneth requires a way of making his claim that misrecognition causes subjective suffering, with the potential to cognitively disclose injustice, consistent with his account of ideological recognition as a form of misrecognition that engenders compliance with an oppressive social order. Only by reconciling these claims—that is, by showing how ideological recognition can engender an acceptance of domination whilst at the same time causing subjective suffering—can Honneth's theory of recognition retain the kind of critical capacities he desires. As a means of achieving this reconciliation, I propose the notion of “invisible suffering.” In the case of ideological recognition, I suggest that the suffering caused by misrecognition has its disclosive power blocked by the faux‐affirmation that the ideology discursively accords, and this renders the experience of suffering, qua painful indicator of social injustice, invisible to the subject. Drawing on insights from medical sociology, I show how the need to supplement Honneth's theory of recognition with the idea of invisible suffering is revelatory of the kind of critical theoretical stance demanded by his ontological commitments. 相似文献
This pilot study investigated the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT), a treatment combining mindfulness meditation and interventions taken from cognitive therapy, in patients suffering from chronic-recurrent depression. Currently symptomatic patients with at least three previous episodes of depression and a history of suicidal ideation were randomly allocated to receive either MBCT delivered in addition to treatment-as-usual (TAU; N = 14 completers) or TAU alone (N = 14 completers). Depressive symptoms and diagnostic status were assessed before and after treatment phase. Self-reported symptoms of depression decreased from severe to mild levels in the MBCT group while there was no significant change in the TAU group. Similarly, numbers of patients meeting full criteria for depression decreased significantly more in the MBCT group than in the TAU group. Results are consistent with previous uncontrolled studies. Although based on a small sample and, therefore, limited in their generalizability, they provide further preliminary evidence that MBCT can be used to successfully reduce current symptoms in patients suffering from a protracted course of the disorder. 相似文献
Disruptive behaviour disorders are much more common in boys than girls ( Office of National Statistics, 1999 ); in contrast, gender differences in normative problem behaviours are poorly understood. To address this issue, 228 6‐year‐olds (134 boys, 94 girls) were each observed playing a board game with a same‐gender friend. Ratings of aggression, disruption, arousal and negativity were used to index problem behaviours. Multiple‐groups confirmatory factor analyses demonstrated that the latent factor had the same metric for boys and girls, but a mean that was approximately half a standard deviation higher for boys than girls. In addition, the association between the latent factor and teachers’ ratings of total difficulties was significantly stronger for boys than girls. 相似文献