Zoekresultaten

Patient Perspectives on Using a Smartphone App to Support Home-Based Exercise During Physical Therapy Treatment: Qualitative Study

Background: Home-based exercise is an important part of physical therapy treatment for patients with low back pain. However, treatment effectiveness depends heavily on patient adherence to home-based exercise recommendations. Smartphone apps designed to support home-based exercise have the potential to support adherence to exercise recommendations and possibly improve treatment effects. A better understanding of patient perspectives regarding the use of smartphone apps to support home-based exercise during physical therapy treatment can assist physical therapists with optimal use and implementation of these apps in clinical practice. Objective: The aim of this study was to investigate patient perspectives on the acceptability, satisfaction, and performance of a smartphone app to support home-based exercise following recommendations from a physical therapist. Methods: Using an interpretivist phenomenology approach, 9 patients (4 males and 5 females; aged 20-71 years) with nonspecific low back pain recruited from 2 primary care physical therapy practices were interviewed within 2 weeks after treatment ended. An interview guide was used for the interviews to ensure that different aspects of the patients’ perspectives were discussed. The Physitrack smartphone app was used to support home-based exercise as part of treatment for all patients. Data were analyzed using the “Framework Method” to assist with interpretation of the data. Results: Data analysis revealed 11 categories distributed among the 3 themes “acceptability,” “satisfaction,” and “performance.” Patients were willing to accept the app as part of treatment when it was easy to use, when it benefited the patient, and when the physical therapist instructed the patient in its use. Satisfaction with the app was determined by users’ perceived support from the app when exercising at home and the perceived increase in adherence. The video and text instructions, reminder functions, and self-monitor functions were considered the most important aspects for performance during treatment. The patients did not view the Physitrack app as a replacement for the physical therapist and relied on their therapist for instructions and support when needed. Conclusions: Patients who use an app to support home-based exercise as part of treatment are accepting of the app when it is easy to use, when it benefits the patient, and when the therapist instructs the patient in its use. Physical therapists using an app to support home-based exercise can use the findings from this study to effectively support their patients when exercising at home during treatment.

Asia and Europe, knowledge economies in encounter

With the rise of the knowledge-based economy in Asia, Western-dominated organizational literature is being exported to Asian countries. There is a huge interest from businesses and universities in China, Korea, Taiwan, Indonesia, Malaysia, Singapore, and other countries in Asia and the Middle-East to learn about Western management ideas and techniques in the area of knowledge and intellectual capital management. There is, however, little insight into the success of management ideas and techniques that are based on Western conceptualizations of knowledge in an Asian context.

"Knowledge as Love; How metaphors direct the way we manage knowledge in organizations"

This paper presents the results of an exercise to assess the effects of metaphors on knowledge management. Knowledge is an abstract phenomenon with no direct referent in the real world. To think and talk about knowledge we use conceptual metaphors. The exercise shows that these metaphors greatly influence the problems we identify related to knowledge in organizations and the type of knowledge management solutions we propose. The knowledge as water metaphor used in this exercise – which reflects the dominant way of thinking in Western knowledge management literature – leads to the thingification of knowledge, resulting in a discourse about ways to formalize, manage and control knowledge. This discourse primarily serves the interests of management. In contrast, the knowledge as love metaphor used in this exercise – which reflects more an Asian way of thinking about knowledge – shifts the discourse from the topic of knowledge as a thing to the underlying preconditions for good knowledge work. These conditions include the facilitation of knowledge professionals, the quality of the relationships in the organization, and the quality of the organizational culture. This discourse is aimed at humanizing the organization instead of formalizing it and is more in the interest of employees.

Partners in Parenting: An Overview of the Literature on Parents‟ and Nonparental Adults‟ Perspectives on Shared Responsibilities in Childrearing

Using the capability approach to review the national legislative frameworks for support services for persons with disabilities in four countries in Asia

Implementation of the United Nations Convention on the rights of persons with disabilities (UN CRPD) requires countries to harmonise their legislative frameworks with it. This paper investigates the national legislative frameworks of four Asian countries to see the extent to which they provide support services in accordance with Article 19 of the UN CRPD. The UN CRPD requires persons with disabilities to have access to and choice and control over support services. To analyse the policy alignment with the UN CRPD, an analytical framework based on the Capability Approach (CA) was developed. The results show that most countries address support services, including assistive devices, only from the perspective of a social security measure for persons with disabilities living in poverty, failing to uphold the rights of those not meeting those eligibility criteria. However, while support services are inseparably linked to social security, they also are a right for persons with disabilities. Therefore, a paradigm shift is required in the approach of support services and the distributive systems of countries, from one that addresses persons with disabilities as those requiring care considered a burden, to one that considers them rights holders with equal opportunities, for which, support services are a pre-requisite.

Politics and International Organizations : four cases in The Hague and Geneva

In Western Europe, cities that host International Organizations (IOs) have to deal with more and more competition. The last decade many IOs settled in Eastern European and Asian countries. Distributing IOs over several cities in Europe for reasons of political balance and give-and-take among governments play a role in these decisions. However, public policy networks are more and more operational in these negotiations. Apart from the political and administrative actors, others – as private actors and external lobbyists – play a role as well. This often leads to increased complexity and ineffective decisions. This paper examines four cases in which political gameplay influenced the location decision-making of IOs in The Hague and Geneva. First, I will introduce the subject, research method and the four cases. Second, I will discuss how public policy networks are increasingly complicating factors to the settling processes of IOs. Third, a reconstruction of the settlement processes of four IOs will illustrate this.