Background
In an integrated care model, involving primary care providers (PCPs) and obesity specialists, telehealth may be useful for overcoming barriers to treating childhood obesity.
Objective
To conduct a pilot study comparing BMI changes between two arms: 1) PCP in-person clinic visits plus obesity specialist tele-visits (PCP visits + Specialist tele-visits) and 2) PCP in-person clinic visits only (PCP visits only), with ongoing tele-consultation between PCPs and obesity specialists for both arms.
Methods
Patients (N=40, 10–17 years, BMI ≥95th percentile) were randomized to Group 1 or 2. Both groups had PCP visits every 3 months for 12 months. Using a cross-over protocol, Group 1 had PCP visits + Specialist tele-visits during the first 6 months and PCP visits only during the second 6 months, and Group 2 followed the opposite sequence. Each of 12 tele-visits was conducted by a dietitian or psychologist with a patient and parent.
Results
Retention rates were 90% at 6 months and 80% at 12 months. BMI (z-score) decreased more for Group 1 (started with PCP visits + Specialist tele-visits) vs. Group 2 (started with PCP visits only) at 3 months (−0.11 vs. −0.05, P=0.049), following frequent tele-visits. At 6 months (primary outcome), BMI was lower than baseline within Group 1 (−0.11, P=0.0006) but not Group 2 (−0.06, P=0.08); however, decrease in BMI at 6 months did not differ between groups. After cross-over, BMI remained lower than baseline for Group 1 and dropped below baseline for Group 2.
Conclusion
An integrated care model utilizing telehealth holds promise for treating children with obesity.
introductionA majority of human resource managers reported the significance of attitude in their choice of qualified candidates (Flynn,1994). At the entry level particularly, we often hear "We can teach people skills; but we cannot teach them the right attitudes". Employee attitudes are an indicative factor as to whether an organization will succeed in the future (Alas, 2005;Hurst, 1995). In the workplace, then, attitudes towards work and the job at hand are of obvious importance. However, the literature has placed greater emphasis on job satisfaction and related issues, where attitudes are the outcome of work. It could be argued that attitudes to work, before entering a job, are perhaps more important, as they are antecedents and precursors to workplace performance and job satisfaction. Attitudes to work have not been addressed in the literature in sufficient detail. Furthermore, the specific issues of attitudes to work of college students preparing for careers in the hospitality industry in the United Kingdom have not been addressed by any study in the past. Given the tremendous costs and related problems associated with human resource management in the hospitality industry, this study aims to address this gap in the literature and propose research based solutions by studying the attitudes to work of college students in Hospitality Management in the United Kingdom (UK).Students currently in college are predominantly from "Generation Y" (GEN Y), born between 1975 and 1995. Researchers have said that this generation is different from previous ones, as it has been shaped by different forces and events. As GEN Y members enter college and the work force in large numbers, it is imperative that educators and employers gain deeper insights into their mindset. Employers are particularly interested in their attitudes towards work. Such attitudes have been shown to impact a host of human resource issues such as absenteeism, turnover, deviant behaviors, and quality and quantity of work.The purpose of the study was to explore the attitudes towards work of GEN Y students in Hospitality Management programs in England, Scotland, and Northern Ireland using multiple measures.Additionally, the study aims to present these issues in a comparative framework highlighting commonalities and differences between these three groups of students. literature review
Students currently iti college are predominantly from "Generation Y" (GEN Y), born between 1975 atid 1995, As GEN Y members enter the work force in large numbers, it is imperative that Bharath M,
Purpose
There is emerging evidence that physical activity interventions have the potential to improve the physical function and psychosocial well-being of young adult cancer survivors. However, most existing interventions for young adult cancer survivors have been delivered in an in-patient hospital setting. The purpose of this study is to explore young adult cancer survivors’ (YACS) experiences of the RENEW programme, a 12-week community-based exercise referral scheme delivered by Trekstock, a UK-based cancer charity.
Methods
Sixteen semi-structured interviews were conducted with YACS (mean age, 33 years; 87.5% female) who participated in the RENEW exercise referral programme. Each interview followed the same semi-structured interview guide which asked participants about their experiences of the RENEW programme and their ideas for the future development of the scheme. Data was audio-recorded, transcribed full verbatim and analysed using framework analysis.
Results
YACs predominantly chose to take part in the RENEW programme as a means to improve their health and overcome cancer related impairments (e.g. fatigue, loss of strength, low body confidence). The offer of one-to-one tailored support and unlimited gym access was often cited as a factor which motivated enrolment. Overall, YACS experience of the programme was positive with many describing improvements in physical function and general well-being. Barriers to participating in the programme included sign-off from clinicians prior to enrolment, travelling to the gym and fear of exercising alone.
Conclusions
Exercise referral schemes are acceptable to YACS and provide a promising opportunity for young people with cancer to improve their physical and psychosocial health through physical activity.
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