Identity and ownership : Since I came to work at dal I don’t have a disability
- Authors: Marks, Genee
- Date: 2006
- Type: Text , Journal article
- Relation: The International Journal of Diversity in Organisations, Communities and Nations Vol. 6, no. 5 (2006), p. 107-124
- Full Text:
- Reviewed:
- Description: Corio Bay Innovators, trading as dal Gourmet Cafe and Catering, is an innovative supported training and employment service that operates a gounnet catering service and two retail cafes in Geelong. Currently, dal has around forty staff who receive federal or state disability funding, and about half as many support staff. Rather than being seen as an agency providing supported employment, dal is regarded as a successful and competitive business that is very popular locally, and is in demand in the hospitality sector. Yet dals primary purpose is not the friendly service, great atmosphere, and delicious food, but the creation of a range of innovative employment opportunities in a caring work environment for adults who have been labeled as having disabilities. Most significant, however, is the extremely strong emphasis on inclusion in the local community, in combination with an actively supportive and empowering workplace. Staff at dal have voted that they do not want to be labelled as having disabilities but to have it noted that they have special needs. While the choice of such termninology may not necessarily be in line with current "politically correct" discourse, it is a choice that is respected at dal. It is a description worn with pride in difference and collective identification adopted by Other oppressed communities and acknowledged by Meekosha (2000) and Barton (2003). While exploring dal as a model of best practice in training young people for the hospitality industry, this paper will explore the conflicts raised by contrasts between the voices ofthe staffat dal and the discourses of educators and trainers, in an attempt to develop a sustainable model for the future.
- Description: C1
- Description: 2003002384
- Authors: Marks, Genee
- Date: 2006
- Type: Text , Journal article
- Relation: The International Journal of Diversity in Organisations, Communities and Nations Vol. 6, no. 5 (2006), p. 107-124
- Full Text:
- Reviewed:
- Description: Corio Bay Innovators, trading as dal Gourmet Cafe and Catering, is an innovative supported training and employment service that operates a gounnet catering service and two retail cafes in Geelong. Currently, dal has around forty staff who receive federal or state disability funding, and about half as many support staff. Rather than being seen as an agency providing supported employment, dal is regarded as a successful and competitive business that is very popular locally, and is in demand in the hospitality sector. Yet dals primary purpose is not the friendly service, great atmosphere, and delicious food, but the creation of a range of innovative employment opportunities in a caring work environment for adults who have been labeled as having disabilities. Most significant, however, is the extremely strong emphasis on inclusion in the local community, in combination with an actively supportive and empowering workplace. Staff at dal have voted that they do not want to be labelled as having disabilities but to have it noted that they have special needs. While the choice of such termninology may not necessarily be in line with current "politically correct" discourse, it is a choice that is respected at dal. It is a description worn with pride in difference and collective identification adopted by Other oppressed communities and acknowledged by Meekosha (2000) and Barton (2003). While exploring dal as a model of best practice in training young people for the hospitality industry, this paper will explore the conflicts raised by contrasts between the voices ofthe staffat dal and the discourses of educators and trainers, in an attempt to develop a sustainable model for the future.
- Description: C1
- Description: 2003002384
Stuttering, disability and the higher education sector in Australia
- Meredith, Grant, Packman, Ann, Marks, Genee
- Authors: Meredith, Grant , Packman, Ann , Marks, Genee
- Date: 2012
- Type: Text , Journal article
- Relation: International Journal of Speech-Language Pathology Vol. 14, no. 4 (2012), p. 370-376
- Full Text:
- Reviewed:
- Description: The aim of this study was to ascertain the extent to which Australian public universities and their associated disability liaison services offer web-based information for current or prospective students who stutter. The disability pages of the websites of all 39 public universities in Australia were visited and the information about disability services assessed according to 12 criteria developed by the authors. Results indicate that there is a dearth of information on Australian university websites available for students or prospective students who stutter. Only 13% of the sites reported any form of alternative teaching and assessment procedures for speech-impaired students and only 51% of 39 disability liaison officers responded when contacted by email. Such a student could not make an informed choice to enrol in a university based upon the information on disability services available on public Australian university websites. © 2012 The Speech Pathology Association of Australia Limited.
- Authors: Meredith, Grant , Packman, Ann , Marks, Genee
- Date: 2012
- Type: Text , Journal article
- Relation: International Journal of Speech-Language Pathology Vol. 14, no. 4 (2012), p. 370-376
- Full Text:
- Reviewed:
- Description: The aim of this study was to ascertain the extent to which Australian public universities and their associated disability liaison services offer web-based information for current or prospective students who stutter. The disability pages of the websites of all 39 public universities in Australia were visited and the information about disability services assessed according to 12 criteria developed by the authors. Results indicate that there is a dearth of information on Australian university websites available for students or prospective students who stutter. Only 13% of the sites reported any form of alternative teaching and assessment procedures for speech-impaired students and only 51% of 39 disability liaison officers responded when contacted by email. Such a student could not make an informed choice to enrol in a university based upon the information on disability services available on public Australian university websites. © 2012 The Speech Pathology Association of Australia Limited.
Special needs, special play? Examining the agency of children with impairments in play-based learning in a special school
- Authors: Claughton, Amy
- Date: 2020
- Type: Text , Thesis , PhD
- Full Text:
- Description: Play is an inherent part of childhood, often cast as an innate behaviour of children. Over the years, play has been scrutinised by theorists, researchers and educators alike in their attempts to understand how children engage in play, the role of play in development and how to identify, define and measure play. For children with impairments, play is frequently subjected to surveillance and compared to that of children whose development is considered typical. This thesis interrogates the play-based learning experiences of five children who attended a special educational school in rural Victoria, Australia. It examines the experiences that these children had in play and how teacher actions and responses enabled and supported their engagement in play-based learning. The theoretical framework for this study draws on critical ethnography underpinned by disability studies. Disability studies recognises the social model of disability, in which disability is a social construction. Using this model, impairment is distinct and separate from disability. In this study, socially constructed barriers that confront children in their play are identified as being created by attitudes, structures and environments (Bishop et al., 1999). These barriers are overlaid by the psycho-emotional dimensions of disability (C. Thomas, 1999) in an effort to represent the experiences of children as shaped by the actions and responses of others. This thesis introduces a new analytic tool in the learning portal framework. The learning portal framework aims to provide a platform through which teacher actions and responses can be analysed to understand how children are enabled to access play-based learning. The findings of this study indicate that children with impairments play in complex and nuanced ways. They show purpose in their play, are able to self-initiate, and independently investigate play-based learning experiences. Adult actions and responses often enable children with impairments to engage in play by offering opportunities and pathways for exploration. Indirect adult facilitation in play supports children’s ability to act in play with individuality and determination.
- Description: Doctor of Philosophy
- Authors: Claughton, Amy
- Date: 2020
- Type: Text , Thesis , PhD
- Full Text:
- Description: Play is an inherent part of childhood, often cast as an innate behaviour of children. Over the years, play has been scrutinised by theorists, researchers and educators alike in their attempts to understand how children engage in play, the role of play in development and how to identify, define and measure play. For children with impairments, play is frequently subjected to surveillance and compared to that of children whose development is considered typical. This thesis interrogates the play-based learning experiences of five children who attended a special educational school in rural Victoria, Australia. It examines the experiences that these children had in play and how teacher actions and responses enabled and supported their engagement in play-based learning. The theoretical framework for this study draws on critical ethnography underpinned by disability studies. Disability studies recognises the social model of disability, in which disability is a social construction. Using this model, impairment is distinct and separate from disability. In this study, socially constructed barriers that confront children in their play are identified as being created by attitudes, structures and environments (Bishop et al., 1999). These barriers are overlaid by the psycho-emotional dimensions of disability (C. Thomas, 1999) in an effort to represent the experiences of children as shaped by the actions and responses of others. This thesis introduces a new analytic tool in the learning portal framework. The learning portal framework aims to provide a platform through which teacher actions and responses can be analysed to understand how children are enabled to access play-based learning. The findings of this study indicate that children with impairments play in complex and nuanced ways. They show purpose in their play, are able to self-initiate, and independently investigate play-based learning experiences. Adult actions and responses often enable children with impairments to engage in play by offering opportunities and pathways for exploration. Indirect adult facilitation in play supports children’s ability to act in play with individuality and determination.
- Description: Doctor of Philosophy
iPod therefore I can : Enhancing the learning of children with intellectual disabilities through emerging technologies
- Authors: Marks, Genee , Milne, Jay
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at ICICTE 2008: International Conference on Information Communication Technologies in Education, Corfu, Greece : 10th-12th July 2008
- Full Text:
- Description: This paper explores the pedagogical and social potential of emerging technologies, in particular the iPod, in facilitating the learning of young Australians with severe intellectual and social disabilities. The study, which was carried out in a segregated educational setting in Victoria, Australia, sought to establish whether the intrinsic portable, multi-media capabilities of the iPod particularly lent themselves to a practical application for students with severe disabilities. It was concluded that such new technology has considerable power and potential as an emerging pedagogy with students with severe intellectual and physical disabilities.
- Description: 2003006449
- Authors: Marks, Genee , Milne, Jay
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at ICICTE 2008: International Conference on Information Communication Technologies in Education, Corfu, Greece : 10th-12th July 2008
- Full Text:
- Description: This paper explores the pedagogical and social potential of emerging technologies, in particular the iPod, in facilitating the learning of young Australians with severe intellectual and social disabilities. The study, which was carried out in a segregated educational setting in Victoria, Australia, sought to establish whether the intrinsic portable, multi-media capabilities of the iPod particularly lent themselves to a practical application for students with severe disabilities. It was concluded that such new technology has considerable power and potential as an emerging pedagogy with students with severe intellectual and physical disabilities.
- Description: 2003006449
Promoting the psychosocial function of young adults through psychiatric residential rehabilitation: A qualitive evaluation of the making a significant change (MASC) program
- Kelly, Melinda, Boyd, Candice
- Authors: Kelly, Melinda , Boyd, Candice
- Date: 2006
- Type: Text , Journal article
- Relation: International Journal of Psychosocial Rehabilitation Vol. 10, no. 2 (2006), p. 139-153
- Full Text:
- Reviewed:
- Description: This research evaluated the Making a Significant Change (MASC) program - the only residential psychosocial rehabilitation program for young adults in the Grampians region of Victoria, Australia. The program provides intensive support and rehabilitation services to young people aged 16 to 24 years who have a mental illness and are at risk of developing further mental health disabilities. This evaluation aimed to establish a holistic view of the program with a focus on the process descriptive data for key stakeholders in the service so that the impact of intervention approaches could be gauged.
- Description: C1
- Description: 2003003401
- Authors: Kelly, Melinda , Boyd, Candice
- Date: 2006
- Type: Text , Journal article
- Relation: International Journal of Psychosocial Rehabilitation Vol. 10, no. 2 (2006), p. 139-153
- Full Text:
- Reviewed:
- Description: This research evaluated the Making a Significant Change (MASC) program - the only residential psychosocial rehabilitation program for young adults in the Grampians region of Victoria, Australia. The program provides intensive support and rehabilitation services to young people aged 16 to 24 years who have a mental illness and are at risk of developing further mental health disabilities. This evaluation aimed to establish a holistic view of the program with a focus on the process descriptive data for key stakeholders in the service so that the impact of intervention approaches could be gauged.
- Description: C1
- Description: 2003003401
The impact of a novel mimicry task for increasing emotion recognition in adults with autism spectrum disorder and alexithymia : protocol for a randomized controlled trial
- Caine, Joshua, Klein, Britt, Edwards, Stephen
- Authors: Caine, Joshua , Klein, Britt , Edwards, Stephen
- Date: 2021
- Type: Text , Journal article
- Relation: JMIR Research Protocols Vol. 10, no. 6 (2021), p.
- Full Text:
- Reviewed:
- Description: Background: Impaired facial emotion expression recognition (FEER) has typically been considered a correlate of autism spectrum disorder (ASD). Now, the alexithymia hypothesis is suggesting that this emotion processing problem is instead related to alexithymia, which frequently co-occurs with ASD. By combining predictive coding theories of ASD and simulation theories of emotion recognition, it is suggested that facial mimicry may improve the training of FEER in ASD and alexithymia. Objective: This study aims to evaluate a novel mimicry task to improve FEER in adults with and without ASD and alexithymia. Additionally, this study will aim to determine the contributions of alexithymia and ASD to FEER ability and assess which of these 2 populations benefit from this training task. Methods: Recruitment will primarily take place through an ASD community group with emphasis put on snowball recruiting. Included will be 64 consenting adults equally divided between participants without an ASD and participants with an ASD. Participants will be screened online using the Kessler Psychological Distress Scale (K-10; cut-off score of 22), Autism Spectrum Quotient (AQ-10), and Toronto Alexithymia Scale (TAS-20) followed by a clinical interview with a provisional psychologist at the Federation University psychology clinic. The clinical interview will include assessment of ability, anxiety, and depression as well as discussion of past ASD diagnosis and confirmatory administration of the Autism Mental Status Exam (AMSE). Following the clinical interview, the participant will complete the Bermond-Vorst Alexithymia Questionnaire (BVAQ) and then undertake a baseline assessment of FEER. Consenting participants will then be assigned using a permuted blocked randomization method into either the control task condition or the mimicry task condition. A brief measure of satisfaction of the task and a debriefing session will conclude the study. Results: The study has Federation University Human Research Ethics Committee approval and is registered with the Australian New Zealand Clinical Trials. Participant recruitment is predicted to begin in the third quarter of 2021. Conclusions: This study will be the first to evaluate the use of a novel facial mimicry task condition to increase FEER in adults with ASD and alexithymia. If efficacious, this task could prove useful as a cost-effective adjunct intervention that could be used at home and thus remove barriers to entry. This study will also explore the unique effectiveness of this task in people without an ASD, with an ASD, and with alexithymia. © 2021 JMIR Research Protocols.
- Authors: Caine, Joshua , Klein, Britt , Edwards, Stephen
- Date: 2021
- Type: Text , Journal article
- Relation: JMIR Research Protocols Vol. 10, no. 6 (2021), p.
- Full Text:
- Reviewed:
- Description: Background: Impaired facial emotion expression recognition (FEER) has typically been considered a correlate of autism spectrum disorder (ASD). Now, the alexithymia hypothesis is suggesting that this emotion processing problem is instead related to alexithymia, which frequently co-occurs with ASD. By combining predictive coding theories of ASD and simulation theories of emotion recognition, it is suggested that facial mimicry may improve the training of FEER in ASD and alexithymia. Objective: This study aims to evaluate a novel mimicry task to improve FEER in adults with and without ASD and alexithymia. Additionally, this study will aim to determine the contributions of alexithymia and ASD to FEER ability and assess which of these 2 populations benefit from this training task. Methods: Recruitment will primarily take place through an ASD community group with emphasis put on snowball recruiting. Included will be 64 consenting adults equally divided between participants without an ASD and participants with an ASD. Participants will be screened online using the Kessler Psychological Distress Scale (K-10; cut-off score of 22), Autism Spectrum Quotient (AQ-10), and Toronto Alexithymia Scale (TAS-20) followed by a clinical interview with a provisional psychologist at the Federation University psychology clinic. The clinical interview will include assessment of ability, anxiety, and depression as well as discussion of past ASD diagnosis and confirmatory administration of the Autism Mental Status Exam (AMSE). Following the clinical interview, the participant will complete the Bermond-Vorst Alexithymia Questionnaire (BVAQ) and then undertake a baseline assessment of FEER. Consenting participants will then be assigned using a permuted blocked randomization method into either the control task condition or the mimicry task condition. A brief measure of satisfaction of the task and a debriefing session will conclude the study. Results: The study has Federation University Human Research Ethics Committee approval and is registered with the Australian New Zealand Clinical Trials. Participant recruitment is predicted to begin in the third quarter of 2021. Conclusions: This study will be the first to evaluate the use of a novel facial mimicry task condition to increase FEER in adults with ASD and alexithymia. If efficacious, this task could prove useful as a cost-effective adjunct intervention that could be used at home and thus remove barriers to entry. This study will also explore the unique effectiveness of this task in people without an ASD, with an ASD, and with alexithymia. © 2021 JMIR Research Protocols.
A 3D measurement and computerized meshing study to promote bus ridership among people using powered mobility aids
- Unsworth, Carolyn, Chua, Julian, Gudimetla, Prasad
- Authors: Unsworth, Carolyn , Chua, Julian , Gudimetla, Prasad
- Date: 2020
- Type: Text , Journal article
- Relation: Frontiers in Built Environment Vol. 6, no. (2020), p.
- Full Text:
- Reviewed:
- Description: People who use powered mobility aids such as wheelchairs and scooters need and want to use public transport. Buses are the most affordable and efficient form of public transport, capable of connecting people across local communities. However, with curbside rather than platform boarding and internal space limitations, buses also present many accessibility challenges for people using mobility aids during ingress, egress, and interior maneuverability. In Australia, people using mobility aids board low floor buses that are required to comply with the national bus accessibility standard, using the front doors. A new standard was recently created to provide a Blue Label identification for powered mobility aids suitable to access public transport. The accuracy of this standard to identify mobility aids suitable to use on buses has not been verified. This research used a world-first methodology that included 3-Dimensional (3D) scanning of 35 mobility aids and 21 buses. The resulting 735 scan combinations were efficiently meshed using Meshlab, an open-source software. The research demonstrated that (i) although none of the buses were compliant with the relevant standard in 3D, many could still facilitate the boarding of a variety of mobility aids, and (ii) the Blue Label, while a valuable guide, did not accurately identifying all mobility aids that would and would not be able to board buses. This research has shortlisted nine mobility aids that can be recommended to consumers as being able to fit all the full-size buses tested. The dimensions of mobility aids that appear to enable access on most buses were also identified for consumers to consider when purchasing a mobility aid. The novel 3D meshing methodology used in this research also revealed that most collision points between mobility aids and buses occur in the curved-corridor entry of the buses. To minimize this entry problem, future bus boarding designs should consider the option of double-door entry/exit in the middle of the bus, which is common in many other countries. Adoption of this strategy would mitigate some of the challenges that people using mobility aids encounter when accessing buses, thereby increasing public transport ridership among this group. © Copyright © 2020 Unsworth, Chua and Gudimetla.
- Authors: Unsworth, Carolyn , Chua, Julian , Gudimetla, Prasad
- Date: 2020
- Type: Text , Journal article
- Relation: Frontiers in Built Environment Vol. 6, no. (2020), p.
- Full Text:
- Reviewed:
- Description: People who use powered mobility aids such as wheelchairs and scooters need and want to use public transport. Buses are the most affordable and efficient form of public transport, capable of connecting people across local communities. However, with curbside rather than platform boarding and internal space limitations, buses also present many accessibility challenges for people using mobility aids during ingress, egress, and interior maneuverability. In Australia, people using mobility aids board low floor buses that are required to comply with the national bus accessibility standard, using the front doors. A new standard was recently created to provide a Blue Label identification for powered mobility aids suitable to access public transport. The accuracy of this standard to identify mobility aids suitable to use on buses has not been verified. This research used a world-first methodology that included 3-Dimensional (3D) scanning of 35 mobility aids and 21 buses. The resulting 735 scan combinations were efficiently meshed using Meshlab, an open-source software. The research demonstrated that (i) although none of the buses were compliant with the relevant standard in 3D, many could still facilitate the boarding of a variety of mobility aids, and (ii) the Blue Label, while a valuable guide, did not accurately identifying all mobility aids that would and would not be able to board buses. This research has shortlisted nine mobility aids that can be recommended to consumers as being able to fit all the full-size buses tested. The dimensions of mobility aids that appear to enable access on most buses were also identified for consumers to consider when purchasing a mobility aid. The novel 3D meshing methodology used in this research also revealed that most collision points between mobility aids and buses occur in the curved-corridor entry of the buses. To minimize this entry problem, future bus boarding designs should consider the option of double-door entry/exit in the middle of the bus, which is common in many other countries. Adoption of this strategy would mitigate some of the challenges that people using mobility aids encounter when accessing buses, thereby increasing public transport ridership among this group. © Copyright © 2020 Unsworth, Chua and Gudimetla.
The good, the bad, the ambivalent : investigating patriarchal and complex representations of motherhood in crime television series
- Authors: O’Neill, Courtney
- Date: 2022
- Type: Text , Thesis , PhD
- Full Text:
- Description: The cultural and social understanding of motherhood has been historically determined by patriarchal discourse. This thesis analyses the significance of this discourse and how it manifests in representations of women, mothers in particular, in television series. Specifically, it examines the dichotomy between ‘good’ and ‘bad’ motherhood that is prevalent in patriarchal discourse and in crime television series. Identifying the extent to which crime series subscribe to patriarchal notions of motherhood highlights the prevalence of conservative ideas of motherhood in television narratives. This is crucial to the aim of this thesis, which is to challenge conservative notions of motherhood, demonstrating instead that motherhood is a complex experience. This thesis provides an in-depth analysis of three crime television series—Law & Order: Special Victims Unit (1999–), The Bridge (2011–2018) and Top of the Lake (2013, 2017)—to identify their portrayal of motherhood and highlight the ways in which maternal figures are portrayed as either ‘good’ or ‘bad’. Significantly, the thesis identifies disability as a theme that is repeatedly utilised to explain deviant maternal behaviour, which serves to reinforce patriarchal notions of motherhood. The overall aim of this study is to critically analyse and destabilise patriarchal representations of good and bad motherhood by examining the depiction of complex maternal experiences in crime narratives. By exploring the concept of maternal ambivalence and how it is portrayed in these series, this research ultimately contributes to refuting and undermining patriarchal characterisations of motherhood, particularly the dichotomy between good and bad mothers. In sum, this thesis argues that despite the ongoing emphasis on patriarchal ideas of motherhood in television, the maternal experience is fluid, complex and changing, as made evident in these crime television series.
- Description: Doctor of Philosophy
- Authors: O’Neill, Courtney
- Date: 2022
- Type: Text , Thesis , PhD
- Full Text:
- Description: The cultural and social understanding of motherhood has been historically determined by patriarchal discourse. This thesis analyses the significance of this discourse and how it manifests in representations of women, mothers in particular, in television series. Specifically, it examines the dichotomy between ‘good’ and ‘bad’ motherhood that is prevalent in patriarchal discourse and in crime television series. Identifying the extent to which crime series subscribe to patriarchal notions of motherhood highlights the prevalence of conservative ideas of motherhood in television narratives. This is crucial to the aim of this thesis, which is to challenge conservative notions of motherhood, demonstrating instead that motherhood is a complex experience. This thesis provides an in-depth analysis of three crime television series—Law & Order: Special Victims Unit (1999–), The Bridge (2011–2018) and Top of the Lake (2013, 2017)—to identify their portrayal of motherhood and highlight the ways in which maternal figures are portrayed as either ‘good’ or ‘bad’. Significantly, the thesis identifies disability as a theme that is repeatedly utilised to explain deviant maternal behaviour, which serves to reinforce patriarchal notions of motherhood. The overall aim of this study is to critically analyse and destabilise patriarchal representations of good and bad motherhood by examining the depiction of complex maternal experiences in crime narratives. By exploring the concept of maternal ambivalence and how it is portrayed in these series, this research ultimately contributes to refuting and undermining patriarchal characterisations of motherhood, particularly the dichotomy between good and bad mothers. In sum, this thesis argues that despite the ongoing emphasis on patriarchal ideas of motherhood in television, the maternal experience is fluid, complex and changing, as made evident in these crime television series.
- Description: Doctor of Philosophy
Does multisession cathodal transcranial direct current stimulation of the left dorsolateral prefrontal cortex prime the effects of cognitive behavioral therapy on fear of pain, fear of movement, and disability in patients with nonspecific low back pain? A randomized clinical trial study
- Ehsani, Fatemeh, Hafez Yousefi, Mohaddeseh, Jafarzadeh, Abbas, Zoghi, Maryam, Jaberzadeh, Shapour
- Authors: Ehsani, Fatemeh , Hafez Yousefi, Mohaddeseh , Jafarzadeh, Abbas , Zoghi, Maryam , Jaberzadeh, Shapour
- Date: 2023
- Type: Text , Journal article
- Relation: Brain Sciences Vol. 13, no. 10 (2023), p.
- Full Text:
- Reviewed:
- Description: Many studies have shown that low back pain (LBP) is associated with psychosomatic symptoms which may lead to brain changes. This study aimed to investigate the effect of the concurrent application of cognitive behavioral therapy (CBT) and transcranial direct electrical stimulation (tDCS) over the left dorsolateral prefrontal cortex (DLPFC) on fear of pain, fear of movement, and disability in patients with nonspecific LBP. This study was performed on 45 LBP patients (23 women, 22 men; mean age 33.00 ± 1.77 years) in three groups: experimental (2 mA cathodal tDCS (c-tDCS)), sham (c-tDCS turned off after 30 s), and control (only received CBT). In all groups, CBT was conducted for 20 min per session, with two sessions per week for four weeks. Fear of pain, fear of movement, and disability were evaluated using questionnaires at baseline, immediately after, and one month after completion of interventions. Results indicated that all three different types of intervention could significantly reduce fear and disability immediately after intervention (p > 0.05). However, improvement in the experimental group was significantly higher than in the other groups immediately after and at the one-month follow-up after interventions (p < 0.05). DLPFC c-tDCS can prime the immediate effects of CBT and also the lasting effects on the reduction in the fear of pain, fear of movement, and disability in LBP patients. © 2023 by the authors.
- Authors: Ehsani, Fatemeh , Hafez Yousefi, Mohaddeseh , Jafarzadeh, Abbas , Zoghi, Maryam , Jaberzadeh, Shapour
- Date: 2023
- Type: Text , Journal article
- Relation: Brain Sciences Vol. 13, no. 10 (2023), p.
- Full Text:
- Reviewed:
- Description: Many studies have shown that low back pain (LBP) is associated with psychosomatic symptoms which may lead to brain changes. This study aimed to investigate the effect of the concurrent application of cognitive behavioral therapy (CBT) and transcranial direct electrical stimulation (tDCS) over the left dorsolateral prefrontal cortex (DLPFC) on fear of pain, fear of movement, and disability in patients with nonspecific LBP. This study was performed on 45 LBP patients (23 women, 22 men; mean age 33.00 ± 1.77 years) in three groups: experimental (2 mA cathodal tDCS (c-tDCS)), sham (c-tDCS turned off after 30 s), and control (only received CBT). In all groups, CBT was conducted for 20 min per session, with two sessions per week for four weeks. Fear of pain, fear of movement, and disability were evaluated using questionnaires at baseline, immediately after, and one month after completion of interventions. Results indicated that all three different types of intervention could significantly reduce fear and disability immediately after intervention (p > 0.05). However, improvement in the experimental group was significantly higher than in the other groups immediately after and at the one-month follow-up after interventions (p < 0.05). DLPFC c-tDCS can prime the immediate effects of CBT and also the lasting effects on the reduction in the fear of pain, fear of movement, and disability in LBP patients. © 2023 by the authors.
The roles of depression, life control and affective distress on treatment attendance and perceived disability in chronic back pain sufferers throughout the duration of the condition
- Oraison, Humberto, Loton, Daniel, Kennedy, Gerard
- Authors: Oraison, Humberto , Loton, Daniel , Kennedy, Gerard
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Environmental Research and Public Health Vol. 20, no. 19 (2023), p.
- Full Text:
- Reviewed:
- Description: The aims of this study were to examine psychological factors that predict treatment seeking and disability over the total duration of experiencing back pain. A sample of 201 adults experiencing chronic back pain was recruited through health professionals and completed the Depression, Anxiety and Stress Scale (DASS), the Oswestry Back Pain Disability Questionnaire (ODQ), the McGill Pain Questionnaire (MPQ) and the life control and affective distress variables of the West Haven–Yale Multidimensional Pain Inventory (WHYMP), and participants disclosed the number of treatment sessions attended over the course of the illness. Depression, life control and affective distress were tested as indirect predictors of disability severity that were mediated by treatment attendance. Each unit increase in life control predicted attending nearly 30 more treatment sessions, each unit increase in affective distress predicted attending 16 fewer treatments and each unit increase in depression predicted 4 fewer treatments, together explaining 44% of variance in treatment seeking. The effects of life control and affective distress on disability were explained by treatment attendance, whereas depression retained a direct effect on disability. Treatment attendance had an effect on disability. The findings show that participants with lower life control and higher affective distress and depression had higher levels of pain and disability, in part due to due to their treatment-seeking behaviour. © 2023 by the authors.
- Authors: Oraison, Humberto , Loton, Daniel , Kennedy, Gerard
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Environmental Research and Public Health Vol. 20, no. 19 (2023), p.
- Full Text:
- Reviewed:
- Description: The aims of this study were to examine psychological factors that predict treatment seeking and disability over the total duration of experiencing back pain. A sample of 201 adults experiencing chronic back pain was recruited through health professionals and completed the Depression, Anxiety and Stress Scale (DASS), the Oswestry Back Pain Disability Questionnaire (ODQ), the McGill Pain Questionnaire (MPQ) and the life control and affective distress variables of the West Haven–Yale Multidimensional Pain Inventory (WHYMP), and participants disclosed the number of treatment sessions attended over the course of the illness. Depression, life control and affective distress were tested as indirect predictors of disability severity that were mediated by treatment attendance. Each unit increase in life control predicted attending nearly 30 more treatment sessions, each unit increase in affective distress predicted attending 16 fewer treatments and each unit increase in depression predicted 4 fewer treatments, together explaining 44% of variance in treatment seeking. The effects of life control and affective distress on disability were explained by treatment attendance, whereas depression retained a direct effect on disability. Treatment attendance had an effect on disability. The findings show that participants with lower life control and higher affective distress and depression had higher levels of pain and disability, in part due to due to their treatment-seeking behaviour. © 2023 by the authors.
A systematic review of wheelchair and mobility scooter containment systems used internationally on public transit buses
- Unsworth, Carolyn, Timmer, Amanda
- Authors: Unsworth, Carolyn , Timmer, Amanda
- Date: 2023
- Type: Text , Journal article , Review
- Relation: International Journal of Environmental Research and Public Health Vol. 20, no. 20 (2023), p.
- Full Text:
- Reviewed:
- Description: Despite the daily need for people to travel on public transit buses using their wheeled mobility devices, relatively little information is available regarding the most efficacious, affordable, and independent approaches to assist passengers with keeping their mobility devices in the designated wheelchair access space. A systematic review was undertaken to summarize this literature, place it within a geographical and temporal context, appraise its quality, and establish common themes. Key academic and grey literature transportation databases and government websites searched from 1990 to May 2022 identified 33 documents, which were appraised using the Mixed Methods Appraisal Tool (MMAT) or the Authority, Accuracy, Coverage, Objectivity, Date, Significance (AACODS) tool. Overall, the documents included were of good quality. The literature retrieved focused on the development and testing of the active containment systems favored for use in North America with a contrastingly small examination of the effectiveness of passive or semi-passive containment systems. Almost no literature was retrieved in English from European researchers documenting the use or effectiveness of rearward-facing passive systems. While tip or slide events are relatively rare among mobility device users, the effective use of containment systems is vital to minimize these. Further research is required to support transport policy makers, operators, and bus drivers to identify and correctly implement optimal containment systems to promote safety for all passengers on public buses. © 2023 by the authors.
- Authors: Unsworth, Carolyn , Timmer, Amanda
- Date: 2023
- Type: Text , Journal article , Review
- Relation: International Journal of Environmental Research and Public Health Vol. 20, no. 20 (2023), p.
- Full Text:
- Reviewed:
- Description: Despite the daily need for people to travel on public transit buses using their wheeled mobility devices, relatively little information is available regarding the most efficacious, affordable, and independent approaches to assist passengers with keeping their mobility devices in the designated wheelchair access space. A systematic review was undertaken to summarize this literature, place it within a geographical and temporal context, appraise its quality, and establish common themes. Key academic and grey literature transportation databases and government websites searched from 1990 to May 2022 identified 33 documents, which were appraised using the Mixed Methods Appraisal Tool (MMAT) or the Authority, Accuracy, Coverage, Objectivity, Date, Significance (AACODS) tool. Overall, the documents included were of good quality. The literature retrieved focused on the development and testing of the active containment systems favored for use in North America with a contrastingly small examination of the effectiveness of passive or semi-passive containment systems. Almost no literature was retrieved in English from European researchers documenting the use or effectiveness of rearward-facing passive systems. While tip or slide events are relatively rare among mobility device users, the effective use of containment systems is vital to minimize these. Further research is required to support transport policy makers, operators, and bus drivers to identify and correctly implement optimal containment systems to promote safety for all passengers on public buses. © 2023 by the authors.
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