scholarly journals Experimental Evaluation of Information Interventions to Encourage Non-Motorized Travel: A Case Study in Hefei, China

2020 ◽  
Vol 12 (15) ◽  
pp. 6201
Author(s):  
Jichao Geng ◽  
Ruyin Long ◽  
Li Yang ◽  
Junqi Zhu ◽  
Getnet Engeda Birhane

This study aims at presenting an experimental evaluation of the different effects of environmental and health information on encouraging car owners to travel on foot and by bicycle. Health information consists of a high and a low target setting. One hundred and forty-six participants in Hefei city reported their travel behaviors in terms of mode, time, and trip before and after the experiment. Their cognitive and emotional processes with regard to the protection motivation theory (PMT) that determine their potential travel behavior changes in response to information intervention are also identified. Three experimental groups and one control group based on a between-group design are adopted and the methodology of paired sample chi-squared tests and stepwise linear regressions are used. The results show that environmental information alone fails to encourage car owners’ non-motorized travel. When health information is added, information intervention can effectively encourage a time increase in walking and cycling as well as a time and trip decrease in car use in the short term. But the long-term effect is not significant after a year and a half. Moreover, there are no significant differences between the high and the low target settings in health information for encouraging non-motorized travel. In terms of PMT constructs, severity has a significant relationship with the change of time or trip on foot and by bicycle. Vulnerability emerges as a non-effective predictor. Reward, self-efficacy, response efficacy, and response cost are more remarkable in predicting the change of time or trip by car. This study recommends that (1) health information with a target setting is superior to environmental information, (2) reduction strategy is potentially superior to transfer strategy to control car usage, (3) policymakers should design intervention strategies relevant to the coping appraisal rather than to the threat appraisal.

2020 ◽  
Vol 14 (4) ◽  
pp. 522-528
Author(s):  
Suyanto Suyanto ◽  
Sri Lestari Dwi Astuti

The ipswich touch test manual book in improving skills for health cadre members in detecting diabetic neuropathyBackground: Complications of diabetes can affect all organs of the body, especially the ends of the feet as diabetic foot. But this will not occur if diabetes treatment in properly and regularly. The early detection on nerve damage can do immediately to find neuropathy symptoms, which is a decrease in the sensitivity of the feet, by using a monofilament test. However, this tool is rarely available in health care units. Currently, a simple method for detecting neuropathy by the Ipswich Touch Test (IpTT). This technique can perform by health cadres, but it needs written instructions such as a guide or manual book.Purpose: Knowing of the skills for health cadre members in detecting diabetic neuropathy by using ipswich touch test manual book.Methods: The pretest-posttest quasi-experimental design with population was health cadre members taken by cluster sampling from Giri Roto and Dibal villages, Ngemplak District, Boyolali Regency. The sample divided by  2 groups and each a group of 60 participants of cadres. The evaluation by observing of the skills each health cadre members in detecting diabetic neuropathy before and after using ipswich touch test manual book.Results: Based on data analysis using the chi-squared test, the p-value was 0.000 (<0.005). This means that the research hypothesis accepted which states that there are differences in the skills on each health cadre members in detecting diabetic neuropathy before and after using ipswich touch test manual book.Conclusion: There is improving in skills on each health cadre member in detecting diabetic neuropathy by using ipswich touch test manual book.Keywords: Ipswich touch test; Diabetic neuropathy; Skills; CadrePendahuluan: Komplikasi diabetes dapat menyerang seluruh organ tubuh khususnya ujung kaki berupa diabetic foot. Tetapi hal tersebut tidak akan muncul apabila perawatan diabetes dilaksanakan dengan baik, dan teratur. Sehingga  terjadinya kerusakan saraf yang dapat segera terdeteksi seperi Neuropati yaitu penurunan sensitivitas rasa kaki. Neuropati dapat dideteksi dengan menggunakan monofilament test. Akan tetapi  alat ini belum tentu tersedia  di unit pelayanan kesehatan. Saat ini telah dibuat sebuah cara mendeteksi neuropati pada pasien diabetes yang sederhana tanpa alat  dinamakan Ipswich Touch Test (IpTT). Teknik ini bahkan dapat dilakukan oleh non profesional antara lain kader kesehatan namun perlu instruksi tertulis seperti buku panduan.Tujuan: Mengetahui perbedaan peningkatan keterampilan kader kesehatan dalam mendeteksi neuropati diabetik menggunakan buku panduan Ipswich Touch Test di Kecamatan  Ngemplak Kabupaten BoyolaliMetode : Desain kuasi eksperimen pretest-posttest with control group sebagai  populasi  adalah kader kesehatan di Kecamatan Ngemplak Kabupaten Boyolali. Pengambilan sampel dilakukan cluster sampling sebanyak 2 kelompok kader yaitu kader di desa Giri Roto dan  Dibal masing masing sebanyak 60 orang. Evaluasinya dengan melihat keterampilan kader sebelum dan sesudah menggunakan buku panduan uji sentuh ipswichHasil: Berdasarkan analisis data menggunakan uji Chi-Squared diperoleh hasil p-value 0.000 (< 0,005). Hal ini  berarti Hipotesis penelitian diterima yang menyatakan bahwa terdapat perbedaan  keterampilan kader dalam mendeteksi neuropati menggunakan buku panduan antara kader desa Dibal dan kader desa Giri Roto.Simpulan: Terdapat peningkatan keterampilan setelah menggunakan buku panduan IpTT pada kader desa Dibal dan desa Giri Roto.


2011 ◽  
Vol 8 (1) ◽  
pp. 14
Author(s):  
Sri Thristyaningsih ◽  
Probosuseno Probosuseno ◽  
Herni Astuti

Background: Aging that happens naturally in human life does not only cause physical dysfunction but also have an impact to mental and social aspects. In the elderly there is a problem of degenerative disease. Hypertension has become a serious health problem and a major challenge of public health worldwide because of either high prevalence or major risk factor for cardiovascular disease. Pharmacological as well as non-pharmacological efforts have been made to prevent and cure the disease; however until today the growing number of hypertensive patients has not been successfully controlled. Consequently behavioral intervention has to be made to cure hypertensive patients. One of the recommended interventions is fitness exercise for the elderly.Objective: The study aimed to identify the effect of fitness exercise to increasing stamina of heart and lung, nutrition status and reduced blood pressure of hypertensive elderly at integrated service post of Sub district of Pahandut, Palangkaraya Municipality.Method: The study was an experiment (before and after) without control group using one group pretest posttest study design. Subject of the study was a group with pre experimental, evaluation, effect of variables and post experimental evaluation. Measurement was made in week two, three and four to blood pressure, heart and lung stamina, nutrition status of hypertensive elderly, discipline in exercise and food recall 24 hours. The interventions made were lecture and fitness exercise package D for the elderly.Results: There was significant association between elderly fitness exercise and systolic blood pressure, heart and lung stamina and nutrition status of hypertensive elderly (p<0.05). Result of Wilcoxon signed ranks test and paired sample test between gymnastic elderly on increase of endure capacity heart lung are significantly associated (p=0,001) and so on nutritional status (p=0,002) and decrease systolic tension (p=0,001) and diastolic tension (p=0,002).Conclusion: There was significant association between elderly fitness exercise and the increase of heart and lung stamina, nutrition status and the decrease of blood pressure in hypertensive elderly.


Author(s):  
Rosa Arroyo ◽  
Tomás Ruiz ◽  
Daniel Casquero ◽  
Lidón Mars

Travel behavior change programs (TBCP) are measures or actions specifically designed to motivate people to reduce their car use. This study contributes to the literature on rigorous evaluation of the effects of participating in TBCP. In particular, we analyze the effect of TBCP in relation to a potential for a reduction in car use. In contrast to previous studies, the effect of TBCP is analyzed considering two characteristics of the trip: travel companion and time of trip. The TBCP, consisting of three persuasion actions customized to the needs of the participants in the research, was designed and implemented in Valencia (Spain). To evaluate the effects of participating in the TBCP, a two-wave panel survey was carried out, which collected activity-travel scheduling process data from participants before and after the implementation of the TBCP. To properly identify the effects of taking part in the TBCP, participants were divided into two groups: those who were involved in the TBCP, and those who did not participate in any persuasion action (control group, CG). Descriptive and confirmatory analysis, which included the use of sample selection panel data models with treatment effects and random parameters, have been developed. The results suggest that the individuals most affected by participating in TBCP are those carrying out solo and afternoon trips. If traveling with companions, those who do so with household members are more influenced by participating in TBCP. Important research and transportation policy implications are derived from these results.


2020 ◽  
Vol 63 (4) ◽  
pp. 1018-1032
Author(s):  
Chia-Hsin Wu ◽  
Roger W. Chan

Purpose Semi-occluded vocal tract (SOVT) exercises with tubes or straws have been widely used for a variety of voice disorders. Yet, the effects of longer periods of SOVT exercises (lasting for weeks) on the aging voice are not well understood. This study investigated the effects of a 6-week straw phonation in water (SPW) exercise program. Method Thirty-seven elderly subjects with self-perceived voice problems were assigned into two groups: (a) SPW exercises with six weekly sessions and home practice (experimental group) and (b) vocal hygiene education (control group). Before and after intervention (2 weeks after the completion of the exercise program), acoustic analysis, auditory–perceptual evaluation, and self-assessment of vocal impairment were conducted. Results Analysis of covariance revealed significant differences between the two groups in smoothed cepstral peak prominence measures, harmonics-to-noise ratio, the auditory–perceptual parameter of breathiness, and Voice Handicap Index-10 scores postintervention. No significant differences between the two groups were found for other measures. Conclusions Our results supported the positive effects of SOVT exercises for the aging voice, with a 6-week SPW exercise program being a clinical option. Future studies should involve long-term follow-up and additional outcome measures to better understand the efficacy of SOVT exercises, particularly SPW exercises, for the aging voice.


2017 ◽  
Vol 76 (2) ◽  
pp. 71-79 ◽  
Author(s):  
Hélène Maire ◽  
Renaud Brochard ◽  
Jean-Luc Kop ◽  
Vivien Dioux ◽  
Daniel Zagar

Abstract. This study measured the effect of emotional states on lexical decision task performance and investigated which underlying components (physiological, attentional orienting, executive, lexical, and/or strategic) are affected. We did this by assessing participants’ performance on a lexical decision task, which they completed before and after an emotional state induction task. The sequence effect, usually produced when participants repeat a task, was significantly smaller in participants who had received one of the three emotion inductions (happiness, sadness, embarrassment) than in control group participants (neutral induction). Using the diffusion model ( Ratcliff, 1978 ) to resolve the data into meaningful parameters that correspond to specific psychological components, we found that emotion induction only modulated the parameter reflecting the physiological and/or attentional orienting components, whereas the executive, lexical, and strategic components were not altered. These results suggest that emotional states have an impact on the low-level mechanisms underlying mental chronometric tasks.


1979 ◽  
Vol 42 (04) ◽  
pp. 1332-1339 ◽  
Author(s):  
Hiroh Yamazaki ◽  
Takeshi Motomiya ◽  
Minoru Sonoda ◽  
Noboru Miyagawa

SummaryChanges in platelets in 48 patients with uterine myoma before and after hysterectomy with and without ovariectomy were examined. Bilateral ovariectomy in 25 cases (ovariec-tomized group) and unilateral or non-ovariectomy in 23 cases (control group) were performed at the hysterectomy. Platelet count and an appearance rate of secondary aggregation decreased at one day after and increased at one week after the operation, similarly in both the ovariectomized and the control group. The appearance rate of secondary aggregation was reflected in an intensity of aggregation at 5 min after the addition of reagent to PRP. At one month after the operation, the appearance rate of secondary aggregation induced by 3 μM ADP showed a statistically significant decrease in comparison with the preoperation value (P <0.05) and the enhancement of 5-min aggregation was still observed in the control group, while ceased in the ovariectomized group. The difference between the two groups was significant (P < 0.05). There was almost no change in the speed and intensity of primary and secondary aggregation during the observation period. No significant differences in collagen-induced aggregation were noted between the two groups. The results suggest that ovarian hormones, mainly estrogen, facilitate platelet activation which is mediated by the so-called secondary aggregation.


Author(s):  
Niken Setyaningrum ◽  
Andri Setyorini ◽  
Fachruddin Tri Fitrianta

ABSTRACTBackground: Hypertension is one of the most common diseases, because this disease is suffered byboth men and women, as well as adults and young people. Treatment of hypertension does not onlyrely on medications from the doctor or regulate diet alone, but it is also important to make our bodyalways relaxed. Laughter can help to control blood pressure by reducing endocrine stress andcreating a relaxed condition to deal with relaxation.Objective: The general objective of the study was to determine the effect of laughter therapy ondecreasing elderly blood pressure in UPT Panti Wredha Budhi Dharma Yogyakarta.Methods: The design used in this study is a pre-experimental design study with one group pre-posttestresearch design where there is no control group (comparison). The population in this study wereelderly aged over> 60 years at 55 UPT Panti Wredha Budhi Dharma Yogyakarta. The method oftaking in this study uses total sampling. The sample in this study were 55 elderly. Data analysis wasused to determine the difference in blood pressure before and after laughing therapy with a ratio datascale that was using Pairs T-TestResult: There is an effect of laughing therapy on blood pressure in the elderly at UPT Panti WredhaBudhi Dharma Yogyakarta marked with a significant value of 0.000 (P <0.05)


1962 ◽  
Vol 41 (1) ◽  
pp. 123-128 ◽  
Author(s):  
Pentti A. Järvinen ◽  
Sykkö Pesonen ◽  
Pirkko Väänänen

ABSTRACT The fractional determination of 17-ketosteroids in the daily urine was performed in nine cases of hyperemesis gravidarum and in four control cases, in the first trimester of pregnancy both before and after corticotrophin administration. The excretion of total 17-KS is similar in the two groups. Only in the hyperemesis group does the excretion of total 17-KS increase significantly after corticotrophin administration. The fractional determination reveals no difference between the two groups of patients with regard to the values of the fractions U (unidentified 17-KS), A (androsterone) and Rest (11-oxygenated 17-KS). The excretion of dehydroepiandrosterone is significantly higher in the hyperemesis group than in the control group. The excretion of androstanolone seems to be lower in the hyperemesis group than in the control group, but the difference is not statistically significant. The differences in the correlation between dehydroepiandrosterone and androstanolone in the two groups is significant. The high excretion of dehydroepiandrosterone and low excretion of androstanolone in cases of hyperemesis gravidarum is a sign of adrenal dysfunction.


2017 ◽  
pp. 68-73
Author(s):  
I.P. Polishchuk ◽  

The objective: was to examine the effectiveness of treatment of late miscarriage threat by micronized form of progesterone for 100 mg – 3 times a day in the form of gelatin pills and vaginal tablets with lactose. Patients and methods. Under our supervision there were 70 pregnant women with normocenosis of vagina (NCV) without extragenital pathology, which were not performed systemic or local treatment with antibacterial drugs in the last 4 weeks. Among them 25 pregnant women with TLSM treated by gelatin tablets of micronized progesterone (GTP) (group 1); 25 pregnant women with TLSM, treated by vaginal micronized progesterone tablets (VPT) (2nd group) and 20 healthy women with physiological pregnancy – PV (control group). The distribution of women in the group adhered to the principles of randomization. The age of examined women ranged from 19 to 32 years, most pregnant women were aged under 30 years (89.02%). General clinical examination was carried out according to the standard scheme according to the Order MH of Ukraine № 620. Results. During the research we have determined the colpocytologcal dynamics and state of vaginal microbiota in pregnant women with threatened late miscarriage with initial vaginal normocenosis before and after treatment whit vaginal forms of progesterone. Conclusion. The received results showed low efficiency of micronized progesterone gelatin dragee at threat of the late miscarriage that at small therapeutic effect has led to the development of vaginal dysbiosis in all surveyed. In contrast, the use of micronized progesterone vaginal tablets – the maximally rapid therapeutic effect without disturbance of vaginal normocenosis. Key words: the threat of a late miscarriage, vaginal micronized forms of progesterone.


2018 ◽  
Vol 9 (01) ◽  
Author(s):  
Praful Prabhuappa Kapse ◽  
Manisha Kiran

Caring for the persons with first episode psychosis is challenging and demanding. It may lead to the increased burden, expressed emotions among the caregivers. The numerous studies have shown that high burden and negative expressed emotions among caregivers can lead to early relapse in the patients with first episode psychosis. To evaluate the effects of the brief psychoeducation on the caregivers burden and expressed emotions. A quasi experimental - before and after with control group research design was adopted for the study. A total of 60 caregivers have participated in the study, of which 30 caregivers in experimental group and 30 caregivers in the control group. Family Burden Interview Schedule (Pai and Kapoor, 1981) and Attitude Questionnaire (Sethi et al., 1981) was used to assess caregiver's burden and expressed emotions. At end of the psychoeducation intervention, burden among caregivers and negative expressed emotions of the caregivers have significantly reduced. The positive expressed emotions have been increased. Study results demonstrates the importance of psychoeducation intervention in reducing the burden and negative expressed emotions.


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