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11.
Michael J. Shoemaker Amy B. Curtis Eric Vangsnes Michael G. Dickinson 《Cardiopulmonary Physical Therapy Journal》2012,23(3):5-15
Purpose
The purpose of the present review was to use existing, published data to provide an estimate of the amount of change in six-minute walk test distance (Δ6MWT) that represents a clinically meaningful change in individuals with chronic heart failure (CHF).Methods
The present review included two separate literature searches of the CINAHL and Medline databases for articles that: (1) reported the intraclass correlation coefficient (ICC) of the 6MWT in individuals with CHF, and (2) used the 6MWT along with either aerobic capacity or health-related quality of life (HRQL) as study endpoints in randomized controlled trials (RCTs) of exercise-based intervention for individuals with CHF. The ICCs were used to calculate the minimum detectable difference (MDD) at the 95% confidence interval for each included study. The Δ6MWT associated with aerobic capacity and HRQL within-group effect sizes for the intervention and control groups in each included RCT was analyzed using receiver operating characteristic (ROC) curves.Results
Thirteen articles reported the ICC for the 6MWT. The mean (standard deviation) MDD calculated based on these data was 43.1(16.8) m. Eighteen RCTs measured the 6MWT and either aerobic capacity and/or HRQL. A Δ6MWT of 40–45 m was associated with at least moderate aerobic capacity and HRQL effect sizes in the intervention groups. The Δ6MWT thresholds that discriminated between intervention and control groups using ROC curves revealed the following sensitivity/specificity for the respective thresholds: 19 m, 94.4/83.3%, 32 m, 83.3/94.4%, and 48 m 44.4/100% (AUC = .935, p = .009, CI95% .855, 1.015).Conclusions
A Δ6MWT of approximately 45 m appears to exceed measurement error and be associated with significant changes in either aerobic capacity and/or HRQL.Key Words: heart failure, six-minute walk test, clinically meaningful change, minimum detectable difference 相似文献12.
Using the Arts to Raise Awareness and Communicate Environmental Information in the Extension Context
David J. Curtis 《The Journal of Agricultural Education and Extension》2013,19(2):181-194
Abstract Extension services face an increasing challenge as the state of Australia's environment declines. It is, therefore, opportune to explore some innovations in the way extension is traditionally delivered. This paper introduces the concept of the visual and performing arts being useful in extension of natural resources management issues such as land water degradation, biodiversity conservation, catchment protection and vegetation management. The paper surveys how the arts and science have met historically and contemporaneously, focusing on examples from ecology such as wildlife and botanical art. It then examines how extension practitioners view the arts, through an analysis of interviews with 26 extensionists working in natural resources management. Extensionists identified five areas that the arts might be utilized to help increase understanding and knowledge of natural resources issues: improving presentations; improving public campaigns and general awareness-raising; aiding facilitation and community development; reinforcing values and beliefs; and helping build a culture that is environmentally sustainable. Despite the potential value of arts in extension, few practitioners in extension use the arts to any great extent to assist in the communication of their messages. The research points to new opportunities for natural resources agencies and conservation organizations to improve their reach into the community. By building a relationship with the arts community they will be able to improve the efficacy of their extension. 相似文献
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This study investigates what teaching practices in the ‘non-lecture context of a foundation programme' help or hinder Māori and Pasifika students' success in a New Zealand university. This two-year qualitative project used Kaupapa Māori and Pasifika Research (KM/PR) methodologies conducted in three phases: (1) needs analysis, (2) intervention and (3) evaluation. Twenty-eight Māori or Pasifika students were interviewed using the Critical Incident Technique identifying 798 incidents grouped into four themes for institutional development: (I) use effective practices for teaching and learning, (II) grow independent learners, (III) support the empowerment of the learner and (IV) harness the positive cohort effect. Initially, students reported that intensive support provided by the foundation programme was not preparing students well for success in degree-level study. Following interventions of institutionally-led changes, students reported better preparation for ongoing study. The overall learning environment and provision of Māori and Pasifika academic and pastoral support were important factors for success. 相似文献
15.
Menucha Birenbaum Curtis Tatsuoka Tao Xin 《Assessment in Education: Principles, Policy & Practice》2005,12(2):167-181
A diagnostic model for large‐scale assessment was applied to TIMSS data to compare mathematics performance of eighth graders from three countries—the US, Singapore, and Israel. Compared were attribute mastery probabilities for content, skills and cognitive processes underlying students’ performance on the 1999 TIMSS‐R mathematics test. Also compared were the proportions of students from the three samples in each of eight hierarchically ordered clusters of knowledge states. The results indicated significant differences in favour of the Singaporean sample on most attributes underlying the test. The results were discussed in light of the cultural context of education in the respective countries. 相似文献
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Zhu Meina Bonk Curtis J. Doo Min Young 《Educational technology research and development : ETR & D》2020,68(5):2073-2093
Educational technology research and development - Given that massive open online learning courses (MOOCs) are considerably different from traditional classrooms in terms of roles and... 相似文献
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19.
Rockliff S Peterson M Martin K Curtis D 《Health information and libraries journal》2005,22(2):117-123
AIM: In 2002, a discussion in the United Kingdom (UK) between South-west Information for Clinical Effectiveness (SWICE) librarians and a member of the South Australian Department of Human Services Libraries' Consortium (SAHSLC) raised the possibility of developing an after-hours virtual reference service between the two consortium groups. The aim of the service is to put medical practitioners in contact with a librarian when urgent help is required in finding clinical medical information after hours. METHODS: A trial project has begun and has been given the name 'Chasing the Sun'. The service will make use of time-zone differences between the UK and Australia, so that librarians at work in another country will be able to answer urgent patient-related queries that cannot wait until normal office hours. RESULTS: This paper looks at the development of 'Chasing the Sun' from initial concept, funding proposal and trial project stage to implementation. It includes details of the groundwork, software evaluation, trials, outcomes, cost and benefits, future directions and potential problems yet to be experienced or overcome. CONCLUSION: This service is the first of its kind between health libraries in the world and offers potential for future worldwide expansion. 相似文献
20.
Bruce Curtis 《Globalisation, Societies & Education》2016,14(1):87-109
This article explores ways the Performance-based Research Fund (PBRF) produces gendered results and expresses a cultural cringe. It is argued that the research evaluation is fixated with being ‘world-class’ at the expense of academic practice that focuses on New Zealand. In this context, disadvantage faced by female academics under the PBRF can be re-imagined as an exemplar of a broader experience faced by all New Zealand-trained and focused academics. At the same time, the PBRF has produced some embarrassing results for neoliberal policy-makers and somewhat empowers academics as arbiters of excellence by reifying elements of peer review. 相似文献