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Background: computer software is widely used to support literacy learning. There are few randomised trials to support its effectiveness. Therefore, there is an urgent need to rigorously evaluate computer software that supports literacy learning.

Methods: we undertook a pragmatic randomised controlled trial among pupils aged 11–12 within a single state comprehensive school in the North of England. The pupils were randomised to receive 10 hours of literacy learning delivered via laptop computers or to act as controls. Both groups received normal literacy learning. A pre‐test and two post‐tests were given in spelling and literacy. The main pre‐defined outcome was improvements in spelling scores.

Results: 155 pupils were randomly allocated, 77 to the ICT group and 78 to control. Four pupils left the school before post‐testing and 25 pupils did not have both pre‐ and post‐test data. Therefore, 63 and 67 pupils were included in the main analysis for the ICT and control groups respectively. After adjusting for pre‐test scores there was a slight increase in spelling scores, associated with the ICT intervention, but this was not statistically significant (0.954, 95% confidence interval (CI) – 1.83 to 3.74, p = 0.50). For reading scores there was a statistically significant decrease associated with the ICT intervention (?2.33, 95% CI ?0.96 to ?3.71, p = 0.001).

Conclusions: we found no evidence of a statistically significant benefit on spelling outcomes using a computer program for literacy learning. For reading there seemed to be a reduction in reading scores associated with the use of the program. All new literacy software needs to be tested in a rigorous trial before it is used routinely in schools.  相似文献   

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A stillborn baby represents a unique loss because parents must mourn fantasies of an anticipated newborn rather than memories of a shared experience. A self-help group can facilitate parents' mourning process following a stillbirth. With family-to-family contact and group discussions, the reality of the stillbirth is validated, the empty feelings of the loss the parents are experiencing are acknowledged, and the guilt the couples are feeling is eased. Reports from parents indicate that restoration of hope for the future and improved marital communication are the most beneficial aspects of their participation in the group. The phases of mourning described by Bowlby and Parkes have been observed in the group studied here as over time the parents resolved their loss and reoriented their lives.  相似文献   
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本文论述了过去100年中基础医学科学在本科生医学课程中的作用和课程改革,讨论了进入21世纪之际仍然反映在医学教育中科学与技艺之间的紧张关系。  相似文献   
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The search to lighten material is a major trend accompanying the development of several sports and recreational mountain practices (ski touring, trail running, fast hiking, etc). Such characteristics as lightness, technicality, and durability are not easy to combine for the designers. Two emblematic inventions of this successful equation have drawn our attention (a climbing harness, and a backpack). We undertook a sociological analysis of these innovatory trajectories: in a socio-technical perspective, 15 semi-directive interviews have been conducted with partakers of the two innovations. Our results point out the complexity and unpredictability of such processes. These inventions are approved in the restricted circle of experienced outdoor professionals and practitioners; but in spite of this recognition, their attaining the status of innovation can be subject to debate, because of limited compromises, little broadening of the network, and a clear turn towards restrictive practices.  相似文献   
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Means-end theory was used to analyze differences in outcomes from original interviews and follow-up interviews occurring four years after Outward Bound (OB) and National Outdoor Leadership School (NOLS) 2006 course participation. In 2006, a semi-structured, in-person interview was conducted after participants (N = 510) completed their course. In 2010, semi-structured telephone interviews were conducted from a convenience sample of the original participants (N = 200). Results of this study show how OB and NOLS programs continued to increase participant self-respect/esteem/confidence, impart transferable lessons and skills, and provide a sense of self-awareness four years after course participation. Understanding such participant outcomes allows program managers to effectively market programs, comprehend relationships between program attributes and participant outcomes, and design programs for specific outcomes.  相似文献   
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