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Article
Publication date: 4 January 2011

Dominique Beaulieu and Gaston Godin

Easy access to fast‐food restaurants in the immediate environment of a high school is such that a high proportion of students do not remain in school for lunch. Hence, the…

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Abstract

Purpose

Easy access to fast‐food restaurants in the immediate environment of a high school is such that a high proportion of students do not remain in school for lunch. Hence, the probability that they will eat a healthy meal is reduced. The aim of this study is to identify the behavioral determinants of “staying in school to eat lunch” among high school students.

Design/methodology/approach

The Theory of Planned Behavior has been applied to the development of a questionnaire self‐administered among 153 randomly selected high school students.

Findings

Overall, 52.3 percent of students remained to eat at school every day during a follow‐up period of two weeks. Logistic regression analyses showed that intention (OR: 16.22; 95 percent CI 7.08‐37.21) was the sole predictor of behavior and that intention was determined by the descriptive norm (OR: 12.67; 95 percent CI 3.39‐47.27), perceived behavioral control (OR: 11.46; 95 percent CI 4.53‐29.04) and attitude (OR: 2.70; 95 percent CI 1.06‐6.85).

Practical implications

These findings suggest that a combination of interventions targeting both various individual determinants and environmental factors increases the likelihood that youngsters will remain at school to eat their lunch.

Originality/value

To the best of one's knowledge, this is the first study applying the Theory of Planned Behavior to understand why high school students do not stay in school to eat lunch. This information should be very useful to those interested in developing interventions to promote the policy that students should stay in school to eat their lunch instead of going out to fast food restaurants in the nearby environment.

Details

Health Education, vol. 111 no. 1
Type: Research Article
ISSN: 0965-4283

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Article
Publication date: 3 August 2012

Guylaine Chabot, Marie‐Pierre Gagnon and Gaston Godin

This paper aims to identify organizational readiness for change towards adoption of a redefined role of the school nurse as a strategic option in the context of a health…

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1347

Abstract

Purpose

This paper aims to identify organizational readiness for change towards adoption of a redefined role of the school nurse as a strategic option in the context of a health promoting school approach. This new role is consistent with planned change directed at life habits and life conditions.

Design/methodology/approach

A questionnaire based on a modified version of the organizational readiness for change (ORC) framework was e‐mailed to 122 top and middle managers (response rate of 74 percent) in 42 local health organizations in the Province of Quebec, Canada, during the fall of 2009.

Findings

In total, 90 percent of participants perceived the proposed role as a solution to fulfil their school health program needs, especially to plan and integrate health promotion projects. The lack of resources and nursing support emerged as factors hampering the capacity of school nurses to play such a role.

Research limitations/implications

Additional implications of the ORC framework are needed in order to better address organizational readiness for complex changes in specific health‐related settings.

Practical implications

Access to information technology and the development of computer skills would help enhance this encompassing role in health promotion.

Originality/value

Findings have the potential to better inform health authorities regarding the new role of the school nurse as a strategic option in health promotion. This study also provides an application of the theoretical framework showing the need for additional empirical tests.

Details

Journal of Health Organization and Management, vol. 26 no. 4
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 1 February 2005

Marie‐Pierre Gagnon, Lise Lamothe, Jean‐Paul Fortin, Alain Cloutier, Gaston Godin, Camille Gagné and Daniel Reinharz

The purpose of this study is to explore the influence of hospitals’ organisational characteristics on telehealth adoption by health‐care centres involved in the extended…

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2883

Abstract

Purpose

The purpose of this study is to explore the influence of hospitals’ organisational characteristics on telehealth adoption by health‐care centres involved in the extended telehealth network of Quebec (French acronym RQTE)

Design/methodology/approach

The article is based on a review of the literature and a questionnaire, which was administered via telephone interviews to the 32 hospitals involved in the Extended Telehealth Network of Quebec. Contingency analyses were performed to determine which organisational factors have influenced telehealth adoption. Subsequently, a multiple case study was conducted among nine hospitals representative of different categories of telehealth adopters. In‐depth interviews with various actors involved in telehealth activities have permitted a deepening of one's understanding of the impact of clinical and administrative contexts on telehealth adoption.

Findings

The results from both the questionnaire and interviews support the observation made by Whitten and Adams in 2003 that telehealth programs are not isolated, but located within larger health organisations. Moreover, health‐care organisations are also positioned in a larger geographical, economical and socio‐political environment. Therefore, it is important to investigate the context in which telehealth projects are taking place prior to experimentation.

Originality/value

This study has highlighted the relevance of considering the characteristics and the dynamics of health‐care organisations at each stage of telehealth implementation in order to take their specific needs into account.

Details

Journal of Health Organization and Management, vol. 19 no. 1
Type: Research Article
ISSN: 1477-7266

Keywords

Content available
Article
Publication date: 1 January 2013

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76

Abstract

Details

Health Education, vol. 113 no. 1
Type: Research Article
ISSN: 0965-4283

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Article
Publication date: 11 June 2018

Alexandra S. Kang, K. Jayaraman, Keng Lin Soh and Wai Peng Wong

The purpose of this paper is to contribute to the understanding of social sustainable consumption in the context of improved ridership in public bus transport (PBT). It…

Abstract

Purpose

The purpose of this paper is to contribute to the understanding of social sustainable consumption in the context of improved ridership in public bus transport (PBT). It investigated the social predictors and implementation intention of drivers to use PBT.

Design/methodology/approach

The empirical data were collected through online survey. The respondents of the online survey were 313 drivers in Penang, Malaysia. A conceptual model was designed to test implementation intention of the drivers in using the PBT. Data analysis was performed using the variance-based structural equation modeling technique of partial least squares.

Findings

The findings indicate that the drivers’ intention to use PBT is significantly influenced by their referent group, gender role, and commitment to environment. In addition, their implementation intention is significantly predicted by the intention to use PBT.

Research limitations/implications

This study was performed in Penang using convenience sampling method. The results need to be replicated using a different sample in other developing countries to test its stability.

Practical implications

Policy makers and transport managers need to be guided by the importance of the drivers’ referent group, gender role, commitment to environment, and intention in order to improve ridership of the PBT.

Originality/value

The research on referent group, gender role, commitment to environment, intention, and the implementation intention of the drivers using the theory of interpersonal behavior in PBT is unprecedented.

Details

Management of Environmental Quality: An International Journal, vol. 30 no. 2
Type: Research Article
ISSN: 1477-7835

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Article
Publication date: 6 January 2021

Jaleel Mohammed, Russell Kabir, Hadeel R. Bakhsh, Diana Greenfield, Volkova Alisa Georgievna, Aleksandra Bulińska, Jayanti Rai, Anne Gonzales and Shahrukh K. Hashmi

Hematopoietic stem cell transplant (HSCT) patients can suffer from long-term transplant-related complications that affect their quality of life and daily activities. This…

Abstract

Purpose

Hematopoietic stem cell transplant (HSCT) patients can suffer from long-term transplant-related complications that affect their quality of life and daily activities. This study, a narrative review, aims to report the impact of HCT complications, the benefits of rehabilitation intervention, the need for long-term care and highlights the research gap in clinical trials involving rehabilitation.

Design/methodology/approach

A comprehensive search strategy was performed on several databases to look for relevant articles published from 1998 to 2018. Articles published in English with the following terms were used: hematopoietic stem cell transplant, chronic graft-versus-host disease, rehabilitation, exercise, physical therapy, occupational therapy. A patient/population, intervention, comparison, and outcomes (PICO) framework was employed to ensure that the search strategies were structured and precise. Study year, design, outcome, intervention, sample demographics, setting and study results were extracted.

Findings

Of the 1,411 records identified, 51 studies underwent title/abstract screening for appropriateness, 30 were reviewed in full, and 19 studies were included in the review. The review found that, for the majority of patients who underwent HSCT and developed treatment-related complications, rehabilitation exercises had a positive impact on their overall quality of life. However, exercise prescription in this patient group has not always reflected the scientific approach; there is a lack of high-quality clinical trials in general. The review also highlights the need to educate healthcare policymakers and insurance companies responsible for rationing services to recognise the importance of offering long-term follow-up care for this patient group, including rehabilitation services.

Practical implications

A large number of HSCT patients require long-term follow-up from a multidisciplinary team, including rehabilitation specialists. It is important for healthcare policymakers and insurance companies to recognise this need and take the necessary steps to ensure that HSCT patients receive adequate long-term care. This paper also highlights the urgent need for high-quality rehabilitation trials to demonstrate the feasibility and importance of rehabilitation teams.

Originality/value

Healthcare policymakers and insurance companies need to recognise that transplant patients need ongoing physiotherapy for early identification of any functional impairments and appropriate timely intervention.

Details

International Journal of Health Governance, vol. 26 no. 2
Type: Research Article
ISSN: 2059-4631

Keywords

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