This study reports the impact of high sensitivity to early exchange in 11-grade, CSCL triads solving welland ill-structured problems in Newtonian Kinematics. Analysis of the evolution of participation inequity (PI) in group discussions suggested that participation levels tended to get locked-in relatively early on in the discussion. Similarly, high (low) quality member contributions made earlie...

INTRODUCTION Older adults with chronic pain who seek treatment often are in a health care environment that emphasizes patient-directed care, a change from the patriarchal model of care to which many older adults are accustomed. OBJECTIVE To explore the experiences of older adults seeking treatment for chronic pain, with respect to patient-directed care and the patient-provider relationship. ...

BACKGROUND As pressure ulcers contribute to significant patient burden and increased health care costs, their prevention is a clinical priority. Our team developed and tested a complex intervention, a pressure ulcer prevention care bundle promoting patient participation in care, in a cluster-randomised trial. The UK Medical Research Council recommends process evaluation of complex interventions...

OBJECTIVE Patient-centred depression care approaches should better address barriers of insufficient patient information and involvement in the treatment decision process. Additional research is needed to test the effect of increased patient participation on outcomes. The aim of this study was to assess, if patient participation in decision-making via a shared decision-making intervention leads ...

Lay participation in health care decision making has attracted increasing interest in Canada, with numerous provincial government reports advocating this initiative. Interest stems from a number of factors. Among them is a growing recognition that patient preferences ought to be incorporated into decision making that involves individual treatment choices. Another factor is the desire to increas...

This integrated literature review provides state-of-the-science information regarding parent participation in the care of hospitalized child. The database search revealed only 12 articles on this subject published between 1996-2002. Ganong's (1987) integrative research review process guided this study, and the matrix method of Garrard (1999) was modified to develop the data collection tool. The...

BACKGROUND The traditional paternalistic approach to medical decision-making is moving towards a climate of greater patient and/or surrogate involvement. Despite this, there is considerable debate regarding patient preferences for participation in medical decision-making and its effect on patient satisfaction and outcome. This study was designed to examine parents' preferences for participation...

............................................................................................................................ 6 LIST OF PAPERS ................................................................................................................... 8 ABBREVIATIONS................................................................................................................. 9 FOREWORD...