Health care education for dialogue and dialogic relationships.

PubMed

Glen, S

1999-01-01

This article will address the question: how can health care education best take seriously the task of educating for professional practice within a post-traditional, liberal democratic society? In the setting of modernity, the altered personal and professional self has to be explored and constructed as part of a reflective process of connecting personal and professional change: in essence, to develop self-knowledge. A moral life, or 'working morality', that evolves out of a process of ongoing dialogue and conversation is required. What is advocated here is a more social model of health care education that acknowledges a social or communal dimension to knowledge and the centrality of relationships for the full development of the individual personally and professionally, fosters our capacity to identify who we are both personally and professionally, connects reason and dialogue, and educates for dialogue and dialogic relationships.

Summary and conclusions of the 2001 Stockholm Water Symposium.

PubMed

Falkenmark, M

2002-01-01

Earlier Symposia stressed the importance of both a radical shift in thinking and of a radically improved governance. This is not possible without cross-sectoral bridge building through dialogue--the theme of this year's Symposium. The ongoing globalization is strong and complex with three main categories of country responses: integration into the world economy, marginalization, or a mix of both. Since water is a key element to achieve poverty eradication, health, nutrition and ecological service protection, i.e. for socioeconomic development, it is imperative that water be entered into the political agenda and given adequate status in society and among politicians. The particular danger of the water pollution crisis already in progress, clearly illustrated from both India and China, was further visualized by a dynamic world model experiment, showing devastating consequences in the 2040s that would influence both food production and population. The Symposium dialogue indicated however that there are options for actions. It is time to move on and make sure that water security becomes a reality for our children and grandchildren.

Improving metabolic monitoring in patients maintained on antipsychotics in Penang, Malaysia.

PubMed

Hor, Esther Sl; Subramaniam, Sivasangari; Koay, Jun Min; Bharathy, Arokiamary; Vasudevan, Umadevi; Panickulam, Joseph J; Ng, InnTiong; Arif, Nor Hayati; Russell, Vincent

2016-02-01

To evaluate the monitoring of metabolic parameters among outpatients maintained on antipsychotic medications in a general hospital setting in Malaysia and to assess the impact of a local monitoring protocol. By performing a baseline audit of files from a random sample of 300 patients prescribed antipsychotic medications for at least 1 year; we determined the frequency of metabolic monitoring. The findings informed the design of a new local protocol, on which clinical staff was briefed. We re-evaluated metabolic monitoring immediately after implementation, in a small sample of new referrals and current patients. We explored staff perceptions of the initiative with a follow-up focus group, 6 months post-implementation. The baseline audit revealed a sub-optimal frequency of metabolic parameter recording. Re-audit, following implementation of the new protocol, revealed improved monitoring but persisting deficits. Dialogue with the clinical staff led to further protocol modification, clearer definition of staff roles and use of a standard recording template. Focus group findings revealed positive perceptions of the initiative, but persisting implementation barriers, including cultural issues surrounding waist circumference measurement. Responding to challenges in achieving improved routine metabolic monitoring of patients maintained on antipsychotics required on-going dialogue with the clinical staff, in order to address both service pressures and cultural concerns. © The Royal Australian and New Zealand College of Psychiatrists 2015.

Reggio Social Capital

ERIC Educational Resources Information Center

Stejzygier, Aneta

2009-01-01

The paper presents the social capital as the essential element of success of the Reggio Emilia preschools known for their unique approach to the early childhood education. The collaborative effort is introduced through examples of the currently ongoing "Reggio Narrates" project of Reggio preschools, the "Dialogue with the…

An Enduring Dialogue between Computational and Empirical Vision.

PubMed

Martinez-Conde, Susana; Macknik, Stephen L; Heeger, David J

2018-04-01

In the late 1970s, key discoveries in neurophysiology, psychophysics, computer vision, and image processing had reached a tipping point that would shape visual science for decades to come. David Marr and Ellen Hildreth's 'Theory of edge detection', published in 1980, set out to integrate the newly available wealth of data from behavioral, physiological, and computational approaches in a unifying theory. Although their work had wide and enduring ramifications, their most important contribution may have been to consolidate the foundations of the ongoing dialogue between theoretical and empirical vision science. Copyright © 2018 Elsevier Ltd. All rights reserved.

Improved harmonisation from policy dialogue? Realist perspectives from Guinea and Chad.

PubMed

Kwamie, Aku; Nabyonga-Orem, Juliet

2016-07-18

Harmonisation is a key principle of the Paris Declaration. The Universal Health Coverage (UHC) Partnership, an initiative of the European Union, the Government of Luxembourg and the World Health Organization, supported health policy dialogues between 2012 and 2015 in identified countries in the WHO African Region. The UHC Partnership has amongst its key objectives to strengthen national health policy development. In Guinea and Chad, policy dialogue focused on elaborating the national health plan and other key documents. This study is an analytical reflection inspired by realist evaluative approaches to understand whether policy dialogue led to improved harmonisation amongst health actors in Guinea and Chad, and if so, how and why. Interviews were conducted in Guinea and Chad with key informants at the national and sub-national government levels, civil society, and development partners. A review of relevant policy documents and reports was added to data collection to construct a full picture of the policy dialogue process. Context-mechanism-outcome configurations were used as the realist framework to guide the analysis on how participants' understanding of what policy dialogue was and the way the policy dialogue process unfolded led to improved harmonisation. Improved harmonisation as a result of policy dialogue was perceived to be stronger in Guinea than in Chad. While in both countries the participants held a shared view of what policy dialogue was and what it could achieve, and both policy dialogue processes were considered to be well implemented (i.e., well-facilitated, evidence-based, participatory, and consisted of recurring meetings and activities), certain contextual factors in Chad tempered the view of harmonisation as having improved. These were the pre-existence of dialogic policy processes that had exposed the actors to the potential that policy dialogue could have; a focus on elaborating provincial level strategies, which gave the sense that the process was more bottom-up; and the perception that there were acute resource constraints, which conditioned partners' interactions. Policy dialogue improves harmonisation in terms of fostering information exchange amongst partners; however, it does not appear to influence the operational procedures of the actors. This has implications for aid effectiveness.

Improving the Efficiency of Dialogue in Tutoring

ERIC Educational Resources Information Center

Kopp, Kristopher J.; Britt, M. Anne; Millis, Keith; Graesser, Arthur C.

2012-01-01

The current studies investigated the efficient use of dialogue in intelligent tutoring systems that use natural language interaction. Such dialogues can be relatively time-consuming. This work addresses the question of how much dialogue is needed to produce significant learning gains. In Experiment 1, a full dialogue condition and a read-only…

CHANGING HEALTH TECHNOLOGY ASSESSMENT PARADIGMS?

PubMed

Husereau, Don; Henshall, Chris; Sampietro-Colom, Laura; Thomas, Sarah

2016-01-01

Health technology assessment (HTA) has to innovate to best support changing health system environments and to help provide access to valuable innovation under fiscal constraint. Issues associated with changing HTA paradigms were identified through scoping and explored through deliberation at a meeting of industry and HTA leaders. Five broad areas of change (engagement, scientific dialogue, research prioritization, adaptive approaches, and real world data) were identified. The meeting focused on two themes derived from these: re-thinking scientific dialogue and multi-stakeholder engagement, and re-thinking value, affordability, and access. Earlier and ongoing engagement to steer the innovation process and help achieve appropriate use across the technology lifecycle was perceived as important but would be resource intensive and would require priority setting. Patients need to be involved throughout, and particularly at the early stages. Further discussion is needed on the type of body best suited to convening the dialogue required. There was agreement that HTA must continue to assess value, but views differed on the role that HTA should play in assessing affordability and on appropriate responses to challenges around affordability. Enhanced horizon scanning could play an important role in preparing for significant future investments. Early and ongoing multi-stakeholder engagement and revisiting approaches to valuing innovation are required. Questions remain as to the most appropriate role for HTA bodies. Changing HTA paradigms extend HTA's traditional remit of being responsive to decision-makers demands to being more proactive and considering whole system value.

Reading across Workplace Learning Research to Build Dialogue

ERIC Educational Resources Information Center

Sawchuk, Peter H.

2010-01-01

The field of workplace learning scholarship in Western countries is reviewed. First, the emergence of workplace learning scholarship is discussed historically for its relation to the emergence and ongoing development of capitalism beginning from early thought on markets and productivity, 20th century scientific management, industrialism and…

[Dynamics of the dialogue on bioethics in a Spain in transition].

PubMed

Abel, F

1990-01-01

The bioethics dialogue began in Spain in 1975 in private institutions and developed in a society in transition toward democracy. Nostalgia for a nationalist Catholicism by some and the fervor of others to demonstrate that a break with the past had taken place have been important factors in bioethics legislation. Imitation of legislation considered progressive prevailed in the debate taking place in the country's bioethics centers, although in the case of assisted reproduction a commission of experts was set up to advise the government. The public has not participated in the debates, despite their coverage by the communications media. The medical schools have attempted to reform the deontological codes as a basis for formulating, promoting, and protecting the values of a pluralistic society. Results have been minimal, but the work of the bioethics centers is gradually being recognized and evaluated, and it is hoped that this ongoing bioethical dialogue will gradually mature.

The Substance of Transparency: The Sarbanes-Oxley Act.

ERIC Educational Resources Information Center

Mattie, John; McCarthy, Jack

2003-01-01

Discusses the Sarbanes-Oxley Act of 2002, a formal response to major corporate and accounting scandals, exploring its implications for higher education and promoting it as an opportunity both to reassess best practices for audit committees and executives and to refresh the ongoing dialogue with external auditors. (EV)

Four Methods for Engaging Young Children as Environmental Education Researchers

ERIC Educational Resources Information Center

Green, Carie

2017-01-01

This article contributes to the ongoing dialogue regarding what it means to engage young children as active researchers in Early Childhood Environmental Education (ECEE) and Early Childhood Education for Sustainability (ECEfS). Drawing from a participatory and phenomenological framework, this paper considers the advantages, challenges, and…

"Shakespeare Reloaded": Teacher Professional Development within a Collaborative Learning Community

ERIC Educational Resources Information Center

Brady, Linzy

2009-01-01

This paper describes an instance of continuing professional development and explores the contribution it might make to the ongoing international dialogue of professional development. It reviews the way features of the current debate on effective teaching, teacher learning and continuing professional development overlap and feed into each other and…

Post-Reciprocity: In Defense of the "Post" Perspective

ERIC Educational Resources Information Center

Johnson, Martha

2009-01-01

In the ongoing dialogue surrounding the project and facilitation of education abroad, several articles and presentations have positioned the conversation in the context of Western colonial history and the behaviors of the colonial traveler. Quite appropriately, such discussions have sought to raise consciousness in regard to the danger of modeling…

The Employable Woman Conference Report.

ERIC Educational Resources Information Center

DeAngelo, Lois; Garcia, Bernice

The conference proceedings relating to employment status and employment-related problems of women in general, and Montgomery County, Maryland, specifically, are highlighted in this report. The purpose of the conference was to establish a solid base for an on-going dialogue with educators, personnel experts, and affirmative action officers in the…

Understanding and Dismantling Barriers for Partnerships for Inclusive Education: A Cultural Historical Activity Theory Perspective

ERIC Educational Resources Information Center

Waitoller, Federico R.; Kozleski, Elizabeth B.

2013-01-01

Increasingly, universities and school districts share responsibility for teacher and student learning. Sharing responsibility demands that both institutions work to develop closer relationships through ongoing engagement, dialogue and negotiation. Drawing from Cultural Historical Activity Theory (CHAT), we examined one school/university…

Confirming Life

ERIC Educational Resources Information Center

Pereira-Webber, Colin; Pereira-Webber, Evelina

2014-01-01

A death within a school is a traumatic event that touches everyone in the school community. How teachers, students, and administrators respond to loss has ongoing implications for the adaptation of all involved. Therapists Colin Pereira-Webber and Evelina Pereira-Webber explore the topic of loss within a school through a written dialogue. Drawing…

Policy dialogue to improve health outcomes in low income countries: what are the issues and way forward?

PubMed

Nabyonga-Orem, Juliet; Dovlo, Delanyo; Kwamie, Aku; Nadege, Ade; Guangya, Wang; Kirigia, Joses Muthuri

2016-07-18

This paper has three objectives: to review the health development landscape in the World Health Organization African Region, to discuss the role of health policy dialogue in improving harmonisation and alignment to national health policies and strategic plans, and to provide an analytical view of the critical factors in realising a good outcome from a health policy dialogue process. Strengthening policy dialogue to support the development and implementation of robust and comprehensive national health policies and plans, as well as to improve aid effectiveness, is seen as a strategic entry point to improving health sector results. However, unbalanced power relations, the lack of contextualised and relevant evidence, the diverse interests of the actors involved, and the lack of conceptual clarity on what policy dialogue entails impact the outcomes of a policy dialogue process. The critical factors for a successful policy dialogue have been identified as adequate preparation; secured time and resources to facilitate an open, inclusive and informed discussion among the stakeholders; and stakeholders' monitoring and assessment of the dialogue's activities for continued learning. Peculiarities of low income countries pose a challenge to their policy dialogue processes, including the chaotic-policy making processes, the varied capacity of the actors and donor dependence. Policy dialogue needs to be appreciated as a complex and iterative process that spans the whole process of policy-making, implementation, review and monitoring, and subsequent policy revisions. The existence of the critical factors for a successful policy dialogue process needs to be ensured whilst paying special attention to the peculiarities of low income countries and potential power relations, and mitigating the possible negative consequences. There is need to be cognisant of the varied capacities and interests of stakeholders and the need for capacity building, and to put in place mechanisms to manage conflict of interest. The likelihood of a favourable outcome from a policy dialogue process will depend on the characteristics of the issue under consideration and whether it is contested or not, and the policy dialogue process needs to be tailored accordingly.

Improving the Quality of Care for Patients Diagnosed With Glioma During the Perioperative Period

PubMed Central

Riblet, Natalie B.V.; Schlosser, Evelyn M.; Homa, Karen; Snide, Jennifer A.; Jarvis, Lesley A.; Simmons, Nathan E.; Sargent, David H.; Mason, Linda P.; Cooney, Tobi J.; Kennedy, Nancy L.; Fadul, Camilo E.

2014-01-01

Purpose: Although there is agreement on the oncologic management of patients with glioma, few guidelines exist to standardize other aspects of care, including supportive care. Methods: A quality improvement (QI) project was chartered to improve the care provided to patients with glioma. A multidisciplinary team was convened and identified 10 best-practice measures. Using a plan-do-study-act framework, the team brainstormed and implemented various improvement interventions between June 2011 and October 2012. Statistical process control charts were used to evaluate progress. A dashboard of quality measures was generated to allow for ongoing measurement and reporting. Results: The retrospective assessment phase consisted of 43 patients with diagnosis of glioma. A manual medical record review for these patients showed that compliance with 10 best-practice measures ranged from 23% to 100%. Several factors contributed to less-than-ideal process performance, including poor communication among disciplines and lack of familiarity with the larger system of care. After implementing improvement interventions, performance was measured in 96 consecutive patients with glioma. The proportion of patients who met criteria for 10 practice measures significantly improved (pre-QI work, 63%; post-QI work, 85%; P = .003). The largest improvement was observed in the measure assessing for preoperative notification of the neuro-oncology program (pre-QI work, 39%; post-QI work, 97%; P < .001). Conclusion: QI principles were used by a multidisciplinary team to improve the quality of care for patients with glioma during the perioperative period. Leadership involvement, ongoing dialogue across departments, and reporting of system performance were important for sustaining process improvements. PMID:25294392

Towards a Caring Community: Modeling, Dialogue, Practice, and Confirmation.

ERIC Educational Resources Information Center

Harris, Charlotte Matthews

A teacher educator, engaged in ongoing practitioner inquiry to explore self as well as program, examines her evolution as a teacher of teachers through reflection, systematic inquiry, and collaboration. Relating autobiographically, she conjures up her professional stories and listens to her voice in an effort to define and refine her role, reflect…

Sexual Minorities on Community College Campuses. ERIC Digest.

ERIC Educational Resources Information Center

Leider, Steven

This digest provides a review of current literature relating to sexual minorities and the ongoing dialogue surrounding multiculturalism and inclusiveness on community college campuses. A 1998 study conducted on the six San Francisco community college campuses indicated that more than 1 in 3 of 484 community college students surveyed had engaged in…

Hannah Arendt and Karl Jaspers: The Time of Friendship

ERIC Educational Resources Information Center

Nixon, Jon

2016-01-01

This paper provides an introduction to the enduring friendship between Hannah Arendt and Karl Jaspers. It shows how their intellectual development as public educators was sustained by their ongoing dialogue which flourished not in spite of but because of their huge differences of circumstance and personality. This friendship between two renowned…

Re-Envisioning Business Programs in Liberal Arts Worlds: 2006 Summit Proceeding & Outcomes

ERIC Educational Resources Information Center

Neville, Mary Grace, Comp.; Godwin, Lindsey, Comp.; Senchack, A.J., Comp.; Parks, Don, Comp.

2007-01-01

This report compiles primary and secondary research about the role of business education in undergraduate liberal arts institutions. Grounded in history, literature and the ongoing dialogue about the role of business education in society, the report also serves as proceedings from a multi-university summit held in November 2006 at Southwestern…

Negotiating Authority in an Undergraduate Teacher Education Course: A Qualitative Investigation

ERIC Educational Resources Information Center

Brubaker, Nathan D.

2009-01-01

Negotiating authority, a multifaceted, on-going process of mutual bargaining over the power to determine or the right to control, permeates all facets of teaching experience. Considered by many educational theorists to be an outgrowth of collaborative dialogue and decision-making that helps foster active student engagement and investment in…

2015 Legislative Report on Remedial Education

ERIC Educational Resources Information Center

Colorado Department of Higher Education, 2016

2016-01-01

This report was prepared by the Colorado Department of Higher Education (DHE) pursuant to 23-1-113.3 C.R.S. The information in this report is presented to inform the ongoing dialogue regarding preparation for college and the effects of remedial education or developmental education in Colorado. This report documents data gathered by the Colorado…

When Socratic Dialogue Is Flagging: Questions and Strategies for Engaging Students

ERIC Educational Resources Information Center

Gose, Michael

2009-01-01

The author studied the pedagogy of Socrates looking for teaching techniques that help maintain students' interest in an ongoing discussion. Socrates' use of such strategies as asking probing questions, expanding the discussion into its relationship to other ideas, assuming the role of the devil's advocate, and spending time on group maintenance…

Learning to Internalize Action Dialogue

ERIC Educational Resources Information Center

Cotter, Teresa Ellen

2011-01-01

The purpose of this case study was to explore how participants of a communications workshop, "Action Dialogue," perceived their ability to engage in dialogue was improved and enhanced. The study was based on the following assumptions: (1) dialogue skills can be learned and people are able to learn these skills; (2) context and emotion influence…

Coal-Powered Electric Generating Unit Efficiency and Reliability Dialogue: Summary Report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Taylor, Emmanuel

Coal continues to play a critical role in powering the Nation’s electricity generation, especially for baseload power plants. With aging coal generation assets facing decreased performance due to the state of the equipment, and with challenges exacerbated by the current market pressures on the coal sector, there are opportunities to advance early-stage technologies that can retrofit or replace equipment components. These changes will eventually result in significant improvements in plant performance once further developed and deployed by industry. Research and development in areas such as materials, fluid dynamics, fuel properties and preparation characteristics, and a new generation of plant controlsmore » can lead to new components and systems that can help improve the efficiency and reliability of coal-fired power plants significantly, allowing these assets to continue to provide baseload power. Coal stockpiles at electricity generation plants are typically large enough to provide 30 to 60 days of power prior to resupply—significantly enhancing the stability and reliability of the U.S. electricity sector. Falling prices for non-dispatchable renewable energy and mounting environmental regulations, among other factors, have stimulated efforts to improve the efficiency of these coal-fired electric generating units (EGUs). In addition, increased reliance on natural gas and non-dispatchable energy sources has spurred efforts to further increase the reliability of coal EGUs. The Coal Powered EGU Efficiency and Reliability Dialogue brought together stakeholders from across the coal EGU industry to discuss methods for improvement. Participants at the event reviewed performance-enhancing innovations in coal EGUs, discussed the potential for data-driven management practices to increase efficiency and reliability, investigated the impacts of regulatory compliance on coal EGU performance, and discussed upcoming challenges for the coal industry. This report documents the key findings and research suggestions discussed at the event. Discussions at the workshop will aid DOE in developing a set of distinct initiatives that can be pursued by government and industry to realize promising technological pursuits. DOE plans to use the results of the Dialogue coupled with ongoing technical analysis of efficiency opportunities within the coal-fired fleet, and additional studies to develop a comprehensive strategy for capitalizing on thermal efficiency improvements. Expected Power Plant Efficiency Improvements include developing cost-effective, efficient, and reliable technologies for boilers, turbines, and sensors and controls to improve the reliability and efficiency of existing coal-based power plants. The Office of Fossil Energy at DOE plans to work with industry to develop knowledge pertaining to advanced technologies and systems that industry can subsequently develop. These technologies and systems will increase reliability, add operational flexibility and improve efficiency, thereby providing more robust power generation infrastructure. The following table lists the research suggestions and questions for further investigation that were identified by participants in each session of the dialogue.« less

Using Professional Learning Communities to Advance Preservice Teachers' Understanding of Differentiation within Writing Instruction

ERIC Educational Resources Information Center

Kuehl, Rachelle

2018-01-01

The purpose of this study was to explore the use of Professional Learning Communities (PLCs) in preservice teacher education as a tool for learning about differentiation within writing instruction. Using online dialogue journals, preservice teachers communicated with elementary students about a shared text and met in ongoing PLC groups to examine…

A Spoken Dialogue System for Command and Control

DTIC Science & Technology

2012-10-01

Previous work in this domain focused on the formal representation of linguistic concepts in ontologies for data integration. His doctoral...20 2.8 Ongoing and Future Work .................................................................................... 20 2.8.1 Dynamic... work , we developed grammars with broader coverage for the domain of Livespace room-control. The goal was to provide commands and queries to be

21st Century Knowledge and Skills in Educator Preparation

ERIC Educational Resources Information Center

Greenhill, Valerie

2010-01-01

The purpose of this paper is to create the foundation for ongoing dialogue around how 21st century knowledge and skills can be appropriately embedded in educator preparation, and to guide the development of resources and services to support educator programs. This paper aims to: (1) Develop a blueprint for building the models, tools, resource…

Encountering the Foreign: Teaching and Learning with Difficult Artworks

ERIC Educational Resources Information Center

Hanson, Kristan M.

2014-01-01

In this article the author addresses one of the essential questions that face teachers today: How can we welcome the foreign into our lessons in an authentic way that makes education relevant to the ongoing social, cultural, and political dialogues through which diverse learners understand themselves and their worlds? In response to this question,…

The Center for Children and Families at Risk: A Facilitating Environment.

ERIC Educational Resources Information Center

Eisenstein-Naveh, Antonina Rosa

2003-01-01

The Centers for Children and Families at Risk are family treatment settings, which were established by the Ministry of Welfare in Israel. Their purpose was to provide an alternative option to the removal of children from their homes. This article discusses how a special model of therapy developed from ongoing dialogue between the staff and…

Perspectives on health policy dialogue: definition, perceived importance and coordination.

PubMed

Nabyonga-Orem, Juliet; Ousman, Kevin; Estrelli, Yolanda; Rene, Adzodo K M; Yakouba, Zina; Gebrikidane, Mesfin; Mamoud, Drave; Kwamie, Aku

2016-07-18

Countries in the World Health Organization African Region have witnessed an increase in global health initiatives in the recent past. Although these have provided opportunities for expanding coverage of health interventions; their poor alignment with the countries' priorities and weak coordination, are among the challenges that have affected their impact. A well-coordinated health policy dialogue provides an opportunity to address these challenges, but calls for common understanding among stakeholders of what policy dialogue entails. This paper seeks to assess stakeholders' understanding and perceived importance of health policy dialogue and of policy dialogue coordination. This was a cross-sectional descriptive study using qualitative methods. Interviews were conducted with 90 key informants from the national and sub-national levels in Lusophone Cabo Verde, Francophone Chad, Guinea and Togo, and Anglophone Liberia using an open-ended interview guide. The interviews were transcribed verbatim, coded and then put through inductive thematic content analysis using QRS software Version 10. There were variations in the definition of policy dialogue that were not necessarily linked to the linguistic leaning of respondents' countries or whether the dialogue took place at the national or sub-national level. The definitions were grouped into five categories based on whether they had an outcome, operational, process, forum or platform, or interactive and evidence-sharing orientation. The stakeholders highlighted multiple benefits of policy dialogue including ensuring stakeholder participation, improving stakeholder harmonisation and alignment, supporting implementation of health policies, fostering continued institutional learning, providing a guiding framework and facilitating stakeholder analysis. Policy dialogue offers the opportunity to improve stakeholder participation in policy development and promote aid effectiveness. However, conceptual clarity is needed to ensure pursuance of common objectives. While it is clear that stakeholder involvement is an important component of policy dialogue, numbers must be manageable for meaningful dialogue. Ownership and coordination of the policy dialogue are important aspects of the process, and building the institutional capacity of the ministry of health requires a comprehensive approach as opposed to strengthening selected departments within it. Likewise, capacity for policy dialogue needs to be built at the sub-national level, alongside improving the bottom-up approach in policy processes.

Collaborative activities for improving the quality of science teaching and learning and learning to teach science

NASA Astrophysics Data System (ADS)

Tobin, Kenneth

2012-03-01

I have been involved in research on collaborative activities for improving the quality of teaching and learning high school science. Initially the collaborative activities we researched involved the uses of coteaching and cogenerative dialogue in urban middle and high schools in Philadelphia and New York (currently I have active research sites in New York and Brisbane, Australia). The research not only transformed practices but also produced theories that informed the development of additional collaborative activities and served as interventions for research and creation of heuristics for professional development programs and teacher certification courses. The presentation describes a collage of collaborative approaches to teaching and learning science, including coteaching, cogenerative dialogue, radical listening, critical reflection, and mindful action. For each activity in the collage I provide theoretical frameworks and empirical support, ongoing research, and priorities for the road ahead. I also address methodologies used in the research, illustrating how teachers and students collaborated as researchers in multilevel investigations of teaching and learning and learning to teach that included ethnography, video analysis, and sophisticated analyses of the voice, facial expression of emotion, eye gaze, and movement of the body during classroom interactions. I trace the evolution of studies of face-to-face interactions in science classes to the current focus on emotions and physiological aspects of teaching and learning (e.g., pulse rate, pulse strength, breathing patterns) that relate to science participation and achievement.

Reflections on the Emancipatory Potential of Vocational Education and Training Practices: Freire and Rancière in Dialogue

ERIC Educational Resources Information Center

Tur Porres, Gisselle; Wildemeersch, Danny; Simons, Maarten

2014-01-01

This paper focuses on the issue of emancipation in education practices in general and in vocational education and training (VET) in particular. The principal aim is to contribute to the discussion of particular traditions of emancipation in education in connection with VET practices. The exploration of ongoing educational debates on VET…

Life histories in occupational therapy clinical practice.

PubMed

Frank, G

1996-04-01

This article defines and compares several narrative methods used to describe and interpret patients' lives. The biographical methods presented are case histories, life-charts, life histories, life stories, assisted autobiography, hermeneutic case reconstruction, therapeutic employment, volitional narratives, and occupational storytelling and story making. Emphasis is placed the clinician as a collaborator and interpreter of the patient's life through ongoing interactions and dialogue.

Future Forests Webinar Series, Webinar Proceedings and Summary: Ongoing Research and Management Responses to the Mountain Pine Beetle Outbreak

Treesearch

M. Matonis; R. Hubbard; K. Gebert; B. Hahn; C. Regan

2014-01-01

The Future Forest Webinar Series facilitated dialogue between scientists and managers about the challenges and opportunities created by the mountain pine beetle (MPB) epidemic. The series consisted of six webinar facilitated by the USFS Rocky Mountain Research Station, the Northern and Rocky Mountain Regions, and the Colorado Forest Restoration Institute. The series...

Technical Writing for Software Engineers

DTIC Science & Technology

1990-05-01

Writing models 3. Analogies: Software Development and Composing 3.1 Art / Science /Design 3.2 General Correspondence Between the Disciplines 3.3...The first subsection describes a dialogue common to both fields, one that considers these disciplines as art , science , and design. The second notes...find additional similarities between software development and composing in these and other sources. 3.1 Art / Science /Design Ongoing discussions about

Technical Writing for Software Engineers

DTIC Science & Technology

1991-11-01

3 Analogies: Software Development and Composing 3.1 Art / Science /Design 3.2 General Correspondences Between the Disciplines 3.3 Specific Analogies...domains. The first subsection describes a dialogue common to both fields, one that considers these disciplines as art , science , and design. The second...will find additional similarities between software development and composing in these and other sources. 3.1 Art / Science /Design Ongoing discussions

Dialogue as skill: training a health professions workforce that can talk about race and racism.

PubMed

Murray-García, Jann L; Harrell, Steven; García, Jorge A; Gizzi, Elio; Simms-Mackey, Pamela

2014-09-01

Efforts in the field of multicultural education for the health professions have focused on increasing trainees' knowledge base and awareness of other cultures, and on teaching technical communication skills in cross-cultural encounters. Yet to be adequately addressed in training are profound issues of racial bias and the often awkward challenge of cross-racial dialogue, both of which likely play some part in well-documented racial disparities in health care encounters. We seek to establish the need for the skill of dialoguing explicitly with patients, colleagues, and others about race and racism and its implications for patient well-being, for clinical practice, and for the ongoing personal and professional development of health care professionals. We present evidence establishing the need to go beyond training in interview skills that efficiently "extract" relevant cultural and clinical information from patients. This evidence includes concepts from social psychology that include implicit bias, explicit bias, and aversive racism. Aiming to connect the dots of diverse literatures, we believe health professions educators and institutional leaders can play a pivotal role in reducing racial disparities in health care encounters by actively promoting, nurturing, and participating in this dialogue, modeling its value as an indispensable skill and institutional priority.

The leadership continuum: a framework for organizational and individual assessment relative to the advancement of women physicians and scientists.

PubMed

Morahan, Page S; Rosen, Sally E; Richman, Rosalyn C; Gleason, Katharine A

2011-03-01

In the United States, women have attained near gender equity at the entry stages in academic medicine; however, progress has been much slower at senior leadership levels. The paucity of women leaders inhibits the ability of academic medicine to adequately meet the needs of an increasingly diverse body of students, faculty, staff, and patients. Research indicates that until a critical mass of women with sustained success as leaders is achieved, it is unlikely that this deficit will be corrected. To promote the attainment of a critical mass of women leaders, the authors integrate two approaches to advancing women--the concept of a leadership continuum and a framework of practical approaches for moving toward gender equity at all ranks. An institutional guide is presented that can be used to promote dialogue about gender equity, noting areas of success and opportunities for additional improvement as well as an assessment of progress. A corresponding checklist has been developed that women faculty can use as a reflection guide for their career planning and to assess their position and progress along the leadership continuum. Proactive, ongoing use of these frameworks can promote reflective dialogue and provide direction and accountability for institutions working to advance women into leadership positions.

Posting and transfer: key to fostering trust in government health services.

PubMed

Sheikh, Kabir; Freedman, Lynn; Ghaffar, Abdul; Marchal, Bruno; el-Jardali, Fadi; McCaffery, Jim; de Sardan, Jean-Pierre Olivier; Dal Poz, Mario; Flores, Walter; Garimella, Surekha; Schaaf, Marta

2015-10-13

Appropriate deployment or posting and transfer (P&T) of health workers - placing the right people in the right positions at the right time - lies at the heart of fostering communities' faith in government health services and cementing the role of the health system as a core social institution. The authors of this paper have been involved in an ongoing transnational dialogue about P&T practices and determinants. This dialogue seeks to call attention to the importance of P&T as a health system function; to urge donors and policy-makers working in health systems, HRH and public administration governance to consider how to address issues around P&T; and to suggest avenues and approaches to research. P&T is a vexed and unresolved issue in many low- and middle-income countries that requires, above all, political commitment to improving public sector services and to new thinking and research. It holds promise as a focal point for inter-disciplinary collaboration in research and implementation that can inform other areas in HRH and health systems strengthening. Innovative social science and management theorizing, and iterative, locally driven interventions that focus on establishing transparent professional norms and building the credibility of government administration, including the health services, are likely the way forward.

EU-PolarNet: Connecting Science with Society

NASA Astrophysics Data System (ADS)

Biebow, N.

2015-12-01

The rapid changes occurring in the Polar Regions are significantly influencing global climate with consequences for global society. European and international polar research has contributed critical knowledge to identifying the processes behind these rapid changes but datasets from the Polar Regions are still insufficient to fully understand and more effectively predict the effects of change on our climate and society. This situation can only be improved by a more holistic integrated scientific approach, a higher degree of coordination of polar research and closer cooperation with all relevant actors on an international level. The objectives of EU-PolarNet are to establish an on-going dialogue between policy-makers, business and industry leaders, local communities and scientists to increase mutual understanding and identify new ways of working that will deliver economic and societal benefits. The results of this dialogue will be brought together in an Integrated European Research Programme that will be co-designed with all relevant stakeholders and coordinated with the activities of polar research nations beyond Europe. This programme will be accompanied by a feasible implementation plan to provide the Polar community with the capability to define the nature of environmental risks so that governments can design policy measures to mitigate them and businesses and other stakeholders benefit from the opportunities that are opening up in the Polar Regions.

Becoming (a) Public: What the Concept of Public Reveals about a Programmatic Public Pedagogy at the University

ERIC Educational Resources Information Center

Ripatti-Torniainen, Leena

2018-01-01

This article extends the ongoing argumentation of 'public,' publics and universities by providing a conceptual discussion of issues at the core of the public sphere: how does public form and exist amid private and individual life and pursuits, and how does a collective public body identify itself. The discussion is placed in dialogue with two…

An Assessment of Reliability of Dialogue Annotation Instructions

DTIC Science & Technology

1977-01-01

This report is part of an ongoing research effort on man-machine communication, which is engaged in transforming knowledge of how human communication works...certain kinds of recurring features in transcripts of human communication . These methods involve having a trained person, called an Observer, annotate...right kind of data for developing human communication theory. It is a confirmation of the appropriateness and potential effectiveness of using this

A Reflection from the Classroom: Teaching Students to See from the Perspective of the Player

ERIC Educational Resources Information Center

Favila, Marina

2015-01-01

This personal reflection looks at the benefits of using performance pedagogy in the Shakespeare classroom, both in terms of a general understanding of the period and a student's personal connection to the text. Though the essay acknowledges our profession's ongoing dialogue in this area, it mostly seeks to look at how a student may change once she…

Instruction dialogues: Teaching new skills to a robot

NASA Technical Reports Server (NTRS)

Crangle, Colleen; Suppes, P.

1989-01-01

Extended dialogues between a human user and a robot system are presented. The purpose of each dialogue is to teach the robot a new skill or to improve the performance of a skill it already has. The particular interest is in natural language dialogues but the illustrated techniques can be applied to any high level language. The primary purpose is to show how verbal instruction can be integrated with the robot's autonomous learning of a skill.

Examining the Role of Trust in Shaping Children's Approaches to Peer Dialogue

ERIC Educational Resources Information Center

James, Jennifer Hauver; Kobe, Jessica F.; Zhao, Xiaoying

2017-01-01

Background/Context: Research reveals that peer dialogue can contribute to improved cognitive ability and reasoning, increased tolerance for difference, and appreciation for talk as a means of problem solving. When invited to participate in such dialogue, however, not all children do, and often, degrees of engagement reflect demographic patterns.…

Navigating the Use of Cogenerative Dialogues: Practical Considerations for Graduate Faculty

ERIC Educational Resources Information Center

Boss, Ginny Jones; Linder, Chris

2016-01-01

In this study, we explored cogenerative dialogue (cogen) as a tool for learner-centered teaching in graduate education. Cogen consists of small group dialogues among instructors and students for the purposes of improving course processes. We engaged cogen during a semester-long, graduate-level campus environments course. Using the theoretical…

More than a Conversation: Using Cogenerative Dialogues in the Professional Development of High School Chemistry Teachers

ERIC Educational Resources Information Center

Martin, Sonya N.; Scantlebury, Kathryn

2009-01-01

This paper focuses on content-based and pedagogical instructors' use of cogenerative dialogues to improve instructional practice and to evaluate program effectiveness in a professional development program for high school chemistry teachers. We share our research findings from using cogenerative dialogues as an evaluative tool for general…

Enhancing the Practicum Experience for Pre-service Chemistry Teachers Through Collaborative CoRe Design with Mentor Teachers

NASA Astrophysics Data System (ADS)

Hume, Anne; Berry, Amanda

2013-10-01

This paper reports findings from an ongoing study exploring how the Content Representation (CoRe) design can be used as a tool to help chemistry student teachers begin acquiring the professional knowledge required to become expert chemistry teachers. Phase 2 of the study, reported in this paper, investigated how collaboration with school-based mentors (associate teachers) on teaching practice (practicum) might impact on this process and student teachers' development of their pedagogical content knowledge (PCK). The collaboration involved identifying and discussing pedagogical issues related to a practicum-teaching topic using a student teacher's draft CoRe as a starting point and ongoing focus for the professional dialogue. Practicum offered an opportunity for aspects of student teachers' PCK, as embodied in their draft CoRes, to be explored and expanded upon in classroom programmes with the support and input of associate teachers. The findings were influenced by different contextual factors; however, the student teachers found their CoRes to be very useful frameworks for engaging in focussed professional dialogue with their teaching mentors. They valued the expertise, currency of knowledge and mentoring of their associates and reported positively about the contribution this support made to their PCK development via the CoRe design process and the transformation of the CoRe into classroom teaching.

Using Reflective Practice to Facilitate Conversations and Transform Instructional Practice for Middle School Science Teachers

NASA Astrophysics Data System (ADS)

Higdon, Robbie L.

The process of teaching, especially inquiry, is complex and requires extended time for developing one's instructional practice (Loucks-Horsley, Stiles, Mundry, Love, & Hewson, 2010). The implementation of a continued cycle of self-reflection can engage teachers in analyzing their prior experiences and understandings about their instructional practice to promote the accommodation of new concepts and transform their practice. However, many teachers have difficulty engaging in the cognitive dissonance needed to identify those problems and promote their own growth without support. As one's professional practice becomes more repetitive and routine, it is difficult for the practitioner to recognize opportunities in which to contemplate one's habitual actions (Schon, 1983). In this multi-case study, two middle school science teachers who were engaged within a sustained professional development initiative participated in a series of one-on-one reflective dialogues regarding the decisions they made about the utilization of inquiry-based instruction. In addition, these teachers were asked to reflect upon the criteria used to determine how and when to implement these inquiry-based practices. These reflective dialogue sessions provided the opportunity to observe teacher conceptions and stimulate teacher cognitive dissonance about instructional practice. Qualitative analysis of data collected from these reflective dialogues along with informal and formal classroom observations of instructional practice uncovered diverse perceptions regarding the implementation of inquiry-based methods into present teaching practice. The use of reflective dialogue within the existing structure of the professional development initiative allowed for the facilitators of the professional development initiative to tailor ongoing support and their effective implementation of inquiry-based instruction. Additional research is needed to investigate the impact of reflective dialogue in achieving accommodation of new concepts leading to lasting conceptual change about inquiry-based instruction.

Education for peace through transformative dialogue: Perspectives from Kashmir

NASA Astrophysics Data System (ADS)

Singh, Shweta

2018-02-01

Research has shown that there has been severe disruption in the educational sector in Kashmir post-1989 (the year Kashmiri unrest erupted). Inhibiting problems include the destruction of school buildings, parents' fear of sending their children to school, the recruitment of youth into armed groups, the economic decline of households, and forced displacement. This article examines the challenge posed by conditions of protracted conflict for young people and national education systems, based on a case study of Kashmir, India. The article has a twofold objective. First, it analyses how ongoing conflicts such as that in Kashmir impinge on both youth and education, and considers why it is necessary to engage substantively with national educational systems (through frameworks like Education for Peace) to promote transformative dialogue and sustainable peace. Second, it explores how contact-based, participatory models of education for peace (such as the Hum Kadam programme spearheaded by the non-governmental organisation Women in Security Conflict Management and Peace [WISCOMP] in Kashmir) can play a transformative role in divided societies, specifically in Kashmir and broadly in all situations of protracted religious and cultural conflict. Most importantly, it supports the rationale that spaces for dialogue in situations of protracted conflict are critical for making and maintaining peace.

A good daddy.

PubMed

Kannai, Ruth

2017-09-01

This personal narrative presents the imagined inner dialogue of my father, when caring for me as a young sickly child. It is a compassionate exercise in attempting to understand the remote inner emotional world of my father, a Holocaust survivor, as he contended with my ongoing medical challenges that perhaps triggered his traumatic memories from the war. I am the daughter who eventually grew up to be a physician herself. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Effects of dialogue groups on physicians' work environment.

PubMed

Bergman, David; Arnetz, Bengt; Wahlström, Rolf; Sandahl, Christer

2007-01-01

The purpose of this study is to evaluate whether dialogue groups for physicians can improve their psychosocial work environment. The study assessed the impact of eight dialogue groups, which involved 60 physicians at a children's clinic in one of the main hospitals in Stockholm. Psychosocial work environment measures were collected through a validated instrument sent to all physicians (n = 68) in 1999, 2001 and 2003. Follow-up data were collected after the termination of the groups. The overall score of organizational and staff wellbeing, as assessed by the physicians at the clinic, deteriorated from 1999 until 2003 and then improved 2004. This shift in the trend coincided with the intervention. No other factors which might explain this shift could be identified. In a naturalistic study of this kind it is not possible to prove any causal relationships. A controlled survey of management programmes concerning the work environment among physicians would be of interest for further research. The results suggest that dialogue groups may be one way to improve the psychosocial work environment for physicians. There is a lack of intervention studies regarding the efficacy of management programmes directed toward physicians, concerning the effects on professional and personal wellbeing. This is the first time dialogue groups have been studied within a health care setting.

Bridging Cultures and Traditions for Educational and International Development: Comparative Research, Dialogue and Difference

NASA Astrophysics Data System (ADS)

Crossley, Michael

2008-07-01

Addressing the central theme of the XIII World Congress, the paper explores a number of contemporary theoretical, methodological and organisational developments in the field of comparative education. In doing so it draws upon the author's recent work and a selection of studies carried out in the South Pacific, the Caribbean and Africa. It is argued that disciplined comparative and international research can contribute much to the development of theory and methodology - as well as to the improvement of policy and practice in education world-wide. For this to be realised it is maintained that ongoing efforts to challenge and `reconceptualise' the field deserve sustained support - and increased attention to a more effective `bridging of cultures and traditions'. This `bridging' thesis is examined in greater depth, pointing to possible ways forward for those engaged in advancing the future of comparative research in education and in the social sciences more generally.

A Workshop Report on Wheat Genome Sequencing

PubMed Central

Gill, Bikram S.; Appels, Rudi; Botha-Oberholster, Anna-Maria; Buell, C. Robin; Bennetzen, Jeffrey L.; Chalhoub, Boulos; Chumley, Forrest; Dvořák, Jan; Iwanaga, Masaru; Keller, Beat; Li, Wanlong; McCombie, W. Richard; Ogihara, Yasunari; Quetier, Francis; Sasaki, Takuji

2004-01-01

Sponsored by the National Science Foundation and the U.S. Department of Agriculture, a wheat genome sequencing workshop was held November 10–11, 2003, in Washington, DC. It brought together 63 scientists of diverse research interests and institutions, including 45 from the United States and 18 from a dozen foreign countries (see list of participants at http://www.ksu.edu/igrow). The objectives of the workshop were to discuss the status of wheat genomics, obtain feedback from ongoing genome sequencing projects, and develop strategies for sequencing the wheat genome. The purpose of this report is to convey the information discussed at the workshop and provide the basis for an ongoing dialogue, bringing forth comments and suggestions from the genetics community. PMID:15514080

Exploring Item Characteristics That Are Related to the Difficulty of TOEFL Dialogue Items. Research Reports. RR-79. RR-04-11

ERIC Educational Resources Information Center

Kostin, Irene

2004-01-01

The purpose of this study is to explore the relationship between a set of item characteristics and the difficulty of TOEFL[R] dialogue items. Identifying characteristics that are related to item difficulty has the potential to improve the efficiency of the item-writing process The study employed 365 TOEFL dialogue items, which were coded on 49…

IRIS Connect: Developing Classroom Dialogue and Formative Feedback through Collective Video Reflection. Evaluation Report and Executive Summary

ERIC Educational Resources Information Center

Davies, Peter; Perry, Tom; Kirkman, John

2017-01-01

IRIS is designed to improve primary school teachers' use of dialogue and feedback through using video technology for collaborative teacher development with a view to improving academic outcomes for pupils. It is based around a video technology system (IRIS Connect) which enables teachers to record, edit, and comment on teaching and learning. In…

The effects of dialogue groups on physicians' work environment: A matter of gender?

PubMed

Bergman, David; Liljefors, Ingrid; Palm, Kristina

2015-01-01

Over the past decades, the work environment of physicians has been deteriorating, particularly for female physicians. In this study, we evaluated the effects of dialogue groups on the work environment of physicians in relation to gender. Sixty physicians (38 women) at Sachs' Children's Hospital in Stockholm, Sweden, participated in dialogue groups once a month during a period of one year. Assessments of their psychosocial work environment were performed before and after the intervention. At baseline, female physicians experienced their work environment as less satisfactory compared to male physicians. After the intervention, the female physicians perceived improvements in more areas than their male colleagues. Our study shows that female physicians at this clinic were disadvantaged in relation to the work environment, but, more importantly, the findings suggest that several of the disadvantages can be reduced. Dialogue groups appear to improve the physicians' work environment and promote gender equality.

Using Virtual Technology to Promote Functional Communication in Aphasia: Preliminary Evidence From Interactive Dialogues With Human and Virtual Clinicians.

PubMed

Kalinyak-Fliszar, Michelene; Martin, Nadine; Keshner, Emily; Rudnicky, Alex; Shi, Justin; Teodoro, Gregory

2015-11-01

We investigated the feasibility of using a virtual clinician (VC) to promote functional communication abilities of persons with aphasia (PWAs). We aimed to determine whether the quantity and quality of verbal output in dialogues with a VC would be the same or greater than those with a human clinician (HC). Four PWAs practiced dialogues for 2 sessions each with a HC and VC. Dialogues from before and after practice were transcribed and analyzed for content. We compared measures taken before and after practice in the VC and HC conditions. Results were mixed. Participants either produced more verbal output with the VC or showed no difference on this measure between the VC and HC conditions. Participants also showed some improvement in postpractice narratives. Results provide support for the feasibility and applicability of virtual technology to real-life communication contexts to improve functional communication in PWAs.

Eric Kandel's Reductionism in Art and Brain Science - Bridging the Two Cultures.

PubMed

Bilsky, Ed

2017-01-01

Reductive art is a term to describe an artistic style or an aesthetic, rather than an art movement. It is stripping down as a new way of seeing. Movements and other terms that are sometimes associated with reductive art include abstract art, minimalism, ABC art, anti-illusionism, cool art, and rejective art. Eric Kandel's fifth book focuses on reductionism as the principle guiding an ongoing dialogue between the worlds of science and art .

"Well, that Was an Intellectual Dialogue!": How a Whole-School Focus on Improvement Shifts the Substantive Nature of Classroom Talk.

ERIC Educational Resources Information Center

Edwards-Groves, Christine; Hardy, Ian

2013-01-01

This paper explores how students' talk in classrooms is influenced by a whole-school focus on lifting the quality, and the substantive nature, of classroom dialogue as an approach to improve student engagement, and to develop listening and speaking skills. Specifically, we show how designing and participating in whole-school professional learning…

Forming a joint dialogue among faith healers, traditional healers and formal health workers in mental health in a Kenyan setting: towards common grounds.

PubMed

Musyimi, Christine W; Mutiso, Victoria N; Nandoya, Erick S; Ndetei, David M

2016-01-07

Qualitative evidence on dialogue formation and collaboration is very scanty in Kenya. This study thus aimed at the formation of dialogue and establishment of collaboration among the informal (faith and traditional healers) and formal health workers (clinicians) in enhancing community-based mental health in rural Kenya. Qualitative approach was used to identify barriers and solutions for dialogue formation by conducting nine Focus Group Discussions each consisting of 8-10 participants. Information on age, gender and role in health care setting as well as practitioners' (henceforth used to mean informal (faith and traditional healers) and formal health workers) perceptions on dialogue was collected to evaluate dialogue formation. Qualitative and quantitative data analysis was performed using thematic content analysis and Statistical Package Social Sciences (SPSS) software respectively. We identified four dominant themes such as; (i) basic understanding about mental illnesses, (ii) interaction and treatment skills of the respondents to mentally ill persons, (iii) referral gaps and mistrust among the practitioners and (iv) dialogue formation among the practitioners. Although participants were conversant with the definition of mental illness and had interacted with a mentally ill person in their routine practice, they had basic information on the causes and types of mental illness. Traditional and faith healers felt demeaned by the clinicians who disregarded their mode of treatment stereotyping them as "dirty". After various discussions, majority of practitioners showed interest in collaborating with each other and stated that they had joined the dialogue in order interact with people committed to improving the lives of patients. Dialogue formation between the formal and the informal health workers is crucial in establishing trust and respect between both practitioners and in improving mental health care in Kenya. This approach could be scaled up among all the registered traditional and faith healers in Kenya.

Combined horizontal and vertical integration of care: a goal of practice-based commissioning.

PubMed

Thomas, Paul; Meads, Geoffrey; Moustafa, Ahmet; Nazareth, Irwin; Stange, Kurt C; Donnelly Hess, Gertrude

2008-01-01

Practice-based commissioning (PBC) in the UK is intended to improve both the vertical and horizontal integration of health care, in order to avoid escalating costs and enhance population health. Vertical integration involves patient pathways to treat named medical conditions that transcend organisational boundaries and connect community-based generalists with largely hospital-sited specialists, whereas horizontal integration involves peer-based and cross-sectoral collaboration to improve overall health. Effective mechanisms are now needed to permit ongoing dialogue between the vertical and horizontal dimensions to ensure that medical and nonmedical care are both used to their best advantage. This paper proposes three different models for combining vertical and horizontal integration - each is a hybrid of internationally recognised ideal types of primary care organisation. Leaders of PBC should consider a range of models and apply them in ways that are relevant to the local context. General practitioners, policy makers and others whose job it is to facilitate horizontal and vertical integration must learn to lead such combined approaches to integration if the UK is to avoid the mistakes of the USA in over-medicalising health issues.

A Strategy of Dialogue for Communicating Hazard and Risk Information Between the Science and Emergency Management Sectors

NASA Astrophysics Data System (ADS)

Eisner, R. K.

2015-12-01

This presentation will describe a collaborative dialogue process between earth scientists and emergency management officials that focused on translation of science into policy, building long term trust based relationships between sectors and unified presentation of hazards, risks and consequence management to public officials and the general public. The author will describe the structure and process of the California Earthquake Prediction Evaluation Council (CEPEC) in assessing the credibility of long and short term earthquake predictions, assessment of risk, and the formulation of public communication strategies and preparatory actions by government agencies. For nearly 4 decades, earth scientists, politically appointed state officials and emergency managers have engaged in ongoing discussions of the policy implications of research on potential seismic risk. Some discussions were scheduled and occurred over months, and others were ad hoc and occurred in the minutes between potential precursory incidents and possible large events. The effectiveness of this process was dependent on building respect for ones counterparts expertise, bias and responsibilities, clear communication of data, uncertainty and knowledge of the physical models assumed, history and probabilities; and the physical and political consequences of possible events; and the costs and economic and social disruption of alternative preparedness actions. But, the dialogue included political and social scientists, representatives of the print and broadcast media, political and management officials from federal, state and local governments. The presentation will provide an assessment of the effectiveness of the collaborative dialogue process and lessons on sustaining a long term partnership among the participating federal, state and local officials.

Departmental Dialogues: Facilitating Positive Academic Climates to Improve Equity in STEM Disciplines

ERIC Educational Resources Information Center

Holmes, Maja Husar; Jackson, J. Kasi; Stoiko, Rachel

2016-01-01

This exploratory qualitative study examined faculty responses to a collegiality-building process called Dialogues. The process used a series of discussions and activities to guide faculty members toward a common, mutually beneficially goal, while changing patterns of interaction. The responses revealed how faculty members experienced…

Process Memos: Facilitating Dialogues about Writing between Students and Instructors

ERIC Educational Resources Information Center

Parrott, Heather Macpherson; Cherry, Elizabeth

2015-01-01

We have created a new teaching tool--process memos--to improve student writing. Process memos are guided reflections submitted with scaffolded assignments that facilitate a written dialogue between students and instructors about the process of writing. Within these memos, students critically assess available teaching tools, discuss their writing…

Preparing Pre-Service Teachers for the Profession: Creating Spaces for Transformative Practice

ERIC Educational Resources Information Center

Auhl, Greg; Daniel, Graham R.

2014-01-01

Within professional learning communities, the processes of shared reflection and critique, or critical transformative dialogues are considered crucial for the maintenance and improvement of professional practice. This paper focuses on the development of the processes of critical transformative dialogues and their application in the professional…

Verbal redundancy aids memory for filmed entertainment dialogue.

PubMed

Hinkin, Michael P; Harris, Richard J; Miranda, Andrew T

2014-01-01

Three studies investigated the effects of presentation modality and redundancy of verbal content on recognition memory for entertainment film dialogue. U.S. participants watched two brief movie clips and afterward answered multiple-choice questions about information from the dialogue. Experiment 1 compared recognition memory for spoken dialogue in the native language (English) with subtitles in English, French, or no subtitles. Experiment 2 compared memory for material in English subtitles with spoken dialogue in English, French, or no sound. Experiment 3 examined three control conditions with no spoken or captioned material in the native language. All participants watched the same video clips and answered the same questions. Performance was consistently good whenever English dialogue appeared in either the subtitles or sound, and best of all when it appeared in both, supporting the facilitation of verbal redundancy. Performance was also better when English was only in the subtitles than when it was only spoken. Unexpectedly, sound or subtitles in an unfamiliar language (French) modestly improved performance, as long as there was also a familiar channel. Results extend multimedia research on verbal redundancy for expository material to verbal information in entertainment media.

Using Online Dialogues to Connect Local Leaders and Climate Experts: Methods, Feedback and Lessons Learned from the Resilience Dialogues

NASA Astrophysics Data System (ADS)

Goodwin, M.; Pandya, R.; Weaver, C. P.; Zerbonne, S.; Bennett, N.; Spangler, B.

2017-12-01

Inclusive, multi-stakeholder dialogue, participatory planning and actionable science are necessary for just and effective climate resilience outcomes. How can we support that in practice? The Resilience Dialogues launched a public Beta in 2016-2017 to allow scientists and resilience practitioners to engage with local leaders from 10 communities around the US through a series of facilitated, online dialogues. We developed two, one-week dialogues for each community: one to consider ways to respond to observed and anticipated climate impacts through a resilience lens, and one to identify next steps and resources to advance key priorities. We divided the communities into three cohorts and refined the structure and facilitation strategy for these dialogues from one to the next based on participant feedback. This adaptive method helped participants engage in the dialogues more effectively and develop useful results. We distributed a survey to all participants following each cohort to capture feedback on the use and utility of the dialogues. While there was room for improvement in the program's technical interface, survey participants valued the dialogues and the opportunity to engage as equals. Local leaders said the dialogues helped identify new local pathways to approach resilience priorities. They felt they benefited from focused conversation and personalized introductions to best-matched resources. Practitioners learned how local leaders seek to apply climate science, and how to effectively communicate their expertise to community leaders in support of local planning efforts. We learned there is demand for specialized dialogues on issues like communication, financing and extreme weather. Overall, the desire of participants to continue to engage through this program, and others to enter, indicates that facilitated, open conversations between experts and local leaders can break down communication and access barriers between climate services providers and end-users. This presentation will share lessons learned from this process and methods that we found most effective.

Assessing Physician-Patient Dialogues About Chronic Migraine During Routine Office Visits.

PubMed

Buse, Dawn C; Gillard, Patrick; Arctander, Kaitlyn; Kuang, Amy W; Lipton, Richard B

2018-05-04

To assess physician-patient communication and identify the frequency of use of specific communication techniques by analyzing recordings of routinely scheduled medical encounters for patients with clinician-identified chronic migraine. Chronic migraine is an under-diagnosed, under-treated, and highly burdensome disease. Effective medical communication is integral to optimal medical care, including providing accurate diagnoses, creating effective treatment plans, and enhancing patient adherence. Communication patterns during office visits may be a target for intervention to improve outcomes for people with chronic migraine. This was a prospective, observational study based on analysis of audio recordings collected during neurologist-patient chronic migraine dialogues. Twenty neurologists from a US neurology panel maintained by Verilogue, Inc., a research organization specializing in healthcare dialogues, were invited to identify patients with chronic migraine and record clinical encounters with their patients. Both new patient visits and follow-up visits were included in this analysis. Neurologist-patient dialogues were audio-recorded, anonymized, transcribed, and analyzed by a sociolinguist for the presence of prespecified communication parameters, strategies, and specific language indicative of optimal migraine-related medical care. Fourteen out of the 20 invited neurologists (70.0%) accepted the study invitation and recorded 35 encounters with patients eligible for the study. The patient sample was 91.4% female (n = 32/35), with a mean age of 46 years. On average, there were 17 headache-related questions per visit; 82.0% of questions were closed-ended (n = 369/450). Headache/migraine frequency was elicited in 77.1% of the dialogues (n = 27/35), but headache days per month was assessed in only a single dialogue. Only one neurologist utilized the ask-tell-ask technique. Headache-related disability was discussed in 22.9%of the dialogues (n = 8/35), with only one using open-ended questions. None of the dialogues discussed ictal vs interictal headache-related disability. Chronic migraine was mentioned in 8.6% of dialogues (n = 3/35) and treatment plans were discussed in 37.1% of the dialogues (n = 13/35). Results from this preliminary study showed that the majority of the neurologist-chronic migraine patient dialogues did not assess elements crucial for diagnosis and treatment (eg, headache days per month and headache related disability) or use standard communication techniques (eg, open-ended questions, ask-tell-ask). We recommend intervention studies designed to assess the benefits of improved communication on diagnostic accuracy, treatment decisions, and patient reported outcomes. © 2018 American Headache Society.

Improving Competitiveness of U.S. Coal Dialogue

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kokkinos, Angelos

The Improving Competitiveness of U.S. Coal Dialogue held in September 2017 explored a broad range of technical developments that have the potential to improve U.S. coal competitiveness in domestic and overseas markets. The workshop is one in a series of events hosted by DOE to gather expert input on challenges and opportunities for reviving the coal economy. This event brought together coal industry experts to review developments in a broad range of technical areas such as conventional physical (e.g. dense-medium) technologies, and dry coal treatments; thermal, chemical, and bio-oxidation coal upgrading technologies; coal blending; and applications for ultrafine coal andmore » waste streams. The workshop was organized to focus on three main discussion topics: Challenges and Opportunities for Improving U.S. Coal Competitiveness in Overseas Markets, Mineral Processing, and Technologies to Expand the Market Reach of Coal Products. In each session, invited experts delivered presentations to help frame the subsequent group discussion. Throughout the discussions, participants described many possible areas of research and development (R&D) in which DOE involvement could help to produce significant outcomes. In addition, participants discussed a number of open questions—those that the industry has raised or investigated but not yet resolved. In discussing the three topics, the participants suggested potential areas of research and issues for further investigation. As summarized in Table ES-1, these crosscutting suggestions centered on combustion technologies, coal quality, coal processing, environmental issues, and other issues. The discussions at this workshop will serve as an input that DOE considers in developing initiatives that can be pursued by government and industry. This workshop generated strategies that described core research concepts, identified implementation steps, estimated benefits, clarified roles of government and industry, and outlined next steps. While more work is needed, each of these initiatives, included in the sections that follow, details new ideas to increase efficiency and reduce carbon emissions. DOE will integrate the results of this workshop with ongoing research work at the National Laboratories as well as other relevant data sources. This combined information will be used to develop a comprehensive strategy for capitalizing on the opportunity for U.S. coal and mineral competitiveness.« less

Evangelical Protestants and the ACA: An Opening for Community-Based Primary Care?

PubMed

Franz, Berkeley; Skinner, Daniel

2016-07-01

Evangelical Protestants make up the largest religious subgroup in the United States, and previous research has shown that Evangelical churches are disproportionately active in community engagement and efforts toward social change. Although Evangelical Protestant perspectives have been considered with regard to persistent socioeconomic stratification and racial discrimination, less focus has been given to how churches interpret poor health outcomes within the United States. In particular, this research addresses how enduring health disparities are understood within the larger discussion of healthcare reform. Due to the similarity of approaches favored by participants in this study and community-based philosophy, a suggestion is made for future health policy dialogue. Although Evangelical Protestants have been most likely to reject all aspects of the Affordable Care Act, in many ways the findings of this study suggest the potential for successful future health policy collaboration. In particular, community-based primary care might appeal to Evangelicals and health professionals in the ongoing effort to improve population health and the quality of healthcare in the United States.

Combining Interaction and Context Design to Support Collaborative Argumentation Using a Tool for Synchronous CMC

ERIC Educational Resources Information Center

Mcalister, Simon; Ravenscroft, Andrew; Scanlon, Eileen

2004-01-01

Empirical studies and theory suggest that educational dialogue can be used to support learners in the development of reasoning, critical thinking and argumentation. This paper presents an educational design for synchronous online peer discussion that guides student dialogue in ways that lead to improved argumentation and collaborative knowledge…

Biomedical databases: protecting privacy and promoting research.

PubMed

Wylie, Jean E; Mineau, Geraldine P

2003-03-01

When combined with medical information, large electronic databases of information that identify individuals provide superlative resources for genetic, epidemiology and other biomedical research. Such research resources increasingly need to balance the protection of privacy and confidentiality with the promotion of research. Models that do not allow the use of such individual-identifying information constrain research; models that involve commercial interests raise concerns about what type of access is acceptable. Researchers, individuals representing the public interest and those developing regulatory guidelines must be involved in an ongoing dialogue to identify practical models.

Long coats, short coats and no coats: chaplaincy presents to psychiatry at the University of Texas MD Anderson Cancer Center, a report.

PubMed

Stouter, David K; Wallace, AnneMarie; Duffy, James; Rashid, Anis; Valentine, Alan

2012-03-01

When Chaplaincy and Psychiatry examine their own methodologies, do they work to reduce age-old barriers, thereby involving each other to promote holistic patient care? Chaplaincy trains in self-awareness and pastoral care specializing in religion, spirituality, grief and loss; while Psychiatry trains in medicine, neurology, and the behavioral neurosciences. Relationships across disciplines with common interests are vital. Ongoing dialogue between these professions will enhance the shared goals of coping and healing in the communities they serve.

Coordination of the health policy dialogue process in Guinea: pre- and post-Ebola.

PubMed

Ade, Nadege; Réne, Adzodo; Khalifa, Mara; Babila, Kevin Ousman; Monono, Martin Ekeke; Tarcisse, Elongo; Nabyonga-Orem, Juliet

2016-07-18

Policy dialogue can be defined as an iterative process that involves a broad range of stakeholders discussing a particular issue with a concrete purpose in mind. Policy dialogue in health is increasingly being recognised by health stakeholders in developing countries, as an important process or mechanism for improving collaboration and harmonization in health and for developing comprehensive and evidence-based health sector strategies and plans. It is with this perspective in mind that Guinea, in 2013, started a policy dialogue process, engaging a plethora of actors to revise the country's national health policy and develop a new national health development plan (2015-2024). This study examines the coordination of the policy dialogue process in developing these key strategic governance documents of the Guinean health sector from the actors' perspective. A qualitative case study approach was undertaken, comprising of interviews with key stakeholders who participated in the policy dialogue process. A review of the literature informed the development of a conceptual framework and the data collection survey questionnaire. The results were analysed both inductively and deductively. A total of 22 out of 32 individuals were interviewed. The results suggest both areas of strengths and weaknesses in the coordination of the policy dialogue process in Guinea. The aspects of good coordination observed were the iterative nature of the dialogue and the availability of neutral and well-experienced facilitators. Weak coordination was perceived through the unavailability of supporting documentation, time and financial constraints experienced during the dialogue process. The onset of the Ebola epidemic in Guinea impacted on coordination dynamics by causing a slowdown of its activities and then its virtual halt. The findings herein highlight the need for policy dialogue coordination structures to have the necessary administrative and institutional support to facilitate their effective functioning. The findings also point to the need for further research on the practical and operational aspects of national dialogue coordination structures to determine how to best strengthen their capacities.

High School Students' Views of Science in a University Science Internship with Cogenerative Dialogues

NASA Astrophysics Data System (ADS)

Hayes, Gabriel Micah

The purpose of this thesis is to determine how participation in long term university science internships affect nature of science (NOS) conceptual change in high school students. The study was conducted on high school students who volunteered to participate in a seven month university science internship in west Texas. Student views of NOS were measured by pre- and post-internship interviews using five questions about NOS. Internship and no internship student responses were qualitatively analyzed to show change in views of NOS. Findings indicated that participation in long term science internships with cogenerative dialogues improved students conceptualizations of the social dimensions of NOS more than the no internship students. This trend indicates that long term science internships and cogenerative dialogues improve student conceptualizations of the role of social interaction in developing meaning in science.

Voice and Dialogue in Teaching Reading/Writing to Qatari Students

ERIC Educational Resources Information Center

Golkowska, Krystyna U.

2013-01-01

This paper describes an attempt to improve the reading comprehension and writing skills of students coming from an oral culture. The proposed approach involves using voice and dialogue--understood literally and metaphorically--as a tool in teaching students how to engage texts and write with a reader in mind. The author discusses a pilot study…

Comparing Face-To-Face and Asynchronous Online Communication as Mechanisms for Critical Reflective Dialogue

ERIC Educational Resources Information Center

Salter, Susan; Douglas, Tracy; Kember, David

2017-01-01

Two mechanisms for engaging in critical reflective dialogue are discussed and compared: face-to-face meetings and asynchronous online discussion. The context is an umbrella action research project, with over 20 participants, which aimed to improve practices in online teaching and contribute to the development of graduate attributes. The article…

Adaptive and Maladaptive Strategy Use in Computer-Assisted Language Learning Activities for Listening Comprehension

ERIC Educational Resources Information Center

McBride, Cara

2008-01-01

College students of English as a foreign language (EFL) in Chile participated in an online mini course designed to improve their listening comprehension. There were four experimental conditions: A) one in which participants listened to fast dialogues; B) one in which participants listened to slow dialogues; C) one in which participants were given…

"It's Like Having a Metal Detector at the Door": A Conversation with Students about Voice.

ERIC Educational Resources Information Center

Garcia, Florencia; And Others

1995-01-01

Presents a dialogue among three student coresearchers who participated in a longitudinal research project about their motivation to learn. The dialogue highlights what it meant to them to have a voice, what was involved in having a voice, how to improve the process, and how they felt about being coresearchers. (SM)

How do gut feelings feature in tutorial dialogues on diagnostic reasoning in GP traineeship?

PubMed

Stolper, C F; Van de Wiel, M W J; Hendriks, R H M; Van Royen, P; Van Bokhoven, M A; Van der Weijden, T; Dinant, G J

2015-05-01

Diagnostic reasoning is considered to be based on the interaction between analytical and non-analytical cognitive processes. Gut feelings, a specific form of non-analytical reasoning, play a substantial role in diagnostic reasoning by general practitioners (GPs) and may activate analytical reasoning. In GP traineeships in the Netherlands, trainees mostly see patients alone but regularly consult with their supervisors to discuss patients and problems, receive feedback, and improve their competencies. In the present study, we examined the discussions of supervisors and their trainees about diagnostic reasoning in these so-called tutorial dialogues and how gut feelings feature in these discussions. 17 tutorial dialogues focussing on diagnostic reasoning were video-recorded and transcribed and the protocols were analysed using a detailed bottom-up and iterative content analysis and coding procedure. The dialogues were segmented into quotes. Each quote received a content code and a participant code. The number of words per code was used as a unit of analysis to quantitatively compare the contributions to the dialogues made by supervisors and trainees, and the attention given to different topics. The dialogues were usually analytical reflections on a trainee's diagnostic reasoning. A hypothetico-deductive strategy was often used, by listing differential diagnoses and discussing what information guided the reasoning process and might confirm or exclude provisional hypotheses. Gut feelings were discussed in seven dialogues. They were used as a tool in diagnostic reasoning, inducing analytical reflection, sometimes on the entire diagnostic reasoning process. The emphasis in these tutorial dialogues was on analytical components of diagnostic reasoning. Discussing gut feelings in tutorial dialogues seems to be a good educational method to familiarize trainees with non-analytical reasoning. Supervisors need specialised knowledge about these aspects of diagnostic reasoning and how to deal with them in medical education.

Maternal, newborn and child health needs, opportunities and preferred futures in Arusha and Ngorongoro: hearing women's voices.

PubMed

Petrucka, Pammla; Bassendowski, Sandra; Dietrich-Leurer, Marie; Spence-Gress, Cara; Athuman, Zenath; Buza, Joram

2015-12-12

With the approaching sunset on the Millennium Development Goals (MDGs), Tanzania continues with its final national push towards achievement of MDG #4 and MDG #5. The Mama Kwanza Socio-economic Health Initiative (MKSHI) was introduced in the hope of contributing to improving maternal, newborn, and child health in Arusha and Ngorongoro. The MKSHI project is a holistic, inter-sectoral approach to maternal, newborn, and child health which aligns with the Government of Tanzania's Vision 2025. At the project onset, a baseline assessment was conducted to launch ongoing benchmarking, monitoring, and evaluation of the project's impacts and implications. The aim of this baseline assessment was twofold. First it was to determine the state of maternal, newborn, and child health in the two project sites. Second it was to ensure that a baseline of key indicators was established as well as identification of unique indicators relevant to the populations of interest. The baseline study was a mixed methods approach to identify maternal, newborn, and child risk factors and indicators in the two target sites. This paper focuses on the qualitative methods and findings. The qualitative component included a series of five community dialogue meetings and thirty-seven individual/dyad interviews with women, providers, and stakeholders. Initially, community meetings were held as open dialogues on maternal, newborn, and child health issues, opportunities, and preferred futures. Individual/dyad interviews were held with women, providers, and stakeholders who held unique information or experiences. Both community dialogue and interview data was analysed for themes and guiding or critical comments. Three over-arching findings emerged: What took you so long to come? How do we know what you know? and How will it change for our daughters? Participant voices are vital in ensuring the achievement of local and global efforts and preferred futures for maternal, newborn, and child health services. This study contributes to the inclusion of women in all aspects of the planning, implementation, and delivery of maternal, newborn, and child health services in the target areas and beyond.

Creating a public space and dialogue on sexuality and rights: a case study from Bangladesh.

PubMed

Rashid, Sabina Faiz; Standing, Hilary; Mohiuddin, Mahrukh; Ahmed, Farah Mahjabeen

2011-06-16

This article describes and analyses a research based engagement by a university school of public health in Bangladesh aimed at raising public debate on sexuality and rights and making issues such as discrimination more visible to policy makers and other key stakeholders in a challenging context. The impetus for this work came from participation in an international research programme with a particular interest in bridging international and local understandings of sexual and reproductive rights. The research team worked to create a platform to broaden discussions on sexuality and rights by building on a number of research activities on rural and urban men's and women's sexual health concerns, and on changing concepts of sexuality and understandings of sexual rights among specific population groups in Dhaka city, including sexual minorities. Linked to this on-going process of improving the evidence base, there has been a series of learning and capacity building activities over the last four years consisting of training workshops, meetings, conferences and dialogues. These brought together different configurations of stakeholders - members of sexual minorities, academics, service providers, advocacy organisations, media and policy makers. This process contributed to developing more effective advocacy strategies through challenging representations of sexuality and rights in the public domain. Gradually, these efforts brought visibility to hidden or stigmatised sexuality and rights issues through interim outcomes that have created important steps towards changing attitudes and policies. These included creating safe spaces for sexual minorities to meet and strategise, development of learning materials for university students and engagement with legal rights groups on sexual rights. Through this process, it was found to be possible to create a public space and dialogue on sexuality and rights in a conservative and challenging environment like Bangladesh by bringing together a diverse group of stakeholders to successfully challenge representations of sexuality in the public arena. A further challenge for BRAC University has been to assess its role as a teaching and research organisation, and find a balance between the two roles of research and activism in doing work on sexuality issues in a very sensitive political context.

Towards a Sustainable and Holistic Model of Peace Education: A Critique of Conventional Modes of Peace Education through Dialogue in Israel

ERIC Educational Resources Information Center

Schimmel, Noam

2009-01-01

This article explores ways of improving peace education, placing emphasis on peace education programmes in Israel that use dialogue to foster mutual understanding and respect. This article offers a critical assessment of contemporary Israeli peace education initiatives, emphasizing that current peace education programmes in Israel have failed to…

Using Cogenerative Dialogues to Improve Coteaching for Language Learner (LL) Students in an Inclusion Science Classroom

ERIC Educational Resources Information Center

Im, Sungmin; Martin, Sonya N.

2015-01-01

This paper presents findings from a study conducted in an urban elementary school in the United States with an English language learner (ELL) student and two teachers engaged in collaborative teaching in an inclusion science classroom. This study examines the efficacy of utilising cogenerative dialogues between an ELL student and his science…

Targeted Help for Spoken Dialogue Systems: Intelligent Feedback Improves Naive Users' Performance

NASA Technical Reports Server (NTRS)

Hockey, Beth Ann; Lemon, Oliver; Campana, Ellen; Hiatt, Laura; Aist, Gregory; Hieronymous, Jim; Gruenstein, Alexander; Dowding, John

2003-01-01

We present experimental evidence that providing naive users of a spoken dialogue system with immediate help messages related to their out-of-coverage utterances improves their success in using the system. A grammar-based recognizer and a Statistical Language Model (SLM) recognizer are run simultaneously. If the grammar-based recognizer suceeds, the less accurate SLM recognizer hypothesis is not used. When the grammar-based recognizer fails and the SLM recognizer produces a recognition hypothesis, this result is used by the Targeted Help agent to give the user feed-back on what was recognized, a diagnosis of what was problematic about the utterance, and a related in-coverage example. The in-coverage example is intended to encourage alignment between user inputs and the language model of the system. We report on controlled experiments on a spoken dialogue system for command and control of a simulated robotic helicopter.

Measuring up: musings of a family doctor on the employee time clock.

PubMed

Kannai, Ruth

2013-01-01

Recently, at the health maintenance organization (HMO) where I work, they introduced an employee time clock. As in many other workplaces, doctors across the country are now obligated to punch the clock at the beginning and end of their workday. This is the final act in an ongoing attempt to enhance management of doctors' schedules: limit nonurgent appointments to 10 minutes, define planned or urgent home visits, and control a physician's time, as well as managerial and clinical decisions. In this story I describe a day in the life of a family doctor, a salaried employee at a large HMO where there is now a time clock. I provide details on how the introduction of the clock influences small everyday clinical decisions that potentially affect the quality and depth of treatment while sharing the internal dialogue that accompanies me as I reaffirm my professional integrity again and again with each hastened visit. I also bring the internal dialogue of 2 of my patients, to illustrate the emotional world on the other side of these 10-minute interventions.

Development of deaf identity: an ethnographic study.

PubMed

McIlroy, Guy; Storbeck, Claudine

2011-01-01

This ethnographic study explores the identity development of 9 deaf participants through the narratives of their educational experiences in either mainstream or special schools for the Deaf. This exploration goes beyond a binary conceptualization of deaf identity that allows for only the medical and social models and proposes a bicultural "dialogue model." This postmodern theoretical framework is used to examine the diversity of identities of deaf learners. The inclusion of the researcher's own fluid cross-cultural identity as a bicultural "DeaF" participant in this study provides an auto-ethnographic gateway into exploring the lives of other deaf, Deaf, or bicultural DeaF persons. The findings suggest that deaf identity is not a static concept but a complex ongoing quest for belonging, a quest that is bound up with the acceptance of being deaf while "finding one's voice" in a hearing-dominant society. Through the use of dialogue and narrative tools, the study challenges educators, parents, and researchers to broaden their understanding of how deaf identity, and the dignity associated with being a deaf person is constructed.

Machine learning for a Toolkit for Image Mining

NASA Technical Reports Server (NTRS)

Delanoy, Richard L.

1995-01-01

A prototype user environment is described that enables a user with very limited computer skills to collaborate with a computer algorithm to develop search tools (agents) that can be used for image analysis, creating metadata for tagging images, searching for images in an image database on the basis of image content, or as a component of computer vision algorithms. Agents are learned in an ongoing, two-way dialogue between the user and the algorithm. The user points to mistakes made in classification. The algorithm, in response, attempts to discover which image attributes are discriminating between objects of interest and clutter. It then builds a candidate agent and applies it to an input image, producing an 'interest' image highlighting features that are consistent with the set of objects and clutter indicated by the user. The dialogue repeats until the user is satisfied. The prototype environment, called the Toolkit for Image Mining (TIM) is currently capable of learning spectral and textural patterns. Learning exhibits rapid convergence to reasonable levels of performance and, when thoroughly trained, Fo appears to be competitive in discrimination accuracy with other classification techniques.

Toward Better Goal Clarity in Instruction: How Focus on Content, Social Exchange and Active Learning Supports Teachers in Improving Dialogic Teaching Practices

ERIC Educational Resources Information Center

Alles, Martina; Seidel, Tina; Gröschner, Alexander

2018-01-01

Goal clarity is an essential element of classroom dialogue and a component of effective instruction. Until now, teachers have been struggling to implement goal clarity in the classroom dialogue. In the present study, we investigated the classroom practice of teachers in a video-based intervention called the Dialogic Video Cycle (DVC) and compared…

Evolution: the dialogue between life and death

NASA Astrophysics Data System (ADS)

Holliday, robin

1997-12-01

Organisms have the ability to harness energy from the environment to create order and to reproduce. From early error-prone systems natural selection acted to produce present day organisms with high accuracy in the synthesis of macromolecules. The environment imposes strict limits on reproduction, so evolution is always accompanied by the discarding of a large proportion of the less fit cells, or organisms. Sexual reproduction depends on an immortal germline and a soma which may be immortal or mortal. Higher animals living in hazardous environments have evolved aging and death of the soma for the benefit of the ongoing germline.

Experiencing Civil Unrest: Elder Voices on Ferguson.

PubMed

Morrow-Howell, Nancy; Jackson, Clarissa; Lewis-Harris, Jacquelyn; Clark, Richelle; Clarke Ekong, Sheilah; Bostic, Briana

2017-01-01

Ferguson, Missouri became the center of the nation's attention when an unarmed African American teenager was killed by a Caucasian police officer. Civic unrest continued for weeks. The aim of this study was to learn how older adults experienced the social unrest. Ten focus groups were conducted with 73 participants. Eight themes were identified. Issues related to safety were most commonly discussed. Participants reported a breakdown in intergenerational communications and expressed a desire for more exchange. Findings are being discussed with relevant organizations to increase the involvement of older adults in on-going community development efforts and to provide opportunities for intergenerational dialogue.

Immigration and culture as factors mediating the teaching and learning of urban science

NASA Astrophysics Data System (ADS)

Shady, Ashraf

In this dissertation I explore how cultural and sociohistorical dimensions of stakeholder groups (teachers, students, administrators, and researchers) mediate the interests of urban students in science. This study was conducted during the school year of 2006--2007 in a low-academically performing middle school in New York City. As an Egyptian immigrant science teacher I experienced resistance from my students in an eighth grade inclusion science class that warranted the use of cogenerative dialogue as a tool to improve teaching and learning. In the cogenerative dialogue sessions, participants (e.g., students, teachers, university researchers, and sometimes administrators) make every effort to convene as equals with goals of improving teaching and learning. By seeking the students' perspectives in cogenerative dialogue participants will be able to identify contradictions that can be addressed in an effort to improve the quality of the learning environments. Examples of such contradictions include shut down techniques that teachers use intentionally and unintentionally in order to have control over students. This authentic ethnography focused on two Black students from low-income homes, and me, a middle-aged male of Egypt's middle class. Throughout this study, the students acted in the capacity of student-researchers, assisting me to construct culturally adaptive curriculum materials, and to analyze data sources. This study utilized a sociocultural framework together with microanalysis of videotaped vignettes to obtain evidence that supports patterns of coherence and associated contradictions that emerged during the research. As the teacher-researcher, I learned along with my students how to communicate successfully in the context of structures that often act against success, including social class, ethnicity, gender, and age. The results of this study indicate that as a result of participating in cogenerative dialogues, I as well as the students learned the importance of group membership, and shared responsibilities for learning and acquiring new identities that support teaching and learning, and value diversity. Students reproduced, and transformed cultural practices from other social fields, such as cogenerative dialogues and home, to support their learning. Participating in cogenerative dialogues has produced a higher quality of teacher-student discourse as evidenced in data sources.

Rational thinking in school-based practice.

PubMed

Clark, Mary Kristen; Flynn, Perry

2011-01-01

We reflect on Alan Kamhi's (2011) prologue on balancing certainty and uncertainty as it pertains to school-based practice. In schools, rational thinking depends on effective team processes, much like professional learning communities. We consider the conditions that are required for rational thinking and how rational team dialogue confronts uncertainties. We provide suggestions for how this dialogue can be used throughout the individualized education program (IEP) process to lead to more positive experiences for all team members as well as improved student outcomes. Rational thinking in school-based practice may be manifest by closer adherence to the tenets [corrected] of the Individuals With Disabilities Education Improvement Act of 2004 (IDEIA), ultimately resulting in increased rational thought and improved student outcomes.

How Peru introduced a plan for comprehensive HIV prevention and care for transwomen.

PubMed

Salazar, Ximena; Núnez-Curto, Arón; Villayzán, Jana; Castillo, Regina; Benites, Carlos; Caballero, Patricia; Cáceres, Carlos F

2016-01-01

As a group, transwomen in Peru have the highest prevalence of HIV (>20%) in the country, but they have little access to HIV prevention, testing and care services. Until recently, Peru's national HIV programme did not recognize transwomen and had remained essentially static for decades. This changed in December 2014, when the Ministry of Health expressed its commitment to improve programming for transwomen and to involve transwomen organizations by prioritizing the development of a "Targeted Strategy Plan of STIs/HIV/AIDS Prevention and Comprehensive Care for Transwomen." A policy dialogue between key stakeholders - Peru's Ministry of Health, academic scientists, civil society, transgender leaders and international agencies - created the conditions for a change in Peru's national HIV policy for transwomen. Supported by the effective engagement of all sectors, the Ministry of Health launched a plan to provide comprehensive HIV prevention and care for transwomen. The five-year plan includes new national guidelines for HIV prevention, care and support, and country-level investments in infrastructure and equipment. In addition to new biomedical strategies, the plan also incorporates several strategies to address structural factors that contribute to the vulnerability of transwomen. We identified three key factors that created the right conditions for this change in Peru's HIV policy. These factors include (1) the availability of solid evidence, based on scientific research; (2) ongoing efforts within the transwomen community to become better advocates of their own rights; and (3) a dialogue involving honest discussions between stakeholders about possibilities of changing the nation's HIV policy. The creation of Peru's national plan for HIV prevention and care for transwomen shows that long-term processes, focused on human rights for transwomen in Peru, can lead to organizational and public-policy change.

How Peru introduced a plan for comprehensive HIV prevention and care for transwomen

PubMed Central

Salazar, Ximena; Núnez-Curto, Arón; Villayzán, Jana; Castillo, Regina; Benites, Carlos; Caballero, Patricia; Cáceres, Carlos F

2016-01-01

Introduction As a group, transwomen in Peru have the highest prevalence of HIV (>20%) in the country, but they have little access to HIV prevention, testing and care services. Until recently, Peru's national HIV programme did not recognize transwomen and had remained essentially static for decades. This changed in December 2014, when the Ministry of Health expressed its commitment to improve programming for transwomen and to involve transwomen organizations by prioritizing the development of a “Targeted Strategy Plan of STIs/HIV/AIDS Prevention and Comprehensive Care for Transwomen.” Discussion A policy dialogue between key stakeholders – Peru's Ministry of Health, academic scientists, civil society, transgender leaders and international agencies – created the conditions for a change in Peru's national HIV policy for transwomen. Supported by the effective engagement of all sectors, the Ministry of Health launched a plan to provide comprehensive HIV prevention and care for transwomen. The five-year plan includes new national guidelines for HIV prevention, care and support, and country-level investments in infrastructure and equipment. In addition to new biomedical strategies, the plan also incorporates several strategies to address structural factors that contribute to the vulnerability of transwomen. We identified three key factors that created the right conditions for this change in Peru's HIV policy. These factors include (1) the availability of solid evidence, based on scientific research; (2) ongoing efforts within the transwomen community to become better advocates of their own rights; and (3) a dialogue involving honest discussions between stakeholders about possibilities of changing the nation's HIV policy. Conclusions The creation of Peru's national plan for HIV prevention and care for transwomen shows that long-term processes, focused on human rights for transwomen in Peru, can lead to organizational and public-policy change. PMID:27431469

Quantitative and qualitative analysis of the knowledge, attitudes and social representations of cholera in the extreme northern region of Cameroon: the case of Maroua I, Maroua Ii And Mokolo

PubMed Central

Amaah, Penn

2014-01-01

Introduction An effective fight against cholera requires an in-depth consideration of the knowledge, attitudes and social representations of cholera within a population. Cholera outbreaks persist in the Extreme North of Cameroon because of the inadequate integration of representations of cholera, water and hygiene in the fight against this disease. Through a constructivist intercultural approach not conflicting with the western ethnocentric model, socio-cultural/religious and historical ideologies can be reconciled to provide optimal and sustainable healthcare solutions to the repeated and long lasting cholera epidemics using participative research, intercultural mediation and dialogue in Cameroon. Methods Through a cross-sectional, ethnographic and participative study, data was generated using semi-directed in-depth interviews of key informants, collection of videos, pictures and the completion of 2 pre-tested questionnaire types in 3 communities (Maroua I, Maroua II and Mokolo). Quantitative data was entered using Ms Excel and Epi Info 7, and analysed using Epi Info 7. Qualitative data was analysed inductively using the concept of social representations. Results Results show evidence of the inadequate integration of cultural and socio-cultural factors favouring cholera spread and a respondent population majority unable to identify this (92.82%). Equally identifying environmental and cultural factors, the results bring out the impact of the on-going cholera combating strategy. Conclusion Representations of cholera, cultural and socio-cultural values are not adequately considered in the fight against cholera. We recommend policy-makers and health actors to improve on the integration of these through advocacy, in designing, communicating and implementing effective prevention strategies via participative research, intercultural mediation and dialogue. PMID:25309653

Pediatric surgeons and anesthesiologists expand the dialogue on the neurotoxicity question, rationale for early and delayed surgeries, and practice changes while awaiting definitive evidence.

PubMed

Byrne, Mary W; Casale, Pasquale; Garzon, Maria; Hyman, Joshua E; Lin, Albert Y; Lynch, Lisa R; Schleien, Charles L; Stylianos, Steven

2014-10-01

The Pediatric Anesthesia NeuroDevelopment Assessment team at Columbia University Medical Center Department of Anesthesiology convened its fourth biennial Symposium to address unresolved issues concerning potential neurotoxic effects of anesthetic agents and sedatives on young children and to assess study findings to date. Dialogue initiated at the third Symposium was continued between anesthesiologists, researchers, and a panel of expert pediatric surgeons representing general surgery and dermatology, orthopedic, and urology specialties. The panel explored the need to balance benefits of early surgery using improved technologies against potential anesthetic risks, practice changes while awaiting definitive answers, and importance of continued interprofessional dialogue.

Efficient quantum dialogue without information leakage

NASA Astrophysics Data System (ADS)

Yin, Ai-Han; Tang, Zhi-Hui; Chen, Dong

2015-02-01

A two-step quantum dialogue scheme is put forward with a class of three-qubit W state and quantum dense coding. Each W state can carry three bits of secret information and the measurement result is encrypted without information leakage. Furthermore, we utilize the entangle properties of W state and decoy photon checking technique to realize three-time channel detection, which can improve the efficiency and security of the scheme.

76 FR 41246 - Pesticide Program Dialogue Committee, Pesticide Registration Improvement Act Process Improvement...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-13

... Committee, Pesticide Registration Improvement Act Process Improvement Workgroup; Notice of Public Meeting...) Process Improvement Work Group. EPA plans to meet its ESA consultation obligations through the pesticide... a pesticide during the registration review process. This meeting of the PRIA Process Improvement...

The effects of blogs versus dialogue journals on open-response writing scores and attitudes of grade eight science students

NASA Astrophysics Data System (ADS)

Erickson, Diane K.

Today's students have grown up surrounded by technology. They use cell phones, word processors, and the Internet with ease, talking with peers in their community and around the world through e-mails, chatrooms, instant messaging, online discussions, and weblogs ("blogs"). In the midst of this technological explosion, adolescents face a growing need for strong literacy skills in all subject areas for achievement in school and on mandated state and national high stakes tests. The purpose of this study was to examine the use of blogs as a tool for improving open-response writing in the secondary science classroom in comparison to the use of handwritten dialogue journals. The study used a mixed-method approach, gathering both quantitative and qualitative data from 94 students in four eighth-grade science classes. Two classes participated in online class blogs where they posted ideas about science and responded to the ideas of other classmates. Two classes participated in handwritten dialogue journals, writing ideas about science and exchanging journals to respond to the ideas of classmates. The study explored these research questions: Does the use of blogs, as compared to the use of handwritten dialogue journals, improve the open-response writing scores of eighth grade science students? How do students describe their experience using blogs to study science as compared to students using handwritten dialogue journals? and How do motivation, self-efficacy, and community manifest themselves in students who use blogs as compared to students who use handwritten dialogue journals? The quantitative aspect of the study used data from pre- and post-tests and from a Likert-scale post-survey. The pre- and post-writing on open-response science questions were scored using the Massachusetts Comprehensive Assessment System (MCAS) open-response scoring rubric. The study found no statistically significant difference in the writing scores between the blog group and the dialogue journal groups. The study found significant difference between the scores on the post-survey of the two groups with the blogging group registering a more positive attitude about the experience than the dialogue journal group. The qualitative aspect of the study used group and individual interviews with 26 randomly-chosen students to explore the nature of the students' experiences using blogs and dialogue journals. Overall, the blog group communicated more positive responses to the experience than did students from the dialogue journal group, often indicating that blogging was "fun" and "helpful" and made them look forward to science class. This study addressed research needs in the fields of writing, technology, and content literacy. It is significant because there is little research on the use of blogs in the middle school content classroom, particularly on the use of blogs as a tool for improving open-response writing. It adds information as to the experience of students who use blogs in the science classroom and explored it as a way to explore ideas, build understanding, and connect with others. This is significant to know as school districts look to include more technology instruction and practices in the curriculum. Blogs could give students a critical tool for writing and thinking in the content classroom, helping to prepare students for an increasingly technological and global society.

Family-initiated dialogue about medications during family-centered rounds.

PubMed

Benjamin, Jessica M; Cox, Elizabeth D; Trapskin, Philip J; Rajamanickam, Victoria P; Jorgenson, Roderick C; Weber, Holly L; Pearson, Rachel E; Carayon, Pascale; Lubcke, Nikki L

2015-01-01

Experts suggest family engagement in care can improve safety for hospitalized children. Family-centered rounds (FCRs) can offer families the opportunity to participate in error recovery related to children's medications. The objective of this study was to describe family-initiated dialogue about medications and health care team responses to this dialogue during FCR to understand the potential for FCR to foster safe medication use. FCR were video-recorded daily for 150 hospitalized children. Coders sorted family-initiated medication dialogue into mutually exclusive categories, reflecting place of administration, therapeutic class, topic, and health care team responses. Health care team responses were coded to reflect intent, actions taken by the team, and appropriateness of any changes. Eighty-three (55%) of the 150 families raised 318 medication topics during 347 FCR. Most family-initiated dialogue focused on inpatient medications (65%), with home medications comprising 35%. Anti-infectives (31%), analgesics (14%), and corticosteroids (11%) were the most commonly discussed medications. The most common medication topics raised by families were scheduling (24%) and adverse drug reactions (11%). Although most health care team responses were provision of information (74%), appropriate changes to the child's medications occurred in response to 8% of family-initiated dialogue, with most changes preventing or addressing adverse drug reactions or scheduling issues. Most families initiated dialogue regarding medications during FCRs, including both inpatient and home medications. They raised topics that altered treatment and were important for medication safety, adherence, and satisfaction. Study findings suggest specific medication topics that health care teams can anticipate addressing during FCR. Copyright © 2015 by the American Academy of Pediatrics.

Planning for pre-exposure prophylaxis to prevent HIV transmission: challenges and opportunities

PubMed Central

2010-01-01

There are currently several ongoing or planned trials evaluating the efficacy of pre-exposure prophylaxis (PrEP) as a preventative approach to reducing the transmission of HIV. PrEP may prove ineffective, demonstrate partial efficacy, or show high efficacy and have the potential to reduce HIV infection in a significant way. However, in addition to the trial results, it is important that issues related to delivery, implementation and further research are also discussed. As a part of the ongoing discussion, in June 2009, the Bill & Melinda Gates Foundation sponsored a Planning for PrEP conference with stakeholders to review expected trial results, outline responsible educational approaches, and develop potential delivery and implementation strategies. The conference reinforced the need for continued and sustained dialogue to identify where PrEP implementation may fit best within an integrated HIV prevention package. This paper identifies the key action points that emerged from the Planning for PrEP meeting. PMID:20624303

Cultural diversity in nanotechnology ethics.

PubMed

Schummer, Joachim

2011-01-01

Along with the rapid worldwide advance of nanotechnology, debates on associated ethical issues have spread from local to international levels. However unlike science and engineering issues, international perceptions of ethical issues are very diverse. This paper provides an analysis of how sociocultural factors such as language, cultural heritage, economics and politics can affect how people perceive ethical issues of nanotechnology. By attempting to clarify the significance of sociocultural issues in ethical considerations my aim is to support the ongoing international dialogue on nanotechnology. At the same time I pose the general question of ethical relativism in engineering ethics, that is to say whether or not different ethical views are irreconcilable on a fundamental level.

Community Dialogue to Shift Social Norms and Enable Family Planning: An Evaluation of the Family Planning Results Initiative in Kenya

PubMed Central

Creanga, Andreea A.; Galavotti, Christine; Wamalwa, Emmanuel

2016-01-01

Introduction Use of family planning (FP) is powerfully shaped by social and gender norms, including the perceived acceptability of FP and gender roles that limit women’s autonomy and restrict communication and decision-making between men and women. This study evaluated an intervention that catalyzed ongoing community dialogues about gender and FP in Siaya county, Nyanza Province, Kenya. Specifically, we explored the changes in perceived acceptability of FP, gender norms and use of FP. Methods We used a mixed-method approach. Information on married men and women’s socio-demographic characteristics, pregnancy intentions, gender-related beliefs, FP knowledge, attitudes, and use were collected during county-representative, cross-sectional household surveys at baseline (2009; n11 = 650 women; n12 = 305 men) and endline (2012; n21 = 617 women; n22 = 317 men); exposure to the intervention was measured at endline. We assessed changes in FP use at endline vs. baseline, and fitted multivariate logistic regression models for FP use to examine its association with intervention exposure and explore other predictors of use at endline. In-depth, qualitative interviews with 10 couples at endline further explored enablers and barriers to FP use. Results At baseline, 34.0% of women and 27.9% of men used a modern FP method compared to 51.2% and 52.2%, respectively, at endline (p<0.05). Exposure to FP dialogues was associated with 1.78 (95% CI: 1.20–2.63) times higher odds of using a modern FP method at endline for women, but this association was not significant for men. Women’s use of modern FP was significantly associated with higher spousal communication, control over own cash earnings, and FP self-efficacy. Men who reported high approval of FP were significantly more likely to use modern FP if reporting high approval of FP and more equitable gender beliefs. FP dialogues addressed persistent myths and misconceptions, normalized FP discussions, and increased its acceptability. Public examples of couples making joint FP decisions legitimized communication and decision-making with spouses about FP especially for men; women described partner support as key enabler of FP use. Conclusions Our evaluation demonstrates that an intervention that catalyzes open dialogue about gender and FP can shift social norms, enable more equitable couple communication and decision-making and, ultimately, increase use of FP. PMID:27124177

A review of the Generic Design Assessment (GDA) Public Dialogue Pilot (2015) for new nuclear build in the UK: lessons for engagement theory and practice.

PubMed

Whitton, John; Parry, Ioan; Grundy, Colette; Lillycrop, Annabelle; Ross, David

2016-06-01

We have discussed previously that a community-based, asset-based approach is required to achieve any sense of how social sustainability can be defined in a community setting within the context of energy developments. Our approach aims to initiate a lasting change within 'energy' communities through building social capital; focusing on community assets not deficits to define their social priorities. Through deliberation, we develop an understanding of social sustainability so that a community is well placed to enter discussions with government and industry regarding large energy developments that will directly affect them. We review the 2015 Generic Design Assessment (GDA) Public Dialogue Pilot process for potential new nuclear reactors in the UK. We examine the aims of the dialogue, giving particular attention to a comparison between the national sampling of citizens for the GDA and the local community-based, deliberative approach we have proposed previously. We find an ongoing tension between 'national' engagement processes (such as the GDA Public Dialogue Pilot process) and the specific requirements of those energy communities that live adjacent or close to energy infrastructure, manifested here by a conflict between the requirements of the convenor and those of participants regarding priority issues for discussion. We also reveal a paradox; despite participant preference for a remote, internet-based engagement process, they agreed that face to face contact is a priority to encourage trust building between participants and the convenor of the process-a desired outcome of the process. The GDA Public Dialogue Pilot process has demonstrated that stakeholders are willing to engage with and be more directly involved in local energy-related decisions that affect them directly, provided there is opportunity to discuss locally-relevant and site-specific issues in addition to those of a broader nature. There exists a disparity and conflict between 'national' engagement processes and the 'local' priorities of those energy communities that are adjacent or close to energy infrastructure. In this process and others, we have seen an imbalance between the requirements of the convenor and those of participants regarding priority issues for discussion. This continues to be a persistent challenge for those convening stakeholder engagement events where the scope and context is not primarily site-specific. However, it is encouraging that convenors and participants alike continue to be willing to work towards resolving this.

Spoken Language Processing in the Clarissa Procedure Browser

NASA Technical Reports Server (NTRS)

Rayner, M.; Hockey, B. A.; Renders, J.-M.; Chatzichrisafis, N.; Farrell, K.

2005-01-01

Clarissa, an experimental voice enabled procedure browser that has recently been deployed on the International Space Station, is as far as we know the first spoken dialog system in space. We describe the objectives of the Clarissa project and the system's architecture. In particular, we focus on three key problems: grammar-based speech recognition using the Regulus toolkit; methods for open mic speech recognition; and robust side-effect free dialogue management for handling undos, corrections and confirmations. We first describe the grammar-based recogniser we have build using Regulus, and report experiments where we compare it against a class N-gram recogniser trained off the same 3297 utterance dataset. We obtained a 15% relative improvement in WER and a 37% improvement in semantic error rate. The grammar-based recogniser moreover outperforms the class N-gram version for utterances of all lengths from 1 to 9 words inclusive. The central problem in building an open-mic speech recognition system is being able to distinguish between commands directed at the system, and other material (cross-talk), which should be rejected. Most spoken dialogue systems make the accept/reject decision by applying a threshold to the recognition confidence score. NASA shows how a simple and general method, based on standard approaches to document classification using Support Vector Machines, can give substantially better performance, and report experiments showing a relative reduction in the task-level error rate by about 25% compared to the baseline confidence threshold method. Finally, we describe a general side-effect free dialogue management architecture that we have implemented in Clarissa, which extends the "update semantics'' framework by including task as well as dialogue information in the information state. We show that this enables elegant treatments of several dialogue management problems, including corrections, confirmations, querying of the environment, and regression testing.

Early dialogue between the developers of new technologies and pricing and reimbursement agencies: a pilot study.

PubMed

Backhouse, Martin E; Wonder, Michael; Hornby, Edward; Kilburg, Anne; Drummond, Michael; Mayer, Friedrich Karl

2011-06-01

It is common practice for developers of new health care technologies to engage in early dialogue with the major regulatory agencies; such discussions frequently center around the proposed clinical trial designs to support the registration of new interventions and suggestions on their improvement. Pricing and reimbursement agencies are increasingly using the results from health technology assessments to inform their decision making for new technologies. Such assessments are invariably underpinned by the phase 3 clinical trial evidence which may not provide answers to the key questions. Technology developers are beginning to realize that direct, early dialogue on the evidence requirements of the major pricing and reimbursement agencies, before phase 3 clinical trial designs for their key development compounds have been finalized, may be beneficial. This article reports on the pioneering efforts of one technology developer in seeking early dialogue with seven pricing and reimbursement agencies in five countries globally in 2007-2008 on their likely evidence requirements for a new oral treatment for patients with chronic plaque psoriasis. The pilot project demonstrated that a feasible process of early dialogue could be established, through a face-to-face meeting with prior circulation of a briefing book. Although there was some variation in the advice the similarities far outweighed the differences. More experience of early dialogue needs to be accumulated, involving a wider range of pricing and reimbursement agencies and compounds. The conclusion of this study, however, was that early dialogue can be a worthwhile process for all parties and can lead to a common understanding about evidence development for market access. Copyright © 2011 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Personal, Informal and Relatable: Engaging Wide Audiences in Climate Science with Nasa's Earth Right Now Blog

NASA Astrophysics Data System (ADS)

Tenenbaum, L. F.; Shaftel, H.; Jackson, R.

2014-12-01

There is no such thing as a non-scientist, but there are some who have yet to acknowledge their inner science spark. Aiming to ignite and fan the flame of curiosity, promote dialogue and attempt to make climate science personal and relevant to everyday life, NASA's Global Climate Change website http://climate.nasa.gov/ and Earth Right Now campaign http://www.nasa.gov/content/earth-right-now/ partnered together this year to launch the Earth Right Now blog http://climate.nasa.gov/blog. It quickly became one of the most popular blogs in all of NASA social media, receiving thousands of likes per week, and frequent comments as well as thoughtful and respectful discussions about climate change. Social media platforms such as blogs have become popular vehicles for engaging large swaths of the public in new exciting ways. NASA's Earth Right Now blog has become a powerful platform for engaging both scientists and the science-curious in constructive, fruitful conversations about the complex topic of climate science. We continue to interact and have ongoing dialogue with our readers by making the scientific content both accessible and engaging for diverse populations.

Sexual health dialogue between parents and teenagers: an imperative in the HIV/AIDS era.

PubMed

Lebese, R T; Davhana-Maselesele, M; Obi, C L

2010-09-01

Societies are reluctant to openly confront issues of sexuality, and this reluctance forms a barrier of communication between parents and teenagers and even between sexual partners (Wulf, 2004:2). This reluctance promotes the presence of misconceptions about sexual health, sexual risks and its consequences. Poor dialogue about sexual health between parents and teenagers is one of the contributory factors of high teenage pregnancy and sexually transmitted infection (STI) rates including HIV and AIDS. The purpose of this study was to explore and describe how dialogue about sexual health between teenagers and parents is conducted and to use the information gathered as a basis for making recommendations for improvement. A qualitative study of an explorative, descriptive and contextual nature was used. The researcher used the main question as a point of departure and more questions emanated from the discussions. There were 42 informants involved in the study, of which 4 were males and 38 were females. A purposive sampling method was used to collect data through in depth individual interviews and focus group discussions. The researcher strived to adhere to the principle of trustworthiness by adopting Guba's model (in Krefting, 1991: 217). Tech's method (Creswell, 1994:154-55) was used to analyse the data and an independent coder was used. The results indicate that there is minimal if not absent dialogue about sexual health between teenagers and parents. Culture was identified as a major challenge to sexual health dialogue between teenagers and parents. Recommendations to enhance dialogue were made.

Calibration Issues and Operating System Requirements for Electron-Probe Microanalysis

NASA Technical Reports Server (NTRS)

Carpenter, P.

2006-01-01

Instrument purchase requirements and dialogue with manufacturers have established hardware parameters for alignment, stability, and reproducibility, which have helped improve the precision and accuracy of electron microprobe analysis (EPMA). The development of correction algorithms and the accurate solution to quantitative analysis problems requires the minimization of systematic errors and relies on internally consistent data sets. Improved hardware and computer systems have resulted in better automation of vacuum systems, stage and wavelength-dispersive spectrometer (WDS) mechanisms, and x-ray detector systems which have improved instrument stability and precision. Improved software now allows extended automated runs involving diverse setups and better integrates digital imaging and quantitative analysis. However, instrumental performance is not regularly maintained, as WDS are aligned and calibrated during installation but few laboratories appear to check and maintain this calibration. In particular, detector deadtime (DT) data is typically assumed rather than measured, due primarily to the difficulty and inconvenience of the measurement process. This is a source of fundamental systematic error in many microprobe laboratories and is unknown to the analyst, as the magnitude of DT correction is not listed in output by microprobe operating systems. The analyst must remain vigilant to deviations in instrumental alignment and calibration, and microprobe system software must conveniently verify the necessary parameters. Microanalysis of mission critical materials requires an ongoing demonstration of instrumental calibration. Possible approaches to improvements in instrument calibration, quality control, and accuracy will be discussed. Development of a set of core requirements based on discussions with users, researchers, and manufacturers can yield documents that improve and unify the methods by which instruments can be calibrated. These results can be used to continue improvements of EPMA.

Singapore Takes Six Steps Forward in 'The Quality of Death Index' Rankings.

PubMed

Lin Goh, Stella Seow

2018-01-01

In the latest 2015 Quality of Death Index, Singapore managed to move SIX steps forward from 18 th to the 12 th position. This advancement has been hard-won, with victories to improve the level of palliative care such as creating awareness of palliative service, improving coordinated care and growing an adequate capacity to meet the demand of care in our fast -growing ageing population. But it hasn't always been easy. Despite being a first world country, Asian societies like Singapore have inherited taboos regarding public dialogue about death and dying. Such dialogue is traditionally avoided. However, through years of continual effort in improving the standard of palliative care delivery, redesigning education module, creating public awareness and improving funding system, Singapore's palliative care providers have improved the lives of those with life-limiting illnesses. Nevertheless, the government will continue to improve and work toward achieving single digits in the next ranking of the Quality of Death Index.

Contaminated salmon and the public's trust

USGS Publications Warehouse

Luoma, Samuel N.; Löfstedt, Ragnar E.

2007-01-01

Scientific uncertainties often make it difficult for environmental policy makers to determine how to communicate risks to the public. A constructive, holistic, multisectoral dialogue about an issue can improve understanding of uncertainties from different perspectives and clarify options for risk communication. Many environmental issues could benefit from explicit promotion of such a dialogue. When issues are complex, unconstructive advocacy, narrow focus, and exclusion of selected parties from decision making can erode public trust in science and lead to cynicism about the policies of government and the private sector.

[Towards a dialogue of knowledge between subsistence fishermen, shellfish gatherers and environmental labor law].

PubMed

Carvalho, Ingrid Gil Sales; Rêgo, Rita de Cássia Franco; Larrea-Killinger, Cristina; da Rocha, Júlio César de Sá; Pena, Paulo Gilvane Lopes; Machado, Louise Oliveira Ramos

2014-10-01

The dialogue of knowledge between subsistence fishermen and shellfish gatherers on the right to a healthy working environment is established as a new process for claims for an improvement in working conditions by populations affected by environmental problems, and especially in Todos os Santos Bay (BTS). The communities surrounding the BTS have complained to the State Public Prosecutor about the harmful effects to health and the environment caused by the Aratu Industrial Complex and the Port of Aratu. Researchers in the fields of, chemistry, toxicology, oceanography, biology and medicine from the Federal University of Bahia (UFBA) have demonstrated the effects of contamination on the BTS in sundry scientific publications. The scope of this article is to reflect on the contribution of that dialogue on environmental labor law (DAT) in Brazil. The methodology of this study involved semi-structured interviews, participant observation and document analysis. The conclusion reached is that environmental labor law in Brazil must include the dialogue of knowledge to ensure access to a healthy working environment for subsistence fishermen and shellfish gatherers.

Balancing collaboration and competition: the Kingsport, Tennessee experience.

PubMed

McLaughlin, C P

1995-11-01

In 1988, business, health care, and community leaders in Kingsport, Tennessee, initiated the Kingsport Area Health Improvement Project (KAHIP) to improve the health status of local citizens. The community has good conditions for collaboration: (1) a large employer that was a 1993 winner of the Malcolm Baldrige National Quality Award, (2) community structures for the implementation of collaborative efforts, (3) relative stability in community employment and income, (4) adequate medical resources, (5) outside support from foundations and national organization, and (6) the confidence and commitment of its leaders to make quality efforts work. Barriers to improvement have included 1) two large acute care hospitals competing for many of the same physicians and patients, 2) the uncertainties introduced by the restructuring of the community's largest employer, and 3) ongoing moves in the managed care arena by some key players, which have left a degree of anger and mistrust. Realizing that the approach taken in the late 1980s and early 1990s was no longer working in the new competitive environment, KAHIP reconstituted itself in 1994. Providers now have a greater leadership role in community improvement efforts. As a result, improvement efforts in Kingsport include the institution of interventions to reduce injuries to children/adolescents resulting from motor vehicular accidents, the establishment of a primary care health center for the uninsured/underserved, and development of a smoking-cessation program. The keys to continued leadership are 1) explicit faith in the continuous quality improvement approach, 2) commitment to communitywide change, 3) willingness to continue to engage in dialogue, 4) willingness to try new organizational alliances and structures to revitalize the effort, and 5) willingness to address those issues that individuals and institutions can agree to work on and set aside those they cannot agree on.

Turning the tide against cancer through sustained medical innovation: the pathway to progress.

PubMed

Abernethy, Amy; Abrahams, Edward; Barker, Anna; Buetow, Ken; Burkholder, Randy; Dalton, William S; Foti, Margaret; Frueh, Felix; Gaynor, Richard B; Kean, Marcia; Khan, Zeba; Lessor, Tracy; Lichtenfeld, J Leonard; Mendelsohn, John; van't Veer, Laura

2014-03-01

An ever-expanding understanding of the molecular basis of the more than 200 unique diseases collectively called cancer, combined with efforts to apply these insights to clinical care, is forming the foundation of an era of personalized medicine that promises to improve cancer treatment. At the same time, these extraordinary opportunities are occurring in an environment of intense pressure to contain rising healthcare costs. This environment presents a challenge to oncology research and clinical care, because both are becoming progressively more complex and expensive, and because the current tools to measure the cost and value of advances in care (e.g., comparative effectiveness research, cost-effectiveness analysis, and health technology assessments) are not optimized for an ecosystem moving toward personalized, patient-centered care. Reconciling this tension will be essential to maintaining progress in a cost-constrained environment, especially because emerging innovations in science (e.g., increasing identification of molecular biomarkers) and in clinical process (implementation of a learning healthcare system) hold potential to dramatically improve patient care, and may ultimately help address the burden of rising costs. For example, the rapid pace of innovation taking place within oncology calls for increased capability to integrate clinical research and care to enable continuous learning, so that lessons learned from each patient treated can inform clinical decision making for the next patient. Recognizing the need to define the policies required for sustained innovation in cancer research and care in an era of cost containment, the stakeholder community must engage in an ongoing dialogue and identify areas for collaboration. This article reflects and seeks to amplify the ongoing robust discussion and diverse perspectives brought to this issue by multiple stakeholders within the cancer community, and to consider how to frame the research and regulatory policies necessary to sustain progress against cancer in an environment of constrained resources. ©2014 AACR

Evolution of self-reporting methods for identifying discrete emotions in science classrooms

NASA Astrophysics Data System (ADS)

Ritchie, Stephen M.; Hudson, Peter; Bellocchi, Alberto; Henderson, Senka; King, Donna; Tobin, Kenneth

2016-09-01

Emotion researchers have grappled with challenging methodological issues in capturing emotions of participants in naturalistic settings such as school or university classrooms. Self-reporting methods have been used frequently, yet these methods are inadequate when used alone. We argue that the self-reporting methods of emotion diaries and cogenerative dialogues can be helpful in identifying in-the-moment emotions when used in conjunction with the microanalysis of video recordings of classroom events. We trace the evolution of our use of innovative self-reporting methods through three cases from our research projects, and propose new directions for our ongoing development and application of these methods in both school and university classrooms.

Analysis of research ethics board approval times in an academic department of medicine.

PubMed

Tsang, Teresa S M; Jones, Meaghan; Meneilly, Graydon S

2015-04-01

As part of an ongoing effort to better understand barriers to academic research, we reviewed and analyzed the process of research ethics applications, focusing on ethics approval time, within the Department of Medicine from 2006 to 2011. A total of 1,268 applications for approval to use human subjects in research were included in our analysis. Three variables, risk category (minimal vs. non-minimal risk), type of funding, and year of submission, were statistically significant for prediction of ethics approval time, with risk status being the most important of these. The covariate-adjusted mean time for approval for minimal risk studies (35.7 days) was less than half that of non-minimal risk protocols (76.5 days). Studies funded through a for-profit sponsor had significantly longer approval times than those funded through other means but were also predominantly (87%) non-minimal risk protocols. Further investigations of the reasons underlying the observed differences are needed to determine whether improved training for research ethics board (REB) members and/or greater dialogue with investigators may reduce the lengthy approval times associated with non-minimal risk protocols. © The Author(s) 2015.

Highlights from the WIN 2017 Symposium, 26-27 June 2017, Paris, France: 'Expediting Global Innovation in Precision Cancer Medicine'.

PubMed

Davies, Will

2017-01-01

The Worldwide Innovative Networking (WIN) symposium brings together representatives from academic institutions, pharmaceutical partners, technology companies and charitable organisations from across the globe for an annual summit, discussing ongoing research and the latest developments in precision medicine. Now, in its seventh year, the aims of the WIN consortium's annual meeting, to foster communication and collaboration between members and deliver clinical trial results that improve the care and outcomes of patients are presented in open dialogue to encourage debate and discussion. This year, the meeting was held in Paris, France from 26-27 June and consisted of six plenary sessions, two debates, and poster presentations from attendees. In keeping with the consortium's goals, presentations and posters focused on the development and integration of new therapies and updates in genome-based medicine. Among the presentations at this year's meeting, much of the focus fell on design and implementation of new designs of clinical trials, moving away from decades-long assessments of thousands of patients towards a nimble, adaptive design fitting the edicts of personalised medicine and delving into greater depths within genomic data, ranging beyond genome analysis to chart new targets in ligandomics, proteogenomics and more.

‘It is not expected for married couples’: a qualitative study on challenges to safer sex communication among polygamous and monogamous partners in southeastern Tanzania

PubMed Central

Mtenga, Sally Mmanyi; Geubbels, Eveline; Tanner, Marcel; Merten, Sonja; Pfeiffer, Constanze

2016-01-01

Background Behavioral change approaches for human immunodeficiency virus (HIV) prevention in Tanzania encourage married partners to observe safe sex practices (condom use, avoidance of, or safe sex with multiple partners). To implement this advice, partners need to communicate with each other about safer sex, which is often challenging. Although social-structural factors are crucial in understanding sexual behavior, only a few studies focus on understanding safer sex dialogue in a broader social context. Design Drawing on the WHO-Commission on the Social Determinants of Health (WHO-CSDH) framework, this study explored key social-structural constructs for studying health in the context of improving safer sex dialogue between polygamous and monogamous partners. Twenty-four in-depth interviews (IDIs) and six focus group discussions (FGDs) with 38 men and women aged 18–60 years were conducted in Ifakara town located in Kilombero district, Tanzania. The study was nested within the community health surveillance project MZIMA (Kiswahili: ‘being healthy’). Partners’ experiences of safer sex dialogue in polygamous and monogamous relations were investigated and the challenges to safer sex dialogue explored. Results The study revealed that open safer sex dialogue in marriage is limited and challenged by social norms about marriage (a view that safer sex dialogue imply that partners are ‘not really’ married); marital status (a belief that safer sex dialogue is not practical in polygamous marriages, the elder wife should be exempted from the dialogue since she is at lower risk of engaging in extramarital affairs); relationship quality (marital conflicts, extramarital affairs, trust, and sexual dissatisfaction); and gender power relations (the notion that females’ initiative to discuss condom use and HIV couple counseling and testing may lead to conflict or divorce). Conclusions Implementing safer sex practices requires interventions beyond promotion messages. HIV prevention interventions in Tanzania should be carefully adapted to the local context including respective social norms, gender systems, marital context and relationship uncertainties as aspects that facilitate or hinder safer sex dialogue between partners. The WHO-CSDH framework could be strengthened by explicitly integrating relationship quality, marital status, and social norms as additional determinants of health. PMID:27633036

Supporting chronic pain management across provincial and territorial health systems in Canada: Findings from two stakeholder dialogues.

PubMed

Wilson, Michael G; Lavis, John N; Ellen, Moriah E

2015-01-01

Chronic pain is a serious health problem given its prevalence, associated disability, impact on quality of life and the costs associated with the extensive use of health care services by individuals living with it. To summarize the research evidence and elicit health system policymakers', stakeholders' and researchers' tacit knowledge and views about improving chronic pain management in Canada and engaging provincial and territorial health system decision makers in supporting comprehensive chronic pain management in Canada. For these two topics, the global and local research evidence regarding each of the two problems were synthesized in evidence briefs. Three options were generated for addressing each problem, and implementation considerations were assessed. A stakeholder dialogue regarding each topic was convened (with 29 participants in total) and the deliberations were synthesized. To inform the first stakeholder dialogue, the authors found that systematic reviews supported the use of evidence-based tools for strengthening chronic pain management, including patient education, self-management supports, interventions to implement guidelines and multidisciplinary approaches to pain management. While research evidence about patient registries/treatment-monitoring systems is limited, many dialogue participants argued that a registrysystem is needed. Many saw a registry as a precondition for moving forward with other options, including creating a national network of chronic pain centres with a coordinating 'hub' to provide chronic pain-related decision support and a cross-payer, cross-discipline model of patient-centred primary health care-based chronic pain management. For the second dialogue, systematic reviews indicated that traditional media can be used to positively influence individual health-related behaviours, and that multistakeholder partnerships can contribute to increasing attention devoted to issues on policy agendas. Dialogue participants emphasized the need to mobilize behind an effort to build a national network that would bring together existing organizations and committed individuals. Developing a national network and, thereafter, a national pain strategy are important initiatives that garnered broad-based support during the dialogues. Efforts toward achieving this goal have been made since convening the dialogues.

Adaptive Intelligent Support to Improve Peer Tutoring in Algebra

ERIC Educational Resources Information Center

Walker, Erin; Rummel, Nikol; Koedinger, Kenneth R.

2014-01-01

Adaptive collaborative learning support (ACLS) involves collaborative learning environments that adapt their characteristics, and sometimes provide intelligent hints and feedback, to improve individual students' collaborative interactions. ACLS often involves a system that can automatically assess student dialogue, model effective and…

What to Do about Jim?

ERIC Educational Resources Information Center

Jones, Joseph; Vari, T. J.

2017-01-01

The idea of conversations around performance reviews, and even more challenging improvement plans, is daunting. Even though the goal is to improve the employee's performance, difficult conversations don't automatically stimulate an environment and culture of continual growth. Establishing and systematizing professional dialogue in the workplace…

Fostering climate dialogue by introducing students to uncertainty in decision-making

NASA Astrophysics Data System (ADS)

Addor, N.; Ewen, T.; Johnson, L.; Coltekin, A.; Derungs, C.; Muccione, V.

2014-12-01

Uncertainty is present in all fields of climate research, spanning from climate projections, to assessing regional impacts and vulnerabilities to adaptation policy and decision-making. The complex and interdisciplinary nature of climate information, however, makes the decision-making process challenging. This process is further hindered by a lack of institutionalized dialogue between climate researchers, decision-makers and user groups. Forums that facilitate such dialogue would allow these groups to actively engage with each other to improve decisions. In parallel, introducing students to these challenges is one way to foster such climate dialogue. We present the design and outcome of an innovative workshop-seminar series we convened at the University of Zurich to demonstrate the pedagogical importance of such forums. An initial two-day workshop brought together 50 participants, including bachelor, master and PhD students and academic staff, and nine speakers from academia, industry, government, and philanthropy. The main objectives were to provide participants with tools to communicate uncertainty in their current or future research projects, to foster exchange between practitioners, students and scientists from different backgrounds and finally to expose students to multidisciplinary collaborations and real-world problems involving decisions under uncertainty. An opinion survey conducted before and after the workshop enabled us to observe changes in participants' perspectives on what information and tools should be exchanged between researchers and decision-makers to better address uncertainty. Responses demonstrated a marked shift from a pre-workshop vertical conceptualization of researcher-user group interaction to a post-workshop horizontal mode: in the former, researchers were portrayed as bestowing data-based products to decision-makers, while in the latter, both sets of actors engaged in frequent communication, exchanging their needs and expertise. Drawing on examples from the course evaluation, we seek to encourage the organization of similar events, introducing students to these challenges at an early stage of their education and career as a first step towards improving future dialogue.

Opportunities for mourning when grief is disenfranchised: descendants of Nazi perpetrators in dialogue with Holocaust survivors.

PubMed

Livingston, Kathy

2010-01-01

This article explores the concepts of unmourned and disenfranchised grief as a way to understand the experiences of adult children of Nazi perpetrators, who grew up with cultural norms of grieving alone or in silence. The scholarly literature on descendants of Nazis reflects a group unlikely to warrant empathy or support from others because of the stigma surrounding their family's possible involvement in the Holocaust atrocities. This article uses, as a case study approach, the testimony given by Monika Hertwig, the adult daughter of a high ranking Nazi, who appears in the documentary film, Inheritance. From the perspective of disenfranchised grief, defined as grief that is not socially recognized or supported, the article links Monika's testimony with existing research from in-depth interviews with other descendants of Nazis to suggest that, as a group, they lacked permission to grieve their deceased parents, acknowledgment of their grief, and opportunities to mourn. Based on the theory that the effects of grief can be transgenerational, the disenfranchisement experienced by the "children of the Third Reich" does not have to pass to subsequent generations if opportunities for mourning are made possible and some resolution of grief occurs. Studies have shown that ongoing dialogue groups between Holocaust survivors and descendants of Nazis provide opportunities for mourning to both groups.

The AMCP Format for Formulary Submissions: Welcome to Version 4.0.

PubMed

2016-05-01

Managed care pharmacists are increasingly presented with complex considerations related to prescription drug formulary management. As prescription drug spending soars, and new effective, but expensive drugs rush to the market, pharmacists and other health care decision makers must evaluate a myriad of important clinical and economic considerations in determining the relative value and, subsequently, the appropriate placement of a product within a formulary. The AMCP Format for Formulary Submissions, Version 4.0, is the next iteration of the Format, which was first released in 2000. Version 4.0, developed by pharmacists from health plan, manufacturer, and academic perspectives, provides updated recommendations on acquiring and evaluating clinical and economic evidence to inform formulary and medical policy decisions. It also includes new guidance related to emerging special topic considerations such as biosimilars, specialty pharmacy products, and companion diagnostic tests. Version 4.0 has been modified to improve the usability of the Format, with clarifying guidance related to logistical considerations such as a recommended time frame for implementation of Version 4.0, as well as dossier updates and ongoing communication between manufacturers and health care decision makers. The Format should be used as a framework for ongoing evidence-based dialogue between manufacturers and payers. The evolving health care landscape will require new levels of collaboration and communication among key stakeholders to successfully navigate the challenges of this new environment. The Format provides a framework to support these critical interactions related to product value by facilitating an evidence-based, transparent approach. This document was prepared by Jeff Lee, PharmD, FCCP, on behalf of the AMCP Format Executive Committee. Committee members reviewed and provided feedback on the final draft. No conflicts of interest, financial or otherwise, were reported.

Improving Performance through Knowledge Translation in the Veterans Health Administration

ERIC Educational Resources Information Center

Francis, Joseph; Perlin, Jonathan B.

2006-01-01

The Veterans Health Administration (VA) provides a case study for linking performance measurement, information technology, and aligned research efforts to facilitate quality improvement in a large, complex health system. Dialogue between clinical researchers and VA leaders occurs through structured activities (e.g., the Quality Enhancement…

Examining occupational therapy education through faculty engagement in curriculum mapping and pedagogical reflection.

PubMed

MacNeil, Cheryl; Hand, Theresa

2014-01-01

This article discusses a 1-yr evaluation study of a master of science in occupational therapy program to examine curriculum content and pedagogical practices as a way to gauge program preparedness to move to a clinical doctorate. Faculty members participated in a multitiered qualitative study that included curriculum mapping, semistructured individual interviewing, and iterative group analysis. Findings indicate that curriculum mapping and authentic dialogue helped the program formulate a more streamlined and integrated curriculum with increased faculty collaboration. Curriculum mapping and collaborative pedagogical reflection are valuable evaluation strategies for examining preparedness to offer a clinical doctorate, enhancing a self-study process, and providing information for ongoing formative curriculum review. Copyright © 2014 by the American Occupational Therapy Association, Inc.

Neurosurgery and the dawning age of Brain-Machine Interfaces

PubMed Central

Rowland, Nathan C.; Breshears, Jonathan; Chang, Edward F.

2013-01-01

Brain–machine interfaces (BMIs) are on the horizon for clinical neurosurgery. Electrocorticography-based platforms are less invasive than implanted microelectrodes, however, the latter are unmatched in their ability to achieve fine motor control of a robotic prosthesis capable of natural human behaviors. These technologies will be crucial to restoring neural function to a large population of patients with severe neurologic impairment – including those with spinal cord injury, stroke, limb amputation, and disabling neuromuscular disorders such as amyotrophic lateral sclerosis. On the opposite end of the spectrum are neural enhancement technologies for specialized applications such as combat. An ongoing ethical dialogue is imminent as we prepare for BMI platforms to enter the neurosurgical realm of clinical management. PMID:23653884

Intercultural Dialogue: Cultural Dialogues of Equals or Cultural Dialogues of Unequals?

ERIC Educational Resources Information Center

Igbino, John

2011-01-01

This article has two aims. The first aim of the article is to show some emerging problems and questions facing intercultural dialogue. This involves a critique of intercultural dialogue by situating it within emerging models of cultural change. The second aim of the article is to show alternative approaches to cultural dialogues. This involves the…

Using a Dialogue System Based on Dialogue Maps for Computer Assisted Second Language Learning

ERIC Educational Resources Information Center

Choi, Sung-Kwon; Kwon, Oh-Woog; Kim, Young-Kil; Lee, Yunkeun

2016-01-01

In order to use dialogue systems for computer assisted second-language learning systems, one of the difficult issues in such systems is how to construct large-scale dialogue knowledge that matches the dialogue modelling of a dialogue system. This paper describes how we have accomplished the short-term construction of large-scale and…

Implementation and Innovation: The Route to Equity

ERIC Educational Resources Information Center

Campbell, Carol; Milton, Penny

2011-01-01

"If we are really serious about equity in education, what will it take to achieve improvements?" This question became the focus of a project between the Canadian Education Association and the Stanford Center for Opportunity Policy in Education to foster dialogue about equity and educational improvement. Although the two countries have…

Digital Ink and Notetaking

ERIC Educational Resources Information Center

Colwell, Kenneth E.

2004-01-01

Tablet PCs and graphics tablets employ digital ink technology. In this paper the author introduces the reader to digital ink technology with the aim of promoting its use in various instructional or training settings, with the goal of improving instructor-learner dialogue and student learning. The potential of digital ink for improved instructional…

'Easier said than done': empowering dialogues with patients at the pain clinic - the health professionals' perspective.

PubMed

Tveiten, Sidsel; Meyer, Ingrid

2009-11-01

The aim of the present study was to develop knowledge of the dialogue between the health professionals and the patient in the empowerment process. Dialogue is important regarding empowerment. Transcript-based qualitative content analysis was used to reveal the meaning of five health professionals' views and reflections as reported during three focus group interviews. The dialogues are important and have varying purposes and characteristics. Conducting good dialogues represents challenges. Engaging in dialogues according to the principles of empowerment was easier said than done. Establishing supervision groups, considering the dialogue as part of the therapy and organizing the service in a way that makes dialogues and real participation possible. Further research may focus on the patients' views and reflections regarding the dialogues with the health professionals. What is new knowledge about the complexity and the challenges in conducting dialogues in the empowerment process?

Self-reports of induced abortion: an empathetic setting can improve the quality of data.

PubMed Central

Rasch, V; Muhammad, H; Urassa, E; Bergström, S

2000-01-01

OBJECTIVES: This study estimated the proportion of incomplete abortions that are induced in hospital-based settings in Tanzania. METHODS: A cross-sectional questionnaire study was conducted in 2 phases at 3 hospitals in Tanzania. Phase 1 included 302 patients with a diagnosis of incomplete abortion, and phase 2 included 823 such patients. RESULTS: In phase 1, in which cases were classified by clinical criteria and information from the patient, 3.9% to 16.1% of the cases were classified as induced abortion. In phase 2, in which the structured interview was changed to an empathetic dialogue and previously used clinical criteria were omitted, 30.9% to 60.0% of the cases were classified as induced abortion. CONCLUSIONS: An empathetic dialogue improves the quality of data collected among women with induced abortion. PMID:10897196

Trialing the Community-Based Collaborative Action Research Framework: Supporting Rural Health Through a Community Health Needs Assessment.

PubMed

Van Gelderen, Stacey A; Krumwiede, Kelly A; Krumwiede, Norma K; Fenske, Candace

2018-01-01

To describe the application of the Community-Based Collaborative Action Research (CBCAR) framework to uplift rural community voices while conducting a community health needs assessment (CHNA) by formulating a partnership between a critical access hospital, public health agency, school of nursing, and community members to improve societal health of this rural community. This prospective explorative study used the CBCAR framework in the design, collection, and analysis of the data. The framework phases include: Partnership, dialogue, pattern recognition, dialogue on meaning of pattern, insight into action, and reflecting on evolving pattern. Hospital and public health agency leaders learned how to use the CBCAR framework when conducting a CHNA to meet Affordable Care Act federal requirements. Closing the community engagement gap helped ensure all voices were heard, maximized intellectual capital, synergized efforts, improved communication by establishing trust, aligned resources with initiatives, and diminished power struggles regarding rural health. The CBCAR framework facilitated community engagement and promoted critical dialogue where community voices were heard. A sustainable community-based collaborative was formed. The project increased the critical access hospital's capacity to conduct a CHNA. The collaborative's decision-making capacity was challenged and ultimately strengthened as efforts continue to be made to address rural health.

A Procedure for Analyzing Classroom Dialogue.

ERIC Educational Resources Information Center

Clarke, John A.

Classroom dialogue is an important influence on students' learning, making the structure and content of dialogue important research variables. An analysis of two sample classroom dialogues using the Thematic and Structural Analysis (TSA) Technique shows a positive correlation between the quality of dialogue structure and the level of student…

Building knowledge development and exchange capacity in Canada: lessons from Youth Excel.

PubMed

Riley, B; Wong, K; Manske, S

2014-07-01

Youth Excel was a 3-year pan-Canadian initiative to advance youth health through improving knowledge development and exchange (KDE) capacity. KDE capacity refers to an improvement cycle linking evidence and action. Capacities include local surveillance of youth behaviours; knowledge exchange; skills, resources and a supportive environment to use knowledge; and evaluation. Interviews were conducted with Youth Excel members, including 7 provincial teams and 2 national organizations. Interviews explored participant experiences with building KDE capacity. Local surveillance systems were considered the backbone to KDE capacity, strengthened by co-ordinating surveys within and across jurisdictions and using common indicators and measures. The most effective knowledge exchange included tailored products and opportunities for dialogue and action planning. Evaluation is the least developed KDE component. Building KDE capacity requires frequent dialogue, mutually beneficial partnerships and trust. It also requires attention to language, vision, strategic leadership and funding. Youth Excel reinforces the need for a KDE system to improve youth health that will require new perspectives and sustained commitment from individual champions and relevant organizations.

Exploratory analysis of real personal emergency response call conversations: considerations for personal emergency response spoken dialogue systems.

PubMed

Young, Victoria; Rochon, Elizabeth; Mihailidis, Alex

2016-11-14

The purpose of this study was to derive data from real, recorded, personal emergency response call conversations to help improve the artificial intelligence and decision making capability of a spoken dialogue system in a smart personal emergency response system. The main study objectives were to: develop a model of personal emergency response; determine categories for the model's features; identify and calculate measures from call conversations (verbal ability, conversational structure, timing); and examine conversational patterns and relationships between measures and model features applicable for improving the system's ability to automatically identify call model categories and predict a target response. This study was exploratory and used mixed methods. Personal emergency response calls were pre-classified according to call model categories identified qualitatively from response call transcripts. The relationships between six verbal ability measures, three conversational structure measures, two timing measures and three independent factors: caller type, risk level, and speaker type, were examined statistically. Emergency medical response services were the preferred response for the majority of medium and high risk calls for both caller types. Older adult callers mainly requested non-emergency medical service responders during medium risk situations. By measuring the number of spoken words-per-minute and turn-length-in-words for the first spoken utterance of a call, older adult and care provider callers could be identified with moderate accuracy. Average call taker response time was calculated using the number-of-speaker-turns and time-in-seconds measures. Care providers and older adults used different conversational strategies when responding to call takers. The words 'ambulance' and 'paramedic' may hold different latent connotations for different callers. The data derived from the real personal emergency response recordings may help a spoken dialogue system classify incoming calls by caller type with moderate probability shortly after the initial caller utterance. Knowing the caller type, the target response for the call may be predicted with some degree of probability and the output dialogue could be tailored to this caller type. The average call taker response time measured from real calls may be used to limit the conversation length in a spoken dialogue system before defaulting to a live call taker.

A User-Centered Educational Modeling Language Improving the Controllability of Learning Design Quality

ERIC Educational Resources Information Center

Zendi, Asma; Bouhadada, Tahar; Bousbia, Nabila

2016-01-01

Semiformal EMLs are developed to facilitate the adoption of educational modeling languages (EMLs) and to address practitioners' learning design concerns, such as reusability and readability. In this article, SDLD (Structure Dialogue Learning Design) is presented, which is a semiformal EML that aims to improve controllability of learning design…

Does Teacher Evaluation Improve School Performance? Experimental Evidence from Chicago's Excellence in Teaching Project

ERIC Educational Resources Information Center

Steinberg, Matthew P.; Sartain, Lauren

2015-01-01

Chicago Public Schools initiated the Excellence in Teaching Project, a teacher evaluation program designed to increase student learning by improving classroom instruction through structured principal-teacher dialogue. The pilot began in forty-four elementary schools in 2008-09 (cohort 1) and scaled up to include an additional forty-eight…

Teacher Quality, Job-Embedded Professional Development, and School-University Partnerships

ERIC Educational Resources Information Center

Dana, Nancy Fichtman

2010-01-01

There are few conversations about teaching these days that do not include talk about teacher quality. Yet, within the conversations about improving teacher quality, the dialogue is often political--consumed with one-dimensional solutions for improving teacher quality, such as linking teacher pay to student performance. Absent from the pervasive…

Creating a Culture for Evidence-Based Assessment of Learning

ERIC Educational Resources Information Center

Grannan, Sharisse; Calkins, Susanna

2018-01-01

An annual Learning, Teaching, and Assessment Forum supports peer-led conversations among faculty about their own evidence-based assessment initiatives and promotes dialogue about the value of assessment for improving learning and teaching.

Highlights from the 2016 WIN Symposium, 27-29 June 2016, Paris: personalised therapy beyond next-generation sequencing.

PubMed

Schilsky, Richard; Davies, Will

2016-01-01

The Worldwide Innovative Networking (WIN) consortium is an alliance of academic institutions, pharmaceutical partners, representatives from technology companies and charitable/health payer organisations from across the globe. For the last six years, the consortium's aims have been to foster communication and collaboration between members, encourage dialogue in an open forum, and deliver clinical trial results that improve the care and outcomes of patients with cancer using the latest advances in genomic-based medicine. The annual WIN Symposium, held over two days, is a chance for its members to come together and discuss ongoing research, recent announcements, and introduce new developments in personalised medicine. This year's conference, held in Paris, France 27-29 June, consisted of six dedicated sessions, including two debates, and posters from members and participating organisations, all focusing on the latest therapeutic advances and updates in genomic analysis. Special highlights from this year included discussion of the MINDACT clinical trial, which uses a gene expression test to identify patients with breast cancer who can safely forego adjuvant chemotherapy, and the reflections on the SHIVA trial. Of particular interest to many speakers was the utilisation of liquid biopsy samples to produce near real time snapshots of tumour mutational profiles and vulnerability.

Human genetic research, race, ethnicity and the labeling of populations: recommendations based on an interdisciplinary workshop in Japan.

PubMed

Takezawa, Yasuko; Kato, Kazuto; Oota, Hiroki; Caulfield, Timothy; Fujimoto, Akihiro; Honda, Shunwa; Kamatani, Naoyuki; Kawamura, Shoji; Kawashima, Kohei; Kimura, Ryosuke; Matsumae, Hiromi; Saito, Ayako; Savage, Patrick E; Seguchi, Noriko; Shimizu, Keiko; Terao, Satoshi; Yamaguchi-Kabata, Yumi; Yasukouchi, Akira; Yoneda, Minoru; Tokunaga, Katsushi

2014-04-23

A challenge in human genome research is how to describe the populations being studied. The use of improper and/or imprecise terms has the potential to both generate and reinforce prejudices and to diminish the clinical value of the research. The issue of population descriptors has not attracted enough academic attention outside North America and Europe. In January 2012, we held a two-day workshop, the first of its kind in Japan, to engage in interdisciplinary dialogue between scholars in the humanities, social sciences, medical sciences, and genetics to begin an ongoing discussion of the social and ethical issues associated with population descriptors. Through the interdisciplinary dialogue, we confirmed that the issue of race, ethnicity and genetic research has not been extensively discussed in certain Asian communities and other regions. We have found, for example, the continued use of the problematic term, "Mongoloid" or continental terms such as "European," "African," and "Asian," as population descriptors in genetic studies. We, therefore, introduce guidelines for reporting human genetic studies aimed at scientists and researchers in these regions. We need to anticipate the various potential social and ethical problems entailed in population descriptors. Scientists have a social responsibility to convey their research findings outside of their communities as accurately as possible, and to consider how the public may perceive and respond to the descriptors that appear in research papers and media articles.

Sustainability in care through an ethical practice model.

PubMed

Nyholm, Linda; Salmela, Susanne; Nyström, Lisbet; Koskinen, Camilla

2018-03-01

While sustainability is a key concept in many different domains today, it has not yet been sufficiently emphasized in the healthcare sector. Earlier research shows that ethical values and evidence-based care models create sustainability in care practice. The aim of this study was to gain further understanding of the ethical values central to the realization of sustainability in care and to create an ethical practice model whereby these basic values can be made perceptible and active in care practice. Part of the ongoing "Ethical Sustainable Caring Cultures" research project, a hermeneutical application research design was employed in this study. Dialogues were used, where scientific researchers and co-researchers were given the opportunity to reflect on ethical values in relation to sustainability in care. An ethical practice model with ethos as its core was created from the results of the dialogues. In the model, ethos is encircled by the ethical values central to sustainability: dignity, responsibility, respect, invitation, and vows. The model can be used as a starting point for ethical conversations that support carers' reflections on the ethical issues seen in day-to-day care work and the work community, allowing ethical values to become visible throughout the entire care culture. It is intended as a tool whereby carers can more deeply understand an organization's common basic values and what they entail in regard to sustainability in care.

Reverie and metaphor. Some thoughts on how I work as a psychoanalyst.

PubMed

Ogden, T

1997-08-01

In this paper, the author presents parts of an ongoing internal dialogue concerning how he works as an analyst. He describes the way in which he attempts to sense what is most alive and most real in each analytic encounter, as well as his use of his own reveries in his effort to locate himself in what is going on at an unconscious level in the analytic relationship. The author views each analytic situation as reflecting, to a large degree, a specific type of unconscious intersubjective construction. Since unconscious experience is by definition outside of conscious awareness, the analyst must make use of indirect (associational) methods such as the scrutiny of his own reverie experience in his efforts to 'catch the drift' (Freud, 1923, p. 239) of the unconscious intersubjective constructions being generated. Reveries (and all other derivatives of the unconscious) are viewed not as glimpses into the unconscious, but as metaphorical expressions of what the unconscious experience is like. In the author's experience, when an analysis is 'a going concern', the analytic dialogue often takes the form of a verbal 'squiggle game' (Winnicott, 1971a, p. 3) in which the analytic pair elaborates and modifies the metaphors that the other has unself-consciously introduced. The analytic use of reverie and of the role of metaphor in the analytic experience is clinically illustrated.

AdaRTE: adaptable dialogue architecture and runtime engine. A new architecture for health-care dialogue systems.

PubMed

Rojas-Barahona, L M; Giorgino, T

2007-01-01

Spoken dialogue systems have been increasingly employed to provide ubiquitous automated access via telephone to information and services for the non-Internet-connected public. In the health care context, dialogue systems have been successfully applied. Nevertheless, speech-based technology is not easy to implement because it requires a considerable development investment. The advent of VoiceXML for voice applications contributed to reduce the proliferation of incompatible dialogue interpreters, but introduced new complexity. As a response to these issues, we designed an architecture for dialogue representation and interpretation, AdaRTE, which allows developers to layout dialogue interactions through a high level formalism that offers both declarative and procedural features. AdaRTE aim is to provide a ground for deploying complex and adaptable dialogues whilst allows the experimentation and incremental adoption of innovative speech technologies. It provides the dynamic behavior of Augmented Transition Networks and enables the generation of different backends formats such as VoiceXML. It is especially targeted to the health care context, where a framework for easy dialogue deployment could reduce the barrier for a more widespread adoption of dialogue systems.

Conflicts of interest in translational research

PubMed Central

Parks, Malcolm R; Disis, Mary L

2004-01-01

Translational research requires a team approach to scientific inquiry and product development. Translational research teams consist of basic and clinical scientists who can be members of both academic and industrial communities. The conception, pre-clinical testing, and clinical evaluation of a diagnostic or therapeutic approach demands an intense interaction between investigators with diverse backgrounds. As the barriers between industry and academia are removed, issues of potential conflict of interest become more complex. Translational researchers must become aware of the situations which constitute conflict of interest and understand how such conflicts can impact their research programs. Finally, the translational research community must participate in the dialogue ongoing in the public and private sectors and help shape the rules that will govern conflicts that arise during the evolution of their research programs. PMID:15301694

Let's Get Real About Health Care Reform.

PubMed

Karpf, Michael

2017-09-01

In light of the ongoing debate about health care policy in the United States, including efforts to repeal and replace the Affordable Care Act, it will be critically important for the academic community to engage in the dialogue. Developing a viable approach to health care reform requires an understanding of the interaction and interdependence between choice, cost, and coverage in a competitive and functional market-based system. Some institutions have implemented models that indicate the feasibility of providing high-quality, efficient patient care while working within fixed budgets. The academic community must stay engaged in these conversations because of its moral commitment to equitable access to health care for all. Academic medical centers will also have to define and protect their roles in an evolving health care delivery system in the United States.

Symptom Management of the Patient with CKD: The Role of Dialysis

PubMed Central

Cabrera, Valerie Jorge; Hansson, Joni; Kliger, Alan S.

2017-01-01

As kidney disease progresses, patients often experience a variety of symptoms. A challenge for the nephrologist is to help determine if these symptoms are related to advancing CKD or the effect of various comorbidities and/or medications prescribed. The clinician also must decide the timing of dialysis initiation. The initiation of dialysis can have a variable effect on quality of life measures and the alleviation of uremic signs and symptoms, such as anorexia, fatigue, cognitive impairment, depressive symptoms, pruritus, and sleep disturbances. Thus, the initiation of dialysis should be a shared decision–making process among the patient, the family and the nephrology team; information should be provided, in an ongoing dialogue, to patients and their families concerning the benefits, risks, and effect of dialysis therapies on their lives. PMID:28148557

Generative Dialogue as a Transformative Learning Practice in Adult and Higher Education Settings

ERIC Educational Resources Information Center

Gunnlaugson, Olen

2006-01-01

This article explores Scharmer's account of generative dialogue, which followed from Bohmian dialogue in the 1980s and Isaacs' research with the MIT Dialogue Project in the early 1990s. It presents the author's view that generative dialogue offers a useful theoretical framework and effective means for facilitating transformative learning processes…

NATO COMMITTEE ON THE CHALLENGES TO MODERN SOCIETY PILOT STUDY: CLEAN PRODUCTS AND PROCESSES

EPA Science Inventory

Promote cooperation for improving the common pollution landscape by stimulating cross-national dialogues and collaboration. Share knowledge on the methods, tools, and technologies for making cleaner products and processes possible.

Comparison of active-learning strategies for motivational interviewing skills, knowledge, and confidence in first-year pharmacy students.

PubMed

Lupu, Ana M; Stewart, Autumn L; O'Neil, Christine

2012-03-12

To compare 3 strategies for pharmacy student learning of motivational interviewing skills, knowledge of motivational interviewing principles, and confidence in and attitudes toward their application. Following a motivational interviewing lecture, first-year students were randomized to perform practice activities (written dialogue, peer role-play, or mock-patient counseling activities). Motivational interviewing skills, knowledge, confidence, and attitudes were measured. All students demonstrated improvement in skills, knowledge, and confidence. Students in the mock-patient counseling group demonstrated significantly better motivational interviewing skills during practice and trended toward higher scores on the summative evaluation. They also demonstrated a significant improvement in knowledge compared with that of the written dialogue group during practice. Feedback at the end was generally positive, with students expressing recognition for the value of motivational interviewing. Students demonstrated their best performance of motivational interviewing during assessments using interactions with mock or standardized patients.

Analyses of Teaching Strategies and Learning of Concepts of Astronomy in Elementary Education II

NASA Astrophysics Data System (ADS)

Voelzke, Marcos Rincon; Poffo, M. Roberta

2012-07-01

The proposed curricular of the State of Sao Paulo suggests for the discipline of Physical and Biological Sciences contents related to Astronomy for the Elementary Education. In 2010, a study was realised in a public school in Santo Andr to examine the pupils' previous knowledge. Only 19% of them reached a satisfactory note. In this year the contents were presented with three different teaching strategies. In the first class an expositive lesson with audiovisual aids was held, in the second one an expositive lesson in dialogue form was used, and in the third class a textbook research. After the approach a clear improvement of the performance was observe, and the class where the contents had been presented in an expositive lesson with dialogue showed the best effectsciency. This study facilitates analyses of the learning procedure and teaching strategies to improve the Astronomy education in the discipline of Science.

Dialogue Education in the Post-Secondary Classroom: Reflecting on Dialogue Processes from Two Higher Education Settings in North America

ERIC Educational Resources Information Center

Gunnlaugson, Olen; Moore, Janet

2009-01-01

In this article, educators Olen Gunnlaugson and Janet Moore reflect on their experiences developing and facilitating two dialogue-based courses. They proceed with a brief overview of dialogue education and how they are situating their approaches to dialogue within the field of higher education and in terms of transformative learning. Each then…

Creating dialogue: a workshop on "Uncertainty in Decision Making in a Changing Climate"

NASA Astrophysics Data System (ADS)

Ewen, Tracy; Addor, Nans; Johnson, Leigh; Coltekin, Arzu; Derungs, Curdin; Muccione, Veruska

2014-05-01

Uncertainty is present in all fields of climate research, spanning from projections of future climate change, to assessing regional impacts and vulnerabilities, to adaptation policy and decision-making. In addition to uncertainties, managers and planners in many sectors are often confronted with large amounts of information from climate change research whose complex and interdisciplinary nature make it challenging to incorporate into the decision-making process. An overarching issue in tackling this problem is the lack of institutionalized dialogue between climate researchers, decision-makers and user groups. Forums that facilitate such dialogue would allow climate researchers to actively engage with end-users and researchers in different disciplines to better characterize uncertainties and ultimately understand which ones are critically considered and incorporated into decisions made. We propose that the introduction of students to these challenges at an early stage of their education and career is a first step towards improving future dialogue between climate researchers, decision-makers and user groups. To this end, we organized a workshop at the University of Zurich, Switzerland, entitled "Uncertainty in Decision Making in a Changing Climate". It brought together 50 participants, including Bachelor, Master and PhD students and academic staff, and nine selected speakers from academia, industry, government, and philanthropy. Speakers introduced participants to topics ranging from uncertainties in climate model scenarios to managing uncertainties in development and aid agencies. The workshop consisted of experts' presentations, a panel discussion and student group work on case studies. Pedagogical goals included i) providing participants with an overview of the current research on uncertainty and on how uncertainty is dealt with by decision-makers, ii) fostering exchange between practitioners, students, and scientists from different backgrounds, iii) exposing students, at an early stage of their professional life, to multidisciplinary collaborations and real-world problems involving decisions under uncertainty. An opinion survey conducted before and after the workshop enabled us to observe changes in participants' perspectives on what information and tools should be exchanged between researchers and decision-makers to better address uncertainty. Responses demonstrated a marked shift from a pre-workshop vertical conceptualizations of researcher—user group interaction to a post-workshop horizontal mode: in the former, researchers were portrayed as bestowing data-based products to decision-makers, while in the latter, both sets of actors engaged in institutionalized dialogues and frequent communication, exchanging their needs, expertise, and personnel. In addition to the survey, we will draw on examples from the course evaluation to illustrate the strengths and weaknesses of our approach. By doing so, we seek to encourage the organization of similar events by other universities, with the mid-term goal to improve future dialogue. From a pedagogical perspective, introducing students to these ideas at a very early stage in their research careers is an ideal opportunity to establish new modes of communication with an interdisciplinary perspective and strengthen dialogue between climate researchers, decision-makers and user groups.

Dialogue Systems and Dialogue Management

DTIC Science & Technology

2016-12-01

dialogue management capability within DST Group’s Consensus project . UNCLASSIFIED UNCLASSIFIED Author Deeno Burgan National Security...3.1 Survey Process This research into dialogue management is part of a joint collaboration between DST Group and CSIRO. The project team comprised...

Automatic processing of spoken dialogue in the home hemodialysis domain.

PubMed

Lacson, Ronilda; Barzilay, Regina

2005-01-01

Spoken medical dialogue is a valuable source of information, and it forms a foundation for diagnosis, prevention and therapeutic management. However, understanding even a perfect transcript of spoken dialogue is challenging for humans because of the lack of structure and the verbosity of dialogues. This work presents a first step towards automatic analysis of spoken medical dialogue. The backbone of our approach is an abstraction of a dialogue into a sequence of semantic categories. This abstraction uncovers structure in informal, verbose conversation between a caregiver and a patient, thereby facilitating automatic processing of dialogue content. Our method induces this structure based on a range of linguistic and contextual features that are integrated in a supervised machine-learning framework. Our model has a classification accuracy of 73%, compared to 33% achieved by a majority baseline (p<0.01). This work demonstrates the feasibility of automatically processing spoken medical dialogue.

Pesticide Program Dialogue Committee: Public Health Working Group

EPA Pesticide Factsheets

EPA formed this workgroup to assist in meeting its long-term goal of creating a publically-available framework that improves the reporting, quality and efficient use of pesticide incident data to ensure high-quality, science-based pesticide decisions.

A social neuroscience approach to conflict resolution: Dialogue intervention to Israeli and Palestinian youth impacts oxytocin and empathy.

PubMed

Influs, Moran; Pratt, Maayan; Masalha, Shafiq; Zagoory-Sharon, Orna; Feldman, Ruth

2018-06-12

The rapid increase in terror-related activities, shift of battlefield into civilian locations, and participation of youth in acts of violence underscore the need to find novel frameworks for youth interventions. Building on the Israeli-Palestinian conflict and social neuroscience models we developed an eight-week dialogue group-intervention for youth growing up amidst intractable conflict. Eighty-eight Israeli-Jewish and Arab-Palestinian adolescents (16-18years) were randomly assigned to intervention or control groups. Before (T1) and after (T2) intervention, one-on-one conflict interaction with outgroup member were videotaped, oxytocin levels assayed, attitudes self-reported, and youth interviewed regarding national conflict. We tested the hypothesis that dialogue intervention would enhance empathic behavior and increase oxytocin levels following interaction with outgroup member. Intervention increased youth perspective-taking on national conflict. Oxytocin increased from T1 to T2 only for adolescents undergoing intervention who improved perspective taking in the process. Structural equation modelling charted three pathways to behavioral empathy toward outgroup member at T2; via endogenous oxytocin, empathic cognitions, and dialogue intervention; however, an alternative model without the intervention arm was non-significant. Our findings highlight the important role of empathy in programs for inter-group reconciliation and support evolutionary models on the precarious balance between the neurobiology of affiliation and the neurobiology of outgroup derogation.

Early workplace dialogue in physiotherapy practice improved work ability at 1-year follow-up-WorkUp, a randomised controlled trial in primary care.

PubMed

Sennehed, Charlotte P; Holmberg, Sara; Axén, Iben; Stigmar, Kjerstin; Forsbrand, Malin; Petersson, Ingemar F; Grahn, Birgitta

2018-03-15

Workplace involvement in rehabilitation for patients with musculoskeletal pain may improve work ability. Convergence Dialogue Meeting (CDM) is a model aimed at helping the patient, the care giver, and the employer to support work ability and return-to-work. Our aim was to study the effect on work ability when adding a workplace dialogue according to CDM in physiotherapy practice for patients with pain in ordinary primary care. We conducted a prospective pairwise cluster randomised controlled trial (ClinicalTrials.gov ID: NCT02609750) in primary care involving 20 primary care rehabilitation units with 1-year follow-up. Adult patients with acute/subacute neck and back pain, worked ≥4 weeks past year and not currently on sick leave or no more than 60 days of sick leave and considered at-risk of sick leave were included (n = 352). All patients received structured physiotherapy and the intervention was the addition of CDM, delivered by the treating physiotherapist. The main confirmatory outcome, work ability (defined as working at least 4 consecutive weeks at follow-up), was assessed by a weekly short text message question on number of sick leave days past week. Work ability was reached by significantly more patients in the intervention group (108/127, 85%) compared with the reference group (127/171, 74%) (P = 0.02). The intervention increased the odds of having work ability at 1-year follow-up, also after adjustment for baseline health-related quality of life (odds ratio 1.85, confidence interval 1.01-3.38). We conclude that an early workplace dialogue in addition to structured physiotherapy improved work ability significantly.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

AGU, Science and Engagement with the Energy Industry

NASA Astrophysics Data System (ADS)

Leinen, M.; Davidson, E. A.

2016-12-01

The relationship between science and society evolves over time and the social, political, and economic factors shaping this relationship are complex. When problems facing society become more challenging, the public, NGOs, and policy makers call for science to more directly inform solutions, to assure accountability for the use of funds and to address conflicts of interest. But when policy solutions for such challenges require significant economic and societal tradeoffs, discussion of the science can become polarized and politicized. When this occurs, AGU's policies that uphold the highest standards of scientific integrity, address conflicts of interests and promote independence for members are even more important. These policies are implemented through processes for: a) control of science presented at meeting and in publications; b) requirements for data cited in publications to be publicly accessible, and c) an organizational support policy that prohibits sponsors from influencing science presented in AGU programs. The private sector wields vast influence on human behavior and governmental policy through commerce and lobbying. These actions can be controversial when the profit motive appears incongruent with other societal opinions of what is in the public interest. Climate change is an example of this tension, where the economic exploitation of fossil fuels has complex effects on food and energy security as well as on the environment. Nonetheless, the AGU Board unanimously agreed that given our mission to advance science to create a more sustainable earth, engagement of the private sector rather than disengagement is the best way to influence decision makers on all sides because we believe that the private sector needs to be part of any solutions. We plan to use our convening power and scientific authority to bring together diverse views on climate change solutions from the private, NGO, policy, decision-maker and scientific sectors to begin a substantial, responsible and on-going dialogue. We want this dialogue to inform issues of energy, environment, security and the associated economic and societal benefits and tradeoffs in addressing climate change. AGU will share our initial ideas for convening such engagement and in the future will inform our membership on the successes and the on-going challenges.

75 FR 26938 - Notice of Vacancies on the U.S. Section of the U.S.-Iraq Business Dialogue

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-13

....S.-Iraq Business Dialogue (Business Dialogue or Dialogue) in July 2006. This notice announces ten... of Commerce. The U.S. Department of Commerce is currently seeking candidates for ten membership...

Building dialogue on complex conservation issues in a conference setting.

PubMed

Rock, Jenny; Sparrow, Andrew; Wass, Rob; Moller, Henrik

2014-10-01

Dialogue about complex science and society issues is important for contemporary conservation agendas. Conferences provide an appropriate space for such dialogue, but despite its recognized worth, best practices for facilitating active dialogue are still being explored. Face-to-face (FTF) and computer-mediated communication (CMC) are two approaches to facilitating dialogue that have different strengths. We assessed the use of these approaches to create dialogue on cultural perspectives of conservation and biodiversity at a national ecology conference. In particular, we aimed to evaluate their potential to enhance dialogue through their integrated application. We used an interactive blog to generate CMC on participant-sourced issues and to prime subsequent discussion in an FTF conference workshop. The quantity and quality of both CMC and FTF discussion indicated that both approaches were effective in building dialogue. Prior to the conference the blog averaged 126 views per day, and 44 different authors contributed a total of 127 comments. Twenty-five participants subsequently participated in active FTF discussion during a 3-h workshop. Postconference surveys confirmed that CMC had developed participants' thinking and deepened FTF dialogue; 88% indicated specifically that CMC helped facilitate the FTF discussion. A further 83% of respondents concluded that preliminary blog discussion would be useful for facilitating dialogue at future conferences. © 2014 Society for Conservation Biology.

It takes two to talk: longitudinal associations among infant-mother attachment, maternal attachment representations, and mother-child emotion dialogues.

PubMed

Hsiao, Celia; Koren-Karie, Nina; Bailey, Heidi; Moran, Greg

2015-01-01

Research on the attachment-dialogue link has largely focused on infant-mother attachment. This study investigated longitudinal associations between infant-mother attachment and maternal attachment representations and subsequent mother-child emotion dialogues (N = 50). Maternal attachment representations were assessed using the Adult Attachment Interview when children were 3 months, infant-mother attachment was assessed using the Strange Situation Procedure at 13 months, and mother-child emotion dialogues were assessed using the Autobiographical Emotional Events Dialogue at 3.5 years. Consistent with past research, the three organized categories of infant-mother attachment relationships were associated with later mother-child emotion dialogues. Disorganized attachment relationships were associated with a lack of consistent and coherent strategy during emotion dialogues. Autonomous mothers co-constructed coherent narratives with their children; Dismissing and Preoccupied mothers created stories that were less narratively organized. Although the Unresolved category was unrelated to classifications of types of mother-child discourse, mothers' quality of contribution to the dialogues was marginally lower compared to the quality of their children's contributions to the emotion discussion. Secure children showed highest levels of child cooperation and exploration. Autonomous mothers displayed highest levels of maternal sensitive guidance during emotion dialogues. We provide preliminary evidence for role reversal in dialogues between Preoccupied and Unresolved mothers and their children.

Dialogue-Games: Meta-Communication Structures for Natural Language Interaction

DTIC Science & Technology

1977-01-01

Dialogue- games are only those described here. For example, they are not necessarily competitive , consciously pursued, or zero-sum. 3. THE DIALOGUE- GAME ...fr«. CO / (Mt l / H- James A. Levin James A. Moore ARPA ORDER NO. 2930 NR 134 374 ISI/RR 77-53 January 1977 Dialogue Games : Meta...these patterns. These patterns have been represented by a set of knowledge structures called Dialogue- games , capturing shared conventional Knowledge

Policy dialogues - the "bolts and joints" of policy-making: experiences from Cabo Verde, Chad and Mali.

PubMed

Dovlo, Delanyo; Nabyonga-Orem, Juliet; Estrelli, Yolanda; Mwisongo, Aziza

2016-07-18

Policy processes that yield good outcomes are inherently complex, requiring interactions of stakeholders in problem identification, generation of political will and selection of practical solutions. To make policy processes rational, policy dialogues are increasingly being used as a policy-making tool. Despite their increasing use for policy-making in Africa, evidence is limited on how they have evolved and are being used on the continent or in low and middle income countries elsewhere. This was an exploratory study using qualitative methods. It utilised data related to policy dialogues for three specific policies and strategies to understand the interplay between policy dialogue and policy-making in Cabo Verde, Chad and Mali. The specific methods used to gather data were key informant interviews and document review. Data were analysed inductively and deductively using thematic content analysis. Participation in the policy dialogues was inclusive, and in some instances bottom-up participatory approaches were used. The respondents felt that the execution of the policy dialogues had been seamless, and the few divergent views expressed often were resolved in a unanimous manner. The policies and strategies developed were seen by all stakeholders as relating to priority issues. Other specific process factors that contributed to the success of the dialogues included the use of innovative approaches, good facilitation, availability of resources for the dialogues, good communication, and consideration of the different opinions. Among the barriers were contextual issues, delays in decision-making and conflicting coordination roles and mandates. Policy dialogues have proved to be an effective tool in health sector management and could be a crucial component of the governance dynamics of the sector. The policy dialogue process needs to be institutionalised for continuity and maintenance of institutional intelligence. Other essential influencing factors include building capacity for coordination and facilitation of policy dialogues, provision of sustainable financing for execution of the dialogues, use of inclusive and bottom-up approaches, and timely provision of reliable evidence. Ensuring continued participation of all the actors necessitates innovation to allow dialogue outside the formal frameworks and spaces that should feed into the formal dialogue processes.

Exploring Meteorology Education in Community College: Lecture-based Instruction and Dialogue-based Group Learning

NASA Astrophysics Data System (ADS)

Finley, Jason Paul

This study examined the impact of dialogue-based group instruction on student learning and engagement in community college meteorology education. A quasi-experimental design was used to compare lecture-based instruction with dialogue-based group instruction during two class sessions at one community college in southern California. Pre- and post-tests were used to measure learning and interest, while surveys were conducted two days after the learning events to assess engagement, perceived learning, and application of content. The results indicated that the dialogue-based group instruction was more successful in helping students learn than the lecture-based instruction. Each question that assessed learning had a higher score for the dialogue group that was statistically significant (alpha < 0.05) compared to the lecture group. The survey questions about perceived learning and application of content also exhibited higher scores that were statistically significant for the dialogue group. The qualitative portion of these survey questions supported the quantitative results and showed that the dialogue students were able to remember more concepts and apply these concepts to their lives. Dialogue students were also more engaged, as three out of the five engagement-related survey questions revealed statistically significantly higher scores for them. The qualitative data also supported increased engagement for the dialogue students. Interest in specific meteorological topics did not change significantly for either group of students; however, interest in learning about severe weather was higher for the dialogue group. Neither group found the learning events markedly meaningful, although more students from the dialogue group found pronounced meaning centered on applying severe weather knowledge to their lives. Active engagement in the dialogue approach kept these students from becoming distracted and allowed them to become absorbed in the learning event. This higher engagement most likely contributed to the resulting higher learning. Together, these results indicate that dialogue education, especially compared to lecture methods, has a great potential for helping students learn meteorology. Dialogue education can also help students engage in weather-related concepts and potentially develop better-informed citizens in a world with a changing climate.

The role of service learning in teaching and research for disaster-risk reduction

NASA Astrophysics Data System (ADS)

Suckale, J.; Saiyed, Z.; Alvisyahrin, T.; Hilley, G. E.; Muhari, A.; Zoback, M. L. C.; Truebe, S.

2016-12-01

An important motivation for natural-hazards research is to reduce threats posed by natural disasters to at-risk communities. Yet, we rarely teach students how research may be used to construct implementable solutions that reduce disaster risk. The goal of this contribution is to evaluate the potential of service learning to impart students with both the scientific background and the skills necessary to navigate real-world constraints of disaster risk reduction. We present results from a service-learning class taught at Stanford in the Winter quarter of 2016 in collaboration with the Indonesian Ministry of Marine Affairs and Fisheries and Syiah Kuala University, Banda Aceh. The main deliverable of the class was a final project in which students developed a specific idea of how to contribute to tsunami-risk reduction in Indonesia. A common critique of the service-learning approach posits that it may implicitly embed social and political perspectives within risk-reduction strategies that may be inappropriate within a particular culture. We attempted to avoid this problem using three strategies: First, we paired students from Stanford with students at Syiah Kuala University, Banda Aceh, to facilitate a close dialogue. Second, the Ministry of Marine Affairs and Fisheries provided a list of current risk-reduction strategies without requiring students to contribute to one specific project to minimally precondition project suggestions. Third, our community partners provided ongoing feedback on the scope and feasibility of the proposed projects and students were assessed based on their ability to integrate the feedback. Preliminary results from our class suggest significant promise for a service-learning approach to teaching disaster-risk reduction. There was substantial student interest in service learning, particularly among undergraduates. Pre-and post-assessment surveys showed that over 75% of students adjusted previous notions about disaster-risk reduction during the class. The course evaluations also provided several suggestions for improvement such as enabling more dialogue with community partners and better preparation prior to the class for our partner students at Syiah Kuala University that we will adopt in future iterations of the class.

U.S.-Canada cooperation: the U.S.-Canada air quality agreement.

PubMed

McLean, Brian; Barton, Jane

2008-01-01

The impetus for the Canada-U.S. Air Quality Agreement was transboundary acid rain in eastern North America. This problem drove the parties to develop a bilateral agreement that not only addressed this issue, but also set up a broad and flexible framework to address other air quality problems. In 2000, the Ozone Annex to reduce smog and its precursor pollutants was negotiated. A transboundary particulate matter (PM) science assessment in 2004 led to the commencement of negotiation of a PM annex in late 2007. Over the course of 15 yr, Canada and the United States also developed innovative cooperative arrangements. Two transboundary airshed dialogues became important sources of practical on-the-ground cooperation in the Georgia Basin-Puget Sound and the Great Lakes Basin. In addition to providing the basis for ongoing international dialogue, these transboundary airshed projects resulted in changes to administrative practices as the parties exchange information and learn from each other in ways that benefit the airshed community. The nature of the Air Quality Agreement also enabled both Canada and the United States to address concerns each has had about specific pollutant sources and to address them in ways that avoided confrontation and resulted in air quality improvements for people living in the airsheds. Case studies of three of the "informal consultations" that have occurred under the agreement are described: where discussions occurred around a power plant in Michigan, a power plant in Saskatchewan, and a steel mill in Ontario. More than an agreement, this relationship has built a capacity to deal with common problems. Fostering such a relationship with its implicit transfer of knowledge and experience has opened doors for discussions on a new Clean Air framework in Canada and joint analyses of cross-border sulfur dioxide (SO2) and nitrogen oxides (NOx) emissions caps and trading. U.S. experience with cap and trading is highlighted for background and context. The flexibility inherent in the agreement provides a platform for future air quality issues and continued communication without borders.

Equality for all? White Americans' willingness to address inequality with Asian and African Americans.

PubMed

Bikmen, Nida; Durkin, Kristine

2014-10-01

White Americans' willingness to engage in dialogues about intergroup commonalities and power inequalities with Asian and African Americans were examined in two experiments. Because Whites perceive that African Americans experience greater discrimination than do Asian Americans, we predicted that they would be more willing to engage in dialogues that would interrogate injustice and inequality with them. We also explored the role of common in-group identity (as Americans) on willingness for dialogue about inequality. In both studies, Whites were less interested in engaging in power talk with Asian Americans than with African Americans, but the difference in willingness for commonality talk was smaller. Asian Americans were perceived as experiencing lower levels of discrimination (Studies 1 and 2) and identify less with America (Study 2) both of which predicted lower willingness for power talk with them. Common in-group identity manipulations had marginal effects on willingness for power talk with African Americans and no effect on power talk with Asian Americans. Implications for improving social disparities between various groups were discussed. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

Studying and Facilitating Dialogue in Select Online Management Courses

ERIC Educational Resources Information Center

Ivancevich, John M.; Gilbert, Jacqueline A.; Konopaske, Robert

2009-01-01

Dialogue is arguably one of the most significant elements of learning in higher education. The premise of this article is that online instructors can creatively facilitate dialogue for effectively teaching online management courses. This article presents a dialogue-focused framework for addressing significant behavioral, structural, and…

Creating Dialogue by Storytelling

ERIC Educational Resources Information Center

Passila, Anne; Oikarinen, Tuija; Kallio, Anne

2013-01-01

Purpose: The objective of this paper is to develop practice and theory from Augusto Boal's dialogue technique (Image Theatre) for organisational use. The paper aims to examine how the members in an organisation create dialogue together by using a dramaturgical storytelling framework where the dialogue emerges from storytelling facilitated by…

Feedback Dialogues That Stimulate Students' Reflective Thinking

ERIC Educational Resources Information Center

Van der Schaaf, Marieke; Baartman, Liesbeth; Prins, Frans; Oosterbaan, Anne; Schaap, Harmen

2013-01-01

How can feedback dialogues stimulate students' reflective thinking? This study aims to investigate: (1) the effects of feedback dialogues between teachers and students on students' perceptions of teacher feedback and (2) the relation between features of feedback dialogues and students' thinking activities as part of reflective thinking. A…

Projected refined product balances in key Latin American countries: A preliminary examination

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1996-06-01

Over the years, the East-West Center (EWC) has developed considerable expertise in refinery modeling, especially in the area of forecasting product balances for countries, given planned capacity changes, changes in product demand, changes in crude slates, and changes in product specifications. This expertise has been applied on an ongoing basis to the major refiners in the Middle East and the Asia-Pacific region, along with the US West Coast as region in its own right. Refinery modeling in these three areas has been ongoing for nearly 15 years at the Center, and the tools and information sources are now well developed.more » To date, the EWC has not applied these tools to Latin America. Although research on Latin America has been an ongoing area of concern at the Center in recent years, the information gathered to date is still not of the level of detail nor quality available for other areas. The modeling efforts undertaken in this report are of a ``baseline`` nature, designed to outline the major issues, attempt a first cut at emerging product balances, and, above all, to elicit commentary from those directly involved in the oil industry in the key countries modeled. Our experience in other regions has shown that it takes a few years dialogue with refiners and government planner in individual countries to develop a reliable database, as well as the insights into operational constraints and practices that make accurate modeling possible. This report is no more than a first step down the road.« less

Historical Text Comprehension Reflective Tutorial Dialogue System

ERIC Educational Resources Information Center

Grigoriadou, Maria; Tsaganou, Grammatiki; Cavoura, Theodora

2005-01-01

The Reflective Tutorial Dialogue System (ReTuDiS) is a system for learner modelling historical text comprehension through reflective dialogue. The system infers learners' cognitive profiles and constructs their learner models. Based on the learner model the system plans the appropriate--personalized for learners--reflective tutorial dialogue in…

Disruption, Dialogue, and Swerve: Reflective Structured Dialogue in Religious Studies Classrooms

ERIC Educational Resources Information Center

DeTemple, Jill; Sarrouf, John

2017-01-01

This article focuses on Reflective Structured Dialogue as a set of practices developed in the context of conflict resolution that are well suited to handling quotidian uneasiness and extraordinary moments of disruption in religious studies classrooms. After introducing Reflective Structured Dialogue's history, goals, and general practices, the…

Dialogue-Based CALL: An Overview of Existing Research

ERIC Educational Resources Information Center

Bibauw, Serge; François, Thomas; Desmet, Piet

2015-01-01

Dialogue-based Computer-Assisted Language Learning (CALL) covers applications and systems allowing a learner to practice the target language in a meaning-focused conversational activity with an automated agent. We first present a common definition for dialogue-based CALL, based on three features: dialogue as the activity unit, computer as the…

Empowering Dialogues in Humanistic Education

ERIC Educational Resources Information Center

Aloni, Nimrod

2013-01-01

In this article I propose a conception of empowering educational dialogue within the framework of humanistic education. It is based on the notions of Humanistic Education and Empowerment, and draws on a large and diverse repertoire of dialogues--from the classical Socratic, Confucian and Talmudic dialogues, to the modern ones associated with the…

Alternatives to project-specific consent for access to personal information for health research: Insights from a public dialogue

PubMed Central

Willison, Donald J; Swinton, Marilyn; Schwartz, Lisa; Abelson, Julia; Charles, Cathy; Northrup, David; Cheng, Ji; Thabane, Lehana

2008-01-01

Background The role of consent for research use of health information is contentious. Most discussion has focused on when project-specific consent may be waived but, recently, a broader range of consent options has been entertained, including broad opt-in for multiple studies with restrictions and notification with opt-out. We sought to elicit public values in this matter and to work toward an agreement about a common approach to consent for use of personal information for health research through deliberative public dialogues. Methods We conducted seven day-long public dialogues, involving 98 participants across Canada. Immediately before and after each dialogue, participants completed a fixed-response questionnaire rating individuals' support for 3 approaches to consent in the abstract and their consent choices for 5 health research scenarios using personal information. They also rated how confident different safeguards made them feel that their information was being used responsibly. Results Broad opt-in consent for use of personal information garnered the greatest support in the abstract. When presented with specific research scenarios, no one approach to consent predominated. When profit was introduced into the scenarios, consent choices shifted toward greater control over use. Despite lively and constructive dialogues, and considerable shifting in opinion at the individual level, at the end of the day, there was no substantive aggregate movement in opinion. Personal controls were among the most commonly cited approaches to improving people's confidence in the responsible use of their information for research. Conclusion Because no one approach to consent satisfied even a simple majority of dialogue participants and the importance placed on personal controls, a mechanism should be developed for documenting consent choice for different types of research, including ways for individuals to check who has accessed their medical record for purposes other than clinical care. This could be done, for example, through a web-based patient portal to their electronic health record. Researchers and policy makers should continue to engage the public to promote greater public understanding of the research process and to look for feasible alternatives to existing approaches to project-specific consent for observational research. PMID:19019239

Interdepartmental conflict management and negotiation in cardiovascular imaging.

PubMed

Otero, Hansel J; Nallamshetty, Leelakrishna; Rybicki, Frank J

2008-07-01

Although the relationship between cardiologists and radiologists has a thorny history, advanced cardiac imaging technology and the promise of cardiac computed tomography are forcing both specialties back to the negotiation table. These discussions represent an opportunity for better communication, collaboration, and resource allocation. The authors address the aspects of interdepartmental conflict management and negotiation through their radiology department's ongoing efforts to provide high-quality advanced noninvasive cardiovascular imaging services at a large academic institution. The definition and causes of conflict are defined, with a specific focus on noninvasive cardiovascular imaging, followed by a description of steps used in the negotiation process. The authors encourage radiologists to entertain an open dialogue with cardiology, because in many cases, both sides can benefit. The benefits of a negotiated outcome include minimizing internal competitors, incorporating cardiologists' expertise to cardiac imaging algorithms, and more effective training opportunities.

Symptom Management of the Patient with CKD: The Role of Dialysis.

PubMed

Cabrera, Valerie Jorge; Hansson, Joni; Kliger, Alan S; Finkelstein, Fredric O

2017-04-03

As kidney disease progresses, patients often experience a variety of symptoms. A challenge for the nephrologist is to help determine if these symptoms are related to advancing CKD or the effect of various comorbidities and/or medications prescribed. The clinician also must decide the timing of dialysis initiation. The initiation of dialysis can have a variable effect on quality of life measures and the alleviation of uremic signs and symptoms, such as anorexia, fatigue, cognitive impairment, depressive symptoms, pruritus, and sleep disturbances. Thus, the initiation of dialysis should be a shared decision-making process among the patient, the family and the nephrology team; information should be provided, in an ongoing dialogue, to patients and their families concerning the benefits, risks, and effect of dialysis therapies on their lives. Copyright © 2017 by the American Society of Nephrology.

A Situated Practice of Ethics for Participatory Visual and Digital Methods in Public Health Research and Practice: A Focus on Digital Storytelling

PubMed Central

Hill, Amy L.; Flicker, Sarah

2014-01-01

This article explores ethical considerations related to participatory visual and digital methods for public health research and practice, through the lens of an approach known as “digital storytelling.” We begin by briefly describing the digital storytelling process and its applications to public health research and practice. Next, we explore 6 common challenges: fuzzy boundaries, recruitment and consent to participate, power of shaping, representation and harm, confidentiality, and release of materials. We discuss their complexities and offer some considerations for ethical practice. We hope this article serves as a catalyst for expanded dialogue about the need for high standards of integrity and a situated practice of ethics wherein researchers and practitioners reflexively consider ethical decision-making as part of the ongoing work of public health. PMID:23948015

A situated practice of ethics for participatory visual and digital methods in public health research and practice: a focus on digital storytelling.

PubMed

Gubrium, Aline C; Hill, Amy L; Flicker, Sarah

2014-09-01

This article explores ethical considerations related to participatory visual and digital methods for public health research and practice, through the lens of an approach known as "digital storytelling." We begin by briefly describing the digital storytelling process and its applications to public health research and practice. Next, we explore 6 common challenges: fuzzy boundaries, recruitment and consent to participate, power of shaping, representation and harm, confidentiality, and release of materials. We discuss their complexities and offer some considerations for ethical practice. We hope this article serves as a catalyst for expanded dialogue about the need for high standards of integrity and a situated practice of ethics wherein researchers and practitioners reflexively consider ethical decision-making as part of the ongoing work of public health.

Dialogical nursing ethics: the quality of freedom restrictions.

PubMed

Abma, Tineke A; Widdershoven, Guy A M; Frederiks, Brenda J M; van Hooren, Rob H; van Wijmen, Frans; Curfs, Paul L M G

2008-11-01

This article deals with the question of how ethicists respond to practical moral problems emerging in health care practices. Do they remain distanced, taking on the role of an expert, or do they become engaged with nurses and other participants in practice and jointly develop contextualized insights about good care? A basic assumption of dialogical ethics entails that the definition of good care and what it means to be a good nurse is a collaborative product of ongoing dialogues among various stakeholders engaged in the practice. This article discusses the value of a dialogical approach to ethics by drawing on the work of various nursing scholars. We present a case example concerning the quality of freedom restrictions for intellectually disabled people. Issues for discussion include the role and required competences of the ethicist and dealing with asymmetrical relationships between stakeholders.

New Criteria for Assessing the Accuracy of Blood Glucose Monitors Meeting, October 28, 2011

PubMed Central

Walsh, John; Roberts, Ruth; Vigersky, Robert A.; Schwartz, Frank

2012-01-01

Glucose meters (GMs) are routinely used for self-monitoring of blood glucose by patients and for point-of-care glucose monitoring by health care providers in outpatient and inpatient settings. Although widely assumed to be accurate, numerous reports of inaccuracies with resulting morbidity and mortality have been noted. Insulin dosing errors based on inaccurate GMs are most critical. On October 28, 2011, the Diabetes Technology Society invited 45 diabetes technology clinicians who were attending the 2011 Diabetes Technology Meeting to participate in a closed-door meeting entitled New Criteria for Assessing the Accuracy of Blood Glucose Monitors. This report reflects the opinions of most of the attendees of that meeting. The Food and Drug Administration (FDA), the public, and several medical societies are currently in dialogue to establish a new standard for GM accuracy. This update to the FDA standard is driven by improved meter accuracy, technological advances (pumps, bolus calculators, continuous glucose monitors, and insulin pens), reports of hospital and outpatient deaths, consumer complaints about inaccuracy, and research studies showing that several approved GMs failed to meet FDA or International Organization for Standardization standards in post-approval testing. These circumstances mandate a set of new GM standards that appropriately match the GMs’ analytical accuracy to the clinical accuracy required for their intended use, as well as ensuring their ongoing accuracy following approval. The attendees of the New Criteria for Assessing the Accuracy of Blood Glucose Monitors meeting proposed a graduated standard and other methods to improve GM performance, which are discussed in this meeting report. PMID:22538160

New Criteria for Assessing the Accuracy of Blood Glucose Monitors meeting, October 28, 2011.

PubMed

Walsh, John; Roberts, Ruth; Vigersky, Robert A; Schwartz, Frank

2012-03-01

Glucose meters (GMs) are routinely used for self-monitoring of blood glucose by patients and for point-of-care glucose monitoring by health care providers in outpatient and inpatient settings. Although widely assumed to be accurate, numerous reports of inaccuracies with resulting morbidity and mortality have been noted. Insulin dosing errors based on inaccurate GMs are most critical. On October 28, 2011, the Diabetes Technology Society invited 45 diabetes technology clinicians who were attending the 2011 Diabetes Technology Meeting to participate in a closed-door meeting entitled New Criteria for Assessing the Accuracy of Blood Glucose Monitors. This report reflects the opinions of most of the attendees of that meeting. The Food and Drug Administration (FDA), the public, and several medical societies are currently in dialogue to establish a new standard for GM accuracy. This update to the FDA standard is driven by improved meter accuracy, technological advances (pumps, bolus calculators, continuous glucose monitors, and insulin pens), reports of hospital and outpatient deaths, consumer complaints about inaccuracy, and research studies showing that several approved GMs failed to meet FDA or International Organization for Standardization standards in postapproval testing. These circumstances mandate a set of new GM standards that appropriately match the GMs' analytical accuracy to the clinical accuracy required for their intended use, as well as ensuring their ongoing accuracy following approval. The attendees of the New Criteria for Assessing the Accuracy of Blood Glucose Monitors meeting proposed a graduated standard and other methods to improve GM performance, which are discussed in this meeting report. © 2012 Diabetes Technology Society.

Punjabi Sikh patients' cardiac rehabilitation experiences following myocardial infarction: a qualitative analysis.

PubMed

Galdas, Paul M; Kang, H Bindy K

2010-11-01

To explore the cardiac rehabilitation experiences of Punjabi Sikh patients post myocardial infarction. Punjabi Sikh people are at significantly higher risk of mortality from myocardial infarction compared with those of European descent. Punjabi Sikh patients' participation in cardiac rehabilitation post myocardial infarction is therefore likely to yield considerable benefits. However, uptake of cardiac rehabilitation by South Asian people has been reported to be modest. Previous investigators have seldom provided insight into experiences of Punjabi Sikh patients post myocardial infarction and the steps that can be taken to improve the appropriateness of cardiac rehabilitation programmes for this at-risk patient group. Interpretive qualitative design. In-depth interviews, based on the McGill Illness Narrative Interview schedule, with 15 Punjabi Sikh patients post myocardial infarction attending a cardiac rehabilitation programme in British Columbia, Canada, were conducted; thematic analysis using grounded theory methods of coding and constant comparative analysis was employed. Four mutually exclusive themes emerged relating to the salient aspects of participants' cardiac rehabilitation experience: 'making sense of the diagnosis', 'practical dietary advice', 'ongoing interaction with peers and the multi-disciplinary team' and 'transport and attendance'. The themes identified point towards some of the ingredients necessary for providing culturally appropriate cardiac rehabilitation interventions for Punjabi Sikh patients following myocardial infarction. The findings highlight the importance of providing culturally relevant rehabilitation advice about diet and lifestyle changes and providing time for ongoing dialogue with support from health care professionals and peers. The findings from this study also illustrate the need to avoid generalisations about the impact religious beliefs may have on South Asian individuals' willingness to adhere to cardiac rehabilitation advice and make lifestyle adjustments. This study raises awareness of some of the salient features of experiences of Punjabi Sikh patients with post myocardial infarction that can help guide nurses to provide culturally appropriate cardiac rehabilitation and coronary health promotion. © 2010 Blackwell Publishing Ltd.

Community dissemination and genetic research: moving beyond results reporting.

PubMed

Trinidad, Susan Brown; Ludman, Evette J; Hopkins, Scarlett; James, Rosalina D; Hoeft, Theresa J; Kinegak, Annie; Lupie, Henry; Kinegak, Ralph; Boyer, Bert B; Burke, Wylie

2015-07-01

The community-based participatory research (CBPR) literature notes that researchers should share study results with communities. In the case of human genetic research, results may be scientifically interesting but lack clinical relevance. The goals of this study were to learn what kinds of information community members want to receive about genetic research and how such information should be conveyed. We conducted eight focus group discussions with Yup'ik Alaska Native people in southwest Alaska (N = 60) and 6 (N = 61) with members of a large health maintenance organization in Seattle, Washington. Participants wanted to receive genetic information they "could do something about" and wanted clinically actionable information to be shared with their healthcare providers; they also wanted researchers to share knowledge about other topics of importance to the community. Although Alaska Native participants were generally less familiar with western scientific terms and less interested in web-based information sources, the main findings were the same in Alaska and Seattle: participants wished for ongoing dialogue, including opportunities for informal, small-group conversations, and receiving information that had local relevance. Effective community dissemination is more than a matter of presenting study results in lay language. Community members should be involved in both defining culturally appropriate communication strategies and in determining which information should be shared. Reframing dissemination as a two-way dialogue, rather than a one-way broadcast, supports the twin aims of advancing scientific knowledge and achieving community benefit. © 2015 Wiley Periodicals, Inc.

Community Dissemination and Genetic Research: Moving Beyond Results Reporting

PubMed Central

Trinidad, Susan Brown; Ludman, Evette J.; Hopkins, Scarlett; James, Rosalina D.; Hoeft, Theresa J.; Kinegak, Annie; Lupie, Henry; Kinegak, Ralph; Boyer, Bert B.; Burke, Wylie

2015-01-01

The community-based participatory research (CBPR) literature notes that researchers should share study results with communities. In the case of human genetic research, results may be scientifically interesting but lack clinical relevance. The goals of this study were to learn what kinds of information community members want to receive about genetic research and how such information should be conveyed. We conducted 8 focus group discussions with Yup’ik Alaska Native people in southwest Alaska (N=60) and 6 (N=61) with members of a large health maintenance organization in Seattle, Washington. Participants wanted to receive genetic information they “could do something about” and wanted clinically actionable information to be shared with their healthcare providers; they also wanted researchers to share knowledge about other topics of importance to the community. Although Alaska Native participants were generally less familiar with western scientific terms and less interested in web-based information sources, the main findings were the same in Alaska and Seattle: participants wished for ongoing dialogue, including opportunities for informal, small-group conversations and receiving information that had local relevance. Effective community dissemination is more than a matter of presenting study results in lay language. Community members should be involved in both defining culturally appropriate communication strategies and in determining which information should be shared. Reframing dissemination as a two-way dialogue, rather than a one-way broadcast, supports the twin aims of advancing scientific knowledge and achieving community benefit. PMID:25900516

Human genetic research, race, ethnicity and the labeling of populations: recommendations based on an interdisciplinary workshop in Japan

PubMed Central

2014-01-01

Background A challenge in human genome research is how to describe the populations being studied. The use of improper and/or imprecise terms has the potential to both generate and reinforce prejudices and to diminish the clinical value of the research. The issue of population descriptors has not attracted enough academic attention outside North America and Europe. In January 2012, we held a two-day workshop, the first of its kind in Japan, to engage in interdisciplinary dialogue between scholars in the humanities, social sciences, medical sciences, and genetics to begin an ongoing discussion of the social and ethical issues associated with population descriptors. Discussion Through the interdisciplinary dialogue, we confirmed that the issue of race, ethnicity and genetic research has not been extensively discussed in certain Asian communities and other regions. We have found, for example, the continued use of the problematic term, “Mongoloid” or continental terms such as “European,” “African,” and “Asian,” as population descriptors in genetic studies. We, therefore, introduce guidelines for reporting human genetic studies aimed at scientists and researchers in these regions. Conclusion We need to anticipate the various potential social and ethical problems entailed in population descriptors. Scientists have a social responsibility to convey their research findings outside of their communities as accurately as possible, and to consider how the public may perceive and respond to the descriptors that appear in research papers and media articles. PMID:24758583

Creating Critical Conversations: Investigating the Utility of Socratic Dialogues in Elementary Social Studies Methods

ERIC Educational Resources Information Center

Buchanan, Lisa Brown

2012-01-01

This article explores the utility of Socratic dialogues in the elementary social studies methods course. Findings include preservice teachers' behaviors during dialogues, perceived strengths and challenges of using Socratic dialogues in teacher education, and the impact on student learning. Challenges and apprehensions encountered by the teacher…

75 FR 39935 - Drinking Water Strategy Contaminants as Group(s)-Notice of Web Dialogue

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-13

... Group(s)--Notice of Web Dialogue AGENCY: Environmental Protection Agency (EPA). ACTION: Notice. SUMMARY... principles. The purpose of this notice is to announce that EPA will host a Web dialogue. The discussion topics for this Web dialogue are focused on the first of the four principles, addressing some...

Automatic Dialogue Scoring for a Second Language Learning System

ERIC Educational Resources Information Center

Huang, Jin-Xia; Lee, Kyung-Soon; Kwon, Oh-Woog; Kim, Young-Kil

2016-01-01

This paper presents an automatic dialogue scoring approach for a Dialogue-Based Computer-Assisted Language Learning (DB-CALL) system, which helps users learn language via interactive conversations. The system produces overall feedback according to dialogue scoring to help the learner know which parts should be more focused on. The scoring measures…

Dialogue and Its Conditions: The Construction of European Citizenship

ERIC Educational Resources Information Center

Hodgson, Naomi

2011-01-01

The Council of Europe's "White Paper on Intercultural Dialogue" provides an example of the way in which dialogue has become part of the current mode of governance in Europe. Throughout current policy, the terms "dialogue" and "voice" inform the introduction of practices and tools that constitute the citizen, or active learning citizen. Notions of…

Interreligious Dialogue in Schools: Beyond Asymmetry and Categorisation?

ERIC Educational Resources Information Center

Riitaoja, Anna-Leena; Dervin, Fred

2014-01-01

Interreligious dialogue is a central objective in European and UNESCO policy and research documents, in which educational institutions are seen as central places for dialogue. In this article, we discuss this type of dialogue under the conditions of asymmetry and categorisation in two Finnish schools. Finnish education has often been lauded for…

Peer work in Open Dialogue: A discussion paper.

PubMed

Bellingham, Brett; Buus, Niels; McCloughen, Andrea; Dawson, Lisa; Schweizer, Richard; Mikes-Liu, Kristof; Peetz, Amy; Boydell, Katherine; River, Jo

2018-03-25

Open Dialogue is a resource-oriented approach to mental health care that originated in Finland. As Open Dialogue has been adopted across diverse international healthcare settings, it has been adapted according to contextual factors. One important development in Open Dialogue has been the incorporation of paid, formal peer work. Peer work draws on the knowledge and wisdom gained through lived experience of distress and hardship to establish mutual, reciprocal, and supportive relationships with service users. As Open Dialogue is now being implemented across mental health services in Australia, stakeholders are beginning to consider the role that peer workers might have in this model of care. Open Dialogue was not, initially, conceived to include a specific role for peers, and there is little available literature, and even less empirical research, in this area. This discussion paper aims to surface some of the current debates and ideas about peer work in Open Dialogue. Examples and models of peer work in Open Dialogue are examined, and the potential benefits and challenges of adopting this approach in health services are discussed. Peer work in Open Dialogue could potentially foster democracy and disrupt clinical hierarchies, but could also move peer work from reciprocal to a less symmetrical relationship of 'giver' and 'receiver' of care. Other models of care, such as lived experience practitioners in Open Dialogue, can be conceived. However, it remains uncertain whether the hierarchical structures in healthcare and current models of funding would support any such models. © 2018 Australian College of Mental Health Nurses Inc.

Demonstration of a Spoken Dialogue Interface for Planning Activities of a Semi-autonomous Robot

NASA Technical Reports Server (NTRS)

Dowding, John; Frank, Jeremy; Hockey, Beth Ann; Jonsson, Ari; Aist, Gregory

2002-01-01

Planning and scheduling in the face of uncertainty and change pushes the capabilities of both planning and dialogue technologies by requiring complex negotiation to arrive at a workable plan. Planning for use of semi-autonomous robots involves negotiation among multiple participants with competing scientific and engineering goals to co-construct a complex plan. In NASA applications this plan construction is done under severe time pressure so having a dialogue interface to the plan construction tools can aid rapid completion of the process. But, this will put significant demands on spoken dialogue technology, particularly in the areas of dialogue management and generation. The dialogue interface will need to be able to handle the complex dialogue strategies that occur in negotiation dialogues, including hypotheticals and revisions, and the generation component will require an ability to summarize complex plans. This demonstration will describe a work in progress towards building a spoken dialogue interface to the EUROPA planner for the purposes of planning and scheduling the activities of a semi-autonomous robot. A prototype interface has been built for planning the schedule of the Personal Satellite Assistant (PSA), a mobile robot designed for micro-gravity environments that is intended for use on the Space Shuttle and International Space Station. The spoken dialogue interface gives the user the capability to ask for a description of the plan, ask specific questions about the plan, and update or modify the plan. We anticipate that a spoken dialogue interface to the planner will provide a natural augmentation or alternative to the visualization interface, in situations in which the user needs very targeted information about the plan, in situations where natural language can express complex ideas more concisely than GUI actions, or in situations in which a graphical user interface is not appropriate.

The role of power in health policy dialogues: lessons from African countries.

PubMed

Mwisongo, Aziza; Nabyonga-Orem, Juliet; Yao, Theodore; Dovlo, Delanyo

2016-07-18

Policy-making is a dynamic process involving the interplay of various factors. Power and its role are some of its core components. Though power exerts a profound role in policy-making, empirical evidence suggests that health policy analysis has paid only limited attention to the role of power, particularly in policy dialogues. This exploratory study, which used qualitative methods, had the main aim of learning about and understanding policy dialogues in five African countries and how power influences such processes. Data were collected using key informant interviews. An interview guide was developed with standardised questions and probes on the policy dialogues in each country. This paper utilises these data plus document review to understand how power was manifested during the policy dialogues. Reference is made to the Arts and Tatenhove conceptual framework on power dimensions to understand how power featured during the policy dialogues in African health contexts. Arts and Tatenhove conceptualise power in policy-making in relational, dispositional and structural layers. Our study found that power was applied positively during the dialogues to prioritise agendas, fast-track processes, reorganise positions, focus attention on certain items and foster involvement of the community. Power was applied negatively during the dialogues, for example when position was used to control and shape dialogues, which limited innovation, and when knowledge power was used to influence decisions and the direction of the dialogues. Transitive power was used to challenge the government to think of implementation issues often forgotten during policy-making processes. Dispositional power was the most complex form of power expressed both overtly and covertly. Structural power was manifested socially, culturally, politically, legally and economically. This study shows that we need to be cognisant of the role of power during policy dialogues and put mechanisms in place to manage its influence. There is need for more research to determine how to channel power influence policy-making processes positively, for example through interactive policy dialogues.

The Department of Defense and Climate Change: Initiating the Dialogue

DTIC Science & Technology

2012-01-01

that might be impacted: such as for wetlands, endangered species, and protected marine ecosystems and species. In addition, the rapid implementation...their adaptive capacity. As a result, continued improvements are needed in the representation of biotic and abiotic components of environmental...resilience? 3) What design features of DoD’s built infrastructure should be assessed and modified for improving their adaptive capacity to a

From products to processes: Academic events to foster interdisciplinary and iterative dialogue in a changing climate

NASA Astrophysics Data System (ADS)

Addor, Nans; Ewen, Tracy; Johnson, Leigh; Ćöltekin, Arzu; Derungs, Curdin; Muccione, Veruska

2015-08-01

In the context of climate change, both climate researchers and decision makers deal with uncertainties, but these uncertainties differ in fundamental ways. They stem from different sources, cover different temporal and spatial scales, might or might not be reducible or quantifiable, and are generally difficult to characterize and communicate. Hence, a mutual understanding between current and future climate researchers and decision makers must evolve for adaptation strategies and planning to progress. Iterative two-way dialogue can help to improve the decision making process by bridging current top-down and bottom-up approaches. One way to cultivate such interactions is by providing venues for these actors to interact and exchange on the uncertainties they face. We use a workshop-seminar series involving academic researchers, students, and decision makers as an opportunity to put this idea into practice and evaluate it. Seminars, case studies, and a round table allowed participants to reflect upon and experiment with uncertainties. An opinion survey conducted before and after the workshop-seminar series allowed us to qualitatively evaluate its influence on the participants. We find that the event stimulated new perspectives on research products and communication processes, and we suggest that similar events may ultimately contribute to the midterm goal of improving support for decision making in a changing climate. Therefore, we recommend integrating bridging events into university curriculum to foster interdisciplinary and iterative dialogue among researchers, decision makers, and students.

Overhearing Single and Multiple Perspectives

ERIC Educational Resources Information Center

Fox Tree, Jean E.; Mayer, Sarah A.

2008-01-01

In 2 spontaneous speech experiments, this study found that multiple perspectives improved overhearers' abilities to select abstract shapes from an array, although single-perspective descriptions were more detailed. Prior findings that overhearers performed better when listening in on dialogues (Fox Tree, 1999) can best be understood as an…

Social Software for Reflective Dialogue: Questions about Reflection and Dialogue in Student Teachers' Blogs

ERIC Educational Resources Information Center

Granberg, Carina

2010-01-01

This article presents a study of 57 Swedish pre-school student teachers' experiences and achievements in using blogs for reflective dialogue over the course of 2007-2008. In order to examine the extent to which students engaged in reflective dialogue, text analyses of their blogs were carried out. Furthermore, 13 narrative interviews were…

Three Modes of Dialogue about Works of Art

ERIC Educational Resources Information Center

Hubard, Olga M.

2010-01-01

Over the last two decades, art teachers and museum educators have increasingly embraced group dialogue to help students make meaning from works of art. To an outside observer, most dialogues about art could appear to be the same. Nevertheless, careful analysis reveals that the spirit and dynamics can differ greatly from one dialogue to the next.…

How Intergroup Dialogue Facilitators Understand Their Role in Promoting Student Development and Learning

ERIC Educational Resources Information Center

Quaye, Stephen John; Johnson, Matthew R.

2016-01-01

Intergroup dialogues are co-facilitated, face-to-face dialogues between two groups that have a history of conflict (for example, White people and people of color). Although researchers have explored the outcomes of these dialogues among students, little is known about the role of facilitators. Drawing from a case study of an intergroup dialogue…

Revisiting Dialogues and Monologues

ERIC Educational Resources Information Center

Kvernbekk, Tone

2012-01-01

In educational discourse dialogue tends to be viewed as being (morally) superior to monologue. When we look at them as basic forms of communication, we find that dialogue is a two-way, one-to-one form and monologue is a one-way, one-to-many form. In this paper I revisit the alleged (moral) superiority of dialogue. First, I problematize certain…

Educational Application of Dialogue System To Support e-Learning.

ERIC Educational Resources Information Center

Kim, Youn-Gi; Lee, Chul-Hwan; Han, Sun-Gwan

This study is on the design and implementation of an educational dialogue system to support e-learning. The learning domain to apply the dialogue system used the subject of geometry. The knowledge in the dialogue-based system for learning geometry was created and represented by XML-based AIML. The implemented system in this study can understand…

Why Students Learn More From Dialogue-Than Monologue-Videos: Analyses of Peer Interactions

ERIC Educational Resources Information Center

Chi, Michelene T. H.; Kang, Seokmin; Yaghmourian, David L.

2017-01-01

In 2 separate studies, we found that college-age students learned more when they collaboratively watched tutorial dialogue-videos than lecture-style monologue-videos. In fact, they can learn as well as the tutees in the dialogue-videos. These results replicate similar findings in the literature showing the advantage of dialogue-videos even when…

Dialogue as Data in Learning Analytics for Productive Educational Dialogue

ERIC Educational Resources Information Center

Knight, Simon; Littleton, Karen

2015-01-01

This paper provides a novel, conceptually driven stance on the state of the contemporary analytic challenges faced in the treatment of dialogue as a form of data across on- and offline sites of learning. In prior research, preliminary steps have been taken to detect occurrences of such dialogue using automated analysis techniques. Such advances…

Daisaku Ikeda and Value-Creative Dialogue: A New Current in Interculturalism and Educational Philosophy

ERIC Educational Resources Information Center

Goulah, Jason

2012-01-01

This article focuses on Daisaku Ikeda's (1928- ) philosophy and practice of intercultural dialogue--what I call "value-creative dialogue"--as a new current in interculturalism and educational philosophy and theory. I use excerpts from Ikeda's writings to consider two aspects of his approach to dialogue. First, I locate his approach…

"I understood…but some parts were confusing and hard to grasp": Patients' perception of informed consent forms and clinical trials in Eldoret, Kenya.

PubMed

Naanyu, Violet; Some, Fatma F; Siika, Abraham M

2014-01-01

A signed informed consent (IC) form proves voluntary participation in a study. Yet the development of accessible and understandable IC forms comes with its own set of challenges, particularly when conducting international research. This study explores understanding by participants in an Eldoret-based clinical trial of IC and its implications as well as whether they will volunteer for future trials. In mid-2010, in-depth interviews with trial participants were recorded in audio format. Content analysis provides a description of trial participants' experiences and thoughts. All participants were informed about the trial and its voluntariness and they consented. However, some were too ill to scrutinize trial details. Thus, they relied on their health care provider's advice, or on their guardians. In general, participants understood their role and were happy to volunteer or invite others to participate in future trials. They also emphasised the importance of an open on-going dialogue in order for participants to be able to ask questions. Clinical trial participants in Eldoret seem to understand their role, but rely on providers and guardians when consenting. They are very willing to participate in future trials. Evaluation of research participants' opinions may improve trial protocols, increase comprehension and guard against manipulation of study participants. In addition, this research focus should guide development of consent forms and process that facilitates a truly IC.

Models of Persuasion Dialogue

NASA Astrophysics Data System (ADS)

Prakken, Henry

This chapter1 reviews formal dialogue systems for persuasion. In persuasion dialogues two or more participants try to resolve a conflict of opinion, each trying to persuade the other participants to adopt their point of view. Dialogue systems for persuasion regulate how such dialogues can be conducted and what their outcome is. Good dialogue systems ensure that conflicts of view can be resolved in a fair and effective way [6]. The term ‘persuasion dialogue’ was coined by Walton [13] as part of his influential classification of dialogues into six types according to their goal. While persuasion aims to resolve a difference of opinion, negotiation tries to resolve a conflict of interest by reaching a deal, information seeking aims at transferring information, deliberationdeliberation wants to reach a decision on a course of action, inquiry is aimed at “growth of knowledge and agreement” and quarrel is the verbal substitute of a fight. This classification leaves room for shifts of dialogues of one type to another. In particular, other types of dialogues can shift to persuasion when a conflict of opinion arises. For example, in information-seeking a conflict of opinion could arise on the credibility of a source of information, in deliberation the participants may disagree about likely effects of plans or actions and in negotiation they may disagree about the reasons why a proposal is in one’s interest.

The Use of the Dialogue Concepts from the Arsenal of the Norwegian Dialogue Pedagogy in the Time of Postmodernism

ERIC Educational Resources Information Center

Gradovski, Mikhail

2012-01-01

Inspired by the views by the American educationalist Henry Giroux on the role teachers and educationalists should be playing in the time of postmodernism and by Abraham Maslow's concept of biological idiosyncrasy, the author discusses how the concepts of the dialogues created by the representatives of Norwegian Dialogue Pedagogy, Hans Skjervheim,…

Fostering a Commitment to Social Action: How Talking, Thinking, and Feeling Make a Difference in Intergroup Dialogue

ERIC Educational Resources Information Center

Gurin-Sands, Chloe; Gurin, Patricia; Nagda, Biren A.; Osuna, Shardae

2012-01-01

Intergroup dialogue is designed to foster commitment to action. This article analyzes papers written by students in 52 intergroup dialogue courses (N = 739) to test a theoretical model of how intergroup dialogue is expected to encourage frequency of acting to educate others and to collaborate with others. The theoretical model posits that dialogue…

Writing Plays Using Creative Problem-Solving.

ERIC Educational Resources Information Center

Raiser, Lynne; Hinson, Shirley

1995-01-01

This article describes a project which involved inner city elementary grade children with disabilities in writing and performing their own plays. A four-step playwriting process focuses on theme and character development, problem finding, and writing dialogue. The project has led to improved reading skills, attention, memory skills,…

Performativity and Affectivity: Lesson Observations in England's Further Education Colleges

ERIC Educational Resources Information Center

Edgington, Ursula

2013-01-01

Teaching and learning observations (TLOs) are used in educational environments worldwide to measure and improve quality and support professional development. TLOs can be positive for teachers who enjoy opportunities to "perform" their craft and/or engage in professional dialogue. However, if this crucial, collaborative developmental…

Colleague to Colleague: Deepening Instructional Practice

ERIC Educational Resources Information Center

Gullen, Kristine; Chaffee, Martin

2012-01-01

Collaborative dialogue about instructional practices is essential to the growth of the education profession. To determine what effective instruction is and how to improve their own instructional practice, educators must clarify and publicly state their beliefs about instruction, teaching, and leadership. This is messy and complex work, and to…

Using intergroup dialogue to promote social justice and change.

PubMed

Dessel, Adrienne; Rogge, Mary E; Garlington, Sarah B

2006-10-01

Intergroup dialogue is a public process designed to involve individuals and groups in an exploration of societal issues such as politics, racism, religion, and culture that are often flashpoints for polarization and social conflict. This article examines intergroup dialogue as a bridging mechanism through which social workers in clinical, other direct practice, organizer, activist, and other roles across the micro-macro practice spectrum can engage with people in conflict to advance advocacy, justice, and social change. We define intergroup dialogue and provide examples in not-for-profit or community-based and academic settings of how intergroup dialogue has been applied to conflicts around topics of race and ethnic nationality, sexual orientation, religion, and culture. We recommend practice-, policy-, and research-related actions that social workers can take to understand and use intergroup dialogue.

Adapting and Implementing Open Dialogue in the Scandinavian Countries: A Scoping Review.

PubMed

Buus, Niels; Bikic, Aida; Jacobsen, Elise Kragh; Müller-Nielsen, Klaus; Aagaard, Jørgen; Rossen, Camilla Blach

2017-05-01

Open Dialogue is a resource-oriented mental health approach, which mobilises a crisis-struck person's psychosocial network resources. This scoping review 1) identifies the range and nature of literature on the adoption of Open Dialogue in Scandinavia in places other than the original sites in Finland, and 2) summarises this literature. We included 33 publications. Most studies in this scoping review were published as "grey" literature and most grappled with how to implement Open Dialogue faithfully. In the Scandinavian research context, Open Dialogue was mainly described as a promising and favourable approach to mental health care.

Using Participatory Learning & Action (PLA) research techniques for inter-stakeholder dialogue in primary healthcare: an analysis of stakeholders' experiences.

PubMed

de Brún, T; O'Reilly-de Brún, M; Van Weel-Baumgarten, E; Burns, N; Dowrick, C; Lionis, C; O'Donnell, C; Mair, F S; Papadakaki, M; Saridaki, A; Spiegel, W; Van Weel, C; Van den Muijsenbergh, M; MacFarlane, A

2017-01-01

It is important for health care workers to know the needs and expectations of their patients. Therefore, service users have to be involved in research. To achieve a meaningful dialogue between service users, healthcare workers and researchers, participatory methods are needed. This paper describes how the application of a specific participatory methodology, Participatory Learning and Action (PLA) can lead to such a meaningful dialogue. In PLA all stakeholders are regarded as equal partners and collaborators in research.During 2011-2015, a European project called RESTORE used PLA in Austria, Greece, Ireland, The Netherlands and the UK to investigate how communication between primary health care workers and their migrant patients could be improved.Seventy eight migrants, interpreters, doctors, nurses and other key stakeholders (see Table 2) participated in 62 PLA sessions. These dialogues (involving discussions, activities, PLA techniques and evaluations) were generally 2-3 h long and were recorded and analysed by the researchers.Participants reported many positive experiences about their dialogues with other stakeholders. There was a positive, trusting atmosphere in which all stakeholders could express their views despite differences in social power. This made for better understanding within and across stakeholder groups. For instance a doctor changed her view on the use of interpreters after a migrant explained why this was important. Negative experiences were rare: some doctors and healthcare workers thought the PLA sessions took a lot of time; and despite the good dialogue, there was disappointment that very few migrants used the new interpreting service. Background In order to be effective, primary healthcare must understand the health needs, values and expectations of the population it serves. Recent research has shown that the involvement of service users and other stakeholders and gathering information on their perspectives can contribute positively to many aspects of primary healthcare. Participatory methodologies have the potential to support engagement and dialogue between stakeholders from academic, migrant community and health service settings. This paper focuses on a specific participatory research methodology, Participatory Learning and Action (PLA) in which all stakeholders are regarded as equal partners and collaborators in research.Our research question for this paper was: "Does the application of PLA lead to meaningful engagement of all stakeholders, and if so, what elements contribute to a positive and productive inter-stakeholder dialogue?". Methods We explored the use of PLA in RESTORE, a European FP7-funded project, during 2011-2015 in 5 countries: Austria, Greece, Ireland, the Netherlands and the UK. The objective of RESTORE was to investigate and support the implementation of guidelines and training initiatives (G/TIs) to enhance communication in cross-cultural primary care consultations with migrants.Seventy eight stakeholders (migrants, interpreters, doctors, nurses and others - see Table 2) participated in a total of 62 PLA sessions (discussions, activities, evaluations) of approximately 2-3 h' duration across the five sites. During the fieldwork, qualitative data were generated about stakeholders' experiences of engagement in this dialogue, by means of various methods including participatory evaluations, researchers' fieldwork reports and researcher interviews. These were analysed following the principles of thematic analysis. Results Stakeholders involved in PLA inter-stakeholder dialogues reported a wide range of positive experiences of engagement, and very few negative experiences. A positive atmosphere during early research sessions helped to create a sense of safety and trust. This enabled stakeholders from very different backgrounds, with different social status and power, to offer their perspectives in a way that led to enhanced learning in the group - they learned with and from each other. This fostered shifts in understanding - for example, a doctor changed her view on interpreted consultations because of the input of the migrant service-users. Conclusion PLA successfully promoted stakeholder involvement in meaningful and productive inter-stakeholder dialogues. This makes it an attractive approach to enhance the further development of health research partnerships to advance primary healthcare.

Reflective Scientific Sense-Making Dialogue in Two Languages: The Science in the Dialogue and the Dialogue in the Science

ERIC Educational Resources Information Center

Ash, Doris

2004-01-01

In this paper I focus on the transition from everyday to scientific ways of reasoning, and on the intertwined roles of meaning-making dialogue and science content as they contribute to scientific literacy. I refer to views of science, and how scientific understanding is advanced dialogically, by Hurd (Science Education, 1998, 82, 402-416), Brown…

Teacher-Student Dialogue: Transforming Teacher Interpersonal Behaviour and Pedagogical Praxis through Co-Teaching and Co-Generative Dialogue

ERIC Educational Resources Information Center

Rahmawati, Yuli; Koul, Rekha; Fisher, Darrell

2015-01-01

The paper reports a study of the effectiveness of co-teaching and co-generative dialogue in science learning and teaching in lower secondary science classes. The idea of co-teaching and co-generative dialogue--first proposed by two leading educationists, Roth and Tobin, in early 2000--made an international impact in educational research. In the…

Promoting psychosocial well-being following stroke: study protocol for a randomized, controlled trial.

PubMed

Kirkevold, Marit; Kildal Bragstad, Line; Bronken, Berit A; Kvigne, Kari; Martinsen, Randi; Gabrielsen Hjelle, Ellen; Kitzmüller, Gabriele; Mangset, Margrete; Angel, Sanne; Aadal, Lena; Eriksen, Siren; Wyller, Torgeir B; Sveen, Unni

2018-04-03

Stroke is a major public health threat globally. Psychosocial well-being may be affected following stroke. Depressive symptoms, anxiety, general psychological distress and social isolation are prevalent. Approximately one third report depressive symptoms and 20% report anxiety during the first months or years after the stroke. Psychosocial difficulties may impact significantly on long-term functioning and quality of life, reduce the effects of rehabilitation services and lead to higher mortality rates. The aim of the study is to evaluate the effect of a previously developed and feasibility tested dialogue-based psychosocial intervention aimed at promoting psychosocial well-being and coping following stroke among stroke survivors with and without aphasia. The study will be conducted as a multicenter, randomized, single blind controlled trial with one intervention and one control arm. It will include a total of 330 stroke survivors randomly allocated into either an intervention group (dialogue-based intervention to promote psychosocial well-being) or a control group (usual care). Participants in the intervention group will receive eight individual sessions of supported dialogues in their homes during the first six months following an acute stroke. The primary outcome measure will be psychosocial well-being measured by the General Health Questionnaire (GHQ). Secondary outcome measures will be quality of life (SAQoL), sense of coherence (SOC), and depression (Yale). Process evaluation will be conducted in a longitudinal mixed methods study by individual qualitative interviews with 15-20 participants in the intervention and control groups, focus group interviews with the intervention personnel and data collectors, and a comprehensive analysis of implementation fidelity. The intervention described in this study protocol is based on thorough development and feasibility work, guided by the UK medical research council framework for developing and testing complex interventions. It combines classical effectiveness evaluation with a thorough process evaluation. The results from this study may inform the development of further trials aimed at promoting psychosocial well-being following stroke as well as inform the psychosocial follow up of stroke patients living at home. NCT02338869 ; registered 10/04/2014 (On-going trial).

Moving knowledge about family violence into public health policy and practice: a mixed method study of a deliberative dialogue.

PubMed

Boyko, Jennifer A; Kothari, Anita; Wathen, C Nadine

2016-04-21

There is a need to understand scientific evidence in light of the context within which it will be used. Deliberative dialogues are a promising strategy that can be used to meet this evidence interpretation challenge. We evaluated a deliberative dialogue held by a transnational violence prevention network. The deliberative dialogue included researchers and knowledge user partners of the Preventing Violence Across the Lifespan (PreVAiL) Research Network and was incorporated into a biennial full-team meeting. The dialogue included pre- and post-meeting activities, as well as deliberations embedded within the meeting agenda. The deliberations included a preparatory plenary session, small group sessions and a synthesizing plenary. The challenge addressed through the process was how to mobilize research to orient health and social service systems to prevent family violence and its consequences. The deliberations focused on the challenge, potential solutions for addressing it and implementation factors. Using a mixed-methods approach, data were collected via questionnaires, meeting minutes, dialogue documents and follow-up telephone interviews. Forty-four individuals (all known to each other and from diverse professional roles, settings and countries) participated in the deliberative dialogue. Ten of the 12 features of the deliberative dialogue were rated favourably by all respondents. The mean behavioural intention score was 5.7 on a scale from 1 (strongly disagree) to 7 (strongly agree), suggesting that many participants intended to use what they learned in their future decision-making. Interviews provided further insight into what might be done to facilitate the use of research in the violence prevention arena. Findings suggest that participants will use dialogue learnings to influence practice and policy change. Deliberative dialogues may be a viable strategy for collaborative sensemaking of research related to family violence prevention, and other public health topics.

Valuation and handling of dialogue in leadership: a grounded theory study in Swedish hospitals.

PubMed

Grill, C; Ahlborg, G; Lindgren, E C

2011-01-01

Leadership can positively affect the work environment and health. Communication and dialogue are an important part in leadership. Studies of how dialogue is valued and handled in first-line leadership have not so far been found. The aim of this study is to develop a theoretical understanding of how first-line leaders at hospitals in western Sweden value and handle dialogue in the organisation. The study design was explorative and based on grounded theory. Data collection consisted of interviews and observations. A total of 11 first-line leaders at two hospitals in western Sweden were chosen as informants, and for four of them observation was also used. One core category emerged in the analysis: leaders' communicative actions, which could be strategically or understanding-oriented, and experienced as equal or unequal and performed equitably or inequitably, within a power relationship. Four different types of communicativeactions emerged: collaborative, nurturing, controlling, and confrontational. Leaders had strategies for creating arenas and relationships for dialogue, but dialogue could be constrained by external circumstances or ignorance of the frameworks needed to conduct and accomplish dialogue. First-line leaders should be offered guidance in understanding the consequences of consciously choosing and strengthening the communication component in leadership. The positive valuation of dialogue was not always manifest in practical action. One significant consequence of not using dialogue was that information with impact on organisational efficiency and finances was communicated upwards in the management system.

Provoking Dialogue: A Short History of Outdoor Education in Ontario

ERIC Educational Resources Information Center

Borland, James

2011-01-01

History helps educators more clearly describe the role of outdoor education in improving society by fostering awareness of human-nature interconnections. Five branches have shaped outdoor education in Ontario: (1) agricultural education; (2) environmental education; (3) outdoor adventure education; (4) ecological education; and (5) climate change…

Digitally Speaking: How to Improve Student Presentations

ERIC Educational Resources Information Center

Palmer, Erik

2012-01-01

All teachers at all grade levels and in all subject areas assign speaking activities--for example, read-alouds, book reports, class discussions, lab results, research presentations, and dialogues in a foreign language. Effective communication is an essential skill in modern society, and the Common Core State Standards place particular emphasis on…

The Asthma Dialogues: A Model of Interactive Education for Skills

ERIC Educational Resources Information Center

Morrow, Robert; Fletcher, Jason; Mulvihill, Michael; Park, Heidi

2007-01-01

Introduction: A gap exists between asthma guidelines and actual care delivered. We developed an educational intervention using simulated physician-patient encounters as part of a project to improve asthma management by community-based primary care providers. We hypothesized that this type of skills-based interactive training would improve…

Measuring Reading Comprehension with the Lexile Framework.

ERIC Educational Resources Information Center

Stenner, A. Jackson

This paper shows how the concept of general objectivity can be used to improve behavioral science measurement, particularly as it applies to the Lexile Framework, a tool for objectively measuring reading comprehension. It begins with a dialogue between a physicist and a psychometrician that details some of the differences between physical science…

Continuing the Classroom Community: Suggestions for Using Online Discussion Boards

ERIC Educational Resources Information Center

Jewell, Vivian

2005-01-01

A considerable use of technology to supplement classroom instruction could improve student learning. A high school teacher reveals the ways in which the use of online discussions of literature assignments increases student participation by extending dialogue beyond the physical space and time of a single class.

Critical Listening in the Ensemble Rehearsal: A Community of Learners

ERIC Educational Resources Information Center

Bell, Cindy L.

2018-01-01

This article explores a strategy for engaging ensemble members in critical listening analysis of performances and presents opportunities for improving ensemble sound through rigorous dialogue, reflection, and attentive rehearsing. Critical listening asks ensemble members to draw on individual playing experience and knowledge to describe what they…

Analyzing the Impact of a Data Analysis Process to Improve Instruction Using a Collaborative Model

ERIC Educational Resources Information Center

Good, Rebecca B.

2006-01-01

The Data Collaborative Model (DCM) assembles assessment literacy, reflective practices, and professional development into a four-component process. The sub-components include assessing students, reflecting over data, professional dialogue, professional development for the teachers, interventions for students based on data results, and re-assessing…

Adaptive Feedback Improving Learningful Conversations at Workplace

ERIC Educational Resources Information Center

Gaeta, Matteo; Mangione, Giuseppina Rita; Miranda, Sergio; Orciuoli, Francesco

2013-01-01

This work proposes the definition of an Adaptive Conversation-based Learning System (ACLS) able to foster computer-mediated tutorial dialogues at the workplace in order to increase the probability to generate meaningful learning during conversations. ACLS provides a virtual assistant selecting the best partner to involve in the conversation and…

Conversational Agents Improve Peer Learning through Building on Prior Knowledge

ERIC Educational Resources Information Center

Tegos, Stergios; Demetriadis, Stavros

2017-01-01

Research in computer-supported collaborative learning has indicated that conversational agents can be pedagogically beneficial when used to scaffold students' online discussions. In this study, we investigate the impact of an agile conversational agent that triggers student dialogue by making interventions based on the academically productive talk…

Examining Transfer Effects from Dialogic Discussions to New Tasks and Contexts

ERIC Educational Resources Information Center

Reznitskaya, Alina; Glina, Monica; Carolan, Brian; Michaud, Olivier; Rogers, Jon; Sequeira, Lavina

2012-01-01

This study investigated whether students who engage in inquiry dialogue with others improve their performance on various tasks measuring argumentation development. The study used an educational environment called Philosophy for Children (P4C) to examine specific theoretical assumptions regarding the role dialogic interaction plays in the…

Improving Collaborative Learning by Supporting Casual Encounters in Distance Learning.

ERIC Educational Resources Information Center

Contreras, Juan; Llamas, Rafael; Vizcaino, Aurora; Vavela, Jesus

Casual encounters in a learning environment are very useful in reinforcing previous knowledge and acquiring new knowledge. Such encounters are very common in traditional learning environments and can be used successfully in social environments in which students can discover and construct knowledge through a process of dialogue, negotiation, or…

A New Dialogue in Ballet Pedagogy: Improving Learner Self-Sufficiency through Reflective Methodology

ERIC Educational Resources Information Center

Weidmann, Chelsea

2018-01-01

Current research into reflective pedagogy in dance almost exclusively discusses the tertiary education population. Additionally, the research is primarily focused on concert modern dance and creative dance pedagogies, techniques, and choreography. Ballet technique programs in precollegiate populations have, so far, been left out of the…

Strategic Talk in Film.

PubMed

Payr, Sabine; Skowron, Marcin; Dobrosovestnova, Anna; Trapp, Martin; Trappl, Robert

2017-01-01

Conversational robots and agents are being designed for educational and/or persuasive tasks, e.g., health or fitness coaching. To pursue such tasks over a long time, they will need a complex model of the strategic goal, a variety of strategies to implement it in interaction, and the capability of strategic talk. Strategic talk is incipient ongoing conversation in which at least one participant has the objective of changing the other participant's attitudes or goals. The paper is based on the observation that strategic talk can stretch over considerable periods of time and a number of conversational segments. Film dialogues are taken as a source to develop a model of the strategic talk of mentor characters. A corpus of film mentor utterances is annotated on the basis of the model, and the data are interpreted to arrive at insights into mentor behavior, especially into the realization and sequencing of strategies.

Critical Pedagogy and APA: A Resonant (and Timely) Interdisciplinary Blend.

PubMed

Connolly, Maureen; Harvey, William J

2018-04-12

Critical pedagogy owes much of its emergence, development, and ongoing relevance to the work of Paulo Freire whose legacy remains relevant for a next generation of scholars who seek to explore issues of inclusion, oppression, social justice, and authentic expression. An interdisciplinary dialogue between critical pedagogy and adapted physical activity is timely, appropriate, and should focus on complex profiles of neurodiversity, mental illness, and mental health, with emphasis on pedagogic practices of practitioners in service delivery and teacher educators who prepare them for professional practice. A case-based scenario approach is used to present practitioner and teacher educator practices. Concrete examples are provided for analyzing and understanding deeper issues and challenges related to neurodiversity in a variety of embodied dimensions in educational and activity contexts. We work with Szostak's approach to interdisciplinary research and model an analysis strategy that integrates and applies the methodological features of interdisciplinarity, adapted physical activity, and critical pedagogy.

[Mental health care technologies for treating crack users].

PubMed

Nasi, Cintia; de Oliveira, Gustavo Costa; Lacchini, Annie Jeanninne Bisso; Schneider, Jacó Fernando; de Pinho, Leandro Barbosa

2015-03-01

The aim of this study was to identify mental health care technologies for treating crack users in a Psychosocial Care Center for Alcohol and other Drugs (CAPsad, as per its acronym in Portuguese). A qualitative, evaluative case study was developed in a CAPSad, using fourth generation evaluation. Data collection occurred from January to March 2013 by means of semi-structured interviews applied to 36 subjects, these being health care professionals, patients, patients' relatives and managers. Data analysis identified the category strategies in mental health work. Results showed that recovery programs should provide spaces for dialogue, aiming to clarify the process of psychiatric internment to the user and family, and involve these in the therapy, implementing educational practices and ongoing consideration of mental health activities. In conclusion, it is important to discuss the technologies used in everyday care services, in light of the complexity of crack use.

Games in clinical genetic counseling supervision.

PubMed

McIntosh, Nathalie; Dircks, Anita; Fitzpatrick, Jennifer; Shuman, Cheryl

2006-08-01

Games are defined as ongoing series of complementary ulterior transactions that are superficially plausible but have a concealed motivation to maximize pay-offs and minimize penalties for the initiator. While some games are harmless and part of socialization, others are destructive. Destructive game-playing in clinical supervision, in which game-playing (initiated by either supervisors or students) interferes with a student's realization of internship goals, has been documented in some allied healthcare professions but has not yet been studied in genetic counseling. Genetic counselors and clinical supervisors of genetic counseling students were anonymously surveyed regarding their experiences with destructive game-playing. Results show that such games do occur in genetic counseling clinical supervision. Some games are the same or similar to ones previously described in other health-care professions; others may be unique to genetic counseling. The purpose of this paper is to document these games as a first step to facilitating dialogue, understanding and awareness of them.

Promoting children's health: Toward a consensus statement on food literacy.

PubMed

Truman, Emily; Raine, Kim; Mrklas, Kelly; Prowse, Rachel; Carruthers Den Hoed, Rebecca; Watson-Jarvis, Katherine; Loewen, Jewel; Gorham, Megan; Ricciardi, Carolin; Tyminski, Sheila; Elliott, Charlene

2017-06-16

This consensus statement reflects the views of a diverse group of stakeholders convened to explore the concept of "food literacy" as it relates to children's health. Evidence-based conceptions of food literacy are needed in light of the term's popularity in health promotion and educational interventions designed to increase food skills and knowledge that contribute to overall health. Informed by a comprehensive scoping review that identified seven main themes of food literacy, meeting participants ranked those themes in terms of importance. Discussions highlighted two key points in conceptualizing food literacy: the need to recognize varying food skill and knowledge levels, and the need to recognize critical food contexts. From these discussions, meeting participants created two working definitions of food literacy, as well as the alternative conception of "radical food literacy". We conclude that multiple literacies in relation to food skills and knowledge are needed, and underline the importance of ongoing dialogue in this emergent area of research.

Broad Consent For Research With Biological Samples: Workshop Conclusions

PubMed Central

Grady, Christine; Eckstein, Lisa; Berkman, Ben; Brock, Dan; Cook-Deegan, Robert; Fullerton, Stephanie M.; Greely, Hank; Hansson, Mats G.; Hull, Sara; Kim, Scott; Lo, Bernie; Pentz, Rebecca; Rodriguez, Laura; Weil, Carol; Wilfond, Benjamin S.; Wendler, David

2016-01-01

Different types of consent are used to obtain human biospecimens for future research. This variation has resulted in confusion regarding what research is permitted, inadvertent constraints on future research, and research proceeding without consent. The NIH Clinical Center’s Department of Bioethics held a workshop to consider the ethical acceptability of addressing these concerns by using broad consent for future research on stored biospecimens. Multiple bioethics scholars, who have written on these issues, discussed the reasons for consent, the range of consent strategies, gaps in our understanding, and concluded with a proposal for broad initial consent coupled with oversight and, when feasible, ongoing provision of information to donors. The manuscript describes areas of agreement as well as areas that need more research and dialogue. Given recent proposed changes to the Common Rule, and new guidance regarding storing and sharing data and samples, this is an important and timely topic. PMID:26305750

Strategic Talk in Film

PubMed Central

Payr, Sabine; Skowron, Marcin; Dobrosovestnova, Anna; Trapp, Martin; Trappl, Robert

2017-01-01

ABSTRACT Conversational robots and agents are being designed for educational and/or persuasive tasks, e.g., health or fitness coaching. To pursue such tasks over a long time, they will need a complex model of the strategic goal, a variety of strategies to implement it in interaction, and the capability of strategic talk. Strategic talk is incipient ongoing conversation in which at least one participant has the objective of changing the other participant’s attitudes or goals. The paper is based on the observation that strategic talk can stretch over considerable periods of time and a number of conversational segments. Film dialogues are taken as a source to develop a model of the strategic talk of mentor characters. A corpus of film mentor utterances is annotated on the basis of the model, and the data are interpreted to arrive at insights into mentor behavior, especially into the realization and sequencing of strategies. PMID:29375243

Sexuality in advanced age in Jewish thought and law.

PubMed

David, Benjamin E; Weitzman, Gideon A

2015-01-01

Judaism has a positive attitude to sexual relations within a marriage, and views such sexual relations as important not only for procreation but also as part of the framework of marriage. This is true for any age group, and sexuality is seen as an essential element of marriage for couples of advanced age. In this article, the authors present the views of Jewish law and thought regarding sexuality among older couples. The authors illustrate this using 3 case studies of couples who sought guidance in the area of sexuality. In addition, this area of counseling benefits greatly from an ongoing relationship and dialogue between expert rabbis in the field and therapists treating older Orthodox Jewish patients for sexual dysfunction. The triad relationship of couple, therapist, and rabbi enhances the ability to treat and assist such couples to seek treatment and overcome their difficulties.

The context, influences and challenges for undergraduate nurse clinical education: Continuing the dialogue.

PubMed

Forber, Jan; DiGiacomo, Michelle; Davidson, Patricia; Carter, Bernie; Jackson, Debra

2015-11-01

Approaches to clinical education are highly diverse and becoming increasingly complex to sustain in complex milieu To identify the influences and challenges of providing nurse clinical education in the undergraduate setting and to illustrate emerging solutions. A discursive exploration into the broad and varied body of evidence including peer reviewed and grey literature. Internationally, enabling undergraduate clinical learning opportunities faces a range of challenges. These can be illustrated under two broad themes: (1) legacies from the past and the inherent features of nurse education and (2) challenges of the present, including, population changes, workforce changes, and the disconnection between the health and education sectors. Responses to these challenges are triggering the emergence of novel approaches, such as collaborative models. Ongoing challenges in providing accessible, effective and quality clinical learning experiences are apparent. Copyright © 2015 Elsevier Ltd. All rights reserved.

"I need you to listen to what happened to me": personal narratives of social trauma in research and peace-building.

PubMed

Chaitin, Julia

2014-09-01

This article explores the uses of personal narratives of massive social trauma in conflict, most specifically as they relate to the Palestinian-Israeli context. It is asserted that there are types of narratives, fixated on persecution, hatred, and fear, that can obstruct peace, and different types that encourage peace and reconciliation. The article discusses the impacts of sharing personal narratives on the victims and others in society, the connections between personal and master narratives, and ways in which dialogue that incorporates personal narratives can encourage peace. A theoretical categorization of 4 types of personal narratives of massive social trauma is proposed: narratives of vengeance, victimhood, confusion, and embracing the other. Examples from Israelis and Palestinians that reflect this conceptualization are discussed. It is concluded that a more nuanced understanding of types of personal narratives is needed when engaged in peace-building endeavors in an ongoing conflict.

Technological changes in the healthcare sector. A method to assess change readiness.

PubMed

Kristensen, M; Nøhr, C

2000-01-01

This paper describes the theory, method and recent results of a study developing methods for assessment of change readiness. The empirical focus is on development and implementation of clinical IT systems in the Danish healthcare sector. To assess change readiness, a questionnaire has been developed. The questionnaire has been tested in a hospital department as a part of a pre analysis related to development and implementation of an IT quality assurance system. The study shows a general positive attitude to the IT system and the organisational changes, related to the implementation and use of the system. It also supplies the project organisation with specific information, useful to the project organisation to continue the essential dialogue with the healthcare professionals during the change process. Furthermore it provides a useful tool for planning the ongoing developing processes. Several other healthcare organisations are at the moment entering the study.

Neuroprosthetics and the science of patient input

PubMed Central

Civillico, Eugene F.

2017-01-01

Safe and effective neuroprosthetic systems are of great interest to both DARPA and CDRH, due to their innovative nature and their potential to aid severely disabled populations. By expanding what is possible in human-device interaction, these devices introduce new potential benefits and risks. Therefore patient input, which is increasingly important in weighing benefits and risks, is particularly relevant for this class of devices. FDA has been a significant contributor to an ongoing stakeholder conversation about the inclusion of the patient voice, working collaboratively to create a new framework for a patient-centered approach to medical device development. This framework is evolving through open dialogue with researcher and patient communities, investment in the science of patient input, and policymaking that is responsive to patient-centered data throughout the total product life cycle. In this commentary, we will discuss recent developments in patient-centered benefit-risk assessment and their relevance to the development of neural prosthetic systems. PMID:27456271

Neuroprosthetics and the science of patient input.

PubMed

Benz, Heather L; Civillico, Eugene F

2017-01-01

Safe and effective neuroprosthetic systems are of great interest to both DARPA and CDRH, due to their innovative nature and their potential to aid severely disabled populations. By expanding what is possible in human-device interaction, these devices introduce new potential benefits and risks. Therefore patient input, which is increasingly important in weighing benefits and risks, is particularly relevant for this class of devices. FDA has been a significant contributor to an ongoing stakeholder conversation about the inclusion of the patient voice, working collaboratively to create a new framework for a patient-centered approach to medical device development. This framework is evolving through open dialogue with researcher and patient communities, investment in the science of patient input, and policymaking that is responsive to patient-centered data throughout the total product life cycle. In this commentary, we will discuss recent developments in patient-centered benefit-risk assessment and their relevance to the development of neural prosthetic systems. Published by Elsevier Inc.

[Using Twitter in oncology. Research, continuing education, and advocacy].

PubMed

De Fiore, Luciano; Ascierto, Paolo

2015-01-01

Traditional mass media coverage has been enhanced by Twitter, an interactive, real-time media, useful in health care, and particularly in oncology. Social media such as Twitter are gaining increasing acceptance as tools for instantaneous scientific dialogue. Professional medical societies such as ASCO and ESMO are using microblogging to expand the reach of scientific communications at and around their scientific meetings. To widen the message and maximize the potential for word-of-mouth marketing using Twitter, organizations (such as AIOM, ASCO or ESMO) and industries need a strategic communications plan to ensure on-going social media conversations. Twitter is a very powerful tool indeed that amplifies the results of scientific meetings, and conference organisers should put in place strategies to capitalise on this. This review demonstrates that cancer patients also share information more and more via Twitter about their disease, including diagnosis, symptoms, and treatments. This information could prove useful to health care providers.

Research on Spoken Dialogue Systems

NASA Technical Reports Server (NTRS)

Aist, Gregory; Hieronymus, James; Dowding, John; Hockey, Beth Ann; Rayner, Manny; Chatzichrisafis, Nikos; Farrell, Kim; Renders, Jean-Michel

2010-01-01

Research in the field of spoken dialogue systems has been performed with the goal of making such systems more robust and easier to use in demanding situations. The term "spoken dialogue systems" signifies unified software systems containing speech-recognition, speech-synthesis, dialogue management, and ancillary components that enable human users to communicate, using natural spoken language or nearly natural prescribed spoken language, with other software systems that provide information and/or services.

Information density converges in dialogue: Towards an information-theoretic model.

PubMed

Xu, Yang; Reitter, David

2018-01-01

The principle of entropy rate constancy (ERC) states that language users distribute information such that words tend to be equally predictable given previous contexts. We examine the applicability of this principle to spoken dialogue, as previous findings primarily rest on written text. The study takes into account the joint-activity nature of dialogue and the topic shift mechanisms that are different from monologue. It examines how the information contributions from the two dialogue partners interactively evolve as the discourse develops. The increase of local sentence-level information density (predicted by ERC) is shown to apply to dialogue overall. However, when the different roles of interlocutors in introducing new topics are identified, their contribution in information content displays a new converging pattern. We draw explanations to this pattern from multiple perspectives: Casting dialogue as an information exchange system would mean that the pattern is the result of two interlocutors maintaining their own context rather than sharing one. Second, we present some empirical evidence that a model of Interactive Alignment may include information density to explain the effect. Third, we argue that building common ground is a process analogous to information convergence. Thus, we put forward an information-theoretic view of dialogue, under which some existing theories of human dialogue may eventually be unified. Copyright © 2017 Elsevier B.V. All rights reserved.

[The extraction of truth: apropos of the Socratic dialogue].

PubMed

Van Rossem, Kristof; Bolten, Hans

2002-01-01

The socratic dialogue is a philosophical method that enables colleagues to investigate which judgements people have about their experiences and how these judgements can be based. In this article, the reader will learn more about the historical background, the organisation, the levels of dialogue, the role of the facilitator. We also pay attention to the results that a regular practise of socratic dialogue can have for professional dentists. The most important one is a growing sensitivity and lucidity in the daily social life with patients and colleagues. In the dialogue, this can be practiced by sharpening the moral perception of concrete details in the lived experience.

Community-Based Dialogue: Engaging Communities of Color in the United States’ Genetics Policy Conversation

PubMed Central

Bonham, Vence L.; Citrin, Toby; Modell, Stephen M.; Franklin, Tené Hamilton; Bleicher, Esther W. B.; Fleck, Leonard M.

2009-01-01

Engaging communities of color in the genetics public policy conversation is important for the translation of genetics research into strategies aimed at improving the health of all. Implementing model public participation and consultation processes can be informed by the Communities of Color Genetics Policy Project, which engaged individuals from African American and Latino communities of diverse socioeconomic levels in the process of “rational democratic deliberation” on ethical and policy issues stretching from genome research to privacy and discrimination concerns to public education. The results of the study included the development of a participatory framework based on a combination of the theory of democratic deliberation and the community-based public health model which we describe as “community-based dialogue.” PMID:19451407

Conducting Intelligent Business Dialogue.

ERIC Educational Resources Information Center

Hulbert, Jack E.

1980-01-01

Indicates that speaking skills (especially dialogue) are not adequately taught in management education. Describes effective dialogue as: defining the problem, gathering facts, interpreting the evidence, considering alternatives, and reaching decisions. Discusses various aspects of agreement and disagreement. (TJ)

Confronting the unexpected: temporal, situational, and attributive dimensions of distressing symptom experience for breast cancer survivors.

PubMed

Rosedale, Mary; Fu, Mei R

2010-01-01

To describe women's unexpected and distressing symptom experiences after breast cancer treatment. Qualitative and descriptive. Depending upon their preference, participants were interviewed in their homes or in a private office space in a nearby library. Purposive sample of 13 women 1-18 years after breast cancer treatment. Secondary analysis of phenomenologic data (constant comparative method). Breast cancer symptom distress, ongoing symptoms, and unexpected experiences. Women described experiences of unexpected and distressing symptoms in the years following breast cancer treatment. Symptoms included pain, loss of energy, impaired limb movement, cognitive disturbance, changed sexual experience, and lymphedema. Four central themes were derived: living with lingering symptoms, confronting unexpected situations, losing precancer being, and feeling like a has-been. Distress intensified when women expected symptoms to disappear but symptoms persisted instead. Increased distress also was associated with sudden and unexpected situations or when symptoms elicited feelings of loss about precancer being and feelings of being a has been. Findings suggest that symptom distress has temporal, situational, and attributive dimensions. Breast cancer survivors' perceptions of ongoing and unexpected symptoms have important influences on quality of life. Understanding temporal, situational, and attributive dimensions of symptom distress empowers nurses and healthcare professionals to help breast cancer survivors prepare for subsequent ongoing or unexpected experiences in the years after breast cancer treatment. Follow-up care for breast cancer survivors should foster dialogue about ways that symptoms might emerge and that unexpected situations might occur. Prospective studies are needed to examine symptom distress in terms of temporal, situational, and attributive dimensions and explore the relationship between symptom distress and psychological distress after breast cancer treatment.

An intelligent tutoring system that generates a natural language dialogue using dynamic multi-level planning.

PubMed

Woo, Chong Woo; Evens, Martha W; Freedman, Reva; Glass, Michael; Shim, Leem Seop; Zhang, Yuemei; Zhou, Yujian; Michael, Joel

2006-09-01

The objective of this research was to build an intelligent tutoring system capable of carrying on a natural language dialogue with a student who is solving a problem in physiology. Previous experiments have shown that students need practice in qualitative causal reasoning to internalize new knowledge and to apply it effectively and that they learn by putting their ideas into words. Analysis of a corpus of 75 hour-long tutoring sessions carried on in keyboard-to-keyboard style by two professors of physiology at Rush Medical College tutoring first-year medical students provided the rules used in tutoring strategies and tactics, parsing, and text generation. The system presents the student with a perturbation to the blood pressure, asks for qualitative predictions of the changes produced in seven important cardiovascular variables, and then launches a dialogue to correct any errors and to probe for possible misconceptions. The natural language understanding component uses a cascade of finite-state machines. The generation is based on lexical functional grammar. Results of experiments with pretests and posttests have shown that using the system for an hour produces significant learning gains and also that even this brief use improves the student's ability to solve problems more then reading textual material on the topic. Student surveys tell us that students like the system and feel that they learn from it. The system is now in regular use in the first-year physiology course at Rush Medical College. We conclude that the CIRCSIM-Tutor system demonstrates that intelligent tutoring systems can implement effective natural language dialogue with current language technology.

Virtual care policy recommendations for patient-centred primary care: findings of a consensus policy dialogue using a nominal group technique.

PubMed

Shaw, James; Jamieson, Trevor; Agarwal, Payal; Griffin, Bailey; Wong, Ivy; Bhatia, R Sacha

2017-01-01

Background The development of new virtual care technologies (including telehealth and telemedicine) is growing rapidly, leading to a number of challenges related to health policy and planning for health systems around the world. Methods We brought together a diverse group of health system stakeholders, including patient representatives, to engage in policy dialogue to set health system priorities for the application of virtual care in the primary care sector in the Province of Ontario, Canada. We applied a nominal group technique (NGT) process to determine key priorities, and synthesized these priorities with group discussion to develop recommendations for virtual care policy. Methods included a structured priority ranking process, open-ended note-taking, and thematic analysis to identify priorities. Results Recommendations were summarized under the following themes: (a) identify clear health system leadership to embed virtual care strategies into all aspects of primary and community care; (b) make patients the focal point of health system decision-making; (c) leverage incentives to achieve meaningful health system improvements; and (d) building virtual care into streamlined workflows. Two key implications of our policy dialogue are especially relevant for an international audience. First, shifting the dialogue away from technology toward more meaningful patient engagement will enable policy planning for applications of technology that better meet patients' needs. Second, a strong conceptual framework on guiding the meaningful use of technology in health care settings is essential for intelligent planning of virtual care policy. Conclusions Policy planning for virtual care needs to shift toward a stronger focus on patient engagement to understand patients' needs.

Tutorial dialogues and gist explanations of genetic breast cancer risk.

PubMed

Widmer, Colin L; Wolfe, Christopher R; Reyna, Valerie F; Cedillos-Whynott, Elizabeth M; Brust-Renck, Priscila G; Weil, Audrey M

2015-09-01

The intelligent tutoring system (ITS) BRCA Gist is a Web-based tutor developed using the Shareable Knowledge Objects (SKO) platform that uses latent semantic analysis to engage women in natural-language dialogues to teach about breast cancer risk. BRCA Gist appears to be the first ITS designed to assist patients' health decision making. Two studies provide fine-grained analyses of the verbal interactions between BRCA Gist and women responding to five questions pertaining to breast cancer and genetic risk. We examined how "gist explanations" generated by participants during natural-language dialogues related to outcomes. Using reliable rubrics, scripts of the participants' verbal interactions with BRCA Gist were rated for content and for the appropriateness of the tutor's responses. Human researchers' scores for the content covered by the participants were strongly correlated with the coverage scores generated by BRCA Gist, indicating that BRCA Gist accurately assesses the extent to which people respond appropriately. In Study 1, participants' performance during the dialogues was consistently associated with learning outcomes about breast cancer risk. Study 2 was a field study with a more diverse population. Participants with an undergraduate degree or less education who were randomly assigned to BRCA Gist scored higher on tests of knowledge than those assigned to the National Cancer Institute website or than a control group. We replicated findings that the more expected content that participants included in their gist explanations, the better they performed on outcome measures. As fuzzy-trace theory suggests, encouraging people to develop and elaborate upon gist explanations appears to improve learning, comprehension, and decision making.

Improved tank car design development : ongoing studies on sandwich structures

DOT National Transportation Integrated Search

2009-03-02

The Government and industry have a common interest in : improving the safety performance of railroad tank cars carrying : hazardous materials. Research is ongoing to develop strategies : to maintain the structural integrity of railroad tank cars carr...

Closing the Gap: A Report on the Wingspread Conference "Beyond the Standards Horse Race: Implementation, Assessment, and Accountability--the Keys to Improving Student Achievement" (Racine, Wisconsin, November 2-4, 1999). Special Report.

ERIC Educational Resources Information Center

Duggan, Terri, Ed.; Holmes, Madelyn, Ed.

This report highlights results from the 1999 Wingspread Conference on improving student achievement, a gathering of educators, leaders, and policymakers that opened a dialogue about barriers to full implementation of high standards for all students. Participants discussed five papers that examined these issues from top to bottom--from the…

Instructional Dialogue: Distance Education Students' Dialogic Behaviour

ERIC Educational Resources Information Center

Caspi, Avner; Gorsky, Paul

2006-01-01

Instructional systems, both distance education and campus-based, may be viewed in terms of intrapersonal and interpersonal "instructional dialogues," that mediate and facilitate learning respectively, and "instructional resources" that enable such dialogues. Resources include self-instruction texts, tutorials, instructor…

The cinema-cognition dialogue: a match made in brain.

PubMed

Dudai, Yadin

2012-01-01

That human evolution amalgamates biological and cultural change is taken as a given, and that the interaction of brain, body, and culture is more reciprocal then initially thought becomes apparent as the science of evolution evolves (Jablonka and Lamb, 2005). The contribution of science and technology to this evolutionary process is probably the first to come to mind. The biology of Homo sapiens permits and promotes the development of technologies and artefacts that enable us to sense and reach physical niches previously inaccessible. This extends our biological capabilities, but is also expected to create selective pressures on these capabilities. The jury is yet out on the pace at which critical biological changes take place in evolution. There is no question, however, that the kinetics of technological and cultural change is much faster, rendering the latter particularly important in the biography of the individual and the species alike. The capacity of art to enrich human capabilities is recurrently discussed by philosophers and critics (e.g., Arsitotle/Poetics, Richards, 1925; Smith and Parks, 1951; Gibbs, 1994). Yet less attention is commonly allotted to the role of the arts in the aforementioned ongoing evolutional tango. My position is that the art of cinema is particularly suited to explore the intriguing dialogue between art and the brain. Further, in the following set of brief notes, intended mainly to trigger further thinking on the subject, I posit that cinema provides an unparalleled and highly rewarding experimentation space for the mind of the individual consumer of that art. In parallel, it also provides a useful and promising device for investigating brain and cognition.

The cinema-cognition dialogue: a match made in brain

PubMed Central

Dudai, Yadin

2012-01-01

That human evolution amalgamates biological and cultural change is taken as a given, and that the interaction of brain, body, and culture is more reciprocal then initially thought becomes apparent as the science of evolution evolves (Jablonka and Lamb, 2005). The contribution of science and technology to this evolutionary process is probably the first to come to mind. The biology of Homo sapiens permits and promotes the development of technologies and artefacts that enable us to sense and reach physical niches previously inaccessible. This extends our biological capabilities, but is also expected to create selective pressures on these capabilities. The jury is yet out on the pace at which critical biological changes take place in evolution. There is no question, however, that the kinetics of technological and cultural change is much faster, rendering the latter particularly important in the biography of the individual and the species alike. The capacity of art to enrich human capabilities is recurrently discussed by philosophers and critics (e.g., Arsitotle/Poetics, Richards, 1925; Smith and Parks, 1951; Gibbs, 1994). Yet less attention is commonly allotted to the role of the arts in the aforementioned ongoing evolutional tango. My position is that the art of cinema is particularly suited to explore the intriguing dialogue between art and the brain. Further, in the following set of brief notes, intended mainly to trigger further thinking on the subject, I posit that cinema provides an unparalleled and highly rewarding experimentation space for the mind of the individual consumer of that art. In parallel, it also provides a useful and promising device for investigating brain and cognition. PMID:22969715

Health dialogues between pupils and school nurses: a description of the verbal interaction.

PubMed

Golsäter, Marie; Lingfors, Hans; Sidenvall, Birgitta; Enskär, Karin

2012-11-01

The purpose of this study was to explore and describe the content of and the verbal interaction in health dialogues between pupils and school nurses. Twenty-four health dialogues were recorded using a video camera and the conversations were analysed using the paediatric version of the Roter Interaction analysis system. The results showed that the age appropriate topics suggested by national recommendations were brought up in most of the health dialogues. The nurses were the ones who talked most, in terms of utterances. The pupils most frequently gave information about their lifestyle and agreed with the nurses' statements. The nurses summarised and checked that they had understood the pupils, asked closed-ended questions about lifestyle and gave information about lifestyle. Strategies aimed to make the pupil more active and participatory in the dialogues were the most widely used verbal interaction approaches by the nurses. The nurses' use of verbal interaction approaches to promote pupils' activity and participation, trying to build a partnership in the dialogue, could indicate an attempt to build patient-centred health dialogues. The nurses' great use of questions and being the ones leading the dialogues in terms of utterances point at the necessity for a nurses to have an openness to the pupils own narratives and an attentiveness to what he or she wants to talk about. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Interfaith Dialogue as a Means for Transformational Conversations

ERIC Educational Resources Information Center

Krebs, Stephanie Russell

2015-01-01

This article reports findings, inspired by the researcher's personal, transformational experience, on students' responses to an interfaith dialogue at an Interfaith Youth Core Interfaith Leadership Institute. Results demonstrated that several factors characterize interfaith dialogue: the environment, individual relationships fostered through…

Designing a Healthy Food Partnership: lessons from the Australian Food and Health Dialogue.

PubMed

Jones, Alexandra; Magnusson, Roger; Swinburn, Boyd; Webster, Jacqui; Wood, Amanda; Sacks, Gary; Neal, Bruce

2016-07-27

Poor diets are a leading cause of disease burden worldwide. In Australia, the Federal Government established the Food and Health Dialogue (the Dialogue) in 2009 to address this issue, primarily through food reformulation. We evaluated the Dialogue's performance over its 6 years of operation and used these findings to develop recommendations for the success of the new Healthy Food Partnership. We used information from the Dialogue website, media releases, communiqués, e-newsletters, materials released under freedom-of-information, and Parliamentary Hansard to evaluate the Dialogue's achievements from October 2013 to November 2015, using the RE-AIM (reach, efficacy, adoption, implementation and maintenance) framework. We also engaged closely with two former Dialogue members. Our findings update a prior assessment done in October 2013. Little data is available to evaluate the Dialogue's recent achievements, with no information about progress against milestones released since October 2013. In the last 2 years, only one additional set of sodium reduction targets (cheese) was agreed and Quick Service Restaurant foods were added as an area for action. Some activity was identified in 12 of a possible 137 (9 %) areas of action within the Dialogue's mandate. Independent evaluation found targets were partially achieved in some food categories, with substantial variation in success between companies. No effects on the knowledge, behaviours or nutrient intake of the Australian population or evidence of impact on diet-related disease could be identified. The new Healthy Food Partnership has similar goals to the Dialogue. While highly laudable and recognised globally as cost-effective, the mechanism for delivery in Australia has been woefully inadequate. Strong government leadership, adequate funding, clear targets and timelines, management of conflict of interest, comprehensive monitoring and evaluation, and a plan for responsive regulation in the event of missed milestones will be required if the new Healthy Food Partnership is to achieve its urgent public health goals.

Assessing policy dialogues and the role of context: Liberian case study before and during the Ebola outbreak.

PubMed

Nabyonga-Orem, Juliet; Gebrikidane, Mesfin; Mwisongo, Aziza

2016-07-18

In the last decade participatory approaches have gained prominence in policy-making, becoming the focus of good policy-making processes. Policy dialogue is recognised as an important aspect of policy-making among several interactive and innovative policy-making models applied in different contexts and sectors. Recently there has been emphasis on the quality of policy dialogue in terms of how it should be conducted to attain participation and inclusiveness. However, there is paucity of evidence on how the context influences policy dialogue, particularly participation of stakeholders. Liberia's context, which is characterised as post-war, highly donor dependent and in recovery from the recent catastrophic Ebola outbreak, provides an opportunity to understand the influence of context on policy dialogue. This was an exploratory study using qualitative methods. Key informant interviews were conducted using an interview guide. A total of 16 interviews were conducted, 12 at the national level and 4 at the sub national level. Data were analysed using inductive thematic content analysis. The respondents felt that the dialogues were a success and involved important stakeholders; however, there were concerns about the improper methodology and facilitation used to conduct them. Opinions among the respondents about the process of generating and selecting the themes for the dialogues were extremely divergent. Both before and during the Ebola outbreak, the context was instrumental in shaping the dialogues according to the issue of focus, requirements for participation and the decisions to be made. Policy dialogues have become a platform for policy discussions and decisions in Liberia. It is a process that is well recognised and appreciated and is highly attributed to the success of the negotiations during the Ebola outbreak. To sustain and strengthen policy dialogues in future, there needs to be proper information sharing through diverse forums and avenues, stakeholders' empowerment and competent facilitation. These will ensure that the process is credible and legitimate.

Parallel approach to incorporating face image information into dialogue processing

NASA Astrophysics Data System (ADS)

Ren, Fuji

2000-10-01

There are many kinds of so-called irregular expressions in natural dialogues. Even if the content of a conversation is the same in words, different meanings can be interpreted by a person's feeling or face expression. To have a good understanding of dialogues, it is required in a flexible dialogue processing system to infer the speaker's view properly. However, it is difficult to obtain the meaning of the speaker's sentences in various scenes using traditional methods. In this paper, a new approach for dialogue processing that incorporates information from the speaker's face is presented. We first divide conversation statements into several simple tasks. Second, we process each simple task using an independent processor. Third, we employ some speaker's face information to estimate the view of the speakers to solve ambiguities in dialogues. The approach presented in this paper can work efficiently, because independent processors run in parallel, writing partial results to a shared memory, incorporating partial results at appropriate points, and complementing each other. A parallel algorithm and a method for employing the face information in a dialogue machine translation will be discussed, and some results will be included in this paper.

Narrowing the Transfer Gap: The Advantages of "as if" Situations in Training.

ERIC Educational Resources Information Center

Vermeulen, Rita C. M.

2002-01-01

A schema a frame creates context and shapes interpretation. Using an "as if" framework can connect the contexts of training and job performance to improve transfer. Techniques that create "as if" situations include role playing, visualization, psychodrama, voice dialogue, improvisation, playback theatre, and six-steps reframing. (Contains 23…

Embodied Learning: Teaching Sexuality and Religion to a Changing Student Body

ERIC Educational Resources Information Center

Ott, Kate; Stephens, Darryl W.

2017-01-01

Sexuality, more so than other subject areas, magnifies the embodied nature of teaching and learning as well as conspicuously silences open dialogue given its taboo status in many religious and theological contexts. Yet, student learning about sexuality that incorporates knowledge of and about religion, in particular, may greatly improve the public…

Literature Study Groups: Literacy Learning "with Legs"

ERIC Educational Resources Information Center

Parsons, Sue Christian; Mokhtari, Kouider; Yellin, David; Orwig, Ryan

2011-01-01

Literature study groups help promote critical thinking and improve reading skills. These groups, in general, are characterized by: (1) a flexible grouping--usually determined by a reader's choice of a given book at a given time; (2) participant-centered dialogue, where the teacher takes on the role of facilitator and expert participant rather than…

Dialogic Teaching: Evaluation Report and Executive Summary

ERIC Educational Resources Information Center

Jay, Tim; Willis, Ben; Thomas, Peter; Taylor, Roberta; Moore, Nick; Burnett, Cathy; Merchant, Guy; Stevens, Anna

2017-01-01

The aim of the intervention was to raise levels of engagement and attainment across English, maths, and science in primary schools by improving the quality of teacher and pupil talk in the classroom. The approach, termed "dialogic teaching", emphasises dialogue through which pupils learn to reason, discuss, argue, and explain in order to…

Online Deliberation among Regional Civil Society Groups--The Case of the Caribbean

ERIC Educational Resources Information Center

Thakur, Dhanaraj G.

2010-01-01

Deliberative democracy has been promoted as a way improving legitimacy and political equality in policy debates. This dissertation seeks to understand how deliberation takes place within the intersection of two unique spaces: dialogue among members of regional civil society groups and communication in online fora. The motivation for this research…

Is School Funding Fair? A National Report Card. Second Edition

ERIC Educational Resources Information Center

Baker, Bruce; Sciarra, David; Farrie, Danielle

2012-01-01

Policymakers, elected officials, educators, parents and advocates are currently engaged in long-overdue dialogue about how to improve our nation's public schools. Unfortunately, when it comes to school funding, the conversation is framed by recurring, but outmoded, adages: "Does money matter?" or "Can we do more with less?" or "Our state already…

Competing Views: A Dialogue on Response to Intervention

ERIC Educational Resources Information Center

Batsche, George M.; Kavale, Kenneth A.; Kovaleski, Joseph F.

2006-01-01

The provision for allowing local education agencies to use an assessment of a student's response to intervention (RTI) in lieu of a consideration of an ability--achievement discrepancy has been a controversial aspect of the 2004 Individuals with Disabilities Education Improvement Act. To address issues that have arisen about RTI, a series of…

78 FR 61337 - Request for Comments on Department of Commerce Green Paper, Copyright Policy, Creativity, and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-03

... relevance and scope of the first sale doctrine in the digital environment; the appropriate calibration of... licensing environment; and establishing a multistakeholder dialogue on improving the operation of the notice... in adapting copyright law to the digital environment, identifies issues on which more work should be...

Expanding Equity through More and Better Learning Time

ERIC Educational Resources Information Center

Del Razo, Jaime L.; Renée, Michelle

2013-01-01

At the start of the New Year and the second Obama administration, a national dialogue about extending and improving the school year for "all" students--especially those students who face limited resources within and outside their schools--should be a national priority. Students from affluent families already make up for the short school…

Humanising Coursebook Dialogues

ERIC Educational Resources Information Center

Timmis, Ivor

2016-01-01

In this article, I argue that the most important thing about coursebook dialogues is not whether they are "authentic" or "inauthentic" but whether they are "plausible" as human interaction and behaviour. Coursebook dialogues are often constructed as vehicles for various kinds of language work and even sometimes as…

Relating Dialogue and Dialectics: A Philosophical Perspective

ERIC Educational Resources Information Center

Dafermos, Manolis

2018-01-01

Dialectics and a dialogical approach constitute two distinct theoretical frameworks with long intellectual histories. The question of relations between dialogue and dialectics provokes discussions in academic communities. The present paper highlights the need to clarify the concepts "dialogue" and "dialectics" and explore their…

Ethos in Fukushima and the ICRP dialogue seminars.

PubMed

Ando, R

2016-12-01

Ethos in Fukushima, a non-profit organisation, participated in 10 of the 12 International Commission on Radiological Protection (ICRP) dialogue seminars over the past 4 years. The slides and videos that were shown at the seminars are recorded on the Ethos in Fukushima website ( http://ethos-fukushima.blogspot.jp/p/icrp-dialogue.html ). I would like to introduce the activities of Ethos in Fukushima to date, and explain why the ICRP dialogue materials have come to be published on its website.

Controlling social stress in virtual reality environments.

PubMed

Hartanto, Dwi; Kampmann, Isabel L; Morina, Nexhmedin; Emmelkamp, Paul G M; Neerincx, Mark A; Brinkman, Willem-Paul

2014-01-01

Virtual reality exposure therapy has been proposed as a viable alternative in the treatment of anxiety disorders, including social anxiety disorder. Therapists could benefit from extensive control of anxiety eliciting stimuli during virtual exposure. Two stimuli controls are studied in this study: the social dialogue situation, and the dialogue feedback responses (negative or positive) between a human and a virtual character. In the first study, 16 participants were exposed in three virtual reality scenarios: a neutral virtual world, blind date scenario, and job interview scenario. Results showed a significant difference between the three virtual scenarios in the level of self-reported anxiety and heart rate. In the second study, 24 participants were exposed to a job interview scenario in a virtual environment where the ratio between negative and positive dialogue feedback responses of a virtual character was systematically varied on-the-fly. Results yielded that within a dialogue the more positive dialogue feedback resulted in less self-reported anxiety, lower heart rate, and longer answers, while more negative dialogue feedback of the virtual character resulted in the opposite. The correlations between on the one hand the dialogue stressor ratio and on the other hand the means of SUD score, heart rate and audio length in the eight dialogue conditions showed a strong relationship: r(6) = 0.91, p = 0.002; r(6) = 0.76, p = 0.028 and r(6) = -0.94, p = 0.001 respectively. Furthermore, more anticipatory anxiety reported before exposure was found to coincide with more self-reported anxiety, and shorter answers during the virtual exposure. These results demonstrate that social dialogues in a virtual environment can be effectively manipulated for therapeutic purposes.

Controlling Social Stress in Virtual Reality Environments

PubMed Central

Hartanto, Dwi; Kampmann, Isabel L.; Morina, Nexhmedin; Emmelkamp, Paul G. M.; Neerincx, Mark A.; Brinkman, Willem-Paul

2014-01-01

Virtual reality exposure therapy has been proposed as a viable alternative in the treatment of anxiety disorders, including social anxiety disorder. Therapists could benefit from extensive control of anxiety eliciting stimuli during virtual exposure. Two stimuli controls are studied in this study: the social dialogue situation, and the dialogue feedback responses (negative or positive) between a human and a virtual character. In the first study, 16 participants were exposed in three virtual reality scenarios: a neutral virtual world, blind date scenario, and job interview scenario. Results showed a significant difference between the three virtual scenarios in the level of self-reported anxiety and heart rate. In the second study, 24 participants were exposed to a job interview scenario in a virtual environment where the ratio between negative and positive dialogue feedback responses of a virtual character was systematically varied on-the-fly. Results yielded that within a dialogue the more positive dialogue feedback resulted in less self-reported anxiety, lower heart rate, and longer answers, while more negative dialogue feedback of the virtual character resulted in the opposite. The correlations between on the one hand the dialogue stressor ratio and on the other hand the means of SUD score, heart rate and audio length in the eight dialogue conditions showed a strong relationship: r(6) = 0.91, p = 0.002; r(6) = 0.76, p = 0.028 and r(6) = −0.94, p = 0.001 respectively. Furthermore, more anticipatory anxiety reported before exposure was found to coincide with more self-reported anxiety, and shorter answers during the virtual exposure. These results demonstrate that social dialogues in a virtual environment can be effectively manipulated for therapeutic purposes. PMID:24671006

Promoting Evidence to Policy Link on the Control of Infectious Diseases of Poverty in Nigeria: Outcome of A Multi-Stakeholders Policy Dialogue

PubMed Central

Uneke, Chigozie Jesse; Ebeh Ezeoha, Abel; Uro-Chukwu, Henry; Ezeonu, Chinonyelum Thecla; Ogbu, Ogbonnaya; Onwe, Friday; Edoga, Chima

2015-01-01

Background: In Nigeria, malaria, schistosomiasis and lymphatic filariasis are among infectious diseases of poverty (IDP) with severe health burden and require effective policy strategies for their control. In this study, we investigated the value of policy brief and policy dialogue as excellent policymaking mechanisms that enable policymakers to adapt effective evidence informed policy for IDP control. Methods: A policy brief was developed on the control of malaria, schistosomiasis and lymphatic filariasis and subjected to deliberations in a one-day multi-stakeholder policy dialogue held in Ebonyi State Nigeria. A modified cross sectional intervention study design was used in this investigation. Structured pre-tested questionnaires were used to evaluate the policy brief document and policy dialogue process at the end of the policy dialogue. Results: Forty-seven policymakers participated in the dialogue. An analysis of the response on the policy brief regarding context, different features of the problem; policy options and key implementation considerations indicated the mean ratings (MNRs) mostly ranged from 6.40-6.85 on 7 point scale. The over-all assessment of the policy brief had MNR at 6.54. The analysis of the response on the policy dialogue regarding the level of priority of policy issue, opportunity to discuss different features of the problem and options for addressing the problem, and the MNRs mostly ranged from 6.50-6.82. The overall assessment of the policy dialogue had MNR at 6.72. Conclusion: Policy dialogues can allow research evidence to be considered together with views, experiences and tacit knowledge of policymakers and can enhance evidence-to-policy link. PMID:26290826

The Jung-White dialogue and why it couldn't work and won't go away.

PubMed

Dourley, John P

2007-06-01

White's Thomism and its Aristotelian foundation were at the heart of his differences with Jung over the fifteen years of their dialogue. The paper examines the precedents and consequences of the imposition of Thomism on the Catholic Church in 1879 in order to clarify the presuppositions White carried into his dialogue with Jung. It then selects two of Jung's major letters to White to show how their dialogue influenced Jung's later substantial work, especially his Answer to Job. The dialogue with White contributed to foundational elements in the older Jung's development of his myth which simply outstripped White's theological imagination and continues to challenge the worlds of contemporary monotheistic orthodoxy in all their variants.

78 FR 70281 - United States-Mexico High Level Economic Dialogue

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-25

... DEPARTMENT OF COMMERCE United States-Mexico High Level Economic Dialogue AGENCY: International... stakeholder input to the Federal Register notice on the United States-Mexico High Level Economic Dialogue... economic platforms in the world. The sustained competitiveness and continued growth of the North American...

The Socratic Dialogue and Teacher Education

ERIC Educational Resources Information Center

Knezic, Dubravka; Wubbels, Theo; Elbers, Ed; Hajer, Maaike

2010-01-01

This article argues that the Socratic Dialogue in the Nelson and Heckmann tradition will prove a considerable contribution in training teachers. A review of the literature and empirical research supports the claim that the Socratic Dialogue promotes student teachers' interpersonal sensitivity while stimulating conceptual understanding. The article…

Classroom Dialogue and Science Achievement.

ERIC Educational Resources Information Center

Clarke, John A.

This study reports the application to classroom dialogue of the Thematic and Structural Analysis (TSA) Technique which has been used previously in the analysis of text materials. The TSA Technique identifies themes (word clusters) and their structural relationship throughout sequentially organized material. Dialogues from four Year 8 science…

Some Features of Dialogue between Twins

ERIC Educational Resources Information Center

Savic, Svenka; Jocic, Mirjana

1975-01-01

Dialogues of sets of socially similar twins are studied. The opinion that twins have slower syntactic development than non-twins is seriously questioned. Dialogues with twins saying the same utterance together, correcting each other, quarreling, playing verbal games, etc. are analyzed in their deep structure. (SCC)

Russian Basic Course: Dialogue Cartoon Guides, Lessons 1-83.

ERIC Educational Resources Information Center

Defense Language Inst., Washington, DC.

This booklet of cartoon guides contains 83 units of instructional materials prepared by the Defense Language Insitute for use in an intensive, conversational, Russian course. Included are cartoon guides to dialogues and dialogue recombinations which focus on social concerns and military matters. (RL)

Three dialogues concerning robots in elder care.

PubMed

Metzler, Theodore A; Barnes, Susan J

2014-01-01

The three dialogues in this contribution concern 21st century application of life-like robots in the care of older adults. They depict conversations set in the near future, involving a philosopher (Dr Phonius) and a nurse (Dr Myloss) who manages care at a large facility for assisted living. In their first dialogue, the speakers discover that their quite different attitudes towards human-robot interaction parallel fundamental differences separating their respective concepts of consciousness. The second dialogue similarly uncovers deeply contrasting notions of personhood that appear to be associated with respective communities of nursing and robotics. The additional key awareness that arises in their final dialogue links applications of life-like robots in the care of older adults with potential transformations in our understandings of ourselves - indeed, in our understandings of the nature of our own humanity. This series of dialogues, therefore, appears to address a topic in nursing philosophy that merits our careful attention. © 2013 John Wiley & Sons Ltd.

In the right words: addressing language and culture in providing health care.

PubMed

2003-08-01

As part of its continuing mission to serve trustees, executives, and staff of health foundations and corporate giving programs, Grantmakers In Health (GIH) convened a group of experts from philanthropy, research, health care practice, and policy on April 4, 2003, to discuss the roles of language and culture in providing effective health care. During this Issue Dialogue, In the Right Words: Addressing Language and Culture in Providing Health Care, health grantmakers and experts from policy and practice participated in an open exchange of ideas and perspectives on language access and heard from fellow grantmakers who are funding innovative programs in this area. Together they explored ways to effectively support comprehensive language services, including the use of interpreters and translation of written materials. This Issue Brief synthesizes key points from the day's discussion with a background paper previously prepared for Issue Dialogue participants. It focuses on the challenges and opportunities involved with ensuring language access for the growing number of people who require it. Sections include: recent immigration trends and demographic changes; the effect of language barriers on health outcomes and health care processes; laws and policies regarding the provision of language services to patients, including an overview of public financing mechanisms; strategies for improving language access, including enhancing access in delivery settings, promoting advocacy and policy change, improving interpreter training, and advancing research; and roles for foundations in supporting improved language access, including examples of current activities. The Issue Dialogue focused mainly on activities and programs that ensure linguistic access to health care for all patients. Although language and culture are clearly inseparable, a full exploration of the field of cultural competence and initiatives that promote its application to the health care setting are beyond the scope of this Issue Brief. The day's discussion did, however, raise provocative issues of culture that are reflected throughout this report.

Understanding Student Language: An Unsupervised Dialogue Act Classification Approach

ERIC Educational Resources Information Center

Ezen-Can, Aysu; Boyer, Kristy Elizabeth

2015-01-01

Within the landscape of educational data, textual natural language is an increasingly vast source of learning-centered interactions. In natural language dialogue, student contributions hold important information about knowledge and goals. Automatically modeling the dialogue act of these student utterances is crucial for scaling natural language…

Democracy in Education through Community-Based Policy Dialogues

ERIC Educational Resources Information Center

Winton, Sue

2010-01-01

In 2008, People for Education, an Ontario-based parent-led organization, hosted eight policy dialogues with citizens about possibilities for the province's public schools. Policy dialogues are conversations about policy issues, ideas, processes, and outcomes where participants share their knowledge, perspectives, and experiences. In small groups…

Contesting the Constitution: The Constitutional Dialogues.

ERIC Educational Resources Information Center

Hilenski, Ferdinand Alexi

This historical dramatization, prepared for presentation at the 1985 Wyoming Chatauqua, contains three dialogues, set during the administration of President Thomas Jefferson and presenting the issues surrounding the drafting and ratification of the U.S. Constitution. The dialogues are designed to be presented in three segments to permit discussion…

Science Cafés: Engaging Scientists and Community through Health and Science Dialogue

PubMed Central

Ahmed, Syed; Connors, Emily R.; Kissack, Anne; Franco, Zeno

2014-01-01

Abstract Engagement of the community through informal dialogue with researchers and physicians around health and science topics is an important avenue to build understanding and affect health and science literacy. Science Cafés are one model for this casual interchange; however the impact of this approach remains under researched. The Community Engagement Key Function of the Clinical and Translational Science Institute of Southeast Wisconsin hosted a series of Science Cafés in which topics were collaboratively decided upon by input from the community. Topics ranged from Personalized Medicine to Alzheimer's and Dementia to BioMedical Innovation. A systematic evaluation of the impact of Science Cafés on attendees' self‐confidence related to five health and scientific literacy concepts showed statistically significant increases across all items (Mean differences between mean retrospective pre‐scores and post‐scores, one tailed, paired samples t‐test, n = 141, p < .0001 for all items). The internal consistency of the five health and scientific literacy items was excellent (n = 126, α = 0.87). Thematic analysis of attendees' comments provides more nuance about positive experience and suggestions for possible improvements. The evaluation provides important evidence supporting the effectiveness of brief, casual dialogue as a way to increase the public's self‐rated confidence in health and science topics. PMID:24716626

SACA: Software Assisted Call Analysis--an interactive tool supporting content exploration, online guidance and quality improvement of counseling dialogues.

PubMed

Trinkaus, Hans L; Gaisser, Andrea E

2010-09-01

Nearly 30,000 individual inquiries are answered annually by the telephone cancer information service (CIS, KID) of the German Cancer Research Center (DKFZ). The aim was to develop a tool for evaluating these calls, and to support the complete counseling process interactively. A novel software tool is introduced, based on a structure similar to a music score. Treating the interaction as a "duet", guided by the CIS counselor, the essential contents of the dialogue are extracted automatically. For this, "trained speech recognition" is applied to the (known) counselor's part, and "keyword spotting" is used on the (unknown) client's part to pick out specific items from the "word streams". The outcomes fill an abstract score representing the dialogue. Pilot tests performed on a prototype of SACA (Software Assisted Call Analysis) resulted in a basic proof of concept: Demographic data as well as information regarding the situation of the caller could be identified. The study encourages following up on the vision of an integrated SACA tool for supporting calls online and performing statistics on its knowledge database offline. Further research perspectives are to check SACA's potential in comparison with established interaction analysis systems like RIAS. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.

Science cafés: engaging scientists and community through health and science dialogue.

PubMed

Ahmed, Syed; DeFino, Mia C; Connors, Emily R; Kissack, Anne; Franco, Zeno

2014-06-01

Engagement of the community through informal dialogue with researchers and physicians around health and science topics is an important avenue to build understanding and affect health and science literacy. Science Cafés are one model for this casual interchange; however the impact of this approach remains under researched. The Community Engagement Key Function of the Clinical and Translational Science Institute of Southeast Wisconsin hosted a series of Science Cafés in which topics were collaboratively decided upon by input from the community. Topics ranged from Personalized Medicine to Alzheimer's and Dementia to BioMedical Innovation. A systematic evaluation of the impact of Science Cafés on attendees' self-confidence related to five health and scientific literacy concepts showed statistically significant increases across all items (Mean differences between mean retrospective pre-scores and post-scores, one tailed, paired samples t-test, n=141, p<.0001 for all items). The internal consistency of the five health and scientific literacy items was excellent (n=126, α=0.87). Thematic analysis of attendees' comments provides more nuance about positive experience and suggestions for possible improvements. The evaluation provides important evidence supporting the effectiveness of brief, casual dialogue as a way to increase the public's self-rated confidence in health and science topics. © 2014 Wiley Periodicals, Inc.

Using communication skills to improve adherence in children with chronic disease: the adherence equation.

PubMed

Brand, Paul L P; Klok, Ted; Kaptein, Adrian A

2013-12-01

Nonadherence to maintenance medication is common in paediatric chronic conditions. Despite the common belief that nonadherence is therapy-resistant, and the apparent lack of evidence for successful interventions to improve adherence, there is, in fact, a considerable body of evidence suggesting that adherence can be improved by applying specific communicative consultation skills. These can be summarized as the adherence equation: adherence=follow-up+dialogue+barriers and beliefs+empathy and education => concordance. Close follow-up of children with a chronic condition is needed to establish a therapeutic partnership with the family. Teaching self management skills is not a unidirectional process of providing information, but requires a constructive and collaborative dialogue between the medical team and the family. Identifying barriers to adherence can be achieved in a non-confrontational manner, by showing a genuine interest what the patient's views and preferences are. In particular, parental illness perceptions and medication beliefs should be identified, because they are strong drivers of nonadherence. Through empathic evidence-based education, such perceptions and beliefs can be modified. By applying these strategies, concordance between the child's family and the medical team can be achieved, resulting in optimal adherence to the jointly created treatment plan. Copyright © 2013 Elsevier Ltd. All rights reserved.

What does theory-driven evaluation add to the analysis of self-reported outcomes of diabetes education? A comparative realist evaluation of a participatory patient education approach.

PubMed

Pals, Regitze A S; Olesen, Kasper; Willaing, Ingrid

2016-06-01

To explore the effects of the Next Education (NEED) patient education approach in diabetes education. We tested the use of the NEED approach at eight intervention sites (n=193). Six additional sites served as controls (n=58). Data were collected through questionnaires, interviews and observations. We analysed data using descriptive statistics, logistic regression and systematic text condensation. Results from logistic regression demonstrated better overall assessment of education program experiences and enhanced self-reported improvements in maintaining medications correctly among patients from intervention sites, as compared to control sites. Interviews and observations suggested that improvements in health behavior could be explained by mechanisms related to the education setting, including using person-centeredness and dialogue. However, similar mechanisms were observed at control sites. Observations suggested that the quality of group dynamics, patients' motivation and educators' ability to facilitate participation in education, supported by the NEED approach, contributed to better results at intervention sites. The use of participatory approaches and, in particular, the NEED patient education approach in group-based diabetes education improved self-management skills and health behavior outcomes among individuals with diabetes. The use of dialogue tools in diabetes education is advised for educators. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Perceptions of health, health care and community-oriented health interventions in poor urban communities of Kinshasa, Democratic Republic of Congo.

PubMed

Maketa, Vivi; Vuna, Mimy; Baloji, Sylvain; Lubanza, Symphorien; Hendrickx, David; Inocêncio da Luz, Raquel Andrea; Boelaert, Marleen; Lutumba, Pascal

2013-01-01

In Democratic Republic of Congo access to health care is limited because of many geographical and financial barriers, while quality of care is often low. Global health donors assist the country with a number of community-oriented interventions such as free distribution of bednets, antihelminthic drugs, vitamin A supplementation and vaccination campaigns, but uptake of these interventions is not always optimal. The aim of this study was to explore the perceptions of poor urban communities of the capital Kinshasa with regard to health issues in general as well as their experiences and expectations concerning facility-based health services and community-oriented health interventions. Applying an approach rooted in the grounded theory framework, focus group discussions were conducted in eight neighborhoods of poor urban areas in the city of Kinshasa in July 2011. Study participants were easily able to evoke the city's major health problems, with the notable exceptions of malnutrition and HIV/AIDS. They perceive the high out-of-pocket cost of health services as the major obstacle when seeking access to quality care. Knowledge of ongoing community-oriented health interventions seems good. Still, while the study participants agree that those interventions are beneficial; their acceptability seems to be problematic. This is chiefly put down to a lack of information and government communication about the programs and their interventions. Furthermore, the study participants referred to rumors and the deterring effect of stories about alleged harmful consequences of those interventions. Along with improving the provision and quality of general health care, the government and international actors must improve their efforts in informing the communities about disease control programs, their rationale and benefit/risk ratio. Directly engaging community members in a dialogue might be beneficial in terms of improving acceptability and overall access to health services and interventions. Novel ways of reducing the high out-of-pocket expenditure should also be explored.

Dialogue as Moral Paradigm: Paths toward Intercultural Transformation

ERIC Educational Resources Information Center

Keller, J. Gregory

2011-01-01

The Council of Europe's 2008 "White Paper on Intercultural Dialogue: 'living together as equals in dignity'" points to the need for shared values upon which intercultural dialogue might rest. In order, however, to overcome the monologic separateness that threatens community, we must educate ourselves to recognize the dialogism of our…

Including Psychology in Inclusive Pedagogy: Enriching the Dialogue?

ERIC Educational Resources Information Center

Kershner, Ruth

2016-01-01

Inclusive education is a complex field of study and practice that requires good communication and dialogue between all involved. Psychology has to some extent been marginalised in these educational dialogues. This is, in part, due to psychology's perceived heritage in the standardised testing that has been used to support the educational…

Racial Pedagogy of the Oppressed: Critical Interracial Dialogue for Teachers of Color

ERIC Educational Resources Information Center

Kohli, Rita

2012-01-01

Brazilian education activist Paulo Freire (1970) argues that to create social change, oppressed people must have critical consciousness about their conditions, and that this consciousness is developed through dialogue. He theorizes that dialogue allows for reflection and unity building, tools needed to transform society. When considering racial…

SWAHILI, ADDITIONAL DIALOGUES TO FOLLOW "SWAHILI, AN ACTIVE INTRODUCTION, GENERAL CONVERSATION."

ERIC Educational Resources Information Center

INDAKWA, JOHN; AND OTHERS

THESE SUPPLEMENTARY DIALOGUES WERE DESIGNED TO FOLLOW THE FOREIGN SERVICE INSTITUTE TEXT "AN ACTIVE INTRODUCTION TO SWAHILI, GENERAL CONVERSATION". BASED ON THE TOPICS PRESENTED IN THE TEXT, THE DIALOGUES APPEAR IN PHONEMIC TRANSCRIPTION OF SWAHILI IN THE LEFT-HAND COLUMN, WITH ENGLISH TRANSLATION ON THE RIGHT. (AM)

Using Intergroup Dialogue to Promote Social Justice and Change

ERIC Educational Resources Information Center

Dessel, Adrienne; Rogge, Mary E.; Garlington, Sarah B.

2006-01-01

Intergroup dialogue is a public process designed to involve individuals and groups in an exploration of societal issues such as politics, racism, religion, and culture that are often flashpoints for polarization and social conflict. This article examines intergroup dialogue as a bridging mechanism through which social workers in clinical, other…

Use of Instructional Dialogue by University Students in a Distance Education Chemistry Course

ERIC Educational Resources Information Center

Gorsky, Paul; Caspi, Avner; Tuvi-Arad, Inbal

2004-01-01

A distance education system may be viewed in terms of intrapersonal and interpersonal instructional dialogues that mediate the learning and instructional resources that enable such dialogues. Instructional resources include self-instruction texts, tutorial sessions, instructor availability, Web sites, and more. This study investigated the kinds of…

Conversion of PCDP Dialogs.

ERIC Educational Resources Information Center

Bork, Alfred M.

An introduction to the problems involved in conversion of computer dialogues from one computer language to another is presented. Conversion of individual dialogues by complete rewriting is straightforward, if tedious. To make a general conversion of a large group of heterogeneous dialogue material from one language to another at one step is more…

Analyzing Empirical Notions of Suffering: Advancing Youth Dialogue and Education

ERIC Educational Resources Information Center

Baring, Rito V.

2010-01-01

This article explores the possibilities of advancing youth dialogue and education among the Filipino youth using empirical notions of students on suffering. Examining empirical data, this analysis exposes uncharted notions of suffering and shows relevant meanings that underscore the plausible trappings of youth dialogue and its benefits on…

DISCUSS: Toward a Domain Independent Representation of Dialogue

ERIC Educational Resources Information Center

Becker, Lee

2012-01-01

While many studies have demonstrated that conversational tutoring systems have a positive effect on learning, the amount of manual effort required to author, design, and tune dialogue behaviors remains a major barrier to widespread deployment and adoption of these systems. Such dialogue systems must not only understand student speech, but must…

Imre Lakatos's Use of Dialogue.

ERIC Educational Resources Information Center

Greig, Judith Maxwell

This paper uses a book, "Proofs and Refutations: The Logic of Mathematical Discovery," as an example of Lakatos's use of dialogue. The book was originally adapted from his dissertation and influenced by Polya and Popper. His discussion of the Euler conjecture is summarized. Three purposes for choosing the dialogue form for the book were…

Toward a Dialogic Theory of Public Relations.

ERIC Educational Resources Information Center

Kent, Michael L.; Taylor, Maureen

2002-01-01

Explains the concept of dialogue in order to reduce the ambiguity that surrounds the use of the term. Seeks to make the concept of dialogue more accessible for scholars and practitioners interested in relationship building. Traces the roots of dialogue, identifies several over-arching tenets, and provides three ways that organizations can…

Intergroup Dialogue: Education for a Broad Conception of Civic Engagement

ERIC Educational Resources Information Center

Gurin, Patricia; Nagda, Biren A.; Sorensen, Nicholas

2011-01-01

Intergroup dialogue provides what students need in order to relate and collaborate across differences, something they have to do in community projects that usually involve interactions across racial, social class, religious, and geographical divides. In this article, the authors demonstrate the efficacy of intergroup dialogue, drawing from a…

A Process Approach to Literacy Using Dialogue Journals and Literature Logs with Second Language Learners.

ERIC Educational Resources Information Center

Reyes, Maria de la Luz

1991-01-01

Examines the ability of 10 sixth grade Hispanic bilingual students to construct meaning in dialogue journals and literature logs in their first and second languages. Finds that students are more effective in constructing meaning in dialogue journals than in literature logs. (MG)

Promoting a Dialogue between Neuroscience and Education

ERIC Educational Resources Information Center

Turner, David A.

2011-01-01

There have been a number of calls for a 'dialogue' between neuroscience and education. However, 'dialogue' implies an equal conversation between partners. The outcome of collaboration between neuroscientists and educators not normally expected to be so balanced. Educationists are expected to learn from neuroscience how to conduct research with…

Esperanza y Poder: Democratic Dialogue and Authentic Parent Involvement

ERIC Educational Resources Information Center

Stratton, Susan

2006-01-01

This study explored ways to increase authentic participation of Mexican American parents in the education of their children. It focused on direct dialogue between Spanish-speaking parents and English-speaking school personnel and how dialogue facilitated group development. The design of the study included phenomenological inquiry and action…

Socratic Seminars for Students with Autism Spectrum Disorders

ERIC Educational Resources Information Center

Nouri, Ali; Pihlgren, Ann

2018-01-01

This paper explores the possibilities of the pedagogical use of Socratic dialogue as a basis for educating students diagnosed with autism. The Socratic dialogue is a particular pedagogical method used in educational settings to enhance student's thinking and dialogic abilities. Research has proven that Socratic dialogue may result in improved…

Learning to Talk/Talking to Learn: Teaching Critical Dialogue

ERIC Educational Resources Information Center

Marchel, Carol A.

2007-01-01

Critical dialogue skills are a beneficial tool for reflective educational practice. Pre-service teachers can learn to examine underlying biases and assumptions that influence many important aspects of educational practice. Critical dialogue skills are thus of particular importance for work with diverse students and their families. This paper…

The Dialogue Journal: A Tool for Building Better Writers

ERIC Educational Resources Information Center

Denne-Bolton, Sara

2013-01-01

Using dialogue journals gives English language learners valuable writing practice. This article explores topics such as audience, fluency, teacher-student relationships, empowerment, and making the connection to academic writing. And the author gives practical advice on how teachers can institute dialogue journals in their classrooms and how best…

Faculty Teaching Diversity through Difficult Dialogues: Stories of Challenges and Success

ERIC Educational Resources Information Center

Gayles, Joy Gaston; Kelly, Bridget Turner; Grays, Shaefny; Zhang, Jing Jing; Porter, Kamaria P.

2015-01-01

Teaching diversity courses in graduate preparation programs is likely to trigger difficult dialogues that evoke a range of emotional responses. Difficult dialogues on diversity topics must be managed effectively in order to enhance multicultural competence. This interpretive study examined the experiences of faculty who teach diversity courses in…

Building Connection While Thinking Together: By-Products of Employee Training in Dialogue

ERIC Educational Resources Information Center

Black, Laura

2005-01-01

This study investigates a Listening and Dialogue training workshop in a manufacturing company. Instructors presented dialogue as a way of communicating that enables groups to think together, which is consistent with Bohm's epistemological approach. However, organizational members described profound meaningful experiences of connection, otherness,…

A Response to Jane Sahi's "Dialogue as Education: Martin Buber"

ERIC Educational Resources Information Center

Baniwal, Vikas

2014-01-01

This article is inspired by Jane Sahi's commentary, "Dialogue as Education: Martin Buber," published under the feature "Classics with Commentary" in the Monsoon 2005 issue of "Contemporary Education Dialogue." I seek to further the discussion of the contributions of Martin Buber to the discourse of education through…

Health care managers learning by listening to subordinates' dialogue training.

PubMed

Grill, C; Ahlborg, G; Wikström, E

2014-01-01

Middle managers in health care today are expected to continuously and efficiently decide and act in administration, finance, care quality, and work environment, and strategic communication has become paramount. Since dialogical communication is considered to promote a healthy work environment, the purpose of this paper is to investigate the ways in which health care managers experienced observing subordinates' dialogue training. A qualitative study using semi-structured interviews and documents from eight middle managers in a dialogue programme intervention conducted by dialogue trainers. Focus was on fostering and assisting workplace dialogue. Conventional qualitative content analysis was used. Managers' experiences were both enriching and demanding, and consisted of becoming aware of communication, meaning perceiving interaction between subordinates as well as own silent interaction with subordinates and trainer; Discovering communicative actions for leadership, by gaining self-knowledge and recognizing relational leadership models from trainers--such as acting democratically and pedagogically--and converting theory into practice, signifying practising dialogue-promoting conversation behaviour with subordinates, peers, and superiors. Only eight managers participated in the intervention, but data afforded a basis for further research. Findings stressed the importance of listening, and of support from superiors, for well-functioning leadership communication at work. Studies focusing on health care managers' communication and dialogue are few. This study contributes to knowledge about these activities in managerial leadership.

The teacher's role in the establishment of whole-class dialogue in a fifth grade science classroom using argument-based inquiry

NASA Astrophysics Data System (ADS)

Benus, Matthew J.

The purpose of this study was to examine the patterns of dialogue that were established and emerged in one experienced fifth-grade science teacher's classroom that used the argument-based inquiry (ABI) and the ways in which these patterns of dialogue and consensus-making were used toward the establishment of a grasp of science practice. Most current studies on ABI agree that it does not come naturally and is only acquired through practice. Additionally, the quality of dialogue is also understood to be an important link in support of student learning. Few studies have examined the ways in which a teacher develops whole-class dialogue over time and the ways in which patterns of dialogue shift over time. The research questions that guided this study were: (1) What were the initial whole-class dialogue patterns established by a fifth-grade science teacher who engaged in ABI? (2) How did the science teacher help to refine whole-class dialogue to support the agreeability of ideas constructed over time? This eighteen week study that took place in a small city of less than 15,000 in Midwestern United States was grounded in interactive constructivism, and utilized a qualitative design method to identify the ways in which an experienced fifth-grade science teacher developed whole-class dialogue and used consensus-making activities to develop the practice of ABI with his students. The teacher in this study used the Science Writing Heuristic (SWH) approach to ABI with twenty-one students who had no previous experience engaging in ABI. This teacher with 10 of years teaching experience was purposefully selected because he was proficient and experienced in practicing ABI. Multiple sources of data were collected, including classroom video with transcriptions, semi-structured interviews, after lesson conversations, and researcher's field notes. Data analysis used a basic qualitative approach. The results showed (1) that the teacher principally engaged in three forms of whole-class dialogue with students; talking to, talking with, and thinking through ideas with students. As time went on, the teacher's interactions in whole-class dialogue became increasingly focused on thinking through ideas with students, while at the same time students also dialogued more as each unit progressed. (2) This teacher persistently engaged with students in consensus-making activities during whole-class dialogue.These efforts toward consensus-making over time became part of the students' own as each unit progressed. (3) The classroom did not engage in critique and construction of knowledge necessarily like the community of science but rather used agreeing and disagreeing and explaining why through purposeful dialogic interactions to construct a grasp of science classroom practice. The findings have informed theory and practice about science argumentation, the practice of whole-class dialogue, and grasp of science practice along four aspects: (1) patterns of dialogue within a unit of instruction and across units of instruction, (2) the teacher's ability to follow and develop students' ideas, (3) the role of early and persistent opportunities to engage novice students in consensus-making, and (4) the meaning of grasp of science practice in classroom. This study provides insight into the importance of prolonged and persistent engagement with ABI in classroom practice.

The meaning of recovery in a regional mental health service: an action research study.

PubMed

Kidd, Susan; Kenny, Amanda; McKinstry, Carol

2015-01-01

To explore the meaning of the term recovery to people with experience providing and receiving mental health services. Internationally, governments have proposed recovery-oriented mental health policy. In practice, people managing mental health difficulties struggle to recover, self-manage, or improve their quality of life. Mental health services increasingly provide acutely focused and poorly coordinated services to people experiencing mental health difficulties, with self-management, wellness and recovery overlooked. A cooperative enquiry, action research design guided the study. Participants were people with experience of mental health difficulties from consumer, carer and clinician perspectives. Data were collected between August 2012-July 2013. Analysis was conducted using an iterative process for the duration of the study. A thematic network was developed that reflected key organizing themes. The overarching theme developed from the participants' group discussions, reflections, actions and observations was recovery as an ongoing quest in life. This global theme was constructed from five organizing themes: 'finding meaning', 'an invisible disability', 'empowerment and agency' 'connection' and 'the passage of time'. Participatory approaches support the inclusion of lived experience perspectives. Structured processes are needed to bring different perspectives together to find solutions, through dialogue, and acknowledge the barriers to participation that people who use mental health services experience. The lack of integration of lived experience perspectives demonstrates forms of discrimination that inhibit consumer participation and prevent the recovery-oriented transformation required in mental health systems. © 2014 John Wiley & Sons Ltd.

Genomic Sequencing Procedure Microcosting Analysis and Health Economic Cost-Impact Analysis: A Report of the Association for Molecular Pathology.

PubMed

Sabatini, Linda M; Mathews, Charles; Ptak, Devon; Doshi, Shivang; Tynan, Katherine; Hegde, Madhuri R; Burke, Tara L; Bossler, Aaron D

2016-05-01

The increasing use of advanced nucleic acid sequencing technologies for clinical diagnostics and therapeutics has made vital understanding the costs of performing these procedures and their value to patients, providers, and payers. The Association for Molecular Pathology invested in a cost and value analysis of specific genomic sequencing procedures (GSPs) newly coded by the American Medical Association Current Procedural Terminology Editorial Panel. Cost data and work effort, including the development and use of data analysis pipelines, were gathered from representative laboratories currently performing these GSPs. Results were aggregated to generate representative cost ranges given the complexity and variability of performing the tests. Cost-impact models for three clinical scenarios were generated with assistance from key opinion leaders: impact of using a targeted gene panel in optimizing care for patients with advanced non-small-cell lung cancer, use of a targeted gene panel in the diagnosis and management of patients with sensorineural hearing loss, and exome sequencing in the diagnosis and management of children with neurodevelopmental disorders of unknown genetic etiology. Each model demonstrated value by either reducing health care costs or identifying appropriate care pathways. The templates generated will aid laboratories in assessing their individual costs, considering the value structure in their own patient populations, and contributing their data to the ongoing dialogue regarding the impact of GSPs on improving patient care. Copyright © 2016 American Society for Investigative Pathology and the Association for Molecular Pathology. Published by Elsevier Inc. All rights reserved.

Barriers and facilitators to tobacco cessation in a nationwide sample of addiction treatment programs

PubMed Central

Pagano, Anna; Tajima, Barbara; Guydish, Joseph

2016-01-01

Introduction Smoking rates among addiction treatment clients are 3–4 times higher than those of the general population. Recent studies indicate that ceasing tobacco use during treatment may improve recovery outcomes. Across the United States, publicly funded addiction treatment programs vary widely in terms of their tobacco policies and tobacco cessation services offered to clients. Methods The study reported here is the qualitative component of a larger study. Twenty-four programs were recruited from a random sample of publicly funded programs participating in the NIDA Clinical Trials Network. Semistructured interviews were administered by phone to program directors. ATLAS.ti software was used to facilitate thematic analysis of interview transcripts. Findings While all directors expressed interest in helping clients to quit smoking, they cited numerous barriers to implementing tobacco policies and services. These included smoking culture, client resistance, lack of resources, staff smoking, and environmental barriers. Directors also cited several factors that they believed would support tobacco cessation. These included financial support, enhanced leadership, and state mandates against smoking in addiction treatment programs. Conclusion Addiction treatment programs are beginning to place more emphasis on tobacco cessation during treatment. However, furthering this goal requires substantial infrastructural and cultural change. These qualitative study findings may help to inform Single State Agencies (SSAs) to support publicly funded addiction treatment programs in their tobacco cessation efforts. In order to maximize effectiveness, state-level policies regarding tobacco cessation during treatment should be informed by ongoing dialogue between service providers and SSAs. PMID:27296658

PUBLIC AND PATIENT INVOLVEMENT IN HEALTH TECHNOLOGY ASSESSMENT: A FRAMEWORK FOR ACTION.

PubMed

Abelson, Julia; Wagner, Frank; DeJean, Deirdre; Boesveld, Sarah; Gauvin, Franςois-Pierre; Bean, Sally; Axler, Renata; Petersen, Stephen; Baidoobonso, Shamara; Pron, Gaylene; Giacomini, Mita; Lavis, John

2016-01-01

As health technology assessment (HTA) organizations in Canada and around the world seek to involve the public and patients in their activities, frameworks to guide decisions about whom to involve, through which mechanisms, and at what stages of the HTA process have been lacking. The aim of this study was to describe the development and outputs of a comprehensive framework for involving the public and patients in a government agency's HTA process. The framework was informed by a synthesis of international practice and published literature, a dialogue with local, national and international stakeholders, and the deliberations of a government agency's public engagement subcommittee in Ontario, Canada. The practice and literature synthesis failed to identify a single, optimal approach to involving the public and patients in HTA. Choice of methods should be considered in the context of each HTA stage, goals for incorporating societal and/or patient perspectives into the process, and relevant societal and/or patient values at stake. The resulting framework is structured around four actionable elements: (i) guiding principles and goals for public and patient involvement (PPI) in HTA, (ii) the establishment of a common language to support PPI efforts, (iii) a flexible array of PPI approaches, and (iv) on-going evaluation of PPI to inform adjustments over time. A public and patient involvement framework has been developed for implementation in a government agency's HTA process. Core elements of this framework may apply to other organizations responsible for HTA and health system quality improvement.

Cross-Disciplinary Dialogue about the Nature of Oral and Written Language Problems in the Context of Developmental, Academic, and Phenotypic Profiles

ERIC Educational Resources Information Center

Silliman, Elaine R.; Berninger, Virginia W.

2011-01-01

Professionals across disciplines who assess and teach students with language problems should develop their own standards for best professional practices to improve the diagnostic and treatment (instructional) services in schools and nonschool settings rather than assessing only for eligibility for categories of special education services according…

Using a Facebook Closed Group to Improve EFL Students' Writing

ERIC Educational Resources Information Center

Rodliyah, Rojab Siti

2016-01-01

This study investigates how social media, in this case Facebook, can be incorporated in ELT through e-dialogue journal writing shared in a Facebook closed group. Fifteen EFL students participated in this case study. They were second, third, and fourth year students of English Education Department of a university in Bandung, who voluntarily joined…

Science Teaching as a Dialogue--Bakhtin, Vygotsky and Some Applications in the Classroom

ERIC Educational Resources Information Center

Kubli, Fritz

2005-01-01

The theory of dialogism, developed by the Russian linguist Mikhail Bakhtin (1895-1975) with regard to literature and everyday communication, can be used to improve the teaching of science. Some of Bakhtin's conceptual instruments are helpful in analysing the teaching process, and it is interesting to compare them with former ideas about teaching…

Future Directions for Comparative Education Dialogue in the Asia-Pacific Region

ERIC Educational Resources Information Center

Fox, Christine

2014-01-01

The broad goals of the World Council of Comparative Education Societies (WCCES) are: (1) to advance education for international understanding in the interests of peace, intercultural co-operation, mutual respect among peoples and observance of human rights; and (2) to improve education systems so that the right of all to education may be more…

Developing Practices in Teachers' Professional Dialogue in England: Using Coaching Dimensions as an Epistemic Tool

ERIC Educational Resources Information Center

Lofthouse, Rachel; Hall, Elaine

2014-01-01

This paper demonstrates how teachers who were working in a range of developmental relationships with researchers used Coaching Dimensions to understand, describe, analyse and improve the quality of their coaching and mentoring conversations. The findings are based on analysis of transcriptions of case studies of one-to-one professional dialogue…

Open Dialogue Systems: Humanizing the Designs of Residential Mental Health Systems

ERIC Educational Resources Information Center

Harris, Charles

1977-01-01

Describes a devastating personal experience that led to a new awareness. Author still has no recollection of the head-on car wreck in which she was critically injured. She discusses the recovery process, especially the facilitative and inhibiting roles played by various people. Makes a plea for improvement in the training of health professionals.…

Can We Talk? Using Facilitated Dialogue to Positively Change Student Attitudes towards Persons with Mental Illness

ERIC Educational Resources Information Center

Scheyett, Anna; Kim, Mimi

2004-01-01

To facilitate the recovery of people with mental illness (consumers of mental health services), social workers must be strengths-focused and believe in the potential for consumer growth and improvement. Unfortunately, social workers often share the negative, stigmatizing view of mental illness held by much of the general population. In this…

Framing the Dialogue: Strategies, Issues and Opportunities

DTIC Science & Technology

1993-05-01

issue is the relationship between the declining Federal financing of public works and the Federal interest in providing infrastructure services. Large...programs and projects are significant. lmprove Infrastructure Managmnt : Management improvements closely parallel the issues associated with strategic... Relationship Between Examination of the linkage between standards GKY & Standards & and the delivery of goods and services from Associates Performance

Designing Pedagogic Strategies for Dialogic Learning in Higher Education

ERIC Educational Resources Information Center

Simpson, Alyson

2016-01-01

This article focuses on the pedagogic value of dialogue to strengthen pre-service teachers' reflective practices and improve their knowledge about the power of talk for learning. Dialogic learning was introduced to a unit of study taken by a final-year cohort of students in an initial teacher education degree at an urban university in Australia.…

A Diffractive Reading of Dialogical Feedback through the Political Ethics of Care

ERIC Educational Resources Information Center

Bozalek, Vivienne; Mitchell, Veronica; Dison, Arona; Alperstein, Melanie

2016-01-01

With regard to improving higher education feedback practices, there is an increasing interest in using the efficacy of dialogue rather than the more traditional unidirectional approaches. We build on this impetus by considering how the ethics of care can be used to analyse the dialogical aspects of feedback. By diffractively reading insights of…

Networking and Cooperation as School Improvement Elements

ERIC Educational Resources Information Center

Suárez-Guerrero, Cristóbal; Muñoz Moreno, José Luís

2017-01-01

The school is an enriched learning environment, but it is not the only educational environment. The educational mission of the school should take into account the school-family coordination as a feature of its social project. A great part of this bridge between school and family is based on dialogue through the participation of the family in the…

The Two Cultures of Science: On Language-Culture Incommensurability Concerning "Nature" and "Observation"

ERIC Educational Resources Information Center

Loo, Seng Piew

2007-01-01

Culture without nature is empty, nature without culture is deaf Intercultural dialogue in higher education around the globe is needed to improve the theory, policy and practice of science and science education. The culture, cosmology and philosophy of "global" science as practiced today in all societies around the world are seemingly anchored in…

One important way to get the best performance from staff.

PubMed

Goldstein, J M

1999-03-01

Good communication about expectations is essential to encouraging the best performance from staff. An excellent tool for fostering this communication is the performance evaluation. Used correctly, it can open a dialogue that can lead to agreement between the supervisor and staff member on areas that need to be improved and ways to do so.

Proceedings of the Conference on Psychology and the Process of Schooling in the Next Decade: Alternative Conceptions.

ERIC Educational Resources Information Center

Reynolds, Maynard C., Ed.

The conference intended to stimulate dialogue between psychologists and educators for the purpose of developing "creative propositions" that address the functions of schooling with the most relevant and advanced psychological knowledge. Most broadly, the papers and critiques are concerned with how psychology could be used to improve: (1)…

Transformational Dialogue for Public Education: Moving from Tweaking to Transforming at the State Level

ERIC Educational Resources Information Center

Kim, Daniel H.

2014-01-01

The importance of public education has never been greater as we enter the dawn of a new millennium. Innumerable efforts have been focused on improving public education, but the unfortunate result has been an array of fractured, piecemeal efforts. What is needed is a systemic approach to go from "tweaking" to "transforming"…

A Study of Leadership Strategies and Their Impact on Teacher Working Conditions

ERIC Educational Resources Information Center

Rosenbalm, Elizabeth M.

2012-01-01

Throughout this study, the researcher sought to find the key strategies needed to improve school culture and working conditions. These findings were measured by the 2010 and 2012 North Carolina Teacher Working Conditions Survey (NC TWCS) data, as well as staff focus-group dialogue at three selected schools. The participant groups consisted of an…

How Analogue Research Can Advance Descriptive Evaluation Theory: Understanding (and Improving) Stakeholder Dialogue

ERIC Educational Resources Information Center

Campbell, Bernadette; Mark, Melvin M.

2015-01-01

Evaluation theories can be tested in various ways. One approach, the experimental analogue study, is described and illustrated in this article. The approach is presented as a method worthy to use in the pursuit of what Alkin and others have called descriptive evaluation theory. Drawing on analogue studies conducted by the first author, we…

Teachers' Lifelong Learning: Emerging Dialogues from Gert Biesta's Philosophical Views

ERIC Educational Resources Information Center

Guilherme, Alexandre; Steren dos Santos, Bettina; Spagnolo, Carla

2017-01-01

It is our contention in this article that lifelong learning for teachers is something that is essential and fundamental for the improvement of the teaching and learning processes in education. Here, we consider some aspects related to this important subject. First, we discuss official documents dealing with teachers' lifelong learning: that is, we…

Facilitating a Culture of Relational Trust in School-Based Action Research: Recognising the Role of Middle Leaders

ERIC Educational Resources Information Center

Edwards-Groves, Christine; Grootenboer, Peter; Ronnerman, Karin

2016-01-01

Practices such as formal focused professional dialogue groups, coaching conversations, mentoring conversations and professional learning staff meetings have been taken up in schools and pre-schools as part of long-term action research and development activities to improve the learning and teaching practices. The development of relational trust has…

Lessons learnt from the Climate Dialogue initiative

NASA Astrophysics Data System (ADS)

Crok, Marcel; Strengers, Bart; Vasileiadou, Eleftheria

2015-04-01

The weblog Climate Dialogue (climatedialogue.org) has been an experimental climate change communication project. It was the result of a motion in the Dutch parliament, which asked the Dutch government "to also involve climate sceptics in future studies on climate change". Climate Dialogue was set up by the Royal Netherlands Meteorological Institute (KNMI), the Netherlands Environmental Assessment Agency (PBL), and Dutch science journalist Marcel Crok. It operated for slightly more than two years (From November 2012 till December 2014). Around 20 climate scientists from all over the world, many of them leading in their respective fields, participated in six dialogues. Climate Dialogue was a moderated blog on controversial climate science topics introducing a combination of several novel elements: a) bringing together scientists with widely separated viewpoints b) strict moderation of the discussion and c) compilation of executive and extended summaries of the discussions that were approved by the invited scientists. In our talk, we will discuss the operation and results of the Climate Dialogue project, focusing more explicitly on the lessons learnt with respect to online climate change communication addressing the question: "To what extent can online climate change communication bring together climate scientists with widely separated viewpoints, and what would be the advantage of such communication practice?" We identify how Climate Dialogue was received and perceived by the participating scientists, but also by different scientific and online communities. Finally, we present our ideas on how Climate Dialogue could evolve in a novel way of contributing to (climate) science and what steps would be necessary and/or beneficial for such a platform to survive and succeed.

The alliance between feminists and researchers. Meeting women's unmet needs.

PubMed

Barroso, C

1993-01-01

There are four reasons why it is important to build an alliance between women activists and scientists in order to improve the quality of life for women throughout the world. First of all, feminists, such as Margaret Sanger, create the social climate that supports research and counteracts negative influences. Feminists can also mobilize against the indifference with which policy-makers consider population policies. This alliance can also increase the ultimate effectiveness of the range of technologies developed because women's health advocates can draw attention to realities of women's lives and thus contribute to improvement of research and development strategies. Finally, feminists can help scientists create conditions for the implementation of high ethical standards which bridge the gap in sophistication between researchers and subjects, achieve true informed consent, fight against a paternalistic hierarchical approach, and improve the adequacy of screening and follow-up. Collaboration among women and scientists can be enhanced by improving mutual understanding through improved dialogue and by fostering a willingness to share decision-making power. In two areas, improved dialogue has not yet produced significant shifts in priority. First of all, the scientific community has failed to respond to demands for better protection against sexually transmitted diseases and HIV/AIDS. Secondly, women's concerns about the delivery of services have not yet been taken seriously. Systemic, long-lasting, and provider-dependent methods of contraception still receive the greatest attention despite serious quality of care issues and potential abuse. Such methods may also increase the vulnerability of women to infection. The difficulties posed by forging the alliance between women and scientists, however, should not deter meeting the challenge.

Annotation of Tutorial Dialogue Goals for Natural Language Generation

ERIC Educational Resources Information Center

Kim, Jung Hee; Freedman, Reva; Glass, Michael; Evens, Martha W.

2006-01-01

We annotated transcripts of human tutoring dialogue for the purpose of constructing a dialogue-based intelligent tutoring system, CIRCSIM-Tutor. The tutors were professors of physiology who were also expert tutors. The students were 1st year medical students who communicated with the tutors using typed communication from separate rooms. The tutors…

Education as Dialogue

ERIC Educational Resources Information Center

Kazepides, Tasos

2012-01-01

The purpose of this paper is to show that genuine dialogue is a refined human achievement and probably the most valid criterion on the basis of which we can evaluate educational or social policy and practice. The paper explores the prerequisites of dialogue in the language games, the common certainties, the rules of logic and the variety of common…

Socratic Dialogue, the Humanities and the Art of the Question

ERIC Educational Resources Information Center

Mitchell, Sebastian

2006-01-01

Plato's depiction of Socrates' interrogations in his early dialogues provides an enduring example of the importance of asking questions as an educative method. This article considers the central educational elements of Socratic dialogue and the ways in which these were developed in the 20th century, particularly in "The Socratic Method"…

Collaborative Dialogue in Synchronous Computer-Mediated Communication and Face-to-Face Communication

ERIC Educational Resources Information Center

Zeng, Gang

2017-01-01

Previous research has documented that collaborative dialogue promotes L2 learning in both face-to-face (F2F) and synchronous computer-mediated communication (SCMC) modalities. However, relatively little research has explored modality effects on collaborative dialogue. Thus, motivated by sociocultual theory, this study examines how F2F compares…

The Practice of Dialogue in Critical Pedagogy

ERIC Educational Resources Information Center

Kaufmann, Jodi Jan

2010-01-01

This paper examines dialogue in the higher education classroom. Instigated by my teaching experiences and the paucity of empirical studies examining dialogue in the higher education classroom, I present a re-examination of data I collected in 1996 for an ethnographic study focusing on the experiences of the participants in an ethnic literature…

"He Said What?!" Constructed Dialogue in Various Interface Modes

ERIC Educational Resources Information Center

Young, Lesa; Morris, Carla; Langdon, Clifton

2012-01-01

This study analyzes the manifestation of constructed dialogue in ASL narratives as dependent on the interface mode (i.e., face-to-face conversation, electronic conversation over videophone, and vlog monologues). Comparisons of eye gaze over three interface modes shows how aspects of constructed dialogue are altered to fit the communication mode.…

Deer, Dissension, and Dialogue: A University-Community Collaboration in Public Deliberation

ERIC Educational Resources Information Center

Wright, Wynne

2009-01-01

Michigan State University embarked upon an initiative to explore deliberative dialogue as a tool for addressing community-based contested issues in agriculture and natural resources. Our goal is to assess the extent to which deliberative dialogue can help "bridge the divides" among citizens and professionals and fulfill the land-grant…

Crossing the Divide within Continental Philosophy: Reconstruction, Deconstruction, Dialogue and Education

ERIC Educational Resources Information Center

Papastephanou, Marianna

2012-01-01

In this article I explore some points of convergence between Habermas and Derrida that revolve around the intersection of ethical and epistemological issues in dialogue. After some preliminary remarks on how dialogue and language are viewed by Habermas and Derrida as standpoints for departing from the philosophy of consciousness and from…

Staff and Student Experiences of Dialogue Days, a Student Engagement Activity

ERIC Educational Resources Information Center

Asghar, Mandy

2016-01-01

This paper reports the findings from a descriptive phenomenological exploration of the lived experience of dialogue days, a student engagement activity, from the perspectives of staff and students. I suggest that dialogue days enhance the relational and emotional aspects of learning with the potential to impact on future student engagement and…

A Chatbot for a Dialogue-Based Second Language Learning System

ERIC Educational Resources Information Center

Huang, Jin-Xia; Lee, Kyung-Soon; Kwon, Oh-Woog; Kim, Young-Kil

2017-01-01

This paper presents a chatbot for a Dialogue-Based Computer-Assisted second Language Learning (DB-CALL) system. A DB-CALL system normally leads dialogues by asking questions according to given scenarios. User utterances outside the scenarios are normally considered as semantically improper and simply rejected. In this paper, we assume that raising…

Facilitating Difficult Dialogues at the Intersections of Religious Privilege

ERIC Educational Resources Information Center

Watt, Sherry K.

2009-01-01

A core definition of a "difficult dialogue" is a verbal or written exchange of ideas or opinions among citizens within a community that centers on an awakening of potentially conflicting views about beliefs and values. As informed by Fried's definition of religious privilege (2007), difficult dialogue at the intersections of religious privilege…

The Classification and Framing of Religious Dialogues in Two English Schools

ERIC Educational Resources Information Center

Fancourt, Nigel

2016-01-01

This article explores the place of discourse about religions in education by comparing two very different schools. It initially outlines some of the current debates around religious discourse, notably in dialogue. A theoretical frame for analysing religious discourse in schools is proposed, combining a theorisation of three levels of dialogue with…

Adapting Collaboration Dialogue in Response to Intelligent Tutoring System Feedback

ERIC Educational Resources Information Center

Olsen, Jennifer K.; Aleven, Vincent; Rummel, Nikol

2015-01-01

To be able to provide better support for collaborative learning in Intelligent Tutoring Systems, it is important to understand how collaboration patterns change. Prior work has looked at the interdependencies between utterances and the change of dialogue over time, but it has not addressed how dialogue changes during a lesson, an analysis that…

The Intersection of Dialogue and Low Transactional Distance: Considerations for Higher Education

ERIC Educational Resources Information Center

Farquhar, Lynn

2013-01-01

The theory of transactional distance has been subjected to a variety of empirical tests and philosophical critiques. Throughout this process, the variable of dialogue has attracted much attention. Although dialogue has proven difficult to measure and define, it is widely regarded as an ideal outcome of the teacher-learner transaction. Considered…

Promoting Children's Healthy Social-Emotional Growth: Dialogue Journal

ERIC Educational Resources Information Center

Konishi, Chiaki; Park, Sol

2017-01-01

Dialogue journals are a form of writing in which a student and a teacher carry on a conversation over time. This paper addresses the benefits of using dialogue journals for promoting a positive social-emotional learning (SEL) environment for children in school settings. Educators and researchers have increasingly acknowledged the importance of SEL…

Confrontation or Cooperation? Africa's Role in the North-South Dialogue on Communication. Second Edition.

ERIC Educational Resources Information Center

Keune, Reinhard, Ed.

A background paper sent to the participants of the Nairobi Conference inviting them to take part in a brainstorming on "Africa's Role in the North-South Dialogue on Communication" introduces this booklet. It is comprised of four articles, "Intensifying the Dialogue," which summarizes the proceedings and recommendations; "A…

Travels With Gates: Shangri-La Dialogue

Science.gov Websites

Department of Defense Submit Search Shangri-La Dialogue June 2010 Germany Belgium England Azerbaijan . Gates had with U.S. partners as part of the annual Asia security summit known as the "Shangri-La meetings at the "Shangri-La Dialogue" security summit. Story U.S.-China Military Ties Need Work

Defense.gov Special Report: Travels with Hagel

Science.gov Websites

Hagel met with defense leaders from five Asian nations on the sidelines of the Shangri-La Dialogue in Hagel Delivers Opening Remarks at Shangri-La Dialogue Hagel Meets With Leaders in Singapore Hagel Visits members in Bagram, Afghanistan Hagel Meets Leaders, Addresses Shangri-La Dialogue Hagel Troop Talk at

The Socratic Dialogue in Asynchronous Online Discussions: Is Constructivism Redundant?

ERIC Educational Resources Information Center

Kingsley, Paul

2011-01-01

Purpose: This paper aims to examine Socratic dialogue in asynchronous online discussions in relation to constructivism. The links between theory and practice in teaching are to be discussed whilst tracing the origins of Socratic dialogue and recent trends and use of seminar in research based institutions. Design/methodology/approach: Many online…

French Basic Course. Units 13-24 Revised.

ERIC Educational Resources Information Center

Cossard, Monique; Salazar, Robert

This self-instructional course is the second volume of the basic course in French. The material is divided into 12 chapters. Each of the first 11 chapters contains a dialogue, followed by notes concerning the dialogue, a list of useful expressions and vocabulary, vocabulary exercises, and questions on the dialogue. The subjects of the dialogues…

How White Faculty Perceive and React to Difficult Dialogues on Race: Implications for Education and Training

ERIC Educational Resources Information Center

Sue, Derald Wing; Torino, Gina C.; Capodilupo, Christina M.; Rivera, David P.; Lin, Annie I.

2009-01-01

Using consensual qualitative research, the perceptions and reactions of White faculty to classroom dialogues on race were explored. Difficult racial dialogues were characterized by intense emotions in both professors and their students, most notable anxiety, that interfered with the ability to successfully facilitate a learning experience for…

Dialogue on Modernity and Modern Education in Dispute

ERIC Educational Resources Information Center

Baker, Michael; Peters, Michael A.

2012-01-01

This is a dialogue or conversation between Michael Baker (MB) and Michael A. Peters (MP) on the concept of modernity and its significance for educational theory. The dialogue took place originally as a conversation about a symposium on modernity held at the American Educational Studies Association meeting 2010. It was later developed for…

Investigating the Relationship between Dialogue Structure and Tutoring Effectiveness: A Hidden Markov Modeling Approach

ERIC Educational Resources Information Center

Boyer, Kristy Elizabeth; Phillips, Robert; Ingram, Amy; Ha, Eun Young; Wallis, Michael; Vouk, Mladen; Lester, James

2011-01-01

Identifying effective tutorial dialogue strategies is a key issue for intelligent tutoring systems research. Human-human tutoring offers a valuable model for identifying effective tutorial strategies, but extracting them is a challenge because of the richness of human dialogue. This article addresses that challenge through a machine learning…

Apprendre par le dialogue : le cas des pharmaciens d'officine en interaction avec leurs clients

NASA Astrophysics Data System (ADS)

Cohen-Scali, Valérie; Ramsamy-Prat, Padma

2015-12-01

Learning through dialogue: the case of retail pharmacists' interactions with their customers - This article seeks to highlight certain identity processes that are mobilized through dialogue in the workplace and that promote learning (or information gathering) in this context. These processes are studied in the population of retail pharmacists, much of whose work centres on interactions with customers. Dutch psychologist Hubert Hermans' theory of the dialogical self is used as a theoretical framework. The main hypothesis developed in the article is that to understand the problems of the customers who come into their pharmacies and adapt to their requests, pharmacists must adopt a series of I positions in their dialogues with them. French pharmacists in Paris and the Paris region were observed and interviewed. The four dialogue extracts studied here underline the diversity of I-positions implemented in pharmacist-customer dialogues. The diversity of registers that pharmacists are able to deploy in their interactions appears to be inherent to their professionalism and a necessary aspect of their work. These results open up perspectives for further research into the association of workplace learning and identity transformation.

"The co-authors of pregnancy": leveraging men's sense of responsibility and other factors for male involvement in antenatal services in Kinshasa, DRC.

PubMed

Gill, Michelle M; Ditekemena, John; Loando, Aimé; Ilunga, Vicky; Temmerman, Marleen; Fwamba, Franck

2017-12-06

Despite efforts to improve male involvement (MI), few male partners typically attend antenatal care (ANC). MI in ANC and interventions to prevent mother-to-child HIV transmission have been demonstrated to be beneficial for the HIV-positive mother and her child. This study aimed to explore factors influencing partner attendance and highlight interventions with potential to improve MI within a Congolese context. This was an exploratory, qualitative study conducted in two urban and two semi-urban catchment areas of Kinshasa, DRC in June-September 2016. Two women-only and two men-only focus group discussions (FGDs) were held; participants were recruited from ANC clinics and surrounding communities. Key informants purposively selected from health facility leadership and central government were also interviewed. Guide topics included MI barriers and facilitators, experiences with couples' ANC attendance and perceptions of MI interventions and how to improve them. Data from FGDs and interviews were analyzed to determine three interventions that best addressed the identified MI facilitators and barriers. These interventions were explored further through dialogues held with representatives from community organizations. This study included 17 female and 18 male FGD participants, 3 key informants and 21 community dialogue participants. Receipt of clinic staff advice was the most commonly-reported factor facilitating male attendance. No time off work was the most commonly-reported barrier. Only men identified responsibility, referring to themselves as "authors of the pregnancy," and wanting to be tested for HIV as facilitators. The most promising interventions perceived by FGD and interview participants were male partner invitation letters, couple- and male-friendly improvements to ANC, and expert peer-to-peer outreach. Community dialogue participants provided further detail on these approaches, such as invitation letter content and counseling messages targeting men attending ANC. Common themes regarding male involvement in ANC that emerged from this study included men's need to understand how the pregnancy is progressing and how best to care for their female partners and unborn children, and ANC settings that were misaligned to the needs of men and couples. Interventions at the individual, facility and community levels were discussed that could result in improvements to male attendance at pregnancy-related services.

DCASR (Defense Contract Administration Services Region) New York, Total Quality Management Plan

DTIC Science & Technology

1989-07-01

service quality measures on-going Commanders Directors 2. Investigate significant changes on-going Commanders in trends in terms of quality Directors 3...customer satisfaction on-going Commanders indicators and significance of the trends in Directors terms of improvements in product and service quality , and

Transformative leadership based on nursing science.

PubMed

Clarke, Pamela N; Cody, William; Cowling, Richard

2014-04-01

The dialogue for this column is a summary of a dialogue among two preeminent nursing scholars and myself that took place "live" at the 40th Meeting of the American Academy of Nursing, focused on transforming healthcare. The dialogue was recorded and transcribed verbatim. In editing the dialogue I tried to leave it conversational which was the nature of the interaction. The paper that follows reflects the thinking of two executive nurse leaders who use different nursing frameworks as the basis for their practice. Translation of their practice models to leadership is presented as a natural transition to transformation.

A psychology of religious plurality: from intra-religious dialogue to intra-psychic reality.

PubMed

Kramp, Joseph M

2012-09-01

Panikkar's (The intra-religious dialogue, 1978) classic, re-issued by Paulist Press in 1999, grapples with the theological challenges in the disciplines of comparative theology and the theology of religions through what he terms, "intra-religious dialogue." In this psychology of religious plurality, I use works from a variety of disciplines to highlight the achievements of Panikkar's intra-religious dialogue, as well as to critique his work in the hope of finding categories of understanding that can be profitably used to face the inter-personal crises of the contemporary world, namely religious terrorism.

The photo-colorimetric space as a medium for the representation of spatial data

NASA Technical Reports Server (NTRS)

Kraiss, K. Friedrich; Widdel, Heino

1989-01-01

Spatial displays and instruments are usually used in the context of vehicle guidance, but it is hard to find applicable spatial formats in information retrieval and interaction systems. Human interaction with spatial data structures and the applicability of the CIE color space to improve dialogue transparency is discussed. A proposal is made to use the color space to code spatially represented data. The semantic distances of the categories of dialogue structures or, more general, of database structures, are determined empirically. Subsequently the distances are transformed and depicted into the color space. The concept is demonstrated for a car diagnosis system, where the category cooling system could, e.g., be coded in blue, the category ignition system in red. Hereby a correspondence between color and semantic distances is achieved. Subcategories can be coded as luminance differences within the color space.

Alcohol enquiry by GPs - Understanding patients' perspectives: A qualitative study.

PubMed

Tam, Chun Wah Michael; Leong, Louis; Zwar, Nicholas; Hespe, Charlotte

2015-01-01

Patients' beliefs and attitudes toward receiving alcohol enquiry from general practitioners (GPs) are unclear. These need to be understood to implement pragmatic, early detection and brief intervention strategies. We purposively sampled 23 participants from respondents of an earlier survey conducted in a general practice clinic in Sydney, Australia. Semi-structured interviews were conducted between June and August 2014, recorded, transcribed and analysed using grounded theory method to develop an explanatory model. There were three factors that influenced patients' acceptability of alcohol enquiry by GPs: • perceived relevance of the alcohol enquiry dialogue to the consultation • approach and language used in the patient-doctor interaction • unease regarding the moral and stigmatising dimension of alcohol consumption. Patients are positive towards the role of GPs in health promotion, but nonetheless have reservations towards engaging in alcohol discussions. Setting the context for alcohol dialogue, linking it to patients' agendas, collaborative consultation styles and respecting patients' sensitivity may improve acceptability.

Universal health coverage in 'One ASEAN': are migrants included?

PubMed

Guinto, Ramon Lorenzo Luis R; Curran, Ufara Zuwasti; Suphanchaimat, Rapeepong; Pocock, Nicola S

2015-01-01

As the Association of South East Asian Nations (ASEAN) gears toward full regional integration by 2015, the cross-border mobility of workers and citizens at large is expected to further intensify in the coming years. While ASEAN member countries have already signed the Declaration on the Protection and Promotion of the Rights of Migrant Workers, the health rights of migrants still need to be addressed, especially with ongoing universal health coverage (UHC) reforms in most ASEAN countries. This paper seeks to examine the inclusion of migrants in the UHC systems of five ASEAN countries which exhibit diverse migration profiles and are currently undergoing varying stages of UHC development. A scoping review of current migration trends and policies as well as ongoing UHC developments and migrant inclusion in UHC in Indonesia, Malaysia, Philippines, Singapore, and Thailand was conducted. In general, all five countries, whether receiving or sending, have schemes that cover migrants to varying extents. Thailand even allows undocumented migrants to opt into its Compulsory Migrant Health Insurance scheme, while Malaysia and Singapore are still yet to consider including migrants in their government-run UHC systems. In terms of predominantly sending countries, the Philippines's social health insurance provides outbound migrants with portable insurance yet with limited benefits, while Indonesia still needs to strengthen the implementation of its compulsory migrant insurance which has a health insurance component. Overall, the five ASEAN countries continue to face implementation challenges, and will need to improve on their UHC design in order to ensure genuine inclusion of migrants, including undocumented migrants. However, such reforms will require strong political decisions from agencies outside the health sector that govern migration and labor policies. Furthermore, countries must engage in multilateral and bilateral dialogue as they redefine UHC beyond the basis of citizenship and reimagine UHC systems that transcend national borders. By enhancing migrant coverage, ASEAN countries can make UHC systems truly 'universal'. Migrant inclusion in UHC is a human rights imperative, and it is in ASEAN's best interest to protect the health of migrants as it pursues the path toward collective social progress and regional economic prosperity.

Universal health coverage in ‘One ASEAN’: are migrants included?

PubMed Central

Guinto, Ramon Lorenzo Luis R.; Curran, Ufara Zuwasti; Suphanchaimat, Rapeepong; Pocock, Nicola S.

2015-01-01

Background As the Association of South East Asian Nations (ASEAN) gears toward full regional integration by 2015, the cross-border mobility of workers and citizens at large is expected to further intensify in the coming years. While ASEAN member countries have already signed the Declaration on the Protection and Promotion of the Rights of Migrant Workers, the health rights of migrants still need to be addressed, especially with ongoing universal health coverage (UHC) reforms in most ASEAN countries. This paper seeks to examine the inclusion of migrants in the UHC systems of five ASEAN countries which exhibit diverse migration profiles and are currently undergoing varying stages of UHC development. Design A scoping review of current migration trends and policies as well as ongoing UHC developments and migrant inclusion in UHC in Indonesia, Malaysia, Philippines, Singapore, and Thailand was conducted. Results In general, all five countries, whether receiving or sending, have schemes that cover migrants to varying extents. Thailand even allows undocumented migrants to opt into its Compulsory Migrant Health Insurance scheme, while Malaysia and Singapore are still yet to consider including migrants in their government-run UHC systems. In terms of predominantly sending countries, the Philippines's social health insurance provides outbound migrants with portable insurance yet with limited benefits, while Indonesia still needs to strengthen the implementation of its compulsory migrant insurance which has a health insurance component. Overall, the five ASEAN countries continue to face implementation challenges, and will need to improve on their UHC design in order to ensure genuine inclusion of migrants, including undocumented migrants. However, such reforms will require strong political decisions from agencies outside the health sector that govern migration and labor policies. Furthermore, countries must engage in multilateral and bilateral dialogue as they redefine UHC beyond the basis of citizenship and reimagine UHC systems that transcend national borders. Conclusions By enhancing migrant coverage, ASEAN countries can make UHC systems truly ‘universal’. Migrant inclusion in UHC is a human rights imperative, and it is in ASEAN's best interest to protect the health of migrants as it pursues the path toward collective social progress and regional economic prosperity. PMID:25626624

Raising Ethnic-Racial Consciousness: The Relationship between Intergroup Dialogues and Adolescents' Ethnic-Racial Identity and Racism Awareness

ERIC Educational Resources Information Center

Aldana, Adriana; Rowley, Stephanie J.; Checkoway, Barry; Richards-Schuster, Katie

2012-01-01

Empirical evidence shows that intergroup dialogue programs promote changes in ethnic-racial identity and racism awareness among college students. Expanding on this research, this study examines the effects of intergroup dialogues on adolescents' racial consciousness. Self-reports of 147 adolescents (13-19 years old), of various racial and ethnic…

Jim and Dave: A Dialogue.

ERIC Educational Resources Information Center

Doud, Robert E.

This is a fictional dialogue intended to honor Jim Kingman and David Leary, both professors of history who retired after long careers at Pasadena City College in California (PCC). The dialogue hypothesizes the observations of both men as they look on the honorary gold plates of previous retirees that decorate the wall of a PCC public dining hall.…

This Is What a Feminist (Space) Looks Like: (Re)conceptualizing Women's Centers as Feminist Spaces in Higher Education

ERIC Educational Resources Information Center

Nicolazzo, Z.; Harris, Crystal

2014-01-01

By sharing an honest, thoughtful dialogue about how their different identities affect their experience of feminism and feminist spaces, Z Nicolazzo and Crystal Harris model duoethnographic dialogue--a type of dialogue across difference that has the potential to be a catalyst for transformative student learning.

Do You Think You Can? The Influence of Student Self-Efficacy on the Effectiveness of Tutorial Dialogue for Computer Science

ERIC Educational Resources Information Center

Wiggins, Joseph B.; Grafsgaard, Joseph F.; Boyer, Kristy Elizabeth; Wiebe, Eric N.; Lester, James C.

2017-01-01

In recent years, significant advances have been made in intelligent tutoring systems, and these advances hold great promise for adaptively supporting computer science (CS) learning. In particular, tutorial dialogue systems that engage students in natural language dialogue can create rich, adaptive interactions. A promising approach to increasing…

Intercultural Dialogue in Practice: Managing Value Judgment through Foreign Language Education

ERIC Educational Resources Information Center

Houghton, Stephanie Ann

2012-01-01

The term intercultural dialogue has become a buzzword at policy level, but there is a pressing need to synchronise the terminology of policymakers with that of academics. An overarching aim of this book is to explore the wide-ranging terminology relevant to intercultural dialogue in order to promote clearer consideration of the underlying issues.…

Reciprocal Dialogue between Educational Decision Makers and Students of Color: Opportunities and Obstacles

ERIC Educational Resources Information Center

Bertrand, Melanie

2014-01-01

Purpose: This article explores the possibilities for reciprocal dialogue between educational decision makers and Students of Color. Such dialogue--defined as interactions in which participants build on each other's words--may provide the means to develop creative ways to address manifestations of systemic racism in education. The article uses…

An Online Synchronous e-Dialogue Series on Nuclear Waste Management in Canada

ERIC Educational Resources Information Center

Dale, Ann; Newman, Lenore

2006-01-01

Online dialogues can meaningfully engage a diverse audience and provide a method to both educate and interest the public in complex environmental and social issues. This article discusses a series of e-dialogues conducted for the Nuclear Waste Management Organization of Canada in which the public engaged in discussions concerning the risk and…

Exploring Creative Thinking in Graphically Mediated Synchronous Dialogues

ERIC Educational Resources Information Center

Wegerif, Rupert; McLaren, Bruce M.; Chamrada, Marian; Scheuer, Oliver; Mansour, Nasser; Miksatko, Jan; Williams, Mriga

2010-01-01

This paper reports on an aspect of the EC funded Argunaut project which researched and developed awareness tools for moderators of online dialogues. In this study we report on an investigation into the nature of creative thinking in online dialogues and whether or not this creative thinking can be coded for and recognized automatically such that…

Can a Rabbit Be a Scientist? Stimulating Philosophical Dialogue in Science Classes

ERIC Educational Resources Information Center

Dunlop, Lynda; de Schrijver, Jelle

2018-01-01

Philosophical dialogue requires an approach to teaching and learning in science that is focused on problem posing and provides space for meaning making, finding new ways of thinking and understanding and for linking science with broader human experiences. This article explores the role that philosophical dialogue can play in science lessons and…

Interfaith Dialogue at Peace Museums in Kenya

ERIC Educational Resources Information Center

Gachanga, Timothy; Mutisya, Munuve

2015-01-01

This paper makes a case for further studies on the contribution of peace museums to interfaith dialogue debate. Based on our experiences as museum curators, teachers and peace researchers and a review of published materials, we argue that there is a lacuna in the study on the contribution of peace museums to the interfaith dialogue debate. The…

Paulo Freire on Higher Education: A Dialogue at the National University of Mexico. SUNY Series, Teacher Empowerment and School Reform.

ERIC Educational Resources Information Center

Escobar, Miguel; And Others

This volume presents a dialogue in 1984 between internationally recognized philosopher/educator, Paulo Freire, and Miguel Escobar, Alfredo L. Fernandez, and Gilberto Guevara-Niebla, educators at the National University of Mexico, on educational emancipation and the role of higher education. The dialogues address the relationships between education…

Dialogue on Dialogue on Dialogic Pedagogy

ERIC Educational Resources Information Center

Sullivan, Paul

2014-01-01

It appears that in September, 2011, Rome experienced much more than a dialogue on dialogic pedagogy but a gladiatorial clash of personalities and ideas. Heat, we are told, was generated (above, p.1) and in the dissipation of this heat on to the page, even the reader gets hot and flushed. We are told that arguments "fail" (above, p.16);…

Dialogue as a Catalyst for Teacher Change: A Conceptual Analysis

ERIC Educational Resources Information Center

Penlington, Clare

2008-01-01

Teacher-teacher dialogue is a central activity within many professional learning programs. Understanding how and why dialogue works as an effective tool for teacher change is a question, however, that needs more careful probing in the extant literature. In this paper, I draw upon the philosophical theory of practical reason in order to show why…

A Case Study of Epistemic Order in Mathematics Classroom Dialogue

ERIC Educational Resources Information Center

Ruthven, Kenneth; Hofmann, Riikka

2016-01-01

We define epistemic order as the way in which the exchange and development of knowledge takes place in the classroom, breaking this down into a system of three components: epistemic initiative relating to who sets the agenda in classroom dialogue, and how; epistemic appraisal relating to who judges contributions to classroom dialogue, and how; and…

Meaningful Dialogue in Digitally Mediated Learning for In-Service Teacher Development

ERIC Educational Resources Information Center

Cramp, Andy

2015-01-01

This paper considers the role and development of meaningful dialogue in digitally mediated learning (DML) in UK higher education for teachers. It argues that more research is vital in the field of meaningful dialogue if we are to avoid the risk that pedagogic values in DML become increasingly driven by market forces toward "data vending"…

Researching Teachers' and Parents' Perceptions of Dialogue

ERIC Educational Resources Information Center

Tveit, Anne Dorthe

2014-01-01

While there has been a great deal of research done on parent involvement and the challenges of conducting effective dialogue in parent-teacher meetings, less attention has been paid to how teachers and parents themselves perceive dialogue. The purpose of the present article is to study whether deliberative principles are vital to teachers'…

Fieldwork, Co-Teaching and Co-Generative Dialogue in Lower Secondary School Environmental Science

ERIC Educational Resources Information Center

Rahmawati, Yuli; Koul, Rekha

2016-01-01

This article reports one of the case studies in a 3-year longitudinal study in environmental science education. This case explores the process of teaching about ecosystems through co-teaching and co-generative dialogue in a Year-9 science classroom in Western Australia. Combining with co-teaching and co-generative dialogue aimed at transforming…

76 FR 77585 - Meeting of Advisory Committee on the Secretary of State's Strategic Dialogue With Civil Society

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-13

...'s Strategic Dialogue With Civil Society ACTION: Notice of meeting. SUMMARY: Pursuant to the... Strategic Dialogue With Civil Society will convene in Washington, DC on January 17, 2012. The Committee... protection of, civil society worldwide. The objective of this meeting is to review the progress of the...

Dialogues in Performance: A Team-Taught Course on the Afterlife in the Classical and Italian Traditions

ERIC Educational Resources Information Center

Gosetti-Murrayjohn, Angela; Schneider, Federico

2009-01-01

This article provides a reflection on a team-teaching experience in which performative dialogues between co-instructors and among students provided a pedagogical framework within which comparative analysis of textual traditions within the classical tradition could be optimized. Performative dialogues thus provided a model for and enactment of…

The High Stakes of Artificial Dialogue in Teacher Education

ERIC Educational Resources Information Center

Simpson, Douglas J.

2009-01-01

Talking about important events, experiences, and ideas is a crucial societal concern for many reasons. In the field of teacher education, dialogue may be even more difficult because it is sometimes seen as being both essential and troubling. Dialogue is complicated because some people are fearful of open inquiry; others are inclined to rant; and…

Interns' Professional Knowledge and Professional Identity Formation in Online Peer-Led Dialogue

ERIC Educational Resources Information Center

Lee, Hyun-Myoung

2010-01-01

The purpose of this study was to make interns-central members who directed a change the nature of the conception of professional development in an online peer-led dialogue. My focuses were what pedagogical aspects in an online peer-led dialogue contributed to intern's professional development (i.e., professional knowledge development and…

Professional Dialogue, Reflective Practice and Teacher Research: Engaging Early Childhood Pre-Service Teachers in Collegial Dialogue about Curriculum Innovation

ERIC Educational Resources Information Center

Simoncini, Kym M.; Lasen, Michelle; Rocco, Sharn

2014-01-01

While embedded in teacher professional standards and assumed aspects of teacher professionalism, willingness and ability to engage in professional dialogue about practice and curriculum initiatives are rarely examined or explicitly taught in teacher education programs. With this in mind, the authors designed an assessment task for pre-service…

Patient education about anticoagulant medication: is narrative evidence or statistical evidence more effective?

PubMed

Mazor, Kathleen M; Baril, Joann; Dugan, Elizabeth; Spencer, Frederick; Burgwinkle, Pamela; Gurwitz, Jerry H

2007-12-01

To determine the relative impact of incorporating narrative evidence, statistical evidence or both into patient education about warfarin, a widely used oral anticoagulant medication. 600 patients receiving anticoagulant therapy were randomly assigned to view one of three versions of a video depicting a physician-patient encounter where anticoagulation treatment was discussed, or usual care (no video). The videos differed in whether the physician used narrative evidence (patient anecdotes), statistical evidence, or both to highlight key information. 317 patients completed both the baseline and post-test questionnaires. Questions assessed knowledge, beliefs and adherence to medication and laboratory monitoring regimens. All three approaches positively effected patients' warfarin-related knowledge, and beliefs in the importance of lab testing; there was also some indication that viewing a video strengthened belief in the benefits of warfarin. There was some indication that narrative evidence had a greater impact than statistical evidence on beliefs about the importance of lab testing and on knowledge. No other evidence of the differential effectiveness of either approach was found. No statistically significant effect was found on intent to adhere, or documented adherence to lab monitoring. Videos depicting a physician-patient dialogue about warfarin were effective in educating patients about anticoagulant medication, and had a positive impact on their beliefs. The use of narrative evidence in the form of patient anecdotes may be more effective than statistical evidence for some patient outcomes. Patients on oral anticoagulant therapy may benefit from periodic educational efforts reinforcing key medication safety information, even after initial education and ongoing monitoring. Incorporating patient anecdotes into physician-patient dialogues or educational materials may increase the effectiveness of the message.

Preparing culture change agents for academic medicine in a multi-institutional consortium: the C - change learning action network.

PubMed

Pololi, Linda H; Krupat, Edward; Schnell, Eugene R; Kern, David E

2013-01-01

Research suggests an ongoing need for change in the culture of academic medicine. This article describes the structure, activities and evaluation of a culture change project: the C - Change Learning Action Network (LAN) and its impact on participants. The LAN was developed to create the experience of a culture that would prepare participants to facilitate a culture in academic medicine that would be more collaborative, inclusive, relational, and that supports the humanity and vitality of faculty. Purposefully diverse faculty, leaders, and deans from 5 US medical schools convened in 2 1/2-day meetings biannually over 4 years. LAN meetings employed experiential, cognitive, and affective learning modes; innovative dialogue strategies; and reflective practice aimed at facilitating deep dialogue, relationship formation, collaboration, authenticity, and transformative learning to help members experience the desired culture. Robust aggregated qualitative and quantitative data collected from the 5 schools were used to inform and stimulate culture-change plans. Quantitative and qualitative evaluation methods were used. Participants indicated that a safe, supportive, inclusive, collaborative culture was established in LAN and highly valued. LAN members reported a deepened understanding of organizational change, new and valued interpersonal connections, increased motivation and resilience, new skills and approaches, increased self-awareness and personal growth, emotional connection to the issues of diversity and inclusion, and application of new learnings in their work. A carefully designed multi-institutional learning community can transform the way participants experience and view institutional culture. It can motivate and prepare them to be change agents in their own institutions. Copyright © 2013 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education.

Quality Matters™: An Educational Input in an Ongoing Design-Based Research Project

ERIC Educational Resources Information Center

Adair, Deborah; Shattuck, Kay

2015-01-01

Quality Matters (QM) has been transforming established best practices and online education-based research into an applicable, scalable course level improvement process for the last decade. In this article, the authors describe QM as an ongoing design-based research project and an educational input for improving online education.

Understanding Genetic Breast Cancer Risk: Processing Loci of the BRCA Gist Intelligent Tutoring System

PubMed Central

Wolfe, Christopher R.; Reyna, Valerie F.; Widmer, Colin L.; Cedillos-Whynott, Elizabeth M.; Brust-Renck, Priscila G; Weil, Audrey M.; Hu, Xiangen

2016-01-01

The BRCA Gist Intelligent Tutoring System helps women understand and make decisions about genetic testing for breast cancer risk. BRCA Gist is guided by Fuzzy-Trace Theory, (FTT) and built using AutoTutor Lite. It responds differently to participants depending on what they say. Seven tutorial dialogues requiring explanation and argumentation are guided by three FTT concepts: forming gist explanations in one’s own words, emphasizing decision-relevant information, and deliberating the consequences of decision alternatives. Participants were randomly assigned to BRCA Gist, a control, or impoverished BRCA Gist conditions removing gist explanation dialogues, argumentation dialogues, or FTT images. All BRCA Gist conditions performed significantly better than controls on knowledge, comprehension, and risk assessment. Significant differences in knowledge, comprehension, and fine-grained dialogue analyses demonstrate the efficacy of gist explanation dialogues. FTT images significantly increased knowledge. Providing more elements in arguments against testing correlated with increased knowledge and comprehension. PMID:28008216

Understanding Genetic Breast Cancer Risk: Processing Loci of the BRCA Gist Intelligent Tutoring System.

PubMed

Wolfe, Christopher R; Reyna, Valerie F; Widmer, Colin L; Cedillos-Whynott, Elizabeth M; Brust-Renck, Priscila G; Weil, Audrey M; Hu, Xiangen

2016-07-01

The BRCA Gist Intelligent Tutoring System helps women understand and make decisions about genetic testing for breast cancer risk. BRCA Gist is guided by Fuzzy-Trace Theory, (FTT) and built using AutoTutor Lite. It responds differently to participants depending on what they say. Seven tutorial dialogues requiring explanation and argumentation are guided by three FTT concepts: forming gist explanations in one's own words, emphasizing decision-relevant information, and deliberating the consequences of decision alternatives. Participants were randomly assigned to BRCA Gist , a control, or impoverished BRCA Gist conditions removing gist explanation dialogues, argumentation dialogues, or FTT images. All BRCA Gist conditions performed significantly better than controls on knowledge, comprehension, and risk assessment. Significant differences in knowledge, comprehension, and fine-grained dialogue analyses demonstrate the efficacy of gist explanation dialogues. FTT images significantly increased knowledge. Providing more elements in arguments against testing correlated with increased knowledge and comprehension.

Automatic mechanisms for measuring subjective unit of discomfort.

PubMed

Hartanto, D W I; Kang, Ni; Brinkman, Willem-Paul; Kampmann, Isabel L; Morina, Nexhmedin; Emmelkamp, Paul G M; Neerincx, Mark A

2012-01-01

Current practice in Virtual Reality Exposure Therapy (VRET) is that therapists ask patients about their anxiety level by means of the Subjective Unit of Discomfort (SUD) scale. With an aim of developing a home-based VRET system, this measurement ideally should be done using speech technology. In a VRET system for social phobia with scripted avatar-patient dialogues, the timing of asking patients to give their SUD score becomes relevant. This study examined three timing mechanisms: (1) dialogue dependent (i.e. naturally in the flow of the dialogue); (2) speech dependent (i.e. when both patient and avatar are silent); and (3) context independent (i.e. randomly). Results of an experiment with non-patients (n = 24) showed a significant effect for the timing mechanisms on the perceived dialogue flow, user preference, reported presence and user dialog replies. Overall, dialogue dependent timing mechanism seems superior followed by the speech dependent and context independent timing mechanism.

[Self-Reflection From Group Dialogue: The Lived Experience of Psychiatric/Mental Health Nurses].

PubMed

Chiang, Hsien-Hsien

2015-08-01

Self-reflection is an essential element of reflective practice for group facilitators. However, this element typically exists largely at the personal level and is not addressed in group dialogues of nurses. The purpose of this study was to explore the self-reflection of psychiatric nurses in a supervision group. A phenomenological approach was used to investigate the dialogues across 12 sessions in terms of discussion content and the reflective journals of the psychiatric nurse participants. The findings showed that two forms of self-reflection included: Embodied self-reflection derived from the physical sensibility and discursive self-reflection derived from the group dialogues. The embodied and discursive self-reflections promote self-awareness in nurses. The embodiment and initiation in the group facilitates the process of self-becoming through the group dialogue, which promotes self-examination and self-direction in healthcare professionals.

What we have learnt (so far) about deliberative dialogue for evidence-based policymaking in West Africa

PubMed Central

Dagenais, Christian

2017-01-01

Policy decisions do not always take into account research results, and there is still little research being conducted on interventions that promote their use, particularly in Africa. To promote the use of research evidence in Africa, deliberative dialogue workshops are increasingly recommended as a means to establish evidence-informed dialogue among multiple stakeholders engaged in policy decision-making. In this paper, we reflect on our experiences of conducting national workshops in six African countries, and we propose operational recommendations for those wishing to organise deliberative dialogue. Our reflective and cross-sectional analysis of six national deliberative dialogue workshops in which we participated shows there are many specific challenges that should be taken into account when organising such encounters. In conclusion, we offer operational recommendations, drawn from our experience, to guide the preparation and conduct of deliberative workshops. PMID:29259821

The Role of Student Learning Outcomes for Institutional Accountability and Transparency. Pathways to College Network Brief

ERIC Educational Resources Information Center

Pathways to College Network, 2012

2012-01-01

The national focus on college completion has prompted a number of ambitious education goals, numerous research- and practice-based initiatives, and a spotlight on the need to continually improve higher education access and success. This national dialogue has raised not only public and political will for postsecondary completion, but also a number…

Labour and Development. Farm House Dialogue (5th, Ota, Nigeria, July 7-9, 1989).

ERIC Educational Resources Information Center

Africa Leadership Forum.

This document summarizes discussions at an invitational workshop on labor development in Nigeria. The discussion centered on the need to promote an individual work ethic and to improve the quality of life of the average worker. The following broad topics were discussed: (1) the negative effect of colonialism on individual productivity and the lack…

US Foreign Policy toward North Korea: A Way Ahead

DTIC Science & Technology

2008-01-01

property rights, suffer from poverty, encourage black markets , and involve themselves in other illicit activities, including money counter­ feiting...formal national security strategy is not yet published. As a longtime US ally whose democratic institutions, capitalist market system, and national...regards the improvement and strength­ ening of multilayer frameworks for bilateral and multilateral dialogue while securing the presence and engagement

Effects of a Dialogue-Based Program to Improve Emotion Knowledge in Spanish Roma Preschoolers

ERIC Educational Resources Information Center

Giménez-Dasí, Marta; Quintanilla, Laura; Ojeda, Vanesa; Lucas-Molina, Beatriz

2017-01-01

Romas are one of the largest minority groups in Spain and Europe, but no specific data on children's socioemotional learning are available. Our goal was to determine the level of socioemotional knowledge of a group of 4- and 5-year-old Roma children and to implement an intervention program at school. Forty-three Roma children participated…

Creating and Testing a Model for Tutors and Participants to Support the Collaborative Construction of Knowledge Online

ERIC Educational Resources Information Center

Seddon, Kathy; Postlethwaite, Keith

2007-01-01

This paper describes the construction and testing of a model designed to inform contributors to online collaborative dialogues about the nature of their contribution, and to guide the input from tutors who facilitate these dialogues. In particular, the model was designed to assist reflection on learning behaviours in online dialogues by…

Listening to Children in Dialogue. A Response to "'State Your Defense!' Children Negotiate Analytic Frames in the Context of Deliberative Dialogue"

ERIC Educational Resources Information Center

Bickmore, Kathy

2017-01-01

In this appreciative response to Jennifer Hauver's article about elementary children's negotiation of analytic frames in deliberative dialogue during input into a school governance decision, Bickmore argues for the value of such agentic, citizenship-relevant learning opportunities in public schools. She points to their unfortunate infrequency (to…

Faith Dialogue as a Pedagogy for a Post Secular Religious Education

ERIC Educational Resources Information Center

Castelli, Mike

2012-01-01

Inter-faith or inter-religious dialogue takes place for a range of reasons and comes in many guises, from the reconciliatory encounter to ease rivalry, to an engagement with the other in an exploration of the meaning and purpose of the human condition. This article examines the process of dialogue in a religious education context and proposes a…

Defense.gov - Special Report - Travels With Gates

Science.gov Websites

/Photos Leaders DoD Web Sites Contact Us Shangri-La Dialogue: Asia Security Summit Alaska Visit – June Shangri-La Dialogue on Asia Security Summit, Singapore, May 30, 2009. DoD photo by U.S. Air Force Master Robert M. Gates opened the “Shangri-La Dialogue” Asia security summit outlining broad security issues

NATO Regional Capacity Building: The Foundation for Success in the Counter-Piracy Campaign

DTIC Science & Technology

2011-04-16

could best tailor 68 Nana K. Poku, Neil Renwick, and Joao Gomes Porto, “Human Security and...be established for 79 Alberto Bin, “NATO’s Mediterranean dialogue,” in The Future of the...nations. 81 Alberto Bin, “NATO’s Mediterranean dialogue,” in The Future of the Euro-Mediterranean Security Dialogue, ed. Martin Ortega (Paris

Theoretical Bridge-Building: The Career Development Project for the 21st Century Meets the New Era of Human Resource Development

ERIC Educational Resources Information Center

Cameron, Roslyn

2009-01-01

There are theoretical and disciplinary field links between career development and human resource development, however interdisciplinary dialogue between the two fields has been essentially limited to one-way dialogue. This one-way dialogue occurs from within the human resource development field, due to the explicit inclusion of career development…

Ethics Responsibility Dialogue the Meaning of Dialogue in Lévinas's Philosophy

ERIC Educational Resources Information Center

Ben-Pazi, Hanoch

2016-01-01

This article examines the concept of dialogue in the philosophy of Emmanuel Lévinas, with a focus on the context of education. Its aim is to create a conversation between the Lévinasian theory and the theories of other philosophers, especially Martin Buber, in an effort to highlight the ethical significance that Lévinas assigns to the act of…

Commentary: further points for dialogue on the death penalty, the church, and our profession.

PubMed

Young, John L

2008-01-01

The invitation to dialogue on the subject of the death penalty is both important for our time and challenging in what it calls forth from us. It forces us to recognize both the fundamental privacy of individual intention and the potential breadth of its reach. It can deepen our sense of responsibility for what happens to others on our account, even in the apparent absence of intention. The astonishing power of the spoken word should be harnessed by cooperative dialogue to focus its consequences more sharply on the demands of justice. We need dialogue to attend faithfully to our deepest obligations and longings.

Stakeholder Dialogue as Deliberation for Decision Making in Health Policy and Systems: The Approach from Argumentation Theory.

PubMed

Rubinelli, Sara; von Groote, Per Maximilian

2017-02-01

The literature on knowledge translation and dissemination in health care highlights the value of the stakeholder dialogue, namely, a structured process where stakeholders interact to identify the best solution to a given problem. By analyzing the stakeholder dialogue as a form of deliberative argumentation, this article identifies those factors that may hinder or facilitate reaching agreement among stakeholders on options to target problems. Conceptual analysis based on the descriptive and evaluation methods of argumentation theory. When stakeholders have a difference of opinion, confrontation alone does not lead to agreement. A normative model of critical discussion is needed to facilitate stakeholders in reaching this agreement and to prevent barriers to it that can result from personal factors (e.g., attitude and beliefs) or communication moves. This type of dialogue requires a training of stakeholders about the preconditions of argumentation and its different stages. The figure of the moderator is crucial in ensuring that the dialogue fulfills standards of reasonableness. This article offers a reading of the stakeholder dialogue rooted in the tradition of critical thinking. It instructs on how to promote a collaborative exchange among stakeholders as a way to go beyond any expression of views.

Bruner's Search for Meaning: A Conversation between Psychology and Anthropology

PubMed Central

Mattingly, Cheryl; Lutkehaus, Nancy C.; Throop, C. Jason

2010-01-01

We introduce a special issue of Ethos devoted to the work of Jerome Bruner and his careerlong attempts to seek innovative ways to foster a dialogue between psychology and anthropology. The articles in this special issue situate Bruner's meaning-centered approach to psychology and his groundbreaking work on narrative in the broader context of the developmental trajectory of both of fields of inquiry. Bruner's work has been enormously influential in the subfields of cultural psychology and psychological anthropology, especially because of his important contributions to our understanding of the intimate relationship between culture and mind. We examine Bruner's past and ongoing engagement with such luminary figures as Lev Vygotsky, Jean Piaget, Alfred Kroeber, Claude Lévi-Strauss, and Clifford Geertz to highlight points of convergence and tension between his version of cultural psychology and contemporary theorizing and practice in psychological anthropology. We also review his practical and theoretical contributions to the fields of medicine, law, and education. PMID:20706551

Building a stakeholder network for the Indiana Climate Change Impacts Assessment

NASA Astrophysics Data System (ADS)

Dukes, J. S.; Widhalm, M.

2017-12-01

The Indiana Climate Change Impacts Assessment (IN CCIA) is a stakeholder-informed, service-driven resource developed under the coordination of the Purdue Climate Change Research Center (PCCRC) and with involvement from a diverse mix of contributors throughout the state. The IN CCIA brings together the best available climate change research into a series of reports aimed at helping Hoosiers better understand climate change-related risks so they can prepare for challenges and capitalize on opportunities. The IN CCIA development process aims to 1) increase the dialogue about climate change across the state, 2) provide Indiana decision makers with accessible, credible climate impact information, and 3) build a network of experts and stakeholders to support ongoing assessment efforts and knowledge sharing. This presentation will report on our experience with developing and maintaining a diverse stakeholder network. We will describe our efforts to connect with stakeholders before, during, and after the development of assessment reports and share the top themes that emerged from our pre-assessment inquires and other interactions.

Toward visual user interfaces supporting collaborative multimedia content management

NASA Astrophysics Data System (ADS)

Husein, Fathi; Leissler, Martin; Hemmje, Matthias

2000-12-01

Supporting collaborative multimedia content management activities, as e.g., image and video acquisition, exploration, and access dialogues between naive users and multi media information systems is a non-trivial task. Although a wide variety of experimental and prototypical multimedia storage technologies as well as corresponding indexing and retrieval engines are available, most of them lack appropriate support for collaborative end-user oriented user interface front ends. The development of advanced user adaptable interfaces is necessary for building collaborative multimedia information- space presentations based upon advanced tools for information browsing, searching, filtering, and brokering to be applied on potentially very large and highly dynamic multimedia collections with a large number of users and user groups. Therefore, the development of advanced and at the same time adaptable and collaborative computer graphical information presentation schemes that allow to easily apply adequate visual metaphors for defined target user stereotypes has to become a key focus within ongoing research activities trying to support collaborative information work with multimedia collections.

Trends In News Media Coverage Of Mental Illness In The United States: 1995–2014

PubMed Central

McGinty, Emma E.; Kennedy-Hendricks, Alene; Choksy, Seema; Barry, Colleen L.

2016-01-01

The United States is engaged in ongoing dialogue around mental illness. To assess trends in this national discourse, we studied the volume and content of a random sample of 400 news stories about mental illness from the period 1995–2014. Compared to news stories in the first decade of the study period, those in the second decade were more likely to mention mass shootings by people with mental illnesses. The most frequently mentioned topic across the study period was violence (55 percent overall) divided into categories of interpersonal violence or self-directed (suicide) violence, followed by stories about any type of treatment for mental illness (47 percent). Fewer news stories, only 14 percent, described successful treatment for or recovery from mental illness. The news media’s continued emphasis on interpersonal violence is highly disproportionate to actual rates of violence among those with mental illnesses. Research suggests that this focus may exacerbate social stigma and decrease support for public policies that benefit people with mental illnesses. PMID:27269031

Genes and plays: bringing ELSI issues to life.

PubMed

Rothenberg, Karen H; Bush, Lynn W

2012-02-01

Ethical complexities surround the promise of genomic technology and the power of genetic information as they alter conceptions of identity and dynamics within personal and professional relationships. Creative approaches such as dramatic vignettes offer a unique analytical stage for imagining the bioethical past and future. Dramatic narratives can bring to life images of differing perspectives and values when experiencing innovations in medicine. Although the scientific landscape shifts, concerns expressed in theatre from 50 years ago parallel many contemporary ELSI (ethical, legal, and social implications) issues, highlighting the ongoing struggle to appreciate the impact of emerging genetic technologies on relationships. To illuminate these enduring concerns, we explore how perceptions and relationships have influenced-and been influenced by-genetics as portrayed through dramatic vignettes. We build on the legacy of using case vignettes as a clinical teaching modality, and believe similar value exists within the research ethics domain. The selection of dialogue discussed encompasses abbreviated excerpts from two existing and one original vignette that we staged at the ELSI 2011 Congress and various academic and health institutions.

A geospatial assessment of mini/small hydropower potential in Sub-Saharan Africa

NASA Astrophysics Data System (ADS)

Korkovelos, Alexandros; Mentis, Dimitrios; Hussain Siyal, Shahid; Arderne, Christopher; Beck, Hylke; de Roo, Ad; Howells, Mark

2017-04-01

Sub-Saharan Africa has been the epicenter of ongoing global dialogues around energy poverty and justifiably so. More than half of the world's unserved population lives there. At the same time, a big part of the continent is privileged with plentiful renewable energy resources. Hydropower is one of them and to a large extent it remains untapped. This study focuses on the technical assessment of small-scale hydropower (0.01-10 MW) in Sub-Saharan Africa. The underlying methodology was based on open source geospatial datasets, whose combination allowed a consistent evaluation of 712,615 km of river network spanning over 44 countries. Environmental, topological and social constraints were included in the form of geospatial restrictions to help preserve the natural wealth and promote sustainable development. The results revealed that small-scale hydropower could cover 8.5-12.5% of the estimated electricity demand in 2030, thus making it a viable option to support electrification efforts in the region.

The Crosstown initiative: art, community, and placemaking in Memphis.

PubMed

Thomas, Elizabeth; Pate, Sarah; Ranson, Anna

2015-03-01

This case study examines an arts organization at the center of an urban neighborhood revitalization effort and its contributions to creative placemaking and inclusive community building. The study documents innovative arts practices and explores their meaning for a local context, an understudied city in the Mid-South region of the United States. It builds on the research team's ongoing work as teachers, students, and scholars in partnership with the arts organization. It includes systematic participant observation, interviews with stakeholders, and a review of historical and contemporary media coverage. We found that the organization and its practices provided a rich context for exploring an expanded sense of community including bridging social capital and place-based frameworks. Analysis suggests that the organization's intentional arts based practices bring multiple understandings of community and art into meaningful dialogue through the generation of creative and social friction. These practices illustrate one context-specific strategy addressing the tensions in a community-diversity dialectic (Townley et al. in Am J Commun Psychol 47:69-85, 2011).

Communicating With Residents About Risks Following the Fukushima Nuclear Accident.

PubMed

Murakami, Michio; Sato, Akiko; Matsui, Shiro; Goto, Aya; Kumagai, Atsushi; Tsubokura, Masaharu; Orita, Makiko; Takamura, Noboru; Kuroda, Yujiro; Ochi, Sae

2017-03-01

The Fukushima nuclear accident in March 2011 posed major threats to public health. In response, medical professionals have tried to communicate the risks to residents. To investigate forms of risk communication and to share lessons learned, we reviewed medical professionals' activities in Fukushima Prefecture from the prefectural level to the individual level: public communication through Fukushima Health Management Surveys, a Yorozu ("general") health consultation project, communications of radiological conditions and health promotion in Iitate and Kawauchi villages, dialogues based on whole-body counter, and science communications through online media. The activities generally started with radiation risks, mainly through group-based discussions, but gradually shifted to face-to-face communications to address comprehensive health risks to individuals and well-being. The activities were intended to support residents' decisions and to promote public health in a participatory manner. This article highlights the need for a systematic evaluation of ongoing risk communication practices, and a wider application of successful approaches for Fukushima recovery and for better preparedness for future disasters.

Civil society engagement in multi-stakeholder dialogue: a qualitative study exploring the opinions and perceptions of MeTA members.

PubMed

Buckland-Merrett, Gemma L; Kilkenny, Catherine; Reed, Tim

2017-01-01

The Medicines Transparency Alliance (MeTA) is an initiative that brings together all stakeholders in the medicines market to create a multi-stakeholder dialogue and improve access, availability and affordability of medicines. Key to this multi-stakeholder dialogue is the participation of Civil Society Organisations. A recent MeTA annual review, identified uneven engagement of civil society organisations in the multi-stakeholder process. This study was designed to explore the engagement of Civil Society Organisations in the MeTA multi-stakeholder process and the factors influencing their participation. Participants were drawn from a convenience sample of key MeTA informants attending a MeTA global meeting in Geneva in 2014. Study participants consisted of members of MeTA, which included representatives from government, the private sector and civil society. In-depth semi-structured face-to-face interviews were conducted to identify perceptions around the barriers to civil society engagement in the multi-stakeholder process. Interviews were guided by a conceptual framework exploring the three main themes of the political environment, relative stakeholder strength and agenda setting/gatekeepers. Interviews were structured to enable additional themes to emerge and be explored. Fifteen interviews were conducted. The interviews were audio recorded, transcribed verbatim and analysed using a general inductive approach. All interviewees provided written informed consent. Findings were captured within three main overarching themes: the political environment, relative stakeholder strength and agenda setting/gatekeepers, with the opportunity for additional themes to emerge in the interviewing process. The study conformed these three themes were important in the engagement process. Participants reported that civil society engagement is particularly limited by those who set the agenda. It was largely seen that the political environment was the significant factor that enabled or disabled all others. The findings counter the argument that CSO barriers to engagement are predominantly due to capacity issues. This study enriches previous findings by providing insights into civil society participation in multi-stakeholder dialogue, specifically the MeTA initiative. The development of more rigorous and systematic accountability mechanisms in order to maintain the legitimacy of decision-making processes and establish more equal power relations would significantly benefit the engagement of civil society organisations. The results inform practical recommendations for MeTA and future multi-stakeholder programmes tasked with improving policy on the access, availability and affordability of medicines.

Same description, different values. How service users and providers define patient and public involvement in health care.

PubMed

Rise, Marit By; Solbjør, Marit; Lara, Mariela C; Westerlund, Heidi; Grimstad, Hilde; Steinsbekk, Aslak

2013-09-01

Patient and public involvement in health care is important, but the existing definitions of the concept do not integrate the stakeholders' own perceptions. To investigate and compare service users' and service providers' own definitions of patient and public involvement and their implications. Qualitative study with mainly individual in-depth semi-structured interviews conducted between June 2007 and June 2009. Data were analysed using a grounded theory approach. A total of 20 patients, 13 public representatives and 44 health service providers/managers in both somatic and mental health care were interviewed. A common definition of patient and public involvement emerged: It is founded on mutual respect, carried out through dialogue aiming at achieving shared decision making. Nevertheless, users and providers assigned different values to the core aspects: Respect was imperative for service users and implied for providers, dialogue was a way to gain respect for service users and to achieve good outcome for providers, and both worried that the other party wanted to make sole decisions. Users and providers need to consider that although they have a common definition of involvement in health care, they assign different values to its aspects. Increasing and improving patient and public involvement therefore requires knowledge on and dialogue between the parties about these differences. © 2011 John Wiley & Sons Ltd.

NASA Ice, Cloud and land Elevation Satellite-2 Applications - Advancing Dialogue for More Effective Decisions and Societal benefits

NASA Astrophysics Data System (ADS)

Delgado Arias, S.; Brown, M. E.; Escobar, V. M.; Jasinski, M. F.; Neumann, T.

2016-12-01

Since 2012, the NASA Ice, Cloud, and land Elevation Satellite-2 (ICESat-2) Applications Program has worked to understand how future mission observations can be effectively used to inform operational sea ice forecasting for Arctic shipping, global flood risk monitoring, fire fuel mapping, and other applications. The ICESat-2 Applications Program has implemented various engagement and outreach activities, as well as an Early Adopter program, to facilitate dialogue between potential users, project scientists, science definition team members, NASA Headquarters and the mission's data distribution center. This dialogue clarifies how ICESat-2's science data can be integrated, improved or leveraged to advance science objectives aligned with or beyond those of the mission, and in support of a range of decisions and actions of benefit to communities across the globe. In this presentation, we will present an overview of the Program initiatives and highlight the research-to-applications chains that mission Early Adopters are helping build for ICESat-2. With a total of 19 Early Adopters and more than 400 people engaged as part of the applications community, ICESat-2 has positioned itself to ensure applications where its observations are used to meet the needs of decision makers, policy makers and managers at different scales. For more information visit: http://icesat-2.gsfc.nasa.gov/applications

Impact of a brief patient and provider intervention to improve the quality of communication about medication adherence among HIV patients.

PubMed

Beach, Mary Catherine; Roter, Debra L; Saha, Somnath; Korthuis, P Todd; Eggly, Susan; Cohn, Jonathan; Sharp, Victoria; Moore, Richard D; Wilson, Ira B

2015-09-01

Medication adherence is essential in HIV care, yet provider communication about adherence is often suboptimal. We designed this study to improve patient-provider communication about HIV medication adherence. We randomized 26 providers at three HIV care sites to receive or not receive a one-hour communication skills training based on motivational interviewing principles applied to medication adherence. Prior to routine office visits, non-adherent patients of providers who received the training were coached to discuss adherence with their providers. Patients of providers who did not receive the training providers were not coached. We audio-recorded and coded patient-provider interactions using the roter interaction analysis system (RIAS). There was more dialogue about therapeutic regimen in visits with intervention patients and providers (167 vs 128, respectively, p=.004), with the majority of statements coming from providers. These visits also included more brainstorming solutions to nonadherence (41% vs. 22%, p=0.026). Intervention compared with control visit providers engaged in more positive talk (44 vs. 38 statements, p=0.039), emotional talk (26 vs. 18 statements, p<0.001), and probing of patient opinion (3 vs. 2 statements, p=0.009). A brief provider training combined with patient coaching sessions, improved provider communication behaviors and increased dialogue regarding medication adherence. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Gaining hospital administrators' attention: ways to improve physician-hospital management dialogue.

PubMed

Cohn, Kenneth H; Gill, Sandra L; Schwartz, Richard W

2005-02-01

Despite marked differences in training and professional interests, physicians and hospital managers face similar problems stemming from the unprecedented rate of change in the health care delivery system: failure of reimbursement to keep pace with rising costs, new therapeutic modalities, increasing government and managed care regulations, heightened consumerism, and an aging patient population. In the face of these mounting challenges, both physicians and hospital managers could benefit significantly from a climate of collaboration and interdependence. This article presents a "case report" of a community teaching hospital in which practicing physicians and hospital administrators collaborated to develop an operating plan for the next 3 years to improve the practice environment. The physicians recommended new clinical priorities to enhance service to patients and families, to improve physician-physician communication, to develop clinical protocols, and to build coordinated diagnostic treatment centers, which the administration has implemented. Physicians and hospital managers can no longer pass on cost increases at will to patients and third-party payers. Nor can physicians and managers ignore the heightened power of patients and third-party payers. Effective dialogue and collaboration are in all parties' interests to optimize patient care and to develop innovative services. Despite the tensions created by competition and rapid change, transformation from a blaming to a learning environment may be a key strategic advantage in today's health care marketplace.

Transactional Dialogues and Concomitance in Syntactic and Aesthetic Ordering: A Report of Studies with Deaf Subjects.

ERIC Educational Resources Information Center

Bradley, William

Transactional dialogues and concomitance in syntactic and aesthetic ordering were studied in 32 deaf students during 12 weeks of art classes meeting three days a week for periods of 1 hour each. The dialogues were said to have accomplished a gradual take over of mind-to-mind communication in lieu of both authority and childing. Findings indicated…

El Dialogo en la Educacion No Formal: Su Aporte al Desarrollo Comunitario (Dialogue in Non-Formal Education: Its Contribution to Community Development).

ERIC Educational Resources Information Center

Linke, Hildegard

2000-01-01

Seeks to justify the educational practice of dialogue and its contributions to community development. Contends that the central element and cause of dialogue is constituted within the non-formal educational process. States that Paulo Freire emphasizes the role of words and its basis as a creative synthesis of theory and practice. (BT)

Using the experience-sampling method to examine the psychological mechanisms by which participatory art improves wellbeing.

PubMed

Holt, Nicola J

2018-01-01

To measure the immediate impact of art-making in everyday life on diverse indices of wellbeing ('in the moment' and longer term) in order to improve understanding of the psychological mechanisms by which art may improve mental health. Using the experience-sampling method, 41 artists were prompted (with a 'beep' on a handheld computer) at random intervals (10 times a day, for one week) to answer a short questionnaire. The questionnaire tracked art-making and enquired about mood, cognition and state of consciousness. This resulted in 2,495 sampled experiences, with a high response rate in which 89% of questionnaires were completed. Multi-level modelling was used to evaluate the impact of art-making on experience, with 2,495 'experiences' (experiential-level) nested within 41 participants (person-level). Recent art-making was significantly associated with experiential shifts: improvement in hedonic tone, vivid internal imagery and the flow state. Furthermore, the frequency of art-making across the week was associated with person-level measures of wellbeing: eudemonic happiness and self-regulation. Cross-level interactions, between experiential and person-level variables, suggested that hedonic tone improved more for those scoring low on eudemonic happiness, and further that, those high in eudemonic happiness were more likely to experience phenomenological features of the flow state and to experience inner dialogue while art-making. Art-making has both immediate and long-term associations with wellbeing. At the experiential level, art-making affects multiple dimensions of conscious experience: affective, cognitive and state factors. This suggests that there are multiple routes to wellbeing (improving hedonic tone, making meaning through inner dialogue and experiencing the flow state). Recommendations are made to consider these factors when both developing and evaluating public health interventions that involve participatory art.

The Human Communication Research Centre dialogue database.

PubMed

Anderson, A H; Garrod, S C; Clark, A; Boyle, E; Mullin, J

1992-10-01

The HCRC dialogue database consists of over 700 transcribed and coded dialogues from pairs of speakers aged from seven to fourteen. The speakers are recorded while tackling co-operative problem-solving tasks and the same pairs of speakers are recorded over two years tackling 10 different versions of our two tasks. In addition there are over 200 dialogues recorded between pairs of undergraduate speakers engaged on versions of the same tasks. Access to the database, and to its accompanying custom-built search software, is available electronically over the JANET system by contacting liz@psy.glasgow.ac.uk, from whom further information about the database and a user's guide to the database can be obtained.

Conversational evidence in therapeutic dialogue.

PubMed

Strong, Tom; Busch, Robbie; Couture, Shari

2008-07-01

Family therapists' participation in therapeutic dialogue with clients is typically informed by evidence of how such dialogue is developing. In this article, we propose that conversational evidence, the kind that can be empirically analyzed using discourse analyses, be considered a contribution to widening psychotherapy's evidence base. After some preliminaries about what we mean by conversational evidence, we provide a genealogy of evaluative practice in psychotherapy, and examine qualitative evaluation methods for their theoretical compatibilities with social constructionist approaches to family therapy. We then move on to examine the notion of accomplishment in therapeutic dialogue given how such accomplishments can be evaluated using conversation analysis. We conclude by considering a number of research and pedagogical implications we associate with conversational evidence.

A Neural Network Approach to Intention Modeling for User-Adapted Conversational Agents

PubMed Central

Griol, David

2016-01-01

Spoken dialogue systems have been proposed to enable a more natural and intuitive interaction with the environment and human-computer interfaces. In this contribution, we present a framework based on neural networks that allows modeling of the user's intention during the dialogue and uses this prediction to dynamically adapt the dialogue model of the system taking into consideration the user's needs and preferences. We have evaluated our proposal to develop a user-adapted spoken dialogue system that facilitates tourist information and services and provide a detailed discussion of the positive influence of our proposal in the success of the interaction, the information and services provided, and the quality perceived by the users. PMID:26819592

Involving stakeholders in radiological protection decision making: recovery history and lessons from the people of Fukushima.

PubMed

Lazo, T

2016-12-01

Between September 2011 and August 2015, the International Commission on Radiological Protection (ICRP) organised a series of 12 stakeholder dialogue workshops with residents of Fukushima Prefecture. Discussions focused on recovery, addressing topics such as protection of children, management of contaminated food, monitoring, and self-help measures. The OECD Nuclear Energy Agency (NEA) supported, and the Committee on Radiation Protection and Public Health (CRPPH) Secretariat attended, all 12 meetings to listen directly to the concerns of affected individuals and draw lessons for CRPPH. To summarise the dialogue results, ICRP organised a final meeting in Date, Japan with the support of NEA and other organisations. The lessons from and utility of the dialogue meetings were praised by dialogue participants and sponsors, and ICRP agreed that some form of dialogue would continue, although with ICRP participation and support rather than leadership. This paper summarises the internationally relevant lessons learned by CRPPH from this important process.

Automatic analysis of medical dialogue in the home hemodialysis domain: structure induction and summarization.

PubMed

Lacson, Ronilda C; Barzilay, Regina; Long, William J

2006-10-01

Spoken medical dialogue is a valuable source of information for patients and caregivers. This work presents a first step towards automatic analysis and summarization of spoken medical dialogue. We first abstract a dialogue into a sequence of semantic categories using linguistic and contextual features integrated in a supervised machine-learning framework. Our model has a classification accuracy of 73%, compared to 33% achieved by a majority baseline (p<0.01). We then describe and implement a summarizer that utilizes this automatically induced structure. Our evaluation results indicate that automatically generated summaries exhibit high resemblance to summaries written by humans. In addition, task-based evaluation shows that physicians can reasonably answer questions related to patient care by looking at the automatically generated summaries alone, in contrast to the physicians' performance when they were given summaries from a naïve summarizer (p<0.05). This work demonstrates the feasibility of automatically structuring and summarizing spoken medical dialogue.

Focusing, Sustaining, and Switching Attention

DTIC Science & Technology

2013-09-12

selective attention . Aim 2. Effects on non-spatial features. We measured whether selective attention to an ongoing target improves with time when...talk]. Shinn-Cunningham BG (2013). "Spatial hearing in rooms: Effects on selective auditory attention and sound localization," Neuroscience for...hypothesis that room reverberation interferes with selective attention , 2) whether selective attention to an ongoing target improves with time when

Project on Advanced Systems and Concepts for Countering Weapons of Mass Destruction (PASCC)

DTIC Science & Technology

2015-09-01

Proliferation of weapons of mass destruction (WMD, defined as nuclear, chemical , and biological) and weapons of mass effect (WME, defined as other high... Chemical Weapons • Scoping Study for a U.S.-Israel Strategic Dialogued 5 • U.S.-India Strategic Dialogue • Implications of Indian Tactical...of Chemical Weapons : Strategic Dialogue, Research, and Report Performer: Arizona State University (ASU) Principal Investigator: Orde Kittrie Cost

Languaging in Cyberspace: A Case Study of the Effects of Peer-Peer Collaborative Dialogue on the Acquisition of English Idioms in Task-Based Synchronous Computer-Mediated Communication

ERIC Educational Resources Information Center

Teng, Xuan

2015-01-01

Despite the growing interest in examining the link between peer-peer collaborative dialogue and second language (L2) development in recent years (Swain, Brooks, & Tocalli-Beller, 2002), much of the empirical work in this regard focused on face-to-face communication, leaving the operationalization of collaborative dialogue in text-based…

A Plan Recognition Model for Subdialogues in Conversations.

DTIC Science & Technology

1984-11-01

82-K-0193. A simplified, shortened version appears in tho Proceedings of the 10th International Conference on Computational Linguistics , Stanford... linguistic results from such work. Consider the following two dialogue fragments. Dialogue 1 was collected at an information booth in a train station in...network structures [Sidner and Bates, 19831. Unlike Dialogue 1, the system’s interaction with the user is primarily non- linguistic , with utterances only

The Teacher's Role in the Establishment of Whole-Class Dialogue in a Fifth Grade Science Classroom Using Argument-Based Inquiry

ERIC Educational Resources Information Center

Benus, Matthew J.

2011-01-01

The purpose of this study was to examine the patterns of dialogue that were established and emerged in one experienced fifth-grade science teacher's classroom that used the argument-based inquiry (ABI) and the ways in which these patterns of dialogue and consensus-making were used toward the establishment of a grasp of science practice. Most…

NASA Alumni League Dialogue

NASA Image and Video Library

2011-03-04

Former NASA Administrator James Beggs smiles during a dialogue on the future of the space program, Friday, March 4, 2011, at NASA Headquarters in Washington. Beggs was NASA's sixth administrator serving from July 1981 to December 1985. The dialogue was part of the program “The State of the Agency: NASA Future Programs Presentation” sponsored by the NASA Alumni League with support from the AAS, AIAA, CSE and WIA.Photo Credit: (NASA/Paul E. Alers)

An Analysis of Factors Affecting the Difficulty of Dialogue Items in TOEFL Listening Comprehension. TOEFL Research Reports, 51.

ERIC Educational Resources Information Center

Nissan, Susan; And Others

One of the item types in the Listening Comprehension section of the Test of English as a Foreign Language (TOEFL) test is the dialogue. Because the dialogue item pool needs to have an appropriate balance of items at a range of difficulty levels, test developers have examined items at various difficulty levels in an attempt to identify their…

Emotion Dialogues between Mothers and Children at 4.5 and 7.5 Years: Relations with Children's Attachment at 1 Year

ERIC Educational Resources Information Center

Oppenheim, David; Koren-Karie, Nina; Sagi-Schwartz, Abraham

2007-01-01

It was examined whether secure infant-mother attachment contributes to emotionally congruent and organized mother-child dialogues about emotions in later years. The attachment of 99 children was assessed using the Strange Situation at the age of 1 year and their emotion dialogues with their mothers were assessed at the ages of 4.5 and 7.5 years.…

Maritime Security: Malaysia’s Persistent Problem

DTIC Science & Technology

2012-01-01

navies, and air forces of the littoral states.”20 In his keynote address at the 2011 Shangri-La Dialogue, Prime Minister Dato’ Sri Najib Tun Razak ...Monitor, Vol. 4 No. 3, 2006. Razak , Dato’ Sri Najib Tun, Prime Minister Malaysia. Keynote Address. Shangri-La Dialogue. Singapore, June 3, 2011... Razak , Dato’ Sri Najib , Deputy Prime Minister Malaysia, Address. Shangri-La Dialogue. Enhancing Maritime Security Cooperation. Singapore, 2005

The Pitfalls of Collegial Coaching: An Analysis of Collegial Coaching in Medical Education and Its Influence on Stimulating Reflection and Performance of Novice Clinical Teachers

ERIC Educational Resources Information Center

Truijen, Karin J. P.; van Woerkom, Marianne

2008-01-01

Purpose: Competent clinical teachers are essential for clinical teaching. According to the literature, coaching can contribute to improved levels of reflection and better performance of clinical teachers. By engaging in a dialogue about coachee's teaching behaviour, coaches can stimulate reflection of novice teachers. This study aims to gain…

Linking Semantic and Knowledge Representations in a Multi-Domain Dialogue System

DTIC Science & Technology

2007-06-01

accuracy evaluation presented in the next section shows that the generic version of the grammar performs similarly well on two evaluation domains...of extra insertions; for example, discourse adverbials such as now were inserted if present in the lattice. In addition, different tense and pronoun...automatic lexicon specialization technique improves parser speed and accuracy. 1 Introduction This paper presents an architecture of a language

Self-management and creativity

NASA Astrophysics Data System (ADS)

Medvedev, B. A.; Skaptsov, A. A.; Polikarpov, M. A.

2008-06-01

How to improve physicist's creativity? How one can make himself an instrument for creativity? What is the role of the humanities in initiation of intuitive moments in thinking? The problems are discussed in terms of such modern conception as Self-management, in context of the dialogue between nature and human being by Prigogine, "Farther reaches of human nature" by Maslow, and mathematical approach for modeling of mental structure elements.

Multinational Integration Newsletter, Number 10-51, July 2010

DTIC Science & Technology

2010-07-01

Ecuador . Colombia alerted other governments about FARC activities on their soils: Argentina four times, Bolivia twice, Brazil seven, Peru four, and...Correa government attempted to respond to the vulnerability of the northern border. Its Plan Ecuador is intended to improve border security by... Government Fernando Bustamante declared at Washington’s Inter-American Dialogue on March 18 that Ecuador has an impressive record against narcotics and the

Using Audio Description to Improve FLL Students' Oral Competence in MALL: Methodological Preliminaries

ERIC Educational Resources Information Center

Ibáñez Moreno, Ana; Vermeulen, Anna; Jordano, Maria

2016-01-01

During the last decades of the 20th century, audiovisual products began to be audio described in order to make them accessible to blind and visually impaired people (Benecke, 2004). This means that visual information is orally described in the gaps between dialogues. In order to meet the wishes of the so-called On Demand (OD) generation that wants…

Healthy Children, Healthy Families: Parents Making a Difference! A Curriculum Integrating Key Nutrition, Physical Activity, and Parenting Practices to Help Prevent Childhood Obesity

ERIC Educational Resources Information Center

Lent, Megan; Hill, Tisa F.; Dollahite, Jamie S.; Wolfe, Wendy S.; Dickin, Katherine L.

2012-01-01

A new dialogue-based curriculum combines nutrition, active play and parenting practices to help parents and caregivers gain skills that promote healthy habits for themselves and their families and to create healthy environments where children live, learn, and play. Graduates report significant improvements in behaviors that promote healthy weights…

Using Knowledge Exchange to Improve End-user Participation

NASA Astrophysics Data System (ADS)

Warnaars, T. A.

2012-04-01

Too often the knowledge resources of research scientists are under exploited because the culture and language that research scientists use are alien and often confusing to the stakeholders. However, there is an urgent need to bring resent research findings to industry, stakeholders and other operations. For instance, the field of water is receiving much recent attention outside the research community: water scarcity is an issue facing many end-users and the tools for prediction and management need to be based on the most recent and relevant science available. A strong cooperation between the research community and end users is needed. This role can be filled by a coherent knowledge exchange programme, which can bridge the language gap between research science and the stakeholder, thereby improving the knowledge flow between the two communities. Subsequently this then leads to a change in the perception of research outputs by the user community and a deeper understanding of the user needs by the researchers. One example is to provide the peer review journal results in a readily readable format which opens the door for greater dialogue. At present we are fortunate to have a wide variety of communication tools to call on, from social media (YouTube, twitter etc.) to traditional print publications, each of which communicate to different audiences. A recently completed 5 year EU project WATCH (Water and Global Change) has made use of number of these media to communicate the project's findings. The WATCH approach of summarising the findings in one report plus YouTube and specialised websites has greatly increased the visibility of the project and therefore its impact. The result of this extra effort has led to a significant amount of international attention on the project outcomes which have facilitated dialogues between researchers and end-users. New partnerships have been established with industry that has previously not had a history of functioning with researchers directly. This poster will demonstrate and give examples of best practice, drawing on the experiences of the WATCH project as well as give examples of the improved dialogue with key stakeholders.

Effect of communication skills based group counseling on mothers' sex dialogue with their adolescent daughters.

PubMed

Ziaei, Tayebe; Ghanbari Gorji, Maryam; Behnampour, Naser; Rezaei Aval, Masumeh

2018-02-05

Background Sex dialogue is one of the most critical and challenging topics between mothers and adolescents. The knowledge and skills of mothers in sex dialogue with their daughters are essential. The purpose of this study is to determine the effect of group counseling based on communication skills on mothers through their sex dialogue with their daughters. Methods A randomized controlled field trial was conducted on 168 couples of mothers and their daughters selected by the stratified matching method and randomly divided into two control and intervention groups. The mothers in the intervention group participated in a communication-based consultation in groups consisting of 6-12 people for 6-7 weekly sessions, each one lasting 60 min. The data collection tool was a Persian-translated questionnaire by Jaccard for sex dialogue between mother and daughter. The data were analyzed using Chi-square (χ2), ANOVA with repeated measures and modified post hoc Bonferroni tests. Results There was a significant difference in the mean score of mother-daughter sex dialogue 1 week after intervention between the intervention (34.48 ± 8.74) and control (40.44 ± 9.49) groups (p = 0.001) and 1 month after the intervention between the intervention (30.41 ± 10.07) and control (42.47 ± 9.62) groups (p < 0.001). Conclusion Through applying communication skills, an increase in mother-daughter sex dialogue frequency was observed after group counseling. Therefore, it is suggested to promote mother-daughter communication skills by accessing the mothers via schools, health centers and with the aid of midwifery counselors, midwives and other trained caretakers.

A Qualitative Study of Turning Points or Aha! Moments in Older Adults' Discussions About Organ Donation.

PubMed

Downing, Kimberly; Jones, Linda L

2018-01-01

Older adults (50-70 years old) have lower organ donor registration rates than younger adults. Older adults have different informational needs and donor registration behavior than younger age groups. The objective of this qualitative study was to understand insights of older adults about organ donation to effectively address the barriers to becoming an organ donor. This study identified turning points as "Aha!" moments that occurred during a dialogue intervention where older adults discussed benefits, barriers, and process to organ donation. Dialogues were held with small groups of older adults in 11 communities in a Midwestern organ procurement organization service area. Participants were positive to organ donation, but not registered as an organ donor. Methods/Approach: Qualitative analysis of verbatim comments from the dialogue and a follow-up survey were used to examine turning points or "Aha!" moments of participants' decision-making about organ donation and organ donor registration. Twenty-one separate in-depth dialogues were conducted with 198 participants, with mean age of 60.57 years. There were 2757 separate comments coded with 465 of the comments (17%) identified as providing Aha! moments during the dialogue. Three themes include benefits of organ donation (30%), barriers about organ donation (39%), and organ donation process (31%). The research identified moments in the dialogue where possible learning about organ donation may have occurred. After participation in the dialogue process, there was an increase in intent to register to be an organ donor, organ donation discussion with family and friends, and organ donor registration.

Patient–expert partnerships in research: how to stimulate inclusion of patient perspectives

PubMed Central

Elberse, Janneke E.; Caron‐Flinterman, J. Francisca; Broerse, Jacqueline E. W.

2010-01-01

Abstract Objective  To gain more insight into exclusion mechanisms and inclusion strategies in patient–expert partnerships. Background  Patient participation in health research, on the level of ‘partnerships with experts’ is a growing phenomenon. However, little research is conducted whether exclusion mechanisms take place and to what extent patients’ perspectives are included in the final outcomes of these partnerships. Case study  A dialogue meeting attended by experts, patients and patient representatives to develop a joint research agenda. Different inclusion strategies were applied during the dialogue meeting to avoid possible exclusion. Method  Data were collected by the means of audio and video recordings, observations, document analysis and evaluative interviews. The data are clustered using a framework that divides exclusion mechanisms in three categories: circumstances, behaviour and verbal communication. The data are analysed focusing on the experiences of participants, observation of occurrence of exclusion and difference between input and outcome of the dialogue meeting. Results  The circumstances of the dialogue and the behaviour of the participants were experienced as mainly inclusive. Some exclusion was observed particularly with respect to verbal communication. The input of the patients was less visible in the outcome of the dialogue meeting compared to the input of the experts. Conclusion  This case study reveals that exclusion of patients’ perspective occurred during a dialogue meeting with experts, despite the fact that inclusion strategies were used and patients experienced the dialogue meeting as inclusive. To realize a more effective patient–expert partnership, more attention should be paid to the application of some additional inclusion strategies. PMID:21176013

Bedside Reporting: Protocols for Improving Patient Care.

PubMed

Ferguson, Teresa D; Howell, Teresa L

2015-12-01

Bedside reporting continues to gain much attention and is being investigated to support the premise that "hand-off" communications enhance efficacy in delivery of patient care. Patient inclusion in shift reports enhances good patient outcomes, increased satisfaction with care delivery, enhanced accountability for nursing professionals, and improved communications between patients and their direct care providers. This article discusses the multiple benefits of dynamic dialogue between patients and the health care team, challenges often associated with bedside reporting, and protocols for managing bedside reporting with the major aim of improving patient care. Nursing research supporting the concept of bedside reporting is examined. Copyright © 2015 Elsevier Inc. All rights reserved.

Practical Tips and Techniques on the Process of Transdisciplinary Sea Level Rise Research

NASA Astrophysics Data System (ADS)

DeLorme, D.; Hagen, S. C.; Kidwell, D.; Stephens, S. H.

2015-12-01

There is increasing awareness of the need for transdisciplinary science to address complex climate change issues, yet practical guidance is lacking. This presentation describes the iterative planning, implementation, and evaluation process of an ongoing transdisciplinary sea level rise (SLR) research project. Observations, reflections, and recommendations from firsthand experience are shared, illustrated with examples, and placed within a transdisciplinary research framework. The NOAA-sponsored project, Ecological Effects of Sea Level Rise in the Northern Gulf of Mexico (EESLR-NGOM) is a six-year regional study involving a team of biology, ecology, civil/coastal engineering, and communication scholars working with government agency personnel and industry professionals; supervising students and post-doctoral researchers; and engaging a group of non-academic stakeholders (i.e., coastal resource managers). EESLR-NGOM's focus is on detailed assessment and process-based modeling to project SLR impacts on northern Gulf of Mexico coastal wetland habitats and flood plains. This presentation highlights collaboration, communication, and project management considerations, and explains knowledge co-production from a dynamic combination of natural and social scientific methods (secondary data analysis, computer modeling, field observations, field and laboratory experiments, focus group interviews, surveys) and interrelated stakeholder engagement mechanisms (advisory committee, project flow chart, workshops, focus groups, webinars) infused throughout the EESLR-NGOM project to improve accessibility and utility of the scientific results and products. Attention is also given to project evaluation including monitoring, multiple quantitative and qualitative measures, and recognition of challenges and limitations. This presentation should generate productive dialogue and direction for similar endeavors to find transformative solutions to pressing problems of climate change.

Social determinants and polio 'endgame': a qualitative study in high risk districts of India.

PubMed

Dasgupta, Rajib; Chaturvedi, Sanjay; Adhish, S Vivek; Ganguly, Kalyan K; Rai, Sanjay; Sushant, Leena; Arora, N K

2008-05-01

To understand the perceptions and likely determinants that facilitate or act as barriers in implementing additional strategies for polio eradication: (a) accelerated delivery of mOPV1 (monovalent polio vaccine type 1); (b) use of IPV (inactivated polio vaccine); and (c) provision of incentives. QUALITATIVE. Rapid appraisal procedures (RAP) were adopted to derive the reality by synthesizing multiple sources of information; search for opinions, motivations, behaviors and attitudes of key stakeholders within their organizational and socio-cultural matrix. Two districts of Uttar Pradesh - Moradabad and J P Nagar. Total 244 interactions were conducted; 33 interviews and 4 focussed group discussions (FGD) conducted with providers; 33 mothers (<5 years) and 10 leaders were interviewed; 8 FGD were conducted with mothers of under-fives. Informal interactions (156) were also conducted with village pradhans, religious leaders, parents, businessmen, journalists (Hindi and Urdu media), mobilizers, vaccinators and supervisors. Providers expressed reservation regarding accelerated rounds of OPV; scientific rationale of accelerated rounds is not clear to parents and leaders. Although technical advantages of introducing IPV exist, issues of logistical difficulties and injection safety emerged strongly. Providers and communities indicated a clear 'no' to the cash incentives but argued for developmental issues. Resistance to the program has declined over time but still the program is perceived as the "government's need, not ours". The polio eradication program is critically poised, an opportunity to intensify efforts for reducing inequities in health services and improve access of all children to the PHC services. Ongoing dialogue with local communities and strong political commitment would be essential to translate the technological innovations into a sustainable program.

Barriers and Facilitators to Tobacco Cessation in a Nationwide Sample of Addiction Treatment Programs.

PubMed

Pagano, Anna; Tajima, Barbara; Guydish, Joseph

2016-08-01

Smoking rates among addiction treatment clients are 3-4 times higher than those of the general population. Recent studies indicate that ceasing tobacco use during treatment may improve recovery outcomes. Across the United States, publicly funded addiction treatment programs vary widely in terms of their tobacco policies and tobacco cessation services offered to clients. The study reported here is the qualitative component of a larger study. Twenty-four programs were recruited from a random sample of publicly funded programs participating in the NIDA Clinical Trials Network. Semi-structured interviews were administered by phone to program directors. ATLAS.ti software was used to facilitate thematic analysis of interview transcripts. While all directors expressed interest in helping clients to quit smoking, they cited numerous barriers to implementing tobacco policies and services. These included smoking culture, client resistance, lack of resources, staff smoking, and environmental barriers. Directors also cited several factors that they believed would support tobacco cessation. These included financial support, enhanced leadership, and state mandates against smoking in addiction treatment programs. Addiction treatment programs are beginning to place more emphasis on tobacco cessation during treatment. However, furthering this goal requires substantial infrastructural and cultural change. These qualitative study findings may help to inform Single State Agencies (SSAs) to support publicly funded addiction treatment programs in their tobacco cessation efforts. In order to maximize effectiveness, state-level policies regarding tobacco cessation during treatment should be informed by ongoing dialogue between service providers and SSAs. Copyright © 2016 Elsevier Inc. All rights reserved.

Pesticide Program Dialogue Committee (PPDC)

EPA Pesticide Factsheets

The Pesticide Program Dialogue Committee, a permanent, broadly representative advisory committee, meets with EPA on a regular basis to discuss pesticide regulatory, policy, and program implementation issues.

FARC’s Influence in Brazil

DTIC Science & Technology

2013-05-23

to improving the ongoing Brazilian government policy, and consequentially the operational role of the Brazilian Army and its contribution to achieving...threats may be conducive to improving the ongoing Brazilian government policy, and consequentially the operational role of the Brazilian Army and its...approximately 10,000 miles) of the coastline borders its neighbors.1 It shares a border with all South American countries except Chile, Ecuador

Negotiating explanations: doctor-patient communication with patients with medically unexplained symptoms-a qualitative analysis.

PubMed

den Boeft, Madelon; Huisman, Daniëlle; Morton, LaKrista; Lucassen, Peter; van der Wouden, Johannes C; Westerman, Marjan J; van der Horst, Henriëtte E; Burton, Christopher D

2017-02-01

Patients with medically unexplained physical symptoms (MUPS) seek explanations for their symptoms, but often find general practitioners (GPs) unable to deliver these. Different methods of explaining MUPS have been proposed. Little is known about how communication evolves around these explanations. To examine the dialogue between GPs and patients related to explanations in a community-based clinic for MUPS. We categorized dialogue types and dialogue outcomes. Patients were ≥18 years with inclusion criteria for moderate MUPS: ≥2 referrals to specialists, ≥1 functional syndrome/symptoms, ≥10 on the Patient Health Questionnaire-15 and GP's judgement that symptoms were unexplained. We analysed transcripts of 112 audio-recorded consultations (39 patients and 5 GPs) from two studies on the Symptoms Clinic Intervention, a consultation intervention for MUPS in primary care. We used constant comparative analysis to code and classify dialogue types and outcomes. We extracted 115 explanation sequences. We identified four dialogue types, differing in the extent to which the GP or patient controlled the dialogue. We categorized eight outcomes of the sequences, ranging from acceptance to rejection by the patient. The most common outcome was holding (conversation suspended in an unresolved state), followed by acceptance. Few explanations were rejected by the patient. Co-created explanations by patient and GP were most likely to be accepted. We developed a classification of dialogue types and outcomes in relation to explanations offered by GPs for MUPS patients. While it requires further validation, it provides a framework, which can be used for teaching, evaluation of practice and research. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Coping-Infused Dialogue through Patient-Preferred Live Music: A Medical Music Therapy Protocol and Randomized Pilot Study for Hospitalized Organ Transplant Patients.

PubMed

Hogan, Tyler James; Silverman, Michael J

2015-01-01

Solid organ transplant patients often experience a variety of psychosocial stressors that can lead to distress and may hinder successful recovery. Using coping-infused dialogue (CID) through patient- preferred live music (PPLM) music therapy sessions may improve mood and decrease pain while also imparting psychoeducational knowledge concerning the identification of local and global problems and coping skills. The purpose of this pilot study was to develop a coping-based medical music therapy protocol that combines coping-infused dialogue (CID) with patient-preferred live music (PPLM) and measure the effects of the resulting CID-PPLM protocol on mood (positive and negative affect) and pain in hospitalized transplant patients. Our study used a pre-/posttest single-session wait-list control design. Participants (N=25) were randomly assigned to experimental (CID-PPLM) or control (usual care) conditions. Participants in the CID-PPLM condition received a single 30-minute session that integrated stressor identification and knowledge of coping skills (CID) with patient-preferred live music (PPLM). Results indicated no between-group differences at pretest and significant correlations between pre- and posttest measures. Concerning posttest ANCOVA analyses, there were significant between-group differences in positive affect, negative affect, and pain, with experimental participants having more favorable posttest scores than control participants. Effect sizes were in the medium-to-large range for positive affect (η2=.198), negative affect (η2=.422), and pain (η2=.303). CID through receptive PPLM may be an effective protocol for improving mood and decreasing pain in organ transplant recipients. MT interventions can be an important tool to develop rapport and enhance outcomes with patients. As greater engagement during interventions may have stronger treatment effects, we recommend future research examining patient engagement as a potential mediator of intervention effects, as well as the number of sessions required to maximize clinical outcomes. © the American Music Therapy Association 2015. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

What Would Your Journal Say if It Could Talk Back? Using Dialogue Journals as a Technique in Adolescent HIV/STI Prevention and Sexual Health Promotion Programs

ERIC Educational Resources Information Center

Sclafane, Jamie Heather

2013-01-01

Dialogue journaling is a technique that is useful for enhancing the goals of sexual health promotion and HIV/STI prevention programs with 14-to 17-year-old at-risk youth. Included is a detailed lesson plan on how to implement dialogue journaling in this context, a discussion of advantages and concerns about using them, and future implications for…

Conversational Interfaces: A Domain-Independent Architecture for Task-Oriented Dialogues

DTIC Science & Technology

2002-12-12

system ought to be able tofa ilitate the understanding of the intentions of the human operatorand be ause it should be able to ommuni ate the plans...instantiated from the re ipes withnatural language a straightforward task for the dialogue front-end tofa ilitate. Moreover, it is designed so that onstraints...htake advantage of the framework dis ussed in this paper in order tofa iliate more natural dialogues between the human operator and thedevi e. The