The Health Education Impact Questionnaire (heiQ): An outcomes and evaluation measure for patient education and self-management interventions for people with chronic conditions

Objective: This paper describes the development and validation of the Health Education Impact Questionnaire (heiQ). The aim was to develop a user-friendly, relevant, and psychometrically sound instrument for the comprehensive evaluation of patient education programs, which can be applied across a broad range of chronic conditions.

Methods: Item development for the heiQ was guided by a Program Logic Model, Concept Mapping, interviews with stakeholders and psychometric analyses. Construction (N = 591) and confirmatory (N = 598) samples were drawn from consumers of patient education programs and hospital outpatients. The properties of the heiQ were investigated using item response theory and structural equation modeling.

Results: Over 90 candidate items were generated, with 42 items selected for inclusion in the final scale. Eight independent dimensions were derived: Positive and Active Engagement in Life (five items, Cronbach's alpha (α) = 0.86); Health Directed Behavior (four items, α = 0.80); Skill and Technique Acquisition (five items, α = 0.81); Constructive Attitudes and Approaches (five items, α = 0.81); Self-Monitoring and Insight (seven items, α = 0.70); Health Service Navigation (five items, α = 0.82); Social Integration and Support (five items, α = 0.86); and Emotional Wellbeing (six items, α = 0.89).

Conclusion:The heiQ has high construct validity and is a reliable measure of a broad range of patient education program benefits.

Practice Implications: The heiQ will provide valuable information to clinicians, researchers, policymakers and other stakeholders about the value of patient education programs in chronic disease management.

Ethics, aesthetics and the transformation of the self : Foucault's practice of philosophy

Drawing in part on research carried out in the Foucault archives in Paris, the thesis both undertakes a critical assessment of Foucault's late work and attempts to reconstruct the ethical attitude which was emerging in that work. It situates Foucault's project in the context of its Nietzschean inspiration and offers a Foucauldian model of ethics as an aesthetic, transformative work carried out upon the self - as a 'spiritual exercise' in which the critical practice of philosophy takes a central role.

Food, passion and marginalised young people : technologies of the self in Jamie's kitchen

A passion for food that is understood in certain ways – slow, organic, not industrialised – plays a central role in the drama of the successful and popular Jamie’s Kitchen (2002) and Jamie’s Kitchen Australia (2006). Large parts of the drama in these shows revolve around an apparent lack of passion that is displayed by the marginalised, unemployed young people that are the central characters in this story. In this paper I examine the ways in which these accounts of food, passion, and the training of marginalised young people expose some of the challenges and opportunities faced by marginalised young people as they seek to transition into the uncertain and risky labour markets of 21st century capitalism. I argue that Michel Foucault’s (1988) concept of technologies of the self enables us to understand passion, and its particular manifestations in Jamie’s Kitchen, and in the training of marginalised young people, as a powerful technology of self transformation. The drama of Jamie’s Kitchen suggests that as a technology of the self passion for food promises to provide precarious, possibly temporary, forms of salvation, meaning and purpose for the young people engaged in the Fifteen Foundation’s social enterprise transitional labour market program.

Self-assembly and morphology in double crystalline diblock copolymer/homopolymer blends with competitive hydrogen bonding

Block copolymers are of particular interest due to their ability to form a rich variety of nanostructures via self-assembly [1]. The self-assembly via competitive hydrogen bonding is a novel concept which is based on the competition between different blocks of the block copolymer to form more than one kind of intermolecular interaction with the complimentary polymer in the system. Recently, Guo and co-workers have proven that careful selection of the polymers specifically the block copolymer, and the experimental conditions can lead to self-assembled structures in blends and complexes exhibiting competitive hydrogen bonding [2-5].

Extended self and possessions in the workplace

This study of the meanings of possessions displayed in the offices of employees in a high technology firm suggests extensions to the concept of extended self. Work self and home self contend for dominance in these displays. Employees must decide which aspects of the self belong to the domain of work and which belong elsewhere. In these ongoing negotiations self may be extended, but it may also be retracted and hidden. Furthermore, although possessions can serve to stabilize the self, they also facilitate shifting among various self-aspects in response to workplace events. We explicate these processes and discuss implications for extended self theory.

An outdoor and environmental education community of practice : self stylisation or normalisation?

In this article, I draw on a qualitative longitudinal study to explore the influence of a tertiary Outdoor and Environmental Education (OEE) course on the formation of environmental ethics among students. In this task, I bring together Lave & Wenger (1991) and Wenger’s (1998) concept of communities of practice and Michel Foucault’s later work on ethics to underscore some of the difficulties of an OEE community of practice as a space for (environmentally) ethical self-stylisation. Bringing these theoretical ideas together is significant because my analysis suggests that the OEE community of practice (re)produces an environmental ethic based on normalised codes of conduct rather than a self-fashioning of an ethical existence as conceived by Foucault. I demonstrate that membership in overlapping communities of practice is influential in participants’ performance of environmental identities and normalising codes of conduct are particularly significant in the physical education/pre-service education communities of practice of which participants are members.

Combustion simulations for a self controlling variable compression ratio connecting rod

Variable compression ratio enables an engine to achieve increased efficiency at part loads, where the majority of driving occurs, without sacrificing full load power requirements or increasing the risk of engine knock. Although over 100 patents and patent applications exist none of these systems has been commercialized yet due to issues related to feasibility, cost and frictional loss. A new approach of a self controlling variable compression ratio connecting rod is presented that does not need a friction intensive external activation and that could even be retrofitted. The potential in fuel consumption and exhaust emission reduction as well as increased power and torque output for this concept has been verified in combustion simulations utilizing the latest research results related to the dynamic heat transfer in the combustion chamber from Professor Kleinschmidt from the University of Siegen, Germany. The self controlling variable compression ratio connecting rod allows the con rod to compress at high load conditions thereby increasing cylinder volume to alleviate combustion pressures and temperatures and therefore limit knock onset. The biggest efficiency gains can be achieved at medium load where the reduction of heat loss during the compression of the connecting rod plays a major role additional to the well known efficiency gains of an increased compression ratio. The combustion simulation results shows fuel consumption can be reduced by between 3% and 5% during part load and wide open throttle operation at various engine speeds. Emissions are also reduced significantly; particularly NOx and CO emissions were reduced by up to 35%.The self controlling variable compression ratio connecting rod allows the con rod to compress at high load conditions thereby increasing cylinder volume to alleviate combustion pressures and temperatures and therefore limit knock onset. The biggest efficiency gains can be achieved at medium load where the reduction of heat loss during the compression of the connecting rod plays a major role additional to the well known efficiency gains of an increased compression ratio.The combustion simulation results shows fuel consumption can be reduced by between 3% and 5% during part load and wide open throttle operation at various engine speeds. Emissions are also reduced significantly; particularly NOx and CO emissions were reduced by up to 35%.

Communities, networks, individuals : place, self and everyday life on the internet

In this paper, I review the long-established use of the concept of ‘community’ which attempts both to perceive and analyse the experience of human interaction, mediated by networked computing. Ever since this form of communication commenced, it was clear that it was no ‘bloodless technological ritual’ (Rheingold, 1994), but something much more deeply human and expressive. For many years, the conceptual apparatus of ‘community’ served as the primary means for understanding the limits and potentials of this activity. However, the recent rise of social networking and social media might cast doubt on the legitimacy of this contested term’s continued relevance. Thus, I move from community to self, via the network notation that has come now to dominate our terminologies. I seek to demonstrate that, as the Internet has become interleaved with everyday life to the point where there is no distinction, for many people, between online and offline, we need to think again about how and what community might mean. In doing so, I suggest that the relationship between self and others, mediated or otherwise, is always one of shared ‘place’ but that contemporary practices of social networking differ significantly in how that place is shared and the degree of collective effort required.

Concept definition in knowledge management : the development of an organizational memory scale

Theorists and researchers in the field of Knowledge Management are frequently frustrated by issues with concept definition, as illustrated by the following comment "there remains disagreement on methodologies, definitions and processes" from the summary article "Issues Raised at ECKM, 2008". How can we clearly define constructs of interest? How can we further research and understanding in the field if we are speaking with different vocabularies? This paper illustrates some of these issues by describing the concept definition process involved in the development of an organizational memory scale. The example being used to illustrate these issues was a self-report scale of organizational memory developed to survey experienced workers' attitudes to mentoring others to pass on their knowledge. The current research sought to differentiate between the types of organizational knowledge that experienced workers have and the possible relationships these have with attitudes pertaining to knowledge transfer via mentoring. Defining the construct to be measured is the vital first ingredient in scale development. Many researchers lament that the concept of organizational memory is a "rather loosely defined and under-developed concept" (e.g. Johnson & Paper, 1998, p.504), and this hints at the challenges that concept definition can entail. Furthermore, in the early stages of this particular project it became clear that the organizational memory scale had similar aims, and was able to borrow from, an existing sale of organizational socialization (Chao, O'Leary-Kelly, Woolf, Klein & Gardner, 1994). This paper describes the concept definition process involved in the development of the scale along with results from the exploratory factor analysis. There is a discussion of the relative contribution that the organizational memory scale makes alongside the existing measure of socialization (Chao et al., 1994), along with goals for further development.

Kierkegaard's mirrors: Interest, self, and moral vision

What is it to see the world, other people, and imagined situations not just as morally compelling, but as making personal demands of us? What is it to experience stories as speaking to us individually and directly? Kierkegaard's Mirrors explores Kierkegaard's unique and challenging answers to these questions. Beginning with the structural account of consciousness offered in Johannes Climacus, this book develops a new phenomenological interpretation of what Kierkegaard calls 'interest': a self-reflexive mode of thought, vision and imagination that plays a central role in moral experience. Tracing this concept across Kierkegaard's work takes us through topics such as consciousness, the ontology of selfhood, ethical imagination, admiration and imitation, seeing the other, metaphors of self-recognition and mirroring, our need for transcendent meaning, and the relationship between scholarship and subjective knowledge. 'Interest' equips us with a new understanding of Kierkegaard's highly original normative, teleological account of moral vision.

Intercommunication and persona: the intercommunicative public self

Through two concepts, this paper investigates how online culture is shifting our understanding of media, communication and what could be described as the public sphere. The concept of intercommunication is developed to explicate how online culture blends what has often been seen as separate domains: there is now a higher fluidity between what is seen as media and what is seen as a form of communication. In effect, there is now an interpersonal mediation of communication through social media where what we like and dislike is shared and exchanged. The result of this different structure of communication is a transforming public sphere that highlights how the personal dimension of communicationis privileged. To unpack this shifted structure of media and communication, the paper develops the concept of persona. Persona, as a structure and presentation of personal identity for different publics, helps us understand how the individualhas to present themselves strategically and tactically in this intercommunicative world. Through a series of examples that analyse memes, social network identity, and communication, and new iterations of what could be construed as private,public, and professional identity, the paper investigates this emerging "intercommunicative public self.”

Measuring chronic condition self-management in an Australian community: factor structure of the revised Partners in Health (PIH) scale

Purpose To evaluate the factor structure of the revised Partners in Health (PIH) scale for measuring chronic condition self-management in a representative sample from the Australian community.

Methods A series of consultations between clinical groups underpinned the revision of the PIH. The factors in the revised instrument were proposed to be: knowledge of illness and treatment, patient–health professional partnership, recognition and management of symptoms and coping with chronic illness. Participants (N = 904) reporting having a chronic illness completed the revised 12-item scale. Two a priori models, the 4-factor and bi-factor models were then evaluated using Bayesian confirmatory factor analysis (BCFA). Final model selection was established on model complexity, posterior predictive p values and deviance information criterion.

Results Both 4-factor and bi-factor BCFA models with small informative priors for cross-loadings provided an acceptable fit with the data. The 4-factor model was shown to provide a better and more parsimonious fit with the observed data in terms of substantive theory. McDonald’s omega coefficients indicated that the reliability of subscale raw scores was mostly in the acceptable range.

Conclusion The findings showed that the PIH scale is a relevant and structurally valid instrument for measuring chronic condition self-management in an Australian community. The PIH scale may help health professionals to introduce the concept of self-management to their patients and provide assessment of areas of self-management. A limitation is the narrow range of validated PIH measurement properties to date. Further research is needed to evaluate other important properties such as test–retest reliability, responsiveness over time and content validity.

An extended approach to adjust inconsistent minority peer- and self-assessment scores of teamwork using assessor’s reliability

Teamwork is generally assessed either solely by academic staff or by both academic staff andstudents themselves confidentially as well as collaboratively. Peer- and self-assessments have beenused primarily to assess teamwork process and teacher assessment to assess teamwork product.Peer- and self-assessments are useful to elicit team members’ contribution towards teamwork and toconvert team mark into individual marks, provided the scores are reliable (the extent to which thescores are consistent). However, not all peer- and self-assessment scores are reliable. Anecdotal andliterature evidence suggest that there are several cases of inconsistencies in these scores. Individualcontribution scores given by teammates to an assessee (including himself/herself) can sometimesvary significantly due to both intentional and unintentional reasons. Simply using total individual ratingscores without considering an assessor’s reliability to estimate individual contribution factors cansometime results unfair grades and becomes hindrance to learning through teamwork.PURPOSEThis study proposes an extended approach to adjust inconsistent and/or distorted minority peer andself-assessment scores of teamwork using standard normal probability concept.APPROACHIn order to adjust inconsistent and/or distorted minority peer-and self-assessment scores of teamwork,an extended approach has been proposed. The approach uses the reliability of assessor’s scores ofan assessee using standard normal probability curve. The evaluation of the extended approach isconducted by comparing with the existing approaches using two case examples of peer- and selfassessmentof teamwork where minority team members’ scores are inconsistent.RESULTSThe evaluation of the extended approach shows that the proposed method is superior to the availableapproaches in order to adjust inconsistent peer- and self-assessment scores for special cases wherescores of minority team members are inconsistent. The extended approach helps both to automaticallydetect such scoring anomalies and to adjust the scores so that the fairer contributions to the teamworkwould be obtained and utilised.CONCLUSIONSThe extended approach is useful in that it helps both to automatically detect scoring anomalies and todevise the methods to adjust them. However, the approach does not address the issue of scoringinconsistencies by majority of team members as it uses average score as a basis for identifyinginconsistencies. Moreover, the approach needs to be implemented in the real teamwork environmentin order to identify the impacts of these scoring adjustments in teamwork process and teamworkproduct.