124 resultados para Interdependent preferences
Resumo:
Our study suggest that patient-centred health care models should focus on improving patient access to health care, supporting the role of carers and non-oncology health care providers as well as providing education about health care resources.
Resumo:
Although physical activity (PA) has significant benefits for people living with multiple myeloma (MM), participation rates are low. Examination of PA preferences will provide important information to clinicians and assist in the development of interventions to increase participation in PA for people living with MM. OBJECTIVE: The aim of this study is to gain an in-depth understanding of the PA preferences for people living with MM, including the preferred role of clinicians. METHODS: Semistructured interviews were conducted with patients treated for MM within the preceding 2 to 12 months. Interviews were analyzed using content analysis, where coding categories were derived directly from the text data. RESULTS: Twenty-four interviews were conducted (women, 54%; age: mean [SD], 62 [8.8] years); 16 (67%) participants had an autologous stem cell transplant. Light- to moderate-intensity PA during and after treatment was feasible, with the strongest preference for a program 2 to 8 months after treatment. The timing of information delivery was important, as was input from clinicians and organizations with knowledge of MM. Preferences for location, structure, and timing of programs varied. CONCLUSIONS: Low- to moderate-intensity PA after treatment is likely to interest people with MM. Programs need to be flexible and consider individual differences in PA preferences, functional status, and treatment schedules. IMPLICATIONS: An individually tailored PA program should form part of clinical care, involving clinicians and organizations with expertise in MM. Options for home-based PA are also important. Further research, including a population-based study of people living with MM, is necessary to further quantify PA preferences.
Resumo:
Population outbreaks of adult Acanthaster planci cause significant reductions in coral cover and reduce the resilience of coral reefs, but little is known about the behaviour and food preference of juvenile A. planci. In 2014, food preferences and feeding rates of recently settled (<1 year) juvenile A. planci were tested and determined at the National Sea Simulator facilities of the Australian Institute of Marine Science. Juveniles were offered eight species of coral (Acropora formosa, A. millepora, A. tenuis, Pavona cactus, Echinopora lamellosa, Pocillopora damicornis, Stylophora pistillata and Porites lutea), known to be either consumed or avoided by adult sea stars, in a multiple-choice and a no-choice experiment. In the multiple-choice experiment, a preference for A. tenuis was detected, while S. pistillata, E. lamellosa and P. lutea were avoided. The no-choice experiment showed that the avoidance of these species was not influenced by the presence of other coral species, the exception being E. lamellosa, which was only consumed when no other choice was offered. Interestingly, all juveniles consuming E. lamellosa died post-predation. The study suggests that as A. planci matures it feeds on a wider range of species, even those which would have been lethal to them if consumed as a juvenile.