What process research tells us about brief intervention efficacy.

ISSUE: This article explores mechanisms of the efficacy of brief intervention (BI). APPROACH: We conducted a BI trial at the emergency department of the Lausanne University Hospital, of whom 987 at-risk drinkers were randomised into BI and control groups. The overall results demonstrated a general decrease in alcohol use with no differences across groups. The intention to change was explored among 367 patients who completed BI. Analyses of 97 consecutive tape-recorded sessions explored patient and counsellor talks during BI, and their relationship to alcohol use outcome. KEY FINDINGS: Evaluation of the articulation between counsellor behaviours and patient language revealed a robust relationship between counsellor motivational interviewing (MI) skills and patient change talk during the intervention. Further exploration suggested that communication characteristics of patients during BI predicted changes in alcohol consumption 12 months later. Moreover, despite systematic training, important differences in counsellor performance were highlighted. Counsellors who had superior MI skills achieved better outcomes overall, and maintained efficacy across all levels of patient ability to change, whereas counsellors with inferior MI skills were effective mostly with patients who had higher levels of ability to change. Finally, the descriptions of change talk trajectories within BI and their association with drinking 12 months later showed that final states differed from initial states, suggesting an impact resulting from the progression of change talk during the course of the intervention. IMPLICATION: These findings suggest that BI should focus on the general MI attitude of counsellors who are capable of eliciting beneficial change talk from patients. [Daeppen J-B, Bertholet N, Gaume J. What process research tells us about brief intervention efficacy.

Special Investigation of the Cass County Sheriff's Office, July 1st, 2001 through February 25, 2004

County Audit Report - Special Investigation

Panorama brasileiro do ensino de Enfermagem On-line

O objetivo deste estudo foi identificar os cursos de Ensino Superior Nacional de EAD por área de concentração, região geográfica, nível de formação e os cursos de EAD no ensino superior de Enfermagem. O método adotado foi um estudo exploratório descritivo em que foi realizado um levantamento nos sites e portais governamentais e não-governamentais relacionados à educação nacional e EAD das Instituições de Ensino Superior (IES) que praticam EAD. Nos resultados foram identificados apenas dois cursos de pós-graduação lato sensu oferecidos especificamente em Enfermagem. Assim, há necessidade de maior investimento das IES de Enfermagem na criação e avaliação de cursos de EAD, bem como de infra-estrutura e de implementação de uma política de capacitação tecnológica.

Gestión de encuestas on-line dinámicas con estímulo (GEODE)

El presente proyecto ha sido pergeñado como una aplicación que pretende resolver las dos carencias principales detectadas en los sistemas clásicos de encuestas on-line gratuitos: por un lado, resultan estáticos (en el sentido de que las encuestas no son dinámicas en función de las respuestas acumuladas) y, por otro, no ofrecen al individuo encuestado el conocimiento que necesita (como máximo devolverán información agrupada de acuerdo a los resultados globales obtenidos sin retornar un análisis comparativo del grupo frente a la del usuario).

Special Investigation of the Fourth Judicial District Department of Correctional Services (District) Headquartered in Council Bluffs, July 1st, 2003 through August 31, 2004

Other Audit Report - Special Investigation

The Lunch Line, Vol. 52, no. 2, November 2001

Newsletter produced by Department of Education, Bureau of Food and Nutrition

The Lunch Line, Vol. 52, no. 3, January, 2002

Newsleter produced by Department of Education, Bureau of Food and Nutrition

The Lunch Line, Vol. 52, no. 4, March 2002

Newsleter produced by Department of Education, Bureau of Food and Nutrition

The Lunch Line, Vol. 52, no. 5, May 2002

Newsletter produced by Department of Education, Bureau of Food and Nutrition

The Lunch Line, Vol. 52, no. 4, April 2003

Newsletter produced by Department of Education, Bureau of Food and Nutrition

The Lunch Line, Vol. 52, no. 2, November 2002

Newsletter produced by Department of Education, Bureau of Food and Nutrition

The Lunch Line, Vol. 52, no. 1, September 2002

Newsletter produced by Department of Education, Bureau of Food and Nutrition

The Lunch Line, Vol. 52, no. 3, January/February 2003

Newsletter produced by Department of Education, Bureau of Food and Nutrition

The Lunch Line, October 2003

Newsletter produced by Department of Education, Bureau of Food and Nutrition