Problem: Many individuals with chronic illnesses such as stroke and ongoing activity limitations report self-perceived health related quality of life (HRQL) that is similar to that of healthy individuals. This phenomenon is termed response shift (RS). RS describes how people change: internal standards in assessing HRQL (recalibration), values (reprioritization), or how they define HRQL (reconceptualization), after an event such as stroke. Changes in HRQL post stroke may be inaccurate if RS is not taken into account. Increased knowledge of RS may affect the way in which HRQL measures are used, both clinically and in research. The overall objective was to assess RS in construct specific HRQL models post stroke: physical function, mental health, and participation. Methods: Data were analysed from the longitudinal study “Understanding Quality of Life Post-Stroke: A Study of Individuals and their Caregivers”. Six-hundred and seventy- eight persons with stroke at 1, 3, 6, and 12 months post stroke participated. Generic and stroke specific HRQL measures were collected. Descriptive analysis was completed with SAS, and identification of RS utilized structural equation modeling with LISREL. Results: Mean age of participants was 67 years (SD 14.8), and 45% were female. RS was identified in mental health using a framework which was developed for identifying RS statistically with multiple time points. RS was also identified in physical function where it had not been expected, possibly due to the self perceived nature of the response options. The effect size of change in physical function was affected by the presence of RS. The timing of RS in mental health and physical function was primarily around the 12 month time period, and predominantly recalibration RS. RS was also identified in participation. Conclusions: The framework that was developed was useful in identifying RS and incorporated important issues such as multiple testing and validation of the model. The presence of RS affects measurement of HRQL constructs post stroke; recalibration RS can be measured clinically with specific methods to account for RS. RS should also be measured in research studies to ensure accurate measurement of change. Future research should evaluate additional models in stroke and other populations.

Background: The first aim of this thesis was to systematically review the evidence for the impact of interpersonal trauma in childhood on appraisals of auditory hallucinations in adulthood. Informed by this systematic review and cognitive models of psychosis, potential moderators of the relationship between trauma and distress were proposed. Hypotheses: It was hypothesised that the experience of interpersonal trauma in childhood would predict ‘self blaming’ and ‘danger to self’ appraisals made by voice hearers about their auditory hallucinations. It was predicted that these appraisals would interact with the use of avoidant and non avoidant coping strategies and that this would predict wellbeing. Method 1 and results: In order to measure voice appraisals, the Interpretation of Voices Inventory was adapted. It was completed by one hundred and thirteen voice hearing participants and confirmatory factor analysis was used to test the predicted factors. Most items covaried with their respective factors acceptably. A number of items did not load well and it was recommended that they be removed from the measure. The amended factor structure improved the fit of the measure to an acceptable standard. Method 2 and results: Sixty two participants completed additional measures of interpersonal trauma in childhood and wellbeing. Structural equation modeling provided support for a link between severity of childhood trauma and ‘danger to self’ appraisals. ‘Danger to self’ appraisals predicted the use of acceptance based coping and this predicted wellbeing. Independent of this model, interpersonal coping was shown to predict the use of psychological explanations for the experience of auditory hallucinations. Psychological explanations did not predict acceptance or wellbeing. Discussion: It may be clinically helpful to test acceptance based interventions using ‘danger to self’ appraisals as an outcome measure in the future. Possible factors that may have influenced the results were reflected on. The potentially negative impact of insight on wellbeing was discussed. Stigma was highlighted as a potential barrier to non avoidant coping

Problem: Many individuals with chronic illnesses such as stroke and ongoing activity limitations report self-perceived health related quality of life (HRQL) that is similar to that of healthy individuals. This phenomenon is termed response shift (RS). RS describes how people change: internal standards in assessing HRQL (recalibration), values (reprioritization), or how they define HRQL (reconceptualization), after an event such as stroke. Changes in HRQL post stroke may be inaccurate if RS is not taken into account. Increased knowledge of RS may affect the way in which HRQL measures are used, both clinically and in research. The overall objective was to assess RS in construct specific HRQL models post stroke: physical function, mental health, and participation. Methods: Data were analysed from the longitudinal study “Understanding Quality of Life Post-Stroke: A Study of Individuals and their Caregivers”. Six-hundred and seventy- eight persons with stroke at 1, 3, 6, and 12 months post stroke participated. Generic and stroke specific HRQL measures were collected. Descriptive analysis was completed with SAS, and identification of RS utilized structural equation modeling with LISREL. Results: Mean age of participants was 67 years (SD 14.8), and 45% were female. RS was identified in mental health using a framework which was developed for identifying RS statistically with multiple time points. RS was also identified in physical function where it had not been expected, possibly due to the self perceived nature of the response options. The effect size of change in physical function was affected by the presence of RS. The timing of RS in mental health and physical function was primarily around the 12 month time period, and predominantly recalibration RS. RS was also identified in participation. Conclusions: The framework that was developed was useful in identifying RS and incorporated important issues such as multiple testing and validation of the model. The presence of RS affects measurement of HRQL constructs post stroke; recalibration RS can be measured clinically with specific methods to account for RS. RS should also be measured in research studies to ensure accurate measurement of change. Future research should evaluate additional models in stroke and other populations.

The aim of this thesis is to investigate the appropriateness of B2B technology transfer in developing countries, particularly in Thailand. This study seeks an understanding of how Thai culture affects the appropriateness of B2B technology adoption for inter-firm communication in Thailand. A research model was developed for investigating this issue via a strategic fit lens. The proposed model extended the Task-technology fit (TTF) model by Goodhue and Thompson (1995) by integrating interorganisational theories and theories of national culture. This research takes the view that, to achieve a high utilisation of B2B technology adoption, firms in developing countries need to adopt effective IT strategies that align with their local environment. Hence, this research proposes that cultural fit is a major influence on the perception of appropriateness of B2B technology adoption in Thailand. The study was conducted using both qualitative and quantitative approaches. The first study, the qualitative study, was conducted as a preliminary study by interviewing officials in the Thai government and companies in the tourism industry. The objectives were to explore and identify the cultural dimensions that impact on the appropriateness of B2B technology adoption in Thailand. The resulting dimensionalities of cultural fit are: personal relationships; long-term relationships; interorganisational trust; ability to communicate in the English language and materialism. The second study was conducted via a quantitative approach and scales were developed to validate the proposed research model. Data were collected through a survey questionnaire, and analysed by using Structural Equation Modeling with Partial Least Squares (PLS) method. This study found that cultural fit does influence the appropriateness of B2B technology adoption in Thailand. A better perceived fit between Thai culture and B2B technology results in higher technology utilisation. In addition, the results of moderating effect analysis found that, although task-technology fit had no direct impact on utilisation, task-technology fit did have indirect impact on utilisation by moderating the impact of culture. Nevertheless, the results indicated that task-technology fit still had a greater impact on firms' perceived performance than utilisation.

Thesis (M.Phil.)--Hong Kong University of Science and Technology, 2007. / Includes bibliographical references (leaves 77-79). Also available in electronic version.

Thesis (M.A.)--University of Missouri-Columbia, 2007. / The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on April 14, 2008) Includes bibliographical references.

Thesis (Ph. D.)--Michigan State University. Dept. of Counseling, Educational Psychology and Special Education, 2008. / Title from PDF t.p. (viewed on July 23, 2009) Includes bibliographical references (p. 142-148). Also issued in print.

The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Title from PDF of title page (University of Missouri--Columbia, viewed on March 25, 2010). Thesis advisor: Dr. Jerry W. Valentine. Vita. Includes bibliographical references.

Thesis (Ph.D.)--University of Iowa, 2006. / Supervisor: Mary Noonan Includes bibliographical references (leaves 170-182).

Thesis (Ph. D.) University of Missouri-Columbia, 2006. / The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on July 31, 2007) Includes bibliographical references.