Thesis (M.S.)--University of Wisconsin. School of Nursing, 1972. / eContent provider-neutral record in process. Description based on print version record.

Thesis (Ph. D.)--University of Nevada, Reno, 2008. / "December 2008." Includes bibliographical references (leaves 127-144). Online version available on the World Wide Web.

Thesis (M.S.)--Rutgers University, 2008. / "Graduate Program in Psychology." Includes bibliographical references (p. 41-44).

Thesis, PlanB (M.S.)--University of Wisconsin--Stout, 2005. / Includes bibliographical references.

Thesis (M.S.)--University of Wisconsin-Madison, 1980. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 47-52).

Thesis (M.S.)--University of Wisconsin. School of Nursing, 1975. / eContent provider-neutral record in process. Description based on print version record.

Thesis (Ph. D.)--Virginia Commonwealth University, 2010. / Prepared for: Dept. of Psychology. Title from title-page of electronic thesis. Bibliography: leaves 141-160.

Fibromyalgia Syndrome (FMS) is a disease of unknown etiology that affects up to 3 million Canadians, or 2-10% of the general population (Carruthers & van de Sande, 2005). Acceptance-based behavioural therapy (ABBT) is a relatively recent approach to treating human suffering in general and chronic pain in particular (Hayes, Strosahl, & Wilson, 1999; McCracken, 2005). ABBT treatments have been shown to effectively treat pain, pain-related anxiety, depression, and other behavioural measures of disability (McCracken, 2005; McCracken, Vowles, Gregg, & Almada, 2010; Pear & Simister, 2016, p. 160). In-person treatments can place significant burden on patients and the overall health-care system. Outcomes for online programs can be similar to those for in-person treatment while allowing for increased flexibility for both patients and professionals (Ritterband & Tate, 2009; Strecher, 2007). The current study extended a pilot study (Shay, Tkachuk, Simister, Bailly, & Skrabek, 2011), modifying the previous treatment to a 6 unit program that could be delivered online. Sixty-one participants completed the study, being randomly assigned to an online ABBT plus treatment-as-usual (online ABBT + TAU) group or a treatment-as-usual alone (TAU) group. All participants completed a series of self-report measures at baseline, at post-treatment, and at a 3-month follow-up. Linear mixed modelling supported significant differences between the groups in favour of the ABBT + TAU treatment group on the primary outcome measure (Fibromyalgia Impact Questionnaire-Revised (FIQ-R); F (2, 52.82) = 20.10, p < .0001) following treatment. The online ABBT + TAU group also had significantly greater improvements in depression, pain, acceptance, perceived helplessness, and kinesiophobia. Increased acceptance mediated the effects of treatment on improvements in FMS quality of life and FMS impact, while reduced helplessness mediated the effects of treatment on improvements in level of reported pain. Comments and subjective ratings of improvement were consistent with the quantitative results. Participants rated mindfulness (contact with present moment experience) as the most useful treatment unit. / February 2016

Purpose: This study explored therapeutic processes associated with developing a course for patients with persistent pain which integrated osteopathic treatment with Acceptance and Commitment Therapy (ACT). This 'third wave’ cognitive behavioural approach is effective for a range of physical and psychological problems, including persistent pain, and congruent with osteopathic principles of holism, function and agency, which provided a theoretical basis for developing an integrated intervention to promote resilience and well-being. A qualitative case study was conducted as part of a developmental research programme to explore how ACT could be integrated with osteopathic treatment for individual patients, and with what effects on processes and outcomes. Method: Linguistic ethnography was used to explore links between pain-related discourses, clinical decisions and responses to pain. Treatments were audio-recorded, transcribed, and coded. Extracts referring to discourses about pain experienced during manual therapy were subjected to micro-level conversation analysis, sociolinguistic analysis of participants’ roles, and macro-level analysis of links to broader healthcare discourses. A reflective diary was used to explore experiential learning and integrate auto-ethnographic information. Results: Two distinctive forms of mechanistic and facilitative pain discourse were identified. In predominantly mechanistic discourses, agency and expertise were located with the osteopath, and intention was focused on fixing ‘broken’ parts and relieving pain using ‘familiar’ osteopathic techniques. In facilitative discourses, the osteopath adopted a more collaborative role, focused on developing the patient's body and self-awareness to promote more flexible, active pain responses. Practitioner challenges included learning how to shift intention between mechanistic and facilitative interventions, a process that was enabled by mindfulness and willingness to tolerate uncertainty. Conclusions: In this study, ACT-informed osteopathy involved facilitative discourses, associated with increased patient agency and flexibility in response to pain. Further research is needed to explore whether this pattern of discourse is robust in other clinical settings; relationships between mechanistic and facilitative discourses and therapeutic outcomes; and effects of ACT training on practitioner mindfulness and attitude towards clinical uncertainty. Findings suggest that this integrated approach could expand the scope of osteopathic care for patients with persistent pain, and is worth further investigation.

Purpose: The relationship between context and e-governance has been gaining a significant momentum in academic circles due its social and technical complexities. There are many challenges posed by the disparity between the context and the system when it comes to e-governance in developing countries. This research aims to reveal more successful adoption of e-governance initiatives and exposes factors that hinder its implementation. We develop a conceptual framework showing the reciprocity between the context and the system or what is termed “Context-System Gap”. Therefore, this research will study the appropriateness of the context and its influence on the system and the influence of the system on the context. The purpose of this research is to explore the factors that enable successful e-government adoption in Lebanon, where e-governance is still at its initial stage. Most empirical research and theories on the implementation of e-governance in developing countries remain at the macro-level and miss out on the complexities of the context of deployment and the role of the gap between the citizens and the government. The purpose of this thesis is to provide an empirical model differentiating between the electronic context and the electronic system and shed a light over a new gap, government-citizen gap, in the adoption of e-government. Design/methodology/approach: Following previous research on e-government services adoption, this study uses several technology use and acceptance models and literature to examine the elements behind the adoption and use of e-government services in Lebanon from citizen and government perspectives. The research strategy is a quantitative method approach employing questionnaire. Quantitative data will be collected from e-government users (citizens) and statistical tests will be conducted in order to examine the relation between variables. Practical implications: The findings are useful for policy-makers and decision-makers to develop a better understanding of citizens' needs. The proposed model can be used as a guideline for the implementation of e-government services in developing countries. Originality/value: This study is the only one to examine the dimensions influencing citizens’ adoption of e-government technologies in developing countries using a unified model merging context and system elements.