Thesis (Ph. D.)--University of Chicago, Dept. of Psychology, June 1997. / Includes bibliographical references. Also available on the Internet.

This thesis deals with possibilities of education of adults with hearing impairment in the Czech Republic. The theoretical part of the thesis deals in the first chapter with the basic terminology of the branch. The second chapter focuses on communication of persons with hearing disabilities. The third chapter is devoted to problems of adult education, lifelong learning, tertiary education and also brings the greatest possible comprehensive list of organizations dealing with this issue and the current offer of education. The final chapter is devoted to the question of quality of life and the related job opportunities for these individuals. The main objective of this thesis is to analyze the current educational opportunities of persons with hearing disabilities. Partial objectives of this thesis is to analyze the sufficiency of existing supply of educational possibilities, the level of awareness of people with hearing disabilities about this offer and satisfaction with the applicability of the knowledge thus acquired in the labor market. The practical part of this thesis focuses on the evaluation of the survey, which was carried out in connection with completing of this thesis, and its conclusion focuses on comments on the results of the survey. The work should serve especially to the summary...

Nonmalignant respiratory diseases (NMRD), such as Chronic Obstructive Pulmonary Disease (COPD), are a leading cause of morbidity worldwide. Research has shown that patients with NMRD in the UK, Canada and the US have less access to palliative care services than patients with other respiratory diseases such as lung cancer. Discussing preferences for end-of-life care in NMRD can be difficult for patients, carers and health professionals, however it is essential to ensure that the patient’s wishes are met, particularly when resources are scarce. Despite similar nationalised health care systems in the UK and Canada, a recent report by the Economist Intelligence Unit ranked overall quality of end-of- life care in the UK first out of forty, while Canada was ranked ninth out of forty. Therefore, it was deemed useful to investigate how end-of-life for people with NMRD is discussed between health professionals and patients in the UK and Canada and to develop an instrument allowing health professionals to determine constraints and opportunities for facilitating such discussions in each country as comparing care between countries is helpful to determine the best solutions for individuals and families with complex needs. This study was guided by the Medical Research Council guidelines for developing and implementing complex interventions, and the research process followed the requirements for the development phase of these guidelines. First, two systematic reviews were carried out to establish the evidence base regarding of end-of-life discussions. The first focused on how end-of-life is discussed in NMRD, while the second focused exclusively on end-of-life discussions in a single NMRD (COPD) in the UK and Canada only. The findings of the systematic reviews pointed toward the need for further training of health professionals to iii discuss end-of-life with this patient group, as well as the lack indicators that this patient group is ready or willing to discuss end-of-life. Then, a Delphi study was conducted with specialist respiratory nurses in the UK to determine expert opinion on how health professionals know a patient with NMRD is ready to discuss end-of-life, and to establish the key considerations and topics in such discussions. This study was replicated in Canada with health professionals working with patients with NMRD. Each Delphi study resulted in a country specific tool to assist less experienced health professionals discuss end-of-life with this patient group. Finally, the findings of these Delphi studies were compared to determine what health professionals in each country could learn from each other, as well as specific considerations in each country, and areas for future research. The findings from the comparison process demonstrated that the emotional intelligence of health professionals, the patient education context and the recognition of cultural issues were all important factors when approaching end-of-life discussions. Findings from each phase of the intervention development process resulted in a theoretical model of how end-of-life is discussed in the UK and Canada. This model identifies constraints and opportunities for such discussions from a systems level perspective including: end-of-life policies, prognosis in non-malignant respiratory disease, time, clinical indicators, initiation responsibility, the educational role of health professionals, emotional intelligence, cultural competence and readiness versus willingness to discuss end-of-life. Recommendations are made from the findings of this study for research, clinical practice, education and policy. A detailed plan for the next stage of the development of the intervention is included.

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

The objectives of this thesis were to explore the effects of receptive individualised live and recorded-music on interactions within participating dyads consisting of a person with dementia who was in their final phase of life (resident), and a person with whom he or she shared a close connection (carer), as well as on each individual participant. A 'Receptive' music intervention is one where participants are not required to do anything but listen. METHODS The conceptual frameworks of realist evaluation, ethnography, symbolic interactionism, and dramaturgical actionism influenced the design of this study. There were two phases: during phase-1, fifteen semi-structured interviews were conducted with 'key-consultants', who were specialists in topics related to this thesis, to inform the design of 'phase-2'. During 'phase-2', musical interventions were conducted at five non-NHS care homes in Scotland over a period of nine-months. Each intervention consisted of either individualised live-music (3 sessions) or the same or similar music pre-recorded (three sessions); all music was played by the researcher on the solo cello. Interventions took place in residents' private bedrooms, and lasted between fifteen and seventy-minutes. The order of live and recorded-music interventions was switched for approximately half the dyads. Each intervention was video-recorded for later observation. Semi-structured interviews and Visual Analogue Scales (VAS) were administered with each participating carer before and after the conclusion of their series of interventions, to compare their expectations with their actual experiences and to better understand their experience. Whenever possible, key-staff and managers were also interviewed to learn what their perceptions of this study had been: its effects on them and on participants. ANALYSIS required repeated visits to the raw data: beginning with thickly-describing all video-footage; then thematically coding all thick-descriptions and transcribed audio-interviews; and lastly revisiting all video-footage via a self-modified version of an evaluative observation instrument; 'Person Interaction Environment Care Experience in Dementia' (PIECE-dem). FINDINGS support prior research regarding the beneficial effects of individualised receptive music on listeners who have dementia. This study suggests that both live and recorded-music promote wellbeing, and enhance dyad interaction in the moment of listening. These findings demonstrate the potential for receptive music to create an embodied sense of 'haven' for people with dementia who are nearing the end of life and for those sharing the experience with them: by capturing and holding their attention, and transporting them either back in time, or entirely out of time into a state of 'flow', or into an 'intense musical experience'.

DIPLOMOVÁ PRÁCE The safety of seniors in the Internet cyberspace Ing. Martina Burešová Praha 2015 This thesis focuses on issues of use of Internet environment by seniors. I deal with benefits and risks of the cyberspace. I describe how the Internet environmet can affect the quality of life. Specific risks and actions to prevent them are defined theoretically. The theoretical description is afterwards enhanced by actual experience from my long-term work of teaching courses on computers to seniors and handicapped people. I present examples of good practice. In the practical part, I concentrate on research of safe manners of seniors in the Internet cyberspace. I organized the research as secondary activity of the education itself. I used questionnaires, tests, interviews and observation for the research. The goal of the research was the evaluation of seniors' compenences of safety manners in the cyberspace. I assume from the results of the research that seniors' competences are insufficient. I believe, subject to my observation and in compliance with safe off-line communication analysis and following evaluation of hypotheses, that safe manners may be taught to seniors using appropriate method of education.

The thesis deals with the theme of Quality of life of hearing impaired people during adolescence. It is divided into two parts - a theoretical one and a practical one. The theoretical part consists of three chapters - A person with hearing impairments, Quality of life and Selected factors affecting life of hearing impaired people. In these chapters we consider categorization, classification, etiology of hearing impaired people, and also consequences of hearing impairments. In the next part we deal with the historical view on the quality of life of hearing impaired people, its specification or measurements of the quality of life. In the last chapter of the theoretical part we choose particular factors which affect life of hearing impaired people - communication, upbringing and education, culture, sport, free time. The practical part of the thesis is focused on analysis and evaluation of a questionnaire-based survey in which 41 hearing impaired respondents at the age of 16 - 21 participated. The questionnaire-based survey is aimed at hearing impaired people's attitude to the quality of life - namely education, free time activities, interactions with intact population and doing activities together - including a preferable form of communication with intact people or present satisfaction in their lives....

The diploma thesis deals with the issue of providing all elements of the comprehensive rehabilitation of handicapped people. The goal of this thesis was to determine, what experiences adult handicapped people have in terms of being taken care of in their home environment and in an institution. Another goal was to try and find out what criteria are important for the way they evaluate these. And, the last goal of the thesis was to propose an effective model of taking care of these people given obtained results and given financial capacities of the state and today's regulations. The theoretical part shows the section and development of care provided to handicapped people from the beginning of humanity until today including valid legal regulations. The following part describes briefly the issue of a coordinated rehabilitation and the efforts to ensure the legal regulation thereof in the Czech Republic. The last chapter of the theoretical part is devoted to the D.R.A.K. Association, the clients of which are the relevant research set. For the research itself the qualitative research strategy was chosen. The data were acquired using semi-structured interviews with clients, their family members and those who care for them in the D. R. A. K. Association. Acquired data were processed using the qualitative contents analysis of interviews. The set of participants included nine clients, members of the D.R.A.K. Association, the target group of which are adult handicapped people. Next, I spoke with five family members and three experts from D. R. A. K. Results are divided into three chapters according to research questions. The first chapter contains answers of clients, how they perceive the difference when being taken care of in an institution (D.R.A.K. Association) and in the natural environment (at home). The second chapter of results describes criteria, which are decisive and important for clients and have emerged during interviews.

This diplomawork "The consequences of the institutionalization of the senior in residential facility" is based on a comarationof a researchamong two senior groups - living in his or her own homeenvironmentor in residentialinstitutional facility. The theoretic part consists of fore chapters: Ageing, Health as a Value, A Work with Seniors in Different Environment, The Impact of institutionalization on Seniors. A literary analysis of studied scholarly literature is based on the diploma work task, taking the practical needs into its account. The main general goal of a research part is to evaluate a perception of ageing. The main general goal of the research part is to survey the perception of ageing, risks and limitations related to overcome from home to institution percieved by seniors coupled with possible pros and cons. I used a questionnaire for my research. During the data acqusition I was influenced by my long practise with seniors in residential facility and my personal interest in the issue of fundamental change in senior's life.

Submitted by Adriana Alves Rodrigues (aalves@espm.br) on 2017-11-29T13:28:02Z No. of bitstreams: 1 PPGCOM Tese Paulo RF Cunha.pdf: 6248280 bytes, checksum: acaf4627860c7d7335eca120b06aad90 (MD5) / Approved for entry into archive by Adriana Alves Rodrigues (aalves@espm.br) on 2017-11-29T13:31:52Z (GMT) No. of bitstreams: 1 PPGCOM Tese Paulo RF Cunha.pdf: 6248280 bytes, checksum: acaf4627860c7d7335eca120b06aad90 (MD5) / Approved for entry into archive by Ana Cristina Ropero (ana@espm.br) on 2017-12-01T11:22:08Z (GMT) No. of bitstreams: 1 PPGCOM Tese Paulo RF Cunha.pdf: 6248280 bytes, checksum: acaf4627860c7d7335eca120b06aad90 (MD5) / Made available in DSpace on 2017-12-01T11:24:37Z (GMT). No. of bitstreams: 1 PPGCOM Tese Paulo RF Cunha.pdf: 6248280 bytes, checksum: acaf4627860c7d7335eca120b06aad90 (MD5) Previous issue date: 2017-03-13 / This thesis aims to understand the context and the articulations related to the consumption of model images of a lifestyle pattern – named as American way of life –, through the dissemination of mass communication, in particular, of North American cinema in the 1950‟s. Such mediatization of images made sense to viewers and adhered to the common sense of United States citizens. However, in parallel with the pedagogical action of the diffusion of said model, contradictions and contextual factors that did not conform to pattern and which continued to be presented in that society – as well as in the films – have dialogued with diverse portions of the population and have generated verisimilitude to the referenced displayed on the screen. In this way, after the film analysis of production launched in the aforementioned decade, this project will have a responsibility to understand the process, the elements, the strategies and the plural representations implemented by film industry in order to include in the films features of the model and non-model – after all, making sense is a way of working on the order to of customer loyalty. The research carried out through the contemporaneousness of the theme is justified, since a significant part of the cultural and media production of the United States in the 20th century crossed frontiers and reached the world, taking with it the image of a country and of exemplary citizens whose form of living should be a reference – as it still is in certain instances. / A presente Tese possui como objetivo central compreender o contexto e as articulações relacionadas ao consumo de imagens modelares de um padrão de estilo de vida – denominado como American way of life –, através da disseminação da comunicação de forma massiva, em particular, do cinema norte-americano nos anos 1950. Tal midiatização de imagens fez sentido para espectadores e aderiram ao senso comum dos cidadãos dos Estados Unidos. Entretanto, em paralelo à ação pedagógica da difusão do referido modelo, contradições e fatores contextuais que não compunham o padrão e que continuavam presentes na sociedade – assim como nos filmes –, dialogavam com parcelas distintas da população e geravam verossimilhança às referências exibidas na tela. Desta forma, ao final, após a realização de análise fílmica de produções lançadas na já citada década, este projeto terá a responsabilidade de compreender o processo, os elementos, as estratégias e as representações plurais implementadas pela indústria cinematográfica para contemplar as características do modelo e do não-modelo nos filmes – afinal, fazer sentido é trabalhar na ordem da manutenção de espectadores. Justifica-se, assim, a pesquisa realizada pela contemporaneidade do tema, posto que parte significativa da produção cultural e midiática dos Estados Unidos no Século XX ultrapassou suas fronteiras e alcançou o mundo, levando consigo a imagem de um país e de cidadãos exemplares, cuja forma de viver deveria ser uma referência – como ainda o é em determinadas instâncias.