The purpose of this study was: (1) to investigate Kuwait University (KU) students' attitudes toward seeking professional psychological help; and (2) to investigate if family, friends, and societal support played a role in the student's decision to seek professional psychological help as measured by the Family, Friends, and Societal Support Scale (FFSS), which was developed by the author. Other assessment tools used in the study included: (1) Attitudes Toward Seeking Professional Psychological Help Scale (ATSPPHS) as developed by Fischer and Turner (1970); (2) Orientation Toward Utilization of Social Resources (OTUSR) as developed by Vaux, Burda, and Stewart (1986); (3) a modified Life Stress Events Scale (LSE) based on 18 items selected from the 43 items Social Readjustment Scale published by Holmes and Rahe (1967); and (4) Demographic Data Sheet (DDS). A total of 529 participants completed all five assessment tools. The results indicated that KU students have less favorable attitudes toward seeking professional psychological help than groups studied by other researchers. The results also supported previous research, which found females, in general, to have more favorable attitudes toward seeking professional help than males. Individuals who received previous counseling were more likely to have favorable attitudes toward seeking professional help than those who did not receive such help. Students who majored or minored in psychology had more favorable attitudes toward counseling than those who were not psychology majors or minors. The newly developed scale, FFSS, was an effective predictor of KU students' attitudes toward seeking professional psychological help and explained more variance in ATSPPHS scores than any other predictors used in the study. / Ph. D.

Master of Science / Department of Mechanical and Nuclear Engineering / Guoqiang Hu / In some types of renewable energy systems such as wind turbines or solar power plants, the optimal operating conditions are influenced by the intermittent nature of these energies. This fact, along with the modeling difficulties of such systems, provides incentive to look for non-model based adaptive techniques to address the maximum power point tracking (MPPT) problem. In this thesis, a novel extremum seeking algorithm is proposed for systems where the optimal point and the optimal value of the cost function are allowed to be time varying. A sinusoidal perturbation based technique is used to estimate the gradient of the cost function. Afterwards, a robust optimization method is developed to drive the system to its optimal point. Since this method does not require any knowledge about the dynamic system or the structure of the input-to-output mapping, it is considered to be a non-model based adaptive technique. The proposed method is then employed for maximizing the energy capture from the wind in a variable speed wind turbine. It is shown that without any measurements of wind velocity or power, the proposed method can drive the wind turbine to the optimal operating point. The generated power is observed to be very close to the maximum possible values.

Opinion leadership and opinion seeking are central constructs in academic studies of new product innovations. Fashion opinion leaders as those individuals who accelerate the fashion maturity process by legitimising a fashionable trend and influence other consumers to adopt the new innovative style as a replacement for the current accepted one. Consumers who accept information and adopt new style innovations are called opinion seekers and are important to the diffusion of new fashions because they may act on the information they receive from the opinion leaders. In South Africa, the fashion industry, which consists of a combination of the manufacturing, retail, media and recruitment sectors, generates billions of South African rands per annum, and is the fifth largest employment sector in the country. In fact, the fashion and textile industry in South Africa employed approximately 143 000 people in March of 2005, and contributed 12 percent to total manufacturing employment. Post 1994, it was evident that the fashion industry in South Africa underwent a metamorphosis from a protected market where domestic manufacturers dominated to a market that increasingly faced competition from international sources. During the first decade of democracy, the country joined the World Trade Organisation (WTO) and opened its creative market to international trade. This saw the industry generate sales of R34 billion, of which 9.4 percent was from clothing sales, and with only 18.7 percent of textiles output being exported. This suggests that the South African retailing industry yields substantial value chain power. There appears to be few published research studies focusing on fashion opinion leadership and opinion seeking amongst the black Generation Y students in South Africa. Owing to the importance of the fashion industry sector, together with the ethnic and cultural diversity of Abstract South Africa, the size of the black Generation Y cohort, and the higher social standing and future earning potential of those with a tertiary qualification, it is important to explore black Generation Y students’ fashion opinion leadership/seeking and fashion involvement. In South Africa, the Generation Y cohort is the first generation to grow up in an era of freedom and constantly changing technology – two forces that serve to broaden the divergence between this fascinating generation and previous generations. In 2013, the Generation Y individuals accounted for an estimated 38 percent of the South African population, and members of the black Generation Y accounted for 83 percent of the country’s Generation Y cohort. The primary objective of this study was to investigate fashion clothing involvement, fashion purchase decision involvement, fashion opinion leadership and fashion opinion seeking behaviour amongst South African black Generation Y students. The target population for this study were male and female black undergraduate and postgraduate students, aged between 18 and 24, and enrolled at South African registered public higher education institutions (HEIs). The sampling frame for this study constituted the 23 South African registered public HEIs that existed in 2013. This sampling frame was narrowed down using judgement sampling to two HEI campuses in the Gauteng province – one from a traditional university and one from a university of technology. The Gauteng province was selected over other provinces in the country because it contained the highest percentage of the 23 public HEIs. A self-administered questionnaire was designed based on the scales used in previous studies. Lecturers at each of the two campuses selected to form part of the sample were contacted and asked if they would allow the questionnaire to be administered on their students during lectures. Once permission had been gained, the questionnaires were distributed to students during the scheduled lectures. The questionnaire requested respondents to indicate on a six-point Likert scale the extent of their agreement/disagreement with items designed to measure their fashion clothing involvement, fashion opinion leadership and fashion opinion seeking. In addition, the students were asked to provide certain demographic data. Abstract The findings of this study provide valuable insights into fashion clothing involvement, fashion purchase decision involvement, fashion opinion leadership and fashion opinion seeking behaviour amongst black Generation Y students in South Africa. Findings from this study show that there is a significant relationship between fashion product involvement, fashion purchase involvement, fashion opinion leadership and fashion opinion seeking amongst black Generation Y students, and that females have a significantly higher level of fashion product involvement compared to males. Insights gained from this study will help fashion marketing better understand this cohort’s involvement in fashion, which, in turn, should help them tailor their marketing efforts in such a way as to appeal to this segment in an improved manner. / MCom (Marketing Management), North-West University, Vaal Triangle Campus, 2014

Background: The study examined the effects of the determinants of under-five mortality in Malawi. It therefore aimed to estimate the rate or prevalence of under-five mortality in Malawi and to examine differentials in infant and child mortality by socio-economic, demographic, environmental, health-seeking behaviour and nutritional value. Methods: This study involved a secondary data analysis of the 2010 Malawi Demographic and Health Survey (MDHS) data set of children under five years old and women who had given birth in the five years preceding the survey. The Kaplan-Meier survival analysis and multivariate hazard analysis were used to examine the relationship between under-five mortality and socio-economic. demographic, environmental, health-seeking behaviour and nutritional factors. Results: The results show that birth order, mother's education, place of residence. region and exclusive breastfeeding were significantly associated with under-five mortality. The results also show that there was no significant association between under-five mortality and other indicators of socio-economic. demographic. environmental, health-seeking behaviour. The results also show that more deaths of under-fives occurred during infancy than during childhood. Conclusion: The results show that more deaths occurred during the first months after birth than after 12 months of age. This showed that mother's education, birth order, place of residence, region and breastfeeding had a greater influence on the survival of the child. / Thesis (M.Soc.Sc. Population Studies) North-West University, Mafikeng Campus, 2014

Opinion leadership and opinion seeking are central constructs in academic studies of new product innovations. Fashion opinion leaders as those individuals who accelerate the fashion maturity process by legitimising a fashionable trend and influence other consumers to adopt the new innovative style as a replacement for the current accepted one. Consumers who accept information and adopt new style innovations are called opinion seekers and are important to the diffusion of new fashions because they may act on the information they receive from the opinion leaders. In South Africa, the fashion industry, which consists of a combination of the manufacturing, retail, media and recruitment sectors, generates billions of South African rands per annum, and is the fifth largest employment sector in the country. In fact, the fashion and textile industry in South Africa employed approximately 143 000 people in March of 2005, and contributed 12 percent to total manufacturing employment. Post 1994, it was evident that the fashion industry in South Africa underwent a metamorphosis from a protected market where domestic manufacturers dominated to a market that increasingly faced competition from international sources. During the first decade of democracy, the country joined the World Trade Organisation (WTO) and opened its creative market to international trade. This saw the industry generate sales of R34 billion, of which 9.4 percent was from clothing sales, and with only 18.7 percent of textiles output being exported. This suggests that the South African retailing industry yields substantial value chain power. There appears to be few published research studies focusing on fashion opinion leadership and opinion seeking amongst the black Generation Y students in South Africa. Owing to the importance of the fashion industry sector, together with the ethnic and cultural diversity of Abstract South Africa, the size of the black Generation Y cohort, and the higher social standing and future earning potential of those with a tertiary qualification, it is important to explore black Generation Y students’ fashion opinion leadership/seeking and fashion involvement. In South Africa, the Generation Y cohort is the first generation to grow up in an era of freedom and constantly changing technology – two forces that serve to broaden the divergence between this fascinating generation and previous generations. In 2013, the Generation Y individuals accounted for an estimated 38 percent of the South African population, and members of the black Generation Y accounted for 83 percent of the country’s Generation Y cohort. The primary objective of this study was to investigate fashion clothing involvement, fashion purchase decision involvement, fashion opinion leadership and fashion opinion seeking behaviour amongst South African black Generation Y students. The target population for this study were male and female black undergraduate and postgraduate students, aged between 18 and 24, and enrolled at South African registered public higher education institutions (HEIs). The sampling frame for this study constituted the 23 South African registered public HEIs that existed in 2013. This sampling frame was narrowed down using judgement sampling to two HEI campuses in the Gauteng province – one from a traditional university and one from a university of technology. The Gauteng province was selected over other provinces in the country because it contained the highest percentage of the 23 public HEIs. A self-administered questionnaire was designed based on the scales used in previous studies. Lecturers at each of the two campuses selected to form part of the sample were contacted and asked if they would allow the questionnaire to be administered on their students during lectures. Once permission had been gained, the questionnaires were distributed to students during the scheduled lectures. The questionnaire requested respondents to indicate on a six-point Likert scale the extent of their agreement/disagreement with items designed to measure their fashion clothing involvement, fashion opinion leadership and fashion opinion seeking. In addition, the students were asked to provide certain demographic data. Abstract The findings of this study provide valuable insights into fashion clothing involvement, fashion purchase decision involvement, fashion opinion leadership and fashion opinion seeking behaviour amongst black Generation Y students in South Africa. Findings from this study show that there is a significant relationship between fashion product involvement, fashion purchase involvement, fashion opinion leadership and fashion opinion seeking amongst black Generation Y students, and that females have a significantly higher level of fashion product involvement compared to males. Insights gained from this study will help fashion marketing better understand this cohort’s involvement in fashion, which, in turn, should help them tailor their marketing efforts in such a way as to appeal to this segment in an improved manner. / MCom (Marketing Management), North-West University, Vaal Triangle Campus, 2014

The purpose of this study was to identify factors that contribute to women delaying seeking treatment for obstetric fistula. A stratified random sampling technique was used to select 384 study participants. A cross sectional analytical research design was used; data was collected by structured, closed ended questionnaires. Bivariate and multivariate logistic regression models were applied. Results show a significant correlation between traditional treatment and delay in seeking treatment (P-Value = 0.012). The presence of parents has a significant correlation in reaching treatment centres (p-value = 0.013), those women who are speaking about their fistula have less chance of delay in seeking treatment (p-value = 0.008), having no income significantly associated with delay in seeking treatment (AOR = 0.28) and women living closer to the treatment centres have less chance of delay (p-value = 0.008). Therefore, there are a number of factors that significantly influence women from early seeking of treatment for their fistulae. / Health Studies / M.A. (Public Health)

This paper focuses on what people in Saga, a village on the periphery of Niamey, the capital of Niger, do in the face of illness. With limited economic assets and in a context of medical pluralism, to which therapeutic alternatives do they turn? And what factors are determinant in the choice that they make? Saga is an old village, which has become increasingly integrated into the expanding urban community of Niamey. It can be described as a semi-urban area in which elements of both rural and urban Niger are present. The therapeutic field in Saga is, as in all of Niger, characterised by medical pluralism. A number of therapeutic alternatives exist side by side. They range from ‘western’ or hospital medicine provided by the local public dispensary, the private confessional dispensary and by the unlicensed sale of medicine by ambulant vendors to ‘traditional’ treatments, such as Islamic medicine practised by marabouts and ‘traditional’ healing using herbal remedies and spirit possession rituals. This paper is about the various institutions and actors of ‘modern’ medicine in Saga, namely on the public dispensary, on the confessional dispensary and on the informal sale of pharmaceuticals. To better understand the quest for therapy in Saga this paper focuses on everyday practices of therapy seeking, on the actual and everyday choices people make in the face of illness.Special attention is paid to the therapeutic alternatives and to the relation between therapy seeker and therapy provider in what may be called the therapeutic encounter. It is argued that socio-economic factors as well as social relations, personal experiences and perceptions of trust are central to the therapeutic recourse taken. Furthermore, it is suggested that the ‘quest for therapy’ can and should be seen as a ‘quest for relief’.

Objectives: The overall aim of this research was to describe the health-seeking behaviours (HSBs) of people in rural Makwanpur, Nepal, and to analyse the patient, household, community, health-system, knowledge and illness factors, and the psychological, social and cultural processes which explain these behaviours. Background: Much about the health status of populations and individuals can be understood by studying how people utilise their health services and the factors associated with this utilisation. HSB studies act as a starting point for the planning of health programmes and the structuring of health systems. Nepal, with its shortage of health providers and funding, its low service usage and its pluralistic medical landscape provides an interesting setting in which to examine HSBs. Most health policies in this context have been devised without taking into account the perspectives of the system users. Moreover, limited formal research on this topic has been carried out in this context. Methods: This study involved a mixed-methods, explanatory sequential design consisting of two phases – quantitative data collection followed by qualitative data collection. Quantitative data was collected using a cross-sectional household survey carried out in 2,334 households across ten VDCs in Makwanpur district between April 2011 and August 2011. Households were selected using a random sampling method. The survey asked about care-seeking in response to an acute episode of illness in the previous one month. Qualitative data was collected after the quantitative data using semi-structured household interviews (n=90) in three VDCs between November and December 2012. The Qualitative interviews were designed to compliment the quantitative findings and to determine the explicit factors associated with care decisions. Results: Of the 2,334 households surveyed,46% had at least one episode of illness in the month prior. The majority of illnesses were infectious or parasitic diseases (42%). Of those households experiencing illnesses, 69% chose to seek care outside of the home; 22% used traditional healers, 37% used allopathic providers and 12% opted for pharmacies as a first option. Sixteen did nothing to address their illnesses, sighting geography, finances, workload and lack of severity as the reasons. Regression models revealed that a host of different patient, household, community, illness, health facility and knowledge factors were associated with care decisions depending on the decision, but illness factors had the greatest impact overall on whether or not a household sought some care or care outside of the home, while household level factors had the greatest impact on the type of care sought outside of the home and the length of delays before seeking care. Patient gender had an impact on whether or not allopathic care was used at least once. Qualitative results revealed that health facility factors were also equally important in determining households’ conscious decision-making about specific providers. Conclusions: Overall it appears that people in Makwanpur are not underutilising health services as suspected. Households use certified government providers most frequently to address their illnesses, and do not rely too heavily on traditional healers or informal providers exclusively. The results indicate that while illness and household factors are important, in order to improve HSBs and increase allopathic care utilisation, a focus should be on improving health service delivery rather than on changing HSBs. However, in order to decrease delays in care-seeking, a focus should be made to reduce household-level barriers to care as well.

This study sought to investigate whether the popularity of Information Communication Technologies (ICTs) would impact the behavioral intention (BI) to use of these technologies to aid in interpersonal task completion. Out of the ICTs available today, the most popular is textmessaging, especially among a sizable percentage of the college population. Approximately 600 students at a small, private junior college in eastern North Carolina were invited to participate in this study with a target of 248 responses needed to comprise an adequate sample. A total of 259 usable surveys (n = 259) were received and analyzed. Qualitative data collection instruments consisted of an openended questionnaire and other openended responses that were solicited throughout the data collection phase. Quantitative data collection instruments consisted of a 22item Likertscale survey and a forcedchoice ordinal scale instrument that measured computer user selfefficacy (CUSE) and experience using technology (EUT). Situated in the context of academic helpseeking (AHS), vignettes were developed, validated and administered to offer AHS scenarios where a problem was presented and the participants were then asked to reveal which type of ICT he or she would utilize to seek academic help (AH) in that particular situation.

I takt med att samhället förändras och antalet unga med psykisk ohälsa ökar utvecklas och förändras även de hjälpformar som finns tillgängliga för ungdomar med psykisk ohälsa. Internets framväxt har bland annat resulterat i att traditionella former av hjälp, där den unge möter den professionella ansikte mot ansikte, har kompletterats med onlinehjälp så som onlinechattar. Med hänsyn till denna utveckling syftar denna studie till att undersöka och jämföra ungdomars attityder till att söka hjälp hos kurator och via onlinechatt vid psykisk ohälsa. Detta har åstadkommits med hjälp av ett kvantitativt tillvägagångssätt där pappersenkäter använts som insamlingsmetod. Sammanlagt besvarades enkäterna av 223 högstadie- och gymnasieungdomar mellan 15-20 år i Stockholmsområdet. Studiens resultat visar att ungdomarna känner större tillit till kuratorer än onlinechattar. De är även mer positiva till att söka hjälp hos kurator än via onlinechatt vid psykisk ohälsa. Ungdomarna uppgav varierande svar på vad som påverkar deras attityder till att söka respektive hjälpform. Lättillgänglighet, tillit och kommunikationsform uppgavs vara de faktorer som främst påverkar deras vilja att söka hjälpa hos kurator medan brist på tillit och stigma främst påverkar deras ovilja att söka denna hjälpform. De respondenter som kunde tänka sig att söka hjälp via onlinechatt uppgav däremot lättillgänglighet och anonymiteten som främsta anledningar. Den majoritet som inte kunde tänka sig att söka hjälp via onlinechatt uppgav brist på tillit och kännedom samt kommunikationsform som främsta orsaker till att inte söka denna hjälpform. Studiens respondenter är inte bara mer positiva till att söka hjälp hos kurator än via onlinechatt vid psykisk ohälsa; de har dessutom mer erfarenhet av att söka denna hjälpform. De faktorer som ungdomarna upplevde som positiva och negativa med sina erfarenheter skiljde sig dock avsevärt från de faktorer som påverkade deras attityder till att söka respektive hjälpform. Ungdomarna uppmärksammade exempelvis den professionellas bemötande och om de fick hjälp med sitt problem som positiva och negativa faktorer som utmärkte deras erfarenheter. Generellt hade dock majoriteten av ungdomarna positiva erfarenheter av att söka hjälp hos både kuratorer och onlinechattar. / In pace with changes in society, and as the number of youth with mental illness increases, the forms of help available to youth with mental health issues also develop and change. The evolution of the internet, among other things, has resulted in traditional forms of help, where the one meets a professional face-to-face, being supplemented with online forms of help, such as online chats. In view of this development, this study aims to examine and compare the attitudes of young individuals towards seeking help for mental illnesses from a counselor and an online chat. This thesis will be accomplished using a quantitative approach where paper questionnaires are used as a data collection method. A total of 223 questionnaires were answered by adolescents aged 15-20 years in the Stockholm area. The study’s results show that respondents feel more secure with and trust towards a counselor’s help and are also more likely to seek this form of help than online chat.  Responses varied in regards to what affected attitudes toward each form of assistance, but ease of access, trust and the medium of communication was reported to be the main factors affecting willingness to seek the help of a counselor, while lack of trust and stigma were the main factors contributing to reluctance. The respondents who were willing to seek help from an online chat stated however that accessibility and anonymity were primary factors. The majority who could not imagine seeking such online assistance stated lack of confidence and awareness as well as medium of communication as the foremost explanations. The study also showed that respondents are not only more willing to seek help for mental illness from a counselor than through online chat; they also have more experience in seeking this type of support. The factors that respondents felt to be positive and/or negative with their experience differed considerably from those factors that influenced the respondents' attitudes toward seeking help from a counselor or an online chat. Respondents drew attention to factors like the professionals' attitude and whether they received help with his or her problem as factors that characterized their experiences. Generally, however, the majority of respondents’ had positive experiences of seeking help from both counselors and online chats.