I detaljplaneprocessen som regleras enligt plan- och bygglagen, PBL ställs kvar på samråd. Syftet med samrådet är att samla information, önskemål och synpunkter som berör planförslaget och överväga dessa i ett tidigt skede av detaljplanearbetet. Kommunen ska samråda om ett förslag till detaljplan med bland andra länsstyrelsen, lantmäterimyndigheten, kända sakägare och boende som berörs. Kritik riktas mot att gällande lagstiftning medför att samrådet ofta kommer in alltför sent i detaljplaneprocessen, när möjligheten att påverka har begränsats. En tidig dialog i samband med detaljplanering är inte reglerad i PBL. Den genomförs i vissa kommuner som ett verktyg i detaljplaneprocessen. Syftet med examensarbetet är att ur en fastighetsrättslig utgångspunkt undersöka varför, hur och i vilken omfattning som svenska kommuner använder sig av någon form av dialog med medborgare före det lagstadgade samrådet i detaljplaneprocessen. För att besvara den frågan genomförs litteraturstudier av plan- och bygglagstiftningen, med fokus på detaljplaneprocessen, dialog och samråd, tidigare forskning och undersökningar kopplad till dialog och samråd samt deltagar- och delaktighetsmodeller. Efter det följer empiriska studier i form av intervjuer med planchefer och planarkitekter i sju kommuner i Stockholms län och sex kommuner i Västra Götalands län. Utifrån 13 genomförda intervjuer är det tolv av de som intervjuats som företräder kommuner som använder sig av någon form av dialog tidigt i detaljplaneprocessen. • I några få kommuner har medborgarna ett visst inflytande utifrån dialogen. • I flera av kommunerna har medborgarna ett deltagande utifrån dialogen. • I några få kommuner medför inte dialogen att medborgarna får ett deltagande utan mera att de är informerade. • För många kommuner är den tidiga dialogen ett sätt att hämta kunskap och information från de som bor och verkar i ett område inför en detaljplanering. • Flera kommuner har rutiner för att utvärdera en dialog. • Flera kommuner saknar en strategi för dialogen. / In the process with the detailed development plans that is regulated in accordance with the Planning and Building Act, there is a requirement for consultation. The purpose of the consultation is to gather information, wishes and views that concern the plan proposal and consider these at an early stage of the detailed development plans work. The municipality shall consult on a proposal for a detailed development plan with, among others, the county administrative board, affected parties and residents who are affected. Criticism is directed at the fact that current legislation means that the consultation often comes in too late in the detailed development plan process, where the opportunity to influence has been limited. An early dialogue in connection with detailed development plans is not regulated in the Act. It is implemented in some municipalities as a tool in the detailed development plan process. The purpose of the Master thesis is to investigate from a property law point of view why, how and to what extent Swedish municipalities use some form of dialogue with citizens before the statutory consultation in the detailed development plan process. To answer that questions, literature studies of the planning and building legislation are carried out, with a focus on the detailed development plans process, dialogue and consultation, previous research and surveys linked to dialogue and consultation, and participation models. This is followed by empirical studies in the form of interviews with planning managers and planning architects in seven municipalities in Stockholm County and six municipalities in Västra Götaland County. Based on 13 interviews conducted, twelve of those interviewed represent municipalities that use some form of dialogue early in the detailed development plans process. • In a few municipalities, citizens have a certain influence based on dialogue. • In several of the municipalities, citizens have a participation based on dialogue. • In a few municipalities, the dialogue does not mean that the citizens get a participation, but rather that they are informed. • For many municipalities, the early dialogue is a way to gather knowledge and information from those who live and work in an area prior to detailed planning. • Several municipalities have routines for evaluating a dialogue. • Several municipalities lack a strategy for dialogue.

In 2017 the Ontario government moved forward with new child welfare legislation, Bill 89, spelling out that the 47 Children’s Aid Societies in Ontario will be much more ‘child-centric’. I explore the historical context of the ‘child-centric’ language and commitments in the new Act, including tracing its origin by the Act’s incorporation of the Katelynn Principle and Article 12 of the 1989 United Nations Convention On The Rights Of The Child. How best to consult youth in-care is an essential, but a mostly unanswered question. Children Aid Societies across the province have a unique opportunity to implement alternative methods in engaging young people in consultation, should they pan out as viable and reliable strategies when consulting youth in-care. Tradition interview approaches are not always the best strategies when engaging youth. Visual research methods, such as photo-elicitation, have the potential of offering useful insights into children’s perspectives and experiences. The focus of my thesis is youth voice. I explore this topic through a study with young people in-care involved in a music group. I used focus groups and photo-elicitation as methods for data collection. An important question addressed by my thesis is whether a visual research method, such as photo-elicitation, helps in the consultation process with young people and whether some of the claims made about the approach are accurate when working with youth. Specifically, I explored claims made about photo-elicitation helping with increasing 'emotional type talk' and inquired into how the method may enhance the consultation process with young people. I consider these questions in the context of important epistemological and theoretical debates about arts-informed and visual research methodologies. Five youth who had involvement of being in-care and were a part of a music group at a local Children’s Aid Society participated in my study. My study found that the youth overall felt consulted and did feel a degree of influence in shared decision making with being in-care. My study also showed that although photo-elicitation did not generate more ‘emotional-type talk’, it does appear to enhance self-confidence, which seemed to support meaningful participation in the interview process. Although much more needs to be explored with the application of visual research methods, and social science researchers should be cautious in making exaggerated claims in support of the approaches, youth in-care can surely benefit from visual research methods such as photo-elicitation. / Thesis / Master of Social Work (MSW)

No / This article starts from recognition that child sexual abuse is perpetrated in all communities, but appears to be under-reported to varying degrees in different communities. It acknowledges that children who have been sexually abused will usually benefit from services designed to assist them in moving on from this experience and to provide future protection from perpetrators. It notes, in particular, the apparent disproportionately low take-up of relevant services by members of Asian communities in Britain. It places this in the context of reported responses to child sexual abuse in Pakistan, India and Bangladesh and explores the likely impact of factors arising from cultural norms in relation to family structure and role relationships. It reports on work begun within Asian communities in Bradford to increase awareness of and appropriate responses to child sexual abuse which hopefully address issues which are or relevance elsewhere. In particular, it discusses responses to a preliminary questionnaire, discussions with community groups, a consultation event held in April 2003, and a multilingual information booklet produced as a result. It urges respectful dialogue with women, men, children and young people in Asian communities as being essential to progress regarding appropriate responses to child sexual abuse

Syftet med studien var att undersöka hur en digitaliserad samrådsprocess påverkade medborgarinflytandet jämfört med traditionella samråd. Medborgarinflytandet delades i denna studie upp i dialog, social representativitet och påverkansmöjligheter. En kvalitativ enkät användes som metod för att undersöka medborgarinflytandet. Enkäten skickades till anställda på flera svenska kommuner som har haft både digitala och traditionella samråd. Svarsunderlaget analyserades sedan med en tematisk analys förankrad i relevanta teoretiska modeller och litteratur. Resultatet av arbetet visade att dialogerna under samråden till viss del hade begränsats av det digitala formatet. Särskilt uppenbart var det när det digitala formatet webb- och livesändningar användes för att genomföra samrådsmötet. Samtidigt bidrog det digitala formatet till att dialogerna blev mer sakliga, strukturerade och rättvisa. Det digitala formatet påverkade även den sociala representativiteten och då främst positivt. Det digitala formatet resulterade i att kommunerna nådde ut till fler demografiska grupper under samråden. En bredare och mer jämställd social representativitet identifierades. Demografiska grupper som brukar vara underrepresenterade i större utsträckning under traditionella samråd såsom småbarnsföräldrar och kvinnor var bättre representerade under de digitala samråden. Den demografiska gruppen äldre hade till viss del exkluderats som ett resultat av det digitala formatet. Sammantaget hade de digitala samrådens påverkan på dialogerna och social representativitet inverkat på de deltagande medborgarnas påverkansmöjligheter både positivt och negativt. Dessa negativa effekter går att anse som lärdomar och utvecklingsmöjligheter, och med kunskapen förvärvad genom denna studie går effekterna att adressera och hantera. Det kunde även fastställas att en subjektiv inverkan som en följd av planerarnas etablerade värdegrund och planeringsetik inte hade begränsat inflytande eller påverkansmöjligheter för deltagande medborgare i någon stor utsträckning, då de allra flesta av respondenterna visade sig vara positivt inställda till medborgarpåverkan och inlytande. Medborgarinflytandet påverkades således av de digitala samråden både positivt och negativt, men med vissa korrigeringar genom förvärvad kunskap från denna studie hade digitala samråd varit mer fördelaktiga, samt mer tillgängliga för medborgare än traditionella samråd. / The aim of this study was to investigate how digitalized consultations affected citizen-influence compared to traditional consultations. The concept of citizen-influence in this study was divided into dialogue, social representation, and the citizens possibility to influence. The method used to investigate this was done through a qualitative survey. The survey was sent to planners employed at several different municipalities that had conducted both digital and traditional consultations previously. The collected data was then analysed using a thematic analysis with connections to relevant models and literature. The results of the study showed that the dialogue was partially restricted by the digital format used to carry out the consultations. This was especially apparent when the digital format web- and online live broadcasts with accompanied chat-features for questions and viewpoints from citizens was used to carry out the consultation. Simultaneously the digital format also contributed to more factual, structured, and equitable dialogues. The digital format has also affected the social representation during the consultations, primarily positively. The digital format enabled the municipalities reach out to more various demographic groups with the consultations. A broader and more equal social representation, including demographic groups that are usually underrepresented in traditional consultations, such as parents of young children and women, were better represented during the digital consultations. Although the elderly demographic was partially excluded due to the digital format. Overall, the effects of digital consultations on dialogue and social representation have impacted on the participating citizens possibility to influence both positively and negatively. These negative effects, however, can be seen as new wisdoms and opportunity of development and with the knowledge acquired by this study can be used to address and optimize these negative effects. Additionally, it was determined that subjective factors related to planners established values and planning-ethics did not significantly limit participating citizens possibility to influence, as most respondents expressed a positive attitude towards citizen-influence and participation. In summary, citizen influence was affected by the digital consultations both positively and negatively, but with some adjustments through knowledge acquired by this study, digital consultations have the potential to yield more favourable results as well as making them more accessible for citizens than traditional consultations.

Cette étude descriptive transversale visait à estimer la proportion de consultations en médecine familiale dans lesquelles sont observées une communication des risques et une clarification des valeurs et des préférences. Au sein de 238 dyades de cliniciens-patients (238 patients et 71 cliniciens), nous avons observé que 63 % (intervalle de confiance [IC] à 95 % : 54 % - 70 %) des consultations comportaient ces deux éléments. Aussi, nous avons observé que six facteurs étaient associés à la présence de ces deux éléments lors de la consultation : 1) les nouvelles options thérapeutiques (rapport de cotes [RC] = 3,54; IC à 95 % : 1,32 - 9,48); 2) les options de traitement (RC = 3,56, IC à 95 % : 1,52 - 8,36); 3) la présence de cinq décisions et plus (RC = 5,00; IC à 95 % : 1,5 - 16,9); 4) report de la décision (RC = 4,92; IC à 95 % : 1,35 - 17,87); 5) la durée de la consultation (RC = 1,03; IC à 95 % : 1,002 - 1,07) et 6) le style de prise de décision collaboratif du clinicien (RC = 8,78; IC à 95% : 1,62 - 47,71). Des interventions ciblant directement les facteurs modifiables sont à considérer en vue d’augmenter la présence de ces deux éléments durant la consultation en médecine familiale. / We conducted a descriptive cross-sectional study to estimate the proportion of consultations in family medicine reporting risk communication, and clarification of values and preferences during the medical decision-making process. In 238 clinician-patient dyads (238 patients and 71 clinicians), we observed 63% (95% confidence interval [CI] 54% - 70%) of visits where risk communication, value clarification and preference elicitation occurred. We also observed that six factors were associated with the presence of these two elements during the discussion with: 1) new therapeutic options (OR = 3.54; 95% CI 1.32 - 9.48); 2) treatment options (OR = 3.56; 95% CI 1.52 - 8.36); 3) presence of five health decisions or more (OR = 5.00; 95% CI 1.5 - 16.9), 4) postponing a decision (OR = 4.92; 95% CI 1.35 - 17.87); 5) the longer visits (OR = 1.03; 95% CI 1.002 - 1.07) and the collaborative decision-making style of health professionals (OR = 8.78; 95% CI 1.62 - 47.71). Interventions directly targeting those that are modifiable should be considered to increase risk communication and values clarification during the process of medical decision making in primary care.

The thesis investigates the influence of media consultation habits as the developers of risk perceptions among young travelers. It deals with the information-seeking practices of individuals aged 18 to 29 by scrutinizing the extent to which certain media channels are sought out to inform themselves about travel-related risks. By employing a quantitative research approach and collecting data through a web-based questionnaire, the study investigates the role of various information channels by measuring the degree to which they are sought out by the respondents. The findings reveal that legacy media is the most trusted source for risk information among young travelers, surpassing social media and other channels. This unexpected result highlights the significant role of traditional media in shaping risk perceptions despite the prevalence of digital platforms. The study's conclusions are intended to serve tourism professionals and destination managers seeking to enhance communication strategies and manage tourists' risk perceptions effectively.

Prior to 1994, the South African Health Department was characterised by a fragmented health care system, which was largely curative and hospital based, with services planned and managed without community involvement and participation. The government, through the establishment of a district health system, integrated the health services with the aim of overcoming the fragmentation, and providing integrated comprehensive health care services that are equitable, accessible, efficient and effective. The integration of health services in Gauteng, meant the devolution of primary health care services from the provincial health department to the local authority health department, because the local authority services are nearer and accountable to the community. The process of integration of health services also meant the closing down of provincial clinics and transferring of provincial authority nurses to the local authority clinics. The transfer process impacted negatively on staff morale and on the resources available for health care delivery to the communities. It is against this background that the researcher decided to investigate the integration process. The researcher then conducted focus group interviews with the local authority nurses, provincial authority nurses and the district management team as these nurses's immediate supervisors. The results revealed that the local and provincial authority nurses were integrated without proper consultation and as a result integration was rejected. The following themes emerged from the results as negative perceptions and obstacles towards integration: lack of consultation, disparities in conditions of service and resistance to change. Positive perceptions also emerged from the results as strategies to improve the integration, and these strategies were used to develop guidelines to operationalise the model. It is envisaged that the proposed model will serve as a theoretical framework for nurse managers from both spheres of government, local and provincial to improve the integration of nurses through proper consultation, and involvement of nurses in the process affecting them. It is further envisaged that the model will serve as guideline to introduce changes within the district health system with more understanding and acceptance by nurses affected. Health care managers will find the model useful to overcome disparities in conditions of service among nurses and, in turn this may boost the moral of nurses and lead to successful integration of provincial and local authority nurses. / Health Studies / D.Litt. et Phil (Health Studies)

Background: Adults benefit from participating in physical activity (PA) for chronic disease prevention and treatment. Postnatal women are encouraged to commence a gradual return to PA 4-6 weeks after giving birth, with participation in line with PA guidelines. The potential benefits of postnatal PA include weight management, improvements in cardiovascular fitness and psychological wellbeing. There has been limited high-quality information about the efficacy, feasibility and acceptability of PA interventions in postnatal women and few studies in the UK. Behavioural counselling interventions informed by behaviour change theory have been shown to successfully increase PA in low-active adults. Physical activity consultations (PACs) use structured and individualised behavioural counselling to enhance individuals’ motivation for change, and improve self-management skills. This approach may support adoption of PA in low-active postnatal women with research demonstrating that modifiable socio-cognitive factors influence PA behaviour. This thesis reports on the efficacy of a postnatal PA intervention, the More Active MuMs in Stirling (MAMMiS) study on change in PA behaviour. Efficacy of the intervention was tested in a randomised controlled trial. The effect on secondary health and wellbeing outcomes and PA cognitions targeted by the intervention and feasibility results are also reported. Methods: The intervention comprised a face-to-face PAC of around 35-45 minutes and 10-week group pramwalking programme. Non-attenders to the pramwalking group received a support telephone call. A follow-up PAC (15-20 minutes) was delivered after three month assessments. The first PAC involved raising awareness about benefits of PA, developing self-efficacy for change, setting goals and action planning PA, developing strategies for overcoming barriers, encouraging self-monitoring, prompting social support and selecting/changing the environment to support PA. The second PAC involved feedback about changes and preventing a return to sedentary habits. The pramwalking group met weekly for 6 walks of 30-55 minutes at a brisk pace, providing opportunities to demonstrate moderate-intensity walking and to encourage and support PA behaviour change. The control group received an NHS leaflet, which encouraged PA after childbirth. Postnatal women (six weeks to 12 months after childbirth) were identified through a variety of NHS-based and community-based strategies plus local advertisements and word-of-mouth. The primary outcome measure was evaluation of PA behaviour change using the Actigraph GT3X/GT3X+ accelerometer, an objective measure of PA behaviour; self-reported moderate-vigorous physical activity (MVPA) was measured using a recall questionnaire (Seven-Day Physical Activity Recall) and cardiovascular fitness using a submaximal step-test (Chester step-test). Secondary health and wellbeing measures were; anthropometric (i.e. weight and body mass index (BMI)) and body composition (measured using a bioelectrical impedance), psychological wellbeing (measured using the Adapted General Wellbeing Index) and fatigue (measured on a 100-point visual analogue scale). PA cognitions were measured via a questionnaire with constructs adapted from previous studies. All were taken at baseline (prior to randomisation), three and six months follow-up from baseline. Process measures were used to investigate intervention fidelity and feasibility. Acceptability was investigated in a post-trial interviews, conducted by a researcher not involved in the trial. RESULTS: Sixty-five postnatal women (average 33 years old with an infant 24 weeks old) were recruited (77% of those eligible). There was a 91% rate of retention at six months; participants who missed a follow-up assessment were younger (30 versus 34 years old) and had younger infants (21 versus 34 weeks old). Participants were less deprived and older compared with postnatal women in Scotland. Objectively measured PA behaviour did not change in response to the intervention. There was no between-groups difference in change in mean counts/minute from baseline to three months (p=0.35, 95% CI -73.50, 26.17, d=0.22) or three to six months (p=0.57, 95% CI -39.46, 71.18, d=0.13). There was no change in MVPA 7 minutes/day in either group from baseline to three (intervention =-0.70, IQR -9.86, 8.36; control =1.65, IQR -4.79, 8.21) or three to six months (intervention =0, IQR -1.13, 1.10; control =0, IQR -9.86, 8.23), with no between-groups difference baseline to three (p=0.43; r=0.10) or three to six months (p=0.75, r=0.09). Results for relative MVPA were similar. Median steps/day from baseline to three months did not change in the intervention group (0, IQR –1619.44, 1047.94) and increased by 195.95 (IQR -1519.55, 1691.03) among controls. The between-groups difference was non-significant (p=0.37, r=0.18). From three to six month follow-up steps/day increased in the intervention group and not in controls (0, IQR -1147.50, 1303.52), this between-groups difference was also non-significant (p=0.35, r=0.16). From baseline to three months self-reported MVPA declined in the intervention group (15 minutes/week; IQR -111, 15) and increased in the control group (30 minutes/week; IQR –68, 75): a non-significant between-groups difference, with a small effect size (p=0.71, r=0.22). From three to six months a decline in self-reported MVPA was found in controls (53 minutes/week; IQR -41,-101) and no change among the intervention group (0, IQ range -26, 71); a significant between-groups difference with a small effect size (p=0.04, r=0.26). There were no differences between the groups for the change in aerobic capacity from baseline to three months or three to six months with no evidence for change over time in aerobic capacity or fitness category in either group. Change in secondary outcomes did not differ between the groups from baseline to three or three to six months (although fatigue did improve in the intervention group relative to controls from baseline to three months). Considering PA cognitions, outcome expectancies declined in both groups from baseline to three months and continued to decline only in the intervention group from three to six months, a between-groups difference with a small effect size (p=0.03, r=0.26). Self-efficacy increased in the intervention group from baseline to three months and declined in the control group with a small effect size for the between-groups difference (p=0.03, r=-0.27). An increase in action 8 planning was seen among the intervention group but not controls from baseline to three months (p<0.01, r=-0.34). Both groups showed an increase in coping planning and action control; the change was larger among the intervention group relative to controls (i.e. p<0.01, r=0.44, r=0.43, respectively). Increased self-efficacy and action control were maintained from three to six months in the intervention group. Coping planning increased relative to controls (p<0.01, r=0.41) and action planning increased among controls from three to six months (p<0.01, r=0.39). Intervention fidelity and feasibility was good. All intervention participants received the initial PAC and adoption of self-management strategies was high for ‘thinking about the benefits of PA’, ‘action planning’ and ‘self-monitoring’, between baseline and three months. Most participants attended at least one walk (61% attended five or more), 89% of planned walks were conducted with no evidence of poor attendance due to season. Walks were conducted at a brisk pace and met moderate-intensity thresholds. DISCUSSION: MAMMiS aimed to recruit low-active healthy postnatal women to test the efficacy of a PAC and group pramwalking intervention. There was no evidence for an intervention effect on PA or on secondary health and wellbeing outcomes.

A Study On Taiwan’s Management Consulting Industry ~ An Application Of The Structure-Conduct-Performance Analysis Student: Hui-Wen Chang Advisor: Dr. Yung-Chien Lou ABSTRACT Among the service industries, management consultancy is the most prominent due to its importance for the prosperity and competitiveness of enterprises. Therefore, the motivation of carrying out this study is to explore ways to facilitate the successful development of management consulting industry and ultimately revive Taiwan’s economy. The focus of this study is concentrated on the characteristics of Taiwan’s management consulting industry by understanding its evolvement path, current condition, composition of five competitive forces, and its organization economic model to discover the industry’s structure, behavior pattern of participants and overall performance. This study also aims at identifying fundamental causes of the industry’s long-lasting problems and factors that hinder the implementation of the most frequently proposed recommendations in the past two decades. Through the application of S-C-P paradigm and the feedback from industry experts, this study concludes that the most frequently raised pressing issues of Taiwan’s management consulting industry are actually symptoms of the industry’s unique structure with 88% of industry participants employed fewer than 10 people (i.e. the cause), which reflects the influence of the industry’s low entry barrier, as well as the nature of management consultation knowledge, mindset of consultants and clients’ behavior. And pertaining to factors hindering the implementations of most frequently proposed recommendations in the past 20 years, this study comes to the conclusion that lacking of legislation, characteristics of management consultation services, mindset of industry participants, and clients’ true needs are major issues adding difficulties to the execution of various recommendations proposed. Last but not least, this study also proposes several criteria to enhance the effectiveness of recommendations proposed by previous studies.

This research seeks to connect the philosophical focus of the agency-structure debate with the practice of management through a comparative study of organisational decision-making in situations involving stakeholder consultation. Set in the context of decision-making following an airport master plan consultation, the study considers how the stakeholder framework can be integrated within institutional theory using institutional logics as a theoretical link between these two literatures. This thesis, which adopts a critical realist perspective, takes a comparative case approach of four airports, each owned in different ways. Interviews with airport managers are supplemented by discussions with stakeholders and industry experts. Two sets of a priori themes were identified from the literature. The first focuses on the institutional logics prevailing in the field and their influence on managers as they make decisions. The second considers four decision-making strategies managers might employ in this situation. Findings centre on the causal powers acting upon airport managers as they make their decisions. Whilst normative isomorphic pressure enables stakeholder consultation, the coercive pressure on the decision-making process deriving from English planning law, the adversarial and oscillating nature of Central Government policy, and a mimetic response to the nature of local authority development plans constrain the actions of airport managers. Indeed, the current bureaucratic form of capitalism limits stakeholder contribution to final master plans. This research makes four main contributions: Firstly, reflecting upon the agency-structure debate from a critical realist perspective has facilitated development of a model integrating the stakeholder framework within institutional theory. Secondly, it improves our understanding of how stakeholder contribution is managed in master planning. Thirdly, the study adds to the growing body of work that employs a critical realist perspective. Lastly, since reconciling conflicting stakeholder opinions may well be of vital importance to the future of the UK’s airport infrastructure, this work has practical significance for airport managers, government policy-makers and stakeholders as they strive to formulate worthwhile airport consultations.