O objetivo foi realizar a adaptação transcultural do 12 item Allodynia Symptom Checklist para a população brasileira e testar a confiabilidade dessa versão, já que não havia nenhum questionário de avaliação da alodínia cutânea em migranosos, sintoma que tem sido apontado como sinalizador da sensibilização central e como fator de cronificação dessa doença. A adaptação transcultural foi realizada em seis estágios: tradução, síntese, retrotradução, revisão pelo comitê de especialistas na área, pré-teste e submissão dos documentos ao comitê de especialistas. No estágio do pré-teste, foram aplicados 30 questionários em migranosos de ambos os sexos, que relataram dificuldades de compreensão e, dessa maneira, uma segunda versão foi criada e aplicada em mais 30 sujeitos, para a qual não foram relatadas dificuldades adicionais. O tempo médio de preenchimento foi de 336 e a consistência interna foi considerada adequada demonstrando uma boa correlação entre os itens ( de Cronbach = 0,77). Para testar a confiabilidade, outros 30 sujeitos preencheram o questionário, em dois momentos, sendo que para 15 deles o questionário foi autoaplicável e para os outros 15 a avaliação foi feita no formato de entrevista. A confiabilidade foi classificada como moderada (kappa ponderado linear = 0,58) e excelente ( kappa ponderado linear =0,84) respectivamente. Portanto, foi possível através desse estudo, disponibilizar em língua portuguesa um questionário válido, confiável e de fácil aplicação para a avaliação da alodínia em migranosos da população brasileira. / Since there was no portuguese questionnaire to evaluate cutaneous allodynia in migraine population, which has been pointed out as a central sensibilization flag and as risk factor of migraine chronification we aimed to perform the cross-cultural adaptation of the 12 item Allodynia Symptom Checklist for the Brazilian population and to test its reliability. It consisted in six stages: translation, synthesis, back translation, revision by a specialist committee, pretest, and submission the documents to the committee. In the pretest stage, the questionnaire was applied to 30 migraineurs of both sexes, who had some difficulty in understanding it. Thus, a second version was applied to 30 additional subjects, with no others difficulties being reported. The mean filling out time was 336and the internal consistency was considered adequate showing a good interrelation between items (Cronbachs = 0,77). To test reliability, 30 other subjects filled out the questionnaire at two different times, 15 of them in a self-report administration and 15 in a structured interview. It was classified as moderate (linear weighted kappa = 0.58) and as excellent (linear weighted kappa = 0.84) respectively. In this study, it was possible to make available in portuguese a valid, reliable and easy tool for cutaneous allodynia assessment in Brazil.

Made available in DSpace on 2016-12-06T17:06:53Z (GMT). No. of bitstreams: 1 LUCIANO PS.pdf: 889846 bytes, checksum: 573e8b7a007874f156d7071a1cc603f8 (MD5) Previous issue date: 2012-03-01 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The battery assessment for motor evaluation, Movement Assessment Battery for Children - Second Edition (MABC-2), composed of motor tests and a questionnaire (MABC-2 Checklist), has been used and tested in various nationalities to identify children with motor problems. However, due to cultural differences between the country of origin of the protocol (United Kingdom) and some cultures where the protocol was used (Australia, Spain and Japan), it was noticed the need for further studies and adaptations in some parts of the test for use in those countries. This study aimed to validate part of the MABC-2, the Movement Assessment Battery for Children - Second Edition - Checklist to Portuguese language. We performed the translation of the instrument into Brazilian Portuguese by a standard procedure of translation, back translation and judgment by a committee of experts, composed by four teachers and seven doctors. The experts examined the original and translated to check consistency between the versions and suggest modifications. Adaptations were made in consensus with the committee of experts, defined a Pre-Final version, which was then tested. The instrument was answered by 40 children's responsible and 16 teachers (14 regents and two Physical Education teachers). The children's responsible also answered the DCDQ-BR questionnaire. Were evaluated with the motor tests of the instrument MABC-2, 98 school children aged between 7 and 10 years, of both sexes. The final version of the instrument MABC-2 Checklist presented a high level of internal consistency with alpha equal to 0.953, a result pointed out as being excellent. Although the instrument has been presented valid, it did not show a high degree of trust in inter-rater reliability test, showing a statistically significant difference between groups (810.145, p = 0.000). When construct and concurrent validity was tested, it was demonstrated a statistically significant difference between MABC-2 motor tests, Checklist and DQDQ BR, being (F (2.177) = 810.145, p = 0.000). The post-hoc Tukey test revealed a significant difference between the motor evaluation tests of MABC-2, DCDQ-BR questionnaire and MABC-2 Checklist completed by children's responsible and teachers, these being (p = 0.000) for all cases. Using data obtained in this study, we can conclude that the translation of the instrument is valid, but the diagnosis was made through the instrument MABC-2 Checklist showed no accuracy when trying to identify children with motor problems. It is suggested that future studies consider to develop a national and / or regional reference tables, and also consider different tables for responsible, teachers and other groups that may answer the instrument. / A bateria de testes de avaliação motora Movement Assessment Battery for Children - Second Edition (MABC-2), composta por testes motores e um questionário (MABC-2 Checklist), tem sido usada e testada em diversas nacionalidades para identificar crianças com problemas motores. Porém, em virtude de diferenças culturais entre o país de origem do protocolo (Reino Unido) e algumas culturas onde o protocolo foi utilizado (Austrália, Espanha e Japão), percebeu-se a necessidade de mais estudos e de adequações em algumas partes do teste para o uso nestes países. O presente estudo teve como proposta validar parte do MABC-2; o Movement Assessment Battery for Children - Second Edition Checklist para a língua portuguesa. Foi realizada a tradução do instrumento para o português brasileiro através de um procedimento padrão de tradução, retrotradução e julgamento dessas por um comitê de especialistas composto por 4 mestres e 7 doutores. O grupo de especialistas examinou a versão original e traduzida para verificar a concordância entre as versões e sugerir modificações. Foram feitas adaptações em consenso com o comitê de especialistas, sendo definido uma versão Pré-Final; que em seguida foi testada. Responderam ao instrumento, 40 responsáveis e 16 professores (14 regentes e 2 de Educação Física). Os responsáveis também responderam o questionário DCDQ-BR. Foram avaliados com os testes motores do instrumento MABC-2, 98 escolares com idades entre 7 e 10 anos, de ambos os sexos. A versão final do instrumento MABC-2 Checklist apresentou elevado índice de consistência interna com Alfa igual a 0,953; resultado apontado como sendo excelente. Embora o instrumento tenha se apresentado válido, ele não apresentou um alto grau de fidedignidade no teste de fidedignidade entre avaliadores, evidenciando uma diferença estatisticamente significativa entre os grupos (810,145, p=0,000). Quando posto à prova as validades de constructo e concorrente, ficou evidenciada uma diferença estatisticamente significativa entre os testes MABC-2 motor, Checklist e DQDQ-BR sendo (F(2,177) = 810,145, p=0,000). O teste post-hoc Tukey revelou que houve diferença significativa entre os testes de avaliação motora do MABC-2, o questionário DCDQ-BR e o MABC-2 Checklist respondido por responsáveis e professores, sendo estes (p=0,000) para todos os casos. Através dos dados obtidos neste estudo, pode-se concluir que a tradução do instrumento é válida, porém o diagnóstico realizado através do instrumento MABC-2 Checklist não apresentou exatidão ao tentar identificar crianças com problemas motores. Sugere-se que em estudos futuros seja considerado o desenvolvimento de tabelas de referência nacional e/ou regional para o instrumento; bem como tabelas de referência diferenciada para responsáveis, professores e demais grupos que venham responder o instrumento.

The purpose of this study was to reconsider the five factor structure of the Teach Concern Checklist (TCC) currently being utilized by the teacher Preparation Evaluation Program (TPEP) at Western Kentucky University. The problem was to replicate the three factor solution of the TCC proposed by George (1978) and to further explore the progression of teacher concerns with experience to lend support to the self-task-impact concern theory proposed by Fuller (1969) Two hundred and sixty-five pre-service and in-service teacher participating in TPRP completed the TCC. These teachers represented the different experience levels of student. First, third and fifth year of teaching. Factor analysis technique revealed three concern factors similar to those of Fuller and George. Three additional factors also emerged that remained consistent with Fuller’s concern theory, however, they distinct from those reported by George (1978). Two self concern factor, one representing evaluation by peers and supervisors and the second representing evaluation by pupils, emerged in contrast to the one self concern factor identified by George. Two task factors also emerged, one involving instructional task concerns (similar to George) and one involving classroom discipline. Impact concerns were also represented by two separate factors, one involving academic impact and the second environmental impact concerns. The analysis of variance procedures supported the teacher concerns theory of a progression from most to least concern for self concerns; however, evidence strong enough to support the progression theory was not produced for the task and impact factors. Teachers of all experience levels were found to share a similar magnitude of concern for the task and impact factors.

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

Sales training and feedback is an important aspect of a successful business. Sales based businesses are dependent on effective customer relations. Implementing a training program that is focused on customer service could help increase sales revenue for the business as a whole. The purpose of this research study is to make recommendations for improving the process of initially greeting a customer in order to create a more positive experience from start to finish. It also examines the importance of feedback in regard to increasing desired behavior of a salesperson. After conducting a PDC with the owner, management and salespeople; recommendations for improving upon customer greetings was given to the management team.

Resumo Introdução - O consumo de carnes se faz presente na rotina alimentar de brasileiros, representando importante fonte de nutrientes, ácidos graxos essenciais, aminoácidos, vitaminas do complexo B, minerais e proteínas. As carnes são tradicionalmente comercializadas por açougues, estabelecimentos que estão sujeitos à fiscalização das Vigilâncias Sanitárias municipais. Um instrumento utilizado nas vistorias é o laudo de inspeção que possibilita listar de forma padronizada as irregularidades higiênico-sanitárias encontradas. Objetivo - Reestruturar o laudo de inspeção sanitária utilizado como instrumento medidor da qualidade dos serviços prestados por estabelecimentos varejistas de carnes no município de Ribeirão Pires SP. Métodos A pesquisa constituiu-se em um estudo de campo realizado em um universo de 27 açougues localizados no município de Ribeirão Pires, que foram visitados em duas oportunidades: a primeira, para aplicação do laudo genérico e levantamento das não conformidades mais frequentemente cometidas, as quais foram utilizadas para a reestruturação do laudo; e outra, para a aplicação concomitante do laudo genérico e do laudo reestruturado e posterior comparação de resultados. O estudo foi iniciado após aprovação pelo Comitê de Ética em Pesquisa e do consentimento dos participantes. Resultados As não conformidades mais frequentes segundo o laudo genérico, em ordem decrescente, foram aquelas relacionadas à: documentação; utensílios, equipamentos e higienização; condições físico-estruturais; recebimento, armazenamento e manipulação de matérias-primas; e manipuladores, sendo 14 (51,9 por cento) açougues considerados bons, 8 (29,6 por cento) regulares e 5 (18,5 por cento) excelentes Enquanto no laudo reestruturado as não conformidades mais frequentes foram: recebimento, armazenamento e manipulação de matérias-primas; documentação; condições físico-estruturais; utensílios, equipamentos e higienização; e manipuladores, sendo 12 (44,4 por cento) açougues considerados bons, 14 (51,9 por cento) regulares e 1 (3,7 por cento) excelente Conclusão - Concluiu-se que apesar de ambos instrumentos serem suficientemente sensíveis e fidedignos na detecção de não conformidades higiênico-sanitárias, a aplicação do laudo reestruturado proporcionou maior dinamismo, simplicidade e especificidade na identificação de não conformidades cometidas pelos açougues / Introduction The meat consumption is included in the Brazilians alimentary routine and it represents an important dietary source of essential nutrients, fatty acids, amino acids, complex B vitamins, minerals and proteins. Raw meats are tradicionally commercialized in butcheries which are under the inspection of the districtals Sanitary Surveillances. An instrument used by the inspectors is the checklist that provides a framework to list the hygienic-sanitary irregularities in a stardardized way. Objective To re-structure the sanitary inspection checklist used as instrument to measure the quality of the products commercialized by the butcheries of Ribeirão Pires SP. Methodology Case study research in which 27 butcheries of the city of Ribeirão Pires were studied and inspected in two oportunities: first to apply the generic inspection checklist raising the non-compliance acts more often observed and which were used to re-structure the ckecklist; second to apply both checklists at the same time to compare the results obtained. The survey was inicialized after the approval of the Institucional Review Board and after the signature of the informed consent by the butcheries owners or representatives. Results The non-compliance acts more frequently observed in the generic inspection checklits were the ones related to: documentation; utensils, equipment and cleaning procedures; physic-structural conditions; reception, storage and raw material handling; and foodhandlers, with 14 (51,9 per cent) butcheries classified as good, 8 (29,6 per cent) as regular and 5 (18,5 per cent) as excellent. In the re-structured checklist the non-compliance acts more frequently observed were: reception, storage and raw material handling; documentation; physic-structural conditions; utensils, equipment and cleaning procedures; and foodhandlers, with 12 (44,4 per cent) butcheries considered good, 14 (51,9 per cent) regular and 1 (3,7 per cent) excellent. Conclusion In conclusion, despite the fact that both instruments have the sensibility to determine the hygienic-sanitary non-compliances, the re-structured checklist provided dynamism, simplicity and specification to identify the non-compliance acts observed in the butcheries

Resumo: A segurança na assistência cirúrgica é um grande desafio nas instituições hospitalares, sendo que a implantação da lista de verificação de cirurgia segura tem mobilizado os profissionais de saúde, principalmente os enfermeiros, que atuam em centros cirúrgicos. Objetivos: este estudo objetivou analisar as evidências científicas sobre a lista de verificação de cirurgia segura; e propor uma estratégia educativa para a implantação da lista de verificação de cirurgia segura com base nestas evidências. Materiais e método: Trata-se de um estudo metodológico, de revisão integrativa (RI), fundamentada na Prática Baseada em Evidências, cuja busca foi realizada com os descritores segurança do paciente e enfermagem perioperatória/patient safety e perioperative nursing, nas base de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Medical Literature Analysis and Retrieval System Online (MEDLINE), com a questão de pesquisa \"Quais as evidências científicas nacionais e internacionais sobre a lista de verificação de cirurgia segura, que podem subsidiar a proposição de uma estratégia educativa para a sua implantação?\". Mediante critérios de inclusão e de exclusão, a amostra final foi constituída por 16 artigos científicos, que foram categorizados em dois temas. No tema \"Participação para implantação do checklist\" houve indicação de estratégias que podem favorecer a participação ativa dos profissionais de saúde, tanto para a sua implantação como seu aperfeiçoamento; e no tema \"Avaliação da implantação do checklist\" evidenciou-se aspectos importantes para a avaliação do processo de implantação na prática clínica, mas também há necessidade de estratégias para melhorar o comprometimento interprofissional. Com a análise destas evidências, elaborou-se a proposição de uma estratégia educativa para favorecer a implantação da lista de verificação de cirurgia segura em unidades de centro cirúrgico. Acreditamos que a estratégia proposta favorecerá a implantação e aperfeiçoamento da segurança na assistência cirúrgica aos pacientes, bem como a participação interprofissional. / Abstract: Safety in surgical care is a great challenge in hospital institutions, and the implementation of a surgical safety checklist has mobilized health professionals, mainly nurses, who work in surgical centers. Objectives: This study was intended to analyze the national and international scientific evidence on surgical safety checklist; and to propose an educational strategy for its implementation, based on such evidence. Materials and methods: This is a methodological study, typified as integrative review (IR), underpinned by Evidence-Based Practice, whose search was held using the descriptors \"segurança do paciente\", \"enfermagem perioperatória\"/\"patient safety\", \"perioperative nursing\", in the Latin American & Caribbean Health Sciences Literature (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE) databases, with the research question \"What can the national and international scientific evidence on surgical safety checklist offer to subsidize the proposal of an educational strategy for its implementation?\". After applying the inclusion and exclusion criteria, the final sample consisted of 16 scientific articles, which were categorized into two topics. In the topic \"Participation for implementation of the checklist\", strategies capable of fostering the active participation of health professionals were indicated, both for their implementation and for their enhancement; and in the topic \"Evaluation of the implementation of the checklist\", important aspects for the evaluation of the implementation process in clinical practice were evidenced, but there was also an emphasis on the need for strategies to improve the interprofessional commitment. With the analysis of such evidence, we drew up the proposition of an educational strategy to foster the implementation of the surgical safety checklist in surgical centers. We believe that the proposed strategy will foster the implementation and enhancement of the safety in the surgical care to patients, as well as the interprofessional participation.

Resumo Introdução - O consumo de carnes se faz presente na rotina alimentar de brasileiros, representando importante fonte de nutrientes, ácidos graxos essenciais, aminoácidos, vitaminas do complexo B, minerais e proteínas. As carnes são tradicionalmente comercializadas por açougues, estabelecimentos que estão sujeitos à fiscalização das Vigilâncias Sanitárias municipais. Um instrumento utilizado nas vistorias é o laudo de inspeção que possibilita listar de forma padronizada as irregularidades higiênico-sanitárias encontradas. Objetivo - Reestruturar o laudo de inspeção sanitária utilizado como instrumento medidor da qualidade dos serviços prestados por estabelecimentos varejistas de carnes no município de Ribeirão Pires SP. Métodos A pesquisa constituiu-se em um estudo de campo realizado em um universo de 27 açougues localizados no município de Ribeirão Pires, que foram visitados em duas oportunidades: a primeira, para aplicação do laudo genérico e levantamento das não conformidades mais frequentemente cometidas, as quais foram utilizadas para a reestruturação do laudo; e outra, para a aplicação concomitante do laudo genérico e do laudo reestruturado e posterior comparação de resultados. O estudo foi iniciado após aprovação pelo Comitê de Ética em Pesquisa e do consentimento dos participantes. Resultados As não conformidades mais frequentes segundo o laudo genérico, em ordem decrescente, foram aquelas relacionadas à: documentação; utensílios, equipamentos e higienização; condições físico-estruturais; recebimento, armazenamento e manipulação de matérias-primas; e manipuladores, sendo 14 (51,9 por cento) açougues considerados bons, 8 (29,6 por cento) regulares e 5 (18,5 por cento) excelentes Enquanto no laudo reestruturado as não conformidades mais frequentes foram: recebimento, armazenamento e manipulação de matérias-primas; documentação; condições físico-estruturais; utensílios, equipamentos e higienização; e manipuladores, sendo 12 (44,4 por cento) açougues considerados bons, 14 (51,9 por cento) regulares e 1 (3,7 por cento) excelente Conclusão - Concluiu-se que apesar de ambos instrumentos serem suficientemente sensíveis e fidedignos na detecção de não conformidades higiênico-sanitárias, a aplicação do laudo reestruturado proporcionou maior dinamismo, simplicidade e especificidade na identificação de não conformidades cometidas pelos açougues / Introduction The meat consumption is included in the Brazilians alimentary routine and it represents an important dietary source of essential nutrients, fatty acids, amino acids, complex B vitamins, minerals and proteins. Raw meats are tradicionally commercialized in butcheries which are under the inspection of the districtals Sanitary Surveillances. An instrument used by the inspectors is the checklist that provides a framework to list the hygienic-sanitary irregularities in a stardardized way. Objective To re-structure the sanitary inspection checklist used as instrument to measure the quality of the products commercialized by the butcheries of Ribeirão Pires SP. Methodology Case study research in which 27 butcheries of the city of Ribeirão Pires were studied and inspected in two oportunities: first to apply the generic inspection checklist raising the non-compliance acts more often observed and which were used to re-structure the ckecklist; second to apply both checklists at the same time to compare the results obtained. The survey was inicialized after the approval of the Institucional Review Board and after the signature of the informed consent by the butcheries owners or representatives. Results The non-compliance acts more frequently observed in the generic inspection checklits were the ones related to: documentation; utensils, equipment and cleaning procedures; physic-structural conditions; reception, storage and raw material handling; and foodhandlers, with 14 (51,9 per cent) butcheries classified as good, 8 (29,6 per cent) as regular and 5 (18,5 per cent) as excellent. In the re-structured checklist the non-compliance acts more frequently observed were: reception, storage and raw material handling; documentation; physic-structural conditions; utensils, equipment and cleaning procedures; and foodhandlers, with 12 (44,4 per cent) butcheries considered good, 14 (51,9 per cent) regular and 1 (3,7 per cent) excellent. Conclusion In conclusion, despite the fact that both instruments have the sensibility to determine the hygienic-sanitary non-compliances, the re-structured checklist provided dynamism, simplicity and specification to identify the non-compliance acts observed in the butcheries

Every year, thousands of congestive heart failure (CHF) patients are readmitted to the hospital within 30 days of discharge. There is a gap in practice in the care continuum of patients with CHF within the transition from hospital to home. One of the factors known to increase a patient's risk for readmission is the lack of patient engagement and self-efficacy regarding the treatment plan. The purpose of this project was to implement a transition of care practice guideline that consisted of the use of a risk identification tool, a customized care plan for patients at high risk for readmission, and a discharge checklist crafted specifically for CHF patients who are at risk for readmission. The practice initiative utilized the Iowa model of Evidence Based Practice as a framework and the teach-back method for discharge education. A sample of 193 patients admitted during a 1-month timeframe fit the inclusion criteria and was generated from the electronic health record. Descriptive statistics were used to analyze the data collected during implementation. In fact, of the 106 CHF patients who benefited from the CHF checklist only 2 required readmission within 30 days, a 1.8% 30 day readmission rate. As compared to the 22% readmission rate experienced in 2017, this represented a considerable improvement, albeit preliminary. Efforts to improve the lives of patients and their families will ultimately serve society well, making a significant contribution to positive social change. Providing comprehensive discharge education to patients using the teach-back method to assess the retention of knowledge will help close the gap in the transition of care between hospital and home, ultimately reducing CHF readmissions.

Over the last decade there has been a substantial research effort directed toward understanding recidivism and risk prediction among adult sex offenders. In contrast, the juvenile sex offender field has received much less empirical attention. Consequently, there are very few risk assessment instruments designed for use with young persons who have committed sexual offences. Available measures do not appear to take into account the higher rates of non-sexual recidivism typical of this population. This thesis aimed to identify risk factors for sexual and non-sexual recidivism among juvenile sex offenders (JSOs) and explore their utility in the context of a risk assessment instrument. In Study One, a meta-analysis was conducted on JSO research to examine risk factors for sexual recidivism. The meta-analysis involved 17 studies and 22 predictor constructs. Seven variables emerged as reliable predictors of sexual recidivism: an index sexual offence involving a stranger victim, a history of physical abuse in the offender's background, the presence of sexual deviance, a non-contact index sexual offence, sexually offending against a greater number of victims, a history of sexual offending, and a history of non-sexual offending. In Study Two, a meta-analysis was performed on JSO research to identify risk factors for non-sexual recidivism. The meta-analysis involved 14 studies and 19 predictor constructs. Six variables emerged as reliable predictors of non-sexual recidivism: a history of non-sexual offending, a history of sexual abuse (negative relationship), the presence of an antisocial orientation, an index sexual offence involving a child victim (negative relationship), a history of physical abuse in the offender's background, and the use of threats/force in the index sexual offence. Taken together, the two meta-analyses were able to identify risk factors specific to sexual recidivism (e.g., sexual deviance) and non-sexual recidivism (e.g., antisocial orientation) as well as risk factors common to both outcomes (e.g., a history of non-sexual offending). These studies therefore made an original and significant contribution to the understanding of recidivism among JSOs. Based upon the meta-analyses, Study Three involved the construction of a risk assessment checklist that could be easily scored from file information. The Juvenile Risk Assessment Checklist (J-RAC) contained 11 items based upon the most consistent operationalisations of the predictors that emerged from the meta-analyses. The J-RAC is unique in the JSO risk assessment field as it contains two scales designed to provide separate estimates of the risk of youth engaging in further sexual and non-sexual recidivism, respectively. The J-RAC was scored based on file information from 82 youth who had been found guilty of sexual offences and referred to a treatment service in Queensland, Australia. The majority of the items possessed good inter-rater reliabilities and the two scales both possessed high inter-rater reliabilities. An existing JSO risk assessment instrument, the Juvenile Sex Offender Assessment Protocol Version 2 (J-SOAP-II; Prentky & Righthand, 2003), was also administered and the J-RAC possessed significant correlations with the majority of the J-SOAP-II scales. The J-RAC was also found to significantly discriminate between juveniles in detention and juveniles in the community, with those in detention found to be at higher risk on both scales. Thus, the reliability, convergent validity, and discriminant validity of the J-RAC was established. Consistent with current adult sex offender recidivism theory, the findings demonstrated the distinct roles of sexual deviance and antisocial orientation in the prediction of sexual and non-sexual recidivism of JSOs, respectively. The current thesis goes some way towards advancing a theory of juvenile sex offender recidivism by drawing upon the variables that emerged as reliable risk factors in the two meta-analyses. While the J-RAC could not yet be considered an actuarial instrument capable of assigning low, medium and high risk levels, the results of the research conducted in this thesis are encouraging. The utility of the J-RAC may be further enhanced through the aid of prospective research that incorporates substantial numbers of juvenile recidivists.