Thesis (Ed. D.)--Teachers College, Columbia University. / Typescript; issued also on microfilm. Sponsor: Paul Byers. Dissertation Committee: William C. Sayres. Bibliography: leaves 97-103.

<p>Studies show that children’s and adolescents health decreases, especially the mental health. There are today many health methods that flourish in the school area. Methods that is external and used as individual interventions and methods that have the intention to integrate health in all aspects of the school curriculum.</p><p>Research on health projects often show what the intervention or method has produced. Few studies have been found who discuss the pupil’s own experience regarding health projects. How much consideration does the health projects take regarding the adolescents needs? The aim of this study was to examine pupil’s experiences of their participation in health projects, in consideration of 1; which view pupil’s have on health projects in school, 2; how pupils experience the methods that are included in health projects and 3; in what way health project can contribute to changes of pupil’s lifestyle. To achieve the aim of this study a qualitative interview-study was chosen. A stratified sample was used in this study and a total number of nine interviews were made. The interviews were carried out with help from an interview guide that contained four themes with open questions. The analysis procedure resulted in three themes based on the aim of the studies three questions. In every theme different shades could discern.</p><p>The result of the study shows that the experiences are mainly positive. The pupil’s vision of the health project showed that the information was good in some aspects and in other aspects insufficient. The methods that were included in the health project, physical tests and health conversation, were considered as relevant. Physical tests contributed in both positive feelings as for example curiosity and negative feelings as nervousness and anxiety. The health conversation was considered as a good sum up of the physical tests and the children’s lifestyle. Changes took place partly in the pupil’s action and partly in their ponderings where an awareness of their life situation grew.</p> / <p>Studier visar på att barns och ungdomars ohälsa ökar, framförallt den psykiska ohälsan. Många hälsometoder florerar idag i skolan. Det finns externa metoder som används som hjälpmedel och enskilda insatser samt metoder som har för avsikt att implementera hälsa i alla aspekter av skolarbetet och läroplanen.</p><p>Forskning gjord på hälsoprojekt visar ofta vad interventionen eller metoden har genererat i. Få studier har hittats vilka behandlar elevens egna upplevelser av hälsoprojekt. Hur mycket utgår hälsoprojekt från barns behov? Syftet med denna studie var att undersöka gymnasieelevers upplevelser av sitt deltagande i hälsoprojekt med avseende på 1; vilken syn elever har på hälsoprojekt i skolan, 2; hur elever upplever metoder som ingår i hälsoprojekt och 3; på vad sätt hälsoprojekt kan bidra till förändringar av elevers livsstil. För att uppnå studiens syfte valdes en kvalitativ intervjustudie. Ett strategiskt urval gjordes och totalt genomfördes nio stycken intervjuer. Intervjuerna genomfördes med hjälp av en intervjuguide vilken innehöll fyra stycken teman med öppna frågor. Analysförfarandet resulterade i tre stycken teman utifrån syftets tre forskningsfrågor. I varje tema kunde olika nyanser urskiljas.</p><p>Resultatet av intervjustudien visar att elevernas upplevelser av hälsoprojekt i huvudsak är positiva. Elevernas syn på hälsoprojekt var att informationen var bra i vissa avseenden och ibland otillräcklig. Metoderna som hälsoprojektet bestod av (fysiska tester och motiverande samtal) upplevdes som väsentliga. De fysiska testerna genererade både i positiva känslor som nyfikenhet och negativa känslor som nervositet och oro. Det motiverande samtalet ansågs av eleverna vara en bra sammanfattning av de fysiska testerna och elevernas livssituation. Det motiverande samtalet tog även upp många faktorer ur vardagslivet. Förändring skedde dels med utgångspunkt i elevernas handlande som till exempel fysisk aktivitet, kost och stress och dels utifrån elevernas tankeverksamhet där en medvetenhet om livssituationen växte fram.</p>

Syftet med denna studie var att undersöka högstadieelevers upplevelser av ett hälsoprojekt. En högstadieklass i Uppsala län har under våren deltagit i ett pilotprojekt i syfte att utveckla metoder för fortsatta hälsofrämjande projekt samt på sikt förbättra ungdomarnas hälsa gällande ökad fysisk aktivitet, bättre kost- och sömnvanor samt en bättre sammanhållning i klassen. 19 av klassens 22 elever tackade ja till att delta i studien. Den kvalitativa metoden som använts för datainsamling är fokusgruppintervjuer. Eleverna fick tillsammans diskutera sina upplevelser, tankar och känslor kring hälsoprojektet och insatserna samt huruvida de har upplevt sin egen påverkan av projektets innehåll. Genom innehållsanalys plockades nio teman ut som senare bildade fyra kategorier. Kunskapsöverföring, samarbete och sammanhållning, klassens upplevelse av identitet, påverkan och delaktighet. Resultatet visade att majoriteten av eleverna inte upplevde att de fått märkbart ökad kunskap om hälsa, då många menade att informationens innehåll var sådant de visste sedan tidigare. Däremot menar de flesta att de upplevt en förändring inom klassen gällande samarbete och sammanhållning samt att samarbetsövningar är något de vill använda sig mer utav. En viktig sak som kom fram under intervjuerna var huruvida klassen uppfattade sin identitet och ställning på skolan. En slutsats som går att dra utifrån studiens resultat är att lyckad kunskapsöverföring och beteendeförändring är ytterst beroende av mottagarens tro på sin egen förmåga (self-efficacy) att utföra en förändring samt kopplat till individens intresse av förändring. En annan slutsats är att hälsofrämjande arbete för barn och ungdomar behöver vidareutveckla metoder för att nå goda hälsoresultat för målgruppen. Hälsorelaterade förändringar i tonåren antas vara starkt kopplat till intressen, grupptryck och attityder. / The aim of this study was to investigate high school students' experiences of a health project. A high school class in Uppsala participated in a health project during the spring of 2015. 19 of 22 students agreed to participate in this study and the qualitative method used for data collection was focus group interviews. Students were asked to discuss their experiences, thoughts and feelings about the health project and whether they have experienced their own influence on the content of the project. Using content analysis nine themes were found that formed four categories. Knowledge, cooperation and cohesion, conception of identity, influence and participation. The results showed that the majority of students do not feel they have markedly increased health knowledge. In contrast, the main results of the project seemed to consist of improved cooperation and shared stance in the class. The students expressed their need for further work of cooperation, in the form of collaborative exercises. One important thing that came up during the interviews was whether the class understood their identity and status of the school. Students' perception as to why their class was selected for the project was based on the class's bad reputation in the school and among teachers.

Thesis (M.U.A.)--Virginia Polytechnic Institute and State University, 1994. / Vita. Abstract. "This study was a component of a larger project -- The Dickenson County Women's Health Project."--P. [i]. Includes bibliographical references (leaves 53-55). Also available via the Internet.

No description available.

Thesis (MA)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: The topic of perinatal depression (i.e. depression during and after pregnancy) remains a subject of continued research interest, as a broad literature body reports that a large proportion of women suffering from this mental disorder do not receive appropriate treatment. This is worrisome, firstly, because mental health treatment is often readily available to the public and at no cost. Secondly, untreated perinatal depression not only holds dangerous consequences for the mother but also for the infant and the rest of the family. It is therefore important to identify those factors that act as barriers to mental health care utilization for perinatal depression. Although this is a persistent problem within the South African context, to date, little is known about the barriers to the utilization of available mental health services experienced among pregnant South African women. For this reason, the Perinatal Mental Health Project (PMHP) aims to provide mental health services at the same location where women receive obstetric services. However, despite their efforts, the number of women who decline available treatment is still of great concern. The present study offers a unique perspective on counselling for perinatal depression appointment-keeping barriers as it provides a holistic view of these barriers that exist not only within the women but also in their multi-levelled environments. Secondly, it addresses the problem of nonattendance to mental health care treatment offered by the PMHP and consequently also addresses the gap in South African research on the topic. The sample for this study was selected from PMHP files of those patients who failed to attend scheduled counselling appointments. The participants included in this study were selected by means of purposeful sampling to participate in face-to-face and telephonic semi-structured interviews. Participants were assured of confidentiality and anonymity. The semi-structured interviews were audio-recorded and transcribed after which transcriptions were entered into MS Word for textual analysis. Transcriptions were thematically analysed. The main themes that emerged from the present study included individual-related barriers, social-related barriers, institution-related barriers, community-related barriers and poverty-related barriers. The results of the present study reflect the motivations for depressive pregnant women to decline available and free mental health services provided by the PMHP, according to five main themes. These themes were then discussed according to Bronfenbrenner’s (1977; 1979) Ecological Systems Theory, which categorised the main themes identified according to the different systems operating within the patient’s environment, i.e. the individual-, micro-, meso-, exo-, and macrosystem. The individual system comprised the individual-related barriers, which included poor mental health, and ambivalent feelings toward the pregnancy. The microsystem comprised the social-related barriers, which included low social support and self-help strategies. Community-related barriers were considered within the mesosystem of the patient’s ecological environment, with stigma and pity as sub-barrier. The exosystem comprised the institution-related barriers, including referral protocol barriers, lack of information provided by the nurses, and nurses’ attitudes as experienced by participants. Lastly, poverty-related barriers were considered within the macrosystem, with financial life hardship, constant child-care demands, and transportation barriers as sub-barriers. The significance of this study lies in the original perspective offered on mental health care appointment-keeping behaviour within the South African context. Future research could, in addition to conducting interviews with hospital patients, include health care professionals and focus groups as this will allow for triangulation of the perspectives of all significant players. Also, having identified the problems and concerns with regards to attending counselling appointments, future research direction may be aimed at creating interventions designed to reduce the identified barriers to mental health care service use. / AFRIKAANSE OPSOMMING: Perinatale depressie (d.w.s. depressie voor en na swangerskap) bly ʼn onderwerp van voortdurende navorsings belang, aangesien ʼn breë navorsingsveld aandui dat ʼn groot proporsie van vroue wat aan hierdie geestesversteuring lei, nie die gepaste behandeling ontvang nie. Dit is kommerwekkend, eerstens, aangesien behandeling vir geestesgesondheid meestal openlik verkrygbaar is aan almal sonder enige koste. Tweedens, onbehandelde perinatale depressie hou nie slegs gevaarlike gevolge vir die moeder in nie, maar ook vir die baba en die res van die gesin. Dit is daarom belangrik om daardie faktore te identifiseer wat as hindernisse optree tot geestesgesondheid sorg diensgebruik vir perinatale depressie. Alhoewel dit ʼn voortdurende probleem binne die Suid-Afrikaanse konteks is, is daar tot op hede geen navorsing wat hindernisse tot gebruik van beskikbare geestesgesondheidsdienste bekend gemaak nie, veral wat ervaar word onder swanger Suid-Afrikaanse vroue nie. Vir hierdie rede, beoog die Perinatal Geestesgesondheid Projek (Perinatal Mental Health Project - PMHP) om geestesgesondheidsdienste te lewer by dieselfde plek waar vroue verloskundige dienste kan ontvang. Nietemin, ten spyte van hul pogings, is die getal vroue wat beskikbare behandeling van die hand wys steeds van groot kommer. Dié studie bied ʼn unieke perspektief op hindernisse tot berading vir perinatale depressie afspraak-ooreenkoms gedrag, aangesien dit ʼn algehele uitkyk bied op hindernisse wat nie slegs binne die vroue bestaan nie, maar ook in hul veelvlakkige omgewings bestaan. Tweedens, spreek dit die probleem van nie-bywoning van geestesgesondheidsbehandelingsdienste wat aangebied word deur die PMHP aan en gevolglik ook die gaping wat binne Suid-Afrikaanse navorsing rakende dié onderwerp bestaan. Die steekproef vir die studie was gekies van PMHP lêers van daardie pasiënte wat nie hul geskeduleerde terapie afsprake bygewoon het nie. Die deelnemers ingesluit in die studie is deur middel van doelgerigte-steekproefneming geselekteer om aan aangesig-tot-aangesig of telefoniese semi-gestruktureerde onderhoude deel te neem. Deelnemers is van hul vertroulikheid en anonimiteit van die proses verseker. Die semi-gestruktureerde onderhoude was oudio-opgeneem en transkripsies is daarvan gemaak, waarna die transkripsies in MS Word gelaai is vir tekstuele analise. Transkripsies is tematies geanaliseer. Die hooftemas wat na vore gekom het, sluit in individuele-verwante hindernisse, sosiale-verwante hindernisse, institusie-verwante hindernisse, gemeenskapsverwante hindernisse en armoede-verwante hindernisse. Resultate van dié studie reflekteer die motiverings van depressiewe swanger vroue om beskikbare en gratis geestesgesondheidsdienste wat verskaf is deur die PMHP van die hand te wys, volgens die vyf hooftemas. Hierdie temas is toe volgens Bronfenbrenner (1972) se Ekologiese Sisteemteorie verdeel in die verskillende sisteme teenwoording in die pasiënt se omgewing, naamlik die individuele-, mikro-, meso-, ekso-, en makrosisteem. Die individuele sisteem het die individuele-verwante hindernisse ingesluit, wat swak geestesgesondheid, en teenstrydige gevoelens teenoor die swangerskap omvat het. Die mikrosisteem het die sosiale-verwante hindernisse ingesluit, wat swak sosiale ondersteuning, en self-help strategieë omvat het. Gemeenskapsverwante hindernisse is binne die mesosisteem van die pasiënt se ekologiese omgewing beskou, en het stigma en jammerte as sub-hindernisse ingesluit. Die eksosisteem het die institusie-verwante hindernisse ingesluit, wat verwysing protokol hindernisse, gebrek aan inligting verskaf deur die verpleegsters, en verpleegsters se houdings soos ervaar deur die deelnemers omvat het. Laastens is die armoede-verwante hindernisse binne die makrosisteem beskou, en het finansiële lewens swaarkry, konstante kindersorg eise, en vervoer-verwante struikelblokke as sub-hindernisse ingesluit het. Die belang van dié studie lê in die oorspronklike perspektief van geestesgesondheidsbehandeling dienste afspraak-ooreenkoms gedrag binne die Suid-Afrikaanse konteks, wat aangebied is. Toekomstige navorsing kan, bykomend tot die voer van onderhoude met hospitaal pasiënte, fokus daarop om gesondheidsorg kenners en fokus groepe in te sluit, aangesien dit die triangulasie van perspektiewe moontlik maak van al die belangrike rolspelers. Ook, aangesien die probleem en bekommernisse rakende bywoning van terapie afsprake reeds geïdentifiseer is, mag toekomstige navorsing in die rigting beweeg met die doel om intervensies te omskep wat beoog om die geïdentifiseerde hindernisse tot geestesgesondheidsorg diensgebruik te verminder.

This paper explores a Master of Social Work (MSW) student's experiences in engagement with structural social work during an advanced practicum with a perinatal mental health project in Northeastern Ontario. The goals of the advanced practicum were to: (a) improve reflexive practice, (b) improve understanding of structural social work, specific to social justice, and (c) improve understanding of the role of structural social workers within inter-organizational collaborations. Deconstruction of the engagement with each of the goals and the challenges in facilitation of the objectives are reviewed. Though there are issues and dilemmas facing those who wish to engage in structural social work, this advanced practicum experience was successful in improving the student's engagement with structural social work praxis.

Studies show that children’s and adolescents health decreases, especially the mental health. There are today many health methods that flourish in the school area. Methods that is external and used as individual interventions and methods that have the intention to integrate health in all aspects of the school curriculum. Research on health projects often show what the intervention or method has produced. Few studies have been found who discuss the pupil’s own experience regarding health projects. How much consideration does the health projects take regarding the adolescents needs? The aim of this study was to examine pupil’s experiences of their participation in health projects, in consideration of 1; which view pupil’s have on health projects in school, 2; how pupils experience the methods that are included in health projects and 3; in what way health project can contribute to changes of pupil’s lifestyle. To achieve the aim of this study a qualitative interview-study was chosen. A stratified sample was used in this study and a total number of nine interviews were made. The interviews were carried out with help from an interview guide that contained four themes with open questions. The analysis procedure resulted in three themes based on the aim of the studies three questions. In every theme different shades could discern. The result of the study shows that the experiences are mainly positive. The pupil’s vision of the health project showed that the information was good in some aspects and in other aspects insufficient. The methods that were included in the health project, physical tests and health conversation, were considered as relevant. Physical tests contributed in both positive feelings as for example curiosity and negative feelings as nervousness and anxiety. The health conversation was considered as a good sum up of the physical tests and the children’s lifestyle. Changes took place partly in the pupil’s action and partly in their ponderings where an awareness of their life situation grew. / Studier visar på att barns och ungdomars ohälsa ökar, framförallt den psykiska ohälsan. Många hälsometoder florerar idag i skolan. Det finns externa metoder som används som hjälpmedel och enskilda insatser samt metoder som har för avsikt att implementera hälsa i alla aspekter av skolarbetet och läroplanen. Forskning gjord på hälsoprojekt visar ofta vad interventionen eller metoden har genererat i. Få studier har hittats vilka behandlar elevens egna upplevelser av hälsoprojekt. Hur mycket utgår hälsoprojekt från barns behov? Syftet med denna studie var att undersöka gymnasieelevers upplevelser av sitt deltagande i hälsoprojekt med avseende på 1; vilken syn elever har på hälsoprojekt i skolan, 2; hur elever upplever metoder som ingår i hälsoprojekt och 3; på vad sätt hälsoprojekt kan bidra till förändringar av elevers livsstil. För att uppnå studiens syfte valdes en kvalitativ intervjustudie. Ett strategiskt urval gjordes och totalt genomfördes nio stycken intervjuer. Intervjuerna genomfördes med hjälp av en intervjuguide vilken innehöll fyra stycken teman med öppna frågor. Analysförfarandet resulterade i tre stycken teman utifrån syftets tre forskningsfrågor. I varje tema kunde olika nyanser urskiljas. Resultatet av intervjustudien visar att elevernas upplevelser av hälsoprojekt i huvudsak är positiva. Elevernas syn på hälsoprojekt var att informationen var bra i vissa avseenden och ibland otillräcklig. Metoderna som hälsoprojektet bestod av (fysiska tester och motiverande samtal) upplevdes som väsentliga. De fysiska testerna genererade både i positiva känslor som nyfikenhet och negativa känslor som nervositet och oro. Det motiverande samtalet ansågs av eleverna vara en bra sammanfattning av de fysiska testerna och elevernas livssituation. Det motiverande samtalet tog även upp många faktorer ur vardagslivet. Förändring skedde dels med utgångspunkt i elevernas handlande som till exempel fysisk aktivitet, kost och stress och dels utifrån elevernas tankeverksamhet där en medvetenhet om livssituationen växte fram.