Obesity, a condition of excess body fat, is one of the most complex problems facing health systems. Lifestyle management programs that combine diet, physical activity, and intensive behavioral therapy have been shown by research to support a degree of weight loss that produces health benefits (i.e., at least a 3-5% initial body weight). However, it has been difficult for research-developed programs to be delivered in typical practice to have a meaningful impact. Integrated research-practice partnerships that involve the coming together of academic researchers, health system administrators, and program delivery staff may help overcome this gap, especially during this transformational time in the healthcare sector. This dissertation aimed to develop an understanding of how using the integrated research-practice approach would facilitate and sustain evidence-based lifestyle management strategies across a health system to treat obesity among patients and employees. An integrated research-practice partnership with Carilion Clinic, a health system in western Virginia, served as an example for the study. From 2013-2016, the Carilion Clinic integrated research-practice partnership conducted a series of trials testing different strategies for delivering weight loss and weight loss maintenance support. An evaluation guided by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework was conducted to describe implementation processes and outcomes for each strategy. Lessons learned from the evaluation support the value of the integrated-research practice partnership approach as a solution for overcoming gaps in obesity care. A shared priority perspective between research and practice was identified as the powerful process for supporting facilitation and sustainability of strategies. In addition, findings from the evaluation produced evidence to inform the future development of a system for Carilion Clinic to help patients and employees lose weight and keep it off through lifestyle management. / Ph. D. / Obesity, a condition of excess body fat, is one of the most complex problems facing health systems. Lifestyle management programs that combine diet, physical activity, and intensive behavioral therapy have been shown by research to support a degree of weight loss that produces health benefits (i.e., at least a 3-5% initial body weight). However, it has been difficult for researchdeveloped programs to be delivered in typical practice to have a meaningful impact. Integrated research-practice partnerships that involve the coming together of academic researchers, health system administrators, and program delivery staff may help overcome this gap, especially during this transformational time in the healthcare sector. This dissertation aimed to develop an understanding of how using the integrated research-practice approach would facilitate and sustain evidence-based lifestyle management strategies across a health system to treat obesity among patients and employees. An integrated research-practice partnership with Carilion Clinic, a health system in western Virginia, served as an example for the study. From 2013-2016, the Carilion Clinic integrated research-practice partnership conducted a series of trials testing different strategies for delivering weight loss and weight loss maintenance support. An evaluation guided by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework was conducted to describe implementation processes and outcomes for each strategy. Lessons learned from the evaluation support the value of the integrated-research practice partnership approach as a solution for overcoming gaps in obesity care. A <i>shared</i> priority perspective between research and practice was identified as the powerful process for supporting facilitation and sustainability of strategies. In addition, findings from the evaluation produced evidence to inform the future development of a system for Carilion Clinic to help patients and employees lose weight and keep it off through lifestyle management.

I detta arbete undersöks kompetens och kompetenskartläggning inom dagens organisationer. Kompetens är ett begrepp som har studerats länge utifrån olika perspektiv och discipliner, vilket har gett upphov till ett flertal teorier och förklaringsmodeller som innefattar olika tillvägagångssätt för hur kompetens kan förstås och kartläggas. Trots detta existerar det i dagsläget inte en universell definition av begreppet kompetens, utan kompetens betraktas ofta som ett komplicerat begrepp. Detta medför ett problem för dagens organisationer då många organisationer efterfrågar kartläggning av medarbetares kompetenser för att utveckla och förbättra verksamheter. I detta arbete presenteras en alternativ syn på kompetens och kompetenskartläggning som integrerar två forskningsområden. Dessa är företagsekonomi och positiv psykologi. Syftet med arbetet är att undersöka kompetens och kompetenskartläggning ur ett integrerat perspektiv och bidra med uppdaterad, aktuell och tillförlitlig forskning kring hur kompetenskartläggning kan genomföras inom organisationer. Genom att kombinera forskning inom företagsekonomi och positiv psykologi kan olika aspekter av kompetens lyftas för att bidra till en integrerad, övergripande och mer konkret syn på kompetens och kompetenskartläggning. Denna syn innefattar personlig och inlärd kompetens med tillhörande kartläggningsstrategier som refererar till kvaliteter som vi kan lära oss och egenskaper som finns inom oss. Vidare framhålls personlig och inlärd kompetens som ett nytt koncept som författarna till detta arbete argumenterar kan skapa värde för dagens organisationer. Först problematiseras forskning kring kompetens inom respektive forskningsområde, sedan presenteras forskningsläget där forskning kring kompetens och kompetenskartläggning sammanställs. Detta följs av en presentation av genomförd enkätundersökning vars resultat analyseras och diskuteras. Avslutningsvis landar arbetet i en generell diskussion av begreppet kompetens och kompetenskartläggning samt inkluderar ett alternativt tillvägagångssätt för att kartlägga kompetens inom dagens organisationer. / This essay examines competence and competence mapping in today's organizations. Competence as a concept that has been studied for long within several academic disciplines. This has given rise to a number of theories and explanatory models that involve different approaches to how competence can be understood and mapped. Despite this, there is currently no universally accepted definition of the concept. This brings a problem though, as many organizations ask for competence mapping to develop and improve their activities. This essay presents an alternative view of competence and competence mapping that integrates two research areas. These are business organization and positive psychology. By combining research in the two fields, various aspects of competence are highlighted and integrated into a new view of competence and competence mapping. This integrated view includes personal and learned skills with associated mapping strategies. Learned competence refers to qualities that we can learn, while personal competence refers to personal qualities and characteristics that exists within us, that is developed over our life span. Furthermore, this integrated view is presented as a new and alternative concept that we argue might be of great value for today's organizations. First, research on competence in each research area is problematized and presented. An overview of research on competence and competence mapping is then compiled and integrated. This is followed by a presentation of a completed survey whose results are further analyzed and discussed. In conclusion, a general discussion of the concept of competence is presented including an alternative approach to map competence in today's organizations.

The task of producing policies for the management of Earth’s natural resources is a problem of the gravest concern worldwide. Such policies must address both responsible use in the present and the sustainability of those finite resources in the future. Resources are showing the adverse results of generations of exploitation, and communities fail to see the outcomes of past policies that have produced, and continue to produce, these results. They have not learned from past policy failures, and consequently fail to produce natural resource management (NRM) policies that support sustainable development.¶ It will be argued that NRM policy makers fail to learn from the past because they do not have a good historical perspective and a clear understanding of the dynamics of the complex human-environment system that they manage. It will also be argued that historians have not shown an interest in collaborating with policy makers on these issues, even though they have much to offer. Therefore, a new approach is proposed, which brings the skills and understanding of the trained historian directly into the policy arena.¶ This approach is called Applied Environmental History (AEH). Its aims are to help establish an area of common conceptual ground between NRM practitioners, policy makers, historians and dynamicists; to provide a framework that can help NRM practitioners and policy makers to take account of the historical and dynamical issues that characterise human-environment relationships; and to help NRM practitioners and policy makers improve their capacity to learn from the past. Applied Environmental History captures the characteristics of public and applied history and environmental history. In order to include an understanding of feedback dynamics in human-environment systems, it draws on concepts from dynamical systems theory. Because learning from the past is a particular form of learning from experience, AEH also draws on theories of cognitive adaptation.¶ Principles for the application of AEH are developed and then tested in an exploratory study of irrigation development that is focused on the NRM issue of salinity. Since irrigation salinity has existed for centuries, and is a serious environmental problem in many parts of the world, it is a suitable NRM context in which to explore policy makers' failure to learn from the past. AEH principles guide this study, and are used, together with insights generated from the study, as the basis for the design of AEH Guidelines.

In the summer of 2007, a single neighbourhood in downtown Toronto contributed at least 13 percent of all residential grid???tie solar photovoltaic (PV) systems sold in the Canadian province of Ontario. On average, PV purchaser households produced 37 percent as much electricity as they consumed. This research investigates solar energy adoption in a community case study. Specifically, it investigates why some residents who sign up for a solar resource assessment through a community solar energy initiative (CSEI) decide to purchase, and others decide not to purchase in the short???term. Characteristics and perceptions of potential adopters are analyzed to better understand their motivations and barriers to adoption. Community energy projects became an official public policy goal in Ontario, with the passing of the Green Energy and Green Economy Act in 2009. Approximately 80 percent of Ontario???s anticipated generation capacity will need to be built, replaced or refurbished within 15 years. In this context, the Ontario Ministry of Energy, Ontario Power Authority, and Deloitte (one of Canada???s leading professional services firms), have partnered with a ???green benefit??? fund, the Community Power Fund, to help local community groups access resources to develop and establish renewable energy projects. Understanding solar energy adoption in a community context is therefore important to improve the effectiveness of such policies, including the disbursement of multi???million dollar grant funds. Differences between purchasers and non???purchasers in respect of adoption behaviour were found in this study to cluster around two general themes. The first theme concerns differences in compatibility of both the concept of solar energy systems, and their physical attributes, with characteristics of potential adopter households. Some compatibility issues are straightforward, e.g. availability of roof space with a southern orientation. Others are more complex, involving several interrelated perceptual and socio???demographic factors. For instance, while both purchasers and non???purchasers rated cost as a very important barrier, purchasers rated the motivation of solar energy systems to reduce climate change higher relative to the barrier of high financial costs than did non???purchasers. Purchasers were also more likely to possess a graduate degree, while non???purchasers were more likely to hold a professional degree. The second general theme relates to potential adopters??? trust and stake in the ability of the community???based initiative to reduce barriers in the adoption process. Since two types of solar energy systems are considered in the case study???PV and thermal (hot water)???differences are explored between each of three respondent groups: solar PV purchasers, solar hot water (SHW) purchasers, and non???purchasers. iv Surveys were used to gather data on adopter perceptions and characteristics. A participatory research design helped identify the research topic. Two main bodies of literature???community???based social marketing (CBSM) and diffusion of innovations theory???were drawn upon to conceptualize the adoption process and interpret the survey findings. These include five models of human behaviour that can be used to guide the design of CBSM campaigns. Diffusion theory was used as a basis for discussing ???perceived innovation attributes???. The study takes an integrated approach by considering both social and technical aspects of solar energy adoption, together with the issues of fuel substitution and household electricity demand.

This thesis presents work on a holistic approach for improving the overall design of solar cooling systems driven by solar thermal collectors. Newly developed methods for thermodynamic optimization of hydraulics and control were used to redesign an existing pilot plant. Measurements taken from the newly developed system show an 81% increase of the Solar Cooling Efficiency (SCEth) factor compared to the original pilot system. In addition to the improvements in system design, new efficiency factors for benchmarking solar cooling systems are presented. The Solar Supply Efficiency (SSEth) factor provides a means of quantifying the quality of solar thermal charging systems relative to the usable heat to drive the sorption process. The product of the SSEth with the already established COPth of the chiller, leads to the SCEth factor which, for the first time, provides a clear and concise benchmarking method for the overall design of solar cooling systems. Furthermore, the definition of a coefficient of performance, including irreversibilities from energy conversion (COPcon), enables a direct comparison of compression and sorption chiller technology. This new performance metric is applicable to all low-temperature heat-supply machines for direct comparison of different types or technologies. The achieved findings of this work led to an optimized generic design for solar cooling systems, which was successfully transferred to the market.