Successful Client Research Articles

Enhancing Health and Exercise Consultation through Scenario-Based Learning: An Approach for Interpersonal Skill Development

This practice report describes the application of scenario-based learning to improve awareness of interpersonal skills in sport and exercise students. Thirty second-year undergraduate students over two consecutive academic years engaged in three scenario-based learning activities that simulated client interviews and consultations. The consensus among the students was that the scenarios increased their awareness of active listening, recognising physical client cues, and understanding the intricate dynamics of the ‘client-practitioner’ interaction. The implementation of scenario-based health and exercise consultations provided students with an immersive and effective learning experience, which promoted the development of the interpersonal skills required for successful client consultations.

ЗМІНА МОДЕЛІ РОБОТИ ЧАТ-БОТІВ У СФЕРІ ОБСЛУГОВУВАННЯ КЛІЄНТІВ

In modern business, customer support stands as a pivotal element for successful client servicing. The operation of customer support involves providing assistance and resolving client issues regarding company products or services. In the current simplified model, the efficacy of technical support agent searches generally surpasses that of chatbots or human assistance. Filtering internal staff-only articles from those intended for clients poses a challenge, necessitating complex implementations that not all companies may afford. Previous-generation chatbots have shown limited effectiveness in replacing humans due to varying client articulations, necessitating human intervention. Conventional chatbots offer limited options: information retrieval based on client queries, problem narrowing through additional inquiries, and sending tailored instructions. However, maintaining and updating knowledge for both internal staff and clients poses resource-intensive challenges for large companies. An alternative emerges with LLM-based chatbots, automating communication with users via chat interfaces. LLM chatbots enhance speed and efficiency, reduce personnel costs, and ensure 24/7 client service. Yet, they require con- stant knowledge updating and careful handling to address a spectrum of issues effectively. Notably, LLM chatbots can handle complex articles, gathering step-by-step instructions from various sources. Still, undocumented issues or incorrect solutions may necessitate human assistance. The primary functional difference between LLM chatbots and conventional ones lies in their contextual and linguistic processing capabilities, making communication with LLM chatbots akin to human interaction. Despite advancements, the nuances of context and language remain pivotal for effective client servicing, particularly in technical support scenarios. Future exploration in this direction should focus on optimizing knowledge management and enhancing LLM chatbot capabilities for improved client satisfac- tion and operational efficiency."

Diagnosing and Treating Dissociative Identity Disorder: A Guide for Social Workers and All Frontline Staff. Gregory L. Nooney

Gregory Nooney’s book Diagnosing and Treating Dissociative Identity Disorder: A Guide for Social Workers and All Frontline Staff is a huge welcome to literature on the topic of dissociative identity disorder (DID). Nooney provides an in-depth understanding of the vast complexities of DID and strongly encourages the absolute necessity to remain educated on DID, for successful outcomes with clients. Though retired, Nooney utilizes his 35 years of experience and research in the mental health field to continue providing education to the social work and other professional fields. I have always been interested in what society historically referred to as “multiple personality disorder,” now known as DID. I have read various books and watched movies both fictional and nonfictional based on persons with DID, and I remain intrigued to the workings of the brain and how it attempts to cope with extreme trauma. As I continue to learn about DID, I have naturally asked myself whether I, along with the clinical teams I have worked with in various mental health settings, could have misdiagnosed or provided the wrong type of treatment to clients. I will be forever grateful for Nooney’s discussion of psychotropic medications being prescribed to DID clients and how a prescriptiod can be harmful to various alters within the system. Throughout the book, Nooney continues to emphasize why it is vital to stay up to date with professional development for successful client outcomes.

Community mobilisation to achieve HIV testing and care goals

Assessment of outcomes for HIV interventions in sub-Saharan Africa unearth obstacles that HIV service providers and clinics can only address with the communities served.1 For successful client–provider interactions, community engagement can advocate for and facilitate HIV testing, linkage to care, adherence to antiretroviral therapy (ART), and retention in long-term care. Feedback could lead to clinic-based improvements,2 but the principal objective of community mobilisation is to address fundamental social obstacles to salutary outcomes.

Edith Stein's Theory of Empathy in Applied Context

The problem I wish to address here is how Edith Stein‘s theory of shared empathy and psychotherapeutic group therapy are required condition for any successful work with patients in medical and clients in philosophical praxis. Moreover, a theory of shared empathy must also account for the arguably more intricate issue of how group members might properly share an own mental domain with its distinctive phenomenology, and its distinctive attitudes toward one another, so that the necessarily self-testimonies of clients does not rest on a previous pathological state. In the following, I aim to offer some steps towards solving this problem. I will do so by outlining what methodology lies behind the theory of shared empathy, and showing how, on the results of a case study, it can be applied in a way whereby it still accommodates all requirements for what counts as valid coherence of self-testimony and successful client’s healing.

Emerging Trends in the Field of Physical Therapy

There are some major advancements trending in Physical therapy field including wearable vibrating posture sensors, gait-correcting insoles monitoring devices such as Fitbit video games programmed to make treatment sessions moreenjoyable, and sensors for helmets that warn sports persons and physiotherapists of possible impacts causing concussion1. With the invention of the Ekso suit, an aluminum and titanium exoskeleton that allows patients/clients facing different stages of paralysis or hemiparesis with movement, the Berkeley-based Ekso Bionics Company set new standards in rehabilitation facilities and gait training. Moreover for patients/clients suffering from neurologicalimpairments which are traumatic brain injury, strokes, and cerebral paralysis, another promising option for rehab therapists are therapy robots, which help therapists with exercises and can accelerate recovery. More andmore clinicians have begun integrating the Xbox Kinect and Nintendo Wii into therapy plans over the past few years. Wii games are designed to use motion-sensitive controls and repeated motions equivalent to physical therapy. In addition tohelping victims of stroke and people suffering from knee surgery, video game workouts have been found to help people recover from brain injury and patients in ICUs. The application of virtual reality technology in PT has expanded afascinating, interactive treatment session in a virtual world to virtual reality rehab. The CAREN-Computer Assisted Rehabilitation Environment (CAREN) VR system is designed to support stroke patients or patients with seriousinjuries, geriatric population with disability and improve their sense of stability and mobility2. The Recovery Tracker software from Reflexing Health offers advised client-specific videos with proper instructions and guidelines, trainingresources, and exercises. The software allowstherapists to track client's success plus monitor his/her progress in real time and in addition allows them to visually check their clients carrying out the exercises with the help of Kinectcamera. In 2010, Chase Curtiss created “Sway”, a solution for concussion management that highlights the forever present risks linked with chronic or untreated head injuries, to assist "health professionals manage objective balanceand reaction time virtually testing in any setting.” Rocky Mountain University of Health Professions, Utah is working on wearables that notify when the gait speed of a patient decreases, so that they can intervene before a patient falls.These devices can be used within and outside of the clinic to monitor patients, while offering actual measures which avoid exhaustion or injury.Physical therapy is a hands-on field, and will always be, but for sure technology canalways play a significant part. Progresses in r o b o t i c s a n d b i o n i c s a r e h e l p i n g physiotherapists to diagnose more reliably and boost treatment efficiencies which in addition enhance patient/client involvement andcompliance with Home Exercise Program(HEP). All of this results in an improved patient/client experience, eventually leading to enhanced and long-term outcomes in return.

Explanatory Styles of Counsellors in Training

Explanatory style is based on how one explains good and bad events according to three dimensions: personalization, permanence, and pervasiveness. With an optimistic explanatory style, good events are explained as personal, permanent, and pervasive, whereas bad events are explained as external, temporary, and specific. For counsellors, an optimistic explanatory style creates positive expectancy judgments about the possibilities and opportunities for successful client outcomes. In this research study, we explored the explanatory styles expressed in 400 events (200 good events and 200 bad events) extracted from 38,013 writing samples of first year and final year graduate level counsellors in training. Across the three optimism dimensions and within good and bad events, there was one occurrence of a positive relationship between counsellor training time and the amount of expressed optimism. The implications of this study include the need to cultivate optimistic explanatory styles of counsellors in training and practicing counsellors.

A performance‐based payment: Signaling the quality of a credence good

We consider credence goods. A typical example of a credence good is an expert service. Experts often offer rebates contingent on their client's failure or bonus payments contingent on their client's success. This paper provides a different rationale for performance‐based payments than reducing moral hazard. We show that a performance‐based payment can be a signal of the seller's ability. Due to different success rates across expert abilities, a high‐ability expert can commit to offering larger indemnity payments contingent on a client's failure or smaller bonus payments contingent on a client's success. Thus, high quality is signaled by performance‐based pricing.

Stories of strangers: Writing donor acquisition letters in the human services

AbstractThis study explores the choices fundraisers make in crafting letters to acquire new donors for a human services organization, and whether the type of client served affects those choices. We use an experiment to control for organizational differences, and code the resulting letters written for elements identified in theory and practice, then perform an exploratory factor analysis to find patterns of co‐occurring variables. Writers tended to focus either on the quality of the organization or the unmet need in the community, but not both. Two of the factors, Universalism and Security, describe distinct personal value constructs that may reflect the preferences of the writer or the presumed preferences of the reader. Compared to participants writing for an older adult client base, participants writing for clients with mental illness were less likely to use a negative frame, more likely to use statistical evidence, and used lower expectations in describing successful client outcomes. Within letters, clients were described using three patterns: by describing a stranger who is worth helping because of intrinsic attributes; by describing a stranger who is worth helping because of their relationships within the social order; by describing the client group using facts and statistics, rather than an emotionally compelling story narrative.

The Your Trainer Story

The Your Trainer Story

Finding the herd problem in the single case

Economic realities and need for improved efficiency have required a shift in large animal veterinary practice towards more population-level consultation, with veterinarians spending less of their time treating individual animals. The population, however, is comprised of individuals who provide valuable information about the state of the herd. When presented with the individual animal who is demonstrating overt disease or poor production, the veterinarian has an opportunity to scale-up their impact by using the information obtained from the individual to benefit the herd. Veterinarians should develop a full-service mindset, which includes obtaining a definitive diagnosis through thorough history-taking, physical examination, ancillary diagnostic techniques, and premise visits. Written reports which include stepwise and attainable recommendations are used to improve communication and provide clarity regarding expectations for both the producer and the veterinarian. Follow up calls and visits demonstrate genuine concern on the part of the veterinarian for their client's success, and are an invaluable learning opportunity for the veterinarian. Professional growth for the veterinarian includes learning what works and what doesn't in a given situation. Subsequent herds under the care of a veterinarian practicing the 'no news is good news' approach fail to receive the full benefit of a veterinarian who has disciplined him or herself to follow through on every case. Veterinarians have an opportunity to become indispensable to their clients by channeling every piece of data that may be obtained from the individual to benefit the health and welfare of the herd.

Which Clients are Deserving of Help? A Theoretical Model and Experimental Test

Abstract Street-level bureaucrats have to cope with high workloads, role conflicts, and limited resources. An important way in which they cope with this is by prioritizing some clients, while disregarding others. When deciding on whom to prioritize, street-level bureaucrats often assess whether a client is deserving of help. However, to date the notion of the deserving client is in a black box as it is largely unclear which client attributes activate the prevailing social/professional category of deservingness. This article, therefore, proposes a theoretical model of three deservingness cues that street-level bureaucrats employ to determine whom to help: earned deservingness (i.e., the client is deserving because (s)he earned it: “the hardworking client”), needed deservingness (i.e., the client is deserving because (s)he needs help: “the needy client”), and resource deservingness (i.e., the client is deserving as (s)he is probably successful according to bureaucratic success criteria: “the successful client”). We test the effectiveness of these deservingness cues via an experimental conjoint design among a nationwide sample of US teachers. Our results suggest that needed deservingness is the most effective cue in determining which students to help, as teachers especially intend to prioritize students with low academic performance and members of minority groups. Earned deservingness was also an effective cue, but to a lesser extent. Resource deservingness, in contrast, did not affect teachers’ decisions whom to help. The theoretical and practical implications of our findings for discretionary biases in citizen-state interactions are discussed.

Research-Supported Treatment and Organizational Culture and Climate’s Impact on Child Welfare Outcomes

Objective: Research-supported treatments (RSTs) are considered the gold standard of client care. Investigating how to best implement and sustain RSTs in real-world practice is important. The present study addressed a gap in the literature concerning the relative contribution of RSTs and culture and climate to client outcomes in community-based child welfare services. Method: Using data collected from 55 programs within a single, large child and family human services agency, this study examined whether programs with less productive cultures and climates were able to implement RSTs and realize successful client outcomes. Results: In contrast to findings of the existing literature, programs with less productive culture and climate scores implemented RSTs and yielded successful client outcomes. Conclusions: Given the choice between maltreated children being treated in a program with good culture and climate or one that provides RSTs, the best selection for improved outcomes would be the one offering RSTs.

Evaluation in everyday occupational therapy practice: Should we be thinking about treatment fidelity?

Evaluation is a core component of the occupational therapy process. To draw meaningful conclusions about the effectiveness of occupational therapy practice, it is essential that therapists consider not only what outcomes are achieved, but also reflect on how interventions are delivered. We suggest that incorporating the concept of ‘treatment fidelity’ into clinical practice offers therapists a means of differentiating between interventions and demonstrating clearer links between occupational therapy practice and successful client outcomes. In so doing, practitioners can highlight more explicitly the unique contribution of occupational therapy interventions.

Optimizing continuity-of-care opportunities to reduce health risks: shared qualitative perspectives from CJDATS 2 research

Current Texas Christian University (TCU) research focuses on reducing risk for relapse and other health-related behaviors associated with HIV, HBV, and HCV. The WaySafe curriculum was developed for prisoners in the last phase of their substance abuse treatment before transitioning back to the community, and was designed to improve decisionmaking and recognizing and planning for risky situations. A critical next step is to shift the setting from incarceration to a community setting with probationers during the high-risk transition period after release from prison or completion of residential or intensive outpatient substance abuse treatment. Literature supports the importance of prevention programs [1] as part of the continuity-of-care for offenders and probationers in addressing some service gaps (in the continuum), which are widely recognized to reduce the likelihood of successful client outcomes [2,3]. The purpose of this presentation is to provide evidence from the recently completed second phase of the Criminal Justice Drug Abuse Treatment Studies (CJDATS 2), with insight from key stakeholders that informs the relevance of continuity-of-care and the significant role that community corrections and community-based health-care agencies fulfill in transitioning probationers from incarceration to home. These qualitative results come from two protocols conducted as part of CJDATS 2: HIV Services and Treatment Implementation in Corrections (HIV-STIC) and Medication-Assisted Treatment in Community Corrections Environments (MATICCE). The organizational-level findings reflect the opinions and views of criminal justice personnel and health-care providers—agencies in partnership with TCU in HIV-STIC and MATICCE. In CJDATS 2, stakeholders participated in an implementation research initiative, utilizing a change team strategy to identify and implement improvements to service delivery. In both HIV-STIC and MATICCE, the services delivery continuum incorporated elements of prison-based services and transition to community-based services in their respective areas. Qualitative results highlight the important contributions of community correction agencies, their direct contact to probationers, and their ability to facilitate linkages to service providers. Findings are discussed, emphasizing the importance of staff commitment and interorganizational relationships in continuity-of-care from prison to community as essential components to optimizing services to probationers.

Trusting as a ‘Leap of Faith’: Trust-building practices in client–consultant relationships

Successful client–consultant relationships depend on trust, but trusting is difficult in the non-routine, high-stake context of consulting. Based on a sample of 15 clients and 16 consultants in Australia, we develop a grounded model that explains the process of trust granting in the context of client–consultant relationships. Our model builds upon two influential research streams on trust in the literature, the ABI model (Mayer et al., 1995. Academy of Management Review, 20(3), 709–734) and Zucker's (1986. Research in Organizational Behavior, 8, 53–111) generic modes of trust, and combines their insights with a process perspective on trusting as proposed by Möllering (2001. Sociology, 35(2), 403–420). By acknowledging the process nature of trust as a leap of faith resulting from socio-cognitive (-emotional) interactions we move away from the passive evaluation of trustworthiness. Our findings suggest that trusting is a process that involves three social practices: (1) signaling ability and integrity; (2) demonstrating benevolence; and (3) establishing an emotional connection. Our study contributes to the trust literature on consulting and to trust research more generally by advancing a process approach and emphasizing the social, not merely mental, nature of trusting as involving a leap of faith.

Client Relationship Marketing Practices: An Exploratory Study of the Legal Industry

This article aims to identify and examine the responsibilities of the marketing specialists and legal practitioners in the legal industry at different stages of the client relationship development process. A conceptual framework is proposed to analyse the single case study of this research. The relationship marketing practices of a global law firm were examined through fifteen in-depth semi-structured interviews with key personnel. Ten client relationship marketing practices were identified. Whereas organising and attending social events, managing the communications or interactions process, managing the cross-selling, service recovery, changing the impression, truly understanding clients' businesses and industries and other small little gestures are similar to the findings of Claycomb and Martin (2002), social bonds beyond the professional level, treating every job seriously regardless of the size, and utilising client relationship management software were three practices that emerged from this study. Although the ten practices presented are pivotal in contributing to a successful client relationship, further research is needed to examine the effects of each practice and the quality of the client relationship. This article demonstrates that in order to succeed in the highly competitive marketplace, law firms need to understand not only the potential outcomes of each relationship marketing practice but also how to practice it systematically. A new relationship development process model incorporating the essence of the customer relationship life cycle was developed and its practicality was confirmed by the research findings.

Pre- and post-delinquency behavior: cross-neighborhood variation in New York City

This study examines whether and how mortgage default risk and the resolution process of defaults interact with neighborhoods where homeowners reside. It uses a unique data that matches household information from the Center for New York City Neighborhoods (CNYCN) with a variety of census tract data. Findings suggest that loan-related triggers of mortgage distress (e.g., payment adjustment) are more significant in neighborhoods with higher price depreciation and higher vacancy rates. With respect to post-delinquency behavior, distressed homeowners residing in neighborhoods with higher house prices tend to underutilize CNYCN services, controlling for their distance to service providers. Along with strong housing market performance, the concentration of Black/African-Americans in a neighborhood is likely to contribute to less successful client outcomes.

A theory led narrative review of one-to-one health interventions: the influence of attachment style and client-provider relationship on client adherence.

A theory-led narrative approach was used to unpack the complexities of the factors that enable successful client adherence following one-to-one health interventions. Understanding this could prepare the provider to anticipate different adherence behaviours by clients, allowing them to tailor their interventions to increase the likelihood of adherence. The review was done in two stages. A theoretical formulation was proposed to explore factors which influence the effectiveness of one-to-one interventions to result in client adherence. The second stage tested this theory using a narrative synthesis approach. Eleven studies across the health care arena were included in the synthesis and explored the interplay between client attachment style, client-provider interaction and client adherence with health interventions. It emerged that adherence results substantially because of the relationship that the client has with the provider, which is amplified or diminished by the client's own attachment style. This occurs because the client's attachment style shapes how they perceive and behave in relationships with the health-care providers, who become the 'secure base' from which the client accepts, assimilates and adheres with the recommended health intervention. The pathway from one-to-one interventions to adherence is explained using moderated mediation and mediated moderation models.

Do Organizational Culture and Climate Matter for Successful Client Outcomes?

Objectives: The existing literature on the impact of workplace conditions on client care suggests that good cultures and climates provide the best outcomes for clients. The primary purpose of this study was to investigate the relationship between organizational culture and climate and the proportion of children and youth successfully discharged from a large organization in New York state. Method: Thirty-three child and youth programs with existing culture and climate data evaluated outcome information from 1,336 clients exiting its services. Results: Programs reported as having bad culture and climate yielded superior client outcomes, measured as discharge to a lower level of care and successfully completing. Conclusion: This study and its conclusion point to a gap in knowledge concerning the relation between workplace culture and climate and the impact on client care and workers’ perceptions; this warrants further investigation in similar studies of agencies and their outcomes.