Manage Your Research Articles

A randomized feasibility trial of Managing Your Health: a self-management and peer mentoring intervention for young adult survivors of childhood cancer.

Although childhood cancer survivors require lifelong "risk-based" follow-up care, most adult survivors do not receive such care, and many are lost during the transition from pediatric to adult follow-up care. The goal of this study was to evaluate the feasibility and acceptability of the "Managing Your Health" self-management and peer mentoring intervention to improve transition readiness and self-management skills among young adult survivors of childhood cancer. Survivors of childhood cancer ages 18-25years were randomized 1:1 to the Managing Your Health intervention (six video/phone calls with a peer mentor, another young adult survivor, and five online educational modules) or usual care. Feasibility was measured through enrollment rates, retention rates, and engagement and satisfaction with the intervention. Participants completed measures of transition readiness, self-efficacy, and perceived support at baseline and 2-, 6-, and 12-months post-enrollment. A total of 50 participants (Mage = 21.1 years; 60% male) enrolled (32% of the total pool was contacted; 76% of those were screened; 94% of those screening eligible enrolled). Twenty-two (88%) of the 25 intervention participants completed the peer mentor calls. On average, participants completed 96% of the online modules, often closely timed to peer mentor calls. Participants indicated high satisfaction and acceptability of the intervention and suggested some improvements to the online modules. Managing Your Health was feasible and acceptable to young adult survivors and mentors. Peer mentors appeared to serve as supportive accountability agents encouraging engagement with the online modules. Additional refinements will be made to the intervention prior to efficacy testing.

How to Retire Smoothly? Manage Your Real Estate!

How to Retire Smoothly? Manage Your Real Estate!

Efficacy of a transdiagnostic internet-based program for adolescents with emotional disorders: A randomized controlled trial

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) is a well-established transdiagnostic cognitive-behavioral therapy (T-CBT) intervention. The aim of the present study was to examine the efficacy of the program Learn to Manage your Emotions [Aprende a Manejar tus Emociones] (AMtE), a self-applied transdiagnostic internet-delivered program based on the Spanish version of the UP-A. This is the first transdiagnostic internet-based program designed for the treatment of emotional disorders in adolescents. A sample of Spanish adolescents with a primary diagnosis of an anxiety and/or depressive disorder (n=58; age range=12-18 years; 78.3% girls; 90% Caucasian) were randomly allocated to receive AMtE (n=28) or the UP-A via videocall (n=30). Pre-treatment, post-treatment and 3-month follow-up data were collected using self-reports and clinician-rated measures of anxiety, depression, positive and negative affect, anxiety sensitivity and emotional avoidance. Based on generalized estimating equations (GEE) models, both intervention programs were effective in significantly reducing self-reported anxiety and depressive disorder symptoms and clinician-rated severity of anxiety and depression, as well as self-reported transdiagnostic outcome variables. Data provide empirical support for the efficacy of AMtE as a transdiagnostic online CBT treatment for anxiety and depressive disorders in adolescents. No marked nor consistent differences were observed between the UP-A and AMtE, highlighting the potential usefulness of the online self-administered AMtE program.

AKTIVITAS MENULIS FANFICTION DI WATTPAD SEBAGAI PRODUKTIVITAS DARI FANDOM EXO

The EXO, a South Korean boy group that is currently trending, has succeeded in building a large fan base with the fandom name EXO-L. This article explores the phenomenon of fandom creativity, especially the activity of writing fanfiction, as an expression of fans' love and dedication to their idols. In this article, the fanfiction “Manage your Manager (EXO FANFICTION)” on Wattpad is a popular example that achieved high rankings and is proof of the positive impact on fan identity. By utilizing the Fan Motivation Theory proposed by Wann, this article reveals the motivational factors that drive EXO-Ls to write fanfiction, such as eustress, escapism, aesthetic pleasure, entertainment, cultural connection, self-esteem, and even potential economic gain. The research method used is descriptive qualitative with data collection through literature study and observation of online reading media platforms, especially Wattpad. In addition to illustrating the productivity of fandom, this article highlights the positive benefits of fanfiction, including the development of writing talent and contribution to idol popularity. This article concludes that fanfiction, apart from being a form of creative expression, also acts as a promotional tool and introducing idols to a wider audience. The fanfiction phenomenon in EXO-L not only creates space for creativity, but also deepens and enriches the relationship between fans and their idols. This conclusion emphasizes the complexity and diversity of motivations behind fanfiction which ultimately makes a positive contribution to the dynamics and sustainability of EXO-L fandom. Keywords: EXO, EXO-L, FanFiction, Wattpad

'Managing your service' when the IT does not work

'Managing your service' when the IT does not work

Data driven population health management: first steps to an integrated approach in Leuven Cares (Zorgzaam Leuven)

In 2018 we started the Leuven Cares project in the city of Leuven. The aim of this project is to develop, implement and evaluate the necessary changes to enable integrated care.
 We installed a proactive approach to manage the health and wellbeing of the population of Leuven, to move away from the provision of reactive, demand-led care.
 All inhabitants of Leuven are targeted, 102000 people. All relevant healthcare organizations participate in the project, which is financially supported by the federal government and by 60 local organizations.
 We use a data driven population health management approach based on 4 building blocks:
 1.Know your population health’s needs: obtaining data from the population for constant re-evaluation of the interventions at as many levels as possible. Define clearly for every action the type and subgroup of patients.
 2.Engage with your population: collaboration in integrated neighborhood teams at a local level of 5000 to 10000 inhabitants. Map clearly local level interventions (5000 to 10000 inhabitants) versus meso level (100000 inhabitants) using natural existing networks, functional collaborations and structures.
 3.Manage your population: different interventions or different types of patients starting with the correct stratification. Every intervention and intermediate evaluation is based as much as possible on data, existing or collected data.
 4.Provide support from an integration management team: a so called integrator structure as a backoffice to permanently catalyze the transition towards population based integrated care. 
 Our results (September 2022):
 -50%-60 % of primary caregivers participated in at least one Leuven Cares action.
 -for the various Leuven Cares actions, a total of 6500 patients were included on an individual basis and stratified within the ‘Leuven cares stratification map’.
 -the stakeholder consortium consists of more than 73 partners and is still augmenting. This consortium consists of partners representing health care organizations, social welfare organizations, academic partners, local health insurance partners and other broadly oriented local partners.
 -the “integrator” function was constructed as a complex conceptual entity inside the global governance arrangement. It consists in total of more than 40 individuals and a small coordination team of 3 FTE functions.
 Lessons learned and next steps: At a micro level, a key facilitator for a population health management approach is to install integrated neighborhood teams of primary care professionals, to manage the population. At the meso level, create a strong integrator function with a diversity of liaison arms in the different partner organizations. The integrator needs support of a central backoffice team with visionary leadership and management skills to facilitate a population-oriented approach.
 The effects on the entire population of this project and the various subactions of this project will be studied in the coming years. The ongoing process shows good participation of professional caregivers and their organizations, a need for leadership, a collaborative attitude, a data- and evidence-based approach and a strong local integrator supporting the transition towards integrated care. In a next step, we want to measure the long-term impact of this project on relevant quintuple aim parameters.

Able To Allocate And Use Time

This article discusses In the midst of an ever-changing business environment, society is under great pressure. Especially in companies with very active business activities, many responsibilities need to be carried out. In a competitive industry, business leaders must do this. Manage your time well so you can survive and progress sustainably. The concept of time management began during the Industrial Revolution and became a modern way of thinking about getting things done. Effective and efficient. Time management is one of the basic skills needed for you to be successful in life. The results of various studies show that time management is beneficial for organizations/companies learning to compete and achieving great success in business.

Managing Your Own Wellness (MYOW): Intervention for improving wellness through dementia care partner’s self‐care

AbstractBackgroundCaring for a person living with dementia (PLWD) can be a stressful and straining experience for family/friend care partners (CP), often leading to an increased risk for adverse psychosocial and health outcomes (e.g., depression, anxiety, mortality). Engaging in self‐care can reduce these risks and improve health. Yet, comprehensive tools that measure self‐care as a dynamic concept in the context of dementia caregiving do not exist. “Managing Your Own Wellness” [MYOW] checklist was created and validated to capture dementia CP self‐care behaviors and to inform the development of a brief, tailored person‐centered intervention. The study’s objective was to pilot test this intervention, with the ultimate goal of informing a new generation of CP interventions that address the complex and wide range of self‐care needs.MethodNineteen primary dementia CPs completed the study and participated in the baseline visit to establish a self‐care goal, three weekly check‐in coaching visits with the interventionist, and a final exit interview at week four. Measures at baseline, week four, and week 12 included MYOW, well‐being scale, single item tool for perceived strain and stress, and screening tools for depression and anxiety. Participants completed daily tracking forms to report their engagement and perception of progress in their selected self‐care activity. All interviews were transcribed and coded using thematic content analysis. Study measures were evaluated using correlation analyses.ResultsCP’s increased engagement in self‐care activities and improved sense of well‐being were captured by quantitative measures. Qualitative analysis revealed themes involving a change in relationship dynamics, evolution of the sense of self, shift in internal personal perspective (acceptance) and its effects on CP behaviors (increased patience, less frustration), and perception of PLWD interactions (more cooperative).ConclusionMYOW intervention had high acceptability and demonstrated high potential for broad dissemination. CP engaged in developing and following through on personalized self‐care goals and in tracking their progress. The impact of self‐care is dynamic and multi‐faceted. Focusing on brief daily wellness‐related activities has mutual benefits for CP and PLWD. Future research should be focused on further simplifying intervention protocols and measures and evaluating the intervention with a larger diverse sample of CP.

An Artificial Therapist (Manage Your Life Online) to Support the Mental Health of Youth: Co-Design and Case Series.

The prevalence of child and adolescent mental health issues is increasing faster than the number of services available, leading to a shortfall. Mental health chatbots are a highly scalable method to address this gap. Manage Your Life Online (MYLO) is an artificially intelligent chatbot that emulates the method of levels therapy. Method of levels is a therapy that uses curious questioning to support the sustained awareness and exploration of current problems. This study aimed to assess the feasibility and acceptability of a co-designed interface for MYLO in young people aged 16 to 24 years with mental health problems. An iterative co-design phase occurred over 4 months, in which feedback was elicited from a group of young people (n=7) with lived experiences of mental health issues. This resulted in the development of a progressive web application version of MYLO that could be used on mobile phones. We conducted a case series to assess the feasibility and acceptability of MYLO in 13 young people over 2 weeks. During this time, the participants tested MYLO and completed surveys including clinical outcomes and acceptability measures. We then conducted focus groups and interviews and used thematic analysis to obtain feedback on MYLO and identify recommendations for further improvements. Most participants were positive about their experience of using MYLO and would recommend MYLO to others. The participants enjoyed the simplicity of the interface, found it easy to use, and rated it as acceptable using the System Usability Scale. Inspection of the use data found evidence that MYLO can learn and adapt its questioning in response to user input. We found a large effect size for the decrease in participants' problem-related distress and a medium effect size for the increase in their self-reported tendency to resolve goal conflicts (the proposed mechanism of change) in the testing phase. Some patients also experienced a reliable change in their clinical outcome measures over the 2 weeks. We established the feasibility and acceptability of MYLO. The initial outcomes suggest that MYLO has the potential to support the mental health of young people and help them resolve their own problems. We aim to establish whether the use of MYLO leads to a meaningful reduction in participants' symptoms of depression and anxiety and whether these are maintained over time by conducting a randomized controlled evaluation trial.

MolBook UNIPI─Create, Manage, Analyze, and Share Your Chemical Data for Free.

Here, we present MolBook UNIPI, freely available and user-friendly software specifically designed for medicinal chemists as a powerful tool for the easy management of virtual libraries of chemical compounds. With MolBook UNIPI, it is possible to create, store, handle, and share molecular databases in a very simple and intuitive way. The software allows users to rapidly generate libraries of bioactive ligands, building blocks, or commercial compounds by either manually creating single molecules or automatically importing compounds from public databases and pre-existing libraries. MolBook UNIPI databases can be enriched with all kinds of data and can be filtered based on molecular structures or properties, allowing the desired molecules, along with their structures and features, to be easily accessible in just a few clicks. Moreover, new molecular properties and potential toxicological effects of compounds can be rapidly and reliably predicted. Notably, all of these functions can be easily mastered even by inexperienced users, with no prior cheminformatics knowledge or programming skills, which makes MolBook UNIPI an invaluable tool for medicinal chemists. MolBook UNIPI can be downloaded free of charge from the project web page https://molbook.farm.unipi.it/.

A Descriptive Analysis of Emotion Regulation in the ESL Classroom of University Students: A Vignette Study

Emotions tend to have a detrimental impact on students’ learning outcomes. This research project is an endeavor to investigate the emotions experienced by students in the ESL classroom and identify specific scenarios where both male and female participants experience positive and negative emotions. The aim is to investigate which Emotion-Regulation Strategies (ERS) both genders employ to quell unfavorable emotions. The instrument MYE (Manage Your Emotions) was administered to English majors (sophomores; N = 35) enrolled in the undergraduate program at the University of Sargodha and for this, the vignette methodology was employed where the primary data was collected using a scenario-based questionnaire designed by Oxford and Gkonou (2017). The students’ emotional responses were examined based on these scenario-based questions typical to Classroom Language learning. Participants explicitly specified the contexts where they experienced positive and negative emotions respectively. The findings revealed that feelings of interest and excitement were the most reported emotions amongst females. Whereas aggressive tendencies were observed in male participants rather than girls in similar scenarios. It was also established that male and female students employ different ERS to counter any negative emotions. Finally, future research directions and pedagogical applications are suggested for a better and more comprehensive understanding of ESL classrooms.

Networking—Managing Your Career [Micro Business

I was recently talking to someone who had just started a job search. He was looking through online job postings and sending out his resume. That’s not a great way to find a job. It’s not a great way for an employer to find an employee either. Yet this has been the baseline approach, seemingly forever. Job postings used to be in printed publications. Now, they are on websites and on LinkedIn.

Tennis Elbow: What Is It? How Do I Get Back to My Regular Activities?

You do not have to play tennis to get tennis elbow-a very common problem for people who do lots of repetitive movements of the wrist, forearm and elbow, such as carpentry, painting or racquet sports. Most people with tennis elbow feel pain on the outside of their elbow and upper forearm. Experts in managing elbow pain developed a guideline for rehabilitation clinicians to use to help you understand more about tennis elbow. Here, we explain what the guidelines say about how to diagnose tennis elbow (sometimes called lateral elbow pain or lateral elbow tendinopathy), the specific treatments your physical therapist might offer you to help manage pain and improve the mobility of your elbow, and the types of exercises you could do to strengthen the muscles in your wrist and forearm.

Share and Manage Your Research Data

Share and Manage Your Research Data

ПСИХОЛОГІЧНІ ЧИННИКИ РЕКРЕАЦІЙНОГО ВПЛИВУ НАРАТИВНИХ ВИДІВ МИСТЕЦТВА

Goal is to study of the relationship of coping strategies and emotional intelligence with the recreational potential of narrative arts (literature and cinematography). Methods. The Coping Strategies Questionnaire (WCQ) was used to study coping strategies, and the Emotional Intelligence Diagnostic Questionnaire (N. Hall) was used to study emotional intelligence. The following socio-demographic data were considered in the study: respondents’ gender, age and level of education. 56 respondents took part in the study, among which 47 were female and 9 were male. Results. For those who have a low level of development of these skills, narratives can serve as a negative factor that worsens their emotional state, indicate that the most frequent result of interaction with the narrative as a recreational process is the release of internal tension. The study showed that the most frequent result of interaction with the narrative as a recreational process is the release of internal tension (chosen by 48.2% of respondents), followed by calming down (23.2%), increasing the level of energy or strength (14.3%), increasing motivation (12.5%) and anxiety (1.8%). Respondents with a high level of “Managing their emotions” demonstrated a significant improvement in well-being after interacting with the selected narrative. A positive correlation was found between emotional intelligence, namely the “Managing Your Emotions” and “Feeling After Interaction” scales. For those who have a low level of development of these skills, narratives can serve as a negative factor that worsens their emotional state. It can be assumed that people with a high level of this indicator of emotional intelligence consciously or unconsciously understand what types of stories and in what way can affect their emotional state. It is assumed that the genre of the narrative (action, drama, comedy, etc.) and the features of its impact on the human condition are purely individual. Conclusions. It was confirmed that the type of narrative that can affect a person’s condition is a purely individual matter, there is no genre of cinema, literature, comics, series, etc., which can be called universal for overcoming a negative emotional state.

Managing Your Boss (MYB) as a proactive followership behavior: Construct validation and theory development

AbstractEmployees can be proactive in establishing good working relationships with their managers to enhance their own effectiveness. We propose that an important way that they can do so is by engaging in behaviors we refer to as “Managing Your Boss” (MYB) that involve employees taking the initiative to understand their managers’ goals, needs, and working styles and adapt their job priorities and actions accordingly. We integrate theories on proactivity and followership to lay the conceptual foundation for the study of MYB. We underscore the conceptual distinctiveness of MYB from related constructs. Moreover, we propose that MYB can help employees improve their performance by enabling them to develop high quality leader‐member exchanges (LMX) and argue that these effects are amplified in unstructured work environments where jobs are not standardized or when managers fail to provide adequate task structure. Using 1313 working adults across a set of four studies and seven samples, we develop a validated measure of MYB, establish its nomological network, and demonstrate support for key elements of our theoretical model. We discuss the implications of our findings for research and practice.

Focus, Time Management and Personal Energy of Students during Online Education

Focus and personal energy during study and work are vital in all learning outputs, especially in the covid-19 time that addresses the importance of self-focused behaviour in online learning environments. In this paper, we present a method of gaining insight into previous knowledge of students’ approaches to focusing and managing personal energy during covid-19 online studying environment to overcome stress. ”Manage your energy, not your time” cites a Harvard Business Review study (Schwartz & McCarthy, 2016), explaining that time management is a waste of time; therefore, we should manage our energy instead. Leaders should focus on managing personal energy and surviving in the workplace to manage stress and achieve a balanced career and private life in the long run. Management course students at the School of Economics and Business, University of Ljubljana, can be perceived as future leaders; we collected their opinions. We used content analysis to estimate how stress affects them and how they manage the consequences of stress, particularly procrastination. The problem with procrastination is that our brains are programmed to procrastinate, especially when it comes to new, unknown tasks. Therefore, our mind responds to postponing the task as fear arises with an unknown task. Results are presented, and key identified themes offer implications for managing physical, emotional, and mental energy. Students perform different cardiovascular sports activities to reduce stress and successfully overcome studying goals in the covid-19 environment.

“Liberty or Death!”

“Liberty or Death!”

Communicating Personal Melanoma Polygenic Risk Information: Participants' Experiences of Genetic Counseling in a Community-Based Study.

Personalized polygenic risk information may be used to guide risk-based melanoma prevention and early detection at a population scale, but research on communicating this information is limited. This mixed-methods study aimed to assess the acceptability of a genetic counselor (GC) phone call in communicating polygenic risk information in the Melanoma Genomics Managing Your Risk randomized controlled trial. Participants (n = 509) received personalized melanoma polygenic risk information, an educational booklet on melanoma prevention, and a GC phone call, which was audio-recorded. Participants completed the Genetic Counseling Satisfaction Survey 1-month after receiving their risk information (n = 346). A subgroup took part in a qualitative interview post-study completion (n = 20). Survey data were analyzed descriptively using SPSS, and thematic analysis of the qualitative data was conducted using NVivo 12.0 software. The survey showed a high level of acceptability for the GC phone call (mean satisfaction score overall: 4.3 out of 5, standard deviation (SD): 0.6) with differences according to gender (mean score for women: 4.4, SD: 0.6 vs. men: 4.2, SD: 0.7; p = 0.005), health literacy (lower literacy: 4.1, SD: 0.8; average: 4.3, SD: 0.6; higher: 4.4, SD: 0.6: p = 0.02) and polygenic risk group (low risk: 4.5, SD: 0.5, SD: average: 4.3, SD: 0.7, high: 4.3, SD: 0.7; p = 0.03). During the GC phone calls, the discussion predominately related to the impact of past sun exposure on personal melanoma risk. Together our findings point to the importance of further exploring educational and support needs and preferences for communicating personalized melanoma risk among population subgroups, including diverse literacy levels.

Cost-effectiveness of targeted genomic risk provision to prevent skin cancer: Results of a randomized trial.

10536 Background: Many melanomas and keratinocyte cancers (KC) are preventable by reducing sun exposure and improving sun protection behaviors. Recent evidence indicates a melanoma prevention program involving personalized genomic risk information provision can reduce self-reported sunburns at 12 months in Australian adults with no history of melanoma. This was alongside genetic counselling and educational materials on skin cancer prevention and early detection. However, the economic impact of this approach was unclear. This study aimed to determine the cost-effectiveness of the program to prevent melanoma and KC. Methods: A decision-analytic Markov model was developed to simulate the lifetime cost-effectiveness of personalized genomic risk provision compared with standard prevention advice alone, from a health system perspective. We used data from the Melanoma Genomics Managing Your Risk Study Randomized Control Trial. Traditional risk was measured by a validated melanoma risk prediction model involving hair color, nevus density, history of non-melanoma skin cancer, family history of melanoma, level of sunbed sessions. Quality-adjusted life years (QALY) gained was the primary outcome measure used to estimate an incremental cost-effectiveness ratio (ICER). Both deterministic and probabilistic sensitivity analyses (PSA) were undertaken. Results: The cost of the genomic testing and risk counselling program was AUD$189 (USD$132) per participant. Genomic risk provision targeting high-traditional risk individuals was the most cost-effective lifetime strategy with an ICER of AUD$23,033 (USD$16,059) per QALY gained and an 80% probability of being cost-effective at a willingness-to-pay threshold of AUD$50,000, compared with standard preventive advice (Table). When genomic risk provision was extended to low-traditional risk groups the ICER was $43,746 (USD30,500) per QALY gained with a 45% probability of being cost-effective. Conclusions: Genomic risk provision targeted to individuals at high-traditional risk of melanoma is a cost-effective strategy for the prevention of melanoma and KCs. Long-term sustainability of the program’s effect should be examined in future research. Clinical trial information: ACTRN12617000691347. [Table: see text]