Browsing by Subject "barriers"

Now showing 1 - 7 of 7
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    Barriers and Facilitators to Work Success for Veterans in Supported Employment: A Nationwide Provider Survey
    (APA, 2016-04) Kukla, Marina; McGuire, Alan B.; Salyers, Michelle P.; Department of Psychology, School of Science
    bjective: Veterans with mental illness are at serious risk of poor work outcomes and career stagnation. Supported employment (SE) is an evidence-based model of vocational services that assists persons with mental illness to obtain competitive employment. The purpose of this study was to gain a rich understanding of barriers and facilitators related to competitive work success from the perspective of a nationwide sample of U.S. Department of Veterans Affairs (VA) SE staff, supervisors, and managers. Methods: This study utilized a mixed-methods approach in which 114 VA SE personnel completed an online questionnaire consisting of a survey of work barriers and facilitators; open-ended questions elicited additional factors affecting work success. Descriptive statistics characterized factors affecting work success, and an emergent, open-coding approach identified qualitative themes describing other key elements influencing employment. Results: The most prominent work facilitators were perceived veteran motivation, job match, the assistance of SE services, and veteran self-confidence. The highest rated barriers were psychological stress and a range of health-related problems. Qualitative findings revealed additional areas affecting work success, notably, the availability of resources, the capacity of frontline staff to form strong relationships with veterans and employers, the ability of staff to adapt and meet the multifaceted demands of the SE job, and the need for additional staff and supervisor training. The impact of employer stigma was also emphasized. Conclusions: An array of elements influencing work success at the level of the veteran, staff, SE program, and employer was recognized, suggesting several implications for VA services.
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    Barriers to mental health service use among distressed family caregivers of lung cancer patients
    (Wiley, 2015) Mosher, Catherine E.; Given, B. A.; Ostroff, J. S.; Department of Psychology, School of Science
    Although family caregivers of patients with lung and other cancers show high rates of psychological distress, they underuse mental health services. This qualitative study aimed to identify barriers to mental health service use among 21 distressed family caregivers of lung cancer patients. Caregivers had not received mental health services during the patient's initial months of care at a comprehensive cancer centre in New York City. Thematic analysis of interview data was framed by Andersen's model of health service use and Corrigan's stigma theory. Results of our analysis expand Andersen's model by providing a description of need variables (e.g. psychiatric symptoms), enabling factors (e.g. finances), and psychosocial factors associated with caregivers' non-use of mental health services. Regarding psychosocial factors, caregivers expressed negative perceptions of mental health professionals and a desire for independent management of emotional concerns. Additionally, caregivers perceived a conflict between mental health service use and the caregiving role (e.g. prioritising the patient's needs). Although caregivers denied stigma associated with service use, their anticipated negative self-perceptions if they were to use services suggest that stigma may have influenced their decision to not seek services. Findings suggest that interventions to improve caregivers' uptake of mental health services should address perceived barriers.
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    A Conceptual Framework for a Building Integrated Photovoltaics (BIPV) Educative-Communication Approach
    (MDPI, 2018) Attoye, Daniel Efurosibina; Adekunle, Timothy O.; Tabet Aoul, Kheira Anissa; Hassan, Ahmed; Attoye, Samuel Osekafore; Mechanical and Energy Engineering, School of Engineering and Technology
    Global interest in Building Integrated Photovoltaics (BIPV) has grown following forecasts of a compound annual growth rate of 18.7% and a total of 5.4 GW installed worldwide from 2013 to 2019. Although the BIPV technology has been in the public domain for the last three decades, its adoption has been hindered. Existing literature asserts that proper information and education at the proposal or early design stage is an important way of addressing adoption barriers. However, there is a lack of BIPV communication approaches for research, and market proposals that focus on clear information about its benefits. This has limited the adoption of BIPV.. Based on this, the present study aims to develop a conceptual framework for an educative-communication approach for presenting BIPV proposals to encourage its adoption. This is aimed at developing holistic research and market proposals which justify scholarly investigation and financial investment. Using a multiple case study investigation and Design Research Methodology (DRM) principles, the study developed an approach which combines core communication requirements, the pillars of sustainability and a hierarchical description of BIPV alongside its unique advantages. A two-step evaluation strategy involving an online pilot survey and a literature-based checklist, was used to validate the effectiveness of the developed approach. Our results show that understanding environmental and economic benefits was found to be significantly important to people who are likely adopters of BIPV (p < 0.05), making these benefits crucial drivers of adoption. Statistical significance was also found between those who do not know the benefits of using solar energy for electricity, and interest in knowing these benefits (p < 0.05). We thus conclude that proper communication of these benefits can safely be advanced as important facilitators of BIPV adoption. In general, this study elaborates the need and strategies for appropriate dissemination of innovative ideas to encourage and promote adoption of technological advancement for a sustainable global future.
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    Nutrition Management of Type 2 Diabetes by Primary Care Physicians
    (2000-11) Marrero, David G.; Kraft, Stephanie Kakos; Mayfield, Jennifer; Wheeler, Madelyn L.; Fineberg, Naomi
    A survey was mailed to a probability sample of primary care physicians in Indiana to assess their use of and barriers to nutritional therapy for patients with type 2 diabetes. Most (62%) primary care physicians reported referring their type 2 diabetes patients for nutrition counseling, while 38% reported providing counseling themselves. Patient-centered barriers were most frequently cited as reasons for poor effectiveness of nutrition therapy. This differs from previous research that cites system-level factors as barriers.
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    Strategic Grantmaking in Higher Education
    (Office of the Vice Chancellor for Research, 2010-04-09) Osili, Una; Miller, Melanie; Kramarek, Michal
    Resources are scarce relative to the colossal task of tackling the barriers to higher education. Delineating a grantmaking program- given the social, political, and economic dynamics in higher education- offers a substantial challenge to the nonprofit sector. The choice of strategy, implementation, and measurement are paramount considerations in effective grantmaking. Such choices include the grantmaker’s role in community and geographical contexts, allocation of grants according to location and size, engagement in partnerships and networks, and goal setting and measurement. This study investigates best practices in strategic grantmaking in the field of higher education. Through analysis of a literature review and case study interviews, this study identifies effective strategies of grantmaking organizations in addressing barriers to higher education. Such strategies include defining organizational purpose and identity, utilization of innovative techniques, adaptation to changing systems, catalyzing research, collaboration with co-funders and grantees, “big picture” goal setting, and identification and measurement of impact. The knowledge gained from this study offers grantmakers the tools needed to heighten the impact of the organizational mission under the most effective terms.
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    The Use of a Survey to Identify Types of Self-Care That Graduate Art Therapy Students Engage in For Well-Being
    (2022) Quinn, Makenzie; Misluk, Eileen; Leeds, Chelsea
    This study aimed to identify types of self-care that graduate art therapy students engage in for their overall well-being. To learn more, 108 current graduate art therapy students completed an online survey including questions related to demographics, well-being, self-care, and barriers. The anticipated outcome that graduate art therapy students will use response art and art-making less than other types of self-care was true for response art but not for art-making. The study found that leisure activity was the most common type of self-care used among graduate art therapy students. This study resulted in ample amounts of results that can imply the importance of self-care to graduate art therapy students and could be helpful in further research towards beneficial ways to incorporate self-care within individuals' daily lives for overall well-being.
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    Understanding Needs, Barriers to Care, and Use of Art and Imagery with Spanish-speaking Latinos in Bereavement Therapy
    (2022) Rubiano Madrid, July; Misluk, Eileen; Boring, Elizabeth
    This study used a mixed-methods survey research design for bereavement counselors to identify the unique needs, barriers to care, and the use of art and imagery with Spanish-speaking Latino clients in therapy. The hypothesis was that art therapy helps address situations with language barriers between counselors and Spanish-speaking Latino clients. Furthermore, it was theorized that the results of this study could be used to help implement new programs for Spanish speakers or as a resource to inform those who are already working with Spanish-speaking clients. The survey results supported the findings of the literature review regarding needs, barriers to care, and usefulness of images and art in therapy with Spanish-speaking Latinos. They also validated the need to increase culturally compatible programs and further multiculturalism training for counselors.