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31 result(s) for "Fields, Jan"
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A metaevaluation of evaluations of health care programs that employ the chronic care model
Background: The purpose of this dissertation is to explore the use of metaevaluation to evaluate the quality of healthcare studies conducted on programs that employ the Chronic Care Model (CCM) to provide chronic illness care. In this study, healthcare studies of CCM programs are regarded as program evaluations. Method: Using a non-experimental cross-sectional design, 28 healthcare studies of CCM programs were evaluated using the accuracy standards portion of the Program Evaluations Metaevaluation Checklist (Stufflebeam, 2011). The results of the metaevaluations were analyzed and compared to the HEAL grade of the same healthcare studies as determined by the Hierarchy of Evidence and Appraisal of Limitations grading system (Gugiu, et al, 2013). Results: When the quality of the 28 healthcare studies were evaluated by metaevaluation, only five (5) studies rated Good. The rest of the studies are rated either Fair (20) or Poor (3). When the quality of the same healthcare studies were assessed by the HEAL grading system, only four (4) studies received an A or A- and only four (4) studies received a B or B-. The rest of the studies received either a C- (2) or a D (18). Also, none of the metaevaluation ratings of the 28 healthcare studies showed a significant relationship with the HEAL scores of the same healthcare studies. Conclusions: Whether rated by the accuracy metaevaluation checklist or graded by the HEAL grading system, the selected CCM studies were mostly of poor to fair quality. This finding raises the level of urgency for improving the study quality of evidence-based medicine. Also, the lack of significant relationship between the two measures of study quality may indicate that the two instruments are complementary rather than substitutionary. If so, it may be better to use both the metaevaluation ratings and the HEAL scores to determine study quality rather than using one instrument over the other.
The relationship between course outcomes and the factors of retention as determined by Webb's model of student persistence
This study looked at the differences in various factors of college retention for students who successfully completed all courses in a particular semester as compared to students who did not successfully complete at least one course during that same semester. The college retention factors were taken from Webb's (1988) Model of Student Retention and were assessed through the use of student records and two survey instruments developed by Noel/Levitz (Schreiner & Juillerat, 1994; Stratil, 1988). The study was conducted at Muskegon Community College during the 1995 Fall Semester using four groups of students: (1) students enrolled in high success vocational programs, (2) students enrolled in low success vocational programs, (3) vocational students classified as special population students, and (4) vocational students classified as nonspecial population students. A survey designed to assess student-related retention factors was administered near the beginning of the semester, while a survey designed to assess institution-related retention factors was administered near the end of the semester. Once data were collected, analysis consisted of computing and comparing mean scale scores or proportions of all retention factors between successful students and unsuccessful students in each of the four study groups. A retention factor was associated with a positive course outcome if its score was higher for successful students than for unsuccessful students. The findings of the study revealed that successful students in both the high success study group and the nonspecial population study group were associated with retention factors representing institutional fit. Since this is predicted by Webb's (1988) model, these two study groups best fit this model. Successful students in the low success study group were associated with retention factors representing institutional fit and academic preparation, while successful students in the special population study group were associated with retention factors representing academic preparation and external environment. The analysis of these last two study groups was not predicted by Webb's model, but were found to be consistent with the criteria by which these groups were formed.
Dash for the North Pole
\"Arctic explorers pushed their limits on this historic adventure.\" (Highlights for Children) Read about Robert E. Peary and Matthew Henson's expedition to the North Pole in 1909.
Dash for the North Pole
Many explorers had tried to reach the pole. Arctic ice always shifts and cracks as it floats on the ocean. The hunters knew the ice could be deadly. Here, Fields discusses how six explorers reach the North Pole.
Valentine's Day \fortune\ hearts
Instructions for children on how to make Valentine's Day \"fortune\" hearts are presented.
Carnivorous Caterpillars
\"Caterpillars are little eating machines. They gobble their way across crisp, green leaves, filling up for their amazing changes ahead. There's one caterpillar in North America, however, that doesn't eat plants at all--it eats woolly aphids. And it has a pretty sneaky way of getting them, too.\" (Cricket) Learn more about the diet and behavior of harvester caterpillars. Some facts about these unique insects are presented.
Crafts You Can Make
A set of instructions on how to make crafts for children, including reindeer napkin rings, Christmas cards, and Christmas angel, is presented.