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Wellness Counseling: The Evidence Base for Practice
Wellness conceptualized as the paradigm for counseling provides strength‐based strategies for assessing clients, conceptualizing issues developmentally, and planning interventions to remediate dysfunction and optimize growth. Wellness counseling models have stimulated significant research that helps to form the evidence base for practice in the counseling field. The development of these models is explained, results of studies using the models are reviewed, and implications for research needed to further inform clinical practice and advocacy efforts are discussed.
Journal Article
Statistics for business and economics
Clarity and cutting-edge examples have made 'Statistics for Business and Economics' the definitive textbook for students across the United Kingdom, Europe, Middle East, and Africa. This new edition builds on the text's well-respected foundations to deliver a clear, up-to-date and comprehensive revision. All the key concepts, combined with the latest technologies and applications, are introduced with hallmark precision, making this your complete introduction to business statistics.
Book
Wellness and wellness counseling: History, status, and future
Despite broad professional and empirical support, wellness and wellness counseling remain largely absent from counselor preparation standards and ethical codes. In this conceptual examination, the authors summarize the current state of these concepts, providing concrete suggestions to enhance these documents and utilize wellness competencies to advance counseling research and practices.
Journal Article
Gabapentin for hot flashes in 420 women with breast cancer: a randomised double-blind placebo-controlled trial
Most women receiving systemic therapy for breast cancer experience hot flashes. We undertook a randomised, double-blind, placebo-controlled, multi-institutional trial to assess the efficacy of gabapentin in controlling hot flashes in women with breast cancer.
420 women with breast cancer who were having two or more hot flashes per day were randomly assigned placebo, gabapentin 300 mg/day, or gabapentin 900 mg/day by mouth in three divided doses for 8 weeks. Each patient kept a 1-week, self-report diary on the frequency, severity, and duration of hot flashes before the start of the study and during weeks 4 and 8 of treatment. Analyses were by intention to treat.
Evaluable data were available on 371 participants at 4 weeks (119 placebo, 123 gabapentin 300 mg, and 129 gabapentin 900 mg) and 347 at 8 weeks (113 placebo, 114 gabapentin 300 mg, and 120 gabapentin 900 mg). The percentage decreases in hot-flash severity score between baseline and weeks 4 and 8, respectively were: 21% (95% CI 12 to 30) and 15% (1 to 29) in the placebo group; 33% (23 to 43) and 31% (16 to 46) in the group assigned gabapentin 300 mg; and 49% (42 to 56) and 46% (34 to 58) in the group assigned gabapentin 900 mg. The differences between the groups were significant (p=0·0001 at 4 weeks and p=0·007 at 8 weeks by ANCOVA for overall treatment effect, adjusted for baseline values); only the higher dose of gabapentin was associated with significant decreases in hot-flash frequency and severity.
Gabapentin is effective in the control of hot flashes at a dose of 900 mg/day, but not at a dose of 300 mg/day. This drug should be considered for treatment of hot flashes in women with breast cancer.
Journal Article
The Wheel of Wellness Counseling for Wellness: A Holistic Model for Treatment Planning
A holistic model of wellness and prevention over the life span was presented by T. J. Sweeney and J. M. Witmer (1991) and J. M. Witmer and T. J. Sweeney (1992). Recent advances in research and theory related to wellness support modifications of the original model. The foundation for the model is examined, research related to each component is explored, and implications for use of the model as a basis for counseling interventions are presented.
Journal Article
A Factor Structure of Wellness: Theory, Assessment, Analysis, and Practice
The Wheel of Wellness, a theoretical model of well‐being, incorporates 16 dimensions of healthy functioning that can be assessed using the Wellness Evaluation of Lifestyle (WEL; J. E. Myers, T. J. Sweeney, & J. M. Witmer, 1998). A series of studies are reported concerning the development and validation of the WEL based on a large database. In the current study, exploratory and confirmatory factor analyses of the items and scales revealed 5 primary factors of well‐being (Creative, Coping, Social, Essential, and Physical) and 1 superordinate factor identified as “Wellness.”
Journal Article
Visualizing the Kinetics of Tumor-Cell Clearance in Living Animals
Evaluation of potential antineoplastic therapies would be enhanced by noninvasive detection of tumor cells in living animals. Because light is transmitted through mammalian tissues, it was possible to use bioluminescence to monitor (both externally and quantitatively) growth and regression of labeled human cervical carcinoma (HeLa) cells engrafted into immunodeficient mice. The efficacy of both chemotherapy and immunotherapeutic treatment with ex vivo expanded human T cell-derived effector cells was evaluated. In the absence of therapy, animals showed progressive increases in signal intensity over time. Animals treated with cisplatin had marked reductions in tumor signal; 5′-fluorouracil was less effective, and cyclophosphamide was ineffective. Immunotherapy dramatically reduced signals at high effector-to-target cell ratios, and significant decreases were observed with lower ratios. This model system allowed sensitive, quantitative, real-time spatiotemporal analyses of the dynamics of neoplastic cell growth and facilitated rapid optimization of effective treatment regimens.
Journal Article
Advocacy for Counseling and Counselors: A Professional Imperative
Although advocacy both for clients and for the profession is essential for the future of counseling and counselors, advocacy for the profession has received little systematic attention. A national plan for advocacy is needed, the effectiveness of which depends on achieving consensus concerning professional identity, promoting a positive public image, establishing effective intraprofessional and interprofessional collaboration, and obtaining the participation of each counselor in advocacy activities. Specific professional advocacy skills and techniques are described.
Journal Article
Advocacy for the Counseling Profession: Results of a National Survey
Seventy‐one leaders in state, regional, and national professional and credentialing associations in counseling responded to a survey concerning professional advocacy efforts, resources, obstacles, and needs. The results indicate a variety of ongoing advocacy initiatives, specific needs for resources and interprofessional collaboration, and agreement on the importance of advocacy for the future of the profession.
Journal Article