title: Reducing recurrent stroke: Methodology of the motivational interviewing in stroke (MIST) randomized clinical trial

authors: Krishnamurthi, Rita

subjects: adherence

abstract: Rationale
Recurrent stroke is prevalent in both developed and developing countries, contributing significantly to disability and death. Recurrent stroke rates can be reduced by adequate risk factor management. However, adherence to prescribed medications and lifestyle changes recommended by physicians at discharge after stroke is poor, leading to a large number of preventable recurrent strokes. Using behavior change methods such as Motivational Interviewing early after stroke occurrence has the potential to prevent recurrent stroke.
Aims and/or hypothesis
The overall aim of the study is to determine the effectiveness of motivational interviewing in improving adherence to medication and lifestyle changes recommended by treating physicians at and after hospital discharge in stroke patients 12 months poststroke to reduce risk factors for recurrent stroke.
Design
Recruitment of 430 first-ever stroke participants will occur in the Auckland and Waikato regions. Randomization will be to intervention or usual care groups. Participants randomized to intervention will receive four motivational interviews and five follow-up assessments over 12 months. Nonintervention participants will be assessed at the same time points.
Study outcomes
Primary outcome measures are changes in systolic blood pressure and low-density lipoprotein levels 12 months poststroke. Secondary outcomes include self-reported adherence and barriers to prescribed medications, new cardiovascular events (including stroke), changes in quality of life, and mood.
Discussion
The results of the motivational interviewing in stroke trial will add to our understanding of whether motivational interviewing may be potentially beneficial in the management of stroke and other diseases where similar lifestyle factors or medication adherence are relevant.

text: Reducing recurrent stroke: Methodology of the motivational interviewing in stroke (MIST) randomized clinical trial Rationale
Recurrent stroke is prevalent in both developed and developing countries, contributing significantly to disability and death. Recurrent stroke rates can be reduced by adequate risk factor management. However, adherence to prescribed medications and lifestyle changes recommended by physicians at discharge after stroke is poor, leading to a large number of preventable recurrent strokes. Using behavior change methods such as Motivational Interviewing early after stroke occurrence has the potential to prevent recurrent stroke.
Aims and/or hypothesis
The overall aim of the study is to determine the effectiveness of motivational interviewing in improving adherence to medication and lifestyle changes recommended by treating physicians at and after hospital discharge in stroke patients 12 months poststroke to reduce risk factors for recurrent stroke.
Design
Recruitment of 430 first-ever stroke participants will occur in the Auckland and Waikato regions. Randomization will be to intervention or usual care groups. Participants randomized to intervention will receive four motivational interviews and five follow-up assessments over 12 months. Nonintervention participants will be assessed at the same time points.
Study outcomes
Primary outcome measures are changes in systolic blood pressure and low-density lipoprotein levels 12 months poststroke. Secondary outcomes include self-reported adherence and barriers to prescribed medications, new cardiovascular events (including stroke), changes in quality of life, and mood.
Discussion
The results of the motivational interviewing in stroke trial will add to our understanding of whether motivational interviewing may be potentially beneficial in the management of stroke and other diseases where similar lifestyle factors or medication adherence are relevant.

year: 2013

title: Communicating innovation: An appreciative inquiry investigation into innovation in China

authors: Xu, Xinli

subjects: innovation

abstract: The thesis considers that the intersection of creativity, innovation management, and communication are under researched in China. It seeks make a contribution to this area through exploratory research in a range of companies in Wenzhou, a south-east city in Zhejiang province, China. By researching firms across different sectors, and through analysing the companies‟ experiences of innovation generation and implementation, this thesis offers findings in a range of areas including: the apprehension of successful innovation, innovation and top leadership, and the relationship between innovation and customer value creations. The main findings indicate several aspects of innovation in China. First, Chinese enterprises considered successful innovations as those can bring profitable growth. Second, top leadership drives innovation and has the greatest influence on corporate innovation in Chinese enterprises. Third, although few companies in Wenzhou have created new products, or new markets, an increasing number of customer-oriented innovations occurred in recent years in Chinese enterprises. In addition, investigations on Corporate Social Responsibility (CSR) after the field research, reveals that Chinese state-owned enterprises may be promoting similar ideas in relation to innovation and CSR. To sum up, this research project provided an insight into recent perceptions of innovation, innovation readiness, and innovation achievement by Chinese enterprises in Wenzhou.

text: Communicating innovation: An appreciative inquiry investigation into innovation in China The thesis considers that the intersection of creativity, innovation management, and communication are under researched in China. It seeks make a contribution to this area through exploratory research in a range of companies in Wenzhou, a south-east city in Zhejiang province, China. By researching firms across different sectors, and through analysing the companies‟ experiences of innovation generation and implementation, this thesis offers findings in a range of areas including: the apprehension of successful innovation, innovation and top leadership, and the relationship between innovation and customer value creations. The main findings indicate several aspects of innovation in China. First, Chinese enterprises considered successful innovations as those can bring profitable growth. Second, top leadership drives innovation and has the greatest influence on corporate innovation in Chinese enterprises. Third, although few companies in Wenzhou have created new products, or new markets, an increasing number of customer-oriented innovations occurred in recent years in Chinese enterprises. In addition, investigations on Corporate Social Responsibility (CSR) after the field research, reveals that Chinese state-owned enterprises may be promoting similar ideas in relation to innovation and CSR. To sum up, this research project provided an insight into recent perceptions of innovation, innovation readiness, and innovation achievement by Chinese enterprises in Wenzhou.

year: 2009

title: Drawing on linguistic concepts to teach te reo Māori; Drawing on te reo Māori to teach linguistic concepts

authors: Wessels, Kanauhea Janion

subjects: linguistic pedagogy

abstract: In this paper, we explore the intersections in our teaching practice between the discipline of linguistics and te reo Māori. From the perspective of language teaching, in pedagogic materials for te reo Māori, we have observed that linguistic concepts are not typically highlighted (cf. Moorfield 2001, Jacobs 2012). From the perspective of teaching linguistics, te reo Māori is seldom employed to illustrate or assess linguistic concepts, although it commonly features in accounts of language revitalization. Content that does occur is limited (cf. Burridge & Stebbins, 2016). 
As a tertiary lecturer of the Māori language, I (Kanauhea) consider how, in my teaching practice, I draw on my technical knowledge of linguistics to enhance my explanations of language structures and their functions, where these are unfamiliar to language learners. As a tertiary linguistics lecturer, I (Julie) consider ways in which I draw on my beginner knowledge of te reo Māori to enhance my teaching of linguistic concepts, reflecting on materials I have developed to teach and assess students. 
We argue that students of te reo can benefit from linguistic understandings on their language learning journeys. Equally, as Aotearoa New Zealand's indigenous language, te reo Māori should have a strong presence in linguistic teaching materials, and our linguistics students should graduate with an indepth knowledge of te reo Māori structures.

text: Drawing on linguistic concepts to teach te reo Māori; Drawing on te reo Māori to teach linguistic concepts In this paper, we explore the intersections in our teaching practice between the discipline of linguistics and te reo Māori. From the perspective of language teaching, in pedagogic materials for te reo Māori, we have observed that linguistic concepts are not typically highlighted (cf. Moorfield 2001, Jacobs 2012). From the perspective of teaching linguistics, te reo Māori is seldom employed to illustrate or assess linguistic concepts, although it commonly features in accounts of language revitalization. Content that does occur is limited (cf. Burridge & Stebbins, 2016). 
As a tertiary lecturer of the Māori language, I (Kanauhea) consider how, in my teaching practice, I draw on my technical knowledge of linguistics to enhance my explanations of language structures and their functions, where these are unfamiliar to language learners. As a tertiary linguistics lecturer, I (Julie) consider ways in which I draw on my beginner knowledge of te reo Māori to enhance my teaching of linguistic concepts, reflecting on materials I have developed to teach and assess students. 
We argue that students of te reo can benefit from linguistic understandings on their language learning journeys. Equally, as Aotearoa New Zealand's indigenous language, te reo Māori should have a strong presence in linguistic teaching materials, and our linguistics students should graduate with an indepth knowledge of te reo Māori structures.

year: 2023