title: Population-based cohort study of the impacts of mild traumatic brain injury in adults four years post-injury

authors: Theadom, Alice

subjects: Science & Technology

abstract: There is increasing evidence that some people can experience persistent symptoms for up to a year following mild TBI. However, few longitudinal studies of mild TBI exist and the longerterm impact remains unclear. The purpose of this study is to determine if there are long-term effects of mild traumatic brain injury (TBI) four-years later. Adults (aged  16 years) identified as part of a TBI incidence study who experienced a mild-TBI four-years ago (N = 232) were compared to age-sex matched controls (N = 232). Sociodemographic variables, prior TBI and symptoms were assessed at the time of injury. Four years post-injury participants completed the Rivermead Post-Concussion Symptom Questionnaire, Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index and the Participation Assessment with Recombined Tools. Analysis of covariance was used to compare differences between TBI cases four years post-injury and controls, controlling for prior TBI and depression. A multiple regression model was used to identify the predictors of increased symptoms and reduced participation. The mild-TBI sample experienced significantly increased self-reported cognitive symptoms (F = 19.90, p = <0.01) four years post-injury than controls. There were no differences between the groups for somatic (F = 0.02, p = 0.89) or emotional symptoms (F = 0.31, p = 0.58). Additionally, the mild-TBI group reported significantly poorer community participation across all three domains: productivity (F = 199.07, p = <0.00), social relations (F = 13.93, p = <0.00) and getting out and about (F = 364.69, p = <0.00) compared to controls. A regression model accounting for 41% of the variance in cognitive symptoms in TBI cases revealed a history of TBI, receiving acute medical attention and baseline cognitive symptoms, sleep quality, anxiety and depression were predictive of outcome. The results indicate that whilst somatic and emotional symptoms resolve over time, cognitive symptoms can become persistent and that mild TBI can impact longer-term community participation. Early intervention is needed to reduce the longer-term impact of cognitive symptoms and facilitate participation.

text: Population-based cohort study of the impacts of mild traumatic brain injury in adults four years post-injury There is increasing evidence that some people can experience persistent symptoms for up to a year following mild TBI. However, few longitudinal studies of mild TBI exist and the longerterm impact remains unclear. The purpose of this study is to determine if there are long-term effects of mild traumatic brain injury (TBI) four-years later. Adults (aged  16 years) identified as part of a TBI incidence study who experienced a mild-TBI four-years ago (N = 232) were compared to age-sex matched controls (N = 232). Sociodemographic variables, prior TBI and symptoms were assessed at the time of injury. Four years post-injury participants completed the Rivermead Post-Concussion Symptom Questionnaire, Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index and the Participation Assessment with Recombined Tools. Analysis of covariance was used to compare differences between TBI cases four years post-injury and controls, controlling for prior TBI and depression. A multiple regression model was used to identify the predictors of increased symptoms and reduced participation. The mild-TBI sample experienced significantly increased self-reported cognitive symptoms (F = 19.90, p = <0.01) four years post-injury than controls. There were no differences between the groups for somatic (F = 0.02, p = 0.89) or emotional symptoms (F = 0.31, p = 0.58). Additionally, the mild-TBI group reported significantly poorer community participation across all three domains: productivity (F = 199.07, p = <0.00), social relations (F = 13.93, p = <0.00) and getting out and about (F = 364.69, p = <0.00) compared to controls. A regression model accounting for 41% of the variance in cognitive symptoms in TBI cases revealed a history of TBI, receiving acute medical attention and baseline cognitive symptoms, sleep quality, anxiety and depression were predictive of outcome. The results indicate that whilst somatic and emotional symptoms resolve over time, cognitive symptoms can become persistent and that mild TBI can impact longer-term community participation. Early intervention is needed to reduce the longer-term impact of cognitive symptoms and facilitate participation.

year: 2018

title: Chinese Reality TV- A Case Study of GDTV’s The Great Challenge for Survival

authors: Luo, Wei

subjects: Chinese

abstract: The emergence of reality programming has a parallel development with Chinese television media at the beginning of this century. This study of Chinese “Reality TV” is based on a case study of a pioneer Chinese reality production, namely The Great Challenge for Survivor (GDTV, 2000-2006). The general concern of this thesis is an examination of the localizing of popular foreign outdoor survival formats (the Japanese top-rating Airway Boys and the international format Survivor) within a Chinese context. The study of this subject consists of field research into a major Party-state owned television broadcaster and a comparative analysis of the six broadcast seasons of the selected example. The research outcome presented here highlights some distinctive Chinese patterns in the outdoor survival reality strand prevailing early in this century and articulates the complex roles that a nationalized television station was required to play in the industrialized reform era. By recognizing the GDTV crew’s continuous efforts to improve production quality and to satisfy their assumed audiences’ needs, the thesis further addresses some key factors of the specific institutional system and broad media environment shaping local reality programme makers' decision making. Facing a “special television zone” in China, the local producer’s continuous modification of their reality programming was on the cutting edge of commercialization and globalization in the early 2000s. The production of the studied case was an exploratory enterprise which involved a set of negotiations, arguments and compromises while dealing with a range of issues which emerged in such areas as the cultural landscape, social environment, political discourse and economic power. To a large extent, the manifested transition taking place in this studied local production mirrors unprecedented social and economic changes occurring in contemporary China.

text: Chinese Reality TV- A Case Study of GDTV’s The Great Challenge for Survival The emergence of reality programming has a parallel development with Chinese television media at the beginning of this century. This study of Chinese “Reality TV” is based on a case study of a pioneer Chinese reality production, namely The Great Challenge for Survivor (GDTV, 2000-2006). The general concern of this thesis is an examination of the localizing of popular foreign outdoor survival formats (the Japanese top-rating Airway Boys and the international format Survivor) within a Chinese context. The study of this subject consists of field research into a major Party-state owned television broadcaster and a comparative analysis of the six broadcast seasons of the selected example. The research outcome presented here highlights some distinctive Chinese patterns in the outdoor survival reality strand prevailing early in this century and articulates the complex roles that a nationalized television station was required to play in the industrialized reform era. By recognizing the GDTV crew’s continuous efforts to improve production quality and to satisfy their assumed audiences’ needs, the thesis further addresses some key factors of the specific institutional system and broad media environment shaping local reality programme makers' decision making. Facing a “special television zone” in China, the local producer’s continuous modification of their reality programming was on the cutting edge of commercialization and globalization in the early 2000s. The production of the studied case was an exploratory enterprise which involved a set of negotiations, arguments and compromises while dealing with a range of issues which emerged in such areas as the cultural landscape, social environment, political discourse and economic power. To a large extent, the manifested transition taking place in this studied local production mirrors unprecedented social and economic changes occurring in contemporary China.

year: 2011

title: Improving prediction of potential for treatment completion at Tai Aroha

authors: Astridge Clarke,  Abigail Darcy

subjects: Treatment

abstract: Participant non-completion can be a major problem for treatment programmes. Staff may try to minimise non-completion by deciding who to select for treatment using professional intuition and referral information. It can be difficult for treatment staff to make these decisions regarding the potential for programme completion due to a lack of clear guidelines about what information to consider. This lack of clear guidelines can increase susceptibility to biases, and lead to unreliable and potentially inaccurate decisions. Research has identified ‘simple rules’ that are tools to aid decision-making quickly, effectively, and consistently. Therefore, using past treatment data, we1 aimed to identify predictors of programme completion vs. non-completion at Tai Aroha—a residential treatment programme based in Hamilton—to explore whether a “simple rule” can be developed from information readily available at the time of referral, to support staff decision-making when selecting offenders to attend treatment, with the potential to increase programme completion. We were successful in the development of a simple rule to aid Tai Aroha staff selection decisions. The implications, and limitations of our rule and our study are discussed, and future research relating to simple rules are identified.

text: Improving prediction of potential for treatment completion at Tai Aroha Participant non-completion can be a major problem for treatment programmes. Staff may try to minimise non-completion by deciding who to select for treatment using professional intuition and referral information. It can be difficult for treatment staff to make these decisions regarding the potential for programme completion due to a lack of clear guidelines about what information to consider. This lack of clear guidelines can increase susceptibility to biases, and lead to unreliable and potentially inaccurate decisions. Research has identified ‘simple rules’ that are tools to aid decision-making quickly, effectively, and consistently. Therefore, using past treatment data, we1 aimed to identify predictors of programme completion vs. non-completion at Tai Aroha—a residential treatment programme based in Hamilton—to explore whether a “simple rule” can be developed from information readily available at the time of referral, to support staff decision-making when selecting offenders to attend treatment, with the potential to increase programme completion. We were successful in the development of a simple rule to aid Tai Aroha staff selection decisions. The implications, and limitations of our rule and our study are discussed, and future research relating to simple rules are identified.

year: 2023