Nursing strategies to facilitate self-management in persons living with diabetes mellitus type 2
- Authors: O'Brien Coleen Ann
- Date: 2011
- Subjects: Diabetes -- Treatment , Nurses -- South Africa , Diabetes -- Prevention Popular works
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10019 , http://hdl.handle.net/10948/1627 , Diabetes -- Treatment , Nurses -- South Africa , Diabetes -- Prevention Popular works
- Description: The growing pandemic of diabetes mellitus (DM) is continuing to spread around the world with developing countries being most vulnerable. Diabetes mellitus is the direct cause of 5 percent of deaths worldwide at present, with an expected increase of 50percent in the next 10 years. Diabetes mellitus was virtually unknown in Africa at the start of the 20th century but the incidence is expected to increase by 80 percent by 2025. South African estimates indicate that at present there are up to four million people living with DM in South Africa, with an expected rise of 25 percent by 2020. If DM is not adequately controlled, life-threatening complications ensue, resulting in financial, physical and emotional costs both for people living with the condition and for their families. There is also a great financial burden on the state, both directly due to the cost of providing health care and indirectly due to loss of productivity and a reduced tax base. Global initiatives against DM include the Diabetes Strategy for Africa compiled by the International Diabetes Federation and World Health Organization. There are several forms of DM with Type 2 being the most common with an estimated 95% of cases. Optimal glycaemic control is essential for the management of DM, potentially allowing the course of the disease to be slowed or halted. The previous medical model of management of chronic disease has changed to an empowerment approach where the person living with the condition is a partner in the management process. This is particularly true of DM where all aspects of life are affected by the condition. During Phase One of this study, a qualitative, exploratory, descriptive, contextual approach was utilized to explore and describe the experiences of persons living with DM and of diabetes nurse educators who assist them in Nelson Mandela Bay. During Phase Two, a conceptual framework was created and utilized to develop strategies which professional nurses may use in facilitating self-management by persons living with DM. Persons living with DM experience a definite initial experience on diagnosis of DM but gradually gain an acceptance and acknowledgment of their condition. They have definite views on the concept of self-management and experience both positive and negative factors influencing self-management. They also have definite ideas on how professional nurses may assist them in achieving self-management. These findings were confirmed ii by the experiences of the diabetes nurse educators who formed the second group of participants in this study. The ACE approach to self-management of DM consists of an Action Strategy, a Coordination Strategy and an Education Strategy. The ACE approach makes use of grand and functional strategies implemented on the macro (national), meso (provincial) and micro (local) levels to enable the professional nurse to assist persons living with DM to achieve self-management of their condition. Grand strategies need to be implemented on a macro or meso level to enable the professional nurse to function effectively on a micro level. Assisting the patient has to go beyond merely improving knowledge about the condition but has to include individual goal setting as well as problem solving skills and coping strategies as part of a therapeutic relationship between the professional nurse and the person living with DM. The level of personal responsibility achieved by persons living with DM is affected by the memes which they hold regarding their level of health and their ability to address any barriers to self-management which they may experience. Making use of the process of the therapeutic relationship, the professional nurse is able to positively influence the memes held by persons living with DM and assist them in achieving a greater level of personal responsibility. The therapeutic relationship is potentially influenced by all three of the strategies described above. This study provides insight into the experiences of persons living with DM and of the diabetes nurse educators who assist them in Nelson Mandela Bay. Recommendations regarding the implementation of a National Diabetes Policy on a macro level are made, as well as recommendations for nursing practice, education and research. The strategies which were evaluated by an Expert Panel provide a tool for the professional nurse to use while assisting persons living with DM by facilitating the growth of personal responsibility leading to self-management.
- Full Text:
- Date Issued: 2011
- Authors: O'Brien Coleen Ann
- Date: 2011
- Subjects: Diabetes -- Treatment , Nurses -- South Africa , Diabetes -- Prevention Popular works
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10019 , http://hdl.handle.net/10948/1627 , Diabetes -- Treatment , Nurses -- South Africa , Diabetes -- Prevention Popular works
- Description: The growing pandemic of diabetes mellitus (DM) is continuing to spread around the world with developing countries being most vulnerable. Diabetes mellitus is the direct cause of 5 percent of deaths worldwide at present, with an expected increase of 50percent in the next 10 years. Diabetes mellitus was virtually unknown in Africa at the start of the 20th century but the incidence is expected to increase by 80 percent by 2025. South African estimates indicate that at present there are up to four million people living with DM in South Africa, with an expected rise of 25 percent by 2020. If DM is not adequately controlled, life-threatening complications ensue, resulting in financial, physical and emotional costs both for people living with the condition and for their families. There is also a great financial burden on the state, both directly due to the cost of providing health care and indirectly due to loss of productivity and a reduced tax base. Global initiatives against DM include the Diabetes Strategy for Africa compiled by the International Diabetes Federation and World Health Organization. There are several forms of DM with Type 2 being the most common with an estimated 95% of cases. Optimal glycaemic control is essential for the management of DM, potentially allowing the course of the disease to be slowed or halted. The previous medical model of management of chronic disease has changed to an empowerment approach where the person living with the condition is a partner in the management process. This is particularly true of DM where all aspects of life are affected by the condition. During Phase One of this study, a qualitative, exploratory, descriptive, contextual approach was utilized to explore and describe the experiences of persons living with DM and of diabetes nurse educators who assist them in Nelson Mandela Bay. During Phase Two, a conceptual framework was created and utilized to develop strategies which professional nurses may use in facilitating self-management by persons living with DM. Persons living with DM experience a definite initial experience on diagnosis of DM but gradually gain an acceptance and acknowledgment of their condition. They have definite views on the concept of self-management and experience both positive and negative factors influencing self-management. They also have definite ideas on how professional nurses may assist them in achieving self-management. These findings were confirmed ii by the experiences of the diabetes nurse educators who formed the second group of participants in this study. The ACE approach to self-management of DM consists of an Action Strategy, a Coordination Strategy and an Education Strategy. The ACE approach makes use of grand and functional strategies implemented on the macro (national), meso (provincial) and micro (local) levels to enable the professional nurse to assist persons living with DM to achieve self-management of their condition. Grand strategies need to be implemented on a macro or meso level to enable the professional nurse to function effectively on a micro level. Assisting the patient has to go beyond merely improving knowledge about the condition but has to include individual goal setting as well as problem solving skills and coping strategies as part of a therapeutic relationship between the professional nurse and the person living with DM. The level of personal responsibility achieved by persons living with DM is affected by the memes which they hold regarding their level of health and their ability to address any barriers to self-management which they may experience. Making use of the process of the therapeutic relationship, the professional nurse is able to positively influence the memes held by persons living with DM and assist them in achieving a greater level of personal responsibility. The therapeutic relationship is potentially influenced by all three of the strategies described above. This study provides insight into the experiences of persons living with DM and of the diabetes nurse educators who assist them in Nelson Mandela Bay. Recommendations regarding the implementation of a National Diabetes Policy on a macro level are made, as well as recommendations for nursing practice, education and research. The strategies which were evaluated by an Expert Panel provide a tool for the professional nurse to use while assisting persons living with DM by facilitating the growth of personal responsibility leading to self-management.
- Full Text:
- Date Issued: 2011
Managerial decision making processes and affective outcomes as a function of individual factors and self-efficacy beliefs
- Authors: Myburgh, Wim
- Date: 2010
- Subjects: Decision making
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9893 , http://hdl.handle.net/10948/1141 , Decision making
- Description: Making decisions in the business environment is arguably the most challenging aspect of managers' yet also the easiest to fail in. Unlike individual decisions managers as agents for their organizations make decisions amidst high levels of ambiguity, incomplete information and mostly under time pressure. These are the very conditions that make managers vulnerable to the volition-undermining potential of decision-generated affect precisely when they are feeling over-extended to deal with such demands. Effective managerial decision making (MDM) involves more than applying a set of individual abilities. Managers face numerous obstacles, failures, and setbacks that often carry perturbing self-evaluative implications as well as social consequences that undermine their self-evaluations in ways that impair good use of their decision making skills (Bandura, 1997). Given the absence of a coherent theoretical framework in the literature the conceptual model of relations put forward attempts to organize and simplify how managers make decisions as agents of their organizations. Most conceptualizations apply oversimplified models that focus attention on one or a few variables, neglect the joint constellations of individual variable factors and the influence of individual self-generated influences as a contributing factor in MDM. As an ex post facto explanatory-predictive study the present research offers evidence of these links among the theoretically relevant constructs in order to formulate an account of their relations in a parsimonious framework that could guide future insights to explain and predict the intentions and direction of managerial decision behaviour. Conceptual research has outpaced empirical research in decision making of managers in organizations. A number of mini-theories exists that focus on a few variables using linear, antecedent-consequence relations with manipulations in laboratory environments that deal with decisions in contexts that are very different to those faced by managers. There is limited research on managers as research participants and empirical findings based on non-managerial samples and students may not generalize to managers in real life decision making. The present research used a non-probability, purposive sample (N = 196) of experienced managers in the Western Cape region of South Africa, all employed in private and public organizations (mean age 38.9 years, SD of 7.49, ethnic black managers constituted 15.8 percent of the sample). As part of the study it was necessary to construct and validate custom indicator measures in an independent pilot study from the same population. The pilot study determined the factor structures of the dimensionality and internal consistency of the custom-designed measures by way of both convergent, as well as, discriminative validity. The exploratory factor (EFA) and internal reliability analyses succeeded to provide both a comprehensive and empirical grasp on the constructs as was defined. Further, analyses of both standardized and custom-designed also revealed no significant difference between black and other managers across the pilot samples which provided confidence of the substantive relations of interest (i.e., the associations among the variables). Structural equation modeling (SEM) was chosen as the data analysis strategy of choice and a confirmatory factor analysis (CFA) demonstrated that the operational measures by and large succeeded in providing both a comprehensive and empirical grasp on the constructs as defined. The inter-construct relations were also consistent with expectations. Evidence for convergent validity however proved that the indicator measures for the allocation of attentional resources were less than adequate in order to provide an uncontaminated measure as a latent variable. The structural model was subjected to further scrutiny by way of a spectrum of goodness-of-fit statistics. The analyses revealed that the model was not adequate and the null hypothesis that the model fitted the population data was subsequently, rejected. It was also sensible to assess the degree of lack of fit of the model with reference to RMSEA which revealed a value of .08, that suggested a reasonable model fit. The poor structural model fit could however be attributed to the failure of the measured indicators used to provide an acceptable grasp of the allocation of attentional resources as a latent variable. The inherent structural flaws in the model could however not be unequivocally be ruled out as an additional possibility of poor fit. One conclusion is the possibility of an expanded model that requires additional indicator measures and additional paths. Notwithstanding these limitations, the present research provided support for social cognitive theory that underlies the model. In accordance with the literature and empirical findings the present research demonstrated mangers' decision making is much more than reason-based behaviour. The present research demonstrates the interdependencies and cumulative effects among individual factors, self-efficacy beliefs and temporal volitional processes, as psychological iv mechanisms through which social-structural factors are linked to the quality of MDM processes. The present research also presents an argument for the independent contributions of self-efficacy beliefs as causal influences on "hot temporal processes" that promote accuracy in decision making. Although present research demonstrates that the estimates were greater for cognitive ability than for both self-efficacy beliefs and social self-confidence it does not suggest that personality traits and self-efficacy beliefs have no utility. The present research demonstrates that cognitive ability combines with personality traits, self-efficacy beliefs and temporal processes (decision-generated affect and the allocation of attentional resources) in a complex manner through multiple pathways.
- Full Text:
- Date Issued: 2010
- Authors: Myburgh, Wim
- Date: 2010
- Subjects: Decision making
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9893 , http://hdl.handle.net/10948/1141 , Decision making
- Description: Making decisions in the business environment is arguably the most challenging aspect of managers' yet also the easiest to fail in. Unlike individual decisions managers as agents for their organizations make decisions amidst high levels of ambiguity, incomplete information and mostly under time pressure. These are the very conditions that make managers vulnerable to the volition-undermining potential of decision-generated affect precisely when they are feeling over-extended to deal with such demands. Effective managerial decision making (MDM) involves more than applying a set of individual abilities. Managers face numerous obstacles, failures, and setbacks that often carry perturbing self-evaluative implications as well as social consequences that undermine their self-evaluations in ways that impair good use of their decision making skills (Bandura, 1997). Given the absence of a coherent theoretical framework in the literature the conceptual model of relations put forward attempts to organize and simplify how managers make decisions as agents of their organizations. Most conceptualizations apply oversimplified models that focus attention on one or a few variables, neglect the joint constellations of individual variable factors and the influence of individual self-generated influences as a contributing factor in MDM. As an ex post facto explanatory-predictive study the present research offers evidence of these links among the theoretically relevant constructs in order to formulate an account of their relations in a parsimonious framework that could guide future insights to explain and predict the intentions and direction of managerial decision behaviour. Conceptual research has outpaced empirical research in decision making of managers in organizations. A number of mini-theories exists that focus on a few variables using linear, antecedent-consequence relations with manipulations in laboratory environments that deal with decisions in contexts that are very different to those faced by managers. There is limited research on managers as research participants and empirical findings based on non-managerial samples and students may not generalize to managers in real life decision making. The present research used a non-probability, purposive sample (N = 196) of experienced managers in the Western Cape region of South Africa, all employed in private and public organizations (mean age 38.9 years, SD of 7.49, ethnic black managers constituted 15.8 percent of the sample). As part of the study it was necessary to construct and validate custom indicator measures in an independent pilot study from the same population. The pilot study determined the factor structures of the dimensionality and internal consistency of the custom-designed measures by way of both convergent, as well as, discriminative validity. The exploratory factor (EFA) and internal reliability analyses succeeded to provide both a comprehensive and empirical grasp on the constructs as was defined. Further, analyses of both standardized and custom-designed also revealed no significant difference between black and other managers across the pilot samples which provided confidence of the substantive relations of interest (i.e., the associations among the variables). Structural equation modeling (SEM) was chosen as the data analysis strategy of choice and a confirmatory factor analysis (CFA) demonstrated that the operational measures by and large succeeded in providing both a comprehensive and empirical grasp on the constructs as defined. The inter-construct relations were also consistent with expectations. Evidence for convergent validity however proved that the indicator measures for the allocation of attentional resources were less than adequate in order to provide an uncontaminated measure as a latent variable. The structural model was subjected to further scrutiny by way of a spectrum of goodness-of-fit statistics. The analyses revealed that the model was not adequate and the null hypothesis that the model fitted the population data was subsequently, rejected. It was also sensible to assess the degree of lack of fit of the model with reference to RMSEA which revealed a value of .08, that suggested a reasonable model fit. The poor structural model fit could however be attributed to the failure of the measured indicators used to provide an acceptable grasp of the allocation of attentional resources as a latent variable. The inherent structural flaws in the model could however not be unequivocally be ruled out as an additional possibility of poor fit. One conclusion is the possibility of an expanded model that requires additional indicator measures and additional paths. Notwithstanding these limitations, the present research provided support for social cognitive theory that underlies the model. In accordance with the literature and empirical findings the present research demonstrated mangers' decision making is much more than reason-based behaviour. The present research demonstrates the interdependencies and cumulative effects among individual factors, self-efficacy beliefs and temporal volitional processes, as psychological iv mechanisms through which social-structural factors are linked to the quality of MDM processes. The present research also presents an argument for the independent contributions of self-efficacy beliefs as causal influences on "hot temporal processes" that promote accuracy in decision making. Although present research demonstrates that the estimates were greater for cognitive ability than for both self-efficacy beliefs and social self-confidence it does not suggest that personality traits and self-efficacy beliefs have no utility. The present research demonstrates that cognitive ability combines with personality traits, self-efficacy beliefs and temporal processes (decision-generated affect and the allocation of attentional resources) in a complex manner through multiple pathways.
- Full Text:
- Date Issued: 2010
The development, implementation and evaluation of a locus of control-based training programme for HIV and AIDS risk reduction among university students
- Authors: Gwandure, Calvin
- Date: 2009
- Subjects: AIDS (Disease) -- Prevention , HIV infections , Universities and colleges -- Health promotion services , Risk communication -- South Africa
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9838 , http://hdl.handle.net/10948/1242 , AIDS (Disease) -- Prevention , HIV infections , Universities and colleges -- Health promotion services , Risk communication -- South Africa
- Description: There is an escalation of HIV and AIDS among the youth in South Africa and other developing countries. Research on HIV and AIDS risk factors has tended to focus more on poverty, gender, race, illiteracy, and violence than personality factors that could influence an individual` s health-protective behaviour. Previous studies have also shown that wealth, education, race, and gender may not make an individual more or less vulnerable to HIV infection. This study argued that locus of control could influence an individual` s health-protective behaviour and that external locus of control could be a risk factor in HIV and AIDS risk reduction. The aim of this study was to investigate the efficacy of a locus of control-based training programme in reducing HIV and AIDS risk among university students. The locus of control-based variables that formed the training programme for HIV and AIDS risk reduction among university students were: social systems control, self-control, fatalism, achievement-oriented behaviour, deferment of gratification, personal values and expectancies, and social alienation. These locus of control-based variables were regarded as contexts in which individuals could exhibit health risk behaviours. A sample of 257 first-year university students participated in the study. There were (N = 170) female participants and (N = 87) male participants drawn from the University of the Witwatersrand. The study was a pretest-posttest repeated measures design. Data were analysed using t tests, correlations, multiple regression, structural equation modelling, and repeated measures tests. The results of this study showed significant differences in health risks between participants with an external locus of control and participants with an internal locus of control. There was a significant relationship between locus of control-based variables and HIV and AIDS risk. The locus of control-based training programme significantly modified personality and significantly reduced locus of control-based health risks and HIV and AIDS risk. Directions for future research on locus of control, health risks, and HIV and AIDS risk could focus on the development and implementation of various locus of control-based training programmes in South Africa. Locus of control should be targeted as a health risk factor in HIV and AIDS risk reduction training programmes.
- Full Text:
- Date Issued: 2009
- Authors: Gwandure, Calvin
- Date: 2009
- Subjects: AIDS (Disease) -- Prevention , HIV infections , Universities and colleges -- Health promotion services , Risk communication -- South Africa
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9838 , http://hdl.handle.net/10948/1242 , AIDS (Disease) -- Prevention , HIV infections , Universities and colleges -- Health promotion services , Risk communication -- South Africa
- Description: There is an escalation of HIV and AIDS among the youth in South Africa and other developing countries. Research on HIV and AIDS risk factors has tended to focus more on poverty, gender, race, illiteracy, and violence than personality factors that could influence an individual` s health-protective behaviour. Previous studies have also shown that wealth, education, race, and gender may not make an individual more or less vulnerable to HIV infection. This study argued that locus of control could influence an individual` s health-protective behaviour and that external locus of control could be a risk factor in HIV and AIDS risk reduction. The aim of this study was to investigate the efficacy of a locus of control-based training programme in reducing HIV and AIDS risk among university students. The locus of control-based variables that formed the training programme for HIV and AIDS risk reduction among university students were: social systems control, self-control, fatalism, achievement-oriented behaviour, deferment of gratification, personal values and expectancies, and social alienation. These locus of control-based variables were regarded as contexts in which individuals could exhibit health risk behaviours. A sample of 257 first-year university students participated in the study. There were (N = 170) female participants and (N = 87) male participants drawn from the University of the Witwatersrand. The study was a pretest-posttest repeated measures design. Data were analysed using t tests, correlations, multiple regression, structural equation modelling, and repeated measures tests. The results of this study showed significant differences in health risks between participants with an external locus of control and participants with an internal locus of control. There was a significant relationship between locus of control-based variables and HIV and AIDS risk. The locus of control-based training programme significantly modified personality and significantly reduced locus of control-based health risks and HIV and AIDS risk. Directions for future research on locus of control, health risks, and HIV and AIDS risk could focus on the development and implementation of various locus of control-based training programmes in South Africa. Locus of control should be targeted as a health risk factor in HIV and AIDS risk reduction training programmes.
- Full Text:
- Date Issued: 2009
Exploring the construct-related validity of the eye and hand coordination subscale of the Griffiths Mental Development Scales-Extended revised (GMDS-ER)
- Authors: Povey, Jenny-Louise
- Date: 2008
- Subjects: Griffiths Scales of Mental Development , Mental development -- Testing , Psychological tests for children , Children -- Intelligence testing -- South Africa
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9923 , http://hdl.handle.net/10948/661 , Griffiths Scales of Mental Development , Mental development -- Testing , Psychological tests for children , Children -- Intelligence testing -- South Africa
- Description: To constantly add to our understanding of child development, a valid, comprehensive, well-researched measure is needed. The recent revision and standardisation of the Griffiths Mental Development Scales - Extended Revised (GMDS-ER) has necessitated investigations into its psychometric properties. This measure is used to identify developmental delays in children and critical decisions may be made, hence it is imperative that this measure be deemed both reliable and valid. This study aimed to contribute to the broader restandardisation project and focussed on gathering qualitative and quantitative construct-related validity evidence for one of the six Subscales of the GMDS-ER, namely the Eye and Hand Coordination Subscale (Subscale D). An exploratory descriptive method using a triangulation approach was used to explore the construct-related validity evidence of the Eye and Hand Coordination Subscale. A non-random purposively selected sample of 6 experts, who had worked at least 10 years with children assessing and evaluating the domain of eye-hand coordination, participated in a facet analysis to identify the underlying dimensions tapped by the Eye and Hand Coordination Subscale. The sample for the quantitative aspects of this study, the empirical validation of the construct model, was collected as part of the broader restandardisation and represented a stratified sample of 1026 children between the ages 24 months and 96 months from across the United Kingdom and Eire. Three measures, namely a biographical questionnaire, the GMDS-ER and a construct evaluation form were used to gather the qualitative and quantitative data. The qualitative data was analysed by means of a facet analysis and literature control which included examining other tests or subtests that tapped eye-hand coordination skills. The quantitative data was analysed by means of exploratory common factor analysis using oblique (DQUART) rotation in order to verify the qualitatively identified construct model by specifying a one-factor solution for each underlying construct. While literature suggests that eye-hand coordination is multidimensional in nature the facet analysis revealed that the tasks tapped by Subscale D were not tapping complex skills aside from eye-hand coordination. The facet analysis thus revealed that all the items tap the eye-hand coordination of fine motor tasks and that these items could be grouped into two categories, using writing utensils and object manipulation. The results from the factor analysis confirmed that the items on Subscale D have one underlying construct and further exploration confirmed that these items could in fact be grouped into two categories. The coefficients of congruence for SES and gender were satisfactory and thus the construct model was validated across these groups as well. The study has provided extensive qualitative and quantitative evidence for the construct-related validity of the Eye and Hand Coordination Subscale of the GMDS-ER, thus validating its use as a sound measure of eye-hand coordination development in children aged 2 to 8 years. The content coverage however, seemed to indicate that the tasks required do not adequately cover all the facets of eye-hand coordination and some of these item types are tapped by the other Subscales in the measure. Hence, should the Subscale be used as an independent assessment of eye-hand coordination, the eye-hand coordination development of the child would have a narrow focus. In addition, in reviewing the variety of tasks in the two sections for the older and younger child, the researcher noted that while section III tapped a variety of skills, section IV only focused on skills associated with drawing, copying and writing. A review of the age appropriateness of the items and the item analysis results from the revision seemed to indicate that some of the items assessing the older child may need to be revised. Further, the researcher suggested that the revision should consider adding additional dimensions to the tasks assessed. Overall, it is the researcher‟s opinion that this Subscale was not given adequate attention during the revision process and should future revisions occur, the recommendations from this study should be considered.
- Full Text:
- Date Issued: 2008
- Authors: Povey, Jenny-Louise
- Date: 2008
- Subjects: Griffiths Scales of Mental Development , Mental development -- Testing , Psychological tests for children , Children -- Intelligence testing -- South Africa
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9923 , http://hdl.handle.net/10948/661 , Griffiths Scales of Mental Development , Mental development -- Testing , Psychological tests for children , Children -- Intelligence testing -- South Africa
- Description: To constantly add to our understanding of child development, a valid, comprehensive, well-researched measure is needed. The recent revision and standardisation of the Griffiths Mental Development Scales - Extended Revised (GMDS-ER) has necessitated investigations into its psychometric properties. This measure is used to identify developmental delays in children and critical decisions may be made, hence it is imperative that this measure be deemed both reliable and valid. This study aimed to contribute to the broader restandardisation project and focussed on gathering qualitative and quantitative construct-related validity evidence for one of the six Subscales of the GMDS-ER, namely the Eye and Hand Coordination Subscale (Subscale D). An exploratory descriptive method using a triangulation approach was used to explore the construct-related validity evidence of the Eye and Hand Coordination Subscale. A non-random purposively selected sample of 6 experts, who had worked at least 10 years with children assessing and evaluating the domain of eye-hand coordination, participated in a facet analysis to identify the underlying dimensions tapped by the Eye and Hand Coordination Subscale. The sample for the quantitative aspects of this study, the empirical validation of the construct model, was collected as part of the broader restandardisation and represented a stratified sample of 1026 children between the ages 24 months and 96 months from across the United Kingdom and Eire. Three measures, namely a biographical questionnaire, the GMDS-ER and a construct evaluation form were used to gather the qualitative and quantitative data. The qualitative data was analysed by means of a facet analysis and literature control which included examining other tests or subtests that tapped eye-hand coordination skills. The quantitative data was analysed by means of exploratory common factor analysis using oblique (DQUART) rotation in order to verify the qualitatively identified construct model by specifying a one-factor solution for each underlying construct. While literature suggests that eye-hand coordination is multidimensional in nature the facet analysis revealed that the tasks tapped by Subscale D were not tapping complex skills aside from eye-hand coordination. The facet analysis thus revealed that all the items tap the eye-hand coordination of fine motor tasks and that these items could be grouped into two categories, using writing utensils and object manipulation. The results from the factor analysis confirmed that the items on Subscale D have one underlying construct and further exploration confirmed that these items could in fact be grouped into two categories. The coefficients of congruence for SES and gender were satisfactory and thus the construct model was validated across these groups as well. The study has provided extensive qualitative and quantitative evidence for the construct-related validity of the Eye and Hand Coordination Subscale of the GMDS-ER, thus validating its use as a sound measure of eye-hand coordination development in children aged 2 to 8 years. The content coverage however, seemed to indicate that the tasks required do not adequately cover all the facets of eye-hand coordination and some of these item types are tapped by the other Subscales in the measure. Hence, should the Subscale be used as an independent assessment of eye-hand coordination, the eye-hand coordination development of the child would have a narrow focus. In addition, in reviewing the variety of tasks in the two sections for the older and younger child, the researcher noted that while section III tapped a variety of skills, section IV only focused on skills associated with drawing, copying and writing. A review of the age appropriateness of the items and the item analysis results from the revision seemed to indicate that some of the items assessing the older child may need to be revised. Further, the researcher suggested that the revision should consider adding additional dimensions to the tasks assessed. Overall, it is the researcher‟s opinion that this Subscale was not given adequate attention during the revision process and should future revisions occur, the recommendations from this study should be considered.
- Full Text:
- Date Issued: 2008
Isokinetic force profile of the cervical spine in a healthy adult urban South African population
- Authors: Olivier, Pierre Emile
- Date: 2008
- Subjects: Cervical vertebrae , Neck -- Muscles , Muscle strength -- Testing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10102 , http://hdl.handle.net/10948/982 , Cervical vertebrae , Neck -- Muscles , Muscle strength -- Testing
- Description: The aim of this study was to establish reference data for the cervical spine’s dynamic force characteristics in a healthy adult urban South African population aged 19 to 69 years. The reference data was classified according to gender discriminate age categories. In total ten gender discriminate age categories, five male and five female, were created; 19 to 29, 30 to 39, 40 to 49, 50 to 59 and 60 to 69-year-olds. The force characteristics measured, analysed and used to generate reference data in stanine format were: absolute peak torque (P-), relative peak torque (P-/BW), peak power (Pow-), relative peak power (Pow-/BW), peak work (W-), relative peak work (W-/BW), torque acceleration energy (TAE-), maximal voluntary cervical muscle contraction range of motion (MVCR-), controlled full range of joint motion (CFR-), joint angle at peak torque (Jang@P-) and peak torque ratios for cervical flexion (-F), extension (-E), lateral flexion to the dominant (-LD) and non-dominant (-LN) sides. In addition biographic and anthropometric data was also collected. Data, grouped in the ten gender discriminate age categories were compared and statistically and practically significant differences were highlighted between the gender discriminate age categories. Inferential statistics used included ANOVA and Cohen’s d. A significance level of α = .05 was used in all inferential statistical analyses. Correlations between various anthropometric and isokinetic strength variables were also explored.
- Full Text:
- Date Issued: 2008
- Authors: Olivier, Pierre Emile
- Date: 2008
- Subjects: Cervical vertebrae , Neck -- Muscles , Muscle strength -- Testing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10102 , http://hdl.handle.net/10948/982 , Cervical vertebrae , Neck -- Muscles , Muscle strength -- Testing
- Description: The aim of this study was to establish reference data for the cervical spine’s dynamic force characteristics in a healthy adult urban South African population aged 19 to 69 years. The reference data was classified according to gender discriminate age categories. In total ten gender discriminate age categories, five male and five female, were created; 19 to 29, 30 to 39, 40 to 49, 50 to 59 and 60 to 69-year-olds. The force characteristics measured, analysed and used to generate reference data in stanine format were: absolute peak torque (P-), relative peak torque (P-/BW), peak power (Pow-), relative peak power (Pow-/BW), peak work (W-), relative peak work (W-/BW), torque acceleration energy (TAE-), maximal voluntary cervical muscle contraction range of motion (MVCR-), controlled full range of joint motion (CFR-), joint angle at peak torque (Jang@P-) and peak torque ratios for cervical flexion (-F), extension (-E), lateral flexion to the dominant (-LD) and non-dominant (-LN) sides. In addition biographic and anthropometric data was also collected. Data, grouped in the ten gender discriminate age categories were compared and statistically and practically significant differences were highlighted between the gender discriminate age categories. Inferential statistics used included ANOVA and Cohen’s d. A significance level of α = .05 was used in all inferential statistical analyses. Correlations between various anthropometric and isokinetic strength variables were also explored.
- Full Text:
- Date Issued: 2008
Physical activity in the lives of two generations of black professional women in the Nelson Mandela Metropolitan Municipality
- Authors: Walter, Cheryl Michelle
- Date: 2008
- Subjects: Physical education for women , Physical fitness for women , Women -- Health and hygiene
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10089 , http://hdl.handle.net/10948/664 , Physical education for women , Physical fitness for women , Women -- Health and hygiene
- Description: The association between physical inactivity, adverse health and hypokinetic diseases has been widely researched. There is an increased risk of being overweight, and of developing certain chronic diseases and suffering premature death associated with physical inactivity (Young, Miller, Wilder, Yanek & Becker, 1998). Recent surveys and studies have revealed that the majority of the South African population has moved extensively along the epidemiological transition towards a disease profile related to Western lifestyle, where deaths due to chronic diseases of lifestyle is a great cause for concern (Steyn, 2006). Black women, in particular, have been identified as a high risk group with the highest levels of inactivity and the highest levels of overweight and obesity in the country (SADHS, 1998; WHO, 2005). Although there is a growing body of knowledge and research on physical activity in general, there is still a lack of data on the determinants and barriers to participation in physical activity (Lambert & Kolbe-Alexander, 2006). Cultural patterns and economic, political and ideological orders affect the participation of women in sport (Hargreaves, 1994:5). Black women in South Africa have been disadvantaged by the past government’s policy of apartheid, and have also been marginalized and oppressed in their own patriarchal societies. The first democratically elected government in 1994, however, committed itself to gender equality and women’s emancipation, with constitutional guarantees on equality and an affirmative action policy to address gender inequalities. In order to evaluate the extent of the beneficial impact of these political changes in women’s lives, this study proposed to investigate physical activity patterns in the lives of two generations of black professional women (teachers, nurses, social workers and public managers) from the Nelson Mandela Metropolitan Municipality. The objectives that guided the research were: • To describe and compare the physical activity patterns and health status of two generations of black women through questionnaires, physical activity records and mechanical devices. • To explore and describe the psychosocial context and socio-cultural influences on physical activity in the lives of the participants. xi • To explore and describe the participants’ perceptions and attitudes, motivations and constraints relating to physical activity. • To use the research findings to compile guidelines to promote physical activity participation among black women. A mixed method approach using both quantitative and qualitative methods was selected to achieve an holistic understanding of physical activity in the lives of black South African women. The older generation (OG) of professional women was comprised of community teachers, nurses, social workers and public managers (n=111, aged 35 to 45 years, mean age = 39.87 years). These women, through their occupations, were in constant contact with the community and could be regarded as role models who influence community lifestyle, attitudes and behaviour. The younger generation (YG) (n=69, aged 18 to 21 years, mean age = 20.12 years) was comprised of teaching, nursing, social work and public management students in the Nelson Mandela Metropolitan Municipality. The objective of the quantitative section of the study was to provide baseline information on the physical activity patterns and health status of these two generations of black professional women. Physical activity and health questionnaires were administered and the ActiGraph GT1 accelerometer was used to provide an objective measure of energy expenditure. The objective of the qualitative data collection was to explore and describe the psychosocial context and socio-cultural influences on physical activity in the lives of the participants, and to investigate their attitudes to and perceptions of physical activity, and their motivations and constraints related to it. In-depth qualitative interviews were held with the participants who wore the ActiGraph, and a group of 47 were interviewed (sample size determined by data saturation from the interviews). An explorative-descriptive research design was used in the study. The sampling method was purposive and criterion-based. The younger generation of students were mostly selected from the various campuses of the Nelson Mandela Metropolitan University, while additional student nurses were recruited from the Lilitha Nursing College in the Nelson Mandela Metropolitan Municipality. The older generation of professionals were recruited from schools and clinics in the areas of New Brighton, Kwa-Zakhele, Zwide, Motherwell and Kwa-Nobuhle (all historically black areas), the Eastern Cape Department of Social Development, non-government organizations and the Nelson Mandela Metropolitan Municipality. xii The quantitative data were analysed by means of descriptive and inferential statistics. The qualitative data was analysed according to the steps described in Creswell (2003). The results of the quantitative data indicated that prevalence of overweight and obesity among both the YG and OG was high. The mean BMI for the YG and OG were 24.71 kg/m2 and 31.27 kg/m2, respectively, with 41% of the YG and 86% of the OG falling into the overweight/obesity category. BMI was significantly greater (p<.05) for the OG than for the YG. In addition, both the OG and YG had satisfactory scores for the health-related behaviour measures (the Belloc and Breslow Lifestyle Index and the HPLP). All the physical activity measurements (the FIT Index of Kasari, the GPAQ and the ActiGraph data) confirmed that both the YG and OG were not sufficiently physically active. They did not meet the Centre of Disease Control (CDC) and American College of Sports Medicine (ACSM) recommendation of engaging in at least 30 minutes of moderate-intensity physical activity on most, or preferably all, days of the week. The YG were significantly more active than the OG in all the physical activity measuring instruments. They were still, however, not reaching the health enhancing physical activity (HEPA) level (≥7 days of any combination of moderate and vigorous activity, ≥ 3000 METmins/week). Pearson Product Moment correlations were calculated to determine the relationship among the various measurements of physical activity o the one hand and the relationship between the measurements of physical activity and the health-related behaviour measurements on the other hand. The correlational analyses highlighted a good cross-validation of the various measures of physical activity. There was a significant correlation between the measures of leisure time physical activity, that is the FIT Index, and the leisure domain of the GPAQ. There was also a significant relationship in the area of walking or steps taken, that is the ActiGraph steps and the GPAQ transport domain. There was also a significant relationship between the overall measures of physical activity, that is the GPAQ total score, and the ActiGraph calories. The correlations between the various physical activity and health related behaviour measures revealed that only the leisure related physical activity measurements, that is, the FIT index and the GPAQ leisure domain, had a significant correlation with the two health related behaviour measures, namely the Belloc and Breslow Lifestyle Index and the HPLP, respectively. xiii The results from the qualitative data revealed that both the OG and YG had positive attitudes towards physical activity participation (displayed by their awareness of the many benefits, their expressed intention to start exercising, the encouragement given to their children in relation to physical activity participation), even though the majority of them were not active on a regular basis. Participants recognized the educational, recreational and developmental importance of being physically active, a shift in attitude from their own upbringing and lifestyles. Regardless of how firmly people may believe that physical activity is beneficial to their health, there are many barriers, whether real or perceived, that represent significant potential obstructions to the adoption, maintenance, or resumption of participation in physical activity (Booth et al., 1997). Three sub-themes were identified in relation to the barriers to physical activity participation, namely personal factors, environmental factors and socio-cultural factors. The personal factors included time constraints, stress and tiredness, lack of motivation, negative school experiences, negative associations with exercise and financial constraints. The environmental factors included residential areas, availability of recreation and sports facilities, and safety. The socio-cultural factors were lack of social support, exercise “not being a part of African culture”, traditional roles of males and females, dress code, exercise associated with the young, exercise associated with undesirable weight loss and negative comments by the community. On the basis of research findings, guidelines were drawn up for the promotion of physical activity participation among black women.
- Full Text:
- Date Issued: 2008
- Authors: Walter, Cheryl Michelle
- Date: 2008
- Subjects: Physical education for women , Physical fitness for women , Women -- Health and hygiene
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10089 , http://hdl.handle.net/10948/664 , Physical education for women , Physical fitness for women , Women -- Health and hygiene
- Description: The association between physical inactivity, adverse health and hypokinetic diseases has been widely researched. There is an increased risk of being overweight, and of developing certain chronic diseases and suffering premature death associated with physical inactivity (Young, Miller, Wilder, Yanek & Becker, 1998). Recent surveys and studies have revealed that the majority of the South African population has moved extensively along the epidemiological transition towards a disease profile related to Western lifestyle, where deaths due to chronic diseases of lifestyle is a great cause for concern (Steyn, 2006). Black women, in particular, have been identified as a high risk group with the highest levels of inactivity and the highest levels of overweight and obesity in the country (SADHS, 1998; WHO, 2005). Although there is a growing body of knowledge and research on physical activity in general, there is still a lack of data on the determinants and barriers to participation in physical activity (Lambert & Kolbe-Alexander, 2006). Cultural patterns and economic, political and ideological orders affect the participation of women in sport (Hargreaves, 1994:5). Black women in South Africa have been disadvantaged by the past government’s policy of apartheid, and have also been marginalized and oppressed in their own patriarchal societies. The first democratically elected government in 1994, however, committed itself to gender equality and women’s emancipation, with constitutional guarantees on equality and an affirmative action policy to address gender inequalities. In order to evaluate the extent of the beneficial impact of these political changes in women’s lives, this study proposed to investigate physical activity patterns in the lives of two generations of black professional women (teachers, nurses, social workers and public managers) from the Nelson Mandela Metropolitan Municipality. The objectives that guided the research were: • To describe and compare the physical activity patterns and health status of two generations of black women through questionnaires, physical activity records and mechanical devices. • To explore and describe the psychosocial context and socio-cultural influences on physical activity in the lives of the participants. xi • To explore and describe the participants’ perceptions and attitudes, motivations and constraints relating to physical activity. • To use the research findings to compile guidelines to promote physical activity participation among black women. A mixed method approach using both quantitative and qualitative methods was selected to achieve an holistic understanding of physical activity in the lives of black South African women. The older generation (OG) of professional women was comprised of community teachers, nurses, social workers and public managers (n=111, aged 35 to 45 years, mean age = 39.87 years). These women, through their occupations, were in constant contact with the community and could be regarded as role models who influence community lifestyle, attitudes and behaviour. The younger generation (YG) (n=69, aged 18 to 21 years, mean age = 20.12 years) was comprised of teaching, nursing, social work and public management students in the Nelson Mandela Metropolitan Municipality. The objective of the quantitative section of the study was to provide baseline information on the physical activity patterns and health status of these two generations of black professional women. Physical activity and health questionnaires were administered and the ActiGraph GT1 accelerometer was used to provide an objective measure of energy expenditure. The objective of the qualitative data collection was to explore and describe the psychosocial context and socio-cultural influences on physical activity in the lives of the participants, and to investigate their attitudes to and perceptions of physical activity, and their motivations and constraints related to it. In-depth qualitative interviews were held with the participants who wore the ActiGraph, and a group of 47 were interviewed (sample size determined by data saturation from the interviews). An explorative-descriptive research design was used in the study. The sampling method was purposive and criterion-based. The younger generation of students were mostly selected from the various campuses of the Nelson Mandela Metropolitan University, while additional student nurses were recruited from the Lilitha Nursing College in the Nelson Mandela Metropolitan Municipality. The older generation of professionals were recruited from schools and clinics in the areas of New Brighton, Kwa-Zakhele, Zwide, Motherwell and Kwa-Nobuhle (all historically black areas), the Eastern Cape Department of Social Development, non-government organizations and the Nelson Mandela Metropolitan Municipality. xii The quantitative data were analysed by means of descriptive and inferential statistics. The qualitative data was analysed according to the steps described in Creswell (2003). The results of the quantitative data indicated that prevalence of overweight and obesity among both the YG and OG was high. The mean BMI for the YG and OG were 24.71 kg/m2 and 31.27 kg/m2, respectively, with 41% of the YG and 86% of the OG falling into the overweight/obesity category. BMI was significantly greater (p<.05) for the OG than for the YG. In addition, both the OG and YG had satisfactory scores for the health-related behaviour measures (the Belloc and Breslow Lifestyle Index and the HPLP). All the physical activity measurements (the FIT Index of Kasari, the GPAQ and the ActiGraph data) confirmed that both the YG and OG were not sufficiently physically active. They did not meet the Centre of Disease Control (CDC) and American College of Sports Medicine (ACSM) recommendation of engaging in at least 30 minutes of moderate-intensity physical activity on most, or preferably all, days of the week. The YG were significantly more active than the OG in all the physical activity measuring instruments. They were still, however, not reaching the health enhancing physical activity (HEPA) level (≥7 days of any combination of moderate and vigorous activity, ≥ 3000 METmins/week). Pearson Product Moment correlations were calculated to determine the relationship among the various measurements of physical activity o the one hand and the relationship between the measurements of physical activity and the health-related behaviour measurements on the other hand. The correlational analyses highlighted a good cross-validation of the various measures of physical activity. There was a significant correlation between the measures of leisure time physical activity, that is the FIT Index, and the leisure domain of the GPAQ. There was also a significant relationship in the area of walking or steps taken, that is the ActiGraph steps and the GPAQ transport domain. There was also a significant relationship between the overall measures of physical activity, that is the GPAQ total score, and the ActiGraph calories. The correlations between the various physical activity and health related behaviour measures revealed that only the leisure related physical activity measurements, that is, the FIT index and the GPAQ leisure domain, had a significant correlation with the two health related behaviour measures, namely the Belloc and Breslow Lifestyle Index and the HPLP, respectively. xiii The results from the qualitative data revealed that both the OG and YG had positive attitudes towards physical activity participation (displayed by their awareness of the many benefits, their expressed intention to start exercising, the encouragement given to their children in relation to physical activity participation), even though the majority of them were not active on a regular basis. Participants recognized the educational, recreational and developmental importance of being physically active, a shift in attitude from their own upbringing and lifestyles. Regardless of how firmly people may believe that physical activity is beneficial to their health, there are many barriers, whether real or perceived, that represent significant potential obstructions to the adoption, maintenance, or resumption of participation in physical activity (Booth et al., 1997). Three sub-themes were identified in relation to the barriers to physical activity participation, namely personal factors, environmental factors and socio-cultural factors. The personal factors included time constraints, stress and tiredness, lack of motivation, negative school experiences, negative associations with exercise and financial constraints. The environmental factors included residential areas, availability of recreation and sports facilities, and safety. The socio-cultural factors were lack of social support, exercise “not being a part of African culture”, traditional roles of males and females, dress code, exercise associated with the young, exercise associated with undesirable weight loss and negative comments by the community. On the basis of research findings, guidelines were drawn up for the promotion of physical activity participation among black women.
- Full Text:
- Date Issued: 2008
Utility of the cognitive assessment system (CAS) to predict reading proficiency in grade 1
- Authors: Hüttenrauch, Maria Eleonore
- Date: 2008
- Subjects: Das-Naglieri Cognitive Assessment System , Intelligence tests for preliterates , Cognition in children , Reading disability
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9839 , http://hdl.handle.net/10948/965 , Das-Naglieri Cognitive Assessment System , Intelligence tests for preliterates , Cognition in children , Reading disability
- Description: Reading disability, as the most commonly diagnosed learning disability, continues to pose a tenacious problem to teachers, practitioners and researchers. In an effort to understand the causes of reading disability, voluminous research has been undertaken over the past decades to pinpoint its causes or developmental stumbling blocks. One approach, the Planning, Attention, Simultaneous, and Successive processing (PASS) model, combines neuropsychological theory with elements from cognitive psychology. Based on this model, the Cognitive Assessment System (CAS), as well as methods of intervention for reading disability were developed. Although many studies have been conducted that investigated reading disability in terms of PASS cognitive processes, the final version of the CAS and its predictive utility with respect to reading disability has not been explored to date. The present study aimed to investigate the utility of the CAS, administered at the beginning of grade 1, to predict reading proficiency at the end of grade 1. The sample was comprised of 119 “average” (i.e., belonging to the general population) grade 1 students from schools of the Calgary Board of Education (CBE). The Basic Battery of the CAS was administered to the children in the sample at the beginning of grade 1, as well as four reading subtests of the Woodcock-Johnson Tests of Achievement – Third Edition (WJ-III ACH) at the end of grade 1. The WJ-III ACH yielded a cluster score for basic reading and one for reading comprehension. Correlational and regression analyses were used to address the first aim of this study, namely to explore the relationship between students’ scores on the CAS and their later reading proficiency. To this end, the children’s CAS Full Scale scores and WJ-III ACH cluster scores were subjected to a hierarchical regression analysis, whereby age, gender, and - xviii - SES were kept constant by entering them first in the equation. Next, the relationship between students’ PASS scale scores and the CAS subtest scores respectively and scores on the WJ-III ACH Basic Reading and Reading Comprehension Cluster scores was explored by means of stepwise regression analysis. To improve on the generalizability of results, the regression analyses were conducted on a randomly drawn analysis sample consisting of 80% of the sample, and cross-validated on the remaining 20% of the sample. The second aim of the present study was to ascertain whether clusters could be identified on the basis of CAS performance as well as levels of reading proficiency. To this end, the children’s CAS FS scores, PASS scale scores, and CAS subtest scores were subjected to cluster analyses. The investigation of aim 1 yielded some encouraging results, in that it was found that, together with the covariates: • The CAS FS emerged as a moderately strong predictor of both basic reading and reading comprehension; • Successive processing, in particular the Word Series subtest, significantly predicted basic reading skills; • Successive and simultaneous processing, particularly the Nonverbal Matrices and Sentence Repetition subtests, were significant predictors of reading comprehension; The second aim, which explored the relationship between patterns of CAS cognitive processes and their relationship with reading proficiency, yielded: • Two clusters with distinctly different PASS scale scores and with significant differences between their levels of reading proficiency. Higher PASS scales scores, particularly on the Attention and Planning scales, were associated with higher reading proficiency scores. • Four clusters with distinctly different CAS subtest scores that were also associated with distinctly different levels of reading performance. Good - xix - reading proficiency was associated with good CAS performance, whereas weaker reading proficiency was linked to weaker CAS performance. Biographical variables, such as age and SES were found to be related to performance on the CAS and reading proficiency, while gender did not emerge as an important predictor variable. The present study demonstrated the usefulness of the CAS, particularly its Successive and Simultaneous scales, as potential early predictor of reading disability. An exploration of the relationship between patterns of CAS cognitive processes and later reading proficiency also yielded encouraging and interesting results.
- Full Text:
- Date Issued: 2008
- Authors: Hüttenrauch, Maria Eleonore
- Date: 2008
- Subjects: Das-Naglieri Cognitive Assessment System , Intelligence tests for preliterates , Cognition in children , Reading disability
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9839 , http://hdl.handle.net/10948/965 , Das-Naglieri Cognitive Assessment System , Intelligence tests for preliterates , Cognition in children , Reading disability
- Description: Reading disability, as the most commonly diagnosed learning disability, continues to pose a tenacious problem to teachers, practitioners and researchers. In an effort to understand the causes of reading disability, voluminous research has been undertaken over the past decades to pinpoint its causes or developmental stumbling blocks. One approach, the Planning, Attention, Simultaneous, and Successive processing (PASS) model, combines neuropsychological theory with elements from cognitive psychology. Based on this model, the Cognitive Assessment System (CAS), as well as methods of intervention for reading disability were developed. Although many studies have been conducted that investigated reading disability in terms of PASS cognitive processes, the final version of the CAS and its predictive utility with respect to reading disability has not been explored to date. The present study aimed to investigate the utility of the CAS, administered at the beginning of grade 1, to predict reading proficiency at the end of grade 1. The sample was comprised of 119 “average” (i.e., belonging to the general population) grade 1 students from schools of the Calgary Board of Education (CBE). The Basic Battery of the CAS was administered to the children in the sample at the beginning of grade 1, as well as four reading subtests of the Woodcock-Johnson Tests of Achievement – Third Edition (WJ-III ACH) at the end of grade 1. The WJ-III ACH yielded a cluster score for basic reading and one for reading comprehension. Correlational and regression analyses were used to address the first aim of this study, namely to explore the relationship between students’ scores on the CAS and their later reading proficiency. To this end, the children’s CAS Full Scale scores and WJ-III ACH cluster scores were subjected to a hierarchical regression analysis, whereby age, gender, and - xviii - SES were kept constant by entering them first in the equation. Next, the relationship between students’ PASS scale scores and the CAS subtest scores respectively and scores on the WJ-III ACH Basic Reading and Reading Comprehension Cluster scores was explored by means of stepwise regression analysis. To improve on the generalizability of results, the regression analyses were conducted on a randomly drawn analysis sample consisting of 80% of the sample, and cross-validated on the remaining 20% of the sample. The second aim of the present study was to ascertain whether clusters could be identified on the basis of CAS performance as well as levels of reading proficiency. To this end, the children’s CAS FS scores, PASS scale scores, and CAS subtest scores were subjected to cluster analyses. The investigation of aim 1 yielded some encouraging results, in that it was found that, together with the covariates: • The CAS FS emerged as a moderately strong predictor of both basic reading and reading comprehension; • Successive processing, in particular the Word Series subtest, significantly predicted basic reading skills; • Successive and simultaneous processing, particularly the Nonverbal Matrices and Sentence Repetition subtests, were significant predictors of reading comprehension; The second aim, which explored the relationship between patterns of CAS cognitive processes and their relationship with reading proficiency, yielded: • Two clusters with distinctly different PASS scale scores and with significant differences between their levels of reading proficiency. Higher PASS scales scores, particularly on the Attention and Planning scales, were associated with higher reading proficiency scores. • Four clusters with distinctly different CAS subtest scores that were also associated with distinctly different levels of reading performance. Good - xix - reading proficiency was associated with good CAS performance, whereas weaker reading proficiency was linked to weaker CAS performance. Biographical variables, such as age and SES were found to be related to performance on the CAS and reading proficiency, while gender did not emerge as an important predictor variable. The present study demonstrated the usefulness of the CAS, particularly its Successive and Simultaneous scales, as potential early predictor of reading disability. An exploration of the relationship between patterns of CAS cognitive processes and later reading proficiency also yielded encouraging and interesting results.
- Full Text:
- Date Issued: 2008
Exploring the construct-related validity of the personal-social subscale of the Griffiths Mental Development Scales-extended revised (GMDS-ER)
- Authors: Moosajee, Shaheda
- Date: 2007
- Subjects: Psychological tests for children , Griffiths Scales of Mental Development
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9934 , http://hdl.handle.net/10948/572 , http://hdl.handle.net/10948/d1011708 , Psychological tests for children , Griffiths Scales of Mental Development
- Description: Child assessment has become imperative today as parents and teachers recognize the need for early diagnostic assessments to adequately cater for children’s’ diverse and growing needs so that children can benefit from services and attention in a psychological or educational setting. The Griffiths Mental Development Scales, an established and well-researched instrument is reported to be one of the most carefully designed measures of child development . Studies in various parts of the world have demonstrated that the Griffiths Scales are applicable to diverse populations and that they tap experiences that are common to different cultures. The recent revision and restandardisation of the Griffiths Mental Developmental Scales-Extended Revised (GMDS-ER) has necessitated investigations into its psychometric properties. In view of the important role that assessment measures play in the early identification of developmental delays, it is important that assessment measures are reliable and valid for their intended purpose(s). This study, which is part of a larger research project, attempted to explore and add further evidence of the construct validity of one of the six Subscales of the GMDS-ER, namely the Personal-Social Subscale (Subscale B). An exploratory-descriptive design using a triangulation approach was utilized to explore the construct validity of the Personal-Social Subscale. A nonprobability purposively selected sample of 18 experts working with children participated in the facet analysis to identify the constructs underlying Subscale B (the qualitative aspect of the study). The sample for the quantitative aspects of this study (i.e., the empirical validation of the identified constructs) was collected as part of the broader restandardisation and represented a stratified random sample of 1026 children between the ages of 3 and 8 years from across the United Kingdom and Eire. Three measures, namely a biographical questionnaire, the GMDS-ER and a construct evaluation form were used to gather the qualitative and quantitative data. The qualitative data was analysed by means of facet analysis and literature control. The quantitative data was analysed by using exploratory common factor analysis using oblique (DQUART) rotation to empirically verify the qualitatively identified construct model by specifying a onefactor solution for each underlying construct.
- Full Text:
- Date Issued: 2007
- Authors: Moosajee, Shaheda
- Date: 2007
- Subjects: Psychological tests for children , Griffiths Scales of Mental Development
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9934 , http://hdl.handle.net/10948/572 , http://hdl.handle.net/10948/d1011708 , Psychological tests for children , Griffiths Scales of Mental Development
- Description: Child assessment has become imperative today as parents and teachers recognize the need for early diagnostic assessments to adequately cater for children’s’ diverse and growing needs so that children can benefit from services and attention in a psychological or educational setting. The Griffiths Mental Development Scales, an established and well-researched instrument is reported to be one of the most carefully designed measures of child development . Studies in various parts of the world have demonstrated that the Griffiths Scales are applicable to diverse populations and that they tap experiences that are common to different cultures. The recent revision and restandardisation of the Griffiths Mental Developmental Scales-Extended Revised (GMDS-ER) has necessitated investigations into its psychometric properties. In view of the important role that assessment measures play in the early identification of developmental delays, it is important that assessment measures are reliable and valid for their intended purpose(s). This study, which is part of a larger research project, attempted to explore and add further evidence of the construct validity of one of the six Subscales of the GMDS-ER, namely the Personal-Social Subscale (Subscale B). An exploratory-descriptive design using a triangulation approach was utilized to explore the construct validity of the Personal-Social Subscale. A nonprobability purposively selected sample of 18 experts working with children participated in the facet analysis to identify the constructs underlying Subscale B (the qualitative aspect of the study). The sample for the quantitative aspects of this study (i.e., the empirical validation of the identified constructs) was collected as part of the broader restandardisation and represented a stratified random sample of 1026 children between the ages of 3 and 8 years from across the United Kingdom and Eire. Three measures, namely a biographical questionnaire, the GMDS-ER and a construct evaluation form were used to gather the qualitative and quantitative data. The qualitative data was analysed by means of facet analysis and literature control. The quantitative data was analysed by using exploratory common factor analysis using oblique (DQUART) rotation to empirically verify the qualitatively identified construct model by specifying a onefactor solution for each underlying construct.
- Full Text:
- Date Issued: 2007