examine the effectiveness of 3MDR for veterans having treatment-resistant PTSD.
Quantitative Article Critique
Citation
Van Gelderen, M., Nijdam, M., Haagen, J., & Vermetten, E. (2020). Interactive Motion-Assisted Exposure Therapy for Veterans with Treatment-Resistant Posttraumatic Stress Disorder: A Randomized Controlled Trial. Psychotherapy And Psychosomatics, 89(4), 215-227. https://doi.org/DOI: 10.1159/000505977
Article Summary
“Interactive Motion-Assisted Exposure Therapy for Veterans with Treatment-Resistant Posttraumatic Stress Disorder: A Randomized Controlled Trial” by Marieke J. van Gelderena, Mirjam J. Nijdama, Joris F.G. Haagend, and Eric Vermetten is quantitative research focusing on studying the efficacy of the 3MDR for veterans having treatment-resistant post-traumatic stress disorder (PTSD). It is fundamental to highlight veterans with PTSD appear to benefit from evidence-based interventions than the other PTSD groups. Significantly, 3MDR, virtual reality, and motion-assisted exposure therapy provide treatment within a stimulating, personalized, and immersive context (Van Gelderen et al., 2020, p. 1). Among the North Atlantic Treaty Organization (NATO) partners, there have been significant efforts towards preparation and mental health intervention for the military (Van Gelderen et al., 2020, p. 1). However, it is essential to point out that many veterans still suffer from PTSD after deployment despite the spirited efforts to provide help. Among veterans, PTSD is viewed as a highly disabling condition linked with reduced life satisfaction, social exclusions, unemployment, and impaired function of families. Essentially, this condition is considered to have the greatest economic effect on society. As a result, there is a need to use innovative approaches to treat this condition, especially among veterans.
The study deploys a randomized controlled trial. The study involved 43 treatment-resistant veterans recruited between 2015 and 2018 from two tertiary mental health care facilities within the Netherlands (Van Gelderen et al., 2020, p. 3). Only participants aged between 18 and 70, had mastery of the Dutch language, satisfied the DSM-5 PTSD criteria and were resilient to treatment, classified as persevering PTSD diagnosis, and absence of improvement on the severity of symptoms after complete therapy or recurrent failed individual trauma-based therapy failure and an at least six months treatment time. The researchers kept the exclusion criteria low to recruit a representative sample. There was a comparison between 3MDR and a non-specific treatment component control population. The primary result was the baseline PTSD symptoms rated by a clinician after the 3MDR and during the 12- and 16-week follow-up (Van Gelderen et al., 2020, p. 3). Results indicate a greater decline in the severity of PTSD symptoms from the baseline to the endpoint for the 3MDR than the control group. The researchers did not find any significant between-group variation for the PTSD symptoms during the intervention, will all time points included. There was also a lower drop-out rate, 7%, while around 45% of PTSD patients clinically improved. It can be noted that the visual technology, 3MDR reduces PTSD symptoms among veterans. This method has been associated with successful PTSD treatments. Besides, the low drop-out rate may show increased engagement.
Level of Evidence
This is level 1 evidence because it uses the randomized control trial (RCT). RCT is considered an experimental type of impact examination where the population getting the treatment and the control group is chosen randomly from the qualified population. Besides, it is usually primary research. In this study, 43 veterans were randomly selected from two tertiary mental healthcare facilities in the Netherlands. The 3MDR treatment was used in 22 veterans, while the control group contained 21 individuals. This article produces quality and generalizable primary evidence concerning using the virtual intervention approach and its success in treating PTSD among veterans. The evidence is generated from the primary investigation of the success of 3MDR treatment for PTSD among veterans. From the research, it is essential to note that virtual-based PTSD treatments, including 3MDR, have an increased success rate among veterans. This study can be used to suggest the continued use of these intervention approaches in treating PTSD among veterans and the general population because PTSD is fast becoming a global nightmare. Levels of evidence are predicated on the idea that certain research types have more rigor than others, and that these higher-quality study designs provide associated clinical decision-making greater confidence (Tomlin & Borgetto, 2011, p. 190). Internal validity is strongest in Level I trials, giving researchers confidence that if they choose this intervention for their patients, they will get similar results. This implies that research with higher internal validity will have better external validity automatically.
Critique
Research Purpose
While the researcher did not clearly state the purpose of the research, it is accessible and can be derived from the objective. The study’s primary purpose was to examine the effectiveness of 3MDR for veterans having treatment-resistant PTSD. The secondary purpose is to find knowledge in the research study conducted to find its relevance in 3MDR treatments, which in turn can serve as future background literature for future research studies.
Discuss the implications for occupational therapy practice with adults.
(Evidence Based Practice
ACOTE Standard B:6:4
For this assignment you are to be the consumer and synthesizer of research of occupational therapy interventions to prevent falls with adults in the hospital or community. Prior to proceeding, you also need to clear your topic with Annie. You must locate a quantitative research article from peered reviewed journals published within the past 10 years that Address the effectiveness of Occupational therapy intervention to prevent falls in the community or hospital with a diagnosis ( adult population). The articles needs to be quantitative. Summarize the findings of each article into the paper. In addition, you will present this information to your peers in an informal format along with a one-page handout for each student (see template I have attached)Note: make sure that the article that you are referencing is a research article. You may choose to work in a pair for this assignment.
Your paper should include the following: Use these headings in your paper.
⦁ Brief description of the diagnosis / age group or intervention approach and cited; (pre-approved by Annie)
⦁ Summary of each study:
⦁ The purpose of the study.
⦁ Level of evidence of the study and the source for that level (use level of evidence from guidelines at bottom)
⦁ Procedures and methods used
⦁ Results and findings.
⦁ Critical appraisal of the study (pertinent issues regarding the following: purpose (see review forms ), type of research (see review forms), methods (see review forms), sample, intervention (see review forms), outcome measures (see review forms), analysis, results, conclusions, quality / relevance / applicability) – pull insights from the McMaster’s review forms and the critical review form I have attached State whether or not the information from the study is credible based on the elements of the study. (MAKE SURE THE REVIEW FORMS ARE BEING FOLLOWS)
⦁ Discussion of implications for occupational therapy practice with adults. Here you should state how the information should be used in OT practice with adults, their families / caregivers, and with other professionals.
In addition to your paper to hand in, you will be doing a 5-10 minute professional presentation to your
classmates about your inquiry. As part of your professional presentation, compile a one page handout
of information for the audience that gives the APA citations for the articles and a summary of the
findings.
Grading will be as follows:
Description of diagnosis (or intervention) is pertinent and concise 2 pts
appropriate & relevant research articles are provided 14 pts
Research article is succinctly summarized and presented and include the
purpose, level of evidence, methods / procedures, results / findings, &
critical appraisal. APA citations are accurate.
Conclude what the research indicates based on the
collective information and the quality of the studies presented.
5+ Implications for OT with adults practice are suggested, including how that 3 pts
information would impact your decisions in the clinic or on FW
One-page handout (using the template in Engage) is provided & uploaded to Engage 1 pts
Paper is professionally written with appropriate referencing; paper was
submitted to turnitin.com with necessary changes made. Effective participation 5 pts
was noted.
Total possible points: 30
NOTE: If you are doing this assignment in a pair, you must submit a copy of the Group Participation Rubric for yourself and the other member of the group (see the rubric above in the syllabus). You may highlight the statements that reflect each individual’s contribution. Be sure to include the names.
examine the current policy of the UN on Managing displaced people and refugees (1000 words) and to what extent is this policy consistent with evidence on what approaches work best (650-700 words)?
Essay Question Examine a recent or current policy of the UN or another International or Regional Organisation (of your choice) on ONE of the following issue areas. To what extent is this policy consistent with evidence on what approaches work best?
Choose ONE of the following issue areas relating to peacebuilding, conflict, and security:
Preventing civil war
Managing displaced people and refugees
Civilian Protection in countries emerging from war
Reducing gender-based violence
Responding to risks of genocide
Enabling and promoting integrity of democratic elections in fragile or conflict affected states
Note: Please examine the current policy of the UN on Managing displaced people and refugees (1000 words) and to what extent is this policy consistent with evidence on what approaches work best (650-700 words)?
Note: Please start with half a page introduction before you start to examine the policy document.
Referencing Style Please use the Harvard Referencing style (Minimum of 12 academic sources to show a wider reading of the subject)
Assessment Criteria for this essay Research
Excellent – An excellent range and depth of policy, practitioner, or academic sources; evidence of thorough, systematic inquiry.
Good – Very Good A convincing range and depth of policy, practitioner, or academic sources; evidence of relevant and purposeful inquiry.
Satisfactory – An appropriate range of policy, practitioner or academic sources used, but there is scope for more thorough research.
Borderline – An appropriate number of policy, practitioner or academic sources used, but there is clear scope for more focused and thorough research
Fail – Little or no evidence of research on the topic
Structure and Focus
Excellent – The essay is highly focused, concise, and purposeful, at all levels of the text.
Good – Very Good – The essay is very focused and purposeful, with some scope to refine sequencing in parts of the text.
Satisfactory – The essay is mainly focused and purposeful, but with scope to improve sequencing and signposting.
Borderline – The essay has basic elements of structure has weak focus and coherence throughout.
Fail – The essay is very disorganized and does not maintain focus on the question.
Argument and Analysis
Excellent – There is a strong, persuasive argument/ analysis, showing very precise and nuanced reasoning.
Good – Very Good – A coherent and convincing argument/analysis is presented. Some aspects of reasoning could be more precise or nuanced.
Satisfactory – A coherent argument/analysis is presented, but some elements require further elaboration, support, or refinement.
Borderline – There is limited argument / analysis and weaknesses in reasoning are apparent.
Fail – There is no clear argument / analysis in the essay. Multiple errors in reasoning are present.
Language and Expression
Excellent – Writing is fluent, sophisticated, and persuasive. The text has been carefully edited and refined. It is a pleasure to read.
Good – Very Good – Writing is mostly fluent and persuasive but there are a few mistakes and/or areas for refinement.
Satisfactory – Writing communicates adequately but there is scope for more precision and care in the construction of sentences and paragraphs.
Borderline – Intended meaning is not always clear and there is a need for more precision and care in the construction of sentences, paragraphs, and use of grammar.
Fail – Writing is very weak, with significant mistakes in the construction of sentences, paragraphs, and use of grammar.
Scholarly Standards
Excellent – Comfortably meets or exceeds standards. Referencing clearly distinguishes and supports the student’s contributions to debate.
Good – Very Good – Comfortably meets university standards: Referencing is thorough, accurate and clear.
Satisfactory – Meets university standards: Sources are referenced but some errors in formatting or presentation.
Borderline – Mostly meets university standards: Most but not all and important sources are referenced, and there are significant formatting errors.
Fail – Does not meet university standards: There are no or very few accurate citations.
Create a 10- to 15-slide Microsoft® PowerPoint® or Prezi® presentation that depicts the 5 strategies you selected.
Topic:
Research reading strategies to promote sociocultural development
Description
Select 5 of the most practical and useful strategies to assess 5 different reading and writing standards specific to
one grade level. Ensure that the chosen strategies may be utilized across the curriculum with ease and that they
promote sociocultural development.
Note: These lessons should focus on evaluating reading and writing skills in the subject you teach.
Create a 10- to 15-slide Microsoft® PowerPoint® or Prezi® presentation that depicts the 5 strategies you
selected.
Include the following in your presentation for each of the 5 assessment strategies:
The grade level
The subject area
Basic characteristics of the assessment strategy
The reading and/or writing standard you are assessing
A description of at least 2 specific ways each strategy could be used
An explanation of how each strategy promotes sociocultural development
Color, graphics and images to enhance the presentation
Create 1 slide where you highlight the two strategies you would be most likely to use in your own classroom.
Justify why you chose those 2 strategies.
Format your presentation according to APA guidelines.
How do the two essays differ? Which one is more effective? Why?
Topic:
Our Blind Spot about Guns, Nicholas Kristof
Description
Discussion For this week’s discussion we will focus on the different approaches to making an argument. In the
following readings, each author shares his view on a controversial topic. Their method of persuasion is the focus
of our discussion,
Read:
Our Blind Spot about Guns, Nicholas Kristof: p 162
Don’t Make English Official–Ban It Instead, Dennis Baron: p 949
For the Written Text answer the following questions:
How do the two essays differ? Which one is more effective? Why? Does the source use evidence? Cite an
effective passage from your preferred essay and describe why it works?
For your peer review posts (2 minimum), ask a question regarding your peer’s response. Note one element of
your peer’s response that you may not have noticed in your reading and analysis of the works.
Requirements:
For full participation credit, a minimum of two posts must occur during the active week.
All posts should include word count.
Posts discussing written texts should include quotes with APA in-text citation and reference.
See Discussion Rubric Discussion Rubric – Alternative Formats for full assessment of discussion posts.
Using concepts introduced in the module, consider how the Project Manager might have attempted to address both human and quality issues and evaluate the impact on the outcomes of the project.
INDIVIDUAL ASSIGNMENT This assignment is worth 50% of your overall module grade
Learning Outcomes assessed 1 & 2.
ASSIGNMENT INTRODUCTION
Projects present challenges to the Project Manager, not just in their planning and operation, but also in terms of effective leadership, management of all interested parties. There are key areas which need to be considered when evaluating the success of a project. These can involve various perspectives depending on experience, knowledge, cultural values, and self-interest. Managing to initiate a project and maintain progress and required quality to completion can be difficult for the Project Manager.
For this assessment you are to choose a past project where it is no more than 6 years since project closure. You are to write a critical review of the literature in which you should consider the following areas.
Key issues in managing people in projects including leadership and teamwork, and how leadership can be used to improve team performance.
The factors that can impact on the quality of a project or engineering activity
The impact of leadership style and team performance on quality issues in your chosen project
Using concepts introduced in the module, consider how the Project Manager might have attempted to address both human and quality issues and evaluate the impact on the outcomes of the project.
Word Limit for the assignment is 3000 words plus or minus 10% a word count MUST be included on your script.
References
It is expected that you will use appropriate academic literature as well as concepts introduced in the module to support your findings. All data sources used and cited in the report should be correctly referenced utilising the Harvard Reference System.
References from commercial and other web pages are to be use very sparingly. Excessive use of such web pages will be reflected in a reduction of the use of references mark.
A general reading bibliography MUST NOT be included.
Suggest realistic alternatives to improve and enhance the quality of the research.
guidelines
Go to the library homepage. Locate and download either a quantitative or a qualitative research study that is of interest to you from a peer-reviewed journal.
I HAVE CHOSEN Cancer Genomics and Proteomics. 19(2):241-258Publication Status: PublishedPublisher Information: International Institute of Anticancer Research, 2022.
This article needs to be a report of a research study published in the past five years.
Tip 1: If this is not clear to you, review Unit 1: The Value of Research and Evidence-Based Practice. There you will find details as to how to access the Library.
Tip 2: Ensure that the study you select is a research study reporting on original research (i.e., it is not a literature review or summary of previously completed research).
Complete the learning activities and readings in Unit 11: Critiquing Research Reports. Read and think about the guidelines and questions used to critique research reports. In addition, if you have access to Woo (2019) Canadian Essentials of Nursing Research, review critiques of two research articles that appear in Appendix C and D.
If you are accessing Sociological Inquiry Principles: Qualitative and Quantitative Methods, go to Chapter 14, “Reading and Understanding Research” and carefully review Table 14.2, Questions Worth Asking While Reading Research Reports.
If you are accessing Canadian Essentials of Nursing Research, review Table 4.1, Guide to a Focused Critique of Evidence Quality in a Quantitative Research Report, or Table 4.2 Guide to a Focused Critique of Evidence Quality in a Qualitative Research Report. The second columns of Tables 4.1 and 4.2 list some key critiquing questions, while the third column cross-references more detailed guidelines in various chapters throughout the book.
Prepare a paper of 8–10 pages in length (excluding the title and reference pages), double-spaced, using 12-point Arial or Times New Roman font and the most current edition of APA format.
Related to content, include the following sections:
Tip 1: Use these sections as headings and subheadings to organize your paper and your thoughts. These headings and subheadings will cue the reader (your tutor) to the specific subtopic you are addressing.
Introduction
Research Problem and its Significance
Literature Review
Research Question and Subquestions
Methods
Research Approach (Qualitative or Quantitative)
Research Design
Ethics
Sample/Sampling
Data Collection
Results
Data Analysis
Findings
Validity (for quantitative research studies only)
Trustworthiness (for qualitative research studies only)
Discussion
Implications
Conclusion
Presentation
Clearly written
No or minimal use of jargon
Well-organized
Use specific examples from the research study for each section and each bullet point.
Work towards accuracy as well as a “critique-like” tone to demonstrate evidence of critical thinking.
Suggest realistic alternatives to improve and enhance the quality of the research.
Related to the format, include the following:
Title page
Introductory paragraph
Headings and subheadings
Concluding paragraph
References list
In-text reference citations
Paper is 8–10 pages in length, excluding title page and references list
Content is accurate and critique-like
Grammar, spelling, and punctuation are accurate
Accurate APA format
Note: APA format is to align with the most current edition of the APA manual.
Marks will be allocated according to the following template:
Strengths and limitations are included (3 marks):
Specific examples are used (3 marks):
Realistic alternatives to improve and enhance research are included (3 marks):
Introduction (3 marks)
One mark for each of the following:
Research Problem and its Significance:
Literature Review:
Research Question and Subquestions:
Methods (5 marks)
One mark for each of the following:
Research Approach (Qualitative or Quantitative):
Research Design:
Ethics:
Sample/Sampling:
Data Collection:
Results (5 marks)
One mark for each of the following:
Data Analysis:
Findings:
Validity or Trustworthiness:
Discussion and Implications:
Conclusion:
Presentation (3 marks)
One mark for each of the following:
Clearly written:
No or minimal use of jargon:
Well-organized:
Total Mark: /25
Format (10 marks)
Marks will be allocated according to the following template with one mark for each element.
Title page
Introductory paragraph
Headings and subheadings
Concluding paragraph
References list aligns with current edition of APA format
In-text reference citations align with current edition of APA format
Paper is 8–10 pages in length, excluding title page and references list
Content is accurate and critique-like
Grammar, spelling, and punctuation are accurate
what is the marginal effect of the age of wine on price based on the estimation outputs (1)-(4) given below.
In a small essay up to 1,500 words provide a clear answer, that is what is the marginal effect of the age of wine on price based on the estimation outputs (1)-(4) given below. Support your answer by a thorough discussion of the advantages and disadvantages of the estimated models and the applied sequential modelling procedure. In particular, you may wish to:
- compare outputs (1) and (2) and comment on what mistake would the researcher commit by
not including the interaction term France
age
in equation (1);
analyse the estimation outputs (1)-(4) to explain which one is your preferred specification; explain your choice by comparing the statistical characteristics of these models as well as their economic interpretation; comment on what other test(s) could be performed further that would help in improving the reliability of models’ estimation;
use your preferred model specification selected from (1)-(4) to explain whether its functional form requires improvement and, if so, explain why do you think so and what variables you would add to it;
criticise or justify the approach of adding more variables to the model that has been initially chosen by a researcher (that is estimating model (1) in the first instance and then adding more and more variables sequentially);
use your preferred model specification to decide whether it allows advising a wine investor who looks for a profit in a long-run to invest in French or Spanish wines.
In your essay, you may decide to address some, or all, points raised above, or concentrate on other issues that are not listed if you think it is important to address them.
The modelling procedure and estimated outputs are presented below.
The data are from randomly selected 230 wineries. Four following regression models have been estimated sequentially. That is, model (1) had been estimated first; then, after inspecting its estimates, model (2) was estimated next and so on.
ln(Price ) 3.41 0.04671age 0.0019temp
0.0211France ,
i (0.512) (0.015)
i (0.009)
i (0.020) i
R2 0.3537, R2
0.3451,
(1)
AIC 2013.313, BIC 2001.067, p _ RESET 0.000, i 1,…, 230,
ln(Price ) 2.36 0.0250 age 0.0021temp
0.0109 France 0.0130(France age ),
i (0.412) (0.015)
i (0.009)
i (0.020)
i (0.004) i i
R2 0.3652, R2
0.3601,
(2)
AIC 2154.513, BIC 2132.067, p _ RESET 0.000, i 1,…, 230,
ln(Price ) 3.01 0.03618age 0.0022temp
0.0081Spain 0.0079(Spain age ),
i (0.301) (0.021)
i (0.005)
i (0.017)
i (0.210) i i
R2 0.3650, R2
0.3537,
(3)
AIC 2150.016, BIC 2167, p _ RESET, 0.000 , i 1,…, 230,
ln(Price ) 1.83 0.0185age 0.0015temp 0.0101France 0.0054 Spain
i (0.165) (0.028)
i (0.075)
i (0.031)
i (0.073) i
0.0064(Spaini agei ) 0.0111(Francei agei ),
(0.312) (0.110)
(4)
R2 0.4127, R2 0.3969,
AIC 2166.114, BIC 2168.031, p _ RESET 0.000, i 1,…, 230.
where Price is the pre-tax price of a 750 ml bottle of wine (expressed in pounds); age is the age of the wine (measured in years); temp is the average temperature over the growing season for the grapes (expressed in Celsius degrees); France and is a dummy variable which equals 1 if the bottle of wine was French and equals 0 if the wine came from another country; Spain is a similar dummy
variable for Spain. Spain age
and France age
are products of the respective variables. AIC and
BIC are values of Akaike and Schwartz Information Criteria, respectively. The p-values for RESET test are denoted as p_RESET. The p-values for testing the hypothesis that particular regression coefficients in equations (1)-(4) are equal to zero against the two-sided alternative are given in
parentheses beneath the parameters’ estimates, R2
and
2
adj
stand for the coefficient of
determination and adjusted coefficient of determination correspondingly.
Research the benefits of and barriers to creative arts and complementary therapies.
Topic:
Music Therapy
Description
Research the benefits of and barriers to creative arts and complementary therapies. This is a service-learning
class where the Organization we are working with provides Occupational Therapy, Speech therapy and Music
Therapy. Music Therapy definition by AMTA (American Music Therapy Association) ,
https://healthcareinsider.com/art-music-therapy-58036
plan and explain a strategic marketing approach to a market situation of your choice.
Topic:
is to plan and explain a strategic marketing approach to a market situation of your choice. You must use the same
company that you used in assessment 1. The assessment will cover the following tasks: 1. How is the market
changing / predicted to change? 2. What strategies would you recommend to achieve competitive advantage?
You should indicate the underpinning theory and make a recommendation that contains a topical issue e.g.,
sustainability, digital etc.
Description
. Presentation – commercial-standard information (max 6 slides, excluding title and reference slides). Students
will be given examples of industry-standard PowerPoint presentations to see the quality required. Avoid e.g. a
simple bullet point list of key points. The slides will need to be a rich mixture of data and graphics.
b) Accompanying notes – The accompanying notes need to be detailed and explanatory, and be no more than
1500 words in total (split over the number of PowerPoint slides).
c) Accompanying narration – clear, explanatory voice-over that articulates the key elements, lasting no more than
15 minutes (using the inbuilt narration function in PowerPoint). This link shows how to record your voice over
narration –
https://support.microsoft.com/en-us/office/record-a-slide-show-with-narration-and-slide-timings-0b9502c6-5f6c-40aeb1e7-e47d8741161c
