Contextual variables potentially influencing premature termination were examined. Clients (n=83) and therapists (n=35) provided parallel data on early working alliance, psychotherapy termination decision (unilateral vs. mutual), clients' reasons for termination, and barriers to treatment participation. When clients unilaterally ended therapy, therapists were only partially aware of either the e...

BACKGROUND Substance use is a well-established, and potentially modifiable, risk factor for suicide. Suicide prevention interventions are typically framed within the biomedical paradigm and focus on addressing individual risk factors, improving access to psychiatric care, and improving the skills of medical personnel to recognise at-risk individuals. Few studies have focused on contextual facto...

A key area left open in the International Classification of Functioning, Disability, and Health (ICF) is the distinction between activity and participation. This paper suggests characteristics to distinguish between the components in the ICF model which explicitly include the relationship of contextual factors to the different components. Ten distinguishing characteristics are presented which f...

Introduction Although D&I models identify several potential facilitators and barriers to adoption of evidence-based practices, the contextual characteristics that determine the relative importance of these factors remain largely unknown. The objectives of this study were to identify the most significant facilitators and barriers to innovation and adoption of EBPs as determined by agency and pro...

This paper presents a new model, MUSCLE (Multidirectional Scanning for Line Extraction), for automatic vectorization of raster images with straight lines. The algorithm of the model implements the line thinning and the simple neighborhood methods to perform vectorization. The model allows users to define specified criteria which are crucial for acquiring the vectorization process. In this model...

OBJECTIVE To gain insight into which factors impede, and which facilitate, the implementation of a complex multi-component improvement initiative in hospitalized older patients. DESIGN A qualitative study based on semi-structured interviews. The three dimensions of Pettigrew and Whipp's theoretical framework, namely, Process, Content and Context, were used to undertake a structured data analy...

BACKGROUND Few of the many behavioral sexual health interventions in Africa have been rigorously evaluated. Where biological outcomes have been measured, improvements have rarely been found. One of the most rigorous trials was of the multi-component MEMA kwa Vijana adolescent sexual health programme, which showed improvements in knowledge and reported attitudes and behaviour, but none in biolog...