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Reports of Completed Projects

Rehabilitation for Fibromyalgia Syndrome: Comparison of Holistic and Complementary Alternative Medicine Therapy Effectiveness. 

Kieren Faull, Research Department, QE Health, Rotorua

Abstract

Aim: To measure within-person change scores on the Short-Form 36 General Health Survey (SF-36) to compare the holistic effectiveness of Watsu therapy to AIX therapy as a rehabilitation intervention for people with Fibromyaliga Syndrome (FMS).  Holistic therapy was defined as any treatment or combination of treatments that claimed to address the physical, psychological, social and spiritual components of health.

Design: the two treatments (Watus and AIX) and time of data collection (start and end of treatment) were the factors in the two-conditions, within-subjects with reverse order counterbalancing design.

Setting: A specialist rehabilitation service provider, QE Health, Rotorua

Participants: 13 females diagnosed with FMS

Outcome Measure: The eight subscales of the SF-36

Results: Significant change differences with large effect sizes were found for Watsu on the SF-36 subscales of physical functioning, bodily pain, vitality and social functioning for both treatment and interaction effects.

Conclusions: Results indicate that Watsu therapy provided an effective holistic intervention for theis sample.  Further research is required to understnad the dynamics of Watsu therapy and the extent to which these resluts are generalisable. 

Investigating the effectiveness and reliability of screening techniques for deep vein thrombosis following total knee or hip surgery. Teena Swift

 

Organisational Culture: The Dynamics of Culture on Organisational Change within a Rehabilitation Centre. 

Kieren Faull, Dr Tom Kalliath, Dale Smith

Abstract:

The study investigated present day culture in a New Zealand rehabilitation service organisation and compared this data with the culture developed by the founder 60 years ago.  Schein's theory of organisation culture and change provided the rationale.  Archival interviews, photographs and documents were analysed to identify the original culture.  Observational, interview and documental present-day data was analysed to identify the two present cultures, which were termed market forces and clinical cultures.  Theme comparison highlighted commonalities and differences between present day and original cultrues and tested the hypotheses.  The findings supported predicition that foundational concepts and worldviews still are retained in current day culture.  Underlying beliefs, values and worldview of an organisation were resistant to change, specifically to the emergence of behaviours not congruent with the original values and beliefs.  The present day cultures were found to have numerous words in common but with different meanings, which effectively has resulted in two cultural languages.  The existence of two cultures may, in part, explain the confusion, tension and misunderstandings that were evident, which appeared to be associated with resistance to change.   

To assess "The Potential of the Medical Records of the Last 50 Years for Producing Data for Medical, Sociological, and Historical Research Projects"     

Of interest to historians, sociologists and medical researchers: Access is offered to an extensive database containing information of over 1500 patients who visited the hospital between 1948-1955.  funded by the Community Trust and compiled by hisotrian Antje Braren, the information could be used in conjuction with secured sets of patients case files and punch cards from the same period.  Hostorians, sociologiests or others researching specialist hosital treatments, medical conditions, pain management, social and cultural trends in New Zealand could find the resource useful.

Access to the records is subject to approval by the Community Trust.      

Study to develop an improved method for monitoring the effects of second-line therapy in people with rheumatoid arthritis.