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Beck Depression Inventory Essay Sample. The Beck Depression Inventory (BDI) is book a widely used and effective measure of depression. It can be used by a variety of people but is generally used in a clinical setting to assess patients that may be suffering from depression (Lange A, 2007). This test can also create options when it comes to specific disorders and the treatment plans that will be most effective for the suffering individual. The BDI is made up of only 21 questions but had been relied on to define depression (Mash J Barkley A, 2007). The Becks Depression Inventory was designed to be used by mental health or medical professionals. The Becks Depression Inventory consists of 21 questions, long-form which is used by clinicians and 10 questions, short-form, used by primary care providers. Meta-analysis is a method used for condensing all the genuine statistics of many various studies pertaining to the same subject. A result from essay a meta-analysis will show the statistics of a correlation or measure of effect size representing all the subjects of reports, a topic. The content validity (degree in which items are represented on the test that is to be measured) of the BDI because the test was designed by clinicians, using depressive symptoms from patients. B120 Tma02? The Beck Depression Inventory was designed by book students a well-known cognitive therapist named Aaron T. Beck.
This psychological test has multiple questions designed to measure the b120 tma02 depth of reports students, depression. The test is designed to detect symptoms of depression by asking 21 questions, each with four possible answers. The primary purpose of the Beck Depression Inventory test is to observe the changes in symptoms of depression by a health care physician. According to the Encyclopedia of Mental Disorders, #8220;Individual questions of the Becks Depression Inventory evaluates mood, insomnia, punishment, appetite, self-accusation, self-dissatisfaction, crying, self-dislike, guilt, loss of libido withdrawal, suicidal ideas, body image, irritability, social work difficulties, fatigue, bodily preoccupation, sense of failure, loss of weight, and pessimism#8221; (Mash J Barkley A, 2007). Becks Depression Inventory is used to measure many different depression circumstances. Above it (what is american it?) discusses how the inventory is used and the measurement of how deep depression can go based on Becks inventory.
The following article on Becks Depression Inventory involves the connection between two epidemics including depressiveness among disability retirement among unemployed compared to the employed. Researchers created a large group inventory of about 14,487 people between the years of 1998 and 2003 (Groth-Marnat, 2009). They conducted this survey through the reports students mail in which participants would fill out a survey on wasp, their employment status. After the surveys were received the researchers based the depression on book reports students, Becks inventory. The conclusion was that in 1998 the status was employed with little or no depressiveness present. However, in 2003 it was a different because a total of essay beautify, 329 participants retired within five years of the survey. Among them 4.8 were short-term unemployed and 6.7 were long-term unemployed. The ranges for the short-term unemployed were 3.3-17.9% and the long-term unemployed were 2.6 to students, 14.2 percent. The lowest numbers of depressiveness however were those of the employed participants that only essay, ranged from 1.4 to 7.1% (Groth-Marnat, 2009).
This can help prove that staying healthy can be affected by one#8217;s employment status. Compare and Contrast articles. When comparing these two articles, it is online book easy to see that they both are based on need friend indeed, depression and book students, contain some sort of survey to produce results that have the same conclusion, who has depression tendencies and how deep do these types of feelings go. They also share how symptoms can evolve over time. In article one it asses how each symptom progresses over a period and in the second it span#8217;s over a five year period. However there are differences among who is conducting the survey, in one article it was a primary care physician and the other a group of researchers. The articles are different in the way the survey was conducted, one by a doctor and the other by indeed mail.
Even though they were conducted in different ways the outcome of online book students, both can not change just because of tma02 essay, this fact. In article one it focuses on just random people, but in article two it focuses on online book students, a main group of employed or unemployed participants. These two articles may be different when it comes to whom, how, and why but they both have a main focus on depression and how it can affect one#8217;s life in many different ways under different types of circumstances (Coombs H Howatt A, 2005). Of A Essay? These tests are usually done by qualified psychologists or general practitioners when trying to online book reports, determine if a patient is suffering from depression and to what degree. From these results they can then chose a course of treatment as in medication, seeing a psychologist, or a combination of both. BDI#8217;s long form comprises of twenty-one QAs, each having four types of probable responses.
Each response is allotted a score rating from 0-3, relying on conflict questions, the indication of severeness. There are various items that are measured by online book these tests such as mood, insomnia, punishment, appetite, self-accusation, self-dissatisfaction, crying, self-dislike, guilt, loss of libido withdrawal, suicidal ideas, body image, irritability, social work difficulties, fatigue, bodily preoccupation, sense of essay need indeed, failure, loss of students, weight, and pessimism. Friend Indeed? It can also determine which are psychological and which are physical so they can work on other forms of book students, therapy. Sometimes all it takes is essay questions working out or eating healthier to get a person out of online students, a depression cycle. The best measure of BDI would be in the clinical or counseling category. Workplaces normally do not test employees for depression but will cover the education wasp essay treatment with their insurance. It is seen as more as a personal issue than one that should be handled in that environment. Schooling does not get involved either, again due to it being outside of its realm of treatment. However, they do offer counseling for younger children and information for parents when additional treatment is needed.
The Beck#8217;s Depression Inventory (BDI) can yield different results for each specific individual who takes the test. The results vary for those who are considered to be in reports students, the general population and for those who have been clinically diagnosed with depression. For the general population if an individual score over need friend indeed, 21 they are considered to online reports, be depressed (Lange A, 2007). The individuals that have been clinically diagnosed the conflict essay results are different. With a score from zero to nine the online students individual is believed to suffer from minimal depressive symptoms.
A score that is in essay beautify our school, the 10 to 16 range indicate mild depression. The 17 to reports students, 29 range indicates that the individual has moderate depression, and if an of a wasp essay individual scores in the 30 to 63 range than they are considered to have severe depression. Online Book? In order to be a successful psychological measure the BDI needs to be valid; in other words it needs to actually test for what it claims it is testing for, depression. The BDI has been intensely tested for content validity, concurrent validity, and construct validity. The BDI has validity because it was projected through unanimity within a range of patricians about indications of depression that were exposed by unlike psychiatrically disturbed patients. The testing of BDI was done by keeping in mind, the diverse behaviors, biological factors and attitudes to ensure that the conception was cogency. These tests suggest that the BDI can be related to diverse health check indications such as: stress, alcoholism, loneliness, anxiety and adjustment among youth, sleep patterns, and suicidal behaviors. Groth-Marnat, Gary; 2009; Handbook of Psychological Assessment; John Wiley and Sons, ISBN: 0470083581, 9780470083581. Coombs H, Robert Howatt A, William; 2005; The addiction counselor#8217;s desk reference; John Wiley and education essay, Sons; ISBN: 0471432458, 9780471432456. Lange A, Marta; 2007; Leading-edge psychological tests and testing research Nova Publishers, ISBN: 1600215718, 9781600215711.
Mash J, Eric Barkley A, Russell; 2007; Assessment of childhood disorders; Guilford Press; ISBN: 1593854935, 9781593854935. Is this the online book perfect essay for you? Save time and order Beck Depression Inventory. essay editing for only $13.9 per page. Top grades and quality guaranteed! Relevant essay suggestions for Beck Depression Inventory. This paper will analyze the facets of psychological tests and measurements by analyzing the Beck Depression Inventory.
This analysis will examine two articles relating to the Beck Depression Inventory and#8230; Psychological Measure Paper. American Essay Contest 2009? Pessimism, sense of failure, self-dissatisfaction, guilt, punishment, self-dislike, suicidal ideas, crying, irritability, insomnia, fatigue, and loss of online, appetite are a few of the symptoms one may feel when suffering from#8230; Children#8217;s Depression Inventory Article Analysis. Education Of A Wasp? Depression is a well-known emotional disorder that is book characterized by conflict feelings ranging from book reports overwhelming guilt, fatigue, and education wasp essay, social withdrawal, to online book reports students, irritability, abuse, and at times suicidal behaviors (Luby, 2009). Depression#8230; Beck#8217;s Cognitive Theory of Depression. Depression is a “clinical syndrome” that affects many people in our society today, and has been documented for influencing humanity for legion 2009 over two-thousand-years (Beck, 1967, p. Book Reports? 3). Various pursuits have#8230; 1. The researchers analyzed the data they collected as though it were at what level of measurement? The answer is C, which is interval/ratio scale. 2. Tma02? What was the mean#8230;
How Canadians Lived Through The Depression Years. Both the government and online reports, civilians used different types of methods to deal with the Great Depression of Canada, but it was apparent that none of the methods were very effective#8230;.
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Resume Genius' Original Templates - Expert's Choice. By Resume Genius. This page features eight famous resume templates that you could normally only access via Resume Genius’ Resume Builder. We’ve decided to provide them to you for free. Do you want a resume that’s simple, sleek, and to the point? Then you’ve come to online book reports, the right place. Below, we feature our Classic resume template. Essay? Feel free to download it into a Microsoft Word document for personalized editing. We have two reasons for online book reports students calling it Classic. First, it’s our oldest resume template. American Contest 2009? Second — and more importantly it’s the online book reports students most versatile one out of questions, our entire library.
This is book not a fancy resume template in 2009 the slightest. It’s simple, bare bones, to-the-point, easy to read, and unpretentious. Book? Let’s get one thing straight — hiring managers aren’t going to trash a resume because it’s not fancy looking. Eventually, they would lose their job because they’d be overlooking some very good candidates who happen to like simpler designs. The content of your resume is far more important than its look. So long as the hiring manager can read your resume easily, you’ve done a good job. The beauty of the Classic is that anyone can use it. Its simple nature gives it flexibility, and american legion, can be modified to suit all jobs and industries. Simply formatted resume designed for students maximum clarity and readability. Header font spaced by 2.2pt creates an interesting aesthetic effect. Top – 1.27? Bottom – 2.54? Left – 2.54? Right – 2.54?
Font: Georgia Name Font Size: 24pt Header Font Size: 12pt Job Description Font Size: 10pt. Click here to download. The Classic template pack. Chicago is well known among architecture nerds for its interesting Prairie School style of architecture, which uses a lot of horizontal lines to israeli-palestinian conflict, better integrate its and mesh its buildings with the reports flat mid-western landscape. Long story short, our resident resume expert and architecture nerd associated the Chicago template’s use of page long horizontal underlines beneath each major heading with the Prairie School architecture style, and the rest is history. Like the Classic, the and historiography Chicago resume format is another crowd-pleaser among all industries and types of online reports, employment. Of A Essay? Once again, it emphasizes clarity over fanciness. The major question you need to decide is if you like your resume sections to online book reports students, be sectioned off by page-wide underlines (choose Chicago), or if you feel like that’s excessive (choose Classic). Page-length underlines used to israeli-palestinian conflict essay questions, separate resume sections. City, state, and employment dates placed in online a separate column on the right.
Top – 1.27? Bottom – 1.27? Left – 2.03? Right – 2.03? Font: Time New Roman Name Font Size: 24pt Header Font Size: 12pt Job Description Font Size: 10pt. Click here to download. The Chicago template pack. This one’s pretty simple – initially we only tma02 essay had one version of this resume template, one with green headings.
Naturally, we associated green with the Irish. Since we’d named the Chicago template after a city, we felt it was best to continue on with the book students city name formula. Thus, Dublin! Now, as you can see, we’ve added more colors than just green, because people liked the styling so much and demanded more choices. But, we still call it Dublin due to its roots. Obviously if you’re Irish, it comes highly recommended! However, this is yet another resume template that is so simple, clear, and israeli-palestinian questions, easy to read that we can easily recommend it to reports, anyone looking for a job. The Dublin font styling looks much more airy and less blocky, so if that suits your taste, go ahead and download it. No horizontal lines anywhere Text in wasp headers expanded by 1.05pt for an interesting effect.
Top – 1.27? Bottom – 1.27? Left – 2.03? Right – 2.03? Font: Georgia Name Font Size: 24pt Header Font Size: 12pt Job Description Font Size: 10pt. Click here to download. The Dublin template pack. Once you look at this resume template, you immediately know why it’s called Elegant. It just is. This resume is so light on the eyes it seems like it could float away. Every small detail is infused with a soft and gentle touch, and stands out as being particularly well crafted. That’s why it’s one of our most popularly downloaded resumes.
Those of online book, you with a flair for essay the abstract, and who would prefer a resume that is students less blocky, solid, and rigidly organized should download this template. Any hiring manager would be able to appreciate the Elegant template’s style and formatting. It’s easy to read, clear, and makes great use of friend indeed, white space. It’s tough to generalize, but those of you applying for book positions that require more rigidity and strictness, such as accounting or logistics, may want to consider a more tightly organized resume, such as Harvard. Headings are centered throughout entire template, with job descriptions left aligned. Text in education of a wasp essay headers expanded by online, 2.8pt, and essay beautify our school, name by online book reports students, 4.8, giving the legion “elegant” feel. Top – 2.54? Bottom – 2.54? Left – 1.9? Right – 1.9? Font: Times New Roman Name Font Size: 24pt Header Font Size: 12pt Job Description Font Size: 10pt.
Click here to download. The Elegant template pack. Making the Harvard resume template required some serious MS Word skills by our resident expert. We tasked her with creating a template that would help save space on the resume without losing clarity and reports, readability. She came up with this columned approach — headings are left aligned to help save space, and have large enough text to be very clear. Due to this complicated and ingenious approach, we dubbed the template Harvard, as everyone knows the reputation of that university. Those of you who have a resume that extends JUST over one or two pages will find this template especially useful. Essay Beautify Our School? The left-aligned headings allow you to cut down wasted space to online, reach one or two pages exactly, which will make hiring managers happy.
If you lack experience and have a short resume, we recommend avoiding this template, as it will make your experience look minimal and israeli-palestinian conflict essay questions, paltry. Headings are left aligned, saving a lot of vertical space and allowing for more job descriptions to be written. Resume looks highly organized and rigidly designed, appealing to those who prefer straight lines and boxes. Top – 1.27? Bottom – 1.27? Left – 1.27? Right – 1.27? Font: Times New Roman Name Font Size: 24pt Header Font Size: 12pt Job Description Font Size: 10pt.
Click here to download. The Harvard template pack. Many jobs are considered more “modern” than others. Online Book Students? These are usually not age old industries but instead professions that have only come into existence within the last 20-30 years. Professions like Software Engineers, Computer Technicians and Social Media Managers are all relatively new when compared to conflict questions, those like Nursing, Teaching, and online book reports students, Law etc. For this new breed of professional comes a new breed of resume template: the Modern.
Sporting a very “flat” design, the Modern template uses styling that classical resume experts will recognize, but altered subtly in terms of b120, formatting and style to produce a template that is anything but “classic”. The modern is online book students all about efficiency and american legion 2009, simplicity. The contact details, job headings and skills headings are all centered, producing a logical and aesthetically appealing form. Book Reports? This resume template looks equally good in israeli-palestinian printed form or on an iPad or desktop. Modern is perfect for online book students those who don’t feel like our other more classically styled resume templates work well for their personality type or the position they are applying to. For example, a developer using a “Classic” resume template not only is a bit misdirected style-wise, but may also be holding himself back as compared to american legion essay 2009, other tech-industry resume styles, he or she will appear a little dated.
As mentioned, industries that are relatively new are a perfect match for the Modern template. Modern color variations One horizontal line Centered Contact Information Centered Headings Two-tone color styling. Click here to download. The Modern template pack. Milano is how Italians refer to their beloved 2 nd largest city, Milan. Milano is famed for reports it’s rich cultural heritage, cuisine and of course, it’s fashion industry. The Milano resume template encapsulates all of these characteristics to education of a wasp, one degree or another. This template was not built from online book reports students scratch, but instead has been built upon an older, more long-standing classic resume format.
Things were then “spiced up” so to speak with subtle use of formatting and colors to produce a very fashionable resume template if there ever was such a thing. Balancing professional tradition with new, contemporary colors is b120 essay a balancing act that the Milano pulls off well. Similar to book reports, how a cup of coffee with just the conflict essay questions right amount of cream is not too rich but not to bitter is perfectly balances, so is book reports this resume template. The Milano template’s style and formatting is eye catching without being excessive, and for b120 tma02 essay this reason it is suitable for online many different professionals across many different industries. Essays On Ottoman Historians? According to Resume Genius stats, the Milano seems to be most popular with Marketers, Sales professionals and Educators. Regardless of industry, if you are looking for a way to stand out amongst the other applicants without calling too much attention to online book reports, yourself, consider downloading the Milano and customizing it with your own information for your next job application.
Subtle color usage A single horizontal line Left Aligned Contact Details. Job Description Font Size: 9. Click here to download. The Milano template pack. Do you want a resume that is refined, sophisticated but not pretentious? If that’s the case, then the Park template below is the perfect option for you. Download this subtle and classy resume template and education of a essay, edit it to suit your own circumstance. Image you are walking down Park Avenue on online students, the Upper East Side. It’s fall, the american legion essay contest smell of book reports, leaves lingers on the breeze as you walk back from you favorite coffee shop. You pass a well-dressed businessman in slacks, brown oxfords and a grey cardigan. B120 Tma02 Essay? Sitting next to him on the bench is online students a leather folio with a resume on top, held in place by the weight of a black Mont Blanc pen.
The atmosphere, the season, the resume; they all seem to be in perfect harmony. Now open your eyes, and realize it is in fact you who are sitting on the bench, and the resume that caught your attention is essay need indeed none other than The Park. Whether in its original “accountant lamp green” or one of the reports other four other carefully selected understated colors, the Park conducts business with class, a perfect match for your personality. Different from our other templates in conflict that it harmonious blends just the right amount of styling with simple and refreshingly neat formatting to produce a resume that would look perfectly at home on any prestigious New York Office mahogany desk. The Park is for the job applicant who knows the difference between a Windsor and a Half Windsor, who knows the online students difference between Thelonious Monk and John Coltrane, and for the person who knows that even the smallest of details can make all the difference.
The Park is not just a resume template; it is an accompaniment to your refined, metropolitan lifestyle. The park makes a statement with clever use of space right away in the header of the resume, with a large margin between the of a essay top of the page and the applicant’s name. There are no unnecessary frills or decorations on The Park; it makes a statement with only practical applications of sensible color palettes, logical spacing and formatting and online reports students, measured use of breaks and american essay, lines. No unnecessary frills or decorations One horizontal line Center aligned contact information. Book Students? Left aligned text. Download The Park today to secure your job tomorrow. Click here to download. The Park template pack. resume tools and coach support and great templates. Glad you like them! Anything Specific for the trades ?? I am a machinist..Thanks.
Any of the above are suitable for your industry, but if we had to of a essay, choose we’d suggest the book students ‘Chicago’ or the education of a wasp essay ‘Modern.’ Good luck on book reports, the job hunt! Great thanks for your help … We would recommend the ‘Milano’ template. Good luck! I am trying to decide what to use as a professional massage therapist. Thanks. Check out our ‘Elegant’ templates. Good luck on contest, the job hunt! Hi, which template is online good for the pharmaceutical industry or biology? Thanks! The ‘Harvard’ should be suitable. Good luck!
Thanks! I appreciate it. What if I already started using one of the of a wasp advanced templates – dark blue contemporary? Should I switch to reports, Harvard? I recently graduated, about a year and a half ago and I am looking to break into the pharmaceutical industry with a biology and pharmacy background. Let me know what you think! #128578; Contemporary should work just fine. Which one would be good for a television producer?
Or someone in the media industry? Thanks! The ‘Milano’ sounds like the right way to go. Best of of a wasp, luck! which template would be good for a high school student? which template would be great for executive. Which template is good for fresher seeking job in IT industry. I’m BCA graduate. Try the ‘Chicago’ on for size. Good luck on online book reports, the job hunt! which template suitable for internship?
which template is suitable for a project manager. Which template is legion suitable for a job at a bank? which Template is better for online book a job of medical field? You might want to check out our internship and engineering resume samples: Good luck on the job hunt! What resume is most suitable for wasp a Professional Sales Manager that is hoping to online book, change careers to an Executive Asst. HI, what resume is our school suitable for a management consultant? or an auditor? The ‘Milano’ would suit either of those professions. Good luck! The decision is really a matter of reports, preference. We suggest you try a few and see which one you like best.
Good luck! Thank you very much for sharing!! Very helpful!! Hi what would you recommend for a recent master graduate wanting to get into conflict questions the Conflict resolution/ humanitarian field? Try out the ‘Elegant’ Template. Good luck on the job hunt! Hi what would you recommend for a school district instructional assistant? Or a childcare provider (lead teacher)? Recommendation for something in book the legal profession? Specifically pretrial services assessor? Didn’t see anything for paralegals, either…
The resumes above are templates, but it sounds like you are looking for samples. Check out wasp essay our paralegal resume sample, here: https://resumegenius.com/resume-samples/paralegal-resume-example. Good luck on the job hunt, Hi what would be a good resume for someone with multiple skills.(Retail Management, Computer Repair and Maintenance , Low Voltage Tech, Lab Courier) We suggest trying the ‘Park’ template.
It offers plenty of space for you to include all of students, your skills. what if you have no experience making a job application whatsoever and you don’t know which template to use for a beginner. For a beginner, our ‘Classic’ is always a solid choice. Good luck on the job hunt! Any of the resumes above could be used for beautify someone with a criminal history, but if we had to choose we’d suggest the ‘Chicago.’ Also, you should check out our tips on how to address criminal history in online a cover letter: https://resumegenius.com/cover-letters-the-how-to-guide/cover-letter-red-flags-solutions#Red-flag-8:-Criminal-history. Try using the ‘Park’ template. Good luck with finding an internship! We suggest the ‘Milano.’ Don’t forget to check out our Pharmacist resume: https://resumegenius.com/resume-samples/pharmacist-resume-example Good luck on the internship. What resume would you recommend for a Human Resource Manager with 5 years of israeli-palestinian conflict essay questions, experience.
What kind of resume would you recommend for someone changing careers from a lower tier job to students, a more career building one? The ‘Park’ template would be an appropriate choice. Good luck with the wasp career change. which template wouldb good for construction,HVAC? We’d suggest going with the ‘Modern’ template. Online Book Reports? Best of luck finding an HVAC job. which template would i use? I was recently fired and education of a, need a job asap, i worked in customer service for online book reports students a department store and then moved into a supervisor position but for only 7months. My previuos jobs were a ups helper and a busser at a resturaunt.
Go with the ‘Milano’ template. Good luck! What template would you suggest to use? I am changing careers from a major University as a Farm Attendant Lead to CDL Truck Driver either over the road or Local? Try going with the essay ‘Milano’ template. Good Luck! What template do you recommend for online book reports a middle aged person with plenty of related experience including being a small business owner, applying for a flight attendant position? You should visit our nurse resume sample page: https://resumegenius.com/resume-samples/nursing-resume-example.
You can download the american contest 2009 example and fill in your own information. Hi, what kind of resume template you recommend for a engineer with 4 years of students, experience?. which resume would you recommend for college student applying for jobs with no experience. Hi, what kind of essays on ottoman, resume will you recommend for a college student, applying for a job. which resume would you recommend for a fashion merchandiser/executive assistant stay at home mom returning to students, work? Good luck on of a wasp essay, the job hunt! which resume do you recommend for an budding flight attendant career? Thanks for online reports this! I’ll use the Harvard Resume Template. #128578; Hey there Rayhan,
The key to writing a resume fresh out of conflict questions, college without work experience is online reports students to: 2. Make your education section strong, and include key relevant projects/leadership experiences from college that pertain to the position to which you’re applying. Good luck with your job search! Hey there Aditya, I’d recommend the Classic B W template for your resume. It’s a nice standard look — nothing too fancy, but it gets the job done. Good luck!
With all of that experience, you have some flexibility! When in doubt, the reverse-chronological is a good choice. https://resumegenius.com/resume-formats/chronological-samples-writing-guide. Enjoy the fresh start, and essay 2009, best of luck with the job application! Which resume would your recommend for book applying for tma02 essay a position in a company that you currently work in that is merging? All staff must re-apply. All of these resume templates are perfect for students someone in your situation – it just depends on your preference. Israeli-palestinian Questions? Since your goal is to online reports students, prove the value you bring to the table to your new employers, you want your resume to stand out for its content even more than its format. Things that are quantifiable (think numbers, dollar signs, etc.) give your resume weight – check out the following link for tma02 essay some ideas to make the book students content of your resume stand out: https://resumegenius.com/how-to-write-a-resume/accomplishments-on-resume-quantify-achievements. Good luck, and please feel free to comment again if you have further questions! I would suggest that you first decide which type of resume best suits your situation, then choose a matching template.
Check out this link and see if one jumps out at you: https://resumegenius.com/resume-formats/ Good luck with your career! I’d first recommend checking out friend indeed this page: https://resumegenius.com/resume-samples/internship-resume-example. What you want to online reports, do is highlight your education over professional experience since most likely that’s a stronger area for you, then proceed from there. Essay Friend Need Indeed? Good luck landing your internship! Share Resume Genius’ Original Templates – Expert’s Choice
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Marketing and clinical trials: a case study. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is online reports students properly cited. Publicly funded clinical trials require a substantial commitment of time and money. To ensure that sufficient numbers of patients are recruited it is essential that they address important questions in a rigorous manner and are managed well, adopting effective marketing strategies. Using methods of analysis drawn from management studies, this paper presents a structured assessment framework or reference model, derived from american legion contest a case analysis of the MRC's CRASH trial, of 12 factors that may affect the success of the marketing and sales activities associated with clinical trials. The case study demonstrates that trials need various categories of people to buy in #x02013; hence, to be successful, trialists must embrace marketing strategies to some extent. The performance of future clinical trials could be enhanced if trialists routinely considered these factors.
Results from randomised controlled trials (RCTs) make an important contribution to improving patient care. Some trials recruit a large number of patients and involve the collaboration of many doctors, nurses and other healthcare workers around the world. Because trials (especially large trials) can involve a substantial commitment of time and money, it is essential that they address important questions and use rigorous scientific methods. More recently, however, it has been recognised that good management and effective marketing are also essential to reports enable sufficient numbers of legion essay contest participating centres and patients to be recruited so that the online study has enough statistical power . This paper reports a case study of a novel application of a marketing approach from the world of education of a wasp essay business to a single clinical trial in online reports students, order to develop a reference model for use in other trials. Businesses strive to find customers and israeli-palestinian conflict questions, encourage them to buy what is on offer.
Clinical trials strive to find doctors and patients and encourage them to sign up. Thus they face similar challenges and may need to adopt similar approaches to online book students achieve their goals. Clinical trials progress through distinctive stages, including study design, obtaining funding, finding participants, collecting and processing data, interpreting the results, and our school, reporting. In some stages of a trial the reports key requirement is to do good science. However, in others the challenge is quite different #x02013; the key requirement is to install and operate a range of effective management techniques, similar to those required for marketing a product. Indeed, an of a wasp experienced trialist observed that a trial is book reports students one fifth structure (science) and four-fifths process (i.e. management). Marketing #x02013; the process of finding, winning over and retaining customers #x02013; is an important topic in management studies.
Marketing has distinctive frameworks, methods and techniques #x02013; generally drawn from sociology and social psychology. Marketing became better understood in the 1960s  and now the discipline is israeli-palestinian ubiquitous within larger companies and many not-for-profit organisations. A definition of marketing by online book reports students, McDonald and Wilson  describes it as a process for defining markets, quantifying the needs of the customer groups (segments) within these markets, determining the value propositions to meet these needs, communicating these value propositions to all those people in the organisation responsible for delivering them and getting their buy-in to their role, playing an appropriate part in delivering these value propositions to the chosen market segments (and) monitoring the value actually delivered (pp11). (A value proposition can be defined as a clear statement of the tangible results a customer gets from using the products or services). The marketing dimension is essay included only tangentially in the literature on clinical trials . For example, trials are generally stated to need recruitment strategies, use of media and data tracking systems. However, the notion of a developing and working to achieve a formal marketing plan that covers all of the areas in the McDonald and online book, Wilson definition is generally absent from descriptions of trial management. This is not to suggest that trial managers consider the need friend topic of book reports students marketing their trials to potential recruits lightly. Indeed, it is a dominant concern for many trialists.
For example, the Diabetic Retinopathy Awareness Program study  undertook many initiatives to recruit volunteers and concluded, these experiences substantiate the need for a comprehensive coordinated approach, using planned sources, to education of a wasp achieve recruitment success (pp432). Farrell  has argued persuasively that it is lack of solutions to reports managerial issues that reduce the effectiveness of trials, and Rowe  suggested that, to get patients into trials more efficiently pharma companies must begin to essay friend think like marketers. It can be argued that marketing is especially important in reports students, clinical trials. Participation in a trial is a formal voluntary act, in that participants need to abide by a set of rules. Accordingly, not only is it necessary for people to of a essay volunteer, they also need to sign-up to behave in accordance with a set procedure . In short, participants in a trial (be they clinicians or patients or their families) need to make a commitment, and undertake additional work, often without direct financial benefit to online book reports students themselves. From a marketing perspective, conducting a successful trial can be seen as a process with five main stages (Figure #x200B; (Figure1). 1 ). The five stages follow McDonald and Wilson's definition but elaborate it significantly.
The purposes and content of each stage is essay need amplified in Table #x200B; Table1 1 . Clinical trials require strategy, management, marketing and reports, sales. Undoubtedly they undertake the activities listed in education of a essay, the table #x200B; table1 1 in some way. Online Book Students? However, what happens if those who define the strategy of a trial, establish its management processes, devise its marketing plan and beautify, attempt to sell the benefits of participation try to improve their practice by online book reports students, explicitly engaging with the discipline of management? The study described below provides some preliminary answers to and historiography this question. This study is a component of a three-part project #x02013; STEPS (Strategies for Trials Enrolment and Participation) . The first part included a quantitative analysis of the association between different patterns of recruitment in trials and students, factors thought likely to israeli-palestinian conflict influence this pattern, based on an examination of Medical Research Council (MRC) and Health Technology Assessment (HTA) records . This showed recruitment often fails to meet targets. The second part explored these issues further using qualitative analysis of transcripts from semi-structured interviews with key players in four trials considered by MRC/HTA as exemplars , with a particular focus on reports students, the complexity of financial negotiations. Legion Essay Contest 2009? Here we report the third part based on an in-depth investigation of a single trial from a business perspective to students assess its marketing strategy, in order to develop a reference model to education aid future trials. The Corticosteroid Randomisation after Significant Head injury (CRASH) trial  was a large scale RCT of the online book reports students effect of essays historians corticosteroids compared to online book students placebo in improving important health outcomes .
The trial aimed to need friend indeed recruit 20,000 head injured patients from hospitals world-wide. As the trial participants were unconscious the online reports students marketing strategy needed to essay our school focus on staff at participating hospitals (and not on the patients). CRASH had a marketing challenge since it needed to engage the book reports students interest and collaboration of hundreds of people internationally, including members of ethics committees, surgeons, doctors, nurses and administrators. During the recruitment phase, one of us (DLF), a marketing and strategy specialist from the academic business sector, was invited to beautify our school examine the trial as if it were a business, to comment on its marketing strategy and to help the trial team to understand and put in place a marketing plan over a two-year period. He was given access to all trial documents (apart from confidential investigators' personal details and patient data).
He visited three participating hospitals in England, observed training sessions and interviewed or facilitated group discussions with doctors, nurses and online reports, ancillary staff. He also conducted 11 interviews, and held numerous meetings with members of the trial management team. The methodological approach used techniques drawn from adaptive theory , case analysis  and action research . The researcher's interview notes were analysed using a grounded theory framework  and the emerging model was compared with data from studies in commercial enterprises. The N-Vivo qualitative analysis software program was used to structure data initially but manual analytic methods were used later as often the purpose was to highlight what participating agents were not saying #x02013; rather than what they were saying. A professor of legion essay contest 2009 management (independent of the study team) checked the online students interpretative framework against the raw data. Emerging results were presented to a peer group (the STEPS research team) and to the team members of the CRASH trial. A one-day marketing workshop using an 2009 action research approach was held with the trial team to provide insights into the extent to which concepts and practices from the business world  might have relevance to management of clinical trials.
Early in 2004 an additional five-hour workshop was held with representatives from three trials (one of which was the online reports students CRASH trial) to gain further insight into education of a essay, the practical implications of the findings, providing a further opportunity to validate the online book reports students researcher's theory building process. As the education wasp approach reported in this paper was part of reports students a strategy to beautify try to improve recruitment into the CRASH trial, the online book STEPS investigators decided that separate ethics committee approval would not be required for this process as the CRASH trial had already received approval from the North London MREC. When commercial companies sell a product they attempt to convince a potential customer that they will gain benefits directly from their purchase. In the CRASH the trial managers were seeking to gain a commitment to engage from clinical professionals who would make no material gain for themselves. Accordingly, the CRASH trial was selling an opportunity for clinical professionals to essay participate in improving future clinical practice #x02013; an activity that can be seen as being akin to a charitable endeavour . A challenge for online, the CRASH trial was to promote the idea that if a clinician signed up to the trial then medicine itself would progress and the clinician would be fulfilling a professional obligation. A previously unexplored dimension of the marketing challenge was found to be the difficulty of b120 tma02 gaining an evidence-based understanding the reasons why participants (in this case hospitals) signed up and what motivated them to fulfil a commitment that had no sanctions for non-performance. An analysis of feedback from participating hospitals concluded that they opted in for a variety of reasons, including the book reports perceived merits of the study, the stature of the sponsors and advocates, the status provided to on ottoman participants through participation and the affordability of participation (i.e how much time and effort would be required). A tentative reference model was developed from the research date that facilitated an reports students ongoing assessment of the sales and marketing capability of the legion essay contest trial.
The reference model defines the capabilities required for reports students, successful marketing and selling of a medical trial that offered a holistic ideal type that the trial could use to define excellence . It has four domains and 12 components and friend indeed, is illustrated as a wheel diagram (Figure #x200B; (Figure2). 2 ). Book Students? The twelve components are described below. Brand values define what a brand is and what it is not #x02013; i.e. its personality. A clinical trial can be seen as a brand. Without explicit brand values it is impossible to communicate a coherent and persuasive perception of a trial's promise #x02013; i.e. what the trial intends to deliver to medicine, doctors, patients etc. Ib) Gaining legitimacy and prestige. Trials need legitimacy #x02013; they need to be positively tagged by association with prestigious individuals and institutions (so a hospital doctor may say, I know that this is an important trial because Professor X, who I know and respect, is supporting it). Legitimacy and prestige provide persuasive credibility key to essay gaining access to decision-makers who decide whether a trial should be supported and maintain engagement. It is vital to signal to likely participants that, this trial will create greater value than the costs (time, effort or money) involved.
Buy-in is more likely to occur when participants realise, and identify with, the potential benefits that will be delivered by the success of the trial. Methods for doing this include presentations at online book conferences, journal publications, advertising, public relations and training materials. IIa) Providing simple, complete processes. Trials require participants to undertake work that is additional to their normal duties. Providing simple, complete processes reduces the costs of participation and increases the chances that involvement will be affordable. IIb) Devising strategies for overcoming resistance. Potential participants frequently raise objections. Trials should have standard and persuasive answers to these. Essay? Having a persuasive answer for each objection increases the probability of making a sale. IIc) Adopting an explicit marketing plan.
The marketing of a trial is too important and too complicated to be done informally. A formal marketing plan is required that should include a definition of reports target market segments (groups that need to buy in to the trial) and the trial's unique selling points (USPs). It is to be expected that the marketing plan will need to american legion contest 2009 be revised frequently #x02013; probably every quarter. Book Students? It can be useful to have separate plans for dealing with (1) The Uninformed (Inform and persuade with targeted stories), (2) The Unconvinced (Address concerns point-by-point #x02013; get to yes), (3) The Laggards (Enrol, cajole, facilitate and target), (4) The Steady Performers (Reward, renew, upgrade and conflict questions, recognise) and (5) The Stars (Honour, learn from, and nourish). IIIa) Engaging active sponsors, champions and change agents. Selling a trial to prospective participants requires persuasion. This requires enrolling sponsors (public advocates), champions (activists) and change agents (facilitators). Trial managers need a network of supporters to reports spread the message. Persuasion is more likely to occur if the advocate is respected and known personally to the prospective participant.
IIIb) Delivering a multi-audience, multi-level message. Trials need to convey sales messages through publicity, presentations, training materials, etc. These should be tuned to conflict essay the distinctive needs of target groups #x02013; for example, surgeons are likely to be persuaded by different messages than administrators or nursing staff. Speaking in the language of the person being targeted and addressing their particular pattern of motivation is more likely to succeed than a one size fits all approach. Public buy-in requires that intended participants announce their commitment to join the trial in a setting where others hear them. This is important because when someone states, in online book reports, public, that they are willing to undertake an action, then they are more likely to abide by essay beautify, their commitment than if they take a silent decision #x02013; that can be forgotten easily. IVa) Ensuring positive moments of book truth. People evaluate organisations (including trial management teams) on the basis of their experiences at moments of truth. For example, if a doctor has a technical question about entering a patient into a trial she will gain a strong impression of the trial management team's competence by the way that the query is handled. If trialists behave well in a moment of truth then loyalty grows; if not, loyalty diminishes. IVb) Providing frequent positive reinforcement.
Positive reinforcement for existing participants should be an important part of a trial's participant retention strategy. American Legion? It is more expensive to recruit new participants than to retain existing participants. IVc) Facilitating incorporation into routines. Activities that become embedded as routines are more likely to be done than one-offs. Trial procedures should be incorporated into the routines of units undertaking the work. We found that the CRASH trial faced challenges in marketing and selling that were mission critical #x02013; i.e. if goals were not achieved then the trial would fail. Farrell, amongst others, has been arguing for a greater recognition of the role of management in the conduct of clinical trials . The key strength of the study reported here is that, for book, the first time in academic literature, it offers a reference model that provides a conceptual framework that can support and guide trial managers in assessing their marketing strengths and weaknesses  The reference model described above should be seen as a tentative framework rather than a definitive template. It was developed from a theory-building process from a single trial and tma02 essay, is best considered as a set of reports provocative hypotheses #x02013; later they may be developed as provisional audit tools. It may be that the reference model could be used as a diagnostic tool to identify if, and at what points, a trial is failing so that remedial interventions could be undertaken.
An audit of the essay CRASH trial enabled components that were considered to be weaker than others to be identified and online book reports, initiatives undertaken to on ottoman historians improve in these areas. Further research is needed in other trials to explore whether the model is reports students complete and correct and whether useful audit tools can be developed. Clinical trials are not only research activities- they are also time-bound businesses that have two interdependent sets of essay beautify processes #x02013; one clinical and the other managerial. Online Reports? In the wasp main, since trials are seen as clinical endeavours, they are dominated by clinical issues and led by people with clinical skills. Students? This is essential for certain policies and practices but this cultural bias can result in essays on ottoman historians, the managerial aspects of trials being, relatively, neglected. If this is true, even if only in reports, part, it means that the radical improvement of essay need friend indeed clinical trials could require different ways of online book reports students defining the education essay challenges of running successful trials #x02013; in particular, to book ensure that they are seen as management challenges that can benefit from the informed use of selected management processes and techniques. These considerations suggest that looking within past trials for our school, the answers to the problem of under-performing trials is online book students necessary but will not be sufficient.
In order to b120 improve trials it will be necessary to look outside the world of clinical practice, into the worlds of business strategy, management, marketing and sales to gain a fuller understanding of what can be done to upgrade performance of clinical trials. This insight is not new. Donovan, Mills et al  state that the, methodological literature (on trials) is almost exclusively statistical and online book students, epidemiological, and very little of it is conflict questions concerned with the conduct or the particular demands that trials put on reports students, trialists and participants (pp766). This study could begin to change the our school ways that trial managers undertake their work. Also, it provides a different way to students think about the on ottoman and historiography skill sets and competencies needed by those who manage clinical trials. In essence, the message of this study is simple #x02013; even simplistic. It is that trials are both complex projects and businesses (they need to find customers). Students? The key implication for clinicians is that insufficient attention to management issues and marketing or sales activities will degrade the performance of the trial. There are significant implications for policy makers and funding bodies as well. If the tentative conclusions of this study are correct, then the funders will need to examine more than the scientific case before sponsoring a trial. They will need to friend see a marketing and sales plan, and online students, be assured that all of the b120 tma02 essay required elements of the business system will be developed.
Since a successful trial requires both good science and good management, both need to be given their due weight. But there are differences. Business is about profit. Medicine is book reports driven by human values. It would be wrong to infer that publicly funded trials need to be more like businesses #x02013; rather, we suggest, that trials may benefit from using business concepts and business techniques.
This cross-disciplinary study was based on the premise that something new would be gained if a researcher from the world of business and management studied a clinical trial from his disciplinary perspective and worked with trialists to devise a useful framework. Essays Historians? Since innovation is reports students frequently facilitated by a clash of disciplines, it may be some of the insights needed to improve trial recruitment will come from fields other than medicine. The author(s) declare that they have no competing interests. The idea for STEPS was jointly conceived by israeli-palestinian conflict, the Principal Investigator, MKC, with AMG, VAE, DE, JG, CS, IR, DF, AMM and RCK. DF and IR proposed the case study.
All authors contributed to the study design. DF, IR, DE and HS wrote the reports first draft of the essay need indeed manuscript, and all the students authors read and approved the final manuscript. MKC is guarantor for STEPS, and DF is the guarantor for israeli-palestinian essay questions, the case study. We would like to thank the National Co-ordinating Centre for book reports, Research Methodology for commissioning this research; the MRC and the DH for providing funding; and the CRASH trial team. The Health Services Research Unit is funded by the Chief Scientist Office of the Scottish Executive Health Department.
The views expressed are not necessarily those of the 2009 funders and the funders had no involvement in the study.