Saudi Cultural Missions Theses & Dissertations
Permanent URI for this communityhttps://drepo.sdl.edu.sa/handle/20.500.14154/10
Browse
3 results
Search Results
Item Restricted Is there a Relationship between the Number of Consultations with a Clinician or Exercise Provider and Outcomes of Pain and Physical Function Following an Exercise Program for People with Knee Osteoarthritis?(Saudi Digital Library, 2025) Alhjjaji, Nouf; Lawford, Belinda1. Abstract 1.1 Background Knee osteoarthritis (OA) is a common disease that presents a significant health burden, causing chronic joint pain and physical function limitation. Given that there is no cure, exercise therapy is recommended as the first-line treatment by all current international clinical guidelines. 1.2 Objectives This systematic review aimed to investigate whether the number of consultations with a clinician or exercise provider is associated with changes in pain and physical function following an exercise intervention in individuals with knee OA. 1.3 Methods We conducted a systematic review with meta-regression and subgroup meta- analyses. A comprehensive literature search was performed using three electronic databases: the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, and Embase, from inception until 26 February 2025, with no language restrictions. We included randomised controlled trials (RCTs) comparing exercise interventions for knee OA to no treatment, usual care, attention control/placebo, or co- interventions. The primary outcomes were changes in self-reported pain and physical function. Meta-regression were used to evaluate associations between the number of consultations and outcome changes. Additionally, subgroup meta-analyses were conducted across eight consultation-frequency groups (0, 1–3, 4–6, 7–9, 10–15, 16– 20, 21–25, and 26+ sessions). Sensitivity analyses were conducted to address potential outliers and reduce heterogeneity. 1.4 Results A total of 145 RCTs involving 12,633 participants were included. The number of consultations across studies ranged from zero to over 26 sessions. Meta-regression analyses revealed no statistically significant association between the number of consultations and changes in pain (slope coefficient = −0.003 standardised mean difference [SMD], 95% CI: −0.008 to 0.002; p = 0.203) or physical function (slop coefficient = −0.003 SMD, 95% CI: −0.008 to 0.002; p = 0.250). Subgroup meta- analyses similarly found no meaningful differences in outcomes across the different consultation-frequency groups. Substantial between-study heterogeneity was observed, and evidence of publication bias was detected. Sensitivity analyses, which excluded outliers (20 trials for pain and 24 for function with SMD > ±2), did not alter the overall findings. 1.5 Conclusion There was no association between the number of consultations and changes in pain or function following an exercise program for people with knee osteoarthritis (OA). Given the overall poor quality of the included studies, as well as the heterogeneity among studies, the findings should be interpreted with caution.16 0Item Restricted Transparency in Supply Chains: Analysing Stakeholder Consultations and Evidence Under the Modern Slavery Act 2015(The University of Manchester, 2024) Algarni, Afnan; Sidiqqui, JavedThis dissertation critically examines stakeholder consultations on the Transparency in the Supply Chain provision of the Modern Slavery Act 2015, employing stakeholder theory to identify key themes and assess how the evidence supports stakeholders' positions. Through thematic analysis, the study reveals three main themes: the importance of transparency and reporting, the debate between voluntary and mandatory regulatory approaches, and the role of corporate responsibility in eradicating modern slavery. The findings highlight divergent perspectives, with corporate stakeholders favouring flexible reporting standards and academics and NGOs advocating for stricter measures. The analysis also underscores the use of empirical evidence, legislative models, and corporate practices in shaping stakeholder arguments. This research contributes to the literature by applying stakeholder theory to explore the consultative processes that influence the Transparency in Supply Chains provision and emphasizes the need for ongoing stakeholder engagement and further research to refine the Act and enhance its effectiveness in combating modern slavery.13 0Item Restricted Learning From Consulting In The Writing Center: The Skills And Professional Development Gained By Writing Center Consultants(2023-04) Alamri, Muhammad Thamer; Nickoson, LeeThe study aims to explore the skills former writing center consultants report developing as a result of their work as tutors. The study also investigates how their experiences in the writing centers have benefited them in what they are currently pursuing. The purpose of learning about former writing consultants is to help writing center directors understand their centers’ writing consultants experiences as well as the consultants’ reflections on their professional development as a result of their work in writing centers, the most essential practices for consultant training, the criteria of hiring new consultants, and how best prepare consultants to serve student writers.27 0