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\n@article{sonderskov_positive_2024,\n\ttitle = {Positive deviance: {An} innovative approach to sustainable welfare service design and development?},\n\tvolume = {3},\n\tshorttitle = {Positive deviance},\n\turl = {https://www.idunn.no/doi/full/10.18261/njwel.3.3.2},\n\tdoi = {10.18261/njwel.3.3.2},\n\tabstract = {This article explores how positive deviance (PD) can be an innovative approach in the design and development of new and more sustainable welfare services. The article positions the PD approach within service design, arguing for combining the two approaches. Empirically, the article builds on a large amount of process data, in addition to qualitative interviews, from an in-depth case study of a PD project called Youth Inclusion. PD was used as a facilitation method to enhance social innovation efforts to strengthen the inclusion of young people in education and/or the labour market. The findings show how the service ecosystem can be transformed when PD affords emotional and relational connections between different actors. These connections led to increased ownership and motivation at a local level towards innovation efforts. Profound changes in behaviour and attitudes were observed among local service providers and recipients. PD has an implicit focus on reflexivity that encourages the understanding of multiple perspectives and affords all involved actors to work collaboratively together to find solutions. PD adds to service design by targeting the attitudes and behaviour of individuals, allowing local knowledge transfer, thus improving communication within and between providers and recipients.Keywordspositive devianceservice designsocial innovationreflexivitypublic sector},\n\tnumber = {3},\n\turldate = {2024-12-09},\n\tjournal = {Nordic Journal of Wellbeing and Sustainable Welfare Development},\n\tauthor = {Sønderskov, Mette and Kirah, Anna},\n\tmonth = dec,\n\tyear = {2024},\n\tnote = {Publisher: Scandinavian University Press},\n\tkeywords = {positive deviance, public sector, reflexivity, service design, social innovation},\n\tpages = {133--148},\n}\n\n\n\n\n\n\n\n\n\n\n\n\n
@misc{ober_using_2024,\n\ttitle = {Using {Positive} {Deviance} to {Enhance} {HIV} {Care} {Retention} in {South} {Africa}: {Development} of a {Compassion}-{Focused} {Programme} to {Improve} the {Staff} and {Patient} {Experience}.},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=dbe25e75-85c4-3714-abd9-6267b58b8d46},\n\tabstract = {{\\textless}strong{\\textgreater}Background: {\\textless}/strong{\\textgreater}},\n\tauthor = {Ober, Allison and Skinner, Donald and Bogart, Laura and Busakwe, Leletu and Davids, Wadene and Mahomed, Hassan and Ling, Debbie and Zweigenthal, Virginia},\n\tyear = {2024},\n\tnote = {Published: \\$howpublished},\n}\n\n\n\n\n
@misc{kassie_use_2024,\n\ttitle = {The use of positive deviance approach to improve health service delivery and quality of care: a scoping review},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=41105d74-f72d-3a73-97eb-2082f37fdf12},\n\tabstract = {Abstract Background Quality has been a persistent challenge in the healthcare system, particularly in resource-limited settings. As a result, the utilization of innovative approaches is required to help countries in their efforts to enhance the quality of healthcare. The positive deviance (PD) approach is an innovative approach that can be utilized to improve healthcare quality. The approach assumes that solutions to problems are already available within the community and identifying and sharing those solutions can help others to resolve existing issues. Therefore, this scoping review aimed to synthesize the evidence regarding the use of the PD approach in healthcare system service delivery and quality improvement programs. Methods Articles were retrieved from six international databases. The last date for article search was June 02, 2023, and no date restriction was applied. All articles were assessed for inclusion through a title and/or abstract read. Then, articles that passed the},\n\tauthor = {Kassie, Ayelign Mengesha and Eakin, Elizabeth and Abate, Biruk Beletew and Endalamaw, Aklilu and Zewdie, Anteneh and Wolka, Eskinder and Assefa, Yibeltal},\n\tyear = {2024},\n\tnote = {Published: \\$howpublished},\n\tkeywords = {Health service delivery, Healthcare quality, Healthcare system, Positive deviance, Public aspects of medicine, RA1-1270},\n}\n\n\n\n\n
@article{ponte_success_2024,\n\ttitle = {Success in {Education} by {Defying} {Great} {Odds}: {A} {Positive} {Deviance} {Analysis} of {Educational} {Policies}},\n\tvolume = {14},\n\tissn = {1855-9719; 2232-2647},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=f70fca47-ddad-3bc5-8ba5-8dbb799f7cc5},\n\tabstract = {Education is seen as a resource at a global level but is currently considered to be in crisis in many parts of the world. This constitutes a significant drawback in terms of humanity's prosperity and well-being since education is the key not only to an educated workforce but also to humane, collaborative, and caring societies. Even within this dim landscape, there are certain educational systems that defy the odds and perform significantly higher than their otherwise comparable systems. This paper proposes using an unusual lens for educational policy comparative studies, that of positive deviance, to aid us in progressing towards a more stable educational state of affairs. Using a positive deviance methodology, which focuses on learning what is working well in systems that defy and overcome substantial challenges, this study investigates the patterns, attitudes, and actions of three selected cases: Massachusetts as a positive deviant in the US, Estonia as a positive deviant in Europe,},\n\tnumber = {2},\n\tjournal = {Center for Educational Policy Studies Journal},\n\tauthor = {Ponte, Eva},\n\tyear = {2024},\n\tkeywords = {Academic Achievement, Access to Education, Assessment Literacy, Comparative Analysis, Data, Educational Change, Educational Improvement, Educational Indicators, Educational Policy, Elementary School Students, Equal Education, Estonia, Foreign Countries, Grade 4, Grade 8, Justice, Massachusetts, Mathematics Education, Middle School Students, Preschool Education, Reading, Spain},\n\tpages = {107--129},\n}\n\n\n\n\n
@misc{batek_study_2024,\n\ttitle = {Study protocol: {Examining} sexual and reproductive health literacy in {Mexican} {American} young women using a positive deviance approach.},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=06ae7090-2dd1-319b-9481-93ba55acda19},\n\tabstract = {Health literacy is generally low in marginalized groups, leading to delays in accessing care, poor health outcomes, and health disparities. Yet, some individuals in these groups demonstrate higher health literacy and better health outcomes. These exceptional cases exemplify 'positive deviance' because they have found ways to be successful where others have not. Identifying the methods, practices, and resources that these individuals have used to gain health literacy and healthcare access may have generalized application to improve health literacy, access to care, and health outcomes. Using the Integrated Model of Health Literacy, the main objectives of this study are to (1) identify facilitators, barriers, and strategies to gain sexual and reproductive health literacy and healthcare access and (2) to explore each of the core domains of health literacy as they relate to successful access of sexual and reproductive healthcare services among individuals identified as positive deviants. F},\n\tauthor = {Batek, Lindsay M. and Leblanc, Natalie M. and Alio, Amina P. and McMahon, James M.},\n\tyear = {2024},\n\tnote = {Published: \\$howpublished},\n\tkeywords = {Medicine, Science},\n}\n\n\n\n\n
@misc{clark_positive_2024,\n\ttitle = {Positive {Deviance} {Theory}: {Leveraging} {Compliments} {Data} to {Guide} {Strategic} {Planning} for {Patient} {Experience} {Improvement} in a {Large} {Rural} {Health} {Care} {System}.},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=713e6dd6-aa92-3540-9d8f-a6c6a324346e},\n\tabstract = {{\\textless}strong{\\textgreater}Background: {\\textless}/strong{\\textgreater}},\n\tauthor = {Clark, Kolu S Baysah and Manohar, Nivethitha and Ahmad, Jabeen and Oliver, Brant J},\n\tyear = {2024},\n\tnote = {Published: \\$howpublished},\n\tkeywords = {Humans, Patient Satisfaction, Patient-Centered Care, Retrospective Studies, Rural Health Services organization \\&, administration},\n}\n\n\n\n\n
@misc{dewi_positive_2024,\n\ttitle = {Positive {Deviance} {Behavior} {Towards} {Stunting} {Prevention} in {Gunung} {Maddah} {Sampang} {Village}},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=ec6ca0fa-d8c9-304a-88f6-986c917161fd},\n\tabstract = {The high prevalence of stunting is a major nutritional problem that must be resolved because it is a threat to the future of Indonesian children. One of the efforts to prevent stunting needs to be done by searching for solutions that can be practiced by the general public by applying positive deviance to improve behavior in fulfilling nutritional content in pregnant women and children. The purpose of this research is to identify and study positive deviance behavior to prevent stunting. The research method used is the qualitative method. The research was conducted for 28 months (February 2020-June 2022) in Gunung Maddah Village, Sampang Regency, Madura Island, East Java, Indonesia. Data collection techniques included the results of Focus Group Discussions (FGDs), in-depth interviews, and observations obtained from 55 informants including mothers of toddlers, parents/parents-in-law, community members, cadres, and health workers. Data analysis techniques included content analysis consist},\n\tauthor = {Dewi, Septishiya Tri Charisma and Rachmayanti, Riris and Riswari, Aninditya Ardhana and Diana, Rian and Khomsan, Ali and Riyadi, Hadi},\n\tyear = {2024},\n\tnote = {Published: \\$howpublished},\n\tkeywords = {Public aspects of medicine, RA1-1270, behaviour, growth disorders, positive deviance, pregnant women, stunting},\n}\n\n\n\n\n
@article{yanchus_leadership_2024,\n\ttitle = {Leadership best practices for improving engagement and burnout in health facilities: {A} positive deviance approach from the {Veterans} {Health} {Administration}.},\n\tvolume = {null},\n\tissn = {2769-6863},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=b6ef46ce-16f4-39d6-a45d-373039198774},\n\tabstract = {In health care settings, employee engagement and burnout vary widely. Little is known, however, about how leadership actions may influence this variation. This study identified leadership behaviors that may increase employee engagement and decrease staff burnout in the Veterans Health Administration (VHA). Applying a positive deviance approach to examine organizational survey data across the entire administration, we first statistically identified VHA sites that, based on employee feedback, showed the greatest improvement in engagement or burnout from 2021 to 2022. We then interviewed these sites’ directors (},\n\tnumber = {null},\n\tjournal = {Psychology of Leaders and Leadership},\n\tauthor = {Yanchus, Nancy J. and Wisdom, Jennifer P. and Osatuke, Katerine},\n\tyear = {2024},\n\tkeywords = {Adulthood (18 yrs \\&, Antisocial Behavior, Best Practices, Burnout, Employee Engagement, Feedback, Female, Government Agencies, Leadership, Male, Middle Age (40-64 yrs), Military Veterans, Thirties (30-39 yrs), older)},\n\tpages = {null--null},\n}\n\n\n\n\n
@article{gizaw_effectiveness_2024,\n\ttitle = {Effectiveness of a positive deviance approach to improve appropriate feeding and nutritional status in {South} {West} {Region}, {Ethiopia}: {A} study protocol for a cluster randomized control trial.},\n\tvolume = {19},\n\tissn = {1932-6203},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=8bc77a93-d7a3-39f1-97c1-1c13caa59338},\n\tabstract = {Background: Non-optimal infant and young child feeding practices (IYCFP) are linked to malnutrition and infant mortality in poor countries, notably in Ethiopia. The majority of growth stalls occur within the first two years of life; hence, there is a need to discover interventions that enhance appropriate IYCFP for improving nutritional outcomes during this critical period. Using the experience of mothers who have come up with solutions to their IYCFP problems to educate others, is a potential pathway to initiate and sustain behavioral changes in resource-limited areas. However, such interventions are not widely implemented in Ethiopia. Objective: This study aims to assess the effectiveness of a positive deviance approach (PDA) to improve appropriate feeding and nutritional status in South West region, Ethiopia. Methods: A cluster randomized controlled trial will be conducted to compare the effect of positive deviant intervention versus routine health education. The intervention will},\n\tnumber = {1},\n\tjournal = {PLoS ONE},\n\tauthor = {Gizaw, Abraham Tamirat and Sopory, Pradeep and Sudhakar, Morankar N.},\n\tyear = {2024},\n\tkeywords = {CLUSTER randomized controlled trials, ETHIOPIA, NUTRITIONAL status, RESEARCH protocols, RESOURCE-limited settings},\n\tpages = {1--17},\n}\n\n\n\n\n
@article{nancy_effect_2024,\n\ttitle = {Effect of {Positive} {Deviance} {Approach} on {Promotion} of {Safe} {Disposal} of {Child}'s {Feces} in {Rural} {Tamil} {Nadu}: {A} {Community}-{Based} {Quasi}-{Experimental} {Study}.},\n\tvolume = {49},\n\tissn = {0970-0218},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=a3f46790-3fa7-39b6-b0e8-ed98c2516882},\n\tabstract = {Introduction: Safe disposal of feces is ensured when it is deposited into a toilet, whereas unsafe disposal of child's feces plays a crucial role in disease transmission and environmental pollution. These areas are overlooked by many sanitation promotion interventions. Objective: To determine the effect of positive deviance (PD) approach on safe disposal of child's feces among households who owned a toilet. Materials and Methods: A community-based quasi-experimental study was conducted in the four field practice villages of the Urban Health Training Center, Villupuram, for 18 months. Households who owned a toilet and had a child less than 5 years old were included. After IEC clearance, information was collected from a representative sample of 100 households before intervention and another 100 households after intervention. PD approach was applied for 6 months to promote safe disposal practices in the study villages. Data were analyzed using the Statistical Package for the Social Scien},\n\tnumber = {1},\n\tjournal = {Indian Journal of Community Medicine},\n\tauthor = {Nancy, S. and S., Gayathri and Rahman, K. Mujibur and Govindarajan, P. K.},\n\tyear = {2024},\n\tkeywords = {All Other Personal Services, BEHAVIOR, CHI-squared test, CLINICAL trials, COMMUNITY-based social services, DATA analysis software, DESCRIPTIVE statistics, Engineering, FECES, INDIA, Other Individual and Family Services, PRE-tests \\&, RESEARCH methodology, RESTROOMS, RURAL conditions, Research and Development in the Physical, SAFETY, SANITATION, and Life Sciences (except Biotechnology), post-tests},\n\tpages = {46--51},\n}\n\n\n\n\n
@article{chong_dual_2024,\n\ttitle = {Dual {Schooling} for {Low}-{Resource} {Families}: {An} {Exploratory} {Study} from a {Positive} {Deviance} {Perspective}},\n\tvolume = {46},\n\tissn = {1053-8151; 2154-3992},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=68e3bf84-6179-37f9-a8c8-a911e0b49722},\n\tabstract = {Parent education programs are important avenues through which parents of children with developmental delays can learn new skills to help them with child-rearing challenges. However, those in economic hardship often face problems with applying these skills at home where the child's learning and/or behavioral problems commonly occur. In this exploratory qualitative study, we adopted a positive deviance (PD) lens to explore strategies six economically disadvantaged parents used to support their children who were attending special and mainstream preschools concurrently. The PD perspective was first used in public health research with low-resource communities where a few individuals have been observed to adopt uncommon practices and behaviors that enable them to find better ways to prevent social or health problems than their neighbors facing similar constraints and risks. We identified adaptive parental behaviors, thoughts and feelings that helped them navigate daily hassles faced with},\n\tnumber = {3},\n\tjournal = {Journal of Early Intervention},\n\tauthor = {Chong, Wan Har and Tanuwira, Juliet and Nalawala, Nandita and Wong, Shi Ning},\n\tyear = {2024},\n\tkeywords = {Developmental Delays, Economically Disadvantaged, Foreign Countries, Parent Attitudes, Parent Education, Preschool Children, Regular and Special Education Relationship, Singapore, Social Behavior, Special Education, Students with Disabilities},\n\tpages = {375--390},\n}\n\n\n\n\n
@misc{tesema_determinants_2024,\n\ttitle = {Determinants of normal haemoglobin concentration among under-five children in {Sub}-{Saharan} {Africa}: a {Positive} deviance inquiry using cross-sectional study design},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=e4e5ea46-c515-3880-8cd7-8650935ddc96},\n\tabstract = {Background Low haemoglobin level in children is linked with short-term and long-term consequences including developmental delay. Globally, over half of the children under the age of five years had low haemoglobin concentration. However, there is limited research on the prevalence and determinants of normal haemoglobin concentration among under-five children in sub-Saharan Africa.Objective To assess determinants of normal haemoglobin concentration among under-five children in SSA.Design Cross-sectional study design using a positive deviance approachSetting 33 SSA countries.Participants 129 408 children aged 6–59 monthsPrimary and secondary outcome measures A multilevel Poisson regression model with robust variance was fitted to identify determinants of normal haemoglobin concentration. An adjusted prevalence ratio with a 95\\% CI was reported to declare the statistical significance.Result The pooled prevalence of normal haemoglobin concentration among under-five children in SSA was 34.9\\%},\n\tauthor = {Tesema, Getayeneh Antehunegn and Legesse, Bruck Tesfaye and Seifu, Beminate Lemma and Mare, Kusse Urmale and Tebeje, Tsion and Yehuala, Tirualem Zeleke and Wuneh, Abel Gebre and Tadese, Zinabu Bekele},\n\tyear = {2024},\n\tnote = {Published: \\$howpublished},\n\tkeywords = {Medicine},\n}\n\n\n\n\n
@article{atuhurra_how_2023,\n\ttitle = {How did local wisdom and practice make schools thrive during the pandemic? {Evidence} from a positive deviance study in rural {Uganda}},\n\tvolume = {25},\n\tissn = {2755-0303},\n\tshorttitle = {How did local wisdom and practice make schools thrive during the pandemic?},\n\turl = {https://www.emerald.com/insight/content/doi/10.1108/jice-01-2023-0004/full/html},\n\tdoi = {10.1108/JICE-01-2023-0004},\n\tabstract = {This research explores the impact of the locally grown strategies for learning support, as a positive deviance (PD) study, during the COVID-19 pandemic in rural Uganda.,The researchers employed a randomized control trial (RCT) as an original design whereby 50 schools received a full package of SMS and WhatsApp peer groups of head teachers, 50 schools received SMS only and another 50 served as a control group. As an analytical method, this study adopted a difference-in-difference (DID) model to analyze the impact of the radio talk shows promoted through SMS followed by discussion among WhatsApp peer groups. The data collected in June 2021 and February 2022 were used due to the COVID-19-related data limitation of the baseline survey collected in 2019.,The authors found that the local radio talk shows as a PD intervention had a humble impact on preventing pupils’ dropout during the school closures for two years in Uganda. However, the authors did not obtain a significant result on the impact of the PD intervention on pedagogical support or learning outcomes at the school level. The authors also found that the pupils have significantly dropped their level of proficiencies in literacy and numeracy during the pandemic.,The findings could be of value for the leaders, educators and policymakers to understand the most recent update of learning situation in Uganda and the potential impact of locally grown strategies for learning which does not require external inputs.},\n\tlanguage = {en},\n\tnumber = {2},\n\turldate = {2024-12-11},\n\tjournal = {Journal of International Cooperation in Education},\n\tauthor = {Atuhurra, Julius and Kim-Hines, Yoonjung and Nishimura, Mikiko},\n\tmonth = jul,\n\tyear = {2023},\n\tnote = {Publisher: Emerald Publishing Limited},\n\tpages = {171--187},\n}\n\n\n\n\n\n\n\n\n\n\n\n\n
@article{meharg_critical_2023,\n\ttitle = {Critical change agent characteristics and competencies for ensuring systemic climate adaptation interventions},\n\tvolume = {18},\n\tissn = {1862-4057},\n\turl = {https://doi.org/10.1007/s11625-022-01250-8},\n\tdoi = {10.1007/s11625-022-01250-8},\n\tabstract = {Rapidly changing global environmental contexts require thinking differently about climate adaptation projects to achieve faster positive systemic change. Adaptation theory and practice have begun to focus on change agents, people who can help catalyse this change, but it is poorly understood why some people are better able to influence positive systemic change or how climate adaptation projects cultivate and assist them in doing so. This paper synthesises insights on good practice for intervention design and implementation from a wide range of intervention literature domains, including health, education and international development. It identifies a distilled set of individual and collective change agent characteristics and competencies, grouped into five interconnecting themes: values, learning approaches, efficacy, roles and entrepreneurial tendencies. Nine core competencies are identified as important for enabling change, clustered into three themes: being good with people, learning or mastery skills, and adaptation competencies. The review also collates insights about how best to cultivate an agent’s capacity for catalysing change, with a particular focus on the potential for enabling climate adaptation through research for development. Initial insights suggest that capacity building needs to be more than developing new technical knowledge and skills; it should also focus on developing the necessary competencies for enabling change in intervention teams and potential change agents. These insights provide the basis for testing what combinations of change agent characteristics and competencies are most effective in different contexts, improving project and program design to cultivate change agents, and achieving systemic change.},\n\tlanguage = {en},\n\tnumber = {3},\n\turldate = {2024-12-10},\n\tjournal = {Sustainability Science},\n\tauthor = {Meharg, S.},\n\tmonth = may,\n\tyear = {2023},\n\tkeywords = {Adaptive capacity, Capacity building, Climate change, Knowledge brokers, Leadership, Research for development},\n\tpages = {1445--1457},\n}\n\n\n\n\n
@article{cunningham-myrie_who_2022,\n\ttitle = {Who moves in vulnerable {Caribbean} neighborhoods? {Positive} deviance for physical activity: {Findings} from the {Jamaica} health and {Lifestyle} {Survey} 2017 ({JHLS} {III})},\n\tvolume = {30},\n\tissn = {2211-3355},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=bb6a0a5c-d002-3b6f-84f1-6f9eef4197ff},\n\tnumber = {null},\n\tjournal = {Preventive Medicine Reports},\n\tauthor = {Cunningham-Myrie, C. and Theall, K.P. and Younger-Coleman, N. and Wiggan, J. and McFarlane, S. and Francis, D. and Bennett, N. and Tulloch-Reid, M. and Ferguson, T.S. and Davidson, T. and Govia, I. and Guthrie-Dixon, N. and Aiken, W. and Grant, A. and Webster-Kerr, K. and Wilks, R.},\n\tyear = {2022},\n\tpages = {null--null},\n}\n\n\n\n\n
@article{wilson_improving_2022,\n\ttitle = {Improving relations between police and {African} {American} neighborhoods: {A} positive deviance approach.},\n\tvolume = {12},\n\tissn = {2152-0828},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=1df9d8c0-22ff-3107-96fd-1945f00b6fd4},\n\tabstract = {Objective: Using a positive deviance approach, this study examines what positive deviant (i.e., exemplary) officers do to effectively manage racial incidents and tension, avoid excessive use of force, and improve relations between police and African American neighborhoods. Method: Positive deviant officers from two law enforcement agencies in the Midlands of South Carolina participated in in-depth qualitative interviews about their successful practices in African American neighborhoods (n = 11). Results: As compared to their White counterparts, officers of color reported more race-conscious and culturally sensitive police work in African American neighborhoods However, findings suggest that continued positive engagement and efforts to improve police relations, diffuse racial tensions, and mitigate incidents of excessive use of force in African American neighborhoods are critical for both White officers and officers of color. Conclusions: Although offering no panacea, officers in this},\n\tnumber = {4},\n\tjournal = {Psychology of Violence},\n\tauthor = {Wilson, Betty L. and Wolfer, Terry A.},\n\tyear = {2022},\n\tkeywords = {Adulthood (18 yrs \\&, Aged (65 yrs \\&, Black People, Communities, Cultural Sensitivity, Female, Male, Middle Age (40-64 yrs), Neighborhoods, Police Personnel, Police Violence, Thirties (30-39 yrs), older)},\n\tpages = {270--279},\n}\n\n\n\n\n
@article{chek_nutrition_2022,\n\ttitle = {A nutrition programme using positive deviance approach to reduce undernutrition among urban poor children under-five in {Malaysia}: {A} cluster randomised controlled trial protocol.},\n\tvolume = {17},\n\tissn = {1932-6203},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=fab3673d-c7ad-3989-9ccd-fc88674b73ab},\n\tabstract = {Background: Childhood undernutrition remains a public health issue that can lead to unfavourable effects in later life. These effects tend to be more devastating among urban poor young children, especially in light of the recent COVID-19 pandemic. There is an immediate need to introduce interventions to reduce childhood undernutrition. This paper described the study protocol of a nutrition programme that was developed based on the positive deviance approach and the evaluation of the effectiveness of the programme among urban poor children aged 3 to 5 years old. Methods: This mixed-method study will be conducted in two phases at low-cost flats in Kuala Lumpur. Phase one will involve a focus group discussion with semi-structured interviews to explore maternal feeding practices and the types of food fed to the children. Phase two will involve a two-armed cluster randomised controlled trial to evaluate the effectiveness of a programme developed based on the positive deviance approach. The},\n\tnumber = {10},\n\tjournal = {PLoS ONE},\n\tauthor = {Chek, Lok Poh and Gan, Wan Ying and Chin, Yit Siew and Sulaiman, Norhasmah},\n\tyear = {2022},\n\tkeywords = {CHILD nutrition, CITY dwellers, FOOD consumption, KUALA Lumpur (Malaysia), MALAYSIA, MALNUTRITION, NUTRITIONAL status, POOR children, URBAN poor, WEIGHT gain},\n\tpages = {1--15},\n}\n\n\n\n\n
@article{chek_nutrition_2022,\n\ttitle = {A nutrition programme using positive deviance approach to reduce undernutrition among urban poor children under-five in {Malaysia}: {A} cluster randomised controlled trial protocol.},\n\tvolume = {17},\n\tissn = {1932-6203},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=fab3673d-c7ad-3989-9ccd-fc88674b73ab},\n\tabstract = {Background: Childhood undernutrition remains a public health issue that can lead to unfavourable effects in later life. These effects tend to be more devastating among urban poor young children, especially in light of the recent COVID-19 pandemic. There is an immediate need to introduce interventions to reduce childhood undernutrition. This paper described the study protocol of a nutrition programme that was developed based on the positive deviance approach and the evaluation of the effectiveness of the programme among urban poor children aged 3 to 5 years old. Methods: This mixed-method study will be conducted in two phases at low-cost flats in Kuala Lumpur. Phase one will involve a focus group discussion with semi-structured interviews to explore maternal feeding practices and the types of food fed to the children. Phase two will involve a two-armed cluster randomised controlled trial to evaluate the effectiveness of a programme developed based on the positive deviance approach. The},\n\tnumber = {10},\n\tjournal = {PLoS ONE},\n\tauthor = {Chek, Lok Poh and Gan, Wan Ying and Chin, Yit Siew and Sulaiman, Norhasmah},\n\tyear = {2022},\n\tkeywords = {CHILD nutrition, CITY dwellers, FOOD consumption, KUALA Lumpur (Malaysia), MALAYSIA, MALNUTRITION, NUTRITIONAL status, POOR children, URBAN poor, WEIGHT gain},\n\tpages = {1--15},\n}\n\n\n\n\n
@article{wilson_improving_2022,\n\ttitle = {Improving relations between police and {African} {American} neighborhoods: {A} positive deviance approach.},\n\tvolume = {12},\n\tissn = {2152-0828},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=1df9d8c0-22ff-3107-96fd-1945f00b6fd4},\n\tabstract = {Objective: Using a positive deviance approach, this study examines what positive deviant (i.e., exemplary) officers do to effectively manage racial incidents and tension, avoid excessive use of force, and improve relations between police and African American neighborhoods. Method: Positive deviant officers from two law enforcement agencies in the Midlands of South Carolina participated in in-depth qualitative interviews about their successful practices in African American neighborhoods (n = 11). Results: As compared to their White counterparts, officers of color reported more race-conscious and culturally sensitive police work in African American neighborhoods However, findings suggest that continued positive engagement and efforts to improve police relations, diffuse racial tensions, and mitigate incidents of excessive use of force in African American neighborhoods are critical for both White officers and officers of color. Conclusions: Although offering no panacea, officers in this},\n\tnumber = {4},\n\tjournal = {Psychology of Violence},\n\tauthor = {Wilson, Betty L. and Wolfer, Terry A.},\n\tyear = {2022},\n\tkeywords = {Adulthood (18 yrs \\&, Aged (65 yrs \\&, Black People, Communities, Cultural Sensitivity, Female, Male, Middle Age (40-64 yrs), Neighborhoods, Police Personnel, Police Violence, Thirties (30-39 yrs), older)},\n\tpages = {270--279},\n}\n\n\n\n\n
@article{cunningham-myrie_who_2022,\n\ttitle = {Who moves in vulnerable {Caribbean} neighborhoods? {Positive} deviance for physical activity: {Findings} from the {Jamaica} health and {Lifestyle} {Survey} 2017 ({JHLS} {III})},\n\tvolume = {30},\n\tissn = {2211-3355},\n\turl = {https://research.ebsco.com/linkprocessor/plink?id=bb6a0a5c-d002-3b6f-84f1-6f9eef4197ff},\n\tnumber = {null},\n\tjournal = {Preventive Medicine Reports},\n\tauthor = {Cunningham-Myrie, C. and Theall, K.P. and Younger-Coleman, N. and Wiggan, J. and McFarlane, S. and Francis, D. and Bennett, N. and Tulloch-Reid, M. and Ferguson, T.S. and Davidson, T. and Govia, I. and Guthrie-Dixon, N. and Aiken, W. and Grant, A. and Webster-Kerr, K. and Wilks, R.},\n\tyear = {2022},\n\tpages = {null--null},\n}\n\n\n\n\n
@misc{abdullahi_hodan_2021,\n\ttitle = {Hodan {Abdullahi}, {Head} of {Exploration}, {UNDP} {Somalia} {Accelerator} {Lab}},\n\turl = {https://govinsider.asia/inclusive-gov/hodan-abdullahi-head-of-exploration-undp-somalia-accelerator-lab/},\n\tabstract = {Women in UNDP Special Report 2021},\n\tauthor = {Abdullahi, Hodan},\n\tmonth = mar,\n\tyear = {2021},\n\tkeywords = {Development, Management and Innovation},\n}\n\n\n\n\n
@article{tafese_application_2020,\n\ttitle = {Application of the positive deviance model for {Sustainable} reduction of open defecation ({OD}) practice in rural, {Ethiopia}},\n\turl = {https://www.researchgate.net/publication/350386315_Application_of_the_positive_deviance_model_for_Sustainable_reduction_of_open_defecation_OD_practice_in_rural_Ethiopia},\n\tabstract = {Background: In Ethiopia, open defecation is a wide spread practice and this practice facilitates the transmission of infections. The main purpose of this study is to test the application of the Positive deviance (PD) approach on solving open defecation practice of the community. The approach uses solutions that already exist in the community to bring about sustainable behavioral and social change.\n\nObjective: Primarily aimed to achieve better sanitation and Sustainable Open-Defecation Free (ODF) villages in DFSA targeted areas of Amahara and Oromia region. \n\nMethod: This study used Positive Deviance (PD) approach to understand and describe its application as a strategy to increases sustainable ODF villages in DFSA targeted areas of Amhara and Oromia regions. It used the three steps of the positive deviance methodology and utilized a purposive sampling method in selecting key informants, position and significance of individuals in society and involvement in other past health programs. Field data were collected through semi-structured in-depth audio-taped interviews, and observations checklists. \n\nAnalysis: Descriptive statistics was compiled, analyzed and described in the form of frequency tables and graphs and the qualitative data was analyzed by MAXQDA software to analyze transcribed text data.\n\nResult: Altogether 220 households for the direct observation, 7 FGD and 12 KII were included in the study. The information collected were environmental and home sanitation using observation checklist. In areas with high prevalence of OD most of the households have latrine but almost all study participants do not dare to declare their practice to defecate in the open fields despite having access to their own latrine. Most of the PD and non PD households reported that there is age and gender difference on open defecation practice and reported that male adult individuals and under five children observed to defecate out of toilet. Negligence and ignorance remain the main factors associated with OD as reported by most study participants. Using PD model and emphasizing the community engagement to solve their problem by themselves was recommended},\n\tjournal = {International Journal of Advance Research in Community Health Nursing},\n\tauthor = {Tafese, Zelalem and Anato, Anchamo},\n\tmonth = dec,\n\tyear = {2020},\n\tkeywords = {Environment, Public/Global Health},\n}\n\n\n\n\n
@article{gesser-edelsburg_using_2020,\n\ttitle = {Using {Narrative} {Evidence} to {Convey} {Health} {Information} on {Social} {Media}: {The} {Case} of {COVID}-19},\n\turl = {https://s3.ca-central-1.amazonaws.com/assets.jmir.org/assets/preprints/preprint-24948-accepted.pdf},\n\tabstract = {During disease outbreaks or pandemics, policymakers must convey information to the public for informative purposes (e.g., morbidity or mortality rates). They must also motivate the public to cooperate with the guidelines, specifically by changing its usual behavior. Policymakers have traditionally adopted a didactic and formalistic stance by conveying dry and statistics-based health information to the public. They have not yet considered the alternative of providing health information in the form of narrative evidence, using stories that address both cognitive and emotional aspects. The aim of this viewpoint paper is to introduce policymakers to the advantages of using narrative evidence during a disease outbreak or pandemic such as COVID-19. Throughout human history, authorities have tended to employ apocalyptic narratives during disease outbreaks or pandemics. This viewpoint paper proposes an alternative coping narrative that includes the following components: segmentation, barrier reduction, role models, empathy and support, strengthening self/community-efficacy and coping tools, preventing stigmatization of at-risk populations, and communicating uncertainty.\nThis viewpoint paper also discusses five conditions for using narrative evidence to produce an effective communication campaign on social media: 1) identifying narratives that reveal the needs, personal experiences and questions of different subgroups in order to tailor messaging to produce targeted behavioral change; 2) providing separate and distinct treatment of each information unit or theory that arises on social networks; 3) identifying positive deviants who found creative solutions for stress during the COVID-19 crisis not found by other members of the community; 4) creating different stories of coping; and 5) maintaining a dialogue with population subgroups (e.g., skeptical and hesitant groups). The paper concludes by proposing criteria for evaluating a narrative’s effectiveness.},\n\tjournal = {Journal of Medical Internet Research},\n\tauthor = {Gesser-Edelsburg, Anat},\n\tmonth = oct,\n\tyear = {2020},\n\tkeywords = {Education, Health Care, Management and Innovation, Public/Global Health},\n}\n\n\n\n\n
@article{breathett_when_2020,\n\ttitle = {When the {At}-{Risk} {Do} {Not} {Develop} {Heart} {Failure}: {Understanding} {Positive} {Deviance} {Among} {Postmenopausal} {African} {American} and {Hispanic} {Women}},\n\turl = {https://www.onlinejcf.com/article/S1071-9164(20)31515-3/fulltext},\n\tabstract = {Background: African American and Hispanic postmenopausal women have the highest risk for heart failure compared with other races, but heart failure prevalence is lower than expected in some national cohorts. It is unknown whether psychosocial factors are associated with lower risk of incident heart failure hospitalization among high-risk postmenopausal minority women.\n\nMethods and results: Using the Women's Health Initiative Study, African American and US Hispanic women were classified as high-risk for incident heart failure hospitalization with 1 or more traditional heart failure risk factors and the highest tertile heart failure genetic risk scores. Positive psychosocial factors (optimism, social support, religion) and negative psychosocial factors (living alone, social strain, depressive symptoms) were measured using validated survey instruments at baseline. Adjusted subdistribution hazard ratios of developing heart failure hospitalization were determined with death as a competing risk. Positive deviance indicated not developing incident heart failure hospitalization with 1 or more risk factors and the highest tertile for genetic risk. Among 7986 African American women (mean follow-up of 16 years), 27.0\\% demonstrated positive deviance. Among high-risk African American women, optimism was associated with modestly reduced risk of heart failure hospitalization (subdistribution hazard ratio 0.94, 95\\% confidence interval 0.91-0.99), and social strain was associated with modestly increased risk of heart failure hospitalization (subdistribution hazard ratio 1.07, 95\\% confidence interval 1.02-1.12) in the initial models; however, no psychosocial factors were associated with heart failure hospitalization in fully adjusted analyses. Among 3341 Hispanic women, 25.1\\% demonstrated positive deviance. Among high-risk Hispanic women, living alone was associated with increased risk of heart failure hospitalization (subdistribution hazard ratio 1.97, 95\\% confidence interval 1.06-3.63) in unadjusted analyses; however, no psychosocial factors were associated with heart failure hospitalization in fully adjusted analyses.\n\nConclusions: Among postmenopausal African American and Hispanic women, a significant proportion remained free from heart failure hospitalization despite having the highest genetic risk profile and 1 or more traditional risk factors. No observed psychosocial factors were associated with incident heart failure hospitalization in high-risk African Americans and Hispanics. Additional investigation is needed to understand protective factors among high-risk African American and Hispanic women.},\n\tjournal = {Journal of Cardiac Failure},\n\tauthor = {Breathett, Khadijah and {Lindsay Kohler} and Eaton, Charles and Franceschini, Nora and Garcia, Lorena and Klein, Liviu and Martin, Lisa and Ochs-Balcom, Heather and Shadyab, Aladdin and Cené, Crystal},\n\tmonth = nov,\n\tyear = {2020},\n\tkeywords = {Health Care, Public/Global Health},\n}\n\n\n\n\n
@article{alzunitan_positive_2020,\n\ttitle = {Positive deviance in infection prevention and control: {A} systematic literature review},\n\turl = {https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/positive-deviance-in-infection-prevention-and-control-a-systematic-literature-review/6359ADB7FF4EF5D7369062AD657BA47F},\n\tabstract = {Background: Healthcare-associated infections (HAIs) remain a major challenge. Various strategies have been tried to prevent or control HAIs. Positive deviance, a strategy that has been used in the last decade, is based on the observation that a few at-risk individuals follow uncommon, useful practices and that, consequently, they experience better outcomes than their peers who share similar risks. We performed a systematic literature review to measure the impact of positive deviance in controlling HAIs.\nMethods: A systematic search strategy was used to search PubMed, CINAHL, Scopus, and Embase through May 2020 for studies evaluating positive deviance as a single intervention or as part of an initiative to prevent or control healthcare-associated infections. The risk of bias was evaluated using the Downs and Black score.\nResults: Of 542 articles potentially eligible for review, 14 articles were included for further analysis. All studies were observational, quasi- experimental (before-and-after intervention) studies. Hand hygiene was the outcome in 8 studies (57\\%), and an improvement was observed in association with implementation of positive deviance as a single intervention in all of them. Overall HAI rates were measured in 5 studies (36\\%), and positive deviance was associated with an observed reduction in 4 (80\\%) of them. Methicillin-resistant Staphylococcus aureus infec- tions were evaluated in 5 studies (36\\%), and positive deviance containing bundles were successful in all of them.\nConclusions: Positive deviance may be an effective strategy to improve hand hygiene and control HAIs. Further studies are needed to confirm this effect.},\n\tjournal = {Infection Control \\& Hospital Epidemiology},\n\tauthor = {Alzunitan, Mohammad A. and Edmond, Michael B. and Alsuhaibani, Mohammed and Samuelson, Riley and Schweizer, Marin L. and Marra, Alexandre R.},\n\tyear = {2020},\n\tkeywords = {Health Care, Public/Global Health},\n}\n\n\n\n\n
@article{toorop_using_2020,\n\ttitle = {Using a positive deviance approach to inform farming systems redesign: {A} case study from {Bihar}, {India}},\n\tvolume = {185},\n\tshorttitle = {Using a positive deviance approach to inform farming systems redesign},\n\turl = {https://www.researchgate.net/publication/344251030_Using_a_positive_deviance_approach_to_inform_farming_systems_redesign_A_case_study_from_Bihar_India},\n\tdoi = {10.1016/j.agsy.2020.102942},\n\tabstract = {Improving farming systems in resource-poor contexts is often difficult as farmers face multiple challenges to implement the innovations developed by researchers. Viable solutions may however be present within local communities by positive deviant farmers, i.e. farmers that outperform positively compared to others. This study develops a positive deviance informed methodology to support redesign of farming systems, with the aim to improve farm productive, economic and environmental performances. We tested the methodology in Bihar, India, using survey data from 43 farms and the indicators of operating profit, soil organic matter balance, water use and dietary energy production. Positive deviant farms and practices were first identified and then recombined into a redesigned farm in consultation with farmers. The FarmDESIGN model was used to calculate current farm performance and to explore potential alternative farm configurations in the redesign. We found that outstanding performance on all indicators could only be reached by integrating high livestock density with an optimal combination of crop practices, which confirms the key role of interactions among components in mixed crop-livestock systems to improve all dimensions of farm sustainability. The redesigns outperformed all real farms on the indicators assessed. Farmers confirmed the viability of the redesigns in focus group discussions and their suggestions can serve as useful input for a next cycle of farm redesign. Since all suggestions are locally practiced and have proven to be accessible, affordable and recognizable , we conclude that our methodology based on positive deviant farms and practices yields promising results with a large potential to boost agricultural development for resource-scarce smallholder farmers.},\n\tjournal = {Agricultural Systems},\n\tauthor = {Toorop, Roos and Ceccarelli, Viviana and Bijarniya, Deepak and Jat, Mangi and Jat, Raj and Lopez-Ridaura, Santiago and Groot, Jeroen},\n\tmonth = sep,\n\tyear = {2020},\n\tkeywords = {Management and Innovation},\n}\n\n\n\n\n
@techreport{kosugi_positive_2020,\n\ttitle = {Positive deviance for dual-method promotion among women in {Uganda}: study protocol for a cluster randomized controlled trial},\n\turl = {https://www.dropbox.com/s/6x7vyjp6xqzlk0o/PD-Uganda2.pdf?dl=0},\n\tabstract = {Background: Dual-method use is known as the most reliable protection against unintended pregnancies and sexually transmitted infections, including HIV. However, it is not commonly used in sub-Sharan Africa, especially among women using highly effective contraceptives. This article describes a protocol to evaluate the effect of an intervention formulated under the positive deviance approach for promoting dual-method use in Uganda.\n\nMethods: A total of 150 women will be interviewed using a structured questionnaire to find those practicing dual- method use. In-depth interviews will then be conducted with all women using the dual method and 10 women using only highly effective contraceptives to identify their unique practice. Then, a cluster randomized controlled trial will be conducted to examine the effect of an intervention formulated under the positive deviance approach on dual-method uptake and adherence. Twenty health facilities will be randomized to an intervention or control arm and 480 women will be enrolled in each group. The participants will be followed up for 8 months.\n\nDiscussion: This trial focuses on women who already adapted dual-method use and identifies their unique solutions to promote dual-method use. This trial could tackle barriers for dual-method use, which expert outsiders may fail to recognize, by analyzing and promulgating their unique behaviors. This study could provide evidence that the positive deviance approach can address unintended pregnancies and sexually transmitted infections as well as other health problems which usual approaches have failed to address.\n\nTrial registration: UMIN-CTR Clinical Trial, UMIN000037065. Registered on 14 June 2019.\n\nKeywords: Positive deviance, Dual-method use, Contraception, Unintended pregnancy, Sexually transmitted\ninfection, HIV/AIDS},\n\tauthor = {Kosugi, Hodaka and Shibanuma, Akira and Kiriya, Junko and Ing Cherng Ong, Ken and Mucunguzi, Stephen and Muzoora, Conrad and Jimba, Masamine},\n\tyear = {2020},\n\tkeywords = {Health Care, Sexual/Reproductive Health},\n}\n\n\n\n\n
@article{kosugi_positive_2020,\n\ttitle = {Positive {Deviance} for {Dual}-{Method} {Promotion} among {Women} in {Uganda}: {A} {Qualitative} {Study}},\n\turl = {https://www.dropbox.com/s/6x7vyjp6xqzlk0o/PD-Uganda2.pdf?dl=0},\n\tabstract = {Dual-method use is the most reliable form of protection against unintended pregnancies and human immunodeficiency virus/sexually transmitted infections (HIV/STIs). Although dual-method use remains uncommon among women in stable relationships, some women do practice it. In this study, we explored the barriers that make dual-method use rare and the behaviors of women who practice dual-method use using a positive deviance framework in Uganda. We screened 150 women using highly effective contraceptives at five health facilities. We identified nine women who practiced dual-method use and 141 women who did not. In a qualitative study, we conducted in-depth interviews with all nine women practicing dual-method use and 10 women randomly selected out of the 141 who did not. We performed a thematic analysis using the positive deviance framework. Regardless of practicing dual-method use or not, women faced perceived barriers against dual-method use, such as partner’s objection, distrust, shyness about introducing condoms into marital relationships, and limited access to condoms. However, women practicing dual-method use had higher levels of risk perception about unintended pregnancies and HIV/STIs. They also engaged in unique behaviors, such as influencing their partners’ condom use by initiating discussions, educating their partners on sexual risks and condom use, and obtaining condoms by themselves. These findings will be useful in developing effective community-led and peer-based interventions promoting dual-method use to reduce the dual burden of unintended pregnancies and HIV/STIs among women in Uganda.},\n\tjournal = {International Journal of Environmental Research and Public Health},\n\tauthor = {Kosugi, Hodaka and Shibanuma, Akira and Kiriya, Junko and Ing Cherng Ong, Ken and Mucunguzi, Stephen and Muzoora, Conrad and Jimba, Masamine},\n\tmonth = jul,\n\tyear = {2020},\n\tkeywords = {Health Care, Sexual/Reproductive Health},\n}\n\n\n\n\n
@techreport{gunderson_flip_2020,\n\ttitle = {Flip to {Life}: {Stewards} as {Vital} {Deviants}},\n\turl = {https://www.dropbox.com/s/ctirf3elxdaf8jn/Flip%20to%20Life--Stewards%20as%20Vital%20Deviants%2010-26-2020.pdf?dl=0},\n\tlanguage = {English},\n\tauthor = {Gunderson, Gary and Singhal, Arvind and Cochrane, Jim and Cutts, Teresa and Milstein, Bobby and Saha, Somava},\n\tmonth = oct,\n\tyear = {2020},\n\tkeywords = {Health Care},\n}\n\n\n\n\n
@techreport{terre_des_hommes_programme_2020,\n\ttitle = {Programme {Protection} de {L}'{Enfance} ({Burkina} {Faso})},\n\turl = {https://www.dropbox.com/s/3m3whpq5g8u77t0/RAPPORT%202015%20.burkina%20Faso%20DP-DBF%20-%20for%20website.doc?dl=0},\n\tabstract = {Terre des Hommes Lausanne joined the government to put in place a project to fight violence against children in Burkina Faso through a 3 axes strategy involving positive deviance: Strengthening prevention, support to actions, and capabity building for key actors.},\n\tlanguage = {French},\n\tauthor = {Terre des Hommes},\n\tyear = {2020},\n\tkeywords = {Development, Management and Innovation},\n}\n\n\n\n\n
@article{singal_finding_2020,\n\ttitle = {Finding {Employment} for {Clients} with a {Mental} {Illness}},\n\turl = {https://onedrive.live.com/?authkey=%21ALv8%2D%5FAtgQJtB7A&cid=6CE302F759F95902&id=6CE302F759F95902%214112&parId=6CE302F759F95902%211191&o=OneUp},\n\tabstract = {In 2015, Oklahoma Departmentof Rehabilitation Services forged a formal 2-year partnership with The University of Texas at El Paso, and the first statewide positive deviance project in the U.S. got underway to help clients with mental illness find sustainable employment.},\n\tauthor = {Singal, Arvind and Perez, Lauren and Kosyluk, Kristin},\n\tyear = {2020},\n\tkeywords = {Development, Health Care, Psychology/Sociology},\n}\n\n\n\n\n
@article{singal_let_2020,\n\ttitle = {Let {Every} {Child} {Be} {Wanted}: {Positive} {Deviance} and {Prevention} of {Unwanted} {Pregnancy} in {India}},\n\turl = {https://onedrive.live.com/?authkey=%21AHrtSLCTPSLJJEk&cid=6CE302F759F95902&id=6CE302F759F95902%214113&parId=6CE302F759F95902%211191&o=OneUp},\n\tabstract = {Since independence in 1947, Indian women have shouldered the brunt of the responsibility for contraception. From 2012-2016, two large-scale positive deviance research inquiries were led in India to glean positive deviance insights on the effective adoption of low-prevalence contraception methods and rhythm methods.},\n\tauthor = {Singal, Arvind and Anand, Sarita},\n\tyear = {2020},\n\tkeywords = {Sexual/Reproductive Health},\n}\n\n\n\n\n
@article{levy_reducing_2020,\n\ttitle = {Reducing {Workplace} {Accidents}: “{Positive} {Deviant}” {Practices} of {Garbage} {Collectors} in {France}},\n\turl = {https://www.dropbox.com/s/hv0jxroc9k084uh/Finalized%20Levis%20%20PD%20and%20Accident%20reduction%209-4-2016%20-%203474%20words.pdf?dl=0},\n\tabstract = {When it comes to accident reduction and workplace safety, the\norganizational norm is to implement\ntop-down, expert-driven, technical solutions, often ignoring the cultural mechanisms that underlie risk-taking. The present case study discusses how the incorporation of positive deviance (PD)\nsensibilities allowed a garbage collection agency in a large city in France to develop better relations with its crews of sanitation workers, reducing accident rates in a\nhazardous profession.},\n\tauthor = {Levy, Greg},\n\tyear = {2020},\n\tkeywords = {Management and Innovation},\n}\n\n\n\n\n
@misc{boy_positive_2020,\n\ttype = {Medium},\n\ttitle = {Positive {Deviance}: {Positive} {Outliers} {Matter}},\n\turl = {https://medium.com/@dppd/positive-deviance-positive-outliers-matter-273ffb84608},\n\tabstract = {At the beginning of 2020, the UNDP Accelerator Labs Network kicked-off a set of exciting pilots with the GIZ Data Lab of the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) to explore the potential of Data Powered Positive Deviance (DPPD) for sustainable development.\nTogether with the UNDP Accelerator Labs and GIZ projects in Ecuador, Mexico, Niger, and Somalia/ Somaliland, we are using combinations of administrative data, satellite imagery, urban data, social media data, and mobility data to identify positive deviants in such diverse contexts as the borders of the Amazon forest, public spaces in Mexico City, and pastoralist villages in Somaliland. Our goal is to identify locally-developed and well-adapted solutions that can help broader communities overcome the development challenges they face.},\n\tlanguage = {English},\n\tjournal = {Data Powered Positive Deviance DPPD},\n\tauthor = {Boy, Jeremy and Gluecker, Andreas},\n\tmonth = sep,\n\tyear = {2020},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@misc{heeks_positive_2020,\n\ttype = {Medium},\n\ttitle = {Positive {Deviance}: {A} {Data}-{Powered} {Approach} to the {Covid}-19 {Response}},\n\turl = {https://medium.com/@dppd/positive-deviance-a-data-powered-approach-to-the-covid-19-response-aced5277099f},\n\tabstract = {Nations around the world are struggling with their response to the Covid-19 pandemic. In particular, they seek guidance on what works best in terms of preventive measures, treatments, and public health, economic and other policies. Can we use the novel approach of data-powered positive deviance to improve the guidance being offered?},\n\tlanguage = {English},\n\tjournal = {Data Powered Positive Deviance DPPD},\n\tauthor = {Heeks, Richard and Albanna, Basma},\n\tmonth = may,\n\tyear = {2020},\n\tkeywords = {Public/Global Health},\n}\n\n\n\n\n
@article{steele_earlier_2020,\n\ttitle = {Earlier {Outbreak} {Detection}—{A} {Generic} {Model} and {Novel} {Methodology} to {Guide} {Earlier} {Detection} {Supported} by {Data} {From} {Low}- and {Mid}-{Income} {Countries}},\n\turl = {https://www.researchgate.net/publication/344275593_Earlier_Outbreak_Detection-A_Generic_Model_and_Novel_Methodology_to_Guide_Earlier_Detection_Supported_by_Data_From_Low-_and_Mid-Income_Countries},\n\tabstract = {Infectious disease outbreaks can have significant impact on individual health, national economies, and social well-being. Through early detection of an infectious disease, the outbreak can be contained at the local level, thereby reducing adverse effects on populations. Significant time and funding have been invested to improve disease detection timeliness. However, current evaluation methods do not provide evidence-based suggestions or measurements on how to detect outbreaks earlier. Key conditions for earlier detection and their influencing factors remain unclear and unmeasured. Without clarity about conditions and influencing factors, attempts to improve disease detection remain ad hoc and unsystematic. Methods: We developed a generic five-step disease detection model and a novel methodology to use for data collection, analysis, and interpretation. Data was collected in two workshops in Southeast Europe (n = 33 participants) and Southern and East Africa (n = 19 participants), representing mid- and low-income countries. Through systematic, qualitative, and quantitative data analyses, we identified key conditions for earlier detection and prioritized factors that influence them. As participants joined a workshop format and not an experimental setting, no ethics approval was required. Findings: Our analyses suggest that governance is the most important condition for earlier detection in both regions. Facilitating factors for earlier detection are risk communication activities such as information sharing, communication, and collaboration activities. Impeding factors are lack of communication, coordination, and leadership. Interpretation: Governance and risk communication are key influencers for earlier detection in both regions. However, inadequate technical capacity, commonly assumed to be a leading factor impeding early outbreak detection, was not found a leading factor. This insight may be used to pinpoint further improvement strategies.},\n\tjournal = {Frontiers in Public Health},\n\tauthor = {Steele, Lindsay and Orefuwa, Emma and Bino, Silvia and Roee Singer, Shepherd and Lutwama, Julius and Dickmann, Petra},\n\tmonth = sep,\n\tyear = {2020},\n\tkeywords = {Health Care, Public/Global Health},\n}\n\n\n\n\n
@article{steinke_prioritizing_2019,\n\ttitle = {Prioritizing options for multi-objective agricultural development through the {Positive} {Deviance} approach},\n\turl = {https://www.researchgate.net/publication/331338800_Prioritizing_options_for_multi-objective_agricultural_development_through_the_Positive_Deviance_approach},\n\tabstract = {Agricultural development must integrate multiple objectives at the same time, including food security, income, and environmental sustainability. To help achieve these objectives, development practitioners need to prioritize concrete livelihood practices to promote to rural households. But trade-offs between objectives can lead to dilemmas in selecting practices. In addition, heterogeneity among farming households requires targeting different strategies to different types of households. Existing diversity of household resources and activities, however, may also bear solutions. We explored a new, empirical research method that identifies promising options for multi-objective development by focusing on existing cases of strong multi-dimensional household performance. The “Positive Deviance” approach signifies identifying locally viable livelihood practices from diverse households that achieve stronger performance than comparable households in the same area. These practices are promising for other local households in comparable resource contexts. The approach has been used in other domains, such as child nutrition, but has not yet been fully implemented for agricultural development with a focus on the simultaneous achievement of multiple objectives. To test our adapted version of the Positive Deviance approach, we used a quantitative survey of over 500 rural households in South-Eastern Tanzania. We identified 54 households with outstanding relative performance regarding five key development dimensions (food security, income, nutrition, environmental sustainability, and social equity). We found that, compared to other households with similar resource levels, these “positive deviants” performed strongest for food security, but only slightly better for social equity. We then re-visited a diverse sub-sample for qualitative interviews, and identified 14 uncommon, “deviant” practices that plausibly contributed to the households’ superior outcomes. We illustrate how these practices can inform specific recommendations of practices for other local households in comparable resource contexts. The study demonstrates how, with the Positive Deviance approach, empirical observations of individual, outstanding households can inform discussions about locally viable agricultural development solutions in diverse household context.},\n\tjournal = {PLoS ONE},\n\tauthor = {Steinke, Jonathan and Gaspar Mgimiloko, Majuto and Graef, Frieder and Hammond, James and van Wijk, Mark and van Etten, Jacob},\n\tmonth = feb,\n\tyear = {2019},\n\tkeywords = {Development, Environment, Management and Innovation},\n}\n\n\n\n\n
@article{nieto-sanchez_home_2019,\n\ttitle = {Home improvement and system-based health promotion for sustainable prevention of {Chagas} disease: {A} qualitative study},\n\turl = {https://doi.org/10.1371/journal.pntd.0007472},\n\tabstract = {Background: Human transmission of Chagas disease (CD) most commonly occurs in domiciliary spaces where triatomines remain hidden to feed on blood sources during inhabitants’ sleep. Similar to other neglected tropical diseases (NTDs), sustainable control of CD requires attention to the structural conditions of life of populations at risk, in this case, the conditions of their living environments. Considering socio-cultural and political dynamics involved in dwellings’ con- struction, this study aimed to explore social factors that contribute or limit sustainability of CD’s prevention models focused on home improvement.\n\nMethods and main findings: Using Healthy Homes for Healthy Living (HHHL)—a health promotion strategy focused on improvement of living environments and system-based health promotion—as a refer- ence, a qualitative study was conducted. Research participants were selected from three rural communities of a CD endemic region in southern Ecuador involved in HHHL’s refur- bishment and reconstruction interventions between 2013 and 2016. Folowing an ethno- graphic approach, data were collected through interviews, participant observation, informal conversations and document analysis. Our results indicate that the HHHL model addressed risk factors for CD at the household level, while simultaneously promot- ing wellbeing at emotional, economic and social levels in local communities. We argue that sustainability of the CD prevention model proposed by HHHL is enhanced by the confluence of three factors: systemic improvement of families’ quality of life, perceived usefulness of control measures, and flexibility to adapt to emerging dynamics of the context.\n\nConclusion\nHHHL’s proposed home improvement, facilitated through system-based rather than disease specific health promotion processes, enhances agency in populations at risk and facilitates community partnerships forged around CD prevention. Although an independent analysis of cost-effectiveness is recommended, structural poverty experienced by local families is still the most important factor to consider when evaluating the sustainability and scalability of this model.},\n\tjournal = {PLoS Neglected Tropical Diseases},\n\tauthor = {Nieto-Sanchez, Claudia and Bates, Benjamin and Guerrero, Darwin and Jimenez, Sylvia and Baus, Esteban and Peeters Grietens, Koen and Grijalva, Mario},\n\tmonth = jun,\n\tyear = {2019},\n\tkeywords = {Health Care, Public/Global Health},\n}\n\n\n\n\n
@article{jain_positive_2019,\n\ttitle = {A {Positive} {Deviance} {Inquiry} on {Effective} {Communicative} {Practices} of {Rural} {Indian} {Women} {Entrepreneurs}},\n\turl = {https://www.dropbox.com/s/eojxie0ko28xn34/A%20Positive%20DEVIANCE%20INQUIRY%20on%20effective%20Communicative%20Practices%20of%20Rural%20INDIAN%20Women%20Entrepreneurs-FINAL%20submitted%20to%20JDC-March%2029%202019%20%281%29.docx?dl=0},\n\tabstract = {Why do some rural women entrepreneurs in India succeed despite low levels of literacy, staggering household responsibility, unsupportive social structures, and oppressive cultural practices? The present article employed the Positive Deviance (PD) approach to identify the effective communication practices of rural women entrepreneurs in Uttar Pradesh, India, who succeed against overwhelming odds. Starting with an initial pool of 21,024 rural Indian women who received microloans for income-generation, and through several sieving rounds of focus group conversations with over 1,100 women, 24 PD women entrepreneurs were identified. A variety of participatory processes and liberating structures—Discovery and Action Dialogues (DADs), improv theater and prototyping, personal storytelling, and card-sorting games—were employed to identify the highly uncommon practices of PD entrepreneurs. These uncommon practices included micro interpersonal behaviors to connect deeply with customers, personalized branding of their businesses, daily diary jottings to monitor sales and profits, reframing value propositions to persuade customers, and others.},\n\tauthor = {Jain, Pallavi and Sachdev, Anu and Singal, Arvind and Svenkerud, Peer J. and Agarwal, Sakshi},\n\tyear = {2019},\n\tkeywords = {Business, Management and Innovation},\n}\n\n\n\n\n
@article{dura_positive_2019,\n\ttitle = {Positive {Deviance} as {Design} {Thinking}: {Challenging} {Notions} of {Stasis} in {Technical} and {Professional} {Communication}},\n\turl = {https://www.dropbox.com/s/6yr7lr84ybla50i/Dura%20et%20al%20-%20PD%20Design%20Thinking%202019.pdf?dl=0},\n\tabstract = {In design thinking, extreme users have found work-arounds for common problems, but they are few in number and often overlooked in toolkits and write-ups. This article posits that positive deviance, an approach to social and behavioral change that is compatible with design thinking, offers technical and professional communicators an accessible and innovative methodology for engaging extreme users. The authors analyze a case study of how the positive deviance approach was used to address federal recidivism on the U.S.–Mexico border. They conducted a positive deviance inquiry to arrive at the everyday replicable behaviors that enabled released individuals to complete their terms of supervised release successfully, despite the odds against them and without access to special resources. The authors conclude by discussing the value and implications of focusing on extreme users.},\n\tjournal = {Journal of Business and Technical Communication},\n\tauthor = {Dura, Lucia},\n\tyear = {2019},\n\tkeywords = {Business, Management and Innovation},\n}\n\n\n\n\n
@article{sarhan_positive_2019,\n\ttitle = {Positive {Deviance} {Inquiry} of {Breastfeeding} in {Egypt}},\n\turl = {https://www.dropbox.com/s/58e8rnrul18yfsq/Final%20Ayah_Sarhan%20PDI%20of%20bf%20112019%20uplo.pdf?dl=0},\n\tauthor = {Sarhan, Ayah},\n\tmonth = nov,\n\tyear = {2019},\n\tkeywords = {Sexual/Reproductive Health},\n}\n\n\n\n\n
@article{nuriyanto_family_2019,\n\ttitle = {Family {Nursing} as an {Improvement} {Strategy} of {Family} {Health} {Index} in {Indonesia}: {A} {Literature} {Review}},\n\tvolume = {1},\n\turl = {http://journal.jpfoundation.or.id/index.php/ACHNR/article/view/21},\n\tabstract = {The occurrence of health issues in the family affected by the ability of the family itself to carry out the role and task of family health care. Family nursing has been developed in various countries as a solution to solve individual, family, and community health issues in a region. The family health status in Indonesia is measured by the Family Health Index (FHI) value, comprising the category of unhealthy families (FHI {\\textless} 0.50), pre-healthy families (FHI value of 0.50 to 0.80), and healthy families (FHI {\\textgreater} 0.8). This study aims to generate a literature review on strategies that can be used to improve the Family Health Index. The search database includes CINAHL, MEDLINE, and Google Scholar with several keywords: 'family nursing', 'family health', and 'family health status'. 102 articles published between the year of 2000 until 2019 have been obtained. The results of the literature review indicate that family nursing is an innovative and efficient strategy to achieve a preferable health status as well as a better quality of human life. Family nursing has a positive correlation with the increased ability of families to carry out their task in maintaining, preventing and overcoming family health issues independently. Research on the families' ability to carry out health care tasks to improve the health status by measuring FHI has never been done previously. Future research is required to discuss the relationship of families' ability in carrying out the five health care tasks to improve FHI independently in Indonesia.},\n\tnumber = {3},\n\tjournal = {Asian Community Health Nursing Research},\n\tauthor = {Nuriyanto, Andy},\n\tyear = {2019},\n\tkeywords = {Public/Global Health},\n}\n\n\n\n\n
@article{bando_utilization_2019,\n\ttitle = {Utilization of {Positive} {Deviance} into {Research} {Activity} for {Community} {Health}},\n\tvolume = {1},\n\turl = {http://journal.jpfoundation.or.id/index.php/ACHNR/article/view/24},\n\tabstract = {The Positive Deviance (PD) approach believes that in every community there exist individuals or groups, who without any extra resources, practice uncommon behaviors that offer better solutions to addressing problems in a community. PD is a community-driven change approach that encourages community members to discover their own assets, strengths, and wisdom to solve a local problem. The purpose of this activity report is to describe the lessons we learned about PD during a visit with pioneering global researchers and practitioners of positive deviance in the United States in September, 2018. Our key learning included: discovering “uncommon” behaviors which are already practiced by community members, and are thus actionable and more acceptable to community members; investigating positive deviants at many levels i.e., among health providers, community leaders, and the ordinary population; and the importance of designing, from the very beginning, a project that invites and engages all community members who through ownership can sustain impact.},\n\tnumber = {3},\n\tjournal = {Asian Community Health Nursing Research},\n\tauthor = {Bando, Harumi and Mizutani, Mayumi},\n\tyear = {2019},\n\tkeywords = {Public/Global Health},\n}\n\n\n\n\n
@article{cheang_why_2019,\n\ttitle = {Why some children from poor families do well—an in-depth analysis of positive deviance cases in {Singapore}},\n\tvolume = {13},\n\turl = {https://www.dropbox.com/s/t4h9ar4y0lq6zi7/Why_some_children_from_poor_families_do_well-an_in.pdf?dl=0},\n\tabstract = {Purpose: Research documents that children from low-income families face higher risks in many areas of their development including academic performance. However, some children\nfrom low-income homes excel academically despite their disadvantaged environment.\n\nMethod: Using Positive Deviance methodology (PD), audio-diary and interview data were collected from ten children who scored at least 70 percentile in school examinations in spite of their financial deprivation.\n\nResults: This paper uncovers specific dimensions of agency in these children that stemmed from the relational contexts they had with their mothers. Combining the PD methodology and sensitizing lens from Social Relational Theory, this study provided evidence that PD children are connected agents within their family. It suggests that children's awareness of\ntheir family circumstances motivated them to work hard and enabled them to devise creative ways to manage their limited financial resources.\n\nConclusions: The findings challenge dominant discourses on poor children as passive victims and suggest new ways for practitioners to examine the relationship contexts that support children's capacity as agents rather than focusing on individual traits.},\n\tjournal = {International Journal of Qualitative Studies on Health and Well-Being},\n\tauthor = {Cheang, Chelsea J.Y. and Goh, Esther C. L.},\n\tyear = {2019},\n\tkeywords = {Education},\n}\n\n\n\n\n
@article{perez_professors_2019,\n\ttitle = {Professor's {Efforts} {Make} {UTEP} a {Hub} for {Positive} {Deviance}},\n\turl = {https://www.utepmagazine.com/spring-2019/2019/1/18/professors-efforts-make-utep-a-hub-for-positive-deviance},\n\tabstract = {The world recognizes The University of Texas at El Paso among the foremost promoters of positive deviance, a simple, yet revolutionary model for social and organizational change, and that is due mainly to the ambassadorship of one man.},\n\tjournal = {UTEP Magazine},\n\tauthor = {Perez, Daniel},\n\tyear = {2019},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@article{singhal_diffusion_2019,\n\ttitle = {Diffusion of {Evidence}-based {Interventions} or {Practice}-based {Positive} {Deviations}”},\n\turl = {https://positivedeviance.org/s/jodc.pdf},\n\tabstract = {Scholars and practitioners of communication and social change are obsessed with more efficiently diffusing evidence-based innovations. While, there is value in doing so, it is important to recognise that evidence-based practice subscribes to the tenets of the classical diffusion of innovations paradigm—a reification of outside-in, expert-driven approaches to solving problems, and a tendency to overlook, marginalise, and reject local solutions. In this article, through a detailed case study analysis of a highly effective malnutrition project in Vietnam that employed the Positive Deviance (PD) approach, we argue that communication for development scholars should go beyond evidence-based practice to favour more practice-based evidence—that is, the enablement of communities to discover the wisdom they already have and then to act on it. PD is an assets-based approach that identifies the deviant and variant practices about what is going right in a community to amplify it, rather than focusing on what is going wrong in a community and fixing it from the outside. In the PD approach, internal change agents present social proof to their peers that complex problems can be solved without additional resources. Given the solutions are generated locally, and distilled through concrete action steps, they are more likely to be owned by potential adopters and be sustained.},\n\tauthor = {Singhal, Arvind and Svenkerud, Peer J.},\n\tmonth = feb,\n\tyear = {2019},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@article{albanna_positive_2018,\n\ttitle = {Positive deviance, big data, and development: {A} systematic literature review},\n\tvolume = {85},\n\turl = {https://onlinelibrary.wiley.com/doi/full/10.1002/isd2.12063},\n\tabstract = {Positive deviance is a growing approach in international development that identifies those within a population who are outperforming their peers in some way, eg, children in low‐income families who are well nourished when those around them are not. Analysing and then disseminating the behaviours and other factors underpinning positive deviance are demonstrably effective in delivering development results. However, positive deviance faces a number of challenges that are restricting its diffusion. In this paper, using a systematic literature review, we analyse the current state of positive deviance and the potential for big data to address the challenges facing positive deviance. From this, we evaluate the promise of “big data‐based positive deviance”: This would analyse typical sources of big data in developing countries—mobile phone records, social media, remote sensing data, etc—to identify both positive deviants and the factors underpinning their superior performance. While big data cannot solve all the challenges facing positive deviance as a development tool, they could reduce time, cost, and effort; identify positive deviants in new or better ways; and enable positive deviance to break out of its current preoccupation with public health into domains such as agriculture, education, and urban planning. In turn, positive deviance could provide a new and systematic basis for extracting real‐world development impacts from big data.},\n\tnumber = {1},\n\tjournal = {The Electronic Journal of Information Systems in Developing Countries},\n\tauthor = {Albanna, Basma and Heeks, Richard},\n\tmonth = oct,\n\tyear = {2018},\n\tkeywords = {Concept of Positive Deviance, Management and Innovation},\n}\n\n\n\n\n
@article{peiffer_searching_2018,\n\ttitle = {Searching for {Success}: {A} {Mixed} {Methods} {Approach} to {Identifying} and {Examining} {Positive} {Outliers} in {Development} {Outcomes}},\n\turl = {https://www.dropbox.com/s/771j5wpnylnm0dh/Searching%20for%20success....pdf?dl=0},\n\tjournal = {Developmental Leadership Program},\n\tauthor = {Peiffer, Caryn and Armytage, Rosita},\n\tmonth = apr,\n\tyear = {2018},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@misc{from_poverty_to_power_should_2018,\n\ttitle = {Should {Positive} {Deviance} be my next {Big} {Thing}?},\n\turl = {https://oxfamblogs.org/fp2p/should-positive-deviance-be-my-next-big-thing/#comment-487673},\n\tjournal = {From Poverty to Power},\n\tauthor = {From Poverty to Power},\n\tmonth = sep,\n\tyear = {2018},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@article{delias_positive_2017,\n\ttitle = {A positive deviance approach to eliminate wastes in business processes: {The} case of a public organization},\n\tvolume = {117},\n\turl = {https://www.researchgate.net/publication/315790981_A_positive_deviance_approach_to_eliminate_wastes_in_business_processes_The_case_of_a_public_organization},\n\tabstract = {The building permits process is a process that commonly within Europe is a municipal responsibility. It is a rather complex process because it comprises hundreds of activities, in a great variety of sequences. In 2015, five Dutch municipalities opened their data for the Business Process Intelligence Challenge (BPIC), hoping to get evidence-based insights about their process. One important issue concerns the outsourcing of some of the activities. This work tries to support this critical outsourcing decision. Following the positive deviance paradigm that suggests that positive deviant cases could act as best practices, we apply process analytics to check two hypotheses: If process flows differ within the categories (positive, normal) of cases, and if flow differences can actually recommend which activities should be outsourced. Initial results suggest that our methodology can provide valuable decision support, yet current work is limited to performance-wise elements.},\n\tnumber = {7},\n\tjournal = {Industrial Management \\& Data Systems},\n\tauthor = {Delias, Pavlos},\n\tmonth = apr,\n\tyear = {2017},\n\tkeywords = {Business, Management and Innovation},\n}\n\n\n\n\n
@article{ober_using_2017,\n\ttitle = {Using a "{Positive} {Deviance}" {Framework} to {Discover} {Adaptive} {Risk} {Reduction} {Behaviors} {Among} {High}-{Risk} {HIV} {Negative} {Black} {Men} {Who} {Have} {Sex} with {Men}},\n\turl = {https://www.rand.org/pubs/external_publications/EP67173.html},\n\tabstract = {Despite the high incidence of HIV among young Black MSM in the United States and engagement in high risk behaviors, many men in this group avoid infection. This suggests that some men may engage in systematic risk reduction behaviors when not always using condoms or abstaining from substances. Using a "positive deviance" framework, we conducted qualitative interviews with HIV-negative, Black MSM between 25 and 35 who reported unprotected anal sex and drug use in the past six months or current heavy drinking (N = 29) to discover behaviors that could facilitate remaining HIV-uninfected. Findings showed that MSM who remain HIV negative despite continuing to engage in high-risk behaviors may be engaging in adaptive risk reduction behaviors that, through successive decisions and advance planning along the timeline to a sexual event, could lead to increased condom use, avoidance or delay of a risky sexual event, or reduction of HIV positive partners.},\n\tjournal = {AIDS and Behavior},\n\tauthor = {Ober, Allison J. and Dangerfield, Derek and Shoptaw, Steven and Ryan, Gery W. and Stucky, Brian D. and Friedman, Samuel R.},\n\tmonth = may,\n\tyear = {2017},\n\tkeywords = {Public/Global Health},\n}\n\n\n\n\n
@article{kyere_complete_2017,\n\ttitle = {Complete {Child} {Immunisation}: {A} {Cluster} {Analysis} of {Positive} {Deviant} {Regions} in {Ghana}},\n\turl = {https://www.dropbox.com/s/5hxso7vem7079a0/Complete_Child_Immunisation_A_Cluster_Analysis_of_.pdf?dl=0},\n\tabstract = {Background: The Global Vaccine Action Plan sets a target of 90\\% child immunisation coverage, a rare\nachievement in the Global South. Yet two of the poorest of Ghana’s 10 regions have accomplished this feat-what\ncan policy-makers and public health authorities learn from these ‘positive deviant’ regions (PDRs), to inform\nimmunisation strategies elsewhere in the South?\n\nMethods: Using cluster analysis and data from the 2008 Ghana DHS, seven regional-level factors were\ninvestigated that might account for differences in immunisation coverage: ethnicity/religion, socioeconomic status,\nmaternal health literacy and decision latitude, use of maternal health facilities, participation in child vaccination campaigns, and availability of community health infrastructure. Rank orders of the 10 regions on these factors were\nexamined for the degree to which the PDRs were similar to each other, and dissimilar to the other eight regions.\n\nResults: The PDRs were not similar to each other on any of the regional-level factors. Contrariwise, the PDRs\nclustered only at the highest stage of agglomeration in the analyses. Thus, the two PDRs do not closely share\nregional-level characteristics that might explain their PD status, with the study thus failing to differentiate the PDRs from the other regions.\n\nConclusions: The heterogeneity exhibited by the PDRs is actually reason for optimism, suggesting that even the poorest regions in the South, with disparate characteristics and social situations, can achieve excellent child\nimmunisation coverage. It may be that nation-wide ‘one-size-fits-all’ government campaigns to encourage child\nimmunisation should be supplemented, or even replaced, by small area, targeted efforts fit-to-purpose and fit-to-\nlocal-conditions.},\n\tjournal = {Journal of Vaccines and Vaccination},\n\tauthor = {Kyere, Paul},\n\tmonth = jan,\n\tyear = {2017},\n\tkeywords = {Public/Global Health},\n}\n\n\n\n\n
@article{post_exceptional_2017,\n\ttitle = {Exceptional responders in conservation},\n\turl = {https://conbio.onlinelibrary.wiley.com/doi/abs/10.1111/cobi.13006},\n\tabstract = {Conservation operates within complex systems with incomplete knowledge of the system and the interventions utilized. This frequently results in the inability to find generally applicable methods to alleviate threats to Earth's vanishing wildlife. One approach used in medicine and the social sciences has been to develop a deeper understanding of positive outliers. Where such outliers share similar characteristics, they may be considered exceptional responders. We devised a 4‐step framework for identifying exceptional responders in conservation: identification of the study system, identification of the response structure, identification of the threshold for exceptionalism, and identification of commonalities among outliers. Evaluation of exceptional responders provides additional information that is often ignored in randomized controlled trials and before–after control‐intervention experiments. Interrogating the contextual factors that contribute to an exceptional outcome allow exceptional responders to become valuable pieces of information leading to unexpected discoveries and novel hypotheses.},\n\tauthor = {Post, Gerald and Geldmann, Jonas},\n\tmonth = aug,\n\tyear = {2017},\n\tkeywords = {Concept of Positive Deviance, Environment},\n}\n\n\n\n\n
@misc{mckay_quality_2017,\n\ttitle = {Quality {Improvement} {Approaches}: {Positive} {Deviance}},\n\turl = {https://www.carnegiefoundation.org/blog/quality-improvement-approaches-positive-deviance/},\n\tjournal = {Carnegie Foundation for the Advancement of Teaching Commons Blog},\n\tauthor = {McKay, Sarah},\n\tmonth = sep,\n\tyear = {2017},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@article{singhal_positive_2017,\n\ttitle = {Positive {Deviance}: {A} {Non}-{Normative} {Approach} to {Health} and {Risk} {Messaging}},\n\turl = {https://oxfordre.com/communication/view/10.1093/acrefore/9780190228613.001.0001/acrefore-9780190228613-e-248},\n\tabstract = {The Positive Deviance (PD) approach is based on the premise that every community has individuals or groups whose uncommon behaviors and strategies enable them to find better solutions to problems than their peers although everyone has access to the same resources and challenges. In contrast to traditional problem-solving approaches that begin with an expert-driven analysis of “what is not working” with people—their explicit needs, deficits, problems, and risks—followed by attempts to plug those gaps, the PD approach focuses on identifying “what is working.” PD offers a systematic framework to identify assets, indigenous knowledge, and home-grown solutions, and to amplify them for wider adoption.\n\nThe PD approach was operationalized and systematized in the early 1990s in Vietnam to address malnutrition. At the time, 65\\% of children under five were malnourished. Instead of looking for the causes and applying best practices, PD pioneers looked for children from very poor families who were well-nourished. Through community-led efforts, they determined the existence of positive deviants, identified their behaviors and strategies, and amplified them. The process was replicated across 14 villages—each identifying its own batch of local practices—and malnutrition decreased by 85\\%. These actions led to PD as we know it today in the form of the “6 Ds”: Define, Determine, Discover, Design, Discern, and Disseminate.\n\nPD has been used widely to address a large number of intractable social problems—many of them dealing with health and risk: reducing endemic malnutrition, decreasing neonatal and maternal mortality, reducing goiter and diseases of micronutrient deficiency, boosting organ transplantation rates and cancer screenings, increasing mental well-being and psychological resilience, preventing and controlling malaria and Chagas, and reducing hospital-acquired infections in healthcare.\n\nFrom 2004 to 2008, six U.S. hospitals pioneered the use of PD to address the growing incidence of infections caused by the antibiotic resistant bacteria Methicillin-resistant Staphylococcus aureus (MRSA). PD was used to identify and amplify evidence-based infection prevention practices. Pilot outcomes included a 73\\% average reduction in healthcare-associated MRSA infections units and a subsequent decrease of between 33 and 84\\% at the different hospitals.\n\nThe PD approach to problem-solving holds important implications for public health scholars and practitioners, risk communicators, and message designers. The cases of Vietnam and one of the pilot hospitals are used to illustrate the ways that through language- and action-based strategies PD challenges traditional risk and health messaging, proposing instead an asset-based, participatory, and sustainable framework.},\n\tjournal = {Oxford Research Encyclopedias},\n\tauthor = {Singhal, Arvind and Durá, Lucia},\n\tmonth = mar,\n\tyear = {2017},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@article{shafique_positive_2016,\n\ttitle = {Positive deviance as a novel tool in malaria control and elimination: methodology, qualitative assessment and future potential},\n\tvolume = {15},\n\tissn = {1475-2875},\n\tshorttitle = {Positive deviance as a novel tool in malaria control and elimination},\n\turl = {https://doi.org/10.1186/s12936-016-1129-5},\n\tdoi = {10.1186/s12936-016-1129-5},\n\tabstract = {Positive deviance (PD) is an asset-based, community-driven approach to behaviour change that has successfully been applied to address many health and social problems. It is yet to have been assessed for malaria control but may represent a promising tool for malaria elimination given its suitability in targeting small and remote population groups, apparent sustainability and ability to instil a high amount of community mobilisation. Here, the PD methodology as applied to malaria is explained, with focus upon and qualitative assessment of a proof of concept study in Cambodia.},\n\tnumber = {1},\n\turldate = {2024-12-13},\n\tjournal = {Malaria Journal},\n\tauthor = {Shafique, Muhammad and Edwards, Hannah M. and De Beyl, Celine Zegers and Thavrin, Bou Kheng and Min, Myo and Roca-Feltrer, Arantxa},\n\tmonth = feb,\n\tyear = {2016},\n\tkeywords = {Attitudes and practices (KAP), Behaviour change communication (BCC), Elimination, Knowledge, Malaria, Positive deviance (PD)},\n\tpages = {91},\n}\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
@article{klaiman_using_2016,\n\ttitle = {Using a positive deviance framework to identify {Local} {Health} {Departments} in {Communities} with exceptional maternal and child health outcomes: a cross sectional study},\n\turl = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4952145/},\n\tabstract = {We empirically identified LHD jurisdictions with better MCH outcomes compared to their peers. Research is needed to assess what factors contributed to these exceptional MCH outcomes and over which LHDs have control. The positive deviance method we used to identify high performing local health jurisdictions in the area of maternal and child health outcomes can assist in better understanding what practices work to improve health outcomes. We found that funding may not be the only predictor of exceptional outcomes, but rather, there may be activities that positive deviant LHDs are conducting that lead to improved outcomes, even during difficult financial circumstances. This method can be applied to other outcomes, communities, and/or services.},\n\tauthor = {Klaiman, Tamar and Pantazis, Athena and Chainani, Anjali and Bekemeier, Betty},\n\tyear = {2016},\n\tkeywords = {Health Care, Sexual/Reproductive Health},\n}\n\n\n\n\n
@misc{cheney_unleashing_2016,\n\ttitle = {Unleashing the power of positive deviance},\n\turl = {https://www.devex.com/news/unleashing-the-power-of-positive-deviance-88395},\n\tjournal = {devex},\n\tauthor = {Cheney, Catherine},\n\tmonth = jul,\n\tyear = {2016},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@misc{naupa_practicalities_2016,\n\ttitle = {The practicalities of change: {Positive} deviance and land reform in {Vanuatu}},\n\turl = {https://www.dlprog.org/opinions/the-practicalities-of-change-positive-deviance-and-land-reform-in-vanuatu},\n\tjournal = {DLP},\n\tauthor = {Naupa, Anna},\n\tmonth = apr,\n\tyear = {2016},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@article{herington_positive_2016,\n\ttitle = {Positive {Deviance} in {Theory} and {Practice}: {A} {Conceptual} {Review}},\n\tvolume = {39},\n\turl = {https://www.tandfonline.com/doi/abs/10.1080/01639625.2017.1286194},\n\tabstract = {The term “positive deviance” has become increasingly popular in recent years, resulting in the co-existence of multiple definitions and applications scattered among diverse sources of academic literature. The aim of this paper is to bring conceptual clarity to the term by providing a comprehensive synthesis and review of the positive deviance literature. Analysis reveals conceptual and thematic differences in the language employed by authors applying positive deviance in a practical context compared with articles of a more theoretical nature. New directions are proposed for exploring the use and merit of the positive deviance concept into new areas of research.},\n\tnumber = {5},\n\tjournal = {Deviant Behavior},\n\tauthor = {Herington, Matthew J. and van de Fliert, Elske},\n\tmonth = dec,\n\tyear = {2016},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {664--678},\n}\n\n\n\n\n
@misc{bozarth_nuts_2016,\n\ttitle = {Nuts and {Bolts}: {Positive} {Deviance}},\n\turl = {https://learningsolutionsmag.com/articles/1980/nuts-and-bolts-positive-deviance},\n\tjournal = {Learning Solutions},\n\tauthor = {Bozarth, Jane},\n\tmonth = jun,\n\tyear = {2016},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@misc{from_poverty_to_power_book_2016,\n\ttitle = {Book {Review}: {The} {Power} of {Positive} {Deviance}},\n\turl = {https://oxfamblogs.org/fp2p/book-review-the-power-of-positive-deviance/},\n\tjournal = {From Poverty to Power},\n\tauthor = {From Poverty to Power},\n\tmonth = feb,\n\tyear = {2016},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@article{le_roy_faire_2016,\n\ttitle = {Faire réussir les acteurs clés de l'entreprise - 2e édition},\n\turl = {https://www.dunod.com/sciences-humaines-et-sociales/faire-reussir-acteurs-cles-entreprise-avec-interventions-breves},\n\tabstract = {Manager, dirigeant(e) ou DRH, vous devez faire face à de nouveaux enjeux : crise, transformation, prise de décision vitale dans un environnement incertain, situation où les solutions classiques ne fonctionnent pas, plus ou mal. Vous êtes confrontés à une rareté accrue de ressources essentielles : temps, talents, énergie, argent... \nDe telles situations nécessitent des actions simples, précises et puissantes pour préparer, favoriser puis consolider des changements rapides, profonds et durables. C’est l’engagement des interventions brèves en entreprise.},\n\tlanguage = {French},\n\tauthor = {Le Roy, Gregory},\n\tmonth = mar,\n\tyear = {2016},\n\tkeywords = {Business},\n}\n\n\n\n\n
@article{tucker_alcohol_2015,\n\ttitle = {Alcohol use among university students: {Considering} a positive deviance approach},\n\turl = {https://journals.sagepub.com/doi/pdf/10.1177/1359105314568577},\n\tabstract = {Harmful alcohol consumption among university students continues to be a significant issue. This study examined whether variables identified in the positive deviance literature would predict responsible alcohol consumption among university students. Surveyed students were categorized into three groups: abstainers, responsible drinkers and binge drinkers. Multinomial logistic regression modelling was significant (χ2 = 274.49, degrees of freedom = 24, p {\\textless} .001), with several variables predicting group membership. While the model classification accuracy rate (i.e. 71.2\\%) exceeded the proportional by chance accuracy rate (i.e. 38.4\\%), providing further support for the model, the model itself best predicted binge drinker membership over the other two groups.},\n\tjournal = {Journal of Health Psychology},\n\tauthor = {Tucker, Maryanne and Harris, Gregory},\n\tmonth = jan,\n\tyear = {2015},\n\tkeywords = {Education, Public/Global Health},\n}\n\n\n\n\n
@article{the_univeristy_of_texas_at_el_paso_just_2015,\n\ttitle = {The {Just} {Drum} {Roll} {Beats} {Louder}},\n\tvolume = {2},\n\turl = {http://utminers.utep.edu/asinghal/JustDrumRoll2-SocialJusticeInitiative-UTEP-2015.pdf},\n\tabstract = {This is our second Just Drum Roll coming to you from the Social Justice Initiative (SJI), Department of Communication, The University of Texas at El Paso. In our first Just Drum Roll of 2013, we highlighted SJI’s global, national, and local leadership in the Positive Deviance (PD) approach, Liberating Structures (LS), and the entertainment-education (EE) communication strategy. Over the past two years, SJI has gone from strength-to-strength in these areas, undertaking catalytic and leadership roles, stirring the pot and relationships across disciplines and boundaries, geographic and otherwise. Partnerships, relationships, and handshakes continue to define our existence and purpose. See this 2015 story about our work.\nMost recently, SJI has been to the White House in Washington D.C., the venerable University of Oxford in the UK, and the under-the-sea collaborative world of the Netherlands. We have scaled the high mountains and low valleys of Bhutan, the streets of Tokyo, the corridors of learning in New Delhi and in Mahatma Gandhi’s adopted city of Ahmedabad, and yet, we have been grounded and anchored on the campus of The University of Texas at El Paso. We are a 100\\% volunteer effort that is collaborative, nimble, and playful.\nWe invite you to catch up with who we are and what we do!},\n\tjournal = {Just Drum Roll},\n\tauthor = {The Univeristy of Texas at El Paso},\n\tyear = {2015},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@unpublished{jadhav_should_2014,\n\ttitle = {Should they stay or should they go? {Leader} duration and financial performance in local health departments},\n\tshorttitle = {Should they stay or should they go?},\n\turl = {https://journals.lww.com/jphmp/Citation/2015/03000/Should_They_Stay_or_Should_They_Go__Leader.6.aspx},\n\tabstract = {CONTEXT: The delivery of programs by local health departments (LHDs) has shifted from "if we do not have the money we don't do it" to LHD directors should "identify and fund public health priorities. " This shift has subsequently increased performance expectations of LHD leaders. In the for-profit sector the leaders' failure to perform has resulted in a shortening tenure trend. Tenure is a proxy for human capital accumulation. In LHDs, the nature of association, if any, between leader tenure and agency performance is unknown. RESEARCH OBJECTIVE: Examine association between financial performance of LHDs with short-, average-, and long-tenured LHD leaders. STUDY DESIGN: Variation in leader characteristics and percent change in expenditure were examined using a longitudinal cohort design and positive deviance methodology. Bivariate analysis of LHD financial performance and leader characteristics was conducted, and a logistic regression model was developed to test association between leader tenure and LHDs that experienced a positive percentage expenditure change. PARTICIPANTS: From a total of 2523 LHDs, 1453 were examined. The cross-sectional surveys of US public health agencies conducted by the National Association of County and City Health Officials in 2008 and 2010 contain the leader and LHD variables. RESULTS: Approximately 44\\% of LHDs experienced a positive percentage expenditure change. Leader tenure, age, gender, and education status were significantly associated with a positive percentage expenditure change using a chi-square test of independence. From the logistic regression analysis tenure, educational status, employment status, area population, governance, classification, and jurisdiction were statistically significant. Local health departments with leaders whose tenure was less than 2 years were less likely than those with average tenure to experience a positive percentage expenditure change. CONCLUSIONS: The odds ratios for tenure suggest that tenure is positively associated up to a threshold level and then declines. Implying that LHD financial performance is sensitive to leader tenure.},\n\tlanguage = {English},\n\tauthor = {Jadhav, E.D. and Holsinger Jr., J.W. and Mays, G. and Fardo, D.},\n\tyear = {2014},\n\tkeywords = {Business, Management and Innovation},\n}\n\n\n\n\n
@article{pettigrew_older_2014,\n\ttitle = {Older people's perceived causes of and strategies for dealing with social isolation},\n\tvolume = {18},\n\tissn = {1360-7863},\n\turl = {https://www.tandfonline.com/doi/abs/10.1080/13607863.2014.899970},\n\tdoi = {10.1080/13607863.2014.899970},\n\tabstract = {Objective: To explicate lay theories relating to social isolation and to identify instances of positive deviance to inform future efforts to encourage older people to participate in protective behaviors.Method: Twelve focus groups and 20 individual interviews were conducted with Australians aged 40 years and older. Data were collected in metropolitan and regional areas. The age threshold was based on the need to generate formative research to inform interventions to encourage people to engage in preventive behaviors prior to reaching older age when they become more susceptible to social isolation.Results: Two primary lay theories were identified in the data. These are related to the recognized importance of social connection and the belief that forming new social connections becomes more difficult with age due to a range of individual and external factors. Examples of positive deviance that were identified included viewing overcoming social isolation as an incremental process, being prepared to be the instigator of social interaction, and adopting an external focus.Conclusion: The findings suggest that the provision of a broad range of group activities may need to be combined with a focused approach to targeting and approaching those most at risk to reduce the burden of social isolation at a population level. © 2014 © 2014 Taylor \\& Francis.},\n\tlanguage = {English},\n\tnumber = {7},\n\tjournal = {Aging and Mental Health},\n\tauthor = {Pettigrew, S. and Donovan, R. and Boldy, D. and Newton, R.},\n\tyear = {2014},\n\tkeywords = {Health Care},\n\tpages = {914--920},\n}\n\n\n\n\n
@article{mazutis_supererogation_2014,\n\ttitle = {Supererogation: {Beyond} {Positive} {Deviance} and {Corporate} {Social} {Responsibility}},\n\tvolume = {119},\n\tissn = {0167-4544},\n\tshorttitle = {Supererogation},\n\turl = {https://link.springer.com/article/10.1007%2Fs10551-013-1837-5},\n\tdoi = {10.1007/s10551-013-1837-5},\n\tabstract = {The special class of supererogatory actions-those that go "beyond the call of duty"-has thus far been omitted from the management literature. Rather, actions of a firm that may surpass economic and legal requirements have been discussed either under the umbrella term of Corporate Social Responsibility (CSR) or the concept of positive deviance as articulated by the Positive Organizational Scholarship (POS) movement. This paper seeks to clarify how "duty" is understood in these literatures and makes an argument that paradigmatic examples of corporate supererogation in fact lie beyond what is traditionally conceptualized as CSR and positive deviance. In so doing, this paper contributes to the growing body of research on Positive Organizational Ethics, as well as both the CSR and POS literatures, by presenting an extended deontological framework of CSR and bringing conceptual clarity to an otherwise muddied domain. © 2013 Springer Science+Business Media Dordrecht.},\n\tlanguage = {English},\n\tnumber = {4},\n\tjournal = {Journal of Business Ethics},\n\tauthor = {Mazutis, D.},\n\tyear = {2014},\n\tkeywords = {Business, Management and Innovation, Positive Organizational Scholarship (POS)},\n\tpages = {517--528},\n}\n\n\n\n\n
@article{leo_developing_2014,\n\ttitle = {Developing a multidimensional scale of customer-oriented deviance ({COD})},\n\tvolume = {67},\n\tissn = {0148-2963},\n\turl = {https://www.sciencedirect.com/science/article/abs/pii/S0148296313001707?via%3Dihub},\n\tdoi = {10.1016/j.jbusres.2013.04.009},\n\tabstract = {Although frontline employees' bending of organizational rules and norms for customers is an important phenomenon, marketing scholars to date only broadly describe over-servicing behaviors and provide little distinction among deviant behavioral concepts. Drawing on research on pro-social and pro-customer behaviors and on studies of positive deviance, this paper develops and validates a multi-faceted, multi-dimensional construct term customer-oriented deviance. Results from two samples totaling 616 frontline employees (FLEs) in the retail and hospitality industries demonstrate that customer-oriented deviance is a four-dimensional construct with sound psychometric properties. Evidence from a test of a theoretical model of key antecedents establishes nomological validity with empathy/perspective-taking, risk-taking propensity, role conflict, and job autonomy as key predictors. Results show that the dimensions of customer-oriented deviance are distinct and have significant implications for theory and practice. © 2013 Elsevier Inc.},\n\tlanguage = {English},\n\tnumber = {6},\n\tjournal = {Journal of Business Research},\n\tauthor = {Leo, C. and Russell-Bennett, R.},\n\tyear = {2014},\n\tkeywords = {Business, Management and Innovation},\n\tpages = {1218--1225},\n}\n\n\n\n\n
@article{lafond_drivers_2014,\n\ttitle = {Drivers of routine immunization coverage improvement in {Africa}: findings from district-level case studies},\n\tissn = {0268-1080, 1460-2237},\n\tshorttitle = {Drivers of routine immunization coverage improvement in {Africa}},\n\turl = {http://heapol.oxfordjournals.org/content/early/2014/03/10/heapol.czu011},\n\tdoi = {10.1093/heapol/czu011},\n\tabstract = {There is limited understanding of why routine immunization (RI) coverage improves in some settings in Africa and not in others. Using a grounded theory approach, we conducted in-depth case studies to understand pathways to coverage improvement by comparing immunization programme experience in 12 districts in three countries (Ethiopia, Cameroon and Ghana). Drawing on positive deviance or assets model techniques we compared the experience of districts where diphtheria–tetanus–pertussis (DTP3)/pentavalent3 (Penta3) coverage improved with districts where DTP3/Penta3 coverage remained unchanged (or steady) over the same period, focusing on basic readiness to deliver immunization services and drivers of coverage improvement. The results informed a model for immunization coverage improvement that emphasizes the dynamics of immunization systems at district level. In all districts, whether improving or steady, we found that a set of basic RI system resources were in place from 2006 to 2010 and did not observe major differences in infrastructure. We found that the differences in coverage trends were due to factors other than basic RI system capacity or service readiness. We identified six common drivers of RI coverage performance improvement—four direct drivers and two enabling drivers—that were present in well-performing districts and weaker or absent in steady coverage districts, and map the pathways from driver to improved supply, demand and coverage. Findings emphasize the critical role of implementation strategies and the need for locally skilled managers that are capable of tailoring strategies to specific settings and community needs. The case studies are unique in their focus on the positive drivers of change and the identification of pathways to coverage improvement, an approach that should be considered in future studies and routine assessments of district-level immunization system performance.},\n\tlanguage = {en},\n\turldate = {2014-10-07},\n\tjournal = {Health Policy and Planning},\n\tauthor = {LaFond, Anne and Kanagat, Natasha and Steinglass, Robert and Fields, Rebecca and Sequeira, Jenny and Mookherji, Sangeeta},\n\tmonth = mar,\n\tyear = {2014},\n\tpmid = {24615431},\n\tkeywords = {Public/Global Health},\n\tpages = {czu011},\n}\n\n\n\n\n
@article{jetten_deviance_2014,\n\ttitle = {Deviance and {Dissent} in {Groups}},\n\tvolume = {65},\n\turl = {http://dx.doi.org/10.1146/annurev-psych-010213-115151},\n\tdoi = {10.1146/annurev-psych-010213-115151},\n\tabstract = {Traditionally, group research has focused more on the motivations that make people conform than on the motivations and conditions underpinning deviance and dissent. This has led to a literature that focuses on the value that groups place on uniformity and paints a relatively dark picture of dissent and deviance: as reflections of a lack of group loyalty, as signs of disengagement, or as delinquent behavior. An alternative point of view, which has gained momentum in recent years, focuses on deviance and dissent as normal and healthy aspects of group life. In this review, we focus on the motivations that group members have to deviate and dissent, and the functional as well as the dysfunctional effects of deviance and dissent. In doing so we aim for a balanced and complete account of deviance and dissent, highlighting when such behaviors will be encouraged as well as when they will be punished.},\n\tnumber = {1},\n\turldate = {2014-10-07},\n\tjournal = {Annual Review of Psychology},\n\tauthor = {Jetten, Jolanda and Hornsey, Matthew J.},\n\tyear = {2014},\n\tpmid = {23751035},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {461--485},\n}\n\n\n\n\n
@article{hudak_what_2014,\n\ttitle = {What {Makes} a {Positive} {Deviant} {Utilizing} {Common} {Themes} in {Best} {Practice} {Stroke} {Hospitals} to {Influence} {Institutional} {Quality} {Improvement}},\n\tvolume = {29},\n\turl = {http://ajm.sagepub.com/content/early/2013/12/30/1062860613516249.extract},\n\tnumber = {2},\n\turldate = {2014-10-06},\n\tjournal = {American Journal of Medical Quality},\n\tauthor = {Hudak, Marissa L. and Graves, Alexandra and Reichelt, Kirk A. and Sweigart, Joseph and Harry, Elizabeth and Glasheen, Jeffrey and Jones, William and Cumbler, Ethan},\n\tyear = {2014},\n\tkeywords = {Health Care},\n\tpages = {170},\n}\n\n\n\n\n
@mastersthesis{davis_eating_2014,\n\ttitle = {Eating well and paying less: a positive deviance study},\n\tshorttitle = {Eating well and paying less},\n\turl = {https://digital.lib.washington.edu/researchworks/bitstream/handle/1773/26331/Davis_washington_0250O_12764.pdf?sequence=1&isAllowed=y},\n\tabstract = {ABSTRACT\nBackground/Objective: Past studies have shown that healthier diets tend to cost more. This study identified groups of positive deviants (PD) who are able to achieve healthier diets at lower cost, and characterize them by socio-demographics, dietary components, and food attitudes.\nSubjects/Methods: The Seattle Obesity Study (SOS) was a cross-sectional study based on a representative sample of 1266 adults of King County, WA, conducted in 2008–09. Socio-demographic and attitudinal variables were obtained through telephone survey. Dietary intake data were obtained using a food frequency questionnaire (FFQ). Diet cost was calculated based on retail prices for FFQ component foods. Healthy Eating Index-2005 (HEI), mean adequacy ratio (MAR), and energy density (ED) were used as three measures of diet quality.\nResults: Higher diet cost is associated with being female, aged 50-64, a college graduate or higher, and having annual household income \\$100,000 or more. 66 HEI positive deviants, 73 MAR positive deviants, and 33 ED positive deviants were identified who had higher diet quality at lower cost. Compared to other individuals, PD varied by gender, age, race, education, income, marital status and perceived importance of eating foods that are healthy, inexpensive and convenient. Regardless of cost, individuals with high diet quality had similar HEI component scores. However, PD were able to achieve the same high HEI at lower cost. Their diet was constituted by more fruits, vegetables, whole grains, and milk, and less saturated fats, solid fats, alcohol, and added sugars (SoFAAS).\nConclusions: One way to achieve high diet quality at low cost is by choosing less expensive forms of fruits and vegetables—such as apples and carrots instead of strawberries and kale. Increasing intake of healthful food components that are less expensive, such as whole grains, meats and beans is another way to achieve a healthier diet at lower cost. Strategies to improve diet quality at low cost should also include techniques to increase the perception that it is important that food be healthy, and to improve the accuracy of self-assessments of diet quality.},\n\turldate = {2014-10-06},\n\tschool = {University of Washington},\n\tauthor = {Davis, Cara},\n\tyear = {2014},\n\tkeywords = {Nutrition},\n}\n\n\n\n\n
@misc{chikezie_ebola_2014,\n\ttitle = {Ebola: it’s governance, stupid},\n\turl = {https://www.equaltimes.org/ebola-it-s-governance-stupid?lang=en#.Xsw10S-z2_v},\n\tabstract = {Chukwu-Emeka},\n\tjournal = {Equal Times},\n\tauthor = {Chikezie, Chukwu-Emeka},\n\tmonth = nov,\n\tyear = {2014},\n\tkeywords = {Health Care, Public/Global Health},\n}\n\n\n\n\n
@phdthesis{johnson_morris_positive_2014,\n\taddress = {Minneapolis},\n\ttype = {D.{B}.{A}.},\n\ttitle = {The {Positive} {Deviance} {Phenomenon} of {Leading} {Successful} {Strategic} {Change}},\n\tcopyright = {Copyright ProQuest, UMI Dissertations Publishing 2014},\n\turl = {http://search.proquest.com/docview/1549542552/abstract?accountid=8579},\n\tabstract = {The high failure rates of strategic change threaten organizational sustainability. The focus of this phenomenological study was to explore how the positive deviance phenomenon and strategies manifest through the lived experience of successful Canadian financial services strategic change leaders. The conceptual framework included the potential business performance gains attributed to Sternin and Sternin's positive deviance concept and Lewin's change management theory. Twenty-two Canadian leaders, with an average of 19 years leading change, participated in semistructured telephone interviews. A systematic inductive analysis was employed to identify emergent themes in the data, which resulted in 4 dimensions of leading successful strategic change: leaderful identity, deep skill set, strategic behaviors, and organizational context. These dimensions culminated in the Leading Successful Strategic Change: The 4 Factor Formula. In a change-resistant organization, the 4 Factor Formula leader can influence successful change and shift industries, communities, and countries forward. Findings might serve as a road map for individual and applied business course development and selection criteria for senior leaders. Future research may confirm transferability of the 4 Factor Formula to other business applications. The practical reservoir of actionable findings and resources supports a leadership development path for executing sustainable positive social change.},\n\tlanguage = {English},\n\turldate = {2014-10-07},\n\tschool = {Walden University},\n\tauthor = {Johnson Morris, Gail},\n\tyear = {2014},\n\tkeywords = {Management and Innovation},\n}\n\n\n\n\n
@article{nam_cross-national_2014,\n\ttitle = {Cross-national differences in firms undertaking innovation initiatives: {An} application of institutional anomie theory},\n\tvolume = {20},\n\tissn = {1075-4253},\n\tshorttitle = {Cross-national differences in firms undertaking innovation initiatives},\n\turl = {https://www.sciencedirect.com/science/article/pii/S1075425313000665?via%3Dihub},\n\tdoi = {10.1016/j.intman.2013.05.001},\n\tabstract = {In this study, we seek to explain why firms' innovations vary across countries. Drawing on institutional anomie theory (IAT), we test cross-level hypotheses related to firm innovation. Specifically, we apply the fundamental tenets of IAT to argue that innovation is an outcome of positive deviance. Further, we posit that some social institutions (e.g., education, polity) may moderate the relationships between extant cultural dimensions such as achievement, uncertainty avoidance, and in-group collectivism and innovation. To empirically explore these possibilities, we leverage data from 26,859 firms in 27 countries. Through the use of Hierarchical Linear Modeling techniques, we reveal significant interaction effects of in-group collectivism and education, uncertainty avoidance and political stability, and in group-collectivism and political stability on cross-national levels of innovation. Finally, we discuss the theoretical and practical implications of this research and describe avenues for future scholarship in this area. © 2013 Elsevier Inc.},\n\tlanguage = {English},\n\tnumber = {2},\n\tjournal = {Journal of International Management},\n\tauthor = {Nam, D.-I. and Parboteeah, K.P. and Cullen, J.B. and Johnson, J.L.},\n\tyear = {2014},\n\tkeywords = {Management and Innovation},\n\tpages = {91--106},\n}\n\n\n\n\n
@article{gary_wicked_2014,\n\ttitle = {The wicked question answered: {Positive} deviance delivers patient-centered care},\n\tvolume = {33},\n\tissn = {0730-4625},\n\tshorttitle = {The wicked question answered},\n\turl = {https://journals.lww.com/dccnjournal/Abstract/2014/05000/The_Wicked_Question_Answered__Positive_Deviance.8.aspx},\n\tdoi = {10.1097/DCC.0000000000000038},\n\tabstract = {BACKGROUND:: How nurses respond when faced with the dilemma of providing patient-centered care in the absence of patient-centered practice guidelines remains relatively unreported. Standards may not be available to guide nurses or may not be realistic for implementation at the point of care. Nurses may be forced to react creatively to meet the needs of their patients. OBJECTIVES:: The purpose was to understand nursing care when standard practice guidelines did not meet patient-specific care needs and to develop various viewpoints related to the use of positive deviance in providing patient-centered care. METHODS:: Complexity theory and the framework of a wicked question were used to guide a 3-round online national Delphi study from November 2011 to February 2012. The panel was accessed through the American Association of Critical Care Nurses to expose the care provided when standard practice guidelines were lacking. RESULTS:: Findings support the presence of positive deviance and expose care provided by nurses when standard practice guidelines lacked the ability to provide patient-centered care. Dominant themes of positive deviance are recommended as priorities for future research. DISCUSSION:: Better guidelines are needed that work for nurses, instead of against them, that would not force a nurse into actions that are not patient centered. Guidelines should guide practice and assist in allowing nurses to provide care that is centered on the best needs of the patient in the specific care situation. © 2014 Wolters Kluwer Health.},\n\tlanguage = {English},\n\tnumber = {3},\n\tjournal = {Dimensions of Critical Care Nursing},\n\tauthor = {Gary, J.C.},\n\tyear = {2014},\n\tkeywords = {Health Care},\n\tpages = {142--150},\n}\n\n\n\n\n
@article{marra_use_2014,\n\ttitle = {The use of real-time feedback via wireless technology to improve hand hygiene compliance},\n\tvolume = {42},\n\turl = {http://www.sciencedirect.com/science/article/pii/S0196655314000923},\n\tnumber = {6},\n\turldate = {2014-10-06},\n\tjournal = {American journal of infection control},\n\tauthor = {Marra, A.R. and Sampaio Camargo, Thiago Zinsly and Magnus, Thyago Pereira and Blaya, Rosangela Pereira and dos Santos, Gilson Batista and Guastelli, Luciana Reis and Rodrigues, Rodrigo Dias and Prado, Marcelo and Victor, Elivane da Silva and Bogossian, Humberto and {others}},\n\tyear = {2014},\n\tkeywords = {Health Care},\n\tpages = {608--611},\n}\n\n\n\n\n
@article{bearman_pushing_2014,\n\ttitle = {Pushing beyond resistors and constipators: {Implementation} considerations for infection prevention best practices topical collection on healthcare associated infections},\n\tvolume = {16},\n\tissn = {1523-3847},\n\tshorttitle = {Pushing beyond resistors and constipators},\n\turl = {https://link.springer.com/article/10.1007%2Fs11908-013-0388-3},\n\tdoi = {10.1007/s11908-013-0388-3},\n\tabstract = {Despite increased knowledge in the science of infection prevention, the implementation of evidence-based best practices remains a challenge. The dissemination of infection prevention risk reduction best practices should be approached with flexibility and a collaborative perspective. High-quality evidence and cost assessments to support interventions are important initial considerations. An implementation framework should be contextually appropriate, take into account an organization's culture, and be mindful of an approach that minimizes complexity. Trialing an intervention within a specific unit may later lead to increased uptake organization wide. Highly functional collaborations with effective leaders are needed for successful implementation. Leadership for infection prevention initiatives may include upper level management; however, hospital epidemiologists and infection preventionists often play this role. Although published data fail to identify a single best integrative strategy for infection prevention practice change, success has been associated with education initiatives and seminars, audit and feedback, distribution of educational materials, marketing, mass media, positive deviance, and the employment of champions, facilitators, role models, and opinion leaders. Local personnel, such as organizational resistors and constipators, can be barriers to idea dissemination and implementation. In addition to a thoughtfully conceived implementation strategy, dealing with infection prevention resistors and constipators includes getting their buy-in early in the dissemination process, working around them, or terminating their employment. More data are needed to best define which infection prevention dissemination strategies are most effective. © 2014 Springer Science+Business Media New York.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Current Infectious Disease Reports},\n\tauthor = {Bearman, G. and Stevens, M.P.},\n\tyear = {2014},\n\tkeywords = {Health Care},\n\tpages = {388--395},\n}\n\n\n\n\n
@article{lawton_positive_2014,\n\ttitle = {Positive deviance: a different approach to achieving patient safety},\n\tvolume = {23},\n\tshorttitle = {Positive deviance},\n\turl = {http://qualitysafety.bmj.com/content/early/2014/07/21/bmjqs-2014-003115.short},\n\tdoi = {doi:10.1136/bmjqs-2014-003115},\n\tnumber = {11},\n\turldate = {2014-10-06},\n\tjournal = {BMJ Quality \\& Safety},\n\tauthor = {Lawton, Rebecca and Taylor, Natalie and Clay-Williams, Robyn and Braithwaite, Jeffrey},\n\tyear = {2014},\n\tkeywords = {Health Care},\n\tpages = {880--883},\n}\n\n\n\n\n
@article{marra_new_2014,\n\ttitle = {New technologies to monitor healthcare worker hand hygiene},\n\tvolume = {20},\n\tissn = {1198-743X},\n\turl = {https://www.clinicalmicrobiologyandinfection.com/article/S1198-743X(14)60190-7/fulltext},\n\tdoi = {10.1111/1469-0691.12458},\n\tabstract = {Compliance with hand hygiene is a good quality indicator for hospital patient safety programmes. Hand hygiene is a major infection control prevention intervention, but in many medical centres compliance rates are only c. 50\\%. Given the enormous number of hand hygiene opportunities in hospitals, direct observation to monitor compliance is very inefficient. However, technologies are emerging to obviate the need for direct observation. These new technologies for monitoring hand hygiene compliance are discussed in this article. © 2013 European Society of Clinical Microbiology and Infectious Diseases.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Clinical Microbiology and Infection},\n\tauthor = {Marra, A.R. and Edmond, M.B.},\n\tyear = {2014},\n\tkeywords = {Health Care, Management and Innovation},\n\tpages = {29--33},\n}\n\n\n\n\n
@article{klaiman_leveraging_2014,\n\ttitle = {Leveraging {Effective} {Clinical} {Registries} to {Advance} {Medical} {Care} {Quality} and {Transparency}},\n\tvolume = {17},\n\turl = {http://online.liebertpub.com/doi/abs/10.1089/pop.2013.0021},\n\tnumber = {2},\n\turldate = {2014-10-06},\n\tjournal = {Population health management},\n\tauthor = {Klaiman, T. and Pracilio, Valerie and Kimberly, Laura and Cecil, Kate and Legnini, Mark},\n\tyear = {2014},\n\tkeywords = {Health Care},\n\tpages = {127--133},\n}\n\n\n\n\n
@article{klaiman_learning_2014,\n\ttitle = {Learning from successful school-based vaccination clinics during 2009 {pH1N1}},\n\tvolume = {84},\n\turl = {http://onlinelibrary.wiley.com/doi/10.1111/josh.12119/full},\n\tnumber = {1},\n\turldate = {2014-10-06},\n\tjournal = {Journal of School Health},\n\tauthor = {Klaiman, T. and O'Connell, Katherine and Stoto, Michael A.},\n\tyear = {2014},\n\tkeywords = {Health Care, Management and Innovation},\n\tpages = {63--69},\n}\n\n\n\n\n
@article{tseng_assessing_2014,\n\ttitle = {Assessing {Potential} {Glycemic} {Overtreatment} in {Persons} at {Hypoglycemic} {Risk}},\n\tvolume = {174},\n\turl = {http://archinte.jamanetwork.com/article.aspx?articleID=1785199&utm_source=Silverchair%20Information%20Systems&utm_medium=email&utm_campaign=ArchivesofInternalMedicine%3AOnlineFirst12%2F10%2F2013},\n\tnumber = {2},\n\turldate = {2014-10-06},\n\tjournal = {JAMA internal medicine},\n\tauthor = {Tseng, Chin-Lin and Soroka, Orysya and Maney, Miriam and Aron, David C. and Pogach, Leonard M.},\n\tyear = {2014},\n\tkeywords = {Health Care},\n\tpages = {259--268},\n}\n\n\n\n\n
@article{walls_exceptional_2013,\n\ttitle = {Exceptional boards: {Environmental} experience and positive deviance from institutional norms},\n\tvolume = {34},\n\tissn = {0894-3796},\n\tshorttitle = {Exceptional boards},\n\turl = {https://onlinelibrary.wiley.com/doi/abs/10.1002/job.1813},\n\tdoi = {10.1002/job.1813},\n\tabstract = {This paper explores the phenomenon of positive organizational deviance from institutional norms by establishing practices that protect or enhance the natural environment. Seeking to explain why some organizations practice positive environmental deviance while others do not, we locate our inquiry on the board of directors-the organizational body that interprets external issues and guides organizational response. We find a strong correlation between positive deviance and the past environmental experience of board directors and the centrality of the organization within field-level networks. Organizations located on the periphery of the network or whose boards possess a high level of environmental experience are more likely to deviate in positive ways. Our conclusions contribute to multiple literatures in behavioral and environmental governance, the role of filtering and enaction in the process of institutional conformity and change, and the mechanisms behind proactive environmental protection strategies within business. © 2012 John Wiley \\& Sons, Ltd.},\n\tlanguage = {English},\n\tnumber = {2},\n\tjournal = {Journal of Organizational Behavior},\n\tauthor = {Walls, J.L. and Hoffman, A.J.},\n\tyear = {2013},\n\tkeywords = {Environment},\n\tpages = {253--271},\n}\n\n\n\n\n
@article{taliani_implementing_2013,\n\ttitle = {Implementing {Effective} {Care} {Management} in the {Patient}-{Centered} {Medical} {Home}{\\textbar} {Page} 2},\n\tvolume = {19},\n\turl = {http://www.ajmc.com/publications/issue/2013/2013-1-vol19-n12/implementing-effective-care-management-in-the-patient-centered-medical-home},\n\tnumber = {12},\n\turldate = {2014-10-06},\n\tjournal = {The American Journal of Managed Care},\n\tauthor = {Taliani, Catherine A. and Bricker, Patricia L. and Adelman, Alan M. and Cronholm, Peter F. and Gabbay, Robert A.},\n\tyear = {2013},\n\tkeywords = {Health Care, Management and Innovation},\n\tpages = {964},\n}\n\n\n\n\n
@article{sethi_encouraging_2013,\n\ttitle = {Encouraging appropriate infant feeding practices in slums: a positive deviance approach},\n\tvolume = {2},\n\tshorttitle = {Encouraging appropriate infant feeding practices in slums},\n\turl = {https://www.researchgate.net/profile/Siddharth_Agarwal/publication/46032434_Encouraging_Appropriate_Infant_Feeding_Practices_in_Slums_A_Positive_Deviance_Approach/links/0fcfd50577affd0c45000000/Encouraging-Appropriate-Infant-Feeding-Practices-in-Slums-A-Positive-Deviance-Approach.pdf},\n\tabstract = {Abstract: Nutritional Positive Deviant (PD) infants grow ‘bigger’ and ‘faster’ than other infants living in a\nsimilarly socio-economically deprived environment. Certain positive feeding and care giving practices\nadopted by mothers of PD infants enable them rear better nourished and active infants. Limited data is\navailable on using PD mothers as counselors encouraging appropriate and feasible infant feeding practices\n(IFP) in India. Hence, the present study was undertaken. The study was conducted in a slum of Delhi (India).\nTwenty-Five infants aged 6-12 months were weighed. Three infants with normal weight for age status (as\nper Gomez classification) were classified as PD infants. A PD inquiry (PDI) was conducted on current IFP\nin these families to identify PD behaviours adopted and determinants for the same. PD behaviours identified\nincluded: feeding modified family pot (energy dense) complementary food at least two times a day,\nsupervised bowl feeding by the mother and father support to the mother in infant feeding and care giving.\nTwo, of these three PD mothers volunteered to discuss the benefits of PD behaviours they had been\npracticing with the other 22 members of the group. The strategy promoted collective dialogue and discussion\nto try the PD behaviours through weekly group discussions over a period of four weeks. After four weeks,\nfeeding modified family pot food with addition of 1 teaspoon of ghee (milk fat) in food (10/22), feeding an extra\nmid-day cereal snack (12/22) were PD behaviours adopted by other members of the group (22). It can be\nconcluded that i) behaviours requiring least preparation time were easily adopted and ii) PD mothers can\nbe effective counselors to encourage appropriate IFP.},\n\tnumber = {3},\n\turldate = {2014-10-06},\n\tjournal = {Pakistan J Nutr},\n\tauthor = {Sethi, Vani and Kashyap, Sushma and Seth, Veenu and Agarwal, Siddharth},\n\tmonth = mar,\n\tyear = {2013},\n\tkeywords = {Nutrition, Sexual/Reproductive Health},\n\tpages = {164--6},\n}\n\n\n\n\n
@article{sadler-smith_toward_2013,\n\ttitle = {Toward {Organizational} {Environmental} {Virtuousness}},\n\tvolume = {49},\n\tissn = {0021-8863},\n\turl = {https://journals.sagepub.com/doi/10.1177/0021886312471856},\n\tdoi = {10.1177/0021886312471856},\n\tabstract = {This article combines theories of environmental virtue ethics and organizational virtuousness in proposing the idea of "organizational environmental virtuousness." In doing so it draws attention to the fact that previous "green management" scholarship has emphasized reduction of harm and adherence to norms and overlooked the significance of positive deviance, virtue, and virtuousness. In common with organizational virtuousness, organizational environmental virtuousness is associated with moral goodness, human impact, and unconditional social betterment. Amplifying and buffering effects of organizational environmental virtuousness support positive deviance and environmentally supportive behaviors and constrain negative deviance and environmentally antagonistic behaviors, respectively. The article concludes with a consideration of the implications of organizational virtuousness for researchers who may wish to examine its antecedents and consequences, and for practitioners who may wish to leverage environmental virtuousness in their organizations. © 2013 NTL Institute.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Journal of Applied Behavioral Science},\n\tauthor = {Sadler-Smith, E.},\n\tyear = {2013},\n\tkeywords = {Environment, Management and Innovation},\n\tpages = {123--148},\n}\n\n\n\n\n
@inproceedings{rebovich_patterns_2013,\n\ttitle = {Patterns of success in systems engineering},\n\tisbn = {978-1-4673-3106-7},\n\turl = {https://ieeexplore.ieee.org/document/6549856},\n\tdoi = {10.1109/SysCon.2013.6549856},\n\tabstract = {The objective of this effort was to discover patterns of success in the systems engineering of information-intensive systems in a government acquisition environment using the method of positive deviance. © 2013 IEEE.},\n\tlanguage = {English},\n\tauthor = {Rebovich, G. and Derosa, J.K.},\n\tyear = {2013},\n\tkeywords = {Management and Innovation, Systems Engineering},\n\tpages = {43--50},\n}\n\n\n\n\n
@article{long_determinants_2013,\n\ttitle = {Determinants of better health: {A} cross-sectional assessment of positive deviants among women in {West} {Bengal}},\n\tvolume = {13},\n\tissn = {1471-2458},\n\tshorttitle = {Determinants of better health},\n\turl = {https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-372},\n\tdoi = {10.1186/1471-2458-13-372},\n\tabstract = {Background: Rural women in West Bengal have been found to have low rates of formal education, poor health knowledge, high rates of malnutrition and anemia, and low levels of empowerment. Despite these difficult circumstances, some women have positive health outcomes compared to women with similarly disadvantaged backgrounds. The purpose of this study is to identify factors associated with positive health outcomes among women with primary education or less. Methods. Multivariable regression models were built for outcomes of positive deviance to better characterize the factors in a woman's life that most impact her ability to deviate from the status quo. Results: Positive deviants in this context are shown to be women who are able to earn an income, who have access to information through media sources, and who, despite little schooling, have marginally higher levels of formal education that lead to improved health outcomes. Conclusions: Study findings indicate that positive deviant women in disadvantaged circumstances can achieve positive outcomes amidst a host of contextual barriers that would predict poor health outcomes. Focusing on areas such as enhancing access to media sources, facilitating self-help groups for married women, and promoting prolonged education and delayed marriage for girls may improve health knowledge and behavior among married women with low levels of education. © 2013 Long et al.; licensee BioMed Central Ltd.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {BMC Public Health},\n\tauthor = {Long, K.N.G. and Gren, L.H. and Rees, C.A. and West, J.H. and Hall, P.C. and Gray, B. and Crookston, B.T.},\n\tyear = {2013},\n\tkeywords = {Health Care},\n\tpages = {372--381},\n}\n\n\n\n\n
@article{kraschnewski_epidemiology_2013,\n\ttitle = {The epidemiology of weight counseling for adults in the {United} {States}: {A} case of positive deviance},\n\tvolume = {37},\n\tissn = {0307-0565},\n\tshorttitle = {The epidemiology of weight counseling for adults in the {United} {States}},\n\turl = {https://www.nature.com/articles/ijo2012113},\n\tdoi = {10.1038/ijo.2012.113},\n\tabstract = {Weight counseling for adults is uncommonly performed by primary-care providers (PCPs), despite recommendations. In order to design effective primary-care interventions, a full understanding of the epidemiology of weight counseling in primary care is needed. Our objective was to measure the frequency of weight counseling at the level of the PCP. We performed a cross-sectional study of 21 220 US adult outpatient primary-care visits with 954 PCPs in 2007-2008, using data from the National Ambulatory Medical Care Survey (NAMCS). Most (58\\%) PCPs performed no weight counseling during any patient visits. A total of 85 (8.9\\%) PCPs provided 52\\% of all weight counseling and were categorized as 'positive deviant' (PD) physicians. Patients seeing PD physicians were older, less likely to be female and more likely to have hypertension, diabetes and obesity. Adjusting for patient characteristics strengthened the association between PD status and receipt of weight counseling during visits (adjusted odds ratio=13.2 (95\\% confidence interval 11.5-15.7)). In conclusion, a minority of PCPs provide the majority of primary-care weight counseling in the United States. Studies of these PCPs may help to identify practical methods to increase weight counseling in primary-care settings. © 2013 Macmillan Publishers Limited.},\n\tlanguage = {English},\n\tnumber = {5},\n\tjournal = {International Journal of Obesity},\n\tauthor = {Kraschnewski, J.L. and Sciamanna, C.N. and Pollak, K.I. and Stuckey, H.L. and Sherwood, N.E.},\n\tyear = {2013},\n\tkeywords = {Health Care, Nutrition},\n\tpages = {751--753},\n}\n\n\n\n\n
@article{kegler_positive_2013,\n\ttitle = {"{Positive} deviants": a qualitative study of physically active adults in rural environments},\n\tvolume = {34},\n\tissn = {1573-6547},\n\tshorttitle = {"{Positive} deviants"},\n\turl = {https://link.springer.com/article/10.1007%2Fs10935-013-0291-6},\n\tdoi = {10.1007/s10935-013-0291-6},\n\tabstract = {Rural residents, particularly those in the South, are less physically active than their urban counterparts and often live in areas with limited walkability (e.g., no sidewalks) and minimal access to recreational facilities. The purpose of this study was to gain an understanding of what makes certain rural residents physically active despite their environment. Qualitative interviews (N = 29) were conducted with physically active adults who live in rural areas (e.g., outside of town) in southwest Georgia. Participants were 65.5\\% male and 24.1\\% African American, with a mean age of 55.9 years. Results suggest that physically active adults in rural areas are motivated by their health and perceive their local surroundings as a resource for physical activity. Understanding how these physically active adults take advantage of their living situations to be physically active has the potential to inform interventions that encourage physical activity in this high-risk population.},\n\tlanguage = {eng},\n\tnumber = {1-2},\n\tjournal = {The Journal of Primary Prevention},\n\tauthor = {Kegler, Michelle C. and Alcantara, Iris and Dubruiel, Nicole and Veluswamy, J. K. and Appelbaum, Hannah and Handwerk, Sandy},\n\tmonth = apr,\n\tyear = {2013},\n\tpmid = {23329017},\n\tkeywords = {Physical Activity/Sports},\n\tpages = {5--15},\n}\n\n\n\n\n
@article{garrett_we_2013,\n\ttitle = {'{We} do the impossible': {Women} overcoming barriers to cervical cancer screening in rural {Honduras} - a positive deviance analysis},\n\tvolume = {15},\n\tissn = {1369-1058},\n\tshorttitle = {'{We} do the impossible'},\n\turl = {https://www.tandfonline.com/doi/abs/10.1080/13691058.2012.760206},\n\tdoi = {10.1080/13691058.2012.760206},\n\tabstract = {Cervical cancer is the leading cause of cancer death for women in Honduras, and sexual behaviour and low screening uptake are two major factors contributing to high rates of morbidity and mortality. A qualitative study was conducted to investigate barriers that prevent rural Honduran women from engaging in screening and ways that women overcome those barriers. This study examined examples of positive deviance, or individuals engaging in the uncommon but beneficial practise of screening. Amor por sí misma (self-love), and social support were identified as two constructs women employed to overcome barriers to screening. Participants defined self-love as the act of displaying care and concern for oneself and one's health and suggested that it compels women to participate in screening. Social support was defined as receiving tangible aid and advice from others that facilitated women's screening participation. Findings suggest that the concept of self-love could be used in future screening promotion efforts and that integrating social support would also be beneficial. Engaging men in sexual and reproductive health programming is suggested in order to ensure male partners offer social support for screening and to challenge the cultural, gender and sexual norms that place women at higher risk for cervical cancer. © 2013 © 2013 Taylor \\& Francis.},\n\tlanguage = {English},\n\tnumber = {6},\n\tjournal = {Culture, Health and Sexuality},\n\tauthor = {Garrett, J.J. and Barrington, C.},\n\tyear = {2013},\n\tkeywords = {Health Care, Sexual/Reproductive Health},\n\tpages = {637--651},\n}\n\n\n\n\n
@inproceedings{doskey_positive_2013,\n\ttitle = {Positive deviance approach for identifying next-generation system engineering best practices},\n\tvolume = {16},\n\turl = {https://www.sciencedirect.com/science/article/pii/S187705091300118X?via%3Dihub},\n\tdoi = {10.1016/j.procs.2013.01.117},\n\tabstract = {Systems Engineering practices, methods, and processes are rapidly evolving to keep pace with the accelerated advances occurring in complex systems development. Often, Systems Engineering curricula reflect methods and processes proven over time and as such don't necessarily convey the changes occurring at the forefront of complex system development. This paper explores an alternative approach - Positive Deviance - for researching and identifying next-generation Systems Engineering best practices at this knowledge horizon. Positive Deviance has over two decades of proven use in social sciences disciplines as a means of identifying behavioral patterns. The intent of this paper is to demonstrate a method for maintaining a continuously refreshed repertoire of leading edge best practices to supplement traditional training curricula in Systems Engineering. This paper presents a proposed model (DISCO Model) for the integration of the Positive Deviance approach into current knowledge elicitation processes used to capture Systems Engineering best practices. This paper focuses on providing an exploratory discussion of useful steps and guidelines that prospective educators could use to capture next-generation Systems Engineering best practices for inclusion in their training and education curricula. © 2013 The authors. Published by Elsevier B.V.},\n\tlanguage = {English},\n\tauthor = {Doskey, S. and Mazzuchi, T. and Sarkania, S.},\n\tyear = {2013},\n\tkeywords = {Systems Engineering},\n\tpages = {1112--1121},\n}\n\n\n\n\n
@article{docherty_what_2013,\n\ttitle = {What {Can} {We} {Learn} from a {University} that {Rewards} {Faculty} {Practice}?},\n\tvolume = {29},\n\tissn = {0748-4526},\n\turl = {https://onlinelibrary.wiley.com/doi/abs/10.1111/nejo.12021},\n\tdoi = {10.1111/nejo.12021},\n\tabstract = {What conditions, including standards for promotion and tenure, should we be cultivating at universities if we want scholar practitioners (or pracademics) in conflict-related fields to thrive in academic settings? This article examines the Center for Justice and Peacebuilding at Eastern Mennonite University as an example of "positive deviance" - a university and an academic program that wholeheartedly support faculty members who engage in extensive practice, including long-term involvement with peacebuilding processes. Three conditions - location, culture, and the application of peacebuilding strategies within the university - have given rise to and continue to support this system even as the university embraces a commitment to increasing scholarly productivity by faculty members. © 2013 President and Fellows of Harvard College.},\n\tlanguage = {English},\n\tnumber = {2},\n\tjournal = {Negotiation Journal},\n\tauthor = {Docherty, J.S.},\n\tyear = {2013},\n\tkeywords = {Management and Innovation},\n\tpages = {239--250},\n}\n\n\n\n\n
@incollection{chakraborty_chapter_2013,\n\ttitle = {Chapter 47 {Identification} of {Positive} {Deviance}—{Methodology} {Development}},\n\turl = {http://download.springer.com/static/pdf/508/chp%253A10.1007%252F978-981-4560-61-0_47.pdf?auth66=1412674912_7175949a3699ae2842f44798ae418821&ext=.pdf},\n\tabstract = {Corporate efforts to improve the bottom line traditionally focus on shortcoming\nand issues.A comprehensive set of analytical tools and methodologies (e.g.,\nLean Management, Six Sigma) have been developed and are deployed in attempts\nto fix identified problems. However, little guidance is available on how to actually\ncome up with improved organizational and process designs. Organizations tend to\nrely on approaches such as brainstorming that do not lead to consistent and reliable\noutcomes. It is proposed to benefit from conducting a dedicated study on internal\nsources for business improvement. This so-called positive deviance approach utilizes\ninternal best practices and converts successful, but hidden best practices into\nwidely deployed, corporate practices. The paper develops a methodology to identifying\nexceptional performers and map their behaviors and activities which made\nthem successful. The objective was to identify practical quick wins which can be\nimplemented through existing account auditing activities.},\n\tbooktitle = {Proceedings of the {International} {Conference} on {Managing} the {Asian} {Century}},\n\tpublisher = {Springer Science+Business Media Singapore},\n\tauthor = {Chakraborty, Ayon and Siriwardane, Harshini},\n\tcollaborator = {Mandal, Purnendu},\n\tyear = {2013},\n\tkeywords = {Concept of Positive Deviance, Development, Management and Innovation},\n}\n\n\n\n\n
@article{beaulieu_make_2013,\n\ttitle = {Make a difference: become a positive deviant},\n\tvolume = {59},\n\tissn = {1715-5258},\n\tshorttitle = {Make a difference},\n\turl = {https://pubmed.ncbi.nlm.nih.gov/23585615/},\n\tlanguage = {eng},\n\tnumber = {4},\n\tjournal = {Canadian Family Physician Médecin De Famille Canadien},\n\tauthor = {Beaulieu, Marie-Dominique},\n\tmonth = apr,\n\tyear = {2013},\n\tpmid = {23585615},\n\tpmcid = {PMC3625094},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {447},\n}\n\n\n\n\n
@article{andrews_escaping_2013,\n\ttitle = {Escaping {Capability} {Traps} {Through} {Problem} {Driven} {Iterative} {Adaptation} ({PDIA})},\n\tvolume = {51},\n\tissn = {0305-750X},\n\turl = {https://www.sciencedirect.com/science/article/abs/pii/S0305750X13001320?via%3Dihub},\n\tdoi = {10.1016/j.worlddev.2013.05.011},\n\tabstract = {Many development initiatives fail to improve performance because they promote isomorphic mimicry-governments change what they look like, not what they do. This article proposes a new approach to doing development, Problem-Driven Iterative Adaptation (PDIA), which contrasts with standard approaches. PDIA focuses on solving locally nominated and prioritized performance problems (instead of transplanting "best practice" solutions). PDIA encourages positive deviance and experimentation (instead of requiring that agents implement policies as designed). PDIA creates feedback loops that facilitate rapid learning (instead of lagged learning from ex post evaluation). PDIA engages many agents to create viable, relevant interventions (instead of depending on external experts). © 2013 Elsevier Ltd.},\n\tlanguage = {English},\n\tjournal = {World Development},\n\tauthor = {Andrews, M. and Pritchett, L. and Woolcock, M.},\n\tyear = {2013},\n\tkeywords = {Management and Innovation},\n\tpages = {234--244},\n}\n\n\n\n\n
@article{vadera_constructive_2013,\n\ttitle = {Constructive {Deviance} in {Organizations}: {Integrating} and {Moving} {Forward}},\n\tvolume = {39},\n\tissn = {0149-2063},\n\tshorttitle = {Constructive {Deviance} in {Organizations}},\n\turl = {https://journals.sagepub.com/doi/pdf/10.1177/0149206313475816},\n\tdoi = {10.1177/0149206313475816},\n\tabstract = {A growing literature explores the notion of constructive deviance conceptualized as behaviors that depart from the norms of the reference group such that they benefit the reference group and conform to hypernorms. We argue that constructive deviance is an umbrella term that encompasses several different behaviors, including taking charge, creative performance, expressing voice, whistle-blowing, extra-role behaviors, prosocial behaviors, prosocial rule breaking, counter-role behaviors, and issue selling. Using the three common mechanisms underlying constructive deviance to organize our review (intrinsic motivation, felt obligation, and psychological empowerment), we provide an emergent model that integrates extant empirical work on the antecedents of constructive deviance. We conclude by discussing issues for future research, such as examining obstacles, outcomes, and unexplored mechanism dynamics associated with constructive deviance. © The Author(s) 2013.},\n\tlanguage = {English},\n\tnumber = {5},\n\tjournal = {Journal of Management},\n\tauthor = {Vadera, A.K. and Pratt, M.G. and Mishra, P.},\n\tyear = {2013},\n\tkeywords = {Management and Innovation},\n\tpages = {1221--1276},\n}\n\n\n\n\n
@article{kennedy_nurses_2013,\n\ttitle = {Nurses: patient advocates, positive deviants?},\n\tvolume = {113},\n\tissn = {1538-7488},\n\tshorttitle = {Nurses},\n\turl = {https://insights.ovid.com/article/00000446-201308000-00001},\n\tdoi = {10.1097/01.NAJ.0000432940.19595.e7},\n\tlanguage = {eng},\n\tnumber = {8},\n\tjournal = {The American Journal of Nursing},\n\tauthor = {Kennedy, Maureen Shawn},\n\tmonth = aug,\n\tyear = {2013},\n\tpmid = {23883977},\n\tkeywords = {Health Care},\n\tpages = {7},\n}\n\n\n\n\n
@article{klaiman_local_2013,\n\ttitle = {Local health department public vaccination clinic success during 2009 {pH1N1}},\n\tvolume = {19},\n\tissn = {1078-4659},\n\turl = {https://insights.ovid.com/article/00124784-201307000-00020},\n\tdoi = {10.1097/PHH.0b013e318269e434},\n\tabstract = {CONTEXT: Local health departments (LHDs) were responsible for administering vaccine to the public during the 2009 H1N1 campaign but had relatively little guidance or experience to inform such a large campaign with limited vaccine supply. They used various processes to deliver vaccines to the public. Learning from the LHDs that were successful in their public vaccination campaigns can help inform future vaccination efforts. OBJECTIVE: To learn from H1N1 campaign in order to improve responses to similar events in the future. We used a positive deviance approach to identify positive outlier LHDs during the 2009 H1N1 vaccination campaigns. We then used realist evaluation to learn about the combinations of context and mechanisms that led select LHDs to perform well. DESIGN: This project was a retrospective qualitative study. We used process mapping to define the steps involved in implementing public vaccination clinics. We identified positive outliers in H1N1 public vaccination efforts and conducted in-depth interviews with LHD staff to learn about the context and mechanisms that led to successful public vaccination clinics. PARTICIPANTS: This study focused on positive outliers in LHD vaccination efforts during the 2009 H1N1 campaign that implemented public vaccination clinics. MAIN OUTCOME MEASURE(S): Study outcomes focused on the combinations of context and mechanisms that led to successful outcomes in high-performing LHDs. Specific context + mechanism = outcomes stories are reported. RESULTS: We found that successful LHDs defined priority groups, communicated with the public, maintained adequate staffing, established community partnerships, and maintained flexibility. We describe the specific contexts that triggered key mechanisms, which, when combined, led to successful outcomes. CONCLUSIONS: The positive deviance and realist evaluation approach allowed us to understand how LHD context triggered specific mechanisms, which led to successful public clinics. The experience of successful LHDs can assist similar LHDs in implementing successful public vaccination clinics in the future. Copyright © 2013 Wolters Kluwer Health {\\textbar} Lippincott Williams \\& Wilkins.},\n\tlanguage = {English},\n\tnumber = {4},\n\tjournal = {Journal of Public Health Management and Practice},\n\tauthor = {Klaiman, T. and O'Connell, K. and Stoto, M.},\n\tyear = {2013},\n\tkeywords = {Health Care},\n\tpages = {20--26},\n}\n\n\n\n\n
@article{lanham_how_2013,\n\ttitle = {How complexity science can inform scale-up and spread in health care: understanding the role of self-organization in variation across local contexts},\n\tvolume = {93},\n\tshorttitle = {How complexity science can inform scale-up and spread in health care},\n\turl = {http://www.sciencedirect.com/science/article/pii/S0277953612004911},\n\turldate = {2014-10-06},\n\tjournal = {Social Science \\& Medicine},\n\tauthor = {Lanham, Holly Jordan and Leykum, Luci K. and Taylor, Barbara S. and McCannon, C. Joseph and Lindberg, C. and Lester, Richard T.},\n\tyear = {2013},\n\tkeywords = {Health Care},\n\tpages = {194--202},\n}\n\n\n\n\n
@article{zimmerman_front-line_2013,\n\ttitle = {Front-line ownership: generating a cure mindset for patient safety},\n\tvolume = {13},\n\tshorttitle = {Front-line ownership},\n\turl = {http://www.plexusinstitute.org/resource/resmgr/files/hp_vol13_no1-1.pdf},\n\tnumber = {1},\n\turldate = {2014-10-06},\n\tjournal = {HealthcarePapers},\n\tauthor = {Zimmerman, Brenda and Reason, Paige and Rykert, Liz and Gitterman, Leah and Christian, Jennifer and Gardam, Michael},\n\tyear = {2013},\n\tkeywords = {Health Care},\n\tpages = {6--22},\n}\n\n\n\n\n
@article{gary_exploring_2013,\n\ttitle = {Exploring the concept and use of positive deviance in nursing},\n\tvolume = {113},\n\tissn = {0002-936X},\n\turl = {https://insights.ovid.com/article/00000446-201308000-00021},\n\tdoi = {10.1097/01.NAJ.0000432960.95762.5f},\n\tabstract = {OVERVIEW: Positive deviance involves an intentional act of breaking the rules in order to serve the greater good. For nurses, the rightness or wrongness of such actions will be judged by other people who are in charge of rules enforcement; but the decision to engage in positive deviance lies solely with the nurse. There is no uniform or consistent definition of positive deviance. This article uses the Walker and Avant method of concept analysis to explore and identify the essence of the term positive deviance in the nursing practice environment, provide a better understanding of the concept, and clarify its meaning for the nursing profession. In turn this led to an operational definition: positive deviance is intentional and honorable behavior that departs or differs from an established norm; contains elements of innovation, creativity, adaptability, or a combination thereof; and involves risk for the nurse. The concept of positive deviance is useful, offering nurses a basis for decision making when the normal, expected actions collide with the nurse's view of the right thing to do.},\n\tlanguage = {English},\n\tnumber = {8},\n\tjournal = {American Journal of Nursing},\n\tauthor = {Gary, J.C.},\n\tyear = {2013},\n\tkeywords = {Health Care, Typology},\n\tpages = {26--34},\n}\n\n\n\n\n
@article{lindberg_combating_2013,\n\ttitle = {Combating infections at {Maine} {Medical} {Center}: {Insights} into complexity-informed leadership from positive deviance},\n\tvolume = {9},\n\tissn = {1742-7150},\n\tshorttitle = {Combating infections at {Maine} {Medical} {Center}},\n\turl = {https://journals.sagepub.com/doi/pdf/10.1177/1742715012468784},\n\tdoi = {10.1177/1742715012468784},\n\tabstract = {A case study of how the organizational change process known as Positive Deviance was used to fight healthcare-associated infections at Maine Medical Center highlights the human and social aspects of leadership in a complex adaptive system. It illustrates that leadership can shape self-organization in a manner that facilitates creative, productive, desirable outcomes. We found influential roles of anxiety, attachment, and relationships in facilitating organizational leadership. We describe how the process of leadership permeated the Medical Center's hierarchies and networks and reflected emergent power dynamics, which included contemporizing some aspects of traditional managerial authority. The study contributes to the management literature by clarifying the dynamics and qualities associated with change in complex human systems and illuminating what constitutes complexity-informed leadership and how it can be practiced. © The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.},\n\tlanguage = {English},\n\tnumber = {2},\n\tjournal = {Leadership},\n\tauthor = {Lindberg, C. and Schneider, M.},\n\tyear = {2013},\n\tkeywords = {Health Care, Typology},\n\tpages = {229--253},\n}\n\n\n\n\n
@article{griffith_positive_2013,\n\ttitle = {A positive deviance perspective on hospital knowledge management: {Analysis} of baldrige award recipients 2002-2008},\n\tvolume = {58},\n\tissn = {1096-9012},\n\tshorttitle = {A positive deviance perspective on hospital knowledge management},\n\turl = {https://pubmed.ncbi.nlm.nih.gov/23821898/},\n\tabstract = {Knowledge management (KM) is emerging as an important aspect of achieving excellent organizational performance, but its use has not been widely explored for hospitals. Taking a positive deviance perspective, we analyzed the applications of nine healthcare organizations (HCOs) that received the Malcolm Baldrige National Quality Award from 2002 to 2008. Baldrige Award applications constitute a uniquely comprehensive, standardized, and audited record of HCOs achieving near-benchmark performance. Applications are organized around leadership, strategy, customers, information, workforce, and operations. We find that KM is frequently referenced in all sections, and about two thirds of each application addresses KM-related issues. Many specific KM activities, such as strategic and action plans, communications, and processes to capture internal and external knowledge, are addressed by all nine applications. We present examples illustrating these frequently appearing KM concepts. Baldrige Award-recipient HCOs apply continuous improvement to KM processes, as they do to their organizations as a whole. We conclude that these HCOs have developed sophisticated, comprehensive KM processes to align both culture and specific procedures throughout the organization. KM in these organizations is a deliberate effort to keep all relevant knowledge at the fingertips of every worker, characterized by frequent communication, careful maintenance of content accuracy, and redundant distribution. We also conclude that the extent and rigor of their KM practice distinguish them from other U.S. hospitals.},\n\tlanguage = {English},\n\tnumber = {3},\n\tjournal = {Journal of Healthcare Management},\n\tauthor = {Griffith, J.R. and Fear, K.M. and Lammers, E. and Banaszak-Holl, J. and Lemak, Christy H. and Zheng, K.},\n\tyear = {2013},\n\tkeywords = {Health Care},\n\tpages = {187--203},\n}\n\n\n\n\n
@article{gabbay_positive_2013,\n\ttitle = {A positive deviance approach to understanding key features to improving diabetes care in the medical home},\n\tvolume = {11},\n\tissn = {1544-1709},\n\turl = {https://www.annfammed.org/content/11/Suppl_1/S99},\n\tdoi = {10.1370/afm.1473},\n\tabstract = {PURPOSE The medical home has gained national attention as a model to reorganize primary care to improve health outcomes. Pennsylvania has undertaken one of the largest state-based, multipayer medical home pilot projects. We used a positive deviance approach to identify and compare factors driving the care models of practices showing the greatest and least improvement in diabetes care in a sample of 25 primary care practices in southeast Pennsylvania. METHODS We ranked practices into improvement quintiles on the basis of the average absolute percentage point improvement from baseline to 18 months in 3 registry-based measures of performance related to diabetes care: glycated hemoglobin concentration, blood pressure, and low-density lipoprotein cholesterol level. We then conducted surveys and key informant interviews with leaders and staff in the 5 most and least improved practices, and compared their responses. RESULTS The most improved/higher-performing practices tended to have greater structural capabilities (eg, electronic health records) than the least improved/ lower-performing practices at baseline. Interviews revealed striking differences between the groups in terms of leadership styles and shared vision; sense, use, and development of teams; processes for monitoring progress and obtaining feedback; and presence of technologic and fi nancial distractions. CONCLUSIONS Positive deviance analysis suggests that primary care practices' baseline structural capabilities and abilities to buffer the stresses of change may be key facilitators of performance improvement in medical home transformations. Attention to the practices' structural capabilities and factors shaping successful change, especially early in the process, will be necessary to improve the likelihood of successful medical home transformation and better care.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Annals of Family Medicine},\n\tauthor = {Gabbay, R.A. and Friedberg, M.W. and Miller-Day, M. and Cronholm, P.F. and Adelman, A. and Schneider, E.C.},\n\tyear = {2013},\n\tkeywords = {Health Care},\n\tpages = {99--107},\n}\n\n\n\n\n
@article{marra_multicenter_2013,\n\ttitle = {A multicenter study using positive deviance for improving hand hygiene compliance},\n\tvolume = {41},\n\tissn = {0196-6553},\n\turl = {https://www.ajicjournal.org/article/S0196-6553(13)00937-1/fulltext},\n\tdoi = {10.1016/j.ajic.2013.05.013},\n\tabstract = {Background Positive deviance (PD) can be a strategy for the improvement of hand hygiene (HH) compliance. Methods This study was conducted in 8 intensive care units and 1 ward at 7 tertiary care, private, and public hospitals. Phase 1 was a 3-month baseline period (from August to October 2011) in which HH counts were performed by observers using iPods (iScrub program). From November 2011 to July 2012, phase 2, a PD intervention was performed in all the participating centers. We evaluated the consumption of HH products (alcohol gel and chlorhexidine) and the incidence density of health care-associated infections. Results There was a total of 5,791 HH observations in the preintervention phase and 11,724 HH observations in the intervention phase (PD). A statistically significant difference was found in overall HH compliance with 46.5\\% in the preintervention phase and 62.0\\% in the PD phase (P {\\textless}.001). There was a statistically significant reduction in the incidence of density of device-associated infections per 1,000 patient-days and also in the median of length of stay between the preintervention phase and the PD phase (13.2 vs 7.5 per 1,000 patient-days, respectively, P =.039; and 11.0 vs 6.8 days, respectively, P {\\textless}.001, respectively). Conclusion PD demonstrated great promise for improving HH in multiple inpatient settings and was associated with a decrease in the median length of stay and the incidence of device-associated HAIs. Copyright © 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.},\n\tlanguage = {English},\n\tnumber = {11},\n\tjournal = {American Journal of Infection Control},\n\tauthor = {Marra, A.R. and Noritomi, D.T. and Westheimer Cavalcante, A.J. and Sampaio Camargo, T.Z. and Bortoleto, R.P. and Durao Junior, M.S. and Apisarnthanarak, A. and Laselva, C. and De Souza Pimentel, W. and Rolim Ferraz, L.J. and Fátima Dos Santos Cardoso, M. and Da Silva Victor, E. and Pavão Dos Santos, O.F. and Neto, M.C. and Edmond, M.B.},\n\tyear = {2013},\n\tkeywords = {Health Care},\n\tpages = {984--988},\n}\n\n\n\n\n
@article{marra_positive_2013,\n\ttitle = {Positive deviance: {A} new tool for infection prevention and patient safety},\n\tvolume = {15},\n\tissn = {1523-3847},\n\tshorttitle = {Positive deviance},\n\turl = {https://link.springer.com/article/10.1007/s11908-013-0372-y},\n\tdoi = {10.1007/s11908-013-0372-y},\n\tabstract = {Positive deviance (PD) may have an important role in infection prevention and patient safety in the hospital. There are many descriptions of successful stories of PD in different sectors from public health to education to business. PD has been applied in the healthcare setting to improve hand hygiene compliance, reduce methicillin-resistant Staphylococcus aureus, and reduce bloodstream infections in an outpatient hemodialysis center. PD promotes dialogue among leaders, managers and healthcare workers, which is a key factor in establishing a safety culture. It also enables cultural changes aimed at empowering frontline workers (the positive deviants) to innovate and improve compliance with infection prevention measures. The structure and the process of PD, and its ability to offer a space for experience discussions, changing ideas and making plans that emerge from team participation will also be discussed. © 2013 Springer Science+Business Media New York.},\n\tlanguage = {English},\n\tnumber = {6},\n\tjournal = {Current Infectious Disease Reports},\n\tauthor = {Marra, A.R. and Pavão Dos Santos, O.F. and Cendoroglo Neto, M. and Edmond, M.B.},\n\tyear = {2013},\n\tkeywords = {Health Care},\n\tpages = {544--548},\n}\n\n\n\n\n
@article{lindberg_embracing_2013,\n\ttitle = {Embracing collaboration: {A} novel strategy for reducing bloodstream infections in outpatient hemodialysis centers},\n\tvolume = {41},\n\tissn = {0196-6553},\n\tshorttitle = {Embracing collaboration},\n\turl = {https://ajicjournal.org/retrieve/pii/S0196655312010668},\n\tdoi = {10.1016/j.ajic.2012.07.015},\n\tabstract = {Background: The incidence of access-related bloodstream infections (AR-BSIs) in US outpatient hemodialysis centers is unacceptably high. This paper presents the implementation and results achieved from a multi-pronged strategy to reduce AR-BSIs in 1 outpatient hemodialysis center. Methods: The intervention, which took place between 2009 and 2011, involved membership in the Centers for Disease Control and Prevention Hemodialysis Bloodstream Infection Prevention Collaborative, implementation of a panel of infection prevention interventions, and use of positive deviance (PD) to engage staff. Changes in the incidence of AR-BSIs and infection prevention process measures between the pre- and postintervention time periods, as well as alterations in the center's social networks, were examined to assess impact. Results: The incidence of all AR-BSIs dropped from 2.04 per 100 patient-months preintervention to 0.75 (P = .03) after employing the Collaborative interventions and to 0.24 (P {\\textless} .01) after augmenting the Collaborative interventions with PD. Adherence rates increased significantly in 4 of 5 infection prevention process measure categories. The dialysis center's social networks became more inclusive and connected after implementation of PD. Conclusion: Participating in a Collaborative, employing a panel of infection prevention strategies, and engaging employees through PD resulted in a significant decline in AR-BSIs in this facility. Other hemodialysis facilities should consider a similar approach. © Copyright 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.},\n\tlanguage = {English},\n\tnumber = {6},\n\tjournal = {American Journal of Infection Control},\n\tauthor = {Lindberg, C. and Downham, G. and Buscell, P. and Jones, E. and Peterson, P. and Krebs, V.},\n\tyear = {2013},\n\tkeywords = {Health Care},\n\tpages = {513--519},\n}\n\n\n\n\n
@inproceedings{leydens_what_2012,\n\ttitle = {What does professional communication research have to do with social justice? {Intersections} and sources of resistance},\n\tisbn = {978-1-4577-2124-3},\n\tshorttitle = {What does professional communication research have to do with social justice?},\n\turl = {https://ieeexplore.ieee.org/document/6408592},\n\tdoi = {10.1109/IPCC.2012.6408592},\n\tabstract = {A brief review of literature indicates that professional communication scholars have had a complex, veiled relation with social justice. It is important to better understand the origins of that relation. After briefly contrasting the degree to which social justice has been explicitly integrated in professional communication and three related disciplines, this paper describes potential sources of resistance to incorporating social justice constructs into professional communication research. In professional communication, these sources of resistance are associated with ideologies that circulate within engineering, scientific, and technical contexts: the apolitical myth, ingroup bias, and technical-social dualism. In addition to exploring those three reasons why professional communication researchers generally avoid foregrounding social justice as an explicit component of their research, the paper also considers deviations from that norm by describing the work of pioneers who are integrating social justice in professional communication research. The implications of these pioneers will be discussed. © 2012 IEEE.},\n\tlanguage = {English},\n\tauthor = {Leydens, J.A.},\n\tyear = {2012},\n\tkeywords = {Development},\n}\n\n\n\n\n
@article{zaidi_change_2012,\n\ttitle = {Change in action: {Using} positive deviance to improve student clinical performance},\n\tvolume = {17},\n\tissn = {1382-4996},\n\tshorttitle = {Change in action},\n\turl = {https://link.springer.com/article/10.1007/s10459-011-9301-8},\n\tdoi = {10.1007/s10459-011-9301-8},\n\tabstract = {At our medical college many students have lower ratings in their clinical performance once they start their clinical years (third year). This is contrary to their results in other written exams. Some students demonstrate better clinical performance. We used the six-step Positive Deviance (PD) Conceptual Framework to identify and disseminate the strategies employed by the successful students to improve group clinical performance. Fifty 3rd year students (of a 5-year MBBS program) rotating through internal medicine were assessed mid-rotation with mini-CEX and 360° evaluations. Twenty students (40\\%) who performed well were invited for in depth interviews in order to identify positive deviant behavior in their clinical skills learning practices. The seven students (14\\%) who reported novel behaviors were asked to develop strategies for dissemination of their learning behavior in their peers. They decided to work in small groups with their peers, using the identified PD behaviors to encourage learning of history taking and examining skills in their peers. Group performance was assessed at the end of rotation, using mini-CEX and 360° evaluation in comparison to a subsequent group of students in the same year that did not work in PD peer learning groups. For the 360° evaluation the EP 2 (generalizability coefficient) was 0.92 and for the mini-CEX the EP 2 was 0.95, taking into account the variances between participants, groups, time and the interactions effects; thus indicating good reliability of both the assessment methods. A statistically significant difference (p \\> 0.05) was seen for improvement in medical interviewing skills and clinical judgment on the mini-CEX exam and 360 evaluation (p \\> 0.0001) in the PD group. Positive Deviance approach can help highlight behaviors among medical students, which contribute to success but may go unnoticed. Learning strategies based on the PD framework can improve student's group performance. © 2011 Springer Science+Business Media B.V.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Advances in Health Sciences Education},\n\tauthor = {Zaidi, Z. and Jaffery, T. and Shahid, A. and Moin, S. and Gilani, A. and Burdick, W.},\n\tyear = {2012},\n\tkeywords = {Education, Health Care},\n\tpages = {95--105},\n}\n\n\n\n\n
@article{wolf_deviant_2012,\n\ttitle = {Deviant {Heroes}: {Nonconformists} as {Agents} of {Justice} and {Social} {Change}},\n\tvolume = {33},\n\tissn = {0163-9625},\n\tshorttitle = {Deviant {Heroes}},\n\turl = {http://dx.doi.org/10.1080/01639625.2011.647587},\n\tdoi = {10.1080/01639625.2011.647587},\n\tabstract = {Sociologists usually define deviance as a fluid construct, relative to given social circumstances, and something that is neither negative nor positive in and of itself. Despite the rejection of absolutist approaches, the vast majority of texts and studies concerning deviant behavior implicitly or explicitly present deviance as either a morally bad or morally neutral behavior. Such literatures wrongly conflate deviant behavior with villainous actions. We argue that some of the most important deviants have been at the leading forefront of positive social change and the creation of a more just, fair, and humane society. Deviant heroes are those individuals who violate unjust norms and laws, facing the repercussions of social control, while simultaneously effecting positive social change. This article considers the theoretical role of the deviant hero within classical and contemporary sociological traditions and identifies new directions for social research.},\n\tnumber = {8},\n\turldate = {2014-10-07},\n\tjournal = {Deviant Behavior},\n\tauthor = {Wolf, Brian and Zuckerman, Phil},\n\tmonth = jul,\n\tyear = {2012},\n\tkeywords = {Management and Innovation, Psychology/Sociology},\n\tpages = {639--654},\n}\n\n\n\n\n
@article{wallace_predictors_2012,\n\ttitle = {Predictors of {Healthy} {Birth} {Outcome} in {Adolescents}: {A} {Positive} {Deviance} {Approach}},\n\tvolume = {25},\n\tissn = {1083-3188},\n\tshorttitle = {Predictors of {Healthy} {Birth} {Outcome} in {Adolescents}},\n\turl = {https://www.jpagonline.org/article/S1083-3188(12)00093-9/fulltext},\n\tdoi = {10.1016/j.jpag.2012.05.010},\n\tabstract = {Study Objective: Pregnant adolescents experience elevated rates of adverse birth outcomes compared to older mothers. Positive deviance inquiry is the identification of uncommon behaviors and traits that result in better health outcomes for individuals in a population that shares similar risks. The purpose of our study was to utilize a positive deviance framework to identify sociodemographic and behavioral characteristics associated with a healthy birth outcome among adolescents. Design: This is a retrospective cohort study design. Setting: We performed a secondary data analysis of vital records data from the State of Louisiana between January 1, 1995 and December 31, 2007. Participants: Data included birth certificates from 35,013 Louisiana mothers age ≤19. Main Outcome Measure: A healthy birth was defined as having an infant of weight between 2500 g and 4000 g, delivered vaginally without induction or instrumented delivery and in the absence of pregnancy, obstetric, or neonatal complications and anomalies. Results: Twenty-one percent of the study population was classified as positive deviants with healthy births. Multivariate log-linear regression was used to model predictors of healthy birth. Adolescents who were older, non-black, multiparous, non-smoking, married, gained a medium amount of weight, had a longer inter-pregnancy interval or received adequate prenatal care were most likely to experience a healthy pregnancy and birth. Ethnicity, alcohol use, father's information on the birth certificate and paternal characteristics did not significantly predict a positive birth outcome. Conclusion: Characterizing positive deviant adolescents may help identify special populations for targeted intervention and important modifiable behaviors for the promotion of better birth outcomes in all young mothers. © 2012 North American Society for Pediatric and Adolescent Gynecology.},\n\tlanguage = {English},\n\tnumber = {5},\n\tjournal = {Journal of Pediatric and Adolescent Gynecology},\n\tauthor = {Wallace, M.E. and Harville, E.W.},\n\tyear = {2012},\n\tkeywords = {Sexual/Reproductive Health},\n\tpages = {314--321},\n}\n\n\n\n\n
@article{vardaman_ethical_2012,\n\ttitle = {Ethical climate and pro-social rule breaking in the workplace},\n\tvolume = {24},\n\turl = {https://www.sciencedirect.com/science/article/abs/pii/S1053482212000435},\n\tabstract = {Pro-social rule breaking (PSRB), rule-breaking to promote the interests of the organization, is a burgeoning topic on the scholarly landscape, but drivers of this behavior remain largely unexplained. This paper seeks to extend theory on PSRB by conceptualizing this behavior as an ethical decision requiring tradeoffs and ethical assessments. Specifically, we offer a model of PSRB that contextualizes the behavior within Victor and Cullen's (1988) five-dimensional typology of organizational ethical climate. We offer a set of propositions that provides theory on the role of each climate type on PSRB, as well as additional theorizing about salient individual attributes that impact PSRB. In addition to clarifying PSRB as an ethical decision, this paper offers theory at multiple levels of analysis on what drives PSRB. Specifically core self-evaluations are proposed as antecedents to PSRB. This theorizing is also integrated into literature on HR policy and HR decision-making implications of the model for HR practitioners are discussed, and a set of future research directions are offered. © 2012 Elsevier Inc. All rights reserved.},\n\tlanguage = {English},\n\tjournal = {Human Resource Management Review},\n\tauthor = {Vardaman, J.M. and Gondo, M.B. and Allen, D.G.},\n\tyear = {2012},\n\tkeywords = {Environment},\n\tpages = {108--118},\n}\n\n\n\n\n
@article{shoenberger_techniques_2012,\n\ttitle = {Techniques of {Neutralization} {Theory} and {Positive} {Deviance}},\n\tvolume = {33},\n\tissn = {0163-9625},\n\turl = {https://www.tandfonline.com/doi/abs/10.1080/01639625.2012.707497},\n\tdoi = {10.1080/01639625.2012.707497},\n\tabstract = {High achievers constitute a unique case in that they are simultaneously positive deviants-often to parents and teachers-and stigmatized as rate-busters-often to peers. Thus, a question is raised: Are theories that have been used to explain negative behaviors, such as the techniques of neutralization theory, also pertinent to positive behaviors? A group of high-achieving students were interviewed and it was found that each of the five techniques of neutralization was in fact advanced as a way of coping with the stigma, or the rate-busting portion, of their status. © 2012 Copyright Taylor and Francis Group, LLC.},\n\tlanguage = {English},\n\tnumber = {10},\n\tjournal = {Deviant Behavior},\n\tauthor = {Shoenberger, N. and Heckert, A. and Heckert, D. M.},\n\tyear = {2012},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {774--791},\n}\n\n\n\n\n
@article{ma_exploring_2012,\n\ttitle = {Exploring the concept of positive deviance related to breastfeeding initiation in black and white {WIC} enrolled first time mothers},\n\tvolume = {16},\n\tissn = {1092-7875},\n\turl = {https://link.springer.com/article/10.1007/s10995-011-0852-3},\n\tdoi = {10.1007/s10995-011-0852-3},\n\tabstract = {Positive deviance inquiry is effective in identifying advantageous health behaviors and improving health outcomes among disadvantaged resource-poor populations. The objective of this study was to apply the positive deviance concept to explore the characteristics of positive deviants for breastfeeding among WIC-enrolled first-time mothers in Louisiana. The cross sectional study included data on 2,036 WIC-enrolled first time mothers (52.6\\% black) from the LaPRAMs, 2000-2004. Chi-square test was used to compare groups. Multivariable logistic regression was applied to calculate adjusted OR and 95\\% CI by breastfeeding initiation status. The average age was 21.3 years, 31.5\\% had less than 12 years of education, and 44.6\\% of the sample reported having initiated breastfeeding. Black mothers were less likely to initiate breastfeeding than their white counterparts (OR 0.39 (95\\% CI: 0.31, 0.48)). Among 641 WIC-enrolled first time mothers with less than 12 years of education, 28.4\\% were identified as positive deviants for breastfeeding initiation. Among the black mothers 19.8\\% were positive deviants compared to 40.3\\% of the white mothers. Breastfeeding in the hospital after delivery (P {\\textless} 0.0001) and having received help on how to breastfeed in the hospital (P {\\textless} 0.0001) were significantly associated with breastfeeding initiation in white and black mothers. In addition, the black positive deviants were more likely, OR 2.80 (95\\% CI: 1.20, 6.56) to have initiated breastfeeding if their baby was low birth weight. Breastfeeding practices shortly after delivery including assistance and education from staff in the hospital, are related to breastfeeding initiation among less educated WIC-enrolled mothers. © Springer Science+Business Media, LLC 2011.},\n\tlanguage = {English},\n\tnumber = {8},\n\tjournal = {Maternal and Child Health Journal},\n\tauthor = {Ma, P. and Magnus, J.H.},\n\tyear = {2012},\n\tkeywords = {Nutrition, Sexual/Reproductive Health},\n\tpages = {1583--1593},\n}\n\n\n\n\n
@article{kanani_growing_2012,\n\ttitle = {Growing normally in an urban environment: {Positive} deviance among slum children of {Vadodara}, {India}},\n\tvolume = {79},\n\tissn = {0019-5456},\n\tshorttitle = {Growing normally in an urban environment},\n\turl = {https://link.springer.com/article/10.1007%2Fs12098-011-0612-9},\n\tdoi = {10.1007/s12098-011-0612-9},\n\tabstract = {Objective To assess factors contributing to positive devi- ance among the urban poor of Vadodara city. Methods Mothers of sixty 6-18 mo old children- 30 each in positive deviant (PD: normal by weight-age) and negative deviant (ND: grade II by weight-age) groups-were interviewed through home visits using semi-structured questionnaires. Results Factors contributing significantly to PD (p{\\textless}0.01): PD children (vs. ND), were older (12-18 mo vs.6-11 mo); families were smaller (5-7 vs. {\\textgreater}7 members), of lower parity (1-2 vs. 3-4), greater birth interval ({\\textgreater}3 y vs. 1-2 y); received colostrum (96\\% vs. 26\\%), breastfed atleast 8-9 times/d (86\\% vs. 20\\%); were started on complementary feeds (CF) at 6-8mo(53\\%vs. 23\\%); given thicker consistency CF (73\\% vs. 36\\%); fed actively (40\\% vs. 23\\%), fewer had diarrhea episodes in past 15 d (26\\% vs. 83\\%). Mean calorie intake (\\% RDA) from CF among PD was significantly higher than in ND (68\\% vs.42\\%). Conclusions Factors contributing to PD in urban poor families are similar to those reported in rural India; which implies that ICDS-Health services for both urban and rural poor need to ensure that national IYCF guidelines - healthcare recommendations are followed by communities. Further research relating PD to desirable complementary feeding and hygiene-healthcare practices in rural and urban areas is required. © 2011 Dr. K C Chaudhuri Foundation.},\n\tlanguage = {English},\n\tnumber = {5},\n\tjournal = {Indian Journal of Pediatrics},\n\tauthor = {Kanani, S. and Popat, K.},\n\tyear = {2012},\n\tkeywords = {Development, Nutrition},\n\tpages = {606--611},\n}\n\n\n\n\n
@article{dynes_influence_2012,\n\ttitle = {The influence of perceptions of community norms on current contraceptive use among men and women in {Ethiopia} and {Kenya}},\n\tvolume = {18},\n\tissn = {1353-8292},\n\turl = {https://www.sciencedirect.com/science/article/pii/S1353829212000688?via%3Dihub},\n\tdoi = {10.1016/j.healthplace.2012.04.006},\n\tabstract = {The paper uses data from Ethiopia and Kenya to examine how perceptions of community norms differentially shape contraceptive use among men and women. Women whose current number of sons is lower than their perception of the community ideal had lower odds of reporting contraceptive use, while women whose own personal ideal number of sons is lower than the community ideal had greater odds of reporting contraceptive use. Men and women in Kenya were influenced more by their perception of their social network's approval of family planning than by their own approval of family planning. Results highlight the importance of place. , conceptualized as the place-specific perceptions of fertility ideals, when conducting reproductive health research. Identification of people who use contraception in the face of pervasive pronatalist community norms presents a point for future intervention. © 2012 Elsevier Ltd.},\n\tlanguage = {English},\n\tnumber = {4},\n\tjournal = {Health and Place},\n\tauthor = {Dynes, M. and Stephenson, R. and Rubardt, M. and Bartel, D.},\n\tyear = {2012},\n\tkeywords = {Sexual/Reproductive Health},\n\tpages = {766--773},\n}\n\n\n\n\n
@article{chananie-hill_deviant_2012,\n\ttitle = {Deviant or {Normal}? {Female} {Bodybuilders}' {Accounts} of {Social} {Reactions}},\n\tvolume = {33},\n\tissn = {0163-9625},\n\tshorttitle = {Deviant or {Normal}?},\n\turl = {https://www.tandfonline.com/doi/abs/10.1080/01639625.2011.647592},\n\tdoi = {10.1080/01639625.2011.647592},\n\tabstract = {In response to calls for more inclusive and nuanced studies of deviance, Heckert and Heckert (2002) developed a typology that incorporates both normative and reactive definitions. Their model accounts for negative deviance, positive deviance, deviance admiration, and deviant conformity (rate-busting). Through participant observation and in-depth interviews with ten amateur female bodybuilders at a university in the United States, we apply the typology to explain their perceptions of social reactions from a variety of audiences. Female bodybuilders' accounts of others' reactions to their increasingly muscular bodies, extreme dieting practices, and intense workout routines provide intriguing empirical examples of all four deviance types. Findings reflect the complexity of a deviance-conformity continuum and support the call for studies that go beyond negative social response and countercultural behavior or appearance. © 2012 Copyright Taylor and Francis Group, LLC.},\n\tlanguage = {English},\n\tnumber = {10},\n\tjournal = {Deviant Behavior},\n\tauthor = {Chananie-Hill, R.A. and McGrath, S.A. and Stoll, J.},\n\tyear = {2012},\n\tkeywords = {Physical Activity/Sports},\n\tpages = {811--830},\n}\n\n\n\n\n
@article{cameron_positively_2012,\n\ttitle = {Positively deviant organizational performance and the role of leadership values},\n\tvolume = {1},\n\turl = {http://scholar.valpo.edu/jvbl/vol1/iss1/8/},\n\tabstract = {This article explains why the clean up at Rocky Flats\nwas extraordinarily successful. Rocky Flats was the\nmost contaminated nuclear plant in the country, with\nextensive employee dissension. It was estimated that it\nwould take 70 years and \\$36 billion to clean up and\nclose the facility. In reality, the task was accomplished\nin 10 years with \\$6 billion. The leaders of the cleanup\ntook a distinctive “abundance approach” to the task.\nThese leaders focused on identifying and building on\nsources of strength, resilience, and vitality, rather than\nsimply solving problems and overcoming difficulties.\nTen specific leadership principles responsible for the\nRocky Flats turnaround are presented.},\n\tnumber = {1},\n\turldate = {2014-10-06},\n\tjournal = {The Journal of Values-Based Leadership},\n\tauthor = {Cameron, Kim S.},\n\tyear = {2012},\n\tkeywords = {Management and Innovation},\n\tpages = {8},\n}\n\n\n\n\n
@article{cameron_positive_2012,\n\tseries = {Applying a {POS} {Lens} to {Bring} out the {Best} in {Organizations}},\n\ttitle = {Positive leadership in action: {Applications} of {POS} by {Jim} {Mallozzi}, {CEO}, {Prudential} {Real} {Estate} and {Relocation}},\n\tvolume = {41},\n\tissn = {0090-2616},\n\tshorttitle = {Positive leadership in action},\n\turl = {http://www.sciencedirect.com/science/article/pii/S0090261612000046},\n\tdoi = {10.1016/j.orgdyn.2012.01.003},\n\tnumber = {2},\n\turldate = {2014-10-06},\n\tjournal = {Organizational Dynamics},\n\tauthor = {Cameron, Kim and Plews, Emily},\n\tmonth = apr,\n\tyear = {2012},\n\tkeywords = {Management and Innovation},\n\tpages = {99--105},\n}\n\n\n\n\n
@article{downham_reducing_2012,\n\ttitle = {Reducing bloodstream infections in an outpatient hemodialysis center—{New} {Jersey}, 2008-2011.},\n\tvolume = {61},\n\turl = {http://www.ncbi.nlm.nih.gov/pubmed/22419049},\n\tnumber = {10},\n\turldate = {2014-10-06},\n\tjournal = {Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report},\n\tauthor = {Downham, G. and Jones, E. and Peterson, P. and Mourad, M.},\n\tyear = {2012},\n\tkeywords = {Health Care},\n\tpages = {169--173},\n}\n\n\n\n\n
@article{de_macedo_positive_2012,\n\ttitle = {Positive deviance: {Using} a nurse call system to evaluate hand hygiene practices},\n\tvolume = {40},\n\tissn = {0196-6553},\n\tshorttitle = {Positive deviance},\n\turl = {https://www.ajicjournal.org/article/S0196-6553(11)01319-8/fulltext},\n\tdoi = {10.1016/j.ajic.2011.11.015},\n\tabstract = {Background: Many approaches have been taken to increase compliance with hand hygiene by health care professionals. We evaluated a nurse call system used as a tool in a positive deviance (PD) approach to improving compliance. Methods: We conducted a quasi-experimental study between September 2008 and December 2010 in 2 step-down units (SDUs). The consumption of alcohol-based sanitizers for hand hygiene was monitored by electronic handwash counters installed in each room as of January 2009. The number of nurse visits to patient rooms was measured by the nurse call system, which provides information on each instance of nursing care provided to the patients. Results: The use of alcohol hand rubs was increased in both units after implementation of the PD approach, with higher rates sustained for more than 2 years. The rate of device-related infections showed a decreasing trend, especially for catheter-associated urinary infection in the east SDU. In both units, the ratio of alcohol hand rub uses to nurse visits was {\\textgreater}2.5, indicating increased use of alcohol rubs, especially in the east SDU, which had a ratio of 3 for 2010. Conclusions: The PD approach to hand hygiene produced increased compliance, as measured by increased consumption of alcohol hand sanitizer, an improved ratio of alcohol hand rub uses to nurse visits, and a reduced rate of device-related infections, with results sustained over 2 years. Copyright © 2012 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.},\n\tlanguage = {English},\n\tnumber = {10},\n\tjournal = {American Journal of Infection Control},\n\tauthor = {De Macedo, R.D.C.R. and Oliveira Jacob, E.M. and Da Silva, V.P. and Santana, E.A. and De Souza, A.F. and Gonçalves, P. and Marra, A.R. and Pavão Dos Santos, O.F. and Cendoroglo, M. and Edmond, M.B.},\n\tyear = {2012},\n\tkeywords = {Health Care},\n\tpages = {946--950},\n}\n\n\n\n\n
@article{pallas_improving_2012,\n\ttitle = {Improving health service delivery organisational performance in health systems: a taxonomy of strategy areas and conceptual framework for strategy selection},\n\tvolume = {4},\n\tshorttitle = {Improving health service delivery organisational performance in health systems},\n\turl = {http://www.sciencedirect.com/science/article/pii/S1876341311000696},\n\tnumber = {1},\n\turldate = {2014-10-06},\n\tjournal = {International health},\n\tauthor = {Pallas, Sarah W. and Curry, Leslie and Bashyal, Chhitij and Berman, Peter and Bradley, Elizabeth H.},\n\tyear = {2012},\n\tkeywords = {Health Care},\n\tpages = {20--29},\n}\n\n\n\n\n
@article{bradley_systems_2012,\n\ttitle = {A systems approach to improving rural care in {Ethiopia}.},\n\tvolume = {7},\n\tissn = {1932-6203},\n\turl = {https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0035042&type=printable},\n\tdoi = {doi:10.1371/journal.pone.0035042},\n\tabstract = {Multiple interventions have been launched to improve the quality, access, and utilization of primary health care in rural, low-income settings; however, the success of these interventions varies substantially, even within single studies where the measured impact of interventions differs across sites, centers, and regions. Accordingly, we sought to examine the variation in impact of a health systems strengthening intervention and understand factors that might explain the variation in impact across primary health care units. We conducted a mixed methods positive deviance study of 20 Primary Health Care Units (PHCUs) in rural Ethiopia. Using longitudinal data from the Ethiopia Millennium Rural Initiative (EMRI), we identified PHCUs with consistently higher performance (n = 2), most improved performance (n = 3), or consistently lower performance (n = 2) in the provision of antenatal care, HIV testing in antenatal care, and skilled birth attendance rates. Using data from site visits and in-depth interviews (n = 51), we applied the constant comparative method of qualitative data analysis to identify key themes that distinguished PHCUs with different performance trajectories. Key themes that distinguished PHCUs were 1) managerial problem solving capacity, 2) relationship with the woreda (district) health office, and 3) community engagement. In higher performing PHCUs and those with the greatest improvement after the EMRI intervention, health center and health post staff were more able to solve day-to-day problems, staff had better relationships with the woreda health official, and PHCU communities' leadership, particularly religious leadership, were strongly engaged with the health improvement effort. Distance from the nearest city, quality of roads and transportation, and cultural norms did not differ substantially among PHCUs. Effective health strengthening efforts may require intensive development of managerial problem solving skills, strong relationships with government offices that oversee front-line providers, and committed community leadership to succeed.},\n\tlanguage = {English},\n\tnumber = {4},\n\tjournal = {PloS ONE},\n\tauthor = {Bradley, E.H. and Byam, P. and Alpern, R. and Thompson, J.W. and Zerihun, A. and Abebe, Y. and Curry, L.A.},\n\tyear = {2012},\n\tkeywords = {Health Care},\n\tpages = {e35042},\n}\n\n\n\n\n
@article{rust_paths_2012,\n\ttitle = {Paths to success: {Optimal} and equitable health outcomes for all},\n\tvolume = {23},\n\tissn = {1049-2089},\n\tshorttitle = {Paths to success},\n\turl = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3601025/pdf/nihms419092.pdf},\n\tdoi = {10.1353/hpu.2012.0084},\n\tabstract = {U.S. health disparities are real, pervasive, and persistent, despite dramatic improvements in civil rights and economic opportunity for racial and ethnic minority and lower socioeconomic groups in the United States. Change is possible, however. Disparities vary widely from one community to another, suggesting that they are not inevitable. Some communities even show paradoxically good outcomes and relative health equity despite significant social inequities. A few communities have even improved from high disparities to more equitable and optimal health outcomes. These positive-deviance communities show that disparities can be overcome and that health equity is achievable. Research must shift from defining the problem (including causes and risk factors) to testing effective interventions, informed by the natural experiments of what has worked in communities that are already moving toward health equity. At the local level, we need multi-dimensional interventions designed in partnership with communities and continuously improved by rapid-cycle surveillance feedback loops of community-level disparities metrics. Similarly coordinated strategies are needed at state and national levels to take success to scale. We propose ten specific steps to follow on a health equity path toward optimal and equitable health outcomes for all Americans. © Meharry Medical College.},\n\tlanguage = {English},\n\tnumber = {2},\n\tjournal = {Journal of Health Care for the Poor and Underserved},\n\tauthor = {Rust, G. and Levine, R.S. and Fry-Johnson, Y. and Baltrus, P. and Ye, J. and Mack, D.},\n\tyear = {2012},\n\tkeywords = {Development},\n\tpages = {7--19},\n}\n\n\n\n\n
@article{niederberger_clairton_2011,\n\ttitle = {Clairton district's 'positive' initiative shows results},\n\turl = {https://www.post-gazette.com/local/south/2011/03/31/Clairton-district-s-positive-initiative-shows-results/stories/201103310314},\n\turldate = {2014-10-07},\n\tjournal = {Pittsburgh Post-Gazette},\n\tauthor = {Niederberger, Mary},\n\tyear = {2011},\n\tkeywords = {Education},\n\tpages = {1135793--55},\n}\n\n\n\n\n
@article{bright_virtue_2011,\n\ttitle = {Virtue ethics in positive organizational scholarship: {An} integrative perspective},\n\tvolume = {28},\n\tissn = {0825-0383},\n\tshorttitle = {Virtue ethics in positive organizational scholarship},\n\turl = {https://onlinelibrary.wiley.com/doi/abs/10.1002/cjas.199},\n\tdoi = {10.1002/CJAS.199},\n\tabstract = {The movement of Positive Organizational Scholarship (POS) aims to understand the factors that contribute to a flourishing human condition. Theorists from this group regularly invoke virtue as a foundational concept, using it to anchor the meaning of "positive." Yet virtue ethicists have raised concerns that this grounding is based in a superficial understanding of virtue. This paper proposes an integrative framework to bridge the two perspectives, connecting the notion of "positive deviance"-popularized in POS-to the idea of virtue as a mean between extremes as understood in the philosophy of virtue ethics. Copyright © 2011 ASAC. Published by John Wiley \\& Sons, Ltd.},\n\tlanguage = {English},\n\tnumber = {3},\n\tjournal = {Canadian Journal of Administrative Sciences},\n\tauthor = {Bright, D.S. and Stansbury, J. and Alzola, M. and Stavros, J.M.},\n\tyear = {2011},\n\tkeywords = {Positive Organizational Scholarship (POS)},\n\tpages = {231--243},\n}\n\n\n\n\n
@article{peus_money_2011,\n\ttitle = {Money over man versus caring and compassion? {Challenges} for today's organizations and their leaders},\n\tvolume = {32},\n\tissn = {0894-3796},\n\tshorttitle = {Money over man versus caring and compassion?},\n\turl = {https://onlinelibrary.wiley.com/doi/abs/10.1002/job.751},\n\tdoi = {10.1002/job.751},\n\tabstract = {This commentary discusses three important topics in organizational behavior that have been largely ignored previously: Organizational responses to terrorism, positive deviance in organizations, and the creation of caring and compassionate organizations. The article highlights the challenges these three topics pose for organizational leaders. Furthermore, it explores future directions of research that might facilitate a deeper understanding of these topics as well as organizational behavior in general. © 2011 John Wiley \\& Sons, Ltd.},\n\tlanguage = {English},\n\tnumber = {7},\n\tjournal = {Journal of Organizational Behavior},\n\tauthor = {Peus, C.},\n\tyear = {2011},\n\tkeywords = {Business, Management and Innovation},\n\tpages = {955--960},\n}\n\n\n\n\n
@article{allio_how_2011,\n\ttitle = {How corporate leaders can use the {Positive} {Deviance} approach to stimulate radical change},\n\tvolume = {39},\n\tissn = {1087-8572},\n\turl = {https://www.emerald.com/insight/content/doi/10.1108/10878571111128793/full/html},\n\tdoi = {10.1108/10878571111128793},\n\tabstract = {Purpose: This paper aims to present an interview with management guru Richard Pascale, author of The Power of Positive Deviance, outlining the basic steps executives should follow to successfully implement positive deviance, an unconventional change methodology. Design/methodology/approach: The interview examines the positive deviance approach, which derives from a deceptively simple idea. Faced with a seemingly intractable or impossible problem or situation, a few people having the same resources as their peers manage to succeed against all odds. Findings: The PD process entails identifying these unusually effective individuals - the positive deviants - and adopting their practices. Practical implications: The author explains that only when the community takes ownership of the problem and validates the need to change will "something else happen different from what has already happened." Originality/value: Richard Pascale explains how a technique that was invented to solve intractable social problems can work in a corporate setting. © Emerald Group Publishing Limited.},\n\tlanguage = {English},\n\tnumber = {3},\n\tjournal = {Strategy and Leadership},\n\tauthor = {Allio, R.J.},\n\tyear = {2011},\n\tkeywords = {Business, Management and Innovation},\n\tpages = {32--35},\n}\n\n\n\n\n
@article{stuckey_using_2011,\n\ttitle = {Using positive deviance for determining successful weight-control practices},\n\tvolume = {21},\n\tissn = {1049-7323},\n\turl = {https://journals.sagepub.com/doi/10.1177/1049732310386623},\n\tdoi = {10.1177/1049732310386623},\n\tabstract = {Based on positive deviance (examining the practices of successful individuals), we identified five primary themes from 36 strategies that help to maintain long-term weight loss (weight control) in 61 people. We conducted in-depth interviews to determine what successful individuals did and/or thought about regularly to control their weight. The themes included weight-control practices related to (a) nutrition: increase water, fruit, and vegetable intake, and consistent meal timing and content; (b) physical activity: follow and track an exercise routine at least 3x/week; (c) restraint: practice restraint by limiting and/or avoiding unhealthy foods; (d) self-monitor: plan meals, and track calories/weight progress; and (e) motivation: participate in motivational programs and cognitive processes that affect weight-control behavior. Using the extensive data involving both the practices and practice implementation, we used positive deviance to create a comprehensive list of practices to develop interventions for individuals to control their weight. © 2011 The Author(s).},\n\tlanguage = {English},\n\tnumber = {4},\n\tjournal = {Qualitative Health Research},\n\tauthor = {Stuckey, H.L. and Boan, J. and Kraschnewski, J.L. and Miller-Day, M. and Lehman, E.B. and Sciamanna, C.N.},\n\tyear = {2011},\n\tkeywords = {Health Care, Nutrition, Physical Activity/Sports, Psychology/Sociology},\n\tpages = {563--579},\n}\n\n\n\n\n
@article{schubart_chronic_2011,\n\ttitle = {Chronic health conditions and internet behavioral interventions: {A} review of factors to enhance user engagement},\n\tvolume = {29},\n\tissn = {1538-2931},\n\tshorttitle = {Chronic health conditions and internet behavioral interventions},\n\turl = {https://insights.ovid.com/article/00024665-201102000-00004},\n\tdoi = {10.1097/NCN.0b013e3182065eed},\n\tabstract = {The objective of this study was to review the evidence about what factors influence user engagement in Internet-based behavioral interventions for chronic illness. We conducted a systematic review of the recent published literature. Searches of MEDLINE (using Ovid and PubMed), The Cochrane Library, and PsycINFO, from January 2000 to December 2008, were completed. Additional articles were identified from searching the bibliographies of retrieved articles. We identified studies of interactive health communication interventions delivered via the Internet that, apart from delivering health information, had another component such as interactive tools to manage illness, decision support for treatment, or social support. We restricted the age range to adulthood. The search identified 186 abstracts; 46 articles were reviewed. We used a qualitative approach called "positive deviance" to study those interventions that have succeeded in engaging users where most have failed. Some ways to improve user engagement in Internet interventions suggested by our review include addressing health concerns that are important and relevant to an individual patient or consumer and an individualized approach, such as personally tailored advice and feedback. Interventions that are part of larger health management programs that include clinicians appear to be especially promising. Copyright © 2011 Wolters Kluwer Health {\\textbar} Lippincott Williams \\& Wilkins.},\n\tlanguage = {English},\n\tnumber = {2},\n\tjournal = {CIN: Computers, Informatics, Nursing},\n\tauthor = {Schubart, J.R. and Stuckey, H.L. and Ganeshamoorthy, A. and Sciamanna, C.N.},\n\tyear = {2011},\n\tkeywords = {Health Care},\n\tpages = {81--92},\n}\n\n\n\n\n
@article{samuels_health_2011,\n\ttitle = {"{Health} regains but livelihoods lag": {Findings} from a study with people on {ART} in {Zambia} and {Kenya}},\n\tvolume = {23},\n\tissn = {0954-0121},\n\tshorttitle = {"{Health} regains but livelihoods lag"},\n\turl = {https://www.tandfonline.com/doi/full/10.1080/09540121.2010.532535},\n\tdoi = {10.1080/09540121.2010.532535},\n\tabstract = {Although ART is increasingly accessible and eases some stresses, it creates other challenges including the importance of food security to enhance ART-effectiveness. This paper explores the role livelihood strategies play in achieving food security and maintaining nutritional status among ART patients in Kenya and Zambia. Ongoing quantitative studies exploring adherence to ART in Mombasa, Kenya (n=118) and in Lusaka, Zambia (n=375) were used to identify the relationship between BMI and adherence; an additional set of in-depth interviews with people on ART (n=32) and members of their livelihood networks (n=64) were undertaken. Existing frameworks and scales for measuring food security and a positive deviance approach was used to analyse data. Findings show the majority of people on ART in Zambia are food insecure; similarly most respondents in both countries report missing meals. Snacking is important for dietary intake, especially in Kenya. Most food is purchased in both countries. Having assets is key for achieving livelihood security in both Kenya and Zambia. Food supplementation is critical to survival and for developing social capital since most is shared amongst family members and others. Whilst family and friends are key to an individual's livelihood network, often more significant for daily survival is proximity to people and the ability to act immediately, characteristics most often found amongst neighbours and tenants. In both countries findings show that with ART health has rebounded but livelihoods lag. Similarly, in both countries respondents with high adherence and high BMI are more self-reliant, have multiple income sources and assets; those with low adherence and low BMI have more tenuous livelihoods and were less likely to have farms/gardens. Food supplementation is, therefore, not a long-term solution. Building on existing livelihood strategies represents an alternative for programme managers and policy-makers as do other strategies including supporting skills and asset accumulation. © 2011 Taylor \\& Francis.},\n\tlanguage = {English},\n\tnumber = {6},\n\tjournal = {AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV},\n\tauthor = {Samuels, F.A. and Rutenberg, N.},\n\tyear = {2011},\n\tkeywords = {Development, Nutrition},\n\tpages = {748--754},\n}\n\n\n\n\n
@article{nishat_effect_2011,\n\ttitle = {Effect of “{Positive} {Hearth} {Deviance}” on feeding practices and underweight prevalence among children aged 6-24 months in {Quetta} district, {Pakistan}: {A} comparative cross sectional study},\n\tvolume = {40},\n\tshorttitle = {Effect of “{Positive} {Hearth} {Deviance}” on feeding practices and underweight prevalence among children aged 6-24 months in {Quetta} district, {Pakistan}},\n\turl = {http://www.sljol.info/index.php/SLJCH/article/view/3093},\n\tabstract = {Objectives: To compare the feeding practices\nand underweight prevalence of hearth children\nwith those of non hearth children.\nMethod: A comparative cross sectional study\nwas carried out from 1st April to 30th June 2009.\nThe study population comprised mothers with\nchildren aged 6-24 months and of the same\nsocioeconomic and cultural ties from two areas\nof Quetta District, Pakistan. The “Multi Level\nRandom Sampling Technique” was used. Hearth\nmothers comprised those who attended hearth\nsessions (2006-2008) in the hearth area. Data\nwas collected using a structured questionnaire\nand analyzed using Epi-Info version 3.3.2 and\nSPSS version 17.0 for windows.\nResults: The total study population was 200\nmothers and the response rate was 95\\%. There\nwas a statistically significant difference between\nthe hearth and non hearth areas regarding age\ngroups (P{\\textless}0.01), education of mothers (P{\\textless}0.05),\nmale: female ratio of children (P{\\textless}0.05),\nweighing of babies at birth (P{\\textless}0.05), age for\ninitiation of complementary feeds (P{\\textless}0.01),\nfeeding practices of mothers (P{\\textless}0.01) and\nunderweight prevalence (P{\\textless}0.001).\nConclusion: Feeding practices are significantly\nbetter and underweight prevalence significantly\nless in hearth mothers compared to non hearth\nmothers.},\n\tnumber = {2},\n\turldate = {2014-10-06},\n\tjournal = {Sri Lanka Journal of Child Health},\n\tauthor = {Nishat, Novera and Batool, Iram},\n\tyear = {2011},\n\tkeywords = {Nutrition},\n\tpages = {57--62},\n}\n\n\n\n\n
@article{krumholz_survival_2011,\n\ttitle = {Survival after {Acute} {Myocardial} {Infarction} ({SAMI}) study: {The} design and implementation of a positive deviance study},\n\tvolume = {162},\n\tissn = {0002-8703},\n\tshorttitle = {Survival after {Acute} {Myocardial} {Infarction} ({SAMI}) study},\n\turl = {https://www.sciencedirect.com/science/article/pii/S0002870311006442?via%3Dihub},\n\tdoi = {10.1016/j.ahj.2011.09.004},\n\tabstract = {Positive deviance studies combining qualitative and quantitative designs-a mixed-methods approach-can discover strategies to produce exemplary performance. We present the SAMI study, a national positive deviance study to discover hospital strategies associated with lower 30-day hospital risk-standardized mortality rates (RSMRs). There is marked variation across hospitals in 30-day hospital RSMRs for patients with acute myocardial infarction and little information about what accounts for differences in performance. We first conducted a qualitative study of hospitals in the United States (n = 11; 158 key staff) that ranked in the top 5\\% of RSMRs for each of the 2 most recent years of data (2005-2006 and 2006-2007) from the Centers for Medicare \\& Medicaid Services at the time of sample selection and in the bottom 5\\% for contrast, with diversity among hospitals in key characteristics. Using hypotheses generated in this qualitative stage, we constructed a quantitative survey that was administered in a cross-sectional study of acute care hospitals in the United States operating from July 1, 2005, through June 30, 2008, that publicly reported Centers for Medicare \\& Medicaid Services data for RSMRs during this time. We included hospitals with at least 75 acute myocardial infarction discharges during the 3-year period. Of the 600 hospitals we attempted to contact, 10 had closed, leaving a final sample of 590, of which 537 responded (91\\%). This type of study, using a positive deviance approach and mixed-methods design, can generate and test hypotheses about factors most strongly associated with exemplary performance based on practices currently in use. © 2011, Mosby, Inc. All rights reserved.},\n\tlanguage = {English},\n\tnumber = {6},\n\tjournal = {American Heart Journal},\n\tauthor = {Krumholz, H.M. and Curry, L.A. and Bradley, E.H.},\n\tyear = {2011},\n\tkeywords = {Health Care},\n\tpages = {981--987},\n}\n\n\n\n\n
@article{kraschnewski_efficacy_2011,\n\ttitle = {Efficacy of a weight-loss website based on positive deviance: {A} randomized trial},\n\tvolume = {41},\n\tissn = {0749-3797},\n\tshorttitle = {Efficacy of a weight-loss website based on positive deviance},\n\turl = {https://www.ajpmonline.org/article/S0749-3797(11)00611-8/fulltext},\n\tdoi = {10.1016/j.amepre.2011.08.012},\n\tabstract = {Background: Web-based interventions for weight control could promote more-widespread dissemination of weight-loss opportunities; however, they remain limited in effectiveness. Incorporating weight-control practices used by individuals with long-term weight-loss success ("positive deviants") may improve the efficacy of web-based weight control interventions. Purpose: To evaluate the efficacy of AchieveTogether, a web-based weight-loss intervention for adults based on user-generated weight-loss strategies from successful weight losers. Design: In 20092010, participants were randomized to either a 12-week web-based intervention, AchieveTogether, or a wait-list control condition. Setting/participants: 100 overweight or obese adults participated in the study. Intervention: AchieveTogether was designed to help individuals implement weight control practices used by others who successfully lost and maintained weight. Main outcome measures: The primary outcome was change in weight. Secondary outcomes included blood pressure, daily caloric intake, quality of life, and use of weight control practices. ANCOVA, with adjustment for baseline values on outcome measures, was used to assess differences between groups in primary and secondary outcomes. Statistical analyses were conducted in 20102011. Results: Most participants were women (69.7\\%) and white (90.8\\%), with a mean age of 50.3 years and baseline BMI of 33.2; 88\\% completed post-program assessments. Mean weight loss among intervention participants was -1.4 kg (95\\% CI= -2.2, -0.5), compared with a mean weight gain of 0.6 kg (95\\% CI= -0.3, 1.4) in control participants (p{\\textless}0.01). Conclusions: User-generated weight-loss practices from "positive deviants" could promote weight control in web-based interventions; however, further research is needed to improve program efficacy. Trial registration: This study is registered at ClinicalTrials.gov NCT00709501. © 2011 American Journal of Preventive Medicine.},\n\tlanguage = {English},\n\tnumber = {6},\n\tjournal = {American Journal of Preventive Medicine},\n\tauthor = {Kraschnewski, J.L. and Stuckey, H.L. and Rovniak, L.S. and Lehman, E.B. and Reddy, M. and Poger, J.M. and Kephart, D.K. and Coups, E.J. and Sciamanna, C.N.},\n\tyear = {2011},\n\tkeywords = {Health Care, Nutrition},\n\tpages = {610--614},\n}\n\n\n\n\n
@article{friedman_symbiotic_2011,\n\ttitle = {Symbiotic goals and the prevention of blood-borne viruses among injection drug users},\n\tvolume = {46},\n\tissn = {1082-6084},\n\turl = {https://www.tandfonline.com/doi/full/10.3109/10826084.2011.523316},\n\tdoi = {10.3109/10826084.2011.523316},\n\tabstract = {A positive-deviance control-case life history study of injection drug users (IDUs) in New York City who had injected drugs for 8-15 years compared 21 IDUs who were antibody negative for both HIV and hepatitis C with 3 infected with both viruses and 11 infected with hepatitis C virus but not HIV. Eligible subjects were referred from other research studies and from community organizations that conduct testing for HIV and hepatitis C virus. Data were collected during 2005-2008 and were analyzed using life history and grounded theory approaches. They support grounded hypotheses that IDUs who are able to attain symbiotic goals like avoiding withdrawal and maintaining social support are assisted thereby in remaining uninfected with HIV or hepatitis C. These hypotheses should be tested using cohort studies and prevention trials to see if helping IDUs attain symbiotic goals reduces infection risk. The study's limitations are noted. © 2011 Informa Healthcare USA, Inc.},\n\tlanguage = {English},\n\tnumber = {2-3},\n\tjournal = {Substance Use and Misuse},\n\tauthor = {Friedman, S.R. and Sandoval, M. and Mateu-Gelabert, P. and Meylakhs, P. and Des Jarlais, D.C.},\n\tyear = {2011},\n\tkeywords = {Health Care, Sexual/Reproductive Health},\n\tpages = {307--315},\n}\n\n\n\n\n
@article{ellingson_sustained_2011,\n\ttitle = {Sustained {Reduction} in the {Clinical} {Incidence} of {Methicillin}‐{Resistant} {Staphylococcus} aureus {Colonization} or {Infection} {Associated} with a {Multifaceted} {Infection} {Control} {Intervention}},\n\tvolume = {32},\n\tcopyright = {Copyright © 2011 The University of Chicago Press},\n\tissn = {0899-823X},\n\turl = {http://www.jstor.org/stable/10.1086/657665},\n\tdoi = {10.1086/657665},\n\tabstract = {Objective. To assess the impact and sustainability of a multifaceted intervention to prevent methicillin‐resistant Staphylococcus aureus (MRSA) transmission implemented in 3 chronologically overlapping phases at 1 hospital. Design. Interrupted time‐series analyses. Setting. A Veterans Affairs hospital in the northeastern United States. Patients and participants. Individuals admitted to acute care units from October 1, 1999, through September 30, 2008. To calculate the monthly clinical incidence of MRSA colonization or infection, the number of MRSA‐positive cultures obtained from a clinical site more than 48 hours after admission among patients with no MRSA‐positive clinical cultures during the previous year was divided by patient‐days at risk. Secondary outcomes included clinical incidence of methicillin‐sensitive S. aureus colonization or infection and incidence of MRSA bloodstream infections. Interventions. The intervention—implemented in a surgical ward beginning October 2001, in a surgical intensive care unit beginning October 2003, and in all acute care units beginning July 2005—included systems and behavior change strategies to increase adherence to infection control precautions (eg, hand hygiene and active surveillance culturing for MRSA). Results. Hospital‐wide, the clinical incidence of MRSA colonization or infection decreased after initiation of the intervention in 2001, compared with the period before intervention (P = .002), and decreased by 61\\% (P {\\textless} .001) in the 7‐year postintervention period. In the postintervention period, the hospital‐wide incidence of MRSA bloodstream infection decreased by 50\\% (P = .02), and the proportion of S. aureus isolates that were methicillin resistant decreased by 30\\% (P {\\textless} .001). Conclusions. Sustained decreases in hospital‐wide clinical incidence of MRSA colonization or infection, incidence of MRSA bloodstream infection, and proportion of S. aureus isolates resistant to methicillin followed implementation of a multifaceted prevention program at one Veterans Affairs hospital. Findings suggest that interventions designed to prevent transmission can impact endemic antimicrobial resistance problems.},\n\tnumber = {1},\n\turldate = {2014-10-07},\n\tjournal = {Infection Control and Hospital Epidemiology},\n\tauthor = {Ellingson, Katherine and Muder, Robert R. and Jain, Rajiv and Kleinbaum, David and Feng, Pei‐Jean I. and Cunningham, Candace and Squier, Cheryl and Lloyd, Jon and Edwards, Jonathan and Gebski, Val and Jernigan, John},\n\tmonth = jan,\n\tyear = {2011},\n\tkeywords = {Health Care},\n\tpages = {1--8},\n}\n\n\n\n\n
@article{cameron_effects_2011,\n\ttitle = {Effects of positive practices on organizational effectiveness},\n\tvolume = {47},\n\turl = {http://jab.sagepub.com/content/47/3/266.short},\n\tabstract = {Emphasis on positivity in organizations in increasing, but the importance and credibility\nof a positive approach to change—exemplified by positive organizational scholarship—\nremains controversial. More empirical evidence is needed showing that positive\npractices in organizations produce desirable changes in organizational effectiveness.\nTwo studies—one in financial services and one in the health care industry—are reported,\nwhich investigate the link between positive practices and indicators of organizational\neffectiveness. A positive practices instrument is developed, and evidence is found that\npositive practices do, in fact, predict organizational performance. More important,\nimprovement in positive practices predicts improvements in certain indicators of\neffectiveness over time. The results are explained by the inherent amplifying, buffering,\nand heliotropic effects of positivity in human systems.},\n\tnumber = {3},\n\turldate = {2014-10-06},\n\tjournal = {The Journal of Applied Behavioral Science},\n\tauthor = {Cameron, Kim and Mora, Carlos and Leutscher, Trevor and Calarco, Margaret},\n\tyear = {2011},\n\tkeywords = {Management and Innovation},\n\tpages = {266--308},\n}\n\n\n\n\n
@article{bisits_bullen_positive_2011,\n\ttitle = {The positive deviance/hearth approach to reducing child malnutrition: {Systematic} review},\n\tvolume = {16},\n\tissn = {1360-2276},\n\tshorttitle = {The positive deviance/hearth approach to reducing child malnutrition},\n\turl = {https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-3156.2011.02839.x},\n\tdoi = {10.1111/j.1365-3156.2011.02839.x},\n\tabstract = {Objectives The Positive Deviance/Hearth approach aims to rehabilitate malnourished children using practices from mothers in the community who have well-nourished children despite living in poverty. This study assesses its effectiveness in a range of settings. Methods Systematic review of peer reviewed intervention trials and grey literature evaluation reports of child malnutrition programs using the Positive Deviance/Hearth approach. Results Ten peer reviewed studies and 14 grey literature reports met the inclusion criteria. These described results for 17 unique Positive Deviance/Hearth programs in 12 countries. Nine programs used a pre- and post-test design without a control, which limited the conclusions that could be drawn. Eight used more robust designs such as non-randomized trials, non-randomized cross-sectional sibling studies and randomized controlled trials (RCTs). Of the eight programs that reported nutritional outcomes, five reported some type of positive result in terms of nutritional status - although the improvement was not always as large as predicted, or across the entire target population. Both the two RCTs demonstrated improvements in carer feeding practices. Qualitative results unanimously reported high levels of satisfaction from participants and recipient communities. Conclusions Overall this study shows mixed results in terms of program effectiveness, although some Positive Deviance/Hearth programs have clearly been successful in particular settings. Sibling studies suggest that the Positive Deviance/Hearth approach may have a role in preventing malnutrition, not just rehabilitation. Further research is needed using more robust study designs and larger sample sizes. Issues related to community participation and consistency in reporting results need to be addressed. © 2011 Blackwell Publishing Ltd.},\n\tlanguage = {English},\n\tnumber = {11},\n\tjournal = {Tropical Medicine and International Health},\n\tauthor = {Bisits Bullen, P.A.},\n\tyear = {2011},\n\tkeywords = {Concept of Positive Deviance, Nutrition},\n\tpages = {1354--1366},\n}\n\n\n\n\n
@article{avey_experimentally_2011,\n\ttitle = {Experimentally analyzing the impact of leader positivity on follower positivity and performance},\n\tvolume = {22},\n\tissn = {1048-9843},\n\turl = {http://www.sciencedirect.com/science/article/pii/S1048984311000178},\n\tdoi = {10.1016/j.leaqua.2011.02.004},\n\tabstract = {This field experimental study examined the role that positive leadership plays in producing effective leader and follower outcomes. Specifically, a sample of engineers (N = 106) from a very large aerospace firm were randomly assigned to four experimental conditions. Two conditions involved assigning these engineers to a low and high problem complexity condition. The other two conditions represented high versus low conveyed leader positivity. The results indicated a positive relationship between the leaders' positivity and the followers' positivity and performance as well as a negative relationship between problem complexity and follower positivity. The study limitations, needed future research, and practical implications of these findings conclude the article.},\n\tnumber = {2},\n\turldate = {2014-10-06},\n\tjournal = {The Leadership Quarterly},\n\tauthor = {Avey, James B. and Avolio, Bruce J. and Luthans, Fred},\n\tmonth = apr,\n\tyear = {2011},\n\tkeywords = {Development, Management and Innovation},\n\tpages = {282--294},\n}\n\n\n\n\n
@article{leavy_leading_2011,\n\ttitle = {Leading adaptive change by harnessing the power of positive deviance},\n\tvolume = {39},\n\tissn = {1087-8572},\n\turl = {https://www.emerald.com/insight/content/doi/10.1108/10878571111114437/full/html},\n\tdoi = {10.1108/10878571111114437},\n\tlanguage = {English},\n\tnumber = {2},\n\tjournal = {Strategy and Leadership},\n\tauthor = {Leavy, B.},\n\tyear = {2011},\n\tkeywords = {Management and Innovation},\n\tpages = {18--27},\n}\n\n\n\n\n
@article{allen_leadership_2011,\n\ttitle = {Leadership for commissioning in an era of reform},\n\tvolume = {31},\n\tissn = {0954-0962},\n\turl = {https://www.tandfonline.com/doi/abs/10.1080/09540962.2011.598335},\n\tdoi = {10.1080/09540962.2011.598335},\n\tabstract = {Positive deviance-intentional behaviours that depart from the norms of a referent group in honourable ways (Spreitzer and Sonenshein, 2004). © 2011 The author.},\n\tlanguage = {English},\n\tnumber = {5},\n\tjournal = {Public Money and Management},\n\tauthor = {Allen, B. and Wade, E.},\n\tyear = {2011},\n\tkeywords = {Health Care, Management and Innovation},\n\tpages = {311},\n}\n\n\n\n\n
@article{waldman_beyond_2011,\n\ttitle = {Beyond the red tape: {How} victims of terrorism perceive and react to organizational responses to their suffering},\n\tvolume = {32},\n\tissn = {0894-3796},\n\tshorttitle = {Beyond the red tape},\n\turl = {https://onlinelibrary.wiley.com/doi/pdf/10.1002/job.710},\n\tdoi = {10.1002/job.710},\n\tabstract = {We use a storyteller perspective to examine how victims of terrorism perceive the way that organizations react and respond to their needs in the aftermath of terrorist attacks. Analysis of the data shows that organizations in Israel are often perceived as ineffective to respond in a humane or compassionate manner to the suffering caused by terrorism. Instead, victims perceive that a more bureaucratic approach is taken. However, to create optimal public value, compassionate responses on the part of organizations in times of trauma, such as terrorist attacks, may be required. We build a theoretical model to show how positive deviance can bring about such responses, as well as positive outcomes for victims. © 2010 John Wiley \\& Sons, Ltd.},\n\tlanguage = {English},\n\tnumber = {7},\n\tjournal = {Journal of Organizational Behavior},\n\tauthor = {Waldman, D.A. and Carmeli, A. and Halevi, M.Y.},\n\tyear = {2011},\n\tkeywords = {Management and Innovation},\n\tpages = {938--954},\n}\n\n\n\n\n
@article{curry_what_2011,\n\ttitle = {What distinguishes top-performing hospitals in acute myocardial infarction mortality rates? {A} qualitative study},\n\tvolume = {154},\n\tshorttitle = {What distinguishes top-performing hospitals in acute myocardial infarction mortality rates?},\n\turl = {http://annals.org/article.aspx?articleid=746882&issueno=6&atab=10},\n\tnumber = {6},\n\turldate = {2014-10-06},\n\tjournal = {Annals of Internal Medicine},\n\tauthor = {Curry, Leslie A. and Spatz, Erica and Cherlin, Emily and Thompson, Jennifer W. and Berg, David and Ting, Henry H. and Decker, Carole and Krumholz, Harlan M. and Bradley, Elizabeth H.},\n\tyear = {2011},\n\tkeywords = {Health Care},\n\tpages = {384--390},\n}\n\n\n\n\n
@article{patterson_looking_2011,\n\ttitle = {Looking to front-line clinicians, staff for lasting improvements},\n\tvolume = {27},\n\turl = {https://positivedeviance.org/s/How-2011-Looking-to-front-line-clinicians-staff-for-lastin.pdf},\n\tnumber = {5},\n\turldate = {2014-10-07},\n\tjournal = {OR manager},\n\tauthor = {Patterson, P.},\n\tyear = {2011},\n\tkeywords = {Health Care},\n\tpages = {1--5},\n}\n\n\n\n\n
@article{klaiman_learning_2011,\n\ttitle = {Learning from top performers using a positive deviance approach},\n\tvolume = {26},\n\tissn = {1062-8606},\n\turl = {https://journals.sagepub.com/doi/10.1177/1062860611420337},\n\tdoi = {10.1177/1062860611420337},\n\tlanguage = {English},\n\tnumber = {6},\n\tjournal = {American Journal of Medical Quality},\n\tauthor = {Klaiman, T.},\n\tyear = {2011},\n\tkeywords = {Development},\n\tpages = {422},\n}\n\n\n\n\n
@article{anzarut_improving_2011,\n\ttitle = {Improving journal clubs through the use of positive deviance: {A} mixed-methods study},\n\tvolume = {19},\n\tissn = {1195-2199},\n\tshorttitle = {Improving journal clubs through the use of positive deviance},\n\turl = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3269326/pdf/cjps19082.pdf},\n\tabstract = {BACKGROUND: Plastic surgery journal clubs are often unsatisfactory for both surgeons and residents, leading to frustration and poor surgeon attendance. Objective: To assess and modify journal clubs using the principles of positive deviance. METHODS: Surgeons and residents were surveyed across five domains before and after journal club modification. These included perception of the quality of articles chosen, the quality of the presentations, postpresentation discussions, educational benefit and overall satisfaction. RESULTS: Using the principles of positive deviance, the authors were able to identify points of concern with journal clubs and make suggestions for improvement. Postintervention surveys demonstrated a statistically significant improvement in journal clubs across all five domains assessed. CONCLUSIONS: Using the principles of positive deviance, journal club satisfaction was improved. The interventions presented could be used to improve journal clubs at other institutions. In addition, the principles of positive deviance can be used to address a variety of administrative and educational challenges faced by plastic surgery programs. © 2011 Pulsus Group Inc.},\n\tlanguage = {English},\n\tnumber = {3},\n\tjournal = {Canadian Journal of Plastic Surgery},\n\tauthor = {Anzarut, A. and Martens, B. and Tredget, E.},\n\tyear = {2011},\n\tkeywords = {Management and Innovation},\n\tpages = {82--84},\n}\n\n\n\n\n
@article{marra_positive_2011,\n\ttitle = {Positive deviance: {A} program for sustained improvement in hand hygiene compliance},\n\tvolume = {39},\n\tissn = {0196-6553},\n\tshorttitle = {Positive deviance},\n\turl = {https://ajicjournal.org/retrieve/pii/S0196655310007388},\n\tdoi = {10.1016/j.ajic.2010.05.024},\n\tabstract = {Background: There is a paucity of data evaluating whether positive deviance (PD) can sustain improvement in hand hygiene compliance. Methods: An observational study comparing the effect of PD on compliance with hand hygiene was conducted in two 20-bed step-down units (SDUs) at a private tertiary care hospital. In a 3-month baseline period (April-June 2008), hand hygiene counts were performed by electronic handwashing counters. Between July 1, 2008, and November 30, 2009, (East SDU) and between September 30, 2008, and December 2009 (West SDU), PD was applied in both units. Results: There was more than a 2-fold difference in the number of alcohol gel aliquots dispensed per month from April 2008 (before PD) to November 2009 (last month in PD) in the East SDU. There was also a 2-fold difference in the number of alcohol gel aliquots dispensed per month from September 2008 (before PD) to December 2009 (last month in PD) in the West SDU. The difference in the rate of health careassociated infections (HAIs) between the baseline period and 2009 was statistically significant in the East SDU (5.8 vs 2.8 per 1,000 device-days; P = .008) and in the West SDU (3.7 vs 1.7 per 1,000 device-days; P = .023). Conclusions: PD was responsible for a sustained improvement in hand hygiene in the inpatient setting and was associated with a decrease in the incidence of device-associated HAIs. © 2011 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {American Journal of Infection Control},\n\tauthor = {Marra, A.R. and Reis Guastelli, L. and Pereira De Araújo, C.M. and Saraiva Dos Santos, J.L. and Filho, M.A.O. and Silva, C.V. and Kawagoe, J.Y. and Cendoroglo Neto, M. and Pavão Dos Santos, O.F. and Edmond, M.B.},\n\tyear = {2011},\n\tkeywords = {Health Care},\n\tpages = {1--5},\n}\n\n\n\n\n
@article{walker_developing_2010,\n\ttitle = {Developing health promotion interventions: a {Multisource} {Method} applied to weight loss among low-income postpartum women},\n\tvolume = {27},\n\tissn = {1525-1446},\n\tshorttitle = {Developing health promotion interventions},\n\turl = {https://pubmed.ncbi.nlm.nih.gov/20433674/},\n\tdoi = {10.1111/j.1525-1446.2010.00841.x},\n\tabstract = {Developing focused and relevant health promotion interventions is critical for behavioral change in a low-resource or special population. Evidence-based interventions, however, may not match the specific population or health concern of interest. This article describes the Multisource Method (MSM), which, in combination with a workshop format, may be used by health professionals and researchers in health promotion program development. The MSM draws on positive deviance practices and processes, focus groups, community advisors, behavioral change theory, and evidence-based strategies. Use of the MSM is illustrated in the development of ethnic-specific weight loss interventions for low-income postpartum women. The MSM may be useful in designing future health programs designed for other special populations for whom existing interventions are unavailable or lack relevance.},\n\tlanguage = {eng},\n\tnumber = {2},\n\tjournal = {Public Health Nursing},\n\tauthor = {Walker, L.O. and Kim, Sunghun and Sterling, Bobbie Sue and Latimer, Lara},\n\tmonth = apr,\n\tyear = {2010},\n\tpmid = {20433674},\n\tpmcid = {PMC2879015},\n\tkeywords = {Health Care, Nutrition},\n\tpages = {188--195},\n}\n\n\n\n\n
@article{vossenaar_practical_2010,\n\ttitle = {Practical limitations to a positive deviance approach for identifying dietary patterns compatible with the reduction of cancer risk},\n\tvolume = {23},\n\tcopyright = {© 2010 The Authors. Journal compilation © 2010 The British Dietetic Association Ltd},\n\tissn = {1365-277X},\n\turl = {http://onlinelibrary.wiley.com/doi/10.1111/j.1365-277X.2010.01056.x/abstract},\n\tdoi = {10.1111/j.1365-277X.2010.01056.x},\n\tabstract = {Background: The positive deviance (PD) approach seeks to devise and promote health-promoting practices identified within the most successful member of a society. The World Cancer Research Fund and the American Institute for Cancer Research (WCRF/AICR) recommendations indicate the need for specific dietary behaviours, which may be considered impractical. Thus, it is important to demonstrate ways in which these dietary practices have been achieved from concordant individuals. The present study aimed to assess the feasibility of constructing healthy eating guides in four international settings. Methods: Adult participants from the Netherlands (n = 1052), Scotland (n = 849), Mexico (n = 790) and Guatemala (n = 873) enrolled in an international diet survey project. Participants with inadequate diets and current smokers were excluded from the analysis. Concordance with selected WCRF/AICR individual guideline components related to diet and lifestyle were evaluated. A selection of participants was made towards making a set of 14 rotating menus for a cancer-prevention healthy-eating guide. Results: Overall concordance with the WCRF/AICR recommendations was low in all four nations and no participants with an ideal behaviour were found. The selection of candidates for constructing 14 daily menus for a single national guide identified 51, 13 and 12 individuals concordant with 11 of 14 WCRF/AICR recommendation components in Guatemala, Scotland and Mexico, respectively, and 24 individuals concordant with eight of 14 WCRF/AICR components in the Netherlands. Conclusions: The basis for PD guidance for developing dietary recommendations for cancer prevention was strong across all social classes in Guatemala, marginal for Mexico and Scotland, and effectively impossible for the Netherlands.},\n\tlanguage = {en},\n\tnumber = {4},\n\turldate = {2014-10-06},\n\tjournal = {Journal of Human Nutrition and Dietetics},\n\tauthor = {Vossenaar, M. and Bermúdez, O. I. and Anderson, A. S. and Solomons, N. W.},\n\tmonth = aug,\n\tyear = {2010},\n\tkeywords = {Health Care, Nutrition},\n\tpages = {382--392},\n}\n\n\n\n\n
@article{shafique_will_2010,\n\ttitle = {Will {Rahima}’s firstborn survive overwhelming odds? {Positive} {Deviance} for maternal and newborn care in {Pakistan}},\n\tshorttitle = {Will {Rahima}’s firstborn survive overwhelming odds?},\n\turl = {https://positivedeviance.org/s/WisdomSeries-Eng},\n\tnumber = {5},\n\tjournal = {Positive Deviance wisdom series},\n\tauthor = {Shafique, M. and Sternin, M. and Singhal, A.},\n\tyear = {2010},\n\tkeywords = {Nutrition, Sexual/Reproductive Health},\n\tpages = {1--12},\n}\n\n\n\n\n
@article{curry_achieving_2010,\n\ttitle = {Achieving large ends with limited means: grand strategy in global health},\n\tvolume = {2},\n\tissn = {1876-3413},\n\tshorttitle = {Achieving large ends with limited means},\n\turl = {https://pubmed.ncbi.nlm.nih.gov/24037468/},\n\tdoi = {10.1016/j.inhe.2010.02.002},\n\tabstract = {Unprecedented attention is focused on global health, with a four-fold increase in development assistance in the last 15 years and the scope of global health expanding beyond infectious disease to include chronic disease and health systems strengthening. As the global impact of health is more widely understood, it has become a crucial element of international relations, economic development, and foreign affairs. At this potential leverage point in the global health movement, the application of grand strategy is of critical importance. Grand strategy, i.e., the development and implementation of comprehensive plans of action to achieve large ends with limited means, has been refined through centuries of international relations and the management of states but has been inadequately applied to global health policy and implementation. We review key principles of grand strategy and demonstrate their applicability to a central global health issue: maternal mortality. The principles include: start with the end in mind, take an ecological approach, recognize that tactics matter, use positive deviance to characterize practical solutions and foster scale-up, and integrate timely intelligence and data into health interventions and improvement efforts. We advocate for the greater use of grand strategy in global health.},\n\tlanguage = {eng},\n\tnumber = {2},\n\tjournal = {International Health},\n\tauthor = {Curry, Leslie A. and Luong, Minh A. and Krumholz, Harlan M. and Gaddis, John and Kennedy, Paul and Rulisa, Stephen and Taylor, Lauren and Bradley, Elizabeth H.},\n\tmonth = jun,\n\tyear = {2010},\n\tpmid = {24037468},\n\tkeywords = {Development, Public/Global Health},\n\tpages = {82--86},\n}\n\n\n\n\n
@article{clancy_diamonds_2010,\n\ttitle = {Diamonds in the rough: positive deviance and complexity},\n\tvolume = {40},\n\tissn = {1539-0721},\n\tshorttitle = {Diamonds in the rough},\n\turl = {https://journals.lww.com/jonajournal/Abstract/2010/02000/Diamonds_in_the_Rough__Positive_Deviance_and.2.aspx},\n\tdoi = {10.1097/NNA.0b013e3181cb97d9},\n\tabstract = {As systems evolve over time, their natural tendency is to become increasingly more complex. Studies in the field of complex systems have generated new perspectives on management in social organizations such as hospitals. Much of this research appears as a natural extension of the cross-disciplinary field of systems theory. This is the 12th in a series of articles applying complex systems science to the traditional management concepts of planning, organizing, directing, coordinating, and controlling. This article focuses on the idea of positive deviance and how it can be applied in developing elegant solutions to complex problems.},\n\tlanguage = {eng},\n\tnumber = {2},\n\tjournal = {The Journal of Nursing Administration},\n\tauthor = {Clancy, Thomas R.},\n\tmonth = feb,\n\tyear = {2010},\n\tpmid = {20124956},\n\tkeywords = {Concept of Positive Deviance, Development},\n\tpages = {53--56},\n}\n\n\n\n\n
@article{marra_reply_2010,\n\ttitle = {Reply to {Rupp} and {Kalil}},\n\tvolume = {31},\n\tcopyright = {Copyright © 2010 The University of Chicago Press},\n\tissn = {0899-823X},\n\turl = {http://www.jstor.org/stable/10.1086/656205},\n\tdoi = {10.1086/653026},\n\tnumber = {9},\n\turldate = {2014-10-21},\n\tjournal = {Infection Control and Hospital Epidemiology},\n\tauthor = {Marra, A.R. and Neto, MD, Miguel Cendoroglo and Pavão Dos Santos, O.F.},\n\tmonth = sep,\n\tyear = {2010},\n\tkeywords = {Health Care},\n\tpages = {979--980},\n}\n\n\n\n\n
@article{marra_positive_2010,\n\ttitle = {Positive deviance: a new strategy for improving hand hygiene compliance},\n\tvolume = {31},\n\tshorttitle = {Positive deviance},\n\turl = {http://www.jstor.org/stable/10.1086/649224},\n\tnumber = {1},\n\turldate = {2014-10-06},\n\tjournal = {Infection Control and Hospital Epidemiology},\n\tauthor = {Marra, A.R. and Luciana Reis Guastelli, R. N. and Carla Manuela Pereira de Araújo, R. N. and dos Santos, Jorge L. Saraiva and Luiz Carlos R Lamblet, R. N. and Silva Jr, Moacyr and Ruy Guilherme Rodrigues Cal, M. D. and Miguel Cendoroglo Neto, M. D. and Edmond, Michael B. and Pavão Dos Santos, O.F. and {others}},\n\tyear = {2010},\n\tkeywords = {Health Care},\n\tpages = {12--20},\n}\n\n\n\n\n
@article{rupp_positive_2010,\n\ttitle = {Positive deviance and hand hygiene: more questions than answers},\n\tvolume = {31},\n\tshorttitle = {Positive deviance and hand hygiene},\n\turl = {http://www.jstor.org/stable/10.1086/656204},\n\tnumber = {9},\n\turldate = {2014-10-06},\n\tjournal = {Infection Control and Hospital Epidemiology},\n\tauthor = {Rupp, Mark E. and Kalil, Andre C.},\n\tyear = {2010},\n\tkeywords = {Health Care},\n\tpages = {978--979},\n}\n\n\n\n\n
@article{luft_data_2010,\n\ttitle = {Data and methods to facilitate delivery system reform: {Harnessing} collective intelligence to learn from positive deviance},\n\tvolume = {45},\n\tissn = {0017-9124},\n\tshorttitle = {Data and methods to facilitate delivery system reform},\n\turl = {https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1475-6773.2010.01148.x},\n\tdoi = {10.1111/j.1475-6773.2010.01148.x},\n\tabstract = {Researchers often focus on the data and methods to assess policy changes, but data and methods can also be policy tools. To improve, health care systems need mechanisms and incentives for continually gathering, assessing, and acting on data. This requires (1) more comprehensive data, (2) converting data into information, and (3) incentives to apply that information. Restructured economic incentives can encourage clinicians to increase value (higher quality and/or lower cost) for their patients. While necessary, incentives are not sufficient - information is also needed. Incentives can lead clinicians to demand better information. Much of the necessary data is already used in patient care and billing; some additional variables will come directly from patients. The notion builds on two concepts: collective intelligence and positive deviance. The former characterizes knowledge gained from observing the behavior of many independent actors adapting to changing situations. Positive deviants are those who achieve far better results than expected. By rewarding positive deviants, rather than trying to identify and "correct" those who are problematic, providers will voluntarily identify themselves and their methods for achieving superior outcomes. © 2010 Health Research and Educational Trust.},\n\tlanguage = {English},\n\tnumber = {5},\n\tjournal = {Health Services Research},\n\tauthor = {Luft, H.S.},\n\tyear = {2010},\n\tkeywords = {Health Care},\n\tpages = {1570--1580},\n}\n\n\n\n\n
@article{singhal_communicating_2010,\n\ttitle = {Communicating what works! {Applying} the positive deviance approach in health communication},\n\tvolume = {25},\n\tissn = {1532-7027},\n\turl = {https://pubmed.ncbi.nlm.nih.gov/20845162/},\n\tdoi = {10.1080/10410236.2010.496835},\n\tlanguage = {eng},\n\tnumber = {6-7},\n\tjournal = {Health Communication},\n\tauthor = {Singhal, A.},\n\tmonth = sep,\n\tyear = {2010},\n\tpmid = {20845162},\n\tkeywords = {Health Care},\n\tpages = {605--606},\n}\n\n\n\n\n
@book{pascale_power_2010,\n\taddress = {Boston},\n\ttitle = {The {Power} of {Positive} {Deviance}: {How} {Unlikely} {Innovators} {Solve} the {World}'s {Toughest} {Problems}},\n\tisbn = {978-1-4221-1066-9},\n\tshorttitle = {The {Power} of {Positive} {Deviance}},\n\turl = {https://www.amazon.com/Power-Positive-Deviance-Unlikely-Innovators/dp/1422110664},\n\tabstract = {Think of the toughest problems in your organization or community. What if they'd already been solved and you didn't even know it? InThe Power of Positive Deviance, the authors present a counterintuitive new approach to problem-solving. Their advice? Leverage positive deviants - the few individuals in a group who find unique ways to look at, and overcome, seemingly insoluble difficulties. By seeing solutions where others don't, positive deviants spread and sustain needed change. With vivid, firsthand stories of how positive deviance has alleviated some of the world's toughest problems (malnutrition in Vietnam, staph infections in hospitals), the authors illuminate its core practices, including: Mobilizing communities to discover "invisible" solutions in their midst Using innovative designs to "act" your way into a new way of thinking instead of thinking your way into a new way of acting Confounding the organizational "immune response" seeking to sustain the status quo Inspiring and insightful,The Power of Positive Devianceunveils a potent new way to tackle the thorniest challenges in your own company and community.},\n\tlanguage = {English},\n\tpublisher = {Harvard Business Press},\n\tauthor = {Pascale, Richard T. and Sternin, Jerry and Sternin, Monique},\n\tyear = {2010},\n\tkeywords = {Business, Development},\n}\n\n\n\n\n
@techreport{the_positive_deviance_initiative_basic_2010,\n\ttitle = {Basic {Field} {Guide} to the {Positive} {Deviance} {Approach}},\n\turl = {https://positivedeviance.org/s/FINALguide10072010.pdf},\n\turldate = {2014-10-07},\n\tinstitution = {Tufts University},\n\tauthor = {The Positive Deviance Initiative},\n\tyear = {2010},\n\tkeywords = {Concept of Positive Deviance, Development},\n}\n\n\n\n\n
@book{singhal_inviting_2010,\n\taddress = {New Jersey},\n\ttitle = {Inviting {Everyone}: {Healing} {Healthcare} through {Positive} {Deviance}},\n\tisbn = {1-4537-3164-4},\n\tshorttitle = {Inviting everyone},\n\tpublisher = {PlexusPress},\n\tauthor = {Singhal, A. and Buscell, Prucia and Lindberg, C.},\n\tyear = {2010},\n\tkeywords = {Health Care},\n}\n\n\n\n\n
@article{lindberg_positive_2010,\n\ttitle = {Positive {Deviance}: {An} {Elegant} {Solution} to a {Complex} {Problem}},\n\tvolume = {40},\n\turl = {https://pdfs.semanticscholar.org/4649/f76c588ce8ba4f9cd5e304bfd9588a2292d9.pdf},\n\tabstract = {As systems evolve over time, their natural tendency is to become in- creasingly more complex. Studies in the field of complex systems have generated new perspectives on man- agement in social organizations such as hospitals. Much of this re- search appears as a natural exten- sion of the cross-disciplinary field of systems theory. This is the 13th in a series of articles applying complex systems science to the traditional management concepts of planning, organizing, directing, coordinating, and controlling. This article pro- vides one example of how concepts taken from complex systems theory can be applied to real-world prob- lems facing nurses today.},\n\tnumber = {4},\n\tjournal = {JONA},\n\tauthor = {Lindberg, Curt and Clancy, Thomas R.},\n\tmonth = apr,\n\tyear = {2010},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@book{singhal_positive_2009,\n\ttitle = {Positive {Deviance} {Wisdom} {Series} ({Japanese} {Translation})},\n\turl = {https://positivedeviance.org/s/PositiveDeviance_WisdomSeries_Japanese.pdf},\n\tabstract = {The Positive Deviance Wisdom Series is a collection of powerful stories about how the Positive Deviance (PD) approach has been used in the field. The Positive Deviance Initiative, in collaboration with the Social Justice Initiative in the Department of Communication at University of Texas El Paso, invites readers to explore the use of the Positive Deviance approach to address intractable social problems with local resources and wisdom. \n\nThese highly illustrated, and captivating case studies document the use of Positive Deviance approach to reduce malnutrition in Vietnam, increase school retention in Argentina, reintegrate child soldiers and vulnerable girls in Uganda, and reduce hospital acquired infections in the United States. Please share widely with students, scholars, and practitioners who value asset-based, culturally-appropriate, and indigenous wisdom approaches to social change.},\n\tlanguage = {Japanese},\n\tauthor = {Singhal, Arvind and Sternin, Jerry and Durá, Lucía and Shafique, Muhammad and Sternin, Monique},\n\tyear = {2009},\n\tkeywords = {Education, Nutrition, Sexual/Reproductive Health},\n}\n\n\n\n\n
@article{vossenaar_positive_2009,\n\ttitle = {The positive deviance approach can be used to create culturally appropriate eating guides compatible with reduced cancer risk},\n\tvolume = {139},\n\tissn = {0022-3166},\n\turl = {https://academic.oup.com/jn/article/139/4/755/4670425},\n\tdoi = {10.3945/jn.108.100362},\n\tabstract = {The 1997 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Report provides 14 individual guidelines to reduce global cancer risk. The positive deviance approach could be appropriate for creating class-appropriate, healthy eating menu guides for consuming a diet to minimize cancer risk in Guatemala. Guatemalan adult participants (n = 873) were enrolled in the Concordance Project from 3 socioeconomic strata: rural area (n = 301), lower urban (n = 298), and higher urban (n = 274). Participants with intakes below recommended nutrient intakes and current smokers were excluded from the analysis. Concordance with 14 selected WCRF/AICR individual guideline components was evaluated. We selected participants for making a set of 14 rotating menus for a cancer prevention healthy eating guide. A priority sorting through the 873 participants of the survey identified a total of 23 and 21 model participants, respectively, from the rural and urban poor groups (concordant with 12 of 14 recommendation components) and 15 from the urban middle class (concordant with 11 of 14 recommendation components), with the highest degree of concordance with the WCRF/AICR guidelines. The most commonly violated recommendation was sugar consumption, followed by maintaining weight stability. The FFQfor 14 individuals from each class were transformed into a day menu to create a rotating diet guide derived from members of each social group. A potentially useful personal guide for eating compatibly with adequate nutrient intake and reduced cancer risk, appropriate to the culture and economic means of distinct social classes in Guatemala, is approaching the stage for application. © 2009 American Society for Nutrition.},\n\tlanguage = {English},\n\tnumber = {4},\n\tjournal = {Journal of Nutrition},\n\tauthor = {Vossenaar, M. and Mayorga, E. and Soto-Méndez, M.J. and Medina-Monchez, S.B. and Campos, R. and Anderson, A.S. and Solomons, N.W.},\n\tyear = {2009},\n\tkeywords = {Health Care, Nutrition},\n\tpages = {755--762},\n}\n\n\n\n\n
@book{singhal_positive_2009,\n\ttitle = {Positive {Deviance} {Wisdom} {Series}},\n\turl = {https://positivedeviance.org/s/WisdomSeries-Eng},\n\tabstract = {The Positive Deviance Wisdom Series is a collection of powerful stories about how the Positive Deviance (PD) approach has been used in the field. The Positive Deviance Initiative, in collaboration with the Social Justice Initiative in the Department of Communication at University of Texas El Paso, invites readers to explore the use of the Positive Deviance approach to address intractable social problems with local resources and wisdom. \n\nThese highly illustrated, and captivating case studies document the use of Positive Deviance approach to reduce malnutrition in Vietnam, increase school retention in Argentina, reintegrate child soldiers and vulnerable girls in Uganda, and reduce hospital acquired infections in the United States. Please share widely with students, scholars, and practitioners who value asset-based, culturally-appropriate, and indigenous wisdom approaches to social change.},\n\tauthor = {Singhal, Arvind and Sternin, Jerry and Durá, Lucía and Shafique, Muhammad and Sternin, Monique},\n\tyear = {2009},\n\tkeywords = {Education, Health Care, Nutrition, Sexual/Reproductive Health},\n}\n\n\n\n\n
@inproceedings{rebovich_improving_2009,\n\ttitle = {Improving the practice of systems engineering, boot strapping grass roots success},\n\tisbn = {978-1-4244-3463-3},\n\turl = {https://ieeexplore.ieee.org/document/4815820},\n\tdoi = {10.1109/SYSTEMS.2009.4815820},\n\tabstract = {This paper describes how to use a positive devianceinspired process for improving the practice of systems engineering, and how positive deviance fits into an evolutionary improvement strategy. It illustrates the process with examples from both systems engineering and cases studies outside of systems engineering. In particular we cite the experience of the team that authored the DoD Systems Engineering Guide for Systems of Systems (SoS) [Ref 1]. They developed a representation of how successful SoS engineering practitioners view and do systems engineering that is substantially different from their individual system counterparts. The cases outside of systems engineering relate to an antistarvation program in rural Vietnam and a 150-year old problem of inadequate hand scrubbing and infections in hospitals [Ref 2]. Even with substantial progress in technology, processes, and efficiencies, complex problems from enterprise systems engineering to nutrition to medical needs still stubbornly resist improvement. By using a positive deviance-inspired approach, this can be reversed. © 2009 IEEE.},\n\tlanguage = {English},\n\tauthor = {Rebovich, G. and DeRosa, J.K. and Norman, D.O.},\n\tyear = {2009},\n\tkeywords = {Management and Innovation, Systems Engineering},\n\tpages = {323--326},\n}\n\n\n\n\n
@article{ladd_school_2009,\n\ttitle = {School nurses: positive deviant leaders in the school setting},\n\tvolume = {25},\n\tissn = {1059-8405},\n\tshorttitle = {School nurses},\n\turl = {https://journals.sagepub.com/doi/10.1177/1059840508327628},\n\tdoi = {10.1177/1059840508327628},\n\tabstract = {A variety of leadership theories are examined to support the idea that school nurses can be positive deviants in the school setting. Transformational leadership, situational leadership, and complexity theory can all be used by school nurses to create positive change in the school environment because all recognize the need for flexible leadership in a changing environment. The complex and chaotic nature of the school setting requires organizational leaders to be flexible and to have the ability to recognize and address its changing needs. The school nurse can develop personal power to be used as an appropriate agent for change using Benziger's 12-step process. Conflict and cultural consonance promotion provide opportunities for the school nurse to demonstrate leadership skills within the school community. Positive deviants can be found in any setting. They demonstrate winning behaviors that can be adopted by their peers. School nurses, in their unique role, can use their leadership behaviors to promote the health of their school environment.},\n\tlanguage = {eng},\n\tnumber = {1},\n\tjournal = {The Journal of School Nursing: The Official Publication of the National Association of School Nurses},\n\tauthor = {Ladd, Victoria J.},\n\tmonth = feb,\n\tyear = {2009},\n\tpmid = {19197013},\n\tkeywords = {Education, Health Care, Management and Innovation},\n\tpages = {6--14},\n}\n\n\n\n\n
@article{dura_utilizing_2009,\n\ttitle = {Utilizing a {Positive} {Deviance} {Approach} to {Reduce} {Girls}’ {Trafficking} in {Indonesia} {Asset}-based {Communicative} {Acts} {That} {Make} a {Difference}},\n\tvolume = {4},\n\turl = {http://crc.sagepub.com/content/4/1/1.short},\n\tabstract = {This article analyzes the communicative practices that undergird the Positive Deviance approach to\nsocial change and its contributions to the curbing of girls’ trafficking in rural Indonesia. Positive Deviance\nhinges on the premise that in every community there are individuals whose uncommon practices enable\nthem to find better solutions to problems than their neighbours with access to the same resources.\nOur archival and field research in Indonesia indicates that Positive Deviance is time and skills intensive,\nyet it is also rich in communication and relational practices. It facilitates a unique vantage point to build\nhuman capital and sustain positive impacts.},\n\tnumber = {1},\n\turldate = {2014-10-06},\n\tjournal = {Journal of Creative Communications},\n\tauthor = {Durá, Lucía and Singhal, A.},\n\tyear = {2009},\n\tkeywords = {Sexual/Reproductive Health},\n\tpages = {1--17},\n}\n\n\n\n\n
@article{biggs_fair_2009,\n\ttitle = {Fair trade and organizational innovation in {Nepal}: {Lessons} from 25 years of growth of the association of craft producers ({ACP})},\n\tvolume = {21},\n\tissn = {0957-8811},\n\tshorttitle = {Fair trade and organizational innovation in {Nepal}},\n\turl = {https://link.springer.com/article/10.1057%2Fejdr.2009.11},\n\tdoi = {10.1057/ejdr.2009.11},\n\tabstract = {The history of the Association of Craft Producers, a fair trade organization in Nepal, illustrates an important point often ignored during research on development organizations: that each will evolve along unique lines, not easily fitting into standard categories of 'for-profit' business, 'nonprofi' organization, 'charity' or 'development non-governmental organization' used in the literature. Instead, organizational structures, ideas and cultures are constructed by practice as highly contingent processes and based on diverse logics. We argue against the managerialist idea that such organizations can be viewed simply as variants or 'hybrids', and we challenge conventional emphases on organizations as unitary structures or systems within an environment in favour of a more interactive, dynamic perspective in which actors inorganizations are seen to change the environments in which they are located. Such an approach also provides support to ideas about 'positive deviance' as a method of learning that can potentially avoid formulaic thinking.},\n\tlanguage = {English},\n\tnumber = {3},\n\tjournal = {European Journal of Development Research},\n\tauthor = {Biggs, S. and Lewis, D.},\n\tyear = {2009},\n\tkeywords = {Development, Management and Innovation},\n\tpages = {377--396},\n}\n\n\n\n\n
@article{melnyk_creating_2009,\n\ttitle = {Creating a culture of innovation in nursing education through shared vision, leadership, interdisciplinary partnerships, and positive deviance},\n\tvolume = {33},\n\tissn = {1550-5103},\n\turl = {https://pubmed.ncbi.nlm.nih.gov/19893441/},\n\tdoi = {10.1097/NAQ.0b013e3181b9dcf8},\n\tabstract = {Although innovation is typically viewed by healthcare and academic institutions, business leaders, entrepreneurs, and private corporations as necessary for continuous improvement, high-quality care, and scientific advancement, barriers in creating and sustaining innovative academic environments abound and require effective leadership to overcome them. Therefore, the purpose of this article is to describe the major barriers and facilitators to innovation in colleges of nursing and healthcare professions along with recommendations for creating a culture of innovation in these academic environments. In addition, key strategies for educational innovation are discussed. Innovations launched by the Arizona State University College of Nursing \\& Healthcare Innovation are highlighted to provide examples of how a college that established innovation as a top priority in 2005 in its strategic plan created an innovative culture that has led to several successful outcomes.},\n\tlanguage = {eng},\n\tnumber = {4},\n\tjournal = {Nursing Administration Quarterly},\n\tauthor = {Melnyk, Bernadette Mazurek and Davidson, Sandra},\n\tmonth = dec,\n\tyear = {2009},\n\tpmid = {19893441},\n\tkeywords = {Education, Management and Innovation},\n\tpages = {288--295},\n}\n\n\n\n\n
@article{singhal_spanning_2009,\n\ttitle = {Spanning silos and spurring conversations: positive deviance for reducing infection levels in hospitals},\n\tvolume = {2},\n\tshorttitle = {Spanning silos and spurring conversations},\n\turl = {http://performance.ey.com/2010/07/19/spanning-silos-and-spurring-conversations-positive-deviance-for-reducing-infection-levels-in-hospitals/},\n\tabstract = {The case study of the 272-bed Billings Clinic in Montana demonstrates that, by changing ingrained behavior patterns among hospital staff, it is possible to reduce the level of hospital-acquired infections and mortality rates.},\n\tnumber = {3},\n\turldate = {2014-10-06},\n\tjournal = {Performance},\n\tauthor = {Singhal, A. and McCandless, K. and Buscell, P. and Lindberg, C.},\n\tyear = {2009},\n\tkeywords = {Health Care},\n\tpages = {78--83},\n}\n\n\n\n\n
@article{bradley_research_2009,\n\ttitle = {Research in action: using positive deviance to improve quality of health care},\n\tvolume = {4},\n\tshorttitle = {Research in action},\n\turl = {http://www.implementationscience.com/content/4/1/25/},\n\tdoi = {doi:10.1186/1748-5908-4-25},\n\tnumber = {25},\n\turldate = {2014-10-06},\n\tjournal = {Implementation Science},\n\tauthor = {Bradley, E.H. and Curry, Leslie A. and Ramanadhan, Shoba and Rowe, Laura and Nembhard, Ingrid M. and Krumholz, Harlan M.},\n\tyear = {2009},\n\tkeywords = {Health Care},\n\tpages = {1--11},\n}\n\n\n\n\n
@article{lewis_positive_2009,\n\ttitle = {Positive deviance {A} case study in finding and harnessing the wisdom of organizational communities},\n\tvolume = {26},\n\tissn = {0266-3821, 1741-6450},\n\turl = {https://journals.sagepub.com/doi/abs/10.1177/0266382109349643},\n\tdoi = {10.1177/0266382109349643},\n\tabstract = {This case study shows how a powerful technique developed for improving nutrition in emerging countries was used to deliver quick performance improvements within existing resources in Hertfordshire County Council by harnessing knowledge already in the community. The article gives the background about how the positive deviance technique came to be, and how it is delivering significant solutions to social problems that had been seen as intractable. It describes how the approach has been used in organizations such as Merck and HP to optimize organizational knowledge and learning, and in a current initiative to reduce MRSA (Methicillin-Resistant Staphylococcus Aureus) infections in hospitals across the USA. Jane Lewis then demonstrates how learning from these exercises mirrored and informed the project at Hertfordshire and the results delivered, both in terms of culture change and improved performance. She reflects on the links between this approach and current thinking in the social sciences, and looks forward to new projects that are just beginning.},\n\tlanguage = {en},\n\tnumber = {4},\n\turldate = {2014-10-07},\n\tjournal = {Business Information Review},\n\tauthor = {Lewis, Jane},\n\tmonth = dec,\n\tyear = {2009},\n\tkeywords = {Development, Health Care},\n\tpages = {282--287},\n}\n\n\n\n\n
@article{bonuel_methicillin_2009,\n\ttitle = {Methicillin resistant {Staphylococcus} aureus ({MRSA}) prevention through facility-wide culture change},\n\tvolume = {32},\n\turl = {http://journals.lww.com/ccnq/Abstract/2009/04000/Methicillin_Resistant_Staphylococcus_aureus__MRSA_.14.aspx},\n\tabstract = {Hospitals across the United States and around the world are fighting the escalation of drug-resistant\ninfections. In response to this costly and life-threatening problem, facilities are engaging in vigorous\nprograms to prevent its occurrence and spread. This article presents one hospital’s fight\nagainst methicillin-resistant Staphylococcus aureus by implementing a facility-wide programaimed\nat changing and standardizing the culture within the hospital. Key words: active surveillance,\ncultural transformation, MRSA, positive deviance},\n\tnumber = {2},\n\turldate = {2014-10-06},\n\tjournal = {Critical care nursing quarterly},\n\tauthor = {Bonuel, Nena and Byers, Pat and Gray-Becknell, Thelma},\n\tyear = {2009},\n\tkeywords = {Health Care},\n\tpages = {144--148},\n}\n\n\n\n\n
@article{lindberg_letting_2009,\n\ttitle = {Letting go, gaining control: positive deviance and {MRSA} prevention},\n\tvolume = {2},\n\tshorttitle = {Letting go, gaining control},\n\turl = {http://www.plexusinstitute.org/resource/collection/6528ED29-9907-4BC7-8D00-8DC907679FED/Lindberg_-_Letting_Go_Gaining_Control_-_PD_and_MRSA_Prevention_-_Clinical_Leader_12-09_FINAL.pdf},\n\tnumber = {2},\n\turldate = {2014-10-06},\n\tjournal = {Clinical Leader},\n\tauthor = {Lindberg, C. and Norstrand, Patricia and Munger, M. and DeMarsico, Christine and Buscell, Prucia},\n\tyear = {2009},\n\tkeywords = {Health Care},\n\tpages = {60--67},\n}\n\n\n\n\n
@article{erasmus_qualitative_2009,\n\ttitle = {A qualitative exploration of reasons for poor hand hygiene among hospital workers: lack of positive role models and of convincing evidence that hand hygiene prevents cross-infection},\n\tvolume = {30},\n\tshorttitle = {A qualitative exploration of reasons for poor hand hygiene among hospital workers},\n\turl = {http://www.jstor.org/stable/10.1086/596773},\n\tnumber = {5},\n\turldate = {2014-10-06},\n\tjournal = {Infection control and hospital epidemiology},\n\tauthor = {Erasmus, V. and Brouwer, W. and Van Beeck, E.F. and Oeneman, A. and Daha, T. J. and Richardus, J. H. and Vos, M. C. and Burg, J.},\n\tyear = {2009},\n\tkeywords = {Health Care},\n\tpages = {415--419},\n}\n\n\n\n\n
@article{iorungwa_nutritional_2009,\n\ttitle = {Nutritional {Sustainability} via {Positive} {Deviance}: {Challenges} for {Teaching}, {Research} and {Extension}},\n\tvolume = {8},\n\tissn = {16805194},\n\tshorttitle = {Nutritional {Sustainability} via {Positive} {Deviance}},\n\turl = {http://www.scialert.net/abstract/?doi=pjn.2009.1706.1710},\n\tdoi = {10.3923/pjn.2009.1706.1710},\n\tabstract = {Indices of malnutrition, maternal morbidity and mortality, alongside rampancy of diseases and food insecurity are still major challenges confronting Nigeria and indeed the developing world. Positive Deviance (PD) is one developmental approach that seeks to identify and optimize existing resources and solutions within the community to solve community problems, without brining in “alien” handouts developed without communities socio-cultural and economic considerations. This approach, identifies people or groups within communities who share in the same resources with the rest of the community, but are however able to uniquely enhance a more better and sustainable standard of living. This paper examines how PD works and notes major milestones of PD, especially in the spheres of nutrition, nothing equally the constraining challenges to PD. Relevance of PD on target directions of related Millennium Development Goals (MDGs) is positively highlighted. The need for nutritionists and academics to seek collaborative links with research institutions as well as government and non-governmental partnerships in driving this bottom-top developmental initiative in research and extension endeavors is one strong recommendation noted, amongst others.},\n\tnumber = {10},\n\turldate = {2014-10-07},\n\tjournal = {Pakistan Journal of Nutrition},\n\tauthor = {Iorungwa, Agwa Samuel and Terhemba, Iombor Theophilus},\n\tmonth = oct,\n\tyear = {2009},\n\tkeywords = {Development, Nutrition},\n\tpages = {1706--1710},\n}\n\n\n\n\n
@article{singhal_saving_2009,\n\ttitle = {Saving lives by changing relationships: {Positive} deviance for {MRSA} prevention and control in a {US} hospital},\n\tvolume = {3},\n\tshorttitle = {Saving lives by changing relationships},\n\turl = {http://www.positivedeviance.org/pdf/wisdom%20series/PDMRSA07112010.pdf},\n\tnumber = {3},\n\tjournal = {Positive Deviance Wisdom Series},\n\tauthor = {Singhal, A. and Buscell, P. and McCandless, K.},\n\tyear = {2009},\n\tkeywords = {Health Care},\n\tpages = {1--8},\n}\n\n\n\n\n
@article{grace_neville_positive_2008,\n\ttitle = {Positive {Deviance} on the {Ethical} {Continuum}: {Green} {Mountain} {Coffee} as a {Case} {Study} in {Conscientious} {Capitalism}},\n\tvolume = {113},\n\tcopyright = {© 2008 Center for Business Ethics at Bentley College},\n\tissn = {1467-8594},\n\tshorttitle = {Positive {Deviance} on the {Ethical} {Continuum}},\n\turl = {http://onlinelibrary.wiley.com/doi/10.1111/j.1467-8594.2008.00332.x/abstract},\n\tdoi = {10.1111/j.1467-8594.2008.00332.x},\n\tabstract = {Increasingly, stories are emerging about businesses that engage in ethical behaviors above and beyond mere compliance with regulations. These positive deviations along the ethical continuum provide an opportunity to explore how some companies’ business philosophy leads them to pursue an array of outcomes beyond the bottom line. This paper presents a case study of Green Mountain Coffee Roasters, the leading ethical company in the United States as rated by Forbes magazine, exploring the company culture and operating philosophy from a perspective of conscientious capitalism. The three underlying assumptions of conscientious capitalism are: (1) interconnectedness between individuals, businesses, and global society; (2) wealth as a holistically understood state rather than solely a financial status; and (3) relevant time spanning multiple generations. Implications are offered for commerce, business practitioners, and educators.},\n\tlanguage = {en},\n\tnumber = {4},\n\turldate = {2014-10-07},\n\tjournal = {Business and Society Review},\n\tauthor = {Grace Neville, Mary},\n\tmonth = dec,\n\tyear = {2008},\n\tkeywords = {Business, Management and Innovation},\n\tpages = {555--576},\n}\n\n\n\n\n
@article{friedman_positive_2008,\n\ttitle = {Positive deviance control-case life history: {A} method to develop grounded hypotheses about successful long-term avoidance of infection},\n\tvolume = {8},\n\tissn = {1471-2458},\n\tshorttitle = {Positive deviance control-case life history},\n\turl = {https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-8-94},\n\tdoi = {10.1186/1471-2458-8-94},\n\tabstract = {Background. Prevalence rates for long-term injection drug users in some localities surpass 60\\% for HIV and 80\\% for HCV. We describe methods for developing grounded hypotheses about how some injectors avoid infection with either virus. Methods. Subjects: 25 drug injectors who have injected drugs 8 - 15 years in New York City. 17 remain without antibody to either HIV or HCV; 3 are double-positives; and 5 are positive for HCV but not HIV. "Staying Safe" methodology compares serostatus groups using detailed biographical timelines and narratives; and information about how subjects maintain access to physical resources and social support; their strategies and tactics to remain safe; how they handle problems of addiction and demands by drug dealers and other drug users; and how their behaviors and strategies do or do not become socially-embedded practices. Grounded theory and life-history analysis techniques compare and contrast doubly-uninfected with those infected with both viruses or only with HCV. Results. Themes and initial hypotheses emerging from analyses included two master hypotheses that, if confirmed, should help shape preventive interventions: 1) Staying uninfected is not simply a question of social structure or social position. It involves agency by drug injectors, including sustained hard work and adaptation to changing circumstances. 2) Multiple intentionalities contribute to remaining uninfected. These conscious goals include balancing one's need for drugs and one's income; developing ways to avoid drug withdrawal sickness; avoiding situations where other drug users importune you to share drugs; and avoiding HIV (and perhaps HCV) infection. Thus, focusing on a single goal in prevention might be sub-optimal. Other hypotheses specify mechanisms of enacting these intentionalities. One example is finding ways to avoid extreme social ostracism. Conclusion. We have identified strategies and tactics that some doubly-uninfected IDUs have developed to stay safe. Staying Safe methodology develops grounded hypotheses. These can be tested through cohort studies of incidence and prevention trials of hypothesis-based programs to help drug injectors make their injection and sexual careers safer for themselves and others. This positive deviance control-case life history method might be used to study avoiding other infections like genital herpes among sex workers. © 2008 Friedman et al; licensee BioMed Central Ltd.},\n\tlanguage = {English},\n\tjournal = {BMC Public Health},\n\tauthor = {Friedman, S.R. and Mateu-Gelabert, P. and Sandoval, M. and Hagan, H. and Jarlais, D.C.D.},\n\tyear = {2008},\n\tkeywords = {Health Care, Public/Global Health, Sexual/Reproductive Health},\n\tpages = {94--104},\n}\n\n\n\n\n
@article{caza_positive_2008,\n\ttitle = {Positive {Organizational} {Scholarship} {A} {Critical} {Theory} {Perspective}},\n\tvolume = {17},\n\tissn = {1056-4926, 1552-6542},\n\turl = {http://jmi.sagepub.com/content/17/1/21},\n\tdoi = {10.1177/1056492607305907},\n\tabstract = {Positive organizational scholarship (POS) is considered an alternative approach to studying organizations; it is argued that POS plays a critical theory role in contemporary organizational scholarship. By using essays on critical theory in organizational science to consider POS research, and drawing from the principles of Gestalt psychology, it is argued that the important distinctions between POS and traditional organizational scholarship lie in POS's emphasis on positive processes, on value transparency, and on extending the range of what constitutes a positive organizational outcome. In doing so, it is concluded that the primary contribution of POS is that it offers an alternative to the deficit model that shapes the design and conduct of organizational research.},\n\tlanguage = {en},\n\tnumber = {1},\n\turldate = {2014-10-06},\n\tjournal = {Journal of Management Inquiry},\n\tauthor = {Caza, Brianna Barker and Caza, Arran},\n\tmonth = mar,\n\tyear = {2008},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {21--33},\n}\n\n\n\n\n
@article{biggs_learning_2008,\n\ttitle = {Learning from the positive to reduce rural poverty and increase social justice: {Institutional} innovations in agricultural and natural resources research and development},\n\tvolume = {44},\n\tissn = {0014-4797},\n\tshorttitle = {Learning from the positive to reduce rural poverty and increase social justice},\n\turl = {https://www.cambridge.org/core/journals/experimental-agriculture/article/learning-from-the-positive-to-reduce-rural-poverty-and-increase-social-justice-institutional-innovations-in-agricultural-and-natural-resources-research-and-development/FB66895FD87E5BBA176C3A132ED1A3BC},\n\tdoi = {10.1017/S0014479707005959},\n\tabstract = {This paper argues that opportunities for reducing poverty, improving social justice, and influencing policy and institutional changes are being missed as a result of not learning enough from situations where positive changes in development indicators have already taken place. After a review of research on monitoring and evaluation (M\\&E), positive deviance and studies of 'success' stories, three case studies of positive change are presented. These are the spread of bamboo tubewell irrigation in Bihar, changes in agricultural research and extension policy in Nepal, and the spread of groups and group-based organizations/federations in Nepal. General lessons include: (1) effective institutional innovation is always new and social arena specific, (2) many opportunistic social entrepreneurs are always present in arenas of positive social change, and (3) there is always purposive selection of what to observe, what to measure and what to publicize. Practical implications include: (1) strengthening social science research on understanding change in agricultural and natural resources systems, (2) selecting people for research and development intervention situations based not only on technical competence but also a track record of interest in social justice development principles, and (3) strengthening a broader concepts reflection and learning within current research and development interventions chan is currently practiced. While learning from the positive is a simple idea, it is always challenging to implement as it inevitably questions the histories, past explanations and perceptions of some scientists and development planners, especially those who promote a mainstream, formulaic approach to the design and promotion of best policies and best practices, and a simplistic, non-political/cultural approach to the transfer and scaling out and up of technology and institutional models. © 2008 Cambridge University Press.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Experimental Agriculture},\n\tauthor = {Biggs, S.},\n\tyear = {2008},\n\tkeywords = {Development, Management and Innovation},\n\tpages = {37--60},\n}\n\n\n\n\n
@article{awofeso_using_2008,\n\ttitle = {Using positive deviance techniques to improve smoking cessation outcomes in {New} {South} {Wales} prison settings},\n\tvolume = {19},\n\tissn = {1036-1073},\n\turl = {https://search.informit.com.au/documentSummary;dn=037570737860686;res=IELHEA},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Health Promotion Journal of Australia},\n\tauthor = {Awofeso, N. and Irwin, T. and Forrest, G.},\n\tyear = {2008},\n\tkeywords = {Health Care},\n\tpages = {72--73},\n}\n\n\n\n\n
@article{andersen_men_2008,\n\ttitle = {Men dealing with memories of childhood sexual abuse: {Conditions} and possibilities of 'positive deviance'},\n\tvolume = {22},\n\tissn = {0265-0533},\n\tshorttitle = {Men dealing with memories of childhood sexual abuse},\n\turl = {https://www.tandfonline.com/doi/abs/10.1080/02650530701872355},\n\tdoi = {10.1080/02650530701872355},\n\tabstract = {This article explores how sexually abused men can move away from an identity formed by the abuse. Based on Antonovsky's concept of a 'sense of coherence', the stories of three men who were sexually abused when young are analysed with an eye to research and therapy. Contrary to the often harm-oriented descriptions, these men demonstrate how, with or without professional assistance, they story their experiences in ways leading to an identity less determined by the abuse. The knowledge the men share about ways 'to manage' points at the importance for the researcher to respect singularity and remember who is the expert. This also applies to the therapist. He should acknowledge his position as 'not knower' and not an expert on 'good stories'.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Journal of Social Work Practice},\n\tauthor = {Andersen, T.H.},\n\tyear = {2008},\n\tkeywords = {Health Care},\n\tpages = {51--65},\n}\n\n\n\n\n
@article{seidman_positive_2008,\n\ttitle = {Positive {Deviants} {Rule}!},\n\tvolume = {21},\n\turl = {http://www.cerebyte.com/articles/Positive%20Deviants%20Rule.pdf},\n\tnumber = {7},\n\turldate = {2014-10-07},\n\tjournal = {Cutter IT Journal},\n\tauthor = {Seidman, William and McCauley, Michael},\n\tyear = {2008},\n\tkeywords = {Concept of Positive Deviance, Management and Innovation},\n\tpages = {16},\n}\n\n\n\n\n
@article{jaramillo_positive_2008,\n\ttitle = {Positive {Deviance}: {Innovation} from the {Inside} {Out}},\n\tvolume = {6},\n\tissn = {1541-4612},\n\tshorttitle = {Positive {Deviance}},\n\turl = {https://www.nurseleader.com/article/S1541-4612(08)00046-3/fulltext},\n\tdoi = {10.1016/j.mnl.2008.02.004},\n\tlanguage = {English},\n\tnumber = {2},\n\tjournal = {Nurse Leader},\n\tauthor = {Jaramillo, B. and Jenkins, C. and Kermes, F. and Wilson, L. and Mazzocco, J. and Longo, T.},\n\tyear = {2008},\n\tkeywords = {Health Care},\n\tpages = {30--34},\n}\n\n\n\n\n
@article{buscell_pathways_2008,\n\ttitle = {Pathways to {Prevention}: {Mapping} the {Positive} {Deviance}/{MRSA} {Prevention} networks at {Pennsylvania} and {Montana} healthcare facilities shows promise},\n\tvolume = {Autumn},\n\turl = {https://positivedeviance.org/s/BUSCELL-2008-Pathways-Prevention.pdf},\n\turldate = {2014-10-06},\n\tjournal = {Prevention Strategist},\n\tauthor = {Buscell, P.},\n\tyear = {2008},\n\tkeywords = {Health Care},\n\tpages = {41--45},\n}\n\n\n\n\n
@article{buscell_more_2008,\n\ttitle = {More we than me: {How} the fight against {MRSA} led to a new way of collaborating at {Albert} {Einstein} {Medical} {Center}},\n\tvolume = {1},\n\tshorttitle = {More we than me},\n\tnumber = {5},\n\tjournal = {Bordentown, NJ, Plexus Institute},\n\tauthor = {Buscell, P.},\n\tyear = {2008},\n\tnote = {http://c.ymcdn.com/sites/www.plexusinstitute.org/resource/resmgr/docs/more-we-than-me-mrsa-vol1no5.pdf},\n\tkeywords = {Health Care},\n\tpages = {1--16},\n}\n\n\n\n\n
@article{kim_factors_2008,\n\ttitle = {Factors that enable nurse-patient communication in a family planning context: {A} positive deviance study},\n\tvolume = {45},\n\tissn = {0020-7489},\n\tshorttitle = {Factors that enable nurse-patient communication in a family planning context},\n\turl = {https://www.sciencedirect.com/science/article/pii/S0020748908000060?via%3Dihub},\n\tdoi = {10.1016/j.ijnurstu.2008.01.002},\n\tabstract = {Background: Family planning programmes in developing countries need a better understanding of nurse-patient communication in order to improve the quality of counselling. Objectives: To identify factors in the clinic and in the community that enable nurses and patients to communicate effectively with one another. Design: The study explored the personal experiences of nurses and patients who communicate especially effectively during family planning consultations (so-called "positive deviants"). Setting: Sixty-four randomly selected public clinics located in East Java, Indonesia. Participants: Seven positive deviant nurses and 32 positive deviant patients were identified from among 64 nurses and 768 patients who participated in an earlier patient coaching study. Flooding prevented 5 patients from participating in the study, reducing their number to 27. Methods: Investigators conducted: (1) a content analysis of qualitative data collected by structured in-depth interviews and focus-group discussions (FGDs) with positive deviant nurses and patients, and (2) analyses of variance (ANOVA) of quantitative data on clinic, nurse, and patient characteristics. Results: Positive deviant nurses identified four factors, listed in rough order of importance, that helped them communicate effectively: independent study to strengthen their knowledge and skills; communication aids; feedback from colleagues; and motivation stemming from a desire to help people, patients' appreciation, husband's support, and increased income. Positive deviant patients identified five enabling factors: motivation due to their need for a service; confidence in their own communication skills; positive feedback from nurses; belief in patients' right and responsibility to communicate with nurses; and communication aids. Conclusions: Insights from positive deviant nurses and patients suggest that efforts to improve nurse-patient communication should go beyond conventional communication skills training. Managers should consider a mix of clinic-based interventions (such as peer feedback, communication aids, and better management of patient flow) and community-based interventions (such as patient education and mass media). © 2008 Elsevier Ltd. All rights reserved.},\n\tlanguage = {English},\n\tnumber = {10},\n\tjournal = {International Journal of Nursing Studies},\n\tauthor = {Kim, Y.M. and Heerey, M. and Kols, A.},\n\tyear = {2008},\n\tkeywords = {Health Care},\n\tpages = {1411--1421},\n}\n\n\n\n\n
@article{levine_black-white_2008,\n\ttitle = {Black-white disparities in elderly breast cancer mortality before and after implementation of medicare benefits for screening mammography},\n\tvolume = {19},\n\tissn = {1049-2089},\n\turl = {https://muse.jhu.edu/article/231466/pdf},\n\tdoi = {10.1353/hpu.2008.0019},\n\tabstract = {Background. Medicare implemented reimbursement for screening mammography in 1991. Main Findings. Post-implementation, breast cancer mortality declined faster (p{\\textless}.0001) among White than among Black elderly women (65+ years). No excess breast cancer deaths occurred among Black elderly compared with White elderly through 1990; over 2,459 have occurred since. Contextual socioeconomic status does not explain differences between counties with lowest Black breast cancer mortality/post-implementation declines in disparity and counties with highest Black breast cancer mortality/widened disparity post-implementation. Conclusions. The results lead to these hypotheses: (a) Medicare mammography reimbursement was causally associated with declines in elderly mortality and widened elderly Black:White disparity from breast cancer; (b) the latter reflects inherent Black-White differences in risk of breast cancer death; place-specific, unaddressed inequalities in capacity to use Medicare benefits; and/or other factors; (c) previous observations linking poverty with disparities in breast cancer mortality are partly confounded by factors explained by theories of human capability and diffusion of innovation.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Journal of Health Care for the Poor and Underserved},\n\tauthor = {Levine, R.S. and Kilbourne, B.E. and Baltrus, P.A. and Williams-Brown, S. and Caplan, L. and Briggs, N.C. and Roberts, K. and Husaini, B.A. and Rust, G.E.},\n\tyear = {2008},\n\tkeywords = {Health Care},\n\tpages = {103--134},\n}\n\n\n\n\n
@article{appelbaum_positive_2007,\n\ttitle = {Positive and negative deviant workplace behaviors: {Causes}, impacts, and solutions},\n\tvolume = {7},\n\tissn = {1472-0701},\n\tshorttitle = {Positive and negative deviant workplace behaviors},\n\turl = {https://www.emerald.com/insight/content/doi/10.1108/14720700710827176/full/html},\n\tdoi = {10.1108/14720700710827176},\n\tabstract = {Purpose - The purpose of this paper is to examine the impact on organizations of both negative deviant workplace behaviors - those that violate organizational norms, policies or internal rules - and positive deviant workplace behaviors - those that honorably violate them. The reasons why people engage in such behaviors are explored, along with some of the reasons why organizations allow such behaviors to thrive within their walls. A typology of positive workplace behavior is determined and is compared with other pro-social behaviors such as: whistleblowing, corporate social responsibility, organizational citizenship behavior and innovation. Possible solutions to overcome problems associated with negative deviant behavior in the workplace are examined, along with how to promote positive deviant behavior in the workplace. Design/methodology/approach - A literature review on current positive and negative deviant workplace behavior was conducted. Findings - Regardless of whether negative deviance is overt or implicit, it has negative consequences for the entity and its affiliates. The estimated impact of the widespread theft by employees on the US economy has been reported to be \\$50 billion annually. Toxic organizations depend on employees that are dishonest and deceitful in order to be successful. Furthermore, it is found that psychological empowerment is likely to be a key enabler of positive deviance. Originality/value - It is proposed that the survival of an organization in the face of negative deviant employees is possible with a remodeling of an organization's norms, attitudes and social values to a specific organizational culture centered on important ethical core values; by addressing value differences between employee subcultures, and more frequent background checks when hiring. Adhering tightly to organizational norms may preclude positive deviant behaviors that would be beneficial to the organization, and thus employee psychological empowerment is recommended. © Emerald Group Publishing Limited.},\n\tlanguage = {English},\n\tnumber = {5},\n\tjournal = {Corporate Governance},\n\tauthor = {Appelbaum, S.H. and Iaconi, G.D. and Matousek, A.},\n\tyear = {2007},\n\tkeywords = {Business, Management and Innovation},\n\tpages = {586--598},\n}\n\n\n\n\n
@article{timmerman_addressing_2007,\n\ttitle = {Addressing barriers to health promotion in underserved women},\n\tvolume = {30},\n\tissn = {0160-6379},\n\turl = {https://journals.lww.com/familyandcommunityhealth/Abstract/2007/01001/Addressing_Barriers_to_Health_Promotion_in.6.aspx},\n\tabstract = {Underserved women face numerous barriers to adopting healthy eating behaviors. To develop effective health-promotion interventions for underserved women, barriers specific to the individual need should be addressed. Influenced by individual characteristics, experiences, and culture, different types of barriers (internal, interpersonal, and environmental) can overlap to impede healthy eating in underserved women. On the basis of literature review and qualitative research experiences with underserved women, 4 potential approaches for addressing barriers to health promotion were identified: (1) individualizing interventions; (2) developing collaborative partnerships within the community; (3) using positive deviance inquiry to build on community assets; and (4) changing public policy. © 2007 Lippincott Williams \\& Wilkins, Inc.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Family and Community Health},\n\tauthor = {Timmerman, G.M.},\n\tyear = {2007},\n\tkeywords = {Health Care, Nutrition},\n\tpages = {34--42},\n}\n\n\n\n\n
@article{solomons_hiv_2007,\n\ttitle = {{HIV} and the ramifications for food security and child health in affected communities},\n\tvolume = {65},\n\tissn = {0517-8606},\n\turl = {https://www.karger.com/Article/Abstract/99117},\n\tdoi = {10.1159/000099117},\n\tabstract = {The first cases of the acquired immunodeficiency syndrome (AIDS), caused by the human immunodeficiency virus (HIV), were recognized in 1981. Today, an estimated 39 million people worldwide are infected with the virus. Sixty-four percent of these individuals currently live in the poverty of sub-Saharan Africa, but the pandemic is now spreading fastest in the largest nations of Asia. A state of food security is said to exist when all people, at all times, have access to sufficient, safe and nutritious food to meet their dietary needs and food preferences for an active and healthy life. A concern for food insecurity arose in the HIV/AIDS pandemic, based on the well-known principles of the interaction of malnutrition and infection; more poorly nourished individuals are more severely affected by infectious pathogens while the ravages of infection tend to deplete the nutritional reserves. The social and clinical consequences of HIV/AIDS endanger access to food in areas already stressed by poverty and environmental deterioration. Interventions related to agricultural productivity, income generation and food assistance, must each be crafted and adapted within the local, community contexts, and recognized as necessary to mitigate the adverse effect of HIV/AIDS on food security. UNICEF has made caring, defined as the provision in the household and the community of time, attention, and support to meet the physical, mental, and social needs of the growing child and other household members, into one of the components of its efforts to promote child survival. Its domain includes care for women, breastfeeding and child feeding practices, psychosocial care, food preparation, hygiene practices, and household health practices. The positive deviance approach, that of identifying household caring behaviors that have the best growth, health and development outcomes in children, is now being applied in the context of HIV-positive children. Stigma is a pervasive factor, which tends to isolate households affected with HIV-positive members, and complicates the social context in which food security and care-related interventions can be delivered. Outstanding gaps in our knowledge of food security-HIV/AIDS relationships have been identified. The research questions include the true effectiveness of food assistance to mitigate the effects of HIV and the interaction of food security status with the efficacy and safety of antiretroviral therapy. However, investigation is somewhat of a luxury within the allocation of scarce financial resources, placing a premium on gathering and codifying useful pragmatic experience for mitigating interventions from the valuable experience currently being gathered on the ground by field workers and communities themselves. Copyright © 2007 Nestec Ltd., Vevey/S. Karger AG.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Annales Nestle},\n\tauthor = {Solomons, N.W. and O'Donnell, G.E.},\n\tyear = {2007},\n\tkeywords = {Development, Health Care, Nutrition, Public/Global Health},\n\tpages = {9--28},\n}\n\n\n\n\n
@article{schooley_learning_2007,\n\ttitle = {Learning {From} the {Community} to {Improve} {Maternal}-{Child} {Health} and {Nutrition}: {The} {Positive} {Deviance}/{Hearth} {Approach}},\n\tvolume = {52},\n\tissn = {1526-9523},\n\tshorttitle = {Learning {From} the {Community} to {Improve} {Maternal}-{Child} {Health} and {Nutrition}},\n\turl = {https://www.sciencedirect.com/science/article/abs/pii/S1526952307000876?via%3Dihub},\n\tdoi = {10.1016/j.jmwh.2007.03.001},\n\tabstract = {The "traditional" use of the Positive Deviance approach to behavior change involves studying children who thrive despite adversity, identifying uncommon model behaviors among Positive Deviant families, and then designing and implementing an intervention to replicate these behaviors among mothers of malnourished children. This article presents the results of a literature review designed to gather information on the role of the Positive Deviance/Hearth methodology in social and behavior change. Examples of how the methodology has been applied beyond infant and child malnutrition to address other health areas, such as improving pregnancy outcomes, are explored. An analysis of Positive Deviance programming being carried out by Project Concern International in Guatemala and Indonesia is conducted. The role of cultural context in the design and implementation of Positive Deviance/Hearth, as well as the role of Positive Deviance in affecting social and behavior change, require further exploration. The issues related to cultural context and the challenges for monitoring and evaluation of program outcomes are presented. © 2007 American College of Nurse-Midwives.},\n\tlanguage = {English},\n\tnumber = {4},\n\tjournal = {Journal of Midwifery and Women's Health},\n\tauthor = {Schooley, J. and Morales, L.},\n\tyear = {2007},\n\tkeywords = {Development, Sexual/Reproductive Health},\n\tpages = {376--383},\n}\n\n\n\n\n
@article{parvanta_changing_2007,\n\ttitle = {Changing nutrition behavior in {Bangladesh}: {Successful} adaptation of new theories and anthropological methods},\n\tvolume = {46},\n\tissn = {0367-0244},\n\tshorttitle = {Changing nutrition behavior in {Bangladesh}},\n\turl = {https://www.tandfonline.com/doi/pdf/10.1080/03670240701407616},\n\tdoi = {10.1080/03670240701407616},\n\tabstract = {Behavior change theories and a positive deviance approach were used to improve child nutrition through home gardening groups in Bangladesh. Groups were assigned randomly to: (T1) individual, stage-based, role-model stories delivered by a literate agent; (T2) role-model stories told by illiterate garden group leaders at meetings; or (T3) no intervention. Four months later, 31\\% of the T1 mothers demonstrated feeding correct portions of vegetables to young children. Only 15\\% of T2 and 17\\% of T3 mothers could do this. Group Leaders did create awareness and spread information; a personal contact was helpful for changing attitudes and portion size.},\n\tlanguage = {English},\n\tnumber = {3-4},\n\tjournal = {Ecology of Food and Nutrition},\n\tauthor = {Parvanta, C.F. and Thomas, K.K. and Zaman, K.S.},\n\tyear = {2007},\n\tkeywords = {Development, Health Care, Nutrition},\n\tpages = {221--244},\n}\n\n\n\n\n
@article{fowles_collaborative_2007,\n\ttitle = {Collaborative methodologies for advancing the health of underserved women},\n\tvolume = {30},\n\tissn = {0160-6379},\n\turl = {http://europepmc.org/article/MED/17159633},\n\tabstract = {Collaborative methodologies that incorporate local community members offer a unique approach to conducting women's health research. These approaches actively seek to mobilize community resources to solve healthcare problems and may be effectively implemented, accepted, and sustained. Understanding differences among collaborative methodologies is needed to assist the researcher in selecting the strategy that is most consistent with the study purpose and setting. The purpose of this article is to discuss the processes involved in these methodologies and the role of the researcher and the research community and compare how these methodologies differ in identifying and evaluating healthcare outcomes for underserved women. © 2007 Lippincott Williams \\& Wilkins, Inc.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Family and Community Health},\n\tauthor = {Fowles, E.R.},\n\tyear = {2007},\n\tkeywords = {Health Care, Sexual/Reproductive Health},\n\tpages = {53--63},\n}\n\n\n\n\n
@article{cohn_tectonic_2007,\n\ttitle = {The tectonic plates are shifting: cultural change vs. mural dyslexia.},\n\tvolume = {24},\n\tissn = {0748-8157},\n\tshorttitle = {The tectonic plates are shifting},\n\turl = {http://innovativehealthcarespeakers.com/assets/cms/4e6a54e9b36ef5i06599577/KennethCohnTheTectonicPlates.pdf},\n\tabstract = {In response to a rapidly changing healthcare marketplace, a variety of new business models have arisen, including new specialties (hospitalists), selective care (concierge medicine), and joint ventures (ambulatory surgical centers, specialty hospitals), some with hospitals and others with independent vendors. Since both hospitals and physicians are feeling the squeeze of rising expenses, burdensome regulations, heightened consumer expectations, and stagnant or decreasing reimbursement, the response to global economic competition and the need to improve clinical and financial outcomes can bring physicians and hospitals together rather than drive them farther apart. In response to perceived threats, physicians and hospital executives can engage in defensive reasoning that may feel protective but can also lead to mural dyslexia, the inability or unwillingness to see the handwriting on the wall. The strategies of positive deviance (finding solutions that already exist in the community rather than importing best practices), appreciative inquiry (building on success rather than relying solely on root-cause analyses of problems), and structured dialogue (allowing practicing physicians to articulate clinical priorities rather than assuming they lack the maturity and will to come to consensus) are field-tested approaches that allow hospital leaders to engage practicing physicians and that can help both parties work more interdependently to improve patient care in a dynamically changing environment. Physician-hospital collaboration based on transparency, active listening, and prompt implementation can offer sustainable competitive advantage to those willing to embark on a lifetime learning journey.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Frontiers of health services management},\n\tauthor = {Cohn, K. and Friedman, L.H. and Allyn, T.R.},\n\tyear = {2007},\n\tkeywords = {Development, Environment, Health Care},\n\tpages = {11--26},\n}\n\n\n\n\n
@article{babalola_motivation_2007,\n\ttitle = {Motivation for late sexual debut in {Côte} d'{Ivoire} and {Burkina} {Faso}: {A} positive deviance inquiry},\n\tvolume = {7},\n\tissn = {1553-8346},\n\tshorttitle = {Motivation for late sexual debut in {Côte} d'{Ivoire} and {Burkina} {Faso}},\n\turl = {https://www.tandfonline.com/doi/abs/10.1300/J499v07n02_05},\n\tdoi = {10.1300/J499v07n02_05},\n\tabstract = {This paper uses qualitative data from a positive deviance inquiry (PDI) among young people in Burkina Faso and Côte d'Ivoire to explore the motivations for delayed sexual debut. The results of the PDI are verified using survey data from Côte d'Ivoire. The findings support the Self-Determination Theory and show that the factors that favor delayed sexual debut are both internal and external to the youth, including personal commitment to the ideal of delayed sexual debut, perceived selfefficacy to refuse sex with someone known for more than three months, and family contextual factors. The findings also show significant similarities and differences in the factors associated with delayed sexual debut among men and women. Residence in the same household as the father during childhood and the belief that a pregnancy would jeopardize professional ambitions are significant predictors for women but not for men. In contrast, religiosity is an important predictor for men but not for women. The programmatic and policy implications of the results are discussed. Copyright © by The Haworth Press, Inc. All rights reserved.},\n\tlanguage = {English},\n\tnumber = {2},\n\tjournal = {Journal of HIV/AIDS Prevention in Children and Youth},\n\tauthor = {Babalola, S. and Ouedraogo, D. and Vondrasek, C.},\n\tyear = {2007},\n\tkeywords = {Sexual/Reproductive Health},\n\tpages = {65--87},\n}\n\n\n\n\n
@article{ochieng_development_2007,\n\ttitle = {Development through {Positive} {Deviance} and its {Implications} for {Economic} {Policy} {Making} and {Public} {Administration} in {Africa}: {The} {Case} of {Kenyan} {Agricultural} {Development}, 1930-2005},\n\tvolume = {35},\n\tissn = {0305-750X},\n\tshorttitle = {Development through {Positive} {Deviance} and its {Implications} for {Economic} {Policy} {Making} and {Public} {Administration} in {Africa}},\n\turl = {https://www.sciencedirect.com/science/article/pii/S0305750X06002178?via%3Dihub},\n\tdoi = {10.1016/j.worlddev.2006.04.003},\n\tabstract = {Positive internal innovation has long been a central element of African agricultural development, even if modern efforts to stimulate technical, institutional, and policy innovations in African agriculture have tended to look outwards. This paper examines the role of positive deviance in Kenyan agriculture over the last 75 years to cast doubt on the alleged authoritative sources of policy advice and mandates from the outside. Positive deviance and appreciative inquiry are suggested as organizing frameworks for identifying and amplifying the generation and uptake of internal African innovations. © 2006 Elsevier Ltd. All rights reserved.},\n\tlanguage = {English},\n\tnumber = {3},\n\tjournal = {World Development},\n\tauthor = {Ochieng, C.M.O.},\n\tyear = {2007},\n\tkeywords = {Management and Innovation},\n\tpages = {454--479},\n}\n\n\n\n\n
@article{singhal_when_2007,\n\ttitle = {When the task is accomplished, can we say we did it ourselves?},\n\turl = {http://tools.patientsafetyinstitute.ca/Communities/STOPInfectionsNow/Shared%20Documents/Liberating%20Structures%20and%20PD/Published%20Articles/VAPHS%20PD%20MRSA%20Story-Singhal-Greiner-Final-June%2018-2007%5B1%5D.pdf},\n\turldate = {2014-10-06},\n\tjournal = {A quest to eliminate MRSA at the Veterans Health Administration’s Hospitals in Pittsburgh},\n\tauthor = {Singhal, A. and Greiner, Karen},\n\tyear = {2007},\n\tkeywords = {Health Care},\n\tpages = {1--62},\n}\n\n\n\n\n
@article{walker_applying_2007,\n\ttitle = {Applying the concept of positive deviance to public health data: {A} tool for reducing health disparities: {Special} features: {Methods}},\n\tvolume = {24},\n\tissn = {0737-1209},\n\tshorttitle = {Applying the concept of positive deviance to public health data},\n\turl = {http://europepmc.org/article/MED/17973735},\n\tdoi = {10.1111/j.1525-1446.2007.00670.x},\n\tabstract = {The concept of positive deviance (PD), which highlights uncommon practices that reduce risk in low-resource communities, has been effective in community mobilization and programming to improve health outcomes. We present a protocol for extending the concept to analysis of existing public health data. The protocol includes assessing whether PD fits the situation, identifying positive deviants, and identifying behaviors associated with positive deviants' healthy outcomes. Analyzing existing datasets from a PD perspective may aid public health nurses in efforts to reduce health disparities. The effectiveness of our protocol will be clarified in future research. © 2007, Blackwell Publishing, Inc.},\n\tlanguage = {English},\n\tnumber = {6},\n\tjournal = {Public Health Nursing},\n\tauthor = {Walker, L.O. and Sterling, B.S. and Hoke, M.M. and Dearden, K.A.},\n\tyear = {2007},\n\tkeywords = {Concept of Positive Deviance, Development},\n\tpages = {571--576},\n}\n\n\n\n\n
@techreport{marsh_acceptability_2007,\n\ttitle = {Acceptability, {Feasibility}, {Quality}, {Effect}, and {Sustainability} of a "{PD}-{PLUS}" {Approach} for {Improving} {Newborn}, {Child}, and {Maternal} {Care} in {Quang} {Tri} {Province}, {Vietnam}},\n\turl = {https://www.academia.edu/9874595/ACCEPTABILITY_FEASIBILITY_QUALITY_EFFECT_AND_SUSTAINABILITY_OF_A_PD-PLUS_APPROACH_FOR_IMPROVING_NEWBORN_CHILD_AND_MATERNAL_CARE_IN_QUANG_TRI_PROVINCE_VIETNAM},\n\tabstract = {A positive deviance inquiry (PDI) is a formative research technique to study individuals who experience better outcomes than their neighbors with similar backgrounds. The insights from a PDI can inform behavior change strategies. Save the Children (SC) has extensive experience using PDIs to study poor Vietnamese families with well-nourished children. SC implemented a child survival project (2002-2007) in Huong Hoa and Dakrong Districts of Quang Tri Province. We supported the Ministry of Health to deliver maternal and newborn care and infant nutrition interventions, especially targeting Pakoh and Van Kieu minority populations. We strengthened facility-based and outreach services and delivered behavior change communication, primarily in a series of 12 monthly meetings, each promoting different messages. We modified the formative PDI: (1) to apply it throughout the project instead of only at baseline and (2) to inquire about behavioral outcomes instead of health status outcomes. SC trained community health workers (Guides) to facilitate the meetings, including conducting a “new topic PDI” to study if, why, and how attendees might already be practicing a good behaviors introduced at the current meeting and a “booster PDI” to study if, why and how they might have adopted behaviors discussed at previous meetings. We wanted to know about the effects, acceptability, feasibility, quality, and sustainability of Community Meetings with this modified PDI.},\n\tinstitution = {Save the Children},\n\tauthor = {Marsh, D. R. and Khanh, V.N. and Bich Ha, Pham and Kiem, T.T and Vu, N.A. and Jones, E.},\n\tyear = {2007},\n\tkeywords = {Nutrition},\n}\n\n\n\n\n
@article{kusa_social_2006,\n\ttitle = {Social {Benefits} of {Being} {Creative}: {Creativity} as a {Positive} {Deviance}},\n\tvolume = {48},\n\tcopyright = {Copyright Institute of Experimental Psychology, Slovak Academy of Sciences 2006},\n\tissn = {0039-3320},\n\tshorttitle = {Social {Benefits} of {Being} {Creative}},\n\turl = {http://search.proquest.com/docview/220090648?accountid=8579},\n\tabstract = {The paper is focused on social facets of creativity that were investigated in CEVIT studies. The term positive deviance is applied in considerations of a) creativity in interpersonal contents and processes, b) dilemmas of creator's otherness and motivation, and c) creativity little and creativity big. The analysis of benefits and costs of creativity is related to the contents that were either designed by researcher or inferred from participants' reports. The concept of little and big creativity is introduced within the frame of dynamic model of creativity and its implications for value-led research of creativity are considered. [PUBLICATION ABSTRACT]},\n\tlanguage = {English},\n\tnumber = {3},\n\turldate = {2014-10-07},\n\tjournal = {Studia Psychologica},\n\tauthor = {Kusá, Daniela},\n\tyear = {2006},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {229--240},\n}\n\n\n\n\n
@article{ahrari_positive_2006,\n\ttitle = {A positive deviance-based antenatal nutrition project improves birth-weight in {Upper} {Egypt}},\n\tvolume = {24},\n\tissn = {1606-0997},\n\turl = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3001154/pdf/jhpn0024-0498.pdf},\n\tabstract = {The positive deviance approach identifies and promotes existing uncommon healthy behaviours. A positive deviance-informed antenatal project was pilot-tested in Al-Minia Governorate, Upper Egypt, during 2003-2004, after a positive deviance study in 2000 found that successful pregnancies had increased consumption of meat and vegetables, daytime rest, and antenatal care; less second-hand smoke exposure; and symptoms of no urinary tract infection. Accordingly, health facilities were upgraded in target and comparison areas to provide quality antenatal care, including treatment of urinary tract infection. Additionally, in the target villages, women at-risk of delivering low-birth-weight infants were enrolled in weekly 'IMPRESS'(improved pregnancy through education and supplementation) sessions with counselling and supplemental food. In total, 519 women (344 target, 175 comparison) were enrolled in the third or fourth month of pregnancy and were followed through delivery. Birth-weights of the target mothers increased 2.2 times more than birth-weights of the comparison mothers over baseline (mean increase: 0.58 vs 0.26 g respectively, p{\\textless}0.01). Similarly, the decrease in prevalence of low birth-weight from baseline was greater in the target villages than in the comparison mothers (\\% of decrease: 26.9 vs 11.9 respectively, p{\\textless}0.01). The target at-risk women were far more likely than their counterparts to report eating more food (54.9\\% vs 10.6\\%), more meat (57.1 \\% vs 4.2\\%), more vegetables (66.9\\% vs 5.3\\%), increasing daytime rest (64.1\\% vs 11.7\\%), and avoiding second-hand smoke (91.3\\% vs 51.6\\%) during pregnancy. The cost per 100 g of improvement in birth-weight was US\\$ 3.98. The Government of Egypt and partners are scaling up the elements of the project. © 2006 International Centre for Diarrhoeal Disease Research, Bangladesh.},\n\tlanguage = {English},\n\tnumber = {4},\n\tjournal = {Journal of Health, Population and Nutrition},\n\tauthor = {Ahrari, M. and Houser, R.F. and Yassin, S. and Mogheez, M. and Hussaini, Y. and Crump, P. and Darmstadt, G.L. and Marsh, D. R. and Levinson, F.J.},\n\tyear = {2006},\n\tkeywords = {Nutrition, Sexual/Reproductive Health},\n\tpages = {498--507},\n}\n\n\n\n\n
@article{morrison_doing_2006,\n\ttitle = {Doing the job well: {An} investigation of pro-social rule breaking},\n\tvolume = {32},\n\tissn = {0149-2063},\n\tshorttitle = {Doing the job well},\n\turl = {https://journals.sagepub.com/doi/10.1177/0149206305277790},\n\tdoi = {10.1177/0149206305277790},\n\tabstract = {This article introduces and explores the construct of pro-social rule breaking. Pro-social rule breaking is rooted in a desire to promote the welfare of the organization or one of its stakeholders. The first two studies used interview data to identify three primary types of pro-social rule breaking: rule breaking to perform one's responsibilities more efficiently, rule breaking to help a subordinate Or colleague, and rule breaking to provide good customer service. A third study used a scenario-based laboratory experiment. It found that the likelihood of pro-social rule breaking was positively related to job autonomy, coworker behavior and risk-taking propensity. © 2006 Southern Management Association. All rights reserved.},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Journal of Management},\n\tauthor = {Morrison, E.W.},\n\tyear = {2006},\n\tkeywords = {Management and Innovation},\n\tpages = {5--28},\n}\n\n\n\n\n
@misc{buscell_mrsa_2006,\n\ttitle = {The {MRSA} {Issue}},\n\turl = {http://c.ymcdn.com/sites/www.plexusinstitute.org/resource/resmgr/docs/emerging_2006-december.pdf},\n\turldate = {2014-10-06},\n\tpublisher = {Emerging},\n\tauthor = {Buscell, P.},\n\tyear = {2006},\n\tkeywords = {Health Care},\n}\n\n\n\n\n
@article{perry_reducing_2006,\n\ttitle = {Reducing under-five mortality through {Hôpital} {Albert} {Schweitzer}'s integrated system in {Haiti}},\n\tvolume = {21},\n\turl = {http://heapol.oxfordjournals.org/content/21/3/217.short},\n\tnumber = {3},\n\turldate = {2014-10-06},\n\tjournal = {Health policy and planning},\n\tauthor = {Perry, Henry and Cayemittes, Michel and Philippe, Francois and Dowell, Duane and Dortonne, Jean Richard and Menager, Henri and Bottex, Erve and Berggren, W. and Berggren, G.},\n\tyear = {2006},\n\tkeywords = {Health Care},\n\tpages = {217--230},\n}\n\n\n\n\n
@article{green_information_2006,\n\ttitle = {Information system support as a critical success factor for chronic disease management: {Necessary} but not sufficient},\n\tvolume = {75},\n\tshorttitle = {Information system support as a critical success factor for chronic disease management},\n\turl = {http://www.sciencedirect.com/science/article/pii/S1386505606001559},\n\tnumber = {12},\n\turldate = {2014-10-06},\n\tjournal = {International journal of medical informatics},\n\tauthor = {Green, C.J. and Fortin, Patricia and Maclure, Malcolm and Macgregor, Art and Robinson, Sylvia},\n\tyear = {2006},\n\tkeywords = {Health Care},\n\tpages = {818--828},\n}\n\n\n\n\n
@article{fowles_identifying_2005,\n\ttitle = {Identifying healthy eating strategies in low-income pregnant women: {Applying} a positive deviance model},\n\tvolume = {26},\n\tissn = {0739-9332},\n\tshorttitle = {Identifying healthy eating strategies in low-income pregnant women},\n\turl = {https://www.tandfonline.com/doi/abs/10.1080/07399330500230953},\n\tdoi = {10.1080/07399330500230953},\n\tabstract = {Using positive deviance methodology, we identified strategies that enabled some low-income pregnant women to eat healthy meals while others did not. We used a descriptive design consisting of small group interviews of low-income pregnant women and identified 6 of 18 women as eating healthy diets. Women with healthy diets knew to eat balanced meals, had family support, were willing to prepare foods that were different than other family members, and ate at home more frequently than women with unhealthy diets. Health care providers can use the positive deviance approach to guide the development of interventions to improve women's diets using community-specific solutions to enhance the health of mothers and infants. Copyright © Taylor \\& Francis Inc.},\n\tlanguage = {English},\n\tnumber = {9},\n\tjournal = {Health Care for Women International},\n\tauthor = {Fowles, E.R. and Hendricks, J.A. and Walker, L.O.},\n\tyear = {2005},\n\tkeywords = {Health Care, Nutrition, Sexual/Reproductive Health},\n\tpages = {807--820},\n}\n\n\n\n\n
@misc{dutton_positive_2005,\n\ttitle = {Positive organizational scholarship},\n\turl = {http://www.langleygroup.com.au/images/Dutton---2005---Positive-Organizational-Scholarship-----copy.pdf},\n\turldate = {2014-10-07},\n\tpublisher = {In J. Greenhaus and G. Callahan, (Eds.) Encyclopedia of Career Development, Thousand Oaks, Ca. Sage.},\n\tauthor = {Dutton, Jane E. and Glynn, Mary Ann and Spreitzer, Gretchen},\n\tyear = {2005},\n\tkeywords = {Positive Organizational Scholarship (POS)},\n}\n\n\n\n\n
@article{biggs_social_2005,\n\ttitle = {Social responsibility in the growing handmade paper industry of {Nepal}},\n\tvolume = {33},\n\tissn = {0305-750X},\n\turl = {https://www.sciencedirect.com/science/article/abs/pii/S0305750X05001452?via%3Dihub},\n\tdoi = {10.1016/j.worlddev.2005.06.002},\n\tabstract = {This study examines the recent dynamics in the rapidly growing handmade paper industry in Nepal. The paper argues that the industry is sustainable from social responsibility as well as natural resources and economic perspectives. Five principle sources of socially responsible practices are identified: (1) traditional commitment to community development, (2) fair trade codes of conduct, (3) corporate social responsibility, (4) the industry's business service organization (Nepal Handmade Paper Association), and (5) the general policy and legal framework. The paper concludes with a discussion of this industry as a case study of "positive deviance" and with lessons for contemporary innovation systems theory and for development policy and practice. © 2005 Elsevier Ltd. All rights reserved.},\n\tlanguage = {English},\n\tnumber = {11},\n\tjournal = {World Development},\n\tauthor = {Biggs, S. and Messerschmidt, D.},\n\tyear = {2005},\n\tkeywords = {Management and Innovation},\n\tpages = {1821--1843},\n}\n\n\n\n\n
@article{arnold_beyond_2005,\n\ttitle = {Beyond sweatshops: {Positive} deviancy and global labour practices},\n\tvolume = {14},\n\tshorttitle = {Beyond sweatshops},\n\turl = {http://onlinelibrary.wiley.com/doi/10.1111/j.1467-8608.2005.00404.x/abstract},\n\tnumber = {3},\n\turldate = {2014-10-07},\n\tjournal = {Business Ethics: A European Review},\n\tauthor = {Arnold, Denis G. and Hartman, Laura P.},\n\tyear = {2005},\n\tkeywords = {Management and Innovation},\n\tpages = {206--222},\n}\n\n\n\n\n
@article{tarantino_positive_2005,\n\ttitle = {Positive deviance as a tool for organizational change.},\n\tvolume = {31},\n\tissn = {0898-2759},\n\turl = {https://pubmed.ncbi.nlm.nih.gov/16224912/},\n\tlanguage = {English},\n\tnumber = {5},\n\tjournal = {Physician executive},\n\tauthor = {Tarantino, D.P.},\n\tyear = {2005},\n\tkeywords = {Health Care, Management and Innovation},\n\tpages = {62--63},\n}\n\n\n\n\n
@phdthesis{saco_good_2005,\n\ttitle = {Good companies: organizations discovering the good in themselves by using {Positive} {Deviance} as a change management strategy},\n\tshorttitle = {Good companies},\n\turl = {https://www.yumpu.com/en/document/read/25448104/good-companies-positive-deviance-initiative},\n\tschool = {Dissertation for the HEC degree of Executive MSc in Consulting and Coaching for Change. HEC Paris–Oxford Executive Education},\n\tauthor = {Saco, R.},\n\tyear = {2005},\n\tkeywords = {Management and Innovation},\n}\n\n\n\n\n
@article{spreitzer_toward_2004,\n\ttitle = {Toward the {Construct} {Definition} of {Positive} {Deviance}},\n\tvolume = {47},\n\tissn = {0002-7642},\n\turl = {https://journals.sagepub.com/doi/10.1177/0002764203260212},\n\tdoi = {10.1177/0002764203260212},\n\tabstract = {In this article, the authors develop a definition of positive deviance, a foundational construct in positive organizational scholarship. They offer a normative definition of positive deviance: intentional behaviors that depart from the norms of a referent group in honorable ways. The authors contrast this normative perspective on deviance with statistical, supraconformity, and reactive perspectives on deviance. They also develop research propositions that differentiate positive deviance from related prosocial types of behaviors, including organizational citizenship, whistle-blowing, corporate social responsibility, and creativity/innovation. Finally, the authors offer some initial ideas on how to operationalize positive deviance.},\n\tlanguage = {English},\n\tnumber = {6},\n\tjournal = {American Behavioral Scientist},\n\tauthor = {Spreitzer, G.M. and Sonenshein, S.},\n\tyear = {2004},\n\tkeywords = {Typology},\n\tpages = {828--847},\n}\n\n\n\n\n
@article{pryer_epidemiology_2004,\n\ttitle = {The epidemiology of good nutritional status among children from a population with a high prevalence of malnutrition},\n\tvolume = {7},\n\tissn = {1368-9800},\n\turl = {https://www.cambridge.org/core/journals/public-health-nutrition/article/epidemiology-of-good-nutritional-status-among-children-from-a-population-with-a-high-prevalence-of-malnutrition/3706D4CB78688B94CAC91C9AE0B14A26},\n\tdoi = {10.1079/PHN2003530},\n\tabstract = {Objectives: To identify socio-economic demographic and environmental factors that predict better height-for-age for children under 5 years of age in a Dhaka slum population. Design: A panel survey, conducted between 1995 and 1997. A random sample of households was selected. Socio-economic, demographic and environmental variables were collected monthly by questionnaire and nutritional status was assessed. Setting: Dhaka slums in Bangladesh. Subjects: Three hundred and ninety-two children, surveyed in September-November 1996. Main outcome measures: Height-for-age Z-score (HAZ) above -2. Results: Thirty-one per cent of children had HAZ {\\textgreater} -2. Logistic regression adjusted for cluster sampling showed that better nourished children were more likely to have taller mothers, to be from female-headed households and from families with higher income, electricity in the home, better latrines, more floor space and living in Central Mohammadpur. Better nourished children were less likely to have fathers who have taken days off from work due to illness. Conclusions: Interest in 'positive deviance' is motivated by the recognition that a focus on the malnourished only - the bottom tail of the distribution - provides indications of how families fail, but not of how they succeed in maintaining child nutrition in the face of adversity. Our analysis provides an alternative perspective on nutrition and vulnerability in an urban slum setting.},\n\tlanguage = {English},\n\tnumber = {2},\n\tjournal = {Public Health Nutrition},\n\tauthor = {Pryer, J.A. and Rogers, S. and Rahman, A.},\n\tyear = {2004},\n\tkeywords = {Development, Nutrition},\n\tpages = {311--317},\n}\n\n\n\n\n
@article{marsh_power_2004,\n\ttitle = {The {Power} of {Positive} {Deviance}},\n\tvolume = {329},\n\tissn = {0959-8146},\n\turl = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC527707/pdf/bmj32901177.pdf},\n\tabstract = {Identifying individuals with better outcome than their peers (positive deviance) and enabling\ncommunities to adopt the behaviours that explain the improved outcome are powerful methods of\nproducing change},\n\tlanguage = {English},\n\tnumber = {7475},\n\tjournal = {British Medical Journal},\n\tauthor = {Marsh, D. R. and Schroeder, D.G. and Dearden, K.A. and Sternin, J. and Sternin, M.},\n\tyear = {2004},\n\tkeywords = {Concept of Positive Deviance, Development},\n\tpages = {1177--1179},\n}\n\n\n\n\n
@article{heckert_using_2004,\n\ttitle = {Using an integrated typology of deviance to analyze ten common norms of the {U}.{S}. middle class},\n\tvolume = {45},\n\tissn = {0038-0253},\n\turl = {https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1533-8525.2004.tb00010.x},\n\tabstract = {In a recent article we presented an integrated typology in which we categorized deviance based on both norms and evaluations. Cross-classifying normative expectations and societal evaluations identifies four types of deviance. Negative deviance implies negatively evaluated underconformity (or nonconformity); rate busting depicts negatively appraised overconformity; deviance admiration designates positively reacted to underconformity (or nonconformity); and positive deviance signifies positively sanctioned overconformity. To assess the efficacy of this typology in relation to a system of norms, ten middle - class norms-previously defined as the predominant ones in the United States by Tittle and Paternoster (2000) - were evaluated in relation to our integrated typology. Those norms are: loyalty, privacy, prudence, conventionality, responsibility, participation, moderation, honesty, peacefulness, and courtesy. Each potentiality is identified; for example, regarding the norm of loyalty, apostasy is the negative deviance form (negative deviance has already been outlined in relation to all ten norms); rebellion is the deviance admiration type; fanaticism is the rate busting scenario; and altruism is the positive deviance kind.},\n\tlanguage = {English},\n\tnumber = {2},\n\tjournal = {Sociological Quarterly},\n\tauthor = {Heckert, A. and Heckert, D. M.},\n\tyear = {2004},\n\tkeywords = {Typology},\n\tpages = {209--228},\n}\n\n\n\n\n
@book{cameron_positive_2003,\n\ttitle = {Positive organizational scholarship: {Foundations} of a new discipline},\n\tshorttitle = {Positive organizational scholarship},\n\turl = {http://www.google.com/books?hl=no&lr=&id=cumQYLiKCCcC&oi=fnd&pg=PR9&dq=Positive+Organizational+Scholarship:+Foundations+of+a+New+Discipline&ots=U2a5bJRC-3&sig=immffK3dbxF9gNflXtrEQFGNW5w},\n\turldate = {2014-10-06},\n\tpublisher = {Berrett-Koehler Publishers},\n\tauthor = {Cameron, Kim and Dutton, Jane and Quinn, Robert E.},\n\tyear = {2003},\n\tkeywords = {Positive Organizational Scholarship (POS)},\n}\n\n\n\n\n
@article{irwin_saints_2003,\n\ttitle = {Saints and {Sinners}: {Elite} {Tattoo} {Collectors} and {Tattooists} as {Positive} and {Negative} {Deviants}},\n\tvolume = {23},\n\tissn = {0273-2173},\n\tshorttitle = {Saints and {Sinners}},\n\turl = {http://dx.doi.org/10.1080/02732170309206},\n\tdoi = {10.1080/02732170309206},\n\tabstract = {Arguing that the deviance literature has presented an overly negative image of norm breaking, some researchers in the 1980s and 1990s began to argue for a category of positive deviance that included studies of individuals who exceed social norms (Ben-Yehuda 1990; Dodge 1985; Heckert 1989, 1997, 1998). The positive deviance perspective inspired several strong theoretical statements suggesting that deviance can only be conceptualized as a negative response to norm breaking (Best and Luckenbill 1982; Goode 1991; Sagarin 1985). The result is a schism between researchers studying positive deviants and those investigating negative deviants. This article looks at two groups within the most elite realm of tattooing, tattoo collectors and tattooists, and identifies how they use both positive and negative deviant attributes to maintain a privileged status on the fringe of society. By exploring an example of individuals who exceed and fall below social norms, I offer two new categories of positive deviance: high culture icon and popular celebrity. In addition, I examine how individuals who occupy both positive and negative deviant statuses challenge assumptions within normative and social response perspectives of deviants and point to larger processes of social change and social stability.},\n\tnumber = {1},\n\turldate = {2014-10-07},\n\tjournal = {Sociological Spectrum},\n\tauthor = {Irwin, Katherine},\n\tmonth = jan,\n\tyear = {2003},\n\tkeywords = {Business},\n\tpages = {27--57},\n}\n\n\n\n\n
@article{west_synergies_2003,\n\ttitle = {Synergies in deviance: revisiting the positive deviance debate},\n\tvolume = {17},\n\tshorttitle = {Synergies in deviance},\n\turl = {http://www.sociology.org/content/vol7.4/west.html},\n\tnumber = {4},\n\turldate = {2014-10-07},\n\tjournal = {Electronic Journal of Sociology},\n\tauthor = {West, Brad},\n\tyear = {2003},\n\tkeywords = {Psychology/Sociology},\n\tpages = {19},\n}\n\n\n\n\n
@article{gittelsohn_sociocultural_2003,\n\ttitle = {Sociocultural and {Household} {Factors} {Impacting} on the {Selection}, {Allocation} and {Consumption} of {Animal} {Source} {Foods}: {Current} {Knowledge} and {Application}},\n\tvolume = {133},\n\tissn = {0022-3166, 1541-6100},\n\tshorttitle = {Sociocultural and {Household} {Factors} {Impacting} on the {Selection}, {Allocation} and {Consumption} of {Animal} {Source} {Foods}},\n\turl = {http://jn.nutrition.org/content/133/11/4036S},\n\tabstract = {This paper reviews the literature on cultural and household level constraints on the consumption of animal source foods (ASF). Food proscriptions do not appear to significantly limit food consumption in the areas where this question has been examined, with the possible exception of adult women in some settings. Preferential food allocation patterns, based on economic contribution, social valuation and other factors do play a role in limiting the intake of animal source foods for children and women in some settings. Economic factors limit access to ASF at the household level. Child care patterns in different cultural settings can also serve to enhance or limit the consumption of ASF. Social marketing and positive deviance approaches have had some success in increasing the intake of ASF by using formative research and participatory approaches. The paper concludes with a series of research questions for further investigation.},\n\tlanguage = {en},\n\tnumber = {11},\n\turldate = {2014-10-07},\n\tjournal = {The Journal of Nutrition},\n\tauthor = {Gittelsohn, Joel and Vastine, Amy E.},\n\tmonth = nov,\n\tyear = {2003},\n\tpmid = {14672308},\n\tkeywords = {Nutrition},\n\tpages = {4036S--4041S},\n}\n\n\n\n\n
@article{dutton_positive_2003,\n\ttitle = {Positive organizational scholarship: {Meet} the movement},\n\tvolume = {12},\n\tshorttitle = {Positive organizational scholarship},\n\turl = {http://cc.scu.edu.cn/G2S/eWebEditor/uploadfile/20121216014130659.pdf},\n\tabstract = {As a University of Michigan master of business administration graduate with a 2-month respite before I began my job at McKinsey, I was looking for short-term, interesting work. I became an assistant to a group of faculty members at the Michigan Business School and the Department of sychology who were on fire about their work. They had held a research conference in December 2001 and produced an edited book titled Positive Organizational Scholarship (Berrett-Koehler). Multiple symposia had been created and presented at the Academy of Management focusing on themes such as energy, positive emotion, resilience, and virtues. In addition, Website had been created to facilitate networking among researchers interested in this domain (see http://www.bus.umich.edu/positive/).\nThis group of faculty had planned another daylong event for business school alumni, all based on thisnew perspective they labeled positive organizational scholarship (POS). They asked me to assist them with the\ndesign and to attend. The alumni event was a smashing success, and I witnessed firsthand how a POS lens could open new ways of seeing possibilities in work organizations. The energy in the room for the faculty\nand the alumni was palpable. I wanted to know more. What makes POS so compelling to organizational researchers and to practitioners? Why is this a movement both executives and scholars are so energized and motivated to pursue? What accounts for the deep caring people express? This interview represents an attempt to provide answers to these questions. I hope you find the responses to my questions as interesting as I do},\n\tnumber = {3},\n\turldate = {2014-10-06},\n\tjournal = {Journal of Management Inquiry},\n\tauthor = {Dutton, Jane and Quinn, Robert},\n\tyear = {2003},\n\tkeywords = {Positive Organizational Scholarship (POS)},\n\tpages = {266--271},\n}\n\n\n\n\n
@article{warren_constructive_2003,\n\ttitle = {Constructive and {Destructive} {Deviance} in {Organizations}},\n\tvolume = {28},\n\tcopyright = {Copyright © 2003 Academy of Management},\n\tissn = {0363-7425},\n\turl = {http://www.jstor.org/stable/30040751},\n\tdoi = {10.2307/30040751},\n\tabstract = {There are two streams of research on deviance in the management literature, one on its positive effects and one on its negative effects. Although the underlying behavior is the same-a departure from norms-these two research streams remain separate. Here I review the literature, develop an integrative typology of deviance, and call for further advancements with respect to identifying reference groups and establishing normative standards.},\n\tnumber = {4},\n\turldate = {2014-10-07},\n\tjournal = {The Academy of Management Review},\n\tauthor = {Warren, Danielle E.},\n\tmonth = oct,\n\tyear = {2003},\n\tkeywords = {Typology},\n\tpages = {622--632},\n}\n\n\n\n\n
@article{tuan_weighing_2002,\n\ttitle = {Weighing {Vietnamese} children: {How} accurate are child weights adjusted for estimates of clothing weight?},\n\tvolume = {23},\n\tshorttitle = {Weighing {Vietnamese} children},\n\turl = {http://www.ingentaconnect.com/content/nsinf/fnb/2002/00000023/a00204s2/art00007},\n\tabstract = {Children who are weighed for growth monitoring are frequently clothed, especially in the cold weather. Health workers commonly estimate and subtract the weight of these clothes, but the accuracy of these estimates is unknown. We assessed the accuracy of child weights adjusted for estimated clothing typical of hot, cold, and extremely cold ambient temperatures. Trained field workers weighed a sample of 212 children 6 to 42 months old from the ViSION project, adjusted the weights using a job aid describing the weights of common clothing by season and age, and then weighed the clothing to calculate the actual clothing and child weights. Fieldworker estimates of the weight of the clothing that children wore during weighing were remarkably good. In nearly all cases (207 of 212; 97.7\\%), the difference between the estimated and actual clothing weight was less than the precision of the child scales (± 50 g), and most (181 of 212; 84.5\\%) were within 25 g. Thus, the calculated child weights were, in fact, equivalent to the actual child weights. Using simulations, we found that improperly accounting for clothing weight can overestimate weight-for-age by 0.1 to 0.4 Z score. Accurate weights are possible, even under adverse conditions. Our training methods, clothing album, and job aid might benefit nutrition research and programming in Viet Nam as well as settings with colder climates.},\n\tnumber = {Supplement 2},\n\turldate = {2014-10-06},\n\tjournal = {Food \\& Nutrition Bulletin},\n\tauthor = {Tuan, T. and Marsh, D. R. and Ha, T. T. and Schroeder, D. G. and Thach, T. D. and Dung, V. M. and Huong, N. T.},\n\tyear = {2002},\n\tkeywords = {Nutrition},\n\tpages = {45--49},\n}\n\n\n\n\n
@article{schroeder_integrated_2002,\n\ttitle = {An integrated child nutrition intervention improved growth of younger, more malnourished children in northern {Viet} {Nam}},\n\tvolume = {23},\n\turl = {http://www.ingentaconnect.com/content/nsinf/fnb/2002/00000023/A00204s2/art00008},\n\tabstract = {Integrated nutrition program are widely used to prevent and/ or reverse childhood malnutrition, but rarely rigorously evaluated. The impact of such a program on the physical growth of young rural Vietnamese children was measured. We randomized six communes to serve as controls. Our sample consisted of 238 children (n = 119 per group) who were 5 to 25 months old on entry. Between December 1999 and December 2000, we measured weight and height monthly for seven months and again at month 12. Principle outcomes were weight-for-age Z score (WAZ), height- for- age Z score (HAZ), and the changes among these measures. As expected, anthropometric indicators relative to international references worsened as the children aged. Overall, children in the intervention communes who were exposed to the integrated nutrition program did not show statistically significant better growth than comparison children. Intervention children who were younger (15 months or less) than their comparable counterparts. Between baseline and month four, for example, intervention children who were malnourished and less than 15 months old at entry lost on average 0.05 WAZ while similar comparison children lost 0.25 WAZ (p= 0.2). Lack of overall impact on growth may be due to a lower than expected prevalence of malnutrition at baseline and / or deworming of comparison children. Targeting nutrition intervention at very young children will have the impact on growth.},\n\tnumber = {4},\n\turldate = {2014-10-21},\n\tjournal = {Food and Nutrition Bulletin},\n\tauthor = {Schroeder, Dirk G. and Pachón, Helena and Dearden, Kirk A. and Ha, Tran Thu and Lang, Tran Thi and Marsh, D. R.},\n\tyear = {2002},\n\tkeywords = {Nutrition},\n\tpages = {50--58},\n}\n\n\n\n\n
@article{pachon_effect_2002,\n\ttitle = {Effect of an integrated child nutrition intervention on the complementary food intake of young children in rural north {Viet} {Nam}},\n\tvolume = {23},\n\turl = {http://www.ingentaconnect.com/content/nsinf/fnb/2002/00000023/A00204s2/art00009},\n\tabstract = {Forty-two percent of Vietnamese children are stunted by two years of age. Since 1990, Save the Children Federation/US (SC) has implemented integrated nutrition programs targeting young children. We evaluated the effect of SC’s nutrition program on the complementary food intake of young rural Vietnamese children. Using a longitudinal, prospective, randomized design, we followed 238 children (119 each from intervention and comparison communes) age 5 to 25 months old for six months with a re-survey at 12 months. We gathered 24-hour recall data at baseline and at months 2, 4, 6, and 12. Dietary energy intake was calculated using the 1972 Vietnamese food composition table. Key outcomes were daily frequency of consuming intervention-promoted food and non-breastmilk liquids and food, daily quantity of non-breastmilk liquids and food consumed, daily energy intake, and proportion of children meeting daily median energy requirements. Young rural children exposed to SC’s program consumed intervention-promoted and any foods more frequently, ate a greater quantity of any food, consumed more energy, and were more likely to meet their daily energy requirements than comparison children.\nSome effects were only observed during the intensive intervention period; others persisted into or were evident only at the 12-month follow-up, approximately four months after program completion. Based on the mothers’ reports, the intervention did not apparently compromise breastfeeding prevalence or frequency. The intervention improved children’s food and energy intake and protected them from declining as rapidly as comparison children in meeting their energy requirements.},\n\tnumber = {Supplement 2},\n\turldate = {2014-10-06},\n\tjournal = {Food \\& Nutrition Bulletin},\n\tauthor = {Pachón, Helena and Schroeder, Dirk G. and Marsh, D. R. and Dearden, Kirk A. and Ha, Tran Thu and Lang, Tran Thi},\n\tyear = {2002},\n\tkeywords = {Nutrition},\n\tpages = {59--66},\n}\n\n\n\n\n
@article{marsh_design_2002,\n\ttitle = {Design of a prospective, randomized evaluation of an integrated nutrition program in rural {Viet} {Nam}},\n\tvolume = {23},\n\turl = {http://www.ingentaconnect.com/content/nsinf/fnb/2002/00000023/a00204s2/art00006},\n\tabstract = {Few prospective studies of child growth and its determinants take place in programmatic contexts. We evaluated the effect of Save the Children’s (SC) community empowerment and nutrition program (CENP) on child growth, care, morbidity, empowerment, and behavioral determinants. This paper describes the research methods of this community-based study. We used a longitudinal, prospective, randomized design. We selected 12 impoverished communes with documented child malnutrition, three comparison, and three intervention communes in each of two districts in Phu Tho Province, west of Hanoi. SC taught district trainers in November 1999 to train local health volunteers to implement the 10-month CENP, including situation analysis, positive deviance (PD) inquiry, growth monitoring and promotion, nutrition education and rehabilitation program (NERP), deworming, and monitoring. PD inquiries aim to discover successful care practices in poor households that likely promote wellnourished children. NERPs are neighborhood-based, facilitated group learning sessions where caregivers of malnourished children learn and practice PD and other healthy behaviors. We dewormed all intervention and comparison children. We weighed all children less than 24 months of age living in the intervention and comparison communes and randomly selected 240 children (120 intervention and 120 comparison). We gathered information on nutritional status, diet, illness, care, behavioral determinants, empowerment, and program quality, monthly for six months with a re-survey at 12 months. We collected most information through maternal interview but also observed hygiene and program quality, and videotaped feedings at home. Some implementation and research limitations will attenuate CENP impact and measurement of its effectiveness.},\n\tnumber = {Supplement 2},\n\turldate = {2014-10-06},\n\tjournal = {Food \\& Nutrition Bulletin},\n\tauthor = {Marsh, D. R. and Pachón, Helena and Schroeder, Dirk G. and Ha, Tran Thu and Dearden, Kirk and Lang, Tran Thi and Hien, Nguyen Dhanh and Tuan, Doan Anh and Thach, Tran Duc and Claussenius, David},\n\tyear = {2002},\n\tkeywords = {Nutrition},\n\tpages = {34--44},\n}\n\n\n\n\n
@article{mackintosh_sustained_2002,\n\ttitle = {Sustained positive deviant child care practices and their effects on child growth in {Viet} {Nam}},\n\tvolume = {23},\n\turl = {http://www.ingentaconnect.com/content/nsinf/fnb/2002/00000023/A00204s2/art00004},\n\tabstract = {Save the Children’s (SC) successful integrated nutrition program in Viet Nam, the poverty alleviation and nutrition program (PANP), uses the positive deviance (PD) approach to identify key growth promoting behaviors and provides participatory adult education allowing mothers to develop skills related to these behaviors. We investigated whether improvements seen during a PANP intervention (1993–1995) were sustained three and four years after SC’s departure. Cross-sectional surveys were administered to 46 randomly selected households in four communes that had previously participated in the PANP and 25 households in a neighboring comparison community in 1998 and 1999. Two children per household, an older child who had participated in the PANP and a younger sibling who had not, were measured (total n = 142 children), and their mothers were interviewed. Older SC children tended to be better nourished than their counterparts. Their younger siblings were significantly better nourished than those in the comparison group, with adjusted mean weight-for-age Z scores of –1.82 versus –2.45 (p = .007), weight-for-height Z scores of –0.71 versus –1.45 (p {\\textless} .001), and height-for-age Z scores of –2.11 and –2.37 (ns, p = .4), respectively. SC mothers reporting feeding the younger siblings more than their counterparts did (2.9 versus 2.2 main meals per day, p {\\textless} .001, and 96.2\\% versus 52\\% offering snacks, p {\\textless} .01]. SC mothers reported washing their hands “often” more than comparison mothers (100\\% vs. 76\\%, p {\\textless} .001). Growth-promoting behaviors identified through PD studies and practiced through neighborhood-based rehabilitation sessions persisted years after program completion. These sustained behaviors contributed to better growth of younger siblings never exposed to the program.},\n\tnumber = {4},\n\turldate = {2014-10-06},\n\tjournal = {Food \\& Nutrition Bulletin},\n\tauthor = {Mackintosh, U. and Marsh, D. R. and Schroeder, Dirk G.},\n\tyear = {2002},\n\tkeywords = {Development, Education, Nutrition},\n\tpages = {16--25},\n}\n\n\n\n\n
@article{hendrickson_empowerment_2002,\n\ttitle = {Empowerment in rural {Viet} {Nam}: {Exploring} changes in mothers and health volunteers in the context of an integrated nutrition project},\n\tvolume = {23},\n\tshorttitle = {Empowerment in rural {Viet} {Nam}},\n\turl = {http://archive.unu.edu/unupress/food/fnb23-4s.pdf#page=84},\n\tabstract = {Empowerment is often cited as a fundamental component of health promotion strategies. Anecdotes suggest that Save the Children's integrated nutrition project empowers local women and health volunteers. The aim of this research was to document the degree to which this is being accomplished. Using qualitative methodologies, we conducted a cross-sectional assessment to compare self-reported changes in identified empowerment domains among 17 program health volunteers and 20 mothers involved in a child nutrition intervention and among five Women's Union leaders and five mothers in a non-intervention comparison commune. Intervention mothers reported increased knowledge, confidence, and information sharing about child-care and feeding, while non-intervention mothers reported minimal changes in these domains. Both intervention health volunteers and non-intervention Women's Union leaders expressed improvements in knowledge, confidence, and relationships with community members. In this study we found that the relative increases in empowerment were greater for mothers than for health volunteers. Intervention mothers reported more sharing of information on child care with neighbors. Health volunteers developed closer relationships with community members than Women's Union leaders. The increased information sharing has positive implications for spread of key messages to families that did not directly participate in intensive feeding and the sustainability of the intervention's impact. Future research should focus on developing culturally specific concepts of empowerment to better understand the effects of empowerment efforts. This study's identification of empowerment domains will inform future empowerment studies in Vietnam.},\n\tnumber = {4},\n\tjournal = {Food and Nutrition Bulletin},\n\tauthor = {Hendrickson, J.L. and Dearden, K. and Pachón, H. and An, N.H. and Schroeder, D.G. and Marsh, D. R.},\n\tyear = {2002},\n\tkeywords = {Education, Health Care, Nutrition},\n\tpages = {86--94},\n}\n\n\n\n\n
@article{dearden_work_2002,\n\ttitle = {Work outside the home is the primary barrier to exclusive breastfeeding in rural {Viet} {Nam}: {Insights} from mothers who exclusively breastfed and worked},\n\tvolume = {23},\n\tissn = {0379-5721},\n\tshorttitle = {Work outside the home is the primary barrier to exclusive breastfeeding in rural {Viet} {Nam}},\n\turl = {http://archive.unu.edu/unupress/food/fnb23-4s.pdf#page=100},\n\tabstract = {This study assessed barriers to exclusive breastfeeding in rural Viet Nam and identified how a few mothers were able to exclusively breastfeed despite barriers. A cross-sectional quantitative and qualitative assessment was carried out among 120 mothers of infants less than six months old in northern Viet Nam. Only 24\\% of the mothers exclusively breastfed. Adjusting for infant's age and who attended delivery, the risk of not exclusively breastfeeding was 14.0 times greater for women who had returned to work than for women who had not. Exclusively breastfeeding mothers (n = 4) who worked differed from other mothers in important ways. They all felt they had enough milk, all knew the appropriate time to introduce foods and liquids, and most were supported in their breastfeeding decisions by commune health workers and family members. This research suggests strategies that can be implemented now to increase exclusive breastfeeding in rural work environments. These include improving knowledge about the introduction of water and semi-solids, addressing perceptions of milk insufficiency, securing support from others, and presenting mothers with options for exclusively breastfeeding, even when they work outside the home.},\n\tlanguage = {English},\n\tnumber = {4},\n\tjournal = {Food and Nutrition Bulletin},\n\tauthor = {Dearden, K.A. and Quan, L.N. and Do, M. and Marsh, D.R. and Pachón, H. and Schroeder, D.G. and Lang, T.T.},\n\tyear = {2002},\n\tkeywords = {Development, Nutrition, Sexual/Reproductive Health},\n\tpages = {101--108},\n}\n\n\n\n\n
@article{berggren_positive_2002,\n\ttitle = {Positive deviant behavior and nutrition education},\n\tvolume = {23},\n\turl = {http://www.ingentaconnect.com/content/nsinf/fnb/2002/00000023/A00204s2/art00018?crawler=true&mimetype=application/pdf#page=8},\n\tnumber = {4 Suppl},\n\turldate = {2014-10-06},\n\tjournal = {Food and Nutrition Bulletin},\n\tauthor = {Berggren, W. and Wray, J.},\n\tyear = {2002},\n\tkeywords = {Education, Nutrition},\n\tpages = {7--8},\n}\n\n\n\n\n
@article{babalola_correlates_2002,\n\ttitle = {The correlates of safe sex practices among {Rwandan} youth: a positive deviance approach},\n\tvolume = {1},\n\tshorttitle = {The correlates of safe sex practices among {Rwandan} youth},\n\turl = {http://www.tandfonline.com/doi/abs/10.2989/16085906.2002.9626540},\n\tabstract = {This paper presents the results of a 2001 sample survey and uses an ideation model to identify the factors affecting primary sexual\nabstinence and condom use among Rwandan youth. The findings showed that urban residence and age negatively influence primary\nsexual abstinence and positively affect condom use. Living within the same household as the father tends to protect girls\nfrom early sexual experimentation but has no noticeable effect on boys. Moslems are considerably less likely than Christians to\nreport primary sexual abstinence. The use of alcohol tends to be negatively associated with sexual abstinence. The ideational factors\nthat are significant for primary sexual abstinence are perceptions about the sexual behaviours of peers, perceived self-efficacy\nto refuse sex with someone truly loved, perceived self-efficacy to refuse sex with someone known for more than three months,\nself-esteem and attitudes toward premarital sex. As for condom use, the ideational variables with significant independent effects\non the behavior are: discussion of HIV/AIDS with sexual partner, and to a lesser extent, the perceived self-efficacy to use condoms,\nand discussion of condom use with the sex partner. The programmatic and policy implications of the results are discussed.},\n\tnumber = {1},\n\turldate = {2014-10-06},\n\tjournal = {African Journal of AIDS Research},\n\tauthor = {Babalola, S. and Awasum, David and Quenum-Renaud, Brigitte},\n\tyear = {2002},\n\tkeywords = {Sexual/Reproductive Health},\n\tpages = {11--21},\n}\n\n\n\n\n
@article{sternin_positive_2002,\n\ttitle = {Positive deviance: {A} new paradigm for addressing today’s problems today},\n\tvolume = {5},\n\tshorttitle = {Positive deviance},\n\turl = {http://www.hbs.edu/socialenterprise/pdf/Positive%20Deviance%20description.pdf},\n\tjournal = {Journal of corporate citizenship},\n\tauthor = {Sternin, J.},\n\tyear = {2002},\n\tkeywords = {Concept of Positive Deviance, Development},\n\tpages = {57--62},\n}\n\n\n\n\n
@article{heckert_new_2002,\n\ttitle = {A new typology of deviance: {Integrating} normative and reactivist definitions of deviance},\n\tvolume = {23},\n\tissn = {0163-9625},\n\tshorttitle = {A new typology of deviance},\n\turl = {https://www.tandfonline.com/doi/abs/10.1080/016396202320265319},\n\tdoi = {10.1080/016396202320265319},\n\tabstract = {The concept of positive deviance is marginalized in deviance literature by the focus on negative deviance and the absence of comprehensive conceptions of deviance. Current conceptions of positive deviance simply parallel definitions of negative deviance, namely normative and reactivist conceptions. Normative definitions posit positive deviance as behaviors and attributes that exceed normative expectations (e.g., overconformity), such as overachieving students. Reactivist definitions view positive deviance as positively evaluated behaviors and attributes, such as athletic talent. We propose a new typology, which cross-classifies reactivist and normative definitions of deviance and more precisely distinguishes positive deviance, along with three other categories of deviance. Negative deviance, the traditional focus of the sociology of deviance, refers to behaviors that involve underconformity or nonconformity to norms and negative evaluations. Rate-busting refers to overconformity that is negatively evaluated. Deviance admiration refers to underconformity that is positively evaluated. Positive deviance refers to overconformity that is positively evaluated. This typology compensates for deficiencies in the separate conceptions of deviance by highlighting their contradictions (e.g., reactivists fail to consider rate-busting; normative theorists ignore deviance admiration). Current and historical examples in each category illustrate the utility of the new typology. The typology also accommodates the contextual nature of deviance, accentuates the role of power in denning deviance, and suggests the value of general theories of behavior as opposed to specific theories of "deviant behavior".},\n\tlanguage = {English},\n\tnumber = {5},\n\tjournal = {Deviant Behavior},\n\tauthor = {Heckert, A. and Heckert, D.M.},\n\tyear = {2002},\n\tkeywords = {Concept of Positive Deviance, Typology},\n\tpages = {449--479},\n}\n\n\n\n\n
@article{sheldon_why_2001,\n\ttitle = {Why positive psychology is necessary.},\n\tvolume = {56},\n\turl = {http://psycnet.apa.org/journals/amp/56/3/216/},\n\tnumber = {3},\n\turldate = {2014-10-07},\n\tjournal = {American psychologist},\n\tauthor = {Sheldon, Kennon M. and King, Laura},\n\tyear = {2001},\n\tkeywords = {Psychology/Sociology},\n\tpages = {216},\n}\n\n\n\n\n
@article{aruna_child_2001,\n\ttitle = {Child rearing and positive deviance in the development of preschoolers: {A} microanalysis},\n\tvolume = {38},\n\tissn = {0019-6061},\n\tshorttitle = {Child rearing and positive deviance in the development of preschoolers},\n\turl = {https://indianpediatrics.net/april2001/april-332-339.htm},\n\tabstract = {Objective: To study the maternal child-rearing behaviors, parental attributes and socio-economic status of the family and to analyze their association with positive deviance in the developmental status of preschool children between 1-5 years of age. Design: Cross-sectional. Setting: Rural community. Methods: A total of 260 children and their mothers were evaluated. Weight and height-for-age indices were used to assess growth. ICMR Developmental Screening Test was used to assess psychosocial development. Bhatia's Performance Test was used to assess maternal intelligence. Narayan Rao's Rating Scale was used to assess socio-economic status and a child-rearing interview schedule developed and pretested for the purpose of the study to assess maternal child-rearing practices and behaviors. Results: Stepwise multiple regression with psychosocial development as dependent variable indicated significant associations between specific maternal behavioral categories and psychosocial development of 1-5 year old children. Children, whose mothers were responsive to their needs, were consistent in their interaction with them and were also emotionally stable during specific child rearing situations were those identified as "positive deviants" with regard to their development. Other factors, which were significantly associated with positive deviance in children, were paternal literacy and nuclear type of family. Significant differences were observed between genders. Conclusions: The data generated from the study could identify the important factors that were associated with "positive deviance" in the development of children. These factors can be useful components for parental counseling in clinical practice and as educational material in community programmes such as the ICDS and self-help groups at the village level.},\n\tlanguage = {English},\n\tnumber = {4},\n\tjournal = {Indian Pediatrics},\n\tauthor = {Aruna, M. and Vazir, S. and Vidyasagar, P.},\n\tyear = {2001},\n\tkeywords = {Public/Global Health, Sexual/Reproductive Health},\n\tpages = {332--339},\n}\n\n\n\n\n
@article{macklis_successful_2001,\n\ttitle = {Successful patient safety initiatives: driven from within},\n\tvolume = {50},\n\tshorttitle = {Successful patient safety initiatives},\n\tnumber = {10},\n\tjournal = {Group Practice Journal},\n\tauthor = {Macklis, R. M.},\n\tyear = {2001},\n\tkeywords = {Health Care},\n\tpages = {10--17},\n}\n\n\n\n\n
@book{seligman_positive_2000,\n\ttitle = {Positive psychology: {An} introduction.},\n\tvolume = {55},\n\tshorttitle = {Positive psychology},\n\turl = {http://psycnet.apa.org/journals/amp/55/1/5/},\n\tnumber = {1},\n\turldate = {2014-10-07},\n\tpublisher = {American Psychological Association},\n\tauthor = {Seligman, Martin EP and Csikszentmihalyi, Mihaly},\n\tyear = {2000},\n\tkeywords = {Psychology/Sociology},\n}\n\n\n\n\n
@article{dorsey_positive_2000,\n\ttitle = {Positive {Deviant}},\n\tvolume = {41},\n\turl = {https://www.fastcompany.com/42075/positive-deviant},\n\tabstract = {Jerry Sternin’s job was to help save starving children in Vietnam. Faced with an impossible time frame, he adopted a radical approach to making change. His idea: Real change begins from the inside.},\n\turldate = {2014-10-07},\n\tjournal = {Fast Company},\n\tauthor = {Dorsey, David},\n\tyear = {2000},\n\tkeywords = {Concept of Positive Deviance, Development},\n\tpages = {284},\n}\n\n\n\n\n
@article{bloch_positive_2000,\n\ttitle = {Positive deviants and their power on transformational leadership},\n\tvolume = {1},\n\tissn = {1469-7017},\n\turl = {http://dx.doi.org/10.1080/714042473},\n\tdoi = {10.1080/714042473},\n\tabstract = {Today's leading companies require innovative products and services, speed to market, communication to all stakeholders, robust share price and often global reach. Importantly, to be dominant within their industries, they need transformational leadership: leaders who are constantly demonstrating focused positive deviancy. Positive deviants are those individuals who behave in ways that are different from their colleagues, ways that are more effective and focused. These transformational leaders, by examining the behaviour of those people who behave as positive deviants are able to introduce and deliver sustainable change within a business. This paper describes how to identify Positive Deviants, and how to leverage the impact of their behaviour on others.},\n\tnumber = {3},\n\turldate = {2014-10-06},\n\tjournal = {Journal of Change Management},\n\tauthor = {Bloch, Susan},\n\tmonth = sep,\n\tyear = {2000},\n\tkeywords = {Concept of Positive Deviance, Management and Innovation},\n\tpages = {273--279},\n}\n\n\n\n\n
@inproceedings{bhat_fourth_2000,\n\ttitle = {Fourth {Dr} {Abraham} {Horwitz} {Lecture}. {What} makes the difference? {Applying} the positive deviance approach to improve pregnancy outcomes},\n\tvolume = {21},\n\turl = {http://www.unscn.org/files/Awards/Horwitz_Lectures/4th_lecture_positive_deviance_approach_to_improve_pregnancy_outcomes.pdf},\n\turldate = {2014-10-06},\n\tpublisher = {SCN News},\n\tauthor = {Bhat, Deepa},\n\tyear = {2000},\n\tkeywords = {Sexual/Reproductive Health},\n\tpages = {40--44},\n}\n\n\n\n\n
@incollection{sternin_chapter_1999,\n\taddress = {Amsterdam},\n\ttitle = {Chapter 6: {Scaling} up a poverty alleviation and nutrition program in {Viet} {Nam}},\n\tisbn = {978-90-5700-547-3},\n\turl = {http://www.google.com/books?hl=nl&lr=&id=8yRQgSpSlyIC&oi=fnd&pg=PA97&dq=related:_oFtJ2w1AX4J:scholar.google.com/&ots=GNFLWOya-4&sig=cBLLEroqu3_IWNkQ0Z5H6bgQYTo},\n\turldate = {2014-10-20},\n\tbooktitle = {Scaling up, scaling down: capacities for overcoming malnutrition in developing countries.},\n\tpublisher = {Gordon and Breach},\n\tauthor = {Sternin, M. and Sternin, J. and Marsh, D. R.},\n\tcollaborator = {Marchione, T.J.},\n\tyear = {1999},\n\tkeywords = {Nutrition},\n\tpages = {97--117},\n}\n\n\n\n\n
@article{jones_random_1998,\n\ttitle = {Random {Acts} of {Kindness}: {A} {Teaching} {Tool} for {Positive} {Deviance}},\n\tvolume = {26},\n\tcopyright = {Copyright © 1998 American Sociological Association},\n\tissn = {0092-055X},\n\tshorttitle = {Random {Acts} of {Kindness}},\n\turl = {http://www.jstor.org/stable/1318831},\n\tdoi = {10.2307/1318831},\n\tnumber = {3},\n\turldate = {2014-10-07},\n\tjournal = {Teaching Sociology},\n\tauthor = {Jones, Angela Lewellyn},\n\tmonth = jul,\n\tyear = {1998},\n\tkeywords = {Education},\n\tpages = {179--189},\n}\n\n\n\n\n
@article{heckert_positive_1998,\n\ttitle = {Positive {Deviance}: {A} {Classificatory} {Model}},\n\tvolume = {26},\n\tshorttitle = {Positive {Deviance}},\n\tabstract = {The topicofpositive deviance is analyzed in relation to howvarious theorists have conceptuallzedthis particular\ntype ofdevlance. In addition, the divergent examples of positive deviance/deviants that have been cited in the\nliterature are reviewed. Finally, atypology is developed that is based on those previously cited examples. The\ntypology includes the following kinds of positive deviance: altruism, charisma, innovation, supra-conforming\nbehavior, and innate characteristics. Anotherpotential type--ex-deviants-is also suggested.},\n\tnumber = {1},\n\tjournal = {Free Inquiry in Creative Sociology},\n\tauthor = {Heckert, D. M.},\n\tyear = {1998},\n\tkeywords = {Concept of Positive Deviance, Typology},\n\tpages = {23--30},\n}\n\n\n\n\n
@techreport{sternin_designing_1998,\n\ttitle = {Designing a {Community}-{Based} {Nutrition} {Program} {Using} the {Hearth} {Model} and the {Positive} {Deviance} {Approach} - {A} {Field} {Guide}},\n\turl = {https://pdfs.semanticscholar.org/d2a8/a2ad3c3a987c7dfab1d97a98570498d25aa7.pdf?_ga=2.152554425.1800355713.1590439875-1502258615.1590439875},\n\tinstitution = {Save the Children},\n\tauthor = {Sternin, M. and Sternin, J. and Marsh, D. R.},\n\tyear = {1998},\n\tkeywords = {Nutrition},\n}\n\n\n\n\n
@book{wollinka_hearth_1997,\n\ttitle = {Hearth nutrition model: applications in {Haiti}, {Vietnam}, and {Bangladesh}},\n\turl = {http://pdf.usaid.gov/pdf_docs/Pnaca868.pdf},\n\turldate = {2014-10-06},\n\tpublisher = {World Relief Corporation},\n\tauthor = {Wollinka, O. and Keeley, E. and Burkhalter, B. R. and Bashir, N.},\n\tyear = {1997},\n\tkeywords = {Nutrition},\n}\n\n\n\n\n
@article{merchant_positive_1997,\n\ttitle = {Positive and negative deviance in growth of urban slum children in {Bombay}},\n\tvolume = {18},\n\tshorttitle = {close sub-section},\n\turl = {http://www.nzdl.org/gsdlmod?e=d-00000-00---off-0fnl2.2--00-0----0-10-0---0---0direct-10---4-------0-1l--11-en-50---20-about---00-0-1-00---4----0-0-11-1-0utfZz-8-10&cl=CL3.66&d=HASH0122ad8ed72d41d29ca89830.2.3>=2},\n\tnumber = {4},\n\turldate = {2014-10-07},\n\tjournal = {Food and Nutrition Bulletin},\n\tauthor = {Merchant, Shameera S. and Udipi, Shobha A.},\n\tyear = {1997},\n\tkeywords = {Development},\n}\n\n\n\n\n
@article{engle_child_1996,\n\tseries = {{XIVth} {International} {Conference} on the {Social} {Sciences} and {Medicine}},\n\ttitle = {Child development: {Vulnerability} and resilience},\n\tvolume = {43},\n\tissn = {0277-9536},\n\tshorttitle = {Child development},\n\turl = {http://www.sciencedirect.com/science/article/pii/0277953696001104},\n\tdoi = {10.1016/0277-9536(96)00110-4},\n\tabstract = {Many of the challenges facing children now are a function of changing times, including increase in urbanization, political violence, changing family forms, and in some areas decreased supplies of adequate food. This review focuses particularly on those changes in which children are the victims and which induce new threats for them, rather than on problems such as child disability or mental illness. The outcome variables of interest in this paper are dimensions of children's psychosocial development, including cognitive development, psychological adjustment and aggression, whereas the companion paper in this issue (Caldwell P., Child survival: vulnerability and resilience in adversity in the European past and the contemporary Third World, Soc. Sci. Med.) [1] focuses on physical aspects of children's development. The risks that are hurdles in the process of development of a young child begin from conception and carry on into later life. To address them all would be impossible; thus, in order to do justice to the issues at hand, we have chosen those risks that, in our view, are important in a child's psychosocial development in developing countries. This paper will thus provide a discussion of the concepts of risk and resilience, then apply these concepts to the analysis of three examples of risk faced by children today: nutritional threats (e.g. malnutrition due to decline in breastfeeding); family dynamics and types of family forms (e.g. child fostering and non-traditional families); and experiences of violence (domestic or political). In each case, the same four questions will be addressed: what are the consequences of the risk factor for children, what are the etiologies and conditions of risk, are there any children who seem to cope with the risk factor successfully and what are some of the protective factors, and what interventions or programs would help support these children?},\n\tnumber = {5},\n\turldate = {2014-10-07},\n\tjournal = {Social Science \\& Medicine},\n\tauthor = {Engle, Patrice L. and Castle, Sarah and Menon, Purnima},\n\tmonth = sep,\n\tyear = {1996},\n\tkeywords = {Development, Nutrition},\n\tpages = {621--635},\n}\n\n\n\n\n
@article{wittig_psychological_1994,\n\ttitle = {Psychological {Characteristics} of {Women} {Volleyball} {Players}: {Relationships} with {Injuries}, {Rehabilitation}, and {Team} {Success}},\n\tvolume = {20},\n\tissn = {0146-1672, 1552-7433},\n\tshorttitle = {Psychological {Characteristics} of {Women} {Volleyball} {Players}},\n\turl = {http://psp.sagepub.com/content/20/3/322},\n\tdoi = {10.1177/0146167294203010},\n\tabstract = {Relatively few studies have used standardized psychological instruments to describe personality characteristics of women intercollegiate athletes. Using members of women's intercollegiate volleyball teams from two midwestern conferences as subjects, this study investigated relationships of the four psychological factors underlying the Millon Behavioral Health Inventory with success of team, conference affiliation, occurrence of athletic injury, and, for players who had injuries, adherence to rehabilitation plans. The factor describing an assertive, self-assured, independent attitude distinguished one conference from the other, had higher values for successful than for unsuccessful teams, and was associated with higher injury rates. For players suffering moderate or severe injuries, this factor was also associated with adherence to rehabilitation plans. The relationship of this factor with the several variables is explained as resulting from risk taking and positive deviance.},\n\tlanguage = {en},\n\tnumber = {3},\n\turldate = {2014-10-07},\n\tjournal = {Personality and Social Psychology Bulletin},\n\tauthor = {Wittig, Arno F. and Schurr, K. Terry},\n\tmonth = jun,\n\tyear = {1994},\n\tkeywords = {Physical Activity/Sports},\n\tpages = {322--330},\n}\n\n\n\n\n
@article{schuftan_positive_1993,\n\ttitle = {Positive {Deviance} in {Child} {Nutrition}: a critique},\n\tvolume = {30},\n\turl = {http://www.humaninfo.org/aviva/ch25.htm},\n\tnumber = {2},\n\turldate = {2014-10-07},\n\tjournal = {Ecology of Food and Nutrition},\n\tauthor = {Schuftan, C.},\n\tyear = {1993},\n\tkeywords = {Concept of Positive Deviance, Nutrition},\n}\n\n\n\n\n
@article{guldan_weaning_1993,\n\ttitle = {Weaning {Practices} and {Growth} in {Rural} {Sichuan} {Infants}: {A} {Positive} {Deviance} {Study}},\n\tvolume = {39},\n\tissn = {0142-6338, 1465-3664},\n\tshorttitle = {Weaning {Practices} and {Growth} in {Rural} {Sichuan} {Infants}},\n\turl = {http://tropej.oxfordjournals.org/content/39/3/168},\n\tdoi = {10.1093/tropej/39.3.168},\n\tabstract = {To understand some of the factors involved in weaning and growth faltering in rural China, a cross-sectional positive deviance study was undertaken among 389 rural 4-12-month-old infants from two townships of a county in Sichuan. The infants' mothers were interviewed about their child-feeding practices and other sociodemographic information, and anthropometric measurements were made on their infants. Positive deviant infants (those growing adequately in environments in which the majority of the children suffer from growth retardation and malnutrition) were identified from the Chinese WAZscores calculated from the anthropometric measurements. Feeding practices found to be associated with the better growth of the positive deviant infants included breastfeeding through age 12 months, feeding soybean milk, liver and pork blood products on a more than weekly basis during the ages of 7-9 months, not feeding rice flour (mifen) before age 7 months, and not giving supplements or tonics. Mothers' nutrition knowledge was also associated with positive deviance status. The relevance of the findings is discussed with respect to designing nutrition education interventions for rural Sichuan.},\n\tlanguage = {en},\n\tnumber = {3},\n\turldate = {2014-10-06},\n\tjournal = {Journal of Tropical Pediatrics},\n\tauthor = {Guldan, G. S. and Zhang, Mao-yu and Zhang, Yong-Peng and Hong, Jun-Rong and Zhang, Hua-Xin and Fu, Su-Yun and Fu, Neng-Su},\n\tmonth = jun,\n\tyear = {1993},\n\tpmid = {8326537},\n\tkeywords = {Nutrition},\n\tpages = {168--175},\n}\n\n\n\n\n
@article{shekar_use_1992,\n\ttitle = {Use of positive-negative deviant analyses to improve programme targeting and services: {Example} from the {TamilNadu} integrated nutrition project},\n\tvolume = {21},\n\tissn = {0300-5771},\n\tshorttitle = {Use of positive-negative deviant analyses to improve programme targeting and services},\n\turl = {https://academic.oup.com/ije/article-abstract/21/4/707/739278},\n\tabstract = {This paper describes the characteristics of southern rural Indian children who grow best (positive deviants) and worst (negative deviants) as compared to median growers. A 100 each of positive and negative deviants and 120 median growers were selected after analysing the 12-month growth patterns (weight-for-age) of 2954 children enrolled in the TamilNadu Integrated Nutrition Project (TINP), a major health and nutrition intervention project covering nearly one million children in rural south India. The determinants of poor growth that have been left unaddressed by 6 years of TINP exposure are delineated to address the question of what more needs to be done. Further, the rationale for differential targeting of services to negative deviants and to median growers is discussed, as are the implications for programme evaluation. Data indicate that the next generation of projects targeted at the most needy (negative deviants) should address the issues of gender discrimination in childcare, of breastfeeding, of diarrhoeal disease, and of maternal empowerment. Such interventions will, however, not improve the growth of median growers in the direction of positive deviance. Instead, programmes targeted at the median growers need to support the hygienic use of nonbreast milk supplements. Improving family wealth will also improve the nutritional status of the median growers, but less so than for the negative deviants.},\n\tlanguage = {English},\n\tnumber = {4},\n\tjournal = {International Journal of Epidemiology},\n\tauthor = {Shekar, M. and Habicht, J.P. and Latham, M.C.},\n\tyear = {1992},\n\tkeywords = {Nutrition},\n\tpages = {707--713},\n}\n\n\n\n\n
@article{zeitlin_nutritional_1991,\n\ttitle = {Nutritional resilience in a hostile environment: {Positive} deviance in child nutrition},\n\tvolume = {49},\n\tissn = {0029-6643},\n\tshorttitle = {Nutritional resilience in a hostile environment},\n\turl = {https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1753-4887.1991.tb07417.x},\n\tabstract = {The term 'positive deviance' applies to the study of children who demonstrate above-average growth in impoverished environments. Favorable values on known malnutrition correlates and attentive child care characterize positive deviants. Best-growing children do not necessarily mirror the malnourished; for example, best- and worst-nourished infants may both get more breast-milk substitutes than middle growers. Positive deviants receive more high-quality foods, physical interaction, affection and praise, and verbal and environmental stimulation. Factors that influence child growth through care quality also predict cognitive development, health, and social adjustment. They include: the type of society; parental education, mental health, initiative, and work burden; family and community structure; and the value of children to parents. Feeding practices related to growth include: permitting the child to control the length of feeding, encouraging eating while avoiding a power struggle, actively spoon- or hand-feeding, not displacing appetite by giving frequent sweets, and timely introduction of appropriate foods.},\n\tlanguage = {English},\n\tnumber = {9},\n\tjournal = {Nutrition Reviews},\n\tauthor = {Zeitlin, Marian F.},\n\tyear = {1991},\n\tkeywords = {Nutrition},\n\tpages = {259--268},\n}\n\n\n\n\n
@article{shekar_is_1991,\n\ttitle = {Is positive deviance in growth simply the converse of negative deviance?},\n\tvolume = {13},\n\turl = {https://agris.fao.org/agris-search/search.do?recordID=US201301746646},\n\tabstract = {The term "positive deviance' has been widely used to describe children who do not show evidence of protein-energy malnutrition when many others living in a similar unfavourable environment are malnourished. Implicit in this concept is that the determinants of positive deviance are something more than the converse of the determinants of poor growth. The authors modified and operationalized this concept using data on child growth from rural southern India. The analysis suggests that the mechanisms producing positive and negative deviance are not always opposites or mirror images of each other. This finding has important implications for targeting and intervention strategies. -from Authors},\n\tlanguage = {English},\n\tnumber = {1},\n\tjournal = {Food \\& Nutrition Bulletin},\n\tauthor = {Shekar, M. and Habicht, J.-P. and Latham, M.C.},\n\tyear = {1991},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {7--11},\n}\n\n\n\n\n
@article{goode_positive_1991,\n\ttitle = {Positive deviance: {A} viable concept?},\n\tvolume = {12},\n\tissn = {0163-9625, 1521-0456},\n\tshorttitle = {Positive deviance},\n\turl = {https://www.tandfonline.com/doi/abs/10.1080/01639625.1991.9967880},\n\tdoi = {10.1080/01639625.1991.9967880},\n\tlanguage = {en},\n\tnumber = {3},\n\turldate = {2014-11-18},\n\tjournal = {Deviant Behavior},\n\tauthor = {Goode, Erich},\n\tmonth = jul,\n\tyear = {1991},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {289--309},\n}\n\n\n\n\n
@article{hughes_positive_1991,\n\ttitle = {Positive deviance among athletes: the implications of overconformity to the sport ethic.},\n\tvolume = {8},\n\tshorttitle = {Positive deviance among athletes},\n\turl = {http://www.cabdirect.org/abstracts/20013037742.html},\n\tabstract = {The purpose of this paper is to develop a working definition of positive deviance and use the definition in an analysis of behaviour among athletes. It is argued that much deviance among athletes involves excessive overconformity to the norms and values embodied in sport itself. When athletes use the "sport ethic" (which emphasizes sacrifice for The Game, seeking distinction, taking risks, and challenging limits) as an exclusive guide for their behaviour, sport and sport participation become especially vulnerable to corruption. Although the sport ethic emphasizes positive norms, the ethic itself becomes the vehicle for transforming behaviour that conform to these positive norms into deviant behaviour that are prohibited and negatively sanctioned within society and within sport organizations themselves. Living in conformity to the sport ethic is likely to set one apart as a "real athlete," but it creates a clear-cut vulnerability to several kinds of deviant behaviour. This presents unique problems of social control within sport. The use of performance enhancing drugs in sport is identified as a case in point, and an approach to controlling this form of positive deviance is discussed.},\n\turldate = {2014-10-07},\n\tjournal = {Sociology of Sport Journal},\n\tauthor = {Hughes, Robert and Coakley, Jay},\n\tyear = {1991},\n\tkeywords = {Physical Activity/Sports},\n\tpages = {307--325},\n}\n\n\n\n\n
@misc{mccloud_ending_1991,\n\ttitle = {Ending {Female} {Genital} {Cutting}: {A} {Positive} {Deviance} {Approach} in {Egypt}},\n\turl = {https://www.yumpu.com/en/document/read/25448041/ending-female-genital-cutting-positive-deviance-initiative},\n\tpublisher = {Centre for Development and Population Activities},\n\tauthor = {McCloud and Aly and Goltz},\n\tyear = {1991},\n\tkeywords = {Sexual/Reproductive Health},\n}\n\n\n\n\n
@book{zeitlin_positive_1990,\n\taddress = {Tokyo},\n\tseries = {Food and nutrition bulletin},\n\ttitle = {Positive deviance in child nutrition: with emphasis on psychosocial and behavioural aspects and implications for development},\n\tisbn = {92-808-0697-1},\n\tshorttitle = {Positive deviance in child nutrition},\n\turl = {http://bvs.per.paho.org/texcom/nutricion/posdev.pdf},\n\tnumber = {14},\n\turldate = {2014-10-07},\n\tpublisher = {United Nations University},\n\tauthor = {Zeitlin, Marian F. and Ghassemi, Hossein and Mansour, Mohamed},\n\tyear = {1990},\n\tkeywords = {Nutrition},\n}\n\n\n\n\n
@incollection{bryant_reading_1990,\n\ttitle = {Reading 4: {Positive} {Deviance} an {Oxymoron}},\n\tisbn = {978-1-317-77053-4},\n\turl = {https://books.google.no/books?id=grWb6zyrEhsC&printsec=frontcover&dq=deviant+behaviour:+readings+in+the+sociology+of+norm+violations&hl=nl&sa=X&ei=R0lvVLONEuP5ywPi7oCgBg#v=onepage&q=deviant%20behaviour%3A%20readings%20in%20the%20sociology%20of%20norm%20violations&f=false},\n\tabstract = {First published in 1990. Routledge is an imprint of Taylor \\& Francis, an informa company.},\n\tlanguage = {en},\n\tbooktitle = {Deviant {Behaviour}: {Readings} {In} {The} {Sociology} {Of} {Norm} {Violations}},\n\tpublisher = {Taylor \\& Francis},\n\tauthor = {Sagarin, E.},\n\tcollaborator = {Bryant, Clifton D.},\n\tyear = {1990},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {98--111},\n}\n\n\n\n\n
@article{cooperrider_positive_1990,\n\ttitle = {Positive image, positive action: {The} affirmative basis of organizing},\n\tvolume = {Chapter 2},\n\tshorttitle = {Positive image, positive action},\n\turl = {http://occupytampa.org/files/ai/positive%20image%20positive%20action%20the%20affirmative%20basis%20of%20organizing.pdf},\n\turldate = {2014-10-06},\n\tjournal = {Srivastras, S. and Cooperrider, D. Appreciative Management and Leadership},\n\tauthor = {Cooperrider, David L.},\n\tyear = {1990},\n\tkeywords = {Management and Innovation},\n\tpages = {1--14},\n}\n\n\n\n\n
@article{benyehuda_positive_1990,\n\ttitle = {Positive and negative deviance: {More} fuel for a controversy},\n\tvolume = {11},\n\tissn = {0163-9625},\n\tshorttitle = {Positive and negative deviance},\n\turl = {https://www.tandfonline.com/doi/abs/10.1080/01639625.1990.9967846},\n\tdoi = {10.1080/01639625.1990.9967846},\n\tabstract = {While it is quite clear that there IS a theoretical and empirical accumulation of knowledge in the area of the sociological study of deviance which supports the viability of the notion of “positive deviance,” it also seems that the overwhelming majority of sociologists of deviance reject this possible paradigmatic shift. Hence, the voices “pushing” this shift are generally quiet, typically hesitant and the debate is made on the margins of the acceptable in deviance research. What we may be witnessing here is an attempt to introduce a change into the boundaries of a specific scientific paradigm (to the extent that such a paradigm indeed exists), and the typical reaction in the form of “resistance to innovation.” Once accepted, it is quite clear that sociologists of deviance, as well as others, will have to think in different terms, to develop different research strategies and to acquire new skills ‐ methodological and analytical. In this respect, the position of sociologists of deviance is better than that of criminologists because the latter really work with those acts that were defined by society as negatives ("crimes"). Sociologists of deviance are not limited by this self imposed barricade, hence, they can broaden their view and break new grounds. Grappling with the concept of “positive deviance” is one possible and exciting route.},\n\tnumber = {3},\n\turldate = {2014-11-05},\n\tjournal = {Deviant Behavior},\n\tauthor = {Ben‐Yehuda, Nachman},\n\tmonth = jul,\n\tyear = {1990},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {221--243},\n}\n\n\n\n\n
@article{heckert_relativity_1989,\n\ttitle = {The relativity of positive deviance: {The} case of the {French} {Impressionists}},\n\tvolume = {10},\n\tissn = {0163-9625},\n\tshorttitle = {The relativity of positive deviance},\n\turl = {http://dx.doi.org/10.1080/01639625.1989.9967806},\n\tdoi = {10.1080/01639625.1989.9967806},\n\tabstract = {Labeling theory has traditionally been applied to negative deviance; nevertheless, this paper addresses the relationship of labeling theory to positive deviance. As is the case with negative deviance, actions or behaviors that are defined as positive deviance vary over time, across societies, and within societies. Positive deviants can become negative deviants and negative deviants can become positive deviants. To substantiate this process, the labeling of the French Impressionists is presented. The French Impressionists were collectively designated to be negative deviants and then later elevated to a positive deviant status. Consequently, labeling theory can be applied to elucidate the nature of positive deviance. Positive deviance and negative deviance are similar.},\n\tnumber = {2},\n\turldate = {2014-11-06},\n\tjournal = {Deviant Behavior},\n\tauthor = {Heckert, D.M.},\n\tmonth = mar,\n\tyear = {1989},\n\tkeywords = {Development},\n\tpages = {131--144},\n}\n\n\n\n\n
@article{ewald_explaining_1985,\n\ttitle = {Explaining positive deviance: {Becker}’s model and the case of runners and bodybuilders},\n\tvolume = {2},\n\tshorttitle = {Explaining positive deviance},\n\tnumber = {2},\n\tjournal = {Sociology of Sport Journal},\n\tauthor = {Ewald, Keith and Jiobu, Robert M.},\n\tyear = {1985},\n\tkeywords = {Physical Activity/Sports},\n\tpages = {144--156},\n}\n\n\n\n\n
@article{wishik_use_1976,\n\ttitle = {The use of nutritional'positive deviants' to identify approaches for modification of dietary practices.},\n\tvolume = {66},\n\turl = {http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.66.1.38},\n\tabstract = {The paper describes methodology for doing nutrition surveys among deprived population groups of grossly homogeneous socioeconomic status so as to identify those families in which a child between age six months and five years falls in the upper 25 per cent in height and weight measurements. These families are labeled as being "Positive Deviants" from the undernutrition that prevails in the population. They are then studied anthropologically to uncover any practices related to food sources, storage, preparation, consumption, and content. The information would be used in designing food supplementation or other nutritional promotion in the population at large on the assumption that the observed "favorable" practices, although atypical, are feasible and culturally acceptable because they are indigenously rather than extraneously derived. In addition, the survey collected data on fertility because of findings concerning the close interrelatedness among a woman's nutritional state, her age when first giving birth, intervals between births, and the growth and development of her young children. Severe undernutrition raised a woman's safe age threshold for first birth above 20 years and a reasonably safe birth interval to more than three years.},\n\tnumber = {1},\n\turldate = {2014-10-06},\n\tjournal = {American Journal of Public Health},\n\tauthor = {Wishik, S.M. and Vynckt, S.},\n\tyear = {1976},\n\tkeywords = {Nutrition},\n\tpages = {38--42},\n}\n\n\n\n\n
@article{liazos_poverty_1972,\n\ttitle = {The {Poverty} of the {Sociology} of {Deviance}: {Nuts}, {Sluts}, and {Preverts}},\n\tvolume = {20},\n\tcopyright = {Copyright © 1972 University of California Press},\n\tissn = {0037-7791},\n\tshorttitle = {The {Poverty} of the {Sociology} of {Deviance}},\n\turl = {http://www.jstor.org/stable/799504},\n\tdoi = {10.2307/799504},\n\tabstract = {There are three theoretical and ideological biases in the field of the sociology of deviance. (1) Despite the attempt to show that the "deviant" is not different from the rest of us, the very emphasis on his identity and subculture may defeat that aim. (2) Certain forms of "deviance," especially by the economic and political elite, are neglected. (3) The substantive analyses of sociologists of deviance contain no exploration of the role of power in the designation of "deviance," despite their many statements to the contrary.},\n\tnumber = {1},\n\turldate = {2014-10-07},\n\tjournal = {Social Problems},\n\tauthor = {Liazos, Alexander},\n\tmonth = jul,\n\tyear = {1972},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {103--120},\n}\n\n\n\n\n
@article{katz_deviance_1972,\n\ttitle = {Deviance, {Charisma}, and {Rule}-{Defined} {Behavior}},\n\tvolume = {20},\n\tcopyright = {Copyright © 1972 University of California Press},\n\tissn = {0037-7791},\n\turl = {http://www.jstor.org/stable/799613},\n\tdoi = {10.2307/799613},\n\tabstract = {Problems in present perspectives on deviance are discussed, a remedy is offered, and some of its implications are elaborated. The major problem is the failure to distinguish between action and state of being, between recognition of rule-breaking act, and imputation of deviant ontological status. A complementary distinction, between extraordinarily superior performance in terms of rule-standards and charismatic ontological status, is required for the sociology of charisma. Action oriented to behavior as defined by rules is distinguished from action oriented to deviant and charismatic ontological statuses: the meaning of negative and positive essence is elaborated, and negative and positive sanctioning of behavior is separated from the structural placements of the deviant in isolation and the charismatic individual in transcendent position. These analytic distinctions separate different kinds of experience: being deviant and being charismatic are identities distinguished from role-identities; and the tensions unique to those seen as ontologically deviant and charismatic are described.},\n\tnumber = {2},\n\turldate = {2014-10-07},\n\tjournal = {Social Problems},\n\tauthor = {Katz, Jack},\n\tmonth = oct,\n\tyear = {1972},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {186--202},\n}\n\n\n\n\n
@article{wray_can_1972,\n\ttitle = {Can we learn from successful mothers?},\n\tvolume = {18},\n\tshorttitle = {Can we learn from successful mothers?},\n\turl = {http://www.popline.org/node/520354},\n\tnumber = {3},\n\turldate = {2014-10-07},\n\tjournal = {Journal of Tropical Pediatrics and Environmental Child Health},\n\tauthor = {Wray, J. D.},\n\tyear = {1972},\n\tkeywords = {Development},\n\tpages = {279},\n}\n\n\n\n\n
@article{buffalo_behavioral_1971,\n\ttitle = {Behavioral {Norms}, {Moral} {Norms}, and {Attachment}: {Problems} of {Deviance} and {Conformity}},\n\tvolume = {19},\n\tcopyright = {Copyright © 1971 University of California Press},\n\tissn = {0037-7791},\n\tshorttitle = {Behavioral {Norms}, {Moral} {Norms}, and {Attachment}},\n\turl = {http://www.jstor.org/stable/799943},\n\tdoi = {10.2307/799943},\n\tabstract = {The relationship among moral norms, perception of peer behavioral norms, and behavioral attachment of institutionalized delinquents is examined using hypothetical problem situations. The study finds that delinquent behavioral attachment is doubly deviant. It is deviant from their own private moral norms, which are generally socially acceptable, and from their perception of their peers' norms, which they believe to be more deviant than their own behavior. This supports the formulation of Sykes and Matza that delinquents hold private norms which are consistent with the dominant social norms but transmit miscues to their peers suggestive of a delinquent commitment. Indeed, our data suggest that the delinquent is often less deviant from his moral norms than his comparative reference group. The data are discussed in relationship to the contributions of such others as Cohen and Short, Baum and Wheeler, Empey, Kemper, Reckless, the Schwendingers, and Yinger.},\n\tnumber = {1},\n\turldate = {2014-10-07},\n\tjournal = {Social Problems},\n\tauthor = {Buffalo, M. D. and Rodgers, Joseph W.},\n\tmonth = jul,\n\tyear = {1971},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {101--113},\n}\n\n\n\n\n
@book{freedman_deviancy_1968,\n\taddress = {Oxford, England},\n\ttitle = {Deviancy: {The} {Psychology} of {Being} {Different}},\n\tcopyright = {(c) 2012 APA, all rights reserved},\n\tshorttitle = {{DEVIANCY}},\n\tabstract = {A SERIES OF STUDIES CONCERNING THE EFFECT OF DEVIANCY ON THE BEHAVIOR OF BOTH THE DEVIANT INDIVIDUAL AND THE GROUP WITHIN WHICH HE OPERATES. THE DEVIANT IS DEFINED OPERATIONALLY WITHIN THE GROUP BY MANIPULATING HIS SCORES ON A "PERSONALITY TEST" THAT WAS TAKEN BY AN EXPERIMENTAL GROUP. STUDIES SUCH VARIABLES AS AFFILIATION, CONCEALMENT, AGGRESSION, CONFORMITY, ATTITUDE CHANGE, AND COMPLIANCE. (2 P. REF.)},\n\tpublisher = {Academic Press},\n\tauthor = {Freedman, J.L. and Doob, A.N.},\n\tyear = {1968},\n\tkeywords = {Concept of Positive Deviance},\n}\n\n\n\n\n
@article{akers_problems_1968,\n\ttitle = {Problems in the {Sociology} of {Deviance}: {Social} {Definitions} and {Behavior}},\n\tvolume = {46},\n\tissn = {0037-7732, 1534-7605},\n\tshorttitle = {Problems in the {Sociology} of {Deviance}},\n\turl = {http://sf.oxfordjournals.org/content/46/4/455},\n\tdoi = {10.1093/sf/46.4.455},\n\tabstract = {The sociology of deviance faces two basic and interrelated problems: How and/or why some people engage in deviant acts. The meaning of these two problems, the nature of theories and research revolving around them, and their implications for the future direction of the sociology of deviance are explored. The goal is not to account for either social definitions or deviant behavior, but rather to account for both and ultimately to specify the interaction and integrate explanations of behavior and social definitions.},\n\tlanguage = {en},\n\tnumber = {4},\n\turldate = {2014-10-07},\n\tjournal = {Social Forces},\n\tauthor = {Akers, Ronald L.},\n\tmonth = jun,\n\tyear = {1968},\n\tkeywords = {Concept of Positive Deviance},\n\tpages = {455--465},\n}\n\n\n\n\n
@misc{noauthor_frontiers_nodate,\n\ttitle = {Frontiers {\\textbar} {Effectiveness} of a positive deviance approach to improve mother’s nutritional knowledge, attitude, self-efficacy, and child’s nutritional status in {Maji} {District}, {West} {Omo} {Zone}, {South} {West} region, {Ethiopia}: a cluster randomized control trial},\n\turl = {https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1277471/full},\n\turldate = {2024-12-10},\n}\n\n\n\n\n
@misc{noauthor_positive_nodate,\n\ttitle = {Positive deviance: {An} innovative approach to sustainable welfare service design and development? {\\textbar} {Nordic} {Journal} of {Wellbeing} and {Sustainable} {Welfare} {Development}},\n\turl = {https://www.idunn.no/doi/full/10.18261/njwel.3.3.2},\n\turldate = {2024-12-09},\n}\n\n\n\n\n
@techreport{horowitz_using_nodate,\n\ttitle = {Using the {Positive} {Deviance} {Approach} in {Bribery}, {Extortion} and {Coercion} {Situations}},\n\turl = {https://1drv.ms/w/s!Artwe36gUFgPgRud45oE0MRyIh_Q},\n\tauthor = {Horowitz, Bruce},\n\tkeywords = {Business, Management and Innovation},\n}\n\n\n\n\n
@article{letourneau_positive_nodate,\n\ttitle = {Positive deviance and hand hygiene of nurses in a {Quebec} hospital: {What} can we learn from the best?},\n\turl = {https://www.dropbox.com/s/gfiiw4g7d0c4kk8/AJIC%202018.pdf?dl=0},\n\tabstract = {Background: Although it is well known that hand hygiene is the most effective measure to prevent health care–associated infections, hand hygiene adherence is low in Quebec, as it is elsewhere. For this study, an innovative framework was used to explore the clinical practice of nurses regarding hand hygiene and the factors that influence it: positive deviance, or the idea that there are people who find better solu- tions to problems than their peers. This study investigated positive deviance at the level of the care team to shed light on group dynamics.\n\nMethods: We conducted focused ethnographies on 2 care units—a medical-surgery unit and a palliative care unit—at a Montreal university hospital. Data collection consisted mainly of systematic observations and individual interviews with nurses.\nResults: The results show that positive deviance related to hand hygiene is instigated by social cohe- sion within a care team, created, in this study, by the mobilizing leadership of the head nurse in the medical- surgery unit and the prevailing humanist philosophy in the palliative care unit.\nConclusions: In healthcare, it can be useful to apply the positive deviance approach to care teams instead of individuals to better understand the ideologic and structural differences linked to better hand hygiene performance by the nurses.},\n\tjournal = {American Journal of Infection Control},\n\tauthor = {Létourneau, Josiane and Alderson, Marie and Leibing, Annette},\n}\n\n