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Table of Contents
Chapter One: Introduction and Background ................................................................................... 9
Underpinning Assumptions ....................................................................................................... 10
Project Description .................................................................................................................... 11
Definitions ................................................................................................................................. 13
Background to the Study ........................................................................................................... 17
Outline of Thesis ....................................................................................................................... 23
Chapter Two: Literature Review .................................................................................................. 25
Introduction ............................................................................................................................... 25
Search and Retrieval Strategy for Review of Published and Grey Literature ........................... 25
Literature Review (Phase I)....................................................................................................... 27
Summary of Literature Review ................................................................................................. 41
Conclusion ................................................................................................................................. 43
Chapter Three: Research Design, Methodology and Procedures ................................................ 44
Purpose and Research Questions............................................................................................... 44
Conceptual Framework ............................................................................................................. 46
Methodology ............................................................................................................................. 46
Phase II: Environmental Scan ................................................................................................... 47
Phase III: Qualitative Telephone Interviews. ........................................................................... 53
Phase IV: Consensus-building Process ..................................................................................... 55
Ethical Considerations............................................................................................................... 56
Scientific Quality: Validity and Reliability ............................................................................... 57
Conclusion ................................................................................................................................. 58
Chapter Four: Findings ................................................................................................................. 59
Introduction ............................................................................................................................... 59
Description of Survey Sample................................................................................................... 59
Phase II Survey Findings........................................................................................................... 64
Phase III Interview Findings ..................................................................................................... 76
Summary of Integrated Findings ............................................................................................... 87
Phase IV: Consensus-Building for Recommendations ............................................................. 88
Conclusion ................................................................................................................................. 89

