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2. Thinking outside the cardboard box: insights from a course to train rural Kenyans to make postural support devices from appropriate paper-based technology (APT) for children with cerebral palsy.
- Author
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Lindoewood, Rachel, Bracegirdle, Ceri, Samia, Pauline, Westmacott, Jean, and Lindoewood, Paul
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CEREBRAL palsy , *POSTURAL balance , *LONGITUDINAL method , *PRODUCT design , *ASSISTIVE technology , *EDUCATIONAL outcomes , *EVALUATION of human services programs - Abstract
Purpose: Suitable assistive devices for children with cerebral palsy (CP) in low-income countries are often unavailable. Devices made from APT are in use in several countries but are unevaluated. Materials and methods: A 2-week training course focused on APT principles, measuring children and constructing postural support devices. Twenty-three Kenyans attended the course. The host organization identified four local children with CP who attended for assessment and measurement. Participants made the devices and children returned for fitting and necessary adjustment. Completion of post-course forms, action plans, visits after 14 months and contact 3 years later comprised the evaluation. Results: All participants found the course beneficial and valued the networking opportunity provided. They appreciated the practicality and utility of locally manufactured cost effective devices. The trainees planned further implementation to provide assistive devices for children with CP in their localities. Follow-up visits revealed several challenges to local ongoing production. Conclusions: Training people in low-income communities to make bespoke assistive devices for children with CP is straightforward, and the course was positively evaluated. However, maintaining device production is limited without local group support and stable leadership, ideally as part of an existing programme. Assistive devices are often unobtainable for children with cerebral palsy (CP) in low-income countries. APT is a cost effective way of fulfilling this need and it is relatively straightforward to train people who care for or work with those with CP to make devices using APT. Feedback from APT training suggests participants find the technique a practical way of producing assistive equipment for individuals with CP in their community. Maintaining device production requires support, leadership and increased public awareness of the use of APT at a local level. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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3. Combined rehabilitation and palliative care interventions for patients with life-threatening diseases – PREGOAL. A scoping review of intervention programme goals.
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Gärtner, Henriette Søby, Shabnam, Jahan, Aagesen, Maria, Guldin, Mai-Britt, Vind, Ane Bonnerup, Marsaa, Kristoffer, Bergenholtz, Heidi Maria, Graven, Vibeke, Sampedro Pilegaard, Marc, and Thuesen, Jette
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MEDICAL information storage & retrieval systems ,PALLIATIVE treatment ,CRITICALLY ill ,PATIENTS ,HUMAN services programs ,QUALITATIVE research ,RESEARCH funding ,REHABILITATION ,CINAHL database ,EVALUATION of human services programs ,CATASTROPHIC illness ,GOAL (Psychology) ,QUANTITATIVE research ,SYSTEMATIC reviews ,MEDLINE ,LITERATURE reviews ,QUALITY of life ,HEALTH outcome assessment ,PSYCHOSOCIAL functioning ,PHYSICAL activity ,WELL-being ,SOCIAL participation - Abstract
WHO recommends integrating rehabilitation into palliative care when providing services for people with life-threatening conditions. Recently, there has been increasing interest in exploring how rehabilitation and palliative care approaches could be combined. The aim of this study was to map and discuss the goals of intervention programmes that combine rehabilitation and palliative care. A scoping review was performed. The electronic databases MEDLINE, EMBASE, and CINAHL were searched for papers published between January 2014 and September 2022. Papers were considered eligible if the participants in question had a life-threatening disease and if interventions included both rehabilitation and palliative care. All study types were included. Ten papers describing five interventions were included. Qualitative goals were narratively described, and quantitative goals were analysed according to the International Classification of Functioning, Disability and Health, and the Total Pain framework. Findings showed an overall focus on functioning and quality of life. Further analysis indicated an emphasis on physical and psychological dimensions. Social participation, and the social and spiritual dimensions were rarely evaluated. This review indicates that goals relative to social participation, the social and spiritual dimensions, and the patient's own goals may well be overlooked as points of orientation for interventions. There is an increasing interest in combining palliative care and rehabilitation approaches in clinical work. When rehabilitation and palliative care are combined, goals may be overlooked, and the patient's own goals can be used as a point of orientation for interventions. Future practice should pay special attention to subjective goals, social participation, and the social and spiritual dimensions when combining rehabilitation and palliative care. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Effectiveness of Intergenerational Exchange Programs Between Adolescents and Older Adults: A Systematic Review.
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Webster, Mary, Norwood, Kelly, Waterworth, John, and Leavey, Gerard
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HEALTH services accessibility ,MEDICAL information storage & retrieval systems ,HUMAN services programs ,RESEARCH funding ,CINAHL database ,EVALUATION of human services programs ,SYSTEMATIC reviews ,MEDLINE ,QUALITY assurance ,COMPARATIVE studies ,INTERGENERATIONAL relations ,COMMUNITY-based social services ,PSYCHOLOGY information storage & retrieval systems ,SOCIAL participation ,WELL-being ,COGNITION ,ADOLESCENCE ,OLD age - Abstract
Communities are aging and becoming more segregated, leading to fractured relationships between generations. Intergenerational exchange has improved cohesion, particularly when different generations engage as equal partners. This paper presents a systematic review of intergenerational studies between adolescents and older adults. Thirteen papers were reviewed using PRISMA guidelines, and outcomes, methodological quality, facilitators, and barriers identified, to better understand effectiveness and inform recommendations for future practice. The framework informed quality assessment, and the papers were rated moderate or high quality. Unfortunately, heterogeneity across studies rendered comparison challenging. Further attention is required to elucidate guidelines for implementing and reporting intergenerational studies. Contribution to the Field: This review demonstrated how non-familial intergenerational programs involving adolescents and older adults provided benefits to both. Benefits for older adults included improved wellbeing, cognitive, and social engagement. Benefits for adolescents were identity formation and skill development. Shared outcomes for both generations were improved attitudes and stereotypes, reduced generational gap, and solidarity. High variability in program design, methodology, and sample size was evident across studies. However, it highlighted the suitability of IG engagement across differing contexts. Future recommendations included facilitator training, diverse samples, and longitudinal methodological designs. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Twelve tips for designing and implementing an academic coaching program.
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King, Svetlana M., Anas, Shafeena, Carnicer Hijazo, Ricardo, Jordaan, Johanna, Potter, Jean D. F., and Low-Beer, Naomi
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HUMAN services programs ,MEDICAL personnel ,ACADEMIC medical centers ,EVALUATION of human services programs ,CONTINUING medical education ,MENTORING ,TEACHER development ,PROFESSIONAL employee training ,CURRICULUM planning ,MASTERS programs (Higher education) - Abstract
Coaching has become increasingly popular as a mechanism to support learning across the health professions education (HPE) continuum. While there is a growing body of literature in this area, there is minimal guidance related to the design and implementation of academic coaching in health professional courses. This paper seeks to contribute to this literature by presenting guidance for academic developers who are considering introducing academic coaching into a health professional course. The 12 tips are based on the authors' collective experiences of designing and implementing academic coaching in university medical courses in Australia and the UK. Although focused on medical education, this paper is intended to have applicability across the health professions, and potentially across university and postgraduate training contexts. Together, the tips offer a strategic and operational framework to guide the design and implementation of academic coaching initiatives in health professions education. [ABSTRACT FROM AUTHOR]
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- 2024
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6. A systematic review of sport-based life skills programs for young people: The quality of design and evaluation methods.
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Williams, Charlotte, Neil, Rich, Cropley, Brendan, Woodman, Tim, and Roberts, Ross
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EXPERIMENTAL design ,EVALUATION of human services programs ,SYSTEMATIC reviews ,SPORTS ,ABILITY ,TRAINING ,QUALITY assurance ,SOCIAL skills education - Abstract
Over the past two decades, researchers have reported positive life skills outcomes for young people participating in sport-based life-skills programs. However, to date, there has been a lack of consideration in the literature regarding the quality of the programs designed and the evaluation methods adopted. Therefore, we conducted a systematic review of the life skills literature to: (a) assess the quality of sport-based life skills program design and evaluation methods; and (b) identify characteristics relating to the quality of sport-based life skills programs where authors had evidenced life skills development and transfer. Using the PRISMA guidelines, we searched six databases for relevant research papers and applied inclusion and exclusion criteria to the papers returned, of which 15 papers met the criteria. We conducted two quality assessment exercises (design and evaluation methods) and found three moderate-high quality life skills programs, 11 moderate quality programs, and one low quality program. We present the characteristics (regarding quality) of intervention designs and methods, conclude with recommendations for designing quality sport-based life skills programs, and provide guidelines for researchers to evaluate sport-based life skills programs. Lay summary: Through engaging in sport-based life skills programs, young people can develop transferable skills. However, the quality of these life skills programs is unclear. We assess the quality of the design and evaluation methods of sport-based life skills programs, present the characteristics of moderate-high and moderate quality programs, and offer recommendations for future research and practice. The characteristics identified can be used to aid the development of the content, delivery and evaluation methods within future sport-based life skills programs. The quality assessment tool (QATID) that is embedded within this paper can be used by applied researchers to ensure that the design of their life skills interventions is of high quality. By using the QATID and the Mixed Method Appraisal Tool (MMAT) when designing and evaluating sport-based life skills programs, applied researchers can validate better subsequent claims of program effectiveness. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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7. A systematic literature review of group-based training interventions for informal carers: impact on the behavioural and psychological symptoms of dementia (BPSD).
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Felstead, Cerne, Perkins, Luke, Stott, Josh, Hui, Esther K., and Spector, Aimee
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PSYCHOLOGY information storage & retrieval systems ,CINAHL database ,CAREGIVERS ,EVALUATION of human services programs ,MEDICAL information storage & retrieval systems ,PROBLEM solving ,SYSTEMATIC reviews ,PSYCHOEDUCATION ,COGNITION ,BEHAVIOR disorders ,MEDLINE ,SENILE dementia - Abstract
Caring for a relative with dementia can be extremely challenging especially when someone presents with behavioural and psychological symptoms of dementia (BPSD). The training provided to informal carers is varied and inconsistent. Group-based training programmes are often prescribed but their impact on care-recipient wellbeing and symptomology is yet to be well established. This review synthesises the literature on consensus, themes and effectiveness of informal-carer, group-based educational training programmes on BPSD symptoms. Ten papers were included of which very few considered BPSD outcomes as their primary aim of investigation. Methodological and theoretical approaches across the empirical papers varied considerably. Generally, studies of higher quality and with some positive results on BPSD outcomes tended to incorporate teaching on structured problem-solving skills. Studies measuring for longer term changes also tended to conclude more beneficial outcomes. The length and duration of groups and the group-sizes appeared inconsequential to BPSD outcomes. The empirical evidence is weak for carer group interventions in the management of BPSD. Practice reasons for this are discussed. Future studies designed to measure BPSD as a primary outcome would be a welcome addition to the literature. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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8. Giving adolescent girls and young women a foothold: Economic strengthening as a key protection strategy against HIV infection in South Africa.
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Hartnack, Andrew, McLoughlin, Jenny, Pretorius, Anje, and Hausler, Harry
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PREVENTION of infectious disease transmission , *HIV prevention , *ENDOWMENTS , *QUALITATIVE research , *SELF-efficacy , *RISK-taking behavior , *AT-risk people , *STATISTICAL sampling , *INTERVIEWING , *EVALUATION of human services programs , *JUDGMENT sampling , *CONFIDENCE , *BEHAVIOR , *THEMATIC analysis , *HEALTH promotion , *CASE studies , *HOPE , *ADOLESCENCE - Abstract
This paper focused on the prevention of HIV transmission for adolescent girls and young women (AGYW), through a layered approach which included economic strengthening as a core strategy, especially for the most vulnerable. Based on multi-year data in KwaZulu-Natal, South Africa, we assessed the outcomes of an economic strengthening model developed by TB HIV Care (THC) in the Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS) HIV prevention programme. The methods used are primarily qualitative. In 2021, 2022, and 2024 DREAMS implementation staff (n = 72) and economic strengthening beneficiaries (n = 73) from four districts were interviewed on the dynamics of the model and its emerging outcomes. The qualitative data were supplemented by monitoring data. The study results showed that, while longer-term outcomes for the beneficiaries were unclear, the short and medium-term benefits of economic strengthening activities for vulnerable AGYW were highly promising. Not only did beneficiaries gain valuable technical and life skills through training, but they showed increased confidence and hope for the future, and a new sense of empowerment. They also experienced social asset building and an increase in their social, economic, and emotional efficacy. Importantly, beneficiaries also showed signs of behaviour change, away from risky behaviours towards protective ones. The paper concludes that layered economic strengthening initiatives targeted towards those most at risk AGYW, is an important pillar of efforts to reduce HIV infection; however, challenges around taking such initiatives to scale and tracking long-term outcomes remain. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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9. The importance of critical reflexivity in a professional business doctorate.
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Yourston, Douglas and Robin Bown, Gerald
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CORPORATE culture ,CURRICULUM ,PROFESSIONAL practice ,QUALITATIVE research ,INTERPROFESSIONAL relations ,SCHOLARSHIPS ,PHYSIOLOGICAL adaptation ,OCCUPATIONAL achievement ,DOCTORAL programs ,UNIVERSITIES & colleges ,EVALUATION of human services programs ,INTERVIEWING ,QUESTIONNAIRES ,INTERNSHIP programs ,HEALTH occupations students ,EDUCATIONAL outcomes ,EDUCATIONAL tests & measurements ,DESCRIPTIVE statistics ,REFLEXIVITY ,BUSINESS ,THEMATIC analysis ,MOTIVATION (Psychology) ,COLLEGE graduates ,RESEARCH methodology ,PROBLEM-based learning ,LEARNING strategies ,COLLEGE students ,QUALITY assurance ,COMPARATIVE studies ,PSYCHOSOCIAL factors ,EDUCATIONAL attainment ,VOCATIONAL guidance ,CRITICAL thinking - Abstract
The focus of this study is to research the importance of critical reflectivity in practice-based management research. To achieve this, this paper seeks to demonstrate how candidates on the Doctor in Business Administration (DBA) programme at the University of Gloucestershire, have managed to integrate the dynamic tensions associated with 'real life' practice with their scholarly activities. It contends that rather than applying a Cartesian logic to education, the interplay of theory and practice can provide an essential component for studyat a doctoral level. The proposal here is that it is no longer necessary to maintain the thinking that scholarship and 'real-life' practice need to have a critical reflectivity ethos embedded into the candidate's journey throughout the programme. Adopting a qualitative approach, 12 candidates at various stages of their professional doctorate journey were interviewed, including 5 at the submission or viva stage. To inform the interviews the research drew on Heidegger's three physical placements of 'ready to hand', 'present to us' and 'mitsein' or 'being with others' to contextualise the candidates' experiences. This was also viewed in terms of anticipatory resoluteness. This study also highlights that the DBA, being a practice-based doctorate, needs to embrace the importance of co-production. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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10. Conscious care: a proposed model to improve interprofessional care of patients with disorders of consciousness in the acute hospital setting.
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Keech, Kristen and Asiello, Jessica
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MEDICAL protocols ,DOCUMENTATION ,PATIENT safety ,PROFESSIONAL practice ,EVALUATION of human services programs ,CONFIDENCE ,PATIENT-centered care ,PROFESSIONS ,MATHEMATICAL models ,THEORY ,BRAIN injuries ,EVIDENCE-based medicine ,CONSCIOUSNESS disorders ,CRITICAL care medicine ,HOSPITAL wards - Abstract
Background: Forty percent of individuals within the Disorders of Consciousness (DoC) spectrum are misdiagnosed as in a vegetative state/unresponsive wakefulness syndrome (VS/UWS) when in fact they are minimally conscious or emerged, underscoring a need to optimize evaluation techniques and interprofessional care management. Primary Objective: Conscious Care is a proposed care model that aims to improve interprofessional care of patients with DoC in the hospital setting. The aim of this paper is to describe this model's key ingredients and various components. Conclusions: This care model will advance clinician and caregiver preparedness to manage the complexities of this population and advocate for equal access to post-hospital medical and rehabilitative services. Evaluation and treatment of survivors of DoC should incorporate current evidence which drives continuous quality improvement and education to clinicians across the continuum of care. Immediate action must be taken to decrease the vulnerability and neglect of this marginalized population. Conscious Care is an innovative, sustainable solution that will improve interprofessional awareness of best practices and available science, strengthen care, and advocate for the right to quality of life that this population is so often denied. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Targeting Cash Transfers on the "Poorest of the Poor" in the Slums: How Well Did the Kenya's Older Persons Cash Transfer Programme Perform?
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Chepngeno-Langat, Gloria, van der Wielen, Nele, Falkingham, Jane, and Evandrou, Maria
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EVALUATION of human services programs ,CLINICAL trials ,ECONOMIC status ,POVERTY areas ,GOVERNMENT programs ,COMPARATIVE studies ,POOR people ,DESCRIPTIVE statistics ,AGING ,RESEARCH funding ,ENDOWMENTS ,GOVERNMENT aid ,NEEDS assessment ,LOGISTIC regression analysis ,OLD age - Abstract
In resource poor environments, identifying those most in need of limited available resources is challenging. Kenya's older persons cash transfer programme (OPCT) targeted at the most poor used a 2-stage targeting process to identify beneficiaries, combining community-based selection with a proxy means-test. This paper investigates whether the process "correctly" identified targeted vulnerable older people in Nairobi's informal settlements and whether receipt of the OPCT resulted in an improvement in perceived financial wellbeing. Regression results show that individuals with greater need were covered under the OPCT. Using propensity score matching, the paper evidences that the OPCT improved subjective financial wellbeing among beneficiaries. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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12. Help is on its Way: Exploring the Mental Health and Wellbeing Outcomes of a Massed Community Choir Program.
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Bartleet, Brydie-Leigh, Boydell, Katherine, Walton, Jack, and Peter Young
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COMPETENCY assessment (Law) ,WELL-being ,EVALUATION of human services programs ,SINGING ,RESEARCH methodology ,QUALITATIVE research ,DESCRIPTIVE statistics ,RESEARCH funding ,THEMATIC analysis - Abstract
Background: This paper explores the mental health and wellbeing outcomes of a massed community choir program in Australia. Methods: This study employed a mixed methods approach. Data were collected via a survey of choir participants (N = 305), four qualitative interviews and focus groups with facilitators and participants (N = 22), and two workshops with organising staff (N = 5). Questions were derived from a co-designed program logic, and data were triangulated and analysed thematically. Results: Participants reported feeling a sense of connectedness (psychological), but also experiencing connection (social) with their fellow singers. Psychological outcomes included the sensations of affect, arousal, and affirmation. Social outcomes included experiencing belonging, inclusion, and sharing. These positive psycho- social experiences promoted positive mental health and wellbeing outcomes in the large group of participating singers. Conclusions: This paper addresses gaps in our understanding about the mental health and wellbeing outcomes fostered by community choirs at scale. [ABSTRACT FROM AUTHOR]
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- 2023
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13. The Perceived Impact of the Intergenerational Component of an Ageing Well Program.
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van der Veen, Rachel Jane, Robson, Kristy, and Curtin, Michael
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EVALUATION of human services programs ,INTERVIEWING ,AGING ,RESEARCH methodology ,HEALTH promotion ,COLLEGE students ,PHENOMENOLOGY ,STUDENT attitudes ,INTERGENERATIONAL relations - Abstract
This paper investigates the perceived impact of the intergenerational component of an Ageing Well Program from the perspectives of the older adult and university student participants. An interpretative phenomenological analysis approach was used, with data being collected via semi-structured interviews. Seven older adults and six students who participated in the most recent program were interviewed. "Forming Connections," "Getting to Know the Older Adults" and "Assisting the Students Through the Learning Process" were the key themes that emerged from the data. Ultimately, it was perceived that the inclusion of an intergenerational component was of greater benefit to the university students. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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14. Qualitative Comparison of In-Person versus Virtual Versions of the Same Intergenerational Service-Learning Program During Covid-19.
- Author
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Bartlett, Sara P. and Scholl, Allison
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ALTRUISM ,EMPATHY ,QUALITATIVE research ,HUMAN services programs ,EVALUATION of human services programs ,UNDERGRADUATES ,GERIATRICS ,INTERVIEWING ,EDUCATIONAL outcomes ,DESCRIPTIVE statistics ,THEMATIC analysis ,PRE-tests & post-tests ,PSYCHOLOGY ,SERVICE learning ,AGING ,ONLINE education ,RURAL conditions ,COMPARATIVE studies ,SOCIODEMOGRAPHIC factors ,INTERGENERATIONAL relations ,COVID-19 ,SOCIAL distancing ,EDUCATION - Abstract
During Covid-19, most in-person intergenerational service-learning programs were halted or transitioned to virtual formats due to social-distancing guidelines. This study qualitatively examined in-person and virtual versions of the Lives Well Lived program, which matches older adults (OAs) with undergraduate students to participate in a mutual interviewing, life review project. Post-test data from open-ended questions were analyzed to compare themes regarding program outcomes. Recognition of OA interindividual differences, intergenerational relationship's value, and decreased fear of aging themes developed in both program versions but there were also differences. Participants in the virtual version regretted not engaging in person, did not mention altruism/empathy, expressed appreciation of peer relationships in addition to OA relationships, and disliked writing reflection papers. Recommendations are given for ensuring similar learning outcomes when engaging in virtual programming, whether due to COVID-19 or in additional situations to pandemics, such as rural settings, lack of transportation/mobility, or time limitations. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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15. A systematic review of Intensive Comprehensive Aphasia Programmes – who takes part, what is measured, what are the outcomes?
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Monnelly, Katie, Marshall, Jane, Dipper, Lucy, and Cruice, Madeline
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SPEECH evaluation ,MEDICAL information storage & retrieval systems ,RESEARCH funding ,EVALUATION of human services programs ,HUMAN research subjects ,CINAHL database ,APHASIA ,TREATMENT effectiveness ,FUNCTIONAL status ,DESCRIPTIVE statistics ,SYSTEMATIC reviews ,RESEARCH bias ,MEDLINE ,QUALITY of life ,MEDICAL databases ,MEDICAL research ,STROKE patients ,ONLINE information services ,SPEECH therapy ,PEOPLE with disabilities ,SOCIAL participation ,PSYCHOLOGY information storage & retrieval systems ,EVALUATION - Abstract
Purpose: This study synthesizes participant and outcome data from peer-reviewed Intensive Comprehensive Aphasia Programme (ICAP) studies. Methods: A systematic review was conducted following PRISMA guidelines. Study eligibility criteria were specified in relation to population, intervention, comparison, outcome, and design considerations. Data were extracted according to six research questions. Narrative synthesis was used. Results: Twenty-one studies were included covering 13 ICAPs (N = 485, aged 18–86 years, between 11 and 335 months post-stroke). Twenty-seven participant selection criteria were identified. Fifty-six outcome measures spanning the WHO-ICF were used, with the majority assessing the body function domain. Only eight studies employed an experimental design with data appropriate for analysis and synthesis. Risk of bias was noted across this sub-group. Participants improved in word-finding, communication, activity/participation, and communication-related quality of life, and maintained their gains; however, except for word finding, evidence of effect came from isolated studies. Factors influencing outcomes were rarely considered. Some drop-outs, missed sessions, and fatigue were noted. Some studies reported IPD alongside group analyses. Conclusions: ICAP selection criteria need justification and should contribute to the understanding of candidacy for this treatment model. Rationalisation of ICAP treatment content and outcome measurement is required, spanning all WHO-ICF domains. Employment of the core outcome set for aphasia would enable data synthesis and facilitate comparisons between the ICAP and other therapy models. Implications for Rehabilitation: Healthcare professionals can use this review to appreciate that the evidence base for intensive and comprehensive aphasia programmes is emerging and based on studies of varying methodological quality and thus findings are not conclusive. Patients across the lifespan and across a range of aphasia severities, and patients who are independent or have support for activities of daily living, can participate in intensive and comprehensive aphasia programmes. Patients can expect improved word finding ability from participation in an intensive and comprehensive aphasia programme, and some patients can experience benefits in functional communication, communication confidence, and aphasia-related quality of life. Outcome measurement from intensive and comprehensive aphasia programmes should encompass language functioning, communication activities/participation, quality of life, and outcomes for family members, and ideally environmental and personal factors should be considered. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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16. Twelve tips for Natural Language Processing in medical education program evaluation.
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Costa-Dookhan, Kenya A., Maslej, Marta M., Donner, Kayle, Islam, Faisal, Sockalingam, Sanjeev, and Thakur, Anupam
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CURRICULUM ,DATA security ,MEDICAL education ,EVALUATION of human services programs ,ARTIFICIAL intelligence ,PRIVACY ,NATURAL language processing ,EDUCATIONAL technology ,REFLECTION (Philosophy) ,DATA analytics ,AUTOMATIC data collection systems ,WORKFLOW ,MEDICAL students ,CONCEPTUAL structures ,MEDICAL ethics - Abstract
With the increasing application of Natural Language Processing (NLP) in Medicine at large, medical educators are urged to gain an understanding and implement NLP techniques within their own education programs to improve the workflow and make significant and rapid improvements in their programs. This paper aims to provide twelve essential tips inclusive of both conceptual and technical factors to facilitate the successful integration of NLP in medical education program evaluation. These twelve tips range from advising on various stages of planning the evaluation process, considerations for data collection, and reflections on preprocessing of data in preparation for analysis and interpretation of results. Using these twelve tips as a framework, medical researchers, educators, and administrators will have an understanding and reference to navigating applications of NLP and be able to unlock its potential for enhancing the evaluation of their own medical education programs. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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17. Developing a Trauma-Informed and Recovery-Oriented Alternative to 'Aggression Management' Training for a Metropolitan and Rural Mental Health Service.
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Guha, Monica Dipali, Cutler, Natalie Ann, Heffernan, Tim, and Davis, Martin
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WOUND nursing ,EVALUATION of human services programs ,CONVALESCENCE ,RURAL conditions ,PHYSICIAN-patient relations ,INTERPROFESSIONAL relations ,DEFENSE mechanisms (Psychology) ,AGGRESSION (Psychology) ,ALTERNATIVE medicine ,METROPOLITAN areas ,MENTAL health services ,CONTROL (Psychology) ,HEALTH promotion ,PATIENT safety - Abstract
For clinicians working in mental health services, 'aggression management' training is generally prioritised, and often mandated. Traditional 'aggression management' training has the potential to reinforce the perception that violence and aggression are inevitable, and thus defensive and coercive practices are needed. This paper outlines the principles and processes that underpinned the development of two training programs designed as recovery-oriented and trauma-informed alternatives to traditional 'aggression management' training. The focus of the paper is on exploring how 'aggression management' training can be aligned with best practice principles. The programs were developed in a metropolitan and rural mental health service and aimed to reduce the need for defensive and coercive practices by promoting therapeutic engagement. A key feature of both programs is an orientation towards safety rather than risk. By embedding the principles of recovery and trauma-informed care in their development and orienting training towards enhancing safety, clinicians are provided with a new way of conceptualising and responding to 'aggression'. Experiential methods in the delivery of the training, and the co-design and co-delivery with peer (consumer) educators were important in supporting attitudinal change. To promote safety, the language and content of training programs must reflect contemporary principles and approaches such as trauma-informed care and recovery. This paper illustrates that to be effective, these principles and approaches must not just be described, but modelled in the development, design, and delivery of the training. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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18. The impact of physical activity and sport programs on community participation for people with intellectual disability: A systematic review.
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Thomson, Allyson, Bridges, Samantha, Corrins, Briony, Pham, Jessica, White, Chloe, and Buchanan, Angus
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SOCIAL participation ,PSYCHOLOGY information storage & retrieval systems ,ONLINE information services ,CINAHL database ,AFFINITY groups ,FRIENDSHIP ,PATIENT participation ,EVALUATION of human services programs ,SYSTEMATIC reviews ,SPORTS ,PHYSICAL activity ,PEOPLE with intellectual disabilities ,PEOPLE with disabilities ,MEDLINE ,SPORTS events ,AMED (Information retrieval system) ,SOCIAL integration ,ATTITUDES toward disabilities - Abstract
Background: This review examined the impact of participation in an intentional physical activity or sport program on community participation and inclusion for people with intellectual disability. Method: Five electronic databases (PsychINFO, PubMed, Medline, CINAHL, AMED) were systematically searched for papers relating to intellectual disability, intentional physical activity, and community inclusion. Results: There were nine eligible papers reporting on seven unique studies conducted in North America, Europe and Australia. Interventions ranged from Special Olympics to an exercise and health education program. Peers without intellectual disability were involved in several programs, and the development of friendships was common among participants with and without disability: these were rarely transferred to the wider community. Conclusions: The identified programs involved substantial commitment of people and infrastructure to support people with intellectual disability in intentional physical activity programs. There was little evidence these programs improved community participation and inclusion for people with intellectual disability. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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19. Enhancing behavioral health competencies for senior center staff through workforce development and training.
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Keefe, Bronwyn, Beaugard, Corinne A., and Tripken, Jennifer
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SCALE analysis (Psychology) ,SELF-evaluation ,T-test (Statistics) ,EVALUATION of human services programs ,CERTIFICATION ,DESCRIPTIVE statistics ,LONGITUDINAL method ,PROFESSIONS ,HEALTH behavior ,SENIOR centers ,OUTCOME-based education ,SOCIODEMOGRAPHIC factors ,PROFESSIONAL competence ,LABOR supply - Abstract
Increases in the numbers of older adults with mental health and substance use concerns compel us to identify best practices in training to address these issues. Senior Centers are an ideal location for behavioral health education programs as they are the go-to place for many older adults. This paper describes an online certificate program in Behavioral Health and Aging offered by the Center for Aging and Disability Education and Research at Boston University School of Social Work in collaboration with the National Council on Aging to increase senior center staff knowledge and skills. A total of 228 senior center staff in Illinois, Florida, and Wisconsin completed the online certificate program. There were statistically significant changes in key competencies for all courses based on pre-post assessment. We held key informant interviews to assess the impact of training and participants stated that their knowledge, skills, and behaviors were influenced by the program. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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20. Implementing a tailored, co-designed goal-setting implementation package in rehabilitation services: a process evaluation.
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Baker, Amanda, Cornwell, Petrea, Gustafsson, Louise, and Lannin, Natasha A.
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EVALUATION of human services programs ,PHYSICAL therapy ,DIETETICS ,COMMUNITY health services ,PROFESSIONAL practice ,RESEARCH funding ,OCCUPATIONAL roles ,FOCUS groups ,HOSPITAL nursing staff ,INTERVIEWING ,GOAL (Psychology) ,EVALUATION of medical care ,PROFESSIONAL identity ,DECISION making ,REHABILITATION centers ,OCCUPATIONAL therapy ,SOCIAL case work ,ALLIED health personnel ,ATTITUDES of medical personnel ,RESEARCH methodology ,CONCEPTUAL structures ,NEUROPSYCHOLOGY ,EVIDENCE-based medicine ,PATIENT care conferences ,SPEECH therapy - Abstract
This study aims to evaluate the process of implementing an evidence-based goal-setting package into five rehabilitation services across the continuum of rehabilitation. This study used a mixed methods approach guided by Medical Research Council (MRC) recommendations for conducting process evaluations, the RE-AIM framework, and the Theoretical Domains Framework (TDF). This study will evaluate the reach, adoption, implementation, and maintenance of the goal-setting package over six months. Environmental context and resources, the clinician's social and professional role and identity, social influences and clinician beliefs about goal-setting consequences and individuals' capabilities were all identified as barriers or enablers throughout the implementation process. Community rehabilitation services faced challenges implementing paper-based resources, whilst inpatient rehabilitation sites faced challenges engaging nursing staff in the interdisciplinary approach to goal-setting. Social influences were an enabler in two sites that used the case conference format to facilitate setting common goals. Clinicians in all sites continued to express difficulties implementing shared decision-making with people who had cognitive impairments or were no longer progressing in their rehabilitation. A team-based approach to implementing the goal-setting interventions centred around the case conference format appeared to be the most successful mode for implementing interdisciplinary person-centred goal-setting. The rehabilitation case conference forum can be used to facilitate teams to set interdisciplinary common goals. Rehabilitation teams should add further consideration to how they can involve clients as a member of the rehabilitation team throughout the rehabilitation process. Embedding changes into existing process and using structured templates and tools can enhance the process of goal-setting in rehabilitation. Strong leadership, dedicated facilitation, audit and feedback can enhance team's success in implementing elements of the goal-setting implementation package. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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21. Celebrating Australian nurses who are pioneering the response to climate change: a compilation of case studies.
- Author
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Levett-Jones, Tracy, Bonnamy, James, Cornish, Jack, Correia Moll, Elaine, Fields, Lorraine, Moroney Oam, Tracey, Richards, Catelyn, Tutticci, Naomi, and Ward, Aletha
- Subjects
- *
NURSES , *ENVIRONMENTAL health , *OCCUPATIONAL roles , *LEADERS , *CLIMATE change , *RESPONSIBILITY , *LEADERSHIP , *WASTE recycling , *HEALTH , *EVALUATION of human services programs , *GOAL (Psychology) , *NURSES' attitudes , *NURSING practice , *HORTICULTURE , *CASE studies - Abstract
Nurses, the largest healthcare workforce, are well placed to provide leadership in initiatives that promote planetary health. Yet, few practical examples of nurse leadership in the health sector's response to climate change are evident in the scholarly literature. The aim of this discussion paper is to profile Australian nurses who are leading initiatives designed to champion planetary health and promote sustainable practice. The paper presents a series of case studies derived from interviews conducted in October and November 2023. The nurses' experiences and insights, along with the challenges they have encountered, are presented as evidence of Kouzes and Posner's five practices of exemplary leadership. The case studies demonstrate that appointment of more nurses with climate and sustainability expertise will accelerate the implementation of responsive strategies that target waste management, emissions reduction and climate resilience across healthcare organisations. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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22. Pivoting in the Pandemic: Reflections of Graduates of a UK Fast Track Social Work Programme.
- Author
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Baginsky, Mary, Manthorpe, Jill, and Ixer, Graham
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SOCIAL workers ,SOCIAL services ,GRADUATE students ,EVALUATION of human services programs ,INTERNSHIP programs ,REFLECTION (Philosophy) ,STAY-at-home orders ,STUDENTS ,LONGITUDINAL method ,SURVEYS ,THEMATIC analysis ,PROFESSIONAL employee training ,TELECOMMUTING ,COVID-19 pandemic ,PSYCHOSOCIAL factors ,EMPLOYMENT ,VOCATIONAL guidance - Abstract
This paper presents and discusses the findings of a small-scale longitudinal survey of trainees who embarked on one 14-month Step Up to Social Work (SUSW) qualifying programme in January 2020, just prior to the start of the COVID-19 pandemic's restrictions in the United Kingdom (UK). It explores their responses to changes made to their placements during their training and the impact on their subsequent employment. Three surveys were administered to this cohort (n = 30; 25 of whom agreed to participate): just before trainees completed their training in May 2021 (n = 23), halfway through their Assessed and Supported Year in Employment (ASYE) in January 2022 (n = 19) and at the end of this in September 2022 (n = 15). Respondents felt at least adequately prepared for social work, despite having missed much direct work with children and families during placements. Online learning and consultations through lectures and supervision were acceptable modifications but face-to-face interactions and colleagues' guidance were missed in placements and initial employment. The implications of this are discussed for this specific route to qualification and initial employment as social workers. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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23. Crossing Frontiers: Implementing an EBA Model at a Caribbean Academic Library.
- Author
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Pilgrim, Mariella and Dolabaille, Arlene
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PROFESSIONAL practice ,INVESTMENTS ,CUSTOMER relations ,COLLECTION development in libraries ,ELECTRONIC books ,EVALUATION of human services programs ,SUBJECT headings ,ACADEMIC libraries ,MATHEMATICAL models ,EVIDENCE-based medicine ,HUMAN services programs ,UNIVERSITIES & colleges ,THEORY ,ACCESS to information - Abstract
Evidence-based acquisition (EBA) programmes have been gaining momentum in academic libraries over the past 5–10 years. This paper examines our experience implementing one of these programmes at The University of the West Indies, St. Augustine Campus. In 2019, The Alma Jordan Library of the St. Augustine Campus partnered with Wiley Publishers to administer the Usage Based Collection Management (UBCM) programme. The results at the end of this first year were very encouraging and therefore, the decision was taken to extend the programme for a second year, and it has been continued for a third year. This paper describes the process of selecting a provider of a user-driven eBook acquisition model, implementing the programme, and gathering usage statistics. An analysis of the data was conducted at the end of the programme, and then criteria developed and used for identifying titles for purchase. In the analysis, the authors explore the following: usage based on titles not owned, usage based on subject areas; return on investment to the library; continued use of UBCM- purchased titles. Also included are the benefits of implementing such a programme, challenges experienced, and recommendations for libraries wishing to embark on such a project. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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24. The APGO Academic Scholars and Leaders Program: Supporting obstetrics and gynecology faculty development for 20 years.
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Steinauer, Jody E., Hueppchen, Nancy A., Ricciotti, Hope A., Stritter, Frank T., DaRosa, Debra A., Toepper, Kelly S., and Learman, Lee A.
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EVALUATION of human services programs ,VOCATIONAL guidance ,SCHOLARLY method ,LEADERSHIP ,PROFESSIONAL employee training ,GYNECOLOGY ,SCHOLARSHIPS ,OBSTETRICS ,DESCRIPTIVE statistics ,CONTENT analysis ,CURRICULUM planning ,TEACHER development ,LONGITUDINAL method - Abstract
We evaluate the impacts of the Academic Scholars and Leaders (ASL) Program in achieving 3 key objectives: treatment of education as a scholarly pursuit, improved education leadership, and career advancement. We report on the twenty-year experience of the ASL Program—a national, longitudinal faculty development program of the Association of Professors of Obstetrics and Gynecology (APGO) covering instruction, curriculum development/program evaluation, assessment/feedback, leadership/professional development, and educational scholarship. We conducted a cross-sectional, online survey of ASL participants who graduated in 1999–2017. We sought evidence of impact using Kirkpatrick's 4-level framework. Descriptive quantitative data were analyzed, and open-ended comments were organized using content analysis. 64% (260) of graduates responded. The vast majority (96%) felt the program was extremely worthwhile (Kirkpatrick level 1). Graduates cited learned skills they had applied to their work, most commonly curricular development (48%) and direct teaching (38%) (Kirkpatrick 2&3 A). Since participation, 82% of graduates have held institutional, education-focused leadership roles (Kirkpatrick 3B). Nineteen percent had published the ASL project as a manuscript and 46% additional education papers (Kirkpatrick 3B). The APGO ASL program has been associated with successful outcomes in treatment of education as a scholarly pursuit, education leadership, and career advancement. Going forward, APGO is considering ways to diversify the ASL community and to support educational research training. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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25. The global role, impact, and limitations of Community Health Workers (CHWs) in breast cancer screening: a scoping review and recommendations to promote health equity for all.
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Hand, Taylor, Rosseau, Natalie A., Stiles, Christina E., Sheih, Tianna, Ghandakly, Elizabeth, Oluwasanu, Mojisola, and Olopade, Olufunmilayo I.
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BREAST tumor diagnosis ,OCCUPATIONAL roles ,HEALTH policy ,EVALUATION of human services programs ,MIDDLE-income countries ,DEVELOPED countries ,PROFESSIONS ,HEALTH services accessibility ,SYSTEMATIC reviews ,EARLY detection of cancer ,DISEASE incidence ,WORLD health ,PUBLIC health ,LOW-income countries ,CHI-squared test ,COST analysis ,LITERATURE reviews - Abstract
Introduction: Innovative interventions are needed to address the growing burden of breast cancer globally, especially among vulnerable patient populations. Given the success of Community Health Workers (CHWs) in addressing communicable diseases and non-communicable diseases, this scoping review will investigate the roles and impacts of CHWs in breast cancer screening programs. This paper also seeks to determine the effectiveness and feasibility of these programs, with particular attention paid to differences between CHW-led interventions in low- and middle-income countries (LMICs) and high-income countries (HICs).Methods: A scoping review was performed using six databases with dates ranging from 1978 to 2019. Comprehensive definitions and search terms were established for 'Community Health Workers' and 'breast cancer screening', and studies were extracted using the World Bank definition of LMIC. Screening and data extraction were protocolized using multiple independent reviewers. Chi-square test of independence was used for statistical analysis of the incidence of themes in HICs and LMICs.Results: Of the 1,551 papers screened, 33 were included based on inclusion and exclusion criteria. Study locations included the United States (n=27), Bangladesh (n=1), Peru (n=1), Malawi (n=2), Rwanda (n=1), and South Africa (n=1). Three primary roles for CHWs in breast cancer screening were identified: education (n=30), direct assistance or performance of breast cancer screening (n=7), and navigational services (n=6). In these roles, CHWs improved rates of breast cancer screening (n=23) and overall community member knowledge (n=21). Two studies performed cost-analyses of CHW-led interventions.Conclusion: This review extends our understanding of CHW effectiveness to breast cancer screening. It illustrates how CHW involvement in screening programs can have a significant impact in LMICs and HICs, and highlights the three CHW roles of education, direct performance of screening, and navigational services that emerge as useful pillars around which governments and NGOs can design effective programs in this area. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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26. School-based relationships and sexuality education programmes in primary schools: contexts, mechanisms and outcomes.
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Aguilar Alonso, Roxana, Walsh, Kerryann, van Leent, Lisa, and Moran, Claire
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- *
HEALTH education , *PSYCHOLOGY information storage & retrieval systems , *WELL-being , *EVALUATION of human services programs , *HUMAN sexuality , *SYSTEMATIC reviews , *SEX education , *INTERPERSONAL relations , *RESEARCH funding , *PSYCHOLOGY of school children , *ELEMENTARY schools , *THEMATIC analysis , *RESPECT , *EDUCATIONAL outcomes , *SEXUAL health , *ERIC (Information retrieval system) , *CHILDREN - Abstract
This paper presents findings from a literature review on relationships and sexuality education for primary (elementary) school programme effectiveness. Using a theory-generating approach informed by realist evaluation, the review takes a deep dive into the literature to identify contexts, mechanisms and outcomes likely to influence the effectiveness of programmes. This paper will be of interest to researchers, evaluators, RSE programme designers and practitioners as findings provide a catalogue of factors (variables) that can be considered for application in future programme evaluations and for inclusion in programme logic models. It identifies areas of opportunity to incorporate children's voices into research and points to the need for longitudinal studies to address the context- and time-sensitive nature of relationships and sexuality education. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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27. Effects of a model for multidisciplinary peer observation of teaching in teacher professional development and in nurturing a reflective school.
- Author
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Mouraz, Ana, Pinto, Daniela, and Cristina Torres, Ana
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EVALUATION of teaching ,TEACHING methods ,AFFINITY groups ,RESEARCH ,EVALUATION of human services programs ,CONFIDENCE ,SELF-perception ,QUALITATIVE research ,PHILOSOPHY of education ,INTERPROFESSIONAL relations ,RESEARCH funding ,DATA analysis software ,CONTENT analysis ,TEACHER development ,EDUCATIONAL outcomes ,DIFFUSION of innovations ,LONGITUDINAL method - Abstract
Peer observation of teaching has for long been defended as a valuable device of professional and institutional development in higher education, but is almost unexplored at primary- and secondary-level schools. This paper introduces a model for multidisciplinary peer observation of teaching that has been developed and implemented in a professional development programme in two Portuguese school clusters of basic and secondary education in collaboration with its teachers. After four years of developing the programme in these school clusters, a case study was conducted through a qualitative analysis of observation guides completed throughout the years (N = 563) to identify perceived effects of participating in the programme for both teacher professional development and reflective practices. The programme emerged as a powerful initiative to foster teacher collaboration, innovation, and reflection for improving practices. Implications related to current national curriculum and educational policies are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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28. Becoming aware of the grand social challenges: how an international and interdisciplinary educational context may broaden students’ perspectives on human rights and public health.
- Author
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Kjørstad, Monica and Wolmesjö, Maria
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CONTENT analysis ,DISCUSSION ,CURRICULUM ,HEALTH occupations students ,HUMAN rights ,INTERDISCIPLINARY education ,INTERPROFESSIONAL relations ,RESEARCH methodology ,MOTIVATION (Psychology) ,PUBLIC health ,PUBLIC welfare ,QUESTIONNAIRES ,SOCIAL problems ,SOCIAL work education ,UNIVERSITIES & colleges ,EDUCATIONAL outcomes ,EVALUATION of human services programs ,MEDICAL coding - Abstract
Copyright of European Journal of Social Work is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
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29. Second Opportunity for Success: Evaluation of a Juvenile Diversion Program.
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John, Aesha, Mosley, Sonya, Wheeler, Sydney, Okech, Jamaica, and Lewright, Cameron
- Subjects
- *
JUVENILE delinquency , *PARENTS , *MENTAL health services , *PEER pressure , *T-test (Statistics) , *EVALUATION of human services programs , *PARENT-child relationships , *RECIDIVISM , *PSYCHOEDUCATION , *PARENTING , *DESCRIPTIVE statistics , *CAREGIVERS , *SOCIAL support , *DATA analysis software , *SELF-perception , *CONFLICT management ,RESEARCH evaluation - Abstract
This paper describes the evaluation of Second Opportunity for Success, a 7-week psychoeducation diversion program for youth and their family in Northeast Texas. Between 2017 and 2019, 27 families participated in pre and post-intervention assessments, which included surveys, observation tasks, and interviews to track changes in youths' self-esteem, resistance to peer pressure and ability to resolve conflicts as well as parents' caregiving behaviors. Parents' scores on the use of corporal punishment decreased significantly and they expressed less anger during post program observation task. Pre and post-intervention assessments of the remaining parenting scales (e.g., involvement, disciplining) did not indicate a significant change. Youth scores on pre and post surveys did not indicate significant changes, but observations of their conflict resolution demonstrated improvements in their ability to resolve conflicts with parents. Interview data indicated that both youth and their parents perceived program benefits related to youths' personal growth, youths' ability to resist peer pressure, parenting skills, and youth-parent interaction. A 90-day follow-up of the participants indicated that 85% of youth were adjusting positively at home, in school, and in the community. Although based on a relatively small sample, our results demonstrate that participating in the 7-week program accrued important, albeit modest, participant benefits. Findings are discussed in the context of practice and research implications. [ABSTRACT FROM AUTHOR]
- Published
- 2025
- Full Text
- View/download PDF
30. Fostering the wellbeing of adolescent girls through an out-of-school sexuality education programme in Ghana.
- Author
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Ahanotu, Brian, Agbemavi, Wonder, Yenyi, Adjoa, and Amo-Adjei, Joshua
- Subjects
- *
WOMEN , *FOCUS groups , *REPRODUCTIVE health , *SELF-efficacy , *RESEARCH funding , *QUALITATIVE research , *SEX education , *HUMAN sexuality , *EVALUATION of human services programs , *SCHOOLS , *INTERVIEWING , *FOSTER home care , *DESCRIPTIVE statistics , *DECISION making , *HYGIENE , *SOUND recordings , *THEMATIC analysis , *REFLEXIVITY , *COMMUNICATION , *SAFE sex , *CONDOMS , *DATA analysis software , *WELL-being , *SEXUAL health , *CRITICAL thinking , *GENDER-based violence , *ADOLESCENCE - Abstract
Ghanaian adolescents face considerable sexual and reproductive health challenges that can disrupt human capital formation. However, a positive and healthy transition from adolescence to adulthood can be achieved by increasing access to sexual and reproductive health information, education, and services. This paper documents emerging findings from an adolescent girls' programme delivered in 56 districts of Ghana. Data were collected from girls and young women aged 10–24 years who participated in the programme as part of a larger study that included in-school and out-of-school participants. In-depth interviews (IDI) [N = 49] and focus-group discussions (FGDs) [N = 13] were conducted in November 2021 and November 2022. An abductive approach was used to develop key themes from the data. The analysis revealed that the programme showed promise in changing the attitudes of beneficiaries towards safe sexual practices through condom use, in increasing assertiveness towards sexual and gender-based violence, and in real-life application of the knowledge and skills gained for health and social wellbeing. Out-of-school sexuality education programmes such as the one described here can be important catalysts for developing and maintaining meaningful relationships with others through the provision of information and education, and service delivery. [ABSTRACT FROM AUTHOR]
- Published
- 2025
- Full Text
- View/download PDF
31. How Does the Proportion of Child-Specific Content of Pre-Registration Nursing Programmes in Higher Education Institutions Impact Upon Newly Qualified Registered Nurses' Perceptions of Preparedness to Care for Children, Young People, and Their Families? A Narrative Review Protocol
- Author
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Carey, Matthew C., Edge, Danielle, Blamires, Julie, Foster, Mandie, and Neill, Sarah
- Subjects
- *
PSYCHOLOGY of college students , *EDUCATIONAL standards , *NURSES , *PEDIATRIC nursing , *GRADUATES , *EVALUATION of human services programs , *NURSING education , *PEDIATRICS , *NURSES' attitudes , *CLINICAL competence , *MASTERS programs (Higher education) , *NURSING students - Abstract
This paper presents a narrative review protocol to explore how the proportion of child-specific content of pre-registration programmes in universities impact upon newly qualified nurses' perceptions of preparedness to care for children, young people (CYP), and their families. The preparation and education to become a nurse who cares for children and young people differs from country to country. Providers of pre-registration nurse education offer routes into nursing from diploma to degree and in some countries post-graduate routes. The United Kingdom offers pre-registration programmes leading to qualifying as a children's nurse whereas programmes in countries such as the USA and Canada lead to a professional registration as a registered nurse with postgraduate study to specialize in areas such as pediatrics. The role of pre-registration nursing programmes is to facilitate preparedness for practice. Preparation for practice can include theoretical teaching and practice learning through simulation and face-to-face experience with countries requiring different numbers of practice hours to be completed. Although practice hours are central to nursing education, there is limited evidence on the impact and portion of child-specific content, including clinical learning in preparation of newly qualified nurses to care for CYP and their families. A preliminary search of Prospero, CINAHL, Medline and Cochrane Database indicates that there are no current or in progress reviews identified. The Population of interest, Exposure of interest, and Outcome framework were used to define the research question and inform the eligibility criteria. The review will consider different research designs if related to the research question. The search strategy will conform to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines for systematic reviews. Two independent reviewers will be involved in the screening progress to determine the final studies for inclusion. Eligible studies will be assessed for methodological quality using the Joanna Briggs Institute critical appraisal tools. Extraction of study characteristics and data related to the research question will be extracted into a predefined table. Data synthesis will be conducted using a descriptive analytical approach to summarize extracted data. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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32. The development of the psychoanalytic psychotherapy process with a depressed adolescent: an empirical case study.
- Author
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Sharp, Lyndsey, Thackeray, Lisa, O'Keeffe, Sally, and Midgley, Nick
- Subjects
- *
PSYCHOTHERAPY , *PSYCHODYNAMIC psychotherapy , *HUMAN services programs , *QUALITATIVE research , *EMPIRICAL research , *EVALUATION of human services programs , *TREATMENT effectiveness , *QUANTITATIVE research , *DESCRIPTIVE statistics , *JUDGMENT sampling , *SOUND recordings , *THEMATIC analysis , *RESEARCH methodology , *PSYCHOLOGICAL tests , *COMPARATIVE studies , *COGNITIVE therapy , *MENTAL depression , *ADOLESCENCE - Abstract
This paper explores the psychotherapy process in a short-term psychoanalytic treatment (STPP) with a depressed adolescent. The empirical case study draws on both quantitative and qualitative data to examine the development of the psychotherapy process over time. 15 of the 29 audio recorded therapy sessions with a 16-year-old boy were sampled at intervals across the treatment. Session transcripts were coded using the Adolescent Psychotherapy Q-Set (APQ) and data analysed descriptively to compare characteristics of the process across the three treatment phases – beginning, middle, and ending. Descriptive statistics are supported with session extracts. Analysis of the APQ data suggests change in the patient's presentation across the therapy. In the early stages, he appeared withdrawn and made minimal responses to the therapist's attempts to work together; in the middle phase, he became more engaged, more able to talk about feelings, and more active in the sessions; and this was reflected in a less depressed presentation in the final phase. The therapist maintained a consistent therapeutic approach across all phases: supportive, non-judgemental, and working to make sense of the young person's experiences, looking for patterns and inviting curiosity about how things might be understood differently. Despite increased engagement in the therapy, depressive symptoms remained in the clinical range. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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33. Something, everything, and anything more than nothing: stories of school-based prevention of body image concerns and eating disorders in young people.
- Author
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Yager, Zali
- Subjects
- *
PREJUDICES , *HUMAN services programs , *EVALUATION of human services programs , *SCHOOLS , *HEALTH policy , *BODY weight , *BODY image , *HEALTH education , *SHAME , *SCHOOL health services , *SOCIAL stigma - Abstract
Much work has been done to promote the development of positive body image in schools. This paper aims to tell some stories from the past 35 years of work in this field that illuminate important issues in developing, evaluating, and disseminating programs, and in removing policies and practices that could trigger weight stigma and body shame or disordered eating attitudes and behaviours. The need for, goals of, and approaches to body image programs, problematic activities we have 'good enough' evidence to avoid, and next steps for advocacy, research, and action are explored as we celebrate how far we've come and have hope for the future. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
34. Social entrepreneurship – inclusive disability employment in the UAE.
- Author
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Alborno, Nadera and Kalaji, Ghina
- Subjects
QUALITATIVE research ,ENTREPRENEURSHIP ,EVALUATION of human services programs ,INTERVIEWING ,DESCRIPTIVE statistics ,RESEARCH methodology ,SUPPORTED employment ,PEOPLE with disabilities ,EMPLOYEE attitudes - Abstract
This paper explored the transition of a disability inclusive employment programme in a private landscaping company into a standalone social enterprise ENABLE, offering horticultural training and sustainable jobs for individuals with intellectual and developmental disabilities (IDD). The research question that guided this study is: How did ENABLE evolve from a sheltered employment programme into a social enterprise that provides sustainable employment for persons with IDD? And what is the prevailing influence on the employees and the society at large? Through qualitative descriptive analysis, we explored ENABLE's development, operations, and community influence. Multiple data collection methods were utilized including semi-structured interviews with key employers, observation of employees with IDD during their working hours, and analysis of related documents. By critically analysing this journey, this study contributes to the literature on entrepreneurial inclusive employment for individuals with IDD, addressing challenges faced by organisations that support disability employment in the UAE and beyond. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
35. Advanced machine learning approaches to personalise learning: learning analytics and decision making.
- Author
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Kurilovas, Eugenijus
- Subjects
SCHOOL environment ,HUMAN services programs ,EVALUATION of human services programs ,QUESTIONNAIRES ,COMPUTER science ,DATA analytics ,DECISION making ,TEACHING methods ,INFORMATION resources ,INTERNET ,MEDICAL students ,AUTODIDACTICISM ,INFORMATION science ,RESEARCH methodology ,MATHEMATICAL models ,LEARNING strategies ,COMPUTER assisted instruction ,QUALITY assurance ,ALTERNATIVE education ,THEORY - Abstract
The aim of the paper is to present methodology to personalise learning using learning analytics and to make further decisions on suitability, acceptance and use of personalised learning units. In the paper, first of all, related research review is presented. Further, an original methodology to personalise learning applying learning analytics in virtual learning environments and empirical research results are presented. Using this learning personalisation methodology, decision-making model and method are proposed to evaluate suitability, acceptance and use of personalised learning units. Personalised learning units evaluation methodology presented in the paper is based on (1) well-known principles of Multiple Criteria Decision Analysis for identifying evaluation criteria; (2) Educational Technology Acceptance & Satisfaction Model (ETAS-M) based on well-known Unified Theory on Acceptance and Use of Technology (UTAUT) model, and (3) probabilistic suitability indexes to identify learning components' suitability to particular students' needs according to their learning styles. In the paper, there are also examples of implementing the methodology using different weights of evaluation criteria. This methodology is applicable in real life situations where teachers have to help students to create and apply learning units that are most suitable for their needs and thus to improve education quality and efficiency. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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- View/download PDF
36. Developing a Community-Based, Intergenerational Intervention to Alleviate Transportation Barriers: Healthy Buddy Program for Latinx Older Adults.
- Author
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Lee, Kathy, Jang, Si Won, Cassidy, Jessica, and Wright, Savana
- Subjects
COLLEGE students ,HEALTH services accessibility ,EVALUATION of human services programs ,SOCIAL support ,HISPANIC Americans ,RESEARCH methodology ,HEALTH outcome assessment ,INTERVIEWING ,COMMUNITY-based social services ,RESEARCH funding ,TRANSPORTATION ,COVID-19 pandemic - Abstract
The research team developed a community-based, intergenerational intervention, the Spanish-language Healthy Buddy Program to alleviate transportation barriers experienced by Latinx older adults. College students were paired with Latinx older adults and helped them identify transportation- and health-related resources in their communities. During COVID-19, the program was implemented in Hillsborough County, Florida, and Dallas-Fort Worth Metroplex and San Antonio, Texas. This paper reports the study process and outcomes using quantitative and qualitative data collected in Texas (n = 25). Individual interviews indicated older adult participants were receptive to the program model and appreciated the roles student buddies played to help improve their mobility. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
37. Missing Middles: Toward a Feminist New Materialist Approach for Understanding Intergenerational Inter/Intra-Action.
- Author
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Peach, Lois
- Subjects
EVALUATION of human services programs ,INTERGENERATIONAL relations ,HUMANISM ,CREATIVE ability ,DEMENTIA ,PSYCHOLOGY of preschool children ,PLAY ,PLAY therapy ,GROUP process - Abstract
Intergenerational programs challenge separations of age and difference. Re-turning data of preschool children and care home residents playing with playdoh together during an intergenerational program, this paper uses Barad's agential realism to expand who, and crucially what, is involved in reconciling differences between generations. Turning the playdoh episode over and over, the people and things in-between 'young' and 'old,' in the middle, but missing from my original analysis are brought to the surface. I term these missing middles and argue that (re)attending to excluded aspects of intergenerational inter/intra-action is made possible through a feminist new materialist lens. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
38. From collaborator to colleague: a community-based program science approach for engaging Kenyan communities of gay, bisexual and other men who have sex with men in HIV research.
- Author
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Kombo, Bernadette Kina, Thomann, Matthew, Musyoki, Helgar, Olango, Kennedy, Kuria, Samuel, Kyana, Martin, Otieno, Memory, Njiraini, Margaret, Musimbi, Janet, Bhattacharjeea, Pariniti, Lorway, Robert, and Lazarus, Lisa
- Subjects
DIAGNOSIS of HIV infections ,HIV infection risk factors ,RESEARCH ,INTERDISCIPLINARY research ,EVALUATION of human services programs ,PATIENT participation ,COMMUNITY health services ,MEDICAL screening ,INTERVIEWING ,ETHNOLOGY research ,COMPARATIVE studies ,QUALITATIVE research ,HUMAN services programs ,COMMUNITY-based social services ,INTERPROFESSIONAL relations ,DESCRIPTIVE statistics ,QUESTIONNAIRES ,RESEARCH funding ,MEN who have sex with men ,THEMATIC analysis ,GAY men ,PATIENT self-monitoring - Abstract
Since the 1990s, researchers have used community-based participatory approaches to achieve outcomes relevant to local communities, to build collaborative and sustainable research infrastructures, and to address disparities in knowledge production. Notwithstanding these strengths, communities and researchers have questioned its success in addressing power imbalances inherent in collaborative research encounters. In this methodological paper, we describe a novel community-based program science approach to guide an interdisciplinary research project on HIV self-testing among men who have sex with men in three Kenyan counties. Drawing on ethnographic field notes, we detail how community researchers and their academic and programmatic partners collaborated through all phases of the research process, including research design and data collection. Importantly, community researchers also played an integral role in data analysis and dissemination, going well beyond the conventional role of 'community engagement' in global health research. We also present findings from qualitative interviews conducted by community researchers with their peers to inform the rollout of HIV self-testing kits in their respective county-contexts. Our approach highlights that engaging community directly in evidence production allows research findings – owned and generated by communities on their own behalf – to be fed more swiftly and effectively into community-led program delivery. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
39. Implementing a Rules-Based Chatbot for Reference Service at a Large University Library.
- Author
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Reinsfelder, Thomas L. and O'Hara-Krebs, Katie
- Subjects
EVALUATION of human services programs ,ONLINE information services ,PILOT projects ,ACADEMIC libraries ,LIBRARY reference services ,USER interfaces ,ARTIFICIAL intelligence ,SOFTWARE architecture ,UNIVERSITIES & colleges - Abstract
A library's website is the virtual front door for many of our users. Libraries offer online assistance in several ways, including a variety of options to request help. Live chat and email services are not new, but the recent development of chatbots provides opportunities to rethink and enhance online support. While some chatbots or virtual assistants generate automatic and custom responses to user input, this paper explores the implementation of a rules-based chatbot, where all responses have been input and configured by library staff. Details are provided to describe the process before, during, and after the initial implementation with data and observations from the pilot in mid-2023. [ABSTRACT FROM AUTHOR]
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- 2023
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40. Experiences of a home-based fall prevention exercise program among older adults with chronic lung disease.
- Author
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Chauvin, Stephanie, Durocher, Evelyne, Richardson, Julie, and Beauchamp, Marla K.
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HOME environment ,LIFESTYLES ,EVALUATION of human services programs ,POSTURAL balance ,RESEARCH methodology ,INTERVIEWING ,PATIENT-centered care ,QUALITATIVE research ,OBSTRUCTIVE lung diseases ,ACCIDENTAL falls ,DESCRIPTIVE statistics ,THEMATIC analysis ,EXERCISE therapy ,OLD age - Abstract
Individuals with chronic obstructive pulmonary disease (COPD) often have mobility limitations; these may include challenges with balance and being at high risk of falling. Risk of falling can be reduced through exercise programs targeting balance; however, older adults with COPD may experience many barriers to exercise adherence. In this paper we present qualitative findings about the feasibility of a six-month home-based fall-prevention exercise program for older adults with COPD. The aim of the study is to describe the experiences of older adults with COPD who participated in a home-based fall prevention exercise program in order to determine their perceived facilitators and barriers to participation. 15 participants with COPD who had completed the six-month home-based program participated in one-on-one semi-structured interviews over the phone. Interpretive description methodology and thematic analysis were used. Two major themes emerged with respect to participants' perspectives of the intervention and facilitators and barriers to participation: program personalization based on each individual's characteristics, lifestyles, and preferences; and self-motivation and support from family, friends, and healthcare providers. Fall prevention exercise programs that are personalized and focus on providing support for older adults with COPD may help to improve adherence and reduce participants' risk of falling. Individuals with COPD often have balance problems and a high risk of falling. Fall prevention programs can improve balance, but adherence is a commonly cited challenge. Patient experiences suggest that fall prevention programs should be personalized and incorporate social support to improve adherence to fall prevention exercises. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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- View/download PDF
41. COVID 19: Designing and conducting an online mini-multiple interview (MMI) in a dynamic landscape.
- Author
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Cleland, Jennifer, Chu, Jowe, Lim, Samuel, Low, Jamie, Low-Beer, Naomi, and Kwek, Tong Kiat
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INTERNET ,INTERVIEWING ,MEDICAL education ,SAFETY ,SCHOOL entrance requirements ,HUMAN services programs ,EVALUATION of human services programs ,SOCIAL distancing - Abstract
Introduction: The COVID-19 pandemic presented numerous, significant challenges for medical schools, including how to select the best candidates from a pool of applicants when social distancing and other measures prevented "business as usual" admissions processes. However, selection into medical school is the gateway to medicine in many countries, and it is critical to use processes which are evidence-based, valid and reliable even under challenging circumstances. Our challenge was to plan and conduct a multiple-mini interview (MMI) in a dynamic and stringent safe distancing context. Methods: This paper reports a case study of how to plan, re-plan and conduct MMIs in an environment where substantially tighter safe distancing measures were introduced just before the MMI was due to be delivered. Results: We report on how to design and implement a fully remote, online MMI which ensured the safety of candidates and assessors. Discussion: We discuss the challenges of this approach and also reflect on broader issues associated with selection into medical school during a pandemic. The aim of the paper is to provide broadly generalizable guidance to other medical schools faced with the challenge of selecting future students under difficult conditions. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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- View/download PDF
42. The effectiveness of faculty development activities for interprofessional education : A systematic review protocol.
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Silva, Jaqueline Alcantara Marcelino da, Viana da Costa, Marcelo, Mininel, Vivian Aline, Rossit, Rosana Aparecida Salvador, and Xyrichis, Andreas
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EVALUATION of human services programs ,SYSTEMATIC reviews ,PROFESSIONAL competence ,INTERDISCIPLINARY education ,TEACHER development - Abstract
Despite increasing international demand for interprofessional education (IPE) in health care, there remains limited understanding of the kind of faculty development (FD) activities needed. This paper reports on a protocol for a systematic review to answer the question: What are the available FD activities for IPE facilitators, and which are more effective? The review aims to identify principles and methods to develop competent facilitators in IPE and to identify the implications and effects of FD for IPE concerning individuals, organizations, education, and health practice. Literature was identified through systematic searches in the electronic databases: MEDLINE (Ovid), Embase (Ovid), Eric (EBSCO), CINAHL (EBSCO), Scopus, and Web of Science. There will be no restrictions on language or publication period. Screening of potential studies will be completed independently by at least two reviewers. The research quality of studies will be assessed for methodological rigor using established instruments based on the Critical Appraisal Skills Programme. Search results will be summarized using the PRISMA flow diagram. The proposed review seeks to provide clarity on the evidence base of FD for IPE facilitators, to strengthen future design and delivery of FD activities, and to enable ongoing success of this educational model. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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43. Programmed neurocognitive training: proposal of a new approach.
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Pinto, Joana O., Dores, Artemisa R., Peixoto, Bruno, and Barbosa, Fernando
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EXECUTIVE function ,EVALUATION of human services programs ,MEDICAL information storage & retrieval systems ,SELF-management (Psychology) ,EVALUATION of organizational effectiveness ,COGNITION ,PSYCHOLOGY ,NEUROPSYCHOLOGICAL tests ,CONCEPTUAL structures ,CONCEPTUAL models ,IMPULSE control disorders ,COGNITIVE testing - Abstract
The efficacy studies of neurocognitive training have focused on the components of the programmes and general methodological questions, not presenting a rationale for the individualization of the intervention, even though this is an essential factor for efficacy. The main objective of this manuscript is to propose a framework for the individual planning of neurocognitive training sessions based on the results of neuropsychological assessment. The proposed framework is coined Branched Programmed Neurocognitive Training (BPNT). BPNT is based on the programmed learning approach and inspired on the Luria's neurocognitive model. The main premises of this framework are the interdependence and hierarchical organization of the cognitive functions, and the individualization of neurocognitive training with multiple patient-tailored paths. The BPNT framework provides guidelines for planning an individualized neurocognitive training in four stages. The potential advantages of this proposal are discussed at various levels, including the role of reward in neurocognitive training and the potential effects of the model on the maintenance and generalization of intervention results. The BPNT framework can be used as an algorithm for the development and adaptation of paper and pencil programmes, as well as computerized rehabilitation platforms. Studies are in place to examine the feasibility of this framework. Individualized neurocognitive training guided by neuropsychological assessment is most likely to be effective. Branched Programmed Neurocognitive Training (BPNT) model provides guidelines to organize the neurocognitive training based on the results of neuropsychological assessment. BPNT is based on the programmed learning model and the Luria neurocognitive model, addresses the role of reward in neurocognitive training and considers the fundamental principle of Errorless Learning. BPNT can be used as an algorithm for the development and adaptation of paper and pencil programmes and computerized rehabilitation platforms. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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- View/download PDF
44. Recovery from Addiction on a University Campus – a UK Perspective.
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Day, Ed and Trainor, Luke
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- *
STUDENT assistance programs , *SUBSTANCE abuse , *HUMAN services programs , *DRUG addiction , *UNIVERSITIES & colleges , *EVALUATION of human services programs , *CONVALESCENCE , *PSYCHOLOGY of college students , *ALCOHOLISM , *DRUG abusers - Abstract
Between 30 and 40% of 18-year olds in England, Wales and Northern Ireland enter tertiary education (university) each year. Young adulthood (ages 15 to 25) is the usual period in which problems with alcohol, drugs or other behaviors begin to emerge, and yet these issues have received limited study in the UK. Government policy dictates that a full continuum of treatment and recovery services should be available in each area of the country, but uptake of these services by university students appears to be limited. In this discussion paper we describe the background to, and components of, the Collegiate Recovery Program (CRP), an initiative that has grown rapidly in the USA in the past decade. We then describe how the first UK University-led CRP was set up, before outlining what has been learnt so far and the potential challenges facing this approach. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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- View/download PDF
45. Effects of rehabilitation exercise program types on dynamic balance in patients with stroke: a meta-analysis of randomized controlled trials.
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Han, Byumsuk, Lee, Jaewon, Yim, Sanghun, and Kim, Dongmin
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TORSO physiology ,EXERCISE physiology ,PHYSICAL therapy ,THERAPEUTICS ,RESEARCH funding ,EXERCISE therapy ,EVALUATION of human services programs ,META-analysis ,GAIT disorders ,SYSTEMATIC reviews ,MEDLINE ,VIRTUAL reality ,RESISTANCE training ,AQUATIC exercises ,STROKE patients ,QUALITY assurance ,DATA analysis software ,POSTURAL balance ,CARDIAC rehabilitation ,PHYSICAL activity - Abstract
Purpose: The purposes of meta-analysis are to evaluate evidence about the effects of Rehabilitation Exercise Program on the balance of post-stroke patients, evaluated by the Berg Balance Scale (BBS). Methods: The search was conducted 'stroke,' 'rehabilitation,' 'dynamic balance,' 'Berg Balance Scale,' 'exercise' and 'randomized controlled trial'using MEDLINE (accessed by PubMed), Web of Science (WoS), ProQuest, and Google Scholar for journal studies published from January 2018 to October 2022. Two independent reviewers performed the article selection, data extraction, and methodological quality assessment. The main outcome was dynamic balance assessed by the Berg Balance scale. Results: The review included 30 papers and a total of 540 patients. The overall effect size was 0.550, a medium effect size according to the Cohen's standard. It was observed that gender has moderate effect size in male (0.551), female (0.458) and higher in male. Exercise type results showed large effect sizes in balance training (0.966), and aquatic activities (0.830), moderate effect sizes in virtual reality (0.762), moderate effect sizes in physically active (0.581), gait training (0.541), dual-task (0.478), trunk control (0.284), and small effect sizes in resistance training (0.128). Conclusions: Exercise programs are effective in improving dynamic balance in stroke patients. Especially, the meta-analysis showed higher Effect Size for balance training and virtual reality than for other programs making this relevant interventions for future head to head superiority studies that compare different balance interventions in stroke. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
46. Skin Color Representation in Teaching Photographs: One Institution's Approach to Addressing Visual Racism in Medical Education.
- Author
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Le, Ha D. H., Sreekantaswamy, Shreya, Lind, Holly, Birdsall, Michael B., Jensen, Jenna, Foster-Palmer, Stormy C., Brintz, Ben J., Chow, Candace, Richards, Boyd, and Cipriano, Sarah D.
- Subjects
- *
EDUCATION of college teachers , *CURRICULUM , *MEDICAL education , *RESEARCH funding , *HUMAN services programs , *EDUCATIONAL outcomes , *TEACHING aids , *EVALUATION of human services programs , *PHOTOGRAPHY , *TEACHING methods , *COLOR vision , *SKIN , *RACISM , *ANTI-racism , *SURVEYS , *COLLEGE teacher attitudes , *COLOR , *PSYCHOLOGY of medical students , *STUDENT attitudes , *LEARNING strategies - Abstract
Problem: Visual racism refers to both the underrepresentation and inappropriate representation of darker skin types in medical education. By not teaching medical students and resident physicians to recognize common conditions in darker skin, it perpetuates biases that contribute to healthcare disparities for racial and ethnic minoritized groups. In this paper we describe our efforts to engage in institutional anti-racism work by addressing imbalances in representation of darker skin types in visual teaching images within our institution's curriculum. Intervention: We initially surveyed preclinical medical students regarding their perceptions of skin color representation in two courses. Researchers recorded the skin types of all teaching photographs in these courses in 2020. We then provided feedback and education to faculty, proposing that they increase brown and black skin color representation in educational content. During 2021, we reviewed the same courses and surveyed students again to ascertain the implementation and impact of our proposal. Context: We applied our intervention to two courses, Host & Defense (H&D) and Skin, Muscle, Bone, and Joint (SMBJ) since both courses utilize a large number of teaching images. Impact: From 2020 to 2021, both H&D and SMBJ significantly increased the proportion of visual teaching images that included darker skin types, with an increase from 28% to 42% in H&D and 20% to 30% in SMBJ. Significantly more students in the courses' 2021 iterations (73% in H&D, 93% in SMBJ) felt that lectures had appropriate representations of darker skin types when compared to students who took the course in 2020 (8% in H&D, 51% in SMBJ). Students in 2021 felt more confident in recognizing dermatological signs and symptoms in patients with darker skin than students in 2020. The majority of students in both 2020 and 2021 reported wanting to see a gradient of skin types for every dermatological condition discussed. Lessons learned: Our work suggests that addressing visual racism can be achieved partly by setting expectations for increased visual representation, collaborating across educational departments, and establishing clear metrics for assessing implementation. Future interventions will require a continual feedback loop of monitoring learning material, assessing faculty and student perception, refining resources, and recommending revisions to improve visual representation across the entire curriculum. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
47. The Development and Evaluation of a Pediatric Interprofessional Education (IPE) Experience for Occupational and Physical Therapy Graduate Students.
- Author
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Liotta-Kleinfeld, Lorry, Darr, Nancy, Lemmonds, Tamara, and Plummer, Teresa
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PHYSICAL therapy students ,EVALUATION of medical care ,OCCUPATIONAL therapy students ,EVALUATION of human services programs ,MANN Whitney U Test ,REGRESSION analysis ,HUMAN services programs ,PRE-tests & post-tests ,LEARNING strategies ,INTERPROFESSIONAL relations ,PROFESSIONAL competence ,INTELLECT ,DESCRIPTIVE statistics ,QUESTIONNAIRES ,SCALE analysis (Psychology) ,STUDENT attitudes ,INTERDISCIPLINARY education ,CURRICULUM planning ,DATA analysis software ,STATISTICAL models ,LONGITUDINAL method - Abstract
Interprofessional competence is needed to improve health care outcomes. The aim of this paper is to describe the development of theoretically grounded interprofessional education (IPE) experiences to advance interprofessional competencies for occupational and physical therapy doctoral students. In addition, a pretest/postest survey was designed to determine the participants' perceptions of knowledge attainment, roles, and attitudes. Two cohorts of students (N = 115) completed surveys pre and post IPE experiences. Statistically significant changes were found on perception of roles and knowledge attainment. Additional studies are needed to determine if IPE leads to behavioral changes in practice and improves patient outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
48. Outcomes from a pilot study to evaluate Phase 1 of a two-phase approach to treat women with complex trauma histories.
- Author
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de Boer, Kathleen, Arnold, Chelsea, Mackelprang, Jessica L., Williamson, Danielle, Eckel, David, and Nedeljkovic, Maja
- Subjects
WOUND care ,PILOT projects ,EVALUATION of human services programs ,CONVALESCENCE ,QUANTITATIVE research ,POST-traumatic stress disorder ,INTERVIEWING ,PSYCHOEDUCATION ,PHENOMENOLOGY ,SELF-efficacy ,PSYCHOLOGY of women ,MENTAL depression ,DESCRIPTIVE statistics ,RESEARCH funding ,ANXIETY ,THEMATIC analysis ,PSYCHOLOGICAL stress ,GROUP psychotherapy - Abstract
Despite few studies assessing the effectiveness of phase-based interventions for treating complex trauma symptoms, such approaches have been endorsed by experts as a first-line intervention. The aim of this study was to evaluate Phase 1 of the Women's Trauma Recovery Program, a phase-based intervention for women who have experienced complex trauma. Quantitative assessments of posttraumatic stress, depression, anxiety and stress (baseline and Week 10) are reported for 11 participants. Six women also participated in qualitative interviews regarding their experience of the program. Descriptive statistics and interpretive phenomenological analysis were used to analyse quantitative and qualitative data, respectively. Four of nine participants with probable PTSD at baseline were asymptomatic at Week 10. Three superordinate themes were generated from the interview data: (1) Empowerment: the experience in Phase 1, (2) Recovery: an ongoing process, and (3) "Hey, I'm human": connection through shared experience. Phase 1 of the program demonstrated promising findings in terms of symptom improvement. Furthermore, participants perceived it as an empowering experience. The group modality enabled women to create connections that validated and normalised their experiences. Future studies of phase-based interventions with larger, well-powered samples are needed. What is already known about this topic: (1) Phase-based approaches are a recommended treatment option for individuals with complex trauma histories. Despite this, little research has examined such treatments for women who have experienced complex trauma. (2) Phase-based approaches assume that individuals who have experienced complex trauma may benefit from a period of safety and stabilisation, to develop the required coping skills to engage in trauma memory processing. (3) Capitalising on the Australian Medicare Rebate Scheme, combining a group phase and individual phase may reduce the cost burden for clients and enable clients to experience benefits unique to group and individual modalities. What this topic adds: (1) This paper presents Australian-first findings regarding the outcomes of the initial phase of a phase-based approach to treat women with complex trauma. (2) Phase 1 of the Women's Trauma Recovery Program, delivered in a group format, was associated with decreases in mental health symptoms for most participants and was perceived as empowering experience that facilitated interpersonal connections. (3) Using a group intervention as phase 1 of phase-based approaches may be an acceptable, effective, and cost-effective option for women with complex trauma histories. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
49. The Back to Back Theatre film internship program for people with intellectual disability: A summative evaluation.
- Author
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Dew, Angela, Murfitt, Kevin, Wellington, Monica, and Gaskin, Cadeyrn J.
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EMPLOYMENT of people with disabilities ,EVALUATION of human services programs ,HOSPITAL medical staff ,CONFIDENCE ,RESEARCH methodology ,INTERVIEWING ,MENTORING ,INTERNSHIP programs ,ABILITY ,TRAINING ,HUMAN services programs ,THEMATIC analysis ,VOCATIONAL rehabilitation ,PERFORMING arts ,INDUSTRIAL research ,SUPPORTED employment - Abstract
Internships may be a successful pathway for increasing employment rates among people with intellectual disability. This paper presents a summative evaluation of a brief film internship program for people with intellectual disability. At the commencement and conclusion of the internship, semi-structured interviews were conducted with eight interns and 10 mentors. The interview material was analysed thematically. Five themes described the experiences of interns: enhancing intern skill development and recognising gaps, building intern confidence, providing interns with assistance, meeting interns' expectations of the program, and working towards ongoing employment. Four themes were present in the discussions with mentors: drawing on previous experience with people with disability and mentoring roles, feeling confident in a mentor role, providing mentors with support, and reflecting on interns' future job prospects. Although the program developed interns' skills and confidence, an expanded program appears needed to generate open employment outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
50. Program evaluation of a new interprofessional geriatrics curriculum for advanced practice nursing and master of social work learners.
- Author
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Pfeifle, Andrea, Glassburn, Susan, Frank, Kathryn, Fulton, Janet S., Garrison, Emilie, Bo, Na, Tong, Yan, and Litzelman, Debra
- Subjects
NURSING education ,EVALUATION of human services programs ,GERIATRICS ,HEALTH occupations students ,CURRICULUM ,ABILITY ,TRAINING ,MASTERS programs (Higher education) ,RESEARCH funding ,INTERPROFESSIONAL relations ,INTERDISCIPLINARY education ,SOCIAL work education ,STUDENT attitudes ,ADVANCED practice registered nurses ,ELDER care ,BEHAVIOR modification - Abstract
The Indiana Geriatrics Workforce Enhancement Program (GWEP) implemented a new longitudinal geriatrics curriculum for advanced practice registered nurse (APRN) and master of social work (MSW) learners to prepare them for interprofessional collaborative practice in the care of older adults. This paper reports program outcomes of a novel longitudinal interprofessional geriatrics curriculum involving immersive learning for these learners. Outcomes are described in terms of learner reaction, modification of attitudes/perceptions, acquisition of knowledge/skills, behavior change, impact on the organization, and impact on the patient or client using the Freeth/Kirkpatrick evaluation model. Program participation influenced graduates' knowledge of and their perceived ability to participate in team care and job selection in geriatric-focused positions. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
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