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Objectives People with SSc often experience fatigue, which significantly affects daily life functioning and quality of life. We aimed to explore participants' experiences of a peer health–coached resilience-building energy management to enhance well-being (RENEW) intervention on symptoms and well-being and to use mixed methods to compare how SSc duration influenced the experiences of participants who had clinically significant fatigue improvement vs those who did not. Methods Semi-structured interviews were conducted with 21 participants from the parent clinical trial randomized to the RENEW intervention. Data were analysed using the rigorous and accelerated data reduction technique combined with thematic content analysis. A mixed methods approach used a joint display to identify themes related to the impact of SSc duration on fatigue improvement status. Participants were categorized into short/improvement, short/limited improvement, long/improvement, and long/limited improvement. Results Our team generated four themes: participant and peer health–coach relationship, physical and psychological well-being improvement, need for a tailored approach and easy program access through technology. Mixed methods analysis revealed that, regardless of SSc duration, participants with improved fatigue reported increasing self-awareness of SSc-related symptoms and learning coping strategies to manage fatigue. Participants in the short/improvement group reported preferences for slower pacing of the program and pairing with a coach with similar symptom severity. Participants in the long/limited improvement group sought SSc-specific symptom management information. Conclusion Incorporating peer health coaches and technology is beneficial for self-management interventions for people with SSc. Future tailoring of RENEW based on SSc duration and symptom severity is needed. Clinical trial registration number clinicatrials.gov , NCT04908943. [ABSTRACT FROM AUTHOR]

This article provides an overview of various research training courses and programs in the social and behavioral research field. It discusses the evaluation and updating of a course on community and stakeholder engagement, which was well-received by participants. The article also highlights the importance of incorporating best practices for community engagement into research training. Additionally, it includes a list of references to articles and reports related to clinical and translational research, covering topics such as diversity, inclusion, and the impact of the COVID-19 pandemic on research training. Lastly, the article examines a breakout session focused on advancing diversity, equity, and inclusion in clinical and translational science training programs, offering valuable insights for promoting inclusivity in the field. [Extracted from the article]

The patterns of unit nonresponse to studies among older adults in Japan were analyzed using maximum likelihood regression anaysis. Older men in large urban areas had a higher probability of nonresponse as compared to women and those with ages from 60 to 70 years. Analysis of groupings according to reasons for nonresponse such as refusal, not-at-home, and other reasons, did not show any patterns.

The present study examined longitudinal change in everyday task competence in a sample of 102 community-dwelling older adults from central Pennsylvania. Subjects were assessed on cognitive abilities, intellectual control beliefs, and everyday task competence in 1979 and 1986. The results indicated significant mean level decline on everyday task competence. However, wide individual differences were apparent in the timing and rate of decline; 62% of the sample remained stable or improved in competence over this seven-year period. Structural equation analyses were conducted to examine lagged relationships among the ability, intellectual control, and everyday task competence constructs. Fluid reasoning ability was a significant longitudinal predictor of subsequent everyday task competence. Everyday task competence was a significant longitude predictor of subsequent self-efficacy beliefs regarding intellectual aging. The results suggest that mean level decline in everyday task competence may not represent the intraindividual developmental trajectory of subjects. Prior level of fluid ability influences subsequent everday task competence, and prior level of everyday task competence influences levels of self-efficacy beliefs.

Introduction: Community health workers and promotoras (CHW/Ps) increasingly support research conducted in communities but receive variable or no training. We developed a culturally and linguistically tailored research best practices course for CHW/Ps that can be taken independently or in facilitated groups. The purpose of this study was to evaluate the facilitated training., Methods: CHW/Ps were recruited from communities and partners affiliated with study sites in Michigan, Florida, and California. They participated in virtual or in-person training facilitated by a peer in English or Spanish and then completed a survey about their abilities (i.e., knowledge and skills for participating in research-related work) and perceptions of the training. Linear regression analyses were used to examine differences in training experience across several factors., Results: A total of 394 CHW/Ps, mean age 41.6 ± 13.8 years, completed the training and survey ( n = 275 English; 119 Spanish). Most CHW/Ps were female (80%), and 50% identified as Hispanic, Latino, or Spanish. Over 95% of CHW/Ps rated their abilities as improved after training; 98% agreed the course was relevant to their work and felt the training was useful. Small differences were observed between training sites., Discussion: Most CHW/Ps rated the training positively and noted improved knowledge and skills for engaging in research-related work. Despite slight site differences, the training was well received, and CHW/Ps appreciated having a facilitator with experience working in community-based settings. This course offers a standard and scalable approach to training the CHW/P workforce. Future studies can examine its uptake and effect on research quality., Competing Interests: None., (© The Author(s) 2024.)