Completion Of Program Research Articles

The two-spirit, lesbian, gay, bisexual, transgender, queer, and other sexual and gender identity curriculum in Canadian Dental Schools: What are the gaps and proposed next steps?

This study aimed to investigate gaps in the delivery of two-spirit, lesbian, gay, bisexual, transgender, queer, and other sexual and gender identity (2SLGBTQ+) curricula and identify curricular challenges within Canadian dental schools. A 21-item closed-ended questionnaire was distributed to curriculum experts across 10 dental schools in Canada. The survey questions were organized into three sections: institution characteristics, current 2SLGBTQ+ content and delivery, and opinions on the improvement of the 2SLGBTQ+ curriculum. Microsoft Excel (2020) was used to perform a descriptive analysis of the survey responses. Nine dental schools participated in the survey. All participating schools reported the offering of undergraduate, graduate, and degree completion programs. The most reported methods of teaching 2SLGBTQ+ content were 'lecture-based teaching' (n=5), 'small-group teaching' (n=4), and 'case-based discussions' (n=4). The most common topics taught were 'gender identity' (n=7) and '2SLGBTQ+ discrimination in healthcare care settings' (n=7). The topics of 'sex reassignment surgery,' 'alcohol, tobacco, or other substance use by 2SLGBTQ+ people,' '2SLGBTQ+ pediatric and adolescent oral health issues,' 'coming out,' and 'sex reassignment surgery' were not included or were unknown by the majority of dental schools (n=8). Overall, participants were unsatisfied with the level of 2SLGBTQ+-specific content covered at their institution and reported a 'lack of space within the curriculum and time constraints' as a barrier to implementation (n=8). Community-based research is needed to identify the unmet oral health needs of the 2SLGBTQ+ population, which can be translated into the development of a risk-based oral health curriculum within Canada and beyond.

Youth Suicide Prevention Programming among the Mississippi Band of Choctaw Indians: Effects of the Lifelines Student Curriculum.

Suicide continues to be a leading cause of mortality for young people. Given persistent intersecting forms of disadvantage, Native American adolescents are especially vulnerable to mental health adversities and other suicide risk factors. The Mississippi Band of Choctaw Indians (MBCI) implemented the Choctaw Youth Resilience Initiative (CYRI), a five-year SAMHSA-funded project that began in 2019. This study uses Choctaw student pre-test/post-test survey data to examine the effectiveness of the Hazelden Lifelines Suicide Prevention Training curriculum for youth. A lagged post-test design was used, whereby post-surveys were administered at least one month after program completion. Several intriguing results were observed. First, the lagged post-test model was subject to some pre-to-post attrition, although such attrition was comparable to a standard pre/post design. Second, analyses of completed surveys using means indicated various beneficial effects associated with the Lifelines curriculum implementation. The greatest benefit of the program was a significant change in student perceptions concerning school readiness in response to a suicidal event. Some opportunities for program improvement were also observed. Our study sheds new light on suicide prevention training programs that can be adapted according to Native American youth culture. Program implementation and evaluation implications are discussed in light of these findings.

Cognitive learning about forests: the key role of environmental attitude

ABSTRACT For young people, schools are platforms for learning and strengthening competencies about nature preservation; despite being faced with the same learning opportunities, learning outcomes are very heterogeneous. We were interested in environmental knowledge gains and retention after participation in a student-centred learning programme, and in environmental attitudes’ role in knowledge acquisition. 261 students participated in a 90-minute programme about the forest ecosystem and related sustainability topics. Our 8-station in-classroom module relied on a collaborative, hands-on, and autonomy-supportive learning approach. We measured knowledge three times: before the programme (pre-test), right after programme completion (post-test), and six weeks after programme completion to test long-term performance (retention test), using the Rasch model. Knowledge scores increased in the post-test and decreased in the retention test but remained significantly above pre-test scores. Environmental attitude had a considerable effect on knowledge scores of each test time, though effects on pre- and retention scores were larger. This indicates that students with positive attitudes knew more before the programme and retained more knowledge over time. Interestingly, the retention scores of those with the most positive attitudes exceeded their post-programme scores, which suggests further immersion into the topic, rendering attitude a probable and promising lever for long-term knowledge acquisition.

Qualitative study of the experiences of individuals who did not complete the NHS Low Calorie Diet Programme Pilot

Background: Attrition remains a significant public health challenge as individuals who do not complete programmes are likely to have poorer programme outcomes. On calorie- restricted diets, including the NHS Low Calorie Diet (LCD) Programme pilot, approximately 50% of people are discharged prematurely, and thus do not complete the programme. Reducing attrition therefore has the potential to improve programme efficacy, impact and cost-effectiveness. Methods: Ten semi-structured interviews were conducted with purposively sampled individuals who did not complete the NHS LCD programme. Interviews explored service user experiences of the programme and experiences of being discharged. Interview data were analysed thematically. Results: Four core themes were identified: 1) the pre- programme struggles of service users and their route to LCD; 2) a positive and impactful programme; 3) life gets in the way; and 4) a perceived lack of support from the provider. These findings show that individuals had pre-programme struggles and a series of life events that constrained their good intentions, and whilst they were positive about the programme, they were critical of the support they received from providers to deal with their life circumstances. Conclusions: Policy makers and providers can act proportionately to ensure that programmes, such as the NHS LCD Programme pilot, recognise the circumstances and context of people’s lives, and take a more person-centred approach.

Size Optimization of Truss Structures Based on Genetic Algorithm by Developing Single-point Crossover with Bit-wise Mutation Using FORTRAN Programming

A truss is a collection of axially loaded structural elements connected through pin joints. Optimization of truss structures indicates the determination of best possible conditions that are necessary for achieving the most economical design in terms of lowest possible weights of the truss elements. According to recent studies, Size, Topology and Shape based optimizations are the three possible independent optimization scopes for finding the optimum weight of a truss. The current study focuses on the size optimization of truss structure and aims to identify the most cost-effective sections of the truss using a powerful evolutionary optimization technique named as Genetic Algorithm (GA). Here single point cross over method and bit wise mutation operator are adopted for expanding the search space with the assigned displacement and stress constraints. Fortran based sub routines are developed for each individual steps of GA such as fitness evaluation, selection, cross-over and mutation. Finaly the complete program is run for validation of its outcome. While comparing with the solution of an existing literature regarding a minimization of objective function having two design variables the outcomes tend to show a good correlation. Further, the study is extended for the weight minimization of two widely used truss having 10 members and 17 members respectively with standard Finite Element Method of analysis. Minimum weight of each truss is obtained via convergence plot and compared with the existing literatures. With this simple but efficient global optimization technique optimum weight of truss structure can easily be achieved.

Autonomic impairment is not explained by neurological level of injury or motor-sensory completeness.

Cross-sectional study. Determine how well common clinical assessments of level and completeness of injury are correlated with symptoms of autonomic blood pressure instability and secondary medical complications after spinal cord injury (SCI). Academic medical center, United States. Eighty-two individuals with (n = 48) and without (n = 34) SCI had symptoms of autonomic blood pressure instability quantified with the Autonomic Dysfunction Following SCI (ADFSCI) survey. Health histories quantified the secondary medical complications through number of urinary tract infections and hospitalizations in the past year, time to complete bowel program, and lifetime pressure injuries. Regression models were completed to identify strengths of associated correlations. ADFSCI scores were significantly higher in individuals with SCI than controls. Neurological level of injury and ASIA impairment scale were both minimally correlated to symptoms of autonomic blood pressure instability, accounting for only 11.5% of variability in regression models. Secondary medical complications had similar, minimal correlations to level and motor/sensory completeness of SCI (R2 = 0.07 and R2 = 0.03 respectively). Contrasting this, symptoms of blood pressure instability on ADFSCI far outperformed the common clinical motor/sensory bedside exam, with moderately strong correlations to the ranked number of secondary medical complications after SCI (R2 = 0.31). Neurological level of injury and motor/sensory completeness provided limited insights into which individuals with SCI would have blood pressure instability or secondary medical complications. Interestingly, symptoms of blood pressure instability outperform the clinical motor/sensory bedside exam, with higher correlations to secondary medical complications after SCI.

Improvements from a small-group multidisciplinary pain self-management intervention for women living with pelvic pain maintained at 12 months.

A small-group multidisciplinary pain self-management program for women living with pelvic pain, with or without endometriosis, was developed to address identified unmet treatment needs. Following completion, over 80% of participants demonstrated clinically significant improvement across a number of domains. There was no clinically significant deterioration on any measure and benefits continued at three months follow-up. This study examines patient-reported outcomes at 12 months following program completion to ascertain maintenance of these improvements. Self-report measures assessed quality of life across the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials domains prior to, at completion and 12 months following participation. At 12 months follow-up, improvement was seen in mean group scores for all baseline measures for 57% of participants who returned valid 12-month follow-up data, with clinically significant improvement seen for within-subject scores for 50% of these participants for pain severity and also for pain-related activity interference. Improvements were also reported in key predictors of long-term outcomes, pain self-efficacy and catastrophic worry, with 92% reporting improvement in each of these two constructs. There were 83% of respondents who reported feeling both improvement in overall sense of wellbeing and improvement in their physical ability compared to before the program. Results suggest that a six-week multidisciplinary small-group intervention increases participants' abilities to self-manage pain and improves quality of life with lasting clinically significant improvements.

Weight Loss in Short-Term Interventions for Physical Activity and Nutrition Among Adults With Overweight or Obesity: A Systematic Review and Meta-Analysis.

Reaching, enrolling, and retaining participants in lengthy lifestyle change interventions for weight loss is a major challenge. The objective of our meta-analysis was to investigate whether lifestyle interventions addressing nutrition and physical activity lasting 6 months or less are effective for weight loss. We searched for peer-reviewed studies on lifestyle change interventions of 6 months or less published from 2012 through 2023. Studies were screened based on inclusion criteria, including randomized controlled trials (RCTs) for adults with overweight or obesity. We used a random-effects model to pool the mean difference in weight loss between intervention and control groups. We also performed subgroup analyses by intervention length and control type. Fourteen RCTs were identified and included in our review. Half had interventions lasting less than 13 weeks, and half lasted from 13 to 26 weeks. Seven were delivered remotely, 4 were delivered in person, and 3 used combined methods. The pooled mean difference in weight change was -2.59 kg (95% CI, -3.47 to -1.72). The pooled mean difference measured at the end of the intervention was -2.70 kg (95% CI, -3.69 to -1.71) among interventions lasting less than 13 weeks and -2.40 kg (95% CI, -4.44 to -0.37) among interventions of 13 to 26 weeks. Short-term multicomponent interventions involving physical activity and nutrition can achieve weight loss for adults with overweight or obesity. Offering short-term interventions as alternatives to long-term ones may reach people who otherwise would be unwilling or unable to enroll in or complete longer programs.

EXPERIENCES OF UNDERGRADUATE HEALTH COMPLETION STUDENTS IN SOCIAL WORK UNDERGRADUATE DEPARTMENTS

With this research, within the scope of the undergraduate completion program in health initiated by High Education Board in 2015, 19 qualitative semi-structured in-depth interviews were conducted with snowball sampling in order to determine the experiences of undergraduate completion students placed in social work departments of state universities. There is not enough research on the experiences and problems of the students in this context. Therefore, the experiences of students in this context are important for the future of social work education. It was observed that social work students within the scope of the undergraduate completion program chose the department consciously and knew about social work. However, it has been revealed that undergraduate completion students have difficulties in their education life, find the lessons difficult, and encounter prejudiced attitudes and behaviors of their classmates and academic staff. In order for social work education to be inclusive and free from discrimination and prejudice due to the focus of the profession, it is recommended that research and improvement activities be carried out with undergraduate completion students and lecturers.

Rural Jail Reentry Non-Clinical Case Management: An Examination of the Middle Tennessee Rural Reentry (MTRR) Program

This study evaluates the Middle Tennessee Rural Reentry (MTRR) program. MTRR is a rural reentry program funded by the Bureau of Justice Assistance that uses non-clinical case managers. Specifically, the program provided non-clinical case management and services to 144 medium and high-risk offenders released from a rural county correctional facility for up to 12 months after incarceration. Fully 56.9% of offenders completed the program, with 52.8% recidivating (i.e., arrest and revocation of supervision). Program completion did not have a statistically significant impact on recidivism. Moreover, females who participated in the program had a significantly lower overall likelihood of recidivism than when compared to male participants. Additional findings and policy implications for rural jail programs are also discussed.

Breastfeeding Support for Minority Women Postdischarge: A Pilot Program

Objective:Human milk is the preferred source of nutrition for infants in their first 6 months of life. A majority of American women will initiate breastfeeding, but many will not continue due to the many challenges that arise, creating a significant gap between initiation and the long-term exclusivity rate. This quality improvement project aimed to increase postpartum lactation support encounters, fostering the mother’s knowledge and self-efficacy, which are known predictors for breastfeeding success.Methods:Program participants received proactive lactation support via telephone every 24–72 hours throughout the first 2 weeks postpartum. Breastfeeding knowledge, self-efficacy, and exclusivity pre- and postprogram were assessed.Results:All outreach attempts to participants were made as planned. Eight out of 20 enrolled participants completed the program and maintained breastfeeding exclusivity at 2 weeks. Breastfeeding knowledge scores were significantly higher at the completion of program compared with preprogram scores. Pre- and postprogram breastfeeding self-efficacy scores were not statistically significantly different; however, the mean was high for all participants, exceeding 65 both pre- and post-program.Conclusions:Transferrable knowledge from this quality improvement project will support sustainable improvement of lactation support across other institutions.

Registered Nurse to Baccalaureate Completion Program: Student’s Perceptions of Online Faculty Caring Behaviors

The concept of caring is foundational in nursing and nursing education. A replication study was conducted to describe faculty behaviors of caring identified by nursing students enrolled in an online Registered Nurse Baccalaureate Completion Program in the fall of 2022. The Student Perspectives Online Survey was distributed to students to identify and rank faculty caring behaviors. Three themes including empathy, individualized/timely feedback, and clear communication emerged. The results of this study validate previous study results that identifying and integrating pivotal online caring behaviors assist faculty to increase connectiveness to nursing students.

ELECTRONIC VOTING USING DECENTRALIZED SYSTEM BASED ON ETHEREUM BLOCKCHAIN

Electronic Voting Using Decentralised System Based On Ethereums Blockchain is a system made in the form of application used for Electronic Voting. This is done to solve the current problem on conventional electronic voting system where the integrity of the data can not be as certain and the result of the vote can be tampered malicious actors. To solve this problem, an electronic voting system will be built that store the data of election results on blockchain to ensure the integrity of the data. The creation of the system involves using the Solidity language, a Turing Complete programming language used on Ethereum. Source code that will be run will rst need to be compiled into Bytecode, which will then in turn run on Ethereum Virtual Machine. The finished program will then be decentralised using Blockchain. KEYWORDS – Blockchain, Decentralised System, Electronic Voting, Ethereum, Smart Government

Picking Apart a Program Evaluation Committee: A Multiple Case Study Characterizing Primary Care Residency Program Evaluation Committee Structure, Program Improvement, and Outcomes.

As of 2014, the Accreditation Council for Graduate Medical Education (ACGME) mandates initiating a Program Evaluation Committee (PEC) to guide ongoing program improvement.However, little guidance nor published reports exist about how individual PECs have undertaken this mandate. To explore how four primary care residency PECs configure their committees, review program goals and undertake program evaluation and improvement. We conducted a multiple case study between December 2022 and April 2023 of four purposively selected primary care residencies (e.g., family medicine, pediatrics, internal medicine). Data sources included semi-structured interviews with four PEC members per program and diverse program artifacts. Using a constructivist approach, we utilized qualitative coding to analyze participant interviews and content analysis for program artifacts. We then used coded transcripts and artifacts to construct logic models for each program guided by a systems theory lens. Results: Programs adapt their PEC structure, execution, and outcomes to meet short- and long-term needs based on organizational and program-unique factors such as size and local practices. They relied on multiple data sources and sought diverse stakeholder participationto complete program evaluation and improvement. Identified deficiencies were often categorized as internal versus external to delineate PEC responsibility, boundaries, and feasibility of interventions. The broad guidance provided by the ACGME for PEC configuration allows programs to adapt the committee based on individual needs. However, further instruction on program evaluation and organizational change principles would augment existing PEC efforts.

149 Leadership Development for Women in Academic Medicine: Impact of Leader Self-Efficacy Change and Sustainability Over Time

OBJECTIVES/GOALS: Our objective was to evaluate the FLEX Leadership Development Program for School of Medicine Women Faculty affiliated with 4 independent hospital systems throughout Northern Ohio to determine whether women faculty develop leader self and means efficacy. We also examined whether self-efficacy is sustained over time following program completion. METHODS/STUDY POPULATION: We did a prospective multiple cohort study to determine whether FLEX Program graduates develop and sustain leader self and means efficacy as measured by the Leader Efficacy Questionnaire (LEQ) (Hannah & Avolio, 2012). The LEQ assesses both leader confidence in their capabilities (self-efficacy) and the availability of sufficient external resources (means efficacy) to achieve their goals. We surveyed participants from 5 FLEX cohorts (2017-2021) using a pre-, post-, and 1-year follow-up LEQ, which allowed each participant to act as their own control subject, pre-test, and experimental post-test. The follow-up tested whether the change from pre- to post-test was sustained over time. The comparison group was non-participant women faculty from the same institutions over a similar 2-year period. RESULTS/ANTICIPATED RESULTS: Diverse FLEX graduates from 5 different cohorts showed highly significant increases in pre- to post-program leader self-efficacy which were sustained up to one year after program completion. Overall leader efficacy as well as its three component sub-constructs (action-, means- and self-regulation- efficacy) all significantly increased equally, suggesting both that the FLEX program had robust effects on its participants, and all aspects of leader efficacy improved. We observed a mildly significant decrease at 1-year follow-up in the overall LEQ, which appeared to be driven entirely by the leader means efficacy. The large comparison group of women faculty did not show any significant changes in leader self-efficacy over a comparable 2-year period. DISCUSSION/SIGNIFICANCE: FLEX confers sustainable gains in leader self-efficacy. Post-program self-efficacy decreases are driven by the leader means efficacy which measures how work environments affect their leadership. This suggests that institutions must take responsibility for making structural changes to improve the working environment for women leaders.

117 Applying the Competency Index for Clinical Research Professionals (CICRP) for Educational Program Evaluation

OBJECTIVES/GOALS: To demonstrate the value of the Competency Index for Clinical Research Professional (CICRP) as a tool in program evaluation using a pre- and post- design to evaluate student perceived self-efficacy in clinical trial competencies at program entry and at program completion. METHODS/STUDY POPULATION: Using a separate-sample pre-post study design, we administered the CICRP questionnaire to students in the entry and exit courses of the Master of Clinical Research (MCR) Program during the 2021-2022 academic year, using QualtricsTM (Provo, Utah) survey instrument for use on desktop or mobile device. We included the 20 CICRP competency items asking students to rate their self-efficacy in performing each item using a Likert Scale (from 0-10) (0=not at all confident; 10= extremely confident). Links to the survey were included in the courses for the foundational entry course and for the final culminating project course. RESULTS/ANTICIPATED RESULTS: Overall, 54 students took the CICRP during the entry course and 56 during the exit. Cronbach’s alpha for each assessment ranged from 0.93 to 0.98. Both the Welch’s two-sample t-test and Wilcoxon rank-sum test show very significant differences between the group of students entering the program and leaving the program (p value < 0.001). A significant increase in mean CICRP total score is seen at each experience level between program entry and program exit (p<0.001) A linear regression, adjusting for available covariates, individuals taking the exit course have a mean CICRP total score 92.690 (p value < 0.001) higher than individuals taking the entry course. DISCUSSION/SIGNIFICANCE: Competency indices have been used to measure self-efficacy in translational research scientists, thus the use of CICRP to measure self-efficacy can be useful in assessing whether our competency-based program is meeting the JTF Competency needs of students.

Weight management in rural health clinics: Results from the randomized midwest diet and exercise trial.

Rural living adults have higher rates of obesity compared with their urban counterparts and less access to weight management programs. Previous research studies have demonstrated clinically relevant weight loss in rural living adults who complete weight management programs delivered by university affiliated interventionists. However, this approach limits the potential reach, adoption, implementation, and maintenance of weight management programs for rural residents. Weight management delivered through rural health clinics by non-physician clinic associated staff, for example, nurses, registered dieticians, allied health professionals, etc. has the potential to improve access to weight management for rural living adults. This trial compared the effectiveness of a 6-month multicomponent weight management intervention for rural living adults delivered using group phone calls (GP), individual phone calls (IP) or an enhanced usual care control (EUC) by rural clinic associated staff trained by our research team. Rural living adults with overweight/obesity (n=187, age∼50years 82% female, body mass index ∼35kg/m2) were randomized (2:2:1) to 1 of 3 intervention arms: GP, which included weekly∼45min sessions with 7-14 participants (n=71), IP, which included weekly∼15min individual sessions (n=80), or EUC, which included one-45min in-person session at baseline. Weight loss at 6months was clinically relevant, that is, ≥5% in the GP (-11.4kg, 11.7%) and the IP arms (-9.1kg, 9.2%) but not in the EUC arm (-2.6%, -2.5% kg). Specifically, 6month weight loss was significantly greater in the IP versus EUC arms (-6.5kg. p≤0.025) but did not differ between the GP and IP arms (-2.4kg, p>0.025). The per participant cost per kg. weight loss for implementing the intervention was $93 and $60 for the IP and GP arms, respectively. Weight management delivered by interventionists associated with rural health clinics using both group and IP calls results in clinically relevant 6months weight loss in rural dwelling adults with overweight/obesity with the group format offering the most cost-effective strategy. Clinical trial registration: ClinicalTrials.gov (NCT02932748).

β-crosslaps in knee osteoarthritis – assessment and rehabilitation

Abstract: The bone turnover is important for the progression of osteoarthritis. The C-terminal telopeptide of type I collagen, β-CrossLaps (β-CTx) is considered as the first-choice bone resorption markers. Today, the biochemical markers have been associated with pain and disease severity in knee osteoarthritis (KOA) patients. We studied the association between β-CTx and functional status in KOA patients, pre- and postrehabilitation program. The primary goals of our study are both to establish the correlation between the serum level of β-CTx and other parameters of clinical and functional status in KOA patients and to compare the CTX-I values before and after rehabilitation program. We respected the actual international management recommendations for KOA. A total of 130 patients were randomly allocated into two distinct groups: Study Group (SG = 90 patients) performed 10 sessions of complete rehabilitation program (magnetodiaflux, transcutaneous nerve stimulation, ultrasound and low intensity laser treatment, kinetic measures), and Control Group (CG = 40 patients) performed 10 sessions of kinetic program. Both programs were performed daily, 5 days/week, 2 weeks. Evaluation of patients was carried out in two stages - initial (T1) and after 3 months (T2). Comparing the initial values with the final ones for β-CTx, we noticed a high significant difference between initial and final values only in SG patients. For the both T1 and T2 moments, there was no a statistically significant difference between β-CTx values from the two groups. Analyzing the differences between the values of clinical parameters (Six Minutes Walking Test, Timed Up-and-Go test, walk cadence and Symmetry index in walk) obtained between the patients from the two groups, we noticed that, for the T2 moment, there was a statistically significant difference between studied parameters, except walk cadence. In the assessment of global KOA patient status (clinical and functional status in accordance with bone-cartilage interface dynamics), β-CTx has significant value and could be used for monitoring the individualized rehabilitation program.

Estimating the Effect of Engagement in Community-Based Going-Out Program on Incidence Disability in Older Adults

ObjectivesAlthough going out has been reported to be associated with the incidence of disability, few studies have investigated the effect of community-based programs to promote going out on the incidence of disability. This study aimed to estimate the effects of a program fostering going-out on the incidence of disability in community-dwelling older adults. DesignLongitudinal, observational study. Setting and ParticipantsNonengaged (n = 1086) and engaged older adults (n = 1086) enrolled in the National Center for Geriatrics and Gerontology Study of Geriatric Syndrome by using a one-to-one nearest neighbor propensity score–matching scheme. MethodsAfter the baseline assessments, participants in the community-based going-out program received a specialized physical activity tracker, monitored their daily physical activity, and received personalized feedback on going out to community facilities with a system for reading the device for 12 months. Disability onset was defined as a new case of long-term care under the public insurance certification in Japan within 48 months of program completion. The absolute risk reduction and the number needed to treat for the incidence of disability were calculated for the nonengaged and engaged groups. Cox proportional hazard regression analysis, using inverse probability weighting was used to obtain the hazard ratio. ResultsDisabilities occurred in 112 individuals in the matched nonengaged group and 51 individuals in the engaged group. The absolute risk reduction was 5.67% (95% CI 3.46%-7.88%). The number needed to treat was 18 (95% CI 13-29). The hazard ratio, with the nonengaged group as the reference, was 0.49 (95% CI 0.36-0.67). Conclusions and ImplicationsThis longitudinal observational study suggested that a community-based program could prevent 1 disability in every 18 participants. This program does not require a professional instructor, only the distribution of devices and system installation, and it could be beneficial as a population-based approach to preventing disabilities.

Correlation study of climate variability, population density, altitude, and low birth-weight rates on the incidence of children pneumonia in Bogor Regency

Purpose: This study aims to analyze the correlation between climate variability (temperature, humidity, rainfall, sunshine duration, and wind speed), population density, altitude, and low birth weight (LBW) rate on the incidence of under-five years old children with pneumonia. Methods: This research uses a combination study design based on place and time (mixed design ecological study). Results: There was no significant relationship between climate variability and lag effect of 0-2 months with the number of under-five pneumonia cases in Bogor Regency in 2018-2022, as well as the altitude variable (p=0.0619). Meanwhile, the variables of population density (r-value = 0.439) and LBW rate (r-value = 0.338) showed a positive correlation with the number of under-five pneumonia cases in Bogor Regency. Conclusion: This research shows the incidence of pneumonia among under-fives in Bogor Regency is influenced by population density and LBW rates. Ensuring access to proper sanitation, a complete basic immunization program, adequate housing, and also personal protective measures are important to reduce the spread of pneumonia.