Content Experts Research Articles

Macrozoobenthos Diversity as an Indicator of the Water Quality of the Salusu River in Ogomatanang Village, Central Sulawesi and Its Use as a Learning Media

The diversity of macrozoobenthos plays an important role as an indicator of water quality. The purpose of this study was to describe the level of macrozoobenthos diversity in the waters of the Salusu River, Ogomatanang Village, Central Sulawesi as an indicator of pollution levels and to produce suitable learning media. The type of research is descriptive. The sampling technique used systematic random and used a subber net using a zig-zag transect line and analyzed the diversity index value. The results of the study found 9 species, divided into 8 families including Baetis sp., Alloperla sp., Parathelphusa convexa, Heptagenia solitaria, Orthetrum sabina, Nemoura sp., Tylomelania arabica, Tylomelania sp., Planaria sp. The diversity index (H') was consecutively at station III (upstream) which was 2.14 with a light level of pollution, the H 'index at station II (ecotone) was 1.91 and the H 'index at station I (downstream) was 1.28 with a moderate level of pollution. The research results obtained were used as validated learning media by a team of content experts by 80%, design 78.6%, media 80%, large group student group trials 85.5% and small group 89.0%. Learning media is very feasible to use with a result of 82.62%.

An item bank to measure health-related quality of life among young children (0-5-years-old) affected by respiratory illnesses – expert stakeholders and end-users from the Western Cape, South Africa

BackgroundHealth-related quality of life (HRQoL) is a crucial patient-centred outcome for developing policy. However, there is a lack of appropriate HRQoL measures for young children (0-5-years), who are particularly vulnerable to respiratory illnesses like pulmonary tuberculosis (PTB) and other respiratory infections, especially in low- and middle-income countries (LMICs). We aimed to develop a disease-specific HRQoL item bank for young children with acute and chronic respiratory illnesses.MethodsAn exploratory sequential design with three phases was used to develop a HRQoL item bank. The content validity of the item bank was evaluated by local and international experts specialising in HRQoL and child health. The group included paediatric pulmonologists, researchers with expertise in respiratory illnesses, and experts in scale development. Cognitive interviews with 37 caregivers of children with TB, pneumonia, adenovirus respiratory infection, other lower respiratory tract infections, reactive airway disease, and protracted bronchitis in Cape Town, South Africa, and consultations with 22 stakeholders were conducted for final revisions. The item bank was progressively refined at each phase of the study.FindingsThe Delphi experts recommended dividing the item bank into two age groups (0-2-years and 3-5-years) and using a 5-point Likert scale. Overall, 41 items (42%) met the predetermined > 70% threshold for inclusion in the item bank. Cognitive interviews confirmed that the domains were relevant. Minor modifications were made to five items in cohort 1 (0-2-years) and seven in cohort 2 (3-5-years), with 8 items (13%) and 14 items (22%) excluded. Phase 3 consultations emphasised the importance of including all seven domains and expanding the items to cover early childhood development, play, social interactions, and care routines. The final item bank includes versions for both age groups and incorporates these refinements.ConclusionAn item bank was developed as a first step to develop a comprehensive disease-specific HRQoL tool for young children with respiratory illnesses in an LMIC. Input from caregivers and content experts was crucial in creating two HRQoL item banks tailored to the developmental differences between 0 and 2 and 3-5-year age groups. Their contributions ensured the tool effectively captures age-appropriate aspects of HRQoL. Future studies should focus on assessing the validity and reliability of these item banks.

Bringing interactive elements into classes: Augmented reality-based learning media development for electrical measurement subjects in vocational education

This study aims to develop and evaluate Augmented Reality (AR)-based learning media to improve student interest at SMKN 1 Kuantan Mudik. AR, which integrates virtual objects into the real world, is expected to enrich the learning experience through innovative visual and interactive elements. This research employs a Research and Development (R&D) which includes preliminary research, prototype creation, student response assessment, and systematic reflection. The AR-based learning media prototype was developed using Assemblr Edu software and evaluated by media experts, content specialists, and students. The validation results indicate that the media is highly viable, receiving a score of 92.7% from content experts and media specialists. Student trials produced ratings of 88.9% for effectiveness and 90.3% for engagement. The findings demonstrate that AR-based learning media significantly enhance student interest and involvement in the learning process. This study concludes that augmented reality learning media substantially improve educational experiences in vocational settings, showing potential for broader implementation across various subjects. However, this research is limited to expert validation processes and primarily focuses on student responses rather than measuring learning outcomes. This study is anticipated to provide a foundation for developing more comprehensive and effective learning media.

Engaging electrical lighting installation classes: Android interactive learning media development with Adobe Animate CC

This study aims to develop android-based interactive learning media for Electrical Lighting Installation subjects by using Adobe Animate CC. The research was conducted in response to the limited variation of learning media, which has affected student engagement and motivation in technical subjects. The Research and Development (R&D) model, adapting a 3D out of 4D model (Define, Design, Develop) was referred to develop interactive media designed for vocational students. The media integrates audiovisual elements to enhance students' learning experiences and promote independent learning outside the classroom. The validation process utilized questionnaires, interviews, and observations from content experts, media experts, and students. The media was validated by experts in two stages. In the first stage, the media achieved a feasibility score of 68%, categorized as "fairly good." After revisions, the second validation showed an improvement with a feasibility score of 85.33%, categorized as "very good". The results indicate that the Android-based learning media potentially enhance the learning process of Electrical Lighting Installation subjects effectively, providing a more engaging and flexible tool for students. This innovation significantly contributes to improving the quality of technical education by offering an accessible and interactive learning resource. It also addresses the challenges of limited learning media variation and encourages independent learning, possibly serving as a model for the development of similar media in other technical subjects.

Development of an Educational Website for Patients With Cancer and Preexisting Autoimmune Diseases Considering Immune Checkpoint Blockers: Usability and Acceptability Study.

Patients with cancer and an underlying autoimmune disease who are considering immune checkpoint blockers (ICBs) need to know about the benefits and risks of severe immune-related adverse events and flares of the autoimmune condition. This study aims to develop and alpha test an educational website for patients with cancer. Learning topics, images, and website architecture (including flow and requirements) were developed and iteratively reviewed by members of a community scientist program, a patient advisory group, and content experts. Alpha testing was performed, measuring the site's usability using the Suitability Assessment of Materials and its acceptability using the Ottawa Acceptability Measure. The website included a home page; general information about ICBs; comprehensive modules on the benefits and risks of ICBs for patients with cancer and preexisting autoimmune diseases; general wellness information; and features such as a quiz, additional resources, and a glossary. For the alpha testing, 9 users assessed the newly developed website. Patient reviewers (n=5) had rheumatoid arthritis, Crohn disease, Sjogren syndrome, or vasculitis. Health care provider reviewers (n=4) were medical oncologists or rheumatologists. The median Suitability Assessment of Materials rating was 75 (IQR 70-79; range 0-100) for patients versus 66 (IQR 57-72; range 0-100) for providers (scores ≥70 indicate no substantial changes needed). Recommendations for improvement, mostly involving navigation and accessibility, were addressed. All participants expressed that the website was acceptable and balanced in terms of discussion of benefits and harms. Because half (2/4, 50%) of the providers suggested we increase the amount of information, we extended the content on the impact of having an autoimmune disease when considering ICB treatment, the probability of flares, and the management of flares in this context. The feedback led to minor revisions to enhance readability, navigation, and accessibility, ensuring the website's suitability as a decision-making aid. The newly developed website could become a supporting tool to facilitate patient-physician discussion regarding ICBs.

Development and evaluation of an online professional development course to support delivery of tiered school-based rehabilitation services

Purpose The Facilitating Integration of Rehabilitation Services Through Training (FIRST) Course provides online professional development on tiered service delivery models for rehabilitation professionals working in education settings. Created by content and e-learning experts, this study describes our use of the Analysis, Design, Development, Implementation, Evaluation (ADDIE) instructional design model and the Successive Approximation Model (SAM) to develop, implement, and evaluate the FIRST Course, and reports the findings of an initial program evaluation. Method Rehabilitation professionals who completed the FIRST Course were invited to complete a cross-sectional survey to evaluate its utility. Results Between May 1, 2020, and August 11, 2023, 314 occupational therapists, 54 physiotherapists, and 170 speech-language pathologists completed the online course and survey. Respondents perceived the FIRST Course content to be relevant to their practice and to meet their learning needs regarding tiered services in education settings. Most respondents viewed the course positively and would recommend it to colleagues. More experienced respondents suggested a need for training on tiered service delivery models beyond an introductory level. Conclusions The ADDIE and SAM instructional design models were successfully applied to develop, implement, and evaluate online professional development for school-based rehabilitation professionals who wish to learn about tiered service delivery models.

Diagnosis and Treatment of Tethered Spinal Cord: A Systematic Review.

Tethered cord syndrome is associated with motor and sensory deficits. Our objective was to summarize evidence regarding the diagnosis, prophylactic surgery, symptomatic treatment, and repeat surgery of tethered spinal cord in a systematic review (CRD42023461296). We searched 13 databases, reference-mined reviews, and contacted authors to identify diagnostic accuracy studies and treatment studies published until March 2024. One reviewer abstracted data, and a content expert checked the data for accuracy. We assessed the risk of bias, strength of evidence (SoE), and applicability. The evidence base includes 103 controlled studies, many with risk of bias and applicability concerns, and 355 case series providing additional clinical information. We found moderate SoE for MRI diagnosing tethered spinal cord, with medium to high diagnostic sensitivity and specificity. A small number of prophylactic surgery studies suggested motor function benefits and stability of neurologic status over time, but also complications such as surgical site infection (low SoE). A larger body of evidence documents treatments for symptomatic patients; studies revealed improvement in neurologic status after surgical detethering (low SoE), but also postoperative complications such as cerebrospinal fluid leakage (moderate SoE). A small body of evidence exists for retethering treatment (low or insufficient SoE for all outcomes). There was insufficient evidence for key outcomes (eg, over- or undertreatment, clinical impact of diagnostic modalities, ambulation, quality of life). This comprehensive overview informs difficult clinical decisions that parents and their children with tethered spinal cords, as well as their health care providers, face.

Developing Problem-Based Learning Flipbook Media to Enhance Natural Sciences Education in Fifth Grade

The lack of diverse learning media was a factor that impacted student understanding, resulting in low learning outcomes. This study aimed to develop a problem-based learning (PBL) flipbook on environmental damage content as a media for science education in fifth-grade elementary. The research utilized the ADDIE model. The study used two classes: one experimental class with 22 students and one control class with 20 students. Data collection instruments included questionnaires and tests. The results indicated that the PBL flipbook media was highly suitable and effective for supporting science learning in fifth grade. Media experts validated the flipbook and rated it in the qualified category with a score of 93%, meaning that the media emphasizes presentation according to the target; the supporting presentation was interesting; the learning presentation was appropriate; the language used was appropriate; and the cover design and content were interesting. Content experts validated the flipbook and rated it in the very suitable category with a score of 91%, which means that the content was presented following the learning objectives; the content was presented appropriately; there were appropriate presentation supporters; the language used was appropriate and the level of language was appropriate for students; and appropriate learning syntax. The average user response was 91%, meaning that the flipbook content was presented appropriately; the flipbook was easy to use; the language level was appropriate, the flipbook was interesting; the flipbook was useful; and the learning steps were appropriate. The effectiveness of PBL-based flipbooks in improving students' understanding of the content was indicated by the results of the Sig (2-tailed) 0.01 t-test, meaning that there were significant differences in learning outcomes between experimental and control classes after treatment.

The Role of Neonatal Nurse Practitioners in the Implementation of a Bedside Point-of-Care Ultrasound Program.

Point-of-care ultrasound (POCUS) in the neonatal intensive care unit (NICU) is becoming increasingly utilized, with the focus of training aimed at physicians. However, the role of neonatal nurse practitioners (NNPs) in the development of POCUS programs is not well described. To describe the NNP role in the implementation of a NICU POCUS program and exemplify the potential to expand the professional scope and educational advancement of NNPs. In 2018, a multidisciplinary team assembled to develop a POCUS program in the NICU at Lucile Packard Children's Hospital (LPCH). Three NNPs received formal POCUS training in order to provide onsite training, perform and supervise POCUS imaging, and participate in quality assurance sessions. NNPs also assisted with the development of a REDCap database and imaging protocols. The LPCH POCUS NNP providers contributed to the advancement of the profession by practicing to the full scope of their role, providing leadership in program development, research, and education. Incorporating NNPs into the programmatic structure of a POCUS program can be a model for others. With advancing skill set, NNPs can be positioned to be national leaders and educators. NICUs developing POCUS programs can benefit from the integration of NNPs to serve as consistent content experts to expand the number of trained providers while assuring the quality of image capture. POCUS is becoming increasingly essential to the care of newborns. NNPs can play a central role in performing POCUS, participating in quality improvement and research, and educating other NICU providers.

Artificial intelligence in food and nutrition evidence: The challenges and opportunities based on a convening of content experts

Abstract Science-informed decisions are best guided by the objective synthesis of the totality of evidence around a particular question and assessing its trustworthiness through systematic processes. However, there are major barriers and challenges that limit science-informed food and nutrition policy, practice, and guidance. First, insufficient evidence, primarily due to acquisition cost of generating high-quality data, and the complexity of the diet-disease relationship. Furthermore, the sheer number of systematic reviews needed across the entire agriculture and food value chain, and the cost and time required to conduct them, can delay the translation of science to policy. Artificial intelligence (AI) offers the opportunity: 1) to better understand the complex etiology of diet-related chronic diseases; 2) to bring more precision to our understanding of the variation among individuals in the diet-chronic disease relationship; 3) to provide new types of computed data related to the efficacy and effectiveness of nutrition/food interventions in health promotion; and 4) to automate the generation of systematic reviews that support timely decisions. These advances include the acquisition and synthesis of heterogeneous and multimodal datasets. This perspective summarizes findings from a meeting of experts convened at the National Academy of Sciences, Engineering and Medicine. The purpose of the meeting was to examine the current state and future potential of AI in generating new types of computed data as well as automating the generation of systematic reviews to support evidence-based food and nutrition policy, practice and guidance.

Physical activity in the Fontan population: provider recommendations and patient actions.

Emerging evidence suggests that routine physical activity may improve exercise capacity, long-term outcomes, and quality of life in individuals with Fontan circulation. Despite this, it is unclear how active these individuals are and what guidance they receive from medical providers regarding physical activity. The aim of this study was to survey Fontan patients on personal physical activity behaviours and their cardiologist-directed physical activity recommendations to set abaseline for future targeted efforts to improve this. An electronic survey assessing physical activity habits and cardiologist-directed guidance was developed in concert with content experts and patients/parents and shared via a social media campaign with Fontan patients and their families. A total of 168 individuals completed the survey. The median age of respondents was 10 years, 51% identifying as male. Overall, 21% of respondents spend > 5 hours per week engaged in low-exertion activity and only 7% spend > 5 hours per week engaged in high-exertion activity. In all domains questioned, pre-adolescents reported higher participation rates than adolescents. Nearly half (43%) of respondents reported that they do not discuss activity recommendations with their cardiologist. Despite increasing evidence over the last two decades demonstrating the benefit of exercise for individuals living with Fontan circulation, only a minority of patients report engaging in significant amounts of physical activity or discussing activity goals with their cardiologist. Specific, individualized, and actionable education needs to be provided to patients, families, and providers to promote and support regular physical activity in this patient population.

Physician preferences for Online and In-person continuing medical education: a cross-sectional study

BackgroundThe worldwide market for continuing medical education (CME) was severely affected by the COVID-19 pandemic, which precipitated an increase in web-based CME course attendance. Virtual education methods may be effective for engaging learners and changing behaviors. However, more information is needed about physician preferences for in-person vs. livestreamed CME courses in the postpandemic era. Because of the paucity of data regarding this topic, the current study was designed to evaluate CME participant characteristics, preferences, engagement, and satisfaction with traditional in-person vs. virtual educational methods.MethodsA cross-sectional study was performed of attendees of two large internal medicine CME courses held in 2021. Both CME courses were offered via in-person and livestream options, and were taught by Mayo Clinic content experts. Participants, who consisted of practicing physicians seeking CME, completed a 41-question survey after CME course completion. Statistical comparisons were performed by using Fisher exact tests for all survey items, except for those with ordinal response sets, which were compared with Cochran-Armitage trend tests.ResultsA total of 146 participants completed the survey (response rate, 30.2%). Among the 77 respondents who attended in-person courses, the most frequent reasons indicated were the opportunity to travel (66%) and collaboration/networking with others (25%). Among the 68 respondents who attended the livestream courses, the most frequent reasons indicated included COVID-19–related concerns (65%), convenience (46%), and travel costs (34%). The percentage of respondents who indicated that they would choose the same mode of attendance if given the option again was higher for those who attended in person than for those who attended via livestream (91% vs. 65%, P < .001).ConclusionsThese data suggest that in-person course offerings will continue to be a preferred learning method for some physicians. However, most respondents who attended virtually preferred that method. Therefore, hybrid CME models offering both in-person and virtual options may be most beneficial for meeting the needs of all CME learners.

Design and Pilot Implementation of an ECHO Module to Facilitate Treatment of Hepatitis C Virus Infection During Pregnancy

Abstract Background Pregnant patients are largely excluded from Hepatitis C virus (HCV) research and treatment. Studies show that pregnant patients want to discuss treatment while providers feel they lack the knowledge and training for these discussions. To bridge this gap, we designed an ECHO module about management of HCV in pregnancy and infancy. Methods Content experts from pediatric infectious diseases, hepatology, maternal-fetal medicine, bioethics and members of ECHO-Chicago discussed: prior data, potential topics, target audience and scheduling of sessions. We held 8 one-hour sessions with 20-30 minutes of didactics and 30-40 minutes of solicited case discussion. Participants included those who participated in prior ECHO training and prenatal providers in local and regional practices. A 7-point Likert scale pre- and post-training survey was administered to assess metrics of self-efficacy for management of HCV in pregnancy and childhood. Results The sessions were conducted from May to June 2023 on the following topics: HCV screening; HCV pathophysiology/clinical presentations; staging fibrosis in HCV; HCV Treatment in non-pregnant patients; harm reduction; clinical considerations of HCV in pregnancy; shared decision-making for HCV treatment in pregnancy; and HCV screening in infants &amp; treatment for children. Fourteen participants completed pre- and post-surveys. In the pre-survey, participants had low ratings of self-efficacy (average 3.0). In the post-survey (Table 1), participants reported dramatic increases in all areas (average 5.2, increase of 2.2) with the largest in the following areas: “Ability to discuss and manage timing of hepatitis C treatment in a pregnant person”, average 5.1, increase of 3; “Ability to identify suitable pregnant candidates for treatment for Hepatitis C”, average 5.2, increase of 2.7. For context, a 1-point increase in self-efficacy is considered meaningful. All respondents reported increased ability to address HCV in a preconception, pregnant, postpartum, or neonatal population. Conclusion As pivotal studies of pan-genotypic antivirals indicate efficacy and safety during pregnancy, this ECHO module could be distributed to support providers who are discussing therapy initiation. Table 1: Average Change in Self-Efficacy between Pre- &amp; Post-Series Surveys

Development of Web-Based Learning Media on Behavior Management to Enhance Activities of Daily Living for Children with Autism Spectrum Disorder

The aim of this project was to create an evidence-based learning media designed to address the behavior issues of children with Autism Spectrum Disorder (ASD) with activities of daily living. Composed of two phases, the first phase used eight school based occupational therapists identify the challenge with daily tasks and behavior management strategies for intervention. After the data was analyzed, the learning media was developed and reviewed by the therapists, content experts and 90 parents of autistic children. The web-based education consists of: 1) problems affecting the ADL performance of children with ASD: eating, tooth brushing, dressing, and sleeping divided between behavioral and sensory challenge and 2) behavior management strategies were identified to enhance the ADL performance of children with ASD and included sensory integration, environmental, and behavior modification. Parent perspectives revealed that the learning media were easily understandable and simple to use, with suitable font, size, and color of the text, as well as appropriate user interaction.

Enhancing Literacy and Numeracy: Developing Snakes and Ladders Oriented Toward Higher Order Thinking Skills

This research aims to develop learning media for the snake and ladder game oriented toward higher-order thinking Skills (HOTS) to enhance literacy and numeracy in elementary schools. The method used is Research and Development (RD) with the ADDIE model. The subjects of this research are fifth-grade students. The instruments include validation sheets for content and design experts and teacher and student response questionnaires. Instrument testing was conducted using a feasibility validity test. Data collection techniques involve document analysis, observation, interviews, questionnaires, and tests. Data analysis was performed using descriptive analysis and descriptive statistics. The results show that the snake and ladder media received a validation score of 0.91 from content experts and 0.93 from design experts. Teacher responses scored 0.94, while student responses reached 0.93, indicating excellent criteria. This media also enhanced students' literacy and numeracy skills, with average scores of 69.22 in Cycle 1 and 85.55 in Cycle 2. Based on these results, improving game features and increasing the variety of HOTS questions is recommended.

Indigenous knowledge and sugar sweetened beverages: Qualitative adaptations towards chronic disease prevention and intervention

Sugar sweetened beverages (SSB) are a concern for Indigenous populations and are associated with multiple chronic diseases. To address this concern, we culturally tailored and tested the feasibility of an evidence-based SSB-reducing curriculum. The modified curriculum was designed for Indigenous men and is thematically based on traditional values, ancestral teachings, and community strengths while promoting healthy lifestyles. A community-based participatory research (CBPR) approach was used to develop an interview guide using an Indigenous-centered theoretical framework. Two Indigenous content experts conducted both individual and focus group interviews (n = 14) with urban community leaders and athletes. Two Indigenous qualitative scientists analyzed the data with the support of an inter-tribal community advisory board. Results included imagery utilization, the importance of water, marketing, taste, and building routine. These findings guided the development of 6-month Indigenous focused SSB intervention consisting of 12 in-person intervention sessions and 27 short messaging service (SMS) messages.

Development of Digital Handouts on Pancasila Education Subjects Using the Ricosre Learning Model in Elementary Schools

Digital handouts help enrich material, increase reading interest, and support learning outcomes according to the characteristics of the learning environment. The aim of this research is to produce and develop a suitable and effective digital handout for Pancasila Education Phase B using the RICOSRE learning model in elementary schools. The study also aims to determine the practical impact of developing digital handouts on student learning outcomes for this subject. The research method employs the 4D development model, consisting of four stages: Define, Design, Develop, and Disseminate. This method and model were chosen to produce a digital handbook media. Data sources include 22 fourth-grade students and their teacher from SD Negeri Dateng. Data collection instruments include observation sheets, interview sheets, expert validation forms, written tests, and questionnaires. Data validity was processed using Aiken’s V. The data analysis technique employed is quantitative analysis. Results show that the RICOSRE-based handout is designed to meet student needs, presented online with a flipbook, and relevant to students' environment. Its validity is high according to language, media, and content experts, with percentages of 0.83%, 0.92%, and 0.94%, respectively. Questionnaire results indicate that 93.5% of students and 92.2% of teachers strongly agree with the use of this handout in fourth-grade classes Keywords: Development, Digital Handouts, Literacy, Reading, RICOSRE Learning Model

ChatGPT Virtual Assistant for Breast Reconstruction: Assessing Preferences for a Traditional Chatbot versus a Human AI VideoBot.

Recent advancements in artificial intelligence (AI) have reshaped telehealth, with AI chatbots like Chat Generative Pretrained Transformer (ChatGPT) showing promise in various medical applications. ChatGPT is capable of offering basic patient education on procedures in plastic and reconstructive surgery (PRS), yet the preference between human AI VideoBots and traditional chatbots in plastic and reconstructive surgery remains unexplored. We developed a VideoBot by integrating ChatGPT with Synthesia, a human AI avatar video platform. The VideoBot was then integrated into Tolstoy to create an interactive experience that answered four of the most asked questions related to breast reconstruction. We used Zapier to develop a ChatGPT-integrated chatbot. A 16-item survey adapted from the 2005 validated measurement of online trust by Corritore et al was distributed online to female participants via Amazon Mechanical Turk. A total of 396 responses were gathered. Participants were 18 to 64 years old. Perceptions of truthfulness, believability, content expertise, ease of use, and safety were similar between the VideoBot and chatbot. Most participants preferred the VideoBot compared with the traditional chatbot (63.5% versus 28.1%), as they found it more captivating than the text-based chatbot. Of the participants, 77% would have preferred to see someone who they identified with in terms of gender and race. Both the VideoBot and text-based chatbot show comparable effectiveness, usability, and trust. Nonetheless, the VideoBot's human-like qualities enhance interactivity. Future research should explore the impact of race and gender concordance in telehealth to provide a more personalized experience for patients.

Reconsidering and Rebalancing our Investment in Student Leader Development.

Since leadership development was first included in the 2013 Center for the Advancement of Pharmacy Education (CAPE) Educational Outcomes as a desired outcome of pharmacy curricula, pharmacy educators have embraced leadership development as a desired outcome of pharmacy professional programs. As we gain experience and as circumstances change, educators must consider whether our current strategies for preparing leaders will meet the needs of an ever evolving and deeply complex practice environment. The aim of this review is to encourage educators to reconsider our investments in leadership development and leader development. Using an analogy between carpentry and leader development, we argue for a rebalancing of our efforts. Leaning on Day, Harrison and Halpin's Integrative Theory of Leader Development, we summarize Expert Performance and Skill Acquisition, Identity and Self-Regulation, and Adult Development theories. Each of these three theories provides educators with variables to consider as we seek to design a system to support leader development. Our traditional practices of teaching leadership are challenged by this deeper understanding of how leaders develop. Sustainable leader development requires a longitudinal perspective with a focus on individualized support, and a growth orientation. Practical implications of committing to leader development include educators: serving as coaches rather than content experts, creating space for intentional practice and critical reflection, and adapting traditional structures and resources for faculty involved in leader development initiatives. A deeper understanding of the process of leader development will set students on a lifelong trajectory of leading, which will benefit the profession for years to come.

Requirements and Key Features of a Mobile Application for Adolescent Self-Care From a Stakeholders Perspective: A Qualitative Study.

Adolescence is characterized by many changes and these changes differentiate adolescents' self-care needs. The use of smartphones and tablets to provide healthcare services has expanded, and the user-centered design could help to create mobile applications based on users' needs. Therefore, the present study aimed to identify the data requirements and key features of mobile application for adolescent self-care from a stakeholder perspective. This study was conducted with a qualitative approach to identify the key features of mobile application for adolescent's self-care as well as educational content axes for five component of self-care using conventional and directed content analysis respectively. From 3 sub-groups 30 participants were selected based on purposive sampling with maximum variety and sampling was performed until data saturation. Data were collected through in-depth semi-structured interviews. Participants' informed consent was obtained before the interview. The interview lasted 20-40min and MAXQDA software version 10 was used for data analysis. In this study, four criteria of acceptability, reliability, transferability, and validity proposed by Guba and Lincoln were used to evaluate and validate the data. After conducting the interviews, 789 initial codes, 12 sub-categories, and 3 categories (app view, app content architecture, app self-care content) were emerged, which reflects the key features of a mobile application and the necessary educational content. The research findings could provide a guide for future mobile application development considering the viewpoints of health professionals, content, and software experts. Addressing the features and requirements in practice could lead to designing efficient and effective mobile applications.