Program Content Research Articles

Nurse training to enhance adherence counselling for HIV-tuberculosis coinfection in South Africa: Integrative review

Background: South Africa has seen strides in reducing HIV and tuberculosis (TB); however, adherence counselling for people living with HIV (PLHIV) coinfected with TB remains a challenge, particularly in specific sub-districts like Cape Town. Understanding the attributes of existing training programmes is crucial.Objectives: This study explored attributes of training programme development for nurses and other health professionals to enhance adherence counselling for PLHIV coinfected with TB in Cape Town.Method: An integrative literature review was conducted in five steps following PRISMA guidelines. Electronic searches encompassed multiple databases: COCHRANE, PsycINFO, PUBMED, ENMBASE, Science Direct, SCOPUS, SocINDEX, Academic Search Complete, Eric, SABINET, Health Resources and World Health Organization Global Health Library Regional Indexes. Inclusion criteria encompassed English language, peer-reviewed full-text studies on training programme development, qualitative and quantitative, published between January 2012 and May 2021. Exclusion criteria included non-English articles, conference proceedings and irrelevant studies. Thematic data analysis synthesised findings.Results: Three main themes emerged: participant identification, key programme content and programme implementation process, crucial for effective training programme development.Conclusion: Identifying participants, defining programme content and outlining implementation processes are pivotal in enhancing nurses’ adherence counselling skills. This approach could stabilise patient treatment adherence, potentially reducing treatment default, loss to follow-up and mortality rates.Contribution: These findings lay the groundwork for developing effective training programmes aimed at improving adherence counselling among nurses.

Audience Perceptions on Online Radio Platforms: A Case of University Students in Nyanza Region, Kenya

The purpose of this study was to examine audience perceptions of online radio platforms among university students in the Nyanza region. The study’s objectives included assessing audience perception of the programming of online radio platforms among university students in the Nyanza region, evaluating audience perception of signal reception of online radio platforms among university students in the Nyanza region, investigating audience perception of programs aired on online radio platforms among university students in the Nyanza region, and analyzing audience perception of program presentation of online radio platforms among university students in the Nyanza region. This study was underpinned by the framing theory and the agenda-setting theory. The research employed a descriptive research design. The target population was 872 media studies undergraduate students in six universities in the Nyanza region. Stratified random sampling was utilized to select 274 students in each of the universities. Data were collected through semi-structured questionnaires, and a pilot study was conducted at Rongo University. The study used questionnaires for accuracy and consistency, and data were cleaned and analyzed using the Statistical Package for Social Sciences software. Descriptive statistics were employed to examine audience perception of online radio platforms. A thematic analysis approach was used to identify recurring themes and to explore participants' perspectives. Data were presented using graphs, pie charts, and tables. Findings revealed that online radio provided higher quality programming compared to traditional radio. Results indicated that signal reception on online radio platforms was consistently reliable. According to the findings, programs aired on online radio platforms were engaging and interesting. Results indicated that the presentation style of programs on online radio platforms was professional. The study concludes that diverse and high-quality content on online radio platforms caters to varied interests, offering clear audio and stable listening experiences. Engaging and well-structured programs meet entertainment needs, recommending the development of new genres, topics, and formats to stay relevant. Quality programming, optimized scheduling, and innovative content delivery methods are essential for maintaining listener satisfaction and competitiveness in the media industry.

Developing Culturally Sensitive Suicide Prevention Programs for Medical Professionals in Indonesia

Introduction: Medical professionals in Indonesia experience high levels of stress, increasing their risk for mental health problems and suicidal behavior. Culturally appropriate suicide prevention programs are critical to address this issue. This study aimed to develop and evaluate the feasibility and acceptability of a culturally adapted suicide prevention program for Indonesian medical professionals. Methods: This mixed-methods study had two phases. Phase 1 involved program development, adapting an existing evidence-based suicide prevention program using a Delphi method with Indonesian mental health experts (n=10) and cultural consultants (n=5). Phase 2 comprised a pilot implementation of the program with 30 medical professionals. Quantitative data on program feasibility (attendance, completion rates) and acceptability (satisfaction surveys, qualitative feedback) were collected and analyzed. Results: The Delphi method resulted in a culturally adapted program incorporating Indonesian values related to collectivism, family support, religious beliefs, and stigma associated with mental health. Pilot implementation showed high attendance (87%) and program completion rates (93%). Participants expressed high satisfaction with the program's content, cultural relevance, and delivery format. Qualitative feedback emphasized the importance of peer support, spiritual integration, and addressing workplace stressors. Conclusion: This study provides preliminary evidence for the feasibility and acceptability of a culturally sensitive suicide prevention program for Indonesian medical professionals. Further research is needed to evaluate the program's effectiveness in reducing suicidal ideation and behavior.

Occupational therapy practice in psychiatric day hospitals: A scoping review

Introduction: The aim of this scoping review was to explore whether clear guidelines for the practice of occupational therapists in psychiatric day hospitals exist, both locally and globally. Methodology: Searches were conducted in January 2024; 38 articles were screened and 22 were identified for data extraction. Articles were imported onto Covidence software. Data charting was done, and data were exported into a Microsoft Excel sheet, where content analysis was performed based on the review’s objectives. Synthesis of the results was done through discussion and reported according to the PRISMA for Scoping Reviews guidelines. Results: Thirty-eight articles were included but only 22 were relevant. Group therapy, individualised therapy, vocational and community workshops were identified as common modes of intervention in psychiatric day hospitals. Occupation-based activities are integral to intervention. However, there was no explicit definition regarding the role of occupational therapy and practice guidelines for psychiatric day hospitals. Conclusion: The general scope of occupational therapy remains the same for overnight hospitals, day hospitals and community-based centres. It is mainly occupation-centred, function-orientated, and patient-centred. However, there remains ambiguity on specific practice principles and guidelines that clearly define the role of occupational therapists in day hospitals. There is a need for occupational therapy practice guidelines specific for psychiatric day hospitals. Implications for Practice The study provides valuable insights into the current knowledge and availability regarding the role and scope of practice for occupational therapy in the rapidly expanding psychiatric day hospital setting, emphasising areas for further development. Tangible evidence was identified on therapeutic principles, practice approaches, program content, and guidance for resource allocation in psychiatric day hospitals, which can be translated into practical guidelines. Ultimately, the results inform occupational therapy service delivery, solidify the profession’s role in psychiatric care, and contribute towards National Health Insurance (NHI) policy development.

Feasibility and Acceptability of a Peer Training Program to Deliver a Theory-Based Physical Activity Behavior Change Intervention to Inactive People Living With and Beyond Cancer: A Mixed Methods Study

Theory-based physical activity (PA) interventions include PA promotion strategies that can be delivered by exercise professionals, friends, family and peers. Peer-delivery presents a valuable opportunity for community implementation. Few peer-led PA interventions for people living with and beyond cancer (LWBC) report the feasibility of their peer mentor training methods. The purpose of this study was to assess the feasibility and acceptability of a peer mentor training program to deliver a behavioural PA intervention to inactive people LWBC using a mixed methods approach. Peer mentors (active people LWBC [≥90 min/week of PA]) participated in an online training program. Weeks 1 to 4 (Phase I) included knowledge and skill development (1-hour online module and 2-hour live workshop weekly). The Assessment phase (Phase II) explored peer mentor readiness (≥80% on a knowledge quiz and ≥3/5 points [Satisfactory] on a mock role play). Feasibility was assessed using enrollment rates, retention rates, adherence, and semi-structured interviews. Acceptability was measured using a satisfaction questionnaire assessing level of agreement with several statements about training program components. Peer mentors (<em>N </em>= 14; M<sub>age</sub> = 65.4 ± 10.7 years) were diagnosed with primarily prostate (57.1%) or breast (21.4%) cancer. Enrollment and retention rates were 73.7% and 92.9%, respectively. Workshops and online modules had 100% and 87.5% adherence rates, respectively. Majority of peer mentors met readiness criteria for the knowledge quiz (92.3%) and mock role play (84.6%) on their first attempt, with 92.3% delivering the follow-up peer-led PA intervention. Peer mentor satisfaction scores ranged from 3.9 to 4.6 out of 5. Interviews generated themes around overall impressions, feedback on timing, structure, and content of the training program and mock role play, and peer mentor preparedness. Structured training for delivering peer-led PA interventions show promise; however, individualized support may be needed for some people LWBC to strengthen mentorship knowledge and skills.

Why train? Compatible and incompatible institutional logics in violence prevention and management training

A critical component of ensuring safe workplaces is training in preventing and managing violent behavior. This article examines the institutional logics underpinning such training programs, investigating their design, rationale, and impact on everyday practices within human services. Despite extensive research on the content, effects, and experiences of these training programs, there is a notable gap in understanding the rationale behind their development. This study aims to fill this gap by exploring why violence prevention and management training is structured as it is and how institutional logics affect training and practice. This research identifies seven institutional logics that shape these programs through an in-depth qualitative analysis of three Norwegian human service training programs – encompassing mental health care, child welfare services, and Norway’s national welfare agency. Some of the logics are complementary. Others are incompatible, leading to significant practical implications. Data collection included qualitative document analysis and interviews with representatives from the training communities. The study contributes to a better understanding of the factors influencing the training program design and influence, not the least, by underscoring their duality as measures of improving service delivery and ensuring safe working conditions.

Feasibility of a custom-tailored, evidence-based, theory-informed, intervention to prevent burnout and reduce stress for healthcare professionals: protocol for a single-arm trial

BackgroundHealthcare professionals face high levels of occupational stress, time pressure, workload, and poor organizational support. This makes them particularly vulnerable to burnout. The COVID-19 pandemic has further exacerbated this situation. This single-arm, multicenter, mixed-methods feasibility study pilots the LAGOM program: A tailored, evidence-based intervention to prevent burnout and reduce stress among healthcare professionals.MethodsParticipants will include healthcare professionals (N = 30) working at Charité–Universitätsmedizin Berlin and Immanuel Hospital, Berlin. LAGOM focuses on support for individual behavior change and personal resources and also addresses the organizational level. The intervention´s feasibility will be evaluated through a non-randomized feasibility trial with a mixed methods process evaluation. The exploratory primary study aims are to assess the acceptability and feasibility of the (1) evaluation procedures and of the (2) intervention content and structure using study records, standardized questionnaires, protocol checklists, and diaries. Exploratory effectiveness analysis will take place as well. Further, semi-structured interviews (n = 3 to 6) and electrophysiological measurements (n = 20) will be conducted.DiscussionCustom-tailored, well-implemented multi-level interventions are needed to prevent burnout and reduce stress among healthcare professionals. Long-term strategies are warranted to sustainably implement effective programs. This feasibility study helps to refine trial procedures and content of the LAGOM program for a randomized controlled trial to evaluate the intervention’s effectiveness.Trial registrationGerman Clinical Trials Register: DRKS00032014, registered 17th October 2023.

Learning in motion! Design of an evidence-based professional development programme to empower teacher educators to adopt play-based, gender-responsive pedagogies

ABSTRACT The 2030 Agenda for Sustainable Development calls for action to achieve global goals relating to quality education and gender equality. Teacher education is a setting where novel pedagogical practices can be introduced and mainstreamed, ultimately influencing the educational experience at the school level. This study aimed to design a professional development programme to support teacher educators at Palestinian universities to adopt gender-responsive and play-based learning practices. The researchers used the Behaviour Change Wheel (BCW) to develop an evidence-based intervention, resulting in the selection of six intervention functions (education, persuasion, training, environmental restructuring, modelling, and enablement) and 16 behaviour change techniques from the following taxonomy categories: natural consequences, feedback and monitoring, comparison of outcomes, comparison of behaviour, shaping knowledge, repetition and substitution, antecedents, social support, and goals and planning. Mode of delivery primarily involved face-to-face group-based facilitation. Using the BCW to guide the intervention development process allowed for a comprehensive review of teacher educators existing perspectives and the design of programme content to support them to change their teaching practices. The resulting novel professional development programme for teacher educators will be further researched to confirm relevance and impact.

The American Headache Society First Contact-Headache in Primary Care program: Current metrics, knowledge assessments, and direction for future initiatives.

This study examines the American Headache Society First Contact-Headache in Primary Care program metrics to date in order to assess the program's reach and provide direction for future initiatives. Approximately 4 million primary care office visits annually are headache-specific encounters. Therefore, it is important that primary care providers are knowledgeable about headache management. Recognizing the need, the American Headache Society First Contact designed the comprehensive First Contact-Headache in Primary Care program with input from an advisory board comprised of a diverse group of physicians and advanced practice providers with backgrounds in family and internal medicine, pediatrics, obstetrics and gynecology, and neurology. This is the first study to assess the reach of the program and critically examine how to best meet the needs of clinicians and patients going forward. We report descriptive statistics for the First Contact website metrics from October 2020 to June 2023 and grand rounds program data from May 2020 to December 2023. We also conducted a cross-sectional analysis of survey data from presentations conducted at two large national family medicine symposia, as well as a thematic analysis of the question: "Please indicate what areas of your practice could be enhanced or improved with additional education?" The First Contact program homepage was the second most visited page on the American Headache Society website (>100,000 views). A total of 20 podcast episodes were created for the program (>3500 plays). The First Contact program held 99 events (72 institutional grand rounds, 22 State-level meetings, and five national meetings), reaching >7000 clinicians. The institutional grand rounds and state-level meetings were held across 27 States and Washington D.C. Only 31.9% (30/94) of First Contact program events (excluding national meetings) occurred in the West census region, which has the fewest headache subspecialists and lowest headache subspecialist density in the United States. When examining survey data of participants who attended the two virtual national family medicine symposia (39.3% response rate, N = 636/1620), 85.7% (544/635) reported being "completely confident" or "veryconfident" in their ability to recognize and accurately diagnose patients presenting with a primary complaint of headache and 81.5% (517/634) reported being "completely confident" or "very confident" in their ability to develop evidence-based treatment plans that are tailored to the needs of individual patients. The use of diagnostic tools to recognize patients with migraine (60.4%, 384/636) and translating standards of care to the practice setting (42.5%, 270/636) were the most reported intended changes by participants. Most participants reported that program content was of clinical relevance and would improve their patients' outcomes (90.5% [571/631] and 90.6% [572/631], respectively). Over three-quarters (77.8%, 495/636) of participants reported areas of their practice that can be improved by additional education specifically regarding workflow, diagnosis, and management. This study evaluates one of the first national initiatives for primary care education. Data from the two First Contact Family Medicine national symposia indicate the program is generally well received with most participants reporting improved confidence and intention to implement key changes in practice to improve care for patients with headache; however, there remain areas of exploration for education that could further enhance participant experience and expand the reach of the initiatives. Areas for future programming include continued education on multifactorial approaches to headache treatment and suggestions for addressing cost, insurance, and time constraints. Also, future work may examine where the First Contact program might focus initiatives based on specific areas of need in headache care, such as geographic "desert" areas, racial and ethnic disparities, and uninsured/underinsured populations.

Sex Education in the Prevention of Teenage Pregnancy in Lambayeque

Comprehensive sexual education (CSE) seeks to prepare adolescents for a safe and healthy life. This study evaluated the effectiveness of sexual education programs in preventing adolescent pregnancy in Lambayeque, with a focus on their impact on reducing the rate of adolescent pregnancy, barriers and opportunities to improve sexual education in the region, the methodology, a bibliographic review was carried out and public health statistics were analyzed, the results eighty-five percent of students said their understanding of STD prevention and contraceptive techniques had significantly increased. This result is in line with research that demonstrate how well-designed educational initiatives can greatly increase young people's awareness of and ability to abstain from harmful sexual conduct. Additionally, 70% of respondents showed more positive attitudes toward contraceptive use, compared to 50% before the program was implemented. This change in attitudes is consistent with research indicating that comprehensive sexuality education can change attitudes toward contraception and promote safer sexual behaviors, disparities in the implementation and reach of sexual education programs in Lambayeque explain the differences in students' knowledge and attitudes. Improving coverage, ensuring the quality and comprehensive content of programs, providing adequate training to educators, and obtaining greater institutional and cultural support are crucial steps to increase the effectiveness of sexuality education in the region.

Trends and Comparative Analysis in College of Teacher Education Graduates' Licensure Examination Performance (2021-2024)

This study aims to analyze and identify trends in the passing rates of graduates from a College of Teacher Education (CTE) over a four-year period, compare the passing rates between different programs within the CTE, and investigate the differences between the CTE graduates' passing rates and the national average passing rate for the Licensure Examination for Professional Teachers (LEPT). Employing a quantitative, longitudinal, and descriptive approach, the study interprets changes in performance from 2021 to 2024. Data were collected from official CTE records, ensuring compliance with ethical standards and data privacy regulations. The participants included all graduates who took the licensure examinations within the specified years, with data cleaned to handle missing information and remove outliers. Descriptive statistics, trend analysis, and comparative analysis against national averages were performed. The findings reveal an overall decline in passing rates from September 2021 to March 2024, with significant fluctuations. BEED graduates consistently outperformed the national average, suggesting potential differences in program content or student preparedness compared to BSEd programs. Conversely, BSEd graduates exhibited more variable performance. The study underscores the need for targeted interventions and further investigation to understand the underlying causes of these trends, ultimately aiming to enhance the quality and consistency of teacher education programs.

Preparing the ground for bespoke nursing training in advanced renal cell carcinoma care (RCC4Nurses): An international prospective study

ObjectivesNurses require specialist knowledge and skills to effectively support an increasing population of people affected by advanced renal cell cancer (aRCC). RCC4Nurses was a three-phase project that aimed to develop bespoke training in aRCC for nurses in Europe. Phase 1 examined pre-existing educational programs in kidney cancer, then developed a curriculum of core education topics in aRCC care to suit generalist and specialist nurses’ education needs. MethodsPhase 1 employed a prospective design that involved two parts. Part 1 was a scoping review of educational programs developed for multidisciplinary health professionals in kidney cancer/RCC. Findings of Part 1 formed the basis for Part 2, which was a three-round Delphi study that involved experts by personal experience or profession in aRCC, who rated the importance of a range of education topics and education methods for inclusion in the developing RCC4Nurses. ResultsThe scoping review identified eight education programs via two published reports and six online resources. Existing programs had limitations in accessibility, recency and target professional groups; none of them was developed specifically for nurses. Program content was primarily focused on diagnostic, treatment and management procedures in kidney cancer. Fourteen educational topics were derived from the review and evaluated during Round 1 of the Delphi by 47 experts. By Round 3, 17 topics had iteratively reached consensus for inclusion within RCC4Nurses. Experts showed preference to problem-solving and clinical-scenario learning methods, but not reflective practice learning. ConclusionsGiven the dearth of up-to-date, evidence-based training for nurses in aRCC, we have prepared the ground to develop a bespoke training course in this area of practice. Implications for Nursing PracticeThe RCC4Nurses project will offer accessible, state-of-the-art education to registered nurses in Europe to help enhance nursing competency in aRCC and enhance the standard of care provided to people affected by aRCC.

On the issue of the formation of the national identity of students (on the case of universities in Kazakhstan)

Introduction. The article examines the theoretical aspects and practical possibilities of formation of national identity in universities of Kazakhstan. This problem is becoming relevant in the context of the globalization of knowledge and international integration of education, the growth of academic mobility and the expansion of intercultural communications. Aim. The aim is to explore the mechanisms of constructing national identity and strengthening the national features of educational programs of higher education based on the study and generalization of the experience of Kazakhstani universities. Methodology and research methods. Based on the content analysis of normative documents on education, the content of bachelor's degree curricula and critical understanding of foreign scientific literature, the authors attempt to fill in the gaps in understanding the mechanisms of formation of national identity in higher education in the country and show its features. Results. The authors present the results of an analysis of the structure and content of bachelor educational programs at universities in Kazakhstan for the presence of the national component in them. Тhe authors summarize that the formation of national identity among the younger generation and filling it with semantic content is considered by the Kazakh academic community as an important state task, as a foundation for the cohesion and spiritual unity of citizens of a multinational country. The mechanisms of constructing national identity in the higher education system have been developed at the state level and are implemented in university training and educational practices. The national component of bachelor's degree programs, focused on formation of national identity, is provided by the content of general education humanities and language disciplines. University programs are developed in accordance with the requirements of the State Bachelor's Degree Standard, which contains a list of compulsory subjects for studying national history and culture, Kazakh, Russian and foreign languages. The principles of academic freedom allow universities to enhance the national flavor of educational programs by filling elective courses with national content. Scientific novelty. In modern conditions, the problem of ensuring the national identity of educational programs universities does not at all seem to be an axiom that contradicts the processes of internationalization of education. Universities around the world use various mechanisms to ensure the national identity of their programs, making them more attractive to students in the context of the development of intercultural communication. Kazakh universities are still gaining experience, but it may already be of interest from the point of view of accumulating practical experience. The practical significance of the study lies in the formulation of the problem as one of the important discourses in higher education. The results of the study will make a certain contribution to the understanding of the mechanisms and factors influencing the provision of national identity of educational programs using the example of a specific country. The article contributes to the scientific conversation about the meaning of national identity and can be a contribution to the study of the problems of forming the national identity of the younger generation.

Exploring the essence of a creative dance programme for older adults: Programme overview and research insights

IntroductionDance is recognised as a safe, effective, and enjoyable means to boost physical, mental, and cognitive health in older adults. Detailed content of dance programmes for this age group is sparsely described. AimsThis study provides a comprehensive description and evaluation of a Creative Dance Programme for older adults. MethodThe dance programme, described in detail in our study, was analysed with three quantitative (i.e., gait, balance and executive function tests) and one qualitative (i.e., interviews) pilot studies to gain insights into health effects of the programme. ResultsCreative dance increased participants walking speed in both the single (t(13) = 6.65, p < 0.001) and dual-task conditions (t(13) = 5.51, p < 0.001) and reduced participants’ dual-task costs of walking (t(13) = -2.24, p = 0.043). Moreover, participants reported that they felt energised after the sessions and more confident in daily activities. ConclusionOur research highlights that creative dance programmes can have a positive effect on the dual task costs of walking and movement adaptability in daily life of older adults.

Application of the Methodology of joint Distributed Activities to ensure the unity of the Structure and Content of Higher Pedagogical Education Programs

Application of the Methodology of joint Distributed Activities to ensure the unity of the Structure and Content of Higher Pedagogical Education Programs

Assessing population structure and morpho-molecular characterization of sunflower (Helianthus annuus L.) for elite germplasm identification.

Sunflower (Helianthus annuus L.), known for its adaptability and high yield potential, is vital in global edible oil production. Estimating genetic diversity is a key pre-breeding activity in crop breeding. The current study comprised of 48 genotypes which were assessed for their biometrical traits at department of Oilseeds, Tamil Nadu Agricultural University, during the rainy season of 2022. The lines were subsequently characterised using 103 simple sequence repeat (SSR) markers for molecular diversity analysis. The results indicated that the net nucleotide distances indicated varying genetic divergence, with subpopulations II and V showing the highest (0.056) and I and IV the lowest (0.014). Subpopulation IV exhibited the highest heterozygosity (0.352), while subpopulation III had the lowest heterozygosity and a low Fst (0.173). Principal components analysis (PCA) and hierarchical cluster analysis were employed for assessing the morphological diversity, facilitating genotype grouping and parent selection for breeding programs. The first four components cumulatively accounted for 86.72% of the total variation. Cluster Analysis grouped 48 sunflower genotypes into three clusters based on genetic diversity. COSF 13B stands out for its high head diameter, oil content, seed yield, and oil yield based on mean performance of morphological data. Principal coordinate analysis (PCoA) mirrored the groupings from the Neighbor Joining method, with the first three components explaining 27.24% of the total variation. Molecular data analysis identified five distinct clusters among the germplasm. By integrating morphological and molecular marker data with genetic distance analysis, substantial diversity was revealed with the genotypes RHA 273 and GMU 325 consistently demonstrated high oil yield per plant. The genotypes GMU 477, GMU 450, COSF 13B, RHA 102, CMS 1103B, and RHA GPR 58 have been identified as suitable parents for enhancing oil content in sunflower breeding programs. These findings also aid in selecting SSR markers for genotype characterization and in choosing diverse parents for breeding programs.

Assessing Graduateness in Higher Education Islamic Tertiary Institutions in South Africa: Towards a Pedagogical Contextual Approach

This study aims to examine the concept of graduateness in tertiary Islamic institutions and its essential integration into the curriculum of Islamic higher education. The study sheds light on the connections between program content, teaching methodologies, and the cultivation of graduateness in the context of Islamic education at the International Peace College South Africa (IPSA), emphasizing the curriculum’s role in enhancing values and ethics alongside employability preparedness. The study investigates the BA program at IPSA over three years (2020-2023). Employing the frameworks of Coetzee’s categorization of Graduate Attributes, Biggs’ Constructive Alignment, and the Technological Pedagogical Content Knowledge (TPACK), the analysis explores attitudes toward curriculum content, teaching, and learning through the lens of graduateness development. Results from the questionnaire revealed a statistically significant difference in the development of graduate attributes at IPSA, influenced notably by thematic content (p = 0.0018). In addition, there was a strong correlation between students’ and lecturers’ perceptions (r = 0.900, p &lt; 0.0001), indicating effective alignment in the understanding of educational goals.

Telemedical Franconian Obesity Aftercare Therapy (Tele-FANT) Results of a Formative Evaluation

Following rehabilitation, patients are often unable to continue with the behavioral changes they had learned there in the long term. It is therefore important to offer aftercare services to improve self-management. Internet-based and telephone aftercare concepts in particular are low-cost and flexible in application, and offer an opportunity to significantly increase the use of aftercare measures. In, the"Tele-FANT" project, obese patients were supported by an aftercare therapist over a period of 12 months following their inpatient rehabilitation stay by regular telephone or video consultations. A one-group pre-post design was used for the formative evaluation. Participants took part in a written survey at the start of rehabilitation, at the end of rehabilitation and 4, 8 and 12 months after rehabilitation. As a key variable, body weight (external measurement by the family doctor) was also recorded at all measurement times to calculate the percentage weight loss from the start of rehabilitation. Descriptive parameters were calculated at the beginning, as well as mean differences and standardized effect sizes (SES) at the post-measurement time points. A total of 47 obese rehabilitation patients (mean BMI=44.56, SD=7.23) from the Frankenlandklinik Bad Windsheim were recruited to participate in the aftercare program. The complete program up to the 12-month follow-up was completed by 30 participants (drop-out: 36.2%). The remaining participants showed a high level of acceptance for both the structural processes and the content of the aftercare program. A weight loss of at least 10% was achieved by 13 participants (50%) at the 12-month follow-up, a further 4 participants (15.4%) had lost 5 to 10%. The participants were able to reduce their BMI by an average of 4.45 BMI points from 43.69 (SD=7.25) to 39.24 (SD=7.25) since the start of rehabilitation (mean effect size: SES=0.61). In the formative evaluation, the "Tele-FANT" aftercare program shows good feasibility and promising results with regard to the goal of weight reduction/stabilization. However, the high drop-out rate indicates that some of the participants were not satisfied with the program or were unable to achieve the desired outcome. The next step would be to test the effectiveness of the "Tele-FANT" aftercare concept in a randomized control group study.

Content and Effect of Introduction Programmes to Increase Retention and Decrease Turnover of Newly Graduated Nurses in Hospitals: Umbrella Review.

The aim of this study is to combine and compare results from systematic reviews reporting the content and effect of programmes for the introduction of newly graduated nurses employed in hospital settings on increasing retention and decreasing turnover. An umbrella review. The electronic databases of PubMed/MEDLINE, CINAHL and PhycInfo were searched in January 2023 for eligible systematic reviews. The search string consisted of keywords extracted from the PICOS inclusion criteria. The AMSTAR 2 instrument was used for critical appraisal of the methodological quality of the eligible systematic reviews. The process and results of the review were presented using a narrative description of the data. Five systematic reviews, reporting 84 intervention studies evaluating nine types of introduction programmes from 2001 to 2018, were included in the umbrella review. All nine programme types were executed by nurses in a preceptor or mentor role and the content was directed towards training of the preceptor/mentor and introduction of the newly graduated nurses. The nine programmes showed overall positive effects on retention and turnover. Mentorship and Preceptorship were the most frequently evaluated programmes in the included intervention studies of the five reviews. However, the lack of transparency of the reviews and the bias of the intervention studies within the reviews, made it difficult to conclude specific effects of the content of the nine programmes. The protocol for the umbrella review is registered with Open Science Framework (https://OSF.IO/DXYS4). A weak introduction to hospital employment of newly graduated nurses may decrease retention and increase turnover. Structured and personal introduction by a mentor can have an effect on the newly graduated nurses' intentions to stay in their hospital care position. AMSTAR 2. None.

Rationale and design of Healthy Kids Beyond the Bell: a 2x2 full factorial study evaluating the impact of summer and after-school programming on children’s body mass index and health behaviors

BackgroundThe Structured Days Hypothesis posits that structure protects children against obesogenic behaviors (e.g., physical inactivity, unhealthy dietary intake) and, ultimately, prevents the occurrence of excessive weight gain. The hours following school (i.e., 3–6 pm school days) and summer vacation are two “windows of vulnerability” when children may experience less structure. Programs that provide a healthy structured environment and may prevent BMI gain exist for both time periods (i.e., after-school programs and summer day camps). Unfortunately, these programs are cost prohibitive for children from low-income families to attend. This study will test the impact of providing vouchers to access existing, community-operated after-school and summer programs on BMI z-score, body composition, and obesogenic behaviors (i.e., physical activity, screen use, diet, and sleep) of children (5–12 years) from schools that primarily serve families with low income.MethodsThe study will employ a 2x2 factorial design. Participants (N = 480) attending 4 elementary schools in one school district will be randomly assigned to a no treatment control, after-school program voucher only, summer day camp voucher only, or after-school and summer day camp vouchers. Vouchers will cover the full cost of attending a pre-existing community-based after-school or summer camp program. The primary outcome (BMI z-score) will be measured at baseline (before end of school year, ~ May), 3-month follow-up (after summer, ~ August), and 12-month follow-up (end the following school year, ~ May). Secondary outcomes include body composition (i.e., whole-body fat mass, fat free mass, and percent body fat) and obesogenic behaviors (i.e., physical activity, sedentary time, sleep, screen-time, and diet). The study will also employ a rigorous process evaluation which will consider after-school and summer camp program attendance and content. Analyses will examine differences between the four groups in BMI z-score, body composition, and obesogenic behaviors. Incremental cost effectiveness ratios will determine the cost effectiveness of the intervention.DiscussionThe current study will provide critical information for researchers, practitioners, and policy makers seeking to combat the childhood obesity epidemic in children from families with low-income during the school year and summer.Trial registrationNCT05880901. Registered 27 May 2023.