Skilled Delivery Research Articles

The implementation and embedding of digital skills and digital literacy into the curriculum considering the Covid-19 pandemic and the new SQE

This paper focuses on the introduction of a new model of digital teaching and resource provision for the University of Law (ULaw) Library Service, during the Covid-19 pandemic. It details the processes and steps we took to achieve the three core aims of: a new mode of online skills delivery, the creation of self-directed, independent learners in the various student cohorts at the university and the creation of a flexible self-assessment platform to provide an incremental learning journey for both students and staff. This paper also highlights some of the challenges and difficulties we faced, arising from a project of this size and nature.

Competencies possessed by the training professionals of agricultural training institutes in Punjab, Pakistan

Professional competencies are considered as key to perform job responsibilities. Training professionals of Agricultural Training Institutes (ATIs) are engaged in imparting various skills and expertise to extension field staff in the form of training so that they would perform their tasks and responsibilities in a better way to disseminate advanced agricultural knowledge. In this scenario, the present study was designed to investigate various competencies possessed by the training professionals of ATIs in the Punjab province of Pakistan. For this purpose, data was collected from all training professionals working in all ATIs of Punjab Province in Pakistan. A well-structured questionnaire was developed as an instrument of the study. Descriptive statistics including frequencies, means and standard deviations were applied through Statistical Packages for Social Sciences. Results reveal that training professional of ATIs possess computer skill especially MS word and email skills. Motivational skills, lecture delivery skills and communication skills were ranked at top, which are being possessed by training professionals. Moreover, the results recommend that the government should launch capacity building programs to develop professional competencies of training professionals on regular basis.

Experience of a Final Year Medical Student: Pre- and Post-COVID-19 Era.

Medical education provides both knowledge and clinical skills to students. Clinical skills program including bedside teaching is considered an irreplaceable part of the undergraduate medical curriculum. COVID-19 pandemic has halted the delivery of effective clinical skills to medical students which has especially affected the final year students. So, we need to find an alternate approach to teach clinical skills to medical students in this era of COVID-19. This public health crisis has also demonstrated the significance of resilience and adaptability in the medical education system and the need to inculcate these values in our generation of medical students. This will help the students to complete their transition from a 'student' to a 'doctor'. This article highlights the experience of a final year medical student in the pre- and post-COVID-19 period, problems faced by final year medical students during this crisis, and effective ways to cope up with them.

Assessment of impact of obstetric factors on use of skilled delivery service by pregnant women at health facilities in Ghana

Pregnancy and delivery complications account for greater proportion of deaths and disability among women in reproductive age than any other reproductive health problems. The purpose of the study was to assess the Assessment of Influence of Obstetric Variables n he Use of Skilled Delivery Service by Pregnant Women at Health Facilities in Ghana. A cross-sectional design was utilised to achieve the overall objective of the study. The study covered pregnant women between the ages of 15-49 years in Central Region of Ghana. Questionnaire was designed and used as the main instrument for the study. Data collected were processed by the use of SPSS version 21 and analysed using descriptive and inferential statistics. Women with no history of miscarriage are 1.9 times more likely to use SDS compared to those who have had the experience of miscarriage in life (OR = 1.94, 95% CI = 1.34-2.83, p = <0.0001). Skilled birth attendants should educate the pregnant women about the complications associated with pregnancy to enable them seek timely care at health facilities.

Towards a better understanding of self-management interventions in type 2 diabetes: A meta-regression analysis

AimsAttributes that operationally conceptualize diabetes self-management education (DSME) interventions have never been studied previously to assess their impact on relevant outcomes of interest in people with type 2 diabetes (T2D). The aim of this study was to determine the impact of existing interventions classified by their delivery of skills or information related attributes on immediate (knowledge), intermediate (physical activity), post-intermediate (HbA1c), and long-term (quality of life) outcomes in people with T2D. MethodsPubMed, Embase, PsycINFO, and Cochrane Library/Cochrane CENTRAL as well as the grey literature were searched to identify interventional studies that examined the impact of DSME interventions on the four different outcomes. Eligible studies were selected and appraised independently by two reviewers. A meta-regression analysis was performed to determine the impact of delivery of the skills- and information-related attributes on the chosen outcomes. Results142 studies (n = 25,511 participants) provided data, of which 39 studies (n = 5278) reported on knowledge, 39 studies (n = 8323) on physical activity, 99 studies (n = 17,178) on HbA1c and 24 studies (n = 5147) on quality of life outcomes. Meta-regression analyses demonstrated that skills-related attributes had an estimated effect suggesting improvement in knowledge (SMD [standardized mean difference] increase of 0.80; P = 0.025) and that information-related attributes had an estimated effect suggesting improvement in quality of life (SMD increase of 0.96; P = 0.405). Skill- and information-related attributes did not have an estimated effect suggesting improvement in physical activity or in HbA1c. ConclusionsThe study findings demonstrate that the skills and information related attributes contribute to different outcomes for people with T2D. This study provides, for the first time, preliminary evidence for differential association of the individual DSME attributes with different levels of outcome.

Utilization of health facility delivery services in the Jomoro District of the Western Region of Ghana

Background: In the year 2000, member states of the United Nations pledged to work towards a three-quarters reduction in the 1990 maternal mortality ratio by 2015 in line with Millenium. Development Goal 5, but this could not be achieved. This pledge became imperative given the high maternal mortality being recorded, especially among developing countries. The high maternal deaths in developing countries have been attributed partly to the lack of access to skilled birth attendants during delivery. Objective: This study aimed to investigate factors that influence the utilization of health facility delivery services among pregnant women in the Jomoro District of the Western Region of Ghana. Methods: The study used data from a cross-sectional survey among women aged 18 - 49 yr. living in the Jomoro District of Ghana and had given birth between 2012 and 2016 (n = 374). The study participants were randomly selected from women who attended child welfare clinics on clinic days with their babies in eighteen communities. The study used a structured questionnaire to solicit for information about the women’s demographic and socio-economic characteristics, community characteristics and health systems factors likely to influence their decision to seek skilled delivery care as well as their experiences relating to their last delivery. Bivariate analyses were performed between the primary dependent variable and background characteristics of the respondents. Factors influencing the choice of place of delivery were estimated by multiple logistic regression analysis. Data analysis was performed using STATA Statistical Software, Release 14. Results: About 61.0% (n= 228/374) of the women had their last delivery at a health facility while the remaining 38.8% (n= 145/374) delivered at home without skilled assistance. In multivariate analysis, women aged 25 – 29 yr. were less likely to have a skilled delivery (aOR, 0.40; 95% CI: 0.17 - 0.93). Also, professional women had 4.77 odds of having skilled delivery (aOR, 4.77; 95% CI: 1.53 - 14.93). Distance to the nearest health facility also had a statistically significant association with skilled delivery. Women living at 10 – 19 km to a health facility were less likely to have a skilled delivery (aOR, 0.56; 95% CI: 0.32 - 0.97). In addition, the presence of a midwife at a health facility increased the odds of skilled delivery among women (aOR, 4.59; 95% CI: 2.47 - 8.55). Conclusion: Interventions aimed at increasing the uptake of delivery care services to achieve the SDG’s target on maternal mortality must consider improving the socio-economic wellbeing of women in addition to removing the physical and health system barriers impeding access and utilisation of delivery care services.

The need of the hour: Adapting the delivery of clinical skills teaching remotely

As the World Health Organization (WHO) announced the prevailing COVID-19 pandemic, the South African government enforced a nationwide lockdown in March 2020. The resulting closure of medical schools necessitated the provision of clinical skills teaching on remote platforms. This presented numerous challenges especially for skills that require face-to-face interaction and hands-on instruction. The Nelson R Mandela School of Medicine, University of KwaZulu-Natal modified George’s (2001) five stage process and devised a framework for online small group skills teaching with the help of videos. The adapted method retained as close as possible the significant concepts and frameworks of conventional face-to-face programmes allowing for continuation of teaching under the current constraints.

The health response to the Rohingya refugee crisis post August 2017: Reflections from two years of health sector coordination in Cox's Bazar, Bangladesh.

On August 25 2017, an unprecedented influx of Rohingya refugees began from Rakhine State in Myanmar into Bangladesh’s district of Cox’s Bazar. The scale and acuteness of this humanitarian crisis was unprecedented and unique globally, requiring strong coordination of a multitude of actors. This paper reflects on the health sector coordination from August 2017 to October 2019, focusing on selected achievements and persisting challenges of the health sector strategic advisory group (HSSAG), and the health sector working groups including epidemiology and case management, sexual and reproductive health, community health, mental health and psychosocial support, and emergency preparedness. In the early days of the response, minimum service standards for primary health care were established, a fundamental initial step which enabled the standardization of services based on critical needs. Similarly, establishing standards for community health outreach was the backbone for capitalizing on this important health workforce. Novel approaches were adopted for infectious disease responses for acute watery diarrhoea and varicella, drawing on inter-sectoral collaborations. Sexual and reproductive health services were prioritized from the initial onset of the crisis and improvements in skilled delivery attendance, gender-based violence services, abortion care and family planning were recorded. Mental health service provision was strengthened through community-based approaches although integration of mental health programmes into primary health care has been limited by availability of specialist psychiatrists. Strong, collaborative and legitimate leadership by the health sector strategic advisory group, drawing on inter-sectoral collaborations and the technical expertise of the different technical working groups, were critical in the response and proved effective, despite the remaining challenges to be addressed. Anticipated reductions in funding as the crisis moves into protracted status threatens the achievements of the health sector in provision of health services to the Rohingya refugees.

Influence of information, education and communication on prenatal and skilled delivery in the Tano North District, Ghana: A cross-sectional study

Skilled birth attendance is considered an effective intervention to reduce maternal and early neonatal morbidity and mortality. Yet in Ghana, skilled birth attendance is said to be relatively low despite high antenatal attendance. In this study, we specifically assessed the influence of information, education and communication on prenatal and skilled delivery in the Tano North District of Ghana. A descriptive cross-sectional quantitative survey involving both closed and open-ended questionnaires were conducted among 393 women at three health facilities. The results showed skilled health personnel attended 94.1% of deliveries, which is higher than what has been reported in previous studies. Mothers with Senior High School Education were found to be 11.46 times more likely to be delivered by skilled birth attendant than those without formal education COR = 11.46, 95% (2.01–65.19) and this was statistically significant p = 0.006. There was also a significant association between information received by pregnant women and place of delivery (X2 = 20.85, P = 0.000 α = 0.05) in that the usefulness of information to mothers influenced their choice of health facility delivery. Marital status was also strongly correlated to being attended by skilled birth attendant (χ2 = 14.73, p = 0.005) as 0.4 times of mothers who were married were more likely to be attended by skilled birth attendants as compared to those that are single. COR = 0.005, 95% CI (0.00–0.36) and this was statistically significant p = 0.002. This study suggests the incorporation of IE&C into nursing training curriculum to orient students on the importance of IE&C so as to improve ANCs and skilled birth attendance further.

Rural-urban differences in utilization of antenatal and delivery services in Ebonyi State, Nigeria.

The high maternal death burden in developing countries when compared to the developed could be attributed to differences in use of antenatal and skilled delivery care. To assess the differences in utilization of antenatal and delivery services in urban and rural communities of Ebonyi state, Nigeria. A cross-sectional comparative study design was used. Two stage (cluster) sampling technique was used to select 660 women in 4 of 13 local government areas in the state. The respondents were women who were permanent residents of communities and have delivered in last one year. Outcome measure was good utilization of antenatal and delivery services and was assessed by proportion of respondents who obtained antenatal and delivery from a skilled provider and also made at least four antenatal visits. The mean age of respondents was urban, 29.6 ± 6.2 and rural, 28.6 ± 5.1 years. Majority in urban, 51.8% utilized tertiary health facility for antenatal care while in rural, 77.9% used primary health centers (P < 0.001). Comparable proportions in urban, (77.3%) and rural, (79.1%) had good use of antenatal and delivery services (P = 0.572). Predictors of good use of antenatal and delivery services in urban included having one child (AOR = 4.8; 95%C1: 1.4--17.0), having attained tertiary education, (AOR = 2.6; 95%C1: 1.2--5.5), being in low socioeconomic class, (AOR = 0.4; 95%C1: 0.2--0.7), and having good knowledge of danger signs, (AOR = 2.6; 95%C1: 1.3--5.4). In rural, predictors included having one child, (AOR = 2.8; 95%C1:1.1--7.1), being unmarried, (AOR = 0.3; 95%C1: 0.1--0.9), and having good knowledge of danger signs (AOR = 3.7; 95%C1: 1.8--7.5). Utilization of antenatal and delivery services in health facilities in study area was high but there is room for improvement. There is need to plan specific interventions aimed at improving utilization of maternal health services by some groups like urban poor and unmarried mothers, especially teenagers. Emphasis should also be placed on improving community understanding of danger signs of pregnancy.

How Academic Medical Centers Can Navigate the Pandemic and Its Aftermath: Solutions for 3 Major Issues.

The COVID-19 crisis has seriously affected academic medical centers (AMCs) on multiple levels. Combined with many trends that were already under way pre pandemic, the current situation has generated significant disruption and underscored the need for change within and across AMCs. In this article, the authors explore some of the major issues and propose actionable solutions in 3 areas of concentration. First, the impact on medical students is considered, particularly the trade-offs associated with online learning and the need to place greater pedagogical emphasis on virtual care delivery and other skills that will be increasingly in demand. Solutions described include greater utilization of technology, building more public health knowledge into the curriculum, and partnering with a wide range of academic disciplines. Second, leadership recruiting, vital to long-term success for AMCs, has been complicated by the crisis. Pressures discussed include adapting to the dynamics of competitive physician labor markets as well as attracting candidates with the skill sets to meet the requirements of a shifting AMC leadership landscape. Solutions proposed in this domain include making search processes more focused and streamlined, prioritizing creativity and flexibility as core management capabilities to be sought, and enhancing efforts with assistance from outside advisors. Finally, attention is devoted to the severe financial impact wrought by the pandemic, creating challenges whose resolution is central to planning future AMC directions. Specific challenges include recovery of lost clinical revenue and cash flow, determining how to deal with research funding, and the precarious economic balancing act engendered by the need to continue distance education. A full embrace of telehealth, collaborative policy-making among the many AMC constituencies, and committing fully to being in the vanguard of the transition to value-based care form the solution set offered.

Employing User-Centered Design and Learning Science Theory to Enhance Remote Delivery of Diabetes Education and Survival Skills at Hospital Discharge

Learning diabetes mellitus (DM) survival skills is critically important, especially for those newly diagnosed upon discharge. COVID-19 has created new educational challenges, as DM self-management education and support is difficult to deliver remotely and can be time intensive. Content and format have not been re-designed for remote delivery; however, learning sciences research can help us create effective remote education strategies. We conducted interviews with users to identify critical needs in assuming immediate DM self-care at discharge from the hospital. We then mapped these user needs to relevant learning science theories to inform potential re-designs for remote delivery of DM education and survival skills at discharge.We conducted 12 semi-structured interviews with “users,” which included 18 participants (8 minority; 6>65 years): patients newly diagnosed with DM at discharge (N=6 [33%]), their caregivers (N=4 [22%]), and laypersons new to DM (N=8 [45%]). Users were asked about their discharge needs, laypersons about perceived needs. Three investigators performed iterative rounds of inductive coding of the transcripts (using MAXQDA software), utilizing a constant comparative method to identify codes describing dominant user needs. Learning science theory was applied to identify potential re-designs for remote delivery.Dominant user needs during hospitalization included being overwhelmed with DM self-care information (6/12 sessions) and difficulty organizing self-care equipment (5/12 sessions). Dominant user needs at home included remembering DM self-care steps (6/12 sessions), understanding correct insulin dosing (9/12 sessions), feeling fearful injecting insulin (9/12 sessions), with some noting difficulty in tracking glucose (4/12 sessions) and confusing insulin types (4/12 sessions). When learning science theory was applied, analysis mapped to three discrete educational strategies, most dominant of which is the spiral design approach—cycles of teaching the same topic but with increasing complexity. This design follows the pre-teaching principle—curriculum-based conceptual overview of self-care. Self-care at home mapped to the need for segmented learning and goal directed practice and feedback, with the potential need for behavioral therapies to reduce fear.Learning sciences has demonstrated that learning complex procedures and concepts, such as DM self-care, requires time, repetition, and continued support. With short hospital stays and the complexity of learning DM self-care, patients cannot gain needed knowledge structures to organize the information received during hospitalization. This study suggests specific learning science strategies for the design of an effective remote delivery of DM education and skills.

Simulation training program for vacuum application to improve technical skills in vacuum-assisted vaginal delivery

Objectiveevaluation of technical skills of the operators during the obstetrical device application for operative vaginal delivery, named kiwi-cup in a simulation training program.MethodsThirty-five residents in obstetrics and gynecology of the University of Pisa, Italy were recruited and evaluated with an assessment scale on technical skills from 0 to 55 points. They performed various operative vaginal delivery simulations with kiwi-cup and were evaluated at time 0 by a tutor. After 8 weeks, simulation training was repeated and trainees were re-evaluated by the same tutor.Resultsafter 8 weeks from the first simulation session, trainees have been shown to increase technical skills (46.27 ± 4.6 with p-value < 0.0001), the successful application rate (85.71% with p-value 0.0161).) and to reduce the time to complete the procedure (86.2 ± 29.9 s with p-value < 0.0001).Conclusionsimulation training on operational vaginal delivery significantly increases technical skills, improves successful rate, and reduces the time taken to complete the procedure.Clinical trial registrationNot applicable.

Telehealth Simulation of Psychiatric and Chronic Disease Comorbidity: Response to the COVID-19 National Epidemic

BackgroundHealth care education, including simulations, has been disrupted by COVID-19, challenging educators to devise innovative ways to continue instruction. MethodsWe conducted a pilot study to explore student perceptions of utilizing telehealth technology to manage the crisis care of psychiatric patients in the COVID-19 pandemic. Students were asked to complete an online open-ended survey on their perspectives regarding the use of telehealth as a delivery mechanism and skill in the telehealth management of comorbidities. ResultsStudents agreed that telehealth technology is feasible and acceptable. Because of the simulation, nursing students expressed increased openness to, interest in, and confidence in using telemedicine for the management of psychiatric patients. ConclusionsOur study shows that telemedicine simulations can improve nursing students’ comfort with and future use of telemedicine for treating psychiatric patients.

Evaluation of a suicide loss support training program for organ procurement personnel.

To evaluate the impact of a 6-h traumatic loss training program on organ procurement personnel attitudes, confidence, and knowledge about suicide loss and best practices in supporting survivors. Organ procurement personnel may be uniquely positioned to deliver supportive programming as they have early access to suicide loss survivors (i.e., within hours or days of a loss) and are trained in a variety of backgrounds that include skills in supportive service delivery (i.e., nursing and social work). Sixty-four personnel participated in the 6-h Traumatic Loss Support Program (TLSP) training and completed measures of attitudes, confidence, and knowledge about supporting suicide loss survivors prior to and following the training. Ratings of the usefulness of the training were high and mean scores on all measures of attitudes, confidence, and knowledge increased with moderate to large effect sizes. Results of the current study demonstrate that the TLSP training may be an effective way of increasing suicide loss supportive services provided by organ procurement personnel; however, further research is needed to determine the extent to which these interactions influence the bereavement of those who have lost loved ones to suicide and the fidelity in which the TLSP is implemented.

Teledentistry-based Program to Improve Oral Hygiene Indicators in Rural Pakistan—A Protocol

The primary aim of this research protocol is to secure funding to initiate a teledentistry pilot project in order to improve the oral hygiene conditions of the most vulnerable population of rural Sindh in Pakistan, through hands-on training of 1,000 lady health workers by dentists and community dentistry specialists of other colleges led by Jinnah Medical and Dental College. Training courses on digital health consultation would be given to participating healthcare workers. The trainees would be trained on all aspects of dental hygiene including precautions, tooth brushing techniques, and oral care. During the 2-day-long course, lady health workers will be taught various tooth brushing techniques, as well as basic instructions about oral hygiene and how to address queries of people regarding oral health. They will also get guidance about the various multimedia softwares in the phone and how to use them. The study would also include teledentistry consultation as a real-time patient learning tool for patients, healthcare workers, and trainees. Results will be made available when the trial has been completed in 2021. The program will be evaluated by assessing its usability, acceptability, knowledge, and satisfaction of users. The protocol is designed to illustrate the underlying concept that a more reliable and robust model can be built through creating interactive communities of practice for consumers of telehealth in dental education. The Telehealth Skills Coaching and Delivery Initiative would incorporate and test a technically oriented paradigm of Internet-based medical education for vertically incorporated, community-based learning environments. Teledentistry has the ability to expand access to oral health care, increase the provision of oral health care, and decrease costs. In view of the immense advances made in this field, teledentistry can continue to promote specialized health care in the remotest corners of the world. Many countries have already embraced virtual health care (telemedicine) in the face of an increase in cases of COVID-19; however, teledentistry has yet to play its role in this pandemic by enhancing the accuracy and efficiency of dental treatment. In the case of LMICs such as Pakistan, which lack advanced technologies such as teledentistry within their national healthcare network, the COVID-19 pandemic is a challenge to introduce the requisite legislative changes to promote the widespread use of teledentistry.

Cost-effectiveness of community health systems strengthening: quality improvement interventions at community level to realise maternal and child health gains in Kenya

IntroductionImprovements in maternal and infant health outcomes are policy priorities in Kenya. Achieving these outcomes depends on early identification of pregnancy and quality of primary healthcare. Quality improvement interventions have...

FRONTLINE SERVICES OF DEPARTMENT OF AGRARIAN REFORM PROVINCIAL OFFICE-LAGUNA (DARPO-LAGUNA): TOWARDS TO AN ENHANCED CLIENT-ORIENTED FRONTLINE SERVICES

Frontline service is one of the most essential factors to determine good public governance in any of its offices. An effective and efficient frontline service requires proficient and knowledgeable staff to be assigned as frontlines. For the reason that they face the clients to assist them according to their needs, frontline jobs really an important factor in the delivery of services. As mentioned, frontline services are assigned to address the clients’ needs first hand. They are required to solve clients concern with their utmost skills in services delivery. Frontline also serves as the face of an agency or office. Department of Agrarian Reform (DAR) as one of government entity is created under the Executive Branch of the Philippine Government. It is the lead government agency that upholds and implements comprehensive and genuine agrarian reform which actualizes equitable land distribution, ownership, agricultural productivity, and tenurial security for, of, and with the tillers of the land towards the improvement of their quality of life through the implementation of the Comprehensive Agrarian Reform Program (CARP) through Land Tenure Improvement (LTI), Agrarian Justice and Coordinated delivery of essential Support Services to client beneficiaries (dar.gov.ph). Among the abovementioned programs, these all require a good and impressive frontline service. This study is focused on the assessment of the frontline services of the Department of Agrarian Reform Office – Laguna (DARPO-Laguna). There were three main categories or divisions that have been assessed: 1. Legal Services Division, 2. Land Tenure Services Program (LTSP) Division, and 3. General Frontline Services of DARPO-Laguna. Using the self-constructed questionnaire formulated from the DAR Employee Handbook and Service Performance Model (ServPerf Model), the researcher was able to gather data. These data gathered were tabulated and computed using weighted mean, frequency and percentage, and F-Value and p-value computations. There were three hundred seventy-seven (377) respondents in this study randomly selected from the group of farmers, landowners, Non-Government Organizations, Employees, and Researchers. It reveals from this study that, all the division in DARPO-Laguna that has frontline services including the General Frontline Services was with a great extend when assessed by the respondents. All dimensions and aspects included in this study are acceptable, it means that, in general, DARPO-Laguna Frontline Services is doing a good practice however, still necessitates improvement. In addition, the study found out that there are significant differences in respondents’ assessment when grouped according to their types . Based on the results and findings of the study, it is generally recommended that the management of DARPO-Laguna needs to continue its good practices and may opt to further enhance delivery of services to achieve the best clients’ satisfaction.

Outcomes of a health informatics technology-supported behavioral activation training for care managers in a collaborative care program.

Health informatics-supported strategies for training and ongoing support may aid the delivery of evidence-based psychotherapies. The objective of this study was to describe the development, implementation, and practice outcomes of a scalable health informatics-supported training program for behavioral activation for patients who screened positive for posttraumatic stress disorder and/or bipolar disorder. We trained 34 care managers in 12 rural health centers. They used a registry checklist to document the delivery of 10 behavioral activation skills for 4,632 sessions with 455 patients. Care managers received performance feedback based on registry data. Using encounter-level data reported by care managers, we described the implementation outcomes of patient reach and care manager skill adoption. We used cross-classified multilevel modeling to explore variation in skill delivery accounting for patient characteristics, provider characteristics, and change over time. Care managers engaged 88% of patients in behavioral activation and completed a minimum course for 57%. The average patient received 5.9 skills during treatment, with substantial variation driven more by providers (63%) than patients (29%). Care managers significantly increased the range of skills offered to patients over time. The registry-based checklist was a feasible training and support tool for community-based providers to deliver behavioral activation. Providers received data-driven performance feedback and demonstrated skill improvement over time, promoting sustainment. Future research will examine patient-level outcomes. Results underscore the potential public health impact of a simple registry-based skills checklist coupled with a scalable remote training program for evidence-based psychotherapy. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Investigating the Role of Emotional Intelligence and Role Conflict on Job Burnout among Special Education Teachers

The need to take appropriate care of children with disabilities by the relevant stakeholders as the world moves into the post-COVID era has become imperative. Hence, this work investigated how family-to-work, work-to-family conflicts, and emotional intelligence influenced the four dimensions of job burnout (enthusiasm towards the job, psychological exhaustion, indolence, and guilt) among teachers administering children with disabilities. This was assessed using a cross-sectional online survey design of 276 special education teachers (female = 159; mean age = 32.5, SD = 10.1) from the Nigerian population of teachers. Data were collected using structured psychological tests, including the Work and Family Conflict Scale (WFCS), Emotional Intelligence Scale, and Job Burnout Scale. Results indicated that emotional intelligence predicted all the dimensions of job burnout in teachers except psychological exhaustion. The independent variables failed to predict psychological exhaustion; however, family-to-work conflict independently predicted indolence. Furthermore, the results revealed no gender difference in all four dimensions of job burnout. Based on these findings, it was recommended that an intervention strategy targeting the promotion of emotional intelligence and adequate provision of modern facilities to be used to assist teachers in their special skills delivery.