Enhance Education Programs Research Articles

The way out for urban household solid waste classification in China: From the perspective of multi-agent based behavior simulation

Rapid industrialization and urbanization drive China's massive urban household solid waste (HSW) generation. Classification and resource recycling of HSW is an effective way to address the “garbage-sieged city” dilemma and promote “urban mineral resources” exploitation. Despite efforts since 2000, HSW sorting and recycling remain at 30%. This study develops a multi-agent based behavior simulation model for HSW classification and recycling, incorporating the interactions and decision-making of key agents, including residents, enterprises, and the government. Taking Suzhou, China as a case study, field surveys were conducted, and behavioral decision-making functions were constructed to simulate micro-behavioral responses and macro-system evolution under different policy incentives, and to predict the implementation effect of domestic waste management approaches, provides the basis for decision-making. The results demonstrate that a combination of waste metering charges, recycling subsidies, and enhanced education program can effectively regulate agent behavior and optimize the system. One year after the implementation of the simulation, the number of “unclassification” residents has dropped from 1.85 million to 250,000 decreased by 86%; the number of “classification deposition” residents has declined from 1.28 million to 1.08 million, reduced by 16%; the number of “selling after classification” residents has risen from 1.05 million to 2.81 million, increased by 63%; the daily waste output per capita has decreased from 1.21 kg to 1.04 kg, reduced by 14%; the recovery rate of resources has been raised from 33.4% to 66.5%. The implementation effects of other policy scenarios are ranked as follows: the metering charge > the recycling subsides > the enhanced education program. The findings provide a basis for decision-making in HSW management. Concerning the metering charge and the recycling subsidies, they can benefit positive interactions encouraged by such economic stimulus. At the same time, it is suggested to strengthen classification and recycling infrastructure, and push forward the integration of HSW classification recycling.

A 25-year scoping review of the organ donation system in Malaysia: past, present, and future.

Organ donation and transplantation are integral components of modern medicine. This scoping review thoroughly explores the historical evolution, current status, and future prospects of organ donation and transplantation in Malaysia. Historically, Malaysia faced significant challenges in establishing a robust organ transplantation system, with various factors hindering organ donation efforts. Currently, Malaysia continues to struggle with stagnant donation rates despite collaborative efforts from various sectors. There is an urgent need to amend the 50-year-old Human Tissue Act to strengthen the legal framework for organ donation and address ethical concerns. Looking to the future, Malaysia could adopt a soft opt-out system and prioritize advancements in organ preservation techniques by exploring new sources of organs through the donation after circulatory death program. Continued efforts are necessary to enhance education programs for professionals and the public, dispelling myths about organ donation and effectively educating on the concepts of brain death. Malaysia strives to create a more accessible future for organ transplantation, aligning with the Sustainable Development Goals to reduce the burden of organ failure and improve the population's health and well-being.

The Influence of Income Level, Educational Background, and Zakat Literacy on Zakat Payer Compliance for Paying Zakat Case Study at National Zakat Agency of Yogyakarta Indonesia

This study aims to examine and prove the influence of income levels, zakat literacy, and educational background on compliance with Zakat payments at the National Zakat Agency of Yogyakarta (BAZNAS DIY). This study uses a quantitative employing inferential statistical analysis (correlation). The collected data was processed with inferential Statistical analysis (correlation), the analyzed data obtained with Structural Equation Modeling (SEM) and Partial Least Square (PLS) through the SMART-PLS version 4.0 software. Data was collected through questionnaires with predetermined respondent criteria. The number of samples successfully obtained and processed was 250 respondents. The findings reveal that income level, zakat literacy, and educational background all have a significant and positive effect on muzakki compliance in paying zakat through BAZNAS DIY. Therefore, BAZNAS DIY and related institutions can enhance education programs and zakat literacy campaigns to increase public awareness and understanding of Zakat’s importance and paying zakat. Furthermore, BAZNAS DIY can consider more effective strategies to target high-income groups and increase the number of muzakki. Additionally, good education can increase awareness and compliancezwith zakat obligations. Thus, zakat institutions should collaborate with educational institutions to include zakat material in the education curriculum.

IPA를 활용한 의과대학생의 연구 역량 강화를 위한 요구 분석

Objectives The purpose of this study is to investigate the level of research competencies and requirements resulting from the completion of a research competency enhancement education program for individual medical students. Based on this investigation, the study aims to provide foundational data for educational support in strengthening research competencies within medical schools.
 Methods A survey was conducted targeting a total of 101 participants, including 54 first-year medical students (Group 1) who were enrolled in the E-Medical School, Department of Medicine, and had completed a two-year research education program in the Department of Medical Education, and 47 third-year medical students (Group 2) who had participated in a two-year research education program. Data was collected using a research competencies scale, and paired-sample t-tests and Importance-Performance Analysis were conducted.
 Results First, the results of the needs analysis for the entire student group revealed the need for short-term focused improvement in “interpretation of results” and “presentation skills,” long-term progressive improvement in “acquisition of specialized knowledge,” “experimental execution,” and “communication skills,” and improved awareness in “research ethics,” “laboratory safety,” “communication abilities,” “experimental design,” and “data organization/ analysis,” as well as the need for sustained maintenance in “topic comprehension” and “error judgment.” Second, the needs analysis based on participation in the educational programs revealed the following results. In Group 1 (first-year medical students), there was a need for short-term focused improvement in “laboratory safety,” “error judgment,” “interpretation of results,” and “presentation skills,” long-term progressive improvement in “research ethics,” “acquisition of specialized knowledge,” “experimental execution,” and “communication skills,” and a demand for “communication skills.” In Group 2 (third-year medical students), there was a need for short-term focused improvement in “interpretation of results” and “presentation skills,” long-term progressive improvement in “acquisition of specialized knowledge,” “experimental design,” “experimental execution,” and “communication skills.”
 Conclusions This study provided empirical data related to enhancing the research competencies of medical students, serving as foundational information for the revision of education programs that promote learner-centered research competencies.

Target Audiences’ Characteristics and Prospective in Countering Information Warfare

NATO Defense Education Enhancement Program defines Information Warfare as an operation run to get cognitive assets over the opponents, by controlling one’s own information space while disrupting the opponents’ one. Not new as a process, continuous technological progress has endowed this phenomenon with speed and instruments to fight cyber and cognitive battles, to attack perceptions, trust, polarise and disrupt societies at large. The all present and undergoing kinetic conflict between Russia and Ukraine doubled by an even stronger cognitive and information war since February 2022 has highlighted even more the need to better understand individuals’ behaviour and characteristics when faced with unconventional attacks, irrespective of a passive or active feedback. By identifying and analysing specific public categories, one can establish which are contextual variables that trigger a social reaction, to be able to then design a set of protective or defensive measures. For a full understanding of the way Information Warfare impacts people’s thinking and decision-making process, to see how a resilience plan can be designed, one should investigate not only the information war instruments but also their effects over people at large. Not knowing the voice of the hostile authors, it Is still important to understand the domestic audience and their reaction to it, so that protective actions be taken for resilience and protection, through education. The domestic public’s identity and its dominant characteristics are brought into attention to understand which is the relation between these and the way Information Warfare can be countered through education, with examples from the Russian’s hostile activity. Values, national identity, stereotypes and generalist psychological profiles will be looked at in this paper, to be put in relation to behaviours, attitude change and resistance in front of types of messages, campaigns and types of media-embedded grey zone threats. The present paper is part of a larger PhD research program that focuses on consolidating a society’s security culture through better institutional strategic communication, therefore all the findings will be used to this end.

Knowledge, Attitude, And Practice Among Healthcare Professionals Regarding the Myths On COVID-19 Vaccination: A cross-sectional questionnaire study and demystification

Background: COVID-19 vaccine is the mighty weapon opted by all the countries across the globe in an attempt to eradicate the fatal COVID-19 pandemic. The myths on the COVID-19 vaccine are spreading widely, causing a hindrance to this noble preventive measure. The prevalence of such myths among healthcare professionals may be toxic and deadly. Aim & Objectives: To assess the knowledge, attitude, and practice of the healthcare professionals regarding the myths on COVID-19 vaccination and to demystify them.Materials and Methods: An 18-item questionnaire evaluating knowledge, attitude, and practice based on the existing myths on COVID-19 vaccination was circulated through Google Forms® among the 412 healthcare professionals of six disciplines belonging to a private University. The responses obtained were subjected to statistical analysis using SPSS® 20 software package. Results: A total of 385 health professionals participated in this study. The majority of them had medium knowledge (165) and positive attitude (273) with the mean knowledge and attitude scores of 3.82 ± 1.55 out of 6 and 4.3 ± 1.58 out of 7 respectively. Even though 312 participants got vaccinated, 72 of them failed to receive it. The knowledge scores showed a high statistically significant difference among the participants of different designations (p=0.001), but not with gender, field, and staff with different years of experience (p>0.05). The attitude scores were statistically different among participants of fields and designation (p<0.05) but not among genders (p=0.31) and staff with different years of experience (p=0.87). Knowledge and attitude scores showed a positive linear correlation and a high statistically significant difference (p<0.001). Conclusion: This study recommends more enhanced education programs on COVID-19 vaccination for the health professionals and demands an improved knowledge, attitude, and practice among them to achieve the goal of 100% vaccination so as to completely eradicate the COVID-19 pandemic.

Lessons from the Field. Continuous Quality Improvement: A multiyear HMRF case study of best practices in outreach program excellence

AbstractObjectiveWe describe the process and outcomes of developing continuous quality improvement (CQI) procedures for a multiyear, multimillion‐dollar healthy marriage and responsible fatherhood (HMRF) relationship enhancement education program. We present lessons learned, including adaptations used to move all programming online due to the COVID‐19 pandemic.BackgroundContinuous quality improvement (CQI) is a set of best practices that are often neglected in outreach programming due to challenges associated with funding, available expertise, and fear of underwhelming results. However, this practice provides valuable insight and benefits to programs and participants and can be implemented without interrupting program delivery.MethodWe developed a “living” CQI plan over the course of 5 years using three sources of data to track, evaluate, and inform CQI high‐performance decision‐making: program data, fidelity data, and outcome data.ResultsA sample of the preliminary descriptive quantitative results is presented including program registrations and show rates, facilitator effectiveness scores, intervention outcomes, and participant responses to online delivery to illustrate how the three types of data collected are used in the SMART Couples Project to support CQI efforts.Conclusions and ImplicationsOur study demonstrates the benefits of using CQI as a powerful tool for program improvement, with staff and participants alike. It is the nature of the CQI process to be amenable to changes, including unforeseen disruptions in program delivery. Implementing an intentional formative and summative CQI strategy provides benefits to social outreach and family life education programs across delivery formats and contexts.

Emergency medical service utilization among acute ischemic stroke patients in Beijing: An observational study.

ObjectiveTo investigate emergency medical service (EMS) utilization and its associated factors in patients with acute ischemic stroke (AIS), and further explore the urban-rural differences.MethodsMedical records for AIS in all emergency departments in Beijing were obtained from the Beijing Emergency Care Database from January 2018 to December 2021. EMS utilization was described and factors associated with EMS use were examined by multivariable logistic regression models with the generalized estimating equations. Results were compared between urban and rural districts.ResultsA total of 24,296 AIS patients were included in the analysis, and 11,190 (46.1%) were transported to hospitals by EMS. The percentage of EMS usage in urban areas was significantly higher than that in rural areas (53.6 vs. 34.4%, P < 0.001). From 2018 to 2021, EMS utilization was on the increase (P-value for trend <0.001) with a higher average annual growth rate in rural areas (12.6%) than in urban (6.4%). Factors associated with EMS utilization were age (OR: 1.20 per 10-year increase, 95% CI: 1.17–1.23), NIHSS scores, off-hour arrival (OR: 1.32, 95% CI: 1.23–1.37), treatment in tertiary hospitals (OR: 1.75, 95% CI: 1.60–1.92), and possessing comorbidities such as coronary artery disease (OR: 1.15, 95% CI: 1.17–1.24), atrial fibrillation (OR: 1.56, 95% CI: 1.41–1.73), prior stroke (OR: 0.84, 95% CI: 0.78-0.90) or dyslipidemia (OR: 0.78, 95% CI: 0.71–0.85).ConclusionThis study demonstrated an inadequate use of EMS among AIS patients in Beijing, especially in rural areas, and revealed several associated factors. Enhanced education programs and EMS accessibility are necessary particularly for high-risk individuals and regions.

An Interdisciplinary Team Approach to Decrease Sacral Hospital-acquired Pressure Injuries: A Retrospective Cohort Study

Hospital-acquired pressure injuries (HAPIs) of the sacrum are among the most common iatrogenic events in health care. Multi-intervention programs have been shown to decrease the prevalence of pressure injuries. To assess changes in the yearly incidence of sacral HAPIs before and after implementation of a 3-pronged interdisciplinary intervention to reduce HAPI incidence. A retrospective study of all patients admitted between 2010 and 2017 was conducted to evaluate the effect of a 2012 initiative on the incidence of sacral HAPIs. In 2012, an interdisciplinary team was created, and enhanced education programs for nursing staff and quality data reporting measures were implemented for all patients admitted to North Shore University Hospital, Manhasset, NY. Pre- and post-intervention patient variables and sacral HAPI outcomes were compared. Pre- intervention, the sacral HAPI incidence was 0.353% and 0.267% (mean 0.31%) in the years 2010 and 2011, respectively. Post-intervention the HAPI incidence was 0.033%, 0.043%, 0.008%, 0.007%, and 0.004% in the years 2013, 2014, 2015, 2016, and 2017, respectively (mean 0.019%) (2-sample unpaired t-statistic: 11.5937; P < .001). Significant variables and outcomes differences between pre-intervention (n = 245) and post-intervention (n = 49) patients with a sacral HAPI were seen for race (P < .0001), length of stay (P = .0096), and HAPI stage (P < .0001). A hospital-wide, multi-part, interdisciplinary intervention resulted in a significant and sustained reduction in the incidence of sacral HAPIs.

Web based and conventional classroom based anti-tobacco awareness programs: A comparative study

Introduction and Aim: The technology enhanced education programs are efficient than traditional passive learning methodologies with respect to learning gains and knowledge retention, thereby reinforcing positive habits in students of all ages. The present study was designed to develop a computer assisted digital educational program on ill effects of tobacco and to assess the impactof this methodology over traditional classroom based anti-tobacco awareness program.&#x0D; &#x0D; Materials and Methods:Two types of anti-tobacco awareness programs namely, computer assisted and conventional teaching, were administered to school childrenof teen age and successivelyknowledge retention, the attitude and behaviour towards tobacco were assessed through a structured questionnaire. Assessment was done on two occasions: subsequent to the training program (Phase I), six months after the program (Phase II). The results were compared usingindependent ‘t’ test and paired ‘t’ test. P &lt; 0.05 was consideredstatistically significant.&#x0D; &#x0D; Results:The students who received the computer-assistedtraining had a significantly higher cognitive learning outcome, both short term and long term and presented a significantly more positive attitude towards tobacco prevention (p &lt; 0.05). However, no significant difference was noted in behaviour. Different parameters within Group 1 and 2, in phase I and phase II remained without significant difference (p&gt; 0.05). A very strong positive correlation between knowledge and attitude was noted among participants of computer-assisted program.&#x0D; &#x0D; Conclusion:Computer assisted anti-tobacco awareness program is better in terms of short term and long term knowledge retention in comparison to conventional classroom based learning program. Also long-term knowledge retention seems to have increased the concern about tobacco, which would have modified their behaviour towards engaging in protective practices.

0715 Long-term CPAP Adherence In A Public Sleep Clinic

Abstract Introduction CPAP adherence may drop substantially over a long time frame. Since minorities including Hispanics and low socioeconomic groups have lower short-term acceptance and adherence, long-term adherence may also be reduced. We adapted a brief motivational enhancement education program (BMEEP) (Lai, CHEST 2014) in a Los Angeles County safety-net sleep clinic and found improved CPAP adherence at 3 months. We now report longitudinal long-term adherence over &amp;gt;=2 years. Our hypothesis: Many patients would meet CMS adherence criteria over &amp;gt;= 2 years. Methods During 3/1/2016 - 4/1/17, 118 patients completed BMEEP during CPAP initiation and were scheduled for a reinforcement session and routine clinic visits at 1 and 3 months and every 6 months thereafter. Electronic adherence and efficacy data were accessed each visit. Multivariate regression analyses explored association of adherence variables with demographic, clinical and workflow features. Results Baseline characteristics (mean (SD) or percent): Age 57.2 (17.8); Women 44.9%; Hispanic 69.5%, Non-Hispanic-White 22.9%, Other 5%, Black 3%; BMI 37; Epworth score 10.4 (6.05). Home sleep testing (69 patients) respiratory event indices were &amp;gt;=15/hr in 67% and &amp;gt;=30/hr in 57%. Polysomnography (81 patients) apnea hypopnea indices were (AHI) &amp;gt;= 15 in 78% and &amp;gt;=30/hr in 43%. By 7/1/2019, 23 (19%) patients were lost with unknown CPAP use status, while 76 (70.5%) of remaining patients continued to use CPAP. At 2 years, CPAP adherence parameters included: Average nightly use, 75% (27.7); Average hours/night, 4.74 (2.5); Average nightly use &amp;gt;=4 hours, 65.2% (31.6); &amp;gt;=70% nightly use &amp;gt;= 4 hours, 35 (51.5%). Average residual AHI was 2.05 (1.69). Adherence parameters in individual patients remained similar throughout 2 years. Long-term adherence was not associated with the demographic, clinical or workflow variables tested. Conclusion Programs that educate, motivate and provide regular follow-up for predominantly Hispanic low income populations can achieve acceptable long-term CPAP adherence rates. Support None

E-LEARNING AS TOOL TO SUPPORT CYBERSECURITY EDUCATION. CASE STUDY - GENERIC REFERENCE CURRICULUM, RECOMMENDED BY NATO, AVAILABLE AS E-LEARNING COURSE

The aim of the article is to address the challenges and opportunities for academic education, as a consequence of the technological revolution, with particular emphasis on the context of the e-learning solutions and applications. The aim is also to formulate recommendations regarding the best practices within the information and communication technologies in education. In this context the cooperation between Partnership for Peace Consortium (PfPC) of Defense Academies and Security Studies Institutes, and the NATO International Staff, aiming to develop the reference curricula, is presented – designed for employment by the defense education institutions. The respective documents are available, also for the Defence Education Enhancement Program (DEEP) partner countries. As the case study, the Reference Curriculum on Cybersecurity is shown as the e-learning solution, available on the NATO DEEP ADL Portal and LMS ILIAS platform of the Elk Campus Branch of the University of Warmia and Mazury in Olsztyn.

A Model and Contents for Competency Enhancement Education Program of Underachieving College Students

본 연구는 학습부진 대학생들의 학습역량강화를 위한 교육 프로그램 모델과 콘텐츠를 설계하는 데 목적이 있다. 이를 위하여 첫째, 학업부진 대학생 관련 선행연구를 고찰하고, 현재 대학에서 학업부진학생들을 위해 지원되고 있는 프로그램 현황에 대해 분석하였다. 둘째, 지방소재 K대학의 다단계, 양방향 접근식 학사경고 학생관리시스템을 기초로 사례연구를 실시하여 총체적 접근관점에서 학습부진 극복을 위한 프로그램 설계의 방향성을 도출하였다. 셋째, 자기주도적 완전학습을 지향하는 학습부진 학생 대상교육 프로그램의 모델 및 콘텐츠를 설계하였다. 본 연구의 결과는 각 대학에서 학습위기에 처한 학생들을 위한 교육 프로그램 콘텐츠 개발에 도움을 줄 것으로 기대된다.

Inequalities in the private funding of public schools: parent financial contributions and school socioeconomic status

ABSTRACTParent involvement in their child’s schooling is routinely celebrated and emphasised in government education policy in many countries. We take a critical lens to examining parent involvement by investigating voluntary parent fees in public secondary schools, and how these fees are patterned by school socioeconomic status (SES). In Australia, where this study is located, public schools may request ‘voluntary’ fees from parents to enhance education programmes and facilities. As public schools are increasingly situated in a competitive market, this has arguably augmented pressure for schools and their communities to generate funds. Our findings show large inequalities between public schools, with high-SES schools enjoying more than four times parent-generated income than low-SES schools. Parent financial contributions are a form of structural inequality that benefits socially advantaged students and schools, potentially serving as both a cause and consequence of socially segregated schooling. We conclude with recommendations for policy.

Development of a Career Resilience Enhancement Education Program for Unemployed Young man and testing its Effects.

Development of a Career Resilience Enhancement Education Program for Unemployed Young man and testing its Effects.

A Randomized Trial of a Relationship-Enhancement Approach in Improving Marital Intimacy in Middle-Aged Iranian Couples

The purpose of this study was to evaluate the effects of a relationship enhancement education and counseling (REEC) program on improving middle-aged couples' marital intimacy. The randomized controlled trial study was conducted in Tabriz, Iran, from May to December 2017. Thirty-two married couples, attending a public health center and meeting the inclusion criteria, were randomly assigned to the intervention (receiving REEC) and control (receiving routine care) groups. The outcome measures were marital intimacy, sexual motivation, and sexual function. Data were collected at three points in time. The Statistical Package for the Social Sciences was used for the purpose of data analysis. In all analyses, the interventional group outperformed the control group on all outcome measures. In the intervention group, results showed statistically significant improvement in all variables of interest after one week and 12 weeks in comparison with preintervention. Upon the completion of the experimentation, it can be concluded that a REEC program positively affects marital intimacy, sexual function, and sexual motivation in middle-aged couples.

Defense Education Enhancement Program in Ukraine: The Limits of NATO’s Education Program

Defense Education Enhancement Program in Ukraine: The Limits of NATO’s Education Program

Defense Education Enhancement Program in Ukraine: The Limits of NATO’s Education Program

Defense Education Enhancement Program in Ukraine: The Limits of NATO’s Education Program

Responding to the Educational Challenges and Opportunities of ASEAN Integration: A Case Analysis of St. Paul University Philippines

This paper discusses the challenges and opportunities to the education sector of the ASEAN Regional Integration launched in 2015. The Philippine education was subjected to reforms and transitions due to the K to 12 Basic Education Enhancement Program of adding two years of Senior High School. Consequently, the Higher Education Institutions suffered setbacks, decrease in enrolment and displacement of teachers. The case of St. Paul University Philippines portrays the educational strategies and activities of meeting these challenges and taking advantage of the opportunities at hand. Of foremost consideration to the successful experience of SPUP are its internationalization program, the convergence of cultural and religious differences, and the citizenship and character components of its Paulinian education. These were supported by policy and organizational structures, curriculum reviews, new learning modalities, international partnerships and linkages, global learning, and practice of inter-cultural competence. The internationalization of SPUP is a positive response to the ASEAN Integration.

Development of a Resilience Enhancement Education Program for Long-term Unemployed Young man Based on Adler Individual Psychology

본 연구의 목적은 Adler 개인심리학에 근거하여 장기 미취업 청년을 위한 회복탄력성 증진 교육 프로그램을 개발하는 것이다. 회복탄력성 증진 교육 프로그램의 목표는 다음과 같다. 첫째, 자기 자신의 감정·사고·행동에 대한 자기 조절력을 키운다. 둘째, 열등감을 감소시키고 자신의 자원을 인식할 수 있도록 긍정성을 강화한다. 셋째, 사회적 관심을 조장하여 대인관계능력을 향상시키는 것을 목표로 한다. 교육내용은 장기 미취업 청년의 자아탄력성 증진을 위해 자기조절력, 긍정성, 대인관계능력의 3개 주제와 감정조절력, 충동통제력, 원인분석력, 자아낙관성, 생활만족도, 감사하기, 소통능력, 공감능력, 자아확장력과 같은 총 9개의 하위 활동을 선정하였다. 교수-학습방법은 Adler 개인심리학의 치료적·교육적 접근에 따라 관계형성, 심리적 탐색, 해석, 재정향이라는 4단계를 거치는 수업 모형을 적용하여 개발하였으며, 구안학습, 발견·탐구학습, 협동학습을 적용하여 교육적인 접근을 보다 강조했다. 이러한 개발 결과를 토대로 본 교육 프로그램은 다양한 기관에서 활용할 수 있는 방안 및 제안들을 도출하였다.The purpose of this study is to develop a resilience enhancement education program for Long-term unemployed young man based on Adler Individual psychology. The goals of the Resilience Enhancement Education Program are as follows. First, it raises self-control over one`s feelings, thoughts and actions. Second, it strengthens positiveness to reduce inferiority and recognize its own resources. Third. it aims to improve interpersonal skills by facilitating social interest. The contents of the training have three topics like self-control, positive and interpersonal abilities for ego resilience of Long-term unemployed youth man which are selected a total 9 sub-activities such as empathy control, impulse control, causal analysis, self-optimism, life satisfaction, auditing, communication ability, empathy and self-efficacy. The teaching-learning method was developed by applying a class model through 4-steps; relationship formation, psychological exploration, interpretation and reestablishment in accordance with the therapeutic and educational approach of Adler Individual psychology also it emphasized the educational approach by applying the concept learning, discovery, inquiry learning and cooperative learning. Based on the results of these developments, we have drawn up plans and proposals to operate the program in various institutions.