Feedback Interviews Research Articles

Student engagement with automated feedback on academic writing: a study on Uyghur ethnic minority students in China

ABSTRACT Aided by big-data technology and artificial intelligence, automated writing evaluation (AWE) systems aim to help students engage in self-regulated learning and improve their academic writing in the digital era. While much research on student engagement with AWE systems has been conducted in mainstream classrooms, little attention has been paid to ethnic minority students who have different educational experiences and sociocultural backgrounds. This study investigates how a group of ethnic minority students from Xinjiang Uyghur Autonomous Region engaged with an AWE system in academic writing during an 18-week semester at a comprehensive Chinese university. Data were collected from multiple sources including student multiple-draft assignments, AWE feedback, and retrospective interviews with the students. The participants were found to engage with the AWE system behaviourally, cognitively, and affectively in their writing and revision, but the extent to which they engaged in the process is influenced by their multilingual proficiency, familiarity with digital technologies, learning beliefs and sociocultural identities. Those who were more actively engaged and obtained more learning gains tended to capitalise on their linguistic and cultural capital in their engagement with AWE feedback in their writing. The article concludes with educational implications for ethnic minority students in higher education.

Adoption of Visual Programming Environments in Programming Learning

Programming education is gradually integrated into the school and university curricula. Accordingly, studies in the Computer Science education field have highlighted issues such as high failure rate, memorizing, bugs, the complexity of concepts, motivation, and uconfidence faced by students when learning a programming language, specifically object-oriented programming. These issues require specific learning environments to reach the target audience. Therefore, the objectives of this article are to identify the issues based on previous work and to verify those issues by interview feedback conducted with lecturers in the Department of Computer Science and Information Technology at the Faculty of Information Science and Technology, Universiti Kebangsaan Malaysia. Following that, the theoretical principles underpinning environments were studied to explore the suitability of these environments for university education based on the identified issues. The investigated environments included Turtle Graphics, Alice, BlueJ, Greenfoot, Snap!, and NetsBlox, a co-located collaborative block-based programming, and OOPP were studied and used to teach and learn object-oriented programming. Based on the interviews with experts, we found that students still had issues when learning programming, which involved memorizing, bugs, the complexity of concepts, unconfidence, communicating with students during a calamity (distance learning), and a number of students in labs. We conclude that these environments focus on some issues and ignore others, and no single environment satisfies all these issues, which causes students to be demotivated. In a further study, all these issues will be addressed by developing a learning environment, and its effectiveness shall be tested.

An Applied Knowledge Framework to enable knowledge reuse in consulting firms

Knowledge is a core product of management consultancies. Consulting firms consider knowledge management to be a core capability for achieving competitive advantage. ​Knowledge management, especially in project management, faces a lot of challenges that are crucial for the efficiency of work and as a result the success of the projects. According to ISO 30401, there are some knowledge management enablers like human capital, knowledge processes, technology and infrastructure, governance and knowledge sharing culture. Among them are corporate sharing culture, technology and the structure of knowledge which is the most important for companies. The challenges of knowledge management in a consulting business, for example, time saving and efficiency can be solved within the creation of a structured and target-oriented knowledge framework which enables the reuse of knowledge in the whole consulting company. Qualitative methods were used to conceive, design, and to implement the knowledge framework. The approach has involved workshops that included associates, managers, senior consultants, and project directors. This approach enabled the author to record internal requirements and pain points in the current knowledge management base approach, conduct analysis, set priorities, and conceive a new knowledge framework that was able to solve the pain points of consultants and project managers and support them in their daily business. The new framework includes the following components: a flexible structure that adopts itself to defined tagging structure, the storage of knowledge according to the allocation of the content format, and automatically generated statistics to newly upload and download as well as most used files and documents. The results of conducted feedback workshops and interviews showed that the alignment of the new knowledge framework information architecture to the company’s service portfolio and user-friendly design enabled a quick and target-oriented search for the documents and awareness of relevant and important information and knowledge and as a result lead to the increased efficiency of project work in the consulting company.

Tutors and Their Feedback in Online Tutorials: The Case in a Distance Teaching University

The purpose of this study was to analyze the extent to which tutors provided feedback in online tutorials at Indonesia Open University (Universitas Terbuka or UT), as well as tutors' constraint in providing that feedback. This qualitative study used both content analysis of 20 online tutorial classes to see tutors’ feedback and in-depth interviews with the tutors. The results of the study showed that only some tutors in the online tutorial classes provided feedback on discussions and assignments and that some tutors did not provide any feedback. The analysis of the feedback derived from the types of feedback coined by Alvarez, Espasa, and Guasch (2011), namely, corrective feedback, epistemic feedback, suggestive feedback, and epistemic+suggestive feedback. In the online tutorial classes at UT, some feedback from the tutors corresponded with the types of feedback from Alvarez, Espasa and Guasch. The tutors who provided feedback did so despite constraints such as a lack of time to give feedback to each student. Provision of feedback offered benefits and satisfaction to students, leading them to become more successful in online tutorials.

Development and usability testing of a chatbot to promote mental health services use among individuals with eating disorders following screening.

A significant gap exists between those who need and those who receive care for eating disorders (EDs). Novel solutions are needed to encourage service use and address treatment barriers. This study developed and evaluated the usability of a chatbot designed for pairing with online ED screening. The tool aimed to promote mental health service utilization by improving motivation for treatment and self-efficacy among individuals with EDs. A chatbot prototype, Alex, was designed using decision trees and theoretically-informed components: psychoeducation, motivational interviewing, personalized recommendations, and repeated administration. Usability testing was conducted over four iterative cycles, with user feedback informing refinements to the next iteration. Post-testing, participants (N= 21) completed the System Usability Scale (SUS), the Usefulness, Satisfaction, and Ease of Use Questionnaire (USE), and a semi-structured interview. Interview feedback detailed chatbot aspects participants enjoyed and aspects necessitating improvement. Feedback converged on four themes: user experience, chatbot qualities, chatbot content, and ease of use. Following refinements, users described Alex as humanlike, supportive, and encouraging. Content was perceived as novel and personally relevant. USE scores across domains were generally above average (~5 out of 7), and SUS scores indicated "good" to "excellent" usability across cycles, with the final iteration receiving the highest average score. Overall, participants generally reflected positively on interactions with Alex, including the initial version. Refinements between cycles further improved user experiences. This study provides preliminary evidence of the feasibility and acceptance of a chatbot designed to promote motivation for and use of services among individuals with EDs. Low rates of service utilization and treatment have been observed among individuals following online eating disorder screening. Tools are needed, including scalable, digital options, that can be easily paired with screening, to improve motivation for addressing eating disorders and promote service utilization.

Toward co-design of an AI solution for detection of diarrheal pathogens in drinking water within resource-constrained contexts.

Despite successes on the Sustainable Development Goals for access to improved water sources and sanitation, many low and middle-income countries (LMICs) continue to struggle with high rates of diarrheal disease. In Guatemala, 98% of water sources are estimated to have E. coli contamination. This project moves toward a novel low-cost approach to bridge the gap between the microbiologic identification of E. coli and the vast impact that this pathogen has on human health within marginalized communities using co-designed community-based tools, low-cost technology, and AI. An agile co-design process was followed with water quality stakeholders, community staff, and local graphic design artists to develop a community water quality education mobile app. A series of alpha- and beta-testers completed interactive demonstration, feedback, and in-depth interview sessions. A microbiology lab in Guatemala developed and piloted field protocols with lay community workers to collect and process water samples. A preliminary artificial intelligence (AI) algorithm was developed to detect the presence of E. coli in images generated from community-derived water samples. The mobile app emerged as a pictorial and audio-driven community-facing tool. The field protocol for water sampling and testing was successfully implemented by lay community workers. Feedback from the community workers indicated both desire and ability to conduct the water sampling and testing protocol under field conditions. However, images derived from the low-cost $2 microscope in field conditions were not of a suitable quality for AI object detection of E. coli, and additional low-cost technologies are being considered. The preliminary AI object detection algorithm from lab-derived images performed at 94% accuracy in identifying E. coli in comparison to the Chromocult gold-standard.

Nishtam Niwiipitan (My First Teeth): Oral Health Digital Stories from Urban Indigenous Parents.

To develop oral health-related digital story videos through interviews with Indigenous parents who shared their experiences in dealing with early childhood caries (ECC) in their children. Indigenous parents in Winnipeg, Manitoba, Canada, were recruited from community programs from October to December 2019 as part of the Nishtam Niwiipitan (My First Teeth), a community-based participatory research study that builds on an ECC intervention. A twofold qualitative narrative approach to data collection was used: 1) interviewing participants and creating digital stories and 2) taking part in the postfilming feedback interviews. Participants were interviewed via video in a semistructured format sharing their experiences and attitudes about caring for children with ECC and the challenges faced seeking dental care for the disease. The stories were drawn from parents in 3 predetermined groups: those with 1) children who had undergone dental surgery under general anesthesia, 2) children who had received silver diamine fluoride as an alternative to surgery to manage ECC, and 3) caries-free children. Prior to editing, the narrated stories were transcribed verbatim and analyzed thematically. The postfilming interview transcripts were also analyzed and coded for key themes. Six parents and 1 grandparent, all of whom self-identified as Indigenous (First Nations or Métis) and cared for children aged <6 y, created the digital stories. Three key themes emerged from the postfilming interviews: ability to share, ability to help, and ability to change. Participants felt important, optimistic, and motivated throughout the process of making their digital stories. Digital storytelling offered First Nations and Métis parents a unique opportunity to share their experiences caring for children with ECC with the wider public. These videos can be incorporated into oral health promotion and ECC intervention programs as a culturally appropriate method for reaching Indigenous families. The use and development of digital storytelling for oral health promotion have great potential for spreading awareness and sharing knowledge with Indigenous parents/caregivers about their children's oral health and care practices. This health promotion tool is congruent with Indigenous ways of knowing, as Indigenous communities have a long tradition of oral history. The videos produced for this study will assist with oral health promotion efforts to address the high rates of early childhood caries in Indigenous communities in Canada.

Virtual Reality Therapy for the Negative Symptoms of Schizophrenia (V-NeST): A pilot randomised feasibility trial

BackgroundNegative symptoms are typically observed in people with schizophrenia and indicate a loss or reduction of normal function (e.g. reduced motivation and affect display). Despite obstructing people's recovery, intervention development has received limited attention. This study tests the feasibility and acceptability of a novel Virtual Reality Supported Therapy for the Negative Symptoms of Schizophrenia (V-NeST). MethodA single (rater) blind randomised study with two conditions; V-NeST plus treatment as-usual (TAU) vs. TAU alone, recruiting people with schizophrenia experiencing debilitating negative symptoms. Assessment was at baseline and 3-month post-randomisation. The pre-specified primary outcome was participants' goal attainment, secondary outcomes were negative symptoms and functioning. The study assessed feasibility and acceptability parameters including recruitment, eligibility, treatment adherence and retention. Acceptability was also evaluated qualitatively using a post-therapy feedback interview. Explorative therapy effect on outcomes was estimated. ResultsThe study recruited to its pre-specified target of 30 participants (15 randomised to V-Nest). Two participants in each trial arm disengaged and did not complete the study. Therapy engagement for those randomised to V-NeST was appropriate and research procedures were feasible. The experience with therapy and VR was described as positive and useful. Preliminary analysis suggested the therapy may have a large effect on participants goals and a possible effect on negative symptoms. ConclusionV-NeST is a feasible and acceptable intervention. This therapy has the potential to support people with schizophrenia achieving their recovery goals and may reduce negative symptoms. The efficacy results need to be evaluated in an appropriately powered efficacy study.

An Applied Knowledge Framework to Enable Knowledge Reuse in Consulting Firms

Knowledge is a core product of management consultancies. Consulting firms consider knowledge management to be a core capability for achieving competitive advantage. Knowledge management, especially in project management, faces a lot of challenges that are crucial for the efficiency of work and as a result the success of the projects. According to ISO 30401, there are some knowledge management enablers like human capital, knowledge processes, technology and infrastructure, governance and knowledge sharing culture. Among them are corporate sharing culture, technology and the structure of knowledge which is the most important for companies. The challenges of knowledge management in a consulting business, for example, time saving and efficiency can be solved within the creation of a structured and target-oriented knowledge framework which enables the reuse of knowledge in the whole consulting company. Qualitative methods were used to conceive, design, and to implement the knowledge framework. The approach has involved workshops that included associates, managers, senior consultants, and project directors. This approach enabled the author to record internal requirements and pain points in the current knowledge management base approach, conduct analysis, set priorities, and conceive a new knowledge framework that was able to solve the pain points of consultants and project managers and support them in their daily business. The new framework includes the following components: a flexible structure that adopts itself to defined tagging structure, the storage of knowledge according to the allocation of the content format, and automatically generated statistics to newly upload and download as well as most used files and documents. The results of conducted feedback workshops and interviews showed that the alignment of the new knowledge framework information architecture to the company’s service portfolio and user-friendly design enabled a quick and target-oriented search for the documents and awareness of relevant and important information and knowledge and as a result lead to the increased efficiency of project work in the consulting company.

Learning to flourish in a new reality: a thematic analysis of couples’ experience of participation in a positive psychology intervention post-stroke

Purpose Explore the experiences of couples engaging in a positive psychology intervention post-stroke (ReStoreD: Promoting Resilience after Stroke in Dyads). Materials and methods This is a secondary analysis of qualitative data collected following an 8-week self-administered dyadic positive psychology intervention (Clinical Trial number: NCT03335358). Participants included dyads consisting of one partner who had a stroke at least three months prior and their cohabiting partner. Couples had to be community-dwelling and one or both had to report depressive symptoms. A thematic analysis was conducted on semi-structured feedback interviews from 26 dyads (n = 77 interviews). Results Two primary themes with multiple secondary themes were identified, depicting the experiences of couples post-stroke while engaging in the ReStoreD intervention. Primary and secondary themes included: changes in self (learning about the self, building new coping strategies, and acting with intention) and changes in the relationship (awareness of spouse, spending more positive time together, being more intentional in the relationship, and increased/improved communication). Conclusions Individuals and couples post-stroke often experience negative mood changes, poor health outcomes, and decreased participation. Implementation of ReStoreD activities in the clinical setting can be a valuable and impactful way to encourage and foster positive experiences and re-engagement post-stroke. Implications for Rehabilitation Through dyadic positive psychology intervention activities, rehabilitation professionals can build upon existing strengths and resources to encourage couples to increase their awareness and development of positive coping strategies as individuals and couples. Positive psychology intervention activities can be implemented by rehabilitation professionals at inpatient and outpatient settings through self-directed, low-cost, and time-efficient strategies to increase engagement in positive activities at home.

Exploring Student Engagement With Computer-Mediated Peer Feedback on L2 Writing

From a sociocultural perspective, this case study explored two intermediate-level Chinese university EFL students’ multi-dimensional engagement with asynchronous computer-mediated mode of peer feedback. Data sources included student drafts, peer feedback, think-aloud protocols, stimulated recall, and semi-structured interviews. The two students displayed different responses to asynchronous computer-mediated peer feedback with different foci when engaging with it affectively, cognitively, and behaviorally. In particular, their cognitive engagement was characterized by noticing and interpretation, evaluation, and decision-making. The two student writers’ engagement was not just related to the computer-mediated mode of peer feedback, but also to their motives and roles adopted in the activity of engaging with peer feedback, both of which may be influenced by the community (i.e., the classroom instructional context), its rule (i.e., word limit), and the division of labour in the community (i.e., the role adopted by student reviewer). Pedagogical implications are discussed.

Development of the Bleeding and Pelvic Discomfort Scale for Use in Women With Heavy Menstrual Bleeding Associated With Uterine Fibroids

ObjectivesThis study aimed to define a cardinal symptom burden measure based on items from the Uterine Fibroid Symptom and Quality of Life questionnaire for use as a clinical trial endpoint. MethodsExploratory factor analysis was computed to assess the Uterine Fibroid Symptom and Quality of Life symptom severity scale factor structure, using phase 2 data. Pooled blinded data from phase 3 studies were used for the confirmatory factor analysis and the psychometric evaluation of the new measure. Exit interviews in 30 patients from phase 3 studies provided additional qualitative evidence. A meaningful change threshold was determined using anchor-based analyses supported by patient feedback in the exit interviews. ResultsThree factors emerged from the exploratory factor analysis. Factor 1, called the bleeding and pelvic discomfort (BPD) scale, consists of cardinal symptoms, measuring menstrual distress owing to heavy bleeding, passing blood clots, and feeling tightness or pressure in pelvic area. Patients generally understood the items in the scale and the recall period as intended. The BPD scale had good item performance and internal consistency reliability, strong item-to-total correlations, good item discrimination, known-groups validity, and ability to detect change. A 20-point change on the BPD scale was determined as the clinically meaningful change threshold. ConclusionsThe BPD scale assesses symptom burden owing to bleeding, passing blood clots, and pelvic pressure. The subscale is based on a subset of items selected to measure the cardinal symptoms of uterine fibroids in a clinical trial setting. The responder threshold evaluates whether patients experience a meaningful treatment benefit over the on-treatment period.

Transfer of Avatar Training Effects to Investigative Field Interviews of Children Conducted by Police Officers.

Previous research with students and some professional groups (psychologists) has demonstrated that repeated feedback in simulated investigative interviews with computerized child avatars improves the quality of interviews conducted with real children who have witnessed a mock event. However, it is not known whether this type of training would improve the quality of investigative interviews with actual child victims and witnesses of physical and sexual abuse. Twenty-two police investigators participated in the study. Half of them received feedback during four simulated interviews whereas the other half received no feedback during four such interviews followed by another four interviews after which they also received feedback. Transcripts of interviews both before and after the training were coded for interview quality. Receiving feedback after the simulated interviews increased the proportion of recommended questions both within the simulations and, importantly, also during interviewing with actual child victims and witnesses. This study demonstrated for the first time transfer of learning from simulated interviews to actual investigative interviews.

Development of a Digital Health Capability Framework for Allied Health Practitioners: An Australian First

Background: The value of digital health technologies and their contribution to high-quality and safe clinical care and enhanced health patient experience and outcomes is well established. Digital health technologies are increasingly being used by Victorian allied health professionals (AHPs) in routine service delivery, the uptake of which has been significantly accelerated by the impact of the coronavirus (COVID-19) pandemic. Objectives: This case study outlines the development of a capability framework to support Victorian AHPs, health services, other employers, and university training partners to measure and expand digital health capability at individual practitioner and workforce levels. Methods: A mixed-methods approach to the development of digital health and clinical informatics capabilities and the resultant framework is described, consisting of five phases: (i) a literature/scoping review to identify existing frameworks (ii) expert panel interviews, (iii) thematic analysis of interview themes, (iv) user testing and feedback and, (v) revision based on feedback. Results: This approach proved successful in managing key challenges that emerged during the project, as well as identifying potential barriers and enablers to longer term framework adoption, implementation, and maintenance. Conclusion: This study describes a mixed-methods approach to the development of an Australian-first, Allied health digital health capability framework to address knowledge and skills development at individual practitioner and workforce levels. This case study highlights the need for targeted education and training resources to support the health workforce to build capability in the application and use of digital health technologies. In developing a digital capability framework specific to the allied health workforce, the importance of stakeholder consultation in the early identification of barriers and enablers to potential uptake and implementation is also reinforced.

Perceive, Recall, Plan and Perform (PRPP)-Assessment Based on Parent-Provided Videos of Children with Mitochondrial Disorder: Action Design Research on Implementation Challenges

Aims Performing the Perceive, Recall, Plan and Perform (PRPP)-Assessment, using video material of everyday life, seems sensible to lower the patient burden, enhance ecological validity, and provide care at a distance. However, receipt of adequate video material is not self-evident and assessing videos can be challenging. Therefore, this study aims to optimize the process of gaining video material and to optimize the PRPP-Assessment based on parent-provided videos. Methods An action design research method was used, focusing on implementation of the PRPP-Assessment based on parent-provided videos within the care of children with a mitochondrial disorder or similar symptoms. Results Five cycles were conducted. To receive input, the cycles used videos of nine children performing activities, written feedback, and semi-structured interviews and focus groups comprising parents (n = 13), a teacher (n = 1), occupational therapists (n = 16), and other professionals (n = 2) . This led to successful implementation of the PRPP-Assessment. General lessons were learned on (1) instructing parents; (2) handling video material; (3) PRPP-Assessment based on parent-provided videos; and (4) PRPP-Assessment of children (with limited functional abilities). Conclusions Lessons learned should be implemented in practice and are incorporated into a manual to guide the implementation of video-based observations with PRPP-Assessment in practice.

A Novel Digital Self-management Intervention for Symptoms of Fatigue, Pain, and Urgency in Inflammatory Bowel Disease: Describing the Process of Development.

BackgroundEmpirical studies and systematic reviews have demonstrated the role of biological, cognitive, behavioral, and emotional factors in fatigue, pain, and urgency in inflammatory bowel disease (IBD). Behavioral management that addresses the cognitive, behavioral, and emotional factors offered alongside medical treatment is seldom available to people with IBD. Digital interventions provide a potentially scalable and cost-effective way of providing behavioral support to patients.ObjectiveThis paper aimed to describe the process of developing a supported digital self-management intervention for fatigue, pain, and urgency in IBD using theory and evidence-based approaches and stakeholder input.MethodsThe Medical Research Council framework for complex health interventions and a person-based approach were used to guide intervention development, consulting with 87 patients with IBD and 60 nurses. These frameworks informed the selection and use of a theoretical model that subsequently guided cognitive behaviorally based intervention content. They also guided the design of tailored digital intervention pathways for individuals with IBD that matched the predominant symptoms.ResultsA transsymptomatic cognitive behavioral framework of symptom perpetuation was developed for the symptoms of fatigue, pain, and urgency in IBD. A logic model was used to define the intervention techniques. Patient feedback and qualitative interviews refined the website content and functionalities, including the use of visual aids, email reminders, and graphical tracking of symptoms. Nurse focus groups informed the volume and delivery model of the therapist facilitator support. Ratings of acceptability out of 10 following feasibility testing (31/87, 36%) demonstrated accessibility (scoring 9.43, SD 1.040), ease (scoring 8.07, SD 3.205), clarity, and the relevant tone of the intervention. The final intervention comprised 12 web-based sessions (8 core and 4 symptom-specific), with one 30-minute facilitator phone call following session 1 and subsequent on-site messaging.ConclusionsThe use of theory and integration of stakeholders’ views throughout informed the development of an evidence-based digital intervention for fatigue, pain, and urgency in IBD. This is the first web-based self-management intervention designed to address these multiple symptoms with the aim of improving the quality of life and reducing the symptom burden of IBD. The intervention is being tested in a large multicenter randomized controlled trial.Trial RegistrationISRCTN Registry ISRCTN71618461; https://www.isrctn.com/ISRCTN71618461

Engagement, experience, and satisfaction with peer-delivered whole health coaching for veterans with PTSD: A mixed methods process evaluation.

To describe the process of peer-delivered Whole Health Coaching, a primary care-based intervention in which peers provide patients with individualized support to set and work toward wellness goals. Fifteen primary care Veterans with PTSD participated in peer-delivered Whole Health Coaching during a multiple baseline design study. This is a planned mixed methods concurrent equal status analysis of the process of peer-delivered Whole Health Coaching including patient engagement, patient experience, fidelity to the coaching and peer roles, and patient satisfaction. Data sources were feedback interviews, electronic medical record reviews, self-report assessments, and observer fidelity ratings of session recordings. Qualitative data were used to expand the interpretation of quantitative descriptive data. A rapid assessment approach was used for qualitative analysis. Retention in peer-delivered Whole Health Coaching was 11 of 15 participants, and factors facilitating engagement were peers as providers and flexibility in scheduling/modality of sessions. Peers demonstrated high fidelity to coaching skills, Whole Health Coaching phases and stages, and the peer role. Participants expressed high satisfaction and perceived peer-delivered Whole Health Coaching as helpful with making progress on individualized wellness goals. Results build on the literature describing the expansion of peer services into primary care and implementation of interventions such as wellness coaching. This initial small study suggests that peers can deliver high-quality wellness coaching, and this description of the process can guide the integration of peers doing wellness coaching in similar clinical settings and for future research trials. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Nutrition Environment at Food Pantries Improves After Fresh Produce Donation Program

ObjectiveTo evaluate the influence of the Growing Together Illinois fresh produce donation program and understand factors that affect produce distribution at participating food pantries. MethodsIn this intervention at 17 Illinois food pantries, Master Gardeners supported food donation gardens, and Supplemental Nutrition Assistance Program Education provided educational and environmental interventions to increase selection and use of fresh produce. This mixed-methods pre-post study assessed pantry characteristics and program impact via Nutrition Environment Food Pantry Assessment Tool evaluations, interview feedback from pantry staff, and structured pantry observations. ResultsPantries experienced significant increases from preintervention to postintervention in providing various types of produce, marketing and nudging healthful products, providing additional resources, and total Nutrition Environment Food Pantry Assessment Tool scores. Participants had positive feedback about the program and educational interventions and reported the weekly timing of donations mitigated potential storage and spoilage issues. Conclusions and ImplicationsFuture research could focus on approaches to increase fresh produce in food pantries while supporting clients via nutrition and cooking education.

An individualised psychosocial intervention program for persons with MND/ALS and their families in low resource settings.

To develop individualised psychosocial intervention program for people with MND and their families in India. People with MND and healthcare staff were constructively involved in co-designing the intervention program in four phases adapted from the MRC framework: 1. A detailed need assessment phase where 30 participants shared their perceptions of psychosocial needs 2. Developing the intervention module (synthesis of narrative review, identified needs); 3. Feasibility testing of the intervention program among seven participants; 4. Feedback from participants on the feasibility (acceptance, practicality adaptation). The study adopted an exploratory research design. Intervention program of nine sessions, addressing psychosocial challenges through the different stages of progression of the illness and ways to handle the challenges, specific to the low resource settings, was developed and was found to be feasible. People with MND and families who participated in the feasibility study shared the perceived benefit through feedback interviews. MND has changing needs and challenges. Intervention programme was found to be feasible to be implemented among larger group to establish efficacy.

515 Development of an online intervention prototype for gestational weight management in rural women

OBJECTIVES/GOALS: Despite the importance of addressing maternal weight to promote healthy pregnancies, previous gestational weight management programs have overlooked rural women. Accordingly, this study used an optimization framework to develop and refine a prototype for an online gestational weight management intervention targeting rural women. METHODS/STUDY POPULATION: Methods were guided by the Obesity-Related Behavioral Intervention Trials (ORBIT) model, an optimization framework focused on intervention development and refinement. In line with this framework, three major steps were followed. First, qualitative interviews were conducted with 16 rural women who were currently or had recently been pregnant to identify barriers, facilitators, and desired resources for gestational weight management. A template analysis approach was applied to the resulting interview transcripts to identify pertinent themes. Second, themes derived from the initial interviews were used to inform the development of an online intervention prototype. Third, feedback on this prototype was sought from an additional sample of 15 rural women who were currently or had recently been pregnant. RESULTS/ANTICIPATED RESULTS: Themes from the initial interviews highlighted numerous barriers, facilitators, and desired resources for rural gestational weight management that aligned with common social determinants of health (e.g., neighborhood and built environment, social and community context) and pregnancy-specific factors. Women also described wanting an online gestational weight management program that included a user-friendly interface, psychoeducation, tailored health recommendations, accountability, and simple behavior-logging tools. Using this feedback, an online intervention prototype was developed. Results from the feedback interviews are currently being qualitatively analyzed for themes and will be used to further refine the prototype prior to feasibility testing. DISCUSSION/SIGNIFICANCE: This study used an optimization framework to develop an online intervention aimed at supporting healthy maternal weight outcomes in rural communities. Because rural women experience notable weight disparities compared to their urban peers, this intervention has the potential to promote more equitable maternal health outcomes in rural areas.