Flip Chart Research Articles

What Makes a Home.Evaluating a Novel Low Support Homeless Accommodation Model Using Co-design Methods

Abstract Background Homelessness is a global challenge, with a prevalence of 4%; the problem is underestimated due to limitations in data collection. In Ireland, 1% of the population, including children, adults, and families, experience homelessness due to housing shortages and systemic complexities. Homeless accommodation is defined as emergency and temporary; the wording is used interchangeably. The ETHOS typology of homelessness comprises two dimensions - housing-focused and support-focused. Supports range from high to low levels. This study evaluated an emergency housing accommodation with low support to assess its feasibility and impact. Methods Previous residents of an urban residential area with low support [introduced in August 2021] and key stakeholders, including policymakers and health and social care professionals, were invited to collaborate in a half-day co-design workshop [February 2024]. The workshop modified Stanford D’s five-stage design thinking processes to consider ‘How might we harness strengths and abilities to create a home and beyond’. Qualitative data were captured on flip charts, post-its, and via photographs over three rounds of activities following initial reflection regarding 1) identifying emerging challenges, 2) exploring potential solutions, and 3) considering resources for advocacy and success. Results Data analyses from 16 participants highlight 1)Personal insights: silence, freedom in decision-making, feeling overwhelmed, valuing independence and understanding accommodation transitions; 2)Organisational insights: developing and promoting independent skills, managing resident preferences and personalities, balancing regulations within emergency accommodation, and staff training. Space was critical in fostering therapeutic well-being and a sense of home environment. Conclusions Effective organisational structures are required to facilitate coherent transfers and transitions. Using co-design methods enabled real-world partnerships and engagement. Key messages • Homelessness is a significant public health challenge, and a model of low support emergency accommodation has value in supporting transition through and out of services. • Engaging with people with lived experience of homelessness is essential for developing supported accommodation models.

(Development of Biology Based Learning Media Flip Chart on Rhizophora Material for Class X High School Students)

The low percentage of students' test scores on rhizophora material shows that rhizophora material is included in material that is difficult for students to understand. Apart from that, the lack of learning resources and supporting facilities in delivering learning material is also a factor in the low grades obtained by students. One effective way that teachers can use to overcome this problem is by using learning media, one of which is Flip Chart media. This media was designed using the Adobe Photoshop application with the final result in the form of printed media. The aim of this research is to develop biology learning media in the form of a Flip Chart, and determine the feasibility and determine the perceptions of teachers and students towards the Flip Chart media. This research is development research (R&D) which uses the ADDIE development model (analysis, design, development, implementation and evaluation). The final product produced is learning media in the form of a mushroom flip chart. Small group trials were carried out at SMA Negeri 8 Mataram City with test subjects of 9 class X students. The instruments used were open questionnaires and closed questionnaires. The types of data in this research are quantitative data and qualitative data. The validation results by media experts obtained a final score of 62 or 77.5% in the "very good" category, and the validation results by material experts obtained a final score of 57 or 89.1% in the "Very Good" category. The results of the small group trial obtained a score of 547 or 95% in the "Very Good" category. Meanwhile, the teacher's perception results obtained a score of 117 or 94.1% in the "Very Good" category. Based on the research results, it can be concluded that biology learning media in the form of Flip Charts using mushroom material is suitable for use in classroom learning activities or as an independent learning resource for students. The deficiencies in this media can be corrected in further relevant development research.

The Effect of Two Health Education Packages on Nutritional Knowledge, Practices, and Physical Activity Levels Among School-Going Adolescents in Rishikesh: A Cluster Randomized Trial.

Introduction Adolescence is a critical period known for presenting specific challenges in disease treatment and health promotion. Studies have highlighted that increased nutritional awareness is associated with healthier eating habits, while regular physical activity aids in controlling and preventing non-communicable diseases. Equipping adolescents with health education in schools prepares them to adopt and maintain healthy lifestyles throughout their lives. To assess and compare the efficacy of health education packages targeting nutrition knowledge, practices, and physical activity levels, a cluster-randomized trial was conducted among school-going adolescents. Methodology Two distinct health education packages were developed for the two intervention groups. In group 1, a health talk supported by a flip chart was delivered, followed by pamphlet distribution. In contrast, in group 2, only information pamphlets were distributed. The study was conducted in government schools in Rishikesh, with four schools selected. Two schools were randomly allocated to each intervention arm. In each school, a questionnaire was administered to assess the students' nutrition knowledge, practicesand physical activity levels. This was followed by the intervention, and the students were reassessed for the same parameters after two weeks. Result The pre-intervention and post-intervention comparisons within the same group- the mean scores for nutrition knowledge, food practice, sleep duration, and recreational screen time were comparable in the intervention group 1 (p>0.05). There was a decrease in the mean physical activity score and screen time for studies in intervention group 1, and these differences were statistically significant (p<0.05). The mean scores for nutrition knowledge, physical activity, sleep duration, and screen time for studies were comparable in the intervention group 2 (p>0.05). There was an increase in the mean food practice score and a decrease in recreational screen time in intervention group 2, and these differences were statistically significant (p<0.05). On comparing the groups with each other, it was found thatGroup 2 exhibited a significantly higher mean food practice score compared to group 1 post-intervention. While there was a statistically significant decrease in the mean physical activity score in intervention group 1, this group still had higher physical activity levels than group 2.Post-intervention, group 2 exhibited a higher screen time for studies compared to group 1. Both groups had comparable sleep durations at baseline and post-intervention, with intervention group 1's mean sleep duration falling within the recommended range set by the American Academy of Sleep Medicine. Regression analysis provided valuable insights into the relationship between baseline values of various variables and their post-intervention values, aiding in understanding the impact of the health education packages. Conclusion The findings emphasize the significance of incorporating nutrition and physical activity education into the curriculum of students.

Beginner Election Training For Persons With Disabilities B (Speech Impaired) Using The E-Vote Flip Chart Method At The Banyuwangi State SLB Dormitory

Beginner Election Training For Persons With Disabilities B (Speech Impaired) Using The E-Vote Flip Chart Method At The Banyuwangi State SLB Dormitory

Pelvic floor muscle training for urinary incontinence in older adults: a best practice implementation project.

This project aimed to implement best practices for pelvic floor muscle training to manage urinary incontinence among older women in long-term care in Kerala, India. Urinary incontinence is a prevalent and distressing condition that affects a significant proportion of older adults and is characterized by involuntary loss of urine, leading to social embarrassment, decreased quality of life, and increased health care costs. It is more prevalent in women and is associated with dementia, limited mobility, and other comorbidities in long-term care. Pelvic floor muscle training is a first-line treatment option for urinary incontinence in older adults, given its potential to improve quality of life and reduce health care costs. This project was based on the JBI Evidence Implementation Framework. A baseline audit was conducted to evaluate current practice against best practices. After identifying barriers and implementing strategies, follow-up audits were conducted after 3 and 6 months. The baseline audit showed 0% compliance with all best practices. Barriers such as lack of knowledge and practice of pelvic floor exercises for urinary incontinence among participants and nurses; unknown cognitive status; and health emergencies were identified. Strategies including video-assisted training of pelvic floor muscle exercises, training calendars, and flip charts with instructions. The follow-up audits showed significant improvements in compliance. This project reduced urinary incontinence in the participants. Although two of the audit criteria did not reach 100% compliance by the end of 6 months, the stakeholders of the long-term care facility understood the importance of pelvic floor muscle training, which will be beneficial for future residents with urinary incontinence. http://links.lww.com/IJEBH/A211.

Pengaruh Model Pembelajaran Tai Berbantuan Flip Chart Terhadap Sikap Peduli Sosial dan Tanggung Jawab Siswa SD Kelas III SDN Harjosari 01 Bawen

The purpose of this study was to determine the effect of the flip chart-assisted TAI type learning model on social care attitudes and responsibilities of third grade elementary school students at SDN Harjosari 01 Bawen. This study uses a quantitative approach with the type of experimental method, namely Quasi Experimental Design with the form of a Non-Equivalent Control Group Design. The population in this study were all third grade students at SDN Harjosari 01 Bawen. As for the sample in this study were students in class III A and students in class III B SDN Harjosari 01 Bawen. Data collection techniques using observation, questionnaires, unstructured interviews and documentation. The data analysis technique used is Normality Test, Homogeneity Test, Independent Sample T-Test and Simple Linear Regression Test. The results of this study indicate that: 1) There are differences in the use of flip chart-assisted TAI-type learning models for students' social care attitudes, which can be seen from the results of the Independent Sample T-Test and the obtained t count &gt; t table (3.353 &gt; 2.016) with the sig-(2-tailed) value is 0.002 &lt;0.05, then Ho is rejected and Ha is accepted. 2) There is a difference in the use of the flip chart-assisted TAI type learning model for the attitude of student responsibility, which can be seen from the results of the Independent Sample T-Test and the obtained t count &gt; t table (2.427 &gt; 2.016) with a sig-(2- tailed) ie 0.019 &lt;0.05, then Ho is rejected and Ha is accepted. 3) There is an effect of using the flip chart-assisted TAI type learning model on students' social care attitudes, which can be seen from the results of the Simple Linear Regression Test and a significance level of 0.002 &lt;0.05 is obtained with a percentage R Square value of 0.207 = 20.7% , then this regression model can affect the participation variable. 4) There is an effect of using the TAI type learning model assisted by flip charts on the attitude of student responsibility, which can be seen from the results of the Simple Linear Regression Test and a significance level of 0.002 &lt;0.05 is obtained with a percentage R Square value of 0.120 = 12%, then This regression model can affect the participation variable. So it can be concluded that the flip chart-assisted TAI type learning model has an effect on social care attitudes and responsibilities of Class III Elementary School students at SDN Harjosari 01 Bawen.

The Effectiveness of MONOGAMIA (Monopoly to Prevent Anemia) on Female Adolescent Knowledge about Anemia Prevention and Consumption of Iron Supplement

Introduction: The leading causes of anaemia in female adolescents are iron and nutrient deficiencies, excessive blood loss during menstruation, and incorrect diet due to a lack of knowledge of female adolescents about the prevention of anaemia and the consumption of iron supplement tablets. This study aimed to analyse the effectiveness of MONOGAMIA on the knowledge level of female adolescents.Methods: The research design was a quasi-experiment pre-post-test with control group. The sample was 96 female students divided into two groups at Senior High School East Lombok from October 4-14, 2024. The intervention group used MONOGAMIA, and the control group used the CEMARI Flip Chart. The Fe tablet was given for four weeks. Data collection used questionnaires of knowledge and iron supplement consumption compliance cards. Knowledge pre-test and post-test were taken on the same day in both groups, and compliance with iron consumption was taken one week after education. The research data were analysed using Wilcoxon, Mann Whitney, and Chi-Square (α&lt;0.05). Results: Both groups had a significant difference in knowledge of anaemia prevention before and after education (p&lt;0.001). There was a significant difference in knowledge about anaemia prevention after education between two groups (p = 0.000). There was a significant difference in iron supplement consumption between the intervention and control group after education (p = 0.028). Conclusion: MONOGAMIA is more effective in increasing knowledge about anaemia prevention and iron supplement consumption in female adolescents than CEMARI. MONOGAMIA can be used to educate female adolescents on how to prevent anaemia.

Development and validation of the information-motivation-behavioural skills model-based human immunodeficiency virus education kit for adolescents in Malaysia

The growing Human Immunodeficiency Virus (HIV) incidences and insufficient HIV knowledge among Malaysian late adolescents necessitate immediate attention to HIV prevention via education. This study aims to develop and validate an Information-Motivation-Behavioural skills (IMB) model-based education kit for adolescents, PREM-Kit, to educate on HIV prevention among Malaysian late adolescents. Utilizing the Analysis, Design, Development, Implementation, and Evaluation model, we conducted the study in three phases: needs assessment, development of PREM-Kit, and validation of PREM-Kit by applying the IMB model to map the PREM-Kit’s contents. PREM-Kit, developed in Malay language, consisted of an infographic flip chart and videos. Five multi-disciplinary experts validated the PREM-Kit using the content validity index (CVI), and 13 end-users validated the PREM-Kit using the Malay version of the Patient Education Materials Assessment Tool for Printable and Audiovisual Materials. The infographic flip chart comprised three modules covering 15 topics, and an animated video accompanied each module. PREM-Kit achieved CVI scores of 1.0 and median scores of over 80% for understandability and actionability. Overall, the newly developed IMB model-based HIV education kit has good content validity, is simple to comprehend and apply, and is ready for testing its effectiveness in improving adolescents’ knowledge, attitudes, and practices for HIV prevention.

Edukasi Dan Pendampingan Ibu Nifas Dalam Pemberian ASI Eksklusif Di RSUD Padjonga Daeng Ngalle Takalar

Low rates of exclusive breastfeeding pose a threat to children's growth and development, affecting the quality of human resources. The majority of breastfeeding mothers discontinue breastfeeding within a few weeks postpartum due to perceived insufficient breast milk and dissatisfaction of the infant during breastfeeding. The objective of this community service activity is to enhance the knowledge, attitudes, and behaviors of postpartum mothers regarding breastfeeding their infants. The methods employed included lectures and question-and-answer sessions with mothers. This activity took place in the Postnatal Care Room of Padjonga Daeng Ngalle Hospital, Takalar Regency, on March 20, 2024, with the participation of six postpartum mothers. The results of education and support provided to postpartum mothers on exclusive breastfeeding using leaflets and flip charts showed that prior to the intervention, only 2 mothers (33.33%) had good knowledge, and after the education and support, this number increased to 5 mothers (83.33%) in the post-intervention test. Therefore, through education and support, motivation and behavioral changes in exclusive breastfeeding practices among postpartum mothers can be enhanced

Ubuntu Is a Critical Component in the Fight against Human Immunodeficiency Virus and Tuberculosis Stigma: Nursing Students' Perceptions.

Stigma is one of the documented barriers to achieving universal access to human immunodeficiency virus (HIV) and tuberculosis (TB) prevention, treatment, care, and support programs. The lack of African social theories to emphasize these issues may be the cause of the continent's failure to reduce stigma. We can use Ubuntu, an African philosophy that emphasizes sociability and ethics, to deepen our understanding of how to reduce HIV- and TB-related stigma in South Africa. In many African regions, Ubuntu values and principles were found to assist in reducing problems related to HIV. Ubuntu is a comprehensive phrase used by Africans to signify the characteristics that incorporate the core human virtues of compassion and humanity. We explored the perceptions of nursing students regarding the use of Ubuntu in the fight against HIV and TB stigma. Qualitative participatory research was used to engage all first- and second-level nursing students enrolled for the 2023 academic year at the selected university in South Africa. Purposive sampling was used to recruit the participants. An interactive workshop was used to gather data. The data from the recordings and flip charts were analysed together. Throughout the study, trustworthiness and ethical principles were upheld. Two primary themes emerged as expressions of Ubuntu in relation to a reduction in HIV and TB stigma and recognition of Ubuntu as a tool to combat stigma associated with HIV and TB. This confirms that within Ubuntu, there are elements that might be applied to reduce stigma attached to HIV and TB.

The Effect of Ethambutol Therapy in terms of Visual Evoked Potential, Color Vision Test, and Contrast Sensitivity Test at the Subclinical Level

Abstract&#x0D; Introduction &amp; Objectives : Ethambutol is one of the first-line drugs in the treatment of tuberculosis and known to induce optic neuropathy. However, there are unknown protocols for detecting subclinical level of toxicity. The aim of this study was to assess the difference in amplitude and latency of visual evoked potential (VEP), color vision, and contrast sensitivity in tuberculosis patients before and after taking ethambutol for 1 and 2 months.&#x0D; Methods : This was a prospective observational cohort study of 38 eyes of 19 newly diagnosed patients with category-1 tuberculosis being treated with ethambutol. All patients were given ethambutol for 2 months at a dose of 15 - 20 mg/kg body weight/day. The participants underwent complete eye and visual function examination including pattern-reversal VEP, color vision with Farnsworth Munsell D-15 test, and contrast sensitivity with LEA Low Contrast Flip Chart before and after 1 and 2 months of treatment. Wilcoxon test was employed for data analysis.&#x0D; Results : During the study, no changes in visual acuity was observed. The results showed that the latencies of VEP after 1 month (p = 0.000) and 2 months (p = 0.000) of treatment were significantly delayed. There was a significant difference in contrast sensitivity after 2 months (p = 0.014) of treatment. However, no significant difference was found in color vision and amplitude of VEP.&#x0D; Conclusion : Latency of VEP and contrast sensitivity test could prove useful in detecting subclinical and hence very useful for monitoring patients under ethambutol therapy for ocular toxicity.

The Development of Flip Chart Media in the Indonesian Language Subject to Enhance Students' Reading Comprehension Skills at Elementary School

The objectives of this research are as follows: 1) To explore the development of Flip Chart Media in the Indonesian language subject to improve reading comprehension skills at SDN 1 Sukarara; 2) To analyze the product of the development of Flip Chart Media in the Indonesian language subject in enhancing students' reading comprehension skills at SDN 1 Sukarara; 3) To identify the obstacles faced by teachers and students in implementing Flip Chart Media in the Indonesian language subject at SDN 1 Sukarara. The methods of this research utilized a research and development approach, referring to the Research and Development (R&amp;D) model by Borg and Gall. The population in this study consists of the entire number of male and female students at SDN 1 Sukarara, totaling 251 students, and the research sample was the fourth-grade class, comprising 30 students. This research was conducted from October to December 2023. The product trial included the tested product, trial subjects, and the implementation of the trial. Data collection techniques employed were interviews, questionnaires, written tests, and documentation. Research instruments consisted of: a) Instruments for Subject Matter Experts; b) Instruments for Media Experts; c) Questionnaire Instruments for Students; and d) Student Evaluation Test Instruments. Data analysis was conducted through validation and trial steps by calculating the obtained scores. The data collected in this research were both qualitative and quantitative. The research findings are as follows: 1) Based on validation results, revisions, and evaluations, there was an improvement in the assessment of the developed product, specifically showing positive outcomes for the Interactive Indonesian Flip Chart Media. The development of this Flip Chart media used the Borg and Gall development model, simplified into 7 steps: needs analysis, design, prototype creation, product revision, field trials, final revision, and utilization; 2) Based on the analysis of expert team validation regarding the quality of the developed product, the Interactive Indonesian Flip Chart Media falls under the "good" category. Observations during the trial process also indicated that students were enthusiastic about learning when using the developed Interactive Indonesian Flip Chart Media. The delivery of material using Flip Chart media was easily understood by students. In terms of learning outcomes, the use of Interactive Indonesian Flip Chart Media also had an impact on students' reading comprehension skills in the Indonesian language. Based on the post-test results given to 30 students, 26 students (87%) passed and 4 students did not pass (23%), classified as "good" learning achievement. This indicates that the development of Interactive Indonesian Flip Chart Media has the potential to facilitate students in learning; and 3) Obstacles in implementing Flip Chart Media in the Indonesian language subject at SDN 1 Sukarara, including 1) Limited Resources, 2) Teacher Readiness Level; 3) Technical Constraints in Using Flip Chart; 4) Varied Student Participation Levels; 5) Lack of Administrative Support; 6) Resistance to Change; and 7) Limited Classroom Physical Conditions.

Exploring dietitians' views on digital nutrition educational tools in Malaysia: a qualitative study.

Dietitians frequently use nutrition education tools to facilitate dietary counselling sessions. Nevertheless, these tools may require adaptation to keep pace with technological advancements. This study had a 2-fold purpose: first, to identify the types of nutrition education tools currently in use, identify their limitations, and explore dietitians' perspectives on the importance of these tools; second, to investigate the features that dietitians prefer in digital nutrition education tools. A semi-structured face-to-face interview was conducted among 15 dietitians from selected public hospitals, primary care clinics, and teaching hospitals in Malaysia. Inductive thematic analysis of the responses was conducted using NVivo version 12 software. Most dietitians used physical education tools including the healthy plate model, pamphlets, food models, and flip charts. These tools were perceived as important as they facilitate the nutrition assessment process, deliver nutrition intervention, and are time efficient. However, dietitians described the current educational tools as impersonal, outdated, limited in availability due to financial constraints, unhandy, and difficult to visualise. Alternatively, they strongly favoured digital education tools that provided instant feedback, utilised an automated system, included a local food database, were user-friendly, developed by experts in the field, and seamlessly integrated into the healthcare system. Presently, although dietitians have a preference for digital educational tools, they heavily rely on physical nutrition education tools due to their availability despite the perception that these tools are outdated, impersonal, and inconvenient. Transitioning to digital dietary education tools could potentially address these issues.

Perbedaan Pengetahuan Menyikat Gigi antara Penyuluhan dengan Media Leaflet dan Media Flip Chart pada Anak Usia 12 Tahun

Dental health education is one way to increase knowledge about brushing teeth from school age. To increase knowledge of brushing teeth, you can use media such as leaflets and flip charts. The aim of this research was to determine differences in knowledge of toothbrushing education using leaflets and flip charts in 12 year old children at SDIT PERMATA, Padang City. This type of quasi-experimental research with a pre-test and post-test design. The population of all children aged 12 years was 32 people with the total sample population divided into 2 groups, namely 16 leaflet groups and 16 flip chart groups. The data collection instrument was a questionnaire. Data were analyzed using paired and independent t-tests. The results of the research show that respondents' knowledge after counseling using leaflet media increased by 100%, good criteria and flip charts increased by 68.8%, with good criteria, with the results of the paired t-test on leaflet media having a p value of 0.000 (p&lt;0.05) while on flip chart media p value 0.000 (p&lt;0.05). The results of the independent t-test obtained a p value of 0.002 (p&lt;0.05), meaning that there was a difference in knowledge of brushing teeth after counseling with leaflet and flip chart media, where leaflet media was better in increasing knowledge of toothbrushing. It is recommended that students apply good and correct tooth brushing techniques, then brush their teeth at least twice a day, namely after breakfast and at night before bed.

Creating a global learning environment to promote integrated care.

Introduction: While the concept of integrated care has evolved considerably, there is general agreement that the competences necessary to co-create, implement, work in, and evaluate integrated care are only taught and practiced piecemeal. There is a hunger for more information, training and exchange of knowledge and experiences. In general, performance and outcome measurement is lacking, resulting in gaps between implementation in theory and practice. This workshop will discuss how we can bring community members, professionals and policymakers together in a meaningful way to learn and grow together.&#x0D; Why are you conducting a workshop? The existing offers of degree and certificate programmes, targeted training by organisations or learning by doing, do not foster sustainable change in competences of the workforce, system leaders or the wider communities. Often that is because the focus is still on a specific context, competence, or profession. But evidence and experience underline how important it is for everyone to understand the principles of integrated care, including e.g. social determinants of health, co-creation or cross-sectoral, inter-organisational team work. In this workshop, we want to build on our collective intelligence to discuss, define and design a global learning platform, which complements and builds on existing offers to connect people on different levels and in different languages. The key questions to answer are:&#x0D; •What the key barriers for learning and practicing integrated care?&#x0D; •How we can foster the next generation to become true integrated care proponents?&#x0D; •What are current performance and outcome measures that can be implemented immediately?&#x0D; •What are gaps in outcome assessment that must be prioritized to ensure equity and health justice for all?&#x0D; •Who is missing from training discussion/ forums that would help advance integrated care?&#x0D; Who is it for? The workshop is for people with lived experience of health and social care (including family carers) and professionals, policy makers, evaluation and performance experts, managers and academics who are committed to joint learning as the basis of integrated care implementation.&#x0D; 10 minutes introduction &amp; collaborative definition of aims and outcomes of the workshop&#x0D; 5 minutes explanation of the fish bowl discussion and introduction to the starting discussants&#x0D; 20 minutes fish bowl discussion round 1&#x0D; 20 minutes small-group discussions&#x0D; 20 minutes fish bowl discussion round 2&#x0D; 10 minutes summary and wrap-up&#x0D; Participants will have the opportunity to participate in the fish bowl discussions and in the following small-group discussions they can move around from topic to topic. A facilitator will remain at each flip chart to encourage discussion and foster actionability of ideas. The discussion will be visually recorded to enable participants to build on what has come before to enable a rich and diverse conversation.&#x0D; How are you going to summarize the take home messages?There will be a short feedback from each flip chart facilitator on main points discussed – the facilitation team will then write up the discussions into a short and accessible summary which will be shared through social media, integrated care networks and relevant organisational routes.

The Integrated Care Programme for the Prevention and Management of Chronic Disease: implementing a population health approach in Ireland.

The Integrated Model of Care for the Prevention &amp; Management of Chronic Disease (MoC) provides a population health approach to the prevention &amp; management of chronic disease (CD). This model is currently being rolled out across Ireland at scale. This workshop aims to explore the Irish experience of implementing integrated care as part of a population health approach to the prevention and management of CD.&#x0D; Our current, hospital-centric method of delivering health services is not sustainable, nor is it patient-centred. The MoC takes a generic, multi-morbidity approach to the prevention and management of four major CDs: type 2 diabetes; asthma; COPD; cardiovascular disease. It aims to shift care to the left by enabling GP-led primary care and empowering patients to self-manage their CDs.&#x0D; Aim: To describe our real-world experience of implementing at scale a MoC that places an emphasis on the delivery of a person-centred, equitable health service as we work to improve population health in Ireland&#x0D; Objectives:&#x0D; 1. To describe our MoC, and the evidence underpinning it, which is currently being implemented across Ireland &#x0D; 2. To discuss our successes&#x0D; 3. To discuss our challenges and potential solutions&#x0D; 4. To describe importance of involving patients as partners in care &#x0D; 5. To discuss the future of integrated care in Ireland&#x0D; We anticipate that this workshop will appeal to a broad international audience and range of integrated care professionals (from primary care, community care to acute care, public health physicians, commissioners and health service managers) – as well as to patients themselves. It may be particularly relevant to those working in CD care.&#x0D; &#x0D; A.Presentations &amp; Speakers (7 mins per presentation: 50% of workshop)&#x0D; 1.Overview of the Integrated Model of Care for the Prevention &amp; Management of CD (Dr. Sarah O'Brien) &#x0D; 2.Ensuring a population health approach to the delivery of care: delivering direct GP access to diagnostics as part of the Integrated MoC (Dr. Maria O'Brien) &#x0D; 3.The first report from the Structured CD Management Programme in General Practice (Dr. Orlaith O'Reilly) &#x0D; 4.Staff recruitment, retention and development: how to support the workforce in delivering integrated care (Maireád Gleeson)&#x0D; 5.Involving patients in care: identifying and implementing PROMs as part of the MoC (Dr. Ellen Cosgrave)&#x0D; 6.Building on the model: the development of an integrated virtual case management service for multimorbid patients with CD (Margaret Curran)&#x0D; B.Interactive discussion (50% of workshop): How can we ensure a population health approach to the prevention &amp; management of CD to ensure no one gets left behind? (All)&#x0D; 23 min small group work using post-its and flip charts, 20 min feedback and large group discussion&#x0D; C.Sum up of learning and closing remarks (5 min)&#x0D; •We are implementing an integrated MOC that takes a population health approach to the prevention and management of chronic disease&#x0D; •This model is already demonstrating evidence of positive impact&#x0D; •We must now build on this model, using data to support population profiling, stratification and the identification of unmet need, to deliver an integrated health service that is responsive to population need&#x0D;

Knowledge Criteria for Dental Cavity Material Before, After, and Differences Using Flip Charts for Class V Students of Madrasah Ibtidaiyah Darussalam Ulujami Pesanggrahan District, South Jakarta

Tooth cavity disease in Indonesia has a DMF-T index of 4.6 with respective values: Decay component 1.6; Missing component 2.9; and Filling component 0.08; which means tooth decay for the Indonesian population is 460 teeth per 100 people. To reduce the experience index of dental cavities, efforts are being made to increase knowledge (promotional) services so that awareness, motivation, and willingness to change attitudes and behavior in the habit of maintaining dental hygiene increases. After collecting complete data and then processing the statistical analysis, it is hoped that the results will increase the knowledge criteria regarding dental cavities before and after counseling using flip charts for class V students. Researchers used descriptive methods with a cross-sectional design. The data used is primary data using a questionnaire sheet instrument for each respondent, a student at Madrasah Ibtidaiyah Darussalam, Ulujami Village, Pesanggrahan District, South Jakarta. The sample in this study was class V students who were registered as students at Madrasah Ibtidaiyah Darussalam Ulujami, Ulujami Village, Pesanggrahan District, South Jakarta a total of 40 people were divided into 2 groups consisting of 20 people in 1 group or total sampling. The results of the study showed that class V students were given counseling about dental cavities using flip chart print media from initially having poor knowledge criteria (55%) to reaching good knowledge criteria (82.5%) and there was a difference after the intervention to prevent The occurrence of dental and oral diseases in children is therefore a team of dental health workers together with related parties so that services continue and are sustainable in various community groups, including promotive, preventive, curative and rehabilitative efforts and are a very meaningful contribution to the health of the Indonesian people.

Parent management’ or ‘Take care out there!’

This paper is based on a morning session at a pedagogical training course for a group of teachers at a small Danish public school. Using role-play, these teachers, under the guidance of a consultant and an actor, were practicing ‘the difficult conversation’ with parents. I had been given permission to be present and to videotape the morning’s role-play.1 In this paper I inquire into the underlying assumptions behind such training in conversational skills. What is the purpose of this ‘difficult conversation’? Who possesses relevant knowledge that can be used as input in the conversation? What can teachers and parents say given these assumptions? Which management responsibility is addressed through such training of the difficult conversation? My conclusions are, briefly, that the difficult conversation is more correctly to be called an impossible conversation. It is an asking for the parent’s consent to the teachers’ description, and the teachers’ authority is very easily threatened by parents who suppose that their experiences are relevant. The training situation in itself confirms that the parents are the opponents, and that the teachers should take care.The training course had been developed by the school’s Coordination and Development group, which consists of the headmaster, coordinators and union representative. As a basis for the discussion, the Coordination and Development Group had defined five types of difficult parents and had written them on a flip chart. The headmaster referred to them as “types that we all know”:- The extremely well prepared mother2- The egotistical mother- The mother who says yes but does not follow it up, is evasive- The angry/aggressive mother who seeks to place blame- The disagreeing parentsOne of the first things I asked myself – and a few of the teachers present – was how an extremely well prepared mother can be ‘difficult’?

ENHANCING TEACHING AND LEARNING STRATEGIES FOR PUBLIC PRIMARY SCHOOL EDUCATORS TO ACCOMMODATE VERNACULAR LANGUAGE DIVERSITIES IN HANANG DISTRICT, TANZANIA

&lt;p&gt;The study assessed public primary school teachers' strategies for accommodating learners with vernacular language backgrounds in Hanang District, Tanzania. The study involved 110 participants, including 44 teachers and 49 pupils, 4 Ward Education Officers, 1 School Quality Assurance Officer, 1 District Primary Academic Officer, and 11 head teachers. The study employed a mixed research approach. The study selected the sample size using simple random and purposive sampling, and we collected the data through questionnaires, interviews, and observation. The collected data was analyzed using computer software, Statistical Package for Social Sciences (SPSS version 20). The study's findings indicated that most public primary school teachers in Hanang used multiple teaching strategies, such as songs, total physical response, questions and answers, the direct method, and reading aloud, to accommodate pupils with vernacular language backgrounds. These strategies were most frequently employed in lower levels, exceptionally standard one and two. Further, primary school teachers were using teaching and learning materials like pictures, photographs, drawings, cards, flip charts, and natural objects. Also, primary school teachers assess and evaluate their pupils through written exercises, tests, questions and answers, and oral quizzes. The study concluded that multiple teaching strategies helped learners with vernacular backgrounds in public primary schools to master Kiswahili. Also, the assessment and evaluation tools in public primary schools effectively accommodated all pupils’ capabilities and levels of skills. Therefore, teachers should construct standard tests. Hence, the study recommended that the Ministry of Education, Science and Technology (MoEST) organize seminars, workshops and in-service training (IN-SET) to update and impart new knowledge to the teachers on using teaching strategies and preparing practical assessment tools. The government should also employ enough primary school teachers specialized in early childhood education, construct many classrooms and supply sufficient and relevant teaching and learning materials.&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt; Article visualizations:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;img src="/-counters-/soc/0016/a.php" alt="Hit counter" /&gt;&lt;/p&gt;

Exploring the potential for transdisciplinary co-production in the case of nuclear waste disposal (W11)

Abstract. Citizen science and other transdisciplinary approaches become more important in environmental policy and within academia. Scientists benefit from citizens as they generate more socially robust knowledge. In the contested theme of nuclear waste management (NWM), such approaches can be particularly valuable, but they also face challenges. Within our transdisciplinary research project (https://www.transens.de/, last access: 12 June 2023), we work jointly with 14 citizens (citizen working group or CWG) who are interested in the topic without being activists or having a specific agenda. The CWG helps us to enrich the research process with experiential knowledge. Parallel to gaining scientific knowledge, trust can be built due to close collaboration. However, the CWG becomes more scientific over time and no longer resembles the general public. This may have positive effects, as discussions can go deeper into scientific concepts, for instance. However, the increased literacy of a CWG may be criticized for lacking impartiality. Moreover, we established a local measurement lab at the village of Remlingen near the Asse II site. This lab is open to the local public for measuring environmental samples using techniques such as gamma spectroscopy. Experts from the Institute of Radioecology and Radiation Protection (IRS) in Hanover provide assistance concerning technical and radiological questions and appropriate interpretation. One essential aim is to enable citizens to measure their own samples under scientific guidance. During the workshop, we would like to discuss the benefits and challenges of such collaborations, going beyond the aforementioned examples. Potential key questions are as follows: How to ensure the quality of the citizens' work (measurements) and interpretation of results? Participation and in particular co-determination lead to a certain responsibility for the outcome: are the citizens aware of this and willing to assume it? To what extent is extended participation with empowerment for decision-making still in line with representative democracy? Is there a possibility for multiplication and/or upscaling of small-scale approaches? We propose a workshop (90 min) setting with a rich picture methodology (https://naturwissenschaften.ch/co-producing-knowledge-explained/methods/method_factsheets/rich_picture, last access: 12 June 2023). After brief inputs on named examples, we will work in groups of approximately five participants. Participants draw a picture (e.g., on a whiteboard or flip chart) with a focus on the positive results and challenges of citizen participation in research projects. After finishing their pictures, the participants note on cue cards which findings surprised them the most. This is followed by a final discussion.