Health Improvement Work Research Articles

Longitudinal Trends in Glycemic Outcomes and Technology Use for Over 48,000 People with Type 1 Diabetes (2016-2022) from the T1D Exchange Quality Improvement Collaborative.

Previous studies revealed that HbA1c increased overall in the U.S. in the past decade. Additionally, health inequities in type 1 diabetes (T1D) outcomes by race-ethnicity and insurance type persist. This study examines the trends in HbA1c from 2016 to 2022 stratified by race-ethnicity and insurance in a large multicenter national database. We analyzed glycemic outcomes and diabetes device use trends for over 48,000 people living with type 1 diabetes (PwT1D) from three adult and twelve pediatric centers in the T1D Exchange Quality Improvement Collaborative (T1DX-QI), comparing data from 2016-2017 with data from 2021-2022. The mean HbA1c in 2021-2022 was lower at 8.4% compared to the mean HbA1c in 2016-2017 of 8.7% (0.3% improvement; p<0.01). Over the same period, the percentage of PwT1D using a continuous glucose monitor (CGM), insulin pump, or hybrid closed-loop system increased (45%, 12%, and 33%, respectively). However, these improvements were not equitably demonstrated across racial-ethnic groups or insurance types. Racial-ethnic and insurance-based inequities persisted over all seven years across all outcomes; comparing non-Hispanic White and non-Hispanic Black PwT1D, disparate gaps in HbA1c (1.2-1.6%), CGM (30%), pump (25-35%), and HCLS (up to 20%) are illuminated. Population-level data on outcomes, including hemoglobin A1c (HbA1c), can provide trends and insights into strategies to improve health for PwT1D. The T1DX-QI cohort showed a significant improvement in HbA1c from 2016-2022. Improvements in diabetes device use are also demonstrated. However, these increases were inconsistent across all racial-ethnic groups or insurance types, an important focus for future T1D population health improvement work.

Readying the Applied Epidemiology Workforce for Emerging Areas of Public Health Practice.

Epidemiologists are key professionals within the public health workforce. As the role of public health agencies changes over time, epidemiologists will need to adapt and develop new skill sets to work in emerging areas of (public health) practice (EAoPs), which are areas of practice that are new or are growing in interest and use. This mixed-methods research study sought to explore the role and readiness of state health department epidemiologists in the United States to work in EAoPs. Three phases of data collection and analysis were conducted including secondary analysis of the Public Health Workforce Interests and Needs Survey, a survey of the designated state epidemiologist in all 50 states and the District of Columbia, and focus groups with early-, mid-, and senior-career epidemiologists working in state health departments. Fifty state health departments and the District of Columbia. Epidemiologists working in state health departments. Identification of EAoPs relevant to epidemiologists, the role of epidemiologists in these EAoPs, and readiness of epidemiologists to work in EAoPs. Participant state health department epidemiologists indicated that the studied EAoPs were important to their work and that epidemiologists have some role in them. Key facilitators identified to working in EAoPs included supportive organizational strategy and leadership, dedicated time for training and work, cross-training across programs, and the development of crosscutting skills. There is much opportunity for epidemiologists to be more engaged in current EAoPs. Not only can epidemiologists supply relevant data but they can also bring skills and expertise to help improve the overall success of population health improvement work. Workforce development strategies should be implemented to ensure a nimble epidemiology workforce that can readily adapt to the needs of future public health practice.

IMPROVING OF SUBJECT-METHODOLOGICAL COMPETENCE OF FUTURE PHYSICAL CULTURE TEACHERS IN CONDITIONS OF BLENDED LEARNING

The article substantiates the theoretical and methodological principles of improving the subject-methodological competence of future physical culture teachers in conditions of blended learning. The issues of modernization of the domestic system of higher pedagogical education are considered, the problem of developing the trajectory of professional development of a teacher of a new Ukrainian school on the basis of the competence approach is actualized.&#x0D; The essence and structure of the concept «subject-methodological competence of future physical culture teacher» are defined as the generalized purpose and result of his/her professional skills which are characterized by integration of theoretical knowledge on a specialty and orientation in modern concepts of physical culture and health-improving work organization; as well as the ability to select methods of rehabilitation and develop technologies to increase the level of physical activity of student youth; the skills of organizing partnerships with parents and colleagues in order to improve the quality of educational process on the subject of «Physical Culture».&#x0D; The main directions of improving the subject-methodological competence of future physical culture teachers in conditions of blended learning are determined on the example of studying the discipline "Modern sports and health-improving technologies": at the organizational level – determining learning outcomes, selecting assessment strategies, designing courses, distinguishing the optimal part of face-to-face and online components; at the content level – structuring of materials (topics, tasks, program questions) that are professional in content and educational in form and provide contextual modelling of future physical culture and health-improving activities; at the procedural and technological level – the use of a set of tools and practices that contribute to the professional adaptation of the student to future activities and are provided with active methods (problem-based learning, discussion, analysis of educational situations, solving educational problems, gamification, creative individual work, modelling professional and methodological activities, etc.) and educational means (multimedia textbooks, interactive tasks); at the reflexive level – the use for educational and diagnostic purposes of various forms of answers: oral; written (graphic); using information and communication technologies.

Tutorial support for forming the readiness of future teachers for recreational work with children in summer camps

Introduction. The urgency of the problem presented in the article is due to the need to form the readiness of future teachers for recreational work with children. The authors of the article carried out a pedagogical analysis of the works of modern scientists devoted to the problems of finding methods, means of preserving, strengthening the health of students in the conditions of the educational process. In this regard, the natural environment acts as a powerful factor in health-improving work with children in country summer camps. They are the most massive type of extra curricular organizations in our country, in which future teachers, as trainees, can carry out work to preserve, strengthen the health of children, as well as carry out useful activities to form an ecological culture, a healthy and safe lifestyle among the younger generation. There is an obvious need to prepare future teachers to carry out this work with children. Tutor support of this process is of particular importance in solving this problem, since it makes it personified, which significantly increases its effectiveness. The purpose of the article is to identify the most effective methods and forms of tutoring support for the process of forming the readiness of future teachers for health-improving work with children, to analyze the results of its implementation in the educational process of a pedagogical universityMaterials and Methods. In the course of research, the following methods were used: analysis of ecological-valeological, psychological-pedagogical literature; normative documents on health protection and promotion, on education; analysis of teaching materials; systematization; comparison; modeling; studying the pedagogical experience of university teachers; observation; testing; questioning; conversation; oral questioning; quantitative and qualitative analysis of the data obtained; building an individual educational route for future teachers.Results. The result of the study was the implementation of the author's program of tutor support for the process of forming the readiness of future teachers for health-improving work with children using methods, techniques and forms that have proven their effectiveness.Discussion and Conclusion. In the course of the study, the most effective methods, techniques and forms of tutor support of the process of forming the readiness of future teachers for recreational work with children were identified. An analysis of the results of experimental work is presented, which confirms the effectiveness of this support.Highlights:- it is proved that the urgency of the problem of tutor support of the process of forming the readiness of future teachers for recreational work with children is determined by objective contradictions;- tutor support for tutors is a targeted sequence of interdependent stages: diagnostic-motivational, design, implementation and analytical;- the methods, forms and means of tutor support of the process of formation of future teachers' readiness for health-improving work with children are characterized;- the criteria for the level of formation of the readiness of future teachers for health-improving work with children have been determined: cognitive, emotional and behavioral;- the influence of tutor support of the process of forming the readiness of future teachers for health-improving work with children on its effectiveness has been proved;- the results of the diagnostic study are presented.

Methodology and organisation of health-improving work with students with impaired health

The article analyses the features of the methodology for organising physical culture and health-improving work with students with impaired health in Russian universities. The work experience in this direction of physical culture teachers of the Institute of Pedagogy and Psychology of Kostroma State University is presented. The methodology of organising physical culture and health-improving work with students with impaired health in terms of distance education via e-mail is considered; the WhatsApp system popular among young people; Zoom platform; YouTube video hosting. Within the framework of this problem, a digital self-observation diary of students with impaired health has been developed and tested. The tables provide information about students with weakened health of the Institute of Pedagogy and Psychology of KSU, those who started and did not start physical excercises in a distance format and the main reasons for their refusal to practice in a distance format. The author's model of the organisation of distance physical culture and health-improving work with students with health problems is described, including: purpose, objectives, principles, means of physical culture and health-improving work with students with impaired health, as well as features of distance interaction between students and teachers; factors ensuring the implementation of this type of activity and elements of a comprehensive assessment. In the conclusion of the article, conclusions are drawn about the results of the study.

TO STUDY THE ANTHROPOMETRIC PARAMETERS OF CHILDREN AND ADOLESCENTS INVOLVED IN ATHLETICS

Children from 8-9 years old who have a medical admission to classes are allowed to classes at the sports and recreation stage. The main one at this stage is physical culture, health improvement and educational work aimed at strengthening health, versatile physical fitness, mastering vital motor skills and qualities, familiarity with the basic technique of not only athletics, but also other sports.

Improving the Pedagogical Conditions of Preparing Students for Sports Competitions

Relevance. Sports competitions are one of the most effective forms of organizing mass health-improving and sports work. Competitions act not only as a form, but also as a means of enhancing the general physical, sports-applied and sports training of students.&#x0D; Aim. This article is written about improving the pedagogical conditions for preparing students for sports competitions.&#x0D; Methods. In this article were used methods of analysis of scientific and methodological literature on the research topic; study of educational and normative documentation, state educational standard and curriculum; study of programs and curriculum - thematic plans, work experience of institutions of additional education; analysis of the results of the activities of teachers-trainers and students of the Faculty of Physical Education; ascertaining experiment; pedagogical observation; individual conversations with participants in the educational process; pedagogical experiment; mathematical and statistical methods of data processing, etc.&#x0D; Results. The types of competence, researches of scientists on the chosen topic are analyzed.&#x0D; Conclusion. Conclusions are given about the forms, methods and means for the improvement of pedagogical conditions for preparing students for sports competitions.

Реконструкция парковой зоны озера Молодежное (г. Усолье-Сибирское)

The aim of this study wasa reconstruction of the park zone of Lake Molodezhnoe in Usolye-Sibirskoye city. The methods of landscape reconstruction were used, along withstylistic solutions with composi-tional design techniques of landscape architecture. The paper presents some materials on the im-provement of an urban territory. As part of the process of reconstruction and improvement of the park zone of Lake Molodezhnoye, a special place is occupied by its landscaping. It symbolizes modern en-vironmental trends, which testify to the desire of people to take care of their health. The authors of the project paid special attention to changing the territory towards landscaping and improving park areas. In the study, zoning was prepared, as well as design territories were identified: places for recreation and for sports and cultural events. In the course of creating a project for the reconstruction of the park zone, measures were developed to improve the entire territory of the park, including the preparation of entertainment facilities, playgrounds for children, as well as the design of a pedestrian network. An overview of the park territory was also conducted on the basis of a visual study of the state of the Lake Molodezhnoyeshore in Usolye-Sibirskoye. The result of the research was the developments, which presented a project plan, taking into account the best use of natural conditions for organizing public recreation and carrying out a variety of cultural, educational, physical, and health-improving work among adults and children.

Engaging Women with Lived Experience of Homelessness: Using the Community of Solutions Framework.

The interaction between homelessness and domestic violence exacerbates health inequities. To combat this problem, people with lived experience must be involved in community health improvement initiatives to improve ecological validity and sustainability. The authors understand homelessness through lived experience of homelessness or working with populations impacted by homelessness. A guiding framework (e.g., Community of Solutions) is useful when partnering with people with lived experience. The Community of Solutions framework builds skills in leading together, leading from within, leading for outcomes, leading for equity, and leading for sustainability to create meaningful, authentic collaboration and sustainable improvements in health, well-being, and equity. This article highlights a novel use of the Community of Solutions framework by Downtown Women's Center, located in Skid Row, Los Angeles, to guide community health improvement work with women who are survivors of domestic violence and have lived experience of homelessness. This work is written from the perspective of the Downtown Women's Center as an organizational community. The aim of the article is to highlight Downtown Women's Center as an organizational bright spot in this work. It provides lessons learned and examples of Community of Solutions skills relevant to community practitioners working in partnership with women with lived experience to combat the lack of shared support services for the intertwined issues of domestic violence and homelessness.

PROBLEMS OF PHYSICAL AND HEALTHY WORK IN SCHOOL EDUCATION SYSTEM

The article examines the results of sociological research of subjectteachers on the organization of physical culture and health-improving work of theteaching staff in the system of public education

Подготовка студентов к использованию народной педагогики в физическом воспитании учащихся

This article discusses the issues of preparing students for the use of folk pedagogy and sports traditions in the organization of sports and health-improving work with students. An important direction of this training is the organization of physical education of youth, the improvement of which is impossible without turning to age-old national traditions. Involvement of folk games in the process of physical education of children makes certain demands on the teacher. Therefore, the preparation of the teacher and class teacher for the use of folk pedagogy and folk traditions is the most important condition for a scientifically based system of education at a university.

Social efficiency increasing in physical culture and health-improving work with the population based on the integration of physical and spiritual development

The paper presents an original approach to the development of the mass character of the systematic involvement of the population in physical exercises and “Sport for all” with the main idea to create the integration program focused on “physical – spiritual” development. Against the background of the development of “Sport for All” and various forms of physical education development in population, many problems remain that impede the active involvement in the use of physical exercises in organizing a healthy lifestyle and in practicing of sports activities. In this situation, the most effective way is to use the project approach in developing activities, plans and programs based on original ideas to solve the problems of developing mass participation. This approach is built on a logical scheme: “goals-methods-forms-means”. Based on detailed analysis it is possible to create real ideas, the theoretical basis of organizational and managerial activity. Based on the development and implementation of projects: "Irtysh Coast" and "Walking along the history of the city" results have been achieved in increasing the number of people engaged in physical culture in parallel with the formation of value orientations among people of different ages in spiritual and cultural development. Pedagogical observations made it possible to formulate the presentation of the approach as a new "paradigm" in the organization of physical culture movement with a higher social efficiency of physical education of the population.

An example of the standard "Regional regulation on the best sports community"

The article raises the problem of strengthening the health and improving the physical condition of children, and also scientifically substantiates the need to improve the physical development of rural youth. The methodology prepared by us for the development of the regional standard of position for the title of the best sports community, which should carefully take into account the regional specifics of the corresponding region, together with the submitted structure of indicators of the position for the best sports community of the Dnipropetrovsk region, should be considered the developed standard of the regional council's administrative impact on the development of sports in the united territorial community. In substantiating the content of the indicators, the necessity of introducing into the content of those indicators has been proved, which are basic, from the point of view of the results of activity in the field of physical culture and sports, and auxiliary, which create sufficient conditions for the development of physical culture and sports. So, the block of important auxiliary indicators in the standard includes: financial resources; ensuring favorable material and technical conditions for the development of sports; provision of sports personnel; - organizational measures for the development of sports. The block of actual results of activity in physical culture and sports includes: - mass physical culture and sports and physical culture and health improvement work; development of effective sports and preparation of sports reserves. The study made it possible to determine the objectively existing requirements for the content of the indicators of the standard "Regional regulation on the best sports community" in terms of stimulating both physical culture and health-improving and sports work in the united territorial communities among children and youth.

ADVANCING SPORTS AND HEALTH-IMPROVING WORK IN PLACES OF PRE-TRIAL DETENTION AND PENITENTIARY INSTITUTIONS BY DEVELOPING THE EDUCATIONAL COMPONENT

The normative-legal, organizational, material-technical, personnel and educational-methodical support of physical culture and health-improving work in places of pre-trial detention and penitentiary institutions is analyzed. The aim of the article: to develop an educational component for advancing sports and health-improving work in places of pre-trial detention and penitentiary institutions. There is substantiated the necessity for better coordination of interactions between the subjects of the spheres – public authorities, State Penitentiary Service of Ukraine, education, physical culture and sports, civil society institutions (public associations of physical culture and sports) to ensure the quality of training and performance of specialists/employees; improving the organizational, regulatory, personnel, logistical, financial, information support for a fuller realization of the social role of physical culture, in particular in this area; there is deepened the meaning of the concept of "educational component of physical culture and sports as health-improving activities in the places of pre-trial detention and penitentiary institutions" by determining the impact of European integration processes aimed at radical reforming of the penitentiary system, the content and forms, mechanisms and tools for improving efficiency and effectiveness of professional training of employees of the penitentiary system in terms of their physical fitness. We have found out that in the educational programs of the Academy of State Penitentiary Service of Ukraine such disciplines as "Physical Education" and "Special Physical Training" are aimed at forming theoretical knowledge, practical and methodological abilities in physical education as components of their full, harmonious and safe life; gaining experience in the application of acquired values throughout life in private, educational, professional activities; ensuring the appropriate level of development of physical performance; promoting the development of professional, ideological and civic qualities.

Фізкультурно-оздоровча діяльність та стан здоров’я студентів українського Полісся

Вступ. Система фізичного виховання студентів, які мають хронічні захворювання, відхилення в стані здоров’я, вроджені аномалії та низький рівень фізичного розвитку й фізичної підготовленості, недостатньо виконує завдання відновлення працездатності та забезпечення нормальної життєдіяльності. Аналіз статистич- них даних фізкультурно-оздоровчої роботи актуалізує проблему. Обґрунтовано необхідність комплексного, системного дослідження стану здоров’я студентської молоді Поліського регіону України. Мета дослідження – розкрити результати фізкультурно-оздоровчої діяльності молоді й здійснити моніторинг кількісного складу студентів із відхиленням у стані здоров’я в закладах вищої освіти Поліського регіону України. Методи дослідження – літературний та концептуально-порівняльний аналіз; аналіз результатів диспансеризації; педагогічне спостереження; статистичні методи. Об’єктом спостереження були студенти закладів вищої освіти в кількості 7349 осіб, із них 1510 – студенти спеціальної медичної групи. Результати дослідження. Статистичний аналіз звітів із фізичної культури й спорту по м. Рівне за 2018–2019 рр., моніторинг результатів фізкультурно-оздоровчої роботи в деяких закладах вищої освіти міста дали підставу констатувати, що за останні два роки кількість студентів, які відвідують заняття з фізичного виховання, скоротилося майже втричі. Щороку зменшується загальна кількість осіб, які беруть участь у фізкультурно-оздоровчих заходах. Переве- дення навчальної дисципліни «Фізичне виховання» на факультативну форму та ліквідація заліків негативно вплинули на відвідування студентами факультативних занять і фізкультурно-оздоровчих заходів. Висновки. Моніторинг фізичного здоров’я студентів закладів вищої освіти Поліського регіону України засвідчив, що кількість студентів спеціальної медичної групи становить від 12,98 до 38,19 %, звільнених від практичних занять із фізичного виховання – 0,39–12,00 %. Найбільшу частку серед віднесених за станом здоров’я до спеціальної медичної групи займають першокурсники.

Good Health and Wellness: Reflections on Implementing Health Promotion in Indian Country.

In 2014, the Centers for Disease Control and Prevention (CDC) launched "A Comprehensive Approach to Good Health and Wellness in Indian County" (GHWIC) to promote health and chronic disease prevention in tribal communities while facilitating cross-cultural learning and relationship-building. Through GHWIC, CDC aimed to work with American Indian and Alaska Native communities to identify effective health promotion strategies to address chronic disease disparities. Tribal sovereignty, community context, and consideration of tribal histories (e.g., oppression, genocide, and cultural erasure) are key to health improvement efforts and work with tribes. These elements center experience, knowledge, and self-determination to reclaim good health and wellness as Indigenous peoples see it. The Implementation Reflection Project was a qualitative inquiry composed of one-on-one discussions and small group sessions conducted to explore experiences of CDC staff, national partners, and tribal recipients as they implemented GHWIC program activities. The Project documented observations and recommendations for future tribal health funding efforts and identified best practices for effective partnerships with tribes and tribal organizations. Findings centered around tribal experiences with GHWIC, improved program processes, the importance of relationships, and the effects of internal capacity on implementation. Key suggestions for future work with tribal entities included simplifying and clarifying roles, expectations, and administration requirements, and establishing clear and consistent communication between program partners. The approach CDC used with GHWIC recipients was effective and respectful, but room for growth remains. Potential future collaborators in Indian Country should consider these findings when planning health promotion initiatives.

THE ESSENCE OF THE FORMATION OF THE READINESS OF THE FUTURE TEACHERS OF PHYSICAL EDUCATION FOR THE PROFESSIONAL SELF-REALIZATION IN HEALTH-IMPROVING ACTIVITIES

The issues of the professional self-realization in health-improving activities are relevant in the current conditions of the European integration of educational systems and improving the efficiency of the training of the future teachers of physical education in higher educational establishments. The integration of Ukraine into the world system of higher education is aimed at reconsidering the main directions of the training of the future teachers of physical education in higher educational establishments. The formation of the readiness of the future teachers of physical education for professional self-realization in health-improving activity is considered as process of acquiring skills by students, which will ensure the effective implementation of their abilities, the manifestation of their creativity and mastering certain social experience, enhancing professional skills and improvment in the profession with the purpose of the involvement of pupils in physical exercises at the lessons of physical education, and carrying out sports-improving actions during the day, out-of-class and out-of-school physical culture and health-improvement work. It is noted that higher school is actively seeking answers to the questions posed by the present-day reality, and to questions related to the preservation and strengthening of the health of participants in the educational process. The need for the program for the modernization of higher physical education is determined by the internal patterns of the development of higher education and the long-term development needs of the individual, the society and the state that have developed in the system of professional training of future physical education teachers in higher education institutions on the basis of preserving and multiplying the best traditions of domestic and world experience. Attention is focused on the fact that the teachers of physical education are called upon to solve the complex tasks of physical education of the youth, to involve children and young people in physical culture and sports.

Sale leisure activities of children and youth in out of school educational establishments of physical culture and sports destinations

Purpose : To determine the role of extracurricular educational establishments of physical culture sports direction in providing leisure activities for children and youth. Material : The results of the analysis of the scientific and methodological literature, statistical reports of the Ministry of Youth and Sports of Ukraine, authorities of Physical Culture and Sport, authorities the Department of Education and Science. Results : Based on the analysis of statistical reports determined satisfactory condition and leisure activities in non-school educational establishments physical culture sports direction. This is confirmed by an increase in the number of pupils and students dealing all kinds of physical culture health improvement work. Also, the decline in the number of pupils and students classified for health reasons for the special medical group. Conclusions : Our data showed that extracurricular educational institutions physical culture sports direction have a place in leisure activities. They play an important role in motor activity, substantial leisure and healthy lifestyles for children and young people of our country.

Increasing black, asian and minority ethnic (bame) patient & community awareness--using the peer educator model.

Kidney Research UK, have been working since 2001 to raise health awareness, fund and oversee research into kidney related issues disproportionately affecting the BAME communities in the UK. Almost 10 years ago, the charity initiated its Peer Educator model which uses the natural skills of lay people and patients to raise awareness in these communities. This article will describe the work of the Charity in relation to patient and public engagement, describing the Peer Educator model and providing examples of how it has been used. It will then focus on the deployment and impact of Peer Educators in an end of life project that the charity was involved in. Peer Educators (PEs) are ordinary people from the targeted community. In the case of our health improvement work, this has largely been the BAME communities. These people do not need any prior knowledge, training or experience in the subject matter. However, they do need to have a desire to give something back to their community in terms of health messages and also be passionate about the subject matter. They tend to have a natural empathy with the target groups in terms of culture, religion and language. The Peer Educator model, is it has been found, to be a flexible and highly adaptable approach to addressing health issues in the BAME communities. It has been utilised by the charity to address everything from early disease detection, prevention, management, organ donation awareness, right through to end of life issues. The model has been well evaluated in the area of organ donation whereby its effectiveness has been proven. Moreover, there have been several notable outcomes from the end of life work including training and deployment of 10 Peer Educators who reached over 2,700 people from diverse South Asian communities, providing important information on who does what, when, and how to access it--in a culturally competent manner. Kidney Research UK's Peer Educator initiative has been well established as an effective and flexible way to raise awareness and reach out to BAME patients and the communities at risk. The model has been deployed across the kidney disease spectrum including from early detection to diabetes management, right through to addressing organ donation and end of life issues.

Correlation of system of sports and health-improving work with development of the human capital of the rural school students

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