Intensive Education Program Research Articles

Development and Pilot Evaluation of the Very Important Parents Program (VIP): An Intensive Parent Education Program for Teens

Development and Pilot Evaluation of the Very Important Parents Program (VIP): An Intensive Parent Education Program for Teens

How does school based hand-washing promotion program affect the handwashing behavior of students at the urban slums in Puducherry, South India? Mixed method design

Background: Handwashing is vital to prevent infections, especially among children of an urban slum. The handwashing habit needs to be inculcated at an early age. Objectives: The objectives of this study is (1) to determine the effect of a school-based handwashing promotion program on the knowledge and practice of handwashing among students of age 11–18 years and (2) to explore the facilitating and hindering factor for the behavior change. Materials and Methods: It is a sequential explanatory mixed method study done in two schools in an urban slum of Puducherry. The students’ baseline knowledge and practice of handwashing were assessed using a self-administered questionnaire and observation checklist. During the school-based handwashing promotion week, the students had interactive health education sessions and poster/ essay/elocution competitions. The posters made by the students were displaced in classrooms. Two weeks later, post-test was conducted. Two group interviews were done among the students. Change in knowledge and practice was compared using Chi-square test. Manual content analysis of the transcripts of the group interview was done. Results: Around 194 students were involved in the study. With the intervention, knowledge of students improved, particularly the correct duration of handwashing and the role of hand drying. The students learned the six steps of handwashing. After the observation of the handwashing promotion week, the number of students who used soap for washing hands, especially before eating and after using the toilet, increased. Health talk by the health professionals and active involvement of students facilitated the behavior change. Poorly maintained wash area, peer pressure, and misconceptions hindered the behavior change. Conclusion: Intensive health education program with active involvement of students and reinforcement are essential for behavior change.

Adherence to the Clean Intermittent Catheterization Following a Customized Intensive Education Program for Patients with Emptying Failure

Purpose: The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP). Methods: This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed. Results: The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence. Conclusion: Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow- up are needed to improve long-term adherence.

Prevalence of dental caries among schoolchildren from North-Eastern Italian population.

The longitudinal aspect of dental caries has not been previously reported for the Italian population. The primary object of the present study is to collect information of the prevalence of dental decay among the schoolchildren of primary school of Gradisca d'Isonzo (GO) and to analyze the tendency of caries among the students followed since the first year of school. Subsequent examinations hold from 2011 to 2015 has been conducted by two calibrated examiners. Oral hygiene instruction and motivation followed the visits. According to WHO principals DMFT and dmft were recorded. The children in the survey were divided into 5 groups according to their ages (6, 7, 8 and 9 years), and these groups were considered separately. Descriptive and statistical analysis of the data was conducted. More than 400 pupils were recruited, resulting in almost 900 examinations during 5 years. Overall, the %dft ≥1 children range from 18.9% (10 years, 2013) to 53.5% (8 years, 2011) across the different age groups. Overall, the %DFT≥1 children range from 8.3% (6 years, 2011) to 44.1% (10 years, 2012) across the different age groups. Within the limits of the present study, the WHO goals are still not met, among the population in exam. Our results show a trend of decay diminution that enhances in the cohort of 10-aged children suggesting the importance of dental education. Furthermore, the lack of pediatric initiatives of oral hygiene may be overcome by a national intensive educational program, supported by further scientific evidence.

MISSED OPPORTUNITIES OF IMMUNISATION AMONG CHILDREN BELOW 24 MONTHS VISITED ELMAK NIMIR TEACHING HOSPITAL, SUDAN 2016

Immunization has often been cited as one of the greatest medical success stories in human history. A cross-sectional hospital based study conducted from the period started from March 2016 to December 2016 .the study aimed to assess the missed opportunity of vaccine amongst under 24 months in Shendi locality, Total of 220 children under 2 years were been selected using convenience universal coverage for all children attending to the hospital seeking medical care, structured Questionnaire filed by their care givers. Our results revealed that, the prevalence of missed opportunity among the study population were 35% as aver all children examined, 20 % for BCG, 23% (Penta, Rota and polio vaccines), 40% for Measles 1st dose and 60% for Measles 2nd dose. These results show high percentage of dropout due to the missed opportunity from the main hospital in the Shendi locality. The main recommendations of our study are, institute primary health care unit to provide immunisation services in the teaching hospital and this is will minimize the gab of vaccine missed opportunity ,implement intensive health education programme to the local community especially rural community.

236 - Utilizing a Multi-modal Skin Cancer Education Program with Heart Transplant Recipients to Increase Knowledge and Sun Protection Practices

Background: Immunosuppressant medications significantly increase the risk of developing skin cancers after transplantation. Skin cancers pose problems for transplant patients including: financial burden, impaired quality of life, pain and discomfort from treatments and procedures, and even death. Fortunately, a majority of skin cancers can be prevented or can be detected early and treated successfully. Prevention and early detection of skin cancer requires vigilant screening and strict sun protection behaviors which are often achieved with focused patient education. Skin cancer education in the post-transplant group is inadequate, but with focus and consistency may be a viable approach to addressing the problem. Methods: Twenty five post heart transplant patients who were scheduled to be seen for routine post-transplant care at a single center transplant center between October 26, 2016 and November 15, 2017 were asked to take part in a multi-modal skin cancer education program. The program included a Skin Cancer Sun Knowledge questionnaire, a 7 min video, one to one self-skin exam teach and teach back and an assurance of a dermatology follow up. The participants were asked to take the SCSK questionnaire immediately after the video and SSE teach and asked again to take it in one month and mail it back to the PC. Results: We noted a significant increase in knowledge between Pretest and Posttest 1 (P < .01) and pretest and Posttest 2 (P < .01). We also noted an increase in sun protective behavior in the following areas: wear sunscreen daily (P < .01) Pretest and Posttest 1, (P < .01), Pretest and Posttest 2; SSE (P < .01) Pretest and Posttest 1, (P < .03) Pretest and Posttest 2, and follow up with a dermatologist (P < .01) Pretest and Posttest 1, (P < .01) Pretest and Posttest 2. Conclusions: This data suggests that a multi-modal intensive skin cancer education program may be effective at increasing knowledge and sun protective behavior in the post heart transplant population.Table 1Results: Knowledge scores.Table 2Results: Knowledge significance.Table 2Results: Knowledge significance.Table 3Results: Behavior.Table 3Results: Behavior.Table 4Results: Behavior significance.Table 4Results: Behavior significance.Table 5Results: Behavior pre-test post test 1 post-text 2.Table 5Results: Behavior pre-test post test 1 post-text 2.

Does educating nurses with ventilator-associated pneumonia prevention guidelines improve their compliance?

This study aimed to compare the compliance with ventilator-associated pneumonia (VAP)-prevention guidelines between nurses who underwent an intensive educational program and those who did not, and to investigate other factors that influence nurses' compliance. A 2-group posttest design was used to examine the effect of the VAP-prevention guidelines education on nurses' compliance. Participants were randomly assigned to experimental and control groups. The overall nurses' compliance scores were moderate. There was no statistically significant difference in compliance between the nurses who received VAP education and those who did not (t[100] = -1.43; P = .15). The number of beds in the unit and the nurse-patient ratio were found to influence nurses' compliance. Education in VAP-prevention guidelines will not improve nurses' compliance unless other confounding factors, such as their workload, are controlled. It is imperative to reduce nurses' workload to improve their compliance and enhance the effectiveness of education.

UK lipohypertrophy interventional study.

Lipohypertrophy (LH) is one of the most common complications of insulin therapy. We conducted a prospective study in 18 UK centres to assess the impact of a targeted LH intervention on a range of clinical, biological and socio-economic parameters. Seventy-five insulin-injecting patients were recruited randomly and were followed prospectively for 3-6months, with results compared to baseline values. Interventions included the use of an intensive education program and a switch to a 4mm pen needle. At all injection sites LH decreased significantly by the end of the study, either disappearing completely or shrinking by approximately 50% from its original diameter. Injections into LH decreased by more than 75% by the end. Most patients were not correctly rotating injection sites at the beginning but by the end most were, by a 5-fold margin. Only 1/3 of our subjects used the 4mm needle at the beginning of the study, however, virtually all did by study end. The mean HbA1c improved by more than 4mmol/L and there were significantly lower levels of unexpected hypoglycaemia and glucose variability. Total daily doses of insulin dropped by an average of 5.6 IU by study end. We believe the impressive clinical improvements seen with training to prevent LH can be achieved by wide adoption of the interventions outlined in this study.

Rationale and Design of Family-Based Approach in a Minority Community Integrating Systems–Biology for Promotion of Health (FAMILIA)

The 2020 American Heart Association Impact Goal aims to improve cardiovascular health of all Americans by 20% while reducing deaths from cardiovascular disease and stroke by 20%. A large step toward this goal would be to better understand and take advantage of the significant intersection between behavior and biology across the entire life-span. In the proposed FAMILIA studies, we aim to directly address this major knowledge and clinical health gap by implementing an integrated family-centric health promotion intervention and focusing on the intersection of environment and behavior, while understanding the genetic and biologic basis of cardiovascular disease. We plan to recruit 600 preschool children and their 600 parents or caregivers from 12-15 Head Start schools in Harlem, NY, and perform a 2:1 (2 intervention/1 control) cluster randomization of the schools. The preschool children will receive our intensive 37-hour educational program as the intervention for 4 months. For the adults, those in the "intervention" group will be randomly assigned to 1 of 2 intervention programs: an "individual-focused" or "peer-to-peer based." The primary outcome in children will be a composite score of knowledge (K), attitudes (A), habits (H), related to body mass index Z score (B), exercise (E), and alimentation (A) (KAH-BEA), using questionnaires and anthropometric measurements. For adults, the primary outcome will be a composite score for behaviors/outcomes related to blood pressure, exercise, weight, alimentation (diet) and tobacco (smoking; Fuster-BEWAT score). Saliva will be collected from the children for SNP genotyping, and blood will be collected from adults for RNA sequencing to identify network models and predictors of primary prevention outcomes. The FAMILIA studies seek to demonstrate that targeting a younger age group (3-5 years) and using a family-based approach may be a critical strategy in promoting cardiovascular health across the life-span.

Intensive educational efforts combined with external quality assessment improve the preanalytical phase in general practitioner offices and nursing homes.

Errors in the preanalytical phase in clinical laboratories affect patient safety. The aim of this study was to evaluate the effect of intensive educational efforts together with external quality assessment (EQA) of the preanalytical phase from 2013 to 2015 to improve patient identification in primary health care in Norway. In addition, routines for venous and capillary blood sampling were investigated. A preanalytical EQA was circulated in 2013 by the Norwegian Quality Improvement of Laboratory Examinations (Noklus) to general practitioner offices and nursing homes (n=2000) to obtain information about important issues to focus on before launching an intensive educational program with courses, posters and visits in 2013-2015. Preanalytical EQA surveys were further circulated in 2014 and 2015. The response rate varied between 42% and 55%. The percentages of participants asking for the patients' name and the Norwegian identification number increased from about 8% in 2013 to about 35% in 2015. The increase was similar for those participating in only one EQA survey and for those who participated in EQA surveys both in 2013 and 2015. Guidelines for venous and capillary blood sampling were not always followed. Educational efforts more than the preanalytical EQA influenced the actions and resulted in an increase in the percentages of participants that followed the guidelines for patient identification. Some aspects of blood sampling routines need improvement.

A Cross-sectional Study to Evaluate Diabetes Management, Control and Complications in Patients with type 2 Diabetes in Bangladesh

Background: Management of type 2 diabetes is not uniform. The aim of the study was to assess diabetes care delivery and status of long-term diabetes related complications.Methods: DiabCare is an observational, non-interventional, cross-sectional study of hospital-based outpatient type 2 diabetes care.Results: A total of 2092 patients participated in the study: mean age 51.3±11.0 years, and duration of diabetes 7.6±5.4 years. The patients were almost equal in both genders (male: 49.8% vs. female: 50.2%) and the largest homogenous ethnic group was Bangladeshi (99.6%). The percentage of patients with HbA1c &lt; 7.0% (&lt; 53 mmol/mol) was 22.5% and mean HbA1c was 8.8±2.2 %. The proportion of patients using insulin was 58.0% (n=1214) at a total daily dose of 34.4±14.7 IU. The most common diabetes related complications were: Peripheral neuropathy (39.0%) and eye complications (21.7%). Duration of diabetes was associated with higher odds of CV complications, diabetic nephropathy and eye complications [adjusted OR 1.03, p=0.007; 1.05, p&lt;0.001 and 1.05, p&lt;0.001 respectively]. Age also has emerged as a significant predictor for these complications. More than half of patients (56.1%) indicated their concerns about hypoglycaemia. A large proportion of patients were non-adherent to clinical recommendations.Conclusions: Poor glycaemic and metabolic control over a long period of time contributes to chronic diabetic complications. This underpins the need to further optimise the control strategies and maintain quality diabetes management standards in Bangladesh and also improving awareness among health professionals with intensive education programs for diabetes subjects is also recommended.Birdem Med J 2017; 7(1): 17-27

STUDENTS TRAINING TO CONDUCT ENVIRONMENTAL AUDITS (THROUGH THE EXAMPLE OF THE RUSSIAN STUDENT ENVIRONMENTAL SEMINAR)

The aim of the work described in the article is the search for new intensive methods of training providing formation of students-ecologists readiness to conduct environmental audits and to ensure the safe living environment. Methodology and research methods. The practice-focused and competencebased approaches to training of future environmental engineers became a basis of the method of training offered by the authors. Diagnostics of formation of readiness among students for implementation of professional activity was carried out with the use of a complex of psychological and pedagogical indicators which were established during questioning, poll and testing. The data were processed by the methods of descriptive statistics and correlation analysis with application of a package of the statistical programs SPSS 17. Results. The experience of the Ural Federal University teachers on the implementation of the innovative project «Russian Student Socio-Environmental Seminar (RSES)» is presented. A set of psychological and pedagogical conditions for the formation of readiness to conduct environmental audits for future engineers and environmentalists based on developed in university concepts of environmental education, safe living and learning in the multiprofessional team experts are presented. The program includes a combination of practical exercises, studies in game form – an intensive educational program; students’ valuable attitude towards ecological safety raises, knowledge of technological methods of audit is acquired, communicative skills are improved. The role of practice in professional formation of future environmental engineers is disclosed; set of psychological and pedagogical conditions of transition from mainly information training to the training stimulating independence of the made decisions for transformation of sociocultural and professional experience to personal qualities is described. Scientific novelty consists in the further development of multiprofessional approach concept in terms of interactive educational programs. In this paper the authors prove a high psycho-pedagogical effectiveness of the approach: due to training in polyprofessional team students have an opportunity to seize a large amount of competences in shorter terms. Practical significance. The article can be interesting for organizers of environmental seminars and trainings, various ecological workshops, as well as trainers in the field of life safety.

병원감염관리 집중 교육이 간호대학생의 감염관리에 대한 지식, 태도 및 수행 자신감에 미치는 효과

병원감염관리 집중 교육이 간호대학생의 감염관리에 대한 지식, 태도 및 수행 자신감에 미치는 효과

Introduction of an intensive outpatient education programme is acceptable to parents of children, and young people with newly diagnosed type 1 Diabetes

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

Engaging parents in positive education: Results from a pilot program

Abstract: Positive education aims to contribute to the optimal functioning of students, staff, and school communities. Parents play a vital role in school communities, and finding effective ways to engage parents with positive education is therefore critical. This small-scale pilot study aimed to provide preliminary insights into the impact of a 3-day intensive positive education program for parents, which focused on teaching positive psychology strategies, such as gratitude and use of character strengths, to the parent population. A mixed methodology non-randomized control group design was used to assess pre- to post-intervention change in 24 intervention participants and 16 waitlist control participants. An online survey assessed parents’ mental health and wellbeing, knowledge and use of character strengths, feelings of connection with the school, and beliefs about child wellbeing. Results revealed significant increases in parental wellbeing and parent-school connection among the intervention participants, as compared to controls. Qualitative results indicated that parents also perceived a positive impact on their communication with their child. Overall, the study findings provide promising preliminary evidence for the benefits of strategically engaging parents in positive education. Replication is now needed in further larger-scale studies.

Improvement Measures for Intensive Character Education Program for Prisoners

Improvement Measures for Intensive Character Education Program for Prisoners

Sero-prevalence and occupational risk factors for Brucella infection among slaughterhouse workers and butchers in Kumasi, Ghana

Brucellosis remains neglected in many countries despite its public health importance. In developing countries such as Ghana, there remains paucity of data particularly among high-risk populations such as slaughterhouse workers. The aim of this studywas to determine the prevalence of Brucella infection and risk factors for its transmission among people working in and aroundslaughterhouses. A cross-sectional study was carried out with 220 participants selected through a stratified sampling method. Participants were interviewed about their knowledge on Brucella and their occupational activities using a structured questionnaire. Collected serum samples were analyzed for anti-Brucella Immunoglobulin M (IgM) and Immunoglobulin G (IgG) antibodiesusing the enzyme-linked immunosorbent assay method. Data was analyzed using uni-and multivariate logistic regression models. From 220 participants, anti-Brucella IgM- and IgG antibodies were detected in 4 (1.8%) and 21 (9.6%), respectively. 9.3% of the participants with animal contact at work (5/54) and 11.5% of those working in meat processing (17/148) have heardabout Brucella and its transmission mode. Most of the anti-Brucella IgG seropositive individuals (17/21) were working in themeat processing category (OR 2.2; 95% CI 0.6-7.9; p = .22). Multivariate analysis showed that job duration was significantlyassociated with seropositivity to Brucella IgG (OR 1.31; 95% CI 0.9-1.8, p -value .03). The findings demonstrate recent andpast Brucella infections among workers of the Kumasi abattoir with a high risk for less educated meat processing staff. Thus,intensive educational programmes on Brucella designed for workers with high risks and improving workplace protection policyare recommended.

Health education: Effects on classroom climate and physical activity

Objective: The objective of this study was to investigate the relationship between classroom psychological climate and the physical and sedentary behaviour of primary school students after the implementation of an innovative education programme regarding nutrition and physical activity. Design: Randomised controlled trial. Setting: Study participants were 729 students, aged 8–10 years, in the third and fourth grade of 30 public primary schools in the Athens Metropolitan Area. Methods: Students were randomly assigned to three study groups: an Intensive Intervention Group (IIG) that underwent an intensive nutrition and physical activity education programme delivered by specialised personnel and teachers, an Intervention Group (IG) that underwent a less intensive programme delivered by their regular teacher and a Control Group (CG) that received no instruction. Classroom Psychological Climate (CPC) was measured in all groups, and the data regarding physical activity and sedentary lifestyle habits, such as the time spent viewing TV or video games (screen time), were recorded. Results: Friction declined and satisfaction increased significantly after the intervention in the IG compared with the CG. There was no significant difference in physical activity and screen time between the groups. Daily screen time was positively associated with increased friction, which is a measure of conflicts between students in the school environment. Conclusion: A school nutrition and physical activity education programme was shown to decrease friction by decreasing daily screen time and increasing outdoor activities. These findings also suggest that teachers alone may be more effective in delivering optional health education programmes than specialised personnel and instructors.

Progression of Cohort Learning Style During an Intensive Education Program

The authors describe an intensive graduate program involving compressed classroom preparation followed by a period of experiential activities designed to reinforce and enhance the knowledge base. Beginning with a brief review of the andragogical issues, they describe methods undertaken to track learning styles via the Kolb Learning Styles Inventory (Version 3.1) among a cohort from matriculation to 2 months post-graduation when the individuals were in practice. Finally, the outcome of the study and potential implications of each finding are described.

A Randomized Clinical Trial of an Intensive Behavior Education Program in Gestational Diabetes Mellitus Women Designed to Improve Glucose Levels on the 2-Hour Oral Glucose Tolerance Test.

Objective To evaluate whether women with gestational diabetes mellitus (GDM) enrolled in an intensive behavior education program (IBEP) demonstrate lower mean fasting glucose levels on the 2-hour 75 g oral glucose tolerance test (2-hour OGTT) at 6 to 12 weeks postpartum compared with women who undergo routine GDM management. Study Design A prospective randomized controlled trial of women diagnosed with GDM was conducted. Exclusion criteria were GDM diagnosis ≥ 33 weeks or < 20 weeks. Women were randomly assigned to one of two treatment arms: (1) routine GDM management or (2) an IBEP. Women underwent a 2-hour OGTT at 6 to 12 weeks postpartum. Fisher exact test, t-test, and Wilcoxon rank sum test were used as appropriate. Results Of the 101 women randomized, 49 were assigned to IBEP and 52 received routine GDM management. There was no difference in mean fasting and 2-hour glucose levels on the postpartum 2-hour OGTT between the IBEP and routine management group (88.5 ± 22.9 mg/dL vs. 85.2 ± 13.3 mg/dL, p = 0.49 and 109.8 ± 38.5 mg/dL vs. 109.4 ± 40.8 mg/dL, p = 0.97, respectively). Conclusion GDM women enrolled in a healthy lifestyle intervention program did not demonstrate lower glucose values on the postpartum 2-hour OGTT.