Implementation Lessons Research Articles

Implementation lessons learned from the University of California’s Diabetes Prevention Program Initiative

BackgroundThe University of California’s Diabetes Prevention Program (UC DPP) Initiative was implemented systemwide to address diabetes and obesity risk on all 10 campuses. As little is known about implementing lifestyle change programs in university settings, we examined implementation partners’ (i.e., UC DPP leaders and campus leads) perceptions of factors influencing program success on UC campuses.MethodsWe conducted qualitative interviews with UC DPP leaders and campus leads to examine challenges and opportunities with university-based DPP delivery models. Interviews were recorded, professionally transcribed, and reviewed in detail by the research team. Transcripts were analyzed using rapid qualitative analysis (RQA). The study was approved by the UCLA Institutional Review Board. All implementation partners provided verbal informed consent.ResultsTwenty-six implementation partners (8 UC DPP leaders and 18 campus leads) completed interviews in 2021. Seven themes were identified as critical for implementation, including (1) marketing and recruitment (i.e., market and recruit broadly through established channels as well as target at-risk populations); (2) enrollment (i.e., offer the program during convenient times and let participants know what to expect); (3) use an adaptable, evidence-based program; (4) secure funding for the program, participants, lifestyle coaches, and space; (5) hire experienced and dedicated staff and lifestyle coaches; (6) ensure leadership support; and (7) utilize campus linkages and resources. Perceptions of challenges faced with respect to these themes are also described.ConclusionsThis is one of the first studies to examine the challenges and opportunities of delivering an intensive lifestyle change program across 10 university sites. Understanding factors that enhance success of university-based diabetes prevention programs can facilitate UC DPP efforts and help inform delivery strategies of health and wellness programs across other university settings more broadly.

A Mixed Methods Analysis of General Education Candidates’ Knowledge, Perceptions, and Application of Universal Design for Learning

Thirty general education candidates from elementary education, middle/secondary education, and arts education in multiple sections of one course engaged in a series of discussion posts and lesson plans related to creating inclusive general education lessons. Using candidate posts, rubric scores, feedback on lesson plans, and course evaluation ratings, a mixed methods approach was used to understand candidate knowledge, perceptions, and applications of Universal Design for Learning. The results from our research have important implications for policy, practice, and research. Policy makers must be aware of the lack of UDL in general education programs and IHEs need to do more than the cursory coverage of these principles. Additional research is needed for the implementation of lessons designed using UDL by general education candidates.

개념적 렌즈를 활용한 사회과 수업 연구

The purpose of this study is to explore the possibilities and challenges of how the use of conceptual lenses can change social studies instruction for deeper learning as envisioned by the 2022 revised curriculum. To this end, preservice teachers designed and demonstrated lessons based on the theory of concept-based learning. The results showed that social studies lessons using conceptual lenses were challenging due to problems of alignment of achievement standards and conceptual lenses, difficulties in creating guiding questions and differences between lesson design and lesson implementation. However, the usefulness of conceptual lenses was found by capturing the transfer of learning in lessons and strengthening the agency of teachers and learners. The significance of this study is that it analyzed the use of ‘conceptual lens’ as a concrete way to realize a social studies classroom where synergistic thinking and transferable learning occur. This study recommends further research on '‘concepts’ that can be utilized as conceptual lenses for practical changes in social studies classrooms.

그림책을 활용한 초등학교 1학년 한글 교육에 대한 교사의 경험

The purpose of this study is to investigate educational values and possibilities of application by analyzing teacher’s experiences in teaching Hangeul using picture books to first grade elementary school students. The participant is teacher A working at Seoul B Elementary School. This study conducted the procedures of curriculum analysis, picture book selection, and making Hangeul lesson plans using picture books from February 20th to March 31st, 2023, and implemented lessons for a total of 16 times from April 3rd to May 19th, June 12th to June 27th, 2023. Data were collected and analyzed qualitative data such as interviews, teacher journals, activity results, and photos. The results are as follows. The teacher experienced lessons that had students focused regardless of their individual differences, were playful rather than academic, facilitated voluntary reading and writing, had the teacher fun and excitement, had fellow teachers want to apply lessons and required sufficient number of class hours and assistants. In conclusion, this study is meaningful in that Hangeul education using picture books has educational significance to both teachers and students and it is a practical and effective teaching-learning method in school.

Expert opinion on design and endpoints for studies on catheter ablation of atrial fibrillation.

Catheter ablation of atrial fibrillation (AF) is frequently studied in randomized trials, observational and registry studies. The aim of this expert opinion is to provide guidance for clinicians and industry regarding the development of future clinical studies on catheter ablation of AF, implement lessons learned from previous studies, and promote a higher degree of consistency across studies. Studies on catheter ablation of AF may benefit from well-described definitions of endpoints and consistent methodology and documentation of outcomes related to efficacy, safety and cost-effectiveness. The availably of new, innovative technologies warrants further consideration about their application and impact on study design and the choice of endpoints. Moreover, recent insights gained from AF ablation studies suggest a reconsideration of some methodological aspects. A panel of clinical experts on catheter ablation of AF and designing and conducting clinical studies developed an expert opinion on the design and endpoints for studies on catheter ablation of AF. Discussions within the expert panel with the aim to reach consensus on predefined topics were based on outcomes reported in the literature and experiences from recent clinical trials. A comprehensive set of recommendations is presented. Key elements include the documentation of clinical AF, medication during the study, repeated ablations and their effect on endpoint assessments, postablation blanking and the choice of rhythm-related and other endpoints. This expert opinion provides guidance and promotes consistency regarding design of AF catheter ablation studies and identified aspects requiring further research to optimize study design and methodology. Recent insights from studies on catheter ablation of atrial fibrillation (AF) and the availability of new innovative technologies warrant reconsideration of methodological aspects related to study design and the choice and assessment of endpoints. This expert opinion, developed by clinical experts on catheter ablation of AF provides a comprehensive set of recommendations related to these methodological aspects. The aim of this expert opinion is to provide guidance for clinicians and industry regarding the development of clinical studies, implement lessons learned from previous studies, and promote a higher degree of consistency across studies.

Footwall uplift and erosion during Jurassic rifting: Scott and Telford fields, Outer Moray Firth, UK Central North Sea

As producing fields enter late life, successful mitigation of subsurface risk is critical in order to justify continued infill well drilling. Despite penetrations by more than 100 wells and the availability of modern 3D seismic across the Scott and Telford fields (Outer Moray Firth, UK Central North Sea), reservoir absence has led to repeated development well failures. A new model now attributes reservoir attenuation to Late Jurassic footwall uplift and erosion. The 2015 Scott J40 well encountered a reduced Upper Jurassic reservoir section of Lower Scott sands, with Upper Scott and Piper sands absent. Reinterpretation ascribed reservoir truncation to the effect of Late Jurassic footwall uplift and erosion rather than fault cut-out as previously interpreted. The failed 2016 Telford F6 well was shown to have drilled a thick Kimmeridge Clay hanging-wall section north of the Telford Fault, rather than the southern footwall section targeted. Planning for the Scott J43 and four subsequent wells implemented lessons learned from these failures and mitigated reservoir risk while optimizing reserves. The Scott and Piper sand distributions are likely to reflect early growth folding before the main Mid-Kimmeridgian–Early Tithonian phase of NE–SW extensional faulting and footwall uplift, which saw the Piper and Scott reservoirs eroded at footwall crests and locally reworked as deep-water Claymore sands. Later Mid-Tithonian–Early Berriasian east–west faulting during the opening of the Witch Ground Graben saw major crestal synsedimentary erosion at Telford and continued erosion at the western crest of Scott Block 1b, while the footwall to the east was partially downfaulted.

Growing community-based composting programs in China: Implementation and policy lessons from eight cases

Localised processing of waste into resources is a prime target towards circular economy, yet community-led composting programs have reported significant implementation challenges. There are no implementation process models or guidelines for programs spanning community, waste, governance, legislation domains: each community learns anew. Here we report a multi-case study of community-led composting program implementations in eight urban sites in China. In-depth key-informant interview information was analysed as cycles of activity towards increasingly-complex needs/targets (like simple recycling; complex composting). Cross-community comparisons suggest transferable implementation lessons: delegation of certain roles is more effective than simply involving stakeholders; enthusiasts can significantly mobilize stakeholders but cannot replace them; paperwork burden could negate funding availability benefits; access to specific expertise (technical, legal, operational) at crucial moments was key; stakeholder learning was most effective via personal meetings and introductions. City policies incorporating these implementation lessons could facilitate scaling-up in China. Future studies can investigate generalizability.

Challenges faced by medical faculty in implementation of competency-based medical education and lessons learned

Challenges faced by medical faculty in implementation of competency-based medical education and lessons learned

History of ‘nature-based’ solutions to land degradation in the savannahs of Kenya: An analysis of literature and archival records

Nature-based solutions (NbS) are a promising tool for combatting land degradation in the dry-lands of East Africa. These types of solutions are not new, however, and have a long history dating back to the colonial period. An understanding of the successes and failures of past efforts can provide valuable insights for current NbS projects. This study examines two specific dry-land areas of Kenya - Baringo and Kitui - which were the focus of much colonial effort at restoring degraded land. The study uses primary and secondary literature to examine these efforts through the lens of Nature-based Solutions. It then compares these projects with two modern restoration efforts in the same areas - namely sand dams and grazing enclosures. While both of the historical schemes had elements of NbS, they fell short in critical areas with respect to the implementation of the projects. The schemes failed to incorporate local communities into decision making processes to ensure long-term sustainability. Modern efforts overall do a better job at sustainable management - they deliberately seek stakeholder involvement - but they too fall short, often giving these stakeholders very little say in decision making processes. History can provide valuable lessons for implementers of NbS, as many of the solutions enacted today have antecedents in the past. The failure to involve stakeholders at all stages of a project is a lesson from history that continues to be learned.

Preparing future physical culture and sports specialists for fitness training

Nowadays, fitness is actively developing, in particular: functional training and personal training. Fitness coaches of sports teams use fitness means in general physical preparation. During the classes, various methods of structuring the session are used, including the EMOM regime. This is the performance of physical exercises in a mode where each subsequent exercise starts from a new minute, rest until the end of this minute, and then from the new next minute a new exercise in turn from the complex. The work presents outlines of training sessions where the given mode acts as a training influence. One of the features of the activity of a physical culture and sports specialist in professional activity, especially in fitness as a trainer, is the ability to compile a lesson plan. Therefore, at the current stage, a coach is a specialist who should be in constant diverse development, including in the context of theoretical-methodological and practical training, in particular fitness training and forming the ability to compile a lesson plan. Therefore, an important condition in the preparation of future specialists in the specialty 017 Physical culture and sport is the formation of this type of readiness in the process of education. The purpose of the work. Develop functional training fitness lesson plans that are relevant in the fitness training of future physical culture and sports specialists. Recommend the implementation of model fitness lessons in the presented outlines, both in personal training and in general physical preparation of athletes. The methodology of the study involved the use of the basics of sports training, analysis and synthesis, updating, description. Scientific novelty. The scientific novelty lies in the fact that the relevant aspects of functional training that are appropriate to apply in personal training and general physical preparation in sports have been singled out. Outlines of fitness lessons have been developed as theoretical-methodological preparation of future physical culture and sports specialists in fitness training. Materials and methods. During the collection of information, observations and development of lesson plans for fitness training of future physical culture and sports specialists, conversations with fitness trainers (n=32) were held. Conclusions. A coach in fitness is a certain type of role model. Thus, in addition to presenting a clear and professionally compiled lesson plan, the coach demonstrates exercises, makes adjustments, changes tasks, training impact, and so on. The process takes place permanently and requires constant self-analysis, self-development, and self-improvement. Therefore, in the process of obtaining education, learners should be trained not only physically but also methodically, for training to compile an outline as well.

Individual interventions, collective lessons: Developing mid-range theory on women's groups to improve health.

Interventions with women's groups have been widely implemented to improve health outcomes in low- and middle-income settings, particularly India. While there is a large evidence base on the effectiveness of single interventions, it is challenging to predict whether a women's group intervention delivered in one setting can be expected to work in another. We applied realist principles to develop and refine a mid-range theory on the effectiveness of women's groups interventions, summarised key lessons for implementation, and reflected on the process. We synthesised primary data from several interventions in India, a systematic review, and an analysis of behaviour change techniques. We developed mid-range theories across three areas: maternal and newborn health, nutrition, and violence against women, as well as an overarching mid-range theory on how women's groups can improve health. Our overarching mid-range theory suggested that effective interventions should: build group or community capabilities; focus on health outcomes relevant to group members; and approach health issues modifiable through women's individual or collective actions. We identified four key lessons for future interventions with women's groups, including the importance of skilled and remunerated facilitation, sufficient intensity, supply-side strengthening, and the need to adapt delivery during scale up while maintaining fidelity to intervention theory. Our experience demonstrated the feasibility of developing mid-range theory from a combination of evidence and insights from practice. It also underscored the importance of community engagement and ongoing research to 'thicken' mid-range theories to design effective and scalable women's groups interventions in India and similar settings.

STRATEGI GURU DALAM MENERAPKAN KURIKULUM MERDEKA PADA PEMBELAJARAN BAHASA ARAB SISWA KELAS X DI SMA MUHAMMADIYAH 2 SIDOARJO

Teacher strategy has an important role in learning. Therefore, this study examines the teacher's strategy in implementing an merdeka curriculum in Arabic language learning for grade X students at Muhammadiyah 2 Sidoarjo High School. The objectives of this study are, 1) to find out the teacher's strategy in implementing an merdeka curriculum in Arabic language learning for grade X students at Muhammadiyah 2 Sidoarjo High School, 2) to find out the supporting and inhibiting factors. The method used in this research is descriptive qualitative with data collection techniques using interviews, observation and documentation. Data analysis techniques used are reducing data, presenting data that has been collected and drawing conclusions from the data that has been obtained or verification. The results of this study are the Arabic language teacher's strategy in implementing an merdeka curriculum in Arabic language learning for class X students at SMA Muhammadiyah 2 Sidoarjo, there are three teacher strategies, namely 1) lesson planning, 2) lesson implementation and 3) assessment. And the supporting factors consist of independent curriculum workshops, and adequate learning facilities and inhibiting factors consist of adjusting the learning process for students, and lack of interest in learning Arabic

Implementation and performance evaluation of an integrated specimen referral system in Burkina Faso using the national courier services (2020-2022).

In 2017, the Ministry of Health and Public Hygiene (MoH) of Burkina Faso designed and piloted a specimen transport system using the national courier services (La Poste BF) in 4 districts. Based on satisfactory performance indicators, the MoH set a vision aimed at scaling up this system to strengthen disease detection and surveillance of epidemic prone diseases across the country. This work describes the implementation process, performances, and lessons learned. This work describes the implementation process, performances, and lessons learned. Under the leadership of the Directorate of Population Health Protection within the MoH, a stepwise approach was used to bring together multiple partners across sectors to develop the first needed documents including a guide, an implementation plan, Standard Operating Procedures, and data collection tools. Then, the execution phase included equipment purchase, trainings, and consensus on a financing mechanism. Key indicators were defined to allow performance monitoring. The integrated biological specimen referral system (SITEB) was officially launched in January 2020 to transport human biological specimens of priority diseases including COVID-19 from district level to reference laboratories nationwide. As of December 31, 2022, La Poste BF transported 168,856 packages containing 206,314 specimens from all 13 regions. 99.66% of packages were delivered in <24 h as required, and 99.68% of specimens were in good condition at reception. COVID-19 specimens represented respectively 18% and 63% of samples transported in 2020 and 2021. The political will combined with the experience gained during the pilot phase and the commitment and support from all stakeholders laid to the foundation of the effective implementation of this system. Collaboration between two government entities (MoH and Minister of Transport, Urban Mobility, and Road Safety) to benefit public health has led to reasonable pricing for sustainability. Although all documents integrate the "One Health" approach, the system ensures the transport of only human samples for now. Despite security constraints, Burkina Faso has successfully set up a system using the national postal service to ensure the routine transport of specimens for all diseases under laboratory surveillance including laboratory tests for HIV and TB from the district level to reference laboratories nationwide. This system has also proved to be useful and efficient in managing public health emergency.

Modest forest and welfare gains from initiatives for reduced emissions from deforestation and forest degradation

Reduced emissions from deforestation and forest degradation (REDD+) projects and programmes promise to deliver performance-based, cost-effective climate change mitigation. Fifteen years after its conception, we analysed the rigorous counterfactual-based evidence for environmental and welfare effects from such national and subnational initiatives, along with a Theory of Change. Using machine-learning tools for literature review, we compared 32 quantitative studies including 26 primary forest-related and 12 socioeconomic effect sizes. Average environmental impacts were positively significant yet moderately sized, comparable to impacts from other conservation tools, and mostly impermanent over time. Socioeconomic impacts were welfare-neutral to slightly positive. Moderator analysis showed that environmental additionality was likely restricted by project proponents’ adverse spatial targeting of low-threat areas. Scarce funding flows from carbon markets and ill-enforced conditionality probably also limited impacts. Hence, important policy and implementation lessons emerge for boosting effectiveness in the current global transition towards larger-scale, jurisdictional action.

Real-world uptake of an innovative pupil expander device for cataract surgery: Implementation lessons learnt.

Cataract surgery in the eyes, where the pupil does not dilate despite using eye drops, is fraught with vision-threatening complications. About 11 per cent of eyes undergoing cataract surgery have non-dilating, small pupils. The increasing prevalence of benign prostatic hyperplasia (BPH), hypertension, diabetes and medications used for the same are the contributing factors. The recent Food and Drug Administration (FDA) approval for the use of miotic agents in the treatment of presbyopia will lead to a further rise in the number of non-dilating pupils. While pharmacological agents and other methods have been used, mechanical pupil expander devices are the only fail safe option. However, available devices had a steep learning curve and limitations which made them difficult to use, unpredictable and unsafe. With its patented single plane, hexagonal, notches and flanges design, the US FDA registered B-HEX Pupil Expander (Med Invent Devices Pvt. Ltd., India) overcame these limitations and fulfilled an unmet need. The B-HEX is machinable, rapidly produced, consistent, easy to use, safe, and affordable. Despite such advantages, implementation hurdles have restricted its availability to healthcare systems worldwide. Peer acceptance has been steadily growing, with the B-HEX becoming the market leader in India, as evidenced by numerous publications, videos and papers presented at international conferences and comments from opinion leaders endorsing its use. However, impractical regulatory requirements and resource constraints remain a great impediment to the global distribution of this novel invention. This has denied many patients the benefits of a superior and more affordable option. Though value continues to be added to the B-HEX by maintaining a strong intellectual property portfolio with internationally granted Patents and Trademark, increasing its user base, and garnering support from key opinion leaders, only a collaboration with the right partner will help scale up the global reach and make it a leader in the global market.

Implementasi Pembelajaran Bahasa Arab di MTs Mambaul Ulum Tulupari Tiris Probolinggo

This research aims to explore the implementation of Arabic language learning at MTs Mambaul Ulum Tulupari Tiris Probolinggo. The focus of this research consists of three main sub-variables, namely: lesson planning, lesson implementation, and assessment or evaluation of learning. The main objective of this research is to achieve effective learning for students so that the learning process can be optimized and the average student grades can reach the Minimum Completion Criteria. The research method used is a qualitative approach using a case study method. Data were collected through observation, interviews, and analysis of documents related to the planning, implementation, and assessment of Arabic language learning. The results of this research explain that learning at MTs Mambaul Ulum Tulupari Tiris Probolinggo involves a structured planning process with clear objectives, including goal identification, material selection, method determination, assessment planning, and continuous adjustment. Its implementation focuses on meaningful learning experiences, active interaction, and the use of diverse learning methods and resources. Meanwhile, learning evaluation encompasses a holistic approach with various assessment methods, feedback, formative and summative evaluations, as well as student involvement in the evaluation process and adjustments for continuous improvement.

State Implementation of Congregate Care Reforms for Children in Foster Care.

The Family First Prevention Services Act (FFPSA) allows states to use federal Title IV-E funds to provide time-limited, clinically appropriate use of congregate care, including Qualified Residential Treatment Programs (QRTPs), for youth in foster care. October 1, 2021 marked the deadline for states to begin implementing these FFPSA congregate care reforms. From June to September 2022, we conducted a mixed-methods study to obtain a baseline understanding of implementation barriers, successes, and recommendations to inform congregate care policy and practice. We fielded a national survey with state child welfare agency directors and conducted focus groups with youth with QRTP experiences, child welfare agency administrators, and QRTP executive leaders. We integrated a descriptive analysis of survey data with focus group themes to summarize state implementation progress. A total of 47 states (90%) responded to the survey. Most states reported ongoing congregate care reforms aligned with FFPSA, reducing the use of congregate care and increasing kinship foster care. QRTPs have become the primary congregate care setting. Top implementation barriers concerned workforce resource and capacity constraints, funding, and access to therapeutic foster care models and foster families. Focus group themes converged on the lack of tailored treatment, quality staff, coordinated aftercare, and a need for QRTP outcome evidence. Early implementation lessons of FFPSA congregate care reforms call for additional funding and technical assistance, oversight of congregate care, professionalization and investment in QRTP staff, youth advisory boards to promote youth-driven treatment, and performance- and outcome-based monitoring of QRTPs.

Implementation of Social Studies Learning at Cimahi City Junior High School Post-Covid-19 Pandemic

This study aims to determine the implementation of social science learning at the end of the COVID-19 pandemic in junior high schools in Cimahi City. The approach used is qualitative with a descriptive method. The research instruments used are observation, interviews, documentation, and literature studies. Data analysis is carried out interactively simultaneosly as data collection and continous until data collection is complete. Furthermore, data reduction is carried out, data exposure is done, and finally, conclusions are made. The results showed that junior high school social studies teachers in Cimahi City had implemented social studies learning at the end of the COVID-19 pandemic by planning, implementing, and conducting learning assessments following applicable laws and regulations. Learning planning includes preparing annual programs, semesters, syllabi, and lesson implementation plans, although some social studies teachers must complete them. Most social studies teachers have carried out learning, including preparatory or preliminary activities, core learning, and closing, following the learning syntax very well, and some are included in the excellent category and quite well according to applicable regulations. However, the enrichment program has not been able to be implemented optimally. Social studies teachers have also conducted learning assessments following aplicable laws and regulations, including affective, cognitive, and psychomotor domain assessments.

Online Cognitive Stimulation Therapy for Dementia in Brazil and India: Acceptability, Feasibility, and Lessons for Implementation.

Cognitive stimulation therapy (CST) is an evidence-based, group psychosocial intervention for people with dementia, and it has a positive impact on cognition and quality of life. CST has been culturally adapted for use globally. It was developed as a face-to-face intervention but has recently been adapted for online delivery. In this study, we aimed to explore the feasibility and acceptability of online or virtual CST (vCST) delivery in India and Brazil, emphasizing barriers and facilitators to implementation. A single-group, multisite, mixed methods, feasibility study was conducted, with nested qualitative interviews. Primary feasibility outcomes were recruitment rate, attendance, attrition, acceptability, and outcome measure completion. Exploratory pre- and postintervention measures, including cognition and quality of life, were assessed. Qualitative interviews were conducted with people with dementia, family caregivers, and group and organizational leaders following intervention delivery, and the data were analyzed using the Consolidated Framework for Implementation Research. A total of 17 vCST group sessions with 59 participants were conducted for 7 weeks, with 53% (31/59) of participants attending all 14 sessions. Attrition rate was 7% (4/59), and outcome measure completion rate at follow-up was 68% (40/59). Interviews took place with 36 stakeholders. vCST was acceptable to participants and group leaders and enabled vital access to services during pandemic restrictions. While online services broadened geographic access, challenges emerged concerning inadequate computer literacy, poor technology access, and establishing interpersonal connections online. Exploratory, uncontrolled analyses indicated positive trends in quality of life but negative trends in cognition and activities of daily living, but these results were not statistically significant. vCST demonstrated feasibility and acceptability, serving as a crucial resource during the pandemic but raised challenges related to technology access, computer literacy, and long-term implementation. The study highlights the potential of vCST while emphasizing ongoing development and solutions to address implementation challenges.

Evaluation of the Adoption and Implementation of Technology-Enhanced Mathematics Lessons in Basic Schools

The study evaluated the adoption and implementation of technology-enhanced mathematics lessons in basic schools in the Ho West District of the Volta Region of Ghana. Grounded in the Technology Acceptance Model. The target population was all basic school teachers in Ho West District. The adopted research design was a descriptive survey research design with a quantitative approach. A stratified random sampling technique was employed and 450 basic school teachers were used as samples for the study. Data were collected using a close- ended questionnaire with a reliability coefficient of 0.77 was analyzed using frequencies, percentages, means, standard deviations, independent samples t-tests, and Pearson’s moment correlation. The results revealed that a teacher recognizes instructional technology as useful for their mathematics instruction. Hence, challenges from teachers, least access to instructional technology tools, training, time for lesson preparation, technical issues, and resistance from their students and colleagues were identified. The study recommends that regular assessments are made on the teachers’ perceptions to tailor professional development needs. Additionally, teachers should be supported by their head teachers to tackle issues specific to individual teachers.