Online Approaches Research Articles

Does the instructional approach really matter? A comparative study of the impact of online and in-person instruction on learner engagement.

To deliver high-quality courses across various instructional environments, instructors must consider variations in learner engagement. However, limited attention has been paid to whether online and in-person teaching approaches differ in terms of their effects on learner engagement in language learning environments. To fill this void, we aim to investigate the differences in overall and three specific types of engagement between online and in-person classrooms. The study is based on 168 learners in China who attended online and in-person English as a foreign language (EFL) course, respectively, across two semesters. This research utilized the mixed methods approach, involving the quantitative and qualitive strands. Firstly, t-tests revealed that, although participants positively rated their engagement in online and in-person courses, they evaluated online instruction less favorable in terms of overall engagement, emotional engagement, and cognitive engagement compared to in-person instruction. They also reported similar levels of behavioral engagement. Secondly, an open survey and interviews revealed these differences were primarily caused by the limited interaction, learners' insufficient digital skills, their lack of self-regulation, and instructors' inadequate technological pedagogical content knowledge online, while the flexibility of online learning likely compromised the behavioral engagement difference. We discussed the findings in light of self-determination theory (SDT), drawing pedagogical implications for language teaching and policymaking for delivery of engaging offline, online, and hybrid language programs in the future.

Peningkatan Kepatuhan Pajak Melalui Sosialisasi Perpajakan kepada Komunitas Bisnis Multi-Level Marketing Minyak Aroma Terapi di Yogyakarta

This study aims to evaluate the effectiveness of tax socialization in improving tax compliance among the multi-level marketing (MLM) business community of aromatherapy oil in Yogyakarta. The research employs a qualitative approach using in-depth interviews, direct observation, and documentation methods. The results indicate that despite high participant enthusiasm, there is a gap in tax compliance. Out of 25 participants, 5 individuals did not possess a Taxpayer Identification Number (NPWP), while 15 out of 20 participants with an NPWP had not reported their MLM income. Limited understanding of tax administrative obligations emerged as a key factor. The tax socialization methods employed, including face-to-face and online approaches, had their respective advantages and drawbacks. Face-to-face socialization was perceived as more interactive, whereas online socialization offered flexibility. This study recommends more intensive educational approaches and follow-up mentoring programs to assist participants in comprehending and fulfilling their tax obligations correctly. These findings are expected to serve as a reference for the government and tax authorities in designing more effective tax socialization strategies to enhance tax compliance, particularly among small and medium-sized enterprise segments

Social digital dilemmas: Young people’s and parents’ negotiation of emerging online safety issues

This article examines emerging online safety issues for Australian teenagers (12–17 years) in their use of social media, apps and online games drawing on findings from a multi-phase, mixed-methods research project carried out from January 2022 to July 2023. Based on the research, we develop a new understanding of ‘social digital dilemmas’, situating our analysis within the rapidly changing social media environment that uses algorithmic technologies and recommendation systems to automatically feed and personalise content to users. These social digital dilemmas are negotiated within relational social networks taking into account digital skills and literacies, household rules and realms of responsibility for children’s online safety that cut across differences in gender, family structure, cultural background and children’s disability status. Based on our findings, we make conclusions about the regulatory context for children’s online safety and suggest how to develop more effective online safety policies and approaches.

Evaluation of a Global Initiative for Asthma Education and Implementation Program to Improve Asthma Care Quality (CARE4ALL): Protocol for a Multicenter, Single-Arm Study.

Poor symptom control and exacerbations of asthma diminish quality of life and pose a significant burden to patients and society. Implementing evidence-based management as recommended by the Global Initiative for Asthma (GINA), especially introducing inhaled corticosteroid-containing treatments, has the potential to vastly reduce exacerbations and the high burden of asthma in China. However, domestic implementation of the GINA recommendations has been unsatisfactory, especially in lower-level hospitals; thus, an enhancement to the awareness of and adherence to the GINA recommendations among Chinese physicians is needed to improve patient outcomes. This study aims to bridge the gap between the GINA recommendations and the current clinical practice in China by demonstrating the benefits of an asthma quality improvement program (QIP). A single-arm study will be conducted at around 30 hospitals across China to assess the impact of a specially designed asthma QIP. Approximately 1500 patients with asthma aged ≥14 years will be enrolled in participating hospitals and followed up for 48 weeks. The QIP-targeted at all pulmonologists and specialist nurses-will include an initial comprehensive training (including a pretraining questionnaire and posttraining quizzes) provided by a dedicated, qualified training team based on the GINA 2021 recommendations, followed by regular reinforcement learnings (integrated into the regular department lectures delivered by department directors), with multiple offline and online approaches (eg, an online patient management platform) provided as supportive tools. During this study, GINA implementation performance will be continuously monitored to inform necessary adjustments at the hospital level. The primary end point is change from baseline in the proportion of participants with an inhaled corticosteroid-based maintenance or reliever treatment at week 48. Secondary end points and exploratory end points include changes in clinical practice and patient outcomes such as treatment patterns, asthma control, and hospitalization rates due to exacerbations. This study has been completed, with 1500 patients enrolled and 1271 patients completing the study. The last visit of the last patient was on September 3, 2024, and the database lock was on September 28, 2024. Final analysis of data has started in October 2024. The Change Asthma Clinical Practice through GINA Education and Implementation for All Patients With Asthma (CARE4ALL) study will hopefully help improve asthma management and patient outcomes in China by bridging the gap between evidence-based GINA recommendations and the current clinical practice. ClinicalTrials.gov NCT05440097; https://clinicaltrials.gov/study/NCT05440097. DERR1-10.2196/65197.

Multi-Mode Face-to-Face and Telephone Approach to Data Collection in Health Surveys: A Scoping Review.

Background/Objectives: The present study aims to identify information from health research studies that have used a mixed-methods data collection approach, considering the combination of face-to-face and telephone interviews (referred to as the MMFT approach), specifically focusing on identifying themes, objectives, designs, populations involved, and implementation processes. Methods: A scoping review was developed, with systematic searches performed in March 2024 across five databases, namely, PubMed; SciELO; Scopus; Web of Science; as well as Google Scholar and reference lists. The inclusion criteria were defined under the following categories: "Participants" (observational epidemiological studies, with no restrictions as to where they were carried out, sampling techniques, or sample profiles); "Concept" (use of MMFT in data collection), and "Context" (studies carried out in the health area, with no restrictions on the theme/subject). The review process was carried out by three researchers who worked independently. Results: From the initial 1515 potential references, the synthesis of this review included data from seven original studies, highlighting cross-sectional designs, involvement of adults and/or elderly people without specific health conditions, variability between data collection strategies, and complementary use of online approaches. Conclusions: Based on the evidence generated, it is recommended that future studies assess aspects of the MMFT approach in terms of response rate, cost reduction, and increasing the speed of conducting health surveys.

Bubble-Assisted Sample Preparation Techniques for Mass Spectrometry.

This review delves into the efficacy of utilizing bubbles to extract analytes into the gas phase, offering a faster and greener alternative to traditional sample preparation methods for mass spectrometry. Generating numerous bubbles in liquids rapidly transfers volatile and surface-active species to the gas phase. Recently, effervescence has found application in chemical laboratories for swiftly extracting volatile organic compounds, facilitating instantaneous analysis. In the so-called fizzy extraction, liquid matrices are pressurized with gas and then subjected to sudden decompression to induce effervescence. Alternatively, specifically designed effervescent tablets are introduced into the liquid samples. In situ bubble generation has also enhanced dispersion of extractant in microextraction techniques. Furthermore, droplets from bursting bubbles are collected to analyze non-volatile species. Various methods exist to induce bubbling for sample preparation. The polydispersity of generated bubbles and the limited control of bubble size pose critical challenges in the stability of the bubble-liquid interface and the ability to quantify analytes using bubble-based sample preparation techniques. This review covers different bubble-assisted sample preparation methods and gives practical guidance on their implementation in mass spectrometry workflows. Traditional, offline, and online approaches for sample preparation relying on bubbles are discussed. Unconventional bubbling techniques for sample preparation are also covered.

All-optical method for generating transient microstructured targets in laser ion acceleration

We demonstrate an all-optical method that online produces “microstructured” targets by manipulating a Laguerre-Gaussian (LG) prepulse. Besides the enhancement of the proton number, the cutoff energy is nearly doubled. Such transient “microstructured” targets are characterized using both offline and online approaches. Based on probe experiments and hydrodynamic simulations, we develop a simple model to describe the electron density distribution upon the arrival of the main pulse. Two-dimensional particle-in-cell simulations reveal that the annular plasma acts as an oscillating cavity for hot electrons and results in a cascaded acceleration effect. The combination of low-intensity LG prepulses and ultraintense Gaussian pulses opens another avenue for fine-tuning laser-plasma interactions spatiotemporally in interdisciplinary applications. Published by the American Physical Society 2024

MANAGING RECRUITMENT AND DATA COLLECTION: ONLINE FOCUS GROUPS BEST PRACTICES AND STRATEGIES TO ADDRESS SCAMMERS

Common methods to collect data include quantitative, qualitative, and mixed method approaches. Although it is common to complete data collection in-person, the onset of COVID-19 has resulted in the increased use of online modalities. Qualitative research is commonly gathered through individual or focus group interviews. However, best practices outlining strategies when conducting online focus groups and approaches to address issues specific to online research (i.e., scammers) are limited. Due to the growing use of data collection through such means, it is imperative to draw out specific strategies that could regulate data quality and reduce the chances of scamming. The current article addresses this practical gap by providing a synthesis of the available literature on online focus groups that document best practices and suggestions to deal with scammers which is currently missing from the literature. The goal was to provide initial suggestions to improve data quality of online focus groups by examining the available literature that outlines best practices, addresses the issues of scammers, and to provide a concise and comprehensive overview of identified literature The article is organized beginning with a review of the literature. The research is then synthesized including an outline of best practices and strategies to address scammers when engaging in online focus groups. The article closes with a discussion of the significance of the review, limitations, and article summary. Scammers are prevalent in online spaces. Although this article provides a preliminary outline of suggestions from the literature, more research is necessary that provides specific examples of how challenges have been addressed and the impact of including the recommended strategies on the research process and outcomes.

Effectiveness of Online, Traditional and Hybrid Learning Approaches

Effectiveness of Online, Traditional and Hybrid Learning Approaches

Effectiveness of peer support interventions in improving mothers' psychosocial well-being during the perinatal period: A systematic review and meta-analysis.

Many mothers experience poor psychological outcomes during their perinatal period. The presence of depression and anxiety has a significant adverse impact on the mother's health and the infant's development. This review aimed to examine the effectiveness of peer support interventions in improving depression, anxiety, and perceived social support among mothers during the perinatal period. This study was a systematic review and meta-analysis of randomized controlled trials. The reporting of this review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020. Cochrane's Risk of Bias Tool for randomized controlled trials was used to examine the methodological quality of the included studies. The certainty of the evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. A comprehensive search was conducted from inception till May 2024 across seven databases: Pubmed, Scopus, CINAHL, Web of Science, ProQuest, PsycINFO, and Embase. The results of the meta-analysis of the 12 included studies showed that peer support interventions could reduce depression and anxiety levels but not perceived social support levels. Sub-group analyses based on the mode of intervention delivery showed significant reductions on depression levels in online and face-to-face groups but not telephone call groups. Follow-up data analyses showed that peer support interventions could improve depression, anxiety, and perceived social support across a duration of 1-6 months post-intervention. This review provides a deeper understanding of the effect of peer support interventions on mothers in the perinatal period. This can have a positive impact on current knowledge aimed at improving the well-being of mothers and thus, their infants, partners, and entire family unit. Findings showed that peer support interventions can positively improve psychological well-being of mothers in the perinatal period in the short and long term. Peer support can ultimately be considered as a standardized part of perinatal care. Future recommendations include implementing a combination of face-to-face and online approaches to peer support interventions delivered with both individual and group components.

Pemberdayaan Masyarakat melalui Media Digital: Optimalisasi Smart Digital Marketing Berbasis Aplikasi untuk Penguatan Usaha Lokal Warga Ngampel Kulon

The advancement of digital technology has revolutionized marketing from traditional methods to online approaches. Digital marketing, leveraging digital media and the internet, including e-commerce and social media, has become a crucial element in promoting products and services. According to Kotler and Keller (2023), digital marketing not only boosts sales but also strengthens brand identity and fosters customer relationships. In Indonesia, Micro, Small, and Medium Enterprises (MSMEs), which significantly contribute to the local economy, can utilize digital marketing to expand their market reach and improve efficiency. This study was conducted in Ngampel Kulon Village, Kendal Regency, Central Java, focusing on MSME operators and aspiring entrepreneurs who have not fully utilized digital platforms such as WhatsApp Business. The research method involved observation, economic potential identification, and training using a Participatory Rural Approach. The training covered four main components: an introduction to digital marketing basics, copywriting techniques, digital marketing strategies, and hands-on practice with guidance. Results showed that 34 local residents and 15 KKN students exhibited high enthusiasm and successfully applied promotional strategies through social media. The evaluation indicated an improvement in knowledge and skills in using WhatsApp Business for product marketing. The conclusion is that the training successfully enhanced MSMEs' understanding and skills in digital marketing, including digital content creation and social media utilization. The program also emphasizes the need for policy makers' involvement in planning and managing local product marketing to compete globally and adapt to ongoing technological trends.

Mini-Courses for Open Digital Competences for Educators

The concept of Digital Competences for Educators is very important within European educational policies. Recent definitions of DigCompEdu are provided in a scientifically sound framework describing what it means for educators to be digitally competent DigCompEdu: European Framework for the Digital Competence of Educators and in the EU DEAP (Digital Education Action Plan 2021-2027 Resetting Education and Training for the Digital Age) defined in Sep 2020. This paper presents the results of the OpenDigCompEdu Erasmus+ project to accelerate the digital competences of educators in school education from Spain, Romania, Croatia, Greece and Norway towards the sustainable adoption of more online and blended approaches in education through the use of open educational technologies and open education principles. The paper presents the development of 5 micro-courses, all related to the development of digital education competences and to be offered online and in a blended format in Moodle Academy.

The impact of the COVID-19 pandemic on higher education: Assessment of student performance in computer science.

The COVID-19 pandemic had radically changed higher education. The sudden transition to online teaching and learning exposed, however, some benefits by enhancing educational flexibility and digitization. The long-term effects of these changes are currently unknown, but a key question concerns their effect on student learning outcomes. This study aims to analyze the impact of the emergence of new models and teaching approaches on the academic performance of Computer Science students in the years 2019-2023. The COVID-19 pandemic created a natural experiment for comparisons in performance during in-person versus synchronous online and hybrid learning mode. We tracked changes in student achievements across the first two years of their engineering studies, using both basic (descriptive statistics, t-Student tests, Mann-Whitney test) and advanced statistical methods (Analysis of variance). The inquiry was conducted on 787 students of the Lublin University of Technology (Poland). Our findings indicated that first semester student scores were significantly higher when taught through online (13.77±2.77) and hybrid (13.7±2.86) approaches than through traditional in-person means as practiced before the pandemic (11.37±3.9, p-value < 0.05). Conversely, third semester student scores were significantly lower when taught through online (12.01±3.14) and hybrid (12.04±3.19) approaches than through traditional in-person means, after the pandemic (13.23±3.01, p-value < 0.05). However, the difference did not exceed 10% of a total score of 20 points. With regard to the statistical data, most of the questions were assessed as being difficult or appropriate, with adequate discrimination index, regardless of the learning mode. Based on the results, we conclude that we did not find clear evidence that pandemic disruption and online learning caused knowledge deficiencies. This critical situation increased students' academic motivation. Moreover, we conclude that we have developed an effective digital platform for teaching and learning, as well as for a secure and fair student learning outcomes assessment.

Развитие онлайн-образования в области искусства в высших педагогических университетах Китая и России

Information and Communication Technologies (ICT) have been actively integrated into the global educational process since the early 2000s with the aim of enhancing the training and education systems to meet the demands of the information society. In the era of globalization and expanding access to Internet technologies, online learning is becoming an integral part of the educational system of any country. The pedagogical training of specialists in this regard is particularly significant as it is responsible for the future workforce of the educational system and the level of technological integration in working with the younger generation. Training of teachers for the field of arts is a distinct area that requires attention and concerted efforts from governments to modernize the technologies used. Both China and Russia possess deep cultural traditions that can enrich the practice of online arts education. Exploring ways to integrate cultural characteristics into distance learning courses can contribute to a deeper understanding between countries. The introduction of online approaches to art education will allow pedagogical universities in China and Russia to adapt to modern educational trends and improve the quality of education.

The Design and Impact of Interactive Online Modules for Dental Faculty Calibration

The diverse backgrounds of health professions faculty often result in inconsistent teaching, clinical techniques, and feedback for students. Faculty calibration is essential for uniform, high-quality instruction. However, scheduling training sessions is challenging due to faculty availability. This study introduces a self-paced, interactive online approach to dental faculty calibration. Four self-paced online modules were developed using an interactive cloud-based platform. A variety of learning activities were interspersed throughout the module to promote active learning. A survey captured faculty’s perception of the online format. ANOVA analyses examined differences in perceived effectiveness of the online format between full-time, part-time, and adjunct faculty. The platform analytics offered insights into the faculty’s module performance. Anecdotal feedback from faculty provided evidence of behavioral changes. 94% of the faculty expressed high satisfaction with the online format. The majority of faculty agreed or strongly agreed that the online format was effective (89%), engaging (88%), and easy to navigate (84%). They highlighted the modules’ user-friendliness, flexibility, and engaging content. ANOVA analyses revealed no significant differences in perceived effectiveness of the online format between full-time, part-time, and adjunct faculty. Anecdotal feedback demonstrated that faculty were incorporating the knowledge gained from the modules into their teaching practices. This positive online experience also motivated several faculty to integrate similar online approaches into their own courses. This online approach provides a more flexible, sustainable, and interactive approach to faculty development that could be beneficial to other institutions.

A graphical user interface tool to teach plane curves in pandemic situations through a flipped classroom

During the pandemic and lockdown situations of the last few years, we transitioned to online, physical, and hybrid education approaches at various times. We had difficulty teaching multiple calculus and analytical geometry units online. In light of the current situation, a graphical user interface (GUI) teaching tool has been developed to teach university students many plane curve modules through a flipped classroom. With a few inputs and a single click as output, these executable spreadsheets can assist physics and mathematics students in practising several principles of analytical geometry. Spreadsheets can readily draw planes in three-dimensional geometry due to their widespread use. Some online vector GUIs present the results; however, this GUI conveniently illustrates the plot. The well-designed user interface also helps create new questions with answer keys and gives access to the teachers of physics and mathematics, which can make online teaching very easy. The effectiveness of this GUI was checked through Kolmogorov-Smirnov and Shapiro-Wilk tests, and a good agreement has been found in the results.Contribution: This article contributes to Mathematics teaching through GUIs.

Revolutionizing 3D Animation &amp; 3D Modeling Education: A Comprehensive Study on the Impact of Blended Learning

The educational environment has undergone a significant transformation due to the widespread impact of the COVID-19 pandemic. Prompting creative solutions to issues in teaching and learning. This study explores the integration of blended learning, focusing on 3D animation and modeling education. Blended learning, which combines conventional and online approaches, is emerging as an effective method for increasing student engagement and performance. The research delves into the complexities of 3D animation and modeling courses, emphasizing the importance of creative thinking and mastery of animation principles. The study showcases the effectiveness of blended learning through improved student outcomes, emphasizing adaptability, and interactive learning. This research provides valuable insights for educators, highlighting the significance of flexible teaching methodologies and the integration of technology in shaping the future of 3D animation and 3D modeling education.

Exploring sexual and reproductive health among adolescent and young adult patients with cancer: A patient-oriented qualitative study using novel, serial focus groups.

e23080 Background: While treatment advances for adolescent and young adult (AYA, ages 15 - 39) cancers are improving survival, there is a lack of information and support regarding impacts of AYA cancer on sexual and reproductive health (SRH) during and after treatment. Our study explored SRH experiences of AYA cancer patients using novel, serial focus groups. Methods: With online and in-person approaches, we recruited folks who: 1) Were diagnosed with cancer at age 15 – 39; 2) Reside in Canada; and 3) Are over 18. Participants were grouped into cohorts based on akin characteristics (e.g., sex, stage). Each cohort engaged in three focus groups, mimicking support groups, to foster community and trust. An interview guide was iteratively developed with patient research partners. We used framework analysis to identify recurring themes and patterns, offering full insight of participants’ SRH perspectives and experiences from deductive and inductive views. Results: We recruited 4 focus group cohorts, with 6–10 participants each (N = 24 females, 6 males), representing various cancer types (e.g., pelvic, hematologic) and stages (1–4). Cohorts had representation of transgender (n = 1) and gender diverse folks (n = 3), non-heterosexual sexual orientation (n = 11), and racial diversity (n = 9). We identified three themes describing participants’ experiences: 1) internally (“looking inwards”) – impact of AYA cancer on SRH; 2) externally (“looking outwards”) – impact of cancer on interpersonal relationships; and 3) role of the healthcare system. Internally, folks described complex impacts of AYA cancer on themselves, revealing shifting definitions, perspectives, expectations, and goals of SRH over time. Dynamic interplays of AYA cancer also surfaced, unveiling mental, physical, and financial health changes that positively or negatively impacted participants’ SRH and influenced short and long-term well-being. Externally, changes in romantic relationships and family planning underscored the complex interplay of societal pressures on SRH and reproductive choices. Regarding the healthcare system, findings highlight facilitators (i.e., self-advocacy, nurses, recent pregnancy, provider with similar identity, etc.) and barriers (i.e., gender, SRH stigma, age, fertility treatment costs, heteronormativity, SRH deprioritization, etc.) that influence access to appropriate and available SRH resources and support. Conclusions: SRH challenges have significant internal and external impacts among AYA cancer patients and their interpersonal relationships during and after treatment. By understanding their SRH experiences throughout their cancer care, providers and the healthcare system can identify opportunities to implement SRH care more effectively into the cancer care continuum, significantly improving health outcomes for AYA cancer patients.

Enhancing Plant Disease Recognition on Mobile Devices: A Hybrid Approach with CNNs, Rule-Based Systems, and Machine Learning

The food industry has significantly boosted the agricultural economy of India, historically known as the largest producing nation with a strong agricultural identity. The primary crops include grains, fruits (such as potatoes, oranges, tomatoes), sugarcane, and specially cultivated grains and cotton. Maharashtra, a state in India, has experienced substantial economic growth, particularly attributed to citrus and cotton industries. This growth has generated employment opportunities and holds significant potential for the state's economic advancement. To sustain the prosperity of these industries, the government is actively addressing concerns related to disease control, Labor costs, and global market dynamics. In recent times, citrus canker, citrus greening, and black spots on cotton have emerged as severe threats to citrus crops in Maharashtra. Farmers are troubled by the costs associated with tree loss, scouting efforts, and the use of chemicals to control diseases. An automated detection system could play a crucial role in preventing and minimizing these losses, thereby safeguarding the industries, farmers, and the overall economy. This research focuses on developing disease detection through pattern recognition methods for various crops. The image detection process has some main categories which are image acquisition, image processing, and pattern recognition. Image preprocessing is used to process the image in a clear and clean format. Pattern recognition methods are then utilized to classify samples into different crop conditions. To assess classification approaches, results will be compared across different crops for disease detection. The goal is to demonstrate a classification accuracy surpassing existing models, reaching the highest. The research primarily aims to showcase the feasibility of disease detection based on visible symptoms on fruits or leaves. Data collection and initial knowledge acquisition are planned through offline and online approaches. The overall motive is to have accurate detection of the fruits and leaves thereafter using those results for diseases detection. Keywords: Machine Learning Algorithms, Plant disease detection, Image Recognition, Rule-Based mechanism, CNN, Detection technologies, Color Grading

Enhancing trauma care through innovative trauma and disaster team response training: A blended learning approach in Tanzania.

In Tanzania, inadequate infrastructures and shortages of trauma-response training exacerbate trauma-related fatalities. McGill University's Centre for Global Surgery introduced the Trauma and Disaster Team Response course (TDTR) to address these challenges. This study assesses the impact of simulation-based TDTR training on care providers' knowledge/skills and healthcare processes to enhance patient outcomes. The study used a pre-post-interventional design. TDTR, led by Tanzanian instructors at Muhimbili Orthopedic Institute from August 16-18, 2023, involved 22 participants in blended online and in-person approaches with simulated skills sessions. Validated tools assessed participants' knowledge/skills and teamwork pre/post-interventions, alongside feedback surveys. Outcome measures included evaluating 24-h emergency department patient arrival-to-care time pre-/post-TDTR interventions, analyzed using parametric and non-parametric tests based on data distributions. Participants' self-assessment skills significantly improved (median increase from 34 to 58, p<0.001), along with teamwork (median increase from 44.5 to 87.5, p<0.003). While 99% of participants expressed satisfaction with TDTR meeting their expectations, 97% were interested in teaching future sessions. The six-month post-intervention arrival-to-care time significantly decreased from 29 to 13min, indicating a 55.17% improvement (p<0.004). The intervention led to fewer ward admissions (35.26% from 51.67%) and more directed to operating theaters (29.83% from 16.85%), suggesting improved patient management (p<0.018). The study confirmed surgical skills training effectiveness in Tanzanian settings, highlighting TDTR's role in improving teamwork and healthcare processes that enhanced patient outcomes. To sustain progress and empower independent trauma educators, ongoing refresher sessions and expanding TDTR across low- and middle-income countries are recommended to align with global surgery goals.