Home Organization Research Articles

Implementation of a complex intervention to reduce hospitalizations from nursing homes: a mixed-method evaluation of implementation processes and outcomes

Background | objectiveTo evaluate the implementation of three intervention elements to reduce hospitalizations in nursing home residents.DesignConvergent mixed-method design within a hybrid type-2 effectiveness-implementation study.SettingEleven nursing homes in the German-speaking region of Switzerland.ParticipantsQuantitative data were collected from 573 care workers; qualitative data were collected from 108 care workers and the leadership from 11 nursing homes.InterventionThree intervention elements targeting care workers were implemented to reduce unplanned hospitalizations: (1) the STOP&WATCH instrument for early recognition of changes in resident condition; (2) the ISBAR instrument for structured communication; and (3) specially-trained INTERCARE nurses providing on-site geriatric support. Multifaceted implementation strategies focusing both on the overall nursing home organization and on the care workers were used.MethodsThe quantitative part comprised surveys of care workers six- and twelve-months post-intervention. The intervention’s acceptability, feasibility and uptake were assessed using validated and self-developed scales.Qualitative data were collected in 22 focus groups with care workers, then analyzed using thematic analysis methodology. Data on implementation processes were collected during implementation meetings with nursing home leadership and were analyzed via content analysis. Findings were integrated using a complementary approach.ResultsThe ISBAR instrument and the INTERCARE nurse role were considered acceptable, feasible, and taken up by > 70% of care workers. The STOP&WATCH instrument showed the lowest acceptance (mean: 68%), ranging from 24 to 100% across eleven nursing homes. A combination of factors, including the amount of information received, the amount of support provided in daily practice, the users’ perceived ease of using the intervention and its adaptations, and the intervention’s usefulness, appeared to influence the implementation’s success. Two exemplary nursing homes illustrated context-specific implementation processes that serve as either barriers or facilitators to implementation.ConclusionsOur findings suggest that, alongside the provision of information shortly before intervention start, constant daily support is crucial for implementation success. Ideally, this support is provided by designated and trained individuals who oversee implementation at the organizational and unit levels. Leaders who seek to implement interventions in nursing homes should consider their complexity and their consequences for workflow to optimize implementation processes accordingly.Trial registrationThis study was registered at clinicaltrials.gov (NCT03590470) on the 18/06/2018.

SPECIAL FEATURE: KNOW YOUR COLLEAGUES—ROBERT DAMELIO AND CARL BINDER

SPECIAL FEATURE: KNOW YOUR COLLEAGUES—ROBERT DAMELIO AND CARL BINDER

Adapting an Advance Care Planning Website for Persons With Dementia in Nursing Homes During the COVID-19 Pandemic

We partnered with a national for-profit nursing home (NH) organization to test the acceptability and use of an advance care planning (ACP) website for people living with dementia using a randomized controlled trial (RCT) design. Concurrently, the COVID-19 pandemic disproportionately impacted NHs and halted in-person research. We will present challenges, opportunities, and adaptations in site engagement, recruitment, and data collection. Initially, NHs were overwhelmed by pandemic efforts and research staff were unable to enter sites. We capitalized on time and available resources by beta-testing the website in a comparable population and designing surveys to elicit COVID-19’s impact on ACP. Once able, NH staff took on recruitment and data collection efforts intended for research staff. We supported NHs by pivoting to remote data collection, providing technology on site, and offering flexible communication. Flexibility is key in supporting site engagement, recruitment, and data collection and has implications for designing pragmatic RCTs.

When foreign waves hit home shores: Organizational identification in psychological contract breach–violation relationships during international assignments

SummaryIn the context of international assignments, this study investigates the psychological contract breach–violation relationship from a multiparty employment perspective. Multiparty employment refers to arrangements where employees have concurrent psychological contracts with more than one party. Drawing on two waves of survey data from 221 expatriates, we find both direct relationships and asymmetric spillover effects of psychological contract breach on violation. Psychological contract breach by either the home or host organization is directly linked to psychological contract violation by the breaching party. Additionally, spillover effects occur such that a breach by the host predicts psychological contract violation by the home organization, though not the reverse. These relationships are shaped by the expatriates' organizational identification. Identification with the host buffers the direct effect between breach and violation by the host, while dual organizational identification mitigates the direct effect between breach and violation by the home organization. Identification with the home organization diminishes the spillover effect from host breach to home organization violation. The opposite, identification with the host, amplifies the spillover effect of host breach to home organization violation. By examining the distinct dynamics of home and host organization contract breach and violation, we develop theoretical implications for understanding PCs in multiparty work arrangements.

423 - Characteristics of specialized units for people with dementia and very severe challenging behavior in the Netherlands: a mixed method study

Introduction:Little is known about the raising number of specialized units for patients with dementia and very severe challenging behavior in the Netherlands. This study describes organizational and treatment characteristics of a sample of these units.Methods:The organizational and treatment characteristics were studied with digital questionnaires completed by the unit managers, interviews with the main physician(s) and observation of the physical environment. The questionnaire consisted of questions about general patient characteristics, unit characteristics and staff characteristics. Furthermore, an interview was held with the main/treating physician often together with another physician or psychologist. The interview guide consisted of questions about admission criteria, the role of staff involved and the treatment process.Results:Thirteen units participated. Five units were part of a mental health (MH) institution, seven units were part of a nursing home (NH) organization and one unit was a cooperation of MH and NH. Unit sizes ranged from 10 to 28 places. Ten of thirteen units started in 2010 or later. The age of patients admitted was estimated at 75 years. The percentage of involuntary admitted patients was 53% at MH-units and 18% at NH-units. Unit managers mentioned that due to a difference in reimbursement between MH and NH units had difficulty providing the specialized care. Another problem managers faced was recruiting nursing staff. Units strived for expertise in general staffing from both MH and NH. The education level of the nursing staff was comparable between MH and NH. At every unit a physician with background in elderly care medicine or geriatrics and a psychiatrist was involved. Interviewees stressed the role of the nursing staff in the treatment. They were key in providing the care and treatment that, since the main goal of interventions is treatment of and coping with challenging behavior.Conclusion:The main finding of this study is that units caring for patients with dementia and challenging behavior, despite barriers in regulations and staffing shortage, search for combining expertise from nursing home care and psychiatry in their treatment.

Self-initiated Expatriation as an Emancipatory act: A Rancièrian Perspective

Despite growing scholarly interest in self-initiated expatriates (SIEs), who leave employers at home behind to relocate to a foreign country for a new job, we still know relatively little about how home organization conditions and their perception by SIEs motivate such decisions. We examine this question based on a qualitative analysis of interviews with European SIEs who moved to North America. Using the philosophy of emancipation by Rancière as a sensitizing device, we find that SIEs view their self-initiated expatriation mainly as an act of liberation from constraining orders of evaluation in their home organization. The latter, however, also give meaning to their expatriation going forward as a critical reference for future experiences. Findings have important implications for expatriate research by elaborating on the complex interplay between individual choices and experiences, and organizational contexts.

IoT based Smart Door Lock System with ESPCAM-32

The advancement in technology Smart door locking system have become more advanced. The android based smart door lock system here is basically designed for smart lock with high security operations. Such system is very much required in Bank, home and Business organization. The system also gives functionalities for single user, where single user is authorized to operate the lock. The cost is very low implementation with advanced functionality and easy to use interface makes the system very useful.

Managing Boundaries in Multiteam Structures: From Parochialism to Integrated Pluralism

Multiteam structures are increasingly used to coordinate complex tasks between different groups. To realize this potential, however, the members of a multiteam structure must manage a complex set of boundary relations within, between, and beyond the various constituent teams—boundary relations that can be cooperative, competitive, or some combination of both at the same time. This multimethod study provides insight into how multiteam structures can meet this challenge. Specifically, we examined how the different organizations that utilize and support the Dutch railway system learned to manage boundaries as they transitioned from a centralized, arms-length structure to a colocated, multiteam structure for coordinating disruption responses (i.e., the Rail Operations Control Center (ROCC)). In part 1 of our study, qualitative analyses of interview, observational, and archival data suggested that learning to manage boundaries within the ROCC was not simple or linear but evolved through trial and error during various phases. Ultimately, the ROCC developed an approach we call “integrated pluralism,” establishing a dynamic balance that combines both collaborative and competitive approaches to boundary management. In this manner, the ROCC teams were able to attain integrated solutions and coordinated task accomplishment while simultaneously defending internal team operations and home organization interests. In part 2, we employed an interrupted time series analysis to demonstrate that the implementation of the ROCC resulted in significant performance improvements. Consistent with the results of part 1, we found that these improvements emerged gradually over time as teams learned to work out their boundary relations and transitioned to integrated pluralism. These findings provide new insights into how individuals and teams can work together to tackle the unique boundary management challenges presented by multiteam structures and illuminate the dynamic trial and error process by which component teams can learn to both cooperate and compete.

Factors Associated with Maternal Tetanus Vaccination in Myanmar: An Analysis of Demographic and Health Survey Data

Background: Tetanus toxoid vaccination is a life-saving maternal and child health intervention. Understanding gaps in maternal vaccination coverage is key to informing progress towards universal health coverage. We assessed maternal tetanus vaccination coverage in Myanmar and investigated factors associated with being unvaccinated. Method: We analysed 2015-16 Demographic and Health Survey data including women aged 15-49 years with at least one childbirth in the last five years. The outcome was self-reported receipt of tetanus vaccine at least once during the last pregnancy. We used logistic regression models to assess factors associated with being unvaccinated. Results: Overall maternal tetanus vaccination coverage was 85·7%. Sub-national coverage was lowest in the predominantly ethnic minority states of Shan, Kayin, and Chin at 69·6%, 77·4%, and 79·9%, respectively. Factors associated with a lack of vaccination were: not receiving antenatal care (odds ratio (OR): 18·99, 95% confidence interval (CI): 14·21, 25·39); receiving antenatal care at home (OR: 2·05, 95% CI: 1·46, 2·88), private and non-governmental organization clinics (OR: 2·88, 95% CI: 1·81, 4·58, compared to public facilities); and not wanting to go to a health facility alone (OR: 1·53, 95% CI: 1·14, 2·06). Higher educational attainment was associated with lower odds of being unvaccinated (OR: 0·48, 95% CI: 0·32, 0·70 for secondary relative to no education). Interpretation: We identified regional, structural, and individual differences in maternal tetanus vaccination coverage. Achieving universal coverage of maternal tetanus vaccination will largely depend on the ability to provide accessible antenatal care to most women who do not currently receive it. Funding Statement: No funding was received for this work. Declaration of Interests: We declare no competing interest. Ethics Approval Statement: Ethical approval was not required as this is a secondary analysis of publicly available data.

Rural Residence, Nutrition Risk, and Falls In Community-Dwelling Older Adults

Decreasing fall risk and maintaining independence is vital for community dwelling older adults. Nutritional status and rural residence may be independent predictors of falls. The aim of this study was to evaluate if nutritional status and rurality are positively associated with fall risk and predictive of future falls in community-dwelling older adults. We used data from a health risk assessment conducted by the Support and Services at Home organization serving Medicare beneficiaries in Vermont in 2017-2019 (N=3109; 79.6 years ±8.4, 75% female). Measures included the Fall Risk Questionnaire, Determine Nutrition Risk questionnaire, and fall history. Descriptive statistics from baseline measures and logistic regression analyses were used to identify predictors of a new fall with respect to rurality, fall risk, and nutritional status. At baseline, 67% of participants lived in rural communities, 37% had high nutrition risk, and 60% had elevated fall risk. Independently, rurality and high nutrition risk were significantly associated with fall risk (p<0.001) and high nutrition risk was associated with rurality (p<0.001). In the adjusted model, rural residence was not significantly associated with a fall within one year from baseline, whereas participants at high nutrition risk had a 50% higher odds of falling (p= 0.001). These findings suggest that falls may be associated with nutrition risk, but not living in a rural setting. Community-based initiatives should consider including nutrition screens as part of fall risk assessments. Further research is needed to understand the relationship between nutrition status and falls risk.

Disorder and Downsizing

AbstractThe consequences of overconsumption and the recent popularity of simple living point to consumer interest in reducing belongings. They also raise an interesting question—what is a useful approach to downsizing and decluttering? We investigate how dis/order (messy vs. tidy items) affects downsizing and find, across nine focal studies, that (a) consumers retain fewer items when choosing from a disordered set because (b) order facilitates the comparisons within category that underlie the tendency to retain items. The impact of dis/order is altered by consumers’ comparison tendencies, waste aversion, and decision strategy (selection vs. rejection), which serve as theoretically and pragmatically relevant moderators. Though consumers’ lay beliefs favor rejecting from order (i.e., choosing what to get rid of from tidy items), our findings point to the usefulness of selecting from disorder (i.e., choosing what to keep from messy items) as a downsizing strategy. Together, this research has implications for consumer downsizing activities, the burgeoning home organization and storage industries, as well as sustainability.

Free agency and organizational rankings: A social comparison perspective on signaling theory

Free agency connotes the freedom of an individual to choose whether or not they leave their home organization. We explore how options afforded to the free agent are influenced by the rankings and social comparison concerns between the home organization and outside organization. Probing free agency movement in Major League Baseball (MLB), Study 1 shows that free agents are less likely to move between highly ranked teams than between intermediately ranked teams. Studies 2 and 3 experimentally replicate these effects, showing that highly ranked home teams are more willing to retain their free agents with aggressive counter-offers when the outside offers are from other highly ranked teams, whereas intermediately ranked home teams are less willing to do so when outside offers are from other intermediately ranked teams. Study 3 additionally found that social comparison partially mediated the effect. Implications for free agency and the benefits (and sometimes costs) of having an outside offer are discussed.

The Call to Play: New Work and Labor at Artsadmin

February 2010. The lights are off. As I adjust to the dark I can make out shapes of others scattered around the room. Disoriented and uncertain I wait for some sign or direction of what to do. The air is thick with anticipation, but as time drags it becomes clear that no instructions are coming. Then it begins all around me. Sat in the dark in a workshop in the courtroom studio of Toynbee Studios, I begin to feel anxious. I see the outline of another body in front of me and I panic. I should do something. I reach for anything that might keep things working, that might keep play going. Does anyone want to dance, I ask. I waltz. I sense someone dancing behind me.In what follows I think through my participation in a 2010 workshop led by Anne Bean, recounted in part above, to understand better the role of play in the conditions of production for theatre and performance under capital. Bean is an interdisciplinary artist, belonging to (or claimed by) multiple experimental art scenes, including visual, performance, and sound art, who has been a central figure of European live art since the 1970s. The workshop, which was conducted largely in the dark and focused on the aestheticization of cooperation through an emphasis on its participants doing play was held at Artsadmin's Toynbee Studios, the influential UK arts producing organization's home in East London. This article puts my account of Bean's workshop in conversation with Victorian economist Arnold Toynbee's demand for a new capitalist morality. Toynbee's appeal was, of course, not directed at me or the other workshop participants disoriented and uncertain in the dark. But, I argue, the situation of play that arose in Bean's workshop is a contemporary iteration of what Toynbee called agospel of life,a term referring to a commitment to self and civic betterment at the core of a burgeoning capitalist morality. The connection between the shaping of Victorian labor practices and the staging of cooperation between participants in Bean's contemporary workshop is the basis for this essay's core assertion: that the value of play as a counterpoint to work within practices and discourses of theatre and performance needs considerable rethinking.

OUTCOME OF THE UNIDENTIFIED/UNACCOMPANIED PATIENT OF TRAUMATIC BRAIN INJURY IN TRAUMA UNIT OF GANDHI MEDICAL COLLEGE AND ASSOCIATED HAMIDIA HOSPITAL BHOPAL (INDIA)

All unidentified / unaccompanied &amp; unknown TBI patients admitted in department of neurosurgery, Gandhi Medical College Bhopal from June 2016 to May 2019 were enrolled in this study. Management of unidentified and unaccompanied patients is difficult in any health care setup due to challenges in managing their day to day care. Traumatic brain injury is the most common cause of death in trauma patients. We analyzed demography, mode of injury, clinical presentation &amp; condition at admission, treatment given, hospital stay, outcome &amp; factors affecting outcome of the patients. Very few studies in world literature are available on this subgroup of patients. We analyzed data pertaining to 100 consecutive patients at our hospital.&#x0D; Aim and Objectives: The aim and objective of this study is to determine the outcome of traumatic Brain Injury in patients who were admitted in trauma unit/ Neurosurgery unit of Gandhi medical College Bhopal India from June 2016 to May 2019. As unaccompanied / unknown/ unidentified. In this study we collected the data of unknown/ unidentified patients of TBI to analyze the outcome.&#x0D; Material and Methods: It was a prospective study of all unaccompanied/ unknown patients who were admitted in the trauma unit/ Neurosurgery unit of surgery department of Gandhi Medical College &amp; Associated Hamidia Hospital Bhopal India from June 2016 to May 2019 a total number of 100 unidentified /unaccompanied patients were admitted whose data were collected and analyzed Departmental staff, social workers, police and media persons help were take in for relocation of unknown patients to their home or non government organization shelter homes .&#x0D; Results: There were total 100 consecutive patient enrolment in this study, 87% of the patients were male. Most common age group was 40-59 years, 48% patients falls in this age group.&#x0D; Most common cause of trauma was road traffic accident (48%), followed by Cause Unknown (36%). Overall mortality was 39%. Others clinical characteristic and type of lesion in traumatic brain injury of unidentified and unaccompanied patients is given in detail in.&#x0D; Out of 100 patients, 43 (43%) patients were managed conservatively based on CT head findings and neurological status &amp; 57 (57%) were operated. Decompressive Craniectomy was most common operative procedure depending on the clinical &amp; neurological status. Overall complication rate during hospital stay was 26%.&#x0D; Keywords: TBI, Unidentified Patient &amp; Unaccompanied &amp; Decompressive Craniectomy, Rehabilitation.

European network staff eXchange for integrAting precision health in the health Care sysTems” project

Abstract Background Precision health aims to prevent and predict illness, maintaining health and quality of life for as long as possible, by drawing on the new technological and data science tools to translate volumes of research and clinical data into information that citizens, patients and doctors can use. Objective The ExACT consortium, funded by the Marie Curie Research and Innovation Staff Exchange (RISE) 2017 - Horizon 2020, is aimed at building a community of academic and non-academic institutions that generates high quality, multidisciplinary collaboration by exchanging knowledge in research and training activities on precision health. Results From 2019 to 2023, 74 secondments are foreseen; staff involved will be trained on precision health research topics unavailable at their home institutions. The research topics include 5 domains: Integration of Big Data and digital solutions into healthcare systems; design and promotion of innovative citizen engagement models; education of healthcare professionals and leadership; HTA in precision health; Ethical-legal, social, organisational and policy issues surrounding precision health. Conclusions Secondees will produce key reports, policy recommendations, scientific papers, and informative materials for citizens, fostering public-private interplay and fostering integration of precision health in the EU health systems, contributing to better health for EU citizens. Key messages Once the secondees are back in their home institution, they will use competences acquired during the secondment to advance the research, and transfer the knowledge to the home organization. Sharing knowledge,building synergies and expertise and encouraging best practices,among top-level institutions,will stimulate translational effort for implementing precision health in EU health system.

‘It’s the organization that is wrong’: Exploring disengagement from organizations through leadership development

This research explores the relationship between participation in leadership development programmes and disengagement from the employing organization. Based on repeated interviews with 10 managers participating in an open leadership development programme, our analysis shows that half of the participants reflected a sense of distancing themselves from how their organizations practiced leadership, and for some, an emotional disengagement with their home organization which we see as analogous to changes in social identity. We problematize the role of management and leadership development programmes with regard to the relationship between organizations and employees. A series of paradoxes are reflected in our critique of this relationship. The most prominent in terms of implications is that a successful management and leadership development programme – recognized by employees and employers – can generate dissatisfaction with the home organization as a consequence of the purpose of the programme: to increase confidence and enhanced agency. This paradox has significant implication to the leadership development industry and we explore these implications.

I Want It to Go to a Good Home

Western culture tends to regard animism as a set of beliefs held by groups other than the mainstream majority of the population. However, animism is regularly performed in the actions of many purportedly non-animist individuals and group entities. While large corporations occasionally invoke animism to affect consumer behavior through clever advertising, their strategies are reflective of a an unintentional current of animism in day-to-day life. Non-animist Western adults express animist tendencies that run counter to larger cultural paradigms through everyday speech and action. These people enact a curious concern for inanimate objects in both the way they speak about objects and organize them in their homes. The performance of animist modes of thinking is foregrounded particularly in the language people use to discuss their relationships with objects they need to discard. Because keeping objects over long periods of time can foster important emotional attachments, discarding as an act of material behaviour is often accompanied by both anxiety over waste and concern regarding an object’s fate. The ways in which Westerners approach discarding both reflects and has bearing upon larger cultural trends in human/object relationships.Written from a folkloristic perspective, this essay explores how unofficially accepted animist behaviours are performed against the backdrop of an officially non-animist culture. It integrates information gathered from personal interviews with scholarship on material culture while drawing on examples of animism expressed in both common advertisements for household commodities and home organization trends. Ultimately, this piece inquires into the anxieties that arise from being in relationship to many things, and considers how embracing the performance of animism on a household level could inform cultural attitudes about the global environment.

THE NECESSITY OF PROFESSIONAL MENTORS FOR SUCCESSFUL EXPATRIATE’S ADAPTATION ON THEIR RETRIEVAL TO THEIR HOME COUNTRIES

It’s a fact that modern organizations apply practice for a professional usage of the newly acquired knowledge and experiences acquired by the expatriates during their work outside their home countries. The complete set of new knowledge and skills makes these managers more competitive at their organizations plus outside, in the job market. Raising awareness among managers, with particular emphasis on expatriates and in general all employees, the permanent need for knowledge transfer is inevitable. Analyzes show that primarily, it is necessary for all stakeholders (employees, expatriates, HR management service, organization itself) to take a concrete strategy that will facilitate the process of communication within the organization ie. communication between managers expatriates and other employees. In that part it is inevitable to do additional research on the question of why in this global era of business and multicultural co-operation, the transfer of knowledge is difficult and what are the reasons for it?For this purpose, research shows that the need for the role of a mentor to manage the process of transfer of knowledge by the expatriate and the parent company is more than a necessity. The strategy is to intensify the efforts for more efficient realization of the already existing repatriation program, which is supplemented with the role - mentor. This commitment does not require significant additional resources, and improves the level of realization of the activities of the already existing program.The paper is aimed at analyzing the current situation in the companies and finding a model that will determine the role and significance of the mentoring as an element that will contribute to the unwanted flow of information and process of professional communication and transfer of knowledge at the organization, thereby and experiences are aimed at the competitive advantage of the organization. The appointment of a person in the form of a mentor or sponsor in the home organization through the sharing and exchange of information personally or through an official website or an intranet creates suitable preparation and distribution of monthly or annual reports aimed at greater effectiveness and efficiency of the organization.Negative business-related information is often as important as the positive ones, and taking into account that the sharing of positive information is simpler, it is necessary for the home organization to be clearly positioned as an organization that is fully transparent in the internal environment and promotes open communication in relation to all questions that managers need. In this way, more work needs to be done to inform managers engaged in foreign affiliates for negative news, covering all the important aspects of the work of the home organization such as lost contracts and deals, sectoral reorganizations and staff outflow.

Retaining repatriates—the role of career derailment upon repatriation and how it can be mitigated

This study draws on relative deprivation theory to investigate the effect of career derailment upon return from an international assignment on repatriate retention, thereby also considering factors which can mitigate this relationship. The results from a hierarchical linear regression analysis of data from 292 repatriates indicate that career derailment upon repatriation decreases the former expatriates’ intent to stay. However, this effect is weaker when individuals perceived that they had promotion, autonomy and compensation advantages relative to colleagues who lack international assignment experience and when they were provided organizational repatriation support by their assigning organization. With these findings, this work lays the ground for strategies to improve the retention of former expatriates despite restricted career opportunities in the home organization. Thereby, it helps firms to realize the long-term benefits of international assignments.

Monitoring and Evaluation of Union for International Cancer Control (UICC) Fellowships on Cancer Control

Background: UICC provides international fellowships to cancer professionals, with over 6000 to date, allowing them to learn new skills they can implement at home. It is crucial to monitor and evaluate the fellowship program so it remains in tune with the cancer community's needs and has a long term impact. Aim: To monitor and evaluate UICC fellowships to ensure they serve to reinforce the cancer care workforce worldwide. Methods: An online survey was performed in December 2017 as part of a larger mixed methods study to evaluate long term impact. 154 UICC fellows who had completed a fellowship between 2013 and 2016 were invited to take part. Participants were asked questions on their fellowship experience and more in depth interviews will be performed to further investigate impact. Results: The survey response rate was 75%, with 117 respondents. The vast majority of fellows work in hospitals, treatment centers and research institutes; 67% are academic cancer professionals and 35% clinicians, with most working in the fields of cancer detection, diagnosis and cancer treatment. Over 57% of respondents rated the training received as “extremely effective”, and 95% were still in contact with their host supervisors one year after their fellowship, with 28% copublishing with them. Over 80% estimated that their skills in cancer control had improved “a lot” or “a great deal” thanks to the fellowship training, with 12% saying “a moderate amount” and 1% “a little” or “none at all”. Initiatives taken by fellows upon returning home include the launching of a new cervical cancer screening program, the founding of a national cancer society and the organization of a conference with the host supervisor as an invited speaker. Challenges included the perceived short duration of one month to achieve all the objectives and the language barrier. 28% of respondents were able to apply the skills they learned on their fellowship “extremely effectively”, 44% “very effectively”, 28% “effectively” and 9% “slightly effectively”, with most giving a presentation to members of the home organization, or organizing a workshop or by personal demonstration. Over 43% were able to establish new collaborations in their country, 45% experienced professional growth and 27% increased their supervision of students “a great deal”. Over 90% of respondents would apply for another fellowship and would recommend it to their colleagues. Further results from in depth interviews with fellows will be presented. Conclusion: The majority of respondents were satisfied with their fellowship experience, and have been able to apply the knowledge gained and disseminated it to colleagues at their institutions. Fellowships have resulted in long term collaborations and have allowed fellows professional growth. Overall, the UICC fellowship program is successful in providing successful knowledge transfer to cancer professionals. Long term impact will be assessed in the next steps of the study.