Participant Satisfaction Research Articles

Sosialisasi Pemanfaatan Chatgpt Sebagai Pendukung Alat Pembelajaran Bagi Guru SMP PGRI 8 Sidoarjo

In the ever-evolving digital era, education faces unprecedented challenges and opportunities. Technology is now an integrated part of the learning process, providing various tools that can increase the effectiveness and efficiency of education. One technological innovation that has great potential to support educators is ChatGPT. This ability can be utilized by teachers for various purposes, including in making learning tools. With the help of ChatGPT, teachers can save time and energy in designing teaching materials, assignments and learning evaluations that suit students' needs (Kharis et al., 2024). The teachers at SMP PGRI 8 Sidoarjo have not made much use of technology that makes it easier for them to prepare learning tools. This can be seen from the results of initial observations which show that 71.4% of teachers have never used applications or technology that makes it easier to create learning tools. This Community Service implementation was carried out with the aim of introducing, socializing and assisting teachers in utilizing ChatGPT to develop learning tools more quickly, effectively and efficiently. The results of participant responses regarding the implementation of activities are measured by participant satisfaction, which is the average of participant satisfaction with the satisfaction indicator factors. In this activity, 84.46% of participants gave an average rating of very good to the statement items in the questionnaire, which can be interpreted as meaning that 84.46% of participants were very satisfied.

Development and validation of a training course on proton pump inhibitor deprescription for general practitioners in a rural continuing medical education program: a pilot study

BackgroundDespite being cornerstone medications for managing gastrointestinal disorders, proton pump inhibitors (PPI) have raised concerns due to inappropriate prescribing and overutilization, their potential side effects, and interactions with other medications. General practitioners (GPs) provide long-term patient follow-up and are targets to promote PPI deprescribing to reach the widest possible population. GPs practicing in rural settings encounter unique challenges as their numbers dwindle and their workload increases. Hence, targeted educational interventions are crucial to promote appropriate prescribing practices in such underserved areas.MethodsWe developed a continuing medical education (CME) program focused on PPI deprescribing for GPs in rural settings. The program comprised of an interactive training session featuring clinical cases, an open discussion, and distribution of educational materials. We assessed the program’s effectiveness using a two-level Kirkpatrick model, evaluating participant satisfaction and knowledge levels through pre- and post-course questionnaires.ResultsThirty-three GPs participated, with 61.9% working in semi-rural and 38.1% in rural areas (21 responded to the 1st questionnaire, 14 to the 2nd ). Median medical experience was 6 years, with 61.9% serving as internship supervisors. Despite 95.2% acknowledging PPI overprescription, none had previously participated in dedicated PPI CME programs. The open discussion session provided valuable insights into various topics related to PPI use and gastrointestinal health. Participants expressed high satisfaction with the program (average rating of 9.1/10) and 92.9% reported changes in practice, including increased awareness of inappropriate PPI prescriptions. Indeed, 92.9% of GPs identified inappropriate PPI use following the course. 57.1% of participants utilized the provided educational materials. The main practice changes observed included an increased reassessment rate of PPI indications (71.4% at each renewal after vs. 19% before, 28.6% non-systematically after vs. 66.8% before, 0% rarely after vs. 14.3% before; p = 0.006), the necessity for more than one consultation to deprescribe (64.3% after vs. 23.8% before; p = 0.021), systematic utilization of gradual cessation of PPI (100% vs. 61.9%; p = 0.039) and more frequent use of additional medication (92.9% vs. 57.1%; p = 0.022), primarily antiacids (92.3%).ConclusionsOur study underscores the effectiveness of targeted CME programs in promoting appropriate prescribing practices and enhancing knowledge among GPs in rural settings. Despite the challenges encountered in deprescribing PPI, the program facilitated proactive approaches in managing treatment discontinuation failures. Tailored educational interventions are essential for mitigating medication prescribing challenges and improving patient outcomes in rural primary care settings.Trial registrationsNot applicable.

The relationship among participating motivation, satisfaction, and school life satisfaction in rope skipping high school sports club

The purpose of this study is to compare and analyze the relationship between high school students’ willingness to participate in a school rope jumping club, their satisfaction with participation, and their satisfaction with school life. To this end, data were collected from 411 male and female high school students participating in a school rope jumping club in Incheon, and the following results were derived through factor analysis, frequency analysis, <i>t</i>-test, one-way analysis of variance, and multiple regression analysis. First, male students showed higher scores than female students in all participation willingness factors. Second, the participation willingness factor partially significantly affected the program, leader, and health satisfaction of participation satisfaction. Third, enjoyment, skill development, and condition significantly affected academic activities and rule compliance, and in the case of peer relationships, sociability and skill development significantly affected. Fourth, in the case of academic activities, program satisfaction, leader satisfaction, and health satisfaction can be explained as having a significant effect, and in the case of rule compliance, program satisfaction and leader satisfaction significantly affected, and in the case of peer relationships, program satisfaction and leader satisfaction significantly affected. In this way, it was revealed that there was an overall significant effect between high school students’ desire to participate in the school rope jumping club, participation satisfaction, and school life satisfaction.

Process evaluation findings from Strong Hearts, Healthy Communities 2.0: a cardiovascular disease prevention intervention for rural women

BackgroundStrong Hearts, Healthy Communities 2.0 (SHHC-2.0) was a 24-week cardiovascular disease prevention program that was effective in improving physical activity and nutrition behaviors and clinical outcomes among women in 11 rural New York, USA towns. This study evaluated the delivery of SHHC-2.0 to prepare the intervention for further dissemination.MethodsThis process evaluation was guided by the Medical Research Council recommendations and engaged program leaders and participants (i.e., women over age 40) using quantitative and qualitative methods. The quantitative evaluation included examination of enrollment and retention data, a participant survey, and a fidelity checklist completed after classes. Descriptive and comparative statistics were used to assess implementation measures: program reach, participant attendance, dose delivered, program length, perceived effectiveness, fidelity, and participant satisfaction. The qualitative evaluation included focus groups (n = 13) and interviews (n = 4) using semi-structured guides; audio was recorded and transcripts were deductively coded and analyzed using directed content analysis and iterative categorization approaches. Comparisons across towns and between intervention and waitlist control groups were explored.ResultsAverage reach within towns was 7.5% of the eligible population (range 0.7-15.7%). Average attendance was 59.8% of sessions (range 42.0-77.4%). Average dose delivered by leaders was 86.4% of curriculum components (range 73.5-95.2%). Average session length was 51.8 ± 4.8 min across 48 sessions. Leaders’ perceived effectiveness rating averaged 4.1 ± 0.3 out of 5. Fidelity to curricular components was 81.8% (range 67.4-93.2%). Participants reported being “more than satisfied” with the overall program (88.8%) and the health benefits they obtained (72.9%). Qualitative analysis revealed that participants: (1) gained new knowledge and enjoyable experiences; (2) perceived improvements in their physical activity, nutrition, and/or health; (3) continued to face some barriers to physical activity and healthy eating, with those relating to social support being reduced; and (4) rated leaders and the group structure highly, with mixed opinions on the research elements.ConclusionsSHHC-2.0 had broad reach, was largely delivered as intended, and participants expressed high levels of satisfaction with the program and its health benefits. Our findings expand on best practices for implementing cardiovascular disease prevention programs in rural communities.Clinical trials Registrationwww.clinicaltrials.gov #NCT03059472.

Voluntary Participation Mediates the Relationship Between Multi-Membership in Online Communities and Life Satisfaction Among Chinese Populations: A Gendered Perspective

Whether and how multi-membership in online communities might relate to life satisfaction within the Chinese population remain unclear. This study adopts a gendered perspective to explore the mediating role of voluntary participation in the relationship mentioned above based on a cross-sectional analysis of 2558 respondents from the 2019 Chinese Social Survey (CSS). Multivariable regressions and a mediation analysis were adopted for analyses. The findings reveal that a higher level of multi-membership in online communities is associated with greater life satisfaction for both males (B = 0.31, SE = 0.11) and females (B = 0.10, SE = 0.02). Specifically, the positive relationship is partially mediated (6.6%) by increased voluntary participation among females, where involvement in multiple types of online communities correlates with a heightened likelihood of engaging in voluntary activities (B = 0.006, Z = 3.910), which in turn contributes to higher levels of life satisfaction (B = 0.114, Z = 2.760). However, voluntary participation does not exhibit a significant mediating role in the relationship between multi-membership and life satisfaction among males. These findings provide valuable insights into the intricate ways in which online interactions can affect voluntary participation and life satisfaction, underscoring the importance of considering gender differences in these dynamics.

When social participation leads adults’ life satisfaction: Moderating role of motivation for social participation

ABSTRACT The current study aimed to investigate the longitudinal reciprocal association of social participation and life satisfaction by considering the motivation for social participation as a moderating variable. The data from 4,007 Korean adults were analyzed. Motivation for social participation was categorized into autonomous motivation or controlled motivation. Multi-group autoregressive cross-lagged modeling revealed that life satisfaction and social participation showed reciprocal relationships only when adults have autonomous motivation during social engagement. Social participation with controlled motivation was associated with later lower life satisfaction. Additionally, prior life satisfaction was not associated with controlled social participation. The results showed that the reason people participate in social activity is critical in understanding the effect of social participation in adulthood. Active social engagement with autonomous motivation and disengagement from controlled social participation may be a critical key for life satisfaction.

Physician preferences for Online and In-person continuing medical education: a cross-sectional study

BackgroundThe worldwide market for continuing medical education (CME) was severely affected by the COVID-19 pandemic, which precipitated an increase in web-based CME course attendance. Virtual education methods may be effective for engaging learners and changing behaviors. However, more information is needed about physician preferences for in-person vs. livestreamed CME courses in the postpandemic era. Because of the paucity of data regarding this topic, the current study was designed to evaluate CME participant characteristics, preferences, engagement, and satisfaction with traditional in-person vs. virtual educational methods.MethodsA cross-sectional study was performed of attendees of two large internal medicine CME courses held in 2021. Both CME courses were offered via in-person and livestream options, and were taught by Mayo Clinic content experts. Participants, who consisted of practicing physicians seeking CME, completed a 41-question survey after CME course completion. Statistical comparisons were performed by using Fisher exact tests for all survey items, except for those with ordinal response sets, which were compared with Cochran-Armitage trend tests.ResultsA total of 146 participants completed the survey (response rate, 30.2%). Among the 77 respondents who attended in-person courses, the most frequent reasons indicated were the opportunity to travel (66%) and collaboration/networking with others (25%). Among the 68 respondents who attended the livestream courses, the most frequent reasons indicated included COVID-19–related concerns (65%), convenience (46%), and travel costs (34%). The percentage of respondents who indicated that they would choose the same mode of attendance if given the option again was higher for those who attended in person than for those who attended via livestream (91% vs. 65%, P < .001).ConclusionsThese data suggest that in-person course offerings will continue to be a preferred learning method for some physicians. However, most respondents who attended virtually preferred that method. Therefore, hybrid CME models offering both in-person and virtual options may be most beneficial for meeting the needs of all CME learners.

Implementation of the Cupping Health Program of KKN Muhammadiyah University of Sidoarjo as an Effort to Increase Public Health Awareness of Muhammadiyah Barengkrajan Branches

Cupping therapy, a traditional alternative medicine practice, has garnered increasing interest as a holistic health approach. Despite its historical significance, there remains a lack of comprehensive awareness and understanding of its benefits within various communities. Previous studies have not adequately addressed the implementation and public perception of cupping therapy in local contexts, particularly among underserved populations. This study aims to evaluate the effectiveness of a cupping health program conducted by the Muhammadiyah Sidoarjo University KKN group in the Barengkrajan community, focusing on enhancing public awareness and accessibility to alternative health services. Through direct therapy sessions led by qualified professionals and educational initiatives, the program achieved high participant satisfaction rates and a notable increase in interest towards alternative therapies. This program uniquely combines practical cupping therapy with educational outreach, providing a model for similar community health interventions. The findings suggest that structured cupping programs can significantly improve community health perceptions and utilization of alternative therapies, warranting further exploration and development to integrate such practices into broader public health strategies. Highlights: High participant satisfaction demonstrated the effectiveness of direct therapy sessions. Educational initiatives significantly increased community interest in alternative therapies. The program serves as a model for integrating traditional practices into modern health strategies. Keywords: cupping therapy, alternative medicine, public health, community awareness, health intervention

Satisfaction analysis of 5G remote ultrasound robot for diagnostics based on a structural equation model.

With the increasing application of 5G remote ultrasound robots in healthcare, robust methods are in critical demand to assess participant satisfaction and identify its influencing factors. At present, there is limited empirical research on multi-parametric and multidimensional satisfaction evaluation of participants with 5G remote ultrasound robot examination. Previous studies have demonstrated that structural equation modeling (SEM) effectively integrates various statistical techniques to examine the relationships among multiple variables. Therefore, this study aimed to evaluate the satisfaction of participants with 5G remote ultrasound robot examination and its influencing factors using SEM. Between April and June 2022, 213 participants from Wuhan Automobile Manufacturing Company underwent remote ultrasound examinations using the MGIUS-R3 remote ultrasound robot system. After these examinations, the participants evaluated the performance of the 5G remote ultrasound robot based on their personal experiences and emotional responses. They completed a satisfaction survey using a self-developed questionnaire, which included 19 items across five dimensions: examination efficiency, examination perception, communication perception, value perception, and examination willingness. A SEM was established to assess the satisfaction of participants with the 5G remote ultrasound robot examinations and the influencing factors. A total of 201 valid questionnaires were collected. The overall satisfaction of participants with the 5G remote ultrasound robot examination was 45.43 ± 11.60, with 169 participants (84%) expressing satisfaction. In the path hypothesis relationship test, the dimensions of examination efficiency, examination perception, communication perception, and value perception had positive effects on satisfaction, with standardized path coefficients of 0.168, 0.170, 0.175, and 0.191. Satisfaction had a direct positive effect on examination willingness, with a standardized path coefficient of 0.260. Significant differences were observed across different educational levels in the dimensions of examination perception, communication perception, value perception, and examination willingness. Participants with different body mass indices also showed significant differences in examination perception; all p-values were less than 0.05. In this study, value perception was identified as the most significant factor influencing satisfaction. It could be improved by enhancing participants' understanding of the accuracy and safety of 5G remote ultrasound robot examinations. This enhances satisfaction and the willingness to undergo examinations. Such improvements not only facilitate the widespread adoption of this technology but also promote the development of telemedicine services.

Challenging the Public Stigma of Alcohol Use Disorder in the UK Using Video ‘Education’ and ‘Contact’ Interventions: A Pilot Study

AbstractPublic stigma negatively impacts people with alcohol use disorder; yet, few interventions exist to reduce it. This quasi-randomised controlled pilot study aimed to evaluate the feasibility and efficacy of three such interventions. Participants (539 UK-based adults) watched a video presenting myths and facts about AUD (‘education’), personal testimonies about AUD (‘contact’), a combination of both (‘education and contact’) or a control video. Feasibility was assessed by examining recruitment capability, study retention and data quality, and participant satisfaction with the study’s procedures and interventions. Efficacy was assessed using self-report, public stigma measures issued at pre-test, post-test and 1-month follow-up. Stigma reduced significantly more in the intervention groups than in the control group at post-test and follow-up. Feasibility was generally high, though could be improved by shortening video length and enhancing video production quality. Education and contact videos are promising interventions for public AUD stigma, and merit further investigation.

Using Restorative Justice to Respond to and Prevent Sexual Harm: A Qualitative Study of Formal Practices in Six Countries.

Sexual violence (SV), which causes sexual harm, is a significant public health issue globally. In many nations, conventional legal remedies are the prevailing responses to SV. Restorative justice (RJ) shows promise as a potential alternative way to address sexual harm, given evidence that RJ better aligns with expressed needs and safety concerns of those directly impacted by SV. However, few empirical studies exist concerning best practices for and the effectiveness of using RJ for this purpose. This study helped address this research gap by conducting in-depth interviews to understand how organizations choose to use RJ to address sexual harm; how RJ is being operationalized to address sexual harm; how those involved in offering RJ to address sexual harm define success or positive outcomes; and factors that present challenges for or contribute to the success of RJ processes addressing sexual harm. We conducted 24 semi-structured key informant interviews with RJ practitioners and researchers in six countries. Interviews were transcribed verbatim and emergent themes were identified through a rigorous, iterative coding process. Informants discussed using formal RJ practices with a subset of sexual harm cases, typically instances of adult sexual assault or to resolve sexual harm adults experienced as children. These responses generally adhered to this sequence: referral, assessing appropriateness for participation, preparing participants, and conducting the process. Informants shared anecdotal examples of RJ benefits and measurable indicators of program success like participant satisfaction, increased coping skills, and signs that harm will not recur, although, most were not formally evaluating their programs. Challenges included limited resources, unsupportive RJ-related beliefs, and COVID-19. Factors that aid success include funding, partnerships, and positive RJ-related views. Study findings underscore the need for more research on using RJ to address sexual harm with exploration of best practices for delivering such services to diverse communities.

Comparison of At-Home Versus In-Clinic Receipt of Long-Acting Injectable Cabotegravir/Rilpivirine.

The need for frequent travel to a clinic could impair access to injectable antiretroviral therapy for persons living with human immunodeficiency virus type 1 (HIV-1) infection. We hypothesized that allowing persons receiving treatment with long-acting injectable cabotegravir plus rilpivirine (LA CAB/RPV) to receive and store the medication in their own refrigerator prior to in-home administration by a healthcare provider would be as safe and effective as receiving treatment in a clinic. Persons prescribed LA CAB/RPV in the Infectious Diseases clinic at the Medical University of South Carolina were offered enrollment in this non-randomized, observational study between August 2021 and December 2022. After in-clinic receipt of the initial LA CAB/RPV injection, participants chose to receive each subsequent injection over the following 12-months either in clinic or at home. The 33 enrolled participants were primarily Black (64%), male (73%), and had a median age of 46. Three participants stopped LA CAB/RPV and transitioned to oral antiretroviral therapy due to allergy (n = 1), loss of virologic suppression (n = 1), and visit adherence (n = 1) concerns. A comparable number of participants received treatment primarily in clinic (n = 18) relative to at home (n = 15). Injection site pain/soreness was common (52% of injections) but did not differ between groups. There were no differences in safety or efficacy between groups and both groups reported high treatment satisfaction. All participants were virologically suppressed and retained in care at the end of the study. At-home administration of LA CAB/RPV by a healthcare provider was comparably safe, effective, and associated with high participant satisfaction relative to in-clinic administration.

High-Frequency 10-kHz Spinal Cord Stimulation Provides Long-term (24-Month) Improvements in Diabetes-Related Pain and Quality of Life for Patients with Painful Diabetic Neuropathy.

The SENZA-PDN study evaluated high-frequency 10-kHz spinal cord stimulation (SCS) for the treatment of painful diabetic neuropathy (PDN). Over 24 months, 10-kHz SCS provided sustained pain relief and improved health-related quality of life. This report presents additional outcomes from the SENZA-PDN study, focusing on diabetes-related pain and quality of life outcomes. The SENZA-PDN study randomized 216 participants with refractory PDN to receive either conventional medical management (CMM) or 10-kHz SCS plus CMM (10-kHz SCS + CMM), allowing crossover after six months if pain relief was insufficient. Postimplantation assessments at 24 months were completed by 142 participants with a permanent 10-kHz SCS implant, comprising 84 initial and 58 crossover recipients. Measures included the Brief Pain Inventory for Diabetic Peripheral Neuropathy (BPI-DPN), Diabetes-Related Quality of Life (DQOL), Global Assessment of Functioning (GAF), and treatment satisfaction. Over 24 months, 10-kHz SCS treatment significantly reduced pain severity by 66.9% (P < .001; BPI-DPN) and pain interference with mood and daily activities by 65.8% (P < .001; BPI-DPN). Significant improvements were also observed in overall DQOL score (P < .001) and GAF score (P < .001), and 91.5% of participants reported satisfaction with treatment. High-frequency 10-kHz SCS significantly decreased pain severity and provided additional clinically meaningful improvements in DQOL and overall functioning for patients with PDN. The robust and sustained benefits over 24 months, coupled with high participant satisfaction, highlight that 10-kHz SCS is an efficacious and comprehensive therapy for patients with PDN.

Understanding Ethical Concerns Involving Vulnerable Human Participant Populations in Medical Research: Mixed-Method Analysis of Liberian Ebola Survivors' Experiences in PREVAIL I-VII.

Background: As the number of large-scale outbreaks continues to rise worldwide, clinical trials are increasingly engaging disease-affected peoples within the Minority World (nations with over 80% poverty rates). Yet global health research inadequately addresses potential ethical issues of including impoverished, disease-affected populations and their contextual vulnerabilities in medical research. Objective: This paper presents a mixed-method analysis from our 2022 semi-structured survey capturing the experiences of Liberian Ebola Virus Disease (EVD) survivors serving as study participants in the Partnership for Research on Ebola Virus in Liberia (PREVAIL) clinical trials. Methods: Firstly, we conducted an extensive literature review of the scholarship related to biomedical research and ethical standards protecting study participants to inform our survey method and design. Applying a theoretical framework on vulnerability, we then qualitatively explored the survey responses of 19 EVD survivors' perceptions and experiences taking part in PREVAIL, including their expectations, treatment, delivered benefits, and quality of care. We further quantitatively codified their statements for underlying themes of reported negative experiences against standard ethical regulations in biomedical research, conducting a statistical analysis to inform generalizability. Most of the 19 survivors reported facing extreme ongoing vulnerabilities related to their disease status, including physical impairments, psychosocial stress, and socio-economic inequity. Results: Initially, the survivors tended to experience a sense of hope and pride in volunteering for PREVAIL. One in five participants reported benefiting from PREVAIL's regular medical diagnoses. However, most of their survey responses indicated prevalent negative shared experiences, including continually being confused or misinformed of their study participant rights, roles, and benefits; being burdened by heavy participation transaction costs; and repeated incidents of poor treatment and discrimination by PREVAIL staff after initial recruitment. PREVAIL participant satisfaction ranking is negatively correlated with receiving insufficient financial compensation (r = -0.51), extensive time requirements for each medical visit (-0.40), and being poorly treated by clinical staff (-0.67).

Improving resilience and mental well-being among refugees residing at asylum centers in the Netherlands: A pre-post feasibility study

BackgroundFew studies have explored the effects of mental health and psychosocial support programs among refugees residing at asylum centers. The aim of this study was to assess the feasibility of a positive psychology intervention called BAMBOO among refugees temporarily residing at asylum centers in the Netherlands. MethodData was collected at 35 asylum centers from 243 participants who completed five weekly two-hour sessions. Pre- and post-changes in resilience, happiness, and positive and negative affect were assessed using a one-group pretest–posttest design. Also, program fidelity, participant satisfaction, and program activity suitability were evaluated. ResultsCompleter and intention-to-treat analyses revealed a significant medium increase in resilience, a large increase in happiness, a small increase in positive affect, and a medium decrease in negative affect. Reliable change indices showed a positive change in 24 % of the participants on resilience and 13 % on positive and negative affect, respectively. Participant retention was 80 %. Moreover, participant satisfaction was high. Also, a substantial proportion of participants evaluated reading and writing-based activities as less suitable in comparison to activities based on verbal and creative expression, physical movement, and meditation/prayer. ConclusionsFindings showed significant increases in scores from pre- to post-assessment on resilience, happiness, and positive affect and a decrease in negative affect. Since the study design limits the ability to attribute causation, future controlled studies should be conducted to stablish stronger evidence regarding the program's effects. Additionally, the program could benefit from further adaptation to enhance its cultural sensitivity. Trial registration number: ISRCTN18019972

Animal-assisted services for adults with acquired neurogenic communication disorders: A scoping review.

There is increasing interest in the incorporation of animal-assisted services (AAS) in therapy for adults with acquired neurogenic communication disorders. AAS have the potential to enhance speech and language therapy engagement and outcomes. However, a greater understanding of the nature and potential benefits of these interventions is needed. To describe the existing evidence for the incorporation of AAS in therapy with adults with acquired neurogenic communication disorders and to identify areas for future research. A scoping review was conducted and reported in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-analyses checklist extension for scoping reviews (PRISMA-ScR). Seven databases (PubMed, Embase, CINAHL, PsycINFO, Cochrane, Scopus, Web of Science) and grey literature (Google) were searched. Two reviewers independently screened titles, abstracts and full texts against eligibility criteria using Covidence software. The Template for Intervention Description and Replication (TIDieR) checklist guided extraction of intervention data. A total of 17 studies with adults with aphasia, apraxia of speech and cognitive-communication disorders were included. While terminology varied, most interventions met the definition of animal-assisted therapy or animal-assisted activity and used therapy dogs. Across studies, a range of outcomes were targeted, and positive benefits were reported for participant mood, emotions, motivation and satisfaction. There were mixed, but mostly positive, benefits on social behaviour, communication and participation. AAS has been incorporated in therapy for adults with acquired neurogenic communication disorders, predominately with people with dementia. Across studies, communication impairments and AAS interventions were insufficiently or inconsistently described. Improved reporting would assist understanding of the potential benefits of AAS as an adjunct therapy. A quality appraisal of existing studies, and meta-analysis of findings, is needed to draw conclusions about the effectiveness of AAS as a complementary therapy for people with acquired neurogenic communication disorders. What is already known on this subject There is increasing interest and research in AAS as an adjunct to traditional speech and language therapy. Several clinical populations have been shown to benefit from the incorporation of AAS as a complementary therapy approach, including adults with acquired neurogenic communication disorders. To date there has not been a comprehensive review of literature in the area. What this paper adds to the existing knowledge This review aimed to describe what is known about AAS as an adjunct intervention for adults with acquired neurogenic communication disorders. A total of 17 studies were identified, the majority conducted with people living with dementia. Overall, consistent positive benefits of AAS were reported on participant mood, positive emotions, motivation, and satisfaction. There were mixed, but mostly positive, benefits of AAS on social behaviour, including both verbal and non-verbal communication outcomes, and participation. What are the practical and clinical implications of this work? These results suggest a potential therapeutic benefit for the inclusion of AAS into traditional modalities used by speech-language therapists with people with acquired neurogenic communication disorders. However, clinicians should view these findings with caution. Studies were often insufficiently or inconsistently reported, and a quality appraisal and meta-analysis of existing studies would be needed to draw clear conclusions on the effectiveness of AAS as a complementary approach for people with acquired neurogenic communication disorders.

Results of a Process Evaluation of the Implementation of a Housing First Program in Waterloo, Canada

This study evaluated PATHS2Home (P2H), a Housing First program in Canada, through qualitative interviews and focus groups with 34 program staff, participants, and partners. Results showed successful implementation with participant satisfaction, strong program design and leadership, skilled staff, positive service system relationships, effective housing support, and fidelity to the Housing First (HF) model. Challenges included skepticism of the program model, communication with partners, staff turnover, and systemic factors such as affordable housing availability. Overall, the evaluation showed successful implementation of the P2H program in line with HF principles and identified several areas for improvement to better support participants and achieve program goals.

Pencapaian Diferensiasi Produk Melalui Strategi Inovasi dan Kreativitas Usaha Mikro Kecil dan Menengah

Micro, Small, and Medium Enterprises (MSMEs) play an important role in the Indonesian economy, but often face challenges such as limited access to technology, quality of human resources, and marketing. This community service activity aims to help MSMEs achieve product differentiation through innovation and creativity strategies. The methods used include theoretical training and practical workshops. The results of the activity showed an increase in participants' knowledge and skills in developing innovative products and creative marketing strategies. Evaluation through questionnaires and interviews showed participant satisfaction and increased sales after implementing new strategies. Challenges faced included limited resources and time, which were overcome through collaboration with related institutions and follow-up programs. Thus, this activity succeeded in increasing the competitiveness of MSMEs in local and international markets, as well as contributing to the national economy. The sustainability of the program is pursued through ongoing mentoring programs and the formation of MSME innovation communities. These results show that innovation and creativity strategies can be an effective solution to overcome the challenges faced by MSMEs and improve community welfare.

Effects of Conventional versus Virtual Reality-simulated Treadmill Exercise on Fatigue, Cognitive Function, and Participant Satisfaction in Post-COVID-19 Subjects. A Randomized Trial

Background/ObjectivePost-COVID-19 subjects typically experience symptoms of fatigue, cognitive impairment, and sleep difficulty, which can be relieved by conventional aerobic exercise. Virtual Reality (VR) technology to support conventional exercise has recently gained much attention. Therefore, this study aimed to assess the effects of traditional treadmill exercise compared to virtual reality-simulated treadmill exercise on fatigue, cognitive function, sleep quality, and participant satisfaction with the exercise program in post-COVID-19 subjects. MethodsThis single-centered, randomized, parallel-group intervention study was conducted between December 2021 and March 2022. Sixteen of twenty post-COVID-19 subjects completed this study (n1=8, n2=8). Inclusion criteria were persistent dyspnea/fatigue, mild cognitive problems, and age 30–60 years. Exclusion criteria were previous severe COVID-19 infection and ICU admission, concomitant respiratory or cardiovascular disease, and musculoskeletal or neurological disease. Eligible subjects were assigned randomly to two groups: a non-VR group that received traditional treadmill aerobic exercise only and a VR group that received treadmill exercise with non-immersive VR. Both groups received moderate-intensity exercise on a treadmill at [50–60% (peak HR－resting HR) + resting HR] for 30–45 min, three times per week, and for four weeks. The outcome measures were the Chalder Fatigue Scale, Montreal Cognitive Assessment (MoCA) questionnaire, Pittsburgh Sleep Quality Index (PSQI), and participant satisfaction with the exercise program rated on a 5-point Likert scale. ResultsBoth groups showed significant improvements in the Chalder Fatigue Scale, the MoCA questionnaire, and the PSQI scores after training compared to baseline (p<0.05), without significant differences between them (p>0.05). However, participant satisfaction with the exercise program was significantly higher in the VR group than in the non-VR group (p=0.037). ConclusionA moderate-intensity 4-week treadmill exercise program with and without non-immersive VR may improve fatigue, cognitive function, and sleep quality to the same extent in COVID-19 survivors. However, participant satisfaction with the exercise program could be greater after conventional treadmill training assisted by non-immersive VR than after conventional treadmill training alone in this cohort. Trial registrationPan African Clinical Trials Registry, PACTR202311561948428, retrospectively registered

Poly-ether-ether-ketone (PEEK) versus dead-soft coaxial bonded retainers: a randomized clinical trial. Part 1. Stability, retainer failure, and participant satisfaction.

Poly-ether-ether-ketone (PEEK) was introduced in dentistry as an alternative to metal alloys. To assess the effectiveness of PEEK-fixed retainers in preserving the stability of mandibular anterior and participant satisfaction as compared to the Dead-soft coaxial fixed retainer (DSC). A single-centre, two-arm parallel groups randomized clinical trial. The patients treated with pre-adjusted orthodontic appliances who have a Little's Irregularity Index (LII) ≤ 0.5mm have been enrolled in the trial. PEEK retainers were prepared to round 0.8mm wire by computer-aided design and manufacturing, and the DSC wire was carefully adapted to the lingual surface of the lower anterior teeth. The primary outcome was the stability of lower anterior teeth as assessed by LII, while the secondary outcomes were changes in occlusal parameters, retainer failure, and patient satisfaction. The data were collected at the debonding stage (T0), 1 month (T1), 3 months (T3), and 6 months (T6) after starting the trial, except for patient's satisfaction, which was recorded using an electronic form at T1 and T6. Single blinding of participants. A total of 46 participants with an age range of 12-28 years old were randomly allocated to the two groups (n = 23 in each). Only one participant dropped out; therefore, 45 participants were analysed. The DSC group showed a significant increase in LII at T3. Both retainer groups had comparable occlusal measurements, failure frequency, and survival time, with no significant difference. The patients in the DSC group reported a statistically significant perception of change in the position of their teeth compared to those in the PEEK group. No harmful effects have been reported. Limited follow-up duration and the inability to blind the operator due to the nature of the intervention. After 6-month retention, the PEEK retainer was equally effective to DSC retainers in maintaining the teeth alignment, with no significant differences regarding the failure frequency, survival rate, and general patient satisfaction. https://register.clinicaltrials.gov. (NCT05557136).