Pre-intervention Questionnaire Research Articles

Move&Connect-Youth: A Virtual Group Intervention for Youth Experiencing Persisting Symptoms After Concussion

ABSTRACT Move&Connect-Youth (M&C-Y) is an interdisciplinary virtual group intervention for youth experiencing persisting symptoms after concussion (PSAC) that includes psychoeducation, active rehabilitation, and goal-setting. Using an intervention mapping framework, this paper describes the iterative development of M&C-Y and findings from initial feasibility testing. Ten youth participated in M&C-Y completing pre-intervention demographic questionnaires and semi-structured exit interviews to understand participants’ experience and gather feedback. M&C-Y was feasible based on apriori criteria and findings from interviews provided insights related to: (1) intervention structure, (2) intervention engagement, and (3) intervention takeaways. M&C-Y is a meaningful, feasible, and engaging intervention for youth with PSAC.

The effect of gamification-based training on the knowledge, attitudes, and academic achievement of male adolescents in preventing substance and internet addiction

BackgroundPreventing addiction through training takes precedence over treatment and plays a crucial role in enhancing the well-being of adolescents. Utilizing inclusive and participatory methods can significantly enhance the effectiveness of education. Numerous studies have demonstrated that gamification, as an interactive and comprehensive approach, has the potential to boost teenagers’ motivation to engage in learning and contributes to better comprehension.AimThis study aimed to assess the impact of gamification-based training to prevent substance and internet addiction on the knowledge and attitudes of male adolescents. Additionally, the study examined this educational program’s effects on male adolescents’ academic achievement.MethodsThis study employed a quasi-experimental design with a control group. One hundred fourteen male adolescents were randomly assigned to the intervention or control groups. They completed a pre-intervention questionnaire assessing addiction-related knowledge, attitudes, and academic achievement. Subsequently, the intervention group received the gamification-based drug and internet addiction prevention training. Post-tests were conducted immediately after the training and again one month later for both groups.ResultsBefore the intervention, there were no significant differences in knowledge of substance and internet addiction, attitudes toward substances and the Internet, and academic achievement between the intervention and control groups (P > 0.05). However, after the intervention, the intervention group demonstrated significantly higher scores in knowledge of substance and internet addiction, attitudes toward substances and the Internet, and academic achievement compared to the control group (P < 0.001).ConclusionThe current study highlights the positive impact of gamification-based training on enhancing male adolescents’ knowledge, attitudes, and academic achievement.

Implementing Brief Mindfulness-Based Interventions to Reduce Compassion Fatigue.

Nurses in surgical-trauma units are susceptible to compassion fatigue due to work-related stressors. Mitigating and preventing compassion fatigue are critical to supporting the health and well-being of surgical-trauma nurses. During the COVID-19 pandemic, a surgical-trauma unit was converted to a designated COVID-19 unit. Nurses verbalized feelings of burnout and stress during the pandemic and did not have a mechanism to cope with work-related stress. This project evaluated the impact of brief mindfulness-based interventions on compassion fatigue. From February 2021 to March 2022, mindfulness champions led 5 minutes of mindfulness-based interventions, including meditation, deep breathing, and self-compassion exercises, during shift huddles. The Professional Quality of Life, version 5, questionnaire was used to evaluate preintervention and postintervention burnout, secondary traumatic stress, and compassion satisfaction. Paired-sample t tests were used to evaluate the results. Twenty-nine of 34 nurses responded (85% response rate) with matched preintervention and postintervention questionnaires. All subscale scores showed significant improvement after intervention. The mean burnout subscale score decreased by 9.35% (P = .003), mean secondary traumatic stress subscale score decreased by 11.89% (P = .005), and mean compassion satisfaction subscale score increased by 6.44% (P = .03) after intervention. After implementing brief mindfulness-based interventions in shift huddles, nurses reported reductions in elements of compassion fatigue (burnout and secondary traumatic stress). Nurses reported that adding brief mindfulness-based interventions to shift huddles helped them cope with work-related stress. Brief mindfulness-based interventions can improve nurses' compassion satisfaction while reducing compassion fatigue measurements.

The Effectiveness of a Healthy Snack and Beverage Handout and Interactive Education on the Youth Sport Snacking Environment

Childhood obesity remains a pertinent problem in the United States, with dietary intake being one modifiable risk factor (Center of Disease Control and Prevention [CDC], 2022a). Thus, developing healthy dietary habits in children and adolescents is important in reducing the risk of obesity. An opportunity for this occurs in youth sport snacking behaviors. Research has indicated that snacks provided after youth sport games are often energy dense and high in sugar, sodium, and fat (Bennion et al., 2020; Irby et al., 2014; Rafferty et al., 2018). The purpose of the present study was to first observe the influences on snack choice in youth sport. Secondly, the effects of a multifactorial educational intervention guided by the social cognitive theory (SCT) on snack choice was examined. The intervention consisted of a handout, a Healthy Snack and Beverage page in the parks and recreation district guidebook, an educational booth during the first game, and an education session during the coaches’ meeting. Participants included 121 parents who had children participating in the youth soccer or volleyball league administered by a local parks and recreation district. A questionnaire was developed to determine parental perception of what is a healthy snack, after game snacking practices and influences on snack choice. The questionnaire was administered online to participants during league registration and during the last week of the season. Paired sample t-tests were performed to examine the differences in snacks purchased from pre- to post-intervention. Further, a multiple analysis was used to predict snack choice based on six identified influencing factors. There were 121 parents and coaches who responded to the pre-intervention questionnaire and 32 of those participants responded to the post-intervention questionnaire. There was a significant decrease in unhealthy snacks brought by parents (p=&lt;0.05). The “health of the snack” (p&lt;0.01) and “social media/advertising” (p=0.02) were independent predictors of snack choice (p&lt;0.05). In conclusion, addressing the unhealthy snacking environment in youth sport through targeted educational interventions, could promote a healthier snacking environment.

EFFORTS TO INCREASE PARENTS KNOWLEDGE ABOUT TODDLER’S DIARRHEA THROUGH ROLE PLAY AS A METHOD OF COMMUNITY EDUCATION IN JATISARI VILLAGE, PAKISAJI DISTRICT

Diarrhea is a disease characterized by a change in the shape and consistency of the stool, which is looser or more liquid and the frequency of bowel movements is more than usual. This study aims to find out whether giving counseling about diarrhea can increase parents' knowledge about diarrhea and hand washing with soap. This study used a pre-experimental research design which was carried out in two stages, namely pre-intervention and intervention. At the pre-intervention stage, primary data collection was carried out through questionnaires to 35 respondents (parents who have toddlers in Jatisari Village, Pakisaji District) to determine problem priorities using the Nominal Group Technique (NGT) selected using the purposive sampling method. The data were then analyzed using the Wilcoxon Test. From the results of the pre-intervention questionnaire in Jatisari Village, Pakisaji District, it was found that 47.7% of parents who had toddlers did not know about diarrhea (including definition, causes, transmission, prevention and early treatment of diarrhea) and 7% of parents who had toddlers had not gotten used to washing hands with soap. From the results of the intervention carried out on 45 participants, an increase in the post-test scores of participants after the intervention was carried out by 91.1%, the post-test scores remained at 8.9%, and none of the participants had a decrease in post-test scores. The results of statistical tests using the Wilcoxon test found that the value of p = 0.000 (p &lt;0.05), which means that there was a significant difference between the level of knowledge of the participants before and after the intervention.

Raising Learner Motivation Through a Cultural Pen-pal Scheme

Collaboration amongst colleagues at partnering schools was established in order to decide a shared goal and implement culture into lessons across schools. The aim of this study is to raise motivation for language learning by providing KS4 students the opportunity to interact with the second language community through a pen-pal scheme. Dornyei’s language-related integrative values were applied to develop activities that can raise cross-cultural awareness. Byram’s savoirs informed the assessing of cultural understanding, reflecting on one’s own culture, analysing cultural phenomena and carrying out comparisons. Evidence of these criteria were identified in two sets of email exchanges that KS4 students sent to their pen-pal. To measure the impact of the intervention, pupil work was compared from the first and second email exchange to detect development in cultural understanding. Pre and post intervention questionnaires were employed before and after the two email exchanges, to gauge levels of motivation at School A, surrounding students’ interest to learn about foreign cultures and their attitudes towards direct contact with the target language community. The study found that the initial idea of the pen-pal sparked students’ motivation however, further email exchanges were needed for impact to be made. The study also confirmed that culture and language are inter-related.

143-LB: Preconception Counseling and Reproductive Education Program for Persons with Diabetes (PREPPD)

Objective: Pregnancy without preparation in people with diabetes (PWD) can lead to adverse maternal and fetal outcomes. Improved patient knowledge through effective preconception counseling can help reduce the rate of complications. We developed a quality improvement initiative to improve both patient and provider knowledge. Methods: Interventions were implemented for PWD and providers (HCPs) at 2 underserved clinics. HCPs completed pre-intervention questionnaires (highest score of 10) about management of diabetes in pregnancy and preconception goals followed by a training lecture. PWD aged 18-50 with reproductive potential were identified to receive a survey (highest score of 6) about preconception preparation, contraceptive use, glycemic targets, and safer medications in pregnancy. HCPs used a standardized template to guide counseling during visit. PWD and HCPs completed a follow up survey 3- 6 months later. Results: Pre-intervention surveys were completed by 75 PWD and 16 HCPs. Documentation of preconception counseling by HCPs increased from 38% to 83% post intervention. Counseling was perceived as satisfactory by 83% of PWD. Conclusion: Process measures have improved with our pregnancy focused QI initiative. Continued enrollment and post-intervention assessment as well as expansion to include adolescent PWD will enable us to further evaluate outcome measures. Disclosure R. Fallurin: None. C. J. Levy: Advisory Panel; Dexcom, Inc., Research Support; Abbott Diabetes, Dexcom, Inc., Insulet Corporation, Tandem Diabetes Care, Inc., T1D Exchange. M. Rouviere: None. G. O'malley: Research Support; Dexcom, Inc., Abbott Diabetes, Tandem Diabetes Care, Inc., Omnipod, Eli Lilly and Company. S. Rodriguez ortega: None. A. W. Wang: None. S. J. Ogyaadu: None. C. Levister: Research Support; Dexcom, Inc., Tandem Diabetes Care, Inc., Abbott Diabetes. D. W. Lam: None. N. Shah: Research Support; Dexcom, Inc.

Facing the challenges of chief resident year: A standardized experiential simulation leadership curriculum (S13.002)

<h3>Objective:</h3> Design, implement and evaluate a case-based, experiential curriculum focused on development of key skills necessary for successful execution of the chief resident role. <h3>Background:</h3> A chief resident’s role incorporates administrative, academic and social responsibilities essential to the conduct of a successful residency program. However, rising chief residents receive little formal exposure to leadership training. <h3>Design/Methods:</h3> We developed a one-day curriculum combining didactics and simulation activities for rising chief residents (n=16) from three training programs at NYU Langone (Neurology, Double Board, and Child Neurology), administered six weeks before the first day of chief year. We discussed key topics in leadership and reviewed a psychometric evaluation tool (<i>Insights Discovery)</i> prior to the curriculum day. The simulation activity consisted of three group objective structured clinical examinations scenarios (G-OSCEs) in our simulation center with a focus on: 1) Providing a struggling junior trainee with feedback; 2) Debriefing a bad clinical outcome as team leader; 3) Navigating a challenging situation with a junior faculty member. Learners completed a pre-intervention questionnaire before the curriculum regarding their levels of familiarity and preparedness for their chief year. Learners were surveyed about their overall experience at the completion of the day. Post-intervention questionnaire data was collected in September 2022 (n=9). <h3>Results:</h3> Comparison of pre and post intervention data suggests improvements in familiarity across the key domains of communication skills, feedback, leadership development, organizational culture, cultural competency, and wellness. All participants demonstrated improved comfort in regards to the simulated scenario situations, most notably with debriefing a bad outcome. Learners reported satisfaction with all elements of the leadership development day, and in particular, noted the experience with the psychometric evaluation debrief as the highlight of the curriculum. <h3>Conclusions:</h3> A one-day leadership development curriculum combining didactics and simulation is an effective means of preparing rising chief residents to succeed in their transition to this leadership role. <b>Disclosure:</b> The institution of Dr. Zakin has received research support from American Board of Psychiatry and Neurology. Dr. Abou Fayssal has nothing to disclose. Dr. Lord has nothing to disclose. Dr. Nelson has nothing to disclose. Dr. Rostanski has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for individual law firms. Dr. Zhang has nothing to disclose. Sondra Zabar has nothing to disclose. Dr. Galetta has nothing to disclose. Dr. Kurzweil has nothing to disclose.

Contributions and controversies of self-assessment to the development of writing skill

The current study investigated how self–assessment activity contributes to the development of EFL student writing skills. This study used qualitative and quantitative approaches to explore how in-service students develop their writing skill through this assessment. A total of 120 third-year students registered for taking writing course were purposively sampled. Pre and post intervention questionnaires were used to collect data from the all 120 subjects and focus group discussions were conducted with 10 subjects. Observation during the self-assessment activities was also among the tools used to collect data. The findings show that in-service students’ writing proficiencies can be improved through self-assessment activities. However, factors, including students’ awareness, their past practices and the difficulties related to the nature of writing can influence negatively on their performance.

Evaluating the Effectiveness of the SPIKES Model to Break Bad News - A Systematic Review.

Introduction: Breaking bad news to patients and families can be challenging for healthcare providers. The present study conducted a systematic review of the literature to determine if formal communication training using the SPIKES protocol improves learner satisfaction, knowledge, performance, or system outcomes. Method: MEDLINE, Embase, CINAHL Plus (Nursing & Allied Health Sciences), and PsycINFO Databases were searched with keywords BAD NEWS and SPIKES. Studies were required to have an intervention using the SPIKES model and an outcome that addressed at least one of the four domains of the Kirkpatrick model for evaluating training effectiveness. The Cochrane Risk of Bias Tool was used to conduct a risk of bias assessment. Due to heterogeneity in the interventions and outcomes, meta-analysis was not undertaken and instead, a narrative synthesis was used with the information provided in the tables to summarise the main findings of the included studies. Results: Of 622 studies screened, 37 publications met the inclusion criteria. Interventions ranged from the use of didactic lecture, role play with standardised patients (SPs), video use, debriefing sessions, and computer simulations. Evaluation tools ranged from pre and post intervention questionnaires, OSCE performance with rating by independent raters and SPs, and reflective essay writing. Conclusions: Our systematic review demonstrated that the SPIKES protocol is associated with improved learner satisfaction, knowledge and performance. None of the studies in our review examined system outcomes. As such, further educational development and research is needed to evaluate the impact of patient outcomes, including the optimal components and length of intervention.

A Study to Assess the Effectiveness of Pelvic Floor Muscle Strengthening Exercises on Erectile Dysfunction in Rectal Cancer Survivors at Tertiary Cancer Hospital, TMH, Homi Bhabha National Institute, Mumbai

OBJECTIVES: A study to assess the effectiveness of pelvic floor muscle strengthening exercises on erectile dysfunction in rectal cancer survivors at tertiary cancer hospital, TMH, Mumbai. METHODOLOGY: Single arm prospective study approach was used for the study. The research design was self-controlled trial design. Sample size were 39 participants who received an intervention of pelvic floor muscle strengthening exercises in the selected areas of Tata Memorial Hospital. Data gathered was analyzed using descriptive and inferential statistics. Participants had filled SHIM questionnaire pre intervention. Questionnaire had 5 different questions in terms of Confidence, erection, penetration, difficulty and satisfaction. Patients had been taught Pelvic floor muscle strengthening exercises on Day 0, which were asked to carry out 3 times a day for a period of 10 weeks. Assessment was done at the end of 10 weeks. RESULTS OF THE STUDIES: In pre-intervention SHIM questionnaire, Mean score and Standard Deviation among 5 questions were Confidence (2.6154±0.5901), Erection (2.5128±0.6014), Penetration (2.1764±0.3888), Difficulty(2.2564±0.5964) and satisfaction(2.2821±0.5595). In Post intervention SHIM score among 5 questions were Confidence (3.0513±0.6047), Erection(2.8974±0.6804), Penetration(2.3590±0.6277), Difficulty(2.3590±0.6277) and satisfaction(2.6410±0.6684) The confidence, erection, satisfaction post intervention were statistically highly significant in participants (P&lt; 0.001) and in term of Difficulty it was statistically significant (P 0.005). The Wilcoxon signed rank test explained that there was a significant increase in the scores of confidence (4.123), erection (3.873) and satisfaction (3.500). They were highly statistically significant (P&lt; 0.001). There was a significant increase seen in the scores of penetration (4.123) and difficulty (3.873). They were statistically significant (p 0.001 and 0.046) respectively. Hence the pelvic floor muscle strengthening exercises were helpful in improving erectile dysfunction among rectal cancer survivors. CONCLUSION: It could be concluded that null hypothesis H0 is rejected and H1 hypothesis of Pelvic floor muscle strengthening exercises has helped to improve erectile dysfunction among men. Limitation being since study time was for 10 weeks only, the results for better outcome in terms of penetration and difficulty can have continuous exercises and then follow up.

The effect of remote scribes on primary care physicians’ wellness, EHR satisfaction, and EHR use

BackgroundPhysician burnout is a major problem in the United States. Small studies suggest scribes can improve clinician satisfaction, but scribe programs have not been evaluated using separate control groups or structured measures of electronic health record (EHR) use. MethodsWe conducted a pre-post, non-randomized controlled evaluation of a remote scribe pilot program introduced in September 2019 in an academic primary care practice. Scribes were paired with physicians via an audio-only cellphone connection to hear and document in real-time. Physician wellness was measured with the 10-item Mini-Z and 16-item Professional Fulfillment Index. EHR use was measured using vendor-derived platforms that provide routine EHR-related data. Results37 of 38 scribe users (97.4%) and 68 of 160 potential control physicians (42.5%) completed both pre and post intervention questionnaires. Compared with controls, scribe users had improvements in Mini-Z wellness metrics including Joyful Workplace (mean improvement 2.83, 95%CI 0.60, 5.06) and a single-item dichotomized burnout measure (OR 0.15, 95%CI 0.03, 0.71). There were significant reductions among scribe users compared to controls in total EHR time per 8 scheduled hours (−1.14 h, 95%CI -1.55, −0.72), and an increase in the percentage of orders with team contribution (10.4%, 95%CI 5.2, 15.6). These findings remained significant in adjusted analyses. Conclusions/implicationsA remote scribe program was associated with improvements in physician wellness and reduced EHR use. Healthcare organizations can consider scribe programs to help improve wellness among their physician workforce.

Counseling to improve mental health of the elderly community in Kertorejo, Malang Regency

Elderly is any person aged 60 years or more, who physically looks different from other age groups. A person experiences some decline in body functions. Mental disorders are also often experienced by the elderly, including stress, depression, and anxiety so that the elderly have the potential to hurt themselves. Therefore, elderly counseling and elderly exercise are expected to be the solution. The purpose of counseling about physical activity and mental health of the elderly and elderly gymnastics is to improve the mental health of the elderly in Kertorejo Village, Malang Regency, East Java Province. The methods used during the activity are active participation, lectures, question and answer discussions, document searches, and literature studies. The stages of this community service are (1) Data collection of elderly profiles in Kertorejo (2) Counseling on physical activity and mental health of the elderly, (3) Filling out pre-intervention questionnaires, (4) Elderly exercise, and (5) filling out post-intervention questionnaires. The result of this community service activity was a decrease in the level of mental health of the elderly in Kertorejo after the intervention was measured by comparing the results of pre and post intervention questionnaires.

Implementation of a Post-Encounter Telephone Call at a Student-Run Free Clinic to Promote Preventive Medicine and Early Clinical Education.

The goals of this study were to determine the completion rates of patient order forms at the Cooper Rowan Clinic, a student-run free clinic, and to implement the use of a post-encounter phone call to improve completion rates, preventive medicine, and medical student clinical involvement. 151 patients completed a pre-intervention questionnaire before their visit. The questionnaire collected information regarding successfully completed order forms. First-year students were trained to perform phone calls and called their patients for five months. 205 patients then completed a post-intervention questionnaire. Dependent variables included completion rates for laboratory studies, specialty referrals, imaging studies and miscellaneous tests. Chi-squared tests were performed. Although the completion rates for laboratory testing (pre = 73.7% vs post = 81.1%), referrals (pre = 50.0% vs post = 65.1%) and imaging studies (pre = 60.9% vs post = 71.7%) increased, the results were not statistically significant. The completion rate of miscellaneous testing (pre = 41.7% vs post = 100.0%) increased following the implementation and was statistically significant. When patients were stratified to those who received a phone call, completion rates of referrals (73.0%), laboratory testing (86.1%), imaging studies (80.5%), and miscellaneous studies (100.0%) substantially increased. Although not statistically significant except for miscellaneous studies, there was an overall increase in completion in all categories. Further evidence to suggest that phone calls improved order completion was the substantial increase in completion rates in patients who received a call.The implementation improves completion of orders which could enhance preventive measures within the clinic. Additionally, it provides an opportunity for earlier student clinical exposure through direct patient contact.

Evaluating the Effectiveness of a Family-Based Virtual Childhood Obesity Management Program Delivered During the COVID-19 Pandemic in Canada: Prospective Study.

Generation Health (GH) is a 10-week family-based lifestyle program designed to promote a healthy lifestyle for families with children who are off the healthy weight trajectory in British Columbia, Canada. GH uses a blended delivery format that involves 10 weekly in-person sessions, and self-guided lessons and activities on a web portal. The blended program was adapted to be delivered virtually due to the COVID-19 pandemic. Currently, the effectiveness of the virtual GH program compared with that of the blended GH program remains unclear. We aimed to (1) compare the effectiveness of the virtual GH program delivered during the COVID-19 pandemic with that of the blended GH program delivered prior to the pandemic for changing child physical activity, sedentary and dietary behaviors, screen time, and parental support-related behaviors for child physical activity and healthy eating, and (2) explore virtual GH program engagement and satisfaction. This study used a single-arm pre-post design. The blended GH program (n=102) was delivered from January 2019 to February 2020, and the virtual GH program (n=90) was delivered during the COVID-19 pandemic from April 2020 to March 2021. Families with children aged 8-12 years and considered overweight or obese (BMI ≥85th percentile according to age and sex) were recruited. Participants completed preintervention and postintervention questionnaires to assess the children's physical activity, dietary and sedentary behaviors, and screen time, and the parent's support behaviors. Intervention feedback was obtained by interviews. Repeated measures ANOVA was used to evaluate the difference between the virtual and blended GH programs over time. Qualitative interviews were analyzed using thematic analyses. Both the virtual and blended GH programs improved children's moderate-to-vigorous physical activity (F1,380=18.37; P<.001; ηp2=0.07) and reduced screen time (F1,380=9.17; P=.003; ηp2=0.06). However, vegetable intake was significantly greater in the virtual GH group than in the blended GH group at the 10-week follow-up (F1,380=15.19; P<.001; ηp2=0.004). Parents in both groups showed significant improvements in support behaviors for children's physical activity (F1,380=5.55; P=.02; ηp2=0.002) and healthy eating (F1,380=3.91; P<.001; ηp2=0.01), as well as self-regulation of parental support for children's physical activity (F1,380=49.20; P<.001; ηp2=0.16) and healthy eating (F1,380=91.13; P<.001; ηp2=0.28). Families in both groups were satisfied with program delivery. There were no significant differences in attendance for the weekly in-person or group video chat sessions; however, portal usage was significantly greater in the virtual GH group (mean 50, SD 55.82 minutes) than in the blended GH group (mean 17, SD 15.3 minutes; P<.001). The study findings suggested that the virtual GH program was as effective as the blended program for improving child lifestyle behaviors and parental support-related behaviors. The virtual program has the potential to improve the flexibility and scalability of family-based childhood obesity management interventions.

PSUN224 Resident Education for Improved Quality and Confidence in Inpatient Hyperglycemia Management

Abstract Background Hyperglycemia is widely prevalent in hospitalized patients and has been associated with adverse outcomes and increased mortality. Guidelines for inpatient management of hyperglycemia in non-critically ill adults are inconsistently implemented within our hospital system in a large academic center in New York. Thus, we strove to develop a formal curriculum for our internal medicine program to improve the level of confidence in trainees when managing inpatient hyperglycemia and to promote appropriate subspecialty consultation. Methods We designed a three-phase educational curriculum for internal medicine residents of all training levels. The first phase consisted of a pre-intervention questionnaire distributed online, examining the self-reported level of confidence and knowledge of hyperglycemia management in non-critically ill patients. The second phase consisted of a 50-minute lecture providing background on the prevalence and risk of inpatient hyperglycemia, standard guidelines for inpatient hyperglycemia management, appropriate insulin regimen initiation and adjustment and practice questions reviewed in real time. The third phase consisted of an online post-intervention questionnaire which, in addition to reassessing confidence and knowledge, examined change in individual confidence level in hyperglycemia management and the ability to recognize situations appropriate for endocrinology consultation. In the context of convenience sampling, all residents were eligible to participate in the second questionnaire independent of their participation in the first questionnaire or educational intervention. Results There were 57 total respondents for the pre-intervention questionnaire and 54 total respondents for the post-intervention questionnaire. 26 (48%) of the post-intervention questionnaire respondents completed the initial questionnaire and 22 (41%) attended the lecture. In examining confidence in managing inpatient hyperglycemia on a four-level scale (not comfortable, somewhat comfortable, comfortable, and very comfortable), there was an overall increase in percentage of "comfortable" responses (26% to 52%) with a subsequent decrease in "somewhat comfortable" responses (65% to 37%) when comparing post- to pre-intervention questionnaires. In addition, there was a higher percentage of "comfortable" responses in those who attended the lecture versus those who did not (59% vs. 47%). Furthermore, 21 of the 22 respondents who attended the lecture felt "more confident" in their ability to treat inpatient hyperglycemia. Lastly, those who attended the lecture were more likely to identify situations in which endocrinology should be consulted. Conclusion Currently, there is no formal longitudinal curriculum established for resident education in inpatient diabetes care and hyperglycemia management. The objective of this intervention was to identify and bridge the gap in practical knowledge and confidence level across all training levels. In a small sample size of residents, data revealed higher confidence in management and ability to recognize the necessity of endocrinology consults. Future research will focus on analyzing concrete data in a target unit to assess translation of the intervention to improved quality of inpatient glycemic control. Presentation: Sunday, June 12, 2022 12:30 p.m. - 2:30 p.m.

Development and Evaluation of a Prospective Group Coaching Program: Increasing Well-Being and Openness to the Future in a Subclinical Sample

Prospection is the ability to think about the future in order to guide behavior and gain desirable outcomes. Although theoretical research on the topic exists, there is a lack of practical application. We developed and evaluated a prospective coaching program in a subclinical sample with limited subjective well-being. Twenty-nine participants (Mage = 40.6 years, SD = 13.6; range 19–62 years) participated in three 3-h sessions of a prospective coaching intervention. In a between- and within-subject design, participants completed preintervention, postintervention, and follow-up questionnaires. We compared the effects to those in a waitlist control group with no intervention (n = 37). Linear mixed models revealed improvements in the primary variables subjective well-being and openness to the future. We also found effects in the secondary outcomes hopelessness, subjective stress, depression, positive affect, and optimism in the experimental group, but not in the waiting list control group. This pilot study, to our knowledge, is the first to prove the effectiveness of a prospective group coaching program on relevant outcomes in a subclinical sample. Further studies, for instance, with a larger sample, are needed to gain more insight on the effects of prospection in mental health promotion.

Human Papillomavirus (HPV) Education and Knowledge Among Medical and Dental Trainees.

Persistent human papillomavirus (HPV) infection is responsible for the majority of oropharyngeal and cervical cancers in the USA. Currently, HPV curricula within medical and dental schools are not standardized. As such, we implemented a brief online educational intervention to increase medical and dental trainees’ knowledge of the HPV vaccine and the association between HPV and cancer. The objectives of this study were to (1) assess medical and dental trainees’ baseline knowledge regarding HPV and HPV vaccine, (2) determine the willingness to recommend the HPV vaccine to patients, and (3) evaluate the impact of an online intervention on HPV-related knowledge. Medical and dental trainees from two large academic centers in the USA were asked to fill out an online pre-intervention questionnaire, followed by a 10-min HPV educational intervention based on the Center of Disease Control and Prevention (CDC) resources, and then a post-intervention questionnaire. There were 75 participants (67.4% females; median age 18–30 years). When asked about HPV-related cancer types, the correct response increased from 28.4% (pre-intervention) to 51.9% (post-intervention; p < 0.01). When asked about the prevalence of HPV infections, the correct response improved from 36 to 72% (p < 0.01). There was also a 25.2% improvement in identifying the correct HPV vaccination dosing schedule (p < 0.01). Eighty-seven percent of the participants mentioned that the online education improved their HPV knowledge, and 68.5% reported that they were more likely to recommend HPV vaccine after the online intervention. The proposed online educational intervention was effective at improving HPV-related cancer and HPV vaccine knowledge as well as attitudes towards vaccine recommendation among dental and medical trainees and could be implemented in medical and dental school curricula in the future.

679 Trainee Perceptions of Safety in General Surgery Handover – a Quality Improvement Project

Abstract Aim Effective patient handover is an important cornerstone of clinical care and patient safety. The aim of this study was to measure trainee perceptions of handover safety, and to improve the safety of handover. Method An anonymous questionnaire was sent to all junior doctors in a general surgery department with a two-stage evening handover, as registrars change over at 17.00 and senior house officers at 20.00. The intervention involved introduction of a new standard of handover, including a set location and printed patient lists. Following one month of intervention, a second questionnaire was distributed to assess its impact. Results There were 15 respondents to the pre-intervention questionnaire and 16 respondents to the post-intervention questionnaire. Perception of safety at the 17.00 handover increased from 27% to 56% following the intervention, and at 20.00 this increased from 60% to 88%. The proportion of respondents who felt that new admissions were handed over well at 17.00 increased from 27% to 38%, with an increase from 67% to 81% for the 20.00 handover. The proportion of respondents who felt that the ward patients were handed over well at 20.00 increased from 40% to 81%. The generation of a patient handover list at 20.00 increased from 7% to 25%. Conclusions Simple interventions appear to be effective at improving trainee perceptions of safety in patient handover in general surgery. Ensuring the quality of patient handover must be a priority for all clinicians; however, approaches may need to be tailored to the working shift patterns within a department.

The Effects of Drowsiness Detection Technology and Education on Nurses’ Beliefs and Attitudes Towards Drowsy Driving

Background: Drowsy driving is prevalent among night-shift nurses, yet there is a gap in understanding nurses’ beliefs and attitudes that may affect their intention to avoid drowsy driving. Objectives: The objectives of the study were twofold: 1) investigate how behavioral constructs such as beliefs and attitudes may affect nurses’ intention to avoid drowsy driving; and 2) assess changes in such beliefs and attitudes during a study that evaluated the effectiveness of educational and technological interventions. Methods: Three-hundred night-shift nurses were recruited from a large hospital in Texas to participate in a randomized control trial. Participants were randomly assigned to three groups: 1) control; 2) educational intervention; and 3) combined educational and technological intervention. The study utilized an integrated model drawing from the constructs of the Theory of Planned Behavior and the Health Belief Model to elicit attitudes, beliefs, and intentions to use in-vehicle drowsiness detection technologies. Each group was surveyed pre- intervention and at post-intervention around 3 months later to assess changes in beliefs and attitudes. Structural equation models and path analysis were used to analyze changes in beliefs. Results: Seventy-nine participants completed the pre-intervention questionnaire, and 44 nurses completed the pre- and post-intervention surveys. Intention was predicted primarily by attitude and perceived health threat. Perceived health threat also mediated the relationship between behavioral intention and the influence of subjective norms as well as perceived behavioral control. Participants who received education about drowsy driving had positive changes in beliefs. Conclusions: Nurses’ perceived health threat from driving drowsy and their attitude towards our intervention were important motivators to avoid drowsy driving. Interventions aiming at raising awareness of the risks associated with drowsy driving may be effective at motivating nurses to avoid drowsy driving.