Prevention Intervention Programs Research Articles

Effectiveness of preventive intervention programmes aiming to improve oral health in children who have undergone caries-related dental extractions: a rapid review.

To determine the effectiveness of preventive interventions in children who have undergone caries-related dental extractions. Rapid review across five databases (CENTRAL, Ovid Medline, Embase, Web of Science and Scopus). Quality was assessed using the Risk of Bias 2 tool. Five studies were included, all randomised controlled trials involving pre-and/or post-extractions activity. Three studies involved oral health education (computer game, motivational interviewing, visual aids), one delivered clinical prevention (fissure sealants), and one an enhanced prevention programme combining additional health education and a clinical intervention (fluoride varnish). Retention was mixed (55%-80% in the intervention groups). Of the three studies measuring caries, all reported less caries development in the test group. However, only a study involving a dental nurse-delivered structured conversation, informed by motivational interviewing, showed an improvement in oral health. Two studies reporting on plaque and gingival bleeding had conflicting results. A study reporting on subsequent dental attendance did not demonstrate a clear improvement. Few published studies have explored prevention-based interventions in high caries-risk children requiring dental extractions. Whilst evidence of clinical benefit of preventive interventions in this population is limited, the potential use of contemporary behaviour change techniques appears promising. There is an urgent need for more high-quality longer-term trials using contemporary methodologies.

Analysis of the moderator effect of overstimulation on the relationships between indicators of health-related quality of life, extraversion and maladaptive coping strategies in people with sensory processing sensitivity

AbstractPeople with sensory processing sensitivity (SPS), when overstimulated, feel overwhelmed, stressed, and in need of social withdrawal, rest, and reestablishing balance in the nervous system. This study focuses on analyzing the moderator effect of overstimulation on health-related quality of life (mental health, vitality, and body pain), extraversion, and maladaptive coping strategies in people with SPS. Participants (N = 10,520 adults) completed the Spanish versions of the High Sensitivity Person Scale (HSPS-S), Short Form Health Survey (SF-36), NEO Five-Factor Inventory (NEO-FFI) and Coping Strategies Inventory (CSI). Participants with high overstimulation levels were observed to have a worse quality of life related to health, greater introversion, and a tendency to use more maladaptive coping strategies. Furthermore, two of the health-related quality of life indicators, mental health and vitality, occupy a central position in the relationships between variables; there was a negative relationship between mental health and active maladaptive coping strategies, as well as between extraversion and nonactive maladaptive coping strategies. Lastly, the level of overstimulation was not identified as an indicator that differentially influences its relationship with the study variables. These findings demonstrate the need to use prevention and clinical intervention programs that address mental health and vitality, as well as introversion and the use of maladaptive coping strategies in people with high sensitivity.

Peer Bullying and Psychiatric Diagnoses in Adolescents with Nonsuicidal Self-Injury

Objectives The aim of this study was to determine the comorbid psychiatric diagnoses, peer bullying rates and NSSI characteristics in adolescents who engage in self-injuring behavior. Materials and Methods This case-controlled cross-sectional study was conducted between 1 March 2020 and 1 May 2021 in the Child and Adolescent Psychiatry and Paediatrics outpatient clinic of a hospital in the Southeastern Anatolia region of Turkey. The data of 50 adolescents with NSSI and 60 adolescents without NSSI attending school were compared. The data in the study were obtained using sociodemographic form prepared by the researchers, the Affective Disorders and Schizophrenia Interview Schedule for School-Age Children—Present and Lifetime Version—Dsm–5, Peer Bullying Scale Adolescent Form and Self-Injurious Behaviour Assessment Inventory. Results Fifty adolescents (70% female) with a mean age of 15.4 years (S.D. = 1.4) with NSSI were included as case group and 60 adolescents (66.7% female) with a mean age of 15.5 years (S.D. = 1.3) without NSSI were included as control group. Banging/hitting self was the most common NSSI method, while affect regulation was the most common function. In the case group, verbal, isolation and damage to belongings among the victim subtypes in the last year were found to be significantly higher than in the control group. It was found that there was a positive correlation between the variety of self-injury methods and bullying exposure scores in adolescents with NSSI. Depression disorders, anxiety disorders, oppositional defiant disorder, attention deficit hyperactivity disorder, conduct disorder, and post-traumatic stress disorder diagnoses were found to be more prevalent in the group with NSSI. Conclusions Based on the finding, it was found that psychiatric diagnoses are more common in adolescents with NSSI, peer bullying subtypes are seen at a higher rate, and as bullying scores increase, the variety of NSSI methods also increases. It is thought that providing psychiatric evaluation and treatment for adolescents with NSSI, establishing cooperation with school and family for peer bullying, developing preventive mental health policies and effective intervention programmes may be beneficial.

EFEKTIVITAS PROGRAM INTERVENSI PENCEGAHAN KANKER SERVIKS PADA REMAJA PUTRI DI LINGKUNGAN SMK BIM JOMBANG

Cervical cancer is one of the main causes of death in women throughout the world, including in Indonesia. Early prevention through education and health interventions is important to reduce the death rate from cervical cancer. This study aims to evaluate the effectiveness of a cervical cancer prevention intervention program in adolescent girls. The research method used was quasi-experimental with a pretest-posttest design without a control group. A total of 200 young women at secondary schools in SMK BIM Jombang were selected as respondents. The intervention provided included lectures, group discussions, distribution of educational materials, and counseling by competent health workers. Data was collected through a questionnaire that included the level of knowledge and awareness of young women about cervical cancer prevention before and after the intervention. The research results showed a significant increase in the level of knowledge and awareness of young women after the intervention. Before the intervention, 30% of adolescent girls had low knowledge, 55% had medium knowledge, and 15% had high knowledge. After the intervention, this percentage changed to 5% for low knowledge, 30% for medium knowledge, and 65% for high knowledge. In the aspect of awareness, before the intervention, 35% of young women had low awareness, 50% had moderate awareness, and 15% had high awareness. After intervention, 7.5% had low awareness, 32.5% had moderate awareness, and 60% had high awareness. This increase shows that the intervention program provided has succeeded in significantly increasing the understanding and awareness of young women. The involvement of parents and teachers provides additional support that is very important for applying the knowledge they gain in everyday life. In addition, policies that support cervical cancer prevention programs are needed to create an environment that supports the health of adolescent girls

Analysis of Factors Influencing Work Accidents Among Workers at Exploitation Facilities and Offshore Oil and Gas Production at PT X from 2018 – 2023

Background: The workplace risks faced at PT X oil and gas company, located offshore Natuna, are relatively high evidenced by fluctuations in accidents from 2018 – 2022. In 2018, recordable injury attributable to accidents was recorded, then in 2019-2020, there were no accidents, and the prevalence increased in 2021-2022. The company analyzed the main causes responsible for work accidents during this period and carried out intervention measures in Occupational Health and Safety (OHS) program to reverse the trend in 2023. By implementing OHS program, the number of accidents in recordable injury category fell from 4 (2021- 2022) to 1 (2023). This shows that the program has been successful in managing work accidents. Considering that the investigation and analysis identified unsafe acts as the direct causes, Human Factor Analysis and Classification System (HFACS) method was used to analyze other factors associated with accidents. Objective: This study aimed to investigate OHS program actions at PT X in responding to increased work accidents in 2021-2022, and compare with recommendations for improvements from HFACS method. Method: A qualitative design was used with secondary data, comprising 10 work accidents records and investigation reports for recordable injury cases from 2018 – 2022 available in PT X information system. Subsequently, the secondary data were then classified according to four failure stages in HFACS, namely unsafe acts, the precondition of unsafe acts, unsafe supervision, and organizational influence. This classification produced recommendations for improvement, which were then compared with the prevention intervention program for accidents at PT X. Results: The results showed that OHS program intervention to reduce the number of accidents in 2023 was in accordance with the recommendations of HFACS analysis. Conclusion: The application of HFACS in analyzing accidents records and investigation reports produced relatively comprehensive recommendations by focusing on the component stages. Several additional recommendations from the analysis of latent conditions will further improve OHS performance at PT X.

Development of a HIV Prevention Program to Promote Condom Use Among Iranian Female Sex Workers: Application of An Intervention Mapping Approach.

We used an Intervention Mapping Approach (IMA) to derive multi-level HIV prevention strategies aiming to develop an HIV prevention intervention program among female sex workers (FSWs). We also aimed at pilot testing the effects of the IMA-based "HIV Prevention and Awareness Program (HIV-PAP)" on safe sex behaviors and its determinants among FSWs in Tabriz, Iran. To develop HIV-PAP, we conducted the six-step process of IMA. At Step 1, in a cross-sectional study, 140 FSWs were face-to-face interviewed. At Step 2, the program matrix was provided based on the importance and variability for identifying priority factors. At Steps 3 and 4, the methods and strategies for behavioral change were selected, and the HIV-PAP program components and materials were developed. At Steps 5 and 6, evaluation (as a pilot testing with Static-Group Comparison design) was conducted applying a pre-experimental study, in which 30 FSWs were assigned to intervention (n = 15) and control (n = 15) groups. The intervention group participated in a two-month long program, and one month later, the initial questionnaires were completed by both groups. The respondents (M age: 33.4 years, SD: 9.7) acquired low score (less than 50%) in negotiating for condom use (49.8%) only, and moderate scores (50-65%) in perceived social support (61.6%) and knowledge (60.5%). Adjusted for other variables, the factors (R2 = 32.0%) associated with safe sex behaviors among FSWs were predisposing factors [self-efficacy (β = 0.331), perceived norms (β = 0.945), and perceived barriers (β = 0.258)], condom use negotiation (β = 1.386), and environmental factors (β = 0.333). Our IM-based framework had an adequate fit index (χ2 = 130.8, CFI = 0.78). Looking for inter-group comparison after intervention, we found significant mean difference (MD) for knowledge (MD: 2.18; 95% Confidence Interval (CI) -.38 to 4.74, p < 0.05), self-efficacy to use condom (MD: 6.71; 95% CI -1.85 to 9.29, p < 0.05), perceived risk (MD: 2.03; 95% CI 0.58, to 3.49, p < 0.05), perceived social support (MD: 4.64; 95% CI -5.37 to 11.31, p < 0.01), and safe sexual behaviors (MD: 7.75; 95% CI -4.19 to 9.71, p < 0.05). The HIV-PAP showed effectiveness in promoting safe sexual behaviors and their determinants among FSWs. Healthcare providers should better understand the determinants of safe sexual behaviors among FSWs in the settings with legal prohibitions for sex work. In such communities, they should try to either develop or adapt such stage-specific interventions, within which promoting the above-mentioned factors is the core priorities of the program.

Development of a frailty prevention program including nutrition and exercise interventions for older adults in senior daycare centers in South Korea using a mixed methods research design.

The growing aging population has led to an increased utilization of senior daycare centers. This study was conducted to design a program to enhance the health of older adults in senior daycare centers in Chuncheon City, South Korea. The study explored the health conditions and dietary patterns of older adults in senior daycare centers. Participants included staff and older adults from senior daycare centers in Chuncheon City. A mixed methods research design was used to obtain both qualitative and quantitative data. Qualitative insights were obtained through in-depth interviews with 26 staff members and older adults, coupled with observations made at 10 senior daycare centers. The quantitative component comprised structured questionnaires and physical measurements of 204 older adults at these centers. Many of the older adults relied on the meals provided by the center due to their limited cooking abilities. Dental health issues and dysphagia were common. Interviews highlighted the budgetary constraints of the centers in providing wholesome meals and the need for government support to alleviate meal expenses and enhance quality. A structured survey of older adults showed that the average age was 83.3 yrs, with an average of 2 chronic conditions per participant. Frailty analysis of the participants revealed that 56.2% were prefrail and 32.0% were frail. Almost half of the participants (47.0%) used dentures. Based on these findings, a preventive intervention program was proposed, addressing the specific needs and challenges of older adults while promoting overall well-being and preventing frailty. Tailored health promotion strategies are crucial in senior daycare centers. Recommended interventions include staff nutrition education, improved dietary plans, and cost-effective strength training programs. These interventions aim to reduce frailty and enhance the quality of life of older adults in the community via interventions in daycare centers.

Non-suicidal self-injury motivation scale in a community sample of adolescents: a methodological study

BackgroundThe prevalence of non-suicidal self-injury among South Korean adolescents has increased significantly, requiring academic attention. This methodological study aims to develop a non-suicidal self-injury motivation scale for adolescents and evaluate its validity and reliability.MethodsIn the first phase of scale development, the factors constituting self-injury motivation were identified through a literature review and analysis of online counseling data from self-injuring adolescents. In the second phase, 45 initial preliminary items were derived based on the identified factors, and 38 preliminary items were selected through content validation by experts. In the scale validation phase, the survey was conducted using 38 items. Data were collected from adolescents with a history of self-injury, using exploratory factor analysis (EFA) involving 715 participants and confirmatory factor analysis (CFA) involving 537 participants. The EFA involved 27.0% male and 73.0% female participants, with a mean age of 16.83 years, and the CFA involved 20.7% male and 79.3% female participants, with a mean age of 16.15 years. The data collected were tested for validity and reliability using SPSS 28.0 and M-plus.ResultsThe EFA yielded four factors and 24 items. The factors were named interpersonal influence, emotion regulation, sensation seeking, and anti-suicide, and the scale had an explanatory power of 55.8%. In the CFA, the fit of the 23-item model after deleting one item with low standardized factor loadings was x2 = 1081.52 (p < .001), CFI = 0.829, RMSEA = 0.084, and SRMR = 0.075, confirming the acceptability of the self-injury motivation scale for adolescents. The scale evaluation results for convergent validity and discriminant validity met the criteria. The reliability test results showed that the overall reliability (Cronbach’s α) was 0.88, and the reliability (Cronbach’s α) of each factor was 0.89 for interpersonal influence, 0.83 for emotion regulation, 0.63 for sensation seeking, and 0.80 for anti-suicide, satisfying internal consistency.ConclusionIn this study, the self-injury motivation scale for adolescents in the community comprised four factors and 23 items. The scale can be used to examine self-injury motivation among adolescents in the community and to develop self-injury prevention intervention programs.

DECIPHERING THE DRIVERS OF PERSISTENT CRIMINAL BEHAVIOR IN INDIA: A COMPREHENSIVE STUDY

Persistent criminal behavior remains a significant societal concern in India, with its multifaceted nature posing challenges for law enforcement and policymakers. This comprehensive study aims to unravel the underlying factors contributing to such behavior, offering insights into the complex interplay of social, economic, and psychological variables. Drawing upon extensive research and empirical evidence, this study examines various determinants, including socio-economic disparities, cultural influences, family dynamics, and individual psychosocial factors. By exploring the interconnectedness of these variables, we strive to provide a nuanced understanding of the drivers behind persistent criminal conduct in India. Additionally, this study discusses implications for crime prevention strategies and intervention programs tailored to address the root causes of criminal behavior.

Use of an Augmented Exposure and Response Prevention Procedure in the Treatment of Obsessive-Compulsive Disorder: A Case Report

This case report describes the assessment and treatment of a 21-year-old male with obsessive-compulsive disorder (OCD) using an intensive exposure and response prevention (ERP) treatment program. The patient and his father received daily 2-hour ERP sessions delivered across 10 consecutive weekdays, and monthly follow-up appointments. In addition to the condensed treatment schedule, ERP procedures were augmented to address ongoing family conflict and depressive symptoms. To the best of the our knowledge, this is the first study to include such treatment adaptations within the context of intensive ERP for an adult with OCD. Results indicated target behaviors decreased over the 2-week intensive treatment phase and were maintained during 4 months of follow-up. Ancillary outcomes reported by the patient and his father included more frequent engagement in activities of daily living and improved family communication. Outcomes of this study provide an important step toward establishing recommendations regarding ERP session frequency, especially among patients with comorbid disorders.

Employ the 5H Model, Evaluate its Efficacy, And Illustrate the Change in Elderly Depression Levels and Symptoms

Introduction: Age-related disorders include mental health. This reduction in intergenerational cohesion and filial responsibilities has caused older people's dissatisfaction, sadness, and grief. Depression and dementia impair elderly people worldwide by taking away their independence and autonomy. Methodology: The authors use the experimental approach to implement the 5H model, evaluate its efficacy, and show the change in depression levels and symptoms in Quang Ngai's elderly. The author chose 26 senior persons from Truong Quang Trong Ward and 23 from Tinh Thien Village to engage in the intervention study. The semi-experimental study compared N=60 samples (Experimental Group=30 and Control Group=30). The elderly control group receives conventional therapy according to the local program, whereas the experimental group receives community intervention. The GDS-15 and ICD-10 examined the intervention's efficacy. Results: This study found that I mild depression had a significant change post-intervention; (ii) the mean score of depression through 2 assessments (GDS-15 scale and ICD-10 clinical assessment) both showed a significant reduction; (iii) females tended to change more than males; (iv) elderly aged 60-70 were easier to change than those over 80 years old; and (v) community-based psychosocial therapy had a significant impact on depression. Conclusion: Considering the aforementioned favourable results, the Quang Ngai city depression prevention intervention program for the elderly is practical and can reduce symptoms, severity, and reverse depression. Hence, the model is applicable across Quang Ngai City.

Effects on physical activity, physical fitness and well-being in a 36-months randomized controlled study, comparing a multimodal hospital-based intervention programme for primary cardiovascular prevention with usual care

BackgroundCardiovascular disease is a major cause of mortality and morbidity worldwide, and primary prevention efforts are poorly developed in people at high cardiovascular risk. On this background, we performed the Hjerteløftet Study and demonstrated that participation over 36 months in a multimodal primary prevention programme, significantly reduced validated cardiovascular risk scores. In the current substudy we aimed to further explore several elements and effects following the intervention programme.MethodsA random sample from the original Hjerteløftet Study was included for further examinations (n = 255, 40% women), and these patients were already randomized to an intervention group (IG) (n = 127), or a control group (CG) (n = 128). We compared changes from baseline to 36-months follow-up in physical activity, cardiorespiratory fitness, psychological well-being (WHO-5), cardiovascular medication use, smoking habits, and cardiometabolic risk factors (blood pressure, lipids, blood glucose, HbA1c, Apolipoprotein A-I, Apolipoprotein B and high-sensitive C-reactive protein).ResultsSelf-reported physical activity increased significantly with absolute difference in mean delta Physical Activity Index score in the IG compared to the CG: 0.90, 95% CI: 0.10 to 1.70, p = 0.028 (ANCOVA). There were no corresponding differences in cardiorespiratory fitness. The participation resulted in psychological well-being improvement in both groups with a larger increase in the IG compared to the CG. The mean difference in delta WHO-5 score was 5.06, 95% CI: 0.68 to 9.45, p = 0.024, and 3.28, 95% CI: -0.69 to 5.25, p = 0.104 when controlled for baseline values (ANCOVA). The use of antihypertensive medication increased significantly more in the CG (p = 0.044). Only minor, nonsignificant changes were observed for traditional risk factors and cardiometabolic variables.ConclusionsParticipation in the Hjerteløftet Study intervention programme resulted in an improved physical activity level, but without changing cardiorespiratory fitness. Participation in the programme also tended to improve psychological well-being, possibly related to increased physical activity, less smoking and less use of cardiovascular medication. Concerning the metabolic status, no major differences were observed, but minor changes may have been concealed by a larger increase in cardiovascular medication use in the control group.Trial registrationClinicalTrials.gov (NCT01741428), 04/12/2012.

Descriptive study of adolescents hospitalized in the Psychiatric Unit of a hospital in Madrid, Spain

IntroductionAn increase in suicidal behavior among the adolescent population is reflected in the literature and in clinical practice. According to a study of suicidal behavior and mental health by the Spanish ANAR Foundation, the number of cases with suicidal behavior has experienced an accentuated growth in the period 2012-2022 (1,921.3%), highlighting the increase produced in the post-COVID-19 period, between 2020 and 2022 (128%)ObjectivesTo analyze the reasons for admission to the short hospitalization unit. To describe the sociodemographic characteristics of hospitalized adolescents.MethodsDescriptive observational study of the sample of adolescents admitted to the inpatient psychiatric unit of the Hospital Universitario Puerta de Hierro between January 1, 2023 and June 30, 2023. It is carried out through the information obtained in the clinical history of the patients.ResultsDuring this period of time 113 adolescents were admitted, 80.2% were female. The mean age was 15.16 years. The main reason for admission was autolytic ideation, occurring in 33.3% of the patients. The second most frequent reason for admission was suicide attempt (29.7%) and behavioral disturbance (17.1%) was the third most frequent. Of the methods used in suicide attempts, drug overeating stands out among the methods used in suicide attempts. (75.8%), followed by attempted hanging (12.1%) or cutting (12.1%).Image:ConclusionsThe results corroborate what is reported in the scientific literature, where self-harm and self-injury attempts have increased and are the most frequent reasons for admission. This shows that suicide is a public health problem of the first order, where prevention and early intervention programs are necessary.Disclosure of InterestNone Declared

COVID-19 Salgını Döneminde Anksiyete: Yaygınlığı, Etkileri ve Yatkınlık Faktörleri

Although infectious diseases have emerged in various periods of history, the outbreaks seen worldwide due to globalization have started to increase in recent years. Epidemics had significant effects on the psychological health of individuals. The most important effect of COVID-19 pandemic on individuals was anxiety. In the days when other pandemic diseases are at the door, the understanding of anxiety during the COVID-19 pandemic in individuals is a very important issue. In the COVID-19 outbreak, the general sample, university students, those diagnosed with COVID-19, and healthcare workers were the groups most affected by anxiety. In different countries, moderate anxiety symptoms in different waves of the epidemic ranged from 6.3% to 66.8% in the general sample, between 18.6% and 87.7% in university students, between 13.0-60.3% in people diagnosed with COVID-19, and between 13.0-51.6% in healthcare workers. In the follow-up studies, it was noted that the anxiety symptoms did not regress to the pre-pandemic level for a long time in these samples. According to the findings, anxiety associated with COVID-19 is associated with psychological health. As COVID-19-related anxiety increased, negative emotions, dysfunctional behaviors, sleep problems and depressive symptoms increased.The fact that anxiety is common, persistent and associated with other psychological symptoms during the epidemic made it necessary to understand the underlying factors of anxiety. Findings indicate that anxiety sensitivity, disgust susceptibility/sensitivity, intolerance to uncertainty, and health anxiety play a role in explaining anxiety symptoms associated with COVID-19. These susceptibility factors may contribute to the development of cognitive-behavioral oriented therapeutic and preventive intervention programs both during/after epidemic and future epidemics especially in the general sample, university students, those diagnosed with COVID-19, and healthcare workers.

Possible Mental Health Interventions for Family Members of a Close Relative Who Has Suicidal Thoughts or Committed Suicide: A Pilot Project at a Mental Health Center.

Background: Suicides are an actual issue, especially in Lithuania, where, despite significant efforts, the number of suicides remains very high. In cases of suicide, society painfully loses its members, and the relatives of the person who committed suicide, engaged in self-harm, or attempted suicide face many negative experiences. Methods: The purpose of this article is to describe the pilot project applied for 2 years in the Mental Health Center (MHC) in the city of Vilnius, Lithuania, in organizing and providing services to people whose relatives committed suicide or attempted suicide or self-harm. This prevention and early intervention program, organized by an interdisciplinary team at an MHC, appeared appropriate, effective, and well-attended. Program clients could participate anonymously and have the opportunity to choose the time and the right services for themselves from the offered program services package. Results: Providing the possibility for family members to receive flexible mental health services at the primary center increased the attractiveness of the program and reduced stigma. Conclusions: The program results demonstrated the applicability of the implementation of such an initiative as a relevant possibility when providing complex help for the relatives of self-harming and/or suicidal people.

Medication adherence framework: A population-based pharmacokinetic approach and its application in antimalarial treatment assessments.

We reported here on the development of a pharmacometric framework to assess patient adherence, by using two population-based approaches - the percentile and the Bayesian method. Three different dosing strategies were investigated in patients prescribed a total of three doses; (1) non-observed therapy, (2) directly observed administration of the first dose, and (3) directly observed administration of the first two doses. The percentile approach used population-based simulations to derive optimal concentration percentile cutoff values from the distribution of simulated drug concentrations at a specific time. This was done for each adherence scenario and compared to full adherence. The Bayesian approach calculated the posterior probability of each adherence scenario at a given drug concentration. The predictive performance (i.e., Youden index, receiver operating characteristic [ROC] curve) of both approaches were highly influenced by sample collection time (early was better) and interindividual variability (smaller was better). The complexity of the structural model and the half-life had a minimal impact on the predictive performance of these methods. The impact of the assay limitation (LOQ) on the predictive performance was relatively small if the fraction of LOQ data was less than 20%. Overall, the percentile method performed similar or better for adherence predictions compared to the Bayesian approach, with the latter showing slightly better results when investigating the adherence to the last dose only. The percentile approach showed acceptable adherence predictions (area under ROC curve > 0.74) when sampling the antimalarial drugs piperaquine at day 7 postdose and lumefantrine at day 3 postdose (i.e., 12 h after the last dose). This could be a highly useful approach when evaluating programmatic implementations of preventive and curative antimalarial treatment programs in endemic areas.

Abstract P132: Paso a Paso, Designing a Culturally Relevant Diabetes Prevention Intervention for Hispanic/Latino (H/L) People That Adheres to Evidence Based, Diabetes Prevention Program (DPP) Intervention Principles in the Hispanic/Latino (H/L) Community of Salt Lake County

One of five Salt Lake County residents identify as Hispanic/Latino(H/L) and are at higher risk for type 2 diabetes(T2D) compared to non-Hispanic whites. Evidence-based interventions to reduce T2D have not been as effective for H/Ls as for non-H/L whites. This study uses a shared-leadership, community-engaged approach to develop a model for H/L T2D prevention based on DPP with members of the H/L community, community-based organization partners (Utah Mexican Consulate; University Neighborhood Partners), and an interdisciplinary University of Utah team. Two groups of 10-15 people each (one for community members (CM) eligible to participate in a diabetes prevention program; one for community organization members(CBO) potential DPP-like program implementers). As part of a comprehensive participatory planning and evaluation(CPPE) process, each group met to (1)review existing Spanish DPP program components, learning objectives, and materials, (2)identify barriers to successful T2D prevention, and (3)suggest facilitators and areas for adaptation specific to H/L audiences. Participants in each group rated the DPP program structure and content related to healthy eating, increasing physical activity (PA), self-monitoring and meal planning using validated measures of acceptability, appropriateness, and feasibility. In addition, qualitative data was gathered and reduced to provide directions for potential adaptations. Quantitative data (Figure 1) indicates CM and CBO agree on importance of DPP program structure and content, however CBO members rated the acceptability, appropriateness, and feasibility more neutrally than CM participants. Qualitative data indicated a stronger focus on collective support, culturally aligned healthful eating options, and PA promotion that addressed safe activities for laborers. Conclusions CM and CBO participants found DPP to be an important resource for the H/L community, but also identified adaptations that could improve program reach, retention, and effectiveness.

Keeping Early Social-Emotional Learning Developmental: The Development, Implementation, and Preliminary Evaluation of a Preventive Intervention Program for Early Childhood Education and Care

Early childhood forms the fundamental basis for developing various social-emotional skills and represents a unique opportunity to lay the foundation for healthy development. Insensitive learning environments in early childhood may lead to social-emotional difficulties, increasing the risk of developing severe behavioral problems. However, professional development (PD) opportunities that support early childhood education professionals’ (ECEPs) knowledge and skills to promote young children’s social and emotional development are scarce. In Finland, notably, the increasing need to enhance competence through further training has been widely recognized. Therefore, this study introduced the POMPedaSens program in early childhood education and care (ECEC) in Finland. The program aims to promote children’s social-emotional learning (SEL) by supporting ECEPs’ engagement and emotional availability. As a universal intervention program, POMPedaSens includes all children in ECEC regardless of risk factors. The present study included 200 children (MAGE = 72.27 months, SD = 5.48; 53% girls) and 62 ECEPs (MAGE = 43.82 years, SD = 11.71; 95% female). ECEPs received the intervention training to implement the curriculum in their everyday daycare routine. The present study describes the program design, implementation, and results from a preliminary evaluation of the social validity of the POMPedaSens program, measured by the ECEPs’ satisfaction with the program. The results of the social validity evaluation suggested high teachers’ satisfaction and improved children’s SEL. These findings prove that the program may effectively build ECEPs’ capacity to promote children’s SEL.

한국 중년여성의 대사증후군에 영향을 미치는 요인

This study aimed to investigate the prevalence of metabolic syndrome and the impact of health-related variables and women's health-related variables on metabolic syndrome in middle-aged women of normal weight. The objective was to provide foundational data for the development of preventive education and intervention programs for metabolic syndrome among this population in the future. The study included 1,357 middle-aged women who participated in the 7th Korea National Health and Nutrition Examination Survey (2016, 2017, 2018) and were categorized as normal weight (BMI 18.5-22.9). Data analysis was conducted using SPSS WIN 27.0, and for all analyses, variance estimation strata, clusters, and integrated weights were calculated to perform complex sample analysis. Among the subjects, the prevalence of metabolic syndrome was 5.3%. In the multiple logistic regression analysis, age, menopausal status, and menopausal age were not significant factors. However, compared to those who reported their subjective health status as “good,” individuals reporting “reasonable” health had a significantly increased risk of metabolic syndrome. Additionally, individuals who did not engage in regular physical activity had a significantly increased risk of metabolic syndrome compared to those who did. The factor that most influences metabolic syndrome in middle-aged women of normal weight is subjective health status. Subjective health status can serve as an indicator for identifying high-risk groups for diseases or prioritizing interventions in the health management of middle-aged women in the future.

Study protocol of the OrkA project: orofacial and communicative activation in old age– a cluster randomized prevention study in long-term care facilities in Lower Saxony, Germany

BackgroundThe process of aging involves numerous changes in the body, influencing physical, mental, and emotional well-being. Age-related changes and degradation can impact various functions of the swallowing process and lead to delayed word retrieval. Individuals with limited linguistic stimulation may experience a more rapid decline in cognitive performance. Thus, this project explores a preventive training program targeting swallowing and linguistic-communicative skills, aimed at preserving the social participation of older individuals residing in nursing homes.MethodsA preventive intervention program, combining orofaciopharyngeal and linguistic-communicative components, will be offered twice weekly over 12 weeks in long-term care facilities in the greater Hanover area. The program will aim at: (a) activating sensitive and motor skills in the orofaciopharyngeal area to counter age-related swallowing disorders, and (b) enhancing communicative abilities through semantic-lexical activation. A cluster randomized controlled trial will be conducted to investigate whether the intervention program improves swallowing skills in older adults. Additionally, a secondary analysis will explore the impact on language skills and social participation, as well as program acceptance.DiscussionThe results will provide valuable insight into the effectiveness of preventive measures addressing swallowing and speech issues in older individuals.Trial registrationThe trial was registered with DRKS (German register for clinical trials) in June 2023 (study ID: DRKS00031594) and the WHO International Clinical Trail Registry Platform (secondary register).