Goal Of Program Research Articles

Wellness checks: Piloting a universal intervention for soldiers.

As part of an Army pilot program, mandatory annual wellness checks were initiated to introduce individuals to counseling and to support psychological resilience and thriving. The program was evaluated using a cross-sectional survey completed by 7,831 soldiers. Findings revealed that about half of soldiers who reported a wellness check rated the check at least moderately helpful in their professional and personal lives. Participants receiving a wellness check reported being more likely to report willingness to seek help if they were to have mental health problems and to report higher levels of resilience and thriving even after controlling for rank, age, education, months in the unit, and trait negative affect. Participants were also less likely to report stigma-related concerns compared to those who had not received a wellness check. Consistent with theory on the common factors in counseling and the contextual model of psychotherapy (Laska et al., 2014), feeling listened to and learning new skills partially mediated the association between perceived wellness check usefulness and study outcomes, although acquiring a new perspective about problems did not. While not a randomized trial, this evaluation suggests that wellness checks are associated with programmatic goals: improved attitudes toward care seeking, resilience, and thriving. Future work should consider ways to ensure counselors address therapeutic common factors and should use a randomized, longitudinal design. Study findings have implications for implementing programs like wellness checks for military personnel and others working in high-stress occupations like first responders. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Trend in yield and protein content relationship in a historical series of durum wheat varieties under rainfed and irrigated environments

Improving grain yield (GY) is a major goal of durum wheat breeding programs, and a high yield needs to be attained while preserving grain quality. The current study evaluated the changes caused by a breeding program on the association between GY and grain protein content (PC) in Moroccan durum wheat. Field experiments with six leading varieties released over three decades were conducted for three growing seasons under two water regimes. GY and PC were largely controlled by environmental effects, including both the growing season and water regime. The year of release and growing season effects were the predominant sources of variation in total chlorophyll content (TCC). A significant increase in GY with the year of release was observed under irrigated conditions, whereas a significant increase in PC over time was noted under rainfed conditions. In addition, a negative correlation was revealed between GY and PC, which was significant only in the rainfed trials. Similarly, a significant and positive association was noted between PC and TCC within the rainfed trials, but not in the irrigated trials. Based on GGE (genotype main effect plus genotype ​× ​environment interaction) biplot analysis, the new varieties ‘Marouane’ and ‘Faraj’ were identified as desirable varieties in terms of GY and PC close to the ‘ideal genotype’. These results indicated that when grown under current irrigated conditions, new varieties improved by the Moroccan breeding program showed better GY performance than old varieties.

Understanding the need and opportunity for a trauma-informed early childhood organisations (TIO) program using intervention mapping

Early Childhood Education and Care (ECEC) services are critical points of intervention for children impacted by trauma. Intervention Mapping was utilised to develop an initiative for trauma-informed organisational change in ECEC. This paper describes how the research team understood the need and opportunity for the program using Intervention Mapping Step 1. This included: (i) convening a planning group, (ii) conducting needs assessment, (iii) describing the context for intervention, and (iv) establishing program goals. Benefits, challenges, and recommendations on using Intervention Mapping for program development in ECEC settings are discussed.

Anthropometric Profile of Elite Male and Female Cadet Taekwondo Competitors

Introduction: Taekwondo has developed into an Olympic sport, which means that a thorough understanding of the main Taekwondo athletes and competitors' characteristics is necessary. This study investigated the fundamental anthropometric measurements of high-level Taekwondo athletes, with a particular focus on disparities between genders. The objective of this study was to assess and contrast the physical attributes of elite Taekwondo athletes, specifically examining the differences between males and females. Methods: A group of 28 highly skilled Taekwondo athletes, consisting of 14 female and 14 male cadets participated in this study. Results: The results showed a significant difference between male and female competitors' anthropometric variables, most notably in skinfold thickness and fat tissue proportion (p≤ 0.01). Conclusion: Accordingly, these data can help taekwondo specialists in the early stages of selection, especially when advanced examinations are impossible. Further studies profiling this group of responders should include more characteristics to help practitioners recognize talents and create training program goals.

Hopping Proofs of Expectation-Based Properties: Applications to Skiplists and Security Proofs

We propose, implement, and evaluate a hopping proof approach for proving expectation-based properties of probabilistic programs. Our approach combines EHL, a syntax-directed proof system for reducing proof goals of a program to proof goals of simpler programs, with a "hopping" proof rule for reducing proof goals of an original program to proof goal of a different program which is suitably related (by means of pRHL, a relational program logic for probabilistic program) to the original program. We prove that EHL is sound for a core language with procedure calls and adversarial computations, and complete for the adversary-free fragment of the language. We also provide an implementation of EHL into EasyCrypt, a proof assistant tailored for reasoning about relational properties of probabilistic programs. We provide a tight integration of EHL with other program logics supported by EasyCrypt, and in particular probabilistic Relational Hoare Logic (pRHL). Using this tight integration, we give mechanized proofs of expected complexity of in-place implementations of randomized quickselect and skip lists. We also sketch applications of our approach to cryptographic proofs and discuss the broader impact of EHL in the EasyCrypt proof assistant.

Method for Evaluating the Effectiveness of Physical Education Classes Utilizing offline and Online Mobile Edge Computing

Convergence is occurring between the two fast-evolving domains of computing at the edge and artificial intelligence. The synergy between these two technologies seems like it may lead to even better results. In physical education (PE), neither students nor instructors are tied to a single place, and neither the curriculum nor the classes repeat themselves. That's why it's hard for conventional colleges to evaluate their PE courses accurately. This article uses an optimization model created for edge computing to improve the conventional way of assessing the efficacy of PE programs utilized by most schools. The goal of physical education programs in traditional schools is to improve students' overall health and well-being. Consequently, the ratio of final exam scores is given less weight in this teacher evaluation model than the proportion of students who fulfill the requirements for a physical fitness assessment. The study aimed to develop measures for evaluating the efficacy of kinesiology programs in two-year institutions. This approach enables continuous self-assessment of learning and provides immediate responses to teacher effectiveness. One method that might be utilized to fine-tune the setup is edge computing. Based on the findings of the experiments conducted, it seems that the PES designed for this research has the potential to gather student feedback and enhance the scholarly character of PE teaching objectives. The PES for use in inclusive universities presented in this study is a prime example of this. The edge-computation optimization strategy created for this architecture has the ability to decrease the network's transference amount of the total system by 20 percent while simultaneously improving efficiency by 15%.

Increasing Older Adults' Social Connectedness: Development and Implementation of a Web-Assisted Acceptance and Commitment Therapy-Based Intervention.

Abstract In this article, we will provide a rationale for a web-assisted acceptance and commitment therapy (ACT) approach to loneliness among older adults, drawing upon theories from the literature on adult development and aging, emotion regulation, and loneliness. The intervention program was developed using the principles of ACT, which is a cognitive behavioral approach and unified model of human behavior change and psychological growth. The ACT intervention focuses on developing nonjudgmental present-focused awareness of internal experiences (thoughts, emotions, and memories) through strategies such as acceptance and mindfulness rather than directly modifying or removing them per se. The ACT intervention appears well-suited to assist older adults in coping with the challenges of aging, as the focus is on an individual’s willingness to sit with internal experiences out of one’s control (ie, acceptance), stepping back from negative or critical thoughts and developing greater kindness toward oneself (ie, defusion), discerning what is most important to one’s true self (ie, values), and building larger patterns of effective action based on such values (ie, committed action). The ACT intervention was developed as a resource for older adults who are socially isolated or having difficulty with social connectedness. Eight modules comprise the web-assisted ACT intervention program, which includes reading materials, video clips, and activities. Each module is followed by a summary, a homework assignment, a short quiz to assess learning, and a moderated discussion with a coach. The intervention program begins with reconnecting participants with their values. The goal of the ACT intervention program is to foster flexibility in a participant’s behavior so they can behave consistently with their chosen values, rather than becoming locked into a pattern of behavior that is driven by avoiding distress or discomfort. The ACT intervention approach is both novel and innovative, as it is based on ACT and leverages a behavioral health web platform that is flexible and inclusive in its design. The ACT intervention aims to help older adults become more socially connected, less lonely, and more satisfied with their relationships with other people. The emphasis that ACT places on values and living life in accordance with one’s values renders it an approach ideally suited to older adults. Finally, recommendations for future research regarding this approach to addressing loneliness among older adults is addressed.

Edukasi Cuci Tangan Pakai Sabun Menggunakan Media Permainan Hand’s Card pada Siswa Sekolah Dasar

A number of behavior-based illnesses are linked to inadequate soap handwashing. This demonstrates how important it is to practice hand washing with soap (HWWS). Teaching children to wash their hands with soap at a young age is the goal of this education program. Children in school are the ideal audience for HWWS promotion activities since they are receptive to new information and eager to share it with others. This activity used the educational game method with Hand's Card media (picture cards) and installation of HWWS poster. This service was conducted on January 13 and 14, 2023, at five public elementary schools (SDN) in Bonto Matene Village, South Sulawesi: SDN 26 Mangkaca, SDN 9 Mangkaca, SDN 34 Citta, SDN 1 Segeri, and SDN 2 Segeri. Students in Bonto Matene Village's grade 4 elementary school are benefiting from this activity, as seen by their excitement and participation in HWWS instruction, as well as by the notable changes of knowledge (p-value0.05) that occur both before and after education. It is anticipated that students will be able to put HWWS into practice in order to foster a HWWS culture that can enhance health.

An anthropological history of Nepal’s Female Community Health Volunteer program: gender, policy, and social change

BackgroundCommunity health workers (CHWs) are central to Primary Health Care globally. Amidst the current flourishing of work on CHWs, there often is a lack of reference to history—even in studies of programs that have been around for decades. This study examines the 35-year trajectory of Nepal’s Female Community Health Volunteers (FCHVs).MethodsWe conducted a content analysis of an archive of primary and secondary research materials, grey literature and government reports collected during 1977-2019 across several regions in Nepal. Documents were coded in MAXQDA using principles of inductive coding. As questions arose from the materials, data were triangulated with published sources.ResultsLooking across four decades of the program’s history illuminates that issues of gender, workload, and pay—hotly debated in the CHW literature now—have been topics of discussion for observers and FCHVs alike since the inception of the program. Following experiments with predominantly male community volunteers during the 1970s, Nepal scaled up the all-female FCHV program in the late 1980s and early 1990s, in part because of programmatic goals focused on maternal and child health. FCHVs gained legitimacy as health workers in part through participation in donor-funded vertical campaigns. FCHVs received a stable yet modest regular stipend during the early years, but since it was stopped in the 1990s, incentives have been a mix of activity-based payments and in-kind support. With increasing outmigration of men from villages and growing work responsibilities for women, the opportunity cost of health volunteering increased. FCHVs started voicing their dissatisfaction with remuneration, which gave rise to labor movements starting in the 2010s. Government officials have not comprehensively responded to demands by FCHVs for decent work, instead questioning the relevance of FCHVs in a modern, medicalized Nepali health system.ConclusionsAcross public health, an awareness of history is useful in understanding the present and avoiding past mistakes. These histories are often not well-archived, and risk getting lost. Lessons from the history of Nepal’s FCHV program have much to offer present-day debates around CHW policies, particularly around gender, workload and payment.

No Matter Your Age, "It's Your Life, It's Your Choice": Compulsory Persuasion and Informal Rehabilitative Support in Youth and Adult Intensive Supervision Programs.

Although existing literature identifies that public protection and risk reduction are the primary goals of intensive supervision programs (ISP), little is known about how or whether rehabilitation of high-risk offenders is prioritized outside of enforcing court-mandated conditions. Using qualitative semi-structured interviews and focus groups within two Canadian metropolitan ISPs, our study explores how rehabilitative support is offered to youth and adult high-risk offenders in the absence of formal conditions. Using the framework of late-modern rehabilitation and compulsory persuasion, we draw on themes of offender responsibilization and coercion to interrogate the provision of informal rehabilitative support. Our findings indicate that officers negotiate "voluntary agreements" with select high-risk offenders, which hierarchicalizes them into two groups: those worthy of informal support and those who "choose" not to want to rehabilitate. We also find that youth and adults are treated similarly despite substantive differences between the types of crimes committed.

UAVs for improving seasonal vegetation assessment in arid environments

In the last few decades, revegetation strategies for ecosystem restoration have received great attention in dryland studies, especially those related to the restoration and revegetation of native desert plants to combat land degradation. Long-term monitoring and assessment are critical for the restoration programs to track the progress of the restoration program goals. The effectiveness and success of monitoring depend on the selected methods with respect to spatial and temporal scales. Traditional methods for vegetation monitoring are time-consuming, expensive, and require considerable labor efforts (manpower) in terms of field measurements, collecting samples, lab analysis, and the difficulty of accessing some study areas. Thus, satellite remote sensing images have been widely used to monitor land degradation and restoration programs using multispectral and hyperspectral sensors and indices such as NDVI, which is the most popular index for vegetation monitoring. However, such techniques showed many limitations when used in arid ecosystems, especially for seasonal vegetation assessments, which could mislead the monitoring and assessment of the restoration projects. This paper discusses lessons learned from previous research work, including the limitations of using satellite remote sensing in arid ecosystems and the use of UAV methods to overcome these issues and challenges to provide more accurate outcomes for seasonal assessment of vegetation in arid landscapes.

Analysing the Cost of Concentrated Feed and Income from Meat in Relation to Relative Growth Rate and Kleiber’s Ratio in Intensive Fattening of Latvian Dark-Headed Lambs

One of the goals of the breeding program of the Latvian national sheep breed Latvian dark-head (LT; Latvijas tumšgalve) is the improvement of meat productivity, in parallel with good reproduction characteristics. The main part of the costs is the cost of feeding, which can be reduced by raising sheep with high feed efficiency. This goal can be achieved by selecting sheep based on feed efficiency indicators. The fattening data of 100 LT lambs were analysed using the relative growth rate (RGR) and Kleiber’s ratio (KR) indicators. The statistical difference was determined between low- and high-efficiency groups by calculating the cost of concentrate feed and income from meat realisation. The difference in the cost of concentrate feed was found after 60-days of intensive fattening and on the day needed for fattening up to 50 kg of live weight of lambs. When calculating the income of lamb meat, the differences between low and high RGR and/or KR efficiency groups were established. Thus, selecting high-ranking RGR and KR sheep can improve the cost and/or income of LT sheep breeders in Latvia.

Access and Equity through the Greenbelt Venture Program

Summary This case study documents the development of the Greenbelt Venture program, a 10-week, youth leadership program providing youth from underserved neighborhoods in Staten Island, NY access to the local forest from the viewpoint of the educator. The case study discusses a unique pedagogical approach that centers equity and access to meet programmatic goals. The case study offers critical reflections on the development process and success metrics that enable the educators to overcome challenges and yield similar qualitative results as other comparable outdoor adventure programs despite the inner-city location. Information © CAB International 2024

Picking Apart a Program Evaluation Committee: A Multiple Case Study Characterizing Primary Care Residency Program Evaluation Committee Structure, Program Improvement, and Outcomes.

As of 2014, the Accreditation Council for Graduate Medical Education (ACGME) mandates initiating a Program Evaluation Committee (PEC) to guide ongoing program improvement.However, little guidance nor published reports exist about how individual PECs have undertaken this mandate. To explore how four primary care residency PECs configure their committees, review program goals and undertake program evaluation and improvement. We conducted a multiple case study between December 2022 and April 2023 of four purposively selected primary care residencies (e.g., family medicine, pediatrics, internal medicine). Data sources included semi-structured interviews with four PEC members per program and diverse program artifacts. Using a constructivist approach, we utilized qualitative coding to analyze participant interviews and content analysis for program artifacts. We then used coded transcripts and artifacts to construct logic models for each program guided by a systems theory lens. Results: Programs adapt their PEC structure, execution, and outcomes to meet short- and long-term needs based on organizational and program-unique factors such as size and local practices. They relied on multiple data sources and sought diverse stakeholder participationto complete program evaluation and improvement. Identified deficiencies were often categorized as internal versus external to delineate PEC responsibility, boundaries, and feasibility of interventions. The broad guidance provided by the ACGME for PEC configuration allows programs to adapt the committee based on individual needs. However, further instruction on program evaluation and organizational change principles would augment existing PEC efforts.

Lessons Learned from a National Hospital Antibiotic Stewardship Implementation Project

BackgroundThe goal of antibiotic stewardship programs (ASPs) is to ensure patients receive effective therapy while minimizing adverse events. To overcome barriers commonly faced in implementing successful ASPs, AHRQ established a multifaceted, nationwide Safety Program for Improving Antibiotic Use in 2018. This report summarizes the lessons learned from the implementation of this initiative based on structured interviews with ASP leaders. MethodsAt the completion of the one-year initiative, semi-structured exit interviews were conducted with site leaders at 151 of the 402 hospitals that participated. These interviews consisted of open-ended questions about the perceived effectiveness of components of the Safety Program. Qualitative analyses incorporated both deductive coding themes (based on existing literature) and an iteratively developed inductive coding framework (based on salient themes that emerged from a subset of interviews). ResultsSeveral components of the Safety Program were identified as effective in expanding local stewardship activities, including techniques and strategies to implement sustainable ASPs, access to Implementation Advisors to keep sites engaged, provision of local benchmarked antibiotic use data to compare to similar hospitals, and Safety Program materials such as the antibiotic time-out tool to integrate stewardship techniques into daily work flows. The biggest challenges to greater effectiveness were suboptimal frontline staff engagement and difficulty changing antibiotic prescribing culture. Some approaches used to overcome these barriers (i.e., peer-to-peer communication and education through team huddles, identifying physician champions, informal rounds to enhance collegiality and buy-in, and engagement of hospital leadership) were also identified. ConclusionsLessons learned from the Safety Program can be applied by other teams looking to promote an effective ASP at their hospital or system. The themes that emerged in this study likely also have relevance across a wide range of large-scale quality improvement initiatives.

Learning Strategies in Increasing the Interest in Memorizing Al- Qur'an Hafidzpreneur Students at Tazkia Institute Bogor

Tazkia Institute has been implementing the tahfidz program since 2017 until now. This program applies various learning strategies for memorizing the Qur'an to achieve the goals of the tahfidz program. The study aims to find out how learning strategies in increasing the interest in memorizing hafidzpreneur students are applied at Tazkia Bogor Institute. The method used by the author is with a qualitative descriptive approach. Data collected through observation, interviews, and documentation. This research is motivated by several factors so that student interest in memorizing the Qur'an decreases. Therefore, it is necessary to have a strategy for coaches in increasing students' interest in memorizing in order to complete the tahfidz and academic programs within four years. The results of this study indicate that the learning strategy in increasing interest in memorizing the Qur'an consists of: First, the planning stage in the form of curriculum preparation or tahfidz learning time system, Qur'an Camp activities, and memorization certification models. Second: the implementation of learning consists of initial activities opened with greetings and prayers to start tahfidz classes to core activities with memorization deposits to musyrifah until closing activities. Third: factors that influence students' interest in memorizing, fourth: efforts made by ustadz ustadzah by taking several approaches such as personal approach, general approach, and sharing sessions with students in order to encourage enthusiasm in memorizing.

Reducing inpatient opioid consumption after caesarean delivery: effects of an opioid stewardship programme and racial impact in a community hospital

Caesarean section is the most common inpatient surgery in the USA, with more than 1.1 million procedures in 2020. Similar to other surgical procedures, healthcare providers rely on opioids for...

IJCM_89A: Job satisfaction of anganwadi workers in Thrissur district

Background: India ranked 2nd in the world with over 47 per cent of its children exhibiting malnutrition. The sub-schemes of ICDS are supplementary nutrition, non-formal preschool education, immunization, health check-up and referral services. Attainment of ICDS programme goals depends upon the effectiveness of Anganwadi workers. This study was conducted with the objectives to know the job satisfaction of Anganwadi workers. Objectives: 1) To assess the level of Job Satisfaction of Anganwadi workers. 2) To find out any significant relationship of Job Satisfaction with Age, Educational qualifications and Experience Methodology: A cross sectional study was conducted among Anganwadi workers of Thrissur District. Total 120 Anganwadi workers (AWWs) were selected by convenience sampling. The data was collected after obtaining consent from the participants using semi structured questionnaire. Data entry was performed using Google Forms and was analysed using SPSS. Results: The results showed that, 21.7% of AWWs possessed low satisfaction, 45% with moderate satisfaction and 33.3% with high satisfaction. Among study participants, 48.3% were BPL and 51.7% were APL .65% have completed SSLC, 20.0% with Pre-degree,12.5% with Degree and 2.5% with Postgraduation. It was found that, socio-economic status and education have a significant relationship with job satisfaction. Whereas, age, family size, experience and training of the respondents found to be non-significant with job satisfaction of Anganwadi workers. Conclusion: Nearly one-fourth of AWWs had low satisfaction with their job and less than half of the respondents were extremely satisfied. The job satisfaction can directly influence their work performance.

The Effectiveness of Regional Regulation Number 19 of 2021 on Beggars and Buskers in Pontianak City

This study aims to assess the effectiveness of Regional Regulation No. 19 of 2021 in addressing the presence of beggars and buskers in Pontianak. Data sources include primary and secondary data, with analysis guided by Dunn's Evaluation Theory, focusing on five indicators: program understanding, target accuracy, timeliness, goal achievement, and real change. This theory elucidates the nexus between government decision-making and regulation implementation. Data were collected through observation, interviews, and document analysis as part of qualitative descriptive research. Informants, comprising Pontianak City social service employees, buskers, beggars, and community members, were selected using Purposive Sampling. The regulation was instituted in response to the fluctuating numbers of beggars and buskers in Pontianak from 2019 to 2023. Findings indicate a necessity for the regulation to better align with Effectiveness Indicators, notwithstanding commendable progress in actual change indicators. Nonetheless, further enhancements are required for the regulation to achieve optimal effectiveness.

Effectiveness of Motor Vehicle Tax Payment Services Through the SAMBARA Application at P3DW Cirebon Regency 1 Sumber

Information technology facilitates access and interactive communication. Digital-based public services cut queues and increase efficiency. Good governance requires excellent service. The SAMBARA application simplifies vehicle tax payments, provides information, and improves service effectiveness. The purpose of this study is to determine how effective the Motor Vehicle Tax Payment Service through the SAMBARA Application is at the Regional Revenue Management Center of Cirebon Regency 1 Sumber. This study applied a descriptive qualitative approach using data collection techniques such as observation, interviews, and documentation. Data analysis used is data reduction, data presentation, and conclusions. The informants of this research are regulators and the public who use the SAMBARA Application. The theory used is Campbell's theory with five indicators: Program Success, Goal Success, Program Satisfaction, Input and Output Levels, Overall Goal Achievement. The success of the SAMBARA Application program in paying Motor Vehicle Tax is influenced by practicality and efficiency, providing solutions for users by avoiding queues at service offices. Despite obstacles such as unstable internet connection, the success of this program depends on clear regulations and intensive socialization by related parties. The high level of satisfaction is reflected in its ease, speed, and practicality, increasing the effectiveness of services without consuming much time and human resources. The implementation of SAMBARA provides significant outputs by facilitating payments, reducing queues, and providing easy access to tax information. This success is a successful step in achieving organizational goals, increasing the regularity of tax payments, preventing the practice of brokers, and facilitating access to information for the public.