Training Program Research Articles

Empowering Medical Students by Facilitating Cardiopulmonary Resuscitation Training for Their Peer

Cardiopulmonary Resuscitation (CPR) training is an essential component of medical education, equipping students with life-saving skills to respond effectively in emergencies. Following a CPR training program, this study investigates the impact of medical students’ knowledge and confidence levels as they facilitate hands-on CPR sessions for their peers. Through a review of literature and empirical analysis, this research elucidates the benefits of peer-assisted learning in CPR education. Results indicate a significant improvement in both knowledge and confidence levels among facilitators following the CPR training program. Overall, the findings highlight the invaluable role of medical student facilitators in enhancing CPR training outcomes and fostering a culture of peer support and empowerment within the medical community. This study underscores the significance of integrating peer-assisted learning strategies into CPR education programs, providing medical students with opportunities for both personal and professional growth. By leveraging the expertise and enthusiasm of medical student facilitators, educators can enhance the effectiveness and sustainability of CPR training initiatives, ultimately contributing to improved patient outcomes and community resilience in emergencies.

Online Plain Language Tool and Health Information Quality: A Randomized Clinical Trial.

Complex and ineffective health communication is a critical source of health inequity and occurs despite repeated policy directives to provide health information that is easy to understand and applies health literacy principles. To evaluate the effectiveness of the Sydney Health Literacy Lab Health Literacy Editor, an easy-to-use online plain language tool that supports health information providers to apply health literacy guidelines to written health information. This randomized clinical trial, conducted online in Australia from May 2023 to February 2024, included a convenience sample of health information providers with no previous experience using the Health Literacy Editor. Analysts were blinded to study group. Participants were randomized 1:1 to the intervention or control group. Participants in the intervention group were provided access to the Health Literacy Editor and a 30-minute online training program prior to editing 3 prespecified health texts. The Health Literacy Editor gives objective, real-time feedback on words and sentences. Control participants revised the texts using their own standard health information development processes. The preregistered primary outcome was the text school grade reading score (using a validated instrument, the Simple Measure of Gobbledygook). Secondary outcomes were text complexity (percentage of text using complex language), use of passive voice (number of instances), and subjective expert ratings (5-point Likert scale corresponding to items on the Patient Education Materials Assessment Tool). A total of 211 participants were randomized, with 105 in the intervention group and 106 in the control group. Of 181 participants in the intention-to-treat analysis (mean [SD] age, 41.0 [11.6] years; 154 women [85.1%]), 86 were in the intervention group and 95 in the control group. Texts revised in the intervention group had significantly improved grade reading scores (mean difference [MD], 2.48 grades; 95% CI, 1.84-3.12 grades; P < .001; Cohen d, 0.99), lower text complexity scores (MD, 6.86; 95% CI, 4.99-8.74; P < .001; Cohen d, 0.95), and less use of passive voice (MD, 0.95 instances; 95% CI, 0.44-1.47 instances; P < .001; Cohen d, 0.53) compared with texts revised in the control group in intention-to-treat analyses. Experts rated texts in the intervention group more favorably for word choice and style than those in the control group (MD, 0.44; 95% CI, 0.25-0.63; P < .001; Cohen d, 0.63), with no loss of meaning or content. In this randomized clinical trial, the Health Literacy Editor helped users simplify health information and apply health literacy guidelines to written text. The findings suggest the tool has high potential to improve development of health information for people who have low health literacy. As an online tool, the Health Literacy Editor is also easy to access and implement at scale. ANZCTR Identifier: ACTRN12623000386639.

Effects of Bulgarian bag training on bio-motor fitness, physiological, haematological, and performance in young adult male Kabaddi players

Kabaddi demands high bio-motor fitness and physiological robustness in players. The Bulgarian Bag, known for its dynamic training potential, offers multi-planar movements to enhance strength, endurance, and coordination. However, its impact on Kabaddi players still needs to be explored. To assess the effects of Bulgarian Bag training (BBT) on bio-motor fitness, physiological, hematological, and performance measures in young adult Kabaddi players. A total of 30 participants were randomly assigned to either the BBT Group (BBTG) (n = 15; age = 20.73 ± 1.83 years; weight = 72.56 ± 7.27 kg; height = 175.20 ± 6.03 cm) or the active Control Group (CG) (n = 15; age = 20.80 ± 1.69 years; weight = 71.86 ± 4.75 kg; height = 171.46 ± 6.06 cm). The training intervention lasted 12 weeks and was conducted during the in-season period. All outcome parameters tests were conducted before and after the intervention, including agility (AG), explosive strength (ES), shoulder strength (SS), muscular strength (MS), resting heart rate (RHR), VO2max, red blood cells (RBC), white blood cells (WBC), hemoglobin (HG), and playing ability (PA). The ANCOVA analysis revealed significant between-group differences in all physical fitness measures at post-test. Specifically, the BBTG showed significant improvements in AG, ES, SS, MS, RHR, VO2Max, RBC, WBC, HG, and PA (d = 0.75 to 3.28; Δ0.50% to 16.37%). Moreover, the BBTG group significantly reduced resting heart rate (d = 0.75; Δ-3.31%). In contrast, no significant changes were reported in the Control Group (CG) between pre- and post-tests (d = 0.00 to 0.78; Δ-0.08% to 4.59%). Integrating BBTG into the training program of young adult male Kabaddi players yielded beneficial effects across multiple parameters of bio-motor fitness, physiological, hematological, and playing ability. The findings reveal the potential of BBTG as a valuable training method for enhancing Kabaddi performance and overall athletic conditioning. Keywords: Kabaddi Player, Bulgarian bag training, bio motor, physiological, haematological

The role of graphics tablets in the development of artistic and creative abilities of preschool children in multicultural education

ABSTRACT The development of graphic skills in preschool children is of great significance for their overall development, as well as for the enhancement of attentiveness and coordination abilities. The objective of this study is to examine methods for fostering artistic and creative skills among students within the framework of multicultural education through the use of graphics tablets. The authors conducted a four-month training program focused on drawing skills using graphics tablets, which involved studying the culture of China, Asian, and European countries through various art forms, as well as the basics of color science. Upon completion of the course, the authors found that 89% of children and 84% of parents responded positively to this type of training, as it allowed the children to effectively master drawing. However, there were certain technical skills gaps, such as a lack of accuracy in drawing angles, too large or too small drawings, and a lack of accuracy in drawing lines to given points. These gaps were eliminated as a result of studying additionally developed recommendations. The practical significance of this study lies in the search for effective mechanisms to develop drawing skills using graphics tablets in preschool education.

Assessment of Constraints and Suggestion Insights from Beneficiaries of Centrally Sponsored Agricultural Schemes: A study of PKVY, PMKSY and SHC in Vidarbha Region of Maharashtra, India

The present study focused on assessing the constraints faced by the beneficiaries of centrally sponsored agricultural schemes namely Paramparagat Krishi Vikas Yojana (PKVY), Pradhan Mantri Krishi Sinchayee Yojana (PMKSY), and the Soil Health Card Scheme (SHC) and invited suggestions from them to overcome the constraints. For the proposed study, 60 beneficiary farmers were selected from Amravati districts and 60 beneficiary farmers were selected from Buldhana districts in Vidarbha region of Maharashtra for each scheme. Thus, for the three schemes, a total of 360 beneficiary farmers were selected. In the case of PKVY beneficiaries, the major constraints faced were lack of proper marketing channel for organic produce, lack of sustainability in the reduction of cost of organic cultivation and reduced productivity of organic farm produce even after conversion period. Whereas, in the case of constraint faced by PMKSY beneficiaries, the first constraint faced by the beneficiary was longer time for getting the subsidy credited, followed by lack of increase in the sources of irrigation and load shedding of electricity. In the case SHC beneficiaries, the major constraint faced were long time gap between soil sample collection and issuing SHC, difficulty to comprehend the information and follow the recommendations provided in SHC and lack of effective training and demonstrations provided to farmers about soil health. In the case of PKVY beneficiaries, majority of them (74.17%) gave the suggestion for establishment of proper marketing channel for organic produce, followed by 34.17 per cent of them suggested the strengthening of farmer groups and developing them into Farmer Producer Organizations (FPOs). Whereas in the case of PMKSY beneficiaries, 84.17 per cent of them suggested to ensure timely crediting of subsidies, followed by expansion of irrigation infrastructure through the construction of water harvesting structures such as check dams, farm ponds, tanks and bore wells (59.16%). In the case of SHC beneficiaries, majority of them (85.83%) gave the suggestion to speed up the process of issuing Soil Health Cards and 71.66 per cent suggested for training programs and field level demonstrations focused on soil health and the practical application of SHC recommendations to improve farmers' knowledge and skills.

The Futuristic Entrepreneurial Actions for Tribal Farmers of North-east India

The North-East region of India, with its rich cultural diversity and biodiversity, is especially well-suited for agricultural growth. Given its potential, one would expect this region to be at the forefront of agri-entrepreneurial activities. Additionally, with the last few years, agriculture and its supplementary sectors became crucial components of entrepreneurial projects buoyed up by the existing need for sustainable food production, appropriate management of resources, and improving the living standards in rural areas. However, this expectation contrasts with findings from Micro, Small &amp; Medium Enterprises (MSMEs) studies for North-East region of India. Therefore, the study aimed to identify future entrepreneurial actions in the Mishmi Hills of Arunachal Pradesh. Using an open-ended questionnaire, the researchers employed a triangulation approach to analyse potential ventures in the region. The study identified ten key entrepreneurial actions. Agro-tourism emerged as the top choice among local tribal farmers, while the commercialization of Mishmi teeta (a traditional medicinal plant) was ranked highest by experts in the region. These findings offer valuable insights for stakeholders in the region. The study highlights the entrepreneurial interests of tribal farmers and suggest areas for entrepreneurial policy development in the region. Additionally, the findings also offer actionable insights for designing training programs or policy initiatives aiming to empower tribal farmers through entrepreneurship in agricultural and allied sector.

Revisiting Student Stories: Understanding Microaggressions and Interpersonal Conflict Within Speech-Language and Hearing Sciences Training Programs.

The current study revisits our previous research, delving deeper into microaggressions (MAs) and interpersonal conflict (IC) in speech, language, and hearing sciences (SLHS) training programs. Participants came from both marginalized and nonmarginalized backgrounds. A 39-item electronic survey based on our previous research was distributed online to 236 participants of current and former SLHS students through social media and e-mail listservs. Students that identified as belonging to marginalized and nonmarginalized groups reported high levels of MAs and IC, respectively. Linear regression revealed that the more marginalized identities a participant reported, the more aggression they experienced. Analyses also suggest that specific cultural and linguistic identities more likely predicted experiencing specific types of MAs than others. MAs and IC were largely underreported. This study highlights the quantifiable prevalence of MAs and IC in SLHS training programs. It underscores the urgent need for targeted interventions to address systemic inequities. Overall, these findings emphasize the importance of fostering an inclusive and equitable environment in SLHS, promoting cultural competence, and social justice in the professions. https://doi.org/10.23641/asha.27105613.

Preserving and promoting national cultural identity for students majoring in the University of Greenwich Vietnam’s Graphic and Digital Design in an international University environment

In terms of development and integration of globalization, Vietnam has many qualities of international universities with international standard training programs, which prestigious educational accreditation organizations have recognized. Students have the opportunity to study entirely in English and in an advanced learning environment, which is a great advantage for learners in accessing international education. Research on Preserving and promoting national cultural identity for students majoring in the University of Greenwich Vietnam’s Graphic and Digital Design in an international University environment aims to emphasize the importance of national cultural identity in development, current globalization integration, especially for students studying international training programs that do not have specific subjects on national history and cultural traditions. From there, the topic proposes a number of solutions to raise learners' awareness of preserving and promoting national cultural identity in future professional activities. The research used analysis, synthesis, and interdisciplinary methods such as cultural studies, ethnology, and fine arts. This paper aims to contribute to the study of solutions to preserve national cultural identity in the context of today's international integration

Transitioning to rural practice together: a rural fellowship model (in 6 Ps).

Maintaining a robust healthcare workforce in underserved rural communities continues to be a challenge. To better meet healthcare needs in rural areas, training programs must develop innovative ways to foster transition to, and integration into, these communities. Mountain Area Health Education Center designed and implemented a 12-month post-residency Rural Fellowship program to enhance placement, transition, and retention in rural North Carolina. Utilizing a '6 Ps' framework, the program targeted physicians and pharmacists completing residency with the purpose of recruiting and supporting their transition into the first year of rural practice. To better understand Rural Fellows' experiences and the immediate impact of their Fellowship year, we conducted a semi-structured interview using a narrative technique and evaluated retention rates over time. Interviews with the eight participants, which included Fellowship alumni and current Fellows, demonstrated the impact and influence of the key curricular '6 Ps' framework. An early retention rate of 100% and a long-term retention rate of 87%, combined with expressed clarity of curricular knowledge, skills, and attitudes related to the '6 Ps', demonstrate the potential and effectiveness of this Rural Fellowship model. Participants indicated the Rural Fellowship experience supports the transition to rural practice communities and expands their clinical skills. The Rural Fellowship program demonstrates an effective model to support early career healthcare providers as they begin practice in rural communities in western North Carolina through academic opportunities, personal growth, and professional development. Implementation of this model has demonstrated the success of a rural retention model over a 6-year period. This model has the potential to target an array of clinical providers and disciplines. We started with family medicine and have expanded to psychiatry, obstetrics, pharmacy, and nursing. This study demonstrated that this model supports clinical providers during the critical transition period from residency to practice. Targeting the most important stage of one's medical training, the commencement of professional practice, this is a scalable model for other rural-based health professions education sites where rural recruitment and retention remain a problem.

Effect of Environmental Awareness-Based Education on Environmental Attitudes of Nursing Students: A Randomized Controlled Study.

This study was conducted to determine the effect of environmental awareness-based education given to nursing students on their environmental attitudes. This study was designed in a parallel-group 1:1 single-blind randomized controlled experimental design. The study was conducted with 110 nursing students studying at a state university in Turkey between November 1, 2023, and March 15, 2024. Data were collected using a personal information form and the Environmental Attitude Scale. Data were analyzed using SPSS 25.0 and G Power 3.1.9.7 software. After the training program was applied to the students, it was found that the mean score of the environmental attitude scale of the experimental group was significantly higher than the control group (p < 0.05). It was found that the posttest mean score of the experimental group's environmental attitude scale was higher than the pretest (p < 0.05). It was observed that the environmental awareness-based education program given to nursing students had a positive effect on environmental attitude. Longitudinal studies on environmental attitude are recommended. ClinicalTrials.gov identifier: NCT06169189.

Clinicians’ roles and necessary levels of understanding in the use of artificial intelligence: A qualitative interview study with German medical students

BackgroundArtificial intelligence-driven Clinical Decision Support Systems (AI-CDSS) are being increasingly introduced into various domains of health care for diagnostic, prognostic, therapeutic and other purposes. A significant part of the discourse on ethically appropriate conditions relate to the levels of understanding and explicability needed for ensuring responsible clinical decision-making when using AI-CDSS. Empirical evidence on stakeholders’ viewpoints on these issues is scarce so far. The present study complements the empirical-ethical body of research by, on the one hand, investigating the requirements for understanding and explicability in depth with regard to the rationale behind them. On the other hand, it surveys medical students at the end of their studies as stakeholders, of whom little data is available so far, but for whom AI-CDSS will be an important part of their medical practice.MethodsFifteen semi-structured qualitative interviews (each lasting an average of 56 min) were conducted with German medical students to investigate their perspectives and attitudes on the use of AI-CDSS. The problem-centred interviews draw on two hypothetical case vignettes of AI-CDSS employed in nephrology and surgery. Interviewees’ perceptions and convictions of their own clinical role and responsibilities in dealing with AI-CDSS were elicited as well as viewpoints on explicability as well as the necessary level of understanding and competencies needed on the clinicians’ side. The qualitative data were analysed according to key principles of qualitative content analysis (Kuckartz).ResultsIn response to the central question about the necessary understanding of AI-CDSS tools and the emergence of their outputs as well as the reasons for the requirements placed on them, two types of argumentation could be differentiated inductively from the interviewees’ statements: the first type, the clinician as a systemic trustee (or “the one relying”), highlights that there needs to be empirical evidence and adequate approval processes that guarantee minimised harm and a clinical benefit from the employment of an AI-CDSS. Based on proof of these requirements, the use of an AI-CDSS would be appropriate, as according to “the one relying”, clinicians should choose those measures that statistically cause the least harm. The second type, the clinician as an individual expert (or “the one controlling”), sets higher prerequisites that go beyond ensuring empirical evidence and adequate approval processes. These higher prerequisites relate to the clinician’s necessary level of competence and understanding of how a specific AI-CDSS works and how to use it properly in order to evaluate its outputs and to mitigate potential risks for the individual patient. Both types are unified in their high esteem of evidence-based clinical practice and the need to communicate with the patient on the use of medical AI. However, the interviewees’ different conceptions of the clinician’s role and responsibilities cause them to have different requirements regarding the clinician’s understanding and explicability of an AI-CDSS beyond the proof of benefit.ConclusionsThe study results highlight two different types among (future) clinicians regarding their view of the necessary levels of understanding and competence. These findings should inform the debate on appropriate training programmes and professional standards (e.g. clinical practice guidelines) that enable the safe and effective clinical employment of AI-CDSS in various clinical fields. While current approaches search for appropriate minimum requirements of the necessary understanding and competence, the differences between (future) clinicians in terms of their information and understanding needs described here can lead to more differentiated approaches to solutions.

Evaluation of chiropractic students' knowledge and attitudes following pain interventions: A randomized educational trial at 2 institutions.

To examine chiropractic students' attitudes regarding knowledge of pain neuroscience, chronic pain, and patient-centered care before and after educational interventions. Secondarily, this study aimed to compare measures of these skills between cohorts at different timepoints throughout training programs. Using stratified randomization, 281 Year 3 chiropractic students at 2 institutions were allocated into 1 of 3 educational interventions and served as active-control comparison groups: pain neuroscience education, chronic pain education, or patient-centered care. Participants completed validated surveys regarding their experience with the education interventions immediately pre- and post-lecture and 12 weeks after completion. For further comparison, surveys were also completed by 160 Year 1 students and 118 Year 2 students at 1 of the institutions. Independent sample t tests and 1-way analysis of variance were used for data analysis. All Year 3 lecture groups showed immediate improvements (pain neuroscience education: 3.99 + 3.09/100, p = .18 [95% CI: 10.10 to -1.77]; chronic pain education: 0.42 + 0.74/7, p = .02 [95% CI: 0.72 to 0.07]; patient-centered care: 0.25 + 0.12/6, p = .05 [95% CI: 0.12-0.51]), but these were not sustained at the 12-week follow-up (pain neuroscience education: -6.25 + 4.36/100, p = .15 [95% CI: 14.93 to -2.42]; chronic pain education: 0.33 + 0.16/7, p = .19 [95% CI, 0.66 to 0.01]; patient-centered care: 0.13 + 0.13/6, p = .30 [95% CI: 0.41 to -0.13]). Compared to active controls, only the patient-centered care group showed an immediate statistically significant difference. While this study found that immediate improvement in targeted competencies is possible with focused interventions, they were not sustained long term.

Trends of European School of Urology (ESU) training and resident education: an overview of 2 decades of EAU education programme.

Over the last 2 decades, various education and training programmes have been launched by the European School of Urology (ESU) on behalf of the European Association of Urology (EAU) Education Office. These include e-learning platforms, in-person meetings, courses, podcasts, webinars, sub-specialisation meetings and the European Urology Resident Education Programme (EUREP), all of which aim to achieve standardisation in urological education (SISE) and training at the highest level. Data from the last 2 decades of all ESU activities were collected by the EAU/ESU office and analyzed for attendance, geographical, gender and age trends. Demographic data on registrations and attendances at EUREP were also monitored and analysed. A descriptive analysis of participation and trends is provided. A total of 4750 participants have completed ESU courses (including guideline courses, specialization courses and webinar courses). Similarly, a total of 5958 trainees attended the EUREP from 2004 to 2022 of which the male: female ratio was 3.75:1. However, the proportion of females increased 3.5-fold from 10.7% in 2004 to 37.1% in 2022(p < 0.001). There is a growing interest in the meeting, with increasing registrations over this time (353 in 2004 to 599 in 2023, p < 0.001). The mean age of participants is constantly decreasing (32.6 years in 2004 to 31.54 in 2022), with a mean yearly decrease of -0.18% (p < 0.001). ESU courses have had increasing interest and participation from young urologists worldwide. During EUREP, while the trainee age has decreased, there has been a surge in the proportion of female trainees. ESU is providing all modes of education and training across the world with both virtual and in-person meetings and courses, which would help in the development and preparation of urologists of the future and provide the best patient care.

Preparing graduates for the job market: A strength-based skill development approach

Orientation: The lack of skills, such as communication and teamwork among graduates, is a major concern for employers. Graduates should prioritise developing skills in demand for the evolving job market.Research purpose: The purpose of the study was to explore the impressions of graduates regarding the skills they need to enter the job market and to develop and present a strength-based skills training programme for graduates in the South African labour market.Motivation for the study: Graduates can be equipped through a strength-based approach, which could assist them in applying their strengths to find employment in the South African labour market.Research design/approach and method: A qualitative research approach with a social constructivism paradigm was used. The participants were unemployed graduates, with a sample size of N = 10. Data was collected by using qualitative surveys captured on the QuestionPro platform. Thematic analysis was used to analyse the data.Main findings: The findings highlight the challenges faced by unemployed graduates. The participants reported feeling empowered by the training programme, helping them recognise and utilise their skills and strengths.Practical/managerial implications: The study highlighted that a strength-based training program for unemployed graduates could enhance the skills necessary for employment, such as self-awareness and emotional intelligence. A comprehensive understanding of the barriers to decent work is crucial for developing interventions to equip graduates for the labour market.Contribution/value-add: This research provides a basis for training and developing unemployed graduates from a strength-based perspective.

Modeling motorcycle crash-injury severity utilizing explainable data-driven approaches

ABSTRACT Motorcycle crashes remain a significant public safety concern, requiring diverse analytical approaches to inform countermeasures. This study uses machine learning to analyze injury severity in crashes in Thailand from 2018 to 2020. Traditional and advanced models, including including random forest (RF), support vector machine (SVM), deep neural network (DNN), recurrent neural network (RNN), long short-term memory (LSTM), and eXtreme gradient boosting (XGBoost), were compared. Hyperparameter tuning via GridSearchCV optimized performance. XGBoost, with a tradeoff score of 105.65%, outperformed other models in predicting severe and fatal injuries. SHapley Additive exPlanations (SHAPs) identified significant risk factors including speeding, drunk driving, two-lane roads, unlit conditions, head-on and truck collisions, and nighttime crashes. Conversely, factors such as barrier medians, flashing traffic signals, sideswipes, rear-end crashes, and wet roads were associated with reduced severity. These findings suggest opportunities for integrated infrastructure improvements and expanded rider training and education programs to address behavioral risks.

MLA Research Training Institute (RTI) 2018 and 2019: participant research confidence and program effectiveness

Objective: The article reports on an assessment of the effectiveness of the MLA Research Training Institute (RTI) for the years 2018 and 2019. The RTI is a year-long continuing education research methods training and support program for health sciences librarians. The study focuses on assessing RTI participants' research confidence after program completion and compares these results with their perceptions of workshop/program performance and learning outcomes. In addition, the authors discuss how the findings were applied to inform and improve the program. Methods: The study used a 26-item questionnaire, RTI Research Confidence Questionnaire, to gather information on participants’ self-reported research confidence before the workshop, immediately after the workshop, and one year after the workshop to determine statistically significant differences. Differences in research confidence were identified by using three nonparametric statistical tests. Additional workshop and program surveys were used to corroborate the research confidence findings. Results: Post-workshop and one-year-after-workshop research confidence ratings were significantly higher than pre-workshop levels for years 1 and 2. A comparison of median ratings between years 1 and 2 showed significant increases in research confidence for nine items in year 2. Participants’ positive perceptions of workshop/program effectiveness and learning outcomes corroborated these findings. Conclusion: Overall assessment findings indicated that RTI training helped participants understand, use, and apply research skills to conduct research. Findings also revealed that participants’ heightened research confidence persisted at least 12 months postintervention. The RTI Research Confidence Questionnaire proved effective for rigorously assessing and improving the RTI program. This study enhances the currently limited evidence on evidence-based approaches for assessing and improving research instruction for librarians.

Micro-loans, macro-impacts: Examining the reverberating gains for Habru Woreda’s small-scale agrarian households.

Background Most people in third-world countries are impoverished and rely on small-holder farming as a source of income. Due to a lack of working capital to diversify their sources of income and acquire new sources, farmers are highly dependent on financial institutions to access microcredit. Method This study utilized logistic regression and propensity score matching methods to analyze the primary data collected from a sample of 385 household heads. Results The Estimation results of the study shows that Gender, age, family size, and education, access to irrigation, extension services, dependency ratio, and distance to credit sources were among the significant determinants of access to microcredit service. Conclusion Although microcredit led to an increase in household spending, real asset holdings did not improve. In addition to the need for supplementary interventions like financial literacy training and asset-building programs to encourage asset accumulation among these small-scale agrarian households, high interest rates and repayment burdens are blamed for this uneven result.

Optimizing Resistance Training for Sprint and Endurance Athletes: Balancing Positive and Negative Adaptations.

Resistance training (RT) triggers diverse morphological and physiological adaptations that are broadly considered beneficial for performance enhancement as well as injury risk reduction. Some athletes and coaches therefore engage in, or prescribe, substantial amounts of RT under the assumption that continued increments in maximal strength capacity and/or muscle mass will lead to improved sports performance. In contrast, others employ minimal or no RT under the assumption that RT may impair endurance or sprint performances. However, the morphological and physiological adaptations by which RT might impair physical performance, the likelihood of these being evoked, and the training program specifications that might promote such impairments, remain largely undefined. Here, we discuss how selected adaptations to RT may enhance or impair speed and endurance performances while also addressing the RT program variables under which these adaptations are likely to occur. Specifically, we argue that while some myofibrillar (muscle) hypertrophy can be beneficial for increasing maximum strength, substantial hypertrophy can lead to macro- and microscopic adaptations such as increases in body (or limb) mass and internal moment arms that might, under some conditions, impair both sprint and endurance performances. Further, we discuss how changes in muscle architecture, fiber typology, microscopic muscle structure, and intra- and intermuscular coordination with RT may maximize speed at the expense of endurance, or maximize strength at the expense of speed. The beneficial effect of RT for sprint and endurance sports can be further improved by considering the adaptive trade-offs and practical implications discussed in this review.

Game at School? Italian Teachers' Perceptions of the Introduction of Games in the Classroom

The growing awareness that games can be a very valuable training support, both as a resource to engage and motivate and to promote acquisition of disciplinary knowledge and skills, has not been accompanied by an effective diffusion of games in Italian schools. From primary school to university, an ambivalent behaviour is manifested: a widespread appreciation of games as a learning environment is contrasted with a limited application, often reduced to the use of games or online software of a behavioural matrix. An analysis of research on the use and diffusion of games in Italian schools and universities highlights the lack of recent studies on the basic didactic-pedagogical knowledge, level of acceptance and confidence of teachers regarding the introduction of games in the classroom. The goal of this contribution is to provide an updated understanding of Italian teachers' competencies related to the formative use of games. To this aim, we developed a survey adapting to the Italian context one of the most established competence frameworks for game-based learning (GBL): the Technological Pedagogical Content Knowledge-Games (TPACK-G), a variant of TPACK specifically modified for the analysis of games. This new tool extends to non-digital games and integrates the sections on aspects related to game-based instructional design, game scenarios, and the role of the teacher in the instructional activity. This research will not only provide an updated look at how the prevalence of play in the classroom is changing, beyond simple manifestations of interest and trends, but also reveal how the approach to games is changing in the design of educational activities and what is the degree of awareness of the game pedagogical-educational skills necessary for the introduction of games in education. This, in turn, is instrumental for the development of new and more focused teacher training programs to promote the use of games in classrooms.

Indie Games for Ethical and Socioemotional Development in Secondary Education

Video games, particularly those developed in the independent scene, are a form of media with great educational possibilities. This work in progress will be completed in three years and it aims to improve teachers video game literacy and help them implementing activities for ethical and socioemotional development (European key competencies 5 and 6) through indie games. Therefore, through design-based research and mixed-method designs, it aims to achieve three goals: (O1) identify the perception and meaning-making processes that teachers and students have about videogames and learning through video games; (O2) design a measurable training program for teachers around the educational possibilities of indie games and help them implement activities for ethical and socioemotional development; and (O3) evaluate the programs impact based on the indicators of key competencies 5 and 6. The project is in its first phases and it will be developed in the next three years. First, representative samples of each agent will be accessed to analyze their beliefs, types of knowledge, and practical experience in the field. Subsequently, four independent video games that promote key competencies 5 and 6 will be selected, and classroom activities will be designed for each of them. Next, teachers from four high schools in Spain (Cantabria, Baleares, Andalucía and Catalonia) will be trained in the use of the educational resources, and they will be accompanied in its implementation with students. Finally, the programs impact on students will be evaluated based on various psychological variables associated with key competences 5 and 6 (e.g., empathy, emotional identification, civic skills, etc.) as well as the participants perceptions of the experience, enabling the generation of design principles for future iterations and for the programs scalability.