Trained Leaders Research Articles

Effectiveness of upgraded maternity waiting homes and local leader training on improving institutional births: a cluster-randomized controlled trial in Jimma, Ethiopia

BackgroundMaternity waiting homes (MWHs), residential spaces for pregnant women close to obstetric care facilities, are being used to tackle physical barriers to access. However, their effectiveness has not been rigorously assessed. The objective of this cluster randomized trial was to evaluate the effectiveness of functional MWHs combined with community mobilization by trained local leaders in improving institutional births in Jimma Zone, Ethiopia.MethodsA pragmatic, parallel arm cluster-randomized trial was conducted in three districts. Twenty-four primary health care units (PHCUs) were randomly assigned to either (i) upgraded MWHs combined with local leader training on safe motherhood strategies, (ii) local leader training only, or (iii) usual care. Data were collected using repeat cross-sectional surveys at baseline and 21 months after intervention to assess the effect of intervention on the primary outcome, defined as institutional births, at the individual level. Women who had a pregnancy outcome (livebirth, stillbirth or abortion) 12 months prior to being surveyed were eligible for interview. Random effects logistic regression was used to evaluate the effect of the interventions.ResultsData from 24 PHCUs and 7593 women were analysed using intention-to-treat. The proportion of institutional births was comparable at baseline between the three arms. At endline, institutional births were slightly higher in the MWH + training (54% [n = 671/1239]) and training only arms (65% [n = 821/1263]) compared to usual care (51% [n = 646/1271]). MWH use at baseline was 6.7% (n = 256/3784) and 5.8% at endline (n = 219/3809). Both intervention groups exhibited a non-statistically significant higher odds of institutional births compared to usual care (MWH+ & leader training odds ratio [OR] = 1.09, 97.5% confidence interval [CI] 0.67 to 1.75; leader training OR = 1.37, 97.5% CI 0.85 to 2.22).ConclusionsBoth the combined MWH+ & leader training and the leader training alone intervention led to a small but non-significant increase in institutional births when compared to usual care. Implementation challenges and short intervention duration may have hindered intervention effectiveness. Nevertheless, the observed increases suggest the interventions have potential to improve women’s use of maternal healthcare services. Optimal distances at which MWHs are most beneficial to women need to be investigated.Trial registrationThe trial was retrospectively registered on the Clinical Trials website (https://clinicaltrials.gov) on 3rd October 2017. The trial identifier is NCT03299491.

The George Washington University School of Medicine and Health Sciences.

The George Washington University School of Medicine and Health Sciences.

Retention of volunteers and factors influencing program performance of the Senior Care Volunteers Training Program in Jiangsu, China.

As the country with the largest aging population, China faces an enormous challenge with its elderly support and care. One of the proposed solutions is the development of volunteerism for elderly care. The Senior Care Volunteers Training Program (SCVTP) was initiated by the Red Cross Society of China with the purpose of training volunteers to care for community seniors. As one of the four pilot provinces, Jiangsu Province launched the program since 2017. The present study was conducted to investigate the dropout rate of trained volunteer group leaders, the characteristics of the retained trained volunteer group leaders and the activities that their groups conducted. Additionally, the exploration of the factors influencing the SCVTP's performance was listed as another aim. A cross-sectional study was designed. The study used purposive sampling to select participants who meet the criteria from all the trained volunteer group leaders (n = 623). Demographic questionnaire, volunteer role identity (VRI) scale, attitude toward helping others (AHO) scale, team climate and atmosphere (TCA) scale, and volunteer program performance evaluation (VPPE) questionnaire were used to collect the data online. Descriptive statistics were used to determine the dropout rate and general characteristics of the retained volunteers and the activities. A multiple linear regression equation was developed to study the factors that influence program performance. In total, 307 questionnaires were valid in the study. About 67.9%, 53.7%, and 30.0% of the trained volunteer group leaders dropped out of the program in the year of 2017, 2018, and 2019, respectively. The retained trained volunteer group leaders were more likely to be females (84.7%), those in excellent health (75.2%) and with a bachelor's degree or above (87.6%). Less attention has been paid to frailty care (n = 76) than other volunteer caring activities (e.g., safe care: n = 277, diet care: n = 250, drug management care: n = 226). VRI (β = 0.118, p = 0.017), AHO (β = 0.134, p = 0.021), TCA (β = 0.459, p<0.001), and financial sustainability (β = 0.179, p<0.001) affected the SCVTP's performance significantly (adjusted R2 = 0.356). High rate of trained volunteer group leaders' dropout should be brought to the policymaker's attention. The characteristics of the retained trained volunteer group leaders provide a useful reference for the recruitment of trainees in the future. Frailty care may need more training by the volunteer service provider. In order to enhance program performance, a better team climate and atmosphere, financial sustainability, and volunteers with appropriate attitude and role identity are also necessary for the volunteer program.

Partial methodology for assessing the level of methodological training of trainers during combat training of tank brigade during combat readiness

The experience of using tank brigade and units in the of anti-terrorist operation (ATO) and the operation of the Joint Forces (OJF), which are the main strike force of the Land Forces, indicates that their successful combat performance depends to a large extent on their combat capability. The level of preparedness of the brigade has a direct impact on combat capability.During combat renewal, combat training activities are conducted during which the training facilities acquire certain capabilities to perform combat missions. Due to the limited time involved in conducting combat training, methodological training of trainers has a significant impact on their level of training. This requires the search and implementation of new approaches to the quality of combat training activities by leaders of training in the course of combat readiness, which requires the development of a scientific and methodological apparatus to assess their level of methodological training. The article proposes a partial methodology for assessing the level of methodological training of leaders of training during combat training in the course of combat readiness, as part of a comprehensive methodology for assessing the effectiveness of combat tank training in the course of combat capability, which allows to take into account the impact of training leaders on the quality of training. The use of the proposed method allows the training subjects to quantify the level of methodological training of the trainers and to identify problems in the organization of their classes. The above methodology uses indicators that characterize the level of knowledge and skills of the head teacher in the subject of study, their experience in their classes and the availability of training courses to improve pedagogical skills.

Peer Leader Reflections on Promoting Discussion in Peer Group-Learning Sessions: Reflective and Practiced Advice through Collaborative Annual Peer-Advice Books.

As research has shown, collaborative peer learning is effective for improving student learning. Peer-led team learning (PLTL) is one well-known collaborative-group approach in which groups are facilitated by trained undergraduate peer leaders. This paper contributes to the literature on peer-leader training by examining how peer leaders for a large introductory science course translate their training into practice during their sessions. By conducting qualitative analysis on annual advice books written by emergent peer leaders, we examined the practiced advice and strategies of these peer leaders as they facilitate PLTL groups in a university-level general chemistry course. These advice books are passed on to future peer instructors, creating a community of practice between new and more experienced peer leaders. From the analysis, we discovered that peer leaders focus on developing robust student–student discussion during complex problem solving by 1) creating a community-oriented social and intellectual environment, 2) adapting their tactics and the collaborative-learning strategies to balance different personalities and promote equal participation among all students, and 3) modifying collaborative group approaches when facilitating their sessions. Also, in their correspondence across cohorts, peer leaders provided near-peer support to one another. These annual books disseminate practiced advice between peer-leader generations and are used during new peer-leader training.

A Walk in the Clouds: Cautionary Tales from a Century of Chemical Agent Work

There are few locations in the world more steeped in the history and culture of the manufacture and study of chemical warfare agents than Aberdeen Proving Ground (formerly Edgewood Arsenal). While serving as a chemical warfare agent production and filling facility during World War 1, Edgewood Arsenal became a melting pot of scientists, engineers, and soldiers that helped turn the tide of war in Europe. From these humble beginnings, Aberdeen has grown to become a world leader in research and training for a host of chemical warfare agent-related disciplines. What follows here is a brief overview of some of the more important (but lesser known) episodes in chemical warfare agent history that have occurred during our century-long tenure and how a younger generation can continue to learn from these lessons today.

Church-led Partnerships with Interfaith Religious Leaders and Government for Raising Awareness on Leprosy in Sri Lanka

Sri Lanka is a leprosy endemic country with one of the highest incidences of the disease globally. Low levels of leprosy awareness were identified as one of the reasons for high prevalence. In order to address this low awareness, inter-faith communities were mobilized by trained church leaders to work together to increase leprosy awareness, reduce stigma, and support people affected by leprosy, building strong relationships across inter-religious divides in the process. The efforts were highly successful with over 30,000 people involved in leprosy awareness events. This indicates that faith communities can be an important partner for development agencies and governments; churches can make an impact in improving health outcomes, even where the members are a persecuted minority, as well as contribute to inter-communal peacebuilding efforts.

Australian orthopaedic surgery training: Australian Orthopaedic Association's strategic education review.

The Australian Orthopaedic Association (AOA) is the peak professional body for orthopaedic surgeons in Australia and is responsible for their training and continuing medical education. The 2012 AOA strategic education review employed a gap analysis to identify issues and generate a roadmap for the enhancement of AOA's education and training activities. This paper describes the process and outcomes of this review, which led to the 'AOA 21' Education Re-design Project, and the review's relevance to surgical education in Australia. The AOA strategic education review was undertaken by international clinician education and orthopaedic experts, and involved AOA staff, fellows and trainee members throughout Australia. This review progressed through four phases: a review of current training; a global 'best-practice' perspective; a set of aspirational goals; and a roadmap for implementation. Seven key strengths (e.g. camaraderie in training and surgical skills teaching) and 15 challenges (e.g. 'non-technical' skills teaching, subjective methods of decision making and inadequate assessment practices) were identified in the review stage. Sixteen major recommendations for improvements incorporating current or emerging world's best education practices were targeted in an 8-year implementation framework. The AOA's strategic education review serves as a roadmap for other specialty training organizations to review their programmes and implement contemporary best practices in surgical training. The AOA 21 project has positioned orthopaedic surgery as a leader in competency-based surgical education and training in Australia.

Impact Of Transformational Leadership On Motivating Faculty Members

This empirical study show that the impact of all styles was well moderate. The means of effect of all styles were less than 3 out of 5. It means the expected impact of transformational affect upon the all dimensions of the activities, are not expected due to the traditional styles of leadership and the lack of information about the transformational leadership styles which can guide leaders to use such styles in the organization which may be this results due to lack of trained leaders and necessary knowledge with the leaders in all universities about transformational styles the traditional form of the leadership styles which used by the university leaders affect the communication between all levels of the administration and the faculty members which has consequence because decrease in motivation and a self-consideration from the administration.

\u201cPisando Fuerte\u201d: an evidence-based falls prevention program for Hispanic/Latinos older adults: results of an implementation trial

BackgroundWe previously developed Pisando Fuerte (PF), a linguistically and culturally appropriate version of “Stepping On”, an evidence-based fall prevention program building on self-efficacy and adult learning principles. The purpose of this study is to describe the implementation of PF at two community organizations in Wisconsin.MethodsPF consisted of 2 h sessions delivered in Spanish over the course of 8 weeks by two trained leaders, at two community sites in Wisconsin. Participants identified strategies for falls prevention and practiced progressive balance and strength exercises. The RE-AIM framework guided the mixed-methods evaluation. Falls Behavioral Risk Scale (FaB) (Outcomes), and uptake of protective behaviors (Individual Maintenance) were evaluated 6 months after completion. Fidelity of delivery (Implementation) was evaluated by an independent assessor for three sessions at each site using a-priori criteria based on key elements of Stepping On.ResultsTwenty-four Hispanic/Latino individuals, whose primary language is Spanish, were enrolled in two workshops. The mean age was 70.5 years; 71% were female, and five reported a fall in the year prior. Outcomes: There was a non-statically significant decrease in the number of falls per person [RR: 0.33 (95%CI: 0.096–1.13)] at 6 months. There was a statistically significant improvement of the mean Falls Behavioral Risk Scale (FaB) (baseline = 2.69 vs. 6-months post-intervention = 3.16, p < 0.001). Adoption: Barriers to adoption included leader training in English, time to identify Spanish-speaking guest experts, and time to prepare for each session. Implementation: Satisfactory fidelity of delivery was achieved in 69% of the elements; fidelity lapses were more common in the use of adult learning strategies and programmatic aspects. Eighty eight percent of participants completed the program, and 95% of them adequately demonstrated the exercises. Maintenance: At 6 months, 57.9% of participants continued doing exercises, 94% adopted safer walking strategies, and 67% executed at least one home safety recommendation. These results are similar to those seen in the original Stepping On program.ConclusionsOur study shows good fidelity of delivery with implementation of “Pisando Fuerte”. Pre-post data demonstrate a significant reduction in falls behavioral risk among Hispanic/Latino participants, similar to results with “Stepping On”.Trial registrationClinicalTrials.gov, NCT03895021. Registered March 29, 2019.

A religiously-tailored, multilevel intervention in African American churches to increase HIV testing: Rationale and design of the Taking It to the Pews cluster randomized trial

HIV continues to disproportionately impact African American (AA) communities. Due to delayed HIV diagnosis, AAs tend to enter HIV treatment at advanced stages. There is great need for increased access to regular HIV testing and linkage to care services for AAs. AA faith institutions are highly influential and have potential to increase the reach of HIV testing in AA communities. However, well-controlled full-scale trials have not been conducted in the AA church context. We describe the rationale and design of a 2-arm cluster randomized trial to test a religiously-tailored HIV testing intervention (Taking It to the Pews [TIPS]) against a standard information arm on HIV testing rates among AA church members and community members they serve. Using a community-engaged approach, TIPS intervention components are delivered by trained church leaders via existing multilevel church outlets using religiously-tailored HIV Tool Kit materials and activities (e.g., sermons, responsive readings, video/print testimonials, HIV educational games, text messages) to encourage testing. Church-based HIV testing events and linkage to care services are conducted by health agency partners. Control churches receive standard, non-tailored HIV information via multilevel church outlets. Secondarily, HIV risk/protective behaviors and process measures on feasibility, fidelity, and dose/exposure are assessed. This novel study is the first to fully test an HIV testing intervention in AA churches – a setting with great reach and influence in AA communities. It could provide a faith-community engagement model for delivering scalable, wide-reaching HIV prevention interventions by supporting AA faith leaders with religiously-appropriate HIV toolkits and health agency partners.

Building global partnerships through shared curricula for an MPH programme in India and Sri Lanka

ABSTRACTObjectiveTo design and implement a locally relevant competency­ based MPH programme.MethodsThe demand for trained public health professionals in South Asia is enormous and growing, which created a unique opportunity for a Fogarty International Center-funded University of Alabama at Birmingham-South Asia [Aga Khan University, Pakistan; Manipal Academy of Higher Education, India; and University of Kelaniya, Sri Lanka] international research training in environmental and occupational health (ITREOH) programme. In 2009, a Master of Public Health (MPH) degree programme was designed using a combination of competencies developed by the Association of School of Public Health, the World Health Organization and the Centers for Disease Control and Prevention.ResultsA competency­ based curriculum was developed with two specialty tracks in applied epidemiology and environmental and occupational health, emphasising applied practice and research.ConclusionsThis is the most comprehensive skill-based MPH programme in the region, which positions each institution as a regional leader in public health training. The success of the programme has been amply demonstrated by placements of graduated MPH students in leadership roles in public, private and academic sectors within their countries.

Need Assesment in Cooperative Development in West Java, Indonesia

Based on data from the West Java Provincial Office of Cooperatives and SMEs (2015), out of a total of 25,741 cooperatives in West Java, 8886 (35%) of them were inactive and 16,855 (65%) were active. Whereas in Bandung City the total cooperatives were 2538 cooperatives, 1200 active (47.3%) and 1338 (52.7%) inactive cooperatives. In West Java Province there are 3 education and training institutions that foster cooperatives namely Balatkop, Lapenkop and Puskopdit, which continuously foster cooperatives and SMEs in developing their businesses. The phenomenon of the number of cooperatives that are not active shows that the training programs delivered by the cooperative training institutions have not been optimal. This study aims to measure the process of analyzing the needs of education and training conducted by the three education and training institutions in conducting cooperative training for cooperatives management and members. The research method used is a survey method to cooperatives that have participated in training activities as well as interviews with instructors and leaders of the relevant training and education institutions. The results of the study show that, a) identification of needs (to determine material, prospective participants, resource persons) training and b) identification stages of training material needs have not met the operational standards that should be. Identification of resource persons has fulfilled the requirements of the principal duties and functions of the trainer. There has been no consolidation among the three implementing education and training institutions in the implementation of needs assessment so that it is still possible to overlap training materials. It is necessary to prepare a road map to identify needs to be able to formulate training plans and formulations for the management and members of cooperatives in an integrated manner by the three cooperative training institutions.

Milton’s Ideal Education and the Role of Literature

Milton defines ideal literature in terms of its performance of educational functions. Milton’s Of Education focuses on cultivating young leaders with inner virtues and practical skills based on Protestant doctrine and civic ethics. The necessity of Milton’s ideal education reflects the realities of England in the 1640s, which were expected to overcome historical turmoil and build the ideal Christian republic and millennial kingdom. This era was the time for trained and educated young men to be continually recruited to construct the ideal state. In this situation, Milton argues that Parliament should urgently design and implement the vitally appropriate educational programs necessary for training effectively noble and capable students. In Of Education, Milton places literature education at the end of a well-organized curriculum to achieve his educational goals. This order of curriculum takes the interests and abilities of the young men selected for such an education into consideration, but simultaneously demonstrates the importance of literature and its education. Milton claims that education should provide young leaders with the knowledge and love of God, the practical ability to adequately cope with both normal and emergent circumstances, and the ethical awareness to thoughtfully performing what is needed for both the private and public good. In this aspect, literature is the most suitable means of carrying out Milton’s ideal education, because literature can be used religiously, gloriously and magnificently, playing an integral role in all things relating to both the divine and the secular, the private and the public, the visible and the invisible. Ultimately literature and its education contribute decisively to establishing Milton’s ideal republic because his desired commonwealth can be alized essentially through highly trained young leaders and their tremendous capabilities supported by a complete and generous education, which is hard to achieve in actuality without a proper understanding of education in literature. In this sense, Milton’s literature has a solid educational significance and function.

Makna Hidup dalam Perspektif Cosmic Intellegence

&lt;p class="06IsiAbstrak"&gt;&lt;span lang="EN-GB"&gt;This study aims to get a clear picture of the meaning of life in the perspective of C.I (Cosmic Intelligence), this type of research is field research with the intent of the data used as a source of reference originating from the research location. The data sources used in this study are primary sources in the form of interviews with Cosmic Intelligence pioneers, teachers or leaders of Cosmic Intelligence training, and respondents or Cosmic Intelligence meditators, and secondary sources in the form of books on Islamic Psychology, Religious Psychology, Sufism and related psychology. . Techniques for collecting data through interviews or interviews, observation, and documentation. Furthermore, the data obtained was analyzed using data analysis methods, the process of simplifying data into forms that were easier to read and interpret. The results of the study show that someone who has undergone or practiced Cosmic Intelligence training in contemplative meditative dhikr, finds awareness, awareness of his existence on this earth, his awareness as a servant of Allah, the realization that he is the caliph of Allah, who must undergo duty of servitude (imaniyyah-ilahiyyah, ubudiyah ilahiyyah, ubudiyyah insaniyyah, mu'amalah insaniyyah) and undergo the task of the Caliphate or called the Cosmic Task. Continuing to apply these cosmic tasks in daily life that do not separate the fields of life between learning, worship, work, work (must be integral) will lead to an awareness of life, self evaluation, self-ability, motivation and purpose, awareness of life which will bring to the presence of the meaning of life.&lt;/span&gt;&lt;/p&gt;

Evaluation of a Peer-led Asthma Self-management Group Intervention for Urban Adolescents

PurposeThis paper describes the acceptability and generalizability of an evidenced-based peer-led asthma self-management program. Design and methodsAdolescents with persistent asthma (n = 259, ages 12–17 years) from three urban cities participated in a one day camp led by either trained peer leaders (n = 35, ages 16–20 years; intervention group) or healthcare professionals (control group). Participants completed a camp evaluation form, and the peer leader quality survey. ResultsOverall program evaluation showed high acceptability with average score of 4.5 (±0.87) out of 5 and no treatment group differences were found. Campers highly rated peer leaders' qualification, particularly trustworthiness (98%), knowledge (97%), and sense of humor (95%). Participants from low income families (annual income < $30,000) reported higher satisfaction with their camp experience being enjoyable compared to their counterparts from higher income families (X2 = 4.23, p ≤ .04). ConclusionsThis study supports the acceptability and generalizability of a peer-led asthma self-management program across different urban community locations, seasons and venues. Practice ImplicationsTrained peers can be as effective as adult educators in teaching adolescents asthma self-management.

Personnel Development in Chinese Innovation-Active Companies

This article is devoted to an analysis of the mechanisms and tools that promote innovative activity at Chinese companies. We describe and evaluate the model of the Chinese innovation ecosystem with its major subsystems and their interconnections. Personnel training and development are considered an element of the subsystem “Education” within the innovation ecosystem, which serve as tools for the formation of human resources to ensure the transformation of the national economy into a global center of innovation. The authors analyze the main challenges connected with level of development of the environment and the socioeconomic institutions that may impede the effective management of human resources and the various practices for training personnel at innovative companies in China. The data analyzed for this empirical study on training and development practices includes structured interviews at 60 medium and large innovative companies in China. Objective economic indicators of innovative activity were taken as measures. The analysis results allow one to identify four clusters of companies: “Innovators,” “Leader in Training,” “Stars,” and “Lagging behind,” describing the different company approaches to providing personnel training and development. Clusters vary in quantitative and qualitative indicators for personnel training and development processes, as well as economic indicators of innovation activity. The results prove that a relationship exists between approaches to personnel training and development and innovative activity results and suggest that training and development initiatives are effective tools for managing innovative companies.

Динаміка методичної підготовленості курсантів у процесі оптимізації фізичної підготовки

Актуальність. У процесі фізичного вдосконалення військовослужбовців бере участь велика кількість фахівців, але провідне місце в цьому належить командирам підрозділів. Їх підготовка до виконання обов’язків керівників форм фізичної підготовки розпочинається в стінах вищих військових навчальних закладів (ВВНЗ) у процесі фізичної підготовки. Формування методичної майстерності випускників ВВНЗ – це прямий внесок у методичне забезпечення фізичної підготовки у військах, необхідна передумова відмінної фізичної підготовки, яка є складовою частиною бойової. У наукових працях О. М. Лойка (2000, 2012), О. М. Ольхового (2005-2014), Є. Д. Анохіна (2010), С. В. Романчука (2015) та інших відзначено, що процес фізичної підготовки курсантів у ВВНЗ зводиться тільки до формування фізичних якостей. Завдання роботи – експериментально перевірити ефективність авторської програми методичної складової навчальної дисципліни «Фізичне виховання та спеціальна фізична підготовка» курсантів ВВНЗ у формуванні методичних умінь та навичок у майбутніх командирів військових підрозділів. Методологія проведення роботи – організований чотирирічний формувальний педагогічний експеримент. У ньому брали участь 60 курсантів (експериментальна група, n=30; контрольна група, n=30). Ефективність експериментальної концепції визначили, використовуючи зміни показників методичної та теоретичної підготовленості курсантів. Результати роботи. Розглянуто результати педагогічного формувального експерименту, які доводять ефективність авторської програми методичної підготовки. Установлено, що в курсантів контрольної групи протягом навчання у вищому військовому навчальному закладі в процесі дослідження за результатами динаміки середнього рівня методичної підготовленості покращилася на 0,3 бала (від 3,7 до 4,0 бала), при цьому достовірних змін не відбулось (t=1,28; р&gt;0,05). Доведено, що по закінченню експерименту в курсантів-випускників експериментальної групи різниця рівня методичної підготовленості складає 1,0 бала, порівняно з вихідним рівнем (від 3,6 до 4,6 бала), що є статистично достовірно (t=4,38; р&lt;0,001). Висновки. Програму вдосконалення методичної підготовленості в процесі фізичної підготовки у ВВНЗ рекомендуємо використовувати під час підготовки курсантів ВВНЗ.

Medical education and leadership: a call to action for Brazil's mental health system.

Medical education and leadership: a call to action for Brazil's mental health system.

Collaborative Formative Evaluation for Implementation of Primary Care–Based Peer Support in the Shanghai Integration Model

Peer support (PS) is effective in promoting diabetes self-management, but pragmatic models are needed for specific cultural contexts and healthcare systems. Although rare in China, recent government priorities have created opportunities for PS by encouraging the integration of specialty/hospital with primary/community care. In particular, the Shanghai Integration Model coordinates specialty/hospital care with primary care in Community Health Centers (CHCs), providing an organizational base for implementation of PS. This study reports formative evaluation for PS within the Shanghai model, emphasizing collaboration with CHCs. Intervention refinement was guided by structured interviews with 15 CHC staff and patients and a focus group with as well as monthly feedback from CHC staff. Based on these, the intervention emphasizes education on medication use, healthy diet, and sustaining physical activity among older adults, and addresses diabetes distress and barriers to insulin treatment. Results of this collaborative formative evaluation include focus on group as opposed to individual PS with theme-based, interactive activities co-led by CHC staff along with peer leaders. In addition, peer leaders follow-up with individuals and organize neighborhood activities for physical activity, healthy diet, and feelings of comradery. To date, PS has been implemented in 9 CHCs, involving 74 trained peer leaders, reaching 885 adults. Mean age is 68.24, years with diabetes is 12.52, and HbA1c lower than expected at 7.36%. Counter to common difficulties in reaching men, 41.1% are male. Only 14.2% are taking insulin but 75.9% take oral medications. Important implementation benchmarks include clinician buy-in, high retention, positive participant and peer leader feedback, and extension of programs through engagement with neighborhood residential committees. Collaboration with CHC staff in program refinement have been important in implementation success. Disclosure M.M. Coufal: Research Support; Self; Sanofi, Merck Foundation, Novo Nordisk Inc. P.Y. Tang: Research Support; Self; Sanofi, Merck Foundation, Novo Nordisk A/S. E.B. Fisher: Research Support; Self; Sanofi, Novo Nordisk Inc.. Consultant; Self; Novo Nordisk Inc.. Research Support; Self; Merck Foundation. W. Jia: None.