Training Content Research Articles

Development of a multi-level assistive technology focused technology translation training program

ABSTRACT A three-level training intervention was developed using the Quality Implementation Framework (QIF) to increase technology transfer of rehabilitation technologies to market. Thirty-two teams completed Level 1, 14 completed Level 2, and 6 completed Level 3. The validated Technology Transfer Readiness Assessment Tool (TTRAT) measured teams’ technology transfer progress and the effectiveness of the training program. Teams that completed at least two training levels demonstrated increased technology transfer readiness. Additional team outcomes include receiving other federal awards, FDA designations, and generating sales. Future work includes measuring teams’ progress relative to participant demographics and developing additional training content based on gaps in technology transfer readiness. The multi-level training initiative shows it is a promising foundation for training researchers and aspiring entrepreneurs on technology transfer and subsequent technology transfer outcomes.

THE EFFECT OF TRAINING EFFECTIVENESS ON INDIVIDUAL WORK PERFORMANCE IN BUSINESS ORGANIZATIONS IN CAMBODIA

On-the-job training or off-the-job training are considered training effectiveness which is very crucial for all employees to have earned more skills and knowledge to improve work performance for effective outcomes. Since some employers are not much concerned about training programs for their employees in business organizations which result in poor work performance. Therefore, this study aims to measure the training effectiveness which impacts on individual work performance in business organizations in Cambodia. Quantitative research has been employed in this study with descriptive and inferential data were analyzed. Simple and multiple regressions are used in order to test the training effectiveness variables on individual work performance. The study has constructed the valid questionnaires to survey 200 participants with different business organizations in Cambodia. A regression analysis reveals that training significantly influences individual work performance. All training variables, including style, content, environment, schedule, and materials, showed a positive relationship with performance. Training materials and training content have had positive effects on individual work performance. The study emphasizes the importance of investing in well-rounded training programs that consider various aspects of delivery and content. The study's value lies in its demonstration of how to apply successful aspects of training programs to improve individual work performance in business firms. Eventually, the study has suggested that the leaders of business organizations should consider the efficient techniques of organizing training programs for their employees.

Development and implementation of a self-directed violence prevention training program for correctional behavioral health providers: a clinical trial study protocol

BackgroundSelf-directed violence (SDV) comprises both suicide and self-injury and represents a pressing problem among incarcerated persons. Negative impacts of SDV in correctional settings also extend to behavioral health clinicians (BHCs) (e.g., job turnover). Correctional SDV risk assessment and management standards include staff training as part of the comprehensive approach. The Core Competency Model for Corrections (CCM-C) is a novel, evidence-informed training program for BHCs covering both clinician self-management and clinical care skills.MethodsThis pilot trial is a type 3 hybrid implementation–effectiveness approach. It will employ a wait-list control sequential cross-over design. Participants (N = 50–100) will be BHCs employed by the North Carolina Department of Adult Corrections. Following stratification for years of clinical experience, BHCs will be randomly assigned to (1) a training group that receives CCM-C immediately and (2) a wait-list control receiving CCM-C approximately 6 weeks later. Electronically administrated survey evaluation will occur across baseline and two follow-up (i.e., 2 weeks after each training session) time points.DiscussionThe primary outcome is feasibility assessed through collaboration with a Corrections Advisory Panel and feedback from BHCs. Secondary effectiveness outcomes that will be evaluated over time include SDV-related knowledge, attitudes, stigma, and intent to use training content. We will examine a tertiary outcome, namely compassion fatigue. Clinical trial limitations and impacts are discussed.Trial registrationClinicaltrials.gov, NCT06359574. This study was registered on 04/05/2024.

The BaMidbar Mental Health training program for educators: a Mixed Methods case study

The purpose of this study was to examine the BaMidbar Mental Health Training program and the influence the training had on community educator populations. This was a mixed method exploratory case study which utilized observational data and five interviews. A survey which examined the possible impacts of the trainings (through relevance and confidence variables) was utilized. We found that participants’ confidence had a higher correlation to the likelihood of implementing training materials than the relevance the training had to participants’ job placements. We also found categories of perceived skill development articulated by the participants interviewed. These skills included: checking in, changing spaces, giving students choices, giving feedback and identifying behaviors. There were concerns that the training programs did not create enough knowledge retention of specific therapeutic terms or scaffolding skills for educators to embed the training content into their job placements. Suggestions for further research and training programs are listed in the conclusion.

Participatory Design in Suicide Prevention: A Qualitative Study of International Students' Experiences of Adapting the LivingWorks safeTALK Programme.

Current suicide prevention approaches are not adapted to international student needs, and participatory design is a method that may facilitate the development or adaptation of appropriate programmes for this group. This qualitative study investigated the experiences of international university students studying in Australia who participated in a co-consultation process to adapt the LivingWorks safeTALK suicide prevention programme. Eight international students from the co-consultation workshop completed semi-structured interviews about their workshop experience. The data were analysed using reflexive thematic analysis. The findings showed that participants found the co-consultation process empowering and engaging. They also reported that the experience promoted mutual learning and challenged simplistic views of suicide. No students reported experiencing distress. Suggestions for improving participatory design for international students focussed on enhancing participant interaction, supporting quiet voices to be heardand ensuring understanding of mental health and suicide through shared language. This study underscores the value of participatory design in suicide prevention, emphasising its potential to empower international students and facilitate culturally sensitive programme adaptations. International students were involved in the co-consultation process to redevelop the training content and provided a series of recommendations for improving such processes for international students in the future. The two researchers who conducted the interviews and data analysis were former international students.

Synthesize Personalized Training for Robot-Assisted Upper Limb Rehabilitation With Diversity Enhancement.

For upper limb rehabilitation, the robot-assisted technique in combination with serious games requires well-specified training plans. For the best quality of the rehabilitation process, customized game levels for each user are desired, while it is labor-intensive to design and adjust game levels for different individuals. We work on generating training content for a desktop end-effector rehabilitation robot and propose a method to automatically generate individualized training plans. By modeling the search of the training motions as finding optimal hand paths and trajectories, we introduce solving the design problem with a multi-objective optimization (MO) solver. We further improve the MO solver to enhance the diversity of the solutions. With the proposed approach, our system is capable of automatically generating various training plans considering the training intensity and dexterity of each joint in the upper limb. In addition, the enhanced diversity avoids repeated training plans, which helps motivate the user in the rehabilitation. We test our method with different requirements on the training plans and validate the solutions.

Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China

Purpose: This study aims to survey the demographic status of aesthetic plastic surgeons in an economically developed region and to investigate their continuing training needs in contents, training methods, and barriers in private and government hospitals. Methods: A cross-sectional survey with a self-administered questionnaire was conducted from January to December, 2022 in Guangdong, China. In-depth interviews were conducted with key informants to gain insights on the current demographic status. Demographic data and training needs assessment were collected and compared with the chi-square test, Fisher’s test, Mann-Whitney U-test using R software. Results: The disparity of surgeons’ demographic data between private and government hospitals was small. Over 60% of practicing aesthetic plastic surgeons transferred from other specialties, and one third of them had less than three years of working experience. Half of surgeons attended training less than three times with an affordable expense of 1000-5000RMB. Almost 80% of them had strong willingness to attend a continuing training program. They prefer to attend further study in a tertiary hospital, with a short topic-focused training course and operation demonstrations. Their favorable training contents were rhinoplasty, eye surgery, and new technologies. Our questionnaire survey revealed the likelihood that the surgeons had a graduate degree in government hospitals outweighed those in private hospitals (P<0.05). Results also showed that the government hospitals focused more on repair and reconstructive surgery and academic research, whereas, private hospitals focused on market needs and were more profit-driven, where the organizational needs had influence on their different training needs for aesthetic plastic surgeons. Conclusion: It would be favorable to take the demographic status of aesthetic plastic surgeons and organizational needs into consideration in designing a continuing training program in plastic surgery.

PREDICTIVE POWER OF SELF-EFFICACY, FAMILIARITY WITH TRAINING CONTENT ON JOB PERFORMANCE: MODERATING EFFECT OF TRAINING EFFECTIVENESS IN OMAN’S HIGHER EDUCATION INSTITUTIONS

The higher education institutions (HEIs) in Oman have witnessed rapid development over the last decade; and yet, the quality of their training programs programmes has not yielded the anticipated results. The desired outcome, which failed to meet expectations, pertains to the effectiveness of these programs in enhancing employee job performance. This study aims to investigate the influence of self- efficacy, trainee familiarity with training content and employees’ performance in Oman’s higher education sector. Additionally, the study explores the moderating effect of training effectiveness on employee’s performance. The researcher examined 184 academics as well as administrative employees that participated in a training program sponsored by Takatuf, a consulting firm responsible for assessing, training, and developing employees in Oman. Results indicated that self-efficacy and familiarity with training content contribute to high employee job performance in the country’s HEIs, confirming the significant moderating role of training effectiveness in this relationship. Furthermore, the study suggests two implications for human resource practices. First, it is crucial for managers to provide comprehensive training-related information aimed at increasing self- efficacy before the actual training program. Second, HR managers and individuals can jointly improve the performance effectiveness by creating suitable methods for fostering self-efficacy. The findings suggest that organizations can enhance job performance and reduce turnover intention intentions by improving the effectiveness of training programs for employees. There is limited research linking self-efficacy, training effectiveness, and job performance in HEIs, particularly within member countries of the Gulf Cooperation Council (GCC). This research contributes to the expansion of theoretical and managerial doctrines regarding the relationships among the identified variables. Therefore, this research represents a unique attempt to determine the effectiveness of training programs in HEIs grappling with transitional challenges.

A home-based tele-rehabilitation exercise system for patients after knee replacement surgery

BackgroundKnee arthritis is a destructive disorder that affects the knee joints and causes pain and reduced mobility. Drug treatments, weight loss, and exercise control the symptoms of the disease, but these methods only delay the disease process and eventually, knee joint replacement surgery will be needed. After surgery, with the help of a proper physiotherapy program, full recovery takes an average of 6–12 months. However, currently, there is no similar tool to facilitate this process in Iran.ObjectiveThe purpose of this research is to design and develop the prototype of a rehabilitation system for patients after knee replacement surgery, which provides patients with information and appropriate physiotherapy programs.MethodsThis study was development-applied and was done in three stages. In the first stage, the needs and content of education and therapeutic exercises were prepared in the form of a checklist, and then the necessity of each item was checked in the evaluation sessions. In the second stage, the prototype of the system was developed using Adobe XD software and based on the requirements approved from the previous stage. In the third stage, the usability of the program was analyzed from the point of view of experts using the exploratory evaluation method with Nielsen’s 13 principles of usability.ResultsAt first, the system requirements were extracted and prepared in two checklists of content (51 exercises) and capabilities (60 items). Then after a survey of experts based on the Delphi technique, content information (43 exercises) and functional and non-functional requirements (53 items) were obtained. A survey of experts helped to finalize the information elements, categorize them, and prepare the final version of the checklists. Based on this, the system requirements were classified into 11 categories, and the training content was classified into 3 training periods. Finally, the design and development of the system was done. This system has admin, physician, and patient user interfaces. The result of usability showed that this system is efficient and there are only a few problems in the feature of helping users to detect and recover from errors.ConclusionIt seems necessary to develop a system based on the principles of usability by therapists and rehabilitation specialists to train and monitor the remote rehabilitation process of patients after knee joint replacement at home. And the importance of involving stakeholders in the design and development of remote rehabilitation systems is not hidden from anyone. Kara system has all of the above.

Dementia Care Among United States Dialysis Providers: A Mixed Methods Study Evaluating Clinician Comfort and Knowledge

Rationale & ObjectiveGiven the high burden of dementia in dialysis patients, the dialysis workforce needs to be prepared to provide high-quality, person-centered dementia care. We explored comfort with and knowledge of dementia among U.S. dialysis care providers. Study DesignWeb-based survey Setting & ParticipantsEmails were sent to National Kidney Foundation and National Association of Nephrology Technicians/Technologists membership listservs (9/26/22-10/22/22). 1121 respondents had complete data for analysis (57% 35-49 years; 62% female; 62%/22% white/Black) [including 81 physicians, 61 advanced practice providers, 230 nurse managers, 260 nurses, 202 social workers, 195 dietitians, and 86 dialysis patient care technicians]. ExposuresProvider role, age, tenure, gender, previous dementia training, awareness of dementia guidance. OutcomesDementia Knowledge (assessed using Dementia Knowledge Assessment Scale (DKAS; score range, 0-25)]. Analytic ApproachCharacteristics of respondents, comfort with dementia care, and dementia knowledge were summarized and tabulated overall and by role. Robust regression was used to obtain coefficients confidence intervals for the associations between characteristics and DKAS scores, adjusting for role and tenure. Free-text responses to an open-ended question about treating patients with dementia or cognitive impairment were analyzed using thematic analysis. ResultsDementia knowledge among U.S. dialysis providers may be limited (overall DKAS score = 17; range, 13-21 across roles), despite most reporting knowing when patients had dementia (97%) and receiving training in dementia care (62%). Further, training may be inadequate: those who reported receiving dementia training had lower DKAS scores than those who reported not receiving training (β=-3.9, 95% CI: -4.4,-3.4). Thematic analysis of open-ended responses suggested that the impact of dementia on dialysis care and management and treatment beyond dialysis care are challenging for providers. LimitationsData were self-reported and limited information was gathered about quality, content, and timing of dementia training received. ConclusionMany U.S. dialysis care providers had suboptimal dementia knowledge, despite reporting being comfortable with providing dementia care and reporting they received prior training. Qualitative findings indicate complexity among providers regarding comfort with and knowledge of treating patients with cognitive impairment. Targeted training for the dialysis workforce in dementia knowledge and best practices for person-centered dementia care is warranted.

From not knowing, to knowing more needs to be done: health care providers describe the education they need to care for sex trafficked patients

BackgroundSex trafficking is highly prevalent, pernicious, and under-recognized. When an individual is trafficked for the purpose of sexual exploitation within the borders of a single country, it is termed domestic sex trafficking. Sex trafficked persons can experience severe physical and mental health outcomes requiring medical attention and treatment. However, health care providers often fail to identify sex trafficked patients, missing opportunities to provide needed care and support.MethodsIn this qualitative study, we interviewed 31 health care providers (physicians, nurses, and social workers) working in Ontario, Canada to learn what they identified as their specific education and training needs to recognize and care for sex trafficked persons. Interviews were conducted over Zoom, recorded, and transcribed. Coding of the transcripts followed a standard framework for qualitative studies. Codes related to the education and training needs of providers were identified as a core issue suited to further analysis.ResultsThree themes related to providers’ education and training needs emerged. These acknowledge basic (Foundational knowledge), as well as more specific learning needs (Navigating the encounter). The final theme, (“It just seems so much bigger than me”) suggests that even with some knowledge of domestic sex trafficking, participants still experienced considerable distress and multiple challenges due to gaps in the broader system impacting the provision of appropriate care.ConclusionsParticipants voiced their need for specialized sex trafficking education as well as role specific training to combat their sense of inadequacy and provide better care for their patients. Participants’ education needs ranged from requiring the definition of domestic sex trafficking and the frequency of its occurrence, to the various circumstances associated with increased risk of recruitment into sex trafficking. In terms of desired training and specific skills, participants wanted to learn how to identify a person being sex trafficked, broach the subject with a patient, know what to do next including access to local resources and referrals, as well as connections to other critical services, such as legal and housing. The results can be used to inform the design and content of education and training on sex trafficking for health care providers.

Penerapan Model Kirkpatrick dalam Evaluasi Program Pelatihan Kepemimpinan Perempuan di Pusat Pengembangan Sumber Daya Wanita Pasoendan Digdaya

Purpose – The purpose of this study was to evaluate how participants responded to the women's Leadership Training Program held by the Pasoendan Digdaya women's Resource Development Center (PPSW) in Lebak regency, Banten. To measure participants ' satisfaction with the training program, this evaluation used the Kirkpatrick reaction Level Model.Method – This study was designed to use descriptive qualitative methods. Data were collected through interviews with 10 trainees. The questionnaire addresses various things, such as the relevance of the material, instructor performance, and training facilities. To determine the level of satisfaction of participants, descriptive was used to analyze the data.Findings – The results indicated that participants were generally satisfied with the training program. The training and consumption schedules have been adjusted to meet the needs of the trainees, and the material presented is considered relevant and applicable. However, the instructor is considered to have strong presentation skills. Additionally, the media and facilities used received positive responses, although there are some suggestions for improvements. Research Implications – Providing women with leadership opportunities significantly advances gender equality by ensuring equal access for both women and men. The findings indicate that while the overall training program effectively meets participants' needs, there is room for improvement in the facilitators' skills and the customization of training materials. It is recommended that PPSW Pasoendan Digdaya enhance facilitator competencies and tailor training content more closely to the specific needs of the participants. This study also highlights the potential for further research into effective teaching methods to bolster women's leadership capabilities.

Training Service Users in the Use of Telehealth: Scoping Review.

The use of telehealth has rapidly increased, yet some populations may be disproportionally excluded from accessing and using this modality of care. Training service users in telehealth may increase accessibility for certain groups. The extent and nature of these training activities have not been explored. The objective of this scoping review is to identify and describe activities for training service users in the use of telehealth. Five databases (MEDLINE [via PubMed], Embase, CINAHL, PsycINFO, and Web of Science) were searched in June 2023. Studies that described activities to train service users in the use of synchronous telehealth consultations were eligible for inclusion. Studies that focused on health care professional education were excluded. Papers were limited to those published in the English language. The review followed the Joanna Briggs Institute guidelines for scoping reviews and was reported in line with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. Titles and abstracts were screened by 1 reviewer (EG). Full texts were screened by 2 reviewers (EG and JH or SC). Data extraction was guided by the research question. The search identified 8087 unique publications. In total, 13 studies met the inclusion criteria. Telehealth training was commonly described as once-off preparatory phone calls to service users before a telehealth visit, facilitated primarily by student volunteers, and accompanied by written instructions. The training content included guidance on how to download and install software, troubleshoot technical issues, and adjust device settings. Older adults were the most common target population for the training. All but 1 of the studies were conducted during the COVID-19 pandemic. Overall, training was feasible and well-received by service users, and studies mostly reported increased rates of video visits following training. There was limited and mixed evidence that training improved participants' competency with telehealth. The review mapped the literature on training activities for service users in telehealth. The common features of telehealth training for service users included once-off preparatory phone calls on the technical elements of telehealth, targeted at older adults. Key issues for consideration include the need for co-designed training and improving the broader digital skills of service users. There is a need for further studies to evaluate the outcomes of telehealth training activities in geographically diverse areas.

Application of Interactive Object Model in Sports Teaching

Traditional physical education is just repeated training without quantitative teaching and training data results. Multimedia information analysis and retrieval technology can make repeated research on the content of competition or training, and increase the quantitative analysis of training indicators. Therefore, this paper proposes an interactive compressed domain key video object model to realize the design and production of physical education video, so as to quantify the effect of physical education. This paper discusses the interactive design and application of PE teaching video from three aspects: static, dynamic, and semantic. The interactive object model proposed in this paper can formulate corresponding strategies for different key sports video objects. The distortion rate of the complete key video object is 2.3%, which is 0.09% lower than the distortion rate of the Kim2002 scheme. From a usage perspective, through the scheme proposed in this article, coaches can obtain teaching videos with simple initial extreme values on an interactive interface, and the distortion rate of the video object is lower than that of traditional schemes.

It's about the long game, not epic workouts: unpacking HIIT for endurance athletes.

High-intensity interval training (HIIT) prescriptions manipulate intensity, duration, and recovery variables in multiple combinations. Researchers often compare different HIIT variable combinations and treat HIIT prescription as a "maximization problem", seeking to identify the prescription(s) that induce the largest acute VO2/HR/RPE response. However, studies connecting the magnitude of specific acute HIIT response variables like work time>90% of VO2max and resulting cellular signalling and/or translation to protein upregulation and performance enhancement are lacking. This is also not how successful endurance athletes train. First, HIIT training cannot be seen in isolation. Successful endurance athletes perform most of their training volume below the first lactate turn point (<LT1), with "threshold training" and HIIT as integrated parts of a synergistic combination of training intensities and durations. Second, molecular signalling research reveals multiple, "overlapping" signalling pathways driving peripheral adaptations, with those pathways most sensitive to work intensity showing substantial feedback inhibition. This makes current training content and longer-term training history critical modulators of HIIT adaptive responses. Third, long term maximization of endurance capacity extends over years. Successful endurance athletes balance low-intensity and high-intensity, low systemic stress, and high systemic stress training sessions over time. The endurance training process is therefore an "optimization problem". Effective HIIT sessions generate both cellular signal and systemic stress that each individual athlete responds to and recovers from over weeks, months, and even years of training. It is not "epic" HIIT sessions but effective integration of intensity, duration, and frequency of all training stimuli over time that drives endurance performance success.

A Study on the Effectiveness of VR Rehabilitation Training Content for Older Individuals with Total Knee Replacement: Pilot Study.

There is a paucity of research applying fully immersive virtual reality (VR) training to older adults with degenerative joint disease. This study investigated the effects of a training program utilizing fully immersive VR games on proprioception and gait ability in older patients with degenerative arthritis who had undergone total knee arthroplasty. This randomized controlled trial enrolled patients aged ≥65 years who were diagnosed with knee joint arthritis and had undergone knee arthroplasty followed by physical therapy. Participants were randomly assigned to an experimental group (receiving training using fully immersive VR games along with regular physical therapy) and a control group (receiving only regular physical therapy). The intervention was conducted five times a week for four weeks. Knee joint proprioception was measured using Biodex before and after the intervention. Spatial-temporal gait variables were collected using OptoGait for gait assessment. There was a significant decrease in the absolute error values of proprioception after the intervention in the experimental group, compared to before (p < 0.05), indicating improvement in proprioception. Gait speed, step count, and stride length improved significantly (p < 0.05, p < 0.01), demonstrating an enhancement in gait ability. The experimental group showed significantly greater improvements in gait speed, step count, and stride length than the control group (p < 0.01). Training using a fully immersive VR exercise program may have potential benefits for improving proprioception and gait parameters in patients who have undergone total knee arthroplasty. Fully immersive VR game-based training can be utilized as an effective rehabilitation intervention for patients undergoing knee arthroplasty in the future.

Enhancing making every contact count (MECC) training and delivery for the third and social economy (TSE) sector: a strategic behavioural analysis

Objective To enhance Making Every Contact Count (MECC, an opportunistic approach to health promotion), training in the Third and Social Economy (TSE, all groups and organisations primarily working towards social justice, outside of the government or household) by examining the degree to which the behavioural content of MECC training tackled significant factors influencing MECC delivery. Methods and Measures A strategic behavioural analysis design. Semi-structured interviews with service providers (n = 15) and users (n = 5) were coded for barriers and facilitators of MECC delivery using the Theoretical Domains Framework (TDF). Existing MECC training was coded for behaviour change techniques (BCTs) and intervention functions (IFs). The degree to which BCTs and IFs addressed the key TDF domains of influences on MECC delivery in the TSE were examined using prespecified tools. Results Seven key TDF domains of influences in MECC delivery were identified. Overall, only 9/31 linked BCTs were utilised within MECC training, with percentage utilisation of relevant BCTs for each domain ranging from 0% to 66.7%. Training adequately addressed 2/7 key domains. Conclusion The TSE and healthcare share many common key TDF domains, although there are differences in how each are relevant. Limitations and recommendations for MECC training are discussed.

Variations, effectiveness and its associated factors of a nationwide web-based hypertension management training project in China: insights from a government-led campaign for 1.2 million lay health workers.

To evaluate the effectiveness of a large-scale, web-based, in-service hypertension management training project among lay health workers (LHWs) at primary care health (PHC) settings in China, and to examine the factors contributing to the variations of effectiveness. We used data from a web-based national hypertension management training project implemented in 2018, it was designed to facilitate LHWs to learn, understand, and apply the relevant knowledge and skills in hypertension management through providing training courses by use of the web-based platform with unified standards. All LHWs were required to participate in the exams before and after training to acquire scores for the use of evaluating their performance of hypertension management knowledge. We first used descriptive analysis to present the variations of effectiveness in hypertension management knowledge among LHWs by important subgroups. Afterwards, we used multilevel logistic regression to examine the individual and regional factors contributing to the variations and quantify the magnitude of how these factors affected training effectiveness. There were 1,208,610 LHWs who completed training and were certificated. Nationally, the scores of LHWs increased significantly from 62.87 ± 21.14 out of 100 in the pre-test to 88.30 ± 11.31 in the post-test by 25.43 (95% confidence interval [CI]: 25.40-25.47). Training contents involved in antihypertensive medication showed the lowest score (54.36) in the pre-test and soared the most after training, up to 84.22 by 54.94%. Individual factors associated with disparities in the knowledge of hypertension management decreased substantially after training, which included sex, age, education, practice type, professional level, and hierarchy of working institutions. Geographical variations were shown at the provincial level, with the majority of them being explained by factors at the regional level. Accessible web-based training modality, government efforts, accompanied with experiences derived from the training, could be generalized to other low- and middle-income countries in facilitating the hypertension management capacity of LHWs. Localization and evaluation is warranted on the way to its further application.

Functional assessment and influencing factors after staged functional training in patients with ankle fractures.

The recovery of limb function after ankle fracture surgery is a gradual process. The main purpose of implementing early functional exercise, joint mobility, muscle contraction function, passive ankle flexion and extension exercises, or physical factor therapy techniques is to achieve the rapid recovery of normal physiological limb function. However, currently the most effective rehabilitation training method is staged limb functional exercise, which promotes rapid recovery of limb function while preventing adverse consequences caused by overwork or insufficient training. Staged limb functional exercise divides the rehabilitation process into multiple stages, each of which has specific training objectives and contents. This method helps patients gradually restore limb function. Nevertheless, some patients still exhibit poor limb function after standardized exercise. Therefore, a functional evaluation should be performed to analyze the impact of staged functional training after ankle fracture surgery. To perform a functional evaluation and determine the influencing factors of staged functional training in patients with ankle fracture. A retrospective study enrolled 150 patients who underwent surgical treatment for ankle fracture from May 2020 to May 2022 at our hospital. Univariate and multivariate linear regression analyses were performed on general data, functional exercise compliance scale for orthopedic patients, Social Support Rating Scale (SSRS), American Orthopedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Score, and pain factors [serum bradykinin (BK), prostaglandin E2 (PGE2), 5-hydroxytryptamine (5-HT)]. Based on the AOFAS Ankle-Hindfoot Scale, the cases were divided into the excellent function (n = 111) and ordinary function (n = 39) groups. Univariate analysis revealed that monthly family income, education level, diabetes mellitus, functional exercise compliance scale of orthopedic patients score, SSRS, BK, PGE2, and 5-HT significantly influenced limb function after ankle fracture (P < 0.05); Multiple linear regression analysis showed that the functional exercise compliance scale score, SSRS, BK, PGE2, and 5-HT were independent risk factors affecting functional performance after staged functional exercise (P < 0.05). Exercise compliance, SSRS, and pain level are the independent risk factors affecting functional performance after staged functional training following ankle surgery. Clinical nursing care after ankle surgery should include analgesic and health education measures to ensure optimal recovery of limb function.

The system of physical training of the French Armed Forces: features, content and structure of training

The system of physical training of the French Armed Forces: features, content and structure of training