Trained Volunteers Research Articles

Validity of Force and Power Measures from an Integrated Rotary Encoder in a HandyGym Portable Flywheel Exercise Device

Introduction: This study aimed to evaluate the validity of the HandyGym portable flywheel device with an integrated rotary encoder in measuring force and power during iso-inertial exercises compared to a traditional reference system. Methods: In total, 10 trained volunteers (3 women, 7 men; age 25.2 ± 3.8 years) performed half-squats with five different load configurations using the HandyGym device. Concurrent measurements were obtained from HandyGym’s rotary encoder and a criterion system (MuscleLab 6000 strain gauge and linear encoder). Five load configurations were tested, with 15 repetitions recorded per condition. The validity of the HandyGym measurements was assessed through mean bias, typical error of estimation (TEE), and Pearson correlation coefficients, with Bland–Altman plots used to analyze the agreement between the two systems. Results: The HandyGym showed high correlations with the reference system for both force (r = 0.76–0.90) and power (r = 0.60–0.94). However, systematic biases were observed, with the HandyGym consistently underestimating force and power at lower loads and overestimating power at higher loads. The TEE values indicated moderate to large errors, particularly in power measurements. Conclusion: The HandyGym provides valid force measurements with moderate bias, suitable for general monitoring. However, power measurements are less consistent, especially at higher loads, limiting the device’s utility for precise assessments. Adjustments or corrections may be necessary for accurate application in professional contexts.

A realist change model for community-based perinatal mental health peer support from peer volunteers

ABSTRACT Aims To investigate what it is about community-based perinatal mental health peer support from trained volunteers that works, for whom, in what circumstances, in what respects, and why; and build a change model that includes positive and negative mechanisms and outcomes. Methods Realist evaluation methods based on semi-structured interviews were used to create a change model for a third sector programme in England. Results Mothers who received peer support (n = 20), peer support volunteers (n = 27), and programme staff (n = 9) were interviewed. Positive impact on mothers was primarily based on feeling understood and accepted, social comparison (including normalisation, hope, and gaining perspective) and sharing non-directive information from experiential knowledge. Negative impact on mothers was based on negative social comparison, or absence of key peer support mechanisms. Mothers were affected in different ways, depending on individual contexts: their backgrounds, personalities, social situations, resources, experiences, beliefs, and needs. Some different mechanisms were present in one-to-one and group situations. All participants considered the benefits of peer support to greatly outweigh the risks. Conclusion Individual contextual factors affect the multiple mechanisms through which mental health peer support can improve mothers’ emotional wellbeing and social participation. Peer support has potential risks as well as benefits, which can be mitigated. Programmes could use this understanding of how contexts and mechanisms interact to produce peer support outcomes to improve training for peer support volunteers and to design future evaluations that take into account diversity of peer support experience.

The Role of the Civil Service Police Unit in Public Order and Community Peace

The general background maintenance of public order and community peace is a critical aspect of local governance, particularly in urban settings where diverse populations coexist. Specific background reveals that the Civil Service Police Unit (Satpol PP) plays a significant role in upholding these values, yet there is limited research examining their effectiveness in specific districts. Knowledge gap persists in understanding the comprehensive functions and impacts of Satpol PP in maintaining public order within local communities. This study aims to analyze and describe the role of the Satpol PP in implementing public order and community peace in a specific district. Results indicate that the Satpol PP engages in various activities, including community outreach, training for local volunteers, and proactive measures to prevent disturbances, demonstrating a multi-faceted approach to their responsibilities. Novelty lies in the identification of active, participatory, and passive roles that the Satpol PP adopts, which offers a more nuanced understanding of their functions. Implications of this research suggest that strengthening the capacity of the Satpol PP could enhance community engagement and further improve public safety. By providing a detailed examination of their roles, this study contributes to the broader discourse on local governance and community development, offering insights that may inform policy and practice in similar contexts. Highlights: Active role in maintaining public order through various strategies. Community participation in reporting issues to the Satpol PP. Training programs to enhance the capabilities of Linmas and Satpol PP personnel. Keywords: Satpol, Community, Public Order, Participation, Capacity Building

The Role of NGOs in Health Capacity Building for Organizational Staff and Volunteers in Myanmar

The role of non-governmental organizations (NGOs) in health capacity building for trained community volunteers in Myanmar, a Least Developed Country (LDC) is significantly noteworthy. The study highlights the training programs and initiatives conducted by NGOs in areas such as sexual and reproductive health and rights (SRHR) and Gender-Based Violence (GBV) prevention, addressing critical needs in family planning, maternal health, GBV prevention, and the prevention of TB, HIV/AIDS, and other infectious diseases. The training programs and packages are designed to equip healthcare providers and community volunteers with fundamental skills, thereby enabling them to effectively address the health issues facing by the community especially among the vulnerable population. The study also points to the effective use of participatory learning methods by NGOs, such as interactive workshops, role-plays, case studies, and group discussions, which actively engage participants and promote an environment conducive to collective learning and knowledge sharing. Furthermore, through FGD, it was found that NGO interventions contribute to positive changes in health behaviors, such as increased awareness of preventive measures and adoption of healthier lifestyles.

Interactions between reptiles and people: a perspective from wildlife rehabilitation records.

As urbanization expands globally, human-wildlife interactions will inevitably increase. Here, we analysed 10 years of wildlife rehabilitation records of squamate (snake and lizard) reptiles (n = 37 075) from the Greater Sydney region, New South Wales, Australia, to explore their value to address management and conservation issues. Rescues were highly non-random regarding taxonomic focus, spatial occurrences and temporal trends due to the combined influence of (i) reptile phenology and behaviour and (ii) human perceptions of reptiles. Seasonal peaks in rescues reflect reptile and, to a lesser extent, human activity. Spatial patterns of rescues were informative about distributions and presence of easily identified taxa but were primarily driven by human presence. Larger squamate species were rescued more frequently, potentially reflecting a perception of greater danger or rescue priority. While uncommon species were often misidentified, accurate reports of these taxa may guide targeted surveys. The value of these data for conservation and management could be enhanced by emphasizing reptile identification training of volunteers and use of applications for informed species identification. Wildlife rehabilitation data offer a cost-effective means of quantifying thousands of human-reptile interactions, identifying foci (in both time and space) of human-wildlife conflict such as snakebite risk and roadkill-related reptile mortality.

Talk Time Differences Between Interregional and Intraregional Calls to a Crisis Helpline: Statistical Analysis.

National suicide prevention strategies are general population-based approaches to prevent suicide by promoting help-seeking behaviors and implementing interventions. Crisis helplines are one of the suicide prevention resources available for public use, where individuals experiencing a crisis can talk to a trained volunteer. Samaritans UK operates on a national scale, with a number of branches located within each of the United Kingdom's 4 countries or regions. The aim of this study was to identify any differences in call duration across the helpline service in order to determine whether service varied interregionally and intraregionally and to determine the impact of calls answered in the same region as the caller, compared with calls answered in a different region on the duration of calls made from landlines to Samaritans UK. Calls may be routed by Samaritans, wherein the telephony system sends the call to the next available volunteer, irrespective of location; therefore, individuals may be routed to a branch within the same region as the caller's current region (intraregional calls) or routed to a branch that is in a different region from that of the caller's current region (interregional calls). The origin of calls by region was identified using the landline prefix of the anonymized caller identifier, along with the region of the destination branch (as branch details are recorded in the call details record). First, a Levene's test of homogeneity of variance was carried out for each condition, that is, England calls and Scotland calls. Thereafter, for each condition, a one-way ANOVA or one-way analysis of means was carried out to evaluate any significant differences in call duration. ANOVA results showed that there are significant differences in call durations between intraregional calls and interregional calls (P<.001). Across all conditions within this study, callers stayed on the phone for a shorter period of time when routed to a branch that is within the same region as the call origin than if they were put through to a branch within a different region than the call origin. Statistical analyses showed that there were significant differences between interregional and intraregional calls. On average, callers to crisis helplines stayed on the phone for a shorter period of time if they were routed to a branch within the same region in which the call originated than if they were routed to a branch in a different region of origin. The findings from this study have practical applications, which may allow crisis helplines to manage their resources more effectively and improve caller satisfaction with the service.

A parenting program delivered through existing community-based peer groups to improve early child development in Homabay and Busia Counties, Kenya: study protocol for a cluster-randomized controlled trial

BackgroundPoor early childhood development (ECD) is a major global health concern that is associated with various adverse outcomes over the lifecourse. Parenting interventions especially during the earliest years of life can benefit ECD. However, there is limited evidence from Kenya about the effectiveness of parenting interventions for improving ECD outcomes especially across rural disadvantaged communities. This paper describes the study protocol for an impact and implementation evaluation of a community-based group parenting program that aims to improve ECD in rural Kenya.MethodsWe will conduct a cluster-randomized controlled trial to determine the effectiveness of a parenting program for caregivers of young children in Homabay and Busia counties in Western Kenya. Sixty-four village clusters will be randomly assigned to either the parenting intervention arm or the waitlist control arm with stratification by county. In each village, 10 primary caregivers with a child aged 0–24 months will be enrolled. The parenting program will be delivered through existing peer groups within communities whereby caregivers will receive counseling and psychosocial support to enhance their parenting skills and wellbeing to in turn promote ECD. The intervention curriculum comprises 21 sessions targeting various nurturing care messages, including early learning, responsive caregiving, child nutrition, health, protection, and caregiver mental health. Group sessions are facilitated by a trained volunteer biweekly for a total of 11 months. The primary trial outcome is an overall measure of ECD using the Global Scales of Early Development long form version. Secondary outcomes include various caregiver outcomes (e.g., parenting practices, mental health) and other child outcomes (e.g., socioemotional development, dietary diversity). All outcomes will be assessed at baseline and endline. We will also conduct a qualitative implementation evaluation at endline and interview various stakeholders to assess program fidelity, quality, and sustainability.DiscussionThis trial will evaluate the effectiveness of a parenting intervention on ECD and caregiving outcomes and assess program implementation quality as delivered through existing community-based peer groups. This study will provide rigorous evidence that can be used to inform scale-up of this program model that leverages existing community social networks and resources for improving caregivers’ parenting skills and promoting ECD in rural Kenya and other similar settings across LMICs.Trial registrationClinicalTrials.gov #NCT06165315. Registered on December 11, 2023.

4-H Volunteer Training Series: The ABCs of 4-H: A Primer for 4-H Volunteers

This information sheet is the introduction to the 4-H Volunteer Training Series (VTS). The series contains a wealth of information, from how to start a club, to planning field trips, to how to work with youth. This part was originally published in July 2014 and then revised in July 2018. It was updated in the summer of 2023 and is now revised in September 2024.

4-H Volunteer Training Series: How to Start a 4-H Club (for Youth Ages 5-18)

This is one part of the 4-H Volunteer Training series. It was originally written in 2005, adapted in 2014, and updated in 2023.

4-H Volunteer Training Series: Selecting a Name for a 4-H Club

This is one part of the 4-H Volunteer Training series. It was originally published in 2005 and revised in 2012. It was updated in the summer of 2023 and is now published in 2024.

P086 MAY MEASURE MONTH 2023: AN ANALYSIS OF BLOOD PRESSURE SCREENING RESULTS FROM NEPAL

Background and Objective: May Measure Month (MMM) is a global annual blood pressure (BP) screening campaign raising awareness about prevention and control of hypertension. Nepal has been participating in this campaign since 2017. We present the results of MMM2023 in Nepal. Methods: Opportunistic BP screening was conducted among adults aged ≥ 18 years from May-August 2023 in Nepal. Participants, selected with convenient sampling, were administered a questionnaire developed by the May Measure Month. Three BP measurements were taken by trained volunteers using digital or manual BP devices. Hypertension is defined using both definitions: 1) BP ≥140/90 mm Hg or currently under antihypertensive medication 2) ≥130/80 mm Hg or currently under antihypertensive medication. Multivariate logistic regression analysis was used to identify factors associated with hypertension. Results: A total of 7,573 adults participated. The mean (SD) systolic BP (SBP) and diastolic BP (DBP) were 119.0 (15.9) and 79.8 (10.6) mm Hg, respectively. 22.3% and 50.1% participants were hypertensive using thresholds of 140/90 mmHg and 130/80 mmHg, respectively. Proportion of hypertension, overweight (BMI≥ 25 kg/m2), tobacco use, e-cigarette use, alcohol use, diabetes, and mean SBP/DBP were statistically significantly higher among males than females. Among hypertensive individuals, 48.9% were aware of their condition, and 42.1% were receiving pharmacological treatment. Among those under treatment, 60.1% had BP under control (&lt;140/90 mm Hg). Factors associated with hypertension were age ≥40 years (OR 4.91, [95%CI 4.28-5.64]), history of cardiovascular diseases (2.15 [1.30-3.56]), diabetes (1.83 [1.52-2.21]), male sex (1.61 [41.41-1.84]), and overweight (1.60 [1.42-1.80]. Conclusions: The MMM 2023 underscored the ongoing challenge of hypertension management in Nepal, reaffirming the strong association of hypertension with risk factors including age, male sex, history of CVDs, diabetes, and overweight. Despite higher proportion of hypertension among males, their awareness, treatment, and control levels were significantly lower than in females. This study highlights the need to strengthen community-based programs to enhance the continuum of hypertension management.

Using Existing Resources to Create a Successful End-of-Life Doula Program

The end-of-life doula role has emerged as an integral part of the interdisciplinary team caring for patients. The doulas provide an extra layer of support from a non-clinical lens to prevent crises, follow-up with families, and guide them through their journey. This manuscript describes how a hospice agency developed a performance improvement project to train volunteers to become end-of-life doulas through a rigorous training program, based on the Doula Model of Care. The implementation of the program was evaluated based on caregiver and staff satisfaction, and volunteer knowledge competency. The results from the pilot program showed mixed outcomes for patient and staff satisfaction, but created a rigorous training program for hospice volunteers. The COVID-19 pandemic disrupted data gathering and implementation of the program, so outcomes were varied. However, the program remains successful with ongoing training of the end-of-life doulas and an increase in new volunteers to support the program.

P.106: Creation of organ donation ambassadors through an online volunteer training program.

P.106: Creation of organ donation ambassadors through an online volunteer training program.

The impact of digital interventions on health insurance coverage for reproductive, maternal, newborn and child health services in Kakamega, Kenya: a cluster randomized controlled trial.

The National Hospital Insurance Fund (NHIF) of Kenya was upgraded to improve access to healthcare for impoverished households, expand universal health coverage (UHC), and boost the uptake of essential reproductive, maternal, newborn and child health (RMNCH) services. However, premiums may be unaffordable for the poorest households. The Innovative Partnership for Universal Sustainable Healthcare (i-PUSH) program targets low-income women and their households to improve their access to and utilization of quality healthcare, including RMNCH services, by providing subsidized, mobile phone-based NHIF coverage in combination with enhanced, digital training of community health volunteers (CHVs) and upgrading of health facilities. This study evaluated whether expanded NHIF coverage increased the accessibility and utilization of quality basic RMNCH services in areas where i-PUSH was implemented using a longitudinal cluster randomized controlled trial in Kakamega, Kenya. A total of 24 pair-matched villages were randomly assigned either to the treatment or the control group. Within each village, 10 eligible households (i.e., with a woman aged 15-49 years who was either pregnant or with a child below 4 years) were randomly selected. The study applied a Difference-in-Difference methodology based on a pooled cross-sectional analysis of baseline, midline and endline data, with robustness checks based on balanced panels and ANCOVA methods. The analysis sample included 346 women, of whom 248 had had a live birth in the 3 years prior to any of the surveys, and 424 children aged 0-59 months. Improved NHIF coverage did not have a statistically significant impact on any of the RMNCH outcome indicators at midline nor endline. Uptake of RMNCH services, however, improved substantially in both control and treatment areas at endline compared to baseline. For instance, significant increases were observed in the number of antenatal care visits from baseline to midline (mean = 2.62 to 2.92) p < 0.01) and delivery with a skilled birth attendant from baseline to midline (mean = 0.91 to 0.97 (p < 0.01). Expanded NHIF coverage, providing enhanced access to RMNCH services of unlimited duration at both public and private facilities, did not result in an increased uptake of care, in a context where access to basic public RMNCH services was already widespread. However, the positive overall trend in RMNCH utilization indicators, in a period of constrained access due to the COVID-19 pandemic, suggests that the other components of the i-PUSH program may have been beneficial. Further research is needed to better understand how the provision of insurance, enhanced CHV training and improved healthcare quality interact to ensure pregnant women and young children can make full use of the continuum of care.

SWOT Analysis of Curling Clubs: Market Position and Sustainable Development in the Post-Olympic Era

The research provides an in-depth discussion on the market positioning and sustainable development strategies of curling clubs after the 2022 Beijing Winter Olympics. Qualitative research methods such as SWOT analysis, interviews and participant observation were used. The study found that curling clubs exhibit significant advantages in terms of training rinks and coaching teams, but at the same time suffer from internal disadvantages such as confusing management mechanisms, a lack of volunteers, and insufficient advertising efforts. External challenges included increased market competition and unbalanced geographical development of the population. The research suggests that curling clubs should strengthen volunteer training, optimise service models, prepare for commercial tournaments, and make full use of the media for publicity in order to enhance market competitiveness and community influence. In addition, it is recommended that clubs strengthen internal management and improve operational efficiency to meet the new challenges of the post-Winter Olympics era and achieve the goal of sustainable development.

Lesson Learned from Post-Disaster Psychosocial Support for Children in Palu, Central Sulawesi—Indonesia

In the aftermath of the devastating Palu disaster in September 2018, communities, especially children, suffered deep psychological trauma. At the request of faith leaders, local NGO Wahana Visi Indonesia (WVI), in partnership with Krida Wacana Christian University (UKRIDA), conducted a psychosocial support training program for volunteers, including Qur’an recitation teachers and Sunday school teachers in Palu. These trained volunteers then initiated a psychosocial support initiative for children in the area. Years later, WVI and UKRIDA conducted a reflective study of the program, collecting data from 40 volunteers through focus group discussions and surveys. The study identified key themes, including the effectiveness of the training, reflections on program implementation, lessons learned, and recommendations for future programs. The study underscores the importance of multi-stakeholder involvement, particularly that of faith-based organizations, in providing psychosocial support in disaster-affected areas. Given the recurring threat of disasters in the region, the study advocates for transparent collaboration among various social stakeholders. To build community resilience, disaster management strategies need to be widely disseminated, and the need for continuous training to strengthen community preparedness is emphasized. In addition, the development of culturally sensitive training modules tailored to the community’s language, age, and religious background is essential. Such a comprehensive commitment will ensure the community’s ability to deal effectively with future disasters. Detailed findings are discussed further in this paper.

Intervention of the Village Children's Love Expedition Community in Labulawa Village, Pasir Putih District, Muna Regency in the Field of Education for School-Age Children in Remote Areas

This study aims to describe the intervention carried out by the Village Children's Love Expedition Community in the field of education for school-age children in remote areas. In this study, a qualitative descriptive method is used. The determination of informants in this study uses the Purposive Sampling method and the informants in this study include the Village Children's Love Expedition Community Management, Volunteers involved in the activities carried out by the community, the community and children at the location of the activity. The data sources used in this study are Primary Data and Secondary Data. The data collection techniques in this study use interview, observation, and documentation techniques. The data analysis technique in this study uses data reduction, presentation and verification techniques. The results of this study show that the intervention carried out by the Village Children's Love Expedition Community is carried out through several programs, namely Regular Teaching, Afternoon Teaching, Environmental Care Program, Tree of Hope, "Early New Year's Gift" Donation Program, Quran and Iqro Donation Program, and Village Children's Competition Program. The stages of Intervention carried out by the Village Children's Love Expedition Community, namely the preparation stage, are divided into several stages, namely the officer preparation stage (Volunteer Recruitment and Training), funding preparation, regional feasibility study, and expedition activity licensing process. The stage of assessing the needs of children at the expedition location. Planning stage, Action plan formulation stage, Program implementation or implementation stage, Evaluation stage, and Termination stage.

Building capacity for local public health: lessons from a mixed-methods evaluation of an academic-public health partnership used in response to COVID-19.

The Massachusetts Academic Health Department Consortium (AHD) established the Academic Public Health Volunteer Corps (APHVC) to support Local Health Departments (LHDs, n = 351) to meet rapidly emerging needs during the COVID-19 pandemic through engaging student volunteers. A program evaluation captured lessons learned and informed recommendations for sustainability and future replication. The mixed-methods evaluation leveraged the Consolidated Framework for Implementation Research (CFIR). Data were stratified by LHD engagement with APHVC. Quantitative surveys informed probes for qualitative focus groups and interviews; findings were categorized into CFIR constructs using a deductive approach. One-fifth of LHDs (n = 76, 27 used APHVC services, 45 did not) completed the survey. Eleven employees participated in follow-up focus groups or interviews. APHVC filled resource gaps, built capacity, and provided high-quality deliverables. LHDs experienced issues with reliability and communication of volunteers and lacked time to train volunteers. CFIR aided in evaluating APHVC in real time, producing actionable recommendations for best practices, dissemination, and future iterations of the program. Results are being used to enhance program effectiveness and sustainability, community health, and health equity across Massachusetts, and may help inform academic practice-based programs across the United States.

May Measurement Month 2021: an analysis of blood pressure screening results from Nepal.

Despite the well-recognized importance of prevention and early treatment of hypertension, the majority of adults in Nepal are not aware of their high blood pressure (BP) and are left untreated. In this paper, we report the result of the May Measure Month 2021 campaign in Nepal: a nationwide community-based hypertension screening campaign. An opportunistic cross-sectional survey was conducted in 15 districts between September 2021 and December 2021. An individual was included if aged 18 years or more and provided informed consent. Structured questionnaires were administered, and BP was measured three times in a sitting position by trained volunteers. A total of 5172 participants were included. The median age (interquartile range) was 37 (25-51), and 49.9% were female. The mean (SD) of the systolic and diastolic BP was 123.9 (14.9) and 80.2 (9.3) mmHg, respectively. A total of 1066 participants (20.6%) were identified as hypertensive (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or on antihypertensive medication), of whom 399 (39.5%) and 298 (29.5%) were aware of their BP status and treated with at least one antihypertensive medicine, respectively. Blood pressure control (<140/90 mmHg) was achieved in 15.6% of all hypertensives and in 56.0% of treated individuals. Multivariate logistic regression showed an association between hypertension and the following variables: every 1-year increase of age [odds ratio (OR) = 1.13 (1.11-1.15) if age < 40 and OR = 1.05 (1.04-1.06) if age ≥ 40], male [OR = 1.57 (1.33-1.89)], regular alcohol use [OR = 1.59 (1.30-1.93)], and diabetes [OR = 2.63 (1.93-3.58)]. Hypertension awareness, treatment, and control were suboptimal in Nepal. This study supports a strong need to scale up community-based hypertension programmes in Nepal and raises the possibility of task sharing with community health workers.

May Measurement Month 2021: an analysis of blood pressure screening results from Nigeria.

There is a need to constantly assess the awareness, treatment, and control of hypertension in Nigeria. This study determined the frequency of undiagnosed hypertension across the six geopolitical zones of Nigeria. We conducted an opportunistic screening of adults aged at least 18 years in the month of May 2021. Participants were recruited by trained volunteers using the May Measurement Month protocol. Blood pressure (BP) was measured using validated digital sphygmomanometers. We defined hypertension as systolic BP ≥ 140 and/or diastolic BP ≥ 90 mmHg and/or the use of BP-lowering medications. A total of 9361 participants (51.5% females) with a mean age of 40.7 ± 15.5 years were screened. Hypertension was present in 3192 (34.1%) of the participants. About half (1491, 46.7%) of the hypertensives were unaware of the diagnosis. Among the 3192 participants with hypertension, less than half (1540, 48.2%) were on antihypertensive medications, while only 36.4% of those on antihypertensive medications had their BP controlled (<140/90 mmHg). About one-third of Nigerians in this opportunistic screening had hypertension, with about half of them being unaware of their diagnosis while only about two out of every five on antihypertensive medications had controlled BP. Urgent health actions are needed in Nigeria to reduce the burden of hypertension and its complications.