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Belone, Lorenda, Rebecca Rae, Katherine A. Hirchak, Benelda Cohoe-Belone, Ardena Orosco, Kevin Shendo, and Nina Wallerstein. "Dissemination of an American Indian Culturally Centered Community-Based Participatory Research Family Listening Program: Implications for Global Indigenous Well-Being." Genealogy 4, no. 4 (September 30, 2020): 99. http://dx.doi.org/10.3390/genealogy4040099.
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We introduce a culture-centered indigenous program called the Family Listening Program (FLP), which was developed through a long-standing community-based participatory research (CBPR) partnership involving tribal research teams (TRTs) from three American Indian communities (Apache, Navajo, and Pueblo) with the University of New Mexico’s Center for Participatory Research (UNM-CPR). This paper provides background information on the TRT/UNM-CPR multi-generational FLP intervention funded by the National Institute on Drug Abuse and how it is poised to take the next steps of dissemination and implementation (D&I). In preparing for the next steps, the TRT/UNM-CPR team piloted two FLP dissemination activities, first at the state-level and then nationally; this paper describes these activities. Based on the learnings from the pilot dissemination, the TRT/UNM-CPR team developed an innovative D&I model by integrating a community-based participatory research culture-centered science (CBPR-CCS) approach with the Interactive Systems Framework (ISF) to examine the uptake, cultural acceptance, and sustainability of the FLP as an evidence-based indigenous family program.
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Wiehe, Sarah, Gina E. M. Claxton, Lisa Staten, Ann Alley, Eric Beers, and Elaine Lipscomb. "2187 The role of community in an evolving community-university pilot award program." Journal of Clinical and Translational Science 2, S1 (June 2018): 75. http://dx.doi.org/10.1017/cts.2018.265.
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OBJECTIVES/SPECIFIC AIMS: To fulfill the Indiana Clinical and Translational Sciences Institute’s (Indiana CTSI) Community Health Partnerships’ (CHeP) mission of improving the health of Indiana residents through community-university partnerships, CHeP engaged with community partners to develop and implement a pilot award program for community-based participatory research, the Trailblazer Award (TA). The objective is to describe the engagement processes throughout the pilot program timeline and as the pilot program evolved over the 6-year period since the program started. METHODS/STUDY POPULATION: Though a process of engagement with community stakeholders, we assessed the process for each year of the TA, noting what changes occurred and how they occurred. Engagement for the TA process occurred during the following phases: RFA development, review, active project support, dissemination of project results, and project/partnership follow-up. RESULTS/ANTICIPATED RESULTS: During the RFA development phase, we decided to focus the award on health equity for 5 years; and we implemented structural changes to encourage new partnerships in underrepresented and rural areas. During the review phase, we incorporated both community and university reviewers and co-moderators. To increase capacity among our reviewer pool, we offered webinars and repeated opportunities to serve as reviewers. During the project support phase, we added the following: community-based CITI training; opportunities for networking with peer awardee teams; and community and academic co-led sessions on addressing recruitment barriers, grant writing, and dissemination to a community audiences. Through our active engagement of the CHeP Advisory Board, one Board member (from Indiana State Department of Health) leveraged matching funds for the TA, effectively doubling the number of projects supported each year. DISCUSSION/SIGNIFICANCE OF IMPACT: Whereas previous work has reported on engagement during the review process of pilot award applications, we discuss ways to extend engagement to include other aspects of a pilot program both before and after the review process. In our process, several key partners offered insightful changes that have resulted in a more engaged program.
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Jaspers, M. W., J. Mantas, E. Borycki, and A. Hasman. "IMIA Accreditation of Biomedical and Health Informatics Education: Current State and Future Directions." Yearbook of Medical Informatics 26, no. 01 (2017): 252–56. http://dx.doi.org/10.15265/iy-2017-011.
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Summary Objectives: The educational activities initiated by the International Medical Informatics Association (IMIA) have had global impacts and influenced national societies and local academic programs in the field of Biomedical and Health Informatics (BMHI). After the successful publication and dissemination of its educational recommendations, IMIA launched an accreditation procedure for educational programs in BMHI. The accreditation procedure was pilot tested by several BMHI academic programs in different countries and continents to obtain a global perspective. Methods: This paper presents an overview of IMIA quality assurance and accreditation procedures along with feedback on issues and problems which emerged during the pilot. Results: It appears that IMIA quality assurance and procedures worked quite well in different countries of Europe, the Middle East, South America, and Asia. These first experiences provided adequate information for adapting, modifying, and optimizing the procedures and finally for the planning of future activities. Conclusions: IMIA accreditation framework comprises a single set of standards that apply at various levels to both academic and professional BMHI programs. The pilot phase confirmed the robustness and generalizability of quality assurance standards and associated procedures on which IMIA accreditation is based at an international level.
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Jaspers, M. W., J. Mantas, E. Borycki, and A. Hasman. "IMIA Accreditation of Biomedical and Health Informatics Education: Current State and Future Directions." Yearbook of Medical Informatics 26, no. 01 (August 2017): 252–56. http://dx.doi.org/10.1055/s-0037-1606535.
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Summary Objectives: The educational activities initiated by the International Medical Informatics Association (IMIA) have had global impacts and influenced national societies and local academic programs in the field of Biomedical and Health Informatics (BMHI). After the successful publication and dissemination of its educational recommendations, IMIA launched an accreditation procedure for educational programs in BMHI. The accreditation procedure was pilot tested by several BMHI academic programs in different countries and continents to obtain a global perspective. Methods: This paper presents an overview of IMIA quality assurance and accreditation procedures along with feedback on issues and problems which emerged during the pilot. Results: It appears that IMIA quality assurance and procedures worked quite well in different countries of Europe, the Middle East, South America, and Asia. These first experiences provided adequate information for adapting, modifying, and optimizing the procedures and finally for the planning of future activities. Conclusions: IMIA accreditation framework comprises a single set of standards that apply at various levels to both academic and professional BMHI programs. The pilot phase confirmed the robustness and generalizability of quality assurance standards and associated procedures on which IMIA accreditation is based at an international level.
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Wyn, Johanna, Helen Cahill, Roger Holdsworth, Louise Rowling, and Shirley Carson. "MindMatters, a Whole-School Approach Promoting Mental Health and Wellbeing." Australian & New Zealand Journal of Psychiatry 34, no. 4 (August 2000): 594–601. http://dx.doi.org/10.1080/j.1440-1614.2000.00748.x.
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Objective: MindMatters is an innovative, national mental health promotion program which provides a framework for mental health promotion in Australian schools. Its objectives are to facilitate exemplary practice in the promotion of whole-school approaches to mental health promotion; develop mental health education resources, curriculum and professional development programs which are appropriate to a wide range of schools, students and learning areas; trial guidelines on mental health and suicide prevention and to encourage the development of partnerships between schools, parents, and community support agencies to promote the mental wellbeing of young people. Method: A team of academics and health education professionals, supported by a reference group of mental health experts, developed MindMatters. The program was piloted in 24 secondary schools, drawn from all educational systems and each State and Territory in Australia. The pilot program was amended and prepared for dissemination nationally. Results: The program provides a framework for mental health promotion in widely differing school settings. The teacher professional development dimension of the program is central to enhancing the role of schools in broad population mental health promotion. Conclusions: Promoting the mental health and wellbeing of all young people is a vital part of the core business of teachers by creating a supportive school environment that is conducive to learning. Teachers need to be comfortable and confident in promoting and teaching for mental health. Specific, targeted interventions, provided within a whole-school framework, address the needs of the minority of students who require additional support.
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Baruth, Meghan, Sara Wilcox, Cheryl Der Ananian, and Sue Heiney. "Effects of Home-Based Walking on Quality of Life and Fatigue Outcomes in Early Stage Breast Cancer Survivors: A 12-Week Pilot Study." Journal of Physical Activity and Health 12, s1 (January 2015): S110—S118. http://dx.doi.org/10.1123/jpah.2012-0339.
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Background:Adjuvant treatment for breast cancer may result in long-lasting, adverse emotional and physical side effects, and reduce quality of life (QOL). This pilot study examined the effects of a home-based walking program on QOL and fatigue in early stage breast cancer survivors and whether changes in walking behavior were associated with changes in outcomes.Methods:Participants (n = 32) were randomized to a 12-week home-based walking intervention plus brief telephone counseling (n = 20) or a wait-list control group (n = 12). Self-reported fatigue, QOL, and walking were assessed at baseline and 12-weeks. Results are presented as effect sizes.Results:Participants in the intervention had improvements in a majority of fatigue and QOL outcomes, whereas the control group had no change or worsened in many; effect sizes were generally in the small to medium range. Changes in fatigue/QOL outcomes were associated with changes in walking behavior, with effects generally in the small to medium range.Conclusion:Home-based physical activity (walking) programs may be an appropriate avenue for alleviating the adverse side effects that often accompany adjuvant treatment for breast cancer. These programs have potential for widespread dissemination, which may have considerable impact on the quality of life of women recently completing breast cancer treatment.
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Devi, Gayathri, Jennifer McMains, Donna Crabtree, Stephanie Freel, and Rajan Sudan. "3568 Education." Journal of Clinical and Translational Science 3, s1 (March 2019): 68. http://dx.doi.org/10.1017/cts.2019.159.
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OBJECTIVES/SPECIFIC AIMS: The Duke Multidisciplinary Education and Research in Translational Science (MERITS) program was introduced with the goal of providing education and resources to faculty and trainees who are involved in translational research. However, the definition of what translational science is and entails can be widely variable, even within a single institution or department, which creates difficulties in appropriate dissemination of information regarding translational resources and assistance. This objective of this study was thus to obtain baseline information and views of translational science from a pilot population of Duke faculty. Based on data collected in a previous focus group, we expected to observe a lack of consensus regarding the definition and inclusion principles of translational science. METHODS/STUDY POPULATION: A digital survey was distributed to Duke Department of Surgery faculty regarding translational science, including opinions on definition, impacts, experienced barriers, known resources, and future training preferences. RESULTS/ANTICIPATED RESULTS: Ninety-five total responses were obtained, with 79.3% of respondents identifying their work as translational. There was no consensus on the precise definition of translational science, although the majority of respondents reported similar essential elements including multidisciplinary science and transitioning between investigative stages. Respondents noted that translational science increased their job satisfaction and recognition in their field, but also stated that they had experienced barriers to translational science. These barriers were primarily funding (56.4%) or lack of training (38.2%) related. DISCUSSION/SIGNIFICANCE OF IMPACT: The results of our pilot survey suggest that the MERITS program should focus on training investigators on the resources available for translational investigations and expound upon how it fits into and enhances their current and future research endeavors.
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Kim, Sage J., Jesus Ramirez-Valles, Karriem Watson, Paula Allen-Mears, Alicia Matthews, Erica Martinez, Angela Odoms-Young, Martha Daviglus, and Robert A. Winn. "Fostering health equity research: Development and implementation of the Center for Health Equity Research (CHER) Chicago." Journal of Clinical and Translational Science 4, no. 1 (December 17, 2019): 53–60. http://dx.doi.org/10.1017/cts.2019.415.
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AbstractIntroduction:The purpose of this article is to describe the process of developing and implementing a transdisciplinary community-based research center, the Center for Health Equity Research (CHER) Chicago, to offer a model for designing and implementing research centers that aim to address structural causes of health inequality.Methods:Scholars from diverse backgrounds and disciplines formed a multidisciplinary team for the Center and adopted the structural violence framework as the organizing conceptual model. All Center activities were based on community partnership. The Center activities were organized within three cores: administrative, investigator development, and community engagement and dissemination cores. The key activities during the first year were to develop a pilot grant program for early-stage investigators (ESIs) and to establish community partnership mechanisms.Results:CHER provided more than 60 consultations for ESIs, which resulted in 31 pilot applications over the three application cycles. Over 200 academic and community partners attended the community symposium and discussed community priority. Some challenges encountered were to improve communication among investigators, to clarify roles and responsibilities of the three cores, and to build consensus on the definition and operationalization of the concept of structural violence.Conclusion:There is an increasing need for local hubs to facilitate transdisciplinary collaboration and community engagement to effectively address health inequity. Building consensus around a shared vision among partners is a difficult and yet important step toward achieving equity.
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Fina, Emanuela, Davide Federico, Pierluigi Novellis, Elisa Dieci, Simona Monterisi, Federica Cioffi, Giuseppe Mangiameli, Giovanna Finocchiaro, Marco Alloisio, and Giulia Veronesi. "Subpopulations of Circulating Cells with Morphological Features of Malignancy Are Preoperatively Detected and Have Differential Prognostic Significance in Non-Small Cell Lung Cancer." Cancers 13, no. 17 (September 6, 2021): 4488. http://dx.doi.org/10.3390/cancers13174488.
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Background: Non-small cell lung cancer (NSCLC) frequently presents when surgical intervention is no longer feasible. Despite local treatment with curative intent, patients might experience disease recurrence. In this context, accurate non-invasive biomarkers are urgently needed. We report the results of a pilot study on the diagnostic and prognostic role of circulating tumor cells (CTCs) in operable NSCLC. Methods: Blood samples collected from healthy volunteers (n = 10), nodule-negative high-risk individuals enrolled in a screening program (n = 7), and NSCLC patients (n = 74) before surgery were analyzed (4 mL) for the presence of cells with morphological features of malignancy enriched through the ISET® technology. Results: CTC detection was 60% in patients, while no target cells were found in lung cancer-free donors. We identified single CTCs (sCTC, 46%) and clusters of CTCs and leukocytes (heterotypic clusters, hetCLU, 31%). The prevalence of sCTC (sCTC/4 mL ≥ 2) or the presence of hetCLU predicted the risk of disease recurrence within the cohort of early-stage (I–II, n = 52) or advanced stage cases (III–IVA, n = 22), respectively, while other tumor-related factors did not inform prognosis. Conclusions: Cancer cell hematogenous dissemination occurs frequently in patients with NSCLC without clinical evidence of distant metastases, laying the foundation for the application of cell-based tests in screening programs. CTC subpopulations are fine prognostic classifiers whose clinical validity should be further investigated in larger studies.
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Biagi, J. J., R. Wong, J. Brierley, R. Rahal, and J. Ross. "Assessing compliance with practice treatment guidelines by treatment centers and the reasons for noncompliance." Journal of Clinical Oncology 27, no. 15_suppl (May 20, 2009): e17506-e17506. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.e17506.
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e17506 Background: Cancer Care Ontario (CCO) is the chief advisor on cancer care to the government of Ontario, a province with a population of more than 12 million. One of the many roles of CCO is to develop evidence based consensus-derived treatment practice guidelines for all major cancer types, through its Program in Evidence-based Care (PEBC). To determine province-wide compliance with these guidelines, a pilot project assessed the proportion of patients with stage III colon cancer (CC) treated in concordance with the corresponding treatment guideline. Initial results are made available to the regional cancer centers (RCC) in the province and to the public through web based Cancer Systems Quality Index (CSQI, http://www.cancercare.on.ca/qualityindex2007/ ). Methods: The guideline (http://www.cancercare.on.ca/pdf/pebc2–29s.pdf) states that patients with resected stage 3 CC will have adjuvant fluoropyrimidine-based chemotherapy within eight weeks of resection. Patients at each of 11 RCC who presented in 2007/2008 with stage III CC and the proportion treated according to the guidelines were identified. Individual charts of those patients who were not treated according to guideline were reviewed to determine the reason. Results: Across eight RCC with complete chart results to date 376 patients with stage 3 CC were identified, 244 (65%, range 47% to 72%) treated in concordance with the guideline, including 13% treated with capecitabine and 6% on clinical trials. The reasons for non-concordance of the 132 remaining cases were: age and co morbid conditions 48 (13%), patient choice 36 (10%), referred for treatment outside the RCC system 16 (4%), stage incorrect and other 32 (9%). Conclusions: Adjuvant chemotherapy treatment of stage III CC at the RCC across the Province of Ontario was concordant with the guideline in the majority of patients, and appropriate clinical reasons for non-compliance were identified. Data from all 11 RCC will be presented along with concordance within the eight-week time frame stated in the guideline . Refinement in province-wide data collection and interpretation will allow results from this pilot to be expanded to other PEBC practice guidelines for dissemination through the CSQI. No significant financial relationships to disclose.
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Spicer, Jennifer O., and Varun K. Phadke. "1312. Division Divided: Using Debate as an Educational Tool to Teach Evidence-Based Clinical Decision-Making." Open Forum Infectious Diseases 5, suppl_1 (November 2018): S401. http://dx.doi.org/10.1093/ofid/ofy210.1145.
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Abstract Background In medical education, there has been a push to implement innovative teaching techniques that encourage critical thinking rather than just knowledge dissemination. Debate promotes critical thinking by challenging individuals to consider alternate viewpoints, which could make it an ideal format to review the evidence relevant to common clinical dilemmas in infectious diseases (ID). We describe a pilot of one such debate format in our ID fellowship program. Methods We reviewed literature regarding the effectiveness of ceftriaxone for outpatient antibiotic therapy (OPAT) in methicillin-susceptible Staphylococcus aureus (MSSA) osteoarticular infections. The evidence was presented as a structured debate in place of our weekly case conference. Pre- and post-session surveys containing multiple choice questions and Likert items were administered to assess the impact of the debate on attendees’ knowledge, attitudes, and practices on this topic along with their attitudes toward the debate format. Differences between pre- and post-session surveys were analyzed using paired t-tests and McNemar’s test. Results At the first debate 33 residents, fellows, and faculty members were present, and 24 (73%) completed both the pre- and post-session surveys. Attendees demonstrated significant improvement between the pre- and post-session knowledge questions, which covered the following topics: study design of articles supporting ceftriaxone use (31% vs. 62%, P = 0.008), appropriate method to assess ceftriaxone susceptibility (64% vs. 100%, P = 0.004), and whether the inoculum effect applies to ceftriaxone (35% vs. 77%, P = 0.003). After the debate, attendees were more willing to use ceftriaxone (P = 0.001) and felt more familiar with the literature (P < 0.001). The post-session survey showed that individuals both enjoyed the format and found it effective (Figure 1). Most individuals stated that they were either extremely likely (85%) or likely (8%) to attend if this format was used again. Written comments included “strongly recommend continuing this format” and “much better than regular case conference with more discussion and critical thinking.” Conclusion Debate appears to be an effective and enjoyable format to teach clinical controversies in ID. Disclosures All authors: No reported disclosures.
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Pasmor, Yuliya, and Margarita Kulyk. "Information technologies and resources of open science: bibliometric, scientometric vision." Law and innovations, no. 3 (31) (October 2, 2020): 24–33. http://dx.doi.org/10.37772/2518-1718-2020-3(31)-4.
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Problem setting. Today our country joins the European Research Area, in particular, taking into account the experience and successful practices of the European Union in open science, cooperation in digital projects, ensuring access of Ukrainian scientists to international databases, electronic journals, scientific and educational networks and scientometric systems and platforms. Some analysis issues of the state and prospects of the national system of open science development, the application of information technologies and open science resources for scientometric and bibliometric analysis of modern trends in scientific communication, don`t lose their relevance, were and remain in the center of attention of foreign and national scientists, specialists, practitioners, such as: S. Glibko, Y. Pasmor, A. Strizhkova. The target of this article is to define tasks and directions concerning scientometric and bibliometric definition of modern problems of scientific activity on the basis of the analysis. Article`s main body. In the context of Ukraine’s solution of tasks and implementation of long-term plans for integration of achievements and obtainings of scientists into the European information space, EU development strategy until 2020 is aimed at «Innovation Union» and at building open innovation. It seems convincing that the concept of open access has become the basis for the emergence of a number of projects, which were realised in the paradigm of open science through the joint use and dissemination of research results, ideas, innovations for global progress, development and presence of Ukraine in the world scientific community. Conclusions and prospects for the development. 44.8 % of respondents said that scientometrics is very important. 89.6 % support scientometrics as a new but necessary way to measure scientific achievements. Therefore, in the current trends of global technologies of open science, natural transformations of society, the evolution of forms and research methodologies are obvious. In the paradigm of open innovations, which are also based on scientometric, bibliometric indicators and resources of open science, the following issues are relevant: 1) providing grant support for the best projects of Ukrainian scientists within the competition of the National Research Foundation; 2) implementation of measures for Ukraine accession to the grant program «Horizon Europe»; 3) continuation of work on the creation of the National Scientific Information System «URIS»; 4) stimulation of activities in the field of technology transfer to provide more transparency and accessibility to national science; 5) implementation of a pilot project of the creation a network of startup-school-incubator-accelerator on the basis of higher education institutions and research institutions.
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Fleisher, Jori E., Serena Hess, Brianna J. Sennott, Erica Myrick, Ellen Klostermann Wallace, Jeanette Lee, Maya Sanghvi, et al. "Longitudinal, Interdisciplinary Home Visits Versus Usual Care for Homebound People With Advanced Parkinson Disease: Protocol for a Controlled Trial." JMIR Research Protocols 10, no. 9 (September 14, 2021): e31690. http://dx.doi.org/10.2196/31690.
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Background The current understanding of advanced Parkinson disease (PD) and its treatment is largely based on data from outpatient visits. The most advanced and disabled individuals with PD are disconnected from both care and research. A previous pilot study among older, multimorbid patients with advanced PD demonstrated the feasibility of interdisciplinary home visits to reach the target population, improve care quality, and potentially avoid institutionalization. Objective The aim of this study protocol is to investigate whether interdisciplinary home visits can prevent a decline in quality of life of patients with PD and prevent worsening of caregiver strain. The protocol also explores whether program costs are offset by savings in health care utilization and institutionalization compared with usual care. Methods In this single-center, controlled trial, 65 patient-caregiver dyads affected by advanced PD (Hoehn and Yahr stages 3-5 and homebound) are recruited to receive quarterly interdisciplinary home visits over 1 year. The 1-year intervention is delivered by a nurse and a research coordinator, who travel to the home, and it is supported by a movement disorder specialist and social worker (both present by video). Each dyad is compared with age-, sex-, and Hoehn and Yahr stage–matched control dyads drawn from US participants in the longitudinal Parkinson’s Outcome Project registry. The primary outcome measure is the change in patient quality of life between baseline and 1 year. Secondary outcome measures include changes in Hoehn and Yahr stage, caregiver strain, self-reported fall frequency, emergency room visits, hospital admissions, and time to institutionalization or death. Intervention costs and changes in health care utilization will be analyzed in a budget impact analysis to explore the potential for model adaptation and dissemination. Results The protocol was funded in September 2017 and approved by the Rush Institutional Review Board in October 2017. Recruitment began in May 2018 and closed in November 2019 with 65 patient-caregiver dyads enrolled. All study visits have been completed, and analysis is underway. Conclusions To our knowledge, this is the first controlled trial to investigate the effects of interdisciplinary home visits among homebound individuals with advanced PD and their caregivers. This study also establishes a unique cohort of patients from whom we can study the natural course of advanced PD, its treatments, and unmet needs. Trial Registration ClinicalTrials.gov NCT03189459; http://clinicaltrials.gov/ct2/show/NCT03189459. International Registered Report Identifier (IRRID) PRR1-10.2196/31690
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Pien, Lily C., Christine A. Taylor, Elias Traboulsi, and Craig A. Nielsen. "A Pilot Study of a “Resident Educator And Life-long Learner” Program: Using a Faculty Train-the-Trainer Program." Journal of Graduate Medical Education 3, no. 3 (September 1, 2011): 332–36. http://dx.doi.org/10.4300/jgme-03-03-33.
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Abstract Purpose We sought to create a resident educator program using a Train-the-Trainer (TTT) approach with adaptable curricula at a large tertiary health care center with a medical school and 60 accredited residency programs. Methods The Resident Educator And Life-long Learner (REALL) Program was designed as a 3-phase model. Phase 1 included centralized planning and development that led to the design of 7 teaching modules and evaluation tools for TTT and resident sessions. Phase 2 entailed the dissemination of the TTT modules (Learning Styles, Observational Skills, Giving Feedback, Communication Skills: The Angry Patient, Case-Based Teaching, Clinical Reasoning, Effective Presentations) to faculty trainers. In phase 3, specific modules were chosen and customized by the faculty trainers, and implemented for their residents. Evaluations from residents and faculty were collected throughout this process. Results A total of 45 faculty trainers representing 27 residency programs participated in the TTT program, and 97% of trainers were confident in their ability to implement sessions for their residents. A total of 20 trainers from 11 residency programs implemented 33 modules to train 479 residents, and 97% of residents believed they would be able to apply the skills learned. Residents' comments revealed appreciation of discussion of their roles as teachers. Conclusion Use of an internal TTT program can be a strategy for dissemination of resident educator and life-long learner curricula in a large academic tertiary care center. The TTT model may be useful to other large academic centers.
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Eckardt, Patricia, Christine Kovner, Marilyn Hammer, Margaret Barton-Burke, Margaret McCabe, Elizabeth Cohn, Marie Marino, and Liza Behrens. "2348." Journal of Clinical and Translational Science 1, S1 (September 2017): 48. http://dx.doi.org/10.1017/cts.2017.173.
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OBJECTIVES/SPECIFIC AIMS: The proposed pilot study seek to enhance the network of CTSAs at Rockefeller University, NYU, ISMMS, and other community members to support translational workforce development of clinical research nurses and establish a standardized nurse-specific training curriculum in GCP for use within the CTSA network, in other research centers, and in nursing school curricula. This will be coupled with a rigorous evaluation study to test the impact of the training and a comprehensive dissemination plan to make the training available to all nurses and nursing students via modern e-learning method. Aim 1. To create an integrated network of local CTSAs and community partners to develop, validate, and refine a pilot e-learning GCP educational and training program and content and outcomes dissemination plan. It is vital to integrate the efforts of CTSA leaders, community partners, and nursing educators to develop a pilot e-learning nurse workforce training curriculum and the associated evaluation measures and assessment plan. Delphi methods will be employed, coupled with rigorous assessment of face validity, content validity, and item reliability. The resulting educational training program will then be used for an e-learning educational intervention study in CTSAs, other sites, and nursing schools. Aim 2. To test the effect of the pilot GCP education and evaluation program for practicing clinical research nurses (CRNs) within the collaborating CTSAs and community partners, we will perform a randomized controlled trial using a Solomon 4 group design. For the student nurse population, we will develop a randomized control trial using a Solomon 4 group design blocked on course section. As this is a pilot study, descriptive statistics and confidence intervals around parameter estimates will be constructed. In addition, inferential statistics will be calculated on primary outcome of interest (change scores in knowledge of GCP) and measures of heterogeneity of data, patterns of missing data, and reliability of evaluative tools will be analyzed. Aim 3. To implement a dissemination plan to reach both nurses practicing the CRN specialty within CTSAs and other community settings. We will disseminate the program to other CTSAs through the CTSA network communication resources. To broaden the reach to a population of nurses and student nurses with limited prior education or training in nurse-specific GCP competencies, but who provide care to research participants in nontraditional research settings, we will craft a novel set of dissemination methods, including the CITI Program electronic platform that can be accessed by nurses and nursing students across settings. In addition, dissemination will be at nursing education meetings and in nursing journals.METHODS/STUDY POPULATION: There are several components to this pilot program. The component that includes a research strategy is the testing of the effectiveness of the training and educational interventions on GCP knowledge and efficacy. Study cohort: Recruitment of study subjects will be in coordination with 3 CTSA collaborators and community partners for 2 samples: (1) nurses who provide care to clinical research participants across a variety of settings (health care systems, research hospitals, and care provider networks) and who are already trained according to current standard in GCP, (2) nursing students from the collaborative network of the 3 CTSAs, NYU School of Nursing has agreed to pilot test the introductory student module. The methodological approach will be a random assignment control trial Solomon 4 group design for practicing CRNs within the collaborating CTSAs and community partners. For student nurse population, the methodological approach will be a randomized-control trial Solomon 4 group design blocked on course section. Survey measures of CRN GCP knowledge and efficacy will be obtained pre and post educational intervention. RESULTS/ANTICIPATED RESULTS: Aim 1. Expected outcomes are pilot e-learning nurse workforce training modules curriculum, and evaluation measures and plan appropriate for CTSAs, community sites, and nursing schools. Specifically, 14 modules (averaging 30 minutes each) for practicing CRNs, and one 45 minute module for nursing students. The significance of these findings will provide a framework for the e-learning educational intervention study. CITI Program is enthusiastic about the module development and refinement and will provide direction for consistency in formatting with current CITI Program modules, set-up of learner groups for comparison, and evaluative measures such as completion data and scoring. Aim 2. Expected outcomes are an effective pilot educational intervention for practicing nurses and students and valid and reliable evaluation tools and plan that can be generalized to the larger CRN and nursing community. Aim 3. Expected outcomes are an enhanced CTSA dissemination plan that includes non-CTSA resources and reaches non-CTSA employed nurses and nursing students. DISCUSSION/SIGNIFICANCE OF IMPACT: The expected outcomes of this pilot study are: (1) an enduring GCP education that can be continually updated and training structure for CRNs, and nurses and nursing students throughout the United States; (2) a reproducible effective standardized basic nurse-specific GCP curriculum for dissemination; (3) assessment tools to evaluate programmatic success, nurse and nursing student knowledge and efficacy on nurse-specific GCP; (4) and a CTSA dissemination plan that to reach non-CTSA nurses and nursing students. Our ultimate goal is the development of a translational workforce educated and competent in GCP at CTSA sites, at non-CTSA sites, and in nursing schools so as to improve the quality of clinical research.
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Olson, Ryan, Jennifer Hess, Kelsey Parker, Sharon Thompson, Anjali Rameshbabu, Kristy Luther Rhoten, and Miguel Marino. "From Research-to-Practice: An Adaptation and Dissemination of the COMPASS Program for Home Care Workers." International Journal of Environmental Research and Public Health 15, no. 12 (December 7, 2018): 2777. http://dx.doi.org/10.3390/ijerph15122777.
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The COMmunity of Practice And Safety Support (COMPASS) program was developed to prevent injuries and advance the health and well-being of home care workers. The program integrates elements of peer-led social support groups with scripted team-based programs to help workers learn together, solve problems, set goals, make changes, and enrich their supportive professional network. After a successful pilot study and randomized controlled trial, COMPASS was adapted for the Oregon Home Care Commission’s training system for statewide dissemination. The adapted program included fewer total meetings (7 versus 13), an accelerated meeting schedule (every two weeks versus monthly), and a range of other adjustments. The revised approach was piloted with five groups of workers (total n = 42) and evaluated with pre- and post-program outcome measures. After further adjustments and planning, the statewide rollout is now in progress. In the adaptation pilot several psychosocial, safety, and health outcomes changed by a similar magnitude relative to the prior randomized controlled trial. Preliminary training evaluation data (n = 265) show high mean ratings indicating that workers like the program, find the content useful, and intend to make changes after meetings. Facilitating factors and lessons learned from the project may inform future similar efforts to translate research into practice.
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Rodriguez, Brendaly. "3430 Promoting Stakeholder Research Competencies to Culturalize Health Science by the Miami CTSA: National Partnership for Training Community Health Workers in Patient-Centered Outcomes Research (PCOR) in 4 States." Journal of Clinical and Translational Science 3, s1 (March 2019): 93–94. http://dx.doi.org/10.1017/cts.2019.213.
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OBJECTIVES/SPECIFIC AIMS: To mobilize and engage CHWs/promotores as stakeholders, we aim to promote the capacity for CHWs participate in patient centered research (PCOR) by locally implementing a structured research training curriculum for CHWs. Main Questions: How the process of mobilization and engagement would be implemented at local/state level? What would be project challenges, risks and barriers at each and across sites? What modifications would be made to the initial PCOR for CHWs training curriculum and toolkit based on local feedback from collaborators, in both English and Spanish? What would be lessons learned on mobilization, engagement of, and sustainability for CHW training organizations as partners in PCOR? METHODS/STUDY POPULATION: Measures: Monthly calls and quarterly reports from local organizations on activities, deliverables status, modifications, project implementation challenges/barriers and solutions (experienced and potential) to achieve goals of training 10 PCOR CHW Champions and a total of 360 CHWs/promotores trained in PCOR. Input from Note taker reports, Feedback and Evaluation Forms from training attendees at each session. Co-authorship of team members on dissemination activities (submissions for presentations, posters, blogs entries, webinars). Activities/Procedures: Via a highly participatory, consensus-driven decision-making approach, each of the organizations in the target states provide input into refining the toolkit for local use, select the training champions and develop CHW/promotor outreach and recruitment plans, and deliver the PCOR training to CHWs. In addition, the organizations will also set up a local stakeholder CHW/promotores advisory group. Environmental scan and literature review continues on training content areas to complement field experience in implementing the trainings at local sites. Project information tools developed (info sheet for local organizations, informational slide set to be used at calls and statewide seminars, a templates for flyer for training recruitment, agenda, certificates). FL and TN pilot of the translation of the curriculum, addressing problematic concepts and terms, collecting feedback forms eliciting input on terminology variations across Spanish speaking populations and literacy levels. Project Collaborators: Día de la Mujer Latina, a patient advocacy group in Texas with CHW trainings in several states and Puerto Rico Chula Vista Community Collaborative, a community health empowerment organization in Southern California Progresso Community Center, a Latino-focused health coalition based in Tennessee Florida Community Health Worker Coalition, a statewide partnership dedicated to the support and promotion of the CHW profession in Florida. RESULTS/ANTICIPATED RESULTS: Results: Trainings per State - Y1 Jan- October 2018 Totals: 11 PCOR Champions and 252 PCOR-Trained CHWs in CA-TX-TN Y2 Plans (October 2018-September 2019): Will continue to collect CHW trainee demographic data, CHW certification and patient/patient advocate status. Will conduct qualitative and quantitative analysis of all quarterly reports, Note taker, and trainee Feedback and Evaluation forms. Will reach goal of 360 PCOR-trained CHWs in FL, CA, TX and TN. Will continue to submit abstracts on our story on building patient and stakeholder capacity to participate as partners in patient-centered outcomes research, engagement and mobilization, from topic generation through the dissemination of research results. From evaluation analysis of content and process measures, we will discuss sustainability strategies as shared learning collaborative. DISCUSSION/SIGNIFICANCE OF IMPACT: Challenges/Decision Points Y1: On Mobilization and Engagement: Across partners, different levels of readiness/capacities/structures, and access to local resources Process application for request for content and guest instructor approvals to the Texas Department of State Health Services (DSHS) for CHW and CHW Instructor credit Co-branding of informational products (recruitment flyers, agendas, certificates), slides of Welcome section On Content and Curriculum Development: Address different levels of literacy Format (1-day vs spread, in person/online, prescriptive vs open) Clear distinction between service provision and research; paradigm shift of transfer of skills Inserting examples of unethical health research past activities with both African American and Hispanic/Latino populations Reinstating phases of clinical studies basic information Creating a study research design activity in Chapter 1 CHW role as member of research team Adding PCORI-funded project summary fact sheet per state On translations: Diversity of nuances of meaning in vocabulary for concepts On sustainability: Different degrees of organizational and personal involvement Next for newly PCOR-trained CHWs Meaningfully engaging patients and other stakeholders is increasingly recognized as requisite to generate research findings that are trusted, meaningful, and useful to clinicians, patients, and their families. One key engagement strategy used for engaging specific patients/caregivers and patient advocates in underserved communities is leveraging our partnerships with Community Health Workers (CHWs). Moreover, there is a documented need for higher level of training skills to undertake activities such as community health assessments, program evaluations and clinical studies. University of Miami (UM) along FL partners has successfully developed a 7-hr specialized toolkit on patient-centered research for CHWs and trained 148 CHWs/promotores (original plans were for 100) across the six major statewide regions. Evaluation data resulted in 100% of attendees responses’ as excellent and 99% would recommend it to others. Qualitative comments included “even though the training was tailored for research, I feel that it applies to many other aspects of the CHW role” and “I feel more empowered in my role after hearing explicitly the opportunities…for a CHW to be more involved in the research process”. UM has partnered with stakeholders in FL, Texas, southern California and Tennessee to develop a Spanish version of the PCOR for CHWs Training Toolkit (including a slide deck, Facilitator’s Guide and Student Workbook) that can be culturally and linguistically appropriate, to train local CHWs/promotores as PCOR CHW Champions. Attendees will receive lunch and a certificate of participation upon completion of the module. In turn, they agree to train local CHWs in their region. These 7 credit hrs could be used as credits towards state certification requirements, in states with CHW certification programs. This partnership for the mobilization and engagement of CHWs/promotores aims to strengthen their capacity to be involved in PCOR at the local and national level and increase the organizational capacity of CHW representative organizations in their promotion of PCOR. This type of research aims to help patients and those who care for them make better-informed decisions about the healthcare choices they face every day, guided by those who will use that information. In doing so, CHWs/promotores are contributing to PCOR in addressing health disparities and achieving health equity as a more culturally and linguistically diverse healthcare workforce and PCOR research team members.
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Phelan, Elizabeth A., Barbara Williams, Susan J. Snyder, Sally Sizer Fitts, and James P. LoGerfo. "A five state dissemination of a communitybased disability prevention program for older adults." Clinical Interventions in Aging 1, no. 3 (August 2006): 267–74. http://dx.doi.org/10.2147/ciia.2006.1.3.267.
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Sumargi, Agnes, Kate Sofronoff, and Alina Morawska. "Evaluation of a Brief Format of the Triple P-Positive Parenting Program: A Pilot Study With Indonesian Parents Residing in Australia." Behaviour Change 31, no. 2 (May 21, 2014): 144–58. http://dx.doi.org/10.1017/bec.2014.7.
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Dissemination of evidence-based parenting programs in developing countries is warranted, but prior to dissemination, the cultural appropriateness of programs needs to be assessed. This study provides an evaluation of the level of acceptability among Indonesian parents and the efficacy of a brief parenting program, the Triple P-Positive Parenting seminar. Thirty Indonesian parents of children aged 2–12 years old residing in Australia participated in the study. A 90-minute Triple P seminar with minimal changes in the format was delivered to parents in Indonesian. Parents reported a high level of acceptability and satisfaction with the program content. The efficacy of the program was also explored. Parents reported less frequent use of dysfunctional parenting practices, particularly permissive parenting style, and reduction in the intensity of child emotional and behavioural problems 3 weeks after the seminar. The effect was maintained at 3-month follow up. The results suggest that the Triple P seminar is acceptable and useful for Indonesian parents. Substantial changes in the content of the parenting program may not be necessary. Translated materials, culturally relevant examples and opportunity for questions appeared sufficient for parents. Future studies are required, including randomised controlled trials and larger sample sizes.
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Olfert, Melissa, Rebecca Hagedorn, Makenzie Barr, Oluremi Famodu, Jessica Rubino, and Jade White. "eB4CAST: An Evidence-Based Tool to Promote Dissemination and Implementation in Community-Based, Public Health Research." International Journal of Environmental Research and Public Health 15, no. 10 (September 29, 2018): 2142. http://dx.doi.org/10.3390/ijerph15102142.
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eB4CAST, evidence-Based forecast C-capture, A-assemble, S-sustain, T-timelessness (eB4CAST), framework was developed from existing dissemination and implementation (D & I) constructs as a dissemination tool to promote community-based program usability and future application in targeted populations. eB4CAST captures and transforms research findings into a dissemination report that shows program need and impact to endorse program continuation and expansion. This is achieved through direct and indirect data collection of community factors and program impact that can showcase the need for program sustainability and potential for future dissemination sites. Testimonials, individual feedback, and program process and outcomes contribute to the direct data while data collected from census, county, and state databases and reports allow for indirect information to be captured and analyzed. Capturing data in the two levels allow eB4CAST to forecast program need and highlight program impact through a footprint. eB4CAST framework for dissemination tool creation is organized into four sections: Capture, Assemble, Sustainability, and Timelessness. Capture encompasses the collection of indirect and direct data related to intervention goals. Assemble is the compilation of the data into a visually appealing and easily understood media. Sustainability encourages the use of dissemination tools to provide forecast of program need and footprint of program impact back to community participants, program leaders, and key stakeholders to endorse program sustainability. Lastly, timelessness encourages cyclic movement through these constructs to continue program monitoring and data sharing to ensure timeless program evaluation and conformation to change in needs. The eB4CAST framework provides a systematic method to capture justification of program need and impact of community-based research that can be modified to fit diverse public health interventions providing a necessary D & I tool.
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Fink, David, and Kate Houston. "Implementing an evidence-based Tai Ji Quan program in a multicultural setting: A pilot dissemination project." Journal of Sport and Health Science 3, no. 1 (March 2014): 27–31. http://dx.doi.org/10.1016/j.jshs.2013.10.003.
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Dopp, Anna Legreid, Jennifer R. Moulton, Michael J. Rouse, and CoraLynn B. Trewet. "A Five-State Continuing Professional Development Pilot Program for Practicing Pharmacists." American Journal of Pharmaceutical Education 74, no. 2 (September 2010): 28. http://dx.doi.org/10.5688/aj740228.
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Coate, L. Edwin. "An analysis of Oregon State University's total quality management pilot program." New Directions for Higher Education 1993, no. 83 (1993): 43–62. http://dx.doi.org/10.1002/he.36919938307.
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Cowen, Emory L., A. Dirk Hightower, Deborah B. Johnson, Mary Sarno, and Roger P. Weissberg. "State-level dissemination of a program for early detection and prevention of school maladjustment." Professional Psychology: Research and Practice 20, no. 5 (1989): 309–14. http://dx.doi.org/10.1037/0735-7028.20.5.309.
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Yarosh, A. V. "Surrogacy Program State Regulation Experiment." Lex Russica, no. 8 (August 27, 2021): 126–32. http://dx.doi.org/10.17803/1729-5920.2021.177.8.126-132.
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In the pursuit of family happiness, married couples, faced with family infertility, often turn to surrogate mothers either directly or through intermediaries. Having experienced a large number of negative factors on the part of the participants in this process, the author concludes that it is necessary to create a platform for the effective implementation of the surrogacy program under state control using new (experimental) legal mechanisms within the framework of a pilot state experiment within a certain medical organization. The use of private legal means aims at creating comfortable and safe conditions for the implementation of the surrogacy program. The introduction of special credit conditions (new types of loans issued on special conditions, with additional guarantees), with the possibility of early repayment at the expense of maternal (family) capital will help to stabilize the financial side and protect potential parents.The goals and objectives of the study are to highlight problematic issues related to the implementation of the surrogacy program, as well as to model an experimental platform that will create a favorable legal climate of openness and security for potential parents, surrogate mothers and medical organizations. The paper also analyzes the advantages of the participants of this platform.Research methods are analysis, synthesis, modeling, comparative legal, system analysis, as well as deductive and inductive methods.The result of the conducted research is the author’s reasoned conclusion that the implementation of the experiment on state regulation of the surrogacy program in Russia will not only create favorable legal conditions aimed at the effective implementation of the surrogacy program, but also solve a number of important social, including demographic, tasks.
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Durl, James, Timo Dietrich, and Krzysztof Kubacki. "Effectiveness of a brief versus a comprehensive social marketing program." Journal of Social Marketing 10, no. 3 (August 31, 2020): 377–94. http://dx.doi.org/10.1108/jsocm-11-2019-0199.
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Purpose Gamified and engaging school-based alcohol social marketing programs have demonstrated effectiveness; however, wide-scale dissemination of these programs is limited by their resource-intensive character. The purpose of this paper is to address this limitation, a brief alcohol social marketing pilot program was derived from a comprehensive alcohol social marketing program to compare effectiveness. Design/methodology/approach A sample of 115 14–16-year-old adolescents from six secondary schools participated in the brief alcohol social marketing pilot program. Program effectiveness was assessed using repeated measure analysis on adolescents’ knowledge, attitudes, social norms, self-efficacy and intentions to binge drink. Results were compared with the comprehensive social marketing program and a control group. Findings The brief pilot program produced statistically significant outcomes for the same measures as the comprehensive program across attitudinal variables, descriptive norms and opportunistic self-efficacy. Research limitations/implications Converting existing social marketing programs into brief alternates is more cost-effective and, in this case, demonstrated better outcome effects. However, findings are limited as in-depth comparisons were hindered by changes to content across program modes. No process for converting comprehensive programs into brief alternates was identified prior to this study, and therefore a number of considerations for program alteration were derived from program facilitator experiences. Originality/value The findings provide initial evidence that a brief version of an existing comprehensive program can be an effective alternate to more resource-intensive programs under more cost-effective circumstances for program developers and facilitators.
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Minyard, James P., W. Edward Roberts, and William Y. Cobb. "State Programs for Pesticide Residues in Foods." Journal of AOAC INTERNATIONAL 72, no. 3 (May 1, 1989): 525–33. http://dx.doi.org/10.1093/jaoac/72.3.525.
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Abstract Two U.S. data collection and dissemination programs, FEEDCON and FOODCONTAM, are described. FEEDCON provides information on contamination levels in animal feeds of toxic chemical residues (pesticides, industrial chemicals, heavy metals, mycotoxins, natural plant toxins, salmonella, and therapeutic drug cross-contaminations). FEEDCON data are collected from approximately 40 state feed regulatory agencies, feed manufacturers, and related groups who subscribe ($100-$200 per year) to the program, which is sponsored by the Association of American Feed Control Officials. FOODCONTAM provides similar information, but is limited to pesticides, heavy metals and industrial chemicals (polychlorinated and polybrominated biphenyls, etc.) in human foods. Both programs have been developed and initiated under U.S. Food and Drug Administration contracts with the Mississippi State Chemical Laboratory. Program structures of both are outlined conceptually, and FOODCONTAM is described in detail. FOODCONTAM data-sharing program development is essentially complete, but expansion by incorporating FDA data with State Laboratory data is nearing reality.
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Pietrucha, Martin T., Timothy R. Pieples, and Philip M. Garvey. "Evaluation of Pennsylvania Road Safety Audit Pilot Program." Transportation Research Record: Journal of the Transportation Research Board 1734, no. 1 (January 2000): 12–20. http://dx.doi.org/10.3141/1734-03.
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Historically, highway safety countermeasures have been developed in response to accidents. These countermeasures are based on the identification of contributing factors in the system operating environment that can be eliminated or changed so that the accidents caused by them will no longer occur. The road safety audit is a process whereby a team of experts attempts to identify features of the highway operating environment that could be potentially dangerous and then works to eliminate or change these features during the different phases of design before the system becomes operational. The Pennsylvania Department of Transportation (PennDOT) is interested in formulating a safety audit process for use on roads in the state. In cooperation with PennDOT, the Pennsylvania Transportation Institute conducted research on the application of a road safety audit process in two PennDOT districts.
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Wide, Maria Iwarsson. "Efficient forest fuel supply systems: Research, development and dissemination of knowledge in Sweden." Forestry Chronicle 92, no. 04 (December 2016): 428–31. http://dx.doi.org/10.5558/tfc2016-077.
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Efficient Forest Fuel Supply Systems (ESS) was run as a collaboration program, financed by the forestry sector, the energy sector, and the Swedish Energy Agency. The objective was to enable a long-term, sustainable and greatly increased use of forest fuel by supporting the development of a more efficient production system. The financial framework of ESS was SEK 130 million (approximately CA $ 19.5 million) over eight years, and the program supported approximately 150 research and development projects. Skogforsk administered the program, and was responsible for coordination and disseminating information to the stakeholders. A program board made formal decisions, and a fuel technology collaboration group helped to identify R&D areas. A project pilot was linked to each project to ensure that the focus was on sector needs and interests, and to help the project manager with relevant study objects, networks and updated information. In and around the program, valuable expertise and networks were built up in each sector and in research organisations, both nationally and internationally. Great emphasis was placed on practical demonstration, implementation and communication, in order to disseminate knowledge about new technology and methods and to influence attitudes toward forest fuel harvest. The forestry sector and its contractors gradually strengthened the supply system through improved skills, better organisation, and advanced equipment. The goals were largely attained, and practical aspects relating to forest fuel were implemented, incorporating many of the results.
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Widyastuti, Sri, Sri Ambarwati, and Herlan. "Diseminasi Pengayaan Kosakata (Pusat Pengembangan Dan Perlindungan, Badan Pengembangan Dan Pembinaan Bahasa Kementerian P&K Republik Indonesia)." SULUH: Jurnal Abdimas 1, no. 1 (September 27, 2019): 37–40. http://dx.doi.org/10.35814/suluh.v1i1.971.
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Indonesian is the language of unity in Indonesia in accordance with Article 36 of the 1945 Constitution which states that the State Language is Indonesian. In line with the development of time the Indonesian language has changed from time to time the Language Development and Development Agency of the Ministry of Education and Culture in charge of socializing about the Vocabulary Enrichment Dissemination program. In connection with the foregoing, the Language Development and Development Agency of the Ministry of Education and Culture held a Dissemination of Indonesian Language Vocabulary Enrichment Program at the Faculty of Economics and Business, Pancasila University (FEB-UP).
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Mayer, Jeanmarie, Barbara Mooney, Adi Gundlapalli, Stephan Harbarth, Gregory J. Stoddard, Michael A. Rubin, Louise Eutropius, Britt Brinton, and Matthew H. Samore. "Dissemination and Sustainability of a Hospital-Wide Hand Hygiene Program Emphasizing Positive Reinforcement." Infection Control & Hospital Epidemiology 32, no. 1 (January 2011): 59–66. http://dx.doi.org/10.1086/657666.
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Objective.To increase and sustain hospital-wide compliance with hand hygiene through a long-term ongoing multidimensional improvement program emphasizing behavioral factors.Design.Quasi-experimental short study (August 2000-November 2001) and descriptive time series (April 2003-December 2006).Setting.A 450-bed teaching tertiary-care hospital.Interventions.An initial intervention bundle was introduced in pilot locations that addressed cognitive behavioral factors, which included access to alcohol sanitizer, education, and ongoing audit and feedback. The bundle was subsequently disseminated hospital-wide, along with a novel approach focused on behavior modification through positive reinforcement and annually changing incentives.Results.A total of 36,123 hand hygiene opportunities involving all categories of healthcare workers from 12 inpatient units were observed from October 2000 to October 2006. The rate of compliance with hand hygiene significantly improved after the intervention in 2 cohorts over the first year (from 40% to 64% of opportunities and from 34% to 49% of opportunities;P< .001, compared with the control group). Mean compliance rates ranged from 19% to 41% of 4174 opportunities (at baseline), increased to the highest levels of 73%–84% of 6,420 opportunities 2 years after hospital-wide dissemination, and remained improved at 59%–81% of 4,990 opportunities during year 6 of the program.Conclusion.This interventional cohort study used a behavioral change approach and is one of the earliest and largest institution-wide programs promoting alcohol sanitizer from the United States that has shown significant and sustained improvements in hand hygiene compliance. This creative campaign used ongoing frequent audit and feedback with novel use of immediate positive reinforcement at an acceptable cost to the institution.
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O'Donnell, Lydia, Mary K. Irvine, Aisha L. Wilkes, Julie Rwan, Athi Myint-U, Deborah McLean Leow, David Whittier, et al. "STEPS to Care: Translating an Evidence-Informed HIV Care Coordination Program Into a Field-Tested Online Practice Improvement Toolkit." AIDS Education and Prevention 32, no. 4 (August 2020): 296–310. http://dx.doi.org/10.1521/aeap.2020.32.4.296.
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Increasing care engagement is essential to meet HIV prevention goals and achieve viral suppression. It is difficult, however, for agencies to establish the systems and practice improvements required to ensure coordinated care, especially for clients with complex health needs. We describe the theory-driven, field-informed transfer process used to translate key components of the evidence-informed Ryan White Part A New York City Care Coordination Program into an online practice improvement toolkit, STEPS to Care (StC), with the potential to support broader dissemination. Informed by analyses of qualitative and quantitative data collected from eight agencies, we describe our four phases: (1) review of StC strategies and key elements, (2) translation into a three-part toolkit: Care Team Coordination, Patient Navigation, and HIV Self-Management, (3) pilot testing, and (4) toolkit refinement for national dissemination. Lessons learned can guide the translation of evidence-informed strategies to online environments, a needed step to achieve wide-scale implemention.
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Crawford, Erika A., Alison Salloum, Adam B. Lewin, Ross Andel, Tanya K. Murphy, and Eric A. Storch. "A Pilot Study of Computer-Assisted Cognitive Behavioral Therapy for Childhood Anxiety in Community Mental Health Centers." Journal of Cognitive Psychotherapy 27, no. 3 (2013): 221–34. http://dx.doi.org/10.1891/0889-8391.27.3.221.
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Anxiety disorders among children are common, disabling, and run a chronic course without treatment. Cognitive behavioral therapy (CBT) has shown robust efficacy for childhood anxiety. However, dissemination of CBT into community mental health centers (CMHCs) is limited. Computer-assisted CBT (CCBT) programs have been developed to improve dissemination by providing a structured treatment format that allows therapists to reliably deliver evidence-based treatments with fidelity. In this pilot study involving therapists with limited CBT experience, the effectiveness, feasibility, and acceptability of a CCBT program, Camp Cope-A-Lot (Khanna & Kendall, 2008b), were examined in three CMHCs. Seventeen youth ages 7–13 years and diagnosed with a primary anxiety disorder were enrolled. Assessments were conducted by a rater not involved in treatment at baseline and posttreatment. Significant reductions in anxiety severity and impairment were demonstrated at the posttreatment assessment. High levels of family satisfaction were reported. These results provide preliminary support for the effectiveness of a computer-assisted treatment into CMHCs and warrant replication in a controlled setting.
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Ernst, William, and Meredith E. Kneavel. "Development of a Peer Education Program to Improve Concussion Knowledge and Reporting in Collegiate Athletes." Journal of Athletic Training 55, no. 5 (May 1, 2020): 448–55. http://dx.doi.org/10.4085/1062-6050-212-19.
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Context A novel peer concussion-education program (PCEP) was developed to enhance concussion knowledge and reporting among collegiate student-athletes. Objective To describe the PCEP and its development and implementation. Design Program development consisting of a literature review, focus group, and pilot implementation. Setting Athletics department at a college participating at the National Collegiate Athletic Association Division II-sanctioned competition level. Patients or Other Participants Fifteen student-athletes from the women's soccer and men's lacrosse teams participated in the focus group. Four peer concussion educators (PCEs) were debriefed after the pilot implementation of the PCEP with the women's soccer and men's lacrosse teams. Data Collection and Analysis Focus-group data were analyzed qualitatively. The PCEs were debriefed, and responses were organized into recommendation types. Results The literature review contributed information that supported the development of the PCEP's conceptual model. Focus-group results provided information used to train the PCEs and refine the PCEP's education modules. The pilot implementation and PCE debriefing supplied information used to further revise the education modules, PCE training, and PCEP implementation procedure. Conclusions The PCEP was developed based on the Theory of Reasoned Action and Planned Behavior and uses a peer-mediated, cognitive-behavioral, and interdisciplinary model to enhance concussion knowledge of and reporting by collegiate student-athletes. After a focus-group discussion and pilot implementation, we revised the PCEP and its education modules and developed an online manual to facilitate broad dissemination.
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Chesla, Catherine A., Kevin M. Chun, Yulanda Kwong, Caryl L. Gay, Han-Lin Chi, Yunzi Gu, Lenore Hernandez, Peggy Huang, Lisa A. Strycker, and Jun Ma. "Cultural Adaptation of the Group Lifestyle Balance Program for Chinese Americans." Diabetes Educator 42, no. 6 (September 24, 2016): 686–96. http://dx.doi.org/10.1177/0145721716666679.
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Purpose The purpose of this pilot study was to develop and evaluate a culturally adapted, language-translated diabetes prevention program for Chinese Americans. Methods This pilot study had a single-group repeated-measures design. Participants were 25 first-generation (n = 20) or second-generation (n = 5) Chinese Americans at risk for diabetes because of overweight (using the Asian-specific criterion of body mass index ≥ 23) and either prediabetes or metabolic syndrome. The 16-session program was administered over 6 months in separate Mandarin (n = 9) and English (n = 16) groups. Outcomes were assessed at baseline and at 3 and 6 months. Four participants dropped out. Multilevel regression models were used to examine change in study outcomes over time. Results Participants lost an average of 5.4% of their body weight across the 6 months of the study. Self-report questionnaires suggested improved dietary intake and increased physical activity. Both total and low-density lipoprotein cholesterol levels improved. There were no statistically significant changes in fasting plasma glucose or A1C levels. Participants reported high satisfaction with and acceptance of the program. Conclusion Results suggest that the culturally adapted Group Lifestyle Balance program for Chinese Americans was both acceptable and effective. The culturally adapted program warrants further examination using scientific approaches for dissemination and implementation.
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Burrows-McElwain, J. Bryan, I. K. Dabipi, and Chris Hartman. "MAKING THE GO, NO-GO DECISION BASED ON NON-TRADITIONAL WEATHER PLANNING INFORMATION: THE CHALLENGE OF MEASURING THE IMPACTS OF NEW TECHNOLOGIES ON PILOT’S WEATHER RELATED DECISION MAKING IN GENERAL AVIATION." Journal of Air Transport Studies 6, no. 1 (January 1, 2015): 36–52. http://dx.doi.org/10.38008/jats.v6i1.63.
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This paper explores contemporary issues regarding the challenges of quantifying improved decision making and situational awareness as it is applied to emerging tools in aviation weather information dissemination. The authors explore the phenomena of increased/improved pilot decision making due to additional visual representation of visual weather data. General concepts such as past and present flight planning tools and procedures are discussed. Additionally, the authors explore the Federal Aviation Administration’s (FAA) Alaskan Weather Camera program as a potential case study for future exploration of these concepts. A pilot survey tool was created and administered to a small test population as a part of an undergraduate Aviation Psychology course assignment. Preliminary findings and suggestions for future research are presented.
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Harris, Ronald A. "Louisiana Answers for Living at Home: State Pilot Program for Aging in Place." International Journal of Aging and Society 1, no. 1 (2012): 51–64. http://dx.doi.org/10.18848/2160-1909/cgp/v01i01/35165.
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Barkley, Mary Clarke, Mary Meck Higgins, William D. Hart, Jacquelyn W. McClelland, and Alma Saddam. "Development and Evaluation of a Multi-State Older Adult Nutrition Education Pilot Program." Journal of Nutrition For the Elderly 22, no. 4 (June 2003): 55–68. http://dx.doi.org/10.1300/j052v22n04_05.
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McNabb, Wyue L., Sandy Cook, Barbara Fischer, Michael T. Quinn, and Linda Haas. "Dissemination of a Continuing Education Program in Diabetes to Health Care Professionals." Diabetes Educator 20, no. 1 (February 1994): 35–40. http://dx.doi.org/10.1177/014572179402000107.
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A goal of the Diabetes Research and Training Centers (DRTCs) is to translate advances in diabetes research into irnproved patient care by providing innovative, state-of the-art training for health care professionals. This paper is a report on a collaborative DRTC-AADE training project. A 2-day diabetes program developed by the Chicago DRTC was packaged as a Workshop Instructor's Guide with accompanying slides and materials. AADE faculty observed the workshop presented by DRTC faculty and subsequently presented the workshop themselves. The evaluation design involved coinparitig a workshop presented by the DRTC faculty with a workshop presented by faculty from AADE. Three components were included in the evaluation: the participants' evaluation, a commitment-to-change evaluation, and the faculty observations. When cottiparitig workshops, few differences were observed in participants' or faculty observers' evaluations. Moreover, participants at both workshops were equally successful at meeting goals related to improving their diabetes education practice behaviors. Dissemination of the program has been expanded and the workshop has become part of AADE's national continuing education efforts.
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Norris, Anne E., Roxana Delcampo Thalasinos, and Michael L. Hecht. "Multicultural Adaptation of Mighty Girls for Widespread Dissemination: Pilot Study, App Development and Usability Testing, and Gauging Parent Support With Focus Groups." JMIR Formative Research 5, no. 6 (June 2, 2021): e24937. http://dx.doi.org/10.2196/24937.
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Background Taking evidence-based interventions to scale is a challenge for prevention science. Mighty Girls is an evidence-based sexual health intervention program that combines classroom sessions with novel, cutting-edge technology (digital puppetry). The program was developed for 7th grade Latinas, but US school and community demographics rarely allow interventions targeting a single ethnic group. Additionally, digital puppetry is costly to scale up, and parent disapproval often prevents successful dissemination of adolescent sexual health programs. Intervening steps along the scaling-up pathway are needed to adapt the program prior to scaling up for dissemination. Objective The aims of this study were to create a multicultural adaptation of the Mighty Girls program using a mobile app that is less costly to disseminate and is acceptable to parents of 7th grade girls. Methods This study used a three-phase process to adapt Mighty Girls into Mighty Teens. All phases used purposive (nonprobability) sampling of low-income, multicultural, urban metropolitan groups (7th grade girls and their parents) within central Florida. Phase 1 involved two videotaped implementations of a multicultural adaptation of the classroom sessions, one involving focus groups (N=14) and the other serving as a single-group pretest-posttest pilot study (N=23). Phase 2 involved development of a narrative cell phone app prototype, which was subjected to usability testing (N=25). App usability and engagement were assessed qualitatively (observation, focus group, open-ended questions) and quantitatively. Phase 3 used focus groups to assess parent support for the program (N=6). Qualitative data were analyzed using descriptive content analysis. Quantitative data were analyzed using descriptive statistics and paired t tests. Results Qualitative findings supported classroom sessions being multicultural, and identified simple changes to improve engagement and learning. Quantitative findings from the second classroom session implementation pilot study indicated a significant pre-post difference in intention to delay sexual intercourse (P=.04). App usability and appeal were supported by a System Usability Scale score of 76 (exceeding 68 per the industry standard) and 83% (20/24) of participants agreeing they would recommend the app to friends. Parents (mothers) expressed only positive regard for program goals, and classroom session and app activities. Conclusions This study adapted Mighty Girls into an engaging, easier-to-disseminate, multicultural program, termed Mighty Teens, that uses a narrative-generating app to support behavior change, and is likely to be accepted by parents of 7th grade girls. This study also provides evidence of the preliminary effectiveness of Mighty Teens classroom sessions. The sampling method and sample size were appropriate for adaptation, but research involving a more representative US sample is needed to confirm multicultural fit, parent receptivity, and program effectiveness. Study implications include integrating app use throughout the classroom sessions to build narrative-generating skills across the program and increasing the number of narratives produced, which should in turn increase the program’s behavior change potency.
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Shlafer, Rebecca J., Amanda A. Wanous, and Erin C. Schubert. "Statewide Dissemination of Sesame Street Resources for Families Affected by Incarceration." Health Promotion Practice 18, no. 2 (July 9, 2016): 298–305. http://dx.doi.org/10.1177/1524839916648126.
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The number of children with an incarcerated parent has increased nearly 80% in the past 20 years. Despite the growing need, few educational resources exist to promote the emotional health of young children with incarcerated parents. To address this need, Sesame Street recently released developmentally appropriate, multimedia resources, and piloted the dissemination of those resources in 10 states. The current study describes the process used in one pilot state to disseminate the resources; documents the reach of those dissemination efforts, including the number of resource kits distributed, number of community-based and clinical providers reached, and location of providers across the state; and examines providers’ impressions of the utility of the resources and their perspectives on how the resources support children and families affected by incarceration. This study has important implications for translating research evidence for community providers and practitioners who aim to promote the emotional health of young children affected by incarceration.
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Wincentak, Joanne, Stephanie Cheung, and Shauna Kingsnorth. "Utilizing a Journal Club to Build Research Competencies in a Cross-Disciplinary Environment." Scholarly and Research Communication 10, no. 3 (June 17, 2019): 16. http://dx.doi.org/10.22230/src.2019v10n3a337.
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Background The goal of this process-focused field note is to detail the steps taken to design and implement the pilot of a cross-disciplinary research-trainee-led journal club within a hospital-based research institute.Analysis The journal club was designed to support learning goals in the areas of critical appraisal, research knowledge, and communication within a cross-disciplinary environment. The evaluation data for the three pilot sessions are presented, and successes and challenges are discussed.Conclusion and implications Recommendations for institutes interested in the implementation of similar programs focused on research competencies within a cross-disciplinary setting are given.
Keywords Knowledge dissemination; Tools and practices; Journal club; Research training; Interdisciplinary communication; Program development
Résumé
Le but de cette note de terrain est de détailler les étapes de la conception et exécution du pilote d’un club de lecture scientifique interdisciplinaire dirigé par des étudiants au sein d’un institut de recherche en milieu hospitalier. Le club de lecture a été conçu pour soutenir des objectifs d’apprentissage relevant des domaines de l’analyse critique, du savoir, et de la communication de recherche au sein d’un environnement interdisciplinaire. Les données d’évaluation pour les trois sessions pilotes sont présentées dans cet article et les succès et défis discutés. Des recommandations sont faites pour les instituts intéressés par l’exécution de programmes similaires axés sur des compétences de recherche dans un cadre interdisciplinaire.
Mots clés Knowledge dissemination: Tools and practices; Journal club; Research training; Interdisciplinary communication; Program development
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Bennett, Joel B., Michael Neeper, Brittany D. Linde, Gale M. Lucas, and Lindsay Simone. "Team Resilience Training in the Workplace: E-Learning Adaptation, Measurement Model, and Two Pilot Studies." JMIR Mental Health 5, no. 2 (May 2, 2018): e35. http://dx.doi.org/10.2196/mental.8955.
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Background The majority of resilience interventions focus on the individual. Workplace resilience is a growing field of research. Given the ever-increasing interconnectedness in businesses, teamwork is a guarantee. There is also growing recognition that resilience functions at the team level. Objective The objective of our work was to address three shortcomings in the study of workplace resilience interventions: lack of interventions focusing on group-level or team resilience, the need for brief interventions, and the need for more theoretical precision in intervention studies. Methods The authors took an established evidence-based program (Team Resilience) and modified it based on these needs. A working model for brief intervention evaluation distinguishes outcomes that are proximal (perceptions that the program improved resilience) and distal (dispositional resilience). A total of 7 hypotheses tested the model and program efficacy. Results Two samples (n=118 and n=181) of engineering firms received the Web-based training and provided immediate reactions in a posttest-only design. The second sample also included a control condition (n=201). The findings support the model and program efficacy. For example, workplace resilience was greater in the intervention group than in the control group. Other findings suggest social dissemination effects, equal outcomes for employees at different stress levels, and greater benefit for females. Conclusions This preliminary research provides evidence for the capabilities of e-learning modules to effectively promote workplace resilience and a working model of team resilience.
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Kohl, Patricia L., Jennifer Schurer, and Jennifer L. Bellamy. "The State of Parent Training: Program Offerings and Empirical Support." Families in Society: The Journal of Contemporary Social Services 90, no. 3 (July 2009): 248–54. http://dx.doi.org/10.1606/1044-3894.3894.
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Parent training programs, with a range of empirical support, are available to improve parenting skills and reduce child behavior problems. Yet, little is known about programs provided in typical communities. This pilot study's purpose was to identify and describe parent programs–-and the agencies that provide them–-in one midsized Midwestern city. The sample included 21 program directors and 25 practitioners employed by 19 agencies. Data were gathered using structured phone interviews. Of the 35 programs represented, 37.1% were developed by the agency, while close to two thirds were previously developed interventions. Only a small number of the parent programs identified were classified into the category of strong empirical support; however, several included hallmarks often associated with empirically supported parent programs.
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Blomquist, Kerstin K., Katherine E. Hirsch, Elizabeth Lomas, Kathryn Montgomery, and Carolyn Black Becker. "Dissemination of a dissonance-based body image promotion program in church settings: A preliminary controlled pilot study with adult women." Body Image 36 (March 2021): 263–68. http://dx.doi.org/10.1016/j.bodyim.2020.12.006.
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Guest, M. Aaron, Margaret C. Miller, Macie P. Smith, and Brenda Hyleman. "Office for the Study of Aging at the University of South Carolina: Promoting Healthy Aging Through Program Development, Evaluation, Education/Training, and Research for South Carolina’s Older Adults." Journal of Applied Gerontology 37, no. 3 (April 12, 2016): 332–48. http://dx.doi.org/10.1177/0733464816643878.
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The Office for the Study of Aging (OSA) at the University of South Carolina was established in 1988 in conjunction with the founding of the South Carolina Alzheimer’s Disease Registry. Over the last 25 years, the Office for the Study of Aging has furthered its purpose through the development of research and programs for all of South Carolina’s aging population. Examples include the Placemat Strength Training Program, the Dementia Dialogues education program, and the South Carolina Vulnerable Adult Guardian ad Litem program. The work of the office is sustained through a unique government–university–community partnership that supports innovative work and provides direct lines for dissemination, translation, and implementation of programs. The office’s efforts have resulted in two state laws involving aging and older adults as well as recognition through awards and publications. The Office provides a partnership model that offers a dissemination and translation pipeline for programs to be developed, piloted, revised, and enacted into policy.
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Mykolaienko, Alla. "Fake News in the Ukrainian Media Space: Technologies of Experimental Projects." Scientific notes of the Institute of Journalism, no. 1 (74) (2019): 29–37. http://dx.doi.org/10.17721/2522-1272.2019.74.3.
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The article considers dissemination of experimental fake messages by research organizations through analysis of media and audience feedback. The objective of the research is to study the main techniques of fake creation on the basis of experimental fakes traced in the Ukrainian information space. The methods used in the article are the following: analysis – to study the state of media landscape as to availability of fake news; the system method – to establish the ways of fake dissemination; the systematization method – to determine fakes’ features and characteristics. The preconditions, reasons and specifics of creation and intentional dissemination of false information in the society are studied in the article. As a result of the research, the role of pilot projects related to fake dissemination as part of popularization of ideas of media literacy and media education has been identified. It is analyzed the impact of experimental fake news on the media and the general public, in particular on dissemination of messages by the users in social networks. Simultaneously the thesis that regional journalists automatically rewrite and repost the Ukrainian mass media is refuted, as we have traced their professional response to dissemination of false information. The verification of facts (fact checking) is mandatory for journalists and necessary for every consumer of information, as making the media responsible for the facts is not an indication of media literacy.
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Zahrebniuk, Yulia, Liudmyla Veremiuk, Ilona Boichevska, and Anna Ivanchuk. "THE PROGRAM “PHILOSOPHY FOR CHILDREN”: POSITIVE EXPERIENCE OF THE USA." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 2 (May 28, 2021): 817–28. http://dx.doi.org/10.17770/sie2021vol2.6140.
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Thе article deals with the peculiarities of theprogram “Philosophy for children” and possibility of its introduction at both junior schools and the lyceums in Ukraine. The aim of the article is to show the positive attitude of American educators to the program. The results of the research show that logical reasoning and intellectual creativity are not mutually exclusive, and can be formed within a single program. The authors claim that “Philosophy for children” program is undoubtedly relevant and needs not only active development but also promotion and dissemination among representatives of the academic philosophical community, educators, representatives of the relevant institutions of state power and general public.
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Yanto, Murni. "EVALUATION OF QUALITY ASSURANCE PROGRAM." IJHCM (International Journal of Human Capital Management) 1, no. 02 (December 1, 2017): 146–52. http://dx.doi.org/10.21009/ijhcm.01.02.16.
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This study is to investigate the implementation of the evaluation program of quality assurance State Islamic High School Curup. This study design is evaluative survey. In this study, the level of implementation of the evaluation results are divided into five categories, namely: excellent, good, average, less, much less. The results of the evaluation study the implementation of quality assurance programs included in both categories. Program quality assurance Sekolah Tinggi Agama Islam Negeri Curup necessary to repair all fronts, this can be illustrated as follows: (1) Basic policy program quality assurance, (2) resource program quality assurance, (3) implementation of the guarantee program, (4) Results the achievement of a quality assurance program. The results of the study suggested the central quality assurance to be able to follow up on some of the findings, especially concerning the quality assurance program resources, training and dissemination of quality, and implement improved quality assurance program so that the process of quality assurance programs to be more effective.Keywords : Evaluation, Implementation of the quality program, CIPP
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Yanto, Murni. "EVALUATION OF QUALITY ASSURANCE PROGRAM." IJHCM (International Journal of Human Capital Management) 1, no. 02 (December 1, 2017): 146–52. http://dx.doi.org/10.21009/ijhcm.012.16.
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This study is to investigate the implementation of the evaluation program of quality assurance State Islamic High School Curup. This study design is evaluative survey. In this study, the level of implementation of the evaluation results are divided into five categories, namely: excellent, good, average, less, much less. The results of the evaluation study the implementation of quality assurance programs included in both categories. Program quality assurance Sekolah Tinggi Agama Islam Negeri Curup necessary to repair all fronts, this can be illustrated as follows: (1) Basic policy program quality assurance, (2) resource program quality assurance, (3) implementation of the guarantee program, (4) Results the achievement of a quality assurance program. The results of the study suggested the central quality assurance to be able to follow up on some of the findings, especially concerning the quality assurance program resources, training and dissemination of quality, and implement improved quality assurance program so that the process of quality assurance programs to be more effective.Keywords : Evaluation, Implementation of the quality program, CIPP