scholarly journals Distant peer-tutoring of clinical skills, using tablets with instructional videos and Skype: A pilot study in the UK and Malaysia

2015 ◽  
Vol 81 (1) ◽  
pp. 196 ◽  
Author(s):  
J. O'Donovan ◽  
A.R. Bersin ◽  
J. Edwards
2017 ◽  
Vol 46 (2) ◽  
pp. 182-194 ◽  
Author(s):  
Laura Pass ◽  
Carl W. Lejuez ◽  
Shirley Reynolds

Background: Depression in adolescence is a common and serious mental health problem. In the UK, access to evidence-based psychological treatments is limited, and training and employing therapists to deliver these is expensive. Brief behavioural activation for the treatment of depression (BATD) has great potential for use with adolescents and to be delivered by a range of healthcare professionals, but there is limited empirical investigation with this group. Aims: To adapt BATD for depressed adolescents (Brief BA) and conduct a pilot study to assess feasibility, acceptability and clinical effectiveness. Method: Twenty depressed adolescents referred to the local NHS Child and Adolescent Mental Health service (CAMHs) were offered eight sessions of Brief BA followed by a review around one month later. Self- and parent-reported routine outcome measures (ROMs) were collected at every session. Results: Nineteen of the 20 young people fully engaged with the treatment and all reported finding some aspect of Brief BA helpful. Thirteen (65%) required no further psychological intervention following Brief BA, and both young people and parents reported high levels of acceptability and satisfaction with the approach. The pre–post effect size of Brief BA treatment was large. Conclusions: Brief BA is a promising innovation in the treatment of adolescent depression. This approach requires further evaluation to establish effectiveness and cost effectiveness compared with existing evidence-based treatments for adolescent depression. Other questions concern the effectiveness of delivery in other settings and when delivered by a range of professionals.


2021 ◽  
Vol 30 (14) ◽  
pp. 858-864
Author(s):  
Pornjittra Rattanasirivilai ◽  
Amy-lee Shirodkar

Aims: To explore the current roles, responsibilities and educational needs of ophthalmic specialist nurses (OSNs) in the UK. Method: A survey of 73 OSNs ranging from band 4 to band 8 was undertaken in May 2018. Findings: 73% of OSNs undertake more than one active role, with 59% involved in nurse-led clinics; 63% felt formal learning resources were limited, with 63% reporting training opportunities and 21% reporting time as major barriers to further training. More than 38% emphasised hands-on clinic-based teaching had a greater impact on their educational needs. Some 64% were assessed on their skills annually and 59% felt confident with their skill set. Conclusion: The Ophthalmic Common Clinical Competency Framework provides a curriculum and assessment tools for OSNs to use as a structure to maintain clinical skills and knowledge. Eye departments should use this as guidance to target learning needs and improve standards of care to meet the changing needs of society.


2020 ◽  
Vol 32 (S1) ◽  
pp. 127-127
Author(s):  
Fatima Urzal ◽  
Ana Quintão ◽  
Catarina Santos ◽  
Nuno Moura ◽  
Ana Banazol ◽  
...  

IntroductionAs in other countries, Portuguese family caregivers have unmet needs regarding information and distress. START (STrAtegies for RelaTives) is a manual-based coping intervention for families of people with dementia, including coping strategies and stress-management components, by Livingston and colleagues (https://www.ucl.ac.uk/psychiatry/research/mental-health-older-people/projects/start). In the UK, START has been clinically effective, immediately and continuing even after 6-years, without increasing costs. Clinical training and supervision ensures treatment fidelity. In Portugal, these kind of interventions are less available and, when provided, are mostly supportive and fail to address coping strategies. Paradoxically, recruitment may also prove challenging.ObjectivesWe describe the development of the Portuguese translation of START, incorporating guidance from the UK team, and a pilot study of delivery to family caregivers of people with dementia. We will also discuss the challenges of recruiting participants and delivering the intervention.MethodWe translated the START intervention and recruited family caregivers from neurology and psychiatry outpatients, in a central hospital in Lisbon. Our baseline assessment included the Hospital Anxiety and Depression Scale and the Zarit Burden Interview. The pilot is still ongoing at time of submitting, so we focus on recruitment, baseline assessments and process issues.ResultsDuring a three-month period, we recruited six caregivers. Five were primary caregivers (spouses or adult children) who had been caring for their relatives for 2 up to 10 years. Two caregivers met the international cutoff for clinically relevant affective disorder . The most frequent motivators for taking part were learning to communicate with their relatives and increasing knowledge to build community resources. Overall, the subjective impression of the therapist in charge is that the intervention seems acceptable and promising.Discussion/ConclusionsThis pilot study will eventually lead to an improved version of the Portuguese version of the START manual. So far, the intervention seems appropriate for selected caregivers in Portugal. However, response to striking unmet needs, particularly basic home support, may need to precede interventions like START. We look forward to concluding the intervention study and analyzing the implementation challenges, as a basis to inform a wider-scale trial.


2015 ◽  
Vol 22 (20) ◽  
pp. 15821-15834 ◽  
Author(s):  
Karen Exley ◽  
Dominique Aerts ◽  
Pierre Biot ◽  
Ludwine Casteleyn ◽  
Marike Kolossa-Gehring ◽  
...  

2016 ◽  
Vol 51 (2) ◽  
pp. 225-231 ◽  
Author(s):  
C. Lowe ◽  
A. Worthington ◽  
F. Serracino-Inglott ◽  
R. Ashleigh ◽  
C. McCollum
Keyword(s):  

2015 ◽  
Vol 59 (2) ◽  
pp. 144-151 ◽  
Author(s):  
Haruka Kon ◽  
Michael George Botelho ◽  
Susan Bridges ◽  
Katherine Chiu Man Leung

2019 ◽  
Author(s):  
Netta Weinstein ◽  
James Wilsdon ◽  
Jennifer Chubb ◽  
Geoff Haddock

The UK first introduced a national research assessment exercise in 1986, and methods of assessment continue to evolve. Following the 2016 Stern Review and further rounds of technical consultation, the UK higher education community is now preparing for the next Research Excellence Framework – REF 2021.Despite its importance in shaping UK research cultures, there is limited systematic and nuanced evidence about how academics across the sector view the REF, and which aspects are viewed favourably or unfavourably. The aims of this pilot study were twofold: first, it was designed to gather initial data to address this evidence gap; second, it was aimed at testing the feasibility of conducting a longitudinal study into academic and managerial attitudes towards the REF. We argue that further research to better understand the effects of the REF on research cultures, institutions, and individuals should be part of the evidence used to inform the development of future iterations of the exerciseThe Real Time REF Review Pilot Study was developed and delivered by a research team from Cardiff University and the University of Sheffield, in collaboration with Research England.


Author(s):  
S. J. Cotterill ◽  
J. F. Aiton ◽  
P. M. Bradley ◽  
G. R. Hammond ◽  
A. M. McDonald ◽  
...  

This chapter provides case studies of embedding the ePortfolio in the curricula of two medical schools in the UK, one of which is outcomes based, while the other uses a series of patient scenarios to inform the teaching of clinical skills within a curriculum that emphasises the scientific basis of medicine. These case studies describe the implementation, evaluation, and process of embedding the portfolio within the respective curricula. They also illustrate the flexibility of a component-based ePortfolio to serve different pedagogic requirements. Research and evaluation issues are discussed, including an action-research approach with “fine-tuning” of technical features and pedagogy during the evaluation phase.


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