How do Spanish Rheumatologists handle referral? Survey of knowledge and approach before and after a training workshop

Author(s):  
Alejandro Balsa ◽  
Isidoro González-Álvaro ◽  
Raimon Sanmartí ◽  
Hector Corominas
2019 ◽  
Vol 27 (5) ◽  
pp. 496-500
Author(s):  
Gary Cheung ◽  
Kathy Peri

Objective: Cognitive stimulation therapy (CST) is a psychosocial group treatment for people with dementia. The aims of this project were to (a) evaluate the effectiveness of a one-day training workshop; (b) measure the uptake of CST following the workshops; and (c) explore the barriers of implementing CST. Method: Ten workshops were conducted. Attendees completed a self-evaluation at the end of the training day and were later invited to complete an online survey enquiring about implementation. Results: Two hundred and fourteen workshop attendees completed the self-evaluation. The mean self-rated knowledge and skills for conducting and facilitating CST (1 = No skills, 5 = Very good skills) was 2.3 (SD = 1.2) and 4.3 (SD = 0.7) before and after the workshop, respectively ( p = 0.000). The mean self-rated confidence for applying learning to conducting and facilitating CST was 4.2 (SD = 0.7) (1 = Not confident, 5 = Very confident). There were 11 CST programmes started after the workshops and another 10 sites were in the process of starting CST programmes. The main barriers of implementation were lack of staff time/funding and problems of finding suitable participants with dementia. Conclusions: The one-day training workshop is an effective method to disseminate CST. Addressing the barriers identified could improve the adoption of CST in practice.


2020 ◽  
Vol 20 (06) ◽  
pp. 16604-16621
Author(s):  
W Oldewage-Theron ◽  
◽  
S Morales ◽  
Abdulkadir Egal ◽  
◽  
...  

The main aim of this pilot study was to assess smallholder soy farmers’ knowledge and perceptions of soy immediately before and after participating in a one-day soy nutrition training workshop. A pre-post study design was used among a convenience sample of 78 soy smallholder farmers from Kwa Zulu-Natal, South Africa(SA). A total of 78 men and five women participated in the training, but because only five women attended,gender comparison analysis was not carried out.A soy nutrition training workshop, including soy cooking demonstrations, tasting, recipe development, that is based on the Social Cognitive Theory, was implemented for eight consecutive hours with one break of 30 minutes. Pre- and post-quantitative data measuring,soy knowledge and perceptions were collected using a modified version of a survey, tested for face and content validity and reliability,and used previously in other research study projects by the same authors among low-resource communities in SA. The data from the pre and post questionnaires indicated that only 41% of the soy smallholder farmers used soy in the household and mainly in meat dishes. The rest of the harvested soy was either sold or used for animal feed. The mean±standard deviation (SD)score of taste preference changed significantly (p=0.002) from 4.60±0.84 before,to 4.93±0.13 after the training (p=0.002)and the majority of the participants perceived it was easy to prepare soy foods;82.1% and 88.5% before and after the training,respectively (p=0.013). Participants’ soy knowledge improved significantly (p<0.001)from a mean±(SD)score of 26.33±4.06 before to 32.00±9.46 after the intervention, indicating a significant improvement of 5.67±9.11 [13.83%] in the total score.The results from this study indicate that there is a need for nutrition education programs for smallholder farmers. Thus, improvement in both soy knowledge and preference should result in more soy being consumed first for household nutritional needs before giving it to either animals or sell it on the market.Since smallholder farmers’ nutrition education can impact both food insecurity and nutritional status improvement in one setting, more interventions of this kind are needed to further advance the frontier of this niche area of research.


1999 ◽  
Vol 23 (2-3) ◽  
pp. 68-73
Author(s):  
Pamela L. Moriearty ◽  
Raul Melo ◽  
Fátima Araújo

Abstract: A faculty training workshop on problem-based learning (PBL) methods was provided to educators at a public medical school in Brazil. Wprkshop activities were designed to address specific knowledge, skill and attitudinal objectives that had been defined beforehand. Participants completed a structured questionnaire before and after the workshop to document attainment of the objectives. Twelve participants completed the 20-hour workshop, and questionnaire results. Though there were certain limitations on interpretation of the pre/post questionnaire, it does provide some assurance to program organizers and sponsors that objectives are attained. Participants' responses also help organizers improve their delivery techniques.


2021 ◽  
Vol 52 (3) ◽  
pp. 165-173
Author(s):  
Savka Štrbac ◽  
Nataša Pilipović-Broćeta ◽  
Nevena Todorović ◽  
Vesna Vujić-Aleksić ◽  
Siniša Stević ◽  
...  

Background/Aim: The prevention of cardiovascular risk factors and cardiovascular disease management contributes to the cardiovascular mortality reduction. The effects of these activities have been measured by quality indicators. The aim of this study was to determine the effects of family medicine team training workshop and implementation of clinical guidelines on the cardiovascular risk factors and diseases management in primary health care in the Republic of Srpska/Bosnia and Herzegovina. Methods: The "CardioVascular Risk Assessment and Management" study included a sample of 373 teams from 41 primary health care centres trained to provide adequate services and to compare the quality of cardiovascular risk management before and after the training workshop and implementation of clinical guidelines. The comparison was based on nine project defined performance indicators related to hypertension, type 2 diabetes mellitus, hyperlipidaemia, tobacco smoking and obesity. Results: Significant improvements were observed in six indicators after the training workshop and implementation of guidelines. Target values for blood pressure and HbA1c were achieved in over 80 % of patients (82.12 ± 15.81 vs 84.49 ± 12.71 and 84.49 ± 12.71 vs 85.49 ± 24.55; before and after the training workshop, respectively), while the target values for LDL cholesterol were achieved in 54.98 % ± 20.33 before and 57.64 % ± 16.66 after the training workshop. The number of teams that had less than 20 % of recorded data significantly decreased after the training workshop and guidelines implementation, and adequate recording of all indicators was improved. Conclusion: The training workshop of family medicine teams and implementation of clinical guidelines resulted in significant quality improvement of cardiovascular diseases management in primary health care.


Author(s):  
Nazri Nordin ◽  
Mohamed Azmi Hassali ◽  
Azmi Sarriff

Objective: Aim of this study is to take a look at the community pharmacists’ (CPs) self-rating confidence of advocating self-care customers using before and after attending a STARZ-DRP training workshop.Methods: CPs (n=231) in the state of Penang had been invited via e-mail to engage in a STARZ-DRP training workshop. CPs had been trained to assess individual features and analyse the facts and figures before formulating a triage action plan. A self-administered questionnaire to evaluate CPs’ self-confidence to performing self-care counselling had been handed out before and after the workshop.Results: Twenty CPs (8.7%) had responded to the invitation via e-mail. It was noted that CPs’ self-rating confidence to performing self-care counselling making use of STARZ-DRP as a framework were improved in all domains reflected in the questionnaire. Among significant improvements (p<0.05) noted were making triage decision, consistently assessing individual features, and identifying actual or potential origins of the medical problem.Conclusion: CPs’ self-confidence to performing self-care counselling making use of STARZ-DRP as a framework to advocate self-care customers is enhanced after turning up at the training workshop. It reflects the future use of STARZ-DRP as a potential framework to help out CPs to formulate a triage action plan for self-care customers.


2017 ◽  
Vol 13 (2) ◽  
pp. 162-166
Author(s):  
N. Baral ◽  
A.K. Nepal ◽  
B.H. Paudel ◽  
M. Lamsal

Background Faculty development by conducting regular training, workshops and research related to medical education has been a key feature to upgrade quality of medical education.Objective The aim of this study was to explore responses of the health science teachers, students and peers after the workshop after providing training on student assessment tools and teaching-learning methods.Method Two teacher-training workshops were conducted to the faculty members of B.P. Koirala Institute of Health Sciences from the departments of basic, clinical and allied sciences in Oct. 2010 and Jan. 2011. Qualitative questionnaire based study was conducted, and the questions were validated before the study by expert peer review process. The effect of the training workshop in real classroom outcomes was assessed incorporating student’s feedback, evaluation by peers and the self-evaluation by the teacher trainees.Result Pre-test and post-test scores of the participating teachers, before and after the workshop were 62.53 and 71.17 respectively. Among the participants 90.3% teachers expressed enhanced in their role as a teacher for medical undergraduates after the workshop.Conclusion In present study, the faculty members showed accrued interest to participate in teacher’s training workshops. The peer evaluation of teacher’s performance in their real classroom situations were rated higher than evaluation by the students. Therefore, such training workshops will have a greater impact on the ability of teachers in effective teaching in real classroom situations.


2021 ◽  
Author(s):  
Allison Yutesler ◽  
Yasmeen Faroqi-Shah

Background: Communication partners (CP) of persons with aphasia (PWA), such as their family members and significant others, need to adjust their communication patterns to accommodate the challenges of aphasia. They may choose to simplify their language or use more gestures to accommodate the language deficits of the PWA. Other behaviors, such as interruptions, corrections or showing frustration, could be deleterious to effective communication. Knowledge of communication behaviors of CPs and their attitudes towards communication is important for intervention planning. Prior research has shown that CP behaviors can be modified with intensive (7 hours or more) of communication partner training (CPT).Aims: The first aim of this study was to investigate patterns of communication behaviors exhibited by CPs of PWA. The second aim was to examine CPs attitudes towards communicating with PWA. Finally, this study examined the effect of a half-day training workshop on CP communication behaviors. Methods &amp; Procedures: Eleven CP-PWA dyads participated in a training workshop that focused on identification and practice of facilitating, barrier and repair behaviors. A Caregiver Attitude Survey was administered. Ten minute semi-structured conversations between the CP and PWA recorded before and after the workshop. The conversations were analyzed for specific behaviors using conversation analytic approaches and compared from pre- to post- training.Outcomes &amp; Results: Facilitating behaviors, such as head nodding and asking yes/no questions, were more frequent than barrier or repair behaviors in this group of participants. CPs expressed positive attitudes about communicating with PWA, although CP attitude ratings were not correlated with types of behaviors. Facilitative and repair behaviors increased and barriers decreased following communication partner training, especially for dyads in which the PWA’s aphasia severity was more than minimal. The behavioral change was not correlated with CP’s attitude ratings about communication. Conclusions: Conversation behaviors and attitudes were faciliatory and positive in this cohort of CPs, who self-enrolled in the communication partner training. A half-day training workshop has the potential for positively affecting communication behaviors in communication partners, especially when the aphasia severity is more than minimal. This study provides detailed conversational analysis procedures for future research and clinical application.


Author(s):  
J. Temple Black

Tool materials used in ultramicrotomy are glass, developed by Latta and Hartmann (1) and diamond, introduced by Fernandez-Moran (2). While diamonds produce more good sections per knife edge than glass, they are expensive; require careful mounting and handling; and are time consuming to clean before and after usage, purchase from vendors (3-6 months waiting time), and regrind. Glass offers an easily accessible, inexpensive material ($0.04 per knife) with very high compressive strength (3) that can be employed in microtomy of metals (4) as well as biological materials. When the orthogonal machining process is being studied, glass offers additional advantages. Sections of metal or plastic can be dried down on the rake face, coated with Au-Pd, and examined directly in the SEM with no additional handling (5). Figure 1 shows aluminum chips microtomed with a 75° glass knife at a cutting speed of 1 mm/sec with a depth of cut of 1000 Å lying on the rake face of the knife.


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