P-420 - Quality of training program for early-career psychiatrists in italy: focus on forensic psychiatry and psychotherapy

AbstractBackgroundEarly career doctors (ECDs) are faced with many challenges due to their transition from undergraduate medical/dental studentship to being postgraduate doctors and being in an early phase of their career. The specific factors that affect ECDs in their careers and endeavors at the workplace range from poor remuneration, particularly in developing countries, to psychosocial problems (such as burnout [BO] syndrome). There is a dearth of information on BO among ECDs in Nigeria. This qualitative study aims to explore the opinions of ECDs in Nigeria on the causal/predisposing factors of BO, effects of BO, and strategies for mitigating BO among ECDs in Nigeria.MethodUsing purposive sampling method, two sessions of focus group discussions (FGDs) involving 14 ECDs (key informants) holding key leadership positions and who were delegates of other ECDs in Nigeria were conducted to explore their experiences on psychological issues among ECDs. Data collected were transcribed and analyzed thematically.ResultsBO is an issue of serious concern among ECDs in Nigeria. The causes of BO are diverse, some of which include low staff strength, prolonged work hours, wrong counseling, lack of job description and specification, and abuse of powers by trainers. In order to mitigate the issue of BO among ECDs, the respondents recommended that work policy review, medical workforce strengthening, stakeholder dialog on ECDs’ welfare, regular psychological review of ECDs, and provision of free yearly medicals need to be looked into. Conclusion: Our findings revealed that the participants considered BO issues among ECDs to be common, and it affected their performance and the overall quality of care in Nigeria health system. Based on our findings, there is an urgent need to mitigate the problem of emotional exhaustion among ECDs in Nigeria.

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Effects of a positive thinking program on hope and sleep quality in Iranian patients with thalassemia: a randomized clinical trial

BMC Psychology ◽

10.1186/s40359-021-00547-0 ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Somayeh Makaremnia ◽

Marieh Dehghan Manshadi ◽

Zahra Khademian

Keyword(s):

Clinical Trial ◽

Sleep Quality ◽

Training Program ◽

Randomized Clinical Trial ◽

Thalassemia Major ◽

Trial Registration ◽

Control Group ◽

Positive Thinking ◽

Experimental Group

Abstract Background Thalassemia have a negative impact on the patients' psychological health and sleep quality. This study aimed to determine the effects of a positive thinking training program on hope and sleep quality of patients with thalassemia major. Methods This randomized clinical trial was conducted on 78 patients with thalassemia major including 36 males (46.2%) and 42 females (53.8%) with a mean age of 25.56 ± 29.6 in Iran. Subjects were randomly assigned into experimental and control groups. Experimental group received 16 h training based on positive thinking materials published by Martin Seligman. Control group received only usual programs. Data were collected at baseline, as well as immediately and one month after the intervention, using Snyder’s Hope Scale and the Pittsburgh Sleep Quality Index. Data analysis was performed using SPSS Software 18.0; statistical tests included the independent T-test, the Chi-square, Mann Whitney, and Friedman test. Significance level was set at 0.05 in this study. Results The experimental group had a significantly higher mean hope score compared to the control group immediately (45.38 ± 7.82 vs. 35.32 ± 5.54, P < 0.001) and one month following intervention (44.67 ± 3.47 vs. 35 ± .54, P < 0.001). Moreover, the mean sleep quality scores of the experimental group was significantly greater than that for control group immediately (5.35 ± 2.02 vs. 7 ± 2.4, P = 0.004) and one month after the intervention (4.23 ± 2.2 vs.7.02 ± 3.03, P < 0.001). Conclusion Since our training program on positive thinking improved hope and quality of sleep in patients with thalassemia major, we recommend the use of such courses as an important step toward promotion of hope and sleep quality among these patients. Trial registration The name of the registry: Iranian Registry of Clinical Trials. Trial Registration Number: IRCT2017010431774N1. URL of the trial registry record: https://en.irct.ir/trial/24923. Registration Date: 07/03/2017.

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Preserving the Activities of Daily Living Independence in Late Life

Innovation in Aging ◽

10.1093/geroni/igaa057.735 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 228-228

Author(s):

Pao-feng Tsai ◽

Thomas Jakobs ◽

Reid Landes

Keyword(s):

Training Program ◽

Daily Living ◽

Cost Effective ◽

Computer Application ◽

Maximum Effect ◽

Activity Of Daily Living ◽

Nursing Assistant ◽

Future Studies ◽

Certified Nursing Assistant

Abstract Levels of Assistance (LoA) is an effective caregiving intervention for maintaining activity of daily living (ADL) independence. It is a structured, almost prescriptive, approach to encourage completing ADLs as independently as an elder’s capabilities permit. With appropriate prompts and assistance during dressing, elders can overcome disability, express retained competencies, and experience success. Simultaneously, caregivers learn to view their functions as maintaining the quality of life of able elders, and they receive reinforcement from elders who are more confident and happier. This study is a continuation of a previous project that created and tested a computer application training program for LoA in nursing homes. We refined the app to include grooming LoA and tested on 10 certified nursing assistant (CNA)/resident dyads at a local nursing home. The pilot results showed, although we did not see consistent improvement in CNA’s dressing LoA, we achieved 10% to 30% improvement in grooming LoA. This indicates that the dressing assistance training is able to transfer to grooming LoA. With only an average of one-hour app training, this improvement is cost effective as compared to training provided by care professionals. Future studies should consider incorporating a culture change strategy to improve CNAs’ intention for assisting elders. In addition, the training program should be offered in the initial hire to achieve maximum effect.

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Producing ‘good enough’ automated transcripts securely: Extending Bokhove and Downey (2018) to address security concerns

Methodological Innovations ◽

10.1177/2059799120987766 ◽

2021 ◽

Vol 14 (1) ◽

pp. 205979912098776

Author(s):

Joseph Da Silva

Keyword(s):

Cyber Security ◽

English Language ◽

Negative Impact ◽

Early Career ◽

Third Party ◽

Doctoral Research ◽

Computing Services ◽

Cloud Computing Services ◽

Audio Data

Interviews are an established research method across multiple disciplines. Such interviews are typically transcribed orthographically in order to facilitate analysis. Many novice qualitative researchers’ experiences of manual transcription are that it is tedious and time-consuming, although it is generally accepted within much of the literature that quality of analysis is improved through researchers performing this task themselves. This is despite the potential for the exhausting nature of bulk transcription to conversely have a negative impact upon quality. Other researchers have explored the use of automated methods to ease the task of transcription, more recently using cloud-computing services, but such services present challenges to ensuring confidentiality and privacy of data. In the field of cyber-security, these are particularly concerning; however, any researcher dealing with confidential participant speech should also be uneasy with third-party access to such data. As a result, researchers, particularly early-career researchers and students, may find themselves with no option other than manual transcription. This article presents a secure and effective alternative, building on prior work published in this journal, to present a method that significantly reduced, by more than half, interview transcription time for the researcher yet maintained security of audio data. It presents a comparison between this method and a fully manual method, drawing on data from 10 interviews conducted as part of my doctoral research. The method presented requires an investment in specific equipment which currently only supports the English language.

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Trajectories of health-related quality of life among family caregivers of individuals with dementia: A home-based caregiver-training program matters

Geriatric Nursing ◽

10.1016/j.gerinurse.2016.08.017 ◽

2017 ◽

Vol 38 (2) ◽

pp. 124-132 ◽

Cited By ~ 5

Author(s):

Li-Min Kuo ◽

Huei-Ling Huang ◽

Jersey Liang ◽

Yam-Ting Kwok ◽

Wen-Chuin Hsu ◽

...

Keyword(s):

Quality Of Life ◽

Training Program ◽

Family Caregivers ◽

Caregiver Training ◽

Health Related Quality ◽

Home Based ◽

Related Quality ◽

Health Related

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Role of Dominant Hand Position during Chest Compression by Novice Rescuers: An Observational Simulation Study

Hong Kong Journal of Emergency Medicine ◽

10.1177/102490791402100607 ◽

2014 ◽

Vol 21 (6) ◽

pp. 382-386 ◽

Cited By ~ 1

Author(s):

Ch Jo ◽

Jh Ahn ◽

Yd Shon ◽

Gc Cho

Keyword(s):

Hong Kong ◽

Cardiopulmonary Resuscitation ◽

Training Program ◽

Chest Compression ◽

Simulation Study ◽

Hand Position ◽

Dominant Hand ◽

Cpr Training

Introduction The aim of this study was to determine the effect of hand positioning on the quality of external chest compression (ECC) by novice rescuers. Methods This observational simulation study was conducted for 117 included participants. After completion of an adult cardiopulmonary resuscitation (CPR) training program for 3-h, the participants selected which of their hands would be in contact with the mannequin during ECC and performed 5 cycles of single rescuer CPR on a recording mannequin. The participants were assigned to 2 groups: the dominant hand group (DH; n=40) and the non-dominant hand group (NH; n=29). The depth and rate of ECC were analysed to compare the effectiveness of ECC between 2 groups. Results The rate of ECC was significantly faster in the DH group (mean, 117.3 ±11.4/min) than in the NH group (mean, 110.9±12.2/min) (p=0.028). However, the depth of ECC in the dominant hand group (mean, 52.4±5.9 mm) was not significantly different from that in the non-dominant hand group (mean, 50.8±6.0 mm) (p=0.287). Similarly, the portion of ECC with inadequate depth in the dominant hand group (mean, 1.8±4.3%) was not significantly different from that in the non-dominant hand group (mean, 5.3±15.6%) (p=0.252). Conclusions ECC can be performed with an acceptably higher rate of compressions when the dominant hand of the novice rescuer is placed in contact with the sternum. However, the position of the dominant hand does not affect the depth of ECC. (Hong Kong j.emerg.med. 2014;21:382-386)

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Supervising Students in Scientific Writing for Peer Review & Possible Publication

The American Biology Teacher ◽

10.1525/abt.2020.82.3.158 ◽

2020 ◽

Vol 82 (3) ◽

pp. 158-161

Author(s):

Diyora Abdukhakimova ◽

Yingqiu Xie

Keyword(s):

Learning Outcomes ◽

Early Career ◽

Impact Factor Journal ◽

Course Assessment ◽

Science Technology ◽

Biology Learning ◽

And Mathematics ◽

Number Of Citations ◽

Journal Impact

Innovation in assessment of STEM (science, technology, engineering, and mathematics) courses in subjects such as biology and biochemistry is a widely discussed topic. We report the use of a novel, research-integrated course assessment designed to increase students' self-motivation and improve their learning outcomes. We encouraged submissions to peer-reviewed journals, supported by stepwise supervision on writing by the instructor, which led to possible publication of some student-written articles. We compared the results from two classes in 2015 and 2016, assessing the quality of the published articles on the basis of journal impact factor, journal Scopus score, and number of citations of each article, using supervised assignments to fulfill this goal. Assessment of research-integrated biology learning via potential publishing may motivate students to actively learn a biochemistry topic and encourage early-career professional development.

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Effectiveness of a Mobile Device–Based Resilience Training Program in Reducing Depressive Symptoms and Enhancing Resilience and Quality of Life in Parents of Children With Cancer: Randomized Controlled Trial (Preprint)

10.2196/preprints.27639 ◽

2021 ◽

Author(s):

Yuanhui Luo ◽

Wei Xia ◽

Ankie Tan Cheung ◽

Laurie Long Kwan Ho ◽

Jingping Zhang ◽

...

Keyword(s):

Depressive Symptoms ◽

Training Program ◽

Mobile Device ◽

Well Being ◽

Control Group ◽

Children With Cancer ◽

Resilience Training ◽

Experimental Group

BACKGROUND Caring for children with cancer can be a stressful experience for parents and may have negative effects on their physical and psychological well-being. Although evidence has shown that resilience is associated with positive psychological well-being, few interventions have been specifically designed to enhance the resilience of parents of children with cancer. OBJECTIVE The aim of this study is to examine the effectiveness of a mobile device–based resilience training program in reducing depressive symptoms and enhancing resilience and quality of life (QoL) in parents of children with cancer. METHODS Parents of children diagnosed with cancer were recruited from the pediatric oncology wards of 3 tertiary hospitals in China. The participants were randomly assigned to either the experimental group (52/103, 50.5%) to undergo an 8-week mobile device–based resilience training program or to the control group (51/103, 49.5%) to receive an 8-week program of placebo information. The study outcomes included resilience, depressive symptoms, and QoL, as measured by the Connor–Davidson Resilience Scale, the Self-Rating Depression Scale, and the Short Form of the 6-Dimension Health Survey, respectively. All data were collected at baseline and at 2 and 6 months of follow-up. The data analysis followed the intention-to-treat principle. A generalized estimating equation was used to examine the effects of the intervention. RESULTS The participants were mostly female (72/103, 69.9%), and their mean age was 33.6 (SD 5.2) years. The participants in the experimental group showed significantly higher levels of resilience (mean 67.96, SD 15.8 vs mean 58.27, SD 19.0; P<.001) and lower levels of depressive symptoms (mean 40.17, SD 9.9 vs mean 46.04, SD 10.9; P<.001) than those in the control group at 6 months of follow-up. The intervention showed statistically significant effects in improving resilience (β=6.082; P=.01) and decreasing depressive symptoms (β=−2.772; P=.04) relative to the control group. The QoL score in the experimental group was higher than that in the control group at 6 months of follow-up (mean 0.79, SD 0.2 vs mean 0.76, SD 0.3; P=.07); however, no statistically significant intervention effect was detected (β=.020; P=.38). CONCLUSIONS The mobile device–based resilience training program effectively enhanced resilience and alleviated depressive symptoms in parents of children with cancer. It is highly recommended that health care professionals incorporate this resilience training program when providing psychological care to parents of children with cancer. CLINICALTRIAL Clinical.Trials.gov NCT04038242; http://clinicaltrials.gov/ct2/show/NCT04038242

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Brief online mindfulness training for medical students: a randomized control study

International Journal of Whole Person Care ◽

10.26443/ijwpc.v9i1.337 ◽

2022 ◽

Vol 9 (1) ◽

pp. 40-41

Author(s):

Sarah Moore ◽

Denese Playford ◽

Hanh Ngo ◽

Rita Barbour ◽

Kirsten Auret ◽

...

Keyword(s):

Medical Students ◽

Training Program ◽

Mindfulness Meditation ◽

Intervention Group ◽

Mindfulness Training ◽

Randomised Control Trial ◽

Meditation Practice ◽

Self Compassion ◽

Study Engagement

BACKGROUNDMedical students experience high levels of stress during their training. Literature suggests that mindfulness can reduce stress and increase self-compassion levels in medical students. However, most mindfulness training programs are delivered face-to-face and require significant time commitments, which can be challenging for rurally-based students with heavy academic workloads and limited support networks. PURPOSETo evaluate the feasibility and efficacy of a brief online Mindfulness training program for medical students based in rural areas, with regards to reducing stress, increasing self-compassion, mindfulness and study engagement. METHODSThis is a non-registered randomised control trial. Participants included both urban and rural medical students from UWA, University of Notre Dame and the RCSWA from 2018-2020. Participants were randomised to the intervention group, an 8-week online mindfulness training program, or the control group. Using quantitative-qualitative mixed-methods approach, we measured the frequency, duration and quality of the participants mindfulness meditation practice, and assessed changes in their perceived stress, self-compassion, mindfulness and study engagement levels. Further, the intervention group recorded a weekly reflective journal documenting their experience of the program. RESULTS114 participants were recruited to the study. 61 were randomised to the intervention, and 53 to the control. Quantitative analysis of the frequency, duration and quality of mindfulness meditation practice and changes in stress, self-compassion, mindfulness and study engagement is currently being conducted. Preliminary qualitative results reveal that participants experienced increased self-awareness, more mindfulness of their day-to-day activities, improved emotional regulation and increased productivity, while also facing difficulties with making time for their mindfulness practice. CONCLUSIONWe anticipate that this study will demonstrate that an online mindfulness training program tailored to reach rurally located medical students is feasible and effective in modifying their stress levels and psychological wellbeing.

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