Selecting Skills To Teach Communication Partners: Where Do I Start?

2012 ◽  
Vol 21 (4) ◽  
pp. 127-135 ◽  
Author(s):  
Cathy Binger ◽  
Jennifer Kent-Walsh
Keyword(s):  
Clinical Outcomes ◽  
Intervention Program ◽  
Communication Partners ◽  
Multiple Challenges

Abstract Clinicians and researchers long have recognized that teaching communication partners how to provide AAC supports is essential to AAC success. One way to improve clinical outcomes is to select appropriate skills to teach communication partners. Although this sometimes seems like it should be a straightforward component of any intervention program, deciding which skills to teach partners can present multiple challenges. In this article, we will troubleshoot common issues and discuss how to select skills systematically, resulting in the desired effects for both communication partners and clients.

scholarly journals 2795. Clinical and Economic Impact of a Ribavirin Intervention Program in Hematopoietic Cell and Solid-organ Transplant Recipients with Respiratory Syncytial Virus Infection

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S987-S988
Author(s):  
Emily Leonard ◽  
Rebekah Wrenn ◽  
Jennifer Saullo ◽  
Richard H Drew ◽  
Richard H Drew ◽  
...  
Keyword(s):  
Respiratory Syncytial Virus ◽  
Clinical Outcomes ◽  
Acquisition Cost ◽  
Intervention Program ◽  
Organ Transplant ◽  
Solid Organ Transplant ◽  
Solid Organ ◽  
Immunocompromised Patients ◽  
Cost Avoidance ◽  
Syncytial Virus

Abstract Background While data are limited, oral ribavirin (RBV) has been shown to be a cost-effective alternative to aerosolized RBV for the treatment of respiratory syncytial virus (RSV) in immunocompromised patients with significant reductions in acquisition and administration costs. We evaluated the clinical and economic impact of an RBV intervention program at a large, academic medical center. Methods This single-center, retrospective cohort study evaluated hematopoietic cell and solid-organ transplant patients admitted to Duke University Hospital (DUH) with documented or suspected RSV receiving aerosolized and/or oral RBV from July 2013 to April 2018. The ID consult service approval requirement was initiated for aerosolized RBV beginning in October 2015. Education was done at this time to promote oral RBV as the preferred therapy for immunocompromised, RSV-infected adults and children. No restrictions or treatment protocols were in place prior to that time for either formulation. Clinical outcomes, adverse effects, and drug acquisition cost were collected. A cost-avoidance analysis was performed using DUH acquisition cost for actual and alternate RBV therapy. Results A total of 118 treatments (115 unique adult and pediatric patients) were included. Demographics were comparable between groups with and median age was 52 years in the Oral RBV and 61 years in the Aerosol RBV group. The predominant transplant type was lung (62.5% in Oral RBV and 55.6% in Aerosol RBV) followed by hematopoietic (16.7% in Oral RBV and 27% in Aerosol RBV). The median (range) duration of therapy was 4 (1–16) days for oral RBV and 5 (1–23) days for aerosolized RBV. The total cost avoidance was $2,522,915 with oral RBV. Clinical outcomes are summarized in Table 1. Conclusion In our large tertiary care center, the use of oral RBV led to substantial cost avoidance with clinical outcomes comparable to aerosolized RBV in immunocompromised patients. Larger prospective trials evaluating oral RBV for RSV treatment are warranted. Disclosures All authors: No reported disclosures.

scholarly journals The first year of the Venlo percutaneous coronary intervention program: procedural and 6-month clinical outcomes

2013 ◽  
Vol 21 (10) ◽  
pp. 449-455 ◽  
Author(s):  
K. A. Mol ◽  
B. M. Rahel ◽  
F. Eerens ◽  
S. Aydin ◽  
R. P. Th. Troquay ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Clinical Outcomes ◽  
Intervention Program ◽  
Coronary Intervention ◽  
First Year ◽  
Percutaneous Coronary

“Stay Connected”: Psychological Services for Retired Firefighters after 11 September 2001

2007 ◽  
Vol 22 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Jennifer Alvarez ◽  
Craig Rosen ◽  
Kim Davis ◽  
Greg Smith ◽  
Malachy Corrigan
Keyword(s):  
Intervention Program ◽  
Community Outreach ◽  
Fire Department ◽  
Counseling Service ◽  
Structured Interviews ◽  
Professional Counseling ◽  
Peer Involvement ◽  
Service Unit ◽  
Social Events ◽  
Multiple Challenges

AbstractIntroduction:A large number of firefighters retired after 11 September 2001. These retirees were confronted with multiple challenges, including grief, trauma- related physical injuries and psychological distress, difficulties related to the transition of their roles, and deterioration of social support.Objective:The Fire Department of NewYork (FDNY) Counseling Service Unit's “Stay Connected” Program designed and implemented after 11 September 2001 is described in this report. This unique program was designed to usea combination of peer outreach and professional counseling to address the mental health needs of retiring firefighters and their families.Methods:Descriptive information about the intervention program was gathered through semi-structured interviews with Counseling Service Unit staff. Client satisfaction surveys were collected during three six-week periods.Results:Quantitative data indicate that clients rated their overall satisfaction with the clerical and counseling staff a perfect 4 out of 4. The report of their overall satisfaction with the services also was nearly at ceiling (3.99 out 4).The perceived helpfulness of the services in resolving the problems experienced by the clients increased significantly over time.Qualitative data indicate that peer involvement and intensive community outreach, i.e., social events, wellness activities, and classes, were integral to the success of the intervention.Conclusions:This project provided valuable lessons about how to develop and implement a “culturally competent”intervention program for public safety workers retiring after a disaster. Creative, proactive, non-traditional outreach efforts and leveraging peers for credibility and support were particularly important.

The effects of a multicomponent intervention program on clinical outcomes associated with falls in healthy older adults

2018 ◽  
Vol 30 (9) ◽  
pp. 1101-1110 ◽  
Author(s):  
Young-Hee Cho ◽  
Olfat Mohamed ◽  
Barbara White ◽  
Savitri Singh-Carlson ◽  
Vennila Krishnan
Keyword(s):  
Older Adults ◽  
Clinical Outcomes ◽  
Intervention Program ◽  
Healthy Older Adults ◽  
Multicomponent Intervention

scholarly journals Implementing an Intervention Program During the COVID-19 Pandemic: Challenges and Successes

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 262-262
Author(s):  
Nancy Mendoza
Keyword(s):  
Social Networks ◽  
Intervention Program ◽  
Satisfaction With Life ◽  
Self Care ◽  
Intervention Programs ◽  
Positive Outcomes ◽  
Care Practices ◽  
Multiple Challenges

Abstract During the COVID-19 pandemic, the implementation of intervention programs for grandfamilies are facing multiple challenges. In this paper, we will present some of the challenges and successes of introducing the GRANDcares Plus Project (GRANDc+) during the COVID-19 pandemic. As an intervention program, GRANDc+ has demonstrated positive outcomes for grandfamilies, such as increased satisfaction with life, knowledge of services, self-care practices, and supportive social networks. Due to the pandemic, the implementation of GRANDc+ has been met with many challenges including, training of facilitators, following CDC’s COVID-19 guidelines/recommendations, and considering grandfamilies needs, concerns and safety. The pandemic has and continues to have detrimental effects on grandfamilies; this makes it more vital than ever to support grandfamilies through interventions like GRANDc+, despite what challenges we may face. Our presentation will provide insights into identifying, managing, and overcoming the challenges of implementing interventions during the COVID-19 pandemic.

Fundamentals of the ImPAACT Program

2013 ◽  
Vol 22 (1) ◽  
pp. 51-58 ◽  
Author(s):  
Jennifer Kent-Walsh ◽  
Cathy Binger
Keyword(s):  
Intervention Program ◽  
Critical Component ◽  
Know How ◽  
Instructional Content ◽  
Communication Partners ◽  
Instructional Contexts ◽  
Positive Results

Abstract Researchers widely agree that working with communication partners is a critical component of any AAC intervention program. However, it can be difficult for clinicians to know how to structure this type of indirect intervention to do more than “tell” communication partners of individuals using AAC what they “should” be doing. The ImPAACT Program is one intervention program that has been documented to yield positive results for clients using AAC. The program involves a structured multistep approach to intervention that clinicians can customize for use across a range of communication partners, clients, and instructional contexts. In this article, we provide an overview of the program's instructional content, approach, and basis of evidence.

scholarly journals Eficacia de un programa de intervención grupal con mujeres víctimas de violencia de género en el marco de las terapias contextuales

2020 ◽  
Vol 36 (2) ◽  
pp. 188-199
Author(s):  
Rosario Vaca-Ferrer ◽  
Rafael Ferro Garcia ◽  
Luis Valero-Aguayo
Keyword(s):  
Clinical Outcomes ◽  
Battered Women ◽  
Emotional Abuse ◽  
Intervention Program ◽  
Behavioral Activation ◽  
Outcome Measure ◽  
Physical Violence ◽  
Gender Violence ◽  
Risk Indicators ◽  
Evaluation Outcome

El objetivo de este trabajo es evaluar empíricamente la eficacia de un programa de intervención con mujeres víctimas de violencia de género. El programa en conjunto se enmarca dentro de las Terapias Contextuales, específicamente se ha utilizado la Psicoterapia Analítica Funcional, combinada con la Terapia de Aceptación y Compromiso y la Activación Conductual. Se ha llevado a cabo en formato grupal, durante 11 sesiones de 2 horas cada una. Participaron un total de 21 mujeres (de una media de edad de 45 años), que habían sufrido violencia física y/o abuso emocional por parte de sus parejas, en diferente grado e intensidad, y en diferentes momentos en sus vidas. Se ha utilizado un diseño intragrupo con medidas pre-post. Se realizaron tres grupos de tratamiento en diferentes ciudades con 6 a 8 mujeres cada uno. Para medir la intervención se ha aplicado el cuestionario Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). Los resultados han mostrado una disminución estadísticamente significativa en la severidad del malestar, han disminuido los indicadores de riesgo de suicidio, y han mejorado las conductas problemáticas dentro y fuera de las sesiones, además de incrementarse la apertura hacia los demás. Se discute la utilidad de las terapias contextuales para mejorar la calidad de vida de mujeres maltratadas, y su utilidad de aplicación en grupos en las instituciones públicas. The goal of this study is to empirically evaluate the efficacy of an intervention program with women victims of gender violence. Specifically, Functional Analytical Psychotherapy has been used, combined with Acceptance and Commitment Therapy, and Behavioral Activation. It has been carried out in group format, during 11 sessions of 2 hours each. A total of 21 women participated (an average of 45 years-old), who had suffered physical violence and/or emotional abuse by their partners, with different degrees and intensity, and at different moments of their lives. An intra-group design with pre-post measures was used. Three treatment groups were carried out in different cities with 6 to 8 women each one. To measure the intervention, the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) questionnaire was applied. The results has shown a statistically significant decrease in the severity of discomfort, decreased suicide risk indicators, improved problem behavior inside and outside sessions, and increased openness to others. The usefulness of contextual therapies to improve the quality of life of battered women and their usefulness for application in groups in public institutions are discussed.

scholarly journals Management of a Rapidly Growing Peritoneal Dialysis Population at the First Affiliated Hospital of Sun Yat-Sen University

2014 ◽  
Vol 34 (2_suppl) ◽  
pp. 31-34 ◽  
Author(s):  
Xueqing Yu ◽  
Xiao Yang ◽  
Naya Huang
Keyword(s):  
Peritoneal Dialysis ◽  
Clinical Outcomes ◽  
Geographic Distance ◽  
Multiple Challenges

Managing a rapidly growing peritoneal dialysis program with more than 1000 patients involves multiple challenges, labor constraints, logistics, and excessive geographic distance. This paper describes how Sun Yat-sen University, Guangzhou, China, manages those issues, while simultaneously improving quality of the care and, subsequently, clinical outcomes.

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