scholarly journals Challenges in Implementing Evidence-Based Dementia Care Programs in Community-Based Settings: ADS Plus

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 175-176
Author(s):  
Katherine Marx ◽  
Lauren Parker ◽  
Keith Anderson ◽  
Holly Dabelko-Schoeny ◽  
Elma Johnson ◽  
...  
Keyword(s):  
Staff Training ◽  
Culturally Diverse ◽  
Readiness To Change ◽  
Community Based ◽  
Intervention Delivery ◽  
Qualitative And Quantitative ◽  
Problem Solving Strategies ◽  
Almost All ◽  
Critical Intervention ◽  
Organizational Readiness To Change

Abstract The Adult Day Service Plus Program (ADS Plus) augments the usual care provided by ADS programs by integrating education, referrals, and problem-solving strategies for family caregivers of persons with dementia. Utilizing a mixed-methods, hybrid effectiveness design, we were in the process of conducting a national evaluation of ADS Plus across xx geographically and culturally diverse programs across the U.S. when the COVID-19 pandemic resulted in the shutdown of almost all of the programs participating in ADS Plus. Qualitative and quantitative data collected during the evaluation suggested that a more robust incorporation of implementation domains and measures (e.g., organizational readiness to change) may have helped avoid some of the challenges related to staff training, fidelity, and other critical intervention delivery aspects. Incorporating implementation science frameworks and measures as early as possible in intervention design may have helped to overcome some of the challenges experienced in ADS Plus.

scholarly journals Implementation Evaluation of an Online Peer-Mentor Training Program for Individuals With Spinal Cord Injury

2019 ◽  
Vol 25 (4) ◽  
pp. 303-315 ◽  
Author(s):  
Marie-Eve Lamontagne ◽  
Krista L. Best ◽  
Teren Clarke ◽  
Frederic S. Dumont ◽  
Luc Noreau
Keyword(s):  
Evidence Based Practice ◽  
Readiness To Change ◽  
Implementation Process ◽  
Evidence Based ◽  
Peer Mentors ◽  
Mentor Training ◽  
Community Based ◽  
Peer Mentor ◽  
Cord Injury ◽  
Organizational Readiness To Change

Background: Community-based spinal cord injury (SCI) associations play a critical role in successful community integration of individuals having experienced an SCI, with knowledge translation being increasingly important for the process. The implementation of a new online peer-mentor training program was perceived as being useful in improving and standardizing training practices for peer mentors across Canada. It was also seen as an opportunity to explore the context, process, and influence of a formal implementation process in SCI community-based associations that are corporate members of SCI Canada with a view to informing future implementation efforts. Objectives: The objectives of this study were to (a) explore the context in which the implementation process will be conducted, (b) identify barriers and facilitators that influence the implementation process, and (c) measure the influence of the implementation process on service delivery. Methods: A sequential cross-sectional design was used with SCI Canada provincial member associations. SCI Canada's purpose is to support collaboration among provincial corporate members. SCI Canada enlisted the participation of several employees from the provincial associations to assess the implementation context using the Evidence-Based Practice Attitude Scale and the Organizational Readiness to Change Assessmen t and to identify barriers to and facilitators of the implementation of an evidence-based practice through an open-ended questionnaire based on the Consolidated Framework for Implementation Research. A pre-post design was used to evaluate the influence of the implementation process on peer-mentors using the Determinants of Implementation Behavior Questionnaire. Results: Participants reported an overall positive attitude toward evidence-based practice and a positive perception of the organizational readiness to change. The relevance of the practice chosen was a facilitator because peer support is central to the mission of SCI Canada and this type of practice is in line with the organization' culture and values. Equally important, but as an obstacle, is the scarcity of existing resources within the association in general and specifically resources devoted to the implementation of the program. Finally, the implementation process seems to influence half of the implementation determinant types on potential peer mentors. Conclusion: Community-based organizations, such as the provincial association members of SCI Canada, show positive context for the implementation of evidence-based practices. However, successful implementation of online peer-mentor training will require specific consideration of financial and human resources.

Addressing the Needs of Culturally Diverse Populations in Community-Based Health Research

2001 ◽  
Author(s):  
Renee Taylor ◽  
Gary Harper ◽  
Audrey Bangi ◽  
Radhika Chimata ◽  
Danielle Johnson
Keyword(s):  
Health Research ◽  
Culturally Diverse ◽  
Diverse Populations ◽  
Community Based ◽  
Culturally Diverse Populations

scholarly journals Community participation based on social capital to enhance tourist visit at Lake Toba Parapat North Sumatera

2018 ◽  
Vol 52 ◽  
pp. 00015
Author(s):  
Erika Revida ◽  
Sukarman Purba
Keyword(s):  
Social Capital ◽  
Community Participation ◽  
Quantitative Research ◽  
Quantitative Methods ◽  
Data Organization ◽  
Community Based ◽  
Qualitative And Quantitative ◽  
Qualitative And Quantitative Methods ◽  
Analysis Technique ◽  
North Sumatra

The The purpose of this research was to analyze the participation of community based on social capital to enhance tourist visit at Lake Toba Parapat North Sumatera. The study utililized both qualitative and quantitative methods. 80 respondents (head of family) were interviewed at Lake Toba Parapat North Sumatera. Thte analysis technique of data used quantitative research used descriptive statistics, and multiple regression analysis, whereas qualitative research started from the data organization, reduction and interpretation of data and took conclusion on the results of research. The results of the research showed that the hypothesis of research that there was a positive and significant influence between social capital on the community participation to enhance tourist visits in Lake Toba Parapat North Sumatra was accepted. Participation of community based on social capital to enhance tourist visit was in moderat and it can be further improved by social activities including communication, information sharing and education on the importance of community participation based on social capital such as cohesiveness, altruism, networking, coorperation, unselfish feeling, and trust.

scholarly journals Students Motivation and Mathematical Problem Solving Enhancement through SFAE (Student Facilitator and Explaining) in Problem-Solving Strategies

2020 ◽  
Vol 3 (2) ◽  
pp. 52
Author(s):  
Trisnawati Trisnawati ◽  
Wanda Nugroho Yanuarto
Keyword(s):  
Action Research ◽  
Problem Solving ◽  
Mathematical Problem ◽  
Learning Motivation ◽  
Mathematical Problem Solving ◽  
Average Percentage ◽  
Qualitative And Quantitative ◽  
Class Viii ◽  
Problem Solving Strategies ◽  
Student Test

This study was employed to enhance learning motivation and mathematical problem-solving abilities of class VIII A students of SMP Negeri 7 Purwokerto through SFAE learning with problem-solving strategies. The subjects of this study were 31 students of class VIII A SMP Negeri 7 Purwokerto. This study is a Classroom Action Research (CAR), which was conducted collaboratively and participative. The action research was carried out in 3 cycles, with each cycle consisting of 2 meetings. Students were given a questionnaire to measure learning motivation and a test to measure their mathematical problem-solving abilities at the end of each cycle. Data collection techniques in this study include observation, questionnaires, tests, and documentation. Data analysis was carried out by descriptive qualitative and quantitative. The finding showed that implementing of SFAE learning with problem-solving strategies could increase students’ learning motivation and mathematical problem-solving abilities. The study found that (1) The average percentage of the overall learning motivation questionnaire is steadily increased from 61.71% in cycle one to 68.10% in cycle two and 76.03% in cycle three. (2) The average percentage of student tests for problem-solving abilities in cycle one also significantly increases from 35.21% to 53.20% in cycle two and 79.61% in cycle three. The average student test rate for each indicator of problem-solving ability has met the study’s success criteria.

scholarly journals Knowledge, attitude and practice regarding various tobacco products and their effects on health and COTPA act among ≥15 years age group persons in urban field practice area of a medical college in Telangana

2020 ◽  
Vol 7 (6) ◽  
pp. 2180
Author(s):  
Jyothi Veleshala ◽  
Varun Malhotra
Keyword(s):  
Tobacco Use ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Community Based ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Medical College ◽  
Attitudes And Practices ◽  
Supply And Distribution ◽  
Almost All

Background: Tobacco use is a major public health problem. The prevalence of tobacco use among men has been reported to be high (generally exceeding 50%) from almost all parts of India. “The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply, and Distribution) Act 2003”, which came into effect since 1st May 2004. Information on knowledge, attitudes, and practices of population regarding COTPA is necessary to effectively implement the legislation. Hence the present study was undertaken.Methods: The present study was a cross-sectional community-based survey carried out in urban slums of Nalgonda town. Data was collected using a structured schedule by interviewing 300 participants, aged above 15 years.Results: The current use of any tobacco was reported by 45.7% of the participants. Overall awareness of COTPA was 58.2%. Marital status, type of family, unemployment, Illiterates, lower SES, and age had a significant influence on tobacco use. Television (77.05%) was the major source of awareness regarding COTPA. The majority of smokers were aware of various sections of COTPA (>50%). About 34.8% of the participants had a favorable attitude towards COTPA. The positive attitude was more (53.7%) towards the display of health warnings on tobacco products among smokers. 11.2% had paid penalty for violation of the act and 32.4% have noticed a reduction in their habit to some extent.Conclusions: A concerted effort has to be made to increase the awareness of the act amongst the vulnerable population.

Impact of culture on organizational readiness to change: context of bank M&A

2019 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Arbind Samal ◽  
Sabyasachi Patra ◽  
Devjani Chatterjee
Keyword(s):  
Banking Sector ◽  
Readiness To Change ◽  
Higher Order ◽  
Organizational Readiness ◽  
Cultural Dimensions ◽  
Practical Utilization ◽  
Content Type ◽  
Individual Level ◽  
The Individual ◽  
Organizational Readiness To Change

Purpose The purpose of this paper is to examine the influence of culture on organizational readiness to change (ORC) within the context of merger and acquisition (M&A) in the banking sector in India. Design/methodology/approach A multisource approach is used to collect data from a public-sector bank in India for testing our hypothesis. A hierarchical approach based on higher-order modelling has been deployed for confirming the path model. The foundation of the study is based on power distance (PD) and uncertainty avoidance (UA) cultural dimensions of Hofstede (1984). Findings Employees in organizations with large PD and high UA index exhibit low readiness to change. Findings support a negative relationship of culture (large PD and high UA) with organizational readiness to change at the individual level. Research limitations/implications The study has three major implications. First, measures and importance of change readiness at the individual level during corporate events such as M&A is elucidated in the study. Second, a paradigm for assessing higher-order models grounded in theoretical and methodological rigour for testing our hypothesis is presented in the paper. Last, the role of culture in M&A processes is highlighted vis-à-vis factors related to PD and UA on ORC. Practical implications The findings of the research answer to the call for a study on factors that help in creating a synergy for successful M&A across all sectors especially in the banking sector. People representing high UA and large PD often look forward to direction and guidelines for guiding employee actions. Leaders therefore need to set clear agenda and effectively communicate the appropriateness of change to their employees for developing positive behaviour towards desirable organizational outcomes. This study touches upon this important perspective for its practical utilization. Originality/value The study adds to the limited literature on change which addresses the need for studying socio-cultural factors in the M&A process, especially in an emerging economies context.

scholarly journals Patient experiences of access to NCD medicines in Sri Lanka: Evidence of the success story towards universal coverage

2019 ◽  
Vol 3 ◽  
pp. 239920261987322
Author(s):  
BMR Fernandopulle ◽  
Nalika Gunawardena ◽  
SHP de Silva ◽  
Chinta Abayawardana ◽  
LK Hirimuthugoda
Keyword(s):  
Sri Lanka ◽  
Communicable Disease ◽  
Household Survey ◽  
Universal Coverage ◽  
Patient Experiences ◽  
Community Based ◽  
State Sector ◽  
Government Hospitals ◽  
Almost All ◽  
Non Communicable Disease

Introduction: In Sri Lanka in 2013, 16 medicines were identified as priority to manage non-communicable disease (NCD), and in 2017, 48 NCD medicines were price-regulated. Objective: The aim of the present study was to describe the experiences on availability of drugs and out-of-pocket expenditure (OOPE) for drugs among patients with NCDs in Sri Lanka. Methods: This community-based, household survey was conducted in nine districts of the country. The survey included 1100 adults (aged 50 years and above) with a diagnosis of NCD for 5 years. They were interviewed by trained pharmacy students. Results: Approximately 66%, 49% and 21.6% suffering from hypertension, diabetes and ischaemic heart disease, respectively, with a majority having more than one NCD. The evidence showed that prescribers align to drugs that have been recognized to be made more available and more affordable. Of all, 14% had prescriptions with all NCD medicines classified in the list, while 40% had only one or two of the drugs prescribed which are not in the list. Most of the prescribed drugs were also included in the price regulation – with 29% having all medicines included, while 31.6% having only one or two drugs prescribed out of the list. Approximately, two-thirds (64.2%) had exclusively used government hospitals for NCD care during the past 5 years. A majority (58.3%) had all prescribed drugs available at the last visit to the state sector clinic, while almost all of the others (35.7%) had some of the drugs available. Conclusion: The study concluded that patient experiences in Sri Lanka showed good availability and access to NCD medicines in Sri Lanka.

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