Examining the Use of a Brief Online Intervention in Primary Care for Changing Low-Income Caregivers’ Attitudes Toward Spanking

2021 ◽  
pp. 088626052110541
Author(s):  
Hilary L. Richardson ◽  
Amy Damashek
Keyword(s):  
Parent Education ◽  
Low Income ◽  
Cultural Sensitivity ◽  
Controlled Trial ◽  
Population Based ◽  
Sociocultural Factors ◽  
Online Program ◽  
Pediatric Clinic ◽  
Significant Difference ◽  
Post Test

There is a robust and growing literature base indicating that spanking is a common, but potentially problematic, discipline strategy. Goals: Using a randomized controlled trial design, this study examined whether participation in a brief online program, Play Nicely, would result in favorable changes in caregivers’ attitudes toward spanking. The study also examined whether the intervention was equally effective for participants of color (POC) and White participants, and it assessed caregivers’ perceptions of the program’s cultural sensitivity. Methods: Participants were 52 caregivers from 1- to 5-year-old children who were visiting a pediatric clinic. Participants were enrolled and randomly assigned to either engage in the Play Nicely online program ( n = 21) or view a control condition website ( n = 31) in a clinic exam room. Results: There was not a statistically significant difference between the treatment and control groups’ scores on attitudes toward spanking (ATS) at post-test ( F (1, 49) = 1.515, p = 0.224), but a small between-group effect size was detected ( d = 0.20). Within the treatment condition, desired changes in ATS scores were significantly higher among White participants than POC ( t (17) = −2.125, p = 0.049), but there was not a significant difference in reported perceptions of Play Nicely’s cultural acceptability between White participants and POC ( t (19) = 0.469, p = 0.644). Conclusions: Findings suggest a need for further investigation of Play Nicely’s impact on caregivers’ ATS with a larger sample to clarify the program’s utility as a potential population-based tool for parent education and violence prevention. Additional research is needed to identify sociocultural factors that may moderate the effects of spanking interventions for families across diverse racial backgrounds.

scholarly journals Online Balint Group Work Versus Pharmacotherapy in Treatment of Coronavirus Anxiety in Healthcare Workers in Iran: A Pilot Randomized Controlled Trial

2021 ◽  
Author(s):  
najmeh shahini ◽  
shakiba gholamzad ◽  
zanireh salimi ◽  
Mansoureh Kiani Dehkordi ◽  
Saeedeh Hajebi Khaniki ◽  
...  
Keyword(s):  
Group Work ◽  
Healthcare Workers ◽  
Controlled Trial ◽  
Intervention Period ◽  
Randomized Controlled ◽  
Resilience Scale ◽  
Significant Difference ◽  
Post Test ◽  
Balint Group ◽  
Pilot Randomized Controlled Trial

Abstract Background: An increase in symptoms of anxiety is already being reported in relation to the COVID-19 pandemic.Objectives: We aimed to compare the effectiveness of Balint group work with pharmacotherapy in coronavirus related anxiety among healthcare workers (HCWs) in Iran.Methods: In This pilot clinical trial, after passing a phone screening procedure by a psychiatrist, subjects were quasi-randomly assigned to Balint (8 sixty-minute online sessions) or pharmacotherapy (Sertraline) groups. Both groups were asked to fill two questionnaires, including the Corona Disease Anxiety Scale (CDAS) and Connor-Davidson resilience scale (CD-RISC), at the beginning and the end of the 4-week intervention period.Results: A total of 45 HCWs enrolled in this study. The results showed a significant difference between the post-test and pre-test scores of both groups in the total scores of anxiety and its subcomponents (p≤0.001). There was no significant difference between the effectiveness of the two interventions on anxiety (p=0.52). Both interventions had a significant effect on the subjects' resilience and its subscales (p≤0.05) except for positive acceptance change. The spiritual influences domain had a significantly higher increase in the pharmacotherapy group (P=0.031).Conclusions: We showed Balint group work maybe can better to pharmacotherapy with Sertraline in management of COVID-19 related anxiety and boosting resilience in healthcare workers.

scholarly journals The Effect of the Educational Brochure Versus the Video on Disease Knowledge in Juvenile Idiopathic Arthritis Patients: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Waraporn Sunthornsup ◽  
Sirisucha Soponkanaporn ◽  
Soamarat Vilaiyuk
Keyword(s):  
Randomized Controlled Trial ◽  
Juvenile Idiopathic Arthritis ◽  
Controlled Trial ◽  
Demographic Data ◽  
P Value ◽  
Disease Knowledge ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Post Test ◽  
Video Group

Abstract Background: Juvenile idiopathic arthritis (JIA) is the most common pediatric rheumatic disease. Patient education plays an important role in the management of such chronic disease. Although JIA educational materials are available, patients may not reach them due to limited health literacy or limited access. This study aimed to compare the effectiveness between a brochure and a video in JIA-related knowledge.Methods: This was a randomized controlled trial study. 100 JIA patients or their caregivers, whose JIA patients were not graduated at least 8thgrade were randomized into two groups with 50 subjects per arms. The intervention groups were reading the brochure (n=50) or watching the content matched video (n=50). Fifteen multiple-choice knowledge questionnaires about JIA were answered before, immediately after intervention and at follow-up 4 weeks later. Demographic data and disease activity were recorded.Results: In this study, age of patients in the brochure and video group were 13.2 ± 4.6 years and 14.3 ± 5.1 years, respectively. Most of them were female (57%), diagnosed systemic JIA (37%) and were in active disease status (48%). There was no difference in all baseline demographic data. About 70% of patients had low average monthly family income per household. More than 50% of JIA graduated below secondary school. The mean correct score rates prior to the intervention were 51% and 56% in the brochure group and video group, respectively (p-value 0.28). Post-test total knowledge scores showed that participants in the video group had better knowledge than participants in the brochure group (p-value 0.003). In four-week post-test, both groups had statistically significantly lower total knowledge scores (the brochure 73%, the video 78%) when compared to the immediate post-test score. Moreover, there was no significant difference in four-week post-test scores between two groups (p-value 0.141).Conclusion: The JIA educational video was more effective than the pictorial brochure in improving immediate JIA related knowledge. However, the long-term retention of JIA related knowledge did not show the significant difference between both educational tools. To maintain JIA disease knowledge, patients should be given the knowledge of JIA disease repeatedly.Trial registration: Thaiclinicaltrials.org 06/03/2020, TCTR20200310004, prospectively registered.

scholarly journals Ebola Outbreak in Nigeria: Increasing Ebola Knowledge of Volunteer Health Advisors

2015 ◽  
Vol 8 (1) ◽  
pp. 72 ◽  
Author(s):  
Unnati Patel ◽  
Jennifer R. Pharr ◽  
Chidi Ihesiaba ◽  
Frances U. Oduenyi ◽  
Aaron T. Hunt ◽  
...  
Keyword(s):  
Low Income ◽  
Test Score ◽  
Ebola Virus ◽  
Virus Disease ◽  
Training Session ◽  
Low Income Countries ◽  
Awareness Training ◽  
African Countries ◽  
Significant Difference ◽  
Post Test

<p>In many low-income countries, volunteer health advisors (VHAs) play an important role in disseminating information, especially in rural or hard-to-reach locations. When the world's largest outbreak of Ebola virus disease (EVD) occurred in 2014, a majority of cases were concentrated in the West African countries of Guinea, Liberia, and Sierra Leone. Twenty cases were reported in Nigeria initially and there was a need to rapidly disseminate factual information on Ebola virus. In southeast Nigeria, a group of VHAs was being used to implement the Healthy Beginning Initiative [HBI], a congregation based intervention to increase HIV testing among pregnant women and their male partners. The purpose of this study was to assess the baseline and post EVD training knowledge of VHAs during the outbreak in Nigeria. In September 2014, 59 VHAs attending a HBI training workshop in the Enugu State of Nigeria participated in an Ebola awareness training session. Participants completed a 10-item single-answer questionnaire that assessed knowledge of Ebola epidemiology, symptoms, transmission, prevention practices, treatment and survival prior to the Ebola awareness training. After the training, the VHAs repeated the questionnaire. Answers to pre and post questionnaires were analyzed using paired t-tests. Multiple linear regression was used to examine the relationship between pre and post total questionnaire scores and age, education, current location and employment. The average pre-test score was 7.3 and average post-test score was 7.8 which was a significant difference (t=-2.5, p=0.01). Prior to the training, there was a significant difference in Ebola knowledge based on the VHAs education only (p&lt;0.01). After training, education was no longer significant for Ebola knowledge. Existing community health programs can be used as a platform to train VHAs in times of epidemics for quick dissemination of vital health information in areas lacking adequate health infrastructure and personnel.</p>

scholarly journals Effectiveness of hands-on cardiopulmonary resuscitation practice with self-debriefing for healthcare providers: A simulation-based controlled trial

2017 ◽  
Vol 24 (6) ◽  
pp. 268-274
Author(s):  
Hsuan-Jui Fan ◽  
Shih-Hao You ◽  
Chien-Hsiung Huang ◽  
Chen-June Seak ◽  
Chip-Jin Ng ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Controlled Trial ◽  
Healthcare Providers ◽  
Control Group ◽  
Resuscitation Training ◽  
Significant Difference ◽  
Hands On ◽  
Post Test ◽  
Adequate Rate

Introduction: The psychomotor skill of cardiopulmonary resuscitation emphasized the importance of high-quality chest compression. This investigation examined the effect of self-debriefing and the different materials of debriefing during hands-on cardiopulmonary resuscitation practice for healthcare providers. Methods: This was a randomized controlled trial of a cardiopulmonary resuscitation training program involving emergency medical technicians in northern Taiwan. Participants were blinded to the study purpose and were allocated randomly using the black envelope method. All participants completed a 2-min pre-test of hands-only cardiopulmonary resuscitation using a manikin. Those who were allocated to the control group received self-debriefing with knowledge of pre-test result. Those who were allocated to the experimental group received self-debriefing with an additional biomechanical information of performance of chest compression. A post-test was performed 30 min after the pre-test. Results: A total of 88 participants were enrolled with 44 in each group. There was significant difference of cardiopulmonary resuscitation quality after self-debriefing among all participants (pre- vs post-test adequate rate, 54.7% vs 67.5%, p = 0.028; adequate depth, 41.2% vs 69.5%, p < 0.001; full recoil, 35.9% vs 54.5%, p = 0.001). The analysis of effects of self-debriefing with additional knowledge of performance revealed no significant difference in any of the measurements (improvement in adequate rate, 11.3% vs 14.2%, p = 0.767; adequate depth, 29.6% vs 27.0%, p = 0.784; full recoil, 23.0% vs 14.1%, p = 0.275). Conclusion: Self-debriefing improved hands-only cardiopulmonary resuscitation quality whether or not biomechanical information of performance of chest compression was given.

scholarly journals Pre-class versus In-class Video Lectures for the Flipped Classroom in Medical Education: A Non-randomized Controlled Trial

2020 ◽  
Vol 72 (6) ◽  
pp. 476-482
Author(s):  
Monton Wongwandee ◽  
Panwara Paritakul
Keyword(s):  
Randomized Controlled Trial ◽  
Test Score ◽  
Flipped Classroom ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Video Viewing ◽  
Total Satisfaction ◽  
Significant Difference ◽  
Post Test ◽  
Fourth Year Medical Students

Objective: The objective was to test the effectiveness of the two different teaching models focusing on pre-class preparation.Methods: This study was a single-center, post-test only, non-randomized, controlled trial. The fourth-year medical students were assigned to attend either flipped classroom (FC) or in-class video classroom (IVC). The FC students watched a pre-class video lecture individually. In contrast, IVC students viewed the video together during class time. Both groups had the same in-class activities, including case quizzes and discussion. The primary outcomes were a post-test score and student satisfaction.Results: Of 105 students, 53 were assigned to the FC group and 52 to the IVC group. 77% of the FC students reported video viewing. There was no significant difference in the post-test score between the FC and the IVC groups (p = 0.107). However, the subgroup analysis showed that the post-test score of the IVC group was significantly higher than the FC subgroup who did not view the video (p = 0.024). The total satisfaction score was not significantly different between the FC and the IVC groups (p = 0.945). 83% of the FC who did not view the video claimed they had too many out-of-class workloads.Conclusion: There were no differences in the effectiveness between the FC and IVC approach. However, the IVC students showed better knowledge acquisition over the FC subgroup, who did not watch the video. Hence our study emphasized an essential role of the knowledge preparation on the successful flipped classroom.

scholarly journals Effects of a Physical Activity Intervention on Physical Fitness of schoolchildren: The Enriched Sport Activity Program

2020 ◽  
Vol 17 (5) ◽  
pp. 1723 ◽  
Author(s):  
Ewan Thomas ◽  
Antonino Bianco ◽  
Garden Tabacchi ◽  
Carlos Marques da Silva ◽  
Nuno Loureiro ◽  
...  
Keyword(s):  
Physical Fitness ◽  
Physical Activity Intervention ◽  
Controlled Trial ◽  
Sport Activity ◽  
Intervention Group ◽  
Control Group ◽  
Post Intervention ◽  
Activity Program ◽  
Significant Difference ◽  
Post Test

Background: Physical fitness in youth is a predictor of health in adulthood. The main objective of the present study was to understand if an enriched sport activity program could increase physical fitness in a population of schoolchildren. Methods: In a sample of 672 children aged 10.0 ± 1.90 years, different motor skills were tested by the 1 kg and 3 kg ball throw (BT), the standing broad jump (SBJ), the 30 m sprint (30mS), the leger shuttle run (LSR), the illinois agility test (IGT), and the quadruped test (QT). Within the controlled-trial, the intervention group (ESA) underwent an additional warm-up protocol, which included cognitive enhancing elements, for 14 weeks while the control group continued with ordinary exercise activity. Results: A significant increase was present regarding the 1 kg and 3 kg BT, the SBJ, the 30mS, and the IGT, while no significant difference was shown regarding the QT and the LSR in the ESA group between pre and post intervention. In the control group, no differences were present for any test except for the QT and the LSR post-test. Conclusion: A 14-week structured physical intervention had moderate effects regarding throwing, jumping, sprinting, and agility in a sample of schoolchildren.

Effect of Cervical Extensor Strengthening on severity of Temporomandibular Joint Disorder among University students: A Randomized controlled trial

2021 ◽  
pp. 2233-2242
Author(s):  
Ilayaraja Alagia Thiruvevenkadam ◽  
Lee Tze Ling
Keyword(s):  
Temporomandibular Joint ◽  
Controlled Trial ◽  
Mouth Opening ◽  
Control Group ◽  
Temporomandibular Joint Disorder ◽  
Significant Difference ◽  
Post Test ◽  
Joint Disorder ◽  
Maximal Mouth Opening ◽  
Experimental Group

Background and Objectives: Awareness of temporomandibular joint disorder (TMD) is fairly concerning in management of physiotherapy as patients often seek for treatment from orthodontics when pain become their main concerns. In this case, cervical aspects are often overlooked in the treatment of temporomandibular joint disorder. This study aims to determine the effect of cervical extensor strengthening on severity of temporomandibular joint disorder. Methods: A randomized controlled trial study was carried out for 4 weeks to determine the effect of cervical extensor strengthening on severity of temporomandibular joint disorder among university students. A total of 40 participants were recruited via convenient sampling method. Subjects were randomly assigned into two groups: experimental group (E) and control group (C) through lottery randomization. Subjects in experimental group were instructed to perform 1 set of cervical extensor strengthening with 10 repetitions and goldfish exercises whereas subjects in control group were asked to perform goldfish exercises only. A pre-test and post-test severity of TMD, maximal mouth opening and maximal isometric cervical extensor strength were measured for both groups. Results: After 4 weeks of training, there was significant difference in pre-test and post-test severity of TMD and maximal mouth opening for both E and C group. On the other hand, there was significant difference of pre and post-test of maximal isometric cervical extensor strength in experimental group. There was no significant difference in post-test for severity of TMD (p=0.67), maximal mouth opening (p=0.21) and maximal isometric cervical extensor strength (p=0.40) between two groups. Conclusions: The study concluded that, 4 weeks of anti-gravity cervical extensor strengthening exercises protocol showed there was no significantly difference of the severity of TMD and maximal mouth opening between both control and experimental group. On the other hand, goldfish exercises showed significant improvement of maximal mouth opening and reduction in severity of TMD after 4 weeks of intervention period.

Associations among perceived provider cultural sensitivity, trust in provider, and treatment adherence among predominantly low-income Asian American patients.

2016 ◽  
Vol 7 (4) ◽  
pp. 295-304 ◽  
Author(s):  
Shuchang Kang ◽  
Carolyn M. Tucker ◽  
Guillermo M. Wippold ◽  
Michael Marsiske ◽  
Paige H. Wegener
Keyword(s):  
Treatment Adherence ◽  
Asian American ◽  
Low Income ◽  
Cultural Sensitivity

Implicit and explicit corrective feedback and feedback exposure conditions

2020 ◽  
Vol 4 (1) ◽  
pp. 3-48
Author(s):  
Takehiro Iizuka ◽  
Kimi Nakatsukasa
Keyword(s):  
Explicit Knowledge ◽  
Corrective Feedback ◽  
Significant Difference ◽  
Oral Corrective Feedback ◽  
Post Test ◽  
Picture Description ◽  
Potential Factors ◽  
Implicit And Explicit ◽  
Instructional Settings ◽  
The Impact

This exploratory study examined the impact of implicit and explicit oral corrective feedback (CF) on the development of implicit and explicit knowledge of Japanese locative particles (activity de, movement ni and location ni) for those who directly received CF and those who observed CF in the classroom. Thirty-six college students in a beginning Japanese language course received either recast (implicit), metalinguistic (explicit) or no feedback during an information-gap picture description activity, and completed a timed picture description test (implicit knowledge) and an untimed grammaticality judgement test (explicit knowledge) in a pre-test, immediate post-test and delayed post-test. The results showed that overall there was no significant difference between CF types, and that CF benefited direct and indirect recipients similarly. Potential factors that might influence the effectiveness of CF, such as instructional settings, complexity of target structures and pedagogy styles, are discussed.

Effectiveness of Child to Parent Communication Using Information Package on Food Hygiene

2018 ◽  
Vol 3 (07) ◽  
Author(s):  
Ms. Sonam Yangchen Bhutia ◽  
Dr. Sushma Kumari Saini ◽  
Dr. Manmeet Kaur ◽  
Dr. Sandhya Ghai
Keyword(s):  
School Children ◽  
Home Visit ◽  
Controlled Trial ◽  
Family Members ◽  
Sampling Technique ◽  
Control Group ◽  
Food Hygiene ◽  
Parent Communication ◽  
Post Test ◽  
Randomised Controlled

School children can act as change agent not only for families but for community. The study aimed to assess effectiveness of information package on knowledge and practices of parents/family members of school children studying in Govt. Sr. Sec. School on food hygiene in Dhanas and Daddu Majra Colony, UT, Chandigarh. A non-randomised controlled trial was conducted on 201 school children studying in VIIth standard and their parents/family members. Purposive sampling technique was utilised to enrol 101 in case and 100 participants in control group. Interview schedule for knowledge assessment and observation checklist for assessing the practices of parents/ family members was used. Pre assessment of both the groups was done by a home visit. Experimental group school children were educated on food hygiene as per the protocol. Pre and post-test knowledge of school children on food hygiene was assessed and were asked to disseminate the information to their parents/family members.  After 15 days, second time home visit was done to the parents/family members of both the groups for the post assessment of knowledge and practices. Significant improvement in knowledge and practices of parents/family members related to food hygiene was observed. Hence, school children can be an effective tool in health related knowledge dissemination which can further promote healthy practices.

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