scholarly journals Using Predictive Evaluation to Design, Evaluate, and Improve Training for Polio Volunteers

2017 ◽  
Vol 4 (1) ◽  
pp. 35-42
Author(s):  
Denise A. Traicoff ◽  
Dave Basarab ◽  
Derek T. Ehrhardt ◽  
Sandi Brown ◽  
Martin Celaya ◽  
...  

Background: Predictive Evaluation (PE) uses a four-step process to predict results then designs and evaluates a training intervention accordingly. In 2012, the Sustainable Management Development Program (SMDP) at the Centers for Disease Control and Prevention used PE to train Stop Transmission of Polio (STOP) program volunteers. Methods: Stakeholders defined specific beliefs and practices that volunteers should demonstrate. These predictions and adult learning practices were used to design a curriculum to train four cohorts. At the end of each workshop, volunteers completed a beliefs survey and wrote goals for intended actions. The goals were analyzed for acceptability based on four PE criteria. The percentage of acceptable goals and the beliefs survey results were used to define the quality of the workshop. A postassignment adoption evaluation was conducted for two cohorts, using an online survey and telephone or in-person structured interviews. The results were compared with the end of workshop findings. Results: The percentage of acceptable goals across the four cohorts ranged from 49% to 85%. In the adoption evaluation of two cohorts, 88% and 94% of respondents reported achieving or making significant progress toward their goal. A comparison of beliefs survey responses across the four cohorts indicated consistencies in beliefs that aligned with stakeholders’ predictions. Conclusions: Goal statements that participants write at the end of a workshop provide data to evaluate training quality. Beliefs surveys surface attitudes that could help or hinder workplace performance. The PE approach provides an innovative framework for health worker training and evaluation that emphasizes performance.

2018 ◽  
Vol 43 (2) ◽  
pp. 43-52
Author(s):  
Claire Lusted ◽  
Beverly Joffe

THIS STUDY INVESTIGATED PARENT–CHILD interactions around on-screen content. Associated and predictive factors impacting quality of interactions were considered in relation to development of communication and social skills. A quantitative approach was used to analyse online survey responses of 162 Australian parents/carers. Descriptive statistics, correlations, evaluation of differences between groups, and multiple regression analyses were conducted. Children viewed an average of 17.86 hours of on-screen content (SD = 9.03) per week, with their viewing time most strongly predicted by parents’ viewing time, and frequency of unsupervised viewing. Parents did not always ask questions, make comments or conduct follow-on activities around on-screen content in a manner conducive to communication and social skills development. Findings from this study may be useful in informing realistic recommendations made to parents about using on-screen content to assist their children in developing communication and social skills.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 2069-2069
Author(s):  
Nicole Willmarth ◽  
Scott Elder ◽  
Avery Fine ◽  
Manmeet Singh Ahluwalia ◽  
Jill Barnholtz-Sloan ◽  
...  

2069 Background: Brain metastases (BM) are the most common central nervous system tumors in the US. Though the exact incidence is unknown, BM are estimated to occur in up to 10-20% of all cancers. Despite the high frequency, there is little systematic knowledge about how BM are typically diagnosed and treated. The American Brain Tumor Association (ABTA) seeks to understand the BM journey: symptoms, diagnosis, treatment, and end of life, through a survey of BM patients and caregivers. Methods: Two surveys were developed by the ABTA with vendor, PSB Research, after careful literature review. The surveys were reviewed by a panel of clinicians who treat BM patients. Online survey research was conducted between 8/13-9/16/18, with one survey for adults with BM (N = 237) and another for caregivers (N = 211). Respondents came from PSB’s panels and ABTA collaborators: LUNGevity, Melanoma Research Foundation and the Kidney Cancer Association. Results: Ninety percent of patients, and a similar number of caregivers, were surprised by the diagnosis, with only 20% of patients knowing about BM before diagnosis. Most caregivers were the adult child of a patient. The impact of the diagnosis was primarily emotional. Top concerns after diagnosis, for both patients and caregivers, were likelihood of treatment success and impact on quality of life. Although a majority of patients were happy with the quality of information given, they stated a need to receive a greater quantity of information about treatment success and options. Only 30% of patients were referred to a patient advocacy organization. When referred, information on treatment success rates and options was most sought. Conclusions: Direct patient and caregiver feedback provides valuable insight towards understanding the BM journey and resources needed to support patients and caregivers. A subsequent survey among oncologists and other clinicians, planned for spring of 2019, will add to these findings.


2015 ◽  
Vol 4 (4) ◽  
pp. 329-345 ◽  
Author(s):  
Bradley J. Cardinal ◽  
Minsoo Kang ◽  
James L. Farnsworth ◽  
Gregory J. Welk

Kinesiology leaders were surveyed regarding their views of the (re)emergence of physical activity and public health. Their views were captured via a 25-item, online survey conducted in 2014. The survey focused on four areas: (a) types of affiliation with public health; (b) program options and course coverage; (c) outreach programming; and (d) perspectives on integration. Member and nonmember institutions of the American Kinesiology Association received the survey. Responses were received from 139 institutional leaders, resulting in an overall response rate of 21.4%. Key findings included that the combination of physical activity and public health was seen as both a stand-alone subdisciplinary area within kinesiology and also an area that has a great deal of potential for collaboration, the acquisition of external funding, and further strengthening of community outreach and engagement. The survey results are placed in historical context and interpreted with various caveats and limitations in mind.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257658
Author(s):  
Joel Myerson ◽  
Michael J. Strube ◽  
Leonard Green ◽  
Sandra Hale

The present study examined individual characteristics potentially associated with changes in mitigation behaviors (social distancing and hygiene) recommended by the Centers for Disease Control and Prevention. Analysis of online survey responses from 361 adults, ages 20–78, with US IP addresses, identified significant correlates of adaptive behavioral changes, with implications for preventive strategies and mental health needs. The extent to which individuals changed their mitigation behaviors was unrelated to self-rated health or concern regarding the personal effects of COVID-19 but was related to concern regarding the effects of the pandemic on others. Thus, mitigation behaviors do not appear to be primarily motivated by self-protection. Importantly, adaptive changes in mitigation behaviors increased with age. However, these changes, particularly those related to the frequency of close proximity encounters, appear to be due to age-related decreases in anxiety and depression. Taken together, the present results argue against over-reliance on ‘fear appeals’ in public health messages as they may increase anxiety and depression. Instead, the present findings argue for more appeals to people’s concern for others to motivate mitigation as well as indicating an immediate need to address individual mental health concerns for the sake of society as a whole.


2020 ◽  
Vol 17 (5) ◽  
pp. 364
Author(s):  
Joo-hyon Kim ◽  
Moon-young Hwang ◽  
Myunghee Kwon

Environmental contextSafeguarding the quality of residential indoor air depends on exposure assessment of potential contaminants. Using online survey responses from households in Korea, and focusing on those households containing preschoolers, we created a database of exposure, characterising household insecticide usage patterns. Evaluating the combined inhalation exposure to insecticides available in retail markets will support efforts to improve residential indoor air quality and the health and safety of all inhabitants. AbstractTo accurately assess the health risks associated with the use of retail insecticides, we developed a database for the combined inhalation exposure to insecticides available in retail markets of preschoolers and children based on household usage patterns. This database presents the usage characteristics for each product, which includes its use frequency, per application duration, per application quantity and concurrent use with other insecticidal products as useful exposure factors. The 1932 household insecticides identified in the online product survey contained 184 different active ingredients, which included deltamethrin, d-phenothrin, phthalthrin, hydramethylnon, permethrin, chloropyrifos and cyhalothrin. A total of 5015 survey respondents, which included 385 respondents with 416 infants, 688 respondents with 809 toddlers and 821 respondents with 1040 children were surveyed. Among the insecticides included in the subset, 224 products contained deltamethrin and 205 products contained d-phenothrin as the predominant active ingredient. Among the families with infants, multiple insecticidal products were used in combination to eliminate or control mosquitos, cockroaches and house flies (88/385 respondents or 22.9%). For families with infants, toddlers and children, the total mean exposure amounts for all household insecticides were 4622.5, 5537.3 and 3515.0g month−1 in the summer. The results of the present study substantially contribute to the state of knowledge regarding the combined inhalation exposure to retail insecticides of preschoolers and children.


2019 ◽  
Vol 37 (27_suppl) ◽  
pp. 224-224
Author(s):  
Ellen Miller-Sonet ◽  
Gabrielle Betty Rocque

224 Background: The National Academies of Medicine prioritizes patient’s needs, values, and preferences when patient’s and care teams make treatment decisions. However, the collection of this patient information is not part of the formal clinical intake process, nor are pertinent questions included in EHR templates. Methods: Surveys were conducted of cancer patients and cancer physicians to understand perceptions on whether patients’ quality of life priorities (e.g work, hobbies, key events, household responsibilities) are discussed, documented and reflected in treatment plans. Physicians were recruited via a market research panel. Patients were recruited from the Cancer Care data base via an email request to complete an online survey. Results: From February to October, 2018, 310 cancer patients and 109 cancer physicians completed surveys. Cancer patients were mostly female, 91% had been diagnosed in the last year, 61% had breast cancer, and 55% were stage 1 or 2. Among physicians, 88% self-identified as trained in oncology, 33% practice at academic centers, 51% in community practices, 34% from the Northeast, 21% the Southeast, and 25% the Midwest. Most patients (62%) said it was very/extremely important their doctor know their priorities. Most physicians (66%) report they most of the time/always know patients’ personal quality of life priorities before finalizing treatment plans, and 62% say this information has a large/major impact on recommendations. However, only 40% of patients report having this conversation before treatment started. Although 76% of doctors said they discussed what is important to patients most of the time or always, only 60% report it is documented, usually in the social history or notes fields. Only 36% of patients are sure this information is entered into their medical record. Conclusions: Cancer patients want their doctors to know what is important to them, and physicians agree. However, documentation is often relegated to narrative notes fields in the EHR. Considering the key role patients’ priorities should play in treatment planning, there need to be standardized collection tools so this information can be timely collected and shared.


JRSM Open ◽  
2017 ◽  
Vol 8 (2) ◽  
pp. 205427041668143
Author(s):  
P Ross ◽  
J Hubert ◽  
WL Wong

Objectives To identify the barriers and facilitators of doctors’ engagement with clinical audit and to explore how and why these factors influenced doctors’ decisions to engage with the NHS National Clinical Audit Programme. Design A single-embedded case study. Mixed methods sequential approach with explorative pilot study and follow-up survey. Pilot study comprised 13 semi-structured interviews with purposefully selected consultant doctors over a six-month period. Interview data coded and analysed using directed thematic content analysis with themes compared against the study’s propositions. Themes derived from the pilot study informed the online survey question items. Exploratory factor analysis using STATA and descriptive statistical methods applied to summarise findings. Data triangulation techniques used to corroborate and validate findings across the different methodological techniques. Setting NHS National PET-CT Clinical Audit Programme. Participants Doctors reporting on the Audit Programme. Main Outcome measures Extent of engagement with clinical audit, factors that influence engagement with clinical audit. Results Online survey: 58/59 doctors responded (98.3%). Audit was found to be initially threatening (79%); audit was reassuring (85%); audit helped validate professional competence (93%); participation in audit improved reporting skills (76%). Three key factors accounted for 97.6% of the variance in survey responses: (1) perception of audit’s usefulness, (2) a common purpose, (3) a supportive blame free culture of trust. Factor 1 influenced medical engagement most. Conclusions The study documents performance feedback as a key facilitator of medical engagement with clinical audit. It found that medical engagement with clinical audit was associated with reduced levels of professional anxiety and higher levels of perceived self-efficacy.


Koedoe ◽  
2017 ◽  
Vol 59 (1) ◽  
Author(s):  
Anna Spenceley ◽  
Andrew Rylance ◽  
Sadiki L. Laiser

User fees charged by Tanzania’s Game Reserves (GR) and Wildlife Management Areas (WMAs) have not changed since 2008. Although previous research has been done on visitors’ willingness-to-pay to enter national parks in Tanzania, none has been conducted on GRs and WMAs. This article assesses the entrance fees in GRs and WMAs, by comparing them with equivalent fees charged in Tanzania (at national parks and the Ngorongoro Crater) and also with regional protected areas in Botswana, Kenya, Namibia, South Africa and Zimbabwe. Based on 28 semi-structured interviews with key stakeholder institutions working on tourism and conservation and more than 50 online survey responses from Tanzanian tourism operators, the research reviews local opinion and issues relating to adjusting current entrance fees. The article considers that while one objective for generating revenue from entrance fees is for conservation management, it is difficult to establish appropriate fees where there are gaps in knowledge about existing levels of visitation, tourism revenue and associated management costs.Conservation implications: This article has implications for protected area management practices, as it provides information on processes by which managers can review and revise entrance fee values.


2015 ◽  
Vol 76 (4) ◽  
pp. 185-189 ◽  
Author(s):  
Kara Vogt ◽  
Frances Johnson ◽  
Valli Fraser ◽  
Jiak Chin Koh ◽  
Kay McQueen ◽  
...  

The Professional Development Network (PDN) program was implemented to enhance mentoring and learning opportunities for dietitians at a multisite health care organization. Program development, implementation, and evaluation were carried out by a Professional Practice Council composed of dietitians in the organization. An exploratory evaluation was conducted after the first year of PDN implementation. Evaluation data were collected from an online survey containing open- and closed-ended questions and PDN documents submitted by dietitians. Data were analyzed with descriptive statistics and thematic analysis. Survey results indicate the PDN provided a mechanism for dietitians to learn from each other, apply learning to their career development, reflect on their strengths, and connect with others in the department. Analysis of PDN documents showed that dietitians pursued learning related to clinical practice, technology, private practice, and research. Mentoring interactions were also described by participants within PDN documents. Findings from this study demonstrate how multiple frameworks from academic literature can be integrated to create a professional development program in a dietetics practice environment. Evaluation results from this study may provide useful insights for others interested in implementing professional development programming.


Author(s):  
Helen Walls ◽  
Benjamin Hawkins ◽  
Anna Durrance-Bagale

Background: Industry involvement in alcohol policy is highly contentious. The Drink Free Days (DFD) campaign (2018- 2019) run by Public Health England (PHE), an executive agency of government, and Drinkaware, an industry-funded ‘alcohol education charity’ to encourage middle-aged drinkers to abstain from drinking on some days was criticised for perceived industry involvement. We examine the extent to which the DFD campaign was supported by local-authority Directors of Public Health (DPHs) in England – which have a statutory remit for promoting population health within their locality – and their reasons for this. Methods: Our mixed-methods approach included a stakeholder mapping, online survey, and semi-structured interviews. The stakeholder mapping provided the basis for sampling survey and interview respondents. In total, 25 respondents completed the survey, and we conducted 21 interviews with DPHs and their local authority (LA) representatives. We examined survey responses, and coded free-text survey and interview responses to identify key themes. Results: While some respondents supported the DFD campaign, others did not promote it, or actively opposed it, due mainly to concerns about conflicts of interest and the legitimacy of industry involvement in the campaign. These were considered to undermine PHE’s independence and deflect attention from more important, evidence-based policy interventions such as alcohol pricing while conferring vicarious credibility on Drinkaware. We also found low levels of knowledge about alcohol-related harm, the effectiveness of different policies to address these and the policy-influencing strategies used by the alcohol industry. Conclusion: The findings highlight the dangers of industry partnership and potential conflicts of interest for government agencies and the ineffectiveness of the campaigns they run at local and national levels. They demonstrate the need for caution in engaging with industry-associated bodies at all levels of government and are thus of potential relevance to studies of other health-harming industries and policy contexts.


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