scholarly journals Impact of cocreation training capsules for preschool teachers on children’s healthy habits: a pilot study conducted in Barcelona, Spain

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Verónica Violant-Holz ◽  
Carlota Rodríguez-Silva ◽  
María Carol ◽  
Manuel J. Rodríguez

Abstract Background Healthy habits are essential for preschoolers to have a healthy lifestyle. The promotion of these healthy habits from a holistic approach by preschool teachers guarantees a better quality of life and a healthier society. Using cocreation, we designed training for healthy habit promotion for preschool teachers (all@once). Then, we implemented the training and evaluated its impact on classroom teaching strategies. Methods This study presents the all@once training design and its implementation and evaluation during 2019. The cocreation process involved 8 parents, 9 preschool teachers and 9 health professionals (selected by a nonprobabilistic sampling system according to quotas) to design training from a holistic perspective. To evaluate the all@once impact in classroom practice, a pilot study was undertaken in four public schools in Barcelona (Spain). All@once was implemented with 16 volunteer teachers selected by convenience sampling and 328 children. A mixed methods approach was chosen to collect data based on direct nonparticipating naturalist systematic observations in June and October 2019. After qualitative data categorization, changes in health routines and actions at school were assessed by either contingency table analysis of frequency distributions or nonparametric comparisons of two related samples. Results The cocreation process provided training organized into online capsules with a holistic view of health in four main dimensions (nutrition, hygiene, physical activity and emotional health). Of these dimensions, the emotional health dimension comprised half of the training content. Pilot testing of the impact of all@once on classroom health-related activities evidenced an increase in the likelihood of observing fruit consumption by children, healthy habit promotion and hand washing. The most significant all@once-induced changes that we observed were related to teaching strategies concerning the emotional health dimension of the training. Conclusions This pilot study provides evidence of cocreation being a productive way to design training for preschool teachers regarding inclusive education in integral health. This approach collects the needs of the school community, provides training with a holistic concept of health and effectively impacts classroom routines and family health habits in the short term.

Blood ◽  
2018 ◽  
Vol 132 (Supplement 1) ◽  
pp. 3572-3572
Author(s):  
Miranda Bailey ◽  
Patricia Stebbins ◽  
Denise D'Alessio ◽  
April Mitchell ◽  
Cory Saucier ◽  
...  

Abstract Background: Sickle Cell Disease (SCD) is a genetic, progressive, vascular disease that affects approximately 100,000 children and adults in the US. Vaso-occlusive crises (VOCs), also referred to as pain crises, are a primary complication of SCD. VOCs are caused by several factors, including inflamed, damaged vasculature and increased cellular adherence to the endothelium and other cells, resulting in occlusion of the microvascular systems. VOCs have been associated with increased morbidity and mortality. Healthcare visit data partially reflect VOC and SCD outcomes for children and provide understanding of healthcare resource utilization (HCRU), but miss the breadth and depth of the burden of SCD, and fail to capture daily variations of pain and other quality of life (QoL) concepts. This is particularly problematic for children, who may experience less frequent VOCs and may have lower HCRU, but will likely experience progressive non-VOC SCD-related symptoms and impacts as they age. Further, evaluating HCRU data underestimates the burden of SCD; patients who avoid seeking care outside the home are not represented. The Sickle Cell Pain Diary - Caregiver Report (SCPD-C) is a daily observer-reported outcome (ObsRO) measure for use with caregivers of patients with SCD under 12. Two diary versions were developed for SCD caregivers: one for school age children (SCPD-CS) and one for non-school age children (SCPD-CN). The diaries were designed to capture the frequency and severity of pain during and outside of a VOC and to examine the impact of SCD-related pain on other QoL concepts. The objective of this study was to investigate the content validity of the SCPD-CS and SCPD-CN. Methods: Two rounds of 90-minute in-depth, hybrid concept elicitation and cognitive debriefing (CD) interviews and one round of 60-minute CD interviews (N=22) were conducted in person (n=8) and by phone (n=14) with caregivers of SCD patients aged ≤11. Interviewers used a semi-structured guide to explore concepts relevant to caregivers' observations of VOC in children, and to test the diaries. The CD portion of the interviews required caregivers to state their thoughts while reading the diary aloud; interviewers elicited feedback on the diary instructions, recall period, items, and response choices. All interviews were recorded, transcribed, coded and analyzed. Results: Round 1 interviews (N=6), confirmed the relevance of the SCPD-C for most caregivers; however, several items were reported as not relevant for patients aged ≤3 years. Therefore the SCPD-C was split into the SCPD-CS for school age children and SCPD-CN for non-school age children. Other changes resulting from round 1 included: adding 8 items, removing 1, and wording edits for clarity and consistency. In round 2 interviews (N=3), only the SCPD-CS was tested and 2 items were added for electronic programming purposes. Round 3 (N=13) tested both the revised SCPD-CS and the SCPD-CN. Caregivers confirmed the relevance and comprehensibility of both diaries; no new items were added. Minor wording revisions were made to improve readability. Final changes to the diaries included adding skip logic to ensure transition to an electronic format. Saturation analyses revealed that no additional interviews were needed. Conclusions: This study provided evidence that supports the content validity of the SCPD-CS (formerly SCPD-C) and SCPD-CN, observer-reported daily diaries focused on capturing daily variations of pain in SCD. While we intended to evaluate the content validity of a single caregiver diary (SCPD-C) for SCD patients aged ≤11 years, we found that two versions were required to accurately capture caregivers' perspectives relative to their child's age and school attendance status. Evidence gathered during caregiver interviews indicated that the SCPD-CS and SCPD-CN are valuable measures of VOC-related pain frequency and severity and the impact of this pain on other QoL concepts including fatigue and emotional health. In addition, the diaries capture the QoL of patients outside of HCRU, providing a more holistic view of the impact of VOCs and SCD. Future work includes development of scoring algorithms and user's manuals, and conducting psychometric validation. Use of the diaries in clinical trials with caregivers of patients who experience VOCs is anticipated, to capture the QoL impacts of new interventions designed to reduce the frequency and intensity of VOCs Disclosures Bailey: Novartis: Employment. Stebbins:Optum: Employment; Novartis: Research Funding. D'Alessio:Novartis: Employment. Mitchell:Optum: Employment; Novartis: Research Funding. Saucier:Optum: Employment; Novartis: Research Funding. White:Optum: Employment; Akcea: Research Funding.


2007 ◽  
Author(s):  
Danielle V. Shelov ◽  
Sonia Suchday ◽  
Jennifer P. Friedberg
Keyword(s):  

2020 ◽  
Author(s):  
Ayan Chatterjee ◽  
Ram Bajpai ◽  
Pankaj Khatiwada

BACKGROUND Lifestyle diseases are the primary cause of death worldwide. The gradual growth of negative behavior in humans due to physical inactivity, unhealthy habit, and improper nutrition expedites lifestyle diseases. In this study, we develop a mathematical model to analyze the impact of regular physical activity, healthy habits, and a proper diet on weight change, targeting obesity as a case study. Followed by, we design an algorithm for the verification of the proposed mathematical model with simulated data of artificial participants. OBJECTIVE This study intends to analyze the effect of healthy behavior (physical activity, healthy habits, and proper dietary pattern) on weight change with a proposed mathematical model and its verification with an algorithm where personalized habits are designed to change dynamically based on the rule. METHODS We developed a weight-change mathematical model as a function of activity, habit, and nutrition with the first law of thermodynamics, basal metabolic rate (BMR), total daily energy expenditure (TDEE), and body-mass-index (BMI) to establish a relationship between health behavior and weight change. Followed by, we verified the model with simulated data. RESULTS The proposed provable mathematical model showed a strong relationship between health behavior and weight change. We verified the mathematical model with the proposed algorithm using simulated data following the necessary constraints. The adoption of BMR and TDEE calculation following Harris-Benedict’s equation has increased the model's accuracy under defined settings. CONCLUSIONS This study helped us understand the impact of healthy behavior on obesity and overweight with numeric implications and the importance of adopting a healthy lifestyle abstaining from negative behavior change.


Author(s):  
Jennifer L. Hochschild ◽  
Nathan Scovronick

Why is education policy so contentious? Do conflicts over specific issues in schooling have anything in common? Are there general principles that can help us resolve these disputes? In this book the authors find the source of many debates over schooling in the multiple goals and internal contradictions of the national ideology we call the American dream. They also propose a framework for helping Americans get past acrimonious debates in order to help all children learn. The American Dream and the Public Schools examines issues that have excited and divided Americans for years, including desegregation, school funding, testing, vouchers, bilingual education, multicultural education, and ability grouping. These seem to be separate problems, but much of the contention over them comes down to the same thing--an apparent conflict, rooted in the American dream, between policies designed to promote each student's ability to pursue success and those designed to insure the good of all students or the nation as a whole. The authors show how policies to promote individual success too often benefit only those already privileged by race or class, and too often conflict, unnecessarily, with policies that are intended to benefit everyone. The book also examines issues such as creationism and Afrocentrism, where the disputes lie between those who attack the validity of the American dream and those who believe that such a challenge has no place in the public schools. At the end of the book, the authors examine the impact of our nation's rapid racial and ethnic transformation on the pursuit of all of these goals, and they propose ways to make public education work better to help all children succeed and become the citizens we need.


Pathogens ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 907
Author(s):  
Monika Dziuba ◽  
Vickie J. Ruggiero ◽  
Catherine Wilson ◽  
Paul C. Bartlett ◽  
Paul M. Coussens

Bovine leukemia virus (BLV) is a retroviral infection that disrupts the immune function of infected animals. It is widespread among U.S. dairy cattle. In this pilot study, the average total IgA and IgM concentrations in milk, saliva, and serum samples from BLV ELISA-positive (ELISA+) dairy cows were compared against samples from BLV ELISA-negative (ELISA−) cows using the Kruskal–Wallis test (with ties). The results from ELISA+ cows were also stratified by lymphocyte count (LC) and proviral load (PVL). In milk and saliva from ELISA+ cows, the average total IgA and IgM concentrations were decreased compared to ELISA− cows, although this was only statistically significant for saliva IgM in cows with low PVL (p = 0.0424). Numerically, the average total IgA concentrations were 33.6% lower in milk and 23.7% lower in saliva, and the average total IgM concentrations were 42.4% lower in milk and 15.5% lower in saliva. No significant differences were observed in the total serum IgA concentrations, regardless of PVL and LC. The total serum IgM from ELISA+ cows was significantly decreased (p = 0.0223), with the largest decreases occurring in the highest PVL and LC subgroups. This pilot study is a first step in investigating the impact of BLV on mucosal immunity and will require further exploration in each of the various stages of disease progression.


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