Online diabetes education: design and evaluation with prospective diabetes camp counsellors

2005 ◽  
Vol 11 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Amanda D Heidgerken ◽  
Adam B Lewin ◽  
Gary R Geffken ◽  
Kenneth M Gelfand ◽  
Eric A Storch ◽  
...  

An educational Website was designed by the Florida Initiative in Telehealth and Education group, and an online diabetes education test was developed using a sample of 60 children and young adults aged 8–22 years, all of whom had diabetes. The 31 items were analysed for item difficulty. Eight test items were eliminated as being unsuitable. The test was then used in 67 prospective diabetes counsellors (23 men, 44 women) who volunteered for a summer camp. Camp counsellors ranged in age from 17 to 33 years (mean 22 years, SD 3). The counsellors' mean pre-test scores were 80% and their mean post-test scores were 92%. There was a significant improvement ( P < 0.001) of approximately 1.25 questions from pre- to post-test. This supports the use of the online educational Website for training individuals working with children with diabetes. The Website may prove to be useful for online education in other areas of diabetes management.

2020 ◽  
Vol 2 (1) ◽  
pp. 34-46
Author(s):  
Siti Fatimah ◽  
Achmad Bernhardo Elzamzami ◽  
Joko Slamet

This research was conducted by focusing on the formulated question regarding the test scores validity, reliability and item analysis involving the discrimination power and index difficulty in order to provide detail information leading to the improvement of test items construction. The quality of each particular item was analyzed in terms of item difficulty, item discrimination and distractor analysis. The statistical tests were used to compute the reliability of the test by applying The Kuder-Richardson Formula (KR20). The analysis of 50 test items was computed using Microsoft Office Excel. A descriptive method was applied to describe and examined the data. The research findings showed the test fulfilled the criteria of having content validity which was categorized as a low validity. Meanwhile, the reliability value of the test scores was 0.521010831 (0.52) categorized as lower reliability and revision of test. Through the 50 items examined, there were 21 items that were in need of improvement which were classified into “easy” for the index difficulty and “poor” category for the discriminability by the total 26 items (52%). It means more than 50% of the test items need to be revised as the items do not meet the criteria. It is suggested that in order to measure students’ performance effectively, essential improvement need to be evaluated where items with “poor” discrimination index should be reviewed.    


1992 ◽  
Vol 21 (2) ◽  
pp. 151-160 ◽  
Author(s):  
Michael G. Aamodt ◽  
Teige McShane

The current study reported the results of a meta-analytic investigation of the effects on test scores and test completion times of three aspects of writing test items: The number of answers in multiple-choice exams, the order of item difficulty, and the organization of items by content. The results of meta-analysis indicated that three-choice questions are slightly easier than four-choice questions (d = .90) and take significantly less time to complete (d = −.61). Exams beginning with easier items and then moving to more difficult items are slightly easier than exams with randomly ordered items (d = .11) or exams beginning with difficult items (d — .22). Exams in which the items are organized by content are slightly easier than exams containing randomly ordered items (d = .04). All of the above effect sizes are small.


2018 ◽  
Vol 9 (1) ◽  
pp. 67-86
Author(s):  
Komalasari

The main purpose of this study was to evaluate the quality of post test utilized by LPMP Central Kalimantan Indonesia in curriculum 2013 training for X grade teachers. It uses Rasch analysis to explore the item fit, the reliability ( item and person), item difficulty, and the Wrigh map of post test. This study also applies Classical Test Teory (CTT) to determine item discrimination and distracters. Following a series of iterative Rasch analyses that adopted the “data should fit the model” approach, 30 items post test of curriculum 2013 training was analyzed using Acer Conquest 4 software, software based on Rasch measurement model. All items of post test of curriculum 2013 training are sufficient fit to the Rasch model. The difficulty levels (i.e. item measures) for the 30 items range from –1.746 logits to +1.861 logits. The item separation reliability is acceptable at 0.990 and person separation reliability is low at 0.485. The wright map indicates that the test is difficult for the teachers or the teachers have low ability in knowledge of curriculum 2013. The post test items cannot cover all the ranges of the teachers’ ability levels. Items discrimination of post test of curriculum 2013 training grouped into fair discrimination (item 2, 4, 5, 8, 11, 18) and poor discrimination (1, 3, 6, 7, 9, 10,12, 13, 14, 15, 16, 17, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30). Some distracters from item 1, 2, 6, 7, 8, 9, 11, 13, 16, 17, 18, 19, 20, 22, 24, 25, 27, 28, 29 and 30 are problematic. These distracters require further investigation or revision.   Key words: Rasch analysis, training, curriculum 2013, post test


2020 ◽  
pp. 1-9
Author(s):  
Hyunjin Noh ◽  
Lewis H. Lee ◽  
Chorong Won

Abstract Objective Lack of palliative care knowledge among caregivers may pose an access barrier for cognitively impaired older adults, who may benefit from the specialized care. Therefore, this study aims to examine the effectiveness of an educational intervention in improving palliative care knowledge among informal caregivers of cognitively impaired older adults. Method Using a one-group, pre- and post-test intervention design, this study implemented an individual, face-to-face educational intervention with an informational brochure for 43 informal caregivers of chronically or seriously ill older adults (50+) with cognitive impairment, recruited from communities in West Alabama. Their level of knowledge about palliative care was assessed by the Palliative Care Knowledge Scale (PaCKS). The pre- and post-test scores were compared by the Wilcoxon signed-ranks test, and the racial subgroup (Whites vs. Blacks) comparison was made by the Mann–Whitney U test. Results There was a statistically significant difference between the pre- and post-test scores (z = 5.38, p < 0.001), indicating a statistically significant effect of the educational intervention in improving palliative care knowledge among participants. There was a significant difference (U = 143, p < 0.05) between Whites and Blacks in the pre-test, which, however, disappeared in the post-test (U = 173.50, p > 0.05), suggesting that the amount of increased PaCKS scores were significantly greater for Blacks (Mdn = 9.50) than for Whites (Mdn = 4.00, U = 130.50, p < 0.05). Significance of results This study demonstrated that a one-time educational intervention can improve the level of palliative care knowledge among informal caregivers of chronically or seriously ill older adults with cognitive impairment, particularly among Black caregivers. Therefore, further educational efforts can be made to promote palliative care knowledge and reduce racial disparities in palliative care knowledge and its use.


2021 ◽  
Vol 104 (9) ◽  
pp. 1519-1527

Objective: The authors assessed whether anesthesia residents who acted as a scenario creators would have better knowledge retention than their juniors 90 days after participating in a simulation-based anesthetists’ non-technical skills (ANTS) workshop. Materials and Methods: A prospective observational study via simulation ANTS workshop was conducted at a university hospital in southern Thailand in November 2017. Seven third-year post-graduate (PGY-3) residents volunteered as scenario creators, while the remaining anesthesia residents were randomly selected to participate in or observe three case scenarios, which were cardiac arrest, hypotension, and difficult ventilation. Resident’s knowledge was assessed before, immediately after, and 90 days after the workshop using a 20-item multiple-choice questionnaire. Predictors of change in knowledge scores were analyzed using multivariate linear regression analysis and presented as beta coefficient (β) and 95% confidence limits (CL). Results: Twenty-four anesthesia residents were recruited in the present study and included eight PGY-1, seven PGY-2, and nine PGY-3. The roles consisted of seven scenario creators, seven participants, and 10 observers. The overall immediate post-test and 90-day post-test scores increased significantly compared to the pre-test scores with a mean of 15.5 and 13.2 versus 11.7 (p<0.001 and p=0.007, respectively). The predictors of change in 90-day scores were PGY-3 versus PGY-1 (β 95% CL 4.0 [0.5 to 7.6], p=0.039), and role of participants and observers versus scenario creator (β 95% CL 5.5 [2.2 to 8.8] and 6.7 [2.8 to 10.6], p=0.004, respectively). Conclusion: Anesthesia residents who were participants or observers could improve their knowledge 90 days after a simulation-based ANTS workshop without necessarily being a scenario creator. Keywords: Anesthetists’ non-technical skill; Knowledge retention; Scenario creator; Simulation workshop


Author(s):  
Olayinka O. Shiyanbola ◽  
Becky Randall ◽  
Cristina Lammers ◽  
Karly A. Hegge ◽  
Michelle Anderson

Background: Patient education programs encouraging diabetes self-management can improve clinical outcomes and lessen diabetes complications. This study implemented an innovative interprofessional student-led diabetes self-management and health promotion program for an underserved population and demonstrated an improvement in participant clinical outcomes and students’ understanding of interprofessional aspects of diabetes care.Methods and Findings: This community-based program was implemented at two sites that serve medically underserved individuals. Students from five health career professions led educational sessions designed to demonstrate critical components of diabetes self-management. The six-month longitudinal program covered topics within the Alphabet Strategy, including Advice, Blood pressure, Cholesterol, Diabetes control, Dental care, Diet, Eye care, Foot care, and Guardian drugs. Participants completed surveys evaluating diabetes knowledge, understanding of diabetes care, and health behaviours. Clinical values were collected before and after the program. Student surveys assessed their understanding of diabetes self-management. Upon completion of the program, all assessments were repeated to determine if there were improvements in outcomes. Thirty-eight participants and thirty students completed the study. There were significant improvements in participants’ diabetes knowledge, understanding of diabetes management, and clinical outcomes. There were significant improvements in the students’ ability to educate patients about foot care, eye care, and guardian drugs, as well as increased awareness of the role of each health profession in diabetes care.Conclusions: This interprofessional health promotion model showed significant improvements in patient and student outcomes. This innovative student-led program could be implemented in other settings and for the management of other chronic diseases.


2013 ◽  
Vol 17 (1-2) ◽  
pp. 70-82 ◽  
Author(s):  
Ashok Sapkota

Writing is a form of an art and integral part of language learning. The present study concerns with development of writing skills through peer and teacher correction technique. As an action research in nature, the research aimed to test the progress of the students while writing an essay. After the analysis of data collected through test items, it was seen improvement in students writing in post test than in pre-test. The students (Ss1-Ss10) were found using the words in an increased order and grammatically correct sentences in their writing in each test made and committed less grammatical errors in post test than in pre and progress test. Regarding mechanics of writing, their writing was found systematic in case of punctuation, proper use of paragraphs, in coherence and cohesion in writing. The peer correction and teacher correction technique was found productive in teaching writing through action research as a whole. Journal of NELTA, Vol. 17 No. 1-2, December 2012, Page 70-82 DOI: http://dx.doi.org/10.3126/nelta.v17i1-2.8094


2019 ◽  
Vol 79 (5) ◽  
pp. 501-515
Author(s):  
Ana Florencia Moyeda-Carabaza ◽  
Mary W Murimi ◽  
John A Dawson ◽  
Fabiola Carrales-Bruno

Purpose: The purpose of this study was to assess diabetes-related factors, such as diabetes knowledge, positive attitudes towards the prevention of diabetes and its complications, self-efficacy for diabetes, dietary intake and level of food security, and to investigate the effects of a diabetes education intervention (DEI) on diabetes-related factors among Mexican-origin Hispanics with or without diabetes in Lubbock, Texas (USA), and Piedras Negras, Coahuila (Mexico). Methods: A one-sample pre–post design was used to evaluate the effect of a 4-week DEI designed using the Nutrition Education DESIGN Procedure, Mexican cultural features and Spanish language. Results: Participants from Piedras Negras, Coahuila had higher rates of food insecurity and a higher consumption of whole grains than those from Lubbock, Texas, while participants from Lubbock, Texas, had higher levels of diabetes knowledge and higher consumption of protein foods than those from Piedras Negras, Coahuila. Thirty-five participants from both locations started and completed the DEI. After the intervention, there was an increase in participants’ scores in diabetes knowledge, positive attitudes towards the prevention of diabetes and self-efficacy for diabetes, and a decrease in their intake of grains and fats. Participants in Piedras Negras, Coahuila had greater improvements in positive attitudes towards the diabetes score than those in Lubbock, Texas. Conclusion: Findings from this study suggest that a DEI that integrates the use of the Nutrition Education DESIGN Procedure, Mexican cultural features and Spanish language is effective in improving diabetes-related factors and dietary intakes among Mexican-origin Hispanics in both the USA and Mexico.


2013 ◽  
Vol 30 (4) ◽  
pp. 479-486
Author(s):  
Odoisa Antunes de Queiroz ◽  
Ricardo Primi ◽  
Lucas de Francisco Carvalho ◽  
Sônia Regina Fiorim Enumo

Dynamic testing, with an intermediate phase of assistance, measures changes between pretest and post-test assuming a common metric between them. To test this assumption we applied the Item Response Theory in the responses of 69 children to dynamic cognitive testing Children's Analogical Thinking Modifiability Test adapted, with 12 items, totaling 828 responses, with the purpose of verifying if the original scale yields the same results as the equalized scale obtained by Item Response Theory in terms of "changes quantifying". We followed the steps: 1) anchorage of the pre and post-test items through a cognitive analysis, finding 3 common items; 2) estimation of the items' difficulty level parameter and comparison of those; 3) equalization of the items and estimation of "thetas"; 4) comparison of the scales. The Children's Analogical Thinking Modifiability Test metric was similar to that estimated by the TRI, but it is necessary to differentiate the pre and post-test items' difficulty, adjusting it to samples with high and low performance.


2020 ◽  
Vol 14 (1) ◽  
pp. 1-13
Author(s):  
Agnes Siwi Purwaning Tyas ◽  
Ahmad Muam ◽  
Yohana Ika Harnita Sari ◽  
Cisya Dewantara

The research aimed to investigate the effectiveness of using blended-learning instruction in improving students’ communication skills at Sekolah Vokasi Universitas Gadjah Mada. They were required to take the Test of English for Vocational Students (TEVOCS) and it indicated that there was a gap between listening and speaking ability as presented in the test scores. To support the improvement of both skills, blended-learning instruction was designed and carried out in the forms of online listening activities via Online Listening for Individual Practice (OLIVE) website and offline meeting for speaking activities. The research used experimental research, which referred to the results of pre-test and post-test scores of the group. The participants of the research were 275 students from three departments of Sekolah Vokasi Universitas Gadjah Mada; Language, Arts, and Cultural Management department; Engineering department; as well as Economic and Business department academic year 2019/2020. The pre-test and post-test scores show improvement in students’ performance in both skills. The result of the t-test also shows that there is significant improvement after the application of blended-learning instruction.


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