Team Resilience Training in the Workplace: E-Learning Adaptation, Measurement Model, and Two Pilot Studies (Preprint)

BACKGROUND The majority of resilience interventions focus on the individual. Workplace resilience is a growing field of research. Given the ever-increasing interconnectedness in businesses, teamwork is a guarantee. There is also growing recognition that resilience functions at the team level. OBJECTIVE The objective of our work was to address three shortcomings in the study of workplace resilience interventions: lack of interventions focusing on group-level or team resilience, the need for brief interventions, and the need for more theoretical precision in intervention studies. METHODS The authors took an established evidence-based program (Team Resilience) and modified it based on these needs. A working model for brief intervention evaluation distinguishes outcomes that are proximal (perceptions that the program improved resilience) and distal (dispositional resilience). A total of 7 hypotheses tested the model and program efficacy. RESULTS Two samples (n=118 and n=181) of engineering firms received the Web-based training and provided immediate reactions in a posttest-only design. The second sample also included a control condition (n=201). The findings support the model and program efficacy. For example, workplace resilience was greater in the intervention group than in the control group. Other findings suggest social dissemination effects, equal outcomes for employees at different stress levels, and greater benefit for females. CONCLUSIONS This preliminary research provides evidence for the capabilities of e-learning modules to effectively promote workplace resilience and a working model of team resilience.

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Team Resilience Training in the Workplace: E-Learning Adaptation, Measurement Model, and Two Pilot Studies

JMIR Mental Health ◽

10.2196/mental.8955 ◽

2018 ◽

Vol 5 (2) ◽

pp. e35 ◽

Cited By ~ 2

Author(s):

Joel B Bennett ◽

Michael Neeper ◽

Brittany D Linde ◽

Gale M Lucas ◽

Lindsay Simone

Keyword(s):

Intervention Group ◽

Measurement Model ◽

Control Group ◽

Pilot Studies ◽

Working Model ◽

Team Resilience ◽

Two Samples ◽

Program Efficacy ◽

E Learning ◽

The Individual

Background The majority of resilience interventions focus on the individual. Workplace resilience is a growing field of research. Given the ever-increasing interconnectedness in businesses, teamwork is a guarantee. There is also growing recognition that resilience functions at the team level. Objective The objective of our work was to address three shortcomings in the study of workplace resilience interventions: lack of interventions focusing on group-level or team resilience, the need for brief interventions, and the need for more theoretical precision in intervention studies. Methods The authors took an established evidence-based program (Team Resilience) and modified it based on these needs. A working model for brief intervention evaluation distinguishes outcomes that are proximal (perceptions that the program improved resilience) and distal (dispositional resilience). A total of 7 hypotheses tested the model and program efficacy. Results Two samples (n=118 and n=181) of engineering firms received the Web-based training and provided immediate reactions in a posttest-only design. The second sample also included a control condition (n=201). The findings support the model and program efficacy. For example, workplace resilience was greater in the intervention group than in the control group. Other findings suggest social dissemination effects, equal outcomes for employees at different stress levels, and greater benefit for females. Conclusions This preliminary research provides evidence for the capabilities of e-learning modules to effectively promote workplace resilience and a working model of team resilience.

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The individual empowerment program improves glycemic and lipid controls in admitted type 2 DM patients

Diabetes Mellitus ◽

10.14341/dm8339 ◽

2018 ◽

Vol 21 (2) ◽

pp. 113-117

Author(s):

Ampornpan Theeranut ◽

Nonglak Methakanjanasak ◽

Pattama Surit ◽

Wasana Ruaisungnoen ◽

Kittisak Sawanyawisuth ◽

...

Keyword(s):

Intervention Group ◽

Control Group ◽

P Value ◽

Inpatient Setting ◽

Short Term ◽

The Mean ◽

The Individual ◽

Diabetes Patients ◽

Empowerment Program

Aim. To evaluate the short-term effects of the empowerment program on glycemic and lipid profiles in an inpatient setting for DM type 2 patients. Materials and methods. This was a quasi-experimental study conducted between October 2013 and June 2015. We enrolled diabetes patients admitted to the hospital, age over 35 years, and HbA1c 7%. During the admission, the intervention group received the empowerment course three times prior to discharge, the control group received standard diabetes and nursing care. All patients body weight, HbA1c, HDL-c, and LDL levels were evaluated at three and six months after discharge. All outcomes were compared between the control and intervention group. Results. A total of 57 diabetes patients participated in the study, with 27 in the intervention group and 30 in the control group. The intervention group had significantly higher HbA1c levels than the control group (10.3% vs 8.0%; p value 0.001). After discharge, the mean HbA1c and LDL-c levels of the intervention group were significantly lower than those of the control group at three and six months, while the mean HDL-c level of the intervention group was significantly higher than that of the control group at six months (1.54 vs 1.29 mmol/L; p value 0.001). The average body mass index of the intervention group was also significantly lower than that of the control group at six months (22.74 vs 25.54 kg/m2; p value = 0.016). Conclusion. The individual empowerment program improved short-term glycemic and lipid outcomes in admitted diabetes mellitus patients.

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INCISION e-learning program as a useful teaching tool to enhance surgeons’ knowledge and skills: An Indonesian multi-center cross-sectional pilot study

F1000Research ◽

10.12688/f1000research.15799.1 ◽

2018 ◽

Vol 7 ◽

pp. 1888

Author(s):

Achmad Kemal Harzif ◽

M Nurhadi Rahman ◽

Pungky Mulawardhana ◽

Nadia Shafira ◽

Tricia Dewi Anggraeni ◽

...

Keyword(s):

Pilot Study ◽

Learning Process ◽

Teaching And Learning ◽

Intervention Group ◽

Wilcoxon Test ◽

Control Group ◽

Learning Program ◽

Learning Module ◽

Conventional Teaching ◽

E Learning

Background: Media aids are one of the most important components in the teaching and learning process. This pilot study program was conducted in order to assess the effectiveness of the INCISION e-learning program as teaching media in the surgical teaching and learning process, and its ability to improve surgical skills and knowledge achievement. Methods: One intervention group and one control group were involved in this study. The intervention group used the hysterectomy INCISION e-learning module, while the control group used conventional teaching approaches. The study was conducted with 14 resident surgeons in three universities in Indonesia: Universitas Indonesia, Universitas Airlangga, and Universitas Gajah Mada. The testing components used were a pre-test, post-test questionnaire (a modified Ritzman questionnaire) and direct observation of procedural skills in the operating room (OR). Data were analyzed descriptively using Mann-Whitney and Wilcoxon tests. Results: Using a Mann-Whitney test, we found the differences between the average scores of the intervention group and the control group to be statistically significant (p=0.046). A Wilcoxon test also revealed significant differences (p=0.028). The modified Ritzman questionnaire also revealed that the residents in the intervention group felt more confident in their surgical knowledge (82%), and made more efficient use of their time in the OR (81%). Conclusions: These findings reveal a significant improvement in knowledge and skill achievement in residents that underwent training via the INCISION e-learning module, compared to residents taught via conventional teaching strategies.

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A RANDOMIZED TRIAL OF BRIEF INDIVIDUAL VERSUS GROUP PARENT TRAINING FOR BEHAVIOUR PROBLEMS IN CHILDREN WITH SEVERE LEARNING DISABILITIES

Behavioural and Cognitive Psychotherapy ◽

10.1017/s135246580100203x ◽

2001 ◽

Vol 29 (2) ◽

pp. 151-167 ◽

Cited By ~ 38

Author(s):

Oliver Chadwick ◽

Nataša Momčilović ◽

Rowena Rossiter ◽

Elise Stumbles ◽

Eric Taylor

Keyword(s):

Learning Disabilities ◽

Intervention Group ◽

Control Group ◽

Behaviour Problems ◽

Parental Distress ◽

Post Intervention ◽

Participant Satisfaction ◽

School Aged Children ◽

The Individual

Primary school aged children with severe learning disabilities and behavioural problems were identified from those attending special needs schools in three adjacent Inner London boroughs. In two of the boroughs their parents/carers were randomly allocated to receive 5-7 group- or individually-based intervention sessions aimed at preventing or reducing their child's behaviour problems; teaching and support staff at their schools received a 2-day workshop with the same aims. Children in the third borough served as a “no treatment” control group. Follow-up assessments were carried out shortly after the interventions were completed and 6 months later. Individually-based intervention was superior to group-based intervention in acceptability, attendance, levels of participant satisfaction and the likelihood of reported behavioural improvement. Within the individual intervention group, behaviours that had been targeted for intervention were more likely to show improvements than those that were untargeted. However, in spite of these improvements, there were no significant differences between groups in the absolute frequency or severity of the child's behaviour problems at either post-intervention assessment, and reductions in levels of parental distress noted on completion of the interventions were no longer apparent 6 months later.

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Lack of Effect of a Low-Fat, High-Fruit, -Vegetable, and -Fiber Diet on Serum Prostate-Specific Antigen of Men Without Prostate Cancer: Results From a Randomized Trial

Journal of Clinical Oncology ◽

10.1200/jco.2002.02.040 ◽

2002 ◽

Vol 20 (17) ◽

pp. 3592-3598 ◽

Cited By ~ 46

Author(s):

Moshe Shike ◽

Lianne Latkany ◽

Elyn Riedel ◽

Martin Fleisher ◽

Arthur Schatzkin ◽

...

Keyword(s):

Prostate Cancer ◽

Prostate Specific Antigen ◽

Fruits And Vegetables ◽

Dietary Intervention ◽

Specific Antigen ◽

Intervention Group ◽

Control Group ◽

Serum Prostate Specific Antigen ◽

Significant Difference ◽

The Individual

PURPOSE: To determine whether a diet low in fat and high in fruits, vegetables, and fiber may be protective against prostate cancer by having an impact on serial levels of serum prostate-specific antigen (PSA). METHODS: Six hundred eighty-nine men were randomized to the intervention arm and 661 to the control arm. The intervention group received intensive counseling to consume a diet low in fat and high in fiber, fruits, and vegetables. The control group received a standard brochure on a healthy diet. PSA in serum was measured at baseline and annually thereafter for 4 years, and newly diagnosed prostate cancers were recorded. RESULTS: The individual PSA slope for each participant was calculated, and the distributions of slopes were compared between the two groups. There was no significant difference in distributions of the slopes (P = .99). The two groups were identical in the proportions of participants with elevated PSA at each time point. There was no difference in the PSA slopes between the two groups (P = .34) and in the frequencies of elevated PSA values for those with elevated PSA at baseline. Incidence of prostate cancer during the 4 years was similar in the two groups (19 and 22 in the control and intervention arms, respectively). CONCLUSION: Dietary intervention over a 4-year period with reduced fat and increased consumption of fruits, vegetables, and fiber has no impact on serum PSA levels in men. The study also offers no evidence that this dietary intervention over a 4-year period affects the incidence of prostate cancer during the 4 years.

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The effect of an Empowerment-Based Human Centered Educational Program on early weaning

Primary Health Care Research & Development ◽

10.1017/s1463423621000013 ◽

2021 ◽

Vol 22 ◽

Author(s):

Naciye Irmak ◽

Arzu Uzuner ◽

Saliha Serap Çifçili ◽

Sevim Aksoy ◽

Burcu Başaran ◽

...

Keyword(s):

Pregnant Women ◽

Educational Program ◽

Intervention Group ◽

Family Health ◽

Control Group ◽

Early Weaning ◽

Reminder Call ◽

Food Taking ◽

Traditional Patterns ◽

The Individual

Abstract Aim: To determine the effects of an Empowerment-Based Human Centered Educational Program on early weaning. Background: Exclusive breastfeeding (EBF) means that the infant receives only breast milk during the first six months of life. It is essential for the healthy growth of the infants and is supported by the main health organizations all around the world. Intervention studies performed within the antenatal period suggest that the education extends the duration of breastfeeding and increases the frequency of EBF. Methods: This is a semi-randomized control study. An interactive training module including role-plays which contain traditional patterns, short films, short presentations, and group practice with models was prepared. The participants were recruited in the study based on the voluntary participation of pregnant women followed up for antenatal care in a total of four family health centers in Pendik, a district of Istanbul. The pregnant women of one center formed the control group while others constituted the intervention group. All of them were certified as “Baby Friendly” institution. A pretest and a posttest have been performed to measure breastfeeding knowledge in the intervention group. The mothers of the intervention group have been randomized into two subgroups: one group for reminder call and the other for routine follow-up. All the participants including control group were called at the end of the postpartum sixth month to determine the rates of EBF. Results: Statistically significant increase in the rates of EBF at the end of six months showed the effectiveness of the education module (42.9 versus 22.2%, P = 0.001). Supplementary food taking time was earlier in the control group (18.5 ± 8 versus 15 ± 9.5 week, P = 0.03). The main reason of early weaning reported by the mothers was “the insufficiency of the mother’s milk.” Conclusion: The group training and postnatal reminders were found to be more effective than the individual training provided at the baby-friendly health institutions in terms of the effectiveness on increasing the frequency of EBF.

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Next of kin participation in the care of older persons in nursing homes: A pre–post non-randomised educational evaluation, using within-group and individual person-level comparisons

PLoS ONE ◽

10.1371/journal.pone.0244600 ◽

2021 ◽

Vol 16 (1) ◽

pp. e0244600

Author(s):

Albert Westergren ◽

Gerd Ahlström ◽

Magnus Persson ◽

Lina Behm

Keyword(s):

Palliative Care ◽

Nursing Homes ◽

Intervention Group ◽

Control Group ◽

Next Of Kin ◽

Individual Level ◽

Individual Person ◽

The Individual ◽

And Control ◽

Analytical Approaches

Background Next of kin participation in care is a cornerstone of palliative care and is thus important in nursing homes, and outcomes following interventions need to be evaluated using robust methods. Objective To use within-group and within-individual analytical approaches to evaluate the participation of next of kin in care following an intervention and to compare the outcome between the intervention and control groups. Methods A pre–post intervention/control group study design was used. The educational intervention, directed towards staff members, focused on palliative care. The Next of Kin Participation in Care scale comprises the Communication and Trust subscale and the Collaboration in Care subscale, with nine items each. In total, 203 persons (intervention group: n = 95; control group: n = 108) were included. Three different analytical approaches were used: 1) traditional within-group comparison of raw ordinal scores and linearly transformed interval scores; 2) modern within-individual (person-level) interval score comparisons; 3) comparisons between the intervention group and control group based on individual person-level outcomes. Results Within-group comparisons of change revealed no change in any of the groups, whether based on raw or transformed scores. Despite this, significant improvements at the individual level were found in 32.9% of the intervention group and 11.6% of the control group for the total scale (p = 0.0024), in 25% of the intervention group and 10.5% of the control group for the Communication and Trust subscale (p = 0.0018), and in 31.2% of the intervention group and 10.5% of the control group for the Collaboration in Care subscale (p = 0.0016). However, a significant worsening at the individual level in Collaboration in Care was found in 35.1% of the intervention group but only among 8.4% of the control group (p < 0.0005). Conclusion The intervention seems to have a positive impact on next of kin participation in care in nursing homes, especially for communication and trust. However, some next of kin reported decreased participation in care after the intervention. Modern individual person-level approaches for the analysis of intervention outcomes revealed individual significant changes beyond traditional group-level comparisons that would otherwise be hidden. The findings are relevant for future outcome studies and may also necessitate a re-evaluation of previous studies that have not used individual person-level comparisons. Trial registration This study is part of the intervention project registered under Clinical Trials Registration NCT02708498.

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The Effect of Empowerment-Based E-Learning on Health-Promoting Behaviors in Female Adolescents

10.21203/rs.3.rs-629808/v1 ◽

2021 ◽

Author(s):

zahra bostani ◽

Moluk pouralizadeh ◽

Mona Rahnavardi

Keyword(s):

Interpersonal Relationships ◽

Intervention Group ◽

Female Adolescents ◽

Control Group ◽

Learning Program ◽

Educational Approach ◽

Health Promoting Behaviors ◽

E Learning ◽

Health Promoting ◽

Significant Change

Abstract Background: Paying particular attention to the health of adolescents, especially girls, is one of the millennium development goals, the improvement of HPB in female adolescents is necessary. Therefore, this study aimed to determine the effect of the empowerment-based e-learning program on HPB in female adolescents.The present study was of quasi-experimental type (educational intervention) in which 80 middle school and high school female students participated. Data collection tools included the Questionnaire of Demographic Characteristics and the HPB Questionnaire (the Health Promoting Lifestyle Profile II (HPLP II)). First, the pretest was performed using the research tool in both intervention and control groups. After performing the pretest, the empowerment model was performed according to the needs, wants of the research samples, and based on the triple steps (perception of threat, problem-solving, and assessment) for the intervention group. Eight weeks after the intervention, the questionnaire was completed again in both groups. Results: The implementation of the educational program led to increased mean scores in the dimensions of HPB, including health responsibility, physical activity, nutrition, and interpersonal relationships in the intervention group, but spiritual growth and stress management had no significant change (p>0.001). However, in the control group, no statistically significant change was observed in any of the dimensions of health-promoting behaviors.Conclusion: The results of this study showed that empowerment-based e-learning can be effective in changing the behavior of female adolescents towards healthy behaviors. Therefore, this method is recommended as an effective educational approach to improve adolescent health-promoting behaviors.

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Effects of two-week e-learning on eHealth literacy: a randomized controlled trial of Japanese Internet users

PeerJ ◽

10.7717/peerj.5251 ◽

2018 ◽

Vol 6 ◽

pp. e5251 ◽

Cited By ~ 6

Author(s):

Toshiharu Mitsuhashi

Keyword(s):

Healthy Eating ◽

Controlled Trial ◽

Intervention Group ◽

The Internet ◽

Control Group ◽

Ehealth Literacy ◽

Search Results ◽

Randomized Controlled ◽

E Learning

Background The Internet is widely used as a source of information by people searching for medical or healthcare information. However, information found on the Internet has several drawbacks, and the ability to consume accurate health information on the Internet (eHealth literacy) is increasingly important. This study’s goal was to clarify the extent to which eHealth literacy is improved after e-learning in a randomized controlled trial. Methods Data were collected on 301 Japanese adults through an online survey. Participants were assigned to the intervention (e-learning about eHealth literacy) group or the control group in a 1:1 ratio. The intervention group included 148 participants, and 153 participants were in the control group. The participants provided information at baseline on demographic characteristics, self-rated health, and frequency of Internet searching. The eHealth Literacy Scale (eHEALS), which was the main measure of eHealth literacy, and data on secondary outcomes (the Healthy Eating Literacy Scale and skill for evaluating retrieved search results) were obtained at baseline and at follow-up. The score difference was calculated by subtracting the score at baseline from the score at follow-up. Linear regression analysis and multinomial regression analysis were performed using the differences in score as the dependent variables and the intervention as the explanatory variable. Intention-to-treat analysis was employed. Results The results from participants who responded to all of the questions both times were analyzed (134 in the intervention group and 148 in the control group). eHEALS increased 1.57 points due to the intervention effect (Δ score change = 1.57; 95% CI [0.09–3.05]; p = 0.037). Skills for evaluating retrieved search results improved more in the intervention group than in the control group (relative risk ratio = 2.47; 95% Confidence Interval: 1.33, 4.59; p = 0.004). There were no large differences at baseline between the intervention and control groups in the eHEALS, Healthy Eating Literacy scale, or skill for evaluating retrieved search results. However, at follow-up, the intervention group had improved more than the control group on both the eHEALS and skill for evaluating retrieved search results. Discussion eHealth literacy improved after the e-learning, as evidenced by the change to the eHEALS scores and increased skill for evaluating retrieved search results. There was no significant effect of e-learning, which did not include content on healthy eating, on the Healthy Eating Literacy Scale scores. This indicates that scores did not increase much due to effects other than e-learning, as is sometimes seen with the Hawthorne effect. Although it was statistically significant, the effect size was small. Therefore, future research is necessary to verify the clinical implications. In sum, this study suggests that e-learning is an effective way to improve eHealth literacy.

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Asthma Counselling Targeted to Removal of Domestic Animals

Canadian Respiratory Journal ◽

10.1155/2008/247027 ◽

2008 ◽

Vol 15 (1) ◽

pp. 33-38 ◽

Cited By ~ 4

Author(s):

Louise Hagan ◽

Pierre Valois ◽

Hélène Patenaude ◽

Hélène Boutin ◽

Louis-Philippe Boulet ◽

...

Keyword(s):

Educational Intervention ◽

Transtheoretical Model ◽

Intervention Program ◽

Behavioural Change ◽

Intervention Group ◽

Educational Interventions ◽

Domestic Animals ◽

Controlled Study ◽

Control Group ◽

The Individual

OBJECTIVES: To create and evaluate the efficacy of a short individualized educational intervention program, based on Prochaska’s transtheoretical model, for a six-month period in a population of adult asthma patients living with domestic animals but sensitized to these pets.METHODS: A randomized, controlled study using a pretested questionnaire was conducted at three different times (pretest, and at three and six months postintervention).RESULTS: Eleven members (29%) of the intervention group and eight members (21%) of the control group removed their pets within six months (χ2=3.23; P>0.35). The two groups showed similar improvements in their perception of the benefits of pet removal and in their level of belief that they could do it. The experimental group showed a greater improvement in knowledge acquisition about asthma and allergies than the control group (P<0.05). Both experimental and standard educational interventions were effective in facilitating progression through the stages of behavioural change.CONCLUSION: Overall, the results do not support the utility of behavioural change educational intervention, tailored to the transtheoretical model stage of the individual, in the context of convincing patients to remove their pets from their homes. However, the decision-making aid appears to be helpful in raising awareness of the problem of asthma and allergy in the patient, and in developing appropriate knowledge.

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