Efficacy of Psycho-educational Program on Burden of Caregivers of Children with Epilepsy: A clinical trial

Background: Long-term care of the children with epilepsy and lack of psycho-educational training will lead to caregiver burden. Objectives: The aim of this study was to evaluate the effect of a psycho-educational training program on caregiver burden in families with pediatric epileptic children. Methods: This is a clinical trial study with two groups of experimental and control with three stages of Before, Immediately later, One month after the intervention. The population of the study consisted of family caregivers of children with epilepsy referring to Imam Hossein and Kashani Hospitals in Isfahan, Iran. Seventy families of children (ages 6 - 18years) with epilepsy participated in this study in 2018. The samples were randomly assigned to experimental (35) and control (35) groups using sequential convenience sampling method. The experimental group received a psycho-educational training program in eight sessions (90-minute) in four groups (8 - 9 members), and training was held two sessions a week. The control group participated in three sessions and expressed their problems and experiences. Data were collected using a demographic questionnaire and Zarit Burden Interview (ZBI) that consisted of 22 items and a 5-point Likert scale. Descriptive and inferential statistical methods and SPSS18 were used for data analysis. Results: Before the intervention, there was no statistically significant difference between the two groups of experimental and control in terms of caregiver burden (P = 0.917). However, there was a significant difference between the three time stages in the intervention group after the intervention (P < 0.05; f = 3.511). Meanwhile, the mean score of caregiver burden decreased during the intervention period than before the study (P < 0.05; f = 166.60), while the mean score of caregiver burden did not increase significantly in the control group over time (P = 0.036). Conclusions: The results showed that in a family with school-age epileptic children, appropriate programs and training methods are needed to decrease caregiver burden; so it is necessary to develop and use such programs by the treatment team members.

Proof of Concept: A Brief Psycho-Educational Training Program to Increase the Use of Positive Emotion Regulation Strategies in Individuals With Autism Spectrum Disorder

Attenuated positive emotions and difficulties in regulating emotions are frequently observed in individuals with autism spectrum disorders (ASD) and are linked to increased risk of affective disorders, problematic behaviors, and impaired socio-emotional functioning. As such, interventions specifically focused on positive emotion regulation (ER) skills could be very valuable for individuals with ASD, their caregivers, and therapists. However, the field of positive ER in ASD is under-researched. The present study aimed at testing the practical potential and the preliminary effects of a brief novel psycho-educational training program on positive ER for individuals with ASD. Thirty male participants with ASD (aged 10–35years; Ntraining=14, Nwaitlist=16) underwent a three-session program on the use of adaptive positive ER strategies (i.e., attentional deployment, cognitive change, and response modulation). Participants rated the program as easy to understand, interesting, pleasant, and likable. No dropouts or adverse effects were observed. The training group showed a significant increase in the self-reported use of the ER strategies compared to the waitlist group. The increase in the use of ER strategies maintained up to 7 weeks in the overall sample. Having reached high satisfaction rates and the intended effects in this proof of concept study, this novel program represents a promising tool to support ER. Future research should next investigate the efficacy of the intervention on day-to-day emotional experience and wellbeing.Clinical Trial Registration:ClinicalTrials.gov # NCT02898298

COVID-19 Advanced Respiratory Care Educational Training Program for Healthcare Workers in Lesotho: An Observational Study

Objectives: To develop and implement a Low Dose, High Frequency (LDHF) advanced respiratory care training program for COVID-19 care in Lesotho. Design: Prospective pre-post training evaluation. Setting: Lesotho has limited capacity in advanced respiratory care. Participants: Physicians and nurses. Interventions: Due to limited participation May-September 2020 the LDHF approach was modified into a traditional one-day offsite training November 2020 that reviewed respiratory anatomy and physiology, clinical principles for conventional oxygen, heated high flow nasal cannula, and non-invasive ventilation management. Basic mechanical ventilation principles were introduced. Outcome measures: Participants completed a twenty-question multiple choice examination immediately before and after the one-day training. Paired t-tests were used to evaluate the difference in average participant pre- and post-training examination scores. Results: Pre- and post-training examinations were completed by 46/53 (86.7%) participants, of whom 93.4% (n=43) were nurses. The overall mean pre-training score was 44.8% (standard deviation [SD], 12.4.%). Mean scores improved by an average of 23.7 percentage points (95% confidence interval [CI] 19.7, 27.6 percentage points, p<0.001) on the post-training examination to a mean score of 68.5% (SD, 13.6%). Performance on basic and advanced respiratory categories also improved by 17.7 (95% CI: 11.6, 23.8) and 25.6 percentage points (95% CI: 20.4, 30.8) (p<0.001). Likewise, mean examination scores increased on the post-training test, compared to pre-training, for questions related to respiratory management (29.6 percentage points (95% CI: 24.1, 35.0) and physiology (17.4 percentage points (95% CI: 12.0, 22.8). Conclusions: A LDHF training approach was not feasible during this relatively early period of the COVID-19 pandemic in Lesotho. Despite clear knowledge gains the modest post-training examination scores coupled with limited physician engagement suggest healthcare workers require alternative educational strategies before higher advanced care like mechanical ventilation is implementable. Conventional and high flow oxygen are better aligned with post-training healthcare worker knowledge levels and rapid implementation.

MANAGER OF DIGITAL TRANSFORMATIONS IN THE FIELD OF LIBRARY INFORMATION AND ARCHIVAL ACTIVITY: INDUSTRY SPECIALIZATION

The purpose of the article is to substantiate the feasibility of expanding the educational training program in the specialty "Information, library and archival affairs" through the specialization "manager of digital transformations". The methodology is based on a set of general scientific methods of generalization, systematization, and forecasting. The hypothetical analysis made it possible to apply the concept of convergent education as methodologically appropriate and heuristically fruitful to justify the educational and professional training program for digital transformation managers in the specialty "Information, library and archival affairs". The scientific novelty of the study is that it substantiates the feasibility and practical value of training digital transformation managers in the specialty "Information, library and archival affairs" as a specialist focused on management processes of digital transformations in the subject area of library and archival affairs. Conclusions. Socio-educational effect of training managers of digital transformations can be obtained if the training will be carried out for the subject area of library and archival activities, educational training program will be convergent-oriented, implemented in interdisciplinary links with the theory and practice of digital information management. infrastructure (innovation, strategic, project management) and aimed at developing the digital culture of the specialist as a person ready for creative work in the digital transformation of society. The basic position of the proposed proposal is the focus on management processes for digital transformations in the subject area of library and archival affairs. The manager of digital transformations with education in the specialty "Information, library and archival affairs" is a specialist with special training in the subject area (library, archival affairs), competent in project activities on digital transformations, has a digital culture and developed "digital receptivity". able to effectively participate in the development and implementation of digital transformation strategies and digital development projects.

Impact of an Educational Training Program on the Knowledge, Attitude, and Perceived Barriers of Community Pharmacists Towards Obesity and Overweight Management in Malaysia

Objective: To evaluate the impact of an educational training program on the knowledge, attitude and perceived barriers of community pharmacists (CPs) towards obesity and overweight management.Methods: This interventional study, which consisted of an educational training program, was conducted on a single cohort of Malaysian CPs. Thirty CPs attended the educational training program. The educational training program was delivered through didactic lectures, case studies and small group discussions, and consisted of various sessions covering different topics related to weight management. A validated questionnaire was used to assess the impact of the intervention on the CPs' knowledge, attitude, and perceived barriers.Results: The overall mean knowledge score increased both immediately after (14.93 ± 1.62) and 30 days following the intervention (17.04 ± 2.51), and the increment was statistically significant 30 days following the intervention (p = 0.001) compared to both pre-intervention and immediate-post intervention stages. After the intervention, the participants had a more positive attitude towards the provision of weight management service (WMS) in community pharmacies. They had significantly stronger perceptions about the importance of their role to manage overweight and obesity and their professional competence to treat obese patients. In addition, the barrier of not having space in pharmacy to perform proper counselling for weight management and the barrier of not having training sessions in the area of obesity management were perceived to be significantly less important post-intervention.Conclusion: This study showed the potential positive impact of an educational training program on CPs knowledge, attitudes and perceived barriers towards WMS.

P–786 Virtual continual professional education programs in ART in time of SARS-CoV–2: do they deliver?

Study question Can virtual training deliver effective professional education to ART professionals? Summary answer Virtual continual professional education programs are an excellent learning platform for ART professionals. The web-based Educational Library is a very useful global scientific resource. What is known already Retention levels are the highest when theoretical knowledge sharing is combined with practical hands-on training in a face-to-face training center set up. This is especially the case for training in Assisted Reproductive Techniques, where success depends in part on the ART professional’s skills. Due to the global SARS-CoV–2 pandemic in 2020, hands-on training programs were forced to close, and new educational web-based activities tools like streaming of webinars and journal clubs were developed. Study design, size, duration The effectiveness of the Global Education and Webinar Series organised by CooperSurgical (including webinars and journal clubs) streamed in 2020, was evaluated retrospectively by analysing the following: 1) the live attendance rates; 2) viewing rates in the Webinar Series Library; 3) outcomes of the feedback questionnaire focusing on the level of the webinar content, relevance to day-to-day clinical and laboratory work, gaining new knowledge, and pace of the webinar. Participants/materials, setting, methods In 2020, 65 webinars and 8 journal clubs were streamed at different timepoints to accommodate a global professional ART audience. The target audience included embryologists, lab technicians, IVF clinicians, counsellors, and scientists. Topics were IVF lab and clinic-based, theoretical but also practical. Lectures were prepared with an evidence-based approach and submitted for scientific review. Post live attendance, viewers were invited to fill in a questionnaire; they obtained a certificate of attendance. Main results and the role of chance In 2020, 16,839 viewers attended the 65 live webinars and 8 journal clubs. Live attendance rates dropped by 75% in May, when IVF clinics were re-opening after the first wave of SARS-CoV–2. On 08.01.2021, a total of 23,258 library viewings were recorded. Library viewings increased significantly after the re-opening of the clinics. Viewers were located in 129 countries; India, Thailand, and Spain had the highest viewing of all the countries (&gt; 1500 viewings per country). Multiple viewers attended between 10 to 26 of the virtual activities. The feedback analysis showed that 96% of the viewers found the webinars to be relevant to their day-to-day work; 92% gained knowledge as a result of the webinar; 94% of the viewers found the level appropriate and 91% felt that the pace of the presentations was just right. These outcomes demonstrate that the need for continual professional education programs in ART in time of SARS-CoV–2 is clearly present globally. Our virtual Global Education and Webinar Series could deliver evidence-based knowledge to viewers globally and assist them in gaining knowledge – even in a distance learning setting. The Library is an excellent resource tool for ART professionals to gain knowledge at their own pace. Limitations, reasons for caution Not all ART professionals have access to high-quality internet facilities. Not all the viewers completed the questionnaire Wider implications of the findings: Web-based virtual activities can be an excellent tool for knowledge sharing. These outcomes will be used to further develop our virtual educational training program. Trial registration number Not applicable