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Yıldız, Fatma Ülkü, Aysel Cagdas, and Gokhan Kayili. "The effectiveness of the Montessori training programme for mothers." Contemporary Educational Researches Journal 10, no. 4 (November 30, 2020): 166–56. http://dx.doi.org/10.18844/cerj.v10i4.5277.
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It was the aim of this study to follow-up for 2 years the mathematics and daily living skills of children whose mothers participated in the Montessori training programme for mothers (MTPM) and to determine whether the children still maintained these skills 2 years after the intervention. In 2016–2017, the MTPM was administered to the mothers of 4–5-year-old children who received Montessori education at preschool. The first follow-up was carried out 6 months after the training programme was completed; the second follow-up took place 6 months after the first follow-up and the third one was carried out12 months after the second follow-up. Eleven children included in the study group in the 2016–2017 school year were all reached. ‘Basic School Skills Inventory 3 – Mathematics and Daily Living Skills subtests – Age 4–8 years’ were used for data collection. The data were provided by the teachers. Statistical analysis of the data was carried out using Wilcoxon’s signed-rank test and Statistical Package for the Social Sciences 20.0 data analysis package programme. The results showed that the MTPM maintained its effect on mathematics and daily living skills of the experimental group children 24 months after the implementation of the programme.
Keywords: Montessori training programme for mothers, mathematics, daily living skills.
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Price, Glenda, and Sue Lightbody. "A community living skills education programme within spinal cord injury rehabilitation." Australian Occupational Therapy Journal 41, no. 1 (August 27, 2010): 37–40. http://dx.doi.org/10.1111/j.1440-1630.1994.tb01810.x.
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Potter, Anna, Danielle Sansonetti, Kate D'Cruz, and Natasha Lannin. "What is Known About Transitional Living Services for Adults With an Acquired Brain Injury? A Scoping Review." Brain Impairment 18, no. 2 (May 15, 2017): 240–57. http://dx.doi.org/10.1017/brimp.2017.8.
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Transitional living service (TLS) programmes for adults with an acquired brain injury are considered an important part of rehabilitation. However, considerable variability exists in the design and structure of these services, with limited research to guide the development of a programme based on best evidence. A scoping literature review was completed to answer the question ‘What is known about TLS programmes for adults with an acquired brain injury?’ Four electronic databases were systematically searched, followed by a grey literature search (from 1996 to 2015). 3183 articles were screened and 13 articles were included in the final review. Themes that emerged from the literature include the types of residents using TLS programmes, the subjective experience of residents and staff, intervention approaches, programme staffing, and programme outcomes. The research reviewed supports the use of TLS programmes to maximise functional independence and community integration of individuals with an acquired brain injury. Clinical practise recommendations were developed to help support implementation of TLS programmes based on best evidence, these included: to use multiple outcome measures, implement collaborative goal setting, support generalisation of skills learnt in the TLS to the home environment and for eligibility criteria for these programmes to include individuals across all phases of recovery.
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Intsiful, Emmanuel, and Albert Martins. "Examining the Role of Non-Formal Education as a Conduit to Poverty Reduction and Rural Development: The Case of a Rural Community in a Municipality in Ghana." Journal of Education and Training 6, no. 2 (April 4, 2019): 1. http://dx.doi.org/10.5296/jet.v6i2.13586.
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Non-formal education (NFE) programmes involve literacy and numerical programmes that aim at training people to read and write. Gaining such basic literacy skills enables a person to use the reading, writing and calculation to develop the self and the community as a whole. In the Ghanaian context, the Ministry of Education in the year 2000 established the National Functional Literacy Programme with the chief aim of making accessible literacy and life skills to the rural poor and the illiterate. The aim of this paper was to examine the extent to which non-formal education contributes to literacy improvement, poverty reduction and rural development in a rural community within a municipality in Ghana. The researchers employed Amartya Sen’s capabilities approach to economic and human development and Paulo Freire’s concept of education for conscientization.The findings of the study show that the non-formal education programme plays a very critical role in the reduction of illiteracy coupled with improving the living standard of the rural adult learners, once the programme is well organized and implemented. Thus, the activities of NFE have the potential to make the illiterate poor become functionally literate which is a necessary condition for poverty reduction. Providing skill training is one of the major ways of improving the livelihood of poor people. Based on the impact of NFE activities on those who had graduated from the programme has the potential of reducing illiteracy and improving the standard of living of the people. The impact has been felt in areas like literacy and numeracy, economic, social and political empowerment of learners in the community studied. However, the programme needs to be strengthened to address the issue of funding which has become a major challenge for the NFE. Facilitators and supervisors need enough motivation to commit them fully to the task and learners need support to start their own business to bring about meaningful poverty reduction.
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Fieldhouse, Jon, and Harry Greatorex. "Evaluation of a financial skills training programme for vulnerable young people at risk of homelessness." British Journal of Occupational Therapy 83, no. 12 (March 5, 2020): 761–72. http://dx.doi.org/10.1177/0308022620905530.
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Introduction A financial skills training programme (Cash Pointers) for young people at risk of homelessness had an unexpectedly positive impact on their wellbeing. A qualitative inquiry examined this phenomenon. Method Interviews with six trainees explored their experiences of the programme. A focus group comprising four programme workers added a service provider perspective. Findings Cash Pointers addressed trainees’ basic living and health needs. Additionally, trusting relationships with programme workers enabled trainees to feel safe, develop skills, pursue goals, manage health problems, improve relationships and engage in life roles. Trainees said Cash Pointers was accessible and responsive, offering advocacy, inter-agency liaison and hope. Programme workers said they balanced the need for quick results with patient relationship-building, were a well-supported team with a high degree of casework autonomy and felt skilled in the therapeutic use of self. Conclusion Cash Pointers created a psychologically informed environment within which trainees stabilised, acquired skills and progressed towards greater life satisfaction and inclusion. Improving financial skills can be profoundly transformative and an acceptable intervention for this population. Aspects of occupational therapy’s knowledge-base (dynamic systems thinking) and skillset (person-centred goal-setting, therapeutic use of self, creating enabling environments) can support this.
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Wheeler, Amanda, and Samantha Caldwell. "A 12-week healthy living programme piloted in community mental health – is it feasible and what is achievable?" European Journal for Person Centered Healthcare 2, no. 3 (July 15, 2014): 376. http://dx.doi.org/10.5750/ejpch.v2i3.753.
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The physical health outcomes of people with mental illness are significantly poorer compared to the normal population. The aims of this study were to (i) assess the feasibility and outcomes of a 12-week healthy living programme piloted in a community adult mental health setting and (ii) assess the lead author’s research and evaluation competency as part of the conditions of the Psychology Supervised Practice Programme. Participants were referred to the programme to learn and develop healthy living skills, assist in weight management, and enhance emotional wellbeing. The programme included weekly educational sessions followed by an activity related to the education for 3-4 hours, between June-September 2010. The programme facilitators completed assessments with participants at Week 1 (baseline) and Week 12 (graduation) including; demographic and physical health indicators (e.g. weight, BMI, blood pressure), psychological wellbeing and overall satisfaction with programme. Seventeen participants commenced the healthy living programme pilot. There was an average weekly attendance of eleven people and nine graduated at Week 12. No meaningful change in physical health or psychological wellbeing could be determined from the measurements at 12 weeks however the graduates rated the programme highly, particularly the social perspective and healthy eating skills. This feasibility assessment of the HLP pilot illustrates the difficulties inherent in real-world service-based research but also highlights the potential benefits for future replication of the HLP for enhancing both physical health and quality of life for people with a serious mental illness. Key words: physical health, community mental health, healthy living, evaluation, group programme
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Knight, Ruth. "Reading with Angels: Improving Literacy among Children in Foster Care." Children Australia 38, no. 2 (May 29, 2013): 54–60. http://dx.doi.org/10.1017/cha.2013.4.
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The Pyjama Foundation is an Australian charity working to improve the literacy and numeracy outcomes for children in foster care. The foundation delivers the Pyjama Foundation Love of Learning programme, a learning-based mentoring programme in which volunteer ‘Pyjama Angels’ visit children in care each week to read books, play games and engage in other learning-based activities.This study surveyed 121 Love of Learning mentors (‘Pyjama Angels’) to assess their perceptions of the relationships they had developed with the children they mentored and of the children's improvement in their literacy skills, a key aim of the programme.The statistical data analysis based on the structural equation modelling and multiple regression approach showed that several factors had a statistically significant impact on the mentors’ perceptions of the children's improvement in literacy skills: relationship with the child, child's engagement and tenure in the programme, and frequency of meetings. Age and gender of the mentors were not found to have a statistically significant impact on mentors’ perceptions of this improvement, while mentors’ perceptions of their relationship with the children was the most important factor influencing their perceptions of improvement in literacy skills. The study did not include objective measures of the children's literacy outcomes, so its results are limited to the mentors’ perceptions. However, this study offers valuable insights for mentoring programmes working with children living in foster care.
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Diacon, Diane. "The Architect in the Community Programme, Cuba." Open House International 30, no. 4 (December 1, 2005): 21–24. http://dx.doi.org/10.1108/ohi-04-2005-b0005.
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Established as a pilot programme in 1994, the Architect in the Community Programme now covers the whole of Cuba, providing affordable technical support to households who are building or renovating their homes on a self-help basis. The programme is self-funding and has to date been used by over 500,000 households. The participative design approach that it uses provides households with skills and confidence as well as better living conditions. It has an international reputation for its work and the experience has been transferred to other countries in Latin America and beyond.
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Webb, Rhona, Julie T. Mangrobang, Alison Conning, and Martin W. Orrell. "A Social Therapy for Long-term Mentally III Inpatients: A Pilot Study." Behavioural Psychotherapy 21, no. 1 (January 1993): 57–62. http://dx.doi.org/10.1017/s014134730001781x.
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Long-term inpatients with severe psychiatric illness such as chronic schizophrenia can be very socially disabled. This makes it difficult for them to move on to more independent living because they lack many of the necessary social and practical skills. Social Economy Therapy (SET) is a practical approach which aims to improve social functioning. On a hostel ward, eight long term inpatients with severe and disabling psychiatric disorders started a SET programme. After two months the social and living skills of several patients were improved and a number were discharged to other accommodation.
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Payne, P. V., and W. K. Halford. "Social Skills Training with Chronic Schizophrenic Patients Living in Community Settings." Behavioural Psychotherapy 18, no. 1 (January 1990): 49–64. http://dx.doi.org/10.1017/s0141347300017985.
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Six patients meeting DSM III criteria for schizophrenia, residual phase who lived in community hostels underwent social skills training. The training programme utilized was “Stacking the Deck” developed by Foxx et al. which involves a structured board game incorporating modelling, behaviour and feedback. A multiple baseline across subject design was used to assess acquisition of targeted social behaviours in the training settings. Generalization of skills to a community setting was assessed by a structured interaction in the patients' homes at pre-treatment, post-treatment and follow-up. All subjects improved their social skills in the training setting, the improvement showed partial but weak generalization to the community setting, with some gains maintained to a three-month follow-up. Pre-treatment, post-treatment and follow-up measures of general social skills and psychiatric status indicated improvements for some of the subjects. The results suggest this approach has promise for achieving clinically significant change with chronic schizophrenic patients, but that strategies to enhance generalization of training effects are needed.
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Forbes, D. A. "An educational programme for primary healthcare providers improved functional ability in older people living in the community." Evidence-Based Nursing 8, no. 4 (October 1, 2005): 122. http://dx.doi.org/10.1136/ebn.8.4.122.
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Hayman, Faye. "Helping Carers Care: An Education Programme for Rural Carers of People with a Mental Illness." Australasian Psychiatry 13, no. 2 (June 2005): 148–53. http://dx.doi.org/10.1080/j.1440-1665.2005.02178.x.
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Objective: To provide descriptive information about a short-term educational programme for rural carers of people with a mental illness, living in the Loddon Campaspe Southern Mallee region. Method: The Carers Education Exchange Programme is a flexible, needsbased model that can be modified to cater for individual groups. It consists of a number of sessions on topics relevant to caring for someone with a mental illness, held over a period of several weeks. The programme is offered at locations throughout the region, making it accessible to carers in isolated, rural areas. Results: Feedback indicates that the benefits of participating in the programme include the reduction of isolation and stigma, increased understanding of mental illness, development of skills relevant to the caring role and the formation of supportive networks, both professional and personal. Conclusions: Educational group programmes for carers are an effective way of providing both education and support. This programme can assist in reducing some of the distress and difficulties inherent in caring for someone with a mental illness. Carer well-being is enhanced by the promotion of self-care and a positive outlook.
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Pető, Rita, and Balázs Reizer. "Gender differences in the skill content of jobs." Journal of Population Economics 34, no. 3 (February 26, 2021): 825–64. http://dx.doi.org/10.1007/s00148-021-00825-6.
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AbstractThere is significant heterogeneity in actual skill use within occupations even though occupations are differentiated by the task workers should perform during work. Using data on 12 countries which are available both in the Programme for the International Assessment of Adult Competencies survey and International Social Survey Program, we show that women use their cognitive skills less than men even within the same occupation. The gap in skill intensity cannot be explained by differences in worker characteristics or in cognitive skills. Instead, we show that living in a partnership significantly increases the skill use of men compared with women. We argue that having a partner affects skill use through time allocation as the gender penalty of partnered women is halved once we control for working hours and hours spent on housework. Finally, we do not find evidence of workplace discrimination against women.
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D., Uranta. "Effect of Capacity Building Programme of Development Agencies on Well Being of Beneficiaries in Niger Delta Nigeria." Journal of Sociological Research 4, no. 2 (November 7, 2013): 351. http://dx.doi.org/10.5296/jsr.v4i2.4522.
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The study examined the effect of capacity building programmes of development agencies (NDDC and SPDC) on well being of beneficiaries in the Niger delta, by assessing participant’s income before and after participation and their perception about the effects of the training programme on them using multidimensional criteria such as their educational, health, shelter, skill acquisition and general standard of living needs. A<strong> </strong>sample size of 300 respondents was selected from the 22 capacity development (study) centers chosen from Rivers and Bayelsa state using purposive-cluster and random sampling techniques. The result of the study indicates that there was a nominal positive change of income in favour of the participating youths exposed to the programme, the study concluded that the skills acquisition pogrammes of the development agencies were effective at improving the wellbeing needs of the participants. It was recommended that donors of both programmes SPDC and NDDC should ensure sustainability by creating more study centres with well-equipped facilities for the training; effective supervision, and monitoring. There is need for adequate funding to ensure prompt payment of stipends and starter packs. Apart from this, experts and professionals should be engaged to train this youth.
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Turner, Andy, Alba X. Realpe, Louise M. Wallace, and Joanna Kosmala-Anderson. "A co-produced self-management programme improves psychosocial outcomes for people living with depression." Mental Health Review Journal 20, no. 4 (December 14, 2015): 242–55. http://dx.doi.org/10.1108/mhrj-05-2014-0017.
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Purpose – There is growing interest in self-management support for people living with mental health problems. The purpose of this paper is to describe the evaluation of a co-designed and co-delivered self-management programme (SMP) for people living with depression delivered as part of large scale National Health Service quality improvement programme, which was grounded in the principles of co-production. The authors investigated whether participants became more activated, were less psychologically distressed enjoyed better health status, and quality of life, and improved their self-management skills after attending the seven-week SMP. Design/methodology/approach – The authors conducted a longitudinal study of 114 people living with depression who attended the SMP. Participants completed self-reported measures before attending the SMP and at six months follow up. Findings – Patient activation significantly improved six months after the SMP (baseline M=49.6, SD=12.3, follow up M=57.2, SD=15.0, t(113)=4.83, p < 0.001; d=0.61). Participants’ experience of depression symptoms as measured by the Patient Health Questionnaire-9 significantly reduced (baseline M=15.5, SD=6.8, follow up M=10.6, SD=6.9, t(106)=7.22, p < 0.001, d=−0.72). Participants’ anxiety and depression as measured by the Hospital Anxiety Depression Scale also decreased significantly (baseline anxiety: M=13.1, SD=4.2, follow up M=10.2, SD=4.4, t(79)=6.29, p < 0.001, d=−0.69); (baseline depression: M=10.3, SD=4.6, follow up M=7.7, SD=4.5, t(79)=5.32, p < 0.001, d=−0.56). The authors also observed significant improvement in participants’ health status (baseline M=0.5, SD=0.3, follow up M=0.6, SD=0.3, t(97)=−3.86, p < 0.001, d=0.33), and health-related quality of life (baseline M=45.4, SD=20.5, follow up M=60.8, SD=22.8, t(91)=−2.71, p=0.008, d=0.75). About 35 per cent of participant showed substantial improvements of self-management skills. Originality/value – The co-produced depression SMP is innovative in a UK mental health setting. Improvements in activation, depression, anxiety, quality of life and self-management skills suggest that the SMP could make a useful contribution to the recovery services in mental health.
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Forbes, D. A. "An exercise programme led to a slower decline in activities of daily living in nursing home patients with Alzheimer's disease." Evidence-Based Nursing 10, no. 3 (July 1, 2007): 89. http://dx.doi.org/10.1136/ebn.10.3.89.
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Haines, T. "Two types of exercise programme for institutionalised older people may preserve the ability to perform some activities of daily living." Evidence-Based Nursing 13, no. 3 (June 27, 2010): 84–85. http://dx.doi.org/10.1136/ebn.13.3.84.
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Haines, T. "Two types of exercise programme for institutionalised older people may preserve the ability to perform some activities of daily living." Evidence-Based Nursing 13, no. 3 (June 8, 2010): 84–85. http://dx.doi.org/10.1136/ebn1061.
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Wilson, Hannah, and Alexandra L. Donachie. "Evaluating the Effectiveness of a Dialectical Behaviour Therapy (DBT) Informed Programme in a Community Perinatal Team." Behavioural and Cognitive Psychotherapy 46, no. 5 (January 25, 2018): 541–53. http://dx.doi.org/10.1017/s1352465817000790.
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Background:Adapted DBT programmes have been well documented but little has been published on such programmes in the perinatal period.Aim:To assess the effectiveness of a stand-alone DBT skills group for perinatal women with emotion dysregulation.Method:A stand-alone DBT-informed skills training group was offered to 21 women with emotional dysregulation under the care of a perinatal community mental health team; 14 completed the programme. Staff received support via a consultation group. Modules included mindfulness, emotional regulation, distress tolerance and interpersonal effectiveness adapted to the specific demands of parenting infants. Outcome measures were collected at three time points: assessment, start of the group and at the end.Results:Statistical analysis showed significant reduction in CORE scores over the intervention period (t(13) = 5.32,p< .001; Cohen'sd= 0.83), with similar effects on the Mental Health Confidence Scale (t(13) = ‒8.03,p< .001, Cohen'sd= 0.83) and Living with Emotions Scale (t(13) = ‒9.42,p< .001, Cohen'sd= 0.93). There were no significant changes on these three measures from assessment to start of the group.Conclusions:In this uncontrolled study, the intervention period was associated with reduced distress, increased confidence and ability to regulate emotion. Recommendations for continuing this model of service delivery are made. Further research is needed.
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Hackett, Janine, Bernadette Johnson, Karen L. Shaw, and Janet E. McDonagh. "Friends United: An Evaluation of an Innovative Residential Self-Management Programme in Adolescent Rheumatology." British Journal of Occupational Therapy 68, no. 12 (December 2005): 567–73. http://dx.doi.org/10.1177/030802260506801206.
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Independence in activities of daily living, self-advocacy and peer support are important aspects of adolescent development. These skills are potentially affected by chronic rheumatic diseases and are worthy of attention by occupational therapists and other members of the multidisciplinary team. An innovative 4-day residential programme for young people diagnosed with chronic rheumatic disease, known as the ‘Independence Break’, was evaluated in order to determine its perceived benefits. The participants were invited to complete a brief evaluation form immediately after the trip to determine the benefits of participation in the programme. The levels of continuing social contact within the group were established 4 months later during a subsequent telephone call. Thirty young people (median age 14 years) attended the 4-day programme and reported friendship and improved performance in activities of daily living as the major benefits. The majority stayed in touch with at least one other person, with more girls staying in touch than boys. The preferred method of communication was text messaging. Overall, the programme was perceived to be a valuable experience and offered the young people an opportunity to develop informal peer support networks. The potential of text messaging within adolescent rheumatology is also highlighted.
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Booth, Richard, Karen Keogh, Jillian Doyle, and Tara Owens. "Living Through Distress: A Skills Training Group for Reducing Deliberate Self-Harm." Behavioural and Cognitive Psychotherapy 42, no. 2 (December 7, 2012): 156–65. http://dx.doi.org/10.1017/s1352465812001002.
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Background: Dialectical Behaviour Therapy (DBT) is an evidence-based treatment effective in reducing deliberate self-harm. However, DBT is resource and time intensive, and few services are able to sustain a programme faithful to all aspects. Thus, modified or adapted versions of DBT have been developed, particularly for delivery in inpatient hospital settings. Aims: This study presents a description of the “Living Through Distress” (LTD) Group, which is based on the group skills training component of DBT. Method: Participants (n = 114) were patients of a psychiatric hospital who attended the LTD group. The main inclusion criterion for the LTD group was a history of deliberate self-harm. The outcome measures were frequency of incidents of deliberate self-harm, levels of distress tolerance, and mean numbers of bed days per year. Results: Upon completion of the group, there were significant reductions in participants’ reports of deliberate self-harm and significant increases in their distress tolerance levels, which were maintained at 3-month follow-up. There was also a reduction in participants’ mean number of inpatient days at 1-year and 2-year follow-up. Over 50% of participants had no admissions in the year subsequent to completing the group. Conclusions: As this study was not a randomized controlled trial, results must be interpreted with caution. However, the findings presented here are promising, and suggest that a briefer, less resource intense version of the group skills training component of DBT may be effective in reducing deliberate self-harm.
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Damery, Sarah, Sarah Flanagan, Janet Jones, and Kate Jolly. "The Effect of Providing Staff Training and Enhanced Support to Care Homes on Care Processes, Safety Climate and Avoidable Harms: Evaluation of a Care Home Quality Improvement Programme in England." International Journal of Environmental Research and Public Health 18, no. 14 (July 16, 2021): 7581. http://dx.doi.org/10.3390/ijerph18147581.
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Older people living in care homes are at risk from avoidable harms, which may require hospital attendance or admission. This paper describes a mixed methods evaluation of a large quality improvement (QI) programme that provides skills training and facilitated support to staff in 29 care homes across two localities in the West Midlands, UK. The Safety Attitudes Questionnaire (SAQ) is used to assess changes to care home safety climate between baseline and programme end at 24 months. We use routinely collected data to assess pre- and post-programme avoidable harms and hospital attendance/admission rates. Semi-structured interviews with programme managers (n = 18), and staff (n = 49) in four case study homes are also used to assess perspectives on programme implementation. Our results show that safety climate scores increase by 1.4 points. There are significant reductions in falls (p = 0.0006), severe pressure ulcers (p = 0.014), UTIs (p = 0.001) and ‘any’ events (p = 0.0003). Emergency hospital attendances reduced, but admissions increased. Interview participants report improvements to teamwork, working practices, information sharing, knowledge and skills. Upskilling care home staff can improve working practices and attitudes towards resident safety and care quality, which may be associated with significant reductions in avoidable harms rates. Care staff turnover rates are high, which may impact the potential for longer-term sustainability of the changes observed.
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Syamsi, Ibnu. "Preparation for Vocational Life-Skills Education Model Implementation for School Dropouts." Integration of Education 23, no. 3 (September 30, 2019): 366–78. http://dx.doi.org/10.15507/1991-9468.096.023.201903.366-378.
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Introduction. In this article, social data on adolescent school dropouts are presented alongside a discussion of efforts to improve their life skills and employability. A focus on life-skills education for dropouts living in rural areas reveals how important business skills are for improving employability. The research context and efficient activities for coping with the addressed issues are com prehensively described. Materials and Methods. A previously developed Life-Skills Education model, involving field study, needs analysis, action research and evaluation, is elaborated to facilitate the collection of data related to the dropout rate and efforts to build soft skills to facilitate employability. Grounded theories on developing employability skills for dropouts are elucidated alongside real-world endeavours to provide a clear picture of what research objectives are achievable and how they can be achieved. Two districts – in Bantul Regency and Yogyakarta Special Province, Indonesia – were selected for the study, in which two sample groups of dropouts were involved in a set of planned activities. Observation, interview, survey and documentation were the main techniques employed. Results. The obtained results allow a fresh perspective to be obtained on the number and quality of school dropouts in the researched districts, as well as potential solutions for improving their life skills. Specifically, they include the following: (1) As many as 164 identified adolescent dropouts were found to live in the researched rural areas, of which 75% were unemployed, thus requiring appropriate life-skills education. (2) Twenty trainer-tutors were selected according to specific criteria and provided with a set of developed materials of respective knowledge and skills to be taught over the course of a one-month training programme. (3) In both districts, tutors accomplished the pedagogical content knowledge based training programme had improved their knowledge, attitudes, and motivation by the average gain score of 32.30, 3.15, and 5.55 respectively. Discussion and Conclusion. This paper suggests that the study has successfully prepared the implementation of Life-Skills Education model through its applied stages and recommends that (1) continuous Life-Skills Education programmes to improve the business skills of teenage dropouts should be carried out by managing and developing the qualifications of the tutors and by providing appropriate vocational skills suitable with their needs, and (2) that the contribution of educational interventions on pedagogical content knowledge in interdisciplinary domains might be further analysed.
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Lloyd, Chris, and Pam Samra. "Healthy Lifestyles: A Community Programme for Chronically Mentally Ill People." British Journal of Occupational Therapy 59, no. 1 (January 1996): 27–32. http://dx.doi.org/10.1177/030802269605900110.
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This article outlines a Healthy Lifestyles Programme (HLP) for chronically mentally ill people in the South Coast Regional Health Authority in Australia, in the area of integrated mental health services. This programme has provided practical community-based experiences for chronically mentally ill people, focusing on functional deficits in daily living skills. Major reforms in service delivery in mental health have resulted in a move to community-based care. The 1994 Queensland Mental Health Plan set out specific objectives and strategies for the implementation of mental health service reform. One of the immediate priorities for Queensland is the establishing of mainstream integrated services to promote continuity of care across service components. The HLP reflects this priority in providing a community-based service in an integrated mental health setting, using the principles of community-based integration, family support, collaboration, rehabilitation and case management, as outlined in the community care model.
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Ali, Anees Janee, Jamshed Khalid, Mass Hareeza Ali, and Razleena Razali. "SOCIAL ENTREPRENEURSHIP AND ITS IMPACT ON SOCIETY : SPECIAL SOCIAL-ENTREPRENEURS @HIGHER EDUCATION PROGRAMME IN MALAYSIA." ICCD 2, no. 1 (November 25, 2019): 1–8. http://dx.doi.org/10.33068/iccd.vol2.iss1.140.
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Social entrepreneurship is defined as activities created by an innovative social value to achieve societal needs and financial sustainability. It is a business concept that involve conducting business that does not emphasis much on profit but for the benefit of mankind. Special Social Entrepreneur @Higher Education (SSEHE) is a programme mastered by Universiti Putra Malaysia (UPM) that collaborated with four other universities in Malaysia. The aim of SSEHE is to get handicapped youths to get together and follow talks and discussion in order to create awareness on how they can stand on their own to make a living. The main objectives of SSEHE are transforming the mindset of the disabled youths that they can be independent by involving in entrepreneurial activities, introducing the basic entrepreneurial knowledge to the disabled youths, opening job opportunities to the disabled youths and helping the disabled youths to start and/or expand their business. SSEHE has high hope to continue this programme in the future so that disabled youths are aware that they can use their skills to make a living for themselves and their loved ones.
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Raudeliunaite, Rita, and Vida Gudžinskienė. "THE DEVELOPMENT OF INDEPENDENT LIVING SKILLS IN YOUNG ADULTS WITH INTELLECTUAL DISABILITY IN SHELTERED HOUSING ACCOMMODATION." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 3 (May 26, 2017): 265. http://dx.doi.org/10.17770/sie2017vol3.2444.
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National Programme for Social Integration of People with Disabilities for 2013 - 2019 has set a strategic objective to create a positive environment and conditions for a dignified and fully fledged life of people with disabilities in Lithuania, to guarantee equal opportunities and the quality of life of people with disabilities. The article analyses the experiences of the social workers, who work in sheltered housing accommodation with young adults with intellectual disability, when developing independent living skills in young adults with intellectual disability. Sheltered housing accommodation is social services institutions providing social care, in which persons live in home environment and conditions are created for them to manage their own personal life on their own with the support of the social workers. A qualitative-empirical study has been conducted by using the method of a semi-structured interview. The study data were processed by using the method of content analysis. The results of the empirical study are based on the experience of 11 social workers, who have been working in sheltered housing accommodation with young adults with intellectual disability for at least 3 years. The study has revealed that the following independent living skills are considered to be the most easy to be developed: cooking, simple housework, hygiene skills. The young adults also easily develop public transport use skills. The young adults most often acquire work skills by tidying their home environment. The most difficult, according to the social workers, to develop are economic skills: to manage their budget, to allocate finances, to pay for services, and to do the shopping. The young adults with intellectual disability find it difficult to develop their parenting skills. Communication skills are developed while learning etiquette and complying with it in a large range of environments, by encouraging to communicate courteously with other persons, showing personal example, taking a good example from others, taking part in different events, festivals and communal activity. The development of independent living skills occurs by engaging young adults in a practical activity. Particular attention is given to the development of healthy lifestyle skills. The young adults are encouraged to make decisions by guiding them in the right direction, while respecting their interests; the responsibility for the decisions made by them and the consequences of those decisions is also developed. Activity planning, organising and personal skills are developed.
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Goldberg, David, Keith Bridges, Chris Sterling, Clive Hyde, Winifred Cooper, and Rosemary Wyatt. "Douglas House: a New Type of Hostel Ward for Chronic Psychotic Patients." British Journal of Psychiatry 147, no. 4 (October 1985): 383–88. http://dx.doi.org/10.1192/bjp.147.4.383.
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A new type of hostel ward is described in which domestic activities take the place of attendance at a day centre or industrial workshop. Residents no longer depend on the institution for meals, cleaning, or social activities. The programme is resident-orientated, and individual treatment plans are designed and effected using a points system. The emphasis of group activities is on communication and living skills. The hostel ward is able to care for our most disabled patients who are thought to need 24-hour nursing care.
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Sousa, Maria Rui, Filipe Pereira, Teresa Martins, Isabel Rua, Ilda Ribeiro, Catarina Cerdeira, Laurinda Lopes, Clara Sèvegrand, and Carla Santos. "Impact of an educational programme in Portuguese people with diabetes." Action Research 17, no. 2 (October 27, 2017): 258–76. http://dx.doi.org/10.1177/1476750317736369.
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This study, conducted in the north of Portugal, is the result of a group of nurses’ intent to develop a closer and meaningful person-centered care for patients with diabetes, empowering them with skills to better manage their therapeutic regimen. Through a participatory action research process, the group of nurses involved in this study, reflected on the current healthcare enabling them an in-depth analysis of the best scientific evidence, aiming to design context tailored solutions, which would contribute to patients’ empowerment. Through a longitudinal study developed over several stages, the nurses outlined the educational programme Living in harmony with diabetes, which was applied to 85 patients with diabetes mellitus type 2. The programme had a positive impact on the psychosocial variables, in self-care behaviour and in the metabolic control, helping patients to better cope with their disease and have greater control over their health condition. Throughout the process of participatory action research, the nurses were able to increase their self-efficacy and empowerment on person-centered care implementation.
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Garcia-Mila, Merce, Andrea Miralda-Banda, Jose Luna, Ana Remesal, Núria Castells, and Sandra Gilabert. "Change in Classroom Dialogicity to Promote Cultural Literacy across Educational Levels." Sustainability 13, no. 11 (June 4, 2021): 6410. http://dx.doi.org/10.3390/su13116410.
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In a highly diverse world, cultural literacy is an essential tool for living together in harmony, and dialogic teaching may be a way to promote and develop it among children and adolescents. We define cultural literacy as a set of attitudes (inclusion, tolerance, and empathy) and skills (dialogic argumentation) needed to understand others in our everyday lives. This paper focuses on the effect of a professional development programme to promote dialogue and argumentation to help children and adolescents overcome pre-existing stereotypes and prejudices and foster students’ participation in discussions that contrast divergent viewpoints. This was done through debates on social responsibility issues, living together, and belonging as presented in books and short films addressing the following topics: citizenship, the celebration of diversity, democracy, globalisation, human rights, cooperation, sustainable development, and climate change. After the professional development programme was implemented, we video-recorded two of the 15 student–teacher interaction sessions during the project’s implementation (session #3 and session #8). We analysed the data using a validated coding scheme across three educational levels (three preschool, four primary school, and four secondary school classrooms). We observed moderate gains in secondary education and preschool, but statistically significant gains in primary education.
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Nkandu, Esther Munalula, Micah Mutuna Simpamba, Hastings Kachingwe Shula, Theresa Lesa Chisoso, and Brian Chanda Chiluba. "Physiotherapy Intervention in Palliative Care for HIV Comorbidities: Can it be a Best Practice for Public Policy for Palliative Care in Zambia?" Journal of Preventive and Rehabilitative Medicine 2, no. 1 (November 1, 2020): 92–104. http://dx.doi.org/10.21617/jprm2020.224.
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Introduction:The prolonged life expectancy for people living with HIV has led to an increase in the prevalence of people living with HIV and AIDS.Most of these patients are experiencing episodes of wellness and illness with related disability. In Zambia, many HIV patients who required rehabilitation services were not able to access these services.A community based physiotherapy intervention programme using Community Health Workers who were equipped with basic physiotherapy skills was set up in Mtendere and Chawama Townships of Lusaka, Zambia from 2008 to 2015.This study set out to assess the intervention output in relation to patients’ trends, process of the intervention and challenges experienced for the period October, 2012 to September, 2014.Methods: This evaluation reviewed monthly and annual reports of the programme from October, 2012 to September, 2014.A desk review of palliative care related reports and policy was also reviewed. Both qualitative and quantitative data was extracted from these reports, with quantitative data being analyzed using excel while qualitative data was analysed usingQSR NVIVO 10 after being transcribed and translated from texts.Results: The patients’ trends during this period showed a steady increase in the proportion of new patients being enrolled onto the programme compared to those who were being lost to follow up, death, discharge or other loss such as transfers and many others. Themes under qualitative analysis were Community Health Workers, procurements, service delivery programme challenges and palliative care policy.The programme planned to conduct two trainings for each of the years under review but only managed one in each year. There were many challenges identified under this programme and all of them bordered on inconsistencies in the release of funds.Conclusion: This evaluation shows that the prevalence of HIV patients presenting with disabling conditions has been increasing and there is need to provide the needed rehabilitation services through the community based programme. Using Community Health Workers to provide physiotherapy services in the community enables many patients to access these services and hence a policy that supports this would be ideal. Keywords:palliative care; physiotherapy; HIV comorbidity; public policy
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Öztürk, Asuman, and Ferda Dokuztug Ucsular. "Effectiveness of a wheelchair skills training programme for community-living users of manual wheelchairs in Turkey: a randomized controlled trial." Clinical Rehabilitation 25, no. 5 (November 8, 2010): 416–24. http://dx.doi.org/10.1177/0269215510386979.
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Mayombe, Celestin. "Success stories on non-formal adult education and training for self-employment in micro-enterprises in South Africa." Education + Training 59, no. 7/8 (August 14, 2017): 871–87. http://dx.doi.org/10.1108/et-08-2016-0130.
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Purpose The purpose of this paper is to investigate the way the adult non-formal education and training (NFET) centres motivated and empowered graduates to start their own micro-enterprises as individuals or as a group. The specific objectives are as follows: to find out the transforming factors fostering the utilisation of acquired skills into self-employment in micro-enterprises; to investigate challenges encountered in starting and managing micro-enterprises and to investigate short-term impact of the NFET programmes and micro-enterprises on living conditions of graduates. Design/methodology/approach The research design was multiple case studies. Semi-structured interviews and field observations were used for data collection in the qualitative study. In the context of non-probability sampling, the study used the purposive sampling method to select five out of 20 self-employed graduates for one-on-one interviews. Case studies also comprised some observations of activities in their small businesses. Findings The main findings reveal that “learning by doing” training approach and forming groups of entrepreneurs while being on the programme were major factors fostering the translation of acquired skills into micro-enterprises. Practical implications The adult NFET is a tool to enable poor disadvantaged people to improve their well-being. However, this can be achieved if the livelihood skills training is combined with the creation of conducive environments to allow adult trainees become micro-entrepreneurs and self-reliant. Originality/value The study contributes to the knowledge of effective entrepreneurial training programmes by demonstrating the importance of involving stakeholders from the local communities and designing post-training support mechanisms for self-employment prior to the training delivery. The centre managers should also motivate trainees to start micro-enterprises in groups or co-operatives while still on the training programmes.
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Chipare, Mwakanyadzenin Abigail, Agnes van Dyk, and Hans Justus Amukugo. "A health education programme to enhance the knowledge and communication skills of health care workers who serve people living with HIV / AIDS on HAART in Namibia." International Journal of Advanced Nursing Studies 4, no. 2 (September 27, 2015): 137. http://dx.doi.org/10.14419/ijans.v4i2.4992.
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<p>This paper aims at describing the findings of a health education programme that enhances the knowledge and communication skills of health-care workers who serve people living with HIV / AIDS on HAART in Namibia. Namibian health-care workers are unable to provide quality health care services to people who are living with HIV / AIDS (PLWHA) when they do not have the necessary knowledge, as well as adequate interpersonal communication and counselling skills. In a health care facility system, all patients either come from the community, or are referred from the wards or other departments by health-care workers. The health care worker as a sender conveys information (messages), and a patient (receiver) is expected to comprehend these messages and to respond by giving feedback to the sender who, in turn, provides feedback until the communication process is completed. The process should take place in a conducive environment without any interference, such as noise, to allow the swift completion of the communication process. The messages that both parties convey should be clear, accurate, coherent, and concise. This article covered the following: background, methods, ethical measures, results (participants’ responses) conclusions and recommendations.</p>
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Holden, Sue, Vanessa LZ Gordon-Dseagu, Gill Gordon, Nelson Chiziza, Pfiriaeli Kiwia, Daniel Magesa, Willbrord Manyama, and Alice Welbourn. "Building resilience to adverse childhood experiences: An assessment of the effects of the Stepping Stones with Children training programme on Tanzanian children affected by HIV and their caregivers." Health Education Journal 78, no. 2 (July 16, 2018): 124–37. http://dx.doi.org/10.1177/0017896918787217.
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Objective: To evaluate the effects of a transformative training programme on children aged 5–14 years affected by HIV and their caregivers. Method: A formative process was used to draft, pilot and finalise training materials in Tanzania. We ran workshops with children living with HIV, their caregivers and some siblings in four communities. We assessed changes in knowledge, attitudes and well-being, and compared the health of child participants living with HIV with that of a control group of children living with HIV. Results: Although we intentionally excluded ‘disclosure’ of HIV sero-status to children as an indicator, the proportion who knew their sero-status increased from 27% to 93%. Assessment of clinical data before and after the workshops showed a statistically significant increase ( p-value of <.01) in the CD4 count among the child participants living with HIV ( n = 85, mean CD4 change + 317; from 530 to 847) compared with the control group ( n = 91, mean CD4 change + 133; from 557 to 690). The mean weight gain was 3.51 kg for child participants and 1.33 kg for controls. Other benefits included improved relationships and reduced violence against the children, greater confidence, more willingness to use HIV services and better networks of support. Conclusion: The Stepping Stones with Children programme can achieve multiple outcomes, including disclosure and better adherence to treatment, to reduce the impact of the adverse childhood experience of being affected by HIV. It is possible and acceptable to include children aged five and over in learning about HIV, sexual health and skills to improve their resilience.
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Zaman, Tanzida, Dhananjoy Das, and Mahmood A. Chowdhury. "Outcomes of An Early Intervention Programme on Children with Autism Spectrum Disorders." Chattagram Maa-O-Shishu Hospital Medical College Journal 16, no. 2 (July 3, 2018): 9–13. http://dx.doi.org/10.3329/cmoshmcj.v16i2.37285.
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Background: Autism Spectrum Disorders (ASD) is becoming global problem as it is being diagnosed very frequently amongst the non communicable diseases. Lack of socialization, communication skill and behavioural abnormality are the main problem belongs to the disease. Cornerstone of the management is based on early intervention program directed to improve the communication and socialization skill. In Bangladesh different early intervention strategies are implicated adopting from evidence based practices in the developed countries. To determine the effect of early intervention program on the improvement of socialization and communication skills of children with ASD who attended an early intervention programme at the Institute of Autism and Child Development, Chattagram Maa Shishu -O-General Hospital.Methods: This is a quasi experimental study carried out at Institute of Autism and Child Development, Chattagram Maa Shishu-O-General Hospital from January 2015 to December 2015. Children with ASD (Autism Spectrum Disorder) aged 1-5 years enrolled as study subjects which is fifty in number. Screening of ASD was carried out by psychological tools like M—Chat (1-3yrs) & ASD assessment scale (> 3yrs). Diagnosis was confirmed by ADOS-G (Autism Diagnosis Observation Schedule- Generic). Internvention was provided on a 1:1 basis which was adopted from various evidence based practices including the ‘More Than Words’. Intervention were given for three subsequent session in one month interval. Level of communications were measured after intervention and compared with pre intevvention level.Results: Significant improvements has been observed in overall level of communication and activities of daily living which included eye contact, attention, joint attention, turn taking, toilet training.Conclusion: A well planned early intervention programme for children with ASD can speed up the social communication development in such a way that gives rise to a hope of mainstreaming these children in future.Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 9-13
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Nordentoft, M., M. Bertelsen, P. Jeppesen, L. Petersen, A. Thorup, P. Le Quack, G. Krarup, and P. Jørgensen. "OPUS -trial: Five-year Follow-up of a RCT of Specialized Treatment for Patients with First Episode Psychosis." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70344-x.
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Objective:To determine long term effects of intensive early intervention programme (OPUS)for first episode psychotic patients.Design:RCT of two years of intensive early-intervention programme versus standard treatment. Follow-up was two and five years.Patients:547 first-episode psychotic patients were included and interviewed after two years (N=369) and five years (N=301). Registerbased information was available for all patients.Interventions:The intensive early intervention programme OPUS consisted of ACT with family involvement and social skills training.Results:At five-year follow-up, the positive effect of the OPUS treatment seen after two years had equalized between treatment groups. A significantly smaller percentage of patients from the experimental group were living in supported housing (4% vs. 10%, OR 2.3, 95% CI 1.1 to 4.8, P =0.02) and were hospitalized fewer days (mean days 149 vs. 193, mean difference 44, 95% CI 0.15 to 88,12 P= 0.05) during the five-year period.Conclusions:The OPUS treatment improved clinical outcome after two years, but the effects were not sustainable up to five years after. A difference on supported housing and use of bed days were found after five years in favour of the OPUS treatment.
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Burrell, Beverley Ann, Jennifer Jordan, Marie Crowe, Amanda Wilkinson, Jonathan Williman, Virginia Jones, and Shirley Harris. "Life-balance self-management programme for community-based older adults living with chronic disease: a feasibility study." European Journal for Person Centered Healthcare 4, no. 3 (September 29, 2016): 459. http://dx.doi.org/10.5750/ejpch.v4i3.1128.
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Rationale, aims and objectives: Health management strategies are aimed at promoting self-management, healthy lifestyle choices to improve health status and quality of life while addressing cost-effectiveness in health services. We aimed to develop a Life-balance Self-management Programme (LBSP) to test whether taking a trans-diagnostic approach to education combined with presenting mindfulness concepts would enhance self-management with older people with at least one long term condition. This study aimed to test the feasibility of the LBSP in terms of its recruitment strategies, suitability of data collection tools and procedures and if it was acceptable to those receiving it via surveys. Methods: The study utilized a descriptive pre/post-test intervention design. Participants sought were community-based older adults (aged 65+) living with at least one long-term condition and resident in Canterbury, New Zealand. The data analysis was descriptive, correlation between baseline and follow-up were determined.Results: Participants (n=10) reported that they had learnt from the intervention, had adjusted approaches for healthier living and improved self-managing skills. Nil attrition supported the feasibility and acceptability of the intervention.A high correlation was found between measures taken at baseline and at 3 month post-intervention, suggesting meaningful change could be detected within a modest sample size. Conclusion The LBSP, based on empirical and theoretical knowledge, is feasible for trans-diagnostic groups of community-based older adults living with chronic disease. A larger intervention study is planned to test quality of life and functioning as the main outcomes of the programme promoting self-management and to adequately assess effectiveness
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Spencer-Harper, Lucy, David Turgoose, Dominic Murphy, and Dominic Murphy. "Exploring the Experiences of Partners of Veterans with Mental health Difficulties Attending a Group Psychoeducation Support Intervention: A Qualitative Study." Journal of Family Medicine 1, no. 2 (March 29, 2019): 19–29. http://dx.doi.org/10.14302/issn.2640-690x.jfm-19-2726.
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Background Research has demonstrated that partners living alongside veterans with mental health difficulties are at high risk of developing mental health difficulties themselves and secondary trauma. A variety of interventions have been developed to support partners. Research to date has relied on quantitative methodologies to evaluate the efficacy of such interventions with less emphasis on learning about the experiences of individuals on the courses. Objective The aim of this qualitative paper was to understand the experiences of partners who engaged in a five-week structured support intervention, ‘The Together Programme’ (TTP) which had been piloted across UK cities. This programme involved tailored psycho educational materials adapted to the needs of veteran’s partners living alongside PTSD. Further the potential mechanisms of change for participants engaged with the programme were explored as well as the impact of treatment on their relationships. Methods Eight female partners were recruited from an original sample of 57 partners who were intimate relationships with treatment seeking veterans with mental health difficulties. These participants had completed TTP. Qualitative data was collected using a semi structured interview and explored using Interpretative Phenomenological Analysis. Results Three key themes emerged from the data, these were self-growth, changing role in relationships and connecting with others. The themes included several sub themes. Self-growth sub-themes were mastering the ‘inner judge’, ‘confidence in ability to cope’ and ‘taking care of my needs’. Changing role in relationship sub-themes were ‘acceptance and understanding’ and ‘improved communication in relationship’. Connecting with others was described by the sub-themes of ‘knowing I am not alone’, ‘peer support’ and ‘hope’. Conclusions This study suggeststhere were three key areas where thestructured evidence-based support programme had an impact on participants experiences. These were factors that helped participants to normalise their experiences and increase participants understanding and interpersonal skills that promote changes in relationship functioning with the veteran.
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Motlová, L. Bankovská, E. Dragomirecká, A. Blabolová, J. Ĉermák, and D. Holub. "Relapse frequency and quality of life in day-treatment programme for psychotic disorders: One-year outcomes." European Psychiatry 26, S2 (March 2011): 1353. http://dx.doi.org/10.1016/s0924-9338(11)73058-9.
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IntroductionWe introduce clinically-based 6-week structured group day-treatment programme for out-patients with schizophrenia-spectrum disorders in the stabilization phase of the treatment. It consists of family psychoeducation, lifestyle improvement intervention, social skills training and art therapy.Objectives and aimsTo assess relapse frequency, psychopathology (PANSS) and quality of life (Schwartz Outcomes Scale-10, WHO-QOL BREF and Social Integration Survey) we designed one-year prospective follow-up field study.MethodsAfter informed consent procedure 144 patients entered the project. Psychopatology and Quality of life were assessed at the entry of the programme, at the end of the programme and at one-year follow-up (N = 86).ResultsPsychopathology decreased after programme significantly and PANSS scores remained low in one-year follow-up. Quality of life assessed by SOS-10 improved after programme significantly. Scores of WHOQOL-BREF raised significantly in Subjective health domain and Psychological health. In one-year follow-up Environment domain improved significantly. Social quality of life (SIS) improved in Behaviour to strangers, Communication, Activities of daily living and Empathy. Quality of life in patients was lower compared to common population, improved after the programme and this improvement was stable in one-year follow-up. One-year relapse rate in participants was 12%.ConclusionsWe conclude that participation at the group day-treatment programme early after discharge is beneficial as it improves quality of life, prevents social isolation and early non-compliance and ensures continuity of care.AcknowledgementThis project was supported by Ministry of Education and Youth, CR: CNS 2005–2009 1M0517; Ministry of Health, CR: IGA MZ CR, NS 1036-3 and VZCR MZ0PCP 2005.
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Hoffmann, Robert, and Natalia Hoffmann. "The Leader Programme as an Impulse for New Projects in Rural Areas." Quaestiones Geographicae 37, no. 2 (April 26, 2018): 141–50. http://dx.doi.org/10.2478/quageo-2018-0014.
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Abstract The article aims to present the stages of the LEADER programme and its influence on greater activity and integration of inhabitants by, e.g. extending the knowledge of tradition and national heritage and the actions intended for the integration of local communities. It is noticeable particularly in the implementation of the activities within Axis 4 of the 2007–2013 Rural Development Programme. Positive changes in rural areas are a result of building strong social and human capitals, which are important factors of local development. The skills and the ability for cooperation of a local community allows it to implement many projects. The investments made by beneficiaries of the LEADER programme improve the level of living and the quality of life in the countryside. The effect is an improvement in physical infrastructure and tourist attractiveness as a result of care for the rural landscape and cultural heritage. The implementation of the LEADER programme is presented on the example of Wielkopolskie Voivodeship where the participation in actions for local communities is deeply ingrained. In order to show spatial differences in the activity of local entities under Local Action Groups in Wielkopolskie Voivodeship, classes were selected on the basis of funds received by local entities in the LAG areas. There are 36 Local Action Groups operating in Wielkopolska (of which 31 have seats in this region).
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Clare, Mike. "Personal reflections on needs and services for young people leaving care: From local to international to national (1996–2005)." Children Australia 31, no. 3 (2006): 11–17. http://dx.doi.org/10.1017/s1035077200011184.
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This paper describes and reflects on a Western Australian initiative in which a university Department of Social Work and Social Policy developed a partnership with a major hank’s staff charity and the West Australian Association of Young People in Care (WAAYPIC) to develop a preparatory Life Skills Workshop and a Peer Mentoring programme for young people about to leave State care. The programme was designed and provided by WAA YPIC members.The paper reflects on partnership processes in securing funding and implementing two pilot projects for care graduates. There is a review of predominantly United Kingdom and Australian research literature on the experiences and life-chances of young people leaving the care of the ‘government as parent’. Notions of social justice and ‘good enough parenting’ are challenged. While their peers living with birth parents are leaving home in their mid-20s, able to rely on emotional and financial support from their families, the average age of leaving care is 17 years and the quality and continuity of emotional and financial support is problematic.The author describes and reflects on local initiatives in leaving care policies and programmes and goes on to reflect on the growing arguments for a national system of service standards and necessary funding to achieve these standards. Recent UK initiatives are reviewed in the context of the 2005 FACE TO FACE Workshop on leaving care needs and policies in Australian States and Territories.
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McDougall, Shelagh. "The Effect of Nutritional Education on the Shopping and Eating Habits of a Small Group of Chronic Schizophrenic Patients Living in the Community." British Journal of Occupational Therapy 55, no. 2 (February 1992): 62–68. http://dx.doi.org/10.1177/030802269205500210.
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Eleven people with chronic schizophrenia were the subjects of an 8-week study which asked three research questions. How did these individuals with a chronic mental illness function as deinstitutionalised persons? Did participation in a 6-week nutritional education programme affect cognitive performance and behaviour? And did the nutritional education package require further refinement? This experiment produced qualitative data which were analysed using descriptive statistics and evaluation of questionnaires. The pre-test and post-test scores of the subjects suggested that improved nutritional knowledge did not relate to attitudes or to the shopping and eating behaviour of people with chronic schizophrenia living in the community. A future need to address this lack of generalisation of skills was identified.
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Rooijackers, Teuni, G. A. Zijlstra, Erik van Rossum, Ruth G. Vogel, Marja Veenstra, Gertrudis I. J. Kempen, and Silke Metzelthin. "A Training Program for Professionals to Encourage Independence of Home-Living Older Adults: A Process Evaluation." Innovation in Aging 4, Supplement_1 (December 1, 2020): 629–30. http://dx.doi.org/10.1093/geroni/igaa057.2150.
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Abstract Stay Active at Home (SAaH) was developed to change homecare professionals’ behavior towards encouraging older adults’ independence in daily activities. This mixed-methods study evaluated SAaH regarding implementation, mechanisms of impact, and context. SAaH was implemented in five Dutch homecare teams (162 professionals). Quantitative data were collected from all professionals, and five focus groups with 23 professionals and 4 interventionists were performed. Data were analyzed using descriptive statistics and qualitative content analysis. SAaH was feasible to implement. Professionals visited on average 73% of the programme meetings. They reported positive changes in their knowledge, attitude, and skills, and perceived social and organizational support regarding the new way of working. The extent to which professionals applied SAaH in practice varied. SAaH was easier to apply among new clients. Perceived barriers were time pressure and staff shortages, and people’s resistance to change. Tailoring the intervention to professionals’ needs and wishes could improve their compliance. Part of a symposium sponsored by Nursing Care of Older Adults Interest Group.
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Bunn, Frances, Claire Goodman, Peter Reece Jones, Bridget Russell, Daksha Trivedi, Alan Sinclair, Antony Bayer, Greta Rait, Jo Rycroft-Malone, and Chris Burton. "Managing diabetes in people with dementia: a realist review." Health Technology Assessment 21, no. 75 (December 2017): 1–140. http://dx.doi.org/10.3310/hta21750.
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BackgroundDementia and diabetes mellitus are common long-term conditions that coexist in a large number of older people. People living with dementia and diabetes may be at increased risk of complications such as hypoglycaemic episodes because they are less able to manage their diabetes.ObjectivesTo identify the key features or mechanisms of programmes that aim to improve the management of diabetes in people with dementia and to identify areas needing further research.DesignRealist review, using an iterative, stakeholder-driven, four-stage approach. This involved scoping the literature and conducting stakeholder interviews to develop initial programme theories, systematic searches of the evidence to test and develop the theories, and the validation of programme theories with a purposive sample of stakeholders.ParticipantsTwenty-six stakeholders (user/patient representatives, dementia care providers, clinicians specialising in dementia or diabetes and researchers) took part in interviews and 24 participated in a consensus conference.Data sourcesThe following databases were searched from 1990 to March 2016: MEDLINE (PubMed), Cumulative Index to Nursing and Allied Health Literature, Scopus, The Cochrane Library (including the Cochrane Database of Systematic Reviews), Database of Abstracts of Reviews of Effects, the Health Technology Assessment (HTA) database, NHS Economic Evaluation Database, AgeInfo (Centre for Policy on Ageing – UK), Social Care Online, the National Institute for Health Research (NIHR) portfolio database, NHS Evidence, Google (Google Inc., Mountain View, CA, USA) and Google Scholar (Google Inc., Mountain View, CA, USA).ResultsWe included 89 papers. Ten papers focused directly on people living with dementia and diabetes, and the rest related to people with dementia or diabetes or other long-term conditions. We identified six context–mechanism–outcome (CMO) configurations that provide an explanatory account of how interventions might work to improve the management of diabetes in people living with dementia. This includes embedding positive attitudes towards people living with dementia, person-centred approaches to care planning, developing skills to provide tailored and flexible care, regular contact, family engagement and usability of assistive devices. A general metamechanism that emerges concerns the synergy between an intervention strategy, the dementia trajectory and social and environmental factors, especially family involvement. A flexible service model for people with dementia and diabetes would enable this synergy in a way that would lead to the improved management of diabetes in people living with dementia.LimitationsThere is little evidence relating to the management of diabetes in people living with dementia, although including a wider literature provided opportunities for transferable learning. The outcomes in our CMOs are largely experiential rather than clinical. This reflects the evidence available. Outcomes such as increased engagement in self-management are potential surrogates for better clinical management of diabetes, but this is not proven.ConclusionsThis review suggests that there is a need to prioritise quality of life, independence and patient and carer priorities over a more biomedical, target-driven approach. Much current research, particularly that specific to people living with dementia and diabetes, identifies deficiencies in, and problems with, current systems. Although we have highlighted the need for personalised care, continuity and family-centred approaches, there is much evidence to suggest that this is not currently happening. Future research on the management of diabetes in older people with complex health needs, including those with dementia, needs to look at how organisational structures and workforce development can be better aligned to the needs of people living with dementia and diabetes.Study registrationThis study is registered as PROSPERO CRD42015020625.FundingThe NIHR HTA programme.
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Liu, Sam, Isabela Gouveia Marques, Megan A. Perdew, Karen Strange, Teresa Hartrick, Joy Weismiller, Geoff D. C. Ball, Louise C. Mâsse, Ryan Rhodes, and Patti-Jean Naylor. "Family-based, healthy living intervention for children with overweight and obesity and their families: a ‘real world’ trial protocol using a randomised wait list control design." BMJ Open 9, no. 10 (October 2019): e027183. http://dx.doi.org/10.1136/bmjopen-2018-027183.
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IntroductionFamily-based behavioural weight management interventions are efficacious and widely used to address childhood obesity. Curriculum and strategies vary extensively and scale-up often depends on ensuring that the intervention fits the adoption context.Aims and objectivesTo evaluate the impact and implementation of a ‘made in British Columbia’ (BC) family-based early intervention programme (EIP) for 8–12 years old with overweight and obesity and their families.Methods and analysisA randomised waitlist-control trial will assess a 10-week interactive, family-based lifestyle intervention followed by four maintenance sessions, in BC, Canada. We aim to enrol 186 families. The blended intervention includes at least 26 contact hours between participants and programme providers, including interactive activities and educational materials through weekly 90-min group sessions, an online family portal, and self-directed family activities. Curricular content includes information and activities related to healthy eating, physical activity (PA), positive mental health, parenting practices and sleep hygiene. The waitlist control group will receive a modified programme with the same 10-week sessions in the family portal, and four group sessions. Families participate in data collection at baseline, postintervention (week 10) and follow-up (week 18). The primary outcome is to assess changes in child body mass index z-score at 10 weeks between the groups. Secondary outcomes include changes at 10 weeks between the groups in child and parent PA behaviour and skills, healthy eating behaviour, and mental health. Process evaluation will address reach, implementation and maintenance (baseline, 10-week and 18-week) using recruitment tracking forms, parent questionnaire, programme attendance tracking forms, leader feedback surveys, parents and children satisfaction surveys and postprogramme interviews with facilitators, stakeholders and parents. Intention-to-treat analyses will be conducted. Process evaluation will be analysed thematically.Ethics and disseminationStudy procedures were designed to address research and community needs and will follow ethical standards.Trial registration numberNCT03643341.
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Foley, Louise, Bridget Kiely, Aisling Croke, James Larkin, Susan M. Smith, Barbara Clyne, Maria Pierce, and Edel Murphy. "A protocol for the evaluation of the process and impact of embedding formal and experiential Public and Patient Involvement training in a structured PhD programme." Journal of Multimorbidity and Comorbidity 11 (January 1, 2021): 263355652110247. http://dx.doi.org/10.1177/26335565211024793.
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Background: Incorporating Public and Patient Involvement (PPI) into doctoral research is valued by PhD scholars. The importance of providing early career researchers with appropriate education and training to develop skills to conduct meaningful involvement has been articulated. The Collaborative Doctoral Award in MultiMorbidity (CDA-MM) PhD programme embedded formal PPI training as a postgraduate education component. Four PhD scholars taking part in the CDA-MM established a PPI panel comprising people, and carers of people, living with multimorbidity (≥2 chronic conditions), presenting an opportuning for experiential PPI training. The proposed study aims to evaluate the process and impact of formal and experiential PPI training during a PhD programme. Design: Embedding PPI training in a PhD programme is a novel approach. This evaluation will include a process evaluation to provide an understanding of the workings of the PPI panel and explore the experiences of key stakeholders involved, and an impact evaluation to assess the impact of embedding PPI training in a PhD programme. This study is a longitudinal mixed-methods evaluation, conducted over 24 months. Participants include PhD scholars, PPI contributors and PhD supervisors. An independent researcher not aligned with the CDA-MM will lead the evaluation. Data collection methods include focus groups, individual interviews, an impact log and group reflections. Qualitative data will be analysed using thematic and content analysis and quantitative data will be analysed using descriptive statistics. Discussion: This evaluation will report the learnings from embedding formal and experiential PPI training and education across a PhD programme.
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Castro, Dina C., Bobbie B. Lubker, Donna M. Bryant, and Martie Skinner. "Oral language and reading abilities of first-grade Peruvian children: Associations with child and family factors." International Journal of Behavioral Development 26, no. 4 (July 2002): 334–44. http://dx.doi.org/10.1080/01650250143000229.
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This study investigated the relationship between selected child and family demographic characteristics (child age, child sex, child birth order, maternal education, and parent language status), family processes (parent-to-child reading at home, and parent expectations about child’s educational attainment), and preschool experience with poor Peruvian first-grade children’s oral language and reading abilities, and examined whether those factors help to explain differences among children living in poverty. First-grade students ( N = 137) of five schools in a poor neighbourhood of Lima, Peru participated in the study. Children were given picture vocabulary, verbal analogies, letter-word identification, and reading comprehension tests. Information about the children and their families was gathered through parent interviews. Children whose parents had higher expectations obtained higher scores on picture vocabulary, verbal analogies, letter-word identification and reading comprehension. Children who attended private and public preschools obtained higher scores in letter-word identification than those who did not attend preschool. These findings support previous research on the relevance of family beliefs, above and beyond sociodemographic variables, as contributors to children’s oral language and reading, and provide some evidence of the benefits of preschool among children living in poverty. Future research is recommended to identify the specific strategies used by low-income Peruvian parents with high expectations to support their children’s language and reading; and to determine the relationships between type and quality in Peruvian preschool programmes, and programme practices that may differentially affect children’s language and reading skills.
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Munyayi, Farai Kevin, and Brian van Wyk. "Interventions for improving treatment outcomes in adolescents on antiretroviral therapy with unsuppressed viral loads: a systematic review protocol." BMJ Open 11, no. 9 (September 2021): e049452. http://dx.doi.org/10.1136/bmjopen-2021-049452.
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IntroductionAdolescents represent one of the most underserved population groups among people living with HIV. With successes in the elimination of mother to child transmission initiatives and advances in paediatric HIV treatment programmes, a large population of HIV-infected children are surviving into adolescence. Adolescence presents unique challenges that increase the risk of non-suppressed viral loads in adolescents living with HIV (ALHIV). There is a need to develop, implement and test interventions to improve viral suppression among ALHIV. Systematic reviews of recent studies present scarce and inconclusive evidence of effectiveness of current interventions, especially for adolescents. This protocol provides a description of a planned review of interventions to improve treatment outcomes among unsuppressed ALHIV.Methods and analysisA comprehensive search string will be used to search six bibliographic databases: PubMed/MEDLINE, Sabinet, EBSCOhost, CINAHL, Scopus and ScienceDirect, for relevant studies published between 2010 and 2020 globally, and grey literature. Identified articles will be exported into Mendeley Reference Management software and two independent reviewers will screen the titles, abstracts and full texts for eligibility. A third reviewer will resolve any discrepancies between the two initial reviewers. Studies reporting on interventions to improve viral suppression, retention and adherence for adolescents will be considered for inclusion. The systematic review will be performed and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. Where feasible, a meta-analysis will be conducted using Stata Statistical Software: Release V.16. The quality of the studies and risk of bias will be assessed using the Critical Appraisal Skills Programme checklists and Risk of Bias in Non-randomised Studies of Interventions tool, respectively.Ethics and disseminationThe systematic review entails abstracting and reviewing already publicly available data rather than any involvement of participants, therefore, no ethical clearance will be required. Results will be shared with relevant policy-makers, programme managers and service providers, and published and share through conferences and webinars.PROSPERO registration numberCRD42021232440.
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Dunnell, L., K. Chu, A. Barnard, and G. Walker. "467 FRAILTY IN SITU SIMULATION." Age and Ageing 50, Supplement_2 (June 2021): ii8—ii13. http://dx.doi.org/10.1093/ageing/afab116.06.
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Abstract Introduction The ability to recognise and manage frailty and its associated presentations is variable among acute hospital staff. Patients living with frailty who are admitted to hospital are more likely to suffer adverse effects than those without. We created an inter-professional in-situ simulation programme designed to improve recognition and management of frailty and its common adverse events. The programme objectives align with recommendations from the British Geriatric Society’s ‘Frailty Hub’ and Royal College of Physicians’ ‘Acute Care Toolkit’ for frailty. Method Over a two month period, seven sessions were completed on the Older Persons Unit (OPU) at St Thomas’ Hospital. These comprised a simulated scenario followed by facilitated debrief—including technical skills and human factors highlighted by the scenario. Quantitative data was collected through pre and post session questionnaires using the Human Factors Skills for Healthcare Instrument (HuFSHI) and frailty based questions. Post session qualitative data was also collected. Results 30 participants attended the sessions (nursing, medical and allied health professional). All participants completing the post course questionnaire found the sessions useful. When comparing pre and post session data, participant confidence in 10/12 sections of the HuFSHI and 8/9 frailty based questions demonstrated improvement. The qualitative data showed common learning themes around improved communication, teamwork and escalation. Participants found that the sessions were a valuable ‘opportunity to reflect’ and ‘debrief’, and learn together as a multidisciplinary team. Conclusion In-situ simulation is an effective tool for improving knowledge and confidence in managing frail patients. It increases awareness and understanding of human factors, which are key to the multidisciplinary approach frail patients require. The course is being expanded across the OPU and now has funding for a departmental manikin. The programme can be disseminated to other units to help improve the care and safety of those with frailty in hospital.
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Leff, Julian, and Noam Trieman. "Long-stay patients discharged from psychiatric hospitals." British Journal of Psychiatry 176, no. 3 (March 2000): 217–23. http://dx.doi.org/10.1192/bjp.176.3.217.
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BackgroundThere have been no large-scale prospective studies evaluating the transfer of care from psychiatric hospitals to district-based services.AimsWe aimed to compare the quality of life of patients in two north London hospitals scheduled for closure with that in the community homes to which they were discharged.MethodThe total long-stay population of Friern Hospital and several hundred long-stay patients in Claybury Hospital were assessed with a batch of eight schedules while in hospital. They were followed up after one year in the community and then at five years.ResultsOf the 670 discharged patients, 126 died before the five-year follow-up. Data were obtained on 523 (97%) of the survivors. There was no change in the patients' clinical state or in their problems of social behaviour. However, they gained domestic and community living skills. They also acquired friends and confidants. They were living in much freer conditions and the great majority wanted to remain in their current homes.ConclusionsCommunity care has enhanced the quality of life of this group of patients, involved in a well-planned and adequately resourced reprovision programme.