SEARCH · PubMed Health

Results for “Program Design”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 433 records · Page 24Linked to original sources

PubMed1993

Education in adult basic life support training programs.

The Panel on Educational Issues in Adult Basic Life Support Training Programs reviewed the characteristics of adult learners, aspects of educational theory, issues concerning barriers to learning and performing CPR, and issues concerning testing and evaluation. The panel made the following recommendations: a comprehensive evaluation of the basic life support program with the goal of improving the program design and educational tools must be initiated; adult programs must be designed to motivate laypersons to become trained in CPR, as well as to target relatives and friends of high-risk individuals; and emotional and attitudinal issues, including the student's reluctance to act in an emergency, must be addressed. Programs must incorporate information on the willingness of an individual to perform CPR; CPR programs must be simplified and focus on critical success factors; flexible educational approaches in programs are encouraged; flexible programming that addresses the needs of the allied health professional is encouraged; formal testing should be eliminated for layperson programs; and formal testing for health care providers and instructors should be continued.

Adult↗

PubMedDate not supplied

Evaluation of a multistate faith-based program for children affected by natural disaster.

OBJECTIVES: To systematically evaluate Camp Noah, a faith-based intervention for children affected by natural disaster: to assess the extent to which the camps were carried out according to the program design, to describe how the Camp Noah program was implemented, and to explore Camp Noah program effects on children. DESIGN: Qualitative survey. SAMPLE: Twenty-eight local, state, and national stakeholders. MEASUREMENT: Open-ended interviews. RESULTS: Although camps adhered to the curriculum, many implementation weaknesses resulted from a lack of clear program structure and written procedures. Stakeholders observed that children generally were able to process their disaster experiences in the camp, and some children exhibited increased understanding of God's role in their disaster experience. Stakeholders also described parent reports of increased coping skills related to weather among some children. Lastly, stakeholders both observed positive effects of Camp Noah on children's behaviors and symptoms and described changes reported to them by parents. CONCLUSIONS: Every year, thousands of children suffer emotionally as a result of natural disaster in the United States. With public health nursing support and improvements in infrastructure, Camp Noah may be a promising intervention to address this important public health problem.

Adaptation, Psychological↗

PubMed2002

[Computer aided intracranial aneurysm embolization with GDC].

OBJECTIVE: To establish an expert system that automatically generates optimal GDC selection program for the embolization of intracranial aneurysm. METHODS: Twenty highly cost-effective cases of intracranial aneurysm embolized with GDC dense packing were collected. Each of them contains information including aneurysm's volume measured by three-dimension digital subtraction angiography (3D DSA), aneurysm's location, maximum transverse diameter, maximum length diameter, and GDC selection program. An expert system made up of a case base, a mathematical model simulating experts' experience (established with the help of data mining techniques combining multi-layer perceptron network with polyhedrons in high dimensional space), and data envelopment analysis (DEA), was implemented. RESULTS: When the user inputted four required parameters (volume, location, maximum transverse diameter, and maximum length diameter) into the expert system and clicked the "program design" button, candidate GDC selection program(s) would be presented in the result box. CONCLUSION: Case base, data mining techniques, and DEA can be used to establish the expert system that automatically generates optimal GDC selection program for the embolization of intracranial aneurysm. Its clinical value needs to be further evaluated.

Adult↗

PubMed1996

HIV/AIDS related knowledge, attitudes, and preventive behavior of pregnant Korean women.

OBJECTIVE: To assess HIV-AIDS-related knowledge, attitudes, and preventive behavior of pregnant Korean women before designing patient and public education programs. DESIGN: Pre-experimental cross-sectional survey. POPULATION, SAMPLE, SETTING, YEARS: Convenience sample of 409 women at six prenatal clinics in Seoul, Korea, in 1993. OUTCOME MEASURES: HIV-AIDS-related knowledge, attitudes, and preventive behavior. METHODS: Self-administered questionnaires. FINDINGS: The women described high levels of knowledge about HIV and AIDS risk factors but less knowledge about transmission of the virus, as well as attitudes of rejection toward unrelated people with HIV/AIDS; 16% provided condoms for their husband's use in extramarital sex, the primary risk behavior. CONCLUSIONS: Korean women are at risk for heterosexual transmission of HIV despite knowledge of risk factors. CLINICAL IMPLICATIONS: Korean education programs for women should focus on modes of heterosexual transmission, care of individuals with HIV or AIDS, self-assessment of HIV-AIDS risk, and self protection.

Female↗

PubMed1999

Rationale, design, and baseline results of the Pravastatin-to-Simvastatin Conversion Lipid Optimization Program (PSCOP).

A program designed to increase the percentage of patients at a Department of Veterans Affairs health system who meet their cholesterol goals as recommended by the National Cholesterol Education Program (NCEP) is described, and baseline results are reported. Patients with an active prescription for pravastatin between February 4 and June 4, 1997, were identified for conversion to simvastatin by means of the Pravastatin-to-Simvastatin Conversion Lipid-Optimization Program; 1361 patients were eligible for conversion. Each patient was mailed a survey for determining risk factors for coronary heart disease (CHD) and NCEP-recommended low-density lipoprotein (LDL) cholesterol goal and was asked to provide a fasting blood sample for determination of lipid profile, liver function, and serum creatine phosphokinase concentration. The patients were asked to make a follow-up laboratory visit six to seven weeks after they had started taking simvastatin. The percentage change from baseline and the percentage of patients who meet their LDL cholesterol goal before and after the conversion will be determined. A total of 1115 patients were converted to simvastatin. Only 35.4% of patients taking pravastatin to prevent a second CHD-related event met or exceeded their LDL cholesterol goal. Only 36.2% of patients with two or more CHD risk factors who were taking pravastatin for primary prevention met or exceeded their LDL cholesterol goal. In a veterans population, less than half of patients receiving a 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor had LDL cholesterol concentrations that met goals recommended by the NCEP.

Aged↗

PubMed2006

Facilitating interpersonal interaction and learning online: linking theory and practice.

INTRODUCTION: An earlier study of physicians' perceptions of interactive online learning showed that these were shaped both by program design and quality and the quality and quantity of interpersonal interaction. We explore instructor roles in enhancing online learning through interpersonal interaction and the learning theories that inform these. METHODS: This was a qualitative study using focus groups and interviews. Using purposive sampling, 50 physicians were recruited based on their experience with interactive online CME and face-to-face CME. Qualitative thematic and interpretive analysis was used. RESULTS: Two facilitation roles appeared key: creating a comfortable learning environment and enhancing the educational value of electronic discussions. Comfort developed gradually, and specific interventions like facilitating introductions and sharing experiences in a friendly, informative manner were helpful. As in facilitating effective small-group learning, instructors' thoughtful use of techniques that facilitated constructive interaction based on learner's needs and practice demands contributed to the educational value of interpersonal interactions. DISCUSSION: Facilitators require enhanced skills to engage learners in meaningful interaction and to overcome the transactional distance of online learning. The use of learning theories, including behavioral, cognitive, social, humanistic, and constructivist, can strengthen the educational design and facilitation of online programs. Preparation for online facilitation should include instruction in the roles and techniques required and the theories that inform them.

Attitude of Health Personnel↗

PubMed1995

Health promotion and the older population: expanding our theoretical horizons.

As the year 2000 approaches (and beyond) more health educators will be involved in the implementation of health promotion programs and related activities specifically designed for the older population. Most health educators draw upon a variety of theoretical frameworks as they design programs. Traditionally, health education has been grounded in behavior change theories such as the Health Belief Model, the Theory of Reasoned Action, and Bandura's Social Learning/Cognitive Theories. When the focus is gerontological, however, an opportunity exits to expand health education's theoretical horizons by incorporating features drawn from gerontology itself. Principles of adult cognitive development, social gerontology and person-environment fit can potentially complement and supplement those models already in use as more programs are targeted for a growing older population.

Adaptation, Psychological↗

PubMed1993

Job sharing in clinical nutrition management: a plan for successful implementation.

While women continue to enter the American work force in record numbers; many experience difficulty in juggling career and family obligations. Flexible scheduling is one option used to ease work and family pressures. Women's changing work roles have potentially noteworthy implications for clinical nutrition management, a traditionally female-dominated profession where the recruitment and retention of valued, experienced registered dietitians can prove to be a human resources challenge. Job sharing, one type of flexible scheduling, is applicable to the nutrition management arena. This article describes and offers a plan for overcoming obstacles to job sharing, including determining feasibility, gaining support of top management, establishing program design, announcing the job share program, and using implementation, monitoring, and fine-tuning strategies. Benefits that can be derived from a successful job share are reduced absenteeism, decreased turnover, enhanced recruitment, improved morale, increased productivity, improved job coverage, and enhanced skills and knowledge base. A case study illustrates one method for achieving job sharing success in clinical nutrition management.

Dietary Services↗

PubMed2000

Use of a supermarket shelf-labeling program to educate a predominately minority community about foods that promote heart health.

OBJECTIVE: The purpose of this study was to evaluate the awareness and use of a supermarket-shelf labeling program designed to encourage shoppers to make food choices that promote heart health. DESIGN: A shelf-labeling program was implemented in 18 supermarkets serving minority communities in Detroit, Mich. Customers were given an exit survey to determine awareness and use of the program. SUBJECTS/SETTING: Three hundred sixty-one subjects were sampled. Sixty-six percent of the sample was female, 67% African-American, and the sample population had a mean age of 51.6 years +/- 18.5 SD. RESULTS: Overall awareness of the program was 28.8%. Awareness among minorities was significantly higher when compared with whites (35.3% vs 20.8%; P = .02). Gender, age, and education level were not predictive of program awareness but people screened for cardiovascular disease risk factors (elevated low-density lipoprotein or total cholesterol levels and/or elevated blood pressure) in the previous year had greater awareness than those not screened (32.6% vs 13.6%, P = .06). Use of the program was 56% among subjects aware of the program. This did not differ significantly by gender, age, or ethnicity. STATISTICAL ANALYSIS: Awareness and use were evaluated with respect to ethnicity, gender, education, race, age, and previous screening history. For purposes of analysis, African-American, Hispanic, and Asian-American respondents were combined into one group called "all minorities." The other group of respondents was called "whites." Between-group differences in categorical variables were analyzed using a chi 2 statistic. CONCLUSIONS: Awareness of the shelf-labeling program was modest, but highest among African-Americans. Subjects recently screened for cardiovascular disease risk had greater program awareness. This difference was not statistically significant. Use was relatively high among those aware of the program, suggesting that shelf labels have the potential to increase the selection of foods that promote heart health in predominately low-income, minority populations.

Adult↗

PubMedDate not supplied

Establishing adolescent and young adult therapy programs.

Perth Clinic is a 35-bed private psychiatric clinic. In February 1999 an adolescent and young adult therapy service was introduced in response to an increasing number of enquiries regarding the treatment of adolescent and young adults with psychiatric disorders. This program was developed by a working party of mental health professionals including psychiatrists, clinical psychologists, nurses and occupational therapists. The program design described the type of program to be delivered, its content and structure, and the method of evaluation. In consultation with similar services around the world, Perth Clinic developed two therapy streams for this population. The first is an inpatient program based on an open group format of 4 1/2 hours of therapy daily. The second is a closed group program conducted for two 3 hour sessions per week. Groups are held in the late afternoon (16.00-19.00 h) for an 8 week period. Both streams have a maximum of eight participants and all participants are referred by a psychiatrist. Outcomes are measured by a battery of clinical questionnaires which provide objective measurement of mood changes. Patient and parent satisfaction with the program is also measured. Indicators at this early stage are that this is an effective intervention program with high rates of attendance and good prognostic data. This study describes the first 6 months of this program's operation.

Adolescent↗

PubMed2003

Direct observation as a tool for needs assessment of resident teaching skills in the ambulatory setting.

OBJECTIVE: This study was undertaken to develop and test a tool for direct observation of resident clinical teaching skills as a needs assessment before designing programs to improve teaching. STUDY DESIGN: An 18-item checklist for a needs assessment of teaching skills was developed. Residents were observed teaching medical students while providing care in outpatient clinics. Teaching skills were documented by using the checklist, with each item assessed for performance only. Observations were compared across levels of resident education. RESULTS: Fifty-four encounters were observed and scored. There was no difference in frequency of skill performance with advancing level of training. Items relating to orientation and feedback were observed less frequently than other skills. CONCLUSION: The combination of the needs assessment tool and direct observations was used to evaluate teaching skill deficiencies. This study confirmed the findings of the AAMC Medical Student Graduation Questionnaire (MSGQ) of the nationwide need to improve specific resident teaching skills.

Ambulatory Care↗

PubMed2002

Home gardens focusing on the production of yellow and dark-green leafy vegetables increase the serum retinol concentrations of 2-5-y-old children in South Africa.

BACKGROUND: Production of yellow and dark-green leafy vegetables at the household level may provide economically deprived households with direct access to provitamin A-rich foods. OBJECTIVE: The aim of the study was to determine whether the dietary intake of yellow and dark-green leafy vegetables and the serum retinol concentrations of children improve with a home-gardening program. DESIGN: A home-gardening program was integrated with a community-based growth-monitoring system in a rural village. Cross-sectional data were collected at baseline and 20 mo after implementation of the program. The dietary intake, serum retinol concentrations, and growth of 2-5-y-old children and maternal knowledge regarding vitamin A were determined. A neighboring village served as a control village. RESULTS: In the experimental village, 126 home gardens were established, representing approximately one-third of the households. Serum retinol concentrations in the experimental village increased significantly (P = 0.0078), whereas those in the control village decreased significantly (P = 0.0148). At follow-up, children from the experimental village consumed yellow and dark-green leafy vegetables more often and had significantly higher (P = 0.005) serum retinol concentrations (0.81 +/- 0.22 micro mol/L; n = 110) than did children from the control village (0.73 +/- 0.19 micro mol/L; n = 111). Maternal knowledge regarding vitamin A improved significantly in the experimental village (P = 0.001). CONCLUSION: A home-gardening program that was integrated with a primary health care activity, linked to nutrition education, and focused on the production of yellow and dark-green leafy vegetables significantly improved the vitamin A status of 2-5-y-old children in a rural village in South Africa.

Adult↗

PubMed2004

The PCR suite.

The web application PCR Suite is an extension of the primer design program Primer3. It allows the design of primer sets encompassing single nucleotide polymorphisms, all exons of a single gene, all open reading frames in a list of cDNAs or the creation of overlapping PCR products.

Algorithms↗

PubMed2005

SilkSatDb: a microsatellite database of the silkworm, Bombyx mori.

The SilkSatDb (silkmoth microsatellite database) (http://www.cdfd.org.in/silksatdb) is a relational database of microsatellites extracted from the available expressed sequence tags and whole genome shotgun sequences of the silkmoth, Bombyx mori. The database has been rendered with a simple and robust web-based search facility, developed using PHP. The SilkSatDb also stores information on primers developed and validated in the laboratory. Users can retrieve information on the microsatellite and the protocols used, along with informative figures and polymorphism status of those microsatellites. In addition, the interface is coupled with Autoprimer, a primer-designing program, using which users can design primers for the loci of interest.

Animals↗

PubMed2005

Matching graduate education with societal need.

OBJECTIVES/HYPOTHESIS: A number of prior Ogura lecturers have focused on the need to change residency education in otolaryngology-head and neck surgery; nothing has changed. The present discussion is based on the notion that graduate medical education should reflect societal need. STUDY DESIGN: Lecture. METHODS: Information on graduate medical education is presented. RESULTS: The information presented substantiates the maldistribution of otolaryngologists and the mismatch of the design and output of our programs from the perspective of public need. CONCLUSION: It is proposed that the American Board of Otolaryngology should take the lead in substantive change with the targets being 1) providing flexibility in program design, 2) a 1-year reduction in core training in otolaryngology, and 3) expanded interaction with family medicine.

Family Practice↗

PubMed1988

Preventing infant mortality and morbidity: developmental perspectives.

Developmental approaches to the etiology of low birthweight and to the design and evaluation of antenatal programs are reviewed. Examples are presented of interventions focusing on family planning, educational program content, modification of health-related behavior, and improvement of access to antenatal care. A Harlem Hospital program, designed to alter pregnant women's behavior, is discussed as an exemplar of possible collaboration among pediatricians, obstetricians, and developmentally oriented mental health professionals.

Cross-Sectional Studies↗

PubMed1967

The process values of university research. A new research funding system is needed for federal support of the process values of university research.

The process values of university research are important in the context of several significant social and economic trends in American life. These values are being taken into account in the design and administration of federal programs. Federal programs to support these values should be distinguished from programs to support the product values of research. Failure to distinguish between these two types of programs will lead to a further dilution of quality in programs designed to advance science as a legitimate end in itself. The scientific community can best protect its own interests by helping federal agencies and universities and colleges develop a funding system to support the process values of university research on a cooperative, regional basis.

Financing, Government↗

PubMedDate not supplied

Patients' need for information about cancer therapy.

PURPOSE/OBJECTIVES: To obtain detailed information about the preferences of patients with cancer and their need for information about side effects of cancer treatment to design an interactive multimedia educational program. DESIGN: Qualitative. SETTING: Regional rural academic medical center. SAMPLE: 51 patients and 14 spouses of patients who either currently were undergoing or recently had completed chemotherapy or radiation therapy for cancer. METHODS: Focus groups. MAIN RESEARCH VARIABLES: Information needs and common and distressing symptoms. FINDINGS: Patients wanted information about the process of getting treatment, specific side effects that might occur, and the impact of treatment on their lives. Patients sought information from a variety of sources, but many found that other patients were the most helpful source. Although most patients wanted as much information as possible so they would be prepared for whatever happened, some patients preferred to avoid information about possible side effects. Several obstacles related to information were reported, including access to providers, communication difficulties with providers, informational overload, and problems with retention. CONCLUSIONS: Several aspects regarding information needs confirmed previous findings, and new aspects were illuminated. This led to a conclusion that multimedia technology offered many advantages to meet these informational needs. IMPLICATIONS FOR NURSING: New approaches to patient education that will meet the needs of patients as well as clinicians and educators need to be developed.

Adult↗