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At least 883 records · Page 49Linked to original sources

The UCSF post-baccalaureate reapplication program: a preliminary report.

The University of California San Francisco School of Dentistry initiated a pilot project in 1998 to assist economically and/or educationally disadvantaged students to gain admission to dental school. Students entering the program have completed the requirements for admission to dental school, have applied, and been denied admission, and have expressed a desire to care for underserved populations. The program features a summer preparation course for the Dental Admission Test (DAT), learning skill workshops, seminars, and assistance in the reapplication process. The students participate in clinical clerkships and during the fall and spring semesters are enrolled in upper-division and graduate-level science courses at a local university. Five students participated in the pilot project in 1998; they were admitted in 1999 and have successfully completed the first year of dental school. The sixteen students enrolled in 1999 have now been admitted to one or more dental schools. Fourteen students are currently enrolled in the 2000/2001 academic year program.

Clinical Clerkship↗

[BE smokeFREE--from trials to national implementation].

BACKGROUND: After small-scale trials, BE smokeFREE, a tobacco education programme covering the three years of lower secondary school was offered to all Norwegian schools in 1997. We have studied the effects of the programme, comparing them with results from the pilot project (1994-97). MATERIAL AND METHODS: A representative sample of 3,691 students filled in a questionnaire on their smoking habits and attitude to smoking (response rate 75%). Students enrolled in the BE smokeFREE programme were compared with a group of non-enrolled students, and with a third group that reported not knowing whether they were enrolled or not. Information on implementation of the programme was obtained from the first cohort of teachers using the programme who were followed up over three years. The response rate varied from 62% to 65%. RESULTS: From 1997 to 2000, the proportion of Norwegian lower secondary classes enrolled increased from 42% to 62%. Over this period, a total of 110,000 students were enrolled in the programme, receiving on average four periods more of tobacco-related information than students outside the programme. Compared to other tobacco education programmes, BE smokeFREE has been shown to have a significant effect on maintenance of a non-smoking lifestyle, number of cigarettes smoked, experiments with chewed tobacco, expectations as to future smoking status and smoke-free behaviour in the school area. For 8th and 9th grade, maintenance of smoke-free status seems to be the same as in the pilot project; for the 10th grade, the results seem to be better. INTERPRETATION: The large-scale implementation of BE smokeFREE has been successful and should be continued.

Adolescent↗

[Pedalo--a community project for mothers of infants in St. Gallen-Rotmonten].

The "Pedalo" pilot project has been in the trial phase in St. Gallen's Rotmonten Quarter for a year and a half now. It was developed by a group of women residents of the quarter. Having the backing and support of the ZEPRA executive committee, the objective of the project is to reunite mothers with one or several small children and offer them support and guidance in everyday and crisis situations. The project is designed as a grassroots effort with a preventative character, working hand in hand with trained laypersons within Rotmonten and joining forces with other support organizations and agencies of the City of St. Gallen as needed (catalyst and coordination function). The model for the "Pedalo" meeting place was the Dutch intervention project Moeders informeren moeders (MIM, "Mothers Inform Mothers"). This project idea was adopted by a group of mothers who had previously taken the initiative in their own neighborhood. Today, "Pedalo" essentially provides for a meeting place, in addition to organizing ad-hoc events or campaigns in the neighborhood. Since the beginning of the trial phase the project has been supported by public funding and private donations.

Female↗

PRESTO--Prevention Study of Obesity: a project to prevent obesity during childhood and adolescence.

The PRESTO project has been launched as a school-oriented pilot project. The aims were to influence nutrition, physical activity and health. The intervention was performed by a multiprofessional team and covered 11 nutrition and health-related sessions with 1 h per week in each class. The initial poor knowledge was improved significantly to the control group with better results in grammar schools compared to comprehensive schools. BMI was not improved in overweight children. However, this project could serve as a successful model in Austria.

Adolescent↗

Looking at lessons on quality from the Medicare pay-for-performance hospital demonstration.

In 2003, the new CMS/Premier Hospital Quality Incentive Demonstration Project--a new type of pay-for-performance pilot project--was set up to financially reward hospitals that improved their care in five clinical areas. The top government players announcing the demo may have left for other endeavors, but 268 hospitals affiliated with Premier are participating in the initiative. With preliminary results in from the first year and the first payments due to be sent out this fall, The Quality Letter for Healthcare Leaders looks at what participating hospitals have accomplished in this pilot program with that financial carrot.

Hospitals↗

The experience of the Royal Children's Hospital Mental Health Service videoconferencing project.

In April 1995 the Royal Children's Hospital Mental Health Service in Melbourne piloted the use of videoconferencing in providing access for rural service providers and their clients to specialist child and adolescent psychiatric input. What began as a pilot project has in two years become integrated into the service-delivery system for rural Victoria. The experience of the service in piloting and integrating the use of videoconferencing to rural Victoria has been an important development for child and adolescent mental health services in Australia.

Adolescent↗

Managed-care projects strive for affordable long-term care.

Four small managed-care pilot projects are showing that long-term care can be provided affordably to senior citizens. Proponents say the prepaid health plans may provide a blueprint for the future role of hospitals in delivering and financing long-term care.

Aged↗

Evaluation of the use of health care assistants to support disadvantaged women breastfeeding in the community.

There is little experience of the use of health care assistants in the community to support breastfeeding in the UK. The aim of this project was to evaluate the implementation of a small-scale pilot project using health care assistants in the community to support disadvantaged women breastfeeding. The evaluation was funded as part of the Department of Health's Infant Feeding Initiative. A longitudinal observational and quasi-experimental design was used. The project involved women, who had recently given birth, living in an area of London identified by the government's Sure Start scheme as socio-economically disadvantaged. This paper focuses mainly on the findings drawn from the qualitative data focusing on the process of implementation, the role of the Support Worker and women's perceptions of the support. The findings suggest that the use of health care assistants in the community may offer a practical and encouraging approach in supporting breastfeeding which is acceptable to both breastfeeding women and health care professionals. More research is needed to establish whether the intervention significantly increases breastfeeding rates.

Adult↗

Project youth inform--a school-based sexually transmitted disease/acquired immune deficiency syndrome education programme.

A pilot project, ¿Youth Inform¿ endorsed by the Ministry of Health and Ministry of Education, Singapore, was undertaken in 1992 for 2 years. It aims to enhance sexually transmitted disease (STDs)/human immunodeficiency virus (HIV) control in Singapore by providing structured information for young people between the ages of 16 to 20 years in Polytechnics, Junior Colleges, Centralised Institutes and Pre-University Centres. Project Youth Inform comprises 8 components. They include a focus group discussion, a training seminar for teachers, a lecture/slide presentation cum question-and-answer session, an educational booklet/bookmark, exhibitions, a video, provisions for anonymous questions, and an evaluation. The programme is conducted during school hours at the premises of the institutions and the attendance per session is between 150 to 350 students. A total of 152 sessions have been completed for all the schools. It is ongoing and is currently administered by the School Health Service and Training and Health Education Department. Feedback from principals, teachers and students was gathered formally through surveys and informally through interviews and observations. One thousand students were randomly selected for the survey to assess their responses towards the programme. Eighty-six percent reported that they found it educational and informative. Indicators found to have an influence on the effectiveness of the programme were timing, vocabulary used (medical terms) and integration of the programme into the school's curriculum. In conclusion, Project Youth Inform was on the whole positively received. However, it is essential to constantly accommodate and adapt to new facts and methods of teaching and maintain close coordination with the Ministries and the schools. An effective STD/acquired immune deficiency syndrome programme is an important step towards the prevention, management and control of the epidemic.

Acquired Immunodeficiency Syndrome↗

A joint Department of Defense/American Cancer Society health promotion project.

A joint venture expanding cancer control programs and services to overseas activities is described. A pilot project tests the feasibility of using the U.S.-based American Cancer Society programs and techniques at overseas sites. Volunteer-led service-specific organizations deliver services, and recruit and maintain volunteers. Primary focus is tobacco control programs. Periodic evaluations identify problems, successes, and on-going needs. Demonstrated benefits to the community include resources for public and professional education, public information, tobacco use cessation, nutrition education, and DoDDS (youth) programs. The major challenge to success and expansion is to establish and maintain a stable volunteer force.

American Cancer Society↗

Telehealth in a rural school-based health center.

Telehealth is a new technology for the delivery of health care that allows a provider to deliver health care to a client at a remote setting via full, real-time video and audio interaction (American Nurses' Association, 1996). Telehealth does not change traditional health care standards or practice. School-based health centers are designed specifically for children and offer a continuum of preventive and acute care interventions that few other health care entities can provide (School-Based Adolescent Health Care Program, 1993). Telehealth and a school-based health center were joined together in a pilot project to demonstrate the efficacy of primary care via telehealth and to determine the value of this technology to the school and community. The telehealth capability enhanced the role of the school nurse and increased access to primary care for the students. The students were quick to adapt to the technology. The role of the school nurse was essential to the success of this project.

Child↗

Quality at the core. Interview by Anne Zender.

Is your hospital getting ready for the Joint Commission's core measures project? Some hospitals are already transmitting the necessary data as part of the pilot project. Here's how they are handling the challenges and deriving benefits.

Accreditation↗

Patient advocacy in Austria.

A presentation and discussion of a model of patient advocacy that can be viewed as the first comprehensive project of its kind in Austria. This service is in existence as a pilot project in only two psychiatric hospitals where some components of patient advocacy are being tested; the project refers to a concept of advocacy which is part of a draft bill on involuntary commitment that will possibly be passed this year.

Austria↗