25 research outputs found
Enjoying Work or Burdened by it? How Personal Assistants Experience and Handle Stress at Work
A train-the-trainer education and promotion program: chronic fatigue syndrome – a diagnostic and management challenge
<p>Abstract</p> <p>Background</p> <p>Chronic fatigue syndrome (CFS) is a complicated illness for providers and patients. Fewer than 20% of persons with CFS have been diagnosed and treated. For providers, compounding the issue are the challenges in making a diagnosis due to the lack of a biomedical marker.</p> <p>Methods</p> <p>The objective of the CFS diagnosis and management curriculum was to instruct core trainers as to the evaluation, diagnosis, and management of CFS. Over a two year period, 79 primary care physicians, physician assistants, and nurse practitioners from diverse regions in the U.S. participated as core trainers in a two day Train-the-Trainer (TTT) workshop. As core trainers, the workshop participants were expected to show increases in knowledge, self-efficacy, and management skills with the primary goal of conducting secondary presentations.</p> <p>Results</p> <p>The optimal goal for each core trainer to present secondary training to 50 persons in the health care field was not reached. However, the combined core trainer group successfully reached 2064 primary care providers. Eighty-two percent of core trainers responded "Very good" or "Excellent" in a post-tessurvey of self-efficacy expectation and CFS diagnosis. Data from the Chicago workshops showed significant improvement on the Primary Care Opinion Survey (p < 0.01) and on the Relevance and Responsibility Factors of the CAT survey (p = 0.03 and p = 0.04, respectively). Dallas workshop data show a significant change from pre- to post-test scores on the CFS Knowledge test (p = 0.001). Qualitative and process evaluation data revealed that target audience and administrative barriers impacted secondary training feasibility.</p> <p>Conclusion</p> <p>Data show the workshop was successful in meeting the objectives of increasing CFS knowledge and raising perceived self-efficacy towards making a diagnosis. The CFS TTT program informed an educational provider project by shifting the format for physicians to grand rounds and continuing medical education design while retaining TTT aspects for nurse practitioners and physicians assistants. Evaluations also indicate that secondary trainings may be more readily employed and accepted if administrative barriers are addressed early in the planning phases.</p
Microsatellites in Portuguese autochthonous horse breeds: usefulness for parentage testing
Protocol for a statewide randomized controlled trial to compare three training models for implementing an evidence-based treatment
Family outcomes in early intervention: results from a nationwide study in Portugal
Several studies have stressed the outcomes for families who are supported
by Early Intervention in the following dimensions: knowledge/information;
development of competencies; well-being; and quality of life. As a result,
this study assessed 999 families to examine the outcomes of Early
Intervention in Portugal. Our results show that families supported by
Early Intervention benefit in dimensions related to the development of
competencies in the child and the family, and to the gain of information
and knowledge about support and community resources, which results
in perceived control and co-responsibility. The analysis of the outcomes
of Early Intervention also shows that parents’ education and occupation
levels are determining variables for a family to benefit from the positive
impact of Early Intervention. In light of such results, we present
recommendations for practices in the area of Early Intervention with the
aim of adapting the practices of professionals to the concerns and
priorities of Portuguese families.This work is funded by CIEd – Research Centre on Education, projects [grant number UID/CED/1661/2013 and UID/CED/1661/2016], Institute of Education, University of Minho, through national funds of FCT/MCTES-PT