The challenges facing innovation teams in healthcare organizations: A case study of King Abdullah Medical City

Understanding the challenges of team-based projects is a phenomenon that has become increasingly critical to both academics and practitioners. Identifying the obstacles which inhibit team-based project effectiveness is crucial to health organizations. Research exploring the challenges facing team members during the stages of team building is limited. Further, exploring the role of leadership style on Hence, the current study delves into the challenges facing innovation team members in King Abdullah Medical City during the team development stages. Based on Tuckman's stage development model, the study identifies the challenges facing members during the five stages of team development stages (i.e., forming, storming, performing, norming, and adjourning). Four focused groups, eight face-to-face interviews and unstructured personal observation have been used to collect data for this study. The findings reveal five critical themes related to the challenges confronting innovation team members during the stages of team development. In particular, the storming and norming stages are found to be the most critical stages, which involve many difficulties such as leader characteristics, communication, task distribution

AN ENHANCEMENT TO CHOP

CHOP is a package by Max Neunh¨offer and Felix Noeske in computational group theory implemented in the computeralgebra system GAP.ThemainalgorithminCHOP, which wealso will call CHOP, finds all of the irreducible modules of a given module of an algebra and is the central focus of this paper. First, the theory behind the algorithm and why it works is explained. Then a potential improvement to the algorithm for special cases is suggested. This improvement is explored numerically and the degree to which it was successful is discussed

A Multi-Modality Intervention Improves Obesity Bias among Medical Students

Background: Obesity is linked to chronic diseases in adults and children. Its prevalence continues to grow in the United States, necessitating the need for healthcare provider training and presenting an opportunity for the education of future medical providers. Despite this need, effectively implementing obesity education into medical school curricula has been challenging. Anti-obesity bias amongst healthcare providers and trainees represents a significant obstacle to the care of patients with obesity. Obesity bias may affect up to 1/3 of medical students. Methods: This study describes the development and preliminary testing of a brief, 2.5 h multi-modality teaching intervention consisting of online, interactive, and independent learning modules for first-year medical students and a patient panel focused on obesity, obesity bias, and motivational interviewing. The participants took Crandall’s anti-fat attitude (AFA) questionnaire before and after an online independent learning module on motivational interviewing and obesity bias. The AFA consists of three subscales (“dislike”, “fear of fat”, and “willpower”). Individual responses were measured using a nine-point Likert-type response format (0 = very strongly disagree; 9 = very strongly agree). An average composite score was calculated for each subscale. Results: Data were analyzed from 103 first-year medical students enrolled at a college of medicine in the southwestern United States in 2022. The AFA mean composite scores decreased significantly, indicating a decrease in explicit anti-obesity attitude bias after completing the online module. This decrease was present in all three domains of fear (4.63 vs. 3.72, p p p Conclusions: Relatively brief educational interventions can positively impact students’ anti-obesity attitudes

Group Medical Visits for Addressing Weight and Blood Pressure in an Underserved Population

The effect of group medical visits (GMV) compared to individual medical visits (IMV), on weight and blood pressure in a large primary care practice serving a predominantly underserved population, was assessed. The records of 304 patients attending a weight-loss program were analyzed using mixed-effects regression models. Patients in GMV lost an average of 11.63 lbs, whereas patients in IMV lost an average of 3.99 lbs (p < 0.001). A total of 55% of patients lost ≥7% in GMV compared to 11% of patients in IMV (p ≤ 0.001). Individuals who lost >5% of their baseline weight had a higher reduction in overall blood pressure. For systolic and diastolic blood pressure, the differences between baseline and three months for GMV and IMV were −7.4 vs. 4.1 mm of Hg (p = 0.002) and −4.6 vs. 4.2 mm of Hg (p = 0.003), respectively. Results from this study demonstrate that GMV may be a potentially useful modality for addressing weight and blood pressure in an underserved population

Feasibility of a family-focused YMCA-based diabetes prevention program in youth: The E.P.I.C. Kids (Encourage, Practice, and Inspire Change) Study

Efficacious lifestyle modification programs for children at risk of type 2 diabetes (T2D) have not been well established outside of clinical settings. In this study, the feasibility of a family-focused, YMCA-based prevention program for children at risk of T2D was evaluated between September 2015 and July 2016 in Tucson, Arizona. A 12-week YMCA-led lifestyle intervention was adapted for 9–12-year-old children and their families to encourage healthy eating, physical activity, and supportive home environments. Two YMCA locations were randomized to offer either a face-to-face lifestyle coach-led intervention or an alternating face-to-face and digitally-delivered intervention. Program feasibility and preliminary effects on child anthropometric and behavioral outcomes were assessed at baseline and post-intervention. Changes were assessed using linear regression combining delivery formats, with adjustment for clustering of participants within site/format. Forty-eight children (10.9 ± 1.2 years old; 45% female; 40% Hispanic; 43% White; 87% obese) and their parents enrolled, and 36 (75%) completed 12-week measures. Weekly program attendance averaged 61%. Participants and coaches highly rated program content and engagement strategies. Statistically significant changes in child BMI-z score (−0.05, p = 0.03) and family food and physical activity environment (+5.5% family nutrition and physical activity score, p = 0.01) were observed. A YMCA-led family-focused T2D intervention was feasible for the YMCA and participants and effects on child weight, behavior, and the home environment warranted further investigation. Keywords: Pediatric obesity, Type 2 diabetes mellitus, Lifestyle intervention, YMCA, Diabetes preventio