Involvement in teaching improves learning in medical students: a randomized cross-over study

<p>Abstract</p> <p>Background</p> <p>Peer-assisted learning has many purported benefits including preparing students as educators, improving communication skills and reducing faculty teaching burden. But comparatively little is known about the effects of teaching on learning outcomes of peer educators in medical education.</p> <p>Methods</p> <p>One hundred and thirty-five first year medical students were randomly allocated to 11 small groups for the Gastroenterology/Hematology Course at the University of Calgary. For each of 22 sessions, two students were randomly selected from each group to be peer educators. Students were surveyed to estimate time spent preparing as peer educator versus group member. Students completed an end-of-course 94 question multiple choice exam. A paired t-test was used to compare performance on clinical presentations for which students were peer educators to those for which they were not.</p> <p>Results</p> <p>Preparation time increased from a mean (SD) of 36 (33) minutes baseline to 99 (60) minutes when peer educators (Cohen's <it>d </it>= 1.3; p < 0.001). The mean score (SD) for clinical presentations in which students were peer educators was 80.7% (11.8) compared to77.6% (6.9) for those which they were not (<it>d </it>= 0.33; <it>p </it>< 0.01).</p> <p>Conclusion</p> <p>Our results suggest that involvement in teaching small group sessions improves medical students' knowledge acquisition and retention.</p

Complementary and alternative medicine use among older Australian women - a qualitative analysis

Background: The use of complementary and alternative medicines (CAM) among older adults is an emerging health issue, however little is known about older people's experiences of using CAM and the cultural, geographical and other determinants of CAM use in this population. This study used qualitative methods to explore older women's views of CAM and reasons for their use of CAM. Participants for the project were drawn from the Australian Longitudinal Study on Women's Health (ALSWH) 1921-1926 birth cohort. Women who responded positively to a question about CAM use in Survey 5 (2008) of the ALSWH were invited to participate in the study. A total of 13 rural and 12 urban women aged between 83 and 88 years agreed to be interviewed

A randomized trial of a group based cognitive behavior therapy program for older adults with epilepsy: the impact on seizure frequency, depression and psychosocial well-being

Few studies have examined the effectiveness of cognitive behavior therapy to manage seizures and improve psychosocial functioning in older adults with epilepsy. This study evaluated the efficacy of a 6 week group CBT program in community dwelling adults with epilepsy who were aged over 60 years. A total of 37 participants were randomly assigned to either a CBT group or a control group. Measures of depression, dysthymia, psychosocial functioning and seizure frequency were completed at pre and post intervention. Seizure frequency was significantly reduced in the CBT group compared to the control group (Cohen's d 0.63). The results suggest that the relationship between seizure frequency and psychological and psychosocial well being in older adults requires further investigation. Although there were no significant between group differences on measures of depression and psychosocial functioning, both the CBT and control groups improved significantly from baseline. © 2010 Springer Science+Business Media, LLC

Parenting practices of mothers of children with ADHD: The role of maternal and child factors

Background: We examined the relationships among child behavioural and demographic characteristics and parent characteristics in understanding the effectiveness of parenting practices used by mothers of children diagnosed with ADHD. Method: One hundred and fifty Australian mothers of children diagnosed with ADHD were interviewed and asked to assess the severity of their child's disruptive behaviour, their own parenting sense of competence, perceptions of social isolation and parenting practices. The hypothesis was that severity of child disruptive behaviour, higher child age, 'only' child status, lower parental sense of competence and greater social isolation would be associated with the use of less effective parenting practices. Results: The regression analysis indicated that the combination of these variables was significantly associated with parenting practices, accounting for 32% of the variance. Unique contributions were evident for severity of overall behavioural disturbance and parental sense of competence. Conclusions: Theoretical and clinical implications are discussed together with methodological limitations of the study

Depression in a community dwelling sample of older adults with late onset or lifetime epilepsy

Epilepsy is one of the most common neurological disorders of late adulthood, yet little research has examined the impact of epilepsy in an older population, particularly in relation to depression. It has been argued that the symptomatology of interictal depression closely resembles that of dysthymia; however, our understanding of depression in older people with epilepsy is generalized from younger populations. This study examined the prevalence and symptomatology of depression, using both self-report and clinical interview, in a community-dwelling group of older adults with epilepsy compared with an age-matched control group. An additional aim of the study was to determine if a self-reported history of depression was a predictor of late-onset (after 55 years) epilepsy. Among the epilepsy group, 40.6% reported symptoms of depression that were congruent with dysthymic-like disorder of epilepsy; however, no relationship was apparent between prior depression and late-onset epilepsy

Physical activity and all-cause mortality in older women and men

Background Regular physical activity is associated with reduced risk of mortality in middle-aged adults; however, associations between physical activity and mortality in older people have been less well studied. The objective of this study was to compare relationships between physical activity and mortality in older women and men

Are the national guidelines for health behaviour appropriate for older Australians? Evidence from the Men, Women and Ageing Project

Aim:  To review findings from the Men, Women and Ageing (MWA) longitudinal studies and consider their implications for national health guidelines. Methods:  Guidelines for good health for older adults in the areas of body mass index (BMI), physical activity, alcohol consumption and smoking behaviours are compared with MWA findings. Results:  Findings from MWA suggest that current BMI guidelines may be too narrow because BMI in the overweight range appears to be protective for both older men and women. Across all levels of BMI, even low levels of physical activity decrease mortality risk compared with being sedentary. Our findings suggest that consideration should be given to having different alcohol guidelines for older men and women and should include recommendations for alcohol-free days. The benefit of quitting smoking at any age is apparent for both women and men. Conclusions:  Current national guidelines in the areas discussed in this paper should be reviewed for older people.Deirdre McLaughlin and Jon Adams, Osvaldo P Almeida, Wendy Brown, Julie Byles, Annette Dobson, Leon Flicker, Graeme J Hankey, Konrad Jamrozik, Kieran A McCaul, Paul E Norman, Nancy A Pachan

Mental health: Findings from the Australian Longitudinal Study on Women’s Health

This report uses data from cohorts born 1973-78, 1946-51 and 1921-26 to explore patterns of mental health among Australian women as well as their use of mental health services. It includes analyses of factors associated with poor mental health as well as specific areas such as perinatal mental health, interpersonal relationships and mental health, and comorbidity of physical and mental health