scholarly journals How do you Implement a Digital Environment to Support a Training Group? | Comment organiser son environnement numérique pour soutenir le groupe en formation ?

Author(s):  
Anne Ronchi

This case deals with an instructional designer (ID) working at a European university who has been asked to convert an existing on-campus program for working professionals to online delivery. This case took place over a period of several months and led to the development of an online training program. The program was designed to facilitate management of the individual training courses, while supporting exchanges between participants from a highly heterogenous audience. Interpersonal relationships that developed within the group remained a basic component of the training experience. The main challenges encountered by the instructional designer were the module-based courses that emphasized personalized learning, a lack of confidence in the Program Coordinator, and a lack of ICT knowledge by the design team in an institutional context unfavorable to the use of ICT. The courses offered by this university were mainly on-campus and the LMS was mainly used as a content repository.

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
G.S Isayeva ◽  
M Vovchenko ◽  
O Buriakovska ◽  
A Shalimova ◽  
N Emelyanova

Abstract   A prospective randomized parallel-group study was performed to assess the effectiveness of group and individual educational training of patients of the fundamentals of medical knowledge to control risk factors. The study included 365 patients with high and very high cardiovascular risk; 150 had group training; 150 had individual training; 65 were a control group, follow-up period was 3 years. Blood pressure, body mass index (BMI), fat to muscle ratio (bioimpedance method, Body Composition Monitor BF511), physical activity (Walking style III pedometer), blood lipids, glucose, glycosylated hemoglobin, quality of life (SF-36 Health Status Survey questionnaire), eating habits, and compliance to medical therapy (Morisky-Green questionnaire) were evaluated before and after completion of the training. The composite endpoint was assessed (myocardial infarction, stroke, cardiovascular death, hospitalizations due to worsening of heart failure, urgent revascularization). Educational hours were the same in both groups, but in the “Individual group” patients had “face to face” visits with a medical specialists. All patients kept an individual diary. Statistical processing was performed using the SPSS 17 (IBM) package. Results In both training groups, a significant decrease in blood pressure and an increase of patients with the target blood pressure were found. After completing the educational course, the level of compliance to drug treatment in the “group training” had scored of 3.2 [1.5–3.5]; 3.5 [2.5–3.75] in the “individual training” group, and 2.0 [1.0–3.0] in the control group. Initially, the number of patients with the targeted blood pressure level was 63 (42.0%) and 67 (44.6%) persons in the “group training” and “individual training” groups; this parameter after training completion was 134 (89.3%, p=0.0001) in “group training” and 121 (80.6%, p=0.0001) in “individual training”. Patients undergoing “group training” did not have their blood lipids changed significantly. In the course of “individual training”, statistically significant decreases in total cholesterol by 21.1% (p=0.031), LDL cholesterol by 20.1% (p=0.04) and an increase in HDL cholesterol by 11% (p=0.03) were observed. A significant decrease in BMI (by 7.1%, p=0.011) and fat tissue content (10.2%, p=0.013) were observed only after “individual training”. Eating habits and smoking rate did not change significantly in the groups. An increase in physical activity was detected only in “individual training” group. Risk of cardiovascular events was lower “individual training” group (OR-0,32; CI 95% 0,12–0,84; p=0,02). Conclusion Both individual and group educational courses did not lead to a change in eating habits, but had significant effect on blood pressure. More significant effect of individual training compared to group training was found on blood lipids, physical activity and quality of life. A decrease in cardiovascular events was noted only in the “individual training” group. Funding Acknowledgement Type of funding source: Public Institution(s). Main funding source(s): L.T. Mala National Institute of Therapy NAMSU


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 714
Author(s):  
Isaac Aranda-Reneo ◽  
Laura Albornos-Muñoz ◽  
Manuel Rich-Ruiz ◽  
María Ángeles Cidoncha-Moreno ◽  
Ángeles Pastor-López ◽  
...  

Research has demonstrated that some exercise programs are effective for reducing fall rates in community-dwelling older people; however, the literature is limited in providing clear recommendations of individual or group training as a result of economic evaluation. The objective of this study was to assess the cost-effectiveness of the Otago Exercise Program (OEP) for reducing the fall risk in healthy, non-institutionalized older people. An economic evaluation of a multicenter, blinded, randomized, non-inferiority clinical trial was performed on 498 patients aged over 65 in primary care. Participants were randomly allocated to the treatment or control arms, and group or individual training. The program was delivered in primary healthcare settings and comprised five initial sessions, ongoing encouragement and support to exercise at home, and a reinforcement session after six months. Our hypothesis was that the patients who received the intervention would achieve better health outcomes and therefore need lower healthcare resources during the follow-up, thus, lower healthcare costs. The primary outcome was the incremental cost-effectiveness ratio, which used the timed up and go test results as an effective measure for preventing falls. The secondary outcomes included differently validated tools that assessed the fall risk. The cost per patient was USD 51.28 lower for the group than the individual sessions in the control group, and the fall risk was 10% lower when exercises had a group delivery. The OEP program delivered in a group manner was superior to the individual method. We observed slight differences in the incremental cost estimations when using different tools to assess the risk of fall, but all of them indicated the dominance of the intervention group. The OEP group sessions were more cost-effective than the individual sessions, and the fall risk was 10% lower.


Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
Javad vatani ◽  
Zahra Khanikosarkhizi ◽  
Mohammad Ali Shahabi Rabori ◽  
mohammad khandan ◽  
Mohsen aminizadeh ◽  
...  

BACKGROUND: Safety climate is a common insight of staff that indicates individuals’ attitudes toward safety and priority of safety at work. OBJECTIVES: Nursing is a risky job where paying attention to safety is crucial. The assessment of the safety climate is one of the methods to measure the safety conditions in this occupation. The aim of this study was to assess the safety climate of rehabilitation nurses working in hospitals in Tehran. METHODS: This is a cross-sectional study which was carried out on 140 rehabilitation nurses selected from all hospitals and clinics in Tehran in 2019. To collect the required data, a two-section questionnaire was used. The first section was related to demographic factors and the second part (22 statements) was to measure the safety climate using nurses’ safety climate assessment questionnaire. The collected data were analyzed by SPSS V16 using independent t-test, ANOVA, Kruskal-Wallis and Mann-Whitney U test at the 5% level. RESULTS: Findings showed that the total mean of safety climate was 3.06±0.56. According to the results, a significant difference was found between the positive and negative satisfaction of nurses with safety climates (P-value = 0.03), communication with nurses (P-value = 0.01) and supervisors’ attitude (P-value = 0.02). Furthermore, a significant difference in safety climate between the individual with the second job and the individual without second could be observed (P-value = 0.01). CONCLUSIONS: The results indicated that the safety climate was not at an acceptable level. Thus, it is essential to introduce safety training courses (e.g. safety, work-rest balance, and so on) and to improve the safety performance at work.


2020 ◽  
Vol 46 (7) ◽  
pp. 1156-1168 ◽  
Author(s):  
Anna Maria C. Behler ◽  
Catherine S. J. Wall ◽  
Adriana Bos ◽  
Jeffrey D. Green

Two studies examined how envy influences prosocial and antisocial behavior. In Experiment 1, participants in an envious state (relative to a neutral state) were less helpful: They picked up fewer dropped pencils in their immediate vicinity. We expanded upon these findings by examining how envy affected both helping and harming behavior in a competitive scenario. In Experiment 2, individuals in envious or neutral states assigned puzzle tasks to another student in a prisoner’s dilemma style scenario. Prosocial and antisocial behaviors were assessed via the difficulty of the assigned puzzles (easy puzzles were considered helpful and difficult puzzles were harmful). We hypothesized that experiencing envy would result in greater motive to harm as well as greater likelihood of engaging in harmful behavior. The hypothesis was supported, suggesting that envy has detrimental ramifications that go beyond the individual and extend to interpersonal relationships.


1989 ◽  
Vol 34 (5) ◽  
pp. 369-375 ◽  
Author(s):  
Malcolm West ◽  
Adreenne Sheldon ◽  
Linda Redtfer

Recent advances in attachment research provide a framework for defining the content and process of brief psychotherapy with adults. Attachment theory emphasizes a number of issues crucial to therapeutic work. Specifically, attachment relationships are enduring components of a individual's pattern of interpersonal behaviours. Functionally, attachment relationships address security needs. Insecure attachment arises from a representational model based on feared loss of the attachment figure, which predisposes the individual to have little confidence in the attachment figure's availability, responsiveness, and permanence. Behavioural responses to insecure attachment can lead to specific patterns of interpersonal relationships which, in turn, strengthen the representational model. Thus, a relatively stable, self-reinforcing system evolves and results in a consistent inability to experience security within attachment relationships. In this article, the authors describe the current framework for understanding adult attachment relationships and present clinical vignettes illustrating the saliency of attachment theory to common clinical presentations. The goal of the clinical intervention is defined as increasing the “permeability” of the individual's working model of attachment through affective and cognitive re-assessment of attachment experiences and expectations. Finally, the utility of this approach in evaluating the outcome and effectiveness of psychotherapy is highlighted.


2021 ◽  
Vol 11 (18) ◽  
pp. 8773
Author(s):  
Muhammad Adeel ◽  
Chien-Hung Lai ◽  
Chun-Wei Wu ◽  
Jiunn-Horng Kang ◽  
Jian-Chiun Liou ◽  
...  

Energy expenditure through metabolic equivalent (MET) prediction during resistance exercises in humans can be modeled by using cardiorespiratory parameters. In this study, we aimed to predict MET during six moderate-intensity resistance training sessions consisting of three different exercises. Eleven participants were recruited into two groups; an untrained (n = 5; with no resistance training experience) and a trained group (n = 6; with 2 months resistance training experience). Each participant completed six training sessions separated with a rest interval of 1–2 days. While wearing a mask for indirect calorimetric measurements using Cortex Metalyzer 3B, each participant performed training sessions consisting of three types of dumbbell exercises: shoulder press, deadlift, and squat. The metabolic equivalents (METs), respiratory exchange ratio (RER), heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), blood lactate (BL), and Borg rate of perceived exertion (RPE) were measured. The MET was predicted using generalized estimating equations (GEE) for repeated measure data collected during exercise and rest periods. It was observed that during exercise period, RER, HR, SBP, and BL for the training group (QIC = 187, 95% CI = −0.012~0.915, p = 0.000*~0.033*) while RER, HR, SBP, DBP, and RPE (QIC = 48, 95% CI = −0.024~0.422, p = 0.000*~0.002*) during resting period for untrained group significantly predicted MET for moderate-intensity interval resistance training. It is concluded that the cardiorespiratory variables are significantly related to MET. During exercise, RER and HR significantly predicted MET for both groups along with additional parameters of SBP and BL for the training group. While during the resting period, RER, HR, SBP, DBP, and RPE related significantly for untrained and BL for training group respectively.


2021 ◽  
Vol 201 (3) ◽  
pp. 482-495
Author(s):  
Adam Kunz

The article addresses using the Leopard 2 tank simulators and trainers based on training experience from the 1st battalion of 10th Armored Cavalry Brigade (10 BKPanc) and the Leopard Training Center from Świętoszów. The Leopard 2 tank simulators and trainers from the perspective of the instructor and trainees are characterized. The author has attempted to evaluate individual devices. The possibilities of using individual training devices in the process of training subunits are presented.


2020 ◽  
Vol 14 (4) ◽  
pp. 719-728
Author(s):  
T. A. Klimova ◽  

Introduction. The paper addresses the issue of support of the students involved in a fully online retraining program, which imposes special requirements on the development of the self-education ability. The study aims to establish the conditions for organizing the support of self-education in a digital educational environment. Materials and methods. The study relies on the methodology proposed by G.N. Prozumentova for reconstructing the innovative experience to analyze the reflexive text materials of the Logbook of students of the retraining program; to identify the points of stress, misunderstanding, breaks, and transitions during training; and make an analytical generalization. Results of the study. Categories of difficulties encountered by students of the program in their self-educational activity were identified, and the conditions necessary to support self-education were established. These are points of self-determination, professional trials, points of reflection, and individual educational route. Conclusion. In the context of restrictive measures during the pandemic and the transition to the online educational process, self-skills related to self-education, i.e., self-organization, independence, and self-determination, become essential. These competences are an indispensable part of the work of a tutor. However, before the tutor can support someone, they need to build these self skills themselves. The established conditions in the retraining programs will facilitate this process. At the same time, additional studies are required to reveal in more detail the individual progress of a person under these conditions for building a model for supporting the development of self-education ability, and to determine the methods for tutors to provide the support of this progress. Keywords. Self-education, self-determination, individual educational route, professional retraining, tutor, digital environment, self skills.


2019 ◽  
Vol 77 (10) ◽  
pp. 741-745
Author(s):  
Amur FERREIRA NETO SEGUNDO ◽  
Maren de Moraes e SILVA ◽  
Pilar Bueno Siqueira MERCER ◽  
Carolina REINERT ◽  
Emerson Faria BORGES ◽  
...  

ABSTRACT Patients with epilepsy face innumerable obstacles in daily life, related to work, permission to drive and interpersonal relationships, which require medical guidance. This paper reports a literature review based on scientific articles and civil and traffic system, as a way to resolve doubts about medical obligations in the patient’s permission to drive and work. An employment agreement requires the contractor to guarantee safety conditions as well as requiring the patient, at the pre-employment medical examination, to let the physician know previous medical conditions, including epilepsy. More than 90% of patients with epilepsy omit this information during the application assessment, thus being subject to imputation of ideological falsehood crime as disposied on article 299 of Brazilian Penal Code. Medical confidentiality breaches may only occur in specific situations. In Brazil, the authorization and driver’s license renewal is governed by the Brazilian Traffic Code (Federal Law n° 9503/1997). For patient evaluations, two groups are considered: those on antiepileptic medication and those on medication withdrawal. A favorable report from the attending physician is also required, in both categories. Seizures that occur exclusively during sleep, and focal aware events or prolonged aura are not differentiated from other seizure types disposed in the traffic law. It is the responsibility of the attending physician to analyze each patient individually to resolve conflicts between public safety and the individual patient’s independence. A frank and honest doctor-patient relationship is essential for the patient to understand the public and individual consequences of epileptic seizures and to feel comfortable seeking medical help.


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