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Warwick C.,Health Education Research Systems, Inc.
Education for Primary Care | Year: 2014

International medical graduates (IMGs) form a vital group of general practitioners (GPs) in the NHS. They are known to face additional challenges above and beyond those faced by UK medical graduates in the course of their GP training. Whilst they are a heterogeneous group of professionals, their views on what they need to learn, and how they are supported, are often distant from those of the educators responsible for planning their education. This study was undertaken, through narrativebased focus groups, to explore the issues which matter to the IMGs, in an attempt to empower their voices about their experiences in GP training, and to see what lessons could be drawn from these views. The findings confirmed the central importance, and considerable challenge involved, in making an effective transition into the culture of the NHS and UK general practice. The IMGs felt that induction needed to be an on-going, iterative process of learning which continued throughout training, with a more effective individualised learning needs analysis at the start of GP training. Lack of sophisticated language skills was highlighted as a real concern. Recognition that their lack of knowledge about the NHS at the start of training should not be seen as an indicator of deficiency, but a clue to what they needed to learn were also key messages. IMGs also felt the earlier in their training they undertook a GP placement, the quicker they would start to understand the culture of general practice in the UK. Further work following on from this research should include how to manage change in the educational network for these barriers to be overcome. Source

Leake A.R.,University of Hawaii at Manoa | Bermudo V.C.,Health Education Research Systems, Inc. | Jacob J.,Philippine Nurses Association of Hawaii | Jacob M.R.,Philippine Nurses Association of Hawaii | Inouye J.,University of Hawaii at Manoa
Journal of Immigrant and Minority Health | Year: 2012

Diabetes prevention requires lifestyle changes, and traditional educational programs for lifestyle changes have had low attendance rates in ethnic populations. This article describes the development and implementation of an educational program, emphasizing retention strategies, cultural tailoring and community participation. Community- based participatory research approaches were used to adapt and test the feasibility of a culturally tailored lifestyle intervention (named Health is Wealth) for Filipino-American adults at risk for diabetes (n = 40) in order to increase program attendance. A unique feature of this program was the flexibility of scheduling the eight classes, and inclusion of activities, foods and proverbs consistent with Filipino culture. We found that with this approach, overall program attendance for the experimental and wait-listed control groups was 88% and participant satisfaction was high with 93% very satisfied. Flexible scheduling, a bilingual facilitator for the classes, and the community-academic partnership contributed to the high attendance for this lifestyle intervention. © Springer Science+Business Media, LLC 2011. Source

Van Der Sluis A.,University of Groningen | Van Der Sluis A.,Health Education Research Systems, Inc. | Elferink-Gemser M.T.,University of Groningen | Elferink-Gemser M.T.,HAN University of Applied Sciences | And 3 more authors.
International Journal of Sports Medicine | Year: 2014

In young athletes, demands of sports are superimposed on normal growth and maturation. It has been suggested that this causes a temporarily increased vulnerability for injuries. We followed 26 talented soccer players (mean age 11.9±0.84 years) longitudinally for 3 years around their adolescent growth spurt, called Peak Height Velocity, to identify differences in number of traumatic and overuse injuries and days missed due to injuries. Peak Height Velocity was calculated according to the Maturity Offset Protocol. The number of injuries was calculated for each player per year. A repeated measurement analysis showed that athletes had significantly more traumatic injuries in the year of Peak Height Velocity (1.41) than in the year before Peak Height Velocity (0.81). A moderate effect size of 0.42 was found for the difference in number of overuse injuries per player per year before (0.81) and after Peak Height Velocity (1.41), respectively. Finally, a moderate effect size of 0.55 was found for difference between days missed due to injuries before (7.27 days per player per year) and during Peak Height Velocity (15.69 days per player per year). Adolescent growth spurt seems to result in increased vulnerability for traumatic injuries. Afterwards athletes seem to be susceptible to overuse injuries. © Georg Thieme Verlag KG Stuttgart, New York. Source

Goodyear H.M.,Health Education Research Systems, Inc.
International journal of medical education | Year: 2014

OBJECTIVE: To explore factors which affect newly qualified doctors' wellbeing and look at the implications for educational provision.METHODS: Data were collected by free association narrative interviews of nine Foundation doctors and analysed using a grounded theory approach. Two Foundation programme directors were interviewed to verify data validity.RESULTS: Two main themes emerged: newly qualified doctors' wellbeing is affected by 1) personal experience and 2) work related factors. They start work feeling unprepared by medical school, work experience ("shadowing") or induction programmes at the beginning of the post. Senior colleague support and feedback are much valued but often lacking with little discussion of critical incidents and difficult issues. Challenges include sick patients, prescribing, patient/relative communication and no consistent team structure. Working shift patterns affects personal and social life. Enjoyment and reward come from helping patients, feelings of making a difference or teaching medical students.CONCLUSIONS: Whilst becoming familiar with their roles, newly qualified doctors search for identity and build up resilience. The support given during this process affects their wellbeing including coping with day to day challenges, whether posts are experienced as rewarding and how work influences their personal and social lives. Source

Terry P.E.,Park Nicollet Institute | Fowles J.B.,Health Research Center | Xi M.,Health Research Center | Harvey L.,Health Education Research Systems, Inc.
American Journal of Health Promotion | Year: 2011

Purpose. This study compares a traditional worksite-based health promotion program with an activated consumer program and a control program Design. Group randomized controlled trial with 18-month intervention. Setting. Two large Midwestern companies. Subjects. Three hundred and twenty employees (51% response). Intervention. The traditional health promotion intervention offered population-level campaigns on physical activity, nutrition, and stress management. The activated consumer intervention included population-level campaigns for evaluating health information, choosing a health benefits plan, and understanding the risks of not taking medications as prescribed. The personal development intervention (control group) offered information on hobbies. The interventions also offered individual-level coaching for high risk individuals in both active intervention groups. Measures. Health risk status, general health status, consumer activation, productivity, and the ability to evaluate health information. Analysis. Multivariate analyses controlled for baseline differences among the study groups. Results. At the population level, compared with baseline performance, the traditional health promotion intervention improved health risk status, consumer activation, and the ability to recognize reliable health websites. Compared with baseline performance, the activated consumer intervention improved consumer activation, productivity, and the ability to recognize reliable health websites. At the population level, however, only the activated consumer intervention improved any outcome more than the control group did; that outcome was consumer activation. At the individual level for high risk individuals, both traditional health coaching and activated consumer coaching positively affected health risk status and consumer activation. In addition, both coaching interventions improved participant ability to recognize a reliable health website. Consumer activation coaching also significantly improved self-reported productivity. Conclusion. An effective intervention can change employee health risk status and activation both at the population level and at the individual high risk level. However, program engagement at the population level was low, indicating that additional promotional strategies, such as greater use of incentives, need to be examined. Less intensive coaching can be as effective as more intensive, albeit both interventions produced modest behavior change and retention in the consumer activation arm was most difficult. Further research is needed concerning recruitment and retention methods that will enable populations to realize the full potential of activated consumerism. Copyright © 2011 by American Journal of Health Promotion, Inc. Source

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