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Challenges and facilitators to building program evaluation capacity among community-based organizations.

We have been collaborating with many community-based organizations (CBOs) to increase their capacity to implement our evidence-based HIV prevention intervention. A frequent issue in these collaborations is how CBOs can evaluate their implementation of the intervention using feasible and sound methods. This study sought to provide the foundation for evaluation recommendations, tools, training, and technical assistance to help CBOs build their evaluation capacity. We conducted a qualitative study of 21 CBOs, 12 funders, and 11 technical assistance providers regarding beliefs and attitudes about evaluation, preferences and requirements for evaluation, evaluation methods that are currently being used at CBOs, and recommendations regarding feasible and effective evaluation that CBOs can use. The themes that arose in the telephone interviews are organized around three major topics: facilitators and barriers to conducting evaluation, evaluation methods that CBOs use, and how to increase CBOs' capacity to conduct evaluations.

Community Health Services↗

Physical therapy and rehabilitation.

The literature on physical therapy and rehabilitation in osteoarthrosis of the hip and knee joint has been reviewed. The number of controlled clinical studies is rather limited and the clinical material is generally not clearly defined. It may be concluded, however, that the effect of short-wave, micro-wave and ultrasound on joint pain is not superior to that of sham treatment. Ice therapy and transcutaneous nerve stimulation appear to be of definite value, but the effect is transient. Controlled trials indicate that mobilization of joint and muscle contractures is facilitated by diathermy and ultrasound. Training of muscle function should include training of endurance and balance reaction. Technical aids and training of activities of daily living are an important part of the rehabilitation program, that has to be based on the functional problems experienced by the patient.

Bone Diseases↗

Middle management: progress or demise?

Many Canadian health care facilities lack qualified, competent managers. Middle management positions are usually filled either by experienced technicians without managerial skills or training, or by business administration graduates who lack practical health care experience. Neither is satisfactory. This article stresses the need for better-trained administrators and for broader, more advanced training for technical personnel in order to prepare them for future managerial positions.

Canada↗

[Occupational therapy in the diseases of the locomotor system].

The spectrum of occupational therapy (OT) services in rheumatology includes the restoration of disturbed muscle function, psychosocial aspects, instruction and training in joint protection and manufacturing of orthotic devices as well as advice and training with technical aids and adapting the home and workplace according to the patient's disability. OT is especially indicated in inflammatory rheumatic diseases with polyarticular involvement, but also in degenerative joint diseases, various forms of soft tissue rheumatism and spinal disorders. It should be prescribed by a physician and functional therapist together with regard to the specific location of functional derangement and is to be dosed individually according to the work-load applied. A wide range of techniques involving different materials--including textiles, leather, wood, clay--enable individual joints or functional entities to be exercised specifically. Integration and coordination of OT with the other elements of multidisciplinary therapy, e.g. pharmacological treatment, physiotherapy, orthopedic surgery is the important task of the rehabilitation team. The objective measurement of therapeutic effects serve the purposes of demonstrating the quality of the results and also of motivating the patient. The methods used will depend on the clinical picture, the structures damaged, and the time available for the therapist.

Humans↗

The assessment of technical skills in a cardiology training program: is the ITER sufficient?

Diagnostic coronary angiography is an important tool in the assessment of heart disease. No objective data are available regarding the best method of training or testing a cardiology trainee's skill in the performance of this procedure. Training guidelines are based on the consensus opinions of experts in the field, and the assessment of proficiency is relegated to a generalized in-training evaluation report (ITER). However, is an ITER sufficient? The current modes of assessment are examined, with the question of whether a more comprehensive and valid assessment process is needed.

Cardiac Catheterization↗

Replicating effective programs: HIV/AIDS prevention technology transfer.

The Centers for Disease Control and Prevention (CDC) works to prevent HIV infection in collaboration with community and state partners. CDC is identifying effective interventions from the research literature and disseminating these interventions to its prevention partners. This article presents the methods used by CDC scientists and original intervention researchers in CDC's Replicating Effective Programs (REP) project to (a) translate some HIV prevention behavioral intervention research into materials with enough detail and clarity that state and community partners can select and implement effective interventions and (b) transfer and support these technologies so that they can be implemented successfully. The experience of the REP project indicates that technology transfer is complex. Interventions need to be adapted to local circumstances. Prevention partners need written materials, training, and technical assistance. Researchers need to collaborate with prevention program providers to develop interventions that are feasible for prevention partners to conduct.

Centers for Disease Control and Prevention, U.S.↗

[Endoscopic transpapillary cholangiography (author's transl)].

Endoscopic transpapillary Cholangiography is able to give valuable informations for indication and operative procedure in biliary diseases especially in obstructive jaundice. Indication for "blind" explorative laparotomy seems to become more rare as well as necessity for clearing situations of biliary tract by surgical preparation or X-ray-examinations as usually performed. If one is well trained in technical procedures and in interpretation of radiologic findings, very helpful diagnostic hints can be presented. In opposition to retrograde pancreaticography, endoscopic examination of the biliary tract can be propagated with more enthusism.

Air↗

An adaptive medical e-learning environment: the MEDIDACTE project.

Most e-learning systems offer the same tools and resource materials to students who are different in terms of motivations, training backgrounds, technical skills and learning objectives. Adaptive systems development is a challenge intended to improve the efficiency of these systems. This communication presents the design and implementation of an adaptive medical e-learning environment. The authors describe the MEDIDACTE architecture developed in three levels namely, the educational resource, educational project and user level. Current MEDIDACTE implementation and integration in Marseille Medical University curriculum are presented.

Computer Literacy↗

Using a stages of readiness model to address community capacity on tobacco control in the Asian American and Pacific Islander community.

OBJECTIVES: This paper describes the Asian Pacific Partners for Empowerment and Leadership (APPEAL) Stages of Community Readiness Model, a framework for assessing and evaluating tobacco control in the diverse Asian American and PaCific Islander (AAPI) communities. METHODS: This model extends the work of existing community capacity models by applying a "stage of readiness" continuum of the five stages of pre-contemplation, contemplation, preparation, action and maintenance in terms of developing, launching and sustaining AAPI tobacco control efforts. FINDINGS: The APPEAL Model allows communities to diagnose, then address their unique needs through appropriate technical assistance, training and resources. The APPEAL Model benefits both communities and funders through its ability to better understand their readiness to conduct tobacco control and have realistic expectations on the outcomes of those efforts. CONCLUSIONS: This paper describes the elements of the Readiness model for AAPIS, particularly those addressing research and data issues, current applications of the model in specific AAPI ethnic communities, and the lessons learned thus far regarding the model's applicability to, and support of, the development of AAPI tobacco control efforts nationally.

Asian↗