Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Program Design”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 649 records · Page 36Linked to original sources
PubMed1997

Development and evaluation of a sexual decision-making and social skills program: "the choice is yours--preventing HIV/STDs".

A series of interactive videodisc programs designed to reduce HIV/STD risk behaviors was developed and evaluated. Separate programs were developed for each of three race/ethnicities (African American, Hispanic, and Caucasian) at each of two age levels (middle school and high school) using extensive formative procedures. Each program uses scenarios with extensive branching story lines to teach decision-making skills and socially appropriate responses to potentially risky sexual situations. In a randomized experiment with 827 students, significant changes were observed at posttest for the four constructs assessed: (1) belief that sex occurs as a result of decisions (vs. "it just happens"), (2) belief that even a single incident of unprotected sex can result in an STD or pregnancy, (3) intentions and attitudes toward use of condoms, and (4) self-efficacy in remaining abstinent (i.e., avoiding sex). At 30-day follow-up, three of the four measures remained significant.

Adolescent↗
PubMed2005

Nutrition education: a computer-based education program.

African Americans have higher than average rates of morbidity and mortality for numerous health conditions despite the improvements in overall health in the United States over the past century. Despite the proliferation of material on health promotion and health disparities concerns related to diet and health care for African Americans persist. In the present paper, the authors describe a computer-based nutrition education program designed for use with African American adults. Specific features of the program that qualify it as culturally-tailored are presented and preliminary results demonstrating success in improving nutrition in a church-based sample of 82 adults are provided.

Adult↗
PubMed2001

The HIV/AIDS Prevention Program Archive (HAPPA): a collection of promising prevention programs in a box.

This article describes the methods used and findings obtained in establishing the HIV/AIDS Prevention Program Archive (HAPPA), a collection of effective HIV/AIDS prevention programs in a box. The HAPPA collection builds on a previously established collection of 13 effective HIV/AIDS/sexually transmitted disease (STD) prevention programs for adolescents known as PASHA, the Program Archive on Sexuality, Health, & Adolescence. Together, the HAPPA and PASHA collections provide a rich source of 23 promising programs designed to prevent the spread of HIV/AIDS. The HAPPA and PASHA programs are available for use by communities, schools, family planning clinics, STD clinics, mental health centers, and drug rehabilitation centers throughout the country.

Acquired Immunodeficiency Syndrome↗
PubMed2003

Child disobedience and noncompliance: a review.

Child disobedience and noncompliance is a recurring problem frequently brought to the attention of pediatricians and others working with children and their parents. This article reviews empirical studies concerning childhood noncompliance. Definitions of noncompliance (also called disobedience) are presented, and observational studies that have measured noncompliance in the laboratory and at home are reviewed. Studies show considerable variability in the prevalence of noncompliance, but demonstrate that it is a frequent problem for parents. Longitudinal data from the Pittsburgh Youth Study are presented to more closely examine the onset and stability of noncompliance in childhood and adolescence. Evidence suggests that extreme childhood noncompliance is relatively stable over time, peaking slightly during early adolescence and decreasing during late adolescence. Studies indicate that for some children noncompliance predicts aggression and externalizing problems. Antecedents of noncompliance including parental discipline techniques and child characteristics are reviewed. Parent training programs designed to reduce noncompliance are described, and the effectiveness of such programs is examined.

Adolescent↗
PubMed1980

Effects of two simulated semen culling programs on predicted fertility in an artificially inseminated cow population.

Two semen culling programs designed to improve fertility of semen used in an artificial insemination program were compared. First inseminations and return service data on cows inseminated with semen from 21 Holstein bulls during 1 yr were studied. The culling of less fertile ejaculates within bulls, based on any available semen quality test or combination of tests, would bring about less than a 1% increase in nonreturn rate if 40 to 50% of ejaculates were called. If all semen from the 19% low fertility bulls were culled, this would entail culling 22% of the semen used to inseminate the population and would achieve an improvement of 1% in overall fertility. This could be done with no loss in predicted difference for milk yield of bulls used. Culling of bulls is a functionally simpler and less expensive program than is testing and culling ejaculates within bulls, but this requires that fertility of bulls be known and that it will not change substantially from predicted.

Animals↗
PubMed2006

The value of monitoring frozen section-permanent section correlation data over time.

CONTEXT: The effectiveness of the long-term monitoring of errors detected by frozen section-permanent section correlation is unknown. OBJECTIVE: To determine factors important in laboratory improvement in frozen section-permanent section discordant and deferral rates by participation in a multi-institutional continuous quality improvement program. DESIGN: Participants in the College of American Pathologists Q-Tracks program self-reported the number of anatomic pathology frozen-permanent section discordant and deferred cases in their laboratories by prospectively performing secondary review of intraoperative consultations. Laboratories participated in the program for 1 to 5 years and reported their data every quarter. We calculated mean and median discordant and deferred case frequencies and used mixed linear modeling to determine if length of participation in the program was associated with improved performance. PARTICIPANTS: One hundred seventy-four laboratories self-reported data. MAIN OUTCOME MEASURES: Mean frozen-permanent section discordant and deferred diagnostic frequencies and changes in these frequencies over time were measured. RESULTS: The mean and median frozen-permanent section discordant frequencies were 1.36% and 0.70%, respectively. The mean and median deferred diagnostic frequencies were 2.35% and 1.20%, respectively. Longer participation in the Q-Tracks program was significantly associated (P = .04) with lower discordant frequencies; 4- or 5-year participation showed a decrease in discordant frequency of 0.99%, whereas 1-year participation showed a decrease in discordant frequency of 0.84%. Longer participation in the Q-Tracks monitor was associated with lower microscopic sampling frequencies for discordant diagnoses (P = .04). Increased length of participation in the Q-Tracks program was significantly associated (P = .04) with lower deferred diagnostic frequencies. CONCLUSIONS: Long-term monitoring of frozen-permanent section correlation is associated with sustained improvement in performance.

Diagnostic Errors↗
PubMed2001

The Doctor of Health Administration: an educational innovation for healthcare executives.

This article describes the development and implementation of an innovative doctoral program designed to enhance the knowledge and skills of healthcare executives. The program is a Doctor of Health Administration (D.H.A.) Degree with a specific focus on leadership. This sets the program at the Medical University of South Carolina apart from all others in being the first D.H.A. offered in the United States and the only program at the time to place its primary emphasis on leadership.

Curriculum↗
PubMed2000

Malnutrition: role of the TwoCal HN Med Pass program.

Malnutrition is common in older adults and is associated with poor outcomes. The causes and outcomes of malnutrition are discussed, and the TwoCal HN Med Pass program, designed to overcome poor dietary intake, is described. Benefits of the program, role of the pharmacist, identification of candidates for the TwoCal HN Med Pass program, and health care team roles and responsibilities are reviewed.

Aged↗
PubMedDate not supplied

Clinical outcomes in transition program for older adults with hip fracture.

Measuring and managing outcomes across the continuum of care has been a major task for healthcare organizations over the past decade. Care of older adults with hip fracture and their transition to the community is particularly challenging. This article describes a program designed specifically to meet these challenges. The goals of the transition program were to promote improved clinical outcomes, reduce acute care resource utilization through early discharge and provision of cost-effective home care, and maintain or improve patient satisfaction. Results of the outcome analysis demonstrated successful goal attainment. The strength of the outcome evaluation is that it links both a qualitative and quantitative approach, providing a richer and more holistic view of the client experience.

Aged↗
PubMed2003

Dually eligible for Medicare and Medicaid: two for one or double jeopardy?

This issue brief describes the characteristics of the population of individuals known as "dual eligibles," who are eligible for health insurance coverage through both Medicare and Medicaid. It also looks at the differences between "full Medicaid" and "supplemental Medicaid" dual eligibles and the ongoing challenges associated with enrollment and eligibility, integration and coordination, and managed care. The paper presents several examples of integrated care programs designed to better serve the dual-eligible population, including the Program of All-Inclusive Care for the Elderly, Evercare, social health maintenance organizations, and state/federal initiatives such as the Wisconsin Partnership Program, Texas STAR+PLUS, and others. Finally, it considers the implications for dual eligibles of the House and Senate Medicare prescription drug proposals.

Aged↗
PubMed2006

Healthy Weigh (El camino saludable) phase 1: a retrospective critical examination of program evaluation.

BACKGROUND: Healthy Weigh (El camino saludable) is an obesity prevention program for low-income, predominantly Hispanic and African American families in an urban community in Tarrant County, Texas. Healthy Weigh Phase 1 was a successful community-campus partnership that took place in summer (June-August) and fall (September-November) 2003. The program met stated objectives and extensively engaged students from several health disciplines in service learning. This article describes what we learned about the evaluation of the program by examining the phase 1 evaluation process. CONTEXT: Family environments are important intervention settings for establishing life-long dietary practices. Available in English and Spanish, Healthy Weigh Phase 1 helped families that were at risk for overweight and obesity to adopt healthy eating, physical activity, and weight management patterns. METHODS: Analysis of a program logic model and formative evaluation data identified evaluation questions that could have improved the phase 1 evaluation process. Questions were categorized according to Donabedian's structure-process-outcome framework, and potential benefits of each question were identified. The Centers for Disease Control and Prevention's Framework for Program Evaluation in Public Health standards were used to judge the overall quality of the phase 1 evaluation process. CONSEQUENCES: The phase 1 evaluation process successfully assessed the program's effects and generally met evaluation standards. Our critical examination also highlighted structure and process evaluation issues with potential for strengthening future interventions, community partnerships, and program outcomes. INTERPRETATION: Lessons learned influenced the phase 2 grant activities. Most importantly, we learned that involvement of program participants as full partners in program design, evaluation, and implementation is essential. Our understanding and practice of program evaluation evolved as Healthy Weigh became a true community-based participatory research endeavor.

Adolescent↗
PubMed1994

Surgical management of breast cancer. Experience of the Central Sydney Area Health Service Breast X-ray Programme, 1988-1991.

OBJECTIVE: To review the breast cancers detected in the first three years of the Central Sydney Area Health Service Breast X-ray Programme, their histopathology and their surgical management within the program. DESIGN: Between March 1988 and March 1991, women screened in the program who had a suspicious lesion were referred for surgical assessment at the program assessment centre at Rachel Forster Hospital. These women were seen by staff of the assessment centre, including program surgeons, and were then treated at either Rachel Forster Hospital or Royal Prince Alfred Hospital. Features examined include cancer detection, clinical findings, diagnostic techniques, histopathological diagnosis of the lesions and surgical management. RESULTS: One hundred and eight cancers were detected in 105 women, with 59% of the cancers impalpable. The benign to malignant ratio was 1.0:1.5. Twenty-four cancers (22%) were ductal carcinoma-in-situ with or without microinvasion, and 84 (78%) were frankly invasive. Of the 86 axillary dissections, 63 (73%) showed no node involvement on histological examination. At the time of diagnosis, 27% of the women had axillary node involvement proven by axillary dissection. The overall mastectomy rate was 58%. Radiotherapy, chemotherapy and tamoxifen were used in both stage I and stage II disease. CONCLUSION: The surgical management of cancers reflects similar findings reported in other screening programs. There is an increasing trend towards breast conservation surgery and up to 90% of the women in this study present with favourable prognostic factors for long term survival.

Adult↗
PubMed1993

[Guidance of community mental health training for psychiatry residents].

Compared to other advanced countries, the field of mental health in Japan is characterized by a large hospitalized to general population ratio and a long mean hospitalization period. This is in large part attributable to the lack of appropriate housing as well as occupational recreational centers after discharge. At the same time the education of psychiatric medical staff has focused on the hospital environment, with little attention devoted to training at centers of community mental health. This hospital-dominant approach has been difficult to shed, and has persisted since the WHO report of Dr. Clark in 1968. Paralleling the introduction of the certified doctor system, at the Japanese Society of Psychiatry and Neurology recently, the manner of postgraduate training for psychiatrists and attempts to reform it were debated. In the midst of this debate, a consensus has emerged that study of community mental health is one of the minimum requirements to become a full-fledged psychiatrist. However, no adequate community mental health training programs have been established at any institution. At Nara Medical University hospitals, considerable weight has been placed on community mental health training, with such a training program designed and put into practice. In the present report, this training program is introduced and interim results reported, and the problems associated with community mental health training are discussed.

Community Mental Health Centers↗
PubMed1997

Project Support: engaging children and families in the educational process.

The literature on dropout prevention reveals that a triumvirate of support--from the family, the school, and the community--is necessary to engage children in the educational process. This paper describes Project Support, a federally funded five-year program for at-risk youths that focused on alcohol, drug, and dropout prevention in four low-income, high-minority public school districts in the suburbs of New York City. Of several avenues taken, two were very effective: a school-based mentoring program designed for middle school students and the Outdoor and Environmental Education program that took place during summers and intermittently throughout the school year. The sense of achievement, bonding, and success experienced by participants was acknowledged by administrators, evaluators, parents, and other observers.

Child↗
PubMed2006

Robustness of validation criteria in the College of American Pathologists Interlaboratory Comparison Program in Cervicovaginal Cytology.

CONTEXT: Field validation of slides used in gynecologic cytology proficiency testing has surfaced as an important issue. Although the precision of diagnoses in peer-reviewed educational programs has been examined, the robustness of the validation criteria for specific types of interpretations used in proficiency testing has not been previously studied. OBJECTIVE: To evaluate the robustness of validation criteria for slides entering an educational slide program. DESIGN: We reviewed the results of the College of American Pathologists Interlaboratory Comparison Program in Cervicovaginal Cytology and compared the robustness of validation criteria for different reference diagnoses, using a total of 16,948 circulating slides. RESULTS: Validation criteria could be divided into 2 significantly different groups. The criteria for herpes, Trichomonas, squamous cell carcinoma, and adenocarcinoma were significantly more robust than the diagnoses of unsatisfactory; negative for intraepithelial lesion and malignancy, not otherwise specified; low-grade squamous intraepithelial lesion; and high-grade squamous intraepithelial lesion (P < .001). CONCLUSIONS: The validation criteria used in the College of American Pathologists Interlaboratory Comparison Program in Cervicovaginal Cytology show 2 different levels of robustness or redundancy. These results have implications for the design of fair proficiency tests. Proficiency testing can be designed with the necessary number of reviews needed for slide validation.

Clinical Competence↗
PubMed2002

Dermal exposure to pesticides in greenhouses workers: discrimination and selection of variables for the design of monitoring programs.

Dermal exposure to pesticides is one of the main sanitary problems which greenhouses workers face. With the dual aims of establishing both the body part that receives the greatest exposure and the variable that has greatest influence on this exposure level, 22 pesticide application trials were performed. Trials were carried out in different greenhouse vegetable crops, using different pesticides and different spray diameters from the spray gun. In order to determine dermal exposure, the whole body method was used. Pieces of the applicator suit were subject to an extraction procedure and their pesticide content determined using GC-NPD analysis. Multivariate analysis were applied to the data obtained. Principal component analysis showed that all trials produced a high exposure level on lower left leg and lower right leg. Cluster analysis distinguished between three sample groups. The most and the least affected parts were clearly distinguished. Discriminant analysis indicated that the thin drop size of the spray gun is responsible for both the differences between groups and the minimum or maximum exposure level measured on the applicator suit. Therefore, selecting the variables, lower legs and thin drop size, is considered fundamental in designing programs for monitoring pesticide exposure.

Administration, Cutaneous↗
PubMed1996

Specialty practice of family practice residency graduates, 1969 through 1993. A national study.

OBJECTIVE: To describe demographic and practice characteristics of physicians who graduated from family practice residency training programs. DESIGN: Information was obtained from the databases of the American Academy of Family Physicians, the American Board of Family Practice (ABFP), and the American Medical Association. Data sets were cross-referenced, and quantitative data from medical membership organizations and the certifying board were summarized. Information regarding medical school graduation and family practice residency completion was reported by the participating residency programs, and data on practice specialty were self-designated by the participating physicians. SUBJECTS: Physician graduates of Accreditation Council for Graduate Medical Education-accredited family practice residency programs from 1969 through 1993. MAIN OUTCOME MEASURES: Practice specialty designation by graduates of family practice residency programs. RESULTS: Of the 38659 physicians who graduated from family practice residency programs from 1969 through 1993, 8780 (23%) were women, 2181 (6%) were graduates of colleges of osteopathic medicine, 4777 (12%) were international medical graduates, and 33484 (87%) were certified by the ABFP. Of the 36088 family practice residency graduates who designated a practice specialty, 32764 (91%) identified their specialty as family practice, including 32608 physicians who identified family practice, 129 general practice, 21 family practice-geriatric medicine, and six family practice-sports medicine. Among the 3324 family practice residency graduates (9%) who identified themselves as practicing in another specialty, the most common specialties were emergency medicine (1446 physicians [4%]) and preventive medicine (386 physicians [1%]). No other practice specialty was designated by more that 0.5% of family practice residency graduates. CONCLUSION: The vast majority of family practice residency graduates are self-designated as practicing family medicine. These data suggest that family practice residency programs are an effective mechanism for the production of generalist physicians.

Data Collection↗
PubMed1989

A set of Macintosh computer programs for the design and analysis of synthetic genes.

Computer programs that can be used for the design of synthetic genes and that are run on an Apple Macintosh computer are described. These programs determine nucleic acid sequences encoding amino acid sequences. They select DNA sequences based on codon usage as specified by the user, and determine the placement of base changes that can be used to create restriction enzyme sites without altering the amino acid sequence. A new algorithm for finding restriction sites by translating the restriction endonuclease target sequence in all three reading frames and then searching the given peptide or protein amino acid sequence with these short restriction enzyme peptide sequences is described. Examples are given for the creation of synthetic DNA sequences for the bovine prethrombin-2 and ribonuclease A genes.

Algorithms↗