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Maryland's Special Populations Network. A model for cancer disparities research, education, and training.

The unequal burden of cancer in minority and underserved communities nationally and in Maryland is a compelling crisis. The Maryland Special Populations Cancer Research Network (MSPN) developed an infrastructure covering Maryland's 23 jurisdictions and Baltimore City through formal partnerships between the University of Maryland School of Medicine, University of Maryland Statewide Health Network, University of Maryland Eastern Shore, and community partners in Baltimore City, rural Eastern Shore, rural Western Maryland, rural Southern Maryland, and Piscataway Conoy Tribe and statewide American Indians. Guided by the community-based participatory framework, the MSPN undertook a comprehensive assessment (of needs, strengths, and resources available) that laid the foundation for programmatic efforts in community-initiated cancer awareness and education, research, and training. The MSPN infrastructure was used to implement successful and innovative community-based cancer education interventions and technological solutions; conduct education and promotion of clinical trials, cancer health disparities research, and minority faculty cancer research career development; and leverage additional resources for sustainability. MSPN engaged in informed advocacy among decision- and policymakers at state and national levels, and its community-based clinical trials program was recognized by the U.S. Department of Health and Human Services as a Best Practice Award. The solutions to reduce and eliminate cancer health disparities are complex and require comprehensive and focused multidisciplinary cancer health disparities research, training, and education strategies implemented through robust community-academic partnerships. Cancer 2006. (c) American Cancer Society.

Biomedical Research↗

Baby Think It Over: evaluation of an infant simulation intervention for adolescent pregnancy prevention.

In an intervention aimed at showing students the amount of responsibility involved in caring for an infant, 353 predominantly ninth-grade and Latino students carried the Baby Think It Over simulation doll in an intervention and completed matched pre- and posttest measures. Statistically significant gains were found on the total score and the impact of having a baby on academics, social life, and other family members; emotional risks; understanding and handling an infant's crying; and apprehension of the amount of responsibility involved in infant care. On a posttest-only measure, 108 participants reported statistically significant differences before and after carrying the doll with regard to the age at which they wished to have a child, their career and education plans, and the perceived interference of an infant with those education and career plans and their social life.

Adolescent↗

Adaptive and longitudinal pharmaceutical care instruction using an interactive voice response/text-to-speech system.

OBJECTIVES: To develop a course structure that would more closely simulate the actual provision of pharmaceutical care. DESIGN: An interactive voice response/text-to-speech system (hardware and software) for obtaining patient data was designed and used in a pharmaceutical care laboratory. Students called the system to collect data, listen to progress notes, make recommendations, and update the pharmaceutical care plan for virtual patients. Laboratory time was utilized to evaluate patient progress and respond to recommendations as well as to identify and solve drug-related problems. ASSESSMENT: Students' recorded communications with the system and completed care plans were evaluated and a competency-based final examination was administered. Peer evaluations and course evaluations were administered. CONCLUSION: This innovative approach challenged students and promoted interactive learning. Student evaluations indicated we achieved our objective of creating a course that more closely simulated the actual provision of pharmaceutical care.

Computer-Assisted Instruction↗

A study of interactivity in educational patient hypermedia.

This study explores the use of interactive graphics for patients about to undergo Ishiki Type I thyroplasty, a surgery for unilateral vocal cord palsy. Steps include exploration of previous studies, needs assessment, prototype creation, and formative evaluation. Research suggests that interactive graphics should include the opportunity for the patients to practice and engage in a relevant, realistic scenario. Needs assessment results suggest the need for further studies with interactive graphics using larger patient sample sizes.

Computer Graphics↗

[Post-Doc (post-graduate training for medical doctors in Europe). The use of the Internet in the continuing education of general practice physicians: a European project of multimedia continuing medical education. The University of Aachen, Maastricht, Catholic University Leuven and the Central University Limburg (Diepenbeek) and EUREGIONET].

The continuing formation of the General Practitioners (GP) must stay in stride with the rapid evolution of society, technology, science and needs of the population. The Web allows on-line a rapid access to a pertinent and practical information whenever needed. PostDoc is a joint venture of the Universities of Aachen, Maastricht, Leuven and Diepenbeek. The Department of general medicine is associated with the Service of Technology of Education in this project. The interactivity of an Internet Website introduces a cooperative dimension in the work of the GP's centred on formation and discussion of problems encountered. This tool allows each GP to contribute to clinical cases and information.

Belgium↗

Optimizing technologies in nurse practitioner education.

A provincial educational programme was launched in 1995 for primary-care nurse practitioners. A consortium of Ontario university schools of nursing joined forces to provide a single, standardized educational programme at all 10 sites in both official languages. This demanding, clinically focused educational initiative required better access, support and efficiencies than could be provided by print copies and videoconferences alone. The development of a password-protected Website allowed equal access for all and maximized the human and financial resources. Optimizing various technologies has enhanced the quality and efficiencies of the nurse practitioner programme.

Curriculum↗

Teaching with the Nightingale Tracker technology in community-based nursing education: a pilot study.

Changes in health care delivery are becoming increasingly focused on technology. Nursing students are often expected to travel long distances to suitable community sites for clinical experiences, which challenges nurse educators to design and implement instructional strategies to provide students with optimal clinical practice opportunities, while maintaining preceptor-student supervision and vital communication links. This article reports a pilot evaluation of the Nightingale Tracker system, which included both a server and an innovative, hand-held device designed to accommodate multiple forms of data input and allow timely communication between clinical faculty and students in community-based clinical settings. A sample of 5 nursing students reported that the Nightingale Tracker enhanced learning, particularly in performing and documenting physical assessments, data input and transmissions, and autonomous clinical practice.

Adult↗

A synchronous communication experiment within an online distance learning program: a case study.

Student-teacher and student-student interactions in purely asynchronous distance learning courses are much lacking compared to similar interactions found in face-to-face teaching, causing learners to experience feelings of isolation, thus reducing motivation and increasing dropout rates. We used PalTalk, an Internet text and audio chat client from AVM Software, Inc. (New York, NY), to offer our students live virtual classroom sessions within a unit of our online distance learning M.Sc. program in Healthcare Informatics. On-demand replays of audio excerpts from the sessions were also provided to accommodate absenteeism and for student review. Five students completed an evaluation questionnaire. Our results highlighted the potential merits of using synchronous conferencing to assist in fostering a sense of belonging to one supportive learning community among distance learners and improve educational outcomes. Students were very positive toward the real-time human interaction and voted for a 95/5 (asynchronous/synchronous percentages) blended delivery approach for a typical unit in our program. They also praised PalTalk's voice quality and ease of use. This paper presents educational and technological perspectives about this experiment in the form of a state-of the- art review, without intending to be statistically rigorous. However, robust research evidence is still required to convince educators fully about the benefits of synchronous communication tools and help them decide on the most suitable solutions for their particular circumstances.

Attitude to Computers↗