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41. A home program of strength training, movement strategy training and education did not prevent falls in people with Parkinson`s disease: a randomised trial Full Text available with Trip Pro

A home program of strength training, movement strategy training and education did not prevent falls in people with Parkinson`s disease: a randomised trial For people with idiopathic Parkinson's disease, does a 6-week, comprehensive, home exercise program reduce falls and disability and improve health-related quality of life? Is the program cost-effective?Randomised, controlled trial with concealed allocation and assessor blinding.One hundred and thirty-three community-dwelling adults (...) of participant time to first fall did not show a significant between-group difference (log-rank test χ2=0.79, p=0.37). No significant between-group differences occurred for mobility, disability or quality of life. The mean cost of delivering the experimental intervention was AUD1596.A home program of strength and movement strategy training and falls education does not prevent falls when applied at the dose used in this study. Arguably, the dosage of therapy was insufficient. Future trials need to explore

2017 EvidenceUpdates

42. Does Pain Neuroscience Education and Cognition-Targeted Motor Control Training Improve Cervical Motor Output? Secondary Analysis of a Randomized Clinical Trial. (Abstract)

Does Pain Neuroscience Education and Cognition-Targeted Motor Control Training Improve Cervical Motor Output? Secondary Analysis of a Randomized Clinical Trial. In the context of interventions aimed at reducing pain, disability, and maladaptive pain cognitions in chronic neck pain, it is hypothesized that patients who have greater symptom reduction possibly also demonstrate greater improvement in cervical motor output. Therefore, the aim of this study was to examine the effect of pain (...) combined with cognition-targeted motor control training is not more effective than biomedically focused education and exercise therapy for improving cervical motor output in people with chronic neck pain. Our findings question the relative importance of factors such as pain, disability, and maladaptive pain cognitions on cervical motor output and the need to address it in treatment.© 2020 World Institute of Pain.

2020 Pain Practice

43. Research: Educational and psychological aspects Pilot feasibility study examining a structured self-management diabetes education programme, DESMOND-ID, targeting HbA<sub>1c</sub> in adults with intellectual disabilities. (Abstract)

Research: Educational and psychological aspects Pilot feasibility study examining a structured self-management diabetes education programme, DESMOND-ID, targeting HbA1c in adults with intellectual disabilities. To report on the outcomes of a pilot feasibility study of a structured self-management diabetes education programme targeting HbA1c .We conducted a two-arm, individually randomized, pilot superiority trial for adults with intellectual disability and Type 2 diabetes mellitus (...) . A total of 66 adults with disabilities across the UK met the eligibility criteria. Of these, 39 agreed to participate and were randomly assigned to either the DESMOND-ID programme (n = 19) or a control group (n = 20). The programme consisted of seven weekly educational sessions. The primary outcome was HbA1c level, and secondary outcomes included BMI, diabetes illness perceptions, severity of diabetes, quality of life, and attendance rates.This study found that the DESMOND-ID programme was feasible

2017 Diabetic Medicine Controlled trial quality: uncertain

44. Parent training interventions for parents with intellectual disability. Full Text available with Trip Pro

' or 'lifting of child-related court order'.There is some very low-quality evidence that some parents, mainly mothers, with intellectual disabilities are able to provide adequate parenting if they are given appropriate training and support to learn the parenting skills they need. However, there are few studies exploring how interventions might work, for whom and in what circumstances. In particular, there have been few studies that include fathers with intellectual disabilities, or that explore the views (...) Parent training interventions for parents with intellectual disability. Research suggests that the number of intellectually disabled people with children is increasing. Intellectual disabilities do not inevitably cause parenting difficulties, but it may impact on an individual's capacity to parent a child effectively. Children of parents with intellectual disabilities may be at increased risk of neglectful care, which could lead to health, developmental and behavioural problems, or increased

2018 Cochrane

45. Improving identification of people with a learning disability: guidance for general practice

Improving identification of people with a learning disability: guidance for general practice NHS England » Improving identification of people with a learning disability: guidance for general practice Search Search Menu Improving identification of people with a learning disability: guidance for general practice Document first published: 11 October 2019 Page updated: 11 October 2019 Topic: , Publication type: Practices should review this guidance and update their registers to ensure that eligible

2019 NHS England

46. Educational inequalities in disability linked to social security coverage among older individuals in five Latin American countries. (Abstract)

Educational inequalities in disability linked to social security coverage among older individuals in five Latin American countries. Although Latin American populations are ageing rapidly, many countries have important shortcomings in terms of access to social security coverage. Despite significant improvements regarding access to healthcare, the coverage gap in terms of pensions represents a major challenge for public health and equity in the region. The principal aim of this study (...) as pension coverage. Concentration indices (CI) and an Oaxaca-Blinder decomposition approach were used to assess overall inequalities in disability according to education as well as their components. With the exception of El Salvador, we find significant inequalities in disability disfavoring lower educated individuals. With regards to healthcare, we find no significant association of healthcare coverage with disability in any of the five countries, nor does it explain educational inequalities

2019 Social Science & Medicine

47. Women with physical disability in pregnancy resident education: a national survey as a needs assessment for curriculum improvement in obstetrics and gynaecology in Canada. Full Text available with Trip Pro

of their knowledge and their comfort level caring for women with physical disabilities (WWPD), which will further determine the need for incorporation of this topic into the residency curriculum.Cross-sectional survey.All Canadian English accredited Ob-Gyn residency programmes.Programme directors and residents.The current self-reported education and exposure Canadian Ob-Gyn residents have surrounding WWPD in pregnancy, and if there is an interest in further education in this area.An online survey was developed (...) that there are no formal scheduled training sessions on WWPD as part of the residency curriculum. Two-thirds of the residents reported being uncomfortable with the management issues surrounding a woman with a disability in pregnancy. A vast majority of residents (91.67%) and all programme directors have an interest in incorporating this topic into the residency curriculum to meet the need of pregnant women with disabilities.This survey indicated that there is both a need for and interest in education in the area

2019 BMJ open

48. The Economic Value of Education for Longer Lives and Reduced Disability. Full Text available with Trip Pro

The Economic Value of Education for Longer Lives and Reduced Disability. Policy Points Although it is well established that educational attainment improves health and longevity, the economic value of this benefit is unknown. We estimate that the economic value of education for longer, healthier lives is comparable to or greater than the value of education for lifetime earnings. Policies that increase rates of completion of high school and college degrees could result in longer, healthier lives (...) of both longer lives and the reduced disability associated with more education.In this article, we estimated the present value of the longer life and reduced disability associated with higher educational attainment at age 25 through age 84. We used prospective survival data and cross-sectional disability data from the National Health Interview Survey-Linked Mortality Files and drew on published estimates of the economic value of a statistical life. In addition, we used data from the Current Population

2019 Milbank Quarterly

49. To what extent do education and physical work load factors explain occupational differences in disability retirement due to knee OA? A nationwide register-based study in Finland. Full Text available with Trip Pro

To what extent do education and physical work load factors explain occupational differences in disability retirement due to knee OA? A nationwide register-based study in Finland. To examine the association of education and physical work load factors on the occupational differences in disability retirement due to knee osteoarthritis (OA).Longitudinal study.Linkage of several nationwide registers and a job exposure matrix in Finland.A total of 1 135 654 Finns aged 30-60 years in gainful (...) employment were followed from 2005 to 2013 for full disability retirement due to knee OA.We calculated age-adjusted incidence rates and examined the association of occupation, education and physical work load factors with disability retirement using competing risk regression model. Disability retirement due to other causes than knee OA, old-age retirement and death were treated as competing risk.A total of 6117 persons had disability retirement due to knee OA. Women had a higher age-adjusted incidence

2019 BMJ open

50. Outcomes after Concussion Recovery Education: Effects of Litigation and Disability Status on Maintenance of Symptoms. (Abstract)

Outcomes after Concussion Recovery Education: Effects of Litigation and Disability Status on Maintenance of Symptoms. This study examined the hypothesis that people who receive concussion recovery education would have better outcomes than those who received usual discharge paperwork from the emergency department (ED) and tested whether participants who were in litigation or seeking disability compensation had more symptoms than individuals not engaged in these activities. Two hundred and fifty (...) -five persons with a diagnosis of concussion were assigned randomly to a brief education group (one-page double-sided document), a longer education group (10-page document), and usual care (standard ED discharge instructions), and were these documents in the ED. A (non-concussion) trauma comparison group was enrolled to determine the symptom rate unrelated to brain injury. The Concussion Symptom Checklist (CSC) and litigation and disability status questions were completed by telephone at one week

2019 Journal of neurotrauma Controlled trial quality: uncertain

51. Cluster Randomized Controlled Trial of Disability Education Module During Clinical Clerkship. (Abstract)

Cluster Randomized Controlled Trial of Disability Education Module During Clinical Clerkship. The effect of a randomized disability education program on medical student knowledge and attitudes concerning disability was performed. Intervention group received bedside teaching of physical examination/interview skills and case-based discussion. Twenty-three participants completed the study (control group n = 11; intervention group n = 12). Pre-clerkship, 39% of all participants reported no personal (...) experience and 43% reported no professional experience with people with disabilities. Post-clerkship knowledge was higher for both groups; the test of group-by-time interaction was not significant. Qualitative analysis of post-clerkship attitude responses demonstrated that intervention group gave more detailed answers. Intervention group used terms representing functional aspects of disability twice as frequently as control group. Intervention group responses described long-term experience

2019 Clinical pediatrics Controlled trial quality: uncertain

52. Culture-sensitive and standard pain neuroscience education improves pain, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain: a pilot randomized controlled trial. (Abstract)

Culture-sensitive and standard pain neuroscience education improves pain, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain: a pilot randomized controlled trial. Purpose: To compare the effectiveness of culture-sensitive and standard pain neuroscience education (PNE) on pain knowledge, pain intensity, disability, and pain cognitions in first-generation Turkish migrants with chronic low back pain (CLBP). Methods: Twenty-nine Turkish first-generation (...) migrants with CLBP were randomly assigned to the culture-sensitive (n = 15) or standard PNE (n = 14) groups. Primary (pain knowledge, pain intensity, and disability) and secondary outcomes (pain beliefs, catastrophization, and fear of movement) were evaluated at baseline, immediately after the second session of PNE (week 1), and after 4 weeks. Results: There was a significant main effect of time in pain knowledge (p < .001), pain intensity (p = .03), disability (p = .002), organic and psychological

2019 Physiotherapy theory and practice Controlled trial quality: predicted high

53. Utilization of an interprofessional integrated clinical education experience to improve medical and physical therapy student comfort in treating patients with disabilities. (Abstract)

Utilization of an interprofessional integrated clinical education experience to improve medical and physical therapy student comfort in treating patients with disabilities. The purpose of this study is to examine the impact of an interprofessional education (IPE) clinical experience for medical and physical therapy students on students' comfort levels and attitudes toward patients with disabilities.Forty students were recruited for this study, 20 from the College of Medicine and 20 from (...) with disabled persons (IDP) failed to find statistically significant changes in respondent scores due to the intervention (P > 0.05).Both medical and physical therapy students reported increased comfort in dealing with rehabilitation situations after attending the IPE clinical experience. This supports the use of clinical encounters with individuals with disabilities as component of education on treating patients with disabilities.

2019 Education for health (Abingdon, England) Controlled trial quality: uncertain

54. Sexuality Education for Children and Adolescents

school (38% of male teenagers, compared with 47% of female teenagers). Teacher training in the United States is quite variable from district to district and school to school especially in sexuality education. The FoSE Initiative has released the National Teacher Preparation Standards for Sexuality Education to provide guidance to institutions of higher education to better prepare future teachers. The FoSE teacher standards include professional disposition, diversity and equity, content knowledge (...) , legal and professional ethics, planning, implementation, and assessment. According to these standards, teachers may benefit from receiving specialized training on human sexuality, which includes accurate and current knowledge about biological, social, and emotional stages of child and adolescent sexual development (including sexual orientation) and legal aspects of sexuality (ie, age of consent). Professionals responsible for sexuality education may benefit from receiving training in several

2020 American Academy of Pediatrics

55. Review of evidence to inform a best practice model of community diabetes education

that may be translated, and delivered in a group-setting, individually or in combination. Sessions vary between 15 minutes to 2 hours each session, and duration of programs may vary from 1 week to up to 2 years. Diabetes education may include verbal, written, visual, technology-based, or face-to-face strategies/interventions, delivered by multidisciplinary team of trained individuals. Evidence suggests that these trained individuals may include community health workers, credentialed diabetes educators (...) telehealth. The current gold standard is face-to-face group education classes, despite the risk of poor attendance [8] 1.5. Who delivered content Interdisciplinary team of individuals ranging from personnel trained in the research field and who had medical and health science backgrounds (e.g. nurse, diabetic educator, dietician, psychologist, occupational therapist, physician and/or podiatrist), to health promotors/community health workers and volunteers [1-3, 6, 7] In Australia, Credentialled Diabetes

2019 Monash Health Evidence Reviews

56. Effect of Working Memory Updating Training on Retrieving Symptoms of Children With Learning Disabilities. (Abstract)

Effect of Working Memory Updating Training on Retrieving Symptoms of Children With Learning Disabilities. Working memory (WM) deficiency is a primary reason for the poor academic performance of children with learning disabilities (LDs). Studies have shown that the WM of typical children could be improved through training, and WM training contributes to improving their fluid intelligence and academic achievement. However, few studies have investigated WM training for children with LDs (...) , and results have been inconsistent. The present study examined the long-term effects of WM updating training and whether it can mitigate LD symptoms. Fifty-four children with LDs were recruited and divided randomly into a training or control group. The training group underwent adaptive running WM training for 20 days. Before and after training, the 2 groups completed a 2-back task, a digit span task (forward and backward), Raven's Standard Progressive Matrices test, and a scholastic attainment test

2019 Journal of learning disabilities Controlled trial quality: uncertain

57. Learning disabilities: Congenital heart anomalies and non-white ethnicity are among the factors associated with poor survival rates in people with Down syndrome

Learning disabilities: Congenital heart anomalies and non-white ethnicity are among the factors associated with poor survival rates in people with Down syndrome Congenital heart anomalies and non-white ethnicity are among the factors associated with poor survival rates in people with Down syndrome | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about (...) survival rates in people with Down syndrome Article Text Commentary Learning disabilities Congenital heart anomalies and non-white ethnicity are among the factors associated with poor survival rates in people with Down syndrome Pauline Heslop Statistics from Altmetric.com Commentary on : O’Leary L, Hughes-McCormack L, Dunn K, et al . Early death and causes of death of people with Down syndrome: A systematic review. J Appl Res Intellect Disabil . 2018. doi: 10.1111/jar.12446. Implications for practice

2019 Evidence-Based Nursing

58. Learning disabilities

Learning disabilities Learning disabilities | Topics A to Z | CKS | NICE Search CKS… Menu Learning disabilities Learning disabilities Last revised in October 2018 Lower intellectual ability and social functioning < age 18 Diagnosis Management Background information Learning disabilities: Summary Definitions of learning disability generally encompass three core components: Lower intellectual ability (usually an IQ of less than 70). Significant impairment of social or adaptive functioning. Onset (...) in childhood. People with milder learning disabilities may be able to live independently and care for themselves, manage everyday tasks, work in paid employment, communicate their needs and wishes, have some language skills, and may have additional needs that are not clear to people who do not know them well. People with more severe learning disabilities are more likely to need support with daily activities such as dressing, washing, food preparation, and keeping themselves safe, have limited or no verbal

2018 NICE Clinical Knowledge Summaries

59. Learning disabilities: Scenario: Behaviour that challenges and mental health problems

disabilities. Parent training programmes specifically designed for parents or carers of children with learning disabilities can be considered to help prevent or treat mental health problems in the child, and to support carer wellbeing. The nature, content, and delivery of any interventions should be adjusted to take into account the impact of the person's learning disability and 'behaviour that challenges'. Ensure that the person understands the purpose, plan and content of any intervention before (...) it starts, and regularly throughout. If prescribing medication: Be aware that only primary care practitioners with training/expertise in the care of people with a learning disability should initiate treatment with psychotropic drugs. Additionally, specialists with expertise in treating mental health problems in people with learning disabilities should start medication in adults with more severe learning disabilities (unless there are locally agreed protocols for shared care) and children and young

2018 NICE Clinical Knowledge Summaries

60. RCN position statement: The role of school nurses in providing emergency contraception services in education settings

is necessary as the role of school nurses has extended to provide emergency contraception and advice on sexual health to school-age students in education settings, following OFSTED’s report on sex and relationship education in schools (2006). The RCN position The RCN believes that school nurses with appropriate training and experience are able to assess the need for hormonal emergency contraception, and to supply this contraception using patient group directions (PGDs). In addition, school nurses should (...) contraception through the provision of education and advice’. These advice services are usually staffed by experienced school nurses or sexual health nurses. Equipped with the appropriate training and experience, they have acquired the skills necessary to assess the need for emergency contraception, provide sexual health advice and appropriate onward referral for follow-up, and to supply emergency contraception under PGDs. Sexual health nurses in school-based settings work alongside the named school nurse

2018 Royal College of Nursing

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