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Learning Disabilities

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161. NICE learning disabilities and challenging behaviour guidance highlights need for stronger evidence

care and education services for everyone with a learning disabilities. This includes those who are at risk of developing, as well as those who are already displaying behaviour that challenges. The lead commissioner should: Take a ‘whole life’ approach enabling smooth transitions from childhood to adult services Pool budgets and other resources to develop local and regional services across health, social care and education and with neighbouring authorities Consider jointly commissioning the most (...) designating a lead commissioner to oversee the commissioning of health, social and educational services for people with learning disabilities. Funding It is suggested that a range of funding arrangements should be available such as direct payments, personal budgets or individual service funds, and that an individual should be supported to make a choice on this if they wish. Service providers NICE recommend that learning disability service providers should: Work in partnership with each individual

2018 The Learning Disabilities Elf

162. ADHD symptoms and learning behaviors in children with ASD without intellectual disability. A mediation analysis of executive functions. Full Text available with Trip Pro

ADHD symptoms and learning behaviors in children with ASD without intellectual disability. A mediation analysis of executive functions. In spite of its importance for education, the relationship between learning behaviors (LB), attention deficit hyperactivity disorder symptoms (ADHD) and executive functioning (EF) in children with autism spectrum disorder (ASD) has hardly been explored. The first objective of the present study was to compare children with ASD without intellectual disability (...) and children with typical development (TD) on ADHD symptoms and learning behaviors: Motivation/competence, attitude toward learning, persistence on the task, and strategy/flexibility. The second objective was to analyze the mediator role of behavioral regulation and metacognition components of EF between ADHD symptoms and learning behaviors in children with ASD. Participants were 89 children between 7 and 11 years old, 52 with ASD and 37 with TD, matched on age and intelligence. Their teachers filled out

2018 PLoS ONE

163. School?based Education Programmes for the Prevention of Child Sexual Abuse: A Systematic Review Full Text available with Trip Pro

The study population comprised children (aged 5 to 12 years) and adolescents (aged 13 to 18 years) attending primary (elementary) or secondary (high) schools. 3.1.3 Types of interventions Included interventions were school‐based education programmes focusing on knowledge of sexual abuse and sexual abuse prevention concepts, or skill acquisition in protective behaviours, or both, compared with no intervention or the standard school curriculum. For this update, we excluded: interventions for preventing (...) , puppet shows, films, lectures, and discussions have been used with some programmes employing single formats, whereas others use combinations of formats ( ; ; ). Programme teaching methods have been conceptualised on a continuum from those employing purely didactic approaches, such as a speech, address, or talk, stressing students' passive listening and acquisition of knowledge, to those employing behavioural approaches, such as modelling, and emphasising students' active participation in role‐play

2015 Campbell Collaboration

164. Behavioral, Psychological, Educational, and Vocational Interventions to Facilitate Employment Outcomes for Cancer Survivors: A Systematic Review Full Text available with Trip Pro

focused on identifying interventions with behavioral, psychological, educational, or vocational content that aim to facilitate cancer survivors' employment outcomes, including a) employment status, b) return‐to‐work, c) absenteeism, and d) time spent on work disability or sick leave. Interventions of interest included education, training, psychological support, environmental adjustments or accommodations, flexible or job‐sharing work conditions, or job search and placement assistance. We were also (...) applicants in the current study‐‐‐other services were contingent on the clients' employment status” (Chiu et al., 2013, p. 7). Employed clients needed services to support work adjustment and accommodation, such as diagnosis, treatment, “rehabilitation technology, disability‐related augmentative skills training, technical assistance services, on‐the‐job supports and basic academic, remedial or literacy training” (Chiu et al., 2013, p. 7). Especially because there were significantly lower educational

2015 Campbell Collaboration

165. Education as a strategy for managing occupational-related musculoskeletal pain: a scoping review. Full Text available with Trip Pro

Education as a strategy for managing occupational-related musculoskeletal pain: a scoping review. Musculoskeletal (MSK) pain is the primary contributor to disability worldwide. There is a growing consensus that MSK pain is a recurrent multifactorial condition underpinned by health and lifestyle factors. Studies suggest that education on work-related pain and individualised advice could be essential and effective for managing persistent MSK pain.The objective of this scoping review was to map (...) -related MSK pain. Further, some studies reported additive effects of physical activity or ergonomic adjustments.There is a gap in knowledge regarding the best content and delivery of education of material in the workplace. Although beneficial outcomes were reported, more RCT studies are required to determine the effects of education material as compared with other interventions, such as exercise or behavioural therapy.© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC

2020 BMJ open

166. Patient education materials for non-specific low back pain and sciatica: a protocol for a systematic review and meta-analysis. Full Text available with Trip Pro

Patient education materials for non-specific low back pain and sciatica: a protocol for a systematic review and meta-analysis. Low back pain accounts for more disability than any other musculoskeletal condition and is associated with severe economic burden. Patients commonly present with negative beliefs about low back pain and this can have detrimental effects on their health outcomes. Providing evidence-based, patient-centred education that meets patient needs could help address (...) these negative beliefs and alleviate the substantial low back pain burden. The primary aim of this review is to investigate the effectiveness of patient education materials on immediate process, clinical and health system outcomes.The search strategy was developed in collaboration with a librarian and systematic searches will be performed in MEDLINE, EMBASE, CINAHL, PsycINFO and SPORTDiscus. We will also search trial registries and grey literature through the OpenGrey database. Study selection will include

2020 BMJ open

167. Current provision of myelopathy education in medical schools in the UK: protocol for a national medical student survey. Full Text available with Trip Pro

Current provision of myelopathy education in medical schools in the UK: protocol for a national medical student survey. Degenerative cervical myelopathy (DCM) is a common, disabling and progressive neurological condition triggered by chronic compression of the cervical spinal cord by surrounding degenerative changes. Early diagnosis and specialist management are essential to reduce disability, yet time to diagnosis is typically prolonged. Lack of sufficient representation of DCM (...) in undergraduate and postgraduate medical curricula may contribute to the poor recognition of DCM by non-specialist doctors in clinical practice.In this study, our objective, therefore, is to assess DCM teaching provision in medical schools throughout the UK and to assess the impact of teaching on the DCM knowledge of UK medical students.A 19-item questionnaire capturing data on medical student demographics, myelopathy teaching and myelopathy knowledge was designed. Ethical approval was granted

2020 BMJ open

168. Scalable solution for delivery of diabetes self-management education in Thailand (DSME-T): a cluster randomised trial study protocol. Full Text available with Trip Pro

Scalable solution for delivery of diabetes self-management education in Thailand (DSME-T): a cluster randomised trial study protocol. Type 2 diabetes mellitus is among the foremost health challenges facing policy makers in Thailand as its prevalence has more than tripled over the last two decades, accounting for considerable death, disability and healthcare expenditure. Diabetes self-management education (DSME) programmes show promise in improving diabetes outcomes, but this is not routinely

2020 BMJ open

169. Effectiveness and cost-effectiveness of a progressive, individualised walking and education programme for prevention of low back pain recurrence in adults: study protocol for the WalkBack randomised controlled trial. Full Text available with Trip Pro

Effectiveness and cost-effectiveness of a progressive, individualised walking and education programme for prevention of low back pain recurrence in adults: study protocol for the WalkBack randomised controlled trial. Low back pain (LBP) is recognised globally as a prevalent, costly and disabling condition. Recurrences are common and contribute to much of the burden of LBP. Current evidence favours exercise and education for prevention of LBP recurrence, but an optimal intervention has not yet (...) criteria are adults recovered from an episode of non-specific LBP within the last 6 months. Those allocated to the intervention group will receive six sessions (three face to face and three telephone delivered) with a trained physiotherapist to facilitate a progressive walking programme and education over a 6-month period. The primary outcome will be days to first recurrence of an episode of activity-limiting LBP. The secondary outcomes include days to recurrence of an episode of LBP, days

2020 BMJ open

170. Association of Mental Disorder in Childhood and Adolescence With Subsequent Educational Achievement. (Abstract)

Association of Mental Disorder in Childhood and Adolescence With Subsequent Educational Achievement. Onset of mental disorders during childhood or adolescence has been associated with underperformance in school and impairment in social and occupational life in adulthood, which has important implications for the affected individuals and society.To compare the educational achievements at the final examination of compulsory schooling in Denmark between individuals with and those without a mental (...) grade difference, -0.30; 95% CI, -0.32 to -0.28) more than the grades of their female peers (standardized mean grade difference, -0.24; 95% CI, -0.25 to -0.22) when compared with same-sex individuals without mental disorders. Most specific mental disorders were associated with statistically significantly lower mean grades, with intellectual disability associated with the lowest grade in female and male students (standardized mean grade difference, -1.07 [95% CI, -1.23 to -0.91] and -1.03 [95% CI

2020 JAMA psychiatry (Chicago, Ill.)

171. Medication-overuse headache: The effect of a patient educational programme-A randomized controlled trial. Full Text available with Trip Pro

-centre setting to standard treatment with 12 weeks of education (I-group) versus standard treatment (C-group). The primary outcome was measurement of reduction in headache days/last month at 9 months' follow-up. Secondary outcomes were headache intensity, acute medication intake, bothersomeness, disability, physical activity and patient satisfaction. The between-group differences were analysed using a mixed-effects model for repeated measurements with a between group factor (I-group vs. C-group (...) Medication-overuse headache: The effect of a patient educational programme-A randomized controlled trial. Little is known about the effects of non-pharmacological interventions among medication-overuse headache (MOH) patients, although non-pharmacological approaches combined with pharmacological treatment are recommended. The objective was to evaluate the effect of an educational programme as an add-on to standard treatment.Medication-overuse headache patients were randomized (1:1) in a single

2020 European Journal of Pain

172. Early childhood education and life-cycle health. Full Text available with Trip Pro

Early childhood education and life-cycle health. This study forecasts the life-cycle treatment effects on health of a high-quality early childhood program. Our predictions combine microsimulation using nonexperimental data with experimental data from a midlife long-term follow-up. The follow-up incorporated a full epidemiological exam. The program mainly benefits males and significantly reduces the prevalence of heart disease, stroke, cancer, and mortality across the life-cycle. For men, we (...) estimate an average reduction of 3.8 disability-adjusted life years (DALYs). The reduction in DALYs is relatively small for women. The gain in quality-adjusted life years is almost enough to offset all of the costs associated with program implementation for males and half of program costs for women.© 2020 John Wiley & Sons Ltd.

2020 Health economics

173. Summer-born struggle: The effect of school starting age on health, education, and work. Full Text available with Trip Pro

are less likely to develop behavioral problems and speech impediments, whereas learning disabilities, ADHD, and dyslexia/dyscalculia remain unaffected. Importantly, these effects only arise after primary school entry and are not due to preexisting health conditions. We also find that teachers tend to over-refer relatively young children to special needs services, but this over-referring behavior is not driving the results, which are based on psychologists' diagnoses. The SSA effect persists throughout (...) compulsory schooling, resulting in higher test scores and better quality vocational training contracts. However, SSA does not affect employment, earnings, or disability insurance benefits at labor market entry.© 2020 The Authors. Health Economics published by John Wiley & Sons Ltd.

2020 Health economics

174. Novel Stepped Care Approach to Provide Education and Exercise Therapy for Patellofemoral Pain: Feasibility Study. Full Text available with Trip Pro

Novel Stepped Care Approach to Provide Education and Exercise Therapy for Patellofemoral Pain: Feasibility Study. Patellofemoral pain (PFP) impairs joint- and health-related quality of life and may be associated with knee osteoarthritis. We developed a novel, 2-phase, stepped-care approach for PFP, combining (1) self-directed web-based education and exercise therapy with (2) physiotherapist-supported education and exercise therapy. Physiotherapy sessions can be provided using 2 different (...) modalities: face-to-face and telerehabilitation.This study aims to (1) determine the feasibility of our stepped-care approach, (2) explore patient-reported outcomes following self-directed web-based education and exercise therapy in people with PFP (phase 1), and (3) estimate the differences in treatment effects between face-to-face and telerehabilitation to support further education and exercise therapy (phase 2) in those who had not completely recovered following self-directed care.Phase 1 involved 6

2020 Journal of medical Internet research

175. Educational differences in trajectories and determinants of healthy ageing in midlife and older Americans. (Abstract)

Educational differences in trajectories and determinants of healthy ageing in midlife and older Americans. To advance knowledge of the influence of educational level on trajectories and determinants of healthy ageing in midlife and older Americans.Data are from the Health and Retirement Study, a nationally representative, longitudinal survey of Americans age 51 and over. We used generalized estimating equations to examine trajectories and determinants of healthy ageing by level of education (...) ).Informed by earlier work, we defined healthy ageing as freedom from cognitive impairment, freedom from disability, and high physical functioning.The log odds of healthy ageing declined over time in all educational groups. Importantly, the decline was smaller in adults with a college or higher degree than in those without a high school diploma. Age, gender, wealth, health behaviours, productive engagement, depressive symptoms, and the presence of chronic conditions predicted healthy ageing across

2020 Maturitas

176. Group-based educational interventions in adolescents and young adults with ASD without ID: a systematic review focusing on the transition to adulthood. (Abstract)

. Group-based interventions, including patient education, social-skills training, and cognitive-behavioral therapy, are widely used in clinical settings to improve the daily life and prospects of ASD individuals facing the challenge of transitioning to adulthood. We performed a systematic review of studies concerning the efficiency of group-based educational interventions with a focus on the transition to adulthood for young, ASD individuals without intellectual disability (ID). As a result (...) Group-based educational interventions in adolescents and young adults with ASD without ID: a systematic review focusing on the transition to adulthood. There is a growing number of young people, diagnosed with an autism-spectrum disorder (ASD), transitioning to adulthood. Among this number, individuals without an intellectual disability have significant adaptive deficits and need individualized care and support services to better target vocational, social, and educational prospects and outcomes

2020 European child & adolescent psychiatry

177. Educational level and socioeconomic status in patients born with congenital diaphragmatic hernia: A population-based study. (Abstract)

Educational level and socioeconomic status in patients born with congenital diaphragmatic hernia: A population-based study. Neurodevelopmental dysfunction is one of the most disabling outcomes for congenital diaphragmatic hernia (CDH) survivors and may have a long lasting impact in adult life.To evaluate to which extent being born with CDH has an impact on the educational level and socioeconomic status as a proxy for neurocognitive development.Nationwide, population-based prospective study (...) of newborn children in Sweden from 1982 to 2015. School grades, highest educational level and income were assessed through Swedish public registries. Children above 15 years of age with CDH were compared with randomly selected controls.A significantly higher number of cases (17% vs 10%) did achieve neither a school nor a university degree. Among those who achieved a degree there was no difference in the highest level of education. The qualification points in elementary school did not differ, but in high

2020 Journal of Pediatric Surgery

178. Optimizing internet-delivered cognitive behaviour therapy for alcohol misuse: a study protocol for a randomized factorial trial examining the effects of a pre-treatment assessment interview and health educator guidance. Full Text available with Trip Pro

Optimizing internet-delivered cognitive behaviour therapy for alcohol misuse: a study protocol for a randomized factorial trial examining the effects of a pre-treatment assessment interview and health educator guidance. Alcohol misuse is a common, disabling, and costly issue worldwide, but the vast majority of people with alcohol misuse never access treatment for varying reasons. Internet-delivered cognitive behaviour therapy (ICBT) may be an attractive treatment alternative for individuals (...) of this has been conducted. Further, research on internet interventions for alcohol misuse suggests that guidance from a therapist or coach improves outcomes, but more research on the benefits of guidance in ICBT is still needed.This study is a 2X2 factorial randomized controlled trial where all of the expected 300 participants receive access to the Alcohol Change Course, an eight-week ICBT program. A comprehensive pre-treatment assessment interview represents factor 1, and guidance from a health educator

2020 BMC Psychiatry

179. Evaluation of the efficacy of an internet-based pain education and exercise program for chronic musculoskeletal pain in comparison with online self-management booklet: a protocol of a randomised controlled trial with assessor-blinded, 12-month follow-up, Full Text available with Trip Pro

Evaluation of the efficacy of an internet-based pain education and exercise program for chronic musculoskeletal pain in comparison with online self-management booklet: a protocol of a randomised controlled trial with assessor-blinded, 12-month follow-up, Chronic musculoskeletal pain is one of the main causes of years lived with disability and generates the highest cost of health care among chronic pain conditions. Internet-based treatments have been shown to be an alternative for the treatment (...) of musculoskeletal conditions, in addition to reducing barriers such as travel, high demands on the public health system, lack of time, lack of insurance coverage for private care, and high costs for long-term treatment. The aim of this clinical trial is to develop and test the effectiveness and cost-effectiveness of, an internet-based self-management program based on pain education and exercise for people with chronic musculoskeletal pain.This is a prospectively registered, assessor-blinded, two-arm randomised

2020 BMC Musculoskeletal Disorders

180. Developing a national road traffic safety education program in Iran. Full Text available with Trip Pro

of expert opinion.The following six main themes emerged from the analysis: target groups, program content, educational methods, instructors, resources and evaluation. The target group consisted of children, youth, parents, teachers, elderly, motorcyclists, cyclists, pedestrians, drivers, driver license applicants, instructors and administrators of driving schools, and specific groups such as the disabled, managers at different levels, and policymakers. The content of the program consisted of 27 items (...) Developing a national road traffic safety education program in Iran. Education is a pivot included Decade of Action for Road Safety initiative, which has reduced deaths caused by accidents in developed countries. Given the circumstances of each country, a proper education program is necessary. Thus, the aim of this study was to develop the National Road Traffic Safety Education Program (NRTSEP) and reduce Road Traffic Injuries (RTIs).This study used a qualitative approach and was conducted

2020 BMC Public Health

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