The Experts below are selected from a list of 177 Experts worldwide ranked by ideXlab platform
Terrie E Inder - One of the best experts on this subject based on the ideXlab platform.
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early Sensitivity Training for parents of preterm infants impact on the developing brain
Pediatric Research, 2010Co-Authors: Jeannette Milgrom, Carol Newnham, Peter J Anderson, Lex W Doyle, Alan W Gemmill, Rod W Hunt, Merilyn Bear, Terrie E InderAbstract:After birth, preterm infants face a stressful environment, which may negatively impact early brain development and subsequent neurobehavioral outcomes. This randomized controlled trial involving 45 women with infants <30-wk gestation, assessed the effectiveness of Training parents in reducing stressful experiences. Intervention consisted of 10 sessions in the Neonatal Intensive Care Unit (NICU). Postintervention, at term-equivalent (40-wk postmenstrual age), magnetic resonance imaging (MRI) was performed to evaluate brain structure and development. Quantitative volumetric techniques were used to estimate overall and regional brain volumes for different tissue types including CSF, CGM, DNGM, UWM, and MWM. DTI was used to evaluate the integrity and maturation of white matter by ADC and FA. Maturation and connectivity of white matter, characterized by diffusion MR measures of ADC and FA, were significantly enhanced in the intervention group, who displayed greater restriction in ADC and increase in FA. There were no significant effects on either brain volumes or on short-term medical outcomes. Thus, Sensitivity Training for parents in the NICU is associated with improved cerebral white matter micro-structural development in preterm infants.
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Early Sensitivity Training for Parents of Preterm Infants: Impact on the Developing Brain
Pediatric Research, 2010Co-Authors: Jeannette Milgrom, Carol Newnham, Peter J Anderson, Lex W Doyle, Alan W Gemmill, Rod W Hunt, Merilyn Bear, Terrie E InderAbstract:After birth, preterm infants face a stressful environment, which may negatively impact early brain development and subsequent neurobehavioral outcomes. This randomized controlled trial involving 45 women with infants
Sandra Chery - One of the best experts on this subject based on the ideXlab platform.
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cultural Sensitivity Training in canadian medical schools
Academic Medicine, 2002Co-Authors: Nahid Azad, Barbara Power, Janet Dollin, Sandra CheryAbstract:ABSTRACT The authors describe the results of a survey they carried out in 2000 to determine the status of cultural Sensitivity Training in 16 Canadian medical schools using structured telephone interviews of associate and assistant deans or curriculum directors and curriculum coordinators. Their goal was to obtain a descriptive analysis of school-specific objectives, curriculum content, methods, and evaluation formats. The survey was prompted by the growing concern that in culturally diverse societies, medical education has failed to keep pace with the changing composition of the patient population. Only one of the eight schools that integrated cultural Sensitivity within their objectives made explicit mention of the topic in its clerkship evaluation form. While seven of the 16 schools did not have any statement on cultural Sensitivity in their curricular objectives, they integrated cultural Sensitivity in their curricula using various educational methods, with PBL cases, lectures, and small-group discussions being the commonest formats. These educational methods were primarily offered to students in their first and second years. Student participation was required, but program lengths ranged from two to 40 hours. Additional findings for each school are presented. The authors conclude that while progress has been made, lack of adequate resources and a number of obstacles to inclusion of multicultural health content in curricula appear to remain ongoing problems. Further investment in faculty development and administrative staff support for a multicultural curriculum are needed, as is more research on effective curricular components.
Jeannette Milgrom - One of the best experts on this subject based on the ideXlab platform.
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early Sensitivity Training for parents of preterm infants impact on the developing brain
Pediatric Research, 2010Co-Authors: Jeannette Milgrom, Carol Newnham, Peter J Anderson, Lex W Doyle, Alan W Gemmill, Rod W Hunt, Merilyn Bear, Terrie E InderAbstract:After birth, preterm infants face a stressful environment, which may negatively impact early brain development and subsequent neurobehavioral outcomes. This randomized controlled trial involving 45 women with infants <30-wk gestation, assessed the effectiveness of Training parents in reducing stressful experiences. Intervention consisted of 10 sessions in the Neonatal Intensive Care Unit (NICU). Postintervention, at term-equivalent (40-wk postmenstrual age), magnetic resonance imaging (MRI) was performed to evaluate brain structure and development. Quantitative volumetric techniques were used to estimate overall and regional brain volumes for different tissue types including CSF, CGM, DNGM, UWM, and MWM. DTI was used to evaluate the integrity and maturation of white matter by ADC and FA. Maturation and connectivity of white matter, characterized by diffusion MR measures of ADC and FA, were significantly enhanced in the intervention group, who displayed greater restriction in ADC and increase in FA. There were no significant effects on either brain volumes or on short-term medical outcomes. Thus, Sensitivity Training for parents in the NICU is associated with improved cerebral white matter micro-structural development in preterm infants.
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Early Sensitivity Training for Parents of Preterm Infants: Impact on the Developing Brain
Pediatric Research, 2010Co-Authors: Jeannette Milgrom, Carol Newnham, Peter J Anderson, Lex W Doyle, Alan W Gemmill, Rod W Hunt, Merilyn Bear, Terrie E InderAbstract:After birth, preterm infants face a stressful environment, which may negatively impact early brain development and subsequent neurobehavioral outcomes. This randomized controlled trial involving 45 women with infants
Elise M Van Der Elst - One of the best experts on this subject based on the ideXlab platform.
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emerging themes for Sensitivity Training modules of african healthcare workers attending to men who have sex with men a systematic review
International Health, 2015Co-Authors: Maartje Dijkstra, Elise M Van Der Elst, Evanson Gichuru, Helgar Musyoki, Zoe Duby, Murugi Micheni, Joep M A Lange, Susan M Graham, Eduard J SandersAbstract:: Sensitivity Training of front-line African health care workers (HCWs) attending to men who have sex with men (MSM) is actively promoted through national HIV prevention programming in Kenya. Over 970 Kenyan-based HCWs have completed an eight-modular online Training free of charge (http://www.marps-africa.org) since its creation in 2011. Before updating these modules, we performed a systematic review of published literature of MSM studies conducted in sub-Saharan Africa (sSA) in the period 2011-2014, to investigate if recent studies provided: important new knowledge currently not addressed in existing online modules; contested information of existing module topics; or added depth to topics covered already. We used learning objectives of the eight existing modules to categorise data from the literature. If data could not be categorised, new modules were suggested. Our review identified 142 MSM studies with data from sSA, including 34 studies requiring module updates, one study contesting current content, and 107 studies reinforcing existing module content. ART adherence and community engagement were identified as new modules. Recent MSM studies conducted in sSA provided new knowledge, contested existing information, and identified new areas of MSM service needs currently unaddressed in the online Training.
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men who have sex with men Sensitivity Training reduces homoprejudice and increases knowledge among kenyan healthcare providers in coastal kenya
Journal of the International AIDS Society, 2013Co-Authors: Elise M Van Der Elst, Adrian D Smith, Evanson Gichuru, Elizabeth Wahome, Helgar Musyoki, Nicolas Muraguri, Greg Fegan, Zoe Duby, Lindagail BekkerAbstract:Introduction: Healthcare workers (HCWs) in Africa typically receive little or no Training in the healthcare needs of men who have sex with men (MSM), limiting the effectiveness and reach of population-based HIV control measures among this group. We assessed the effect of a web-based, self-directed Sensitivity Training on MSM for HCWs (www.marps-africa.org), combined with facilitated group discussions on knowledge and homophobic attitudes among HCWs in four districts of coastal Kenya. Methods: We trained four district ‘‘AIDS coordinators’’ to provide a two-day Training to local HCWs working at antiretroviral therapyproviding facilities in coastal Kenya. Self-directed learning supported by group discussions focused onMSM sexual risk practices, HIV prevention and healthcare needs. Knowledge was assessed prior to Training, immediately after Training and three months after Training. The Homophobia Scale assessed homophobic attitudes and was measured before and three months after Training. Results: Seventy-four HCWs (68% female; 74% clinical officers or nurses; 84% working in government facilities) from 49 health facilities were trained, of whom 71 (96%) completed all measures. At baseline, few HCWs reported any prior Training on MSM anal sexual practices, and most HCWs had limited knowledge of MSM sexual health needs. Homophobic attitudes were most pronounced among HCWs who were male, under 30 years of age, and working in clinical roles or government facilities. Three months after Training, more HCWs had adequate knowledge compared to baseline (49% vs. 13%, McNemar’s test p <0.001); this was most pronounced in those with clinical or administrative roles and in those from governmental health providers. Compared to baseline, homophobic attitudes had decreased significantly three months after Training, particularly among HCWs with high homophobia scores at baseline, and there was some evidence of correlation between improvements in knowledge and reduction in homophobic sentiment. Conclusions: Scaling up MSM Sensitivity Training for African HCWs is likely to be a timely, effective and practical means to improve relevant sexual health knowledge and reduce personal homophobic sentiment among HCWs involved in HIV prevention, testing and care in sub-Saharan Africa. Keywords: Sensitivity Training; MSM behaviour; Homophobia Scale; homoprejudice; healthcare workers; Kenya. (Published: 2 December 2013) Citation: van der Elst EM et al. Journal of the International AIDS Society 2013, 16 (Suppl 3):18748 http://www.jiasociety.org/index.php/jias/article/view/18748 | http://dx.doi.org/10.7448/IAS.16.4.18748
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Men who have sex with men Sensitivity Training reduces homoprejudice and increases knowledge among Kenyan healthcare providers in coastal Kenya.
Journal of the International AIDS Society, 2013Co-Authors: Elise M Van Der Elst, Adrian D Smith, Evanson Gichuru, Elizabeth Wahome, Helgar Musyoki, Nicolas Muraguri, Greg Fegan, Zoe Duby, Lindagail Bekker, Bonnie BenderAbstract:Healthcare workers (HCWs) in Africa typically receive little or no Training in the healthcare needs of men who have sex with men (MSM), limiting the effectiveness and reach of population-based HIV control measures among this group. We assessed the effect of a web-based, self-directed Sensitivity Training on MSM for HCWs (www.marps-africa.org), combined with facilitated group discussions on knowledge and homophobic attitudes among HCWs in four districts of coastal Kenya. We trained four district "AIDS coordinators" to provide a two-day Training to local HCWs working at antiretroviral therapy-providing facilities in coastal Kenya. Self-directed learning supported by group discussions focused on MSM sexual risk practices, HIV prevention and healthcare needs. Knowledge was assessed prior to Training, immediately after Training and three months after Training. The Homophobia Scale assessed homophobic attitudes and was measured before and three months after Training. Seventy-four HCWs (68% female; 74% clinical officers or nurses; 84% working in government facilities) from 49 health facilities were trained, of whom 71 (96%) completed all measures. At baseline, few HCWs reported any prior Training on MSM anal sexual practices, and most HCWs had limited knowledge of MSM sexual health needs. Homophobic attitudes were most pronounced among HCWs who were male, under 30 years of age, and working in clinical roles or government facilities. Three months after Training, more HCWs had adequate knowledge compared to baseline (49% vs. 13%, McNemar's test p<0.001); this was most pronounced in those with clinical or administrative roles and in those from governmental health providers. Compared to baseline, homophobic attitudes had decreased significantly three months after Training, particularly among HCWs with high homophobia scores at baseline, and there was some evidence of correlation between improvements in knowledge and reduction in homophobic sentiment. Scaling up MSM Sensitivity Training for African HCWs is likely to be a timely, effective and practical means to improve relevant sexual health knowledge and reduce personal homophobic sentiment among HCWs involved in HIV prevention, testing and care in sub-Saharan Africa.
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Men who have sex with men Sensitivity Training reduces homoprejudice and increases knowledge among Kenyan healthcare providers in coastal Kenya.
Journal of the International AIDS Society, 2013Co-Authors: Elise M Van Der Elst, Adrian D Smith, Evanson Gichuru, Elizabeth Wahome, Helgar Musyoki, Nicolas Muraguri, Greg Fegan, Zoe Duby, Lindagail Bekker, Bonnie BenderAbstract:Introduction: Healthcare workers (HCWs) in Africa typically receive little or no Training in the healthcare needs of men who have sex with men (MSM), limiting the effectiveness and reach of population-based HIV control measures among this group. We assessed the effect of a web-based, self-directed Sensitivity Training on MSM for HCWs (www.marps-africa.org), combined with facilitated group discussions on knowledge and homophobic attitudes among HCWs in four districts of coastal Kenya. Methods: We trained four district ‘‘AIDS coordinators’’ to provide a two-day Training to local HCWs working at antiretroviral therapyproviding facilities in coastal Kenya. Self-directed learning supported by group discussions focused onMSM sexual risk practices, HIV prevention and healthcare needs. Knowledge was assessed prior to Training, immediately after Training and three months after Training. The Homophobia Scale assessed homophobic attitudes and was measured before and three months after Training. Results: Seventy-four HCWs (68% female; 74% clinical officers or nurses; 84% working in government facilities) from 49 health facilities were trained, of whom 71 (96%) completed all measures. At baseline, few HCWs reported any prior Training on MSM anal sexual practices, and most HCWs had limited knowledge of MSM sexual health needs. Homophobic attitudes were most pronounced among HCWs who were male, under 30 years of age, and working in clinical roles or government facilities. Three months after Training, more HCWs had adequate knowledge compared to baseline (49% vs. 13%, McNemar’s test p
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Experiences of Kenyan healthcare workers providing services to men who have sex with men: qualitative findings from a Sensitivity Training programme.
Journal of the International AIDS Society, 2013Co-Authors: Elise M Van Der Elst, Adrian D Smith, Zoe Duby, Susan M Graham, Evans Gichuru, Anisa Omar, Jennifer Kanungi, Miriam Midoun, Sylvia Shangani, Eduard J SandersAbstract:Men who have sex with men (MSM) in Kenya are at high risk for HIV and may experience prejudiced treatment in health settings due to stigma. An on-line computer-facilitated MSM Sensitivity programme was conducted to educate healthcare workers (HCWs) about the health issues and needs of MSM patients. Seventy-four HCWs from 49 ART-providing health facilities in the Kenyan Coast were recruited through purposive sampling to undergo a two-day MSM Sensitivity Training. We conducted eight focus group discussions (FGDs) with programme participants prior to and three months after completing the Training programme. Discussions aimed to characterize HCWs' challenges in serving MSM patients and impacts of programme participation on HCWs' personal attitudes and professional capacities. Before participating in the Training programme, HCWs described secondary stigma, lack of professional education about MSM, and personal and social prejudices as barriers to serving MSM clients. After completing the programme, HCWs expressed greater acknowledgement of MSM patients in their clinics, endorsed the need to treat MSM patients with high professional standards and demonstrated sophisticated awareness of the social and behavioural risks for HIV among MSM. Findings provide support for this approach to improving health services for MSM patients. Further efforts are needed to broaden the reach of this Training in other areas, address identified barriers to HCW participation and evaluate programme effects on patient and HCW outcomes using rigorous methodology.
Stanley G Korenman - One of the best experts on this subject based on the ideXlab platform.
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cultural Sensitivity Training in u s medical schools
Academic Medicine, 1994Co-Authors: Stanley G KorenmanAbstract:BACKGROUND. As the United States becomes more multicultural, physicians face the challenge of providing culturally sensitive and appropriate health care to patients with differing health beliefs and values. While a few schools are providing cultural-Sensitivity Training in response to the changing p
