Journal of evaluation in clinical practice
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This study aimed to examine the effect of the hand hygiene education on middle school students' behavioral scores related to hand hygiene practices. ⋯ To foster lasting behavioral changes from a young age, it is advisable to implement hygiene education in schools periodically, including targeted interventions for middle school students.
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Allied Health Primary Contact Clinic (AHPCC) models of care are increasingly used to manage growing demands on health service capacity. There is a critical need for new models of care to demonstrate value, however comprehensive evaluation of AHPCCs, including use of metrics frameworks like the Moretto framework, have been slow to uptake, and the reasons for this are unclear. ⋯ For health services to fully understand the value of their AHPCC services and direct their limited resources appropriately, evaluation activity needs to be better valued and enabled at a local, statewide and national level. Strategies should include protected time, funding, administrative support, leadership support, access to mentorship, development of structures which enable collaborative evaluation at a state-wide (or broader) level, and a shared understanding of value and core areas for measurement across stakeholders.
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Exercise capacity declines with age. However, the effect of common geriatric symptoms, that are related to physical performance, on exercise capacity is unclear. ⋯ This study indicates that changes in exercise capacity are more influenced by the presence of sarcopenia, and that poor TUG performance is the greatest risk factor for the impaired exercise capacity.