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1.
Medicine (Baltimore) ; 103(9): e37231, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38428863

RESUMO

BACKGROUND: The administrative, language, science and vocational staff in Nigerian open and distance learning centers handle a wide range of responsibilities, including teaching, supervising exams, managing projects for distant learners, conducting research, and attending conferences. However, no research in southeast Nigeria has looked into how the administrative, language, science and vocational staff at open-distance learning centers manage occupational stress. Therefore, the purpose of this study was to investigate how administrative, language, science and vocational education staff at open distance learning facilities in southeast Nigeria manage their work-related stress in relation to cognitive behavior therapy intervention. METHODS: The study used a randomized control group trial design with 63 administrative, language, science and vocational staff members as the sample size. Data were gathered using the Occupational Stress Index and the Perceived Stress Scale. The instruments' respective internal consistency reliability indices are.87 and.77. The 12-week intervention of cognitive behavior therapy was conducted. A postintervention exam was given to participants in both the intervention group and the nonintervention group after the conclusion of the intervention, and a follow-up assessment was given 2 months later. The paired samples t-test and the independent samples t-test were used to evaluate the data for the within-groups and between-groups effects, respectively. RESULTS: In open and distance learning facilities in southeast Nigeria, it was discovered that cognitive behavior therapy significantly improved the administrative, language, science and vocational education staff's ability to manage occupational stress. CONCLUSION: Administrative, language, science and vocational education staff at open distance learning facilities in southeast Nigeria can effectively manage their occupational stress through the use of cognitive behavior therapy.


Assuntos
Terapia Cognitivo-Comportamental , Educação a Distância , Estresse Ocupacional , Testes Psicológicos , Autorrelato , Humanos , Educação Vocacional , Reprodutibilidade dos Testes , Estresse Ocupacional/terapia , Idioma
2.
PLoS One ; 19(3): e0298675, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38478567

RESUMO

Higher vocational education is the core component of China's national education system and shoulders the mission of cultivating high-skilled and applied talents. The wide application of Massive Open Online Courses (MOOCs) has effectively improved the curriculum system of China's higher vocational education. In the meantime, some MOOCs suffer from poor course quality. Therefore, from the perspective of sustainable course quality improvement, we propose a data-driven framework for mining and analyzing student reviews in China's higher vocational education MOOCs. In our framework, we first mine multi-level student demands hidden in MOOC reviews by combining web crawlers and text mining. Then we use an artificial neural network and the KANO model to classify the extracted student demands, thereby designing effective and sustainable MOOC quality improvement strategies. Based on the real data from China's higher vocational education MOOCs, we validate the effectiveness of the proposed data-driven framework.


Assuntos
Educação a Distância , Educação Vocacional , Humanos , Melhoria de Qualidade , Nigéria , Estudantes , China
3.
BMC Public Health ; 24(1): 683, 2024 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-38438986

RESUMO

BACKGROUND: Most adult smokers started smoking in their teenage years, which increases the risk of nicotine dependence. In Denmark, there is a high prevalence of youth smoking among students in Vocational Education and Training (VET). However, reducing and preventing smoking in this group is a major challenge. This article presents a needs assessment aimed to explore factors sustaining legitimacy of smoking in VET schools and consider the measures needed to prepare VET schools' implementation of smoking reduction and prevention interventions. METHODS: Participant observations were conducted in four VET classes representing three VET schools in Denmark with a duration of four days each. Individual, semi-structured interviews were conducted with teachers, managers, and a student advisor, as well as four focus groups with a total of 20 students. Interviews were audio-taped, transcribed, and the data material was analyzed following Malterud's systematic text condensation. FINDINGS: Factors that helped sustain legitimacy of smoking in VET schools included a positive and normalized attitude towards smoking at home and among friends, an understanding of smoking as an integral and expected practice in VET professions and schools, a perceived reliance on smoking as an icebreaker in new social relations and as a pedagogical tool, and smoking as a habit and a means to deal with boredom and stress relief. CONCLUSIONS: The factors sustaining legitimacy of smoking in VET schools are reciprocal and call for smoking reduction and prevention intervention efforts which consider and address social influence, habitual behavior, and psychological needs, as well as changes at the policy level.


Assuntos
Instituições Acadêmicas , Educação Vocacional , Adulto , Adolescente , Humanos , Determinação de Necessidades de Cuidados de Saúde , Escolaridade , Fumar/epidemiologia
4.
PLoS One ; 19(2): e0298861, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38416731

RESUMO

Multimedia technology holds paramount importance in driving innovation within vocational education, significantly influencing learning satisfaction. Its integration facilitates dynamic and interactive learning environments, catering to diverse learning styles and preferences. Moreover, multimedia technology enables educators to simulate real-world scenarios, providing practical and hands-on training opportunities. This aspect is particularly valuable in vocational education, where practical skills and application are required. The paper investigates the impact of multimedia technology in enhancing learning satisfaction within innovative vocational education. It delves into the utilization of multimedia tools and their correlation with learner satisfaction, exploring how these technologies augment engagement and comprehension in vocational training. The primary data from 515 students of vocational colleges of China has been collected and regression analysis is applied for empirical analysis. The findings of the study highlight that multimedia technology has positive relationship with innovative vocational education and learning outcome. The findings contribute valuable insights for policymakers regarding significant role multimedia plays in fostering enhanced learning experiences and overall satisfaction among vocational learners.


Assuntos
Multimídia , Educação Vocacional , Humanos , Aprendizagem , Satisfação Pessoal , Estudantes
5.
Sci Rep ; 13(1): 21290, 2023 12 02.
Artigo em Inglês | MEDLINE | ID: mdl-38042870

RESUMO

Nowadays, augmented reality (AR) is becoming more and more prevalent and used in many fields, including education. Previous studies have reported the positive effect of AR to advocate the use of AR in the classroom. However, it is unclear whether such a positive effect can be reported for any student. In this study, we recruited students from a Chinese vocational college. Due to the peculiar conditions in China, students in vocational colleges may have weaker learning abilities and worse academic performance than students in research universities. Furthermore, the sex and grade of students were considered. We conducted a three-stage experiment for the PPT-based group and the AR-based group separately. We taught the students the orthographic projection, a lesson from the Engineering Drawing course, which is widely learned by students who majored in architecture. The students' academic performances were rated prior to class, right after class, and 1-week after class, through a direct examination at three stages. We found the inefficiency of AR for students in vocational colleges. The interaction effect between sex and grade of students was also reported. Students undergoing AR-based teaching could not perform better or even worse than students undergoing PPT-based teaching. We recommended that the teachers should consider whether to use AR in the classroom based on the characteristics of students.


Assuntos
Realidade Aumentada , Humanos , Educação Vocacional , População do Leste Asiático , Aprendizagem , Estudantes
6.
PLoS One ; 18(10): e0293132, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37856520

RESUMO

The imbalanced regional development of higher vocational education, particularly the disparity between the supply and demand of educational resources, has emerged as the primary factor impeding the provision of high-quality higher education in China during the establishment of a universal education system. Based on the 1,482 higher vocational education institutions recognized by the Ministry of Education of China in 2021 as the research objects, the development of higher vocational education in China was explored from the perspective of supply and demand using the entropy weight TOPSIS method and coupling coordination degree model. It was found that China's higher vocational institutions were mainly located in provincial capitals, representing a point distribution pattern. From a comprehensive evaluation of the supply level, areas such as the Beijing-Tianjin-Hebei region, Yangtze River Delta, and central Henan Province have become the catchment areas for the development of higher vocational education, laying the foundation for regional network cooperation. From the perspective of educational equality, the higher vocational education in China was found to be sufficient to match the supply and demand, and a balance between supply and demand was apparent in provincial capitals. The coupling degree between supply and demand exhibited an "olive-type" spatial structure pattern, indicating that the development of higher vocational education in most cities in China is still in the transformation stage. The results provide a scientific basis for optimizing resources in the provision of higher vocational education.


Assuntos
Educação Vocacional , China , Pequim , Cidades , Escolaridade
7.
BMC Prim Care ; 24(1): 216, 2023 10 21.
Artigo em Inglês | MEDLINE | ID: mdl-37865732

RESUMO

BACKGROUND: There is a shortage of general practice nurses worldwide to deal with an ever-increasing workload, and the need to attract new staff into general practice nursing is therefore vital. As part of this, a one-year Vocational Training Scheme (VTS) for new to general practice nurses was developed in 2020 by the South Yorkshire Primary Care Workforce and Training Hub. METHODS: The aim of the study was to examine the VTS trainees' views on general practice nursing as a career. A pragmatic, convenience sample of trainees was recruited. Of the 21 trainees, 17 agreed to take part in the study. Data were collected from the trainees using a series of four regular, timed, online focus groups designed to follow the trainees' trajectory on the programme over a 12-month period. The data were analysed using framework analysis. RESULTS: The timed nature of the focus groups meant that the analysis of the data was linked to the trainees' trajectory over the course of the year. Three themes were generated from the data: 'pathways into general practice'; 'learning to be a GPN'; and 'the future GPN'. In theme one, the trainees talked of the difficulties in accessing general practice as a new graduate, specifically the need for prior experience and how to get it. In the second, the transition to being a general practice nurse was discussed, and the expectation of being able to 'hit the ground running' once in post. The new graduate participants were also concerned over the opportunities for clinical supervision and support in the role after the programme. Finally, the participant s expressed concern over future opportunities for professional development and the prospects for a long-term career in general practice. CONCLUSION: To address the worldwide workforce 'crisis' in general practice nursing, sustainable career pathways are needed to encourage new graduate nurses to consider working in general practice. Starting at university, changing the culture and providing the necessary infrastructure to support ongoing professional development in general practice nursing are key to its success.


Assuntos
Medicina Geral , Educação Vocacional , Humanos , Escolha da Profissão , Medicina de Família e Comunidade , Reino Unido
8.
Aust J Rural Health ; 31(5): 967-978, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37607122

RESUMO

OBJECTIVE: GP vocational training enrolments are declining Australia-wide and, in the Northern Territory (NT), considered by some as '…the litmus test for the national scene' the decline is precipitous. This research investigates the drivers of declining GP training uptake in the NT and identifies and ranks potential solutions. SETTING: NT, Australia. PARTICIPANTS: Ten senior medical students, 6 junior doctors, 11 GP registrars, 11 GP supervisors and 31 stakeholders. DESIGN: Mixed methods: scoping review of Australian literature mapping key concepts to GP training pathway stages and marketing/communications; secondary data analyses; key informant interviews; and a stakeholder validation/prioritisation workshop. Interview data were thematically analysed. Workshop participants received summarised study findings and participated in structured discussions of potential solutions prior to nominating top five strategies in each of five categories. RESULTS: Highly prioritised strategies included increasing prevocational training opportunities in primary care and selecting junior doctors interested in rural generalism and long-term NT practice. Also ranked highly were: [Medical School] ensuring adequate infrastructure; [Vocational Training] offering high quality, culturally sensitive, flexible professional and personal support; [General Practice] better remunerating GPs; and [Marketing] ensuring positive aspects such as diversity of experiences and expedited GP career opportunities were promoted. CONCLUSION: Multifaceted strategies to increase GP training uptake are needed, which target different stages of GP training. Effective action is likely to require multiple strategies with coordinated action by different jurisdictional and national key stakeholder agencies. Foremost amongst the interventions required is the urgent need to expand primary care training opportunities in NT for prevocational doctors.


Assuntos
Medicina Geral , Serviços de Saúde Rural , Humanos , Northern Territory , Educação Vocacional , Medicina Geral/educação , Medicina de Família e Comunidade/educação , Escolha da Profissão
9.
PLoS One ; 18(6): e0287064, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37307251

RESUMO

An occupational aspiration-attainment gap (AAG) is defined as a discrepancy between the socioeconomic status (SES) of the aspired occupation and the one attained. We investigated how experiencing an occupational AAG after transition to vocational education and training (VET) affects three domains of subjective well-being (SWB) among adolescents in Germany (general life, job, and income satisfaction). Using longitudinal data from the German Socio-Economic Panel (SOEP), we could track respondents' SWB during the transition to and during VET. Results from latent growth curve models revealed that both under- and overachievement of aspirations (i.e., negative and positive AAGs) reduced initial levels of SWB after VET entry-especially work-related satisfaction (i.e., income and job satisfaction). Individuals with an AAG (both negative and positive) tended to experience a slightly larger increase in SWB during VET than those who met their aspirations. Overall, our results suggest that the decisive factor for adolescents' SWB is not the SES of the VET position they attain, but rather whether that position is the exact type of position to which they aspired.


Assuntos
Renda , Educação Vocacional , Adolescente , Humanos , Escolaridade , Alemanha , Satisfação no Emprego
10.
BMC Med Educ ; 23(1): 439, 2023 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-37316837

RESUMO

BACKGROUND: After a long phase without any propositions for real ambulatory training inside general practitioners' offices, general practice (GP) vocational training has begun to appear progressively and has been integrated into undergraduate medical programmes. The aim of this study was to provide an overview of GP vocational training and GP trainers in member countries of the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA) Europe. METHOD: We carried out this cross-sectional study between September 2018 and March 2020. The participants responded to a questionnaire in real-life conversations, video conferences or e-mail exchanges. The respondents included GP trainers, teachers and general practitioners involved in the GP curriculum recruited during European GP congresses. RESULTS: Representatives from 30 out of 45 WONCA Europe member countries responded to the questionnaire. Based on their responses, there is a well-established period for GP internships in undergraduate medical programmes, but with varying lengths. The programmes for some countries offer an internship after students graduate from medical school but before GP specialisation to ensure the career choice of the trainees. After specialisation, private practice GP internships are offered; however, in-hospital GP internships are more common. GP trainees no longer have a passive role during their internships. GP trainers are selected based on specific criteria and in countries, they have to follow some teacher training programmes. In addition to income from medical appointments carried out by GP trainees, GP trainers from some countries receive additional remuneration from various organisations. CONCLUSION: This study collected information on how undergraduate and postgraduate medical students are exposed to GP, how GP training is organised and the actual status of GP trainers among WONCA Europe member countries. Our exploration of GP training provides an update of the data collected by Isabel Santos and Vitor Ramos in the 1990s and describes some specificities that can inspire other organisations to prepare young, highly qualified general practitioners.


Assuntos
Medicina Geral , Estudantes de Medicina , Humanos , Estudos Transversais , Currículo , Europa (Continente) , Remuneração , Educação Vocacional
11.
J Community Health ; 48(5): 847-856, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37160528

RESUMO

Sexual and reproductive health interventions' effectiveness should be evaluated using a valid instrument. This study aimed to validate a questionnaire on sexual and reproductive health in adolescents and young adults from São Tomé and Príncipe who voluntarily enrolled in a vocational school in Portugal to complete their 12th school year and obtain a professional card.A questionnaire consisting of perception and knowledge sections was adapted from previous questionnaires. We followed the steps of psychometric analysis. Firstly, we assessed face validity and content validity. We used factorial analysis to validate the perceptions section (which included Likert-type questions). For the knowledge section (which consisted of multiple-choice questions), we used the key check, discrimination index, and difficulty index. We evaluated internal consistency through Cronbach's alpha for the perceptions section and the Kuder-Richardson score for the knowledge section.Out of 105 invited students, a total of ninety students were enrolled in this study, of whom 88 completed most of the questions. The exploratory analysis showed that most students agreed with the right to refuse intercourse. However, while approximately 23% disagreed that consensual sex among adult women or men is always wrong, around the same proportion agreed. A considerable number of students recognized condoms and pills as effective methods of contraception. However, most students were unfamiliar with other methods. Most knowledge questions showed acceptable difficulty levels, and the discrimination index varied among questions. The knowledge questions demonstrated good consistency levels. This study enabled us to develop an appropriate instrument for evaluating the effectiveness of public health interventions and identifying specific knowledge gaps in migrant populations from low-income countries. This will help prioritise topics to be addressed in sexual health education sessions.


Assuntos
Saúde Reprodutiva , Educação Vocacional , Masculino , Adolescente , Adulto Jovem , Humanos , Feminino , Portugal , São Tomé e Príncipe , Comportamento Sexual , Inquéritos e Questionários , Estudantes , Conhecimentos, Atitudes e Prática em Saúde
12.
PLoS One ; 18(5): e0285439, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37253030

RESUMO

Ethiopia and China share a common educational agenda in cultivating and obtaining competent vocational graduates who fulfill the need of the modern, technologically advanced industrial workplace. Unlike most evidence, the present study adopted Self-determination Theory to understand Ethiopian and Chinese higher Vocational education and Training (VET) college students' learning motivation. Hence, this study recruited and interviewed 10 volunteers senior higher VET students from each setting to unfold their satisfaction with psychological needs. The study's main finding affirms that although both groups felt the autonomy of choosing the vocational field they sought to master, their learning process was submissive to their henpecked teaching method, which ultimately restrained the participants' feeling of competence for being enclosed in less practical training space. As per the study findings, we forward feasible policy and practical implications suggested for meeting the motivational needs of VET students and promoting learning stability.


Assuntos
Motivação , Educação Vocacional , Adolescente , Humanos , População do Leste Asiático , Aprendizagem , Autonomia Pessoal , Estudantes/psicologia
13.
Sci Rep ; 13(1): 5682, 2023 04 07.
Artigo em Inglês | MEDLINE | ID: mdl-37029180

RESUMO

If policies are not thoroughly designed, technology integration may fail. As a result, users' perceptions of technology, especially access to digital technology, are critical for technology integration in education. This study aimed to develop and validate a scale to model factors affecting digital technology access for instructional use in Indonesian vocational schools. The study also reports the structural model of the path analysis and tests of differences based on geographical areas. A scale adapted from prior studies was established, validated, and examined for its validity and reliability. A total of 1355 responses were measurable; partial least squares structural equation modeling (PLS-SEM) and t-test procedures were applied for the data analysis. The findings informed that the scale was valid and reliable. For the structural model, the strongest relationship emerged between motivational access and skills access, while the lowest existed between material access and skills access. However, motivational access has an insignificant effect on instructional use. The t-test results show that geographical areas were significantly different regarding all involved variables.


Assuntos
Tecnologia Digital , Educação Vocacional , Reprodutibilidade dos Testes , Tecnologia , Motivação
14.
Health Promot Int ; 38(2)2023 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-37099679

RESUMO

Youth is a crucial period for smoking preventive interventions. School-based interventions targeting the policy level and the sociocultural processes of smoking show promising effects in reducing smoking uptake and prevalence. This study presents findings from the qualitative process evaluation of a smoking preventive intervention, Focus, in the vocational school (VET) setting. Specifically, the study focused on contextual factors affecting the implementation of smoke-free school hours (SFSH). Participant observations and focus groups were conducted in four VETs during the implementation period October-December 2018. The data encompass participant observation field notes (n = 21 school days), student focus groups (n = 8) (aged 16-20), teacher focus groups (n = 5) and semi-structured individual interviews with VET leaders (n = 3). The study found that SFSH was not clearly communicated to students due to the educational structure and chaotic rhythm of the school days, ambivalent attitudes among teachers toward enforcement of smoking rules and lack of clear managerial support. The interplay of these factors counteracted the implementation of SFSH in the VET context. The presented contextual factors are important when interpreting the effectiveness of the Focus intervention and for informing future preventive efforts aiming to reduce smoking among youth in high risk of smoking cigarettes.


Youth represents a crucial period for smoking prevention. School-based interventions show promising effects in this respect. This study presents findings from the qualitative process evaluation of a smoking preventive intervention, Focus, in the vocational school (VET) setting. The aim was to examine the role of context in the implementation process. The data consist of participant observation field notes (n = 21 school days), focus groups (n = 8 with students and n =  5 with teachers) and semi-structured individual interviews with VET leaders (n = 3). The study found that smoke-free school hours was not clearly communicated to students due to several contextual factors, namely an unclear structure and purpose of the school day, ambivalent attitudes among teachers toward smoking rules and lack of managerial support. These factors are important when interpreting the effectiveness of the Focus intervention and for informing future smoking preventive efforts among youth in high risk of smoking cigarettes.


Assuntos
Promoção da Saúde , Política Antifumo , Prevenção do Hábito de Fumar , Dinamarca , Humanos , Instituições Acadêmicas , Fumar/efeitos adversos , Promoção da Saúde/métodos , Estudantes/psicologia , Masculino , Feminino , Adolescente , Educação Vocacional
15.
J Occup Rehabil ; 33(4): 723-738, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36940042

RESUMO

PURPOSE: Sociodemographic and structural conditions have consequences for the labor market participation of young persons with disabilities (YPWD) in vocational rehabilitation (VR). As the type of program determines the labor market chances, we analyze the processes of selecting active labor market programs (ALMP) in VR. Which factors determine the allocation to (1) programs in general and (2) moreover, the allocation to specific programs? MATERIALS AND METHODS: We conduct logistic (1) and multinomial regression (2) using register data of the German Federal Employment Agency. Besides variables on the micro level, we control for a wide range of structural and organizational influences. The sample comprises VR and employment biographies of 255,009 YPWD accepted to VR between 2010 and 2015. Program participation is restricted to start 180 days after VR acceptance. RESULTS: Sociodemographic factors, like age and the status before entering VR as well as the local apprenticeship market as a structural condition, highly influence the general allocation to ALMP. For the allocation to specific ALMP, sociodemographics (age, education, type of disability, status before entering VR) are highly relevant. Furthermore, structural conditions (regional structure of subsidized vocational training and of the apprenticeship market as well as local work possibilities on a special labor market for PWD) and - to a lesser extent - re-organization processes at the FEA (NEO, VR cohort) are important determinants. CONCLUSION: (Automatic) paths into VR programs for especially persons with mental disabilities in sheltered workshop are clearly shown. Furthermore, it is somewhat questionable that YPWD participate more often in sheltered workshops in regions where sheltered work possibilities are more common, as well as where NEO was implemented locally; and participate more often in company-external vocational training where VR service providers are commissioned to a greater extent.


Assuntos
Cicatriz , Pessoas com Deficiência , Humanos , Reabilitação Vocacional , Emprego , Educação Vocacional , Pessoas com Deficiência/reabilitação
16.
Int J Offender Ther Comp Criminol ; 67(15): 1547-1564, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-36919272

RESUMO

Prior research shows employment is an important component of desistance, but there is mixed evidence regarding the effectiveness of prison-based education programs. Therefore, this study examines whether participation in vocational education programs while incarcerated improves recidivism and post-release employment outcomes. In addition, the study controls for the timing of release to examine whether recidivism and employment outcomes varied during the COVID-19 pandemic. Observable selection bias was reduced by using propensity score matching to create similar treatment and comparison groups. After matching, there were no differences in any outcome between those who obtained vocational certificates and the comparison group. The results demonstrate the importance of accounting for selection bias in evaluations of education and employment programs. It is recommended that career-focused educational programs incorporate the risk-needs-responsivity model and the continuum of care principle, build relationships with community employers, and assist with practical barriers to employment.


Assuntos
COVID-19 , Reincidência , Humanos , Reincidência/prevenção & controle , Educação Vocacional , Pandemias , Emprego
17.
Psychiatr Q ; 94(2): 165-178, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36991281

RESUMO

While vocational training may offer financial and health benefits for patients with schizophrenia (PwS), further empirical research is required to investigate the effectiveness of this intervention for PwS, as well as the factors influencing their employability. This study aimed to (i) identify the factors affecting the employability of PwS who had participated in vocational training and (ii) examine the effectiveness of vocational training. This prospective cohort study was conducted in a community rehabilitation center attached to a psychiatric hospital in southern Taiwan that provides vocational training. The participants completed two questionnaires: (i) a pre-test that served as the study's baseline; (ii) a post-test during a follow-up 12 months later. The questionnaire was divided into three parts: (i) participants' basic information, (ii) the work performance scale, and (iii) the mental state measure. The participants included 35 males and 30 females, with the average age being 45.85 years. The significant factors affecting their employability were social support, work behavior, thinking disorder, and cognitive impairment. In other words, participants with better social support, work behavior, and fewer thought disorders and cognitive impairment were more employable. Their work attitude and ability were found to have significantly improved after having participated in vocational training for 12 months. In conclusion, when conducting vocational training in the future, it is necessary to pay attention to individual participants' social support and work behavior and reduce thinking disorders and cognitive impairments. This may help improve the employability of PwS.


Assuntos
Esquizofrenia , Masculino , Feminino , Humanos , Pessoa de Meia-Idade , Esquizofrenia/complicações , Esquizofrenia/reabilitação , Educação Vocacional , Projetos Piloto , Reabilitação Vocacional , Estudos Prospectivos
18.
BMC Public Health ; 23(1): 419, 2023 03 02.
Artigo em Inglês | MEDLINE | ID: mdl-36864450

RESUMO

BACKGROUND: Social inequality in smoking remains an important public health issue. Upper secondary schools offering vocational education and training (VET) comprise more students from lower socioeconomic backgrounds and have higher smoking prevalence than general high schools. This study examined the effects of a school-based multi-component intervention on students' smoking. METHODS: A cluster randomized controlled trial. Eligible participants were schools offering VET basic courses or preparatory basic education in Denmark, and their students. Schools were stratified by subject area and eight schools were randomly allocated to intervention (1,160 invited students; 844 analyzed) and six schools to control (1,093 invited students; 815 analyzed). The intervention program comprised smoke-free school hours, class-based activities, and access to smoking cessation support. The control group was encouraged to continue with normal practice. Primary outcomes were daily cigarette consumption and daily smoking status at student level. Secondary outcomes were determinants expected to impact smoking behavior. Outcomes were assessed in students at five-month follow-up. Analyses were by intention-to-treat and per protocol (i.e., whether the intervention was delivered as intended), adjusted for covariates measured at baseline. Moreover, subgroup analyses defined by school type, gender, age, and smoking status at baseline were performed. Multilevel regression models were used to account for the cluster design. Missing data were imputed using multiple imputations. Participants and the research team were not blinded to allocation. RESULTS: Intention-to-treat analyses showed no intervention effect on daily cigarette consumption and daily smoking. Pre-planned subgroup analyses showed statistically significant reduction in daily smoking among girls compared with their counterparts in the control group (OR = 0.39, 95% CI: 0.16, 0.98). Per-protocol analysis suggested that schools with full intervention had higher benefits compared with the control group (daily smoking: OR = 0.44, 95% CI: 0.19, 1.02), while no marked differences were seen among schools with partial intervention. CONCLUSION: This study was among the first to test whether a complex, multicomponent intervention could reduce smoking in schools with high smoking risk. Results showed no overall effects. There is a great need to develop programs for this target group and it is important that they are fully implemented if an effect is to be achieved. TRIAL REGISTRATION: https://www.isrctn.com/ISRCTN16455577 , date of registration 14/06/2018.


Assuntos
Estudantes , Educação Vocacional , Feminino , Humanos , Instituições Acadêmicas , Escolaridade , Fumar/epidemiologia
19.
Educ Prim Care ; 34(2): 74-82, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36851829

RESUMO

PURPOSE: To evaluate Australian early-career general practitioners' perceptions of the utility of their prior vocational training in preparing them for independent specialist practice. We hypothesised that in-practice teaching would be perceived as more useful than formal education delivered by Regional Training Organisations (RTOs). METHODS AND MATERIALS: A cross-sectional questionnaire-based study of early-career general practitioners (RTO 'alumni'). The outcomes were Likert scale ratings of alumni's perceived impact of RTO education versus in-practice training on their preparedness for independent practice. Ratings were compared using Wilcoxon signed-rank tests. Multivariable linear regression was used to establish alumni characteristics associated with perceptions of utility of in-practice versus RTO-delivered education. RESULTS: Three hundred and fifty-four alumni responded (response rate 28%). In-practice training was rated statistically significantly higher than RTO education for minor procedural skills, teaching skills, professional responsibilities, tolerating clinical uncertainty, and preparing for managing child and adolescent health, aged care, chronic disease, multi-morbidity and mental health. RTO education rated higher than in-practice training for practising evidence-based medicine and Aboriginal and Torres Strait Islander health. For a number of further areas, there was no statistically significant difference in alumni ratings of utility. CONCLUSIONS: In-practice or RTO-led teaching was perceived as more useful for some components of independent practice, whilst for others there was no significant difference. The findings support recognition of the individual educational components of a blended education/training structure.


Assuntos
Medicina Geral , Clínicos Gerais , Criança , Humanos , Adolescente , Idoso , Clínicos Gerais/educação , Educação Vocacional , Austrália , Estudos Transversais , Tomada de Decisão Clínica , Incerteza , Medicina Geral/educação
20.
Australas Psychiatry ; 31(2): 220-223, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36710072

RESUMO

OBJECTIVE: To comment upon the potential for alignment of medical student assessment and vocational specialist training through the RANZCP-CanMEDS model of Entrustable Professional Activities (EPAs) and Workplace-Based Assessments (WBAs). We discuss a specific post hoc example of such an alignment in an Australian graduate medical school in Psychiatry and Addiction Medicine. CONCLUSIONS: Vocational training models of assessment, such as the RANZCP specialist training program for psychiatrists, can potentially be mapped to medical student education in formative and summative assessment through CanMEDs-based EPAs and WBAs, to assist in transition to specialist training.


Assuntos
Medicina do Vício , Psiquiatria , Estudantes de Medicina , Humanos , Educação Vocacional , Educação Baseada em Competências , Medicina do Vício/educação , Austrália , Psiquiatria/educação
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