This paper summarises the findings from an e-learning scoping survey carried out between October 2007 and spring 2008. The survey was funded as part of the Higher Education Academy/JISC Distributed e-Learning Programme and was coordinated by C-SAP. This paper describes in brief the methodology used and principal findings from the research. Notably, use of e-learning was predicated on the VLE (virtual learning environment) or other institutional system, and in most cases this was supported locally within institutions. There was an awareness of other web tools that could be employed for pedagogical use, but only modest interest in using such tools. Factors influencing the creation and sharing of digital learning materials were centred on copyright, incentive and reward. In general, academic staff were keen to make resources available for re-use; however, concerns were expressed about the level of quality needed in order to offer materials openly, and the difficulties of repurposing bespoke work. Attitudes to curriculum development and pedagogy suggested that the use of e-learning could offer significant advantages when working with groups of students. The survey also elicited views on the nature of personalisation and assumptions about the expectations of students as learners.
This coursework aimed at developing a multimedia courseware on Sign Language. A CD has been developed. Some of the topics covered in the courseware are included in this article.
Background: Adolescence is a challenging time for young people with Type 1 diabetes, associated with worsening glycaemia and disengagement with care. To improve support, we co-designed with young people a novel psychosocially modelled programme of diabetes education (the Youth Empowerment Skills [YES] programme). This study aimed to estimate the clinical impact and feasibility (recruitment, retention and participant experiences) of this programme. Methods: A pilot study using mixed-methods was conducted to assess process and outcomes, involving a pre- and post-exposure assessment of glycaemic control, programme participation data, service utilisation and qualitative semi-structured interviews (analysed using Framework Analysis). Participants were recruited from two hospital diabetes centres in Southeast London. The intervention was conducted in local community centres. Participants were young people with Type 1 diabetes aged 15–21 years. The YES programme involves contact with an outreach youth worker and attending a 3-day psychologically modelled course encompassing social learning, peer facilitation and simulation exercises. The primary outcome was change in HbA1c at 6 and 12-months post-intervention. Secondary outcomes included diabetes-related hospital admissions and incident diabetic ketoacidosis (DKA). Results: Twenty-six young people participated in the programme, mean age 18 (±1.7) years. Uptake was 34% (n = 26) of those approached, with 96% (n = 25) programme completion. Pre-exposure (12 month mean) HbA1c was 93.5 (±29.7) mmol/mol (10.7%), and at 12 months post-exposure, it was 85.1 (±25.4) mmol/mol (10%) (P = 0.01), with 46% (n = 12) of participants achieving a reduction in their HbA1c ≥5.5 mmol/mol (0.5%). Unplanned hospital admissions and DKA rates reduced by 38 and 30%, respectively. The qualitative data identified positive psychosocial impacts including increased diabetes engagement and activation. Active ingredients were social learning, peer support and experiential learning. Participants emphasised the importance of the youth worker in engaging with the programme. Conclusion: The evaluation indicates that the YES programme helps improve young people’s self-confidence in managing diabetes, enhances diabetes engagement and improves clinical outcomes.
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