Community health workers (CHWs) have been effectively utilised in resource‐limited settings to combat a growing demand for health access that cannot be met by the current workforce. The purpose of this study was to evaluate a CHW training programme in Malawi that integrated technology into rehabilitation care delivery. This was a retrospective cross‐sectional study of a training programme conducted in December 2018. The participants were a convenience sample of all active home‐based palliative care CHWs at St. Gabriel's Hospital (n = 60). The data collected included the following: a written pre‐ and post‐knowledge test, skills competency checklist and a post‐training programme survey. Descriptive frequencies described skill competency and quantitative responses from the post‐training programme survey. Paired t test (α = 0.05) analysis determined the significance of knowledge acquisition. Themes in the narrative responses in the post‐training survey were identified. Both training programme groups showed significantly greater knowledge on the post‐test (M = 9.50, SD = 0.861; M = 9.43, SD = 0.971) compared to the pre‐test (M = 7.97, SD = 1.351; M = 7.90, SD = 1.900); t(29) = 6.565, p < .001; t(29) = 4.104, p < .001 for Group 1 and Group 2, respectively. All participants demonstrated skill competency in 100% of the skills. All participants responded that the training programme helped them review skills and understand how to use technology ‘A lot’ on a Likert scale (no, a little, some, a lot). Facilitators of their work included training programmes, phones, communication with the hospital and collaboration amongst CHWs. Barriers included transportation needs, lack of patient care supplies and lack of caregiver compliance. Overall, utilisation of their knowledge and skills from the training programmes helped their patients make improvements in mobility and function that are meaningful to their quality of life in the village. This study highlights the importance of assessing programmes in low‐resource settings with a focus on feasibility and developing local capacity.

Accidents stemming from alcohol-impaired driving are the leading cause of injury and death among college students. Research has implicated certain driver personality characteristics in the majority of these motor vehicle crashes. Sensation seeking in particular has been linked to risky driving, alcohol consumption, and driving while intoxicated. This study investigated the effect of sensation-seeking on self-reported alcohol-impaired driving behavior in a college student population while adjusting for demographics, residence and drinking locations. A total of 1,587 college students over the age of 18 completed a health screening survey while presenting for routine, non-urgent care at campus heath services centers. Student demographics, living situation, most common drinking location, heavy episodic drinking, sensation-seeking disposition and alcohol-impaired driving behavior were assessed. Using a full-form logistic regression model to isolate sensation seeking after adjusting for covariates, sensation seeking remains a statistically significant independent predictor of alcoholimpaired driving behavior (OR=1.52;CI=1.19-1.94; p<0.001). Older, white, sensation-seeking college students who engage in heavy episodic drinking, live off-campus, and go to bars are at highest risk for alcohol-impaired driving behaviors. Interventions should target sensation seekers and environmental factors that mediate the link between sensation seeking and alcohol-impaired driving behaviors.

OBJECTIVE-Given the high rate of at-risk drinking in college students, the authors examined drinking behaviors and associated factors in students being seen in student health services for primary care visits from October 30, 2004 to February 15, 2007 METHOD-Analyses were based on a Health Screening Survey (HSS) completed by 10,234 college students seeking general medical treatment. RESULTS-Alcoholuse was similar to other studies with 57% (n=5840) meeting the NIAAA criteria for at-risk drinking. Twenty-six percent of the students reported smoking at least once in the last 3 months. Risk factors for at-risk drinking included young age, white males, drinking at a fraternity/sorority house, and use of tobacco.CONCLUSIONS-Our findings support the widespread implementation of alcohol screening and intervention in university health services. KeywordsCollege drinking; alcohol; student health services; alcohol intervention Heavy alcohol use is the norm at many college campuses. Studies consistently show that roughly half of college students engage in binge drinking and that approximately a quarter of college students are frequent binge drinkers 1 . Binge drinking has been originally characterized as 5 drinks in a row for men and 4 drinks in a row for women. The NIAAA has defined "binge" as a pattern of drinking that brings blood alcohol concentration (BAC) to 0.08 gram percent or above. This typically occurs when men consume 5 or more drinks, and when women consume 4 or more drinks, in about 2 hours. 2 Alcohol abuse is an underlying root of morbidity and mortality on college campuses. [3][4][5] It is estimated that in 2005 approximately 5 million out of roughly 10 million U.S.-based college students consumed 5 or more drinks during a single drinking occasion. In addition, in 2005 there were 1,825 alcohol-related student deaths, 696,000 students were assaulted because of alcohol, and 599,000 students suffered alcohol-induced unintentional injuries. 1 With high prevalence rates of binge drinking and associated negative consequences, there is a growing concern to reduce alcohol overuse on college campuses. 6 University health centers were For comments and further information, address correspondence to Dr. Michael Francis Fleming (mike.fleming@fammed.wisc.edu). identified as a viable place for alcohol screening and intervention among college students. 7 Notably, however, only limited information exists on the make-up of alcohol drinkers who present themselves at university health centers. All college alcohol epidemiological studies have been conducted with a general student population. It would be prudent to elucidate who among college students may benefit the most from alcohol interventions at university health services. NIH Public AccessThe primary objective of this paper is twofold: (1) to characterize a group of students who present themselves to university health centers for primary care visits and are screened for alcohol use; (2) to compare college drinkers seen at university health centers to the general stud...

54Objective: The study aimed to determine the impact of the Flinders Program of chronic condition self-55 management care planning and how to improve it in Bendigo Health's Hospital Admission Risk 56 Program (HARP). 57Methods: This study involved retrospective analysis of hospital admission data collected by Bendigo 58Health from July 2012 to September 2013. Length of stay (LOS) during admission and total contacts 59 post-discharge by hospital staff for 253 patients experiencing 644 admissions were considered as 60 outcome variables. For statistical modelling, we used generalized linear model (GLM). 61 Results:The combination of the HARP and Flinders Program was able to achieve significant 62 reductions in hospital admissions and non-significant reduction in emergency department (ED) 63 presentations and LOS. The GLM predicted that vulnerable patient groups such as those with heart 64 disease (p=.008), complex needs (p<.001) and without a carer (p=.023) received more post-discharge 65 contacts by HARP staff if they lived alone. Similarly, respiratory (p<.001), heart disease (p=.005) and 66 complex needs (p<.001) patients had more contacts with an increased number of episodes. 67 Conclusion:The Flinders Program appeared to have significant positive impacts on HARP patients 68 that could be more effective if high-risk groups, such as males with complex needs, respiratory, and 69 heart disease patients aged 0-65 had received more targeted care.