Friday, June 5, 2009
Vida Research Update Has Moved!
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Sunday, March 15, 2009
Managing Environmental Risks in Pregnancy
Dates: 09/15/2006 - 09/30/2010
Status: Phase II Funding Awarded - In Progress
Funding Agency: NIH / NIEHS
Reference: 1R43ES014495-01A1
ABSTRACT
Environmental toxicants are increasingly linked to adverse birth outcomes such as low birth weight, preterm birth, birth defects and developmental delays. Inner-city populations are at higher risk for adverse birth outcomes and also are more likely to be exposed to environmental toxicants. Obstetric providers are seeking clarification about the true risks of many environmental exposures and what message they should deliver to their patients. Patients in this population are confused by the conflicting messages they receive from providers and peers about behaviors and exposures that could put their fetus at risk. The Institute of Medicine and the National Environmental Education and Training Foundation recommend the integration of environmental health concepts into all levels of medical and nursing education.
In the proposed SBIR Phase II project called “Managing Environmental Risks in Pregnancy”, Vida Health Communications, Inc. will complete the development and evaluation of the web-based provider training and patient education multi-media prototyped in Phase I. The final products of this research will be (1) a cross disciplinary web-based training offering continuing education for obstetric providers serving urban populations, (2) an educational DVD in English and Spanish and group discussion guide for showing to patients in clinic and office waiting areas or in facilitated group discussions, (3) a library of colorful support materials in English and Spanish at appropriate levels of literacy for providers to print and distribute to patients made available both as electronic documents (pdf) and in preprinted form. The interventions will be evaluated using focus groups representative of the target audiences. Evaluators will use well-documented qualitative techniques to analyze focus group data.
This project will advance the environmental health training of obstetric providers serving urban populations that may be at risk for exposure to substances that can harm their developing fetus. It will also provide much needed education, at appropriate literacy levels, for at-risk women about ways that they can moderate fetal exposure to environmental risks in pregnancy.
Status: Phase II Funding Awarded - In Progress
Funding Agency: NIH / NIEHS
Reference: 1R43ES014495-01A1
ABSTRACT
Environmental toxicants are increasingly linked to adverse birth outcomes such as low birth weight, preterm birth, birth defects and developmental delays. Inner-city populations are at higher risk for adverse birth outcomes and also are more likely to be exposed to environmental toxicants. Obstetric providers are seeking clarification about the true risks of many environmental exposures and what message they should deliver to their patients. Patients in this population are confused by the conflicting messages they receive from providers and peers about behaviors and exposures that could put their fetus at risk. The Institute of Medicine and the National Environmental Education and Training Foundation recommend the integration of environmental health concepts into all levels of medical and nursing education.
In the proposed SBIR Phase II project called “Managing Environmental Risks in Pregnancy”, Vida Health Communications, Inc. will complete the development and evaluation of the web-based provider training and patient education multi-media prototyped in Phase I. The final products of this research will be (1) a cross disciplinary web-based training offering continuing education for obstetric providers serving urban populations, (2) an educational DVD in English and Spanish and group discussion guide for showing to patients in clinic and office waiting areas or in facilitated group discussions, (3) a library of colorful support materials in English and Spanish at appropriate levels of literacy for providers to print and distribute to patients made available both as electronic documents (pdf) and in preprinted form. The interventions will be evaluated using focus groups representative of the target audiences. Evaluators will use well-documented qualitative techniques to analyze focus group data.
This project will advance the environmental health training of obstetric providers serving urban populations that may be at risk for exposure to substances that can harm their developing fetus. It will also provide much needed education, at appropriate literacy levels, for at-risk women about ways that they can moderate fetal exposure to environmental risks in pregnancy.
Friday, March 6, 2009
Shaken Baby Syndrome Toolkit for Parents
Dates: 04/01/2009 - 09/30/2011
Status: Fast Track - Phase 1
Funding Agency: NICHD
Reference: 1R44HD061122-01
ABSTRACT
Abusive head trauma or Shaken Baby Syndrome(SBS) is the most common cause of death from child abuse. Hospital-based, parent education programs targeting parents of newborns have been proven effective in reducing significantly the incidence of abusive head injuries. Massachusetts and eight other states have adopted legislation mandating education designed to prevent SBS. Federal and additional state mandates may be forthcoming. Males – biological fathers, mothers’ boyfriends and stepfathers – are the most frequent perpetrators of SBS. Infant crying is the most common precursor to incidents of SBS. Building on preliminary work with the Massachusetts Department of Public Health and The Medical Foundation, Vida Health Communications, Inc. will produce and evaluate “All Babies Cry”, an educational media package for parents of newborns. It includes a media part to be shown to parents in the hospital, and a DVD and booklet to take home, containing explicit demonstrations of strategies for soothing a crying infant and managing parental stress. The media format is expected to appeal to men more than printed material alone.
Research and development activities throughout Phase I and II will include: 1) completing development and production of DVD media in two parts and an accompanying booklet (all in English and Spanish) with formative (Phase I) and summative (Phase II) input from parents and Experts; 2) a rigorous evaluation of the effectiveness of the media package in improving fathers’ knowledge of infant behavior and parental stress, behavior to reduce and cope with infant crying and to assess and manage their own stress, realistic expectations of their infant’s behavior, greater belief in the efficacy of infant soothing strategies, greater perceived ability to implement them, and greater intention to do so. At the conclusion of Phase II, Vida will have a completed educational media package that has been thoroughly evaluated and will meet the requirements of the State of Massachusetts Department of Public Health Shaken Baby Syndrome Prevention Initiative for distribution of all new parents in the Commonwealth. The program will then be adapted as needed to meet other states mandates and marketed nationally.
Status: Fast Track - Phase 1
Funding Agency: NICHD
Reference: 1R44HD061122-01
ABSTRACT
Abusive head trauma or Shaken Baby Syndrome(SBS) is the most common cause of death from child abuse. Hospital-based, parent education programs targeting parents of newborns have been proven effective in reducing significantly the incidence of abusive head injuries. Massachusetts and eight other states have adopted legislation mandating education designed to prevent SBS. Federal and additional state mandates may be forthcoming. Males – biological fathers, mothers’ boyfriends and stepfathers – are the most frequent perpetrators of SBS. Infant crying is the most common precursor to incidents of SBS. Building on preliminary work with the Massachusetts Department of Public Health and The Medical Foundation, Vida Health Communications, Inc. will produce and evaluate “All Babies Cry”, an educational media package for parents of newborns. It includes a media part to be shown to parents in the hospital, and a DVD and booklet to take home, containing explicit demonstrations of strategies for soothing a crying infant and managing parental stress. The media format is expected to appeal to men more than printed material alone.
Research and development activities throughout Phase I and II will include: 1) completing development and production of DVD media in two parts and an accompanying booklet (all in English and Spanish) with formative (Phase I) and summative (Phase II) input from parents and Experts; 2) a rigorous evaluation of the effectiveness of the media package in improving fathers’ knowledge of infant behavior and parental stress, behavior to reduce and cope with infant crying and to assess and manage their own stress, realistic expectations of their infant’s behavior, greater belief in the efficacy of infant soothing strategies, greater perceived ability to implement them, and greater intention to do so. At the conclusion of Phase II, Vida will have a completed educational media package that has been thoroughly evaluated and will meet the requirements of the State of Massachusetts Department of Public Health Shaken Baby Syndrome Prevention Initiative for distribution of all new parents in the Commonwealth. The program will then be adapted as needed to meet other states mandates and marketed nationally.
Monday, May 12, 2008
Supporting the Development of Preterm Newborns
Vida Health Communications, Inc. (Vida) produced two DVD programs that provide information about preterm infant brain development and its implications for newborn care in the Neonatal Intensive Care Unit (NICU):
NICU staff who viewed Focus on the Brain Part 1: The Science of Preterm Infant Development:
The DVD programs appear to have had a significant influence on the environment of care, as the two single-intervention sites displayed positive gains across most or all studied domains.
The effect the DVD program had on parent and staff knowledge is clear and valuable. However, the effect on parental confidence and stress, staff attitudes, and the environment of care may prove ultimately to be more important. Qualitative analysis of interviews indicates that the DVD programs were valued and had an impact. Taking the quantitative and qualitative findings together, one can conclude that the DVD programs hold great promise.
Despite the intervention’s effectiveness, other factors affecting the study NICUs, clinicians and parents are important to note. NICUs are highly specialized environments rife with life and death pressures and a host of social, medical, financial, and organizational factors at play. The study sites varied greatly in physical design and in their culture, leadership and institutional profile regarding developmentally supportive care. Although the quasi-experimental aspect of the design was added to counterbalance limitations of randomizing only four sites, these other factors still had the potential to confound the study findings or frustrate its conclusions. It is, therefore, all the more important to report these results.
These DVD programs provide powerful, cost-effective tools to promote healthy infant brain development in today’s healthcare environment, where time and dollars for patient and clinician education and support are always under pressure. They offer flexibility of administration: They can be used in a classroom or small group, or self-administered, and can be repeated or viewed non-sequentially at the convenience of the user. By utilizing modern media formats and technologies, Vida has been able to create cost-effective and reusable tools with great potential to move the substantive body of research knowledge about the power of developmentally supportive care from the “bench” to the bedside.
Intervention
Lisa McElaney, President and Principal Investigator
Vida Health Communications, Inc.
6 Bigelow Street
Cambridge, Massachusetts 02139
617-864-4334http://www.vida-health.com/
Evaluation
Tom Mendelsohn, Principal
Mendelsohn, Gittleman & Associates, LLC
9 Lincoln Road
Brookline, MA 02445
617-216-8163http://www.mgaconsultants.com/
These DVD programs and this research were funded by the National Institute of Child Health and Human Development (NICHD), through the Small Business Innovative Research (SBIR) mechanism, grant #5 R44 HD042313-03.
- No Matter How Small: A Parents’ Guide To Preterm Infant Behavior and Development - for parents
- Focus on the Brain Part 1: The Science of Preterm Infant Development - for clinical staff
The impact of these programs on the users was evaluated in a rigorous clinical trial. The evaluation examined three research questions:
- Whether the DVD for parents would significantly increase knowledge and
confidence and reduce stress levels of parents of newborns in the NICU when compared to parents receiving the usual education and support, - Whether the DVD for NICU staff would significantly increase nurses’ knowledge of, and positively influence their attitudes about, preterm infant brain development, and,
- Whether the programs would positively influence the environment of care in the NICU such that there is an overall trend toward developmentally supportive care.
Key Findings
NICU parents who viewed No Matter How Small; A Parents’ Guide To Preterm Infant Behavior And Development:
- Gained in their knowledge of fetal and neonatal development,
- Exhibited reduced levels of parental stress, and
- Displayed increased parental confidence in applying developmentally supportive care concepts,
NICU staff who viewed Focus on the Brain Part 1: The Science of Preterm Infant Development:
- Gained in knowledge (1) Across five combined domains regarding developmentally supportive care; (2) Specifically about developmentally supportive care strategies and
techniques, and (3) Specifically about the importance of developmentally supportive routine care and medical procedures. - Exhibited an improved attitude towards developmentally supportive care
The DVD programs appear to have had a significant influence on the environment of care, as the two single-intervention sites displayed positive gains across most or all studied domains.
The effect the DVD program had on parent and staff knowledge is clear and valuable. However, the effect on parental confidence and stress, staff attitudes, and the environment of care may prove ultimately to be more important. Qualitative analysis of interviews indicates that the DVD programs were valued and had an impact. Taking the quantitative and qualitative findings together, one can conclude that the DVD programs hold great promise.
Despite the intervention’s effectiveness, other factors affecting the study NICUs, clinicians and parents are important to note. NICUs are highly specialized environments rife with life and death pressures and a host of social, medical, financial, and organizational factors at play. The study sites varied greatly in physical design and in their culture, leadership and institutional profile regarding developmentally supportive care. Although the quasi-experimental aspect of the design was added to counterbalance limitations of randomizing only four sites, these other factors still had the potential to confound the study findings or frustrate its conclusions. It is, therefore, all the more important to report these results.
These DVD programs provide powerful, cost-effective tools to promote healthy infant brain development in today’s healthcare environment, where time and dollars for patient and clinician education and support are always under pressure. They offer flexibility of administration: They can be used in a classroom or small group, or self-administered, and can be repeated or viewed non-sequentially at the convenience of the user. By utilizing modern media formats and technologies, Vida has been able to create cost-effective and reusable tools with great potential to move the substantive body of research knowledge about the power of developmentally supportive care from the “bench” to the bedside.
Intervention
Lisa McElaney, President and Principal Investigator
Vida Health Communications, Inc.
6 Bigelow Street
Cambridge, Massachusetts 02139
617-864-4334http://www.vida-health.com/
Evaluation
Tom Mendelsohn, Principal
Mendelsohn, Gittleman & Associates, LLC
9 Lincoln Road
Brookline, MA 02445
617-216-8163http://www.mgaconsultants.com/
These DVD programs and this research were funded by the National Institute of Child Health and Human Development (NICHD), through the Small Business Innovative Research (SBIR) mechanism, grant #5 R44 HD042313-03.
Monday, March 3, 2008
Youth Violence Prevention Training for Health Professionals
Dates: 09/20/2007 - 12/19/2008
Status: Phase I
Funding Agency: NIH / NICHD
Reference: 1R43HD056631-01
ABSTRACT
In the proposed SBIR project, Vida Health Communications, Inc. (Vida) will produce, evaluate and distribute Youth Violence Prevention Training for Health Professionals. Drawing on the proven advantages of the Internet and DVD technologies, this comprehensive training including a web-based multimedia program for health care professionals will feature a problem-based instructional design. The proposed curriculum will build on and draw from Youth Violence: A Guide for Physicians & Other Health Care Professionals, edited by the project’s Principal Expert Consultants Robert Sege, MD, PhD and Vincent Licenziato for the Massachusetts Medical Society. It will address core competencies developed by Academic Centers of Excellence on Youth Violence Prevention, funded by CDC. Video elements will serve as focal points for training, and will include case stories about various forms of youth violence (such as fighting, school conflicts, suicide, bullying, intentional injury by an intimate partner, witnessing violence) and demonstration of interview techniques for assessing risk and resilience in youth. It will include strategies for building partnerships with community resources. There will be an optional “trainers’ toolkit” which will expand the possibilities for training across collaborative specialties. The toolkit will include DVDs containing video content from the web-based program, a workshop leader’s guide, and learning assessment tools in .pdf format.
The overall goal of Phase I is to prove the technical merit and feasibility of the youth violence prevention training program. Phase I will yield a prototype that has been tested for usability and effectiveness with residents in pediatrics, emergency medicine, surgery and family practice, and with hospital nurses working in those departments. Specific aims are (1) establish the program content, using key informant interviews and expert panel review (2) produce a prototype of the program, including one module with a video case study and demonstration of interviewing methods, and (3) evaluate the content and feasibility of the program, via expert review and focus groups. A Phase II award will fund the development of the full program and an evaluation with a rigorous experimental design. The final product of this SBIR will be a state-of-the-science multi-media training program for health professionals with demonstrated usefulness across professional disciplines, practice specialties, and levels of education.
Status: Phase I
Funding Agency: NIH / NICHD
Reference: 1R43HD056631-01
ABSTRACT
In the proposed SBIR project, Vida Health Communications, Inc. (Vida) will produce, evaluate and distribute Youth Violence Prevention Training for Health Professionals. Drawing on the proven advantages of the Internet and DVD technologies, this comprehensive training including a web-based multimedia program for health care professionals will feature a problem-based instructional design. The proposed curriculum will build on and draw from Youth Violence: A Guide for Physicians & Other Health Care Professionals, edited by the project’s Principal Expert Consultants Robert Sege, MD, PhD and Vincent Licenziato for the Massachusetts Medical Society. It will address core competencies developed by Academic Centers of Excellence on Youth Violence Prevention, funded by CDC. Video elements will serve as focal points for training, and will include case stories about various forms of youth violence (such as fighting, school conflicts, suicide, bullying, intentional injury by an intimate partner, witnessing violence) and demonstration of interview techniques for assessing risk and resilience in youth. It will include strategies for building partnerships with community resources. There will be an optional “trainers’ toolkit” which will expand the possibilities for training across collaborative specialties. The toolkit will include DVDs containing video content from the web-based program, a workshop leader’s guide, and learning assessment tools in .pdf format.
The overall goal of Phase I is to prove the technical merit and feasibility of the youth violence prevention training program. Phase I will yield a prototype that has been tested for usability and effectiveness with residents in pediatrics, emergency medicine, surgery and family practice, and with hospital nurses working in those departments. Specific aims are (1) establish the program content, using key informant interviews and expert panel review (2) produce a prototype of the program, including one module with a video case study and demonstration of interviewing methods, and (3) evaluate the content and feasibility of the program, via expert review and focus groups. A Phase II award will fund the development of the full program and an evaluation with a rigorous experimental design. The final product of this SBIR will be a state-of-the-science multi-media training program for health professionals with demonstrated usefulness across professional disciplines, practice specialties, and levels of education.
Childhood After Preterm Birth: The Preschool Years
Dates: 06/01/2007 - 12/31/2008
Status: Phase I
Funding Agency: NIH / NICHD
Reference: 1R43HD055045-01
ABSTRACT
In the past decade, there has been dramatic improvement in the survival rate of infants born preterm i.e., after a pregnancy of less than 37 weeks. As more of these infants leave the neonatal intensive care unit for home, we are just beginning to recognize the special needs of these young children as infants and toddlers. Parents and early childhood providers (early intervention specialists, daycare providers and early childhood educators, nurses, pediatricians, social workers) can all do a better job if they know what to expect and how to help.
In this SBIR project, Vida Health Communications, Inc. will produce, evaluate and distribute a multi-media package, Childhood After Preterm Birth: The First Three Years. The multi-media package will draw on the proven and specific advantages of DVD and web technologies, and will use videotaped encounters with real families. It will consist of three components: (1) A provider training program on DVD will convey information about the likely needs of infants and toddlers who were born preterm in areas such as cognition, visual and motor skills, speech and language, and executive function. It will provide and illustrate effective strategies for providers to use to guide and support the parents. A web-based component will include a test unit offering continuing education credits. (2) A companion DVD program, in Spanish and English, for parents of young children born preterm will explain in lay terms the developmental course of infants and toddlers, and types of special needs that potentially challenge children born preterm. It will also provide and illustrate effective strategies for parents to monitor and enhance their child’s development, and to garner appropriate resources for the child’s preschool years. (3) An electronic library of materials on CD-ROM and Vida’s web site for providers to print and distribute to parents will be suitable for widely varying literacy levels.
In Phase I, the producers will develop the content for both the provider and parent programs, and produce prototypes of the media and print materials, which will then be evaluated using focus groups representative of the target audiences. Evaluators will use well-documented qualitative techniques to analyze focus group data.
This project will advance the training of early childhood providers serving children with special needs and their families. It will also provide much needed education, at appropriate literacy levels, for parents about ways to prepare for the child’s school years.
Status: Phase I
Funding Agency: NIH / NICHD
Reference: 1R43HD055045-01
ABSTRACT
In the past decade, there has been dramatic improvement in the survival rate of infants born preterm i.e., after a pregnancy of less than 37 weeks. As more of these infants leave the neonatal intensive care unit for home, we are just beginning to recognize the special needs of these young children as infants and toddlers. Parents and early childhood providers (early intervention specialists, daycare providers and early childhood educators, nurses, pediatricians, social workers) can all do a better job if they know what to expect and how to help.
In this SBIR project, Vida Health Communications, Inc. will produce, evaluate and distribute a multi-media package, Childhood After Preterm Birth: The First Three Years. The multi-media package will draw on the proven and specific advantages of DVD and web technologies, and will use videotaped encounters with real families. It will consist of three components: (1) A provider training program on DVD will convey information about the likely needs of infants and toddlers who were born preterm in areas such as cognition, visual and motor skills, speech and language, and executive function. It will provide and illustrate effective strategies for providers to use to guide and support the parents. A web-based component will include a test unit offering continuing education credits. (2) A companion DVD program, in Spanish and English, for parents of young children born preterm will explain in lay terms the developmental course of infants and toddlers, and types of special needs that potentially challenge children born preterm. It will also provide and illustrate effective strategies for parents to monitor and enhance their child’s development, and to garner appropriate resources for the child’s preschool years. (3) An electronic library of materials on CD-ROM and Vida’s web site for providers to print and distribute to parents will be suitable for widely varying literacy levels.
In Phase I, the producers will develop the content for both the provider and parent programs, and produce prototypes of the media and print materials, which will then be evaluated using focus groups representative of the target audiences. Evaluators will use well-documented qualitative techniques to analyze focus group data.
This project will advance the training of early childhood providers serving children with special needs and their families. It will also provide much needed education, at appropriate literacy levels, for parents about ways to prepare for the child’s school years.
Workplace Violence Training for Nurses
Dates: 09/01/2007 - 03/31/2008
Status: Phase I
Funding Agency: CDC / NIOSH
Reference: 1R43OH009180-01
ABSTRACT
Research has shown that nurses are at very high risk of being victims of workplace violence. The American Association of Colleges of Nursing issued a Position Paper in 1999 emphasizing the inclusion of violence-related content as essential content in nursing curricula, yet training remains incidental. The American Nurses Association, the International Council of Nurses and the American Academy of Nursing, as well as health care labor unions, have called for increased research to identify effective interventions.
Workplace Violence Training for Nurses is a two-part multi-media training package for professional (registered) nurses working in a hospital setting. It includes a web-based training program to help nurses understand, assess, prevent, and respond to violence in the workplace. The self-paced curriculum will make extensive use of video to share expert opinions and victims’ experiences. It will also utilize video to provide case studies, and to demonstrate effective strategies for assessment, prevention and response, thus allowing for behavior modeling. Self-administered tests for each training module will help to track acquisition of essential knowledge, attitudes, and skills. Continuing education credits will be awarded to program graduates. An optional train-the-trainers module will be available for nurses who aspire to train others. A trainer toolkit will help nurse trainers conduct workshops (e.g., in-service training) on workplace violence. Drawing from video elements of the web-based training program, the toolkit will include an introductory DVD containing the overview and interviews with experts and victims. A second DVD will contain a selection of video case studies and examples from the web-based training program for viewing and discussion. Also included will be a workshop leader’s guide and learning assessment tools. Workshop graduates will be invited to take the full web-based training program for continuing education credits.
In Phase I, the producers will develop the curriculum and produce home page and a functional prototype of one module of the web training, which will then be evaluated using focus groups representative of the target audiences. Evaluators will use well-documented qualitative techniques to analyze focus group data.
This project will advance the knowledge and training of hospital-based nurses by (a) helping them to understand, assess, prevent, and respond to violence in the workplace and (b) providing tools to help nurse trainers conduct workshops on workplace violence. Additionally, it will present an opportunity to gather longitudinal data from nurses who have taken the training, in order to assess knowledge retention and training effectiveness over time.
Status: Phase I
Funding Agency: CDC / NIOSH
Reference: 1R43OH009180-01
ABSTRACT
Research has shown that nurses are at very high risk of being victims of workplace violence. The American Association of Colleges of Nursing issued a Position Paper in 1999 emphasizing the inclusion of violence-related content as essential content in nursing curricula, yet training remains incidental. The American Nurses Association, the International Council of Nurses and the American Academy of Nursing, as well as health care labor unions, have called for increased research to identify effective interventions.
Workplace Violence Training for Nurses is a two-part multi-media training package for professional (registered) nurses working in a hospital setting. It includes a web-based training program to help nurses understand, assess, prevent, and respond to violence in the workplace. The self-paced curriculum will make extensive use of video to share expert opinions and victims’ experiences. It will also utilize video to provide case studies, and to demonstrate effective strategies for assessment, prevention and response, thus allowing for behavior modeling. Self-administered tests for each training module will help to track acquisition of essential knowledge, attitudes, and skills. Continuing education credits will be awarded to program graduates. An optional train-the-trainers module will be available for nurses who aspire to train others. A trainer toolkit will help nurse trainers conduct workshops (e.g., in-service training) on workplace violence. Drawing from video elements of the web-based training program, the toolkit will include an introductory DVD containing the overview and interviews with experts and victims. A second DVD will contain a selection of video case studies and examples from the web-based training program for viewing and discussion. Also included will be a workshop leader’s guide and learning assessment tools. Workshop graduates will be invited to take the full web-based training program for continuing education credits.
In Phase I, the producers will develop the curriculum and produce home page and a functional prototype of one module of the web training, which will then be evaluated using focus groups representative of the target audiences. Evaluators will use well-documented qualitative techniques to analyze focus group data.
This project will advance the knowledge and training of hospital-based nurses by (a) helping them to understand, assess, prevent, and respond to violence in the workplace and (b) providing tools to help nurse trainers conduct workshops on workplace violence. Additionally, it will present an opportunity to gather longitudinal data from nurses who have taken the training, in order to assess knowledge retention and training effectiveness over time.
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