Digital Commons Network^™

Undergraduate Research Experiences Toward Student Success: Challenges And Opportunities For Medical Science Students At A University Of Technology, Ziningi Nobuhle Jaya

Health Professions Education

Purpose: The study aimed to evaluate the research experiences of undergraduate medical science students at a university of technology to identify challenges and opportunities and determine the affordances of research participation for student success.

Method: The study population comprised all third-year medical science students (n=30) enrolled in the research methods module, which is the only such module offered as part of the medical science academic program. Participation was voluntary and so the final sample represents a self-selected subset of fourteen individual from the full cohort. The data collection tool comprised closed and open-ended questions evaluating challenges, lessons learned, skills developed, …

Clay Modeling As An Effective Method Of Teaching-Learning Among Second-Year Medical Students In Pathology, Seema Umarji, Padmapriya K, Sulata Kamath

Health Professions Education

Introduction: Pathology is a core subject in undergraduate medical education, but students find it challenging to understand and retain microscopic concepts through lectures alone. Clay modeling, multisensory learning strategy, is shown to enhance comprehension in other subjects but remains understudied in pathology.

Purpose: To assess augmentation of learning using clay modeling, evaluate retention of knowledge after one month and explore student perceptions of clay modeling as a teaching method.

Methods: This interventional study involved 60 second-year MBBS students in the Department of Pathology over six months. Students were randomized into study and control groups. The study group used clay modelling …

Beyond The Numbers: A Mixed-Method Evaluation Of Faculty, Peer, And Self-Assessment Using Rubrics In Blood Pressure Determination Among Phase 1 Mbbs Students, Abeetha S, Chitra M, Suba A, B. Dharani, Sadhana S

Health Professions Education

Background: Competency-Based Medical Education (CBME) emphasizes formative, learner-centred assessment. Blood pressure (BP) measurement, a core clinical skill, integrates knowledge, skills, communication, ethics, and attitude. While rubrics are widely used to standardize evaluation, their utility in triangulating faculty, peer, and self-assessment in BP measurement remains underexplored.

Aim: To evaluate the reliability and educational value of rubric-based faculty, peer, and self-assessment in BP determination among Phase 1 MBBS students using a mixed-methods approach.

Methods: A cross-sectional mixed-methods study was conducted among 98 Phase 1 MBBS students in a South Indian medical college. Forty-nine students performed BP measurement, assessed simultaneously by 5 faculty …

The Predictive Ability Of Decision-Making For Cognitive Dissonance Among Nursing Students, Adnan Yousef Atoum, Omar Atallah Al-Adamat, Emran A. Abu Aqoulah, Aya Al-Ali, Marah Al-Smadi

Health Professions Education

Purpose: The present study aimed to examine the levels of cognitive dissonance and decision-making among nursing students at Irbid National University-Irbid, Jordan, and to investigate the predictive ability of decision-making for cognitive dissonance.

Method: The study sample consisted of (251) male and female nursing students at Irbid National University-Irbid, Jordan. The cognitive dissonance scale and the decision-making scale were used after assuring validity and reliability.

Results: The study results indicated that the level of cognitive dissonance was low, and the level of decision-making ability was high. The study results also indicated that decision-making variable explained 17.2% of …

Assessing The Effectiveness Of The Well-Being Through Occupational Participation (Wbop) Intervention In Promoting Well-Being In Occupational Therapy Students From A Philippine University: A Convergent Mixed-Methods Study, Elena Wong Espiritu, Maria Concepcion Dc. Cabatan, Guia Allyza D. Rabacca, Marlowe Eriberto P. Acuña Jr, Jay Allen B. Villon, Peñafrancia E. Ching

Health Professions Education

Purpose: Filipino occupational therapy students experience decreased well-being during their educational experience. However, there is a limited amount of literature describing their well-being and a scarcity of culturally specific interventions to promote student well-being. The Well-Being Through Occupational Participation intervention is an evidence-based, manualized program consisting of a variety of occupation-based activities. The objective of this study aimed to assess the effectiveness of a modified version of the intervention in promoting undergraduate Filipino occupational therapy student well-being.

Methods: A convergent mixed-methods approach was used, specifically longitudinal survey for the quantitative design and qualitative descriptive for the qualitative design. Data was …

Development Of A Faculty-Led Program To Improve Npte Readiness, Yaqiong Wang, Marlon Addison, Michael Hauber, Rachel Mcgraw, Karen Bock, Brendon Stewart

Health Professions Education

Purpose. The National Physical Therapy Examination (NPTE) is a multiple-choice examination that Doctor of Physical Therapy (DPT) students must pass to obtain licensure as physical therapists in the United States. Recent national data show a concerning decline in first-time pass rates, dropping from 91% in 2020 to 82% in 2025.¹ This downward trend is also reflected at our university. These findings underscore the need for effective strategies to enhance NPTE preparation. Therefore, the purpose of this study is to: 1) Describe a scaffolded model of faculty-guided exam preparation, designed to enhance students’ success on the NPTE during the months …

Design, Delivery And Impact: Practical Tips For Impactful Continuing Professional Development, Helen Mcgregor, Brett Vaughan, Louise Horstmanshof

Health Professions Education

Continuing professional development (CPD) is essential for maintaining competence and improving patient care, yet most approaches often have limited impact on practice. This Practice Brief draws on qualitative research with Australian allied health professionals to identify what motivates CPD engagement and supports meaningful learning. Participants highlighted that improving patient outcomes is the strongest driver, and that learning is most effective when it is relevant, actionable, socially interactive, and linked to real-world practice. We synthesised these insights into the PRACTICAL framework, outlining nine principles for CPD design: Patient Outcomes, Recipients, Actionable Takeaways, Co-design, Theory, Investment, Collaborative Learning, Assessment, and Link to …

Attitudes Toward Dementia Among Nursing Students: A Cross-Sectional Study, Ngoc Ha Vo Thi, Thuy Nga Tran Thi, Ngoc Sen Hoang Thi

Health Professions Education

Purpose: Dementia is the loss of cognitive function, including thinking, memory, and communication, due to brain disorders. The global prevalence of dementia is increasing, affecting younger populations. Caring for individuals with dementia requires preparedness to manage behavioral and psychological symptoms. As future healthcare providers, nursing students are expected to have the necessary knowledge and attitudes to support dementia patients. To describe nursing students' attitudes toward dementia and explore related factors.

Methods: A cross-sectional study was conducted on 520 nursing students at Da Nang University of Medical Technology and Pharmacy. A structured questionnaire assessed demographic characteristics, academic information, knowledge, and attitudes …

A Pilot Study In Student Perceptions Of Technology-Enhanced Learning In Dpt Education, Pamela Bartlo, Michael Seils, Michael Policella

Health Professions Education

Purpose. Doctor of Physical Therapy (DPT) students have grown up immersed in technology, which may influence how they learn. Technology-Enhanced/Enriched Learning (TEL) refers to technology used in face-to-face, online, or hybrid learning environments. Limited research has examined TEL within DPT education programs. This study investigated DPT students’ experiences with TEL and compared its impact to traditional lecture-based learning (TLBL) on classroom participation, engagement, and comprehension.

Methods. This cross-sectional, mixed-methods study used a convenience sample of DPT students at a private university across three cohorts over two years. Inclusion criteria were completion of at least half of required degree coursework …

The Need For A Validated Psychometric Scale To Assess Multidimensional Language Barriers In Medical Education Among Arabic Speakers, Ali Alfaifi, Nasser Shubayr

Health Professions Education

Language barriers significantly hinder academic performance, psychological well-being, and clinical communication skills of Arabic-speaking healthcare students educated through English-medium instruction. Although existing instruments focus on clinical communication—often among physicians—critical dimensions such as academic challenges and psychological impacts remain underassessed, and tools rarely address disciplines beyond medicine (e.g., nursing, pharmacy, radiology). Studies in Arabic-speaking contexts typically employ author-developed or adapted questionnaires lacking rigorous validation. This short communication underscores the need for a comprehensive, psychometrically sound scale tailored to Arabic-speaking healthcare students. Proposed dimensions include Language Proficiency, Academic Impact, Psychological Impact, and Clinical Communication. Validation will involve systematic item development, exploratory and …

Perceptions Of Managerial Roles In Physician Leadership Among First- And Final-Year Medical Students: A Cross-Sectional Study Using Mintzberg’S Framework, Sari Huikko-Tarvainen, Timo Tuovinen, Petri Kulmala

Health Professions Education

Purpose: This study investigated how medical students – as future physicians – perceive the relevance of Mintzberg’s ten managerial roles to physician leadership, and whether these perceptions change throughout medical education.

Method: In 2021, all first‑year (n = 116/116) and 98% of final‑year (n = 107/109) students at the University of Oulu, Finland completed a web‑based survey rating Mintzberg’s ten managerial roles in fulfilling physician leaders’ leadership work on a 5‑point Likert scale. Item reliability and internal consistency were examined with Cronbach’s α. Because Likert data are ordinal, medians and interquartile ranges (IQRs) were calculated, and group differences were tested …

Are We On The Right Path? Finding Direction In Student Feedback At Mid-Semester: A Case Report., Tamara L. Buck, Michael Kiefer, Tom Cappaert

Health Professions Education

Background and Purpose Students receive feedback frequently; however, professors rarely receive, solicit, or process formative feedback. This work describes an innovative method to gather midsemester feedback to inform instructional changes for student learning and course engagement. Case Description Students provided feedback regarding the class’s strengths, weaknesses, and opportunities for improvements using a modified ICF Framework. The course was the condition, lectures: the body structure and function domain, labs: the activity domain, and course participation: the participation domain. Contextual factors were student/self and instructors. A qualitative analysis occurred with inductive methods to develop themes. The themes were organized using the green, …

Health Students’ Knowledge, Perceptions, And Willingness Toward Artificial Intelligence In Tackling Antimicrobial Resistance: A Cross-Sectional Study, Ikhwan Yuda Kusuma, Fauziah Fauziah, Afriza Pujiati, Dhiya Zulayta, Septi Nurkhasanah, Khamdiyah Indah Kurniasih

Health Professions Education

Background: Antimicrobial resistance (AMR) causes approximately 4.95 million deaths annually. Although artificial intelligence (AI) may enhance AMR detection, surveillance, and antimicrobial use, evidence remains limited regarding how health students’ knowledge, perception, and willingness influence AI adoption for AMR control.

Purpose: This study aimed to examine the direct and mediating relationships between health students’ knowledge, perception, and willingness toward AI-based approaches for combating antimicrobial resistance in Indonesia using structural equation modeling.

Methods: A cross-sectional study involving 4,369 health students across Indonesia was conducted using a validated questionnaire. Data on knowledge, perception, and willingness were analyzed using Structural Equation Modeling (SEM), SmartPLS, …

Preparedness Of Recent Australian And New Zealand Podiatry Graduates: Insights From Practising Podiatrists, Katrina Reynolds, Michelle Mclean

Health Professions Education

Purpose. Transitioning to the workforce can be challenging for health professional graduates when they are not adequately prepared for clinical practice. This study explored the perceptions of practising podiatrists, including those who were also clinical supervisors, regarding the preparedness of recent graduates for clinical practice and identified potential improvements in podiatry education to enhance readiness.

Method. Registered, practising podiatrists in Australia and New Zealand (ANZ) were recruited from December 2018 to May 2019 via professional organisations and social media. Data were collected through an online survey comprising closed and open-ended questions exploring perceptions of recent graduate preparedness, suggested program changes, …

Mapping The Use And Psychometric Characteristics Of The Objective Structured Clinical Examination (Osce) In Musculoskeletal Physical Therapy Education: A Systematic Review, Luis Gómez Miranda, Tomás Reyes Amigo, Hernán Andrés De La Barra Ortiz

Health Professions Education

Purpose. Musculoskeletal disorders are a major cause of disability, underscoring the need for clearly defined and assessable competencies in physical therapy education. Although OSCEs are increasingly used in physical therapy programs, evidence regarding their design and psychometric properties is not yet fully characterized within musculoskeletal physical therapy education. This systematic review aimed to describe how OSCEs have been applied to assess musculoskeletal competencies in physical therapy education, summarize their structural characteristics and reported psychometric properties, and identify methodological gaps.

Method. A systematic review was performed according to PRISMA guidelines. Electronic searches were conducted in PubMed, Scopus, Web of Science, EBSCOhost, …

Reimagining Patient Interviews: The Effect Of Ai-Generated Chatbots On Dpt Student Engagement - A Case Report, Leslie M. Smith, Samantha Hsu, Peter F. Bodary

Health Professions Education

Background and Purpose: Artificial intelligence generated chatbots (AIGC) present new possibilities for physical therapist education, especially for self-directed learning and skill development. Their impact on Doctor of Physical Therapy (DPT) students’ communication and interviewing skills is still underexplored. This case report evaluates DPT students’ experiences and perceptions of AIGC in a case-based classroom activity. Case Description: Participants were first-year entry-level DPT students (n=64) enrolled in a 9-week critical thinking course. They practiced history taking and interview skills with seven patient cases using AIGC and completed a post-activity survey (n=59).

Outcomes: A total of 93.2% found AIGC relevant for learning patient …

Exploratory Study Of The Relationship Among Religiousness, Resilience, Grit, Calling, And Differentiation Of Self In Nursing Students, Christine L. Sommers, Yonathan Aditya, Grace Solely Houghty, Ihan Martoyo

Health Professions Education

Purpose: To explore the relationships between resilience, religiousness, grit, calling, and differentiation of self in nursing students.

Methods: A cross-sectional design with a questionnaire was used. A total of 434 nursing students currently enrolled in a nursing degree program completed the online questionnaire, for a response rate of 32.3%. The study used the Indonesian version of the following instruments: 1) CD-RISC 10; 2) Four Basic Dimensions of Religiousness; 3) 12-Item Grit Scale; 4) Brief Calling Scale; 5) Differentiation of Self.

Results: Most of the participants were female, enrolled in a Bachelor of Nursing program, and desired to be nurses to …

Study And Evaluation Of The Trimester System In Ksau-Hs, Saudi Arabia, Ayesha Mukthar, Sharon Pricilla Jeevan Kumar Leela, Suchithra Koipurathu Rajappan

Health Professions Education

Purpose: The study aimed to identify the perceptions of students, faculty and administrative staff in College of Science and Health Professions (COSHP), Al Ahsa campus, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), about the trimester system implemented in education sectors in the Kingdom of Saudi Arabia since the beginning of the Academic Year 2022-23 i.e. (1442) AH.

Methods: A cross-sectional study with a structured questionnaire of 30 closed-end items consisting of three sections was implemented. The first and second section focusses on the overall opinion, impact, and challenges observed as well as evaluating the trimester plan, the academic …

Firearm Violence In Health Care Professional Education In The United States: A Scoping Review., Kim D. Dao, Melissa D. Burgemeister, Sierra M. Hakanson, Audrey Rc Elias, Liana C. Wooten

Health Professions Education

Purpose: Despite widespread recognition of firearm violence (FV) as a public health crisis in the United States (US), gaps persist in understanding the education provided to health care professionals (HCPs) regarding prevention and management. This scoping review aimed to characterize FV education curricula for HCPs in the US, focusing on identifying target learners and understanding curricular content and implementation to inform future educational initiatives.

Methods: This scoping review was conducted according to Joanna Briggs Institute methodology for scoping reviews in PubMed, CINAHL, EMBASE, and Cochrane. Search terms included “health occupations”, “allied health personnel”, “gun violence/prevention”, “firearm violence/prevention”, “curriculum”, “education”, …

Clinical Spanish Instruction In Physical Therapist Education: A Quasi-Experimental Comparison Of Instructional Schedules, Rose M. Vallejo, Eric Kruger

Health Professions Education

Purpose: As the U.S. Hispanic population grows, patients with limited English proficiency encounter health disparities that compromise their care. As a result, clinical Spanish instruction in health professions education has become increasingly necessary to address these disparities. This study compared the effects of two instructional schedules: condensed (8-week) versus distributed (2-year), for a required clinical Spanish course in a physical therapist education program. A secondary aim was to implement a Spanish-language OSCE to assess functional communication proficiency.

Methods: Forty-eight students (mean age 25.0 ± 3.3 years; 54% female) from two consecutive cohorts received 16 hours of flipped classroom Spanish instruction. …

Patterns And Characteristics Of Incident Reports From Residents: A Single-Center Pilot Study, Atsushi Tanikawa, Tatsuya Ueno, Miyuki Kamitsuma

Health Professions Education

Background Incident reports are essential for identifying patient safety events in hospitals, yet physicians—especially resident physicians—submit relatively few reports. Understanding residents’ awareness and experiences related to patient safety is important for promoting reporting and improving organizational safety.

Methods We conducted a questionnaire-based survey between December 20 and 29, 2020, among resident physicians at a single teaching hospital. The survey evaluated satisfaction with residency training, exposure to patient safety education, understanding of incident reporting, and experiences with submitting incident reports.

Results Of the 16 eligible residents, 15 participated in the survey (response rate: 93.8%), including 10 postgraduate year (PGY)-1 residents and …

Code-Switching, Identity-Shifting, And Identity Distress Among Black Undergraduate Women Attending Predominantly White Institutions, Erin Smith

Graduate Studies Theses and Dissertations 2026

Code-switching (altering language or speech) and identity-shifting (modifying appearance or behavior) are adaptive strategies often used by individuals from marginalized groups to navigate environments shaped by dominant cultural norms. Although these behaviors are commonly discussed in qualitative literature, relatively few quantitative studies have examined their psychological correlates among Black undergraduate women attending predominantly White institutions (PWIs). These behaviors may function as coping strategies in response to racialized and gendered expectations, yet the psychological implications of these strategies remain understudied. The present study examined the relationships among identity distress, code-switching, identity-shifting, and gendered racial identity centrality within a diverse sample of …

Gould Edu: Cluster-Randomized Trial Of An Educational Intervention To Improve Lipid-Lowering Guideline Adherence, Christopher P Cannon, Christie M Ballantyne, Deepak L Bhatt, James A De Lemos, Qi Gao, Naishu Kui, Robert S Rosenson, Katherine E Mues, Jason Exter, Shushama Alam, Mikhail N Kosiborod

Faculty, Staff and Students Publications

Background: Adherence to lipid-lowering therapy (LLT) guidelines is suboptimal, leading to poor achievement of low-density lipoprotein cholesterol (LDL-C) goals and elevated risk for atherosclerotic cardiovascular disease (ASCVD) events.

Objectives: The purpose of this study was to determine whether an educational intervention targeting physicians improves optimization of LLT over 1 year for patients with ASCVD.

Methods: GOULD (Getting to an Improved Understanding of Low-Density Lipoprotein Cholesterol and Dyslipidemia Management) EDU (Education) was a 1-year extension in a subset of sites in the GOULD prospective, observational registry of United States patients with ASCVD. In a cluster-randomized, stepped-wedge design, sites were randomized to …

Esophageal Myotomy And Risk Of Esophageal Cancer And Mortality In Achalasia: Real-World Cohort Study, Fouad Jaber, Mohamad Ali Ibrahim, Mohammed Jaber, Youssef Soliman, Mai A Khalaf, Tara Keihanian, Fares Ayoub, Mohamed O Othman, Salmaan Jawaid

Faculty, Staff and Students Publications

Background and study aims: Achalasia is associated with increased risk of esophageal cancer, particularly squamous cell carcinoma. Although esophageal myotomy improves dysphagia, its impact on cancer risk and mortality remains unclear.

Patients and methods: We conducted a retrospective cohort study using the TriNetX research network, including adults (≥ 18 years) with achalasia confirmed by esophageal manometry. Patients were categorized based on treatment of those undergoing esophageal myotomy (peroral endoscopic myotomy [POEM] or laparoscopic Heller myotomy [LHM]) and those managed without myotomy. Patients with prior esophagectomy or malignancies associated with increased esophageal cancer risk were excluded. The primary outcome was incident …

Hypothyroidism Is Associated With Higher Healthcare Utilisation And Higher Need For Blood Transfusion After Primary Total Knee Arthroplasty (Tka) In Patients With Osteoarthritis: A National Inpatient Sample Analysis, Sumanth R Chandrupatla, Kranti C Rumalla, Jasvinder A Singh

Faculty, Staff and Students Publications

Purpose: To examine the association of hypothyroidism with primary total knee arthroplasty (TKA) outcomes in adults with primary underlying diagnosis of osteoarthritis (OA).

Methods: We identified a prospective cohort of patients in the 2016-2020 national inpatient sample (NIS) that received primary TKA with an underlying diagnosis of OA, identified using International Classification of Diseases, Tenth Revision, Common Modification (ICD-10-CM) and Procedure Coding System (ICD-10-PCS) codes in the primary procedure and diagnosis positions, respectively. We performed multivariable-adjusted regression analyses for healthcare utilisation (length of hospital stay, hospital charges and discharge destination) and clinical outcomes (blood transfusion; prosthetic fracture, dislocation or infection; …

Healthcare Transition In Spina Bifida: A National Mixed Method Study, Betsy Hopson, Kathy H Huen, Molly B Richardson, Rhonda G Cady, Jennifer T Queally, Judy Thibadeau, Ellen Fremion

Faculty, Staff and Students Publications

Introduction: Adolescents and young adults (AYA) with spina bifida (SB) face substantial challenges during the transition from pediatric to adult healthcare, including fragmented systems, limited adult provider availability, and gaps in self-management readiness. Despite national guidelines, little is known about how transition practices are implemented across the Spina Bifida Association (SBA) Clinical Care Partner (CCP) network. This study examined clinician perspectives on current practices, barriers, facilitators, and definitions of successful healthcare transition (HCT).

Methods: Using an explanatory sequential mixed methods design, we first conducted a 47-item survey with clinicians from SBA CCP clinics (n = 20/32; 62.5 % response rate). …

Safety And Efficacy Of Vadadustat Versus Darbepoetin Alfa For Chronic Kidney Disease-Related Anemia In Patients Receiving Dialysis By Baseline Erythropoiesis-Stimulating Agent Dose, Alan Jardine, Steven K Burke, Wenli Luo, Todd Minga, Mark J Sarnak, Wolfgang C Winkelmayer, Rajiv Agarwal, Glenn M Chertow, Kai-Uwe Eckardt, Mark J Koury

Faculty, Staff and Students Publications

Introduction: Erythropoiesis-stimulating agents (ESAs) and iron supplementation are standard treatments for chronic kidney disease (CKD)-related anemia. Targeting higher hemoglobin values in CKD increases cardiovascular risk. Whether the increased risk is from higher ESA doses or higher hemoglobin levels is uncertain, but alternative therapies are sought for patients requiring high ESA doses. Phase 3 INNO2VATE trials in patients with dialysis-dependent CKD (DD-CKD) demonstrated vadadustat's noninferiority compared with darbepoetin alfa. To determine vadadustat's potential to treat anemia, including in patients requiring high ESA doses, its safety and efficacy were compared with those of darbepoetin alfa across prespecified baseline ESA dose subgroups in …

Ptpn1 Regulation Via Ybx1-Ptbp1 Interaction Promotes Fibroblast Activation And Fibrotic Remodeling In The Lung, Huibing Liu, Cong Xia, Yingying Zhang, Yulong Gan, Lianhui Cheng, Xuqian Wang, Airu Chang, Wenyu Zhao, Bin Li, Yaxuan Wang, Yajun Li, Ivan Rosas, Juntang Yang, Guoying Yu, Lan Wang

Faculty, Staff and Students Publications

Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive interstitial pneumonia of unknown etiology. Its pathogenesis involves complex multicellular interactions and signaling pathways, with fibroblast-to-myofibroblast transition (FMT) being critical for fibrogenesis. Although the transcription factor Y-box binding protein 1 (YBX1) regulates processes such as cell proliferation, transcription, translation, and DNA repair, its role in IPF remains undefined. Here, we demonstrate that YBX1 overexpression significantly promotes transforming growth factor-β1 (TGF-β1)-induced pulmonary FMT, leading to substantially increased extracellular matrix (ECM) deposition in primary human (PHLFs) and mouse (PMLFs) lung fibroblasts. Conversely, YBX1 inhibition markedly suppresses TGF-β1-driven aberrant fibroblast migration and activation. Mechanistically, YBX1 …

Assessing The Implementation Of National Sodium Reduction Policies In Nigeria: An Interim Qualitative Evaluation Of Stakeholder Perspectives, Chisom Obiezu-Umeh, Erica L Jamro, Guhan Iyer, Mark D Huffman, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Population-wide dietary sodium reduction is a global priority and a highly cost-effective strategy to lower blood pressure and reduce cardiovascular disease risk. In response, the Nigerian government launched the National Multi-sectoral Action Plan (NMSAP) in 2019, recommending evidence-based policy actions including limiting sodium in processed foods, restricting food advertising especially for children, promoting public awareness, integrating nutrition education in schools, and front-of-package labeling. We conducted a qualitative study to examine progress, barriers, and facilitators in implementing these policy actions 3 years post-launch.

METHODS: Between March and September 2024, we conducted 47 key informant interviews and 5 focus group discussions …

Effects Of Anti-Parkinsonian Medication On Gait During Internal And External Rhythmic Auditory Cueing In Pd, Sidney T Baudendistel, Lauren E Tueth, Ryan P Duncan, Allison M Haussler, Liza Birov, Gammon M Earhart

2020-Current year OA Pubs

INTRODUCTION: External and internal auditory cueing strategies improve gait function, including velocity and stride length, in people with Parkinson disease (PD). Further, internal cueing can reduce gait variability, a measure associated with falls. In the present study, we asked whether the efficacy of external and internal rhythmic cues depends on dopaminergic status, i.e., OFF vs. ON medication. This question is relevant to the real-world use of cueing, as dopaminergic medication responsiveness fluctuates for individuals. We measured gait while participants with PD walked with an external cue (music playing aloud) and with an internal cue (mentally singing) in both OFF and …