A national educational campaign to raise awareness of child physical abuse among health care professionals.

Education is necessary to improve child physical abuse detection and management. A few studies have described national child abuse training programs, but none has measured changes in knowledge among participants. A collaboration of child abuse experts from the USA, an academic pediatric department, and a non-governmental organization in child protection aimed at (a) training hospital physicians in a train-the-trainer course for the detection and management of child physical abuse and (b) conducting workshops and measuring attendance and gain of knowledge of participants. A train-the-trainer and a national curriculum were created. A 78-item and a 20-item knowledge questionnaire were used pre and post the train-the-trainer course and all workshops, respectively. Nineteen physicians from all pediatric departments of the seven medical schools in Greece attended the course. Eight workshops in seven cities took place with a total attendance of 1220 health care professionals. Gain of knowledge was demonstrated for participants in the train-the-trainer course (p = 0.0015) and local workshops (p < 0.001).Conclusion: We successfully engaged physicians from all medical schools in Greece and conducted a train-the-trainer module and eight workshops in major cities that improved the participants' knowledge in child physical abuse. This approach may help address physician deficiencies in emerging areas of child abuse clinical practice. What is Known: • Education is necessary to improve child physical abuse detection and management. • Although national training programs have been described, none has measured participants' changes in knowledge. What is New: • A collaboration of child abuse experts, all medical schools in Greece, and a non-governmental organization resulted in a national educational campaign in child physical abuse and gains in knowledge for participants. • This approach may help address deficiencies in emerging areas of clinical practice.

The experiences of older people participating in exercise referral schemes.

Exercise referral schemes (ERS) have become a major routeway of promoting physical activity with older adults. However, there is lack of evidence regarding the views of older people and their experience from participating in ERS. The purpose of this study was to offer insights into how physical activity (PA) is situated in notions of successful ageing of people participating in ERS and to highlight points for achieving client-based targets through ERS. Thirteen community-living, retired, older adults (five females) with ages ranging from 63 to 79 who were at various stages in their referral programme were selected from three exercise referral schemes in south west England. The respondents chose to participate in either an individual or a group semi-structured interview. Findings stress that ERS clearly disrupt a lifestyle characterised by growing purposelessness and social isolation, offer older participants better physical and mental function and feelings of accomplishment and success. The participants in this study made a range of personally valued improvements through their involvement in ERS. The success of the programmes relies on the general practitioners' recommendations, the professional help and support from enthusiastic and experienced personnel and the attractiveness of the exercise content which needs to satisfy the multiple needs of the well-being of older adults.