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Additionally, trainings could be offered in community-based organizations that serve older adults such as senior centers, naturally occurring retirement communities (NORCs) and social adult day services.
Ongoing clinician education, using a case-study approach, was noted as something they desired and suggested these trainings could be made available both in-person and on-line.
It would be better if regular booster trainings could be provided after the completion of the LSW, so that participants could update their LSW and refresh their memory and learning.
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Finally, its impact on individual CBT treatment, long term adhesion to outpatient treatment, or future hospitalization as well as its impact on the CBT trainings of therapists could be assessed.
It is possible that by notifying PHCs and MOs in advance of our visit, active brief refresher trainings could have been initiated, although the advance warning was only 1 2 days so it would not have been possible to do anything more than minimal preparation.
Expansion of similar trainings in non-EIP sites could be implemented with moderate funding support.
The individual behavioural aspects revealed in our study, such as communications among team members, respectful and non-hierarchical relationships, and team synergy could be strengthened via trainings, regular reflections and other team-building activities [ 46, 47].
The successive improvement of case detection in Oromia region from previous 32% to current 39% (unpublished report) indicates the improved performance of AFB microscopy centers and this could be due continuous refresher trainings and other interventions.
It also cited the possibility of hosting all trainings at the stadium and that the field could be used 2,000 instead of 130 hours per year.
The long-term effect of LSW could be further examined if booster trainings were incorporated into the program.
However, due to economical reasons (time and money), the similar effectiveness of the MIPAS-Family group program could be an interesting alternative to individualized trainings, such as Biofeedback.
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