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EMPOWER-H (Engaging and Motivating Patients Online With Enhanced Resources-Hypertension) is a personalized-care model facilitating engagement in hypertension self-management utilizing an interactive Web-based disease management system integrated with the electronic health record. The model is designed to support timely patient-provider interaction by incorporating decision support technology to individualize care and provide personalized feedback for patients with chronic disease. Central to this process were patient-generated health data, including blood pressure (BP), weight, and lifestyle behaviors, which were uploaded using a smartphone. The aim of this study was to evaluate the program among patients within primary care already under management for hypertension and with uncontrolled BP. Using a 6-month pre-post design, outcome measures included office-measured and home-monitored BP, office-measured weight, intervention contacts, diet, physical activity, smoking, knowledge, and health-related quality of life. At 6 months, 55.9% of participants (N=149) achieved office BP goals (<140/90 mm Hg; P<.001) and 86.0% achieved clinically meaningful reduction in office BP (reduction in systolic BP [SBP] ≥5 mm Hg or diastolic BP [DBP] ≥3 mm Hg). At baseline, 25.2% of participants met home BP goals (<135/85 mm Hg), and this percentage significantly increased to 71.4% (P<.001) at 6 months. EMPOWER-H also significantly reduced both office and home SBP and DBP, decreased office-measured weight and consumption of high-salt and high-fat foods (all P<.005), and increased intake of fruit and vegetables, minutes of aerobic exercise, and hypertension knowledge (all P<.05). Patients with higher home BP upload frequencies had significantly higher odds of achieving home BP goals. Patients receiving more total intervention, behavioral, pharmaceutical contacts had significantly lower odds of achieving home BP goals but higher improvements in office BP (all P<.05). EMPOWER-H significantly improved participants' office-measured and home-monitored BP, weight, and lifestyle behaviors, suggesting that technologically enabled BP home-monitoring, with structured use of patient-generated health data and a personalized care-plan facilitating patient engagement, can support effective clinical management. The experience gained in this study provides support for the feasibility and value of using carefully managed patient-generated health data in the day-to-day clinical management of patients with chronic conditions. A large-scale, real-world study to evaluate sustained effectiveness, cost-effectiveness, and scalability is warranted.

This qualitative case study examined the implementation of diversity, equity, and inclusion (DEI) in sixth-grade English Language Arts (ELA) classrooms across two public school districts. Grounded in the theoretical frameworks of Rosenblatt, Vygotsky, Banks, and Ladson-Billings, the study focused on educators’ perceptions, practices, and challenges related to novel study instruction. Data collected through validated surveys and instructional artifacts were analyzed based on teachers’ views on DEI, classroom practices, and obstacles faced. Findings indicated that teachers valued diverse literature for enhancing engagement, affirming student identities, and linking learning to social issues. The study concludes that effective multicultural education requires systemic support, including professional development, culturally responsive materials, and improved teacher-librarian collaboration, ultimately providing recommendations for enhancing multicultural novel studies in ELA classrooms.

Background The prevalence of type 2 diabetes (T2D) continues to rise in the United States and worldwide. Cognitive behavioral therapy (CBT) has been shown to improve glycemic control in patients with T2D, but broad implementation has been limited by inherent access and resource constraints. Digital therapeutics have the potential to overcome these obstacles. Hypothesis To describe the rationale and design of a trial evaluating the efficacy and safety of a digital therapeutic providing CBT to improve glycemic control in adults with T2D. Methods This randomized, controlled, multicenter, Phase 3 trial evaluates the hypothesis that BT‐001, an investigational digital therapeutic intended to help patients with T2D improve their glycemic control, on top of standard of care therapy, will lower hemoglobin A1c (HbA1c) compared to a control app across a broad range of patients in a real‐world setting. The study is designed to provide evidence to support FDA review of this device as a digital therapeutic. The intervention is provided within the digital application (app) and includes no person‐to‐person coaching. The primary endpoint is the difference in HbA1c change from baseline to 90 days for BT‐001‐allocated subjects compared with those assigned to the control app. Safety assessment includes adverse events and adverse device effects. The study incorporates pragmatic features including entirely remote conduct with at‐home visits for physical measures and blood sample collection. Conclusions This randomized, controlled trial evaluates a cognitive behavioral intervention delivered via smartphone app which has the potential to provide a scalable treatment option for patients with T2D.

A U.S. Department of Education grant helped Alabama State University's education students learn to integrate technology in the classroom. Developed by a consortium involving the university, two high schools, and an elementary school (which served predominantly minority students), the grant provided training and gave participants take-home laptop computers.(SM)

[...]a universally accessible mediation can come about only through careful inquiries about each individual's needs - and equally careful accommodation.\\n You might find wording like the following helpful: I want to be sure you receive reasonable accommodation for any physical, sensory, or mental needs that may affect your ability to participate in this mediation. Sitting for long stretches may be impossible for some, including many without defined or recognized disabilities, so allowing participants to take breaks as they require is always a good idea. Because the need for such breaks may be one people don't want to discuss in a group (perhaps a party needs an injection or medication, or maybe a service dog needs to go outside) establishing a regular pattern of breaks ahead of time is a good idea.

Attempts to insure accountability and quality control in certification of teachers have resulted in a majority of the states requiring satisfactory scores on admissions or competency tests. Black teachers have been the segment of the population affected most adversely by teacher testing. Solutions can be found to the current dilemma of how to maintain standards while at the same time provide a valid mechanism for assessment of teacher competency.

Efforts at censorship of textbooks in the public schools have increased greatly in the past ten years. Censorship is having a negative impact upon teachers, administrators, school boards, and publishers as well as the curricula offered all across the country. Litigation by pressure groups with nationwide backing has entered the federal courts. The basis for conflicts lies in the differences among ideologies of various segments of the society.

This article presents suggestions for writers who wish to publish in journals or other educational publications. The author describes principles of effective writing, elements of style, guidelines for submission to editors, and use of editorial feedback.

This article describes the importance of physical activity throughout adult life and its benefits to physical, mental and emotional health. The author reports current research findings related to exercise for older adults, offers suggestions for getting started on a regular exercise routine and suggests resources for locating further information on exercising.