SummaryBackgroundPeople with disabilities in the developing world do not have equal and adequate access to education, employment, or medical care. Their physical or mental condition, compounded by a lack of financial and technological resources, imposes a burden on both the family and the State. A wheelchair is a form of assistive technology which eases that burden for many. This study examines the impact of a simple, donated chair on the health, quality of life, and function of a subject population.Material/MethodsSurveys were administered to 519 disabled recipients of a semi-rigid depot style wheelchair in 3 different countries at the time they received their chair and again after 12 months of use. Surveys evaluated physical and emotional health, functional independence, and lifestyle.ResultsOn initial reports, 46.6% of subjects said they never left home, 52.3% were hospitalized one or more days/month, 70.3% reported daily pain, and 48.7% reported a negative mood state. Following 12 months of using the wheelchair, both the reported overall health rating and mood state increased by 20%; pain was significantly diminished. Although some areas in the ICF function measure improved more than others, the overall reported level of independence rose by 11%.ConclusionsA representative sample of the disabled in 3 countries of the world is socially isolated, in poor health, and with limited function. Receipt of a simple, depot style wheelchair significantly improved their quality of life, health indicators, and the ICF function measure following 12 months of use.

Context: Treating both the body and the mind of an injured or ill patient is accepted as necessary for full healing to occur. However, treating the spiritual needs of the patient has less consensus.Objective: To determine the perceptions and practices of certified athletic trainers (ATs) working in the college/university setting pertaining to spiritual care of the injured athlete.Design: Cross-sectional study. Setting: A survey instrument was e-mailed to a stratified random sample of 2000 ATs at 4-year colleges and universities.Patients or Other Participants: Five hundred sixty-four participants (296 men, 234 women; 34 did not specify sex). Main Outcome Measure(s):We measured the ATs' perceptions and practices related to spiritual care for athletes.Results: We found that 82.4% of respondents agreed that addressing spiritual concerns could result in more positive therapeutic outcomes for athletes; however, 64.3% disagreed that ATs are responsible for providing the spiritual care. Positive correlations were found between personal spirituality and items favoring implementing spiritual care.Conclusions: Athletic trainers have a conceptual appreciation of the importance of spiritual care for athletes, but the practicalities of how to define, acquire skills in, and practice spiritual care are unresolved.Key Words: treatment, spirituality, holistic careKey Points• Athletic trainers agreed that addressing spiritual care of injured athletes could result in more positive therapeutic outcomes.• Participants disagreed that providing spiritual care is their responsibility.• Hesitancy by practitioners to incorporate spirituality into therapy might result from an inaccurate perception that providing spiritual care is synonymous with sharing personal spiritual beliefs. • More research is needed to determine the scope and efficacy of practicing spiritual care with injured athletes.

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This article provides leaders and educational developers of Centers for Teaching and Learning (CTL) with innovative and practical strategies on how to increase their centers’ capacity and impact by focusing on quality, efficiency, and cost. This “good, fast, cheap” model represents a promising way that CTL can continue to grow, scale, and innovate in the midst of limited resources. By leveraging existing campus resources, external vendor products, and low‐cost technologies, CTL are able to remain effective and impactful, without compromising quality or requiring abundant resources. This article will include real use‐case examples from a CTL at a mid‐size, private, nonprofit university in Southern California and its use of the “good, fast, cheap” model in its planning and implementation with the aim of generalizing these creative solutions to be applied elsewhere.

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