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Alqassim MY, Kresnye KC, Siek KA, Lee J, Wolters MK. The miscarriage circle of care: towards leveraging online spaces for social support. BMC Womens Health 2022; 22:23. [PMID: 35090452 PMCID: PMC8800293 DOI: 10.1186/s12905-022-01597-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 12/13/2021] [Indexed: 11/10/2022] Open
Abstract
Background Lack of social support during and after miscarriage can greatly affect mental wellbeing. With miscarriages being a common experience, there remains a discrepancy in the social support received after a pregnancy is lost. Method 42 people who had experienced at least one miscarriage took part in an Asynchronous Remote Community (ARC) study. The study involved 16 activities (discussions, creative tasks, and surveys) in two closed, secret Facebook groups over eight weeks. Descriptive statistics were used to analyse quantitative data, and content analysis was used for qualitative data. Results There were two main miscarriage care networks, formal (health care providers) and informal (friends, family, work colleagues). The formal care network was the most trusted informational support source, while the informal care network was the main source of tangible support. However, often, participants’ care networks were unable to provide sufficient informational, emotional, esteem, and network support. Peers who also had experienced miscarriage played a crucial role in addressing these gaps in social support. Technology use varied greatly, with smartphone use as the only common denominator. While there was a range of online support sources, participants tended to focus on only a few, and there was no single common preferred source. Discussion We propose a Miscarriage Circle of Care Model (MCCM), with peer advisors playing a central role in improving communication channels and social support provision. We show how the MCCM can be used to identify gaps in service provision and opportunities where technology can be leveraged to fill those gaps.
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Affiliation(s)
- Mona Y Alqassim
- School of Informatics, University of Edinburgh, 10 Crichton St, Edinburgh, UK.
| | - K Cassie Kresnye
- School of Informatics, Computing, and Engineering, Indiana University, Bloomington, IN, USA
| | - Katie A Siek
- School of Informatics, Computing, and Engineering, Indiana University, Bloomington, IN, USA
| | - John Lee
- School of Informatics, University of Edinburgh, 10 Crichton St, Edinburgh, UK
| | - Maria K Wolters
- School of Informatics, University of Edinburgh, 10 Crichton St, Edinburgh, UK.,The Alan Turing Institute for Data Science and Artificial Intelligence, London, UK.,Institute of Design Informatics, School of Informatics, University of Edinburgh, 10 Crichton St, Edinburgh, UK
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Chowdhury MAB, Fiore AJ, Cohen SA, Wheatley C, Wheatley B, Balakrishnan MP, Chami M, Scieszka L, Drabin M, Roberts KA, Toben AC, Tyndall JA, Grattan LM, Morris JG. Health Impact of Hurricanes Irma and Maria on St Thomas and St John, US Virgin Islands, 2017-2018. Am J Public Health 2019; 109:1725-1732. [PMID: 31622150 PMCID: PMC6836793 DOI: 10.2105/ajph.2019.305310] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/29/2019] [Indexed: 11/04/2022]
Abstract
Objectives. To assess the health impact of Hurricane Irma and Hurricane Maria on St Thomas, US Virgin Islands.Methods. We collected data from interviews conducted 6 and 9 months after the hurricanes, a review of 597 randomly selected emergency department (ED) encounters, and administrative records from 10 716 ED visits 3 months before, between, and 3 months after the hurricanes.Results. Informants described damaged hospital infrastructure, including flooding, structural damage, and lost staff. The greatest public health impact was on the elderly and persons with chronic diseases. In the setting of loss of the electronic medical record system, ED chart reviews were limited by problems with missing data. ED administrative data demonstrated that posthurricane patients, compared with prehurricane patients, were older and had less severe complaints. There was a significant increase in patients being seen for diabetes-related and respiratory complaints, especially asthma. Suboptimal recordkeeping for medical evacuees limited the ability to assess outcomes for patients with severe illnesses.Conclusions. Hurricanes Irma and Maria caused major disruptions to health care on St Thomas. Emphasis should be given to building a resilient health care system that will optimally respond to future hurricanes.
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Affiliation(s)
- Muhammad Abdul Baker Chowdhury
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - Andrew J Fiore
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - Scott A Cohen
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - Clayton Wheatley
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - Barnard Wheatley
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - Meenakshi Puthucode Balakrishnan
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - Michael Chami
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - Laura Scieszka
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - Matthew Drabin
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - Kelsey A Roberts
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - Alexandra C Toben
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - J Adrian Tyndall
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - Lynn M Grattan
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
| | - J Glenn Morris
- Muhammad Abdul Baker Chowdhury, Scott A. Cohen, Meenakshi Puthucode Balakrishnan, Michael Chami, Laura Scieszka, Matthew Drabin, and J. Adrian Tyndall are with the Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville. Andrew J. Fiore is with the Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville. Clayton Wheatley and Barnard Wheatley are with Schneider Regional Medical Center, St Thomas, US Virgin Islands. Kelsey A. Roberts, Alexandra C. Toben, and Lynn M. Grattan are with the Department of Neurology, School of Medicine, University of Maryland, Baltimore. J. Glenn Morris Jr is with the Emerging Pathogens Institute, University of Florida, Gainesville
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