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Wray J, Pagel C, Coats L, Chester AH, Kennedy F, Crowe S. What does good care look like to people living with congenital heart disease in the 21st century? Qualitative online, asynchronous discussion forums. BMJ Open 2024; 14:e079691. [PMID: 38955366 PMCID: PMC11218017 DOI: 10.1136/bmjopen-2023-079691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 05/30/2024] [Indexed: 07/04/2024] Open
Abstract
OBJECTIVES As part of a wider study, our aim was to elicit perspectives of people with congenital heart disease (CHD) and/or their parents/carers about their experiences of healthcare and what is important to them when receiving care. DESIGN AND SETTING A qualitative study involving a series of closed, asynchronous, online discussion forums underpinned by an interpretivist framework and set up and moderated by three patient charities via their Facebook pages. PARTICIPANTS People with CHD and parents/carers of people with CHD from the UK. RESULTS Five forums were run for 12-24 weeks across the three charities, and 343 participants signed up to the forums. Four linked themes related to processes of care were identified following thematic analysis of the transcripts: relationships and communication; access and coordination; experience of discrete episodes of care and psychological support. These impacted how care was experienced and, for some patients, outcomes of CHD and its treatment as well as broader health outcomes. In addition, context relating to stages of the patient journey was described, together with patient-related factors such as patients' knowledge and expertise in their own condition. CONCLUSIONS People with CHD and their parents/carers want individualised, person-centred care delivered within an appropriately resourced, multidisciplinary service. Although examples of excellent care were provided it is evident that, from the perspective of patients and parents/carers, some National Health Service Standards for people with CHD were not being met.
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Affiliation(s)
- Jo Wray
- Heart and Lung Directorate, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
- Institute of Cardiovascular Science, University College London, London, UK
| | - Christina Pagel
- Clinical Operational Research Unit, Department of Mathematics, University College London, London, UK
| | - Louise Coats
- Freeman Hospital, Newcastle upon Tyne, UK
- Newcastle University, Newcastle upon Tyne, UK
| | | | | | - Sonya Crowe
- Clinical Operational Research Unit, Department of Mathematics, University College London, London, UK
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MacNeil M, Benoit B, Disher T, Newman AJ, Campbell-Yeo M. Challenges and best practices for recruiting families of children with intellectual disabilities for health research. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2024:17446295241255178. [PMID: 38753497 DOI: 10.1177/17446295241255178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2024]
Abstract
Research focused on children with intellectual disabilities has been of increasing interest over the last two decades. However, a considerable lag in the amount of research that is representative and generalizable to this population in comparison to neurotypical children remains, largely attributed to issues with participant engagement and recruitment. Challenges and barriers associated with engaging and recruiting this population include lack of research to provide a sound foundation of knowledge, ethical considerations, parental attitudes, family commitments, and organizational gatekeeping. Researchers can engage children and their families using participatory research methods, honouring the child's right to assent, and collaborating with parents. Recruitment strategies include partnering with organizations, working with parent and patient partners, and using remote methods. Employing evidence-informed engagement and recruitment strategies may provide substantial social and scientific value to the research field by ensuring that this underrepresented population benefits equitably from research findings.
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Affiliation(s)
- Morgan MacNeil
- School of Nursing, Dalhousie University, Halifax, NS, Canada
- MOM-LINC Lab, IWK Health, Halifax, NS, Canada
| | - Britney Benoit
- Rankin School of Nursing, Faculty of Science, St. Francis Xavier University, Antigonish, NS, Canada
| | - Timothy Disher
- EVERSANA, Burlington, ON, Canada
- Faculty of Computer Science, Dalhousie University, Halifax, NS, Canada
| | - Aaron J Newman
- Department of Pediatrics, Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada
| | - Marsha Campbell-Yeo
- School of Nursing, Dalhousie University, Halifax, NS, Canada
- MOM-LINC Lab, IWK Health, Halifax, NS, Canada
- Department of Pediatrics, Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada
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Jones K, Wilson-Keates B, Melrose S. Using social media to recruit research participants: a literature review. Nurse Res 2024; 32:28-34. [PMID: 38105712 DOI: 10.7748/nr.2023.e1859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2023] [Indexed: 12/19/2023]
Abstract
BACKGROUND It may be challenging for researchers to recruit enough participants to have a diverse and representative sample for their studies. Usual recruitment methods that were historically effective can be difficult to use because of high costs, time constraints and geographical limitations. Social media is a low-cost, time-saving alternative. AIM To summarise the benefits and challenges of using social media for recruitment. DISCUSSION This article provides an overview of social media. It considers the advantages of social media for recruitment, including its cost-effectiveness, accessibility, speed and potential exposure for researchers. It also discusses the challenges of using social media for recruitment, including ethical ambiguity, homogenous sampling and questionable validity of information gathered. CONCLUSION Using social media for research saves time and reduces costs, increasing access to hard-to-reach populations and the reach of recruitment efforts. IMPLICATIONS FOR PRACTICE Options for researchers wishing to use social media for study recruitment are outlined, as are strategies for managing some of the challenges involved in this recruitment method.
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Clarkson G, Sheikh NS, Johnson LA. Grieving the Loss of a Child and the Use of Online Social Support: An Exploratory Survey Study. J Psychosoc Nurs Ment Health Serv 2024:1-9. [PMID: 38451119 DOI: 10.3928/02793695-20240227-02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2024]
Abstract
PURPOSE To describe social media online grief supports, accessing behaviors, psychosocial variables, and feelings of support among individuals grieving the loss of a child aged <18 years. METHOD This online survey study recruited 26 adults grieving the loss of a child using social media. Dependent variables included feelings of support and frequency of access. Independent variables included sleep disturbance, cognitive function, depression, anxiety, and self-efficacy to manage emotions (SEMA). Data were collected from May to September 2018. RESULTS Participants' T scores were higher in level of sleep disturbance (mean = 59.4, SD = 6.1), depression (mean = 62.1, SD = 6.1), and anxiety (mean = 62.8, SD = 7.9), and lower in cognitive function (mean = 37.4, SD = 7.3) and SEMA (mean = 39.3, SD = 5.7). SEMA showed a positive correlation with feeling emotionally supported (p = 0.034). Participants who were accessing online grief supports more frequently reported higher levels of emotional support (F = 9.31, p = 0.006). CONCLUSION Current findings will help guide the design of online grief support interventions for individuals grieving the loss of a child. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].
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Josephs I, Xi K, Mannix M, Welch JJG. Assessment of Quality of Life, Grief, and Psychosocial Need Among Bereaved Caregivers of Children with Cancer. OMEGA-JOURNAL OF DEATH AND DYING 2023:302228231219303. [PMID: 38052069 DOI: 10.1177/00302228231219303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2023]
Abstract
Cancer is the leading disease-related cause of death for children in the United States; however, limited data exists on caregivers' needs and evidence-based bereavement interventions are lacking. This is a cross-sectional study of primary caregivers of children who died from cancer. Participants completed five surveys assessing well-being and an optional semi-structured, in-depth qualitative interview. Caregiver's greatest unmet needs were finding meaning in the death, personal wellness, and social activities. Bereaved caregivers with greater unmet needs reported poorer quality of life in the energy/fatigue (p = .01), role limitations due to emotional problems (p = .01), pain (p = .01), and emotional well-being (p = .02) domains. Interview themes elicited include inadequate bereavement services, support for siblings, desired contact with the medical team, and connections to other bereaved caregivers. Findings support the need for intensive, evidence-based bereavement programs for families of children who died from cancer, to attempt to mitigate poor bereavement-related outcomes.
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Affiliation(s)
- Isabel Josephs
- The Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Kevin Xi
- Brown University School of Public Health, Providence, RI, USA
| | - Margaret Mannix
- The Warren Alpert Medical School of Brown University, Providence, RI, USA
- Department of Child and Family Psychiatry, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA
| | - Jennifer J G Welch
- The Warren Alpert Medical School of Brown University, Providence, RI, USA
- Division of Pediatric Hematology/Oncology, Hasbro Children's Hospital, Providence, RI, USA
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Mary McDaniel B, Daly P, Pacheco CL, Crist JD. Experiences With Suicide Loss: A Qualitative Study. Clin Nurs Res 2022; 31:1491-1499. [PMID: 36082419 DOI: 10.1177/10547738221119344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
To better understand suicide loss survivors' experiences and barriers to accessing support and mental health care, 28 (21 women and 7 men) suicide loss survivors were interviewed. Using qualitative analysis of 28 in-depth, semi-structured phone interviews data, three categories emerged: Life before Suicide, Life after Suicide, and Meaning of Life. This deeper understanding of suicide loss survivors along with inclusion of experiences of male and rural participants' suicide loss, fill previously identified research gaps. Our findings suggest importance in providing emotional support and mental health resources to those with suicide intent or experiences with suicide loss. Most importantly, the recognition of suicide loss survivors extends beyond the immediate family and includes cousins, friends, and work associates. Recognition of extended suicide loss survivors' bereavement will provide additional opportunities for healthcare providers to effectively intervene with this vulnerable population.
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Darko EM, Kleib M, Olson J. Social Media Use for Research Participant Recruitment: Integrative Literature Review. J Med Internet Res 2022; 24:e38015. [PMID: 35925655 PMCID: PMC9389385 DOI: 10.2196/38015] [Citation(s) in RCA: 31] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 06/15/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Social media tools have provided health researchers with the opportunity to engage with communities and groups in a nonconventional manner to recruit participants for health research. Using social media to advertise research opportunities and recruit participants facilitates accessibility to participants from broad geographical areas and diverse populations. However, little guidance is provided by ethics review boards for researchers to effectively use this recruitment method in their research. OBJECTIVE This study sought to explore the literature on the use of social media for participant recruitment for research studies and identify the best practices for recruiting participants using this method. METHODS An integrative review approach was used to synthesize the literature. A total of 5 health sciences databases, namely, EMBASE (Ovid), MEDLINE (Ovid and EBSCOhost), PsycINFO (Ovid), Scopus (Elsevier), and CINAHL Plus with Full Text (EBSCOhost), were searched using predefined keywords and inclusion and exclusion criteria. The initial search was conducted in October 2020 and was updated in February 2022. Descriptive and content analyses were applied to synthesize the results, and the findings are presented in a narrative and tabular format. RESULTS A total of 96 records were included in this review, 83 (86%) from the initial search and 13 (14%) from the updated search. The publication year ranged between 2011 and 2022, with most publications (63/96, 66%) being from the United States. Regarding recruitment strategy, 45% (43/96) of the studies exclusively used social media, whereas 51% (49/96) used social media in conjunction with other strategies. The remaining 4% (4/96) provided guidelines and recommendations for social media recruitment. Notably, 38% (36/96) of these studies involved hard-to-reach populations. The findings also revealed that the use of social media is a cost-effective and efficient strategy for recruiting research participants. Despite the expanded use across different populations, there is limited participation of older adults in social media recruitment. CONCLUSIONS This review provides important insights into the current use of social media for health research participant recruitment. Ethics boards and research support services in academic institutions are encouraged to explicitly provide researchers with guidelines on the use of social media for health research participant recruitment. A preliminary guideline prepared based on the findings of this review is proposed to spark further development in this area.
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Affiliation(s)
- Elizabeth Mirekuwaa Darko
- College of Health Sciences, Faculty of Nursing, Edmonton Clinic Health Academy, University of Alberta, Edmonton, AB, Canada
| | - Manal Kleib
- College of Health Sciences, Faculty of Nursing, Edmonton Clinic Health Academy, University of Alberta, Edmonton, AB, Canada
| | - Joanne Olson
- College of Health Sciences, Faculty of Nursing, Edmonton Clinic Health Academy, University of Alberta, Edmonton, AB, Canada
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Busl KM, Rubin MA, Tolchin BD, Larriviere D, Epstein L, Kirschen M, Taylor LP. Use of Social Media in Health Care-Opportunities, Challenges, and Ethical Considerations: A Position Statement of the American Academy of Neurology. Neurology 2021; 97:585-594. [PMID: 34864637 DOI: 10.1212/wnl.0000000000012557] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 06/30/2021] [Indexed: 01/26/2023] Open
Affiliation(s)
- Katharina M Busl
- From the Departments of Neurology and Neurosurgery (K.M.B.), College of Medicine, University of Florida, Gainesville; Department of Neurology (M.A.R.), UT Southwestern, Dallas, TX; Department of Neurology (B.D.T.), Yale University Medical School, New Haven, CT; Department of Neurology (D.L.), Ochsner Medical Center, Jefferson, LA; Department of Pediatric Neurology (L.E.), Northwestern University, Evanston, IL; Department of Pediatric Medicine (M.K.), Children's Hospital of Philadelphia, PA; and Department of Neurology (L.P.T.), University of Washington, Seattle.
| | - Michael A Rubin
- From the Departments of Neurology and Neurosurgery (K.M.B.), College of Medicine, University of Florida, Gainesville; Department of Neurology (M.A.R.), UT Southwestern, Dallas, TX; Department of Neurology (B.D.T.), Yale University Medical School, New Haven, CT; Department of Neurology (D.L.), Ochsner Medical Center, Jefferson, LA; Department of Pediatric Neurology (L.E.), Northwestern University, Evanston, IL; Department of Pediatric Medicine (M.K.), Children's Hospital of Philadelphia, PA; and Department of Neurology (L.P.T.), University of Washington, Seattle
| | - Benjamin D Tolchin
- From the Departments of Neurology and Neurosurgery (K.M.B.), College of Medicine, University of Florida, Gainesville; Department of Neurology (M.A.R.), UT Southwestern, Dallas, TX; Department of Neurology (B.D.T.), Yale University Medical School, New Haven, CT; Department of Neurology (D.L.), Ochsner Medical Center, Jefferson, LA; Department of Pediatric Neurology (L.E.), Northwestern University, Evanston, IL; Department of Pediatric Medicine (M.K.), Children's Hospital of Philadelphia, PA; and Department of Neurology (L.P.T.), University of Washington, Seattle
| | - Dan Larriviere
- From the Departments of Neurology and Neurosurgery (K.M.B.), College of Medicine, University of Florida, Gainesville; Department of Neurology (M.A.R.), UT Southwestern, Dallas, TX; Department of Neurology (B.D.T.), Yale University Medical School, New Haven, CT; Department of Neurology (D.L.), Ochsner Medical Center, Jefferson, LA; Department of Pediatric Neurology (L.E.), Northwestern University, Evanston, IL; Department of Pediatric Medicine (M.K.), Children's Hospital of Philadelphia, PA; and Department of Neurology (L.P.T.), University of Washington, Seattle
| | - Leon Epstein
- From the Departments of Neurology and Neurosurgery (K.M.B.), College of Medicine, University of Florida, Gainesville; Department of Neurology (M.A.R.), UT Southwestern, Dallas, TX; Department of Neurology (B.D.T.), Yale University Medical School, New Haven, CT; Department of Neurology (D.L.), Ochsner Medical Center, Jefferson, LA; Department of Pediatric Neurology (L.E.), Northwestern University, Evanston, IL; Department of Pediatric Medicine (M.K.), Children's Hospital of Philadelphia, PA; and Department of Neurology (L.P.T.), University of Washington, Seattle
| | - Matthew Kirschen
- From the Departments of Neurology and Neurosurgery (K.M.B.), College of Medicine, University of Florida, Gainesville; Department of Neurology (M.A.R.), UT Southwestern, Dallas, TX; Department of Neurology (B.D.T.), Yale University Medical School, New Haven, CT; Department of Neurology (D.L.), Ochsner Medical Center, Jefferson, LA; Department of Pediatric Neurology (L.E.), Northwestern University, Evanston, IL; Department of Pediatric Medicine (M.K.), Children's Hospital of Philadelphia, PA; and Department of Neurology (L.P.T.), University of Washington, Seattle
| | - Lynne P Taylor
- From the Departments of Neurology and Neurosurgery (K.M.B.), College of Medicine, University of Florida, Gainesville; Department of Neurology (M.A.R.), UT Southwestern, Dallas, TX; Department of Neurology (B.D.T.), Yale University Medical School, New Haven, CT; Department of Neurology (D.L.), Ochsner Medical Center, Jefferson, LA; Department of Pediatric Neurology (L.E.), Northwestern University, Evanston, IL; Department of Pediatric Medicine (M.K.), Children's Hospital of Philadelphia, PA; and Department of Neurology (L.P.T.), University of Washington, Seattle
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Aggarwal P, Choi J, Sutaria N, Roh YS, Wongvibulsin S, Williams KA, Huang AH, Boozalis E, Le T, Chavda R, Gabriel S, Kwatra SG. Clinical characteristics and disease burden in prurigo nodularis. Clin Exp Dermatol 2021; 46:1277-1284. [PMID: 33969517 DOI: 10.1111/ced.14722] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Revised: 04/17/2021] [Accepted: 05/04/2021] [Indexed: 12/25/2022]
Abstract
BACKGROUND Prurigo nodularis (PN) is a chronic inflammatory skin disease characterized by intense pruritus, but information on patient experience and impact on quality of life (QoL) remains understudied. AIM To characterize disease characteristics and QoL in a global sample of patients with PN. METHODS An anonymous survey was distributed via patient support groups for PN. RESULTS In total, 231 members responded to the survey. The majority of respondents reported itch localized both to nodules and to intervening skin (67.0%). Associated symptoms included prickling, pain, stinging and burning. The extensor lower legs (69% right, 67.3% left) and flexor forearms (66.1% right, 62% left) were the most common sites of itch. Participants reported frequent healthcare utilization, with 36.3% visiting a doctor ≥ 10 times in the past year. Physician-diagnosed anxiety (45.4%), depression (16.4%) and the atopic triad (18.7%) were commonly reported. Patients with PN had mean scores of 16.4, 11.6 and 16.8 on the Dermatology Life Quality Index, Pittsburgh Sleep Quality Index and 5-Dimensions Itch, respectively. CONCLUSIONS Severe pruritus with accompanying pain, stinging and burning is characteristic of PN, with the majority of patients experiencing itch in both nodular and interlesional skin. Patients further report decreased QoL scores and impaired sleep. Patient experiences should guide future management of PN.
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Affiliation(s)
- P Aggarwal
- Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - J Choi
- Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - N Sutaria
- Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Y S Roh
- Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - S Wongvibulsin
- Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - K A Williams
- Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - A H Huang
- Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - E Boozalis
- Division of Dermatology, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA
| | - T Le
- Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - R Chavda
- Galderma SA, Lausanne, Switzerland
| | | | - S G Kwatra
- Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
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