1
|
Seaton CL, Rondier P, Rush KL, Li E, Plamondon K, Pesut B, Oelke ND, Dow-Fleisner S, Hasan K, Currie LM, Kurtz D, Jones C, Bottorff JL. Community stakeholder-driven technology solutions towards rural health equity: A concept mapping study in Western Canada. Health Expect 2022; 25:3202-3214. [PMID: 36245334 DOI: 10.1111/hex.13627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 09/24/2022] [Accepted: 10/02/2022] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Technology holds great potential for promoting health equity for rural populations, who have more chronic illnesses than their urban counterparts but less access to services. Yet, more participatory research approaches are needed to gather community-driven health technology solutions. The purpose was to collaboratively identify and prioritize action strategies for using technology to promote rural health equity through community stakeholder engagement. METHODS Concept mapping, a quantitative statistical technique, embedded within a qualitative approach, was used to identify and integrate technological solutions towards rural health equity from community stakeholders in three steps: (1) idea generation; (2) sorting and rating feasibility/importance and (3) group interpretation. Purposeful recruitment strategies were used to recruit key stakeholders and organizational representatives from targeted rural communities. RESULTS Overall, 34 rural community stakeholders from western Canada (76% female, mean age = 55.4 years) participated in the concept mapping process. In Step 1, 84 ideas were generated that were reduced to a pool of 30. Multidimensional scaling and cluster analysis resulted in a six-cluster map representing how technological solutions can contribute toward rural health equity. The clusters of ideas included technological solutions and applications, but also ideas to make health care more accessible regardless of location, training and support in the use of technology, ensuring digital tools are simplified for ease of use, technologies to support collaboration among healthcare professionals and ideas for overcoming challenges to data sharing across health systems/networks. Each cluster included ideas that were rated as equally important and feasible. Key themes included organizational and individual-level solutions and connecting patients to newly developed technologies. CONCLUSIONS Overall, the grouping of solutions revealed that technological applications require not only access but also support and collaboration. Concept mapping is a tool that can engage rural community stakeholders in the identification of technological solutions for promoting rural health equity. PATIENT OR PUBLIC CONTRIBUTION Rural community stakeholders were involved in the generation and interpretation of technological solutions towards rural health equity in a three-step process: (1) individual brainstorming of ideas, (2) sorting and rating all ideas generated and (3) collective interpretation and group consensus on final results.
Collapse
Affiliation(s)
- Cherisse L Seaton
- School of Nursing, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| | - Pierre Rondier
- Research and Innovation Office, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| | - Kathy L Rush
- School of Nursing, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| | - Eric Li
- Faculty of Management, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| | - Katrina Plamondon
- School of Nursing, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| | - Barb Pesut
- School of Nursing, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada.,University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| | - Nelly D Oelke
- School of Nursing, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada.,Rural Coordination Centre of British Columbia, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| | - Sarah Dow-Fleisner
- School of Social Work, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| | - Khalad Hasan
- Computer Science, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| | - Leanne M Currie
- School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
| | - Donna Kurtz
- School of Nursing, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| | - Charlotte Jones
- Faculty of Medicine, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| | - Joan L Bottorff
- School of Nursing, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
| |
Collapse
|
2
|
IXVC: An interactive pipeline for explaining visual clusters in dimensionality reduction visualizations with decision trees. ARRAY 2021. [DOI: 10.1016/j.array.2021.100080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
|
3
|
Ogden K, Kilpatrick S, Elmer S, Rooney K. Attributes and generic competencies required of doctors: findings from a participatory concept mapping study. BMC Health Serv Res 2021; 21:560. [PMID: 34098942 PMCID: PMC8186188 DOI: 10.1186/s12913-021-06519-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 05/12/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Medical education should ensure graduates are equipped for practice in modern health-care systems. Practicing effectively in complex health-care systems requires contemporary attributes and competencies, complementing core clinical competencies. These need to be made overt and opportunities to develop and practice them provided. This study explicates these attributes and generic competencies using Group Concept Mapping, aiming to inform pre-vocational medical education curriculum development. METHODS Group Concept Mapping is a mixed methods consensus building methodology whereby ideas are generated using qualitative techniques, sorted and grouped using hierarchical cluster analysis, and rated to provide further quantitative confirmation of value. Health service providers from varied disciplines (including medicine, nursing, allied health), health profession educators, health managers, and service users contributed to the conceptual model's development. They responded to the prompt 'An attribute or non-clinical competency required of doctors for effective practice in modern health-care systems is...' and grouped the synthesized responses according to similarity. Data were subjected to hierarchical cluster analysis. Junior doctors rated competencies according to importance to their practice and preparedness at graduation. RESULTS Sixty-seven contributors generated 338 responses which were synthesised into 60 statements. Hierarchical cluster analysis resulted in a conceptual map of seven clusters representing: value-led professionalism; attributes for self-awareness and reflective practice; cognitive capability; active engagement; communication to build and manage relationships; patient-centredness and advocacy; and systems awareness, thinking and contribution. Logic model transformation identified three overarching meta-competencies: leadership and systems thinking; learning and cognitive processes; and interpersonal capability. Ratings indicated that junior doctors believe system-related competencies are less important than other competencies, and they feel less prepared to carry them out. CONCLUSION The domains that have been identified highlight the competencies necessary for effective practice for those who work within and use health-care systems. Three overarching domains relate to leadership in systems, learning, and interpersonal competencies. The model is a useful adjunct to broader competencies frameworks because of the focus on generic competencies that are crucial in modern complex adaptive health-care systems. Explicating these will allow future investigation into those that are currently well achieved, and those which are lacking, in differing contexts.
Collapse
Affiliation(s)
- Kathryn Ogden
- Tasmanian School of Medicine, University of Tasmania, Locked bag 1377, Launceston, Tasmania, 7250, Australia.
| | - Sue Kilpatrick
- School of Education, University of Tasmania, Launceston, Tasmania, Australia
| | - Shandell Elmer
- School of Education, University of Tasmania, Launceston, Tasmania, Australia
- Centre for Global Health and Equity, Swinburne University of Technology, Hawthorn, Victoria, Australia
| | - Kim Rooney
- Tasmanian School of Medicine, University of Tasmania, Locked bag 1377, Launceston, Tasmania, 7250, Australia
| |
Collapse
|
4
|
Chakraborty A, Howard NJ, Daniel M, Chong A, Slavin N, Brown A, Cargo M. Prioritizing Built Environmental Factors to Tackle Chronic and Infectious Diseases in Remote Northern Territory (NT) Communities of Australia: A Concept Mapping Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5178. [PMID: 34068201 PMCID: PMC8152969 DOI: 10.3390/ijerph18105178] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 05/07/2021] [Accepted: 05/07/2021] [Indexed: 12/31/2022]
Abstract
High prevalence of chronic and infectious diseases in Indigenous populations is a major public health concern both in global and Australian contexts. Limited research has examined the role of built environments in relation to Indigenous health in remote Australia. This study engaged stakeholders to understand their perceptions of the influence of built environmental factors on chronic and infectious diseases in remote Northern Territory (NT) communities. A preliminary set of 1120 built environmental indicators were systematically identified and classified using an Indigenous Indicator Classification System. The public and environmental health workforce was engaged to consolidate the classified indicators (n = 84), and then sort and rate the consolidated indicators based on their experience with living and working in remote NT communities. Sorting of the indicators resulted in a concept map with nine built environmental domains. Essential services and Facilities for health/safety were the highest ranked domains for both chronic and infectious diseases. Within these domains, adequate housing infrastructure, water supply, drainage system, reliable sewerage and power infrastructure, and access to health services were identified as the most important contributors to the development of these diseases. The findings highlight the features of community environments amenable to public health and social policy actions that could be targeted to help reduce prevalence of chronic and infectious diseases.
Collapse
Affiliation(s)
- Amal Chakraborty
- School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia; (N.J.H.); (M.D.); (A.B.); (M.C.)
- Research Centre for Palliative Care, Death and Dying, College of Nursing and Health Sciences, Flinders University, Bedford Park, SA 5042, Australia
| | - Natasha J. Howard
- School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia; (N.J.H.); (M.D.); (A.B.); (M.C.)
- Wardliparingga Aboriginal Health Equity, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia
- Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA 5000, Australia
| | - Mark Daniel
- School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia; (N.J.H.); (M.D.); (A.B.); (M.C.)
- Health Research Institute, Faculty of Health, University of Canberra, Bruce, ACT 2601, Australia
- South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia
| | - Alwin Chong
- Australian Centre for Child Protection, University of South Australia, Adelaide, SA 5001, Australia;
| | - Nicola Slavin
- Environmental Health Branch, Department of Health, Northern Territory Government, Casuarina, NT 0810, Australia;
| | - Alex Brown
- School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia; (N.J.H.); (M.D.); (A.B.); (M.C.)
- Wardliparingga Aboriginal Health Equity, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia
- Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA 5000, Australia
| | - Margaret Cargo
- School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia; (N.J.H.); (M.D.); (A.B.); (M.C.)
- Health Research Institute, Faculty of Health, University of Canberra, Bruce, ACT 2601, Australia
| |
Collapse
|
5
|
Johnson S, Van Hoye A, Donaldson A, Lemonnier F, Rostan F, Vuillemin A. Building health-promoting sports clubs: a participative concept mapping approach. Public Health 2020; 188:8-17. [DOI: 10.1016/j.puhe.2020.08.029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 08/07/2020] [Accepted: 08/27/2020] [Indexed: 12/24/2022]
|
6
|
Noël Racine A, Garbarino JM, Corrion K, D'Arripe-Longueville F, Massiera B, Vuillemin A. Perceptions of barriers and levers of health-enhancing physical activity policies in mid-size French municipalities. Health Res Policy Syst 2020; 18:62. [PMID: 32513193 PMCID: PMC7278119 DOI: 10.1186/s12961-020-00575-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Accepted: 05/14/2020] [Indexed: 01/09/2023] Open
Abstract
Background Policy is one of the levers for initiating structural change to foster the promotion of health-enhancing physical activity (HEPA). To this end, policy-makers have to deal with complex ecosystems embedded in specific contexts. However, limited research has been conducted on this topic at the local level. The purpose of this study was to identify the perceived barriers and levers of HEPA policies according to department heads and elected officials across various sectors in mid-size French municipalities. Methods This study used a mixed method primarily based on an adaptation of the concept mapping approach. A list of statements completing the sentence: ‘In a mid-size municipal context, to develop HEPA policies, it is necessary to …’ was submitted to key informants of 17 mid-sized French cities. Key informants in each municipality first rated the importance of each statement without considering their local context; they then rated the feasibility of each statement given their local context. In both cases, they used a Likert scale ranging from 1 to 6. Results A total of 23 municipal department heads and 10 elected officials from the sport (n = 14), health (n = 10) and social (n = 9) sectors in 11 mid-size French cities participated in this study. A list of 84 statements, sorted into 16 categories, was rated by participants according to their importance (M = 4.52, SD = 0.86) and their feasibility (M = 3.77, SD = 0.74). Potential barriers to (n = 10) and levers of (n = 38) HEPA policy development were identified. These results varied according to the position and sector of the participants. Conclusions The results suggest that local contextual factors can affect the development of HEPA policies in mid-size French municipalities. The different perceptions of the potential levers and barriers according to sector might affect intersectoral collaboration. This study contributes by enhancing understanding of how local HEPA policies are developed in the French context.
Collapse
Affiliation(s)
| | | | - K Corrion
- Université Côte d'Azur, LAMHESS, Nice, France
| | | | - B Massiera
- Université Côte d'Azur, LAMHESS, Nice, France
| | - A Vuillemin
- Université Côte d'Azur, LAMHESS, Nice, France.
| |
Collapse
|
7
|
Bisung E, Dickin S. Concept mapping: Engaging stakeholders to identify factors that contribute to empowerment in the water and sanitation sector in West Africa. SSM Popul Health 2019; 9:100490. [PMID: 31993485 PMCID: PMC6978480 DOI: 10.1016/j.ssmph.2019.100490] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Revised: 06/22/2019] [Accepted: 09/23/2019] [Indexed: 12/05/2022] Open
Abstract
Research has shown that inadequate access to water, sanitation, and hygiene (WASH) affects women and girls in several ways, including lowering their participation in the labour market and community activities and contributing to psychosocial stress and poor educational outcomes. There is growing awareness that addressing the gender inequalities related to WASH that many women and girls face on a daily basis must go beyond focusing on delivery of infrastructure and facilities alone and include attention to issues of empowerment. Yet there is limited exploration of how the concept of empowerment is defined and applied in the WASH sector and thus limited information on how it could be measured. This study used concept mapping to uncover the meaning and key dimensions of empowerment in WASH among 34 and 24 stakeholders in Asutifi North District, Ghana, and Banfora Commune, Burkina Faso, respectively. The study was part of initial steps toward choosing indicators for developing an Empowerment in WASH Index. In Ghana and Burkina Faso, 42 and 29 items were generated, respectively. These items were thought to empower men and women in WASH at the household and community levels. In both case studies, 7 clusters were generated and named by participants, and themes related to sharing of information, sociocultural norms, participation, and accessibility of WASH services were associated with empowerment. Some themes were unique to each case study site. Participants also showed a multidimensional and multilevel understanding of empowerment. Concept mapping created an effective balance between individual and group contributions and facilitated accessible, rapid, and contextually relevant data collection. The findings can be used to generate domains of empowerment in future quantitative research as well as inform the design of the Empowerment in WASH Index.
Collapse
Affiliation(s)
- Elijah Bisung
- School of Kinesiology and Health Studies, Queen's University Kingston, ON, Canada
| | - Sarah Dickin
- Stockholm Environment Institute, Stockholm, Sweden
| |
Collapse
|
8
|
Morissette-Desjardins A, Provencher V, Lebel A. Caractériser l'environnement alimentaire d'une municipalité régionale de comté pour identifier les zones prioritaires d'intervention en matière de sécurité alimentaire. Canadian Journal of Public Health 2019; 110:805-815. [PMID: 31452113 DOI: 10.17269/s41997-019-00239-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2018] [Accepted: 06/21/2019] [Indexed: 11/17/2022]
Abstract
OBJECTIVES Food security intervention is particularly complex in rural areas. The local stakeholders of the regional county municipality (RCM) of Portneuf wished to analyze the regional food supply in order to reduce food insecurity. The objective of this study was to characterize the RCM's food environment and to identify potential food deserts and priority intervention areas. METHOD We measured the quality of the food supply in the RCM's food stores, using four indicators: freshness, diversity, economic accessibility and relative availability. We mapped the distance between residences and the nearest food store with a favourable result for all four indices to locate potential food deserts. We then presented the mapping of the food environment to a group of local stakeholders and compared it to their own perception. RESULTS This study reveals three sectors that meet the criteria of a food desert in the RCM. Local actors did not perceive these sectors as food deserts, but thought they were at risk of becoming such in the future. We complemented the measures by taking into account the structuring impact of certain infrastructures as well as the temporal and seasonal accessibility of food stores in rural areas. Only one priority intervention area was suggested. CONCLUSION Presenting geographical analyses to local stakeholders improved the characterization of the studied food environment. The use of a mixed methodology has enabled the particularities of the rural environment to be better accounted for and has facilitated intersectoral mobilization around food insecurity at the regional level.
Collapse
Affiliation(s)
- Amélie Morissette-Desjardins
- École supérieure d'aménagement du territoire et de développement régional (ÉSAD), Université Laval, Pavillon Félix-Antoine-Savard, bureau FAS-1616 2325, allée des Bibliothèques, Québec, Québec, G1V 0A6, Canada
| | - Véronique Provencher
- École de nutrition, Institut sur la nutrition et les aliments fonctionnels (INAF), Pavillon des Services, Université Laval, 2440, boul. Hochelaga, Québec, G1V 0A6, Canada
| | - Alexandre Lebel
- Centre de recherche en aménagement et développement (CRAD), Université Laval, Pavillon Félix-Antoine-Savard, bureau FAS-1644 2325, allée des Bibliothèques, Québec, G1V 0A6, Canada.
| |
Collapse
|
9
|
Marion R, Bibal A, Frénay B. BIR: A method for selecting the best interpretable multidimensional scaling rotation using external variables. Neurocomputing 2019. [DOI: 10.1016/j.neucom.2018.11.093] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
10
|
Ruud MP, Raanaas RK, Bjelland M. Caregivers' perception of factors associated with a healthy diet among people with intellectual disability living in community residences: A Concept mapping method. RESEARCH IN DEVELOPMENTAL DISABILITIES 2016; 59:202-210. [PMID: 27636155 DOI: 10.1016/j.ridd.2016.09.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2016] [Revised: 08/29/2016] [Accepted: 09/09/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Many people with intellectual disabilities (ID) living in community-based residences have been found to have unhealthy diet and weight disturbances. In Norway, a majority of people with ID live in such residences. AIMS The aim of the study was to examine factors affecting the caregivers' opportunity to promote a healthy diet among the residents. METHODS AND PROCEDURES A concept mapping methodology was adopted, including group-based brainstorming, idea synthesising, sorting, rating and analysis of the results. Informants were caregivers in four different community residences for people with mild to moderate ID in the southeast of Norway. A total of 13 informants were recruited (12 females and 1 male), and 10 informants completed two sessions. RESULTS Eight clusters were identified as affecting the caregivers' ability to promote a healthy diet: "Availability and accessibility", "Guidance and autonomy", "Competence among staff", "Planning and involvement", "Customization", "External conditions affecting staff", "Legislation, rules and structure" and "Everyday challenges", each including both barriers and facilitators. CONCLUSIONS AND IMPLICATIONS Multiple factors affect the caregivers' ability to promote a healthy diet. Caregivers' opportunity to promote a healthy diet is complex. Availability and accessibility of healthy food is crucial, but a healthy diet also requires time and competence among the caregivers.
Collapse
Affiliation(s)
- Marte Pilskog Ruud
- Section for Public Health Science, Department of Landscape Architecture and Spatial Planning, Norwegian University of Life Science, P.O. Box 5003 NMBU, N-1432 Ås, Norway
| | - Ruth Kjærsti Raanaas
- Section for Public Health Science, Department of Landscape Architecture and Spatial Planning, Norwegian University of Life Science, P.O. Box 5003 NMBU, N-1432 Ås, Norway.
| | - Mona Bjelland
- Department of Nutrition, University of Oslo, P.O. Box 1046 Blindern, N-0317 Oslo, Norway
| |
Collapse
|
11
|
Using concept mapping in the development of the EU-PAD framework (EUropean-Physical Activity Determinants across the life course): a DEDIPAC-study. BMC Public Health 2016; 16:1145. [PMID: 27825370 PMCID: PMC5101801 DOI: 10.1186/s12889-016-3800-8] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Accepted: 11/01/2016] [Indexed: 11/13/2022] Open
Abstract
Background A large proportion of European children, adults and older adults do not engage in sufficient physical activity (PA). Understanding individual and contextual factors associated with PA behaviours is essential for the identification and implementation of effective preventative environments, policies, and programmes that can promote an active lifestyle across life course and can potentially improve health. The current paper intends to provide 1) a multi-disciplinary, Pan-European and life course view of key determinants of PA behaviours and 2) a proposal of how these factors may cluster. Methods After gathering a list of 183 potential PA behaviours-associated factors and a consensus meeting to unify/consolidate terminology, a concept mapping software was used to collate European experts’ views of 106 identified factors for youth (<19 years), adults (19–64 years), and older adults (≥65 years). The analysis evaluated common trends in the clustering of factors and the ratings of the distinct factors’ expected modifiability and population-level impact on PA behaviours across the life course. Priority for research was also assessed for each cluster. Results The concept mapping resulted in six distinct clusters, broadly merged in two themes: 1) the ‘Person’, which included clusters ‘Intra-Personal Context and Wellbeing’ and ‘Family and Social Economic Status’ (42 % of all factors) and 2) the ‘Society’, which included the remaining four clusters ‘Policy and Provision’, ‘Cultural Context and Media’, ‘Social Support and Modelling’, and ‘Supportive Environment’ (58 % of all factors). Overall, 25 factors were rated as the most impactful on PA behaviours across the life course and being the most modifiable. They were mostly situated in the ‘Intra-Personal Context and Wellbeing’ cluster. Furthermore, 16 of them were rated as top priority for research. Conclusions The current framework provides a preliminary overview of factors which may account for PA behaviour across the life course and are most relevant to the European community. These insights could potentially be a foundation for future Pan-European research on how these factors might interact with each other, and assist policy makers to identify appropriate interventions to maximize PA behaviours and thus the health of European citizens.
Collapse
|
12
|
Dulin-Keita A, Hannon L, Buys D, Casazza K, Clay O. Surrounding community residents' expectations of HOPE VI for their community, health and physical activity. JOURNAL OF COMMUNITY PRACTICE 2016; 84:18-37. [PMID: 27667912 PMCID: PMC5029852 DOI: 10.1080/10705422.2015.1129005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Using a community-engaged participatory research approach, this study identified surrounding community residents' expectations for how a HOPE VI housing initiative might affect their community and individual health and physical activity. Fifty-nine women and men engaged in concept mapping, which is a mixed methods approach, where participants generate, sort, and rate ideas. Participants generated 197 unique statements. Thirteen thematic clusters related to expected changes for the community, health and physical activity emerged. Residents' rated 'Increased Pride in the Neighborhood' and 'Increased Safety' as the most important factors related to HOPE VI whereas 'Drawbacks of HOPE VI' was rated as least important. This research provides insight into the potential impacts of housing initiatives from the perspective of those most affected by such initiatives. The findings also highlight environmental changes as potential mechanisms that may improve residents' perceptions of the community and encourage healthy lifestyles.
Collapse
Affiliation(s)
- Akilah Dulin-Keita
- Department of Behavioral and Social Sciences, Brown University School of Public Health
| | | | - David Buys
- Division of Preventive Medicine, University of Alabama at Birmingham
| | - Krista Casazza
- Department of Nutrition Sciences, University of Alabama at Birmingham
| | - Olivio Clay
- Department of Psychology, University of Alabama at Birmingham
| |
Collapse
|
13
|
Donovan C. Graphic pathogeographies. THE JOURNAL OF MEDICAL HUMANITIES 2014; 35:273-299. [PMID: 25026940 DOI: 10.1007/s10912-014-9295-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This paper focuses on the graphic pathogeographies in David B.'s Epileptic and David Small's Stitches: A Memoir to highlight the significance of geographic concepts in graphic novels of health and disease. Despite its importance in such works, few scholars have examined the role of geography in their narrative and structure. I examine the role of place in Epileptic and Stitches to extend the academic discussion on graphic novels of health and disease and identify how such works bring attention to the role of geography in the individual's engagement with health, disease, and related settings.
Collapse
Affiliation(s)
- Courtney Donovan
- Department of Geography and Environment, San Francisco State University, 1600 Holloway Avenue, San Francisco, CA, 94606, USA,
| |
Collapse
|
14
|
van Bon-Martens MJH, van de Goor LAM, Holsappel JC, Kuunders TJM, Jacobs-van der Bruggen MAM, te Brake JHM, van Oers JAM. Concept mapping as a promising method to bring practice into science. Public Health 2014; 128:504-14. [PMID: 24923995 DOI: 10.1016/j.puhe.2014.04.002] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Revised: 02/16/2014] [Accepted: 04/03/2014] [Indexed: 12/01/2022]
Abstract
OBJECTIVE Concept mapping is a method for developing a conceptual framework of a complex topic for use as a guide to evaluation or planning. In concept mapping, thoughts and ideas are represented in the form of a picture or map, the content of which is determined by a group of stakeholders. This study aimed to explore the suitability of this method as a tool to integrate practical knowledge with scientific knowledge in order to improve theory development as a sound basis for practical decision-making. METHOD Following a short introduction to the method of concept mapping, five Dutch studies, serving different purposes and fields in public health, will be described. The aim of these studies was: to construct a theoretical framework for good regional public health reporting; to design an implementation strategy for a guideline for integral local health policy; to guide the evaluation of a local integral approach of overweight and obesity in youth; to guide the construction of a questionnaire to measure the quality of postdisaster psychosocial care; and to conceptualize an integral base for formulation of ambitions and targets for the new youth healthcare programme of a regional health service. RESULTS The studies showed that concept mapping is a way to integrate practical and scientific knowledge with careful selection of participants that represent the different perspectives. Theory development can be improved through concept mapping; not by formulating new theories, but by highlighting the key issues and defining perceived relationships between topics. In four of the five studies, the resulting concept map was received as a sound basis for practical decision-making. CONCLUSIONS Concept mapping is a valuable method for evidence-based public health policy, and a powerful instrument for facilitating dialogue, coherence and collaboration between researchers, practitioners, policy makers and the public. Development of public health theory was realized by a step-by-step approach, considering both scientific and practical knowledge. However, the external validity of the concept maps in place and time is of importance.
Collapse
Affiliation(s)
- M J H van Bon-Martens
- Academic Collaborative Centre for Public Health Brabant, Tranzo, Tilburg School of Social and Behavioural Sciences, University of Tilburg, Tilburg, The Netherlands; Regional Health Service (GGD) Hart voor Brabant, 's-Hertogenbosch, The Netherlands; Trimbos Institute, the Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.
| | - L A M van de Goor
- Academic Collaborative Centre for Public Health Brabant, Tranzo, Tilburg School of Social and Behavioural Sciences, University of Tilburg, Tilburg, The Netherlands
| | - J C Holsappel
- Regional Health Service (GGD) Amsterdam, Amsterdam, The Netherlands; Impact, National Knowledge and Advice Centre for Psychosocial Care Concerning Critical Incidents, Diemen, The Netherlands; Centre for Public Health Status and Forecasting (cVTV), Bilthoven, National Institute for Public Health and the Environment (RIVM), The Netherlands
| | - T J M Kuunders
- Academic Collaborative Centre for Public Health Brabant, Tranzo, Tilburg School of Social and Behavioural Sciences, University of Tilburg, Tilburg, The Netherlands; Regional Health Service (GGD) Hart voor Brabant, 's-Hertogenbosch, The Netherlands
| | - M A M Jacobs-van der Bruggen
- Academic Collaborative Centre for Public Health Brabant, Tranzo, Tilburg School of Social and Behavioural Sciences, University of Tilburg, Tilburg, The Netherlands; Regional Health Service (GGD) Hart voor Brabant, 's-Hertogenbosch, The Netherlands
| | - J H M te Brake
- Impact, National Knowledge and Advice Centre for Psychosocial Care Concerning Critical Incidents, Diemen, The Netherlands
| | - J A M van Oers
- Academic Collaborative Centre for Public Health Brabant, Tranzo, Tilburg School of Social and Behavioural Sciences, University of Tilburg, Tilburg, The Netherlands; Centre for Public Health Status and Forecasting (cVTV), Bilthoven, National Institute for Public Health and the Environment (RIVM), The Netherlands
| |
Collapse
|
15
|
Hanson HM, Schiller C, Winters M, Sims-Gould J, Clarke P, Curran E, Donaldson MG, Pitman B, Scott V, McKay HA, Ashe MC. Concept mapping applied to the intersection between older adults' outdoor walking and the built and social environments. Prev Med 2013; 57:785-91. [PMID: 24012832 DOI: 10.1016/j.ypmed.2013.08.023] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2013] [Revised: 07/29/2013] [Accepted: 08/14/2013] [Indexed: 11/30/2022]
Abstract
OBJECTIVE For older adults, the ability to navigate walking routes in the outdoor environment allows them to remain active and socially engaged, facilitating community participation and independence. In order to enhance outdoor walking, it is important to understand the interaction of older adults within their local environments and the influence of broader stakeholder priorities that impact these environments. Thus, we aimed to synthesize perspectives from stakeholders to identify elements of the built and social environments that influence older adults' ability to walk outdoors. METHOD We applied a concept mapping approach with the input of diverse stakeholders (N=75) from British Columbia, Canada in 2012. RESULTS A seven-cluster map best represented areas that influence older adults' outdoor walking. Priority areas identified included sidewalks, crosswalks, and neighborhood features. CONCLUSION Individual perceptions and elements of the built and social environments intersect to influence walking behaviors, although targeted studies that address this area are needed.
Collapse
Affiliation(s)
- Heather M Hanson
- Centre for Hip Health & Mobility, Robert HN Ho Research Centre, 7/F 2635 Laurel St., Vancouver, British Columbia V5Z 1M9, Canada; Department of Family Practice, University of British Columbia, 320-5950 University Blvd., Vancouver, British Columbia V6T 1Z3, Canada
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
16
|
McPhail D, Chapman GE, Beagan BL. The rural and the rotund? A critical interpretation of food deserts and rural adolescent obesity in the Canadian context. Health Place 2013; 22:132-9. [PMID: 23694820 DOI: 10.1016/j.healthplace.2013.03.009] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2012] [Revised: 01/25/2013] [Accepted: 03/20/2013] [Indexed: 11/17/2022]
Abstract
Resting on the notion that rural spaces are "food deserts," rural adolescents are increasingly regarded as a "problem population" in Western obesity narratives. Using qualitative data gleaned from interviews with 51 teenage participants from rural areas across Canada, this paper focuses on the ways in which obesity is constructed as a rural disease in the Canadian context, demonstrating in particular how discourses of food deserts and related rural obesity rely on classist imaginings of obesity as a working-class embodiment. The paper will further question the understanding of the rural as a food desert, showing the ways in which rural teens acquire fresh, healthy foods in part through an informal economy of food growing and sharing.
Collapse
Affiliation(s)
- Deborah McPhail
- Community Health Sciences, Faculty of Medicine, University of Manitoba, S-113 750 Bannatyne Ave. Winnipeg, MB, Canada.
| | | | | |
Collapse
|
17
|
van Bon-Martens MJH, Achterberg PW, van de Goor IAM, van Oers HAM. Towards quality criteria for regional public health reporting: concept mapping with Dutch experts. Eur J Public Health 2011; 22:337-42. [PMID: 21398660 PMCID: PMC3358630 DOI: 10.1093/eurpub/ckr016] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Background: In the Netherlands, municipal health assessments are carried out by 28 Regional Health Services, serving 418 municipalities. In the absence of guidelines, regional public health reports were developed in two pilot regions on the basis of the model and experience of national health reporting. Though they were well received and positively evaluated, it was not clear which specific characteristics determined ‘good public health reporting’. Therefore, this study was set up to develop a theoretical framework for the quality of regional public health reporting in The Netherlands. Methods: Using concept mapping as a standardized tool for conceptualization, 35 relevant reporting experts formulated short statements in two different brainstorming sessions, describing specific quality criteria of regional public health reports. After the removal of duplicates, the list was supplemented with international criteria, and the statements were sent to each participant for rating and sorting. The results were processed statistically and represented graphically. The output was discussed and interpreted, leading to the final concept map. Results: The final concept map consisted of 97 criteria, grouped into 13 clusters, and plotted in two dimensions: a ‘product’ dimension, ranging from ‘production’ to ‘content’, and a ‘context’ dimension, ranging from ‘science’ to ‘policy’. The three most important clusters were: (i) ‘solution orientation’, (ii) ‘policy relevance’ and (iii) ‘policy impact’. Conclusion: This study provided a theoretical framework for the quality of regional public health reporting, indicating relevant domains and criteria. Further work should translate domains and criteria into operational indicators for evaluating regional public health reports.
Collapse
Affiliation(s)
- Marja J H van Bon-Martens
- Academic Collaborative Centre for Public Health Brabant, Tranzo, Faculty of Social Sciences, University of Tilburg, Tilburg, The Netherlands.
| | | | | | | |
Collapse
|
18
|
Andrews GJ, Elliott SJ. Health geography in ‘Steel City’: Selected papers from the XIII International Medical Geography Symposium, Hamilton, Ontario, Canada, July 2009. Soc Sci Med 2011; 72:317-8. [DOI: 10.1016/j.socscimed.2010.11.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2010] [Accepted: 11/22/2010] [Indexed: 11/30/2022]
|