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Tobiano G, Latimer S, Manias E, Marshall AP, Rattray M, Jenkinson K, Teasdale T, Wren K, Chaboyer W. Co-design of an intervention to improve patient participation in discharge medication communication. Int J Qual Health Care 2024; 36:mzae013. [PMID: 38492231 PMCID: PMC10944286 DOI: 10.1093/intqhc/mzae013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 01/30/2024] [Accepted: 02/20/2024] [Indexed: 03/18/2024] Open
Abstract
Patients can experience medication-related harm and hospital readmission because they do not understand or adhere to post-hospital medication instructions. Increasing patient medication literacy and, in turn, participation in medication conversations could be a solution. The purposes of this study were to co-design and test an intervention to enhance patient participation in hospital discharge medication communication. In terms of methods, co-design, a collaborative approach where stakeholders design solutions to problems, was used to develop a prototype medication communication intervention. First, our consumer and healthcare professional stakeholders generated intervention ideas. Next, inpatients, opinion leaders, and academic researchers collaborated to determine the most pertinent and feasible intervention ideas. Finally, the prototype intervention was shown to six intended end-users (i.e. hospital patients) who underwent usability interviews and completed the Theoretical Framework of Acceptability questionnaire. The final intervention comprised of a suite of three websites: (i) a medication search engine; (ii) resources to help patients manage their medications once home; and (iii) a question builder tool. The intervention has been tested with intended end-users and results of the Theoretical Framework of Acceptability questionnaire have shown that the intervention is acceptable. Identified usability issues have been addressed. In conclusion, this co-designed intervention provides patients with trustworthy resources that can help them to understand medication information and ask medication-related questions, thus promoting medication literacy and patient participation. In turn, this intervention could enhance patients' medication self-efficacy and healthcare utilization. Using a co-design approach ensured authentic consumer and other stakeholder engagement, while allowing opinion leaders and researchers to ensure that a feasible intervention was developed.
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Affiliation(s)
- Georgia Tobiano
- Centre of Research Excellence in Wiser Wound Care, Griffith University, Parklands Drive, Gold Coast, Queensland 4215, Australia
- Gold Coast Health, Gold Coast University Hospital, Hospital Boulevard, Gold Coast, Queensland 4215, Australia
| | - Sharon Latimer
- Centre of Research Excellence in Wiser Wound Care, Griffith University, Parklands Drive, Gold Coast, Queensland 4215, Australia
- School of Nursing and Midwifery, Griffith University, Parklands Drive, Gold Coast, Queensland 4215, Australia
| | - Elizabeth Manias
- School of Nursing and Midwifery, Monash University, Wellington Road, Clayton, Victoria 3800, Australia
- School of Nursing and Midwifery, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia
- Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia
| | - Andrea P Marshall
- Gold Coast Health, Gold Coast University Hospital, Hospital Boulevard, Gold Coast, Queensland 4215, Australia
- School of Nursing and Midwifery, Griffith University, Parklands Drive, Gold Coast, Queensland 4215, Australia
| | - Megan Rattray
- College of Medicine & Public Health, Flinders University, 1284 South Road, Clovelly Park, Adelaide, South Australia 5042, Australia
| | - Kim Jenkinson
- Gold Coast Health, Gold Coast University Hospital, Hospital Boulevard, Gold Coast, Queensland 4215, Australia
| | - Trudy Teasdale
- Gold Coast Health, Gold Coast University Hospital, Hospital Boulevard, Gold Coast, Queensland 4215, Australia
| | - Kellie Wren
- Gold Coast Health, Gold Coast University Hospital, Hospital Boulevard, Gold Coast, Queensland 4215, Australia
| | - Wendy Chaboyer
- Centre of Research Excellence in Wiser Wound Care, Griffith University, Parklands Drive, Gold Coast, Queensland 4215, Australia
- School of Nursing and Midwifery, Griffith University, Parklands Drive, Gold Coast, Queensland 4215, Australia
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Bisson M, Aubrey‐Bassler K, Chouinard M, Doucet S, Ramsden VR, Dumont‐Samson O, Howse D, Lambert M, Schwarz C, Luke A, Rabbitskin N, Gaudreau A, Porter J, Rubenstein D, Taylor J, Warren M, Hudon C. Patient engagement in health implementation research: A logic model. Health Expect 2023; 26:1854-1862. [PMID: 37309078 PMCID: PMC10485341 DOI: 10.1111/hex.13782] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 03/31/2023] [Accepted: 05/14/2023] [Indexed: 06/14/2023] Open
Abstract
INTRODUCTION Growing evidence supports patient engagement (PE) in health implementation research to improve the quality, relevance and uptake of research. However, more guidance is needed to plan and operationalize PE before and throughout the research process. The aim of the study was to develop a logic model illustrating the causal links between context, resources, activities, outcomes and impact of PE in an implementation research programme. METHODS The Patient Engagement in Health Implementation Research Logic Model (hereafter the Logic Model) was developed using a descriptive qualitative design with a participatory approach, in the context of the PriCARE programme. This programme aims to implement and evaluate case management for individuals who frequently use healthcare services in primary care clinics across five Canadian provinces. Participant observation of team meetings was performed by all team members involved in the programme and in-depth interviews were conducted by two external research assistants with team members (n = 22). A deductive thematic analysis using components of logic models as coding categories was conducted. Data were pooled in the first version of the Logic Model, which was refined in research team meetings with patient partners. The final version was validated by all team members. RESULTS The Logic Model highlights the importance of integrating PE into the project before its commencement, with appropriate support in terms of funding and time allocation. The governance structure and leadership of both principal investigators and patient partners have significant effects on PE activities and outcomes. As an empirical and standardized illustration that facilitates a shared understanding, the Logic Model provides guidance for maximizing the impact of patient partnership in various contexts for research, patients, providers and health care. CONCLUSION The Logic Model will help academic researchers, decision makers and patient partners plan, operationalize, and assess PE in implementation research for optimal outcomes. PATIENT OR PUBLIC CONTRIBUTION Patient partners from the PriCARE research programme contributed to developing the research objectives and designing, developing and validating data collection tools, producing data, developing and validating the Logic Model and reviewing the manuscript.
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Affiliation(s)
- Mathieu Bisson
- Département de médecine de famille et de médecine d'urgenceUniversité de SherbrookeSherbrookeQuébecCanada
| | - Kris Aubrey‐Bassler
- Primary Healthcare Research Unit, Faculty of MedicineMemorial UniversitySt. John'sNewfoundland and LabradorCanada
| | | | - Shelley Doucet
- Department of Nursing and Health SciencesUniversity of New BrunswickFrederictonNew BrunswickCanada
| | - Vivian R. Ramsden
- Department of Academic Family MedicineUniversity of SaskatchewanSaskatoonSaskatchewanCanada
| | - Olivier Dumont‐Samson
- Département de médecine de famille et de médecine d'urgenceUniversité de SherbrookeSherbrookeQuébecCanada
| | - Dana Howse
- Primary Healthcare Research Unit, Faculty of MedicineMemorial UniversitySt. John'sNewfoundland and LabradorCanada
| | - Mireille Lambert
- Département de médecine de famille et de médecine d'urgenceUniversité de SherbrookeSherbrookeQuébecCanada
| | - Charlotte Schwarz
- Department of Nursing and Health SciencesUniversity of New BrunswickFrederictonNew BrunswickCanada
| | - Alison Luke
- Department of Nursing and Health SciencesUniversity of New BrunswickFrederictonNew BrunswickCanada
| | - Norma Rabbitskin
- Department of Academic Family MedicineUniversity of SaskatchewanSaskatoonSaskatchewanCanada
| | | | | | | | | | | | - Catherine Hudon
- Département de médecine de famille et de médecine d'urgenceUniversité de SherbrookeSherbrookeQuébecCanada
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Sturgiss E, Advocat J, Lam T, Nielsen S, Ball L, Gunatillaka N, Martin C, Barton C, Tam CWM, Skouteris H, Mazza D, Russell G. Multifaceted intervention to increase the delivery of alcohol brief interventions in primary care: a mixed-methods process analysis. Br J Gen Pract 2023; 73:e778-e788. [PMID: 37666514 PMCID: PMC10498380 DOI: 10.3399/bjgp.2022.0613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Accepted: 03/23/2023] [Indexed: 09/06/2023] Open
Abstract
BACKGROUND Brief interventions (BIs) are effective for reducing harmful alcohol consumption, but their use in primary care is less frequent than clinically indicated. The REducing AlCohol- related Harm (REACH) project aimed to increase the delivery of BIs in primary care. AIM To assess the effectiveness of the REACH programme in increasing alcohol BIs in general practice and explore the implementation factors that improve or reduce uptake by clinicians. DESIGN AND SETTING This article reports on a sequential, explanatory mixed-methods study of the implementation of the REACH project in six general practice clinics serving low-income communities in Melbourne, Australia. METHOD Time-series analyses were conducted using routinely collected patient records and semi-structured interviews, guided by the consolidated framework for implementation research. RESULTS The six intervention sites significantly increased their rate of recorded alcohol status (56.7% to 60.4%), whereas there was no significant change in the non-intervention practices (344 sites, 55.2% to 56.4%). CONCLUSION REACH resources were seen as useful and acceptable by clinicians and staff. National policies that support the involvement of primary care in alcohol harm reduction helped promote ongoing intervention sustainability.
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Affiliation(s)
- Elizabeth Sturgiss
- School of Primary and Allied Health Care, Monash University, Melbourne, Australia
| | - Jenny Advocat
- School of Primary and Allied Health Care, Monash University, Melbourne, Australia
| | - Tina Lam
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Frankston, Victoria, Australia
| | - Suzanne Nielsen
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Frankston, Victoria, Australia
| | - Lauren Ball
- Grad Dip Health Economics and Health Policy, chair of community health and wellbeing, University of Queensland, Brisbane, Australia; Menzies Health Institute Queensland and School of Health Sciences and Social Work, Griffith University, Brisbane, Australia
| | - Nilakshi Gunatillaka
- School of Primary and Allied Health Care, Monash University, Melbourne, Australia
| | - Catherine Martin
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | | | - Chun Wah Michael Tam
- Primary and Integrated Care Unit, South Western Sydney Local Health District, Liverpool, New South Wales, Australia; conjoint senior lecturer, School of Population Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Helen Skouteris
- Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia; Warwick Business School, University of Warwick, Coventry, UK
| | | | - Grant Russell
- Department of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
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Emond T, Guillaumie L, de Montigny F. Using a logic model to develop an intervention for improving miscarriage care in the emergency department. EVALUATION AND PROGRAM PLANNING 2021; 85:101910. [PMID: 33561757 DOI: 10.1016/j.evalprogplan.2021.101910] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Revised: 11/04/2020] [Accepted: 01/17/2021] [Indexed: 06/12/2023]
Abstract
Miscarriage is the most common pregnancy-related complication and is frequently treated at the emergency department (ED). Parents have expressed dissatisfaction with the care they received at the ED and few interventions have been developed for improving miscarriage care. When planning an intervention, it is crucial to develop a program theory specifying what must be done for an intervention to achieve its objectives. The purpose of this paper is to describe the logic model process for developing an intervention intended to improve parents' miscarriage experience at the ED. The six steps of W. K. Kellogg Foundation (2004) theory logic model were used to 1) describe the problem; 2) conduct a needs assessment; and to identify 3) expected results, 4) influential factors, 5) intervention strategies, and 6) assumptions related to change strategies. A community-based participatory approach was used. It included two planning groups: parents who had visited the ED for a miscarriage (N = 9) and health professionals (N = 8). The theory logic model provided a rigorous framework for intervention development based on theories, scientific evidence, and the experiences of parents and health professionals. Detailed description of the intervention should facilitate its implementation, evaluation, and replication for other health problems.
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Affiliation(s)
- Tina Emond
- Faculty of Nursing, Université Laval, 1050, avenue de la Médecine, Local 3645, Québec, Québec, G1V 0A6, Canada.
| | - Laurence Guillaumie
- Faculty of Nursing, Université Laval, 1050, avenue de la Médecine, Pavillon Ferdinand-Vandry, Local 3443, Québec, Québec, G1V 0A6, Canada.
| | - Francine de Montigny
- Faculty of Nursing, University du Québec en Outaouais, C.P. 1250, succ. Hull, Gatineau, Quebec, J8X 3X7, Canada.
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Investigating Whether the Mediterranean Dietary Pattern Is Integrated in Routine Dietetic Practice for Management of Chronic Conditions: A National Survey of Dietitians. Nutrients 2020; 12:nu12113395. [PMID: 33158299 PMCID: PMC7694348 DOI: 10.3390/nu12113395] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 11/01/2020] [Accepted: 11/02/2020] [Indexed: 01/13/2023] Open
Abstract
Evidence supports recommending the Mediterranean dietary pattern (MDP) in the management of cardiovascular disease (CVD), type 2 diabetes (T2D), non-alcoholic fatty liver disease (NAFLD) and solid organ transplant (SOT). However, the evidence-practice gap is unclear within non-Mediterranean countries. We investigated integration of MDP in Australian dietetic practice, and barriers and enablers to MDP implementation for chronic disease management. Dietitians managing CVD, T2D, NAFLD and/or SOT patients (n = 182, 97% female) completed an online survey in November 2019. Fewer than 50% of participants counsel patients with CVD (48%), T2D (26%), NAFLD (31%) and SOT (0–33%) on MDP in majority of their practice. MDP principles always recommended by >50% of participants were promoting vegetables and fruit and limiting processed foods and sugary drinks. Principles recommended sometimes, rarely or never by >50% of participants included limiting red meat and including tomatoes, onion/garlic and liberal extra virgin olive oil. Barriers to counselling on MDP included consultation time and competing priorities. Access to evidence, professional development and education resources were identified enablers. An evidence-practice gap in Australian dietetic practice exists with <50% of participants routinely counselling relevant patient groups on MDP. Strategies to support dietitians to counsel complex patients on MDP within limited consultations are needed.
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Development and Validation of a Logic Model for Utilization of Nutrition Support among Patients with Cancer. BIOMED RESEARCH INTERNATIONAL 2020; 2020:4513719. [PMID: 32685485 PMCID: PMC7334779 DOI: 10.1155/2020/4513719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 04/22/2020] [Accepted: 05/29/2020] [Indexed: 11/18/2022]
Abstract
Cancer is the leading cause of morbidity and mortality, and about one in six people die from cancer globally. Approximately 20% to 70% of cancer patients are accompanied with malnutrition, and nutrition support plays an important role among cancer patients. However, the utilization of nutrition support is generally irrational in clinical practices and it is affected by multiple factors. Logic models not only present a framework to improve intervention of health care setting but also identify all the elements, pathways, outcomes, and their relationships between systems. This study developed a logic model of nutrition support for cancer patients based on current literature and conducted interview with medical staff in Macao to validate the logic model. In addition, suggestions were given as references to improve the utilization of nutrition support among cancer patients.
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Seidl KL, Gingold DB, Stryckman B, Landi C, Sokan O, Fletcher M, Marcozzi D. Development of a Logic Model to Guide Implementation and Evaluation of a Mobile Integrated Health Transitional Care Program. Popul Health Manag 2020; 24:275-281. [PMID: 32589517 DOI: 10.1089/pop.2020.0038] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
To provide medical and social services to underserved communities, many health care organizations across the United States have expanded the role of emergency medical services to include mobile integrated health and community paramedicine (MIH-CP). Although MIH-CP programs differ in structure and setting, many share the common goal of improving health through home-based, patient-centered care management models. Ideally, these innovative programs reduce use of health care services, including 911 (US emergency system) calls and emergency department visits. In 2018 a large, urban academic medical center partnered with the city's fire department to establish an MIH-CP program to support patients as they transition in their first 30 days at home after hospitalization. Prior to launch, a multidisciplinary team developed a logic model to guide development, implementation, and evaluation of this complex and innovative program. This paper describes the team's structured process for developing a logic model. It also describes key components of the initial logic model and the Transitional Health Support program structure, as well as subsequent revisions to both.
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Affiliation(s)
- Kristin L Seidl
- Department of Quality and Safety, University of Maryland Medical Center, Baltimore, Maryland, USA.,Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, Maryland, USA
| | - Daniel B Gingold
- Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
| | - Benoit Stryckman
- Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
| | - Colleen Landi
- Mobile Integrated Health Community Paramedicine, University of Maryland Medical Center, Baltimore, Maryland, USA
| | - Olufunke Sokan
- Pharmacy Practice and Science, University of Maryland School of Pharmacy, Baltimore, Maryland, USA
| | - Mark Fletcher
- Baltimore City Fire Department, Baltimore, Maryland, USA
| | - David Marcozzi
- Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
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van Noort HHJ, Heinen M, van Asseldonk M, Ettema RGA, Vermeulen H, Huisman-de Waal G. Using intervention mapping to develop an outpatient nursing nutritional intervention to improve nutritional status in undernourished patients planned for surgery. BMC Health Serv Res 2020; 20:152. [PMID: 32106862 PMCID: PMC7047387 DOI: 10.1186/s12913-020-4964-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Accepted: 02/05/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Undernutrition in surgical patients leads to a higher risk of postoperative complications like infections and delayed recovery of gastrointestinal functions, often resulting in a longer hospital stay and lower quality of life. Nurses at outpatient clinics can deliver nutritional care during outpatient preoperative evaluation of health status to ensure that patients are properly fed in preparation for hospital admission for surgery. However, nutritional nursing care was not determined in research yet. This paper describes the structural development of an Outpatient Nursing Nutritional Intervention (ONNI). METHODS A project group followed the steps of the Intervention Mapping. The needs assessment included assessment of delivery of nutritional care and nutritional care needs at two anaesthesia outpatient clinics of an academic and a teaching hospital. Also, outpatient clinic nurses and patients at risk for undernutrition were interviewed. Determinants resulted from these methods were matched with theories on behaviour change and nutritional support. RESULTS Both patients and nurses were unaware of the consequences of undernutrition, and nurses were also unaware of their roles with regard to nutritional support. The intervention goals were: 1) enabling surgical patients to improve or maintain their nutritional status before hospital admission for surgery, and 2) enabling nurses to deliver nutritional support. The ONNI was developed for outpatients at risk for or with undernutrition. A training was developed for nurses. The ONNI included the five following components: 1) identification of the causes of undernutrition; 2) provision of a nutritional care plan including general and individually tailored advice; 3) self-monitoring of nutrient intake; 4) counselling and encouragement; and 5) support during a telephone follow-up meeting. The intervention and training were tested. A multifaceted implementation strategy was used to deliver the intervention in daily practice. CONCLUSIONS Despite the unique position of the nurses at outpatient clinics, nurses were unaware of their role with regard to nutritional care. The ONNI was developed and implemented along with a training program for nurses. The test confirmed that the training can improve nurses' knowledge, skills, and sense of responsibility for nutritional support. The intervention may empower patients to actively improve their nutritional status.
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Affiliation(s)
- Harm H J van Noort
- Department of Nutrition, Physical Activity and Sports, Department of Surgery, Gelderse Vallei Hospital, P.O. Box 9025, 6710, HN, Ede, The Netherlands. .,Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ Healthcare, P.O. Box 9101, 6500, HB, Nijmegen, The Netherlands.
| | - Maud Heinen
- Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ Healthcare, P.O. Box 9101, 6500, HB, Nijmegen, The Netherlands
| | - Monique van Asseldonk
- Department of Gastroenterology and Hepatology - Dietetics and Intestinal Failure, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Roelof G A Ettema
- Julius Center for Health Sciences and Primary Care, University Utrecht Str. 6.131, P.O. Box 85500, 3508, GA, Utrecht, The Netherlands.,Research Center Health and Sustainable Living, Utrecht University of Applied Sciences, P.O. Box 12011, 3501, AA, Utrecht, The Netherlands
| | - Hester Vermeulen
- Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ Healthcare, P.O. Box 9101, 6500, HB, Nijmegen, The Netherlands.,Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - Getty Huisman-de Waal
- Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ Healthcare, P.O. Box 9101, 6500, HB, Nijmegen, The Netherlands
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Fox MT, Sidani S, Butler JI, Skinner MW, Alzghoul M. Protocol of a multimethod descriptive study: adapting hospital-to-home transitional care interventions to the rural healthcare context in Ontario, Canada. BMJ Open 2019; 9:e028050. [PMID: 31129595 PMCID: PMC6537978 DOI: 10.1136/bmjopen-2018-028050] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
INTRODUCTION Faced with costly hospital readmissions of increasingly complex patient populations, transitional care is a priority throughout Ontario, Canada; yet, rural patients have significantly more hospital readmissions and emergency department visits during the first 30 days following hospitalisation than urban patients. Because transitional care (TC) was designed and evaluated with urban patients, addressing urban-rural disparities in TC effectiveness requires increasing the alignment of TC with the needs of patients and families in rural communities and the rural nursing practice context. The study objectives are to (1) determine the perceived acceptability of evidence-based TC interventions targeting postdischarge care management to patients, families and nurses and (2) adapt the interventions to patients' and families' needs and the rural nursing practice context. METHODS AND ANALYSIS This multimethod study has two phases. In phase I, 32-48 patients and families will rate their level of preparedness for discharge and the acceptability of evidence-based TC interventions. Participants will be engaged in semi-structured interviews about their care management needs, their perspectives on the interventions in fitting those needs and in providing suggestions for adapting the interventions to fit their needs. TC interventions perceived as acceptable to patients and families will be examined in phase II. In phase II, 32-48 hospital and home care nurses will rate the acceptability of the interventions identified by patients and families and attend focus group discussions on the feasibility of providing the interventions. Phase I and II data will be analysed using descriptive statistics and qualitative content analysis. ETHICS AND DISSEMINATION Ethics approval was obtained from the Research Ethics Board at York University and participating hospital sites. Findings will be communicated through plain language fact sheets, policy briefs, press-releases and peer-reviewed conference presentations and manuscripts.
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Affiliation(s)
- Mary T Fox
- School of Nursing, York University, Toronto, Ontario, Canada
- York University Centre for Aging Research and Education, York University, Toronto, Ontario, Canada
| | - Souraya Sidani
- Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada
| | | | - Mark W Skinner
- School of the Environment, Trent University, Peterborough, Ontario, Canada
| | - Manal Alzghoul
- School of Nursing, Lakehead University, Thunder Bay, Ontario, Canada
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Erwin PC, Parks RG, Mazzucca S, Allen P, Baker EA, Hu H, Davis-Joyce J, Brownson RC. Evidence-Based Public Health Provided Through Local Health Departments: Importance of Academic-Practice Partnerships. Am J Public Health 2019; 109:739-747. [PMID: 30896995 PMCID: PMC6459662 DOI: 10.2105/ajph.2019.304958] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/29/2018] [Indexed: 11/04/2022]
Abstract
OBJECTIVES To determine the extent to which US local health departments (LHDs) are engaged in evidence-based public health and whether this is influenced by the presence of an academic health department (AHD) partnership. METHODS We surveyed a cross-sectional stratified random sample of 579 LHDs in 2017. We ascertained the extent of support for evidence-based decision-making and the use of evidence-based interventions in several chronic disease programs and whether the LHD participated in a formal, informal, or no AHD partnership. RESULTS We received 376 valid responses (response rate 64.9%). There were 192 (51.6%) LHDs with a formal, 80 (21.6%) with an informal, and 99 (26.7%) with no AHD partnership. Participants with formal AHD partnerships reported higher perceived organizational supports for evidence-based decision-making and interventions compared with either informal or no AHD partnerships. The odds of providing 1 or more chronic disease evidence-based intervention were significantly higher in LHDs with formal AHD partnerships compared with LHDs with no AHD partnerships (adjusted odds ratio = 2.3; 95% confidence interval = 1.3, 4.0). CONCLUSIONS Formal academic-practice partnerships can be important means for advancing evidence-based decision-making and for implementing evidence-based programs and policies.
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Affiliation(s)
- Paul Campbell Erwin
- Paul Campbell Erwin is with the School of Public Health, The University of Alabama at Birmingham, Birmingham. During article preparation, Renee G. Parks, Stephanie Mazzucca, Peg Allen, Hengrui Hu, and Ross C. Brownson were with the Prevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, MO. Elizabeth A. Baker is with the Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO. Johnnetta Davis-Joyce is with the National Association of County and City Health Officials, Washington, DC
| | - Renee G Parks
- Paul Campbell Erwin is with the School of Public Health, The University of Alabama at Birmingham, Birmingham. During article preparation, Renee G. Parks, Stephanie Mazzucca, Peg Allen, Hengrui Hu, and Ross C. Brownson were with the Prevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, MO. Elizabeth A. Baker is with the Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO. Johnnetta Davis-Joyce is with the National Association of County and City Health Officials, Washington, DC
| | - Stephanie Mazzucca
- Paul Campbell Erwin is with the School of Public Health, The University of Alabama at Birmingham, Birmingham. During article preparation, Renee G. Parks, Stephanie Mazzucca, Peg Allen, Hengrui Hu, and Ross C. Brownson were with the Prevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, MO. Elizabeth A. Baker is with the Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO. Johnnetta Davis-Joyce is with the National Association of County and City Health Officials, Washington, DC
| | - Peg Allen
- Paul Campbell Erwin is with the School of Public Health, The University of Alabama at Birmingham, Birmingham. During article preparation, Renee G. Parks, Stephanie Mazzucca, Peg Allen, Hengrui Hu, and Ross C. Brownson were with the Prevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, MO. Elizabeth A. Baker is with the Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO. Johnnetta Davis-Joyce is with the National Association of County and City Health Officials, Washington, DC
| | - Elizabeth A Baker
- Paul Campbell Erwin is with the School of Public Health, The University of Alabama at Birmingham, Birmingham. During article preparation, Renee G. Parks, Stephanie Mazzucca, Peg Allen, Hengrui Hu, and Ross C. Brownson were with the Prevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, MO. Elizabeth A. Baker is with the Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO. Johnnetta Davis-Joyce is with the National Association of County and City Health Officials, Washington, DC
| | - Hengrui Hu
- Paul Campbell Erwin is with the School of Public Health, The University of Alabama at Birmingham, Birmingham. During article preparation, Renee G. Parks, Stephanie Mazzucca, Peg Allen, Hengrui Hu, and Ross C. Brownson were with the Prevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, MO. Elizabeth A. Baker is with the Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO. Johnnetta Davis-Joyce is with the National Association of County and City Health Officials, Washington, DC
| | - Johnnetta Davis-Joyce
- Paul Campbell Erwin is with the School of Public Health, The University of Alabama at Birmingham, Birmingham. During article preparation, Renee G. Parks, Stephanie Mazzucca, Peg Allen, Hengrui Hu, and Ross C. Brownson were with the Prevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, MO. Elizabeth A. Baker is with the Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO. Johnnetta Davis-Joyce is with the National Association of County and City Health Officials, Washington, DC
| | - Ross C Brownson
- Paul Campbell Erwin is with the School of Public Health, The University of Alabama at Birmingham, Birmingham. During article preparation, Renee G. Parks, Stephanie Mazzucca, Peg Allen, Hengrui Hu, and Ross C. Brownson were with the Prevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, MO. Elizabeth A. Baker is with the Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO. Johnnetta Davis-Joyce is with the National Association of County and City Health Officials, Washington, DC
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Ball L. Improving processes that underpin Australian primary health care. Aust J Prim Health 2017; 23:i-ii. [DOI: 10.1071/pyv23n1_ed1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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