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Carter RZ, Siden E, Husband A, Barwich D, Soheilipour S, Kryworuchko J, Sawatzky R, Kazanjian A, Stajduhar K, Hassan E. Community-led, peer-facilitated Advance Care Planning workshops prompt increased Advance Care Planning behaviors among public attendees. PEC INNOVATION 2023; 3:100199. [PMID: 37662691 PMCID: PMC10474229 DOI: 10.1016/j.pecinn.2023.100199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 07/31/2023] [Accepted: 08/20/2023] [Indexed: 09/05/2023]
Abstract
Objective Despite recognized benefits, engagement in Advance Care Planning (ACP) remains low. Research into peer-facilitated, group ACP interventions is limited. This study investigated the acceptability of community-led peer-facilitated ACP workshops for the public and whether these workshops are associated with increased knowledge, motivation and engagement in ACP behaviors. Methods Peer-facilitators from 9 community organizations were recruited and trained to deliver free ACP workshops to members of the public with an emphasis on conversation. Using a cohort design, workshop acceptability and engagement in ACP behaviors was assessed by surveying public participants at the end of the workshop and 4-6 weeks later. Results 217 participants returned post-workshop questionnaires, and 69 returned follow-up questionnaires. Over 90% of participants felt they gained knowledge across all 6 learning goals. Every ACP behavior saw a statistically significant increase in participant completion after 4-6 weeks. Almost all participants were glad they attended (94%) and would recommend the workshop to others (95%). Conclusion This study revealed an association of peer-facilitated ACP workshops and completion of ACP behaviors in public participants. Innovation This innovative approach supports investment in the spread of community-based, peer-facilitated ACP workshops for the public as important ACP promotion strategies.
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Affiliation(s)
- Rachel Z. Carter
- British Columbia Centre for Palliative Care, New Westminster, Canada
- Department of Medicine, University of British Columbia, Vancouver, Canada
| | - Ellie Siden
- Faculty of Medicine, University of British Columbia, Vancouver, Canada
| | - Amber Husband
- British Columbia Centre for Palliative Care, New Westminster, Canada
| | - Doris Barwich
- British Columbia Centre for Palliative Care, New Westminster, Canada
- Department of Medicine, University of British Columbia, Vancouver, Canada
| | - Shimae Soheilipour
- School of Population and Public Health, University of British Columbia, Vancouver, Canada
| | | | - Richard Sawatzky
- School of Nursing, Trinity Western University, Langley, Canada
- Centre for Health Evaluation and Outcome Sciences, Providence Health Care Research Institute, Vancouver, Canada
| | - Arminee Kazanjian
- School of Population and Public Health, University of British Columbia, Vancouver, Canada
| | | | - Eman Hassan
- British Columbia Centre for Palliative Care, New Westminster, Canada
- Department of Medicine, University of British Columbia, Vancouver, Canada
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Wu Y, Yin G, Zhang Y. Experience and Perceptions of Chinese University Students Regarding the COVID-19 Pandemic: A Qualitative Analysis. Front Public Health 2022; 10:872847. [PMID: 35592076 PMCID: PMC9110795 DOI: 10.3389/fpubh.2022.872847] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 04/13/2022] [Indexed: 12/04/2022] Open
Abstract
The COVID-19 pandemic has exerted a significant influence on university student's learning, life and mental health. Using the method of inductive content analysis, this study examined the experience and perceptions of Chinese university students regarding the COVID-19 pandemic. Eighteen university students including seven males and eleven females were involved in this study. In this study, we identified five themes concerning experience and perceptions of Chinese university students regarding the COVID-19 pandemic, that is, emotional reactions toward the COVID-19 pandemic, the influence of the COVID-19 pandemic on the participant's learning, the influence of the COVID-19 pandemic on the participant's daily life, participants' positive responses to the COVID-19 pandemic, and China's moves toward the COVID-19 pandemic. This study elaborated on experience and perceptions of Chinese university students regarding the COVID-19 pandemic, which would provide us a better understanding of how university students perceive the COVID-19 pandemic and to what extent the COVID-19 pandemic has influenced their learning and daily lives.
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Affiliation(s)
- Yijin Wu
- Center for Medical Humanities in the Developing World, School of Translation Studies, Qufu Normal Univeristy, Rizhao, China
| | - Gaohui Yin
- Center for Medical Humanities in the Developing World, School of Translation Studies, Qufu Normal Univeristy, Rizhao, China
| | - Yichi Zhang
- Center for Medical Humanities in the Developing World, School of Translation Studies, Qufu Normal Univeristy, Rizhao, China
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Wu Y, Zhang Q, Li L, Li M, Zuo Y. Control and Prevention of the COVID-19 Epidemic in China: A Qualitative Community Case Study. Risk Manag Healthc Policy 2021; 14:4907-4922. [PMID: 34916861 PMCID: PMC8668872 DOI: 10.2147/rmhp.s336039] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 11/16/2021] [Indexed: 11/23/2022] Open
Abstract
Background Cross-infection among residents in communities is one of the most critical reasons for the rapid spread of the COVID-19 epidemic. The COVID-19 epidemic has been well controlled within Chinese communities, which has made important contributions to the country's fight against it. Methods In this study, a qualitative case study design, with mixed methods applied to data collection and analysis, was employed to explore epidemic prevention measures taken by a Chinese community, namely Mulin, during the pandemic. Results The Mulin community established an integrated plan for epidemic prevention, including the prevention of the invasion of COVID-19, the prevention of cross-infection within the community, gaining the residents' trust and support, and providing the residents with convenient services. Conclusion In the present work, the Mulin community was taken as a typical case study, and qualitative methods were employed to comprehensively summarize the practice and experience of the community's epidemic prevention. Mulin's practices could shed light on how communities in other countries, especially developing countries with large populations, can prevent the spread of COVID-19.
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Affiliation(s)
- Yijin Wu
- School of Translation Studies, Qufu Normal University, Rizhao, Shandong, People's Republic of China
| | - Quan Zhang
- School of International Affairs and Public Administration, Ocean University of China, Qingdao, Shandong, People's Republic of China.,Centre for Quality of Life and Public Policy, Shandong University, Qingdao, Shandong, People's Republic of China
| | - Linzi Li
- Rizhao Maternal and Child Health Hospital, Rizhao, Shandong, People's Republic of China
| | - Meiyu Li
- School of Economics and Management, China University of Petroleum (East China), Qingdao, Shandong, People's Republic of China
| | - Ying Zuo
- School of International Affairs and Public Administration, Ocean University of China, Qingdao, Shandong, People's Republic of China
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Siden EG, Carter RZ, Barwich D, Hassan E. Part of the solution: A survey of community organisation perspectives on barriers and facilitating actions to Advance Care Planning in British Columbia, Canada. Health Expect 2021; 25:345-354. [PMID: 34904336 PMCID: PMC8849222 DOI: 10.1111/hex.13390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 10/19/2021] [Accepted: 11/07/2021] [Indexed: 12/01/2022] Open
Abstract
Background Despite the established benefits of Advance Care Planning (ACP), engagement remains low in British Columbia. Since 2016, a growing number of community‐based nonprofits have offered ACP education. To date, no study has focused on the perspectives of nonprofits on ACP in British Columbia. Objective This study aimed to identify barriers and facilitating actions to ACP as perceived by British Columbian nonprofits. Design A mixed‐methods design was used. Data were collected through online surveys and telephone interviews. Setting and Participants Staff and volunteers from British Columbian nonprofits that are providing or interested in providing public education on ACP were recruited for this study. Results The lack of public awareness of ACP, the emotional difficulty of the conversation, the complicated ACP process, the belief that ACP is synonymous with completing a medical order form, the challenge of introducing ACP in different cultural contexts and the siloed approach to ACP education were rated as the most important barriers to ACP engagement. The most important facilitating actions were developing clear messages, improving ACP literacy, reframing ACP as part of life planning, simplifying ACP documentation and transfer, integrating ACP conversations into clinical practice and better collaboration between the health system and nonprofits. Discussion This study identifies numerous opportunities to improve ACP engagement in British Columbia from a community lens. To maximize ACP engagement, community‐led ACP education should be offered in coordination with the health system. Conclusion Community‐led ACP education as well as collaboration and consultation with nonprofits are part of the solution to the low ACP engagement in British Columbia. Public Contribution Study participants, including staff and volunteers at nonprofits, are members of the public.
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Affiliation(s)
- Ellie G Siden
- Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.,BC Centre for Palliative Care, New Westminster, British Columbia, Canada
| | - Rachel Z Carter
- BC Centre for Palliative Care, New Westminster, British Columbia, Canada.,Department of Medicine, Division of Palliative Care, University of British Columbia, Vancouver, British Columbia, Canada
| | - Doris Barwich
- BC Centre for Palliative Care, New Westminster, British Columbia, Canada.,Department of Medicine, Division of Palliative Care, University of British Columbia, Vancouver, British Columbia, Canada
| | - Eman Hassan
- BC Centre for Palliative Care, New Westminster, British Columbia, Canada.,Department of Medicine, Division of Palliative Care, University of British Columbia, Vancouver, British Columbia, Canada
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Rao SR, Gupta M, Salins N. The Concept of Respite in Palliative Care: Definitions and Discussions. Curr Oncol Rep 2021; 23:25. [PMID: 33559761 DOI: 10.1007/s11912-021-01015-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/11/2021] [Indexed: 10/22/2022]
Abstract
PURPOSE OF THE REVIEW The definition of respite care remains unclear and its purpose and effectiveness are unproven till date. This paper reviews the current evidence regarding definition and efficacy of respite care, as well as the different programs, models, and interventions employed to deliver the same. RECENT FINDINGS A scoping search identified the relevant literature to be included in the review. The current evidence reiterates the lack of clarity in defining and delineating the purpose of respite care. Recent empirical evidence supports the effectiveness of respite care with clear benefits for the carers, patients, their families, and the healthcare system. Along with inpatient, home, and hospice care, respite care is considered as an essential component of palliative care. Evidence, although weak, supports the efficacy of respite care. High-quality studies with clear outlining of the scope of the services and resolution of ambiguities pertaining to its definition are warranted to fill the gaps in knowledge.
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Affiliation(s)
- Seema Rajesh Rao
- Department of Palliative Medicine and Supportive Care Kasturba Medical College and Hospital, Manipal Academy of Higher Education (MAHE), Tiger Circle Road, Madhav Nagar, Manipal, Udupi District, Karnataka, 576104, India. .,APHN Palliative Medicine Consultant for Lien Collaborative for Palliative Care, Singapore, Singapore. .,Honorary Tutor, School of Medicine, Cardiff University, Cardiff, UK.
| | - Mayank Gupta
- Department of Palliative Medicine and Supportive Care Kasturba Medical College and Hospital, Manipal Academy of Higher Education (MAHE), Tiger Circle Road, Madhav Nagar, Manipal, Udupi District, Karnataka, 576104, India
| | - Naveen Salins
- Department of Palliative Medicine and Supportive Care Kasturba Medical College and Hospital, Manipal Academy of Higher Education (MAHE), Tiger Circle Road, Madhav Nagar, Manipal, Udupi District, Karnataka, 576104, India.,Honorary Tutor, School of Medicine, Cardiff University, Cardiff, UK
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