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Resell M, Stranden M, Qvigstad G, Chen D, Zhao CM. Gaps between needs of patient and public involvement and interests of researchers on pancreatic cancer. PATIENT EDUCATION AND COUNSELING 2024; 120:108125. [PMID: 38176082 DOI: 10.1016/j.pec.2023.108125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 12/14/2023] [Accepted: 12/18/2023] [Indexed: 01/06/2024]
Abstract
OBJECTIVE Identify whether there were gaps between needs of end-users and interests of researchers focusing on pancreatic cancer. METHODS A questionnaire for end-users (patients, close family, others) and researchers was developed to measure value from the perspective of different stakeholder groups. Two separate literature analyses were conducted to assess the prevalence and impact of patient and public involvement (PPI). RESULTS Significant gaps were found between end-users and researchers in valuing basic research (15 vs 25 points, p = 0.005) and treatment (36 vs. 26 points, p = 0.015), but not in early diagnosis, risk factors, or quality of life. PPI was absent from the top 100 cited publications on pancreatic cancer research and was featured in 0.1% of all studies within the field. CONCLUSIONS Gaps existed between needs of end-users and interests of researchers on basic research and treatment. PPI constituted an insignificant part of the overall pancreatic cancer research literature and had negligible impact in terms of citations. PRACTICAL IMPLICATIONS To help close the gaps, PPI should be incorporated throughout the research process. The impact of PPI can be enhanced by prestigious journals in consideration of journal policies and encouragements and by dissemination at academic conferences.
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Affiliation(s)
- Mathilde Resell
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
| | - Morten Stranden
- Faculty of Medicine and Health Sciences Administration, Norwegian University of Science and Technology, Trondheim, Norway
| | - Gunnar Qvigstad
- Department of Gastroenterology, St Olav's University Hospital, Trondheim, Norway
| | - Duan Chen
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - Chun-Mei Zhao
- Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
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Mketo AR, Ringo CJ, Nuhu S, Mpambije CJ. Enhancing community participation for environmental health improvement in rural Tanzania: Evidence from Bukombe district. EVALUATION AND PROGRAM PLANNING 2022; 94:102152. [PMID: 35944329 DOI: 10.1016/j.evalprogplan.2022.102152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 06/10/2022] [Accepted: 08/01/2022] [Indexed: 06/15/2023]
Abstract
Community participation has become a dominant approach in environmental health-related projects, yet, its enhancement has remained a challenge. This study examines ways of enhancing community participation in environmental health-related initiatives in rural areas of Tanzania. A total of one hundred people (n = 100) were engaged in this study. An embedded case study design was employed, in which multiple methods such as household questionnaires, in-depth interviews, focus group discussions, and document analysis were used in collecting empirical data. Findings show that integration of the community into the development agenda and facilitating communities to access required equipment and tools is vital for enabling participation in environmental health-related matters. Effective and efficient leadership, mobilisation, and sensitisation of communities are operational and functioning strategies to improve environmental health through community participation, while retribution measures may prevent environmental pollution. There is a definite need for the integration of community participation as a key aspect of environmental-related projects and programs in the development policy aiming at improving the environmental health of communities.
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Affiliation(s)
- Ally Rajab Mketo
- Geita Regional Commissioner's Office, P. O. Box 315, Geita, Tanzania.
| | - Cliford J Ringo
- Department of Public Services and Human Resource Management, School of Public Administration and Management, Mzumbe University, P. O. Box 2, Morogoro, Tanzania.
| | - Said Nuhu
- Institute of Human Settlements Studies, Ardhi University, P. O. Box 35124, Dar es Salaam, Tanzania.
| | - Chakupewa Joseph Mpambije
- Mkwawa University College of Education (MUCE), University of Dar es Salaam, P. O. Box 2513, Iringa, Tanzania.
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Barker S, Maguire N, Gearing R, Cheung M, Price D, Narendorf S, Buck D. Community-engaged healthcare model for currently under-served individuals involved in the healthcare system. SSM Popul Health 2021; 15:100905. [PMID: 34568536 PMCID: PMC8449048 DOI: 10.1016/j.ssmph.2021.100905] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 08/22/2021] [Accepted: 08/23/2021] [Indexed: 11/05/2022] Open
Abstract
In the US, many people are excluded from healthcare structures and systems, due to multiple macro and micro factors. Poverty, health ecosystems, mental health, and community amenities are some of the issues confronting those who are not able to access appropriate support. This population is often referred to as 'high needs, high cost' (HNHC), a term that has been applied to refer to people who repeatedly utilize services without significant benefit (we have replaced this term with 'currently under-served'; C-US). For many traditional health solutions may not address the fundamental issues confronting their health. Community-Engaged Healthcare (CEH) is an approach that equips members of the community to levy power to advocate for their own health or social solutions, designing their own interventions to address needs with support from health providers. A realist review was conducted to identify the existing literature around CEH. This yielded ten papers that were reviewed by at least two authors and rated in terms of quality. A model describing the processes underpinning CEH was then iteratively generated, resulting in additional terms that were used in a second review of the literature. A further 16 peer-reviewed articles were identified and were independently reviewed and quality rated. These articles were used to refine further iterations of the model and included in the review where appropriate. The resulting model schematically posits a set of relational factors identified to be important in the establishment of CEH. Notably, the transfer of autonomy and power over health decision-making processes is emphasized, which will require revolutionary thinking about how healthcare is delivered for patients.
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Affiliation(s)
- S.L. Barker
- University of Southampton, School of Psychology, Building 44, University Road, Southampton, SO17 1BJ, United Kingdom
| | - N. Maguire
- University of Southampton, School of Psychology, Building 44, University Road, Southampton, SO17 1BJ, United Kingdom
| | - R.E. Gearing
- University of Houston, Graduate College of Social Work, Houston, TX, 77204, USA
| | - M. Cheung
- University of Houston, Graduate College of Social Work, Houston, TX, 77204, USA
| | - D. Price
- University of Houston, Honors College, Houston, TX, 77204, USA
| | - S.C. Narendorf
- University of Houston, Graduate College of Social Work, Houston, TX, 77204, USA
| | - D.S. Buck
- University of Houston College of Medicine, Houston, TX, 77204, USA
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Lloret J, Abós-Herràndiz R, Alemany S, Allué R, Bartra J, Basagaña M, Berdalet E, Campàs M, Carreño A, Demestre M, Diogène J, Fontdecaba E, Gascon M, Gómez S, Izquierdo A, Mas L, Marquès M, Pedro-Botet J, Pery M, Peters F, Pintó X, Planas M, Sabatés A, San J, Sanchez-Vidal A, Trepat M, Vendrell C, Fleming LE. The Roses Ocean and Human Health Chair: A New Way to Engage the Public in Oceans and Human Health Challenges. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17145078. [PMID: 32674437 PMCID: PMC7400534 DOI: 10.3390/ijerph17145078] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 07/09/2020] [Accepted: 07/10/2020] [Indexed: 01/01/2023]
Abstract
Involving and engaging stakeholders is crucial for studying and managing the complex interactions between marine ecosystems and human health and wellbeing. The Oceans and Human Health Chair was founded in the town of Roses (Catalonia, Spain, NW Mediterranean) in 2018, the fruit of a regional partnership between various stakeholders, and for the purpose of leading the way to better health and wellbeing through ocean research and conservation. The Chair is located in an area of the Mediterranean with a notable fishing, tourist, and seafaring tradition and is close to a marine reserve, providing the opportunity to observe diverse environmental conditions and coastal and maritime activities. The Chair is a case study demonstrating that local, collaborative, transdisciplinary, trans-sector, and bottom-up approaches offer tremendous opportunities for engaging coastal communities to help support long-lasting solutions that benefit everyone, and especially those living by the sea or making their living from the goods and services provided by the sea. Furthermore, the Chair has successfully integrated most of its experts in oceans and human health from the most prestigious institutions in Catalonia. The Chair focuses on three main topics identified by local stakeholders: Fish and Health; Leisure, Health, and Wellbeing; and Medicines from the Sea. Led by stakeholder engagement, the Chair can serve as a novel approach within the oceans and human health field of study to tackle a variety of environmental and public health challenges related to both communicable and non-communicable diseases, within the context of sociocultural issues. Drawing on the example provided by the Chair, four principles are established to encourage improved participatory processes in the oceans and human health field: bottom-up, “think local”, transdisciplinary and trans-sectorial, and “balance the many voices”.
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Affiliation(s)
- Josep Lloret
- SeaHealth Research Group-Institute of Aquatic Ecology & LIPPSO-Dept. of Chemistry, University of Girona, 17003 Girona, Spain; (A.C.); (M.P.); (J.S.)
- Correspondence:
| | - Rafael Abós-Herràndiz
- Department of Primary Health Care, Institut Català de la Salut, Government of Catalonia, 08013 Barcelona and 17480 Roses, Spain; (R.A.-H.); (E.F.); (C.V.)
| | - Sílvia Alemany
- History Museum of Sant Feliu de Guíxols, Sant Feliu de Guíxols, 17220 Catalonia, Spain;
| | - Rosario Allué
- D.G. Fisheries and Maritime Affairs, Government of Catalonia, 08017 Barcelona, Spain;
| | - Joan Bartra
- Allergy Section, Pneumology Department, Institut Clínic Respiratori (ICR), Hospital Clínic, 08036 Barcelona, Spain;
| | - Maria Basagaña
- Allergology Unit, Hospital Germans Trias i Pujol, 08916 Badalona, Spain;
| | - Elisa Berdalet
- Institut de Ciències del Mar, CSIC, 08003 Barcelona, Spain; (E.B.); (M.D.); (F.P.); (A.S.)
| | - Mònica Campàs
- Marine and Continental Waters Programme, IRTA, Sant Carles de la Ràpita, 43540 Catalonia, Spain; (M.C.); (J.D.)
| | - Arnau Carreño
- SeaHealth Research Group-Institute of Aquatic Ecology & LIPPSO-Dept. of Chemistry, University of Girona, 17003 Girona, Spain; (A.C.); (M.P.); (J.S.)
| | - Montserrat Demestre
- Institut de Ciències del Mar, CSIC, 08003 Barcelona, Spain; (E.B.); (M.D.); (F.P.); (A.S.)
| | - Jorge Diogène
- Marine and Continental Waters Programme, IRTA, Sant Carles de la Ràpita, 43540 Catalonia, Spain; (M.C.); (J.D.)
| | - Eva Fontdecaba
- Department of Primary Health Care, Institut Català de la Salut, Government of Catalonia, 08013 Barcelona and 17480 Roses, Spain; (R.A.-H.); (E.F.); (C.V.)
| | - Mireia Gascon
- ISGlobal (Global Health Institute Barcelona), Barcelona, Spain;
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Sílvia Gómez
- Departament of Social and Cultural Anthropology, Autonomous University of Barcelona, Bellaterra (Cerdanyola del Vallès), 08193 Catalonia, Spain;
| | - Angel Izquierdo
- Medical Oncology Service, Catalan Institute of Oncology, Hospital Universitari de Girona Doctor Josep Trueta, 17007 Girona, Spain;
| | - Lluïsa Mas
- Sub-direcció Regional a Girona, Catalan Public Health Agency, Government of Catalonia, 17002 Girona, Spain; (L.M.); (M.T.)
| | - Montse Marquès
- Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, 43201 Reus, Spain;
| | - Juan Pedro-Botet
- Department of Medicine, Hospital del Mar & Universitat Autònoma de Barcelona, 08003 Barcelona, Spain;
| | - Maria Pery
- Servei d’Espais Naturals Protegits, D.G. Environmental Policies and Environment, Government of Catalonia, 08036 Barcelona, Spain;
| | - Francesc Peters
- Institut de Ciències del Mar, CSIC, 08003 Barcelona, Spain; (E.B.); (M.D.); (F.P.); (A.S.)
| | - Xavier Pintó
- Unitat de Lípids i Risc Vascular, Servei de Medicina Interna, Hospital Universitari de Bellvitge, Idibell, University of Barcelona, CiberObn, 08907 L’Hospitalet de Llobregat, Spain;
| | - Marta Planas
- SeaHealth Research Group-Institute of Aquatic Ecology & LIPPSO-Dept. of Chemistry, University of Girona, 17003 Girona, Spain; (A.C.); (M.P.); (J.S.)
| | - Ana Sabatés
- Institut de Ciències del Mar, CSIC, 08003 Barcelona, Spain; (E.B.); (M.D.); (F.P.); (A.S.)
| | - Joan San
- SeaHealth Research Group-Institute of Aquatic Ecology & LIPPSO-Dept. of Chemistry, University of Girona, 17003 Girona, Spain; (A.C.); (M.P.); (J.S.)
| | - Anna Sanchez-Vidal
- Department of Earth and Ocean Dynamics, University of Barcelona, 08028 Barcelona, Spain;
| | - Martí Trepat
- Sub-direcció Regional a Girona, Catalan Public Health Agency, Government of Catalonia, 17002 Girona, Spain; (L.M.); (M.T.)
| | - Cristina Vendrell
- Department of Primary Health Care, Institut Català de la Salut, Government of Catalonia, 08013 Barcelona and 17480 Roses, Spain; (R.A.-H.); (E.F.); (C.V.)
| | - Lora E. Fleming
- European Centre for Environment and Human Health, University of Exeter Medical School, Cornwall TR1 3HD, UK;
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