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Sekandi JN, Murray K, Berryman C, Davis-Olwell P, Hurst C, Kakaire R, Kiwanuka N, Whalen CC, Mwaka ES. Ethical, Legal and Sociocultural Issues in the Use of Mobile Technologies and Call Detail Records Data for Public Health Research in the East African Region: A Scoping Review (Preprint). Interact J Med Res 2021; 11:e35062. [PMID: 35533323 PMCID: PMC9204580 DOI: 10.2196/35062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Revised: 02/17/2022] [Accepted: 04/14/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Juliet Nabbuye Sekandi
- Global Health Institute, College of Public Health, University of Georgia, Athens, GA, United States
- Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, United States
| | - Kenya Murray
- Global Health Institute, College of Public Health, University of Georgia, Athens, GA, United States
- Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, United States
| | - Corinne Berryman
- Department of Health Promotion and Behavior, College of Public Health, University of Georgia, Athens, GA, United States
| | - Paula Davis-Olwell
- Global Health Institute, College of Public Health, University of Georgia, Athens, GA, United States
- Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, United States
| | - Caroline Hurst
- Department of Health Promotion and Behavior, College of Public Health, University of Georgia, Athens, GA, United States
| | - Robert Kakaire
- Global Health Institute, College of Public Health, University of Georgia, Athens, GA, United States
| | - Noah Kiwanuka
- Department of Epidemiology and Biostatistics, School of Public Health, Makerere University, Kampala, Uganda
| | - Christopher C Whalen
- Global Health Institute, College of Public Health, University of Georgia, Athens, GA, United States
- Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, United States
| | - Erisa Sabakaki Mwaka
- Department of Anatomy, School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala, Uganda
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Pardoel ZE, Reijneveld SA, Lensink R, Widyaningsih V, Probandari A, Stein C, Hoang GN, Koot JAR, Fenenga CJ, Postma M, Landsman JA. Core health-components, contextual factors and program elements of community-based interventions in Southeast Asia - a realist synthesis regarding hypertension and diabetes. BMC Public Health 2021; 21:1917. [PMID: 34686171 PMCID: PMC8539840 DOI: 10.1186/s12889-021-11244-3] [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: 08/07/2020] [Accepted: 06/09/2021] [Indexed: 11/30/2022] Open
Abstract
Background In Southeast Asia, diabetes and hypertension are on the rise and have become major causes of death. Community-based interventions can achieve the required behavioural change for better prevention. The aims of this review are 1) to assess the core health-components of community-based interventions and 2) to assess which contextual factors and program elements affect their impact in Southeast Asia. Methods A realist review was conducted, combining empirical evidence with theoretical understanding. Documents published between 2009 and 2019 were systematically searched in PubMed/Medline, Web of Science, Cochrane Library, Google Scholar and PsycINFO and local databases. Documents were included if they reported on community-based interventions aimed at hypertension and/or diabetes in Southeast Asian context; and had a health-related outcome; and/or described contextual factors and/or program elements. Results We retrieved 67 scientific documents and 12 grey literature documents. We identified twelve core health-components: community health workers, family support, educational activities, comprehensive programs, physical exercise, telehealth, peer support, empowerment, activities to achieve self-efficacy, lifestyle advice, activities aimed at establishing trust, and storytelling. In addition, we found ten contextual factors and program elements that may affect the impact: implementation problems, organized in groups, cultural sensitivity, synergy, access, family health/worker support, gender, involvement of stakeholders, and referral and education services when giving lifestyle advice. Conclusions We identified a considerable number of core health-components, contextual influences and program elements of community-based interventions to improve diabetes and hypertension prevention. The main innovative outcomes were, that telehealth can substitute primary healthcare in rural areas, storytelling is a useful context-adaptable component, and comprehensive interventions can improve health-related outcomes. This extends the understanding of promising core health-components, including which elements and in what Southeast Asian context. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11244-3.
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Affiliation(s)
- Zinzi E Pardoel
- Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands.
| | - Sijmen A Reijneveld
- Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands
| | - Robert Lensink
- Faculty of Economics and Business, University of Groningen, Groningen, The Netherlands
| | - Vitri Widyaningsih
- Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia
| | - Ari Probandari
- Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia
| | | | | | - Jaap A R Koot
- Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands
| | - Christine J Fenenga
- Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands
| | - Maarten Postma
- Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands.,Faculty of Economics and Business, University of Groningen, Groningen, The Netherlands.,Department of Pharmacology and Therapy, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.,Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Bandung, Indonesia
| | - Johanna A Landsman
- Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands
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Kim HS. Towards Telemedicine Adoption in Korea: 10 Practical Recommendations for Physicians. J Korean Med Sci 2021; 36:e103. [PMID: 33942575 PMCID: PMC8093605 DOI: 10.3346/jkms.2021.36.e103] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 02/07/2021] [Indexed: 12/15/2022] Open
Abstract
Due to the coronavirus disease 2019 (COVID-19) outbreak, consultation and prescription via telemedicine were temporarily allowed in the Korean population. However, at this point, it is difficult to determine whether telemedicine fulfills its role as a health care strategy. Arguably, if we had enough previous experience with telemedicine or sufficient preparation for its application, telemedicine could be more smoothly and flexibly adopted in the medical field. As it is still not possible to predict when the COVID-19 pandemic will end, phone consultation and prescription are likely to continue for some time. Hence, it is expected that telemedicine will naturally settle in the medical field in the near future. However, as we have noticed during this outbreak, improvised telemedicine without adequate guidance can be confusing to both patients and health professionals, thus reducing the benefit to patients. Medical staff requires preparation on how to appropriately use telemedicine. Thus, here we present some suggestions on implementing and preparing for telemedicine in the medical community.
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Affiliation(s)
- Hun Sung Kim
- Department of Medical Informatics, College of Medicine, The Catholic University of Korea, Seoul, Korea
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
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Muzanyi G, Sekitoleko I, Johnson JL, Lunkuse J, Nalugwa G, Nassali J, Mafigiri DK. Level of education and preferred language of informed consent for clinical research in a multi-lingual community. Afr Health Sci 2020; 20:955-959. [PMID: 33163064 PMCID: PMC7609127 DOI: 10.4314/ahs.v20i2.51] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Background: Low education levels and language barriers present challenges in obtaining informed consent for clinical research. Objective: To describe and correlate the association between the level of education and the participant's preferred language of consent. Design: Descriptive-analytical cross-sectional study. Participants: Adults being consented for participation in tuberculosis(TB) research studies in an East African community with varying levels of education. Procedures: We analyzed data on demographic and educational characteristics collected from adults being consented for participation in TB studies .Only participants who could understand and speak Luganda (the main local language) or English (the official language of Uganda) were included in this analysis. Results: A total of 523 participants were consented between April 2015 and December 2017 and included in this analysis; 250 below Senior four (< 11yrs of education), 114 senior four (at 11yrs of education),73 senior five-senior six (12–13yrs of education) and 86 beyond senior six (> 13yrs of education). We noted that the preference for English rises with the rising levels of education and peaked at beyond senior six (83%Vs17%,OR=49,95%CI:22.8–106.3,p<0.001).Participants below senior four preferred Luganda Vs senior four and above(OR=16.9,95%CI:9.9–28.8,p<0.001) Conclusion: Rising education levels of participants were associated with preference for English language usage during initial consent for clinical research studies.
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Affiliation(s)
- Grace Muzanyi
- Uganda-Case Western Reserve University Research Collaboration, Kampala, Uganda
- Corresponding author: Grace Muzanyi, Uganda-Case Western Reserve University Research Collaboration, Kampala, Uganda. ,
| | - Isaac Sekitoleko
- Uganda-Case Western Reserve University Research Collaboration, Kampala, Uganda
| | - John L Johnson
- Uganda-Case Western Reserve University Research Collaboration, Kampala, Uganda
- Case Western Reserve University School of Medicine and University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA
| | - Jane Lunkuse
- Uganda-Case Western Reserve University Research Collaboration, Kampala, Uganda
| | - Gladys Nalugwa
- Uganda-Case Western Reserve University Research Collaboration, Kampala, Uganda
| | - Joanita Nassali
- Uganda-Case Western Reserve University Research Collaboration, Kampala, Uganda
| | - David Kaawa Mafigiri
- Uganda-Case Western Reserve University Research Collaboration, Kampala, Uganda
- Center for Social Science Research on AIDS, School of Social Sciences. Makerere University, Kampala, Uganda
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