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Mupara LM, Mogaka JJ, Brieger WR, Tsoka-Gwegweni JM. Community Health Worker programmes’ integration into national health systems: Scoping review. Afr J Prim Health Care Fam Med 2022. [DOI: 10.4102/phcfm.v14i1.3204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
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Paasi G, Ndila C, Alaroker F, Abeso J, Asiimwe G, Okello F, Olupot-Olupot P. Resurgence of blackwater fever among children in sub-Saharan Africa: a scoping review protocol. BMJ Open 2022; 12:e059875. [PMID: 35793920 PMCID: PMC9260813 DOI: 10.1136/bmjopen-2021-059875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Blackwater fever (BWF), a complication of malaria, has in the past been considered as a rare complication of malaria in children living in high transmission settings. More recently, however, a growing number of paediatric clusters of BWF cases have been reported predominantly in sub-Saharan Africa (SSA). The aim of this study is to map evidence on BWF among children in SSA from 1 January 1960 to 31 December 2021. METHODS AND ANALYSIS This review will be guided by Arksey and O' Malley's methodological framework for scoping reviews with methodological refinements by Levac et al and will comply with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews' guidelines. Five electronic databases (MEDLINE via PubMed, Embase, the Cochrane Library, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and PsycINFO) will be systematically searched using predefined keywords. In addition, reference lists of included articles will be searched. Our multidisciplinary team has formulated search strategies and two reviewers will independently complete study eligibility screening, final selection and data extraction. A third reviewer will adjudicate the final decision on disputed articles. Bibliographic data and abstract content will be collected and analysed using a data-charting tool developed iteratively by the research team. ETHICS AND DISSEMINATION This scoping review being a secondary analysis does not require ethics approval. We anticipate results of this review will broaden understanding of paediatric BWF in SSA and identify its research gaps in SSA. We will be disseminating results through journals and conferences targeting primary care providers.
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Affiliation(s)
- George Paasi
- Department of Public Health, Busitema University, Tororo, Uganda
- Clinical trials unit at Mbale clinical research Institute, Mbale Clinical Research institute, Mbale, Uganda
| | - Carolyne Ndila
- Clinical trials unit at Mbale clinical research Institute, Mbale Clinical Research institute, Mbale, Uganda
| | - Florence Alaroker
- Department of Paediatric and Child Health, Soroti Regional Referral Hospital, Soroti, Uganda
| | - Julian Abeso
- Department of Paediatric and Child Health, Mbale Regional Referral Hospital, Mbale, Uganda
| | - Glorias Asiimwe
- Faculty of Health Sciences university library, Busitema University, Tororo, Uganda
| | - Francis Okello
- Department of Public Health, Busitema University, Tororo, Uganda
| | - Peter Olupot-Olupot
- Department of Public Health, Busitema University, Tororo, Uganda
- Clinical trials unit at Mbale clinical research Institute, Mbale Clinical Research institute, Mbale, Uganda
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Jackson HM, Troeung L, Martini A. Prevalence, Patterns, and Predictors of Multimorbidity in Adults With Acquired Brain Injury at Admission to Staged Community-Based Rehabilitation. Arch Rehabil Res Clin Transl 2020; 2:100089. [PMID: 33543112 PMCID: PMC7853357 DOI: 10.1016/j.arrct.2020.100089] [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] [Indexed: 01/03/2023] Open
Abstract
OBJECTIVES To describe the prevalence, patterns, and predictors of multimorbidity in adults with an acquired brain injury (ABI) on presentation to a community-based neurorehabilitation service. DESIGN Retrospective cohort study using routinely collected admissions and clinical data. SETTING Community-based neurorehabilitation. PARTICIPANTS Individuals (N=263) with non-traumatic brain injury (NTBI; n=187 [71.1%]) versus traumatic brain injury (TBI; n=76 [28.9%]). INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Comorbidity was defined as the co-occurrence of at least one chronic condition in conjunction with a primary diagnosis of ABI. Multimorbidity was defined as the co-occurrence of 2 or more chronic conditions across 2 or more body systems, in conjunction with a primary diagnosis of ABI. RESULTS Comorbidity was present in 72.2% of participants overall, whereas multimorbidity was present in 35.4% of the cohort. The prevalence of comorbidity (76% vs 63%; P=.036) and multimorbidity (40% vs 24%; P=.012) was higher in NTBI compared with participants with TBI. Participants with NTBI had a higher prevalence of physical health multimorbidities, including cardiovascular (44% vs 6%; P<.001) and endocrine (34% vs 10%; P=.002) disease, whereas participants with TBI had a higher prevalence of mental health conditions (79% vs 48%; P<.001). Depression (36.3%) and hypertension (25.8%) were the most common diagnoses. Increasing age was the only significant predictor of multimorbidity. CONCLUSIONS Most participants experienced multimorbidity. Effective management of multimorbidity should be included as part of individual rehabilitation for ABI and planning of resource allocation and service delivery. The results of this study can help guide the provision of treatment and services for individuals with ABI in community-based rehabilitation. Our study highlights access to mental health, cardiovascular, endocrine, and neurology services as essential components of rehabilitation for ABI.
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Affiliation(s)
- Hayley M. Jackson
- Brightwater Care Group, Brightwater Research Centre, Perth, Australia
- School of Psychological Science, University of Western Australia, Crawley, Australia
| | - Lakkhina Troeung
- Brightwater Care Group, Brightwater Research Centre, Perth, Australia
| | - Angelita Martini
- Brightwater Care Group, Brightwater Research Centre, Perth, Australia
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Markle-Reid M, Valaitis R, Bartholomew A, Fisher K, Fleck R, Ploeg J, Salerno J. An integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A feasibility study. JOURNAL OF COMORBIDITY 2020; 10:2235042X19900451. [PMID: 32363165 PMCID: PMC7177995 DOI: 10.1177/2235042x19900451] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/19/2019] [Accepted: 12/16/2019] [Indexed: 11/16/2022]
Abstract
BACKGROUND Stroke is the leading cause of death and adult disability in Canada. Eighty percent of older adults (≥65 years) who have suffered a stroke will return to their homes, and 60% will require ongoing rehabilitation. The transition between hospital and home is often fragmented, leading to adverse health outcomes, hospital readmissions, and increased health-care costs. This study examined the feasibility of a 6-month integrated transitional care stroke intervention (TCSI), and explored its effects on health outcomes, patient and provider experience, and cost in 30 community-living older adults (≥55 years) with stroke and multimorbidity (≥2 chronic conditions) using outpatient stroke rehabilitation services. METHODS The TCSI is a 6-month intervention delivered by an interprofessional (IP) team (occupational therapist, physiotherapist, speech language pathologist, registered nurse, social worker). It involved care coordination, home visiting, and IP case conferences, supported by a web-based application. A qualitative descriptive approach was used to explore the feasibility of implementing the intervention. A prospective one-group pretest/posttest was used to evaluate the effects of the intervention on health outcomes and use and costs of health services, from baseline to 6 months. RESULTS Participants had an average of eight comorbid conditions. The intervention was feasible and acceptable to both older adults and providers. From baseline to 6 months, there was no statistically significant difference in health outcomes. However, there was a significant reduction in the total per person use and costs of health services. CONCLUSIONS This study established the feasibility of conducting a larger randomized controlled trial of this intervention.
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Affiliation(s)
- Maureen Markle-Reid
- School of Nursing, Faculty of Health Sciences, McMaster University,
Hamilton, Ontario, Canada
- Health Research Methods, Evidence and Impact, Faculty of Health Sciences,
McMaster University, Hamilton, Ontario, Canada
- Aging, Community and Health Research Unit, School of Nursing, McMaster
University, Hamilton, Ontario, Canada
- McMaster Institute for Research on Aging, McMaster University, Hamilton,
Ontario, Canada
| | - Ruta Valaitis
- School of Nursing, Faculty of Health Sciences, McMaster University,
Hamilton, Ontario, Canada
- Aging, Community and Health Research Unit, School of Nursing, McMaster
University, Hamilton, Ontario, Canada
- McMaster Institute for Research on Aging, McMaster University, Hamilton,
Ontario, Canada
| | - Amy Bartholomew
- Aging, Community and Health Research Unit, School of Nursing, McMaster
University, Hamilton, Ontario, Canada
| | - Kathryn Fisher
- School of Nursing, Faculty of Health Sciences, McMaster University,
Hamilton, Ontario, Canada
- Aging, Community and Health Research Unit, School of Nursing, McMaster
University, Hamilton, Ontario, Canada
| | - Rebecca Fleck
- Regional Rehabilitation Program, Hamilton Health Sciences, Hamilton,
Ontario, Canada
| | - Jenny Ploeg
- School of Nursing, Faculty of Health Sciences, McMaster University,
Hamilton, Ontario, Canada
- Aging, Community and Health Research Unit, School of Nursing, McMaster
University, Hamilton, Ontario, Canada
- McMaster Institute for Research on Aging, McMaster University, Hamilton,
Ontario, Canada
- Department of Health, Aging and Society, McMaster University, Hamilton,
Ontario, Canada
| | - Jennifer Salerno
- Aging, Community and Health Research Unit, School of Nursing, McMaster
University, Hamilton, Ontario, Canada
- McMaster Institute for Research on Aging, McMaster University, Hamilton,
Ontario, Canada
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Markle-Reid M, Valaitis R, Bartholomew A, Fisher K, Fleck R, Ploeg J, Salerno J, Thabane L. Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol. JOURNAL OF COMORBIDITY 2019; 9:2235042X19828241. [PMID: 30891429 PMCID: PMC6416989 DOI: 10.1177/2235042x19828241] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Accepted: 12/27/2018] [Indexed: 12/13/2022]
Abstract
BACKGROUND Stroke is a major life-altering event and the leading cause of death and disability in Canada. Most older adults who have suffered a stroke will return home and require ongoing rehabilitation in the community. Transitioning from hospital to home is reportedly very stressful and challenging, particularly if stroke survivors have multiple chronic conditions. New interventions are needed to improve the quality of transitions from hospital to home for this vulnerable population. OBJECTIVES The primary objective of this study is to examine the feasibility of implementing a new 6-month transitional care intervention supported by a web-based app. The secondary objective is to explore its preliminary effects. DESIGN A single arm, pre/post, pragmatic feasibility study of 20-40 participants in Ontario, Canada. Participants will be community-dwelling older adults (≥55 years) with a confirmed stroke diagnosis, ≥2 co-morbid conditions, and referred to a hospital-based outpatient stroke rehabilitation centre. The 6-month transitional care intervention will be delivered by an interprofessional (IP) team and involve care coordination/system navigation, self-management education and support, home visits, telephone contacts, IP team meetings and a web-based app. Primary evaluation of the intervention will be based on feasibility outcomes (e.g. acceptability, fidelity). Preliminary intervention effects will be based on 6-month changes in health outcomes, patient experience, provider experience and cost. CONCLUSIONS Information on the feasibility and preliminary effects of this newly-developed intervention will be used to optimize the design and methods for a future pragmatic trial to test the effectiveness and implementation of the intervention in other contexts and settings.
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Affiliation(s)
- Maureen Markle-Reid
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
- Department of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
- Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada
- McMaster Institute for Research on Aging, McMaster University, Hamilton, Ontario, Canada
| | - Ruta Valaitis
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
- Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada
- McMaster Institute for Research on Aging, McMaster University, Hamilton, Ontario, Canada
| | - Amy Bartholomew
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
- Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada
| | - Kathryn Fisher
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
- Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada
| | - Rebecca Fleck
- Regional Rehabilitation Outpatient Services, Hamilton Health Sciences, Hamilton, Ontario, Canada
| | - Jenny Ploeg
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
- Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada
- McMaster Institute for Research on Aging, McMaster University, Hamilton, Ontario, Canada
- Department of Health, Aging and Society, McMaster University, Hamilton, Ontario, Canada
| | - Jennifer Salerno
- School of Nursing, McMaster University, Hamilton, Ontario, Canada
- Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada
| | - Lehana Thabane
- Department of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
- Aging, Community and Health Research Unit, McMaster University, Hamilton, Ontario, Canada
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Nelson MLA, McKellar KA, Yi J, Kelloway L, Munce S, Cott C, Hall R, Fortin M, Teasell R, Lyons R. Stroke rehabilitation evidence and comorbidity: a systematic scoping review of randomized controlled trials. Top Stroke Rehabil 2017; 24:374-380. [DOI: 10.1080/10749357.2017.1282412] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Michelle L. A. Nelson
- Bridgepoint Collaboratory, Lunenfeld-Tanenbaum Research Institute, Sinai Health Systems, Toronto, Canada
- Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
- Daphne Cockwell School of Nursing, Ryerson University, Toronto, Canada
| | - Kaileah A. McKellar
- Bridgepoint Collaboratory, Lunenfeld-Tanenbaum Research Institute, Sinai Health Systems, Toronto, Canada
- Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
| | - Juliana Yi
- Bridgepoint Collaboratory, Lunenfeld-Tanenbaum Research Institute, Sinai Health Systems, Toronto, Canada
- Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
| | | | - Sarah Munce
- Toronto Rehabilitation Institute, University Health Network, Toronto, Canada
| | - Cheryl Cott
- Toronto Rehabilitation Institute, University Health Network, Toronto, Canada
- Department of Physical Therapy, University of Toronto, Toronto, Canada
| | - Ruth Hall
- Institute of Clinical Evaluative Sciences, Toronto, Canada
| | - Martin Fortin
- Département de médecine de famille, Universite de Sherbrooke, Sherbrooke, Canada
| | - Robert Teasell
- St. Joseph’s Stroke Rehabilitation Program, Lawson Health Research Institute, Western University, London, Canada
| | - Renee Lyons
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
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Donnelly KZ, Linnea K, Grant DA, Lichtenstein J. The feasibility and impact of a yoga pilot programme on the quality-of-life of adults with acquired brain injury. Brain Inj 2016; 31:208-214. [PMID: 27936953 DOI: 10.1080/02699052.2016.1225988] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE This pilot study measured the feasibility and impact of an 8-week yoga programme on the quality-of-life of adults with acquired brain injury (ABI). METHODS Thirty-one adults with ABI were allocated to yoga (n = 16) or control (n = 15) groups. Participants completed the Quality of Life After Brain Injury (QOLIBRI) measure pre- and post-intervention; individuals in the yoga group also rated programme satisfaction. Mann-Whitney/Wilcoxon and the Wilcoxon Signed Rank tests were used to evaluate between- and within-group differences for the total and sub-scale QOLIBRI scores, respectively. RESULTS No significant differences emerged between groups on the QOLIBRI pre- or post-intervention. However, there were significant improvements on overall quality-of-life and on Emotions and Feeling sub-scales for the intervention group only. The overall QOLIBRI score improved from 1.93 (SD = 0.27) to 2.15 (SD = 0.34, p = 0.01). The mean Emotions sub-scale increased from 1.69 (SD = 0.40) to 2.01 (SD = 0.52, p = 0.01), and the mean Feeling sub-scale from 2.1 (SD = 0.34) to 2.42 (SD = 0.39, p = 0.01). CONCLUSION Adults with ABI experienced improvements in overall quality-of-life following an 8-week yoga programme. Specific improvements in self-perception and negative emotions also emerged. High attendance and satisfaction ratings support the feasibility of this type of intervention for people with brain injury.
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Affiliation(s)
- Kyla Z Donnelly
- a The Dartmouth Institute for Health Policy and Clinical Practice , Dartmouth College , Lebanon , NH , USA
| | - Kate Linnea
- b Geisel School of Medicine at Dartmouth , Lebanon , NH , USA
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Archibald D, Patterson R, Haraldsdottir E, Hazelwood M, Fife S, Murray SA. Mapping the progress and impacts of public health approaches to palliative care: a scoping review protocol. BMJ Open 2016; 6:e012058. [PMID: 27417201 PMCID: PMC4947716 DOI: 10.1136/bmjopen-2016-012058] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION Public health palliative care is a term that can be used to encompass a variety of approaches that involve working with communities to improve people's experience of death, dying and bereavement. Recently, public health palliative care approaches have gained recognition and momentum within UK health policy and palliative care services. There is general consensus that public health palliative care approaches can complement and go beyond the scope of formal service models of palliative care. However, there is no clarity about how these approaches can be undertaken in practice or how evidence can be gathered relating to their effectiveness. Here we outline a scoping review protocol that will systematically map and categorise the variety of activities and programmes that could be classified under the umbrella term 'public health palliative care' and highlight the impact of these activities where measured. METHODS AND ANALYSIS This review will be guided by Arksey and O'Malley's scoping review methodology and incorporate insights from more recent innovations in scoping review methodology. Sensitive searches of 9 electronic databases from 1999 to 2016 will be supplemented by grey literature searches. Eligible studies will be screened independently by two reviewers using a data charting tool developed for this scoping review. ETHICS AND DISSEMINATION This scoping review will undertake a secondary analysis of data already collected and does not require ethical approval. The results will facilitate better understanding of the practical application of public health approaches to palliative care, the impacts these activities can have and how to build the evidence base for this work in future. The results will be disseminated through traditional academic routes such as conferences and journals and also policy and third sector seminars.
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Affiliation(s)
- Daryll Archibald
- Scottish Collaboration for Public Health Research & Policy (SCPHRP) Centre, University of Edinburgh, Edinburgh, UK
| | | | | | | | | | - Scott A Murray
- Primary Palliative Care Research Group, Centre for Population Health Sciences, The Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh
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Elliott M, Gardner P. The role of music in the lives of older adults with dementia ageing in place: A scoping review. DEMENTIA 2016; 17:199-213. [DOI: 10.1177/1471301216639424] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Melanie Elliott
- Faculty of Applied Health Sciences, Brock University, Canada
| | - Paula Gardner
- Faculty of Applied Health Sciences, Brock University, Canada
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