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Lapierre N, Huet-Fiola C, Labrie D, Vincent-Blouin E, Côté C, Gagnon M, Rhéaume N, Laberge J, Best KL, Routhier F. Digital platforms to facilitate physical activities for people with physical or sensory disabilities: A scoping review. Disabil Health J 2024; 17:101626. [PMID: 38641454 DOI: 10.1016/j.dhjo.2024.101626] [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: 07/10/2023] [Revised: 04/04/2024] [Accepted: 04/11/2024] [Indexed: 04/21/2024]
Abstract
BACKGROUND People with disabilities (PWD) commonly experience difficulties in accessing their environments, which can lead to restricted participation in outdoor leisure-time physical activity. Participating in outdoor leisure-time physical activity (OLTPA) provides health and social benefits to PWD and benefits to the communities in which they live. OBJECTIVE The aim of the study was to identify features existing in digital platforms that facilitate access to OLTPA for PWD. METHODS A scoping review was conducted in four library databases and in Google advance search to identify relevant scientific and grey literature, and websites. Each step of the review was independently conducted by two co-authors who confirmed consensus of results. Descriptive data analyses were performed. RESULTS Seven scientific studies and ten websites were included in the scoping review. Seven presented mobile apps, nine presented a website and one presented an online database. Sources reported five main obstacles to using digital platforms that support access to physical activities (e.g., lack of digital literacy, technical issues, unintuitive design), and 10 facilitators (e.g., possibility to personalize your online space, accessibility features of the navigation). Among these sources, a trend emerged in the most important factors and features to consider for the visuals and navigation of the platforms. CONCLUSION The features of digital platforms that facilitate access to OLTPA include intuitive design compliant with accessibility guidelines and supported by navigation tools, personalization of the online space, and features for social interactions.
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Affiliation(s)
- N Lapierre
- School of Rehabilitation, Université Laval, 1050, avenue de la Médecine, Université Laval, Québec, G1V 0A6, Canada; Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré de Santé et de Services Sociaux de la Capital-Nationale, 525, boul. Wilfrid-Hamel, Québec, G1M 2S8, Canada; Association Régionale de loisir des Personnes Handicapées - Capitale-Nationale (ARLPH03). 14 Rue Soumande, Québec, G1L 0A4, Canada
| | - C Huet-Fiola
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré de Santé et de Services Sociaux de la Capital-Nationale, 525, boul. Wilfrid-Hamel, Québec, G1M 2S8, Canada
| | - D Labrie
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré de Santé et de Services Sociaux de la Capital-Nationale, 525, boul. Wilfrid-Hamel, Québec, G1M 2S8, Canada
| | - E Vincent-Blouin
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré de Santé et de Services Sociaux de la Capital-Nationale, 525, boul. Wilfrid-Hamel, Québec, G1M 2S8, Canada
| | - C Côté
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré de Santé et de Services Sociaux de la Capital-Nationale, 525, boul. Wilfrid-Hamel, Québec, G1M 2S8, Canada
| | - M Gagnon
- Library, Université Laval, Québec City, Pavillon Alexandre-Vachon 1045, avenue de la Médecine, Université Laval, Québec, G1V 0A6, Canada
| | - N Rhéaume
- Association Régionale de loisir des Personnes Handicapées - Capitale-Nationale (ARLPH03). 14 Rue Soumande, Québec, G1L 0A4, Canada
| | - J Laberge
- Association Régionale de loisir des Personnes Handicapées - Capitale-Nationale (ARLPH03). 14 Rue Soumande, Québec, G1L 0A4, Canada
| | - K L Best
- School of Rehabilitation, Université Laval, 1050, avenue de la Médecine, Université Laval, Québec, G1V 0A6, Canada; Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré de Santé et de Services Sociaux de la Capital-Nationale, 525, boul. Wilfrid-Hamel, Québec, G1M 2S8, Canada
| | - F Routhier
- School of Rehabilitation, Université Laval, 1050, avenue de la Médecine, Université Laval, Québec, G1V 0A6, Canada; Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré de Santé et de Services Sociaux de la Capital-Nationale, 525, boul. Wilfrid-Hamel, Québec, G1M 2S8, Canada.
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Ma J, Johnson EA, McCrory B. Predicting risk factors for pediatric mortality in clinical trial research: A retrospective, cross-sectional study using a Healthcare Cost and Utilization Project database. J Clin Transl Sci 2023; 7:e211. [PMID: 37900356 PMCID: PMC10603364 DOI: 10.1017/cts.2023.634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 09/08/2023] [Accepted: 09/11/2023] [Indexed: 10/31/2023] Open
Abstract
Introduction Incorporating real-world data using "big data" analysis in healthcare are useful to extract specific information for healthcare delivery system improvement. All-cause mortality is an essential measure to enhance patient safety in clinical trial research, especially for underrepresented pediatric participants. Objective This study aimed to determine the associations between pediatric mortality and patient-specific factors using the Healthcare Cost and Utilization Project (HCUP) database. Methods Data from the 2019 the HCUP Kids' Inpatient Database (KID) were used to conduct a logistic regression analysis to determine associations between pediatric patients' the chance of survival and their demographic and socioeconomic background, discharge records, and hospital information. Results Total number of diagnoses (OR = 0.84), total number of procedures (OR = 0.86), length of stay (OR = 1.04), age intervals greater than 1 year (OR > 1.0), transfer into the hospital from a different acute care (OR = 0.34), major diagnoses of multiple significant trauma (OR = 0.03) or hepatobiliary system and pancreas (OR = 0.10), region of hospital - west and midwest (OR > 1.0), and medium or larger hospital bed size (OR > 1.0) were all significantly associated with the chance of survival for patients participating in pediatric clinical trials (p < 0.05). Conclusion Real-world clinical trial data analysis showed the potential improvement area including reallocating trial resources to promote trial quality and safe participation for pediatric patients. Pediatric trials need tools that are developed using user-centered design approaches to satisfy the unique needs and requirements of pediatric patients and their caregivers. Safe intrahospital transfer procedures and active dissemination of successful trial best practices are crucial to trial management, adherence, quality, and safety.
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Affiliation(s)
- Jiahui Ma
- Montana State University, Norm Asbjornson College of Engineering, Bozeman, MT, USA
| | - Elizabeth A. Johnson
- Montana State University, Mark & Robyn Jones College of Nursing, Bozeman, MT, USA
| | - Bernadette McCrory
- Montana State University, Norm Asbjornson College of Engineering, Bozeman, MT, USA
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Zhou Y, Gould D, Choong P, Dowsey M, Schilling C. Implementing predictive tools in surgery: A narrative review in the context of orthopaedic surgery. ANZ J Surg 2022; 92:3162-3169. [PMID: 36106676 PMCID: PMC10087594 DOI: 10.1111/ans.18044] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Revised: 08/22/2022] [Accepted: 08/29/2022] [Indexed: 12/31/2022]
Abstract
Clinical predictive tools are a topic gaining interest. Many tools are developed each year to predict various outcomes in medicine and surgery. However, the proportion of predictive tools that are implemented in clinical practice is small in comparison to the total number of tools developed. This narrative review presents key principles to guide the translation of predictive tools from academic bodies of work into useful tools that complement clinical practice. Our review identified the following principles: (1) identifying a clinical gap, (2) selecting a target user or population, (3) optimizing predictive tool performance, (4) externally validating predictive tools, (5) marketing and disseminating the tool, (6) navigating the challenges of integrating a tool into existing healthcare systems, and (7) developing an ongoing monitoring and evaluation strategy. Although the review focuses on examples in orthopaedic surgery, the principles can be applied to other disciplines in medicine and surgery.
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Affiliation(s)
- Yuxuan Zhou
- Department of Surgery, The University of Melbourne, Melbourne, Victoria, Australia
| | - Daniel Gould
- Department of Surgery, The University of Melbourne, Melbourne, Victoria, Australia
| | - Peter Choong
- Department of Surgery, The University of Melbourne, Melbourne, Victoria, Australia
| | - Michelle Dowsey
- Department of Surgery, The University of Melbourne, Melbourne, Victoria, Australia
| | - Chris Schilling
- Department of Surgery, The University of Melbourne, Melbourne, Victoria, Australia
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Yip J, Wong K, Oh I, Sultan F, Roldan W, Lee KJ, Huh J. Co-design tensions between families and children around mobile health technology design needs and decisions: A case study (Preprint). JMIR Form Res 2022; 7:e41726. [PMID: 37058350 PMCID: PMC10148216 DOI: 10.2196/41726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 01/29/2023] [Accepted: 01/30/2023] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND Just-in-time adaptive interventions (JITAIs) in mobile health are an intervention design that provides behavior change support based on an individual's changing and dynamic contextual state. However, few studies have documented how end users of JITAI technologies are involved in their development, particularly from historically marginalized families and children. Less is known for public health researchers and designers of the tensions that occur as families negotiate their needs. OBJECTIVE We aimed to broaden our understanding of how historically marginalized families are included in co-design from a public health perspective. We sought to address research questions surrounding JITAIs; co-design; and working with historically marginalized families, including Black, Indigenous, and people of color (BIPOC) children and adults, regarding improving sun protection behaviors. We sought to better understand value tensions in parents' and children's needs regarding mobile health technologies and how design decisions are made. METHODS We examined 2 sets of co-design data (local and web-based) pertaining to a larger study on mobile SunSmart JITAI technologies with families in Los Angeles, California, United States, who were predominantly of Latinx and multiracial backgrounds. In these co-design sessions, we conducted stakeholder analysis through perceptions of harms and benefits and an assessment of stakeholder views and values. We open coded the data and compared the developed themes using a value-sensitive design framework by examining value tensions to help organize our qualitative data. Our study is formatted through a narrative case study that captures the essential meanings and qualities that are difficult to present, such as quotes in isolation. RESULTS We presented 3 major themes from our co-design data: different experiences with the sun and protection, misconceptions about the sun and sun protection, and technological design and expectations. We also provided value flow (opportunities for design), value dam (challenges to design), or value flow or dam (a hybrid problem) subthemes. For each subtheme, we provided a design decision and a response we ended up making based on what was presented and the kinds of value tensions we observed. CONCLUSIONS We provide empirical data to show what it is like to work with multiple BIPOC stakeholders in the roles of families and children. We demonstrate the use of the value tension framework to explain the different needs of multiple stakeholders and technology development. Specifically, we demonstrate that the value tension framework helps sort our participants' co-design responses into clear and easy-to-understand design guidelines. Using the value tension framework, we were able to sort the tensions between children and adults, family socioeconomic and health wellness needs, and researchers and participants while being able to make specific design decisions from this organized view. Finally, we provide design implications and guidance for the development of JITAI mobile interventions for BIPOC families.
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Affiliation(s)
- Jason Yip
- The Information School, University of Washington, Seattle, WA, United States
| | - Kelly Wong
- Department of Population and Public Health Sciences, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, United States
| | - Isabella Oh
- Department of Population and Public Health Sciences, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, United States
| | - Farisha Sultan
- Department of Population and Public Health Sciences, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, United States
| | - Wendy Roldan
- The Information School, University of Washington, Seattle, WA, United States
| | - Kung Jin Lee
- Ewha Womans University, Seoul, Republic of Korea
| | - Jimi Huh
- Department of Population and Public Health Sciences, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, United States
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