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Ugas M, Giuliani M, Papadakos J. When is good, good enough? On considerations of machine translation in patient education. J Cancer Educ 2024:10.1007/s13187-024-02401-4. [PMID: 38263349 DOI: 10.1007/s13187-024-02401-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/13/2024] [Indexed: 01/25/2024]
Affiliation(s)
- Mohamed Ugas
- Cancer Education, Princess Margaret Cancer Centre, Toronto, Canada
| | - Meredith Giuliani
- Cancer Education, Princess Margaret Cancer Centre, Toronto, Canada
- The Institute for Education Research, University Health Network, Toronto, Canada
- Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Canada
- Department of Radiation Oncology, Faculty of Medicine, University of Toronto, Toronto, Canada
| | - Janet Papadakos
- Cancer Education, Princess Margaret Cancer Centre, Toronto, Canada.
- Department of Radiation Oncology, Faculty of Medicine, University of Toronto, Toronto, Canada.
- Institute for Health Policy, Management & Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
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Cheng C, Papadakos J, Umakanthan B, Fazelzad R, Martimianakis MA(T, Ugas M, Giuliani ME. On the advantages and disadvantages of virtual continuing medical education: a scoping review. Can Med Educ J 2023; 14:41-74. [PMID: 37465741 PMCID: PMC10351643 DOI: 10.36834/cmej.75681] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Abstract
Introduction With the COVID-19 pandemic, most continuing medical education activities became virtual (VCME). The authors conducted a scoping review to synthesize the advantages and disadvantages of VCME to establish the impact of this approach on inequities that physicians face along the intersections of gender, race, and location of practice. Methods Guided by the methodological framework of Arksey and O'Malley, the search included six databases and was limited to studies published between January 1991 to April 2021. Eligible studies included those related to accredited/non-accredited post-certification medical education, conferences, or meetings in a virtual setting focused on physicians. Numeric and inductive thematic analyses were performed. Results 282 studies were included in the review. Salient advantages identified were convenience, favourable learning formats, collaboration opportunities, effectiveness at improving knowledge and clinical practices, and cost-effectiveness. Prominent disadvantages included technological barriers, poor design, cost, lack of sufficient technological skill, and time. Analysis of the studies showed that VCME was most common in the general/family practice specialty, in suburban settings, and held by countries in the Global North. A minority of studies reported on gender (35%) and race (4%). Discussion Most studies report advantages of VCME, but disadvantages and barriers exist that are contextual to the location of practice and medical subspecialty. VCME events are largely organized by Global North countries with suboptimized accessibility for Global South attendees. A lack of reported data on gender and race reveals a limited understanding of how VCME affects vulnerable populations, prompting potential future considerations as it evolves.
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Affiliation(s)
| | - Janet Papadakos
- Cancer Education Program, Princess Margaret Cancer Centre, Ontario, Canada
- The Institute for Education Research, University Health Network, Ontario, Canada
- Institute of Health Policy, Management & Evaluation, University of Toronto, Ontario, Canada
| | - Ben Umakanthan
- Cancer Education Program, Princess Margaret Cancer Centre, Ontario, Canada
| | - Rouhi Fazelzad
- Library and Information Sciences, Princess Margaret Cancer Centre, Ontario, Canada
| | | | - Mohamed Ugas
- Cancer Education Program, Princess Margaret Cancer Centre, Ontario, Canada
| | - Meredith Elana Giuliani
- Cancer Education Program, Princess Margaret Cancer Centre, Ontario, Canada
- The Institute for Education Research, University Health Network, Ontario, Canada
- Radiation Medicine Program, Princess Margaret Cancer Centre, Ontario, Canada
- Department of Radiation Oncology, University of Toronto, Ontario, Canada
- The Wilson Centre, University Health Network, Ontario, Canada
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Papadakos J, Ugas M, Quartey NK, Papadakos C(T, Giuliani ME. Assessing the Comprehensive Training Needs of Informal Caregivers of Cancer Patients: A Qualitative Study. Curr Oncol 2023; 30:3845-3858. [PMID: 37185404 PMCID: PMC10137188 DOI: 10.3390/curroncol30040291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 03/15/2023] [Accepted: 03/23/2023] [Indexed: 04/03/2023] Open
Abstract
Introduction: The increasing demand for cancer services is projected to overwhelm the cancer care system, leading to a potential shortfall in human resource capacity. Informal caregivers (unpaid family/friend caregivers of cancer patients) provide a significant amount of care to patients and the cancer care system could not cope without them. The aim of this study was to analyze the needs of informal caregivers (CGs) through interviews with cancer patients and CGs, and to assess the content and utility of a comprehensive caregiver training course. Methods: Cancer patients and CGs were recruited from an academic cancer centre to elicit their thoughts and perceptions of cancer CG education needs through a qualitative, phenomenological design using semi-structured interviews and a curriculum review activity. Results: Six patients and seven CGs were interviewed. Patients averaged 53.8 years of age and CGs averaged 53.1 years. Caregiver participants reported that they were unprepared for their caregiving role. Depending on the severity of the disease, CGs reported significant emotional strain. Most participants wanted more practical information, and all expressed the desire for greater social support for CGs. While there were differences in terms of desired modality (e.g., online, in-person), support for greater CG education was strong. Discussion: CGs experience a significant learning curve and receive little to no direct training or education to help them acquire the knowledge and skills they need to support a cancer patient. This is especially challenging for new CGs, for whom emotional and informational needs are particularly acute. Participants shared a great deal of endorsement for a comprehensive training course for new CGs. Given the multiple demands on their time, some participants suggested that consideration be made to establish synchronous classes. Participants held that having the course take place (online or in-person) at a specific time, on a specific date could help CGs prioritize their learning. Participants also endorsed the idea of “required” learning because even though CGs may recognize that a course could be beneficial, some may lack the motivation to participate unless it was “prescribed” to them by a healthcare provider.
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Ugas M, Mackinnon R, Amadasun S, Escamilla Z, Gill B, Guiliani M, Fazelzad R, Martin H, Samoil D, Papadakos J. Associations of Health Literacy and Health Outcomes Among Populations with Limited Language Proficiency: A Scoping Review. J Health Care Poor Underserved 2023; 34:731-757. [PMID: 37464529 DOI: 10.1353/hpu.2023.0039] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Abstract
Populations with limited language proficiency (LLP) experience difficulties understanding health information and accessing care. This study aimed to explore health literacy and LLP by examining the published literature on the barriers and facilitators to health care. METHODS A scoping review of studies with populations in countries and regions where they have LLP in the locally dominant language was conducted. RESULTS One-hundred and forty-three (143) articles met eligibility criteria. Most studies were conducted in North America (n = 99, 69.2%) and the primary language of study participants was Spanish (n = 32; 22.4%). Limited language proficiency was associated with low health literacy. Age was a consistent predictor of LLP, while education was predictive of low health literacy. Low health literacy was associated with poorer health outcomes. DISCUSSION This review synthesizes the existing research regarding populations with LLP and their health literacy, demonstrating the importance that the intersection between the two has on patient experiences and behaviors.
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Ugas M, Pearl DL, Zentner S, Tschritter D, Briggs W, Manser D, Trotz-Williams LA. Examining the factors related to bacteriological testing of private wells in Southern Ontario. J Water Health 2019; 17:944-956. [PMID: 31850901 DOI: 10.2166/wh.2019.164] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The incidence of infectious waterborne disease in Canada continues to be a public health issue and can be associated with the source of drinking water. Millions of Canadians relying on unregulated private well water are at increased risk of disease. This study examined relationships between well and owner characteristics and the frequency of microbial testing of private wells in two southern-Ontario counties. Using multi-level logistic regression models, testing frequency (i.e., at least once per year vs. less) was modeled, as both self-reported and laboratory-validated, for associations with owner and well characteristics. For the self-reported outcome, a previous adverse test result significantly increased the odds of being classified as a frequent tester, and owners with a well-head more than 16 inches (40.6 cm) above the ground were at significantly higher odds of being classified as frequent testers compared to those with well-heads less than 16 inches above the ground and those below ground level. For the model based on the laboratory-validated outcome, the odds of an owner being a frequent tester significantly varied with the length of occupancy and the occurrence of a previous adverse result. The absence of associations between other well characteristics and testing frequency suggests that well safety education could benefit these communities.
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Affiliation(s)
- Mohamed Ugas
- Department of Population Medicine, University of Guelph, Gordon Street, Guelph, ON, N1G 2W1 Canada
| | - David L Pearl
- Department of Population Medicine, University of Guelph, Gordon Street, Guelph, ON, N1G 2W1 Canada
| | - Shawn Zentner
- Wellington-Dufferin-Guelph Public Health, 160 Chancellors Way, Guelph, ON, N1G 0E1 Canada E-mail:
| | - Dana Tschritter
- School of Public Health, University of Alberta, 3-300 Edmonton Clinic Health Academy, 11405-87 Ave, Edmonton, AB, T6G 1C9 Canada
| | - Wendy Briggs
- Wellington-Dufferin-Guelph Public Health, 160 Chancellors Way, Guelph, ON, N1G 0E1 Canada E-mail:
| | - Donna Manser
- Wellington-Dufferin-Guelph Public Health, 160 Chancellors Way, Guelph, ON, N1G 0E1 Canada E-mail:
| | - Lise A Trotz-Williams
- Wellington-Dufferin-Guelph Public Health, 160 Chancellors Way, Guelph, ON, N1G 0E1 Canada E-mail:
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Selvaratnam I, Berke O, Thaivalappil A, Imada J, Vythilingam M, Beardsall A, Hachborn G, Ugas M, Forrest R, Sargeant J. Reporting items in disease mapping: A knowledge synthesis evaluating zoonotic infectious diseases. Front Vet Sci 2019. [DOI: 10.3389/conf.fvets.2019.05.00050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Wilkins L, Ugas M, West J, Sabri S, Angle J. Analysis of Distal Protection Debris to Identify High Risk Peripheral Interventions. J Vasc Interv Radiol 2015. [DOI: 10.1016/j.jvir.2014.10.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Yaghoubian A, Ugas M, Wilkins L, Sabri S, Angle J. Protecting the runoff during lower extremity arterial interventions using embolic protection devices. J Vasc Interv Radiol 2014. [DOI: 10.1016/j.jvir.2013.12.437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Ugas M, Wilkins L, Stone J, Sabri S, Haskal Z, Angle J. Rates of complication and embolic capture utilizing the NAV-6 embolic protection system during arterial interventions involving the lower extremity. J Vasc Interv Radiol 2014. [DOI: 10.1016/j.jvir.2013.12.266] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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