1
|
Buresh M, Buchheit BM, Wason K, Northup R, Bratberg J, Finnell DS. Advocacy for Equity Around Evidence-Based Treatments: Overview and Proceedings of the AMERSA 2023 Conference. Subst Use Addctn J 2024; 45:156-162. [PMID: 38288714 DOI: 10.1177/29767342241228101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/14/2024]
Abstract
This commentary provides an overview of the 2023 Association of Multidisciplinary Education and Research in Substance use and Addiction (AMERSA) annual conference: Advocacy for Equity Around Evidence-Based Treatments, held from November 1 to 4, 2023, in Washington, DC. The conference featured 9 interactive workshops, 106 oral abstract presentations, and 130 posters. From the preconference workshop to plenary sessions, paper, and poster presentations, there was a focus on addressing imbalanced social systems and structures underlying disparities. In the face of increasing drug overdose deaths, diminished access to prevention, intervention, treatment, and recovery supports for racial and ethnic minorities, there is a pressing need for advocacy for equity around evidence-based treatments.
Collapse
Affiliation(s)
- Megan Buresh
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Bradley M Buchheit
- School of Medicine, Oregon Health & Science University, Portland, OR, USA
| | - Kristin Wason
- Chobanian and Avedisian School of Medicine, Boston University, Boston, MA, USA
| | | | - Jeffrey Bratberg
- University of Rhode Island College of Pharmacy, Kingston, RI, USA
| | | |
Collapse
|
2
|
Fahal A, Smith DJ, Nyaoke B, Asiedu K, Falves F, Warusavithanas S, Argaw D, Hay R. Towards enhanced control of mycetoma: a roadmap to achieve the UN's sustainable development goals by 2030. Trans R Soc Trop Med Hyg 2024:trae016. [PMID: 38530874 DOI: 10.1093/trstmh/trae016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 01/03/2024] [Accepted: 03/07/2024] [Indexed: 03/28/2024] Open
Abstract
Mycetoma is a neglected tropical disease (NTD) with devastating morbidity and stigma. Despite increased awareness and international collaboration, the burden of mycetoma is largely unknown and diagnosis and treatment are difficult. Addressing mycetoma globally aligns with several United Nation's Sustainable Development Goals (SDGs). Little progress has been made since the WHO's NTD roadmap publication in 2020. The Global Mycetoma Working Group proposes an enhanced mycetoma-control roadmap to meet the SDGs, stimulate progress and improve the lives of patients experiencing mycetoma. By aligning mycetoma management with the goals and targets of this enhanced roadmap, it becomes possible to leverage existing resources, infrastructure and partnerships to improve the lives of affected individuals and communities. This updated assessment is designed for the benefit of health workers and providers in mycetoma-endemic areas, NTD government officials, civil society and funding and implementing agencies.
Collapse
Affiliation(s)
- Ahmed Fahal
- The Mycetoma Research Center, University of Khartoum, Khartoum, Sudan
| | - Dallas J Smith
- Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, USA
| | - Borna Nyaoke
- Drugs for Neglected Diseases Initiative (DNDi), Geneva, Switzerland
| | - Kingsley Asiedu
- Department of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland
| | - Fabiana Falves
- Drugs for Neglected Diseases Initiative (DNDi), Geneva, Switzerland
| | | | - Daniel Argaw
- Department of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland
| | | |
Collapse
|
3
|
Seebadri-White C, Yuan H, Young WB, Arca KN. Advocacy Connection Team-Now educational program for headache fellows and patients/caregivers: Assessment of educational objectives. Headache 2024. [PMID: 38523478 DOI: 10.1111/head.14705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Revised: 01/19/2024] [Accepted: 02/23/2024] [Indexed: 03/26/2024]
Abstract
OBJECTIVE To assess for improvement in comfort in participating in advocacy for migraine and headache disorders and knowledge needed for successful advocacy. BACKGROUND The Advocacy Connection Team (ACT)-Now program is an educational program offered through Miles for Migraine, a non-profit advocacy organization. It is designed to teach headache fellows and patients advocacy skills. METHODS In a cross-sectional pre-test-post-test design, the 2021 ACT-Now cohort of 98 participants were administered a set of 11 pre-course survey questions identifying their role (healthcare provider/headache fellow or patient/caregiver), baseline knowledge of migraine-related disability and stigma, and baseline engagement and comfort with advocating. The post-course survey questions were the same as the pre-course questions, with the addition of one question assessing knowledge of migraine-related disability, additional questions addressing comfort levels advocating with insurance and policymakers, as well as creating an advocacy plan. RESULTS For the pre-course survey, 69 participants responded and for the post-course survey, 40 participants responded. Compared to the pre-course survey, participants were able to correctly identify epidemiological data about migraine following the ACT-Now course (pre-course 46% correct, post-course 58% correct, p = 0.263). There was also an increase in the comfort level of participants in advocacy activities, including the creation of an advocacy action plan (pre-course 23% were "very comfortable" advocating, post-course 63%, p < 0.05). CONCLUSION These results demonstrate that ACT-Now is effective at improving advocacy skills in a mixed cohort of patients and headache fellows, giving them the skills to create advocacy plans and engage with other patients and physicians, payers, and policymakers to create a more understanding, equitable and compassionate world for persons with migraine and other headache diseases.
Collapse
Affiliation(s)
- Courtney Seebadri-White
- Department of Neurology, Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania, USA
| | - Hsiangkuo Yuan
- Department of Neurology, Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania, USA
| | - William B Young
- Department of Neurology, Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania, USA
| | - Karissa N Arca
- Department of Neurology, Mayo Clinic Scottsdale, Scottsdale, Arizona, USA
| |
Collapse
|
4
|
Hefler M. Tobacco control policy and regulation from diverse perspectives and contexts. Tob Control 2024; 33:e1-e2. [PMID: 38503442 PMCID: PMC10958273 DOI: 10.1136/tc-2024-058662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
Affiliation(s)
- Marita Hefler
- Menzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, Australia
| |
Collapse
|
5
|
Szlamka Z, Sebastián C, Hanlon C, Hoekstra RA. Caregiver-centred empowerment for families raising autistic children: A qualitative case study from Argentina. Autism 2024:13623613241238254. [PMID: 38500316 DOI: 10.1177/13623613241238254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/20/2024]
Abstract
LAY ABSTRACT Caregivers of children with developmental disabilities, including autism, often struggle to access services, information and resources in Argentina. Little is known about how caregivers can be empowered to support their children as they wish to in the Argentinian setting. We spoke with 32 people online to understand existing and potential practices of supporting caregivers. The people we spoke with included caregivers, health service providers, non-governmental organisations' representatives providing services or technical support, special education teachers and policy representatives. Participants said that poverty, and inequalities in accessing support, impact how caregivers can support their children. They mentioned examples that help caregivers feel empowered, such as peer support groups and caregiver training. Many caregivers spoke about how they became advocates for their children and how they developed initiatives such as advocacy campaigns and well-being support groups. Caregivers in Argentina may be empowered in various ways, and the following strategies can improve empowerment: strengthening collaboration between professionals and caregivers; focusing on caregiver mental health; and addressing the profound impact of poverty on the quality of life of families.
Collapse
Affiliation(s)
- Zsófia Szlamka
- King's College London, UK
- The London School of Economics and Political Science, UK
| | - Cukier Sebastián
- Adolescentes y Adultos con Condiciones del Espectro Autista, Argentina
- Pedro de Elizalde Pediatric Hospital, Argentina
| | | | | |
Collapse
|
6
|
O'Rourke N, Outly A. Politics of Health Care Politics: A Call to Action. AACN Adv Crit Care 2024; 35:32-42. [PMID: 38457623 DOI: 10.4037/aacnacc2024123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/10/2024]
Abstract
Nursing has been perceived as an apolitical profession. Although some advancements in legislation and political engagement for nursing have occurred, the perception remains; it is considered to be a relatively silent profession in the political and policy arenas. Authors, when trying to describe this phenomenon, have raised questions about whether the nursing profession is political. In addition, the motivation for participation and advocacy, as well as the barriers to these activities, have limited investigation, making it difficult to understand the real reasons behind nursing's political and policy immobility. The purpose of this article is to familiarize readers with politics, policy, and advocacy; levels of state and federal government; and the lawmaking process in different states. The goal is to offer information and identify factors that increase confidence and efficacy when engaging with the political system.
Collapse
Affiliation(s)
- Nancy O'Rourke
- Nancy O'Rourke is Adjunct Professor, Regis College, 235 Wellesley St, Weston, MA 02493
| | - Amanda Outly
- Amanda Outly is Student Success and Interlibrary Loan Librarian, Babson College, Babson Park, Massachusetts
| |
Collapse
|
7
|
Abstract
Advocacy is a lever for positive change and is most effective and satisfying when used proactively. It is also one of nurses' superpowers and desperately needed outside health care settings, especially in the policy arenas of local, state, and federal government. Despite nurses' being the largest segment of the health care workforce, their voices are often missing from crucial conversations about access to care, health inequities, and upstream problems affecting people's health. Short of being the policy makers themselves, the best way for nurses to affect these decisions is to build and use influence with policy makers. There are concrete steps that nurses can take to grab a seat at the table.
Collapse
Affiliation(s)
- Gale Adcock
- Gale Adcock is Senator, North Carolina General Assembly, 16 W Jones St, Room 1104, Raleigh, NC 27601
| |
Collapse
|
8
|
Ray CB, Maher JE, Sharma G, Woodham PC, Devoe LD. Cardio-Obstetrics de novo: A State-level, Evidence-based Approach for Addressing Maternal Mortality and Severe Maternal Morbidity in Georgia. Am J Obstet Gynecol MFM 2024:101334. [PMID: 38492640 DOI: 10.1016/j.ajogmf.2024.101334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Accepted: 02/27/2024] [Indexed: 03/18/2024]
Abstract
Georgia has a high rate of severe maternal morbidity and mortality when compared to the rest of the United States1-6. Evidence gained from the Georgia Maternal Mortality Review Committee identified areas of focus for high yield clinical initiatives for improvement in maternal health outcomes2,7,8. Cardiovascular disease, including cardiomyopathy, coronary conditions, and pre-eclampsia/eclampsia, is the most common cause of pregnancy-related death in non-Hispanic, Black women in Georgia9-11. Development of a Cardio-Obstetrics program is an initiative to advance health equity by decreasing cardiovascular morbidity and mortality. This report describes the following: (1) state-level advocacy for improving maternal health outcomes with funding gained through the legislative process and partnership with a governmental agency; (2) Cardio-Obstetrics program development based on evidence gained from the maternal mortality review process; and (3) implementation of a Cardio-Obstetrics service, beginning with a focused approach for capacity building and understanding barriers to care.
Collapse
Affiliation(s)
- Chadburn B Ray
- Medical College of Georgia Department of Obstetrics and Gynecology.
| | - James E Maher
- Medical College of Georgia Department of Obstetrics and Gynecology
| | | | | | - Lawrence D Devoe
- Medical College of Georgia Department of Obstetrics and Gynecology
| |
Collapse
|
9
|
Delaine A, Ferguson M, Bacon R, Cullerton K. An analysis of the features of successful written submissions to government inquiries. Aust N Z J Public Health 2024; 48:100133. [PMID: 38442570 DOI: 10.1016/j.anzjph.2024.100133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 01/17/2024] [Accepted: 01/21/2024] [Indexed: 03/07/2024] Open
Abstract
OBJECTIVE Government inquiries present a policy window for advocates to influence policy. Evidence on how to write influential submissions, however, is sparse. We aimed to identify features of successful written submissions to the Parliament of Australia's Inquiry into Food Pricing and Food Security in Remote Indigenous Communities (Inquiry). METHOD A scoping review was conducted to identify influential features of written submissions to government inquiries. A content analysis of a sub-sample of government Inquiry submissions and their recommendations was then coded for influential features. The frequency of submission recommendations incorporated into the final Inquiry report was recorded, as was their link to influential features. RESULTS Thirty features were identified. Results from 21 submissions indicate that when writing a submission to a government inquiry, advocates should: (1) ensure their submission is clear and concise; (2) convey the authority of both the writer and supporting evidence; and (3) where possible, align submission recommendations with the government agenda. CONCLUSIONS We encourage future research to test the framework of influential features on other inquiry topics and in other countries to increase the reliability of results. IMPLICATIONS FOR PUBLIC HEALTH This study consolidates and presents a list of features that advocates can consider incorporating when writing a submission to a government inquiry.
Collapse
Affiliation(s)
- Adam Delaine
- Menzies School of Health Research, Charles Darwin University, Australia.
| | - Megan Ferguson
- School of Public Health, Faculty of Medicine, The University of Queensland, Herston, QLD, Australia
| | - Rachel Bacon
- Discipline of Nutrition and Dietetics, Faculty of Health, The University of Canberra, ACT, Australia
| | - Katherine Cullerton
- School of Public Health, Faculty of Medicine, The University of Queensland, Herston, QLD, Australia
| |
Collapse
|
10
|
Neilipovitz D, Kneteman L, Hill E, Cooke-Lauder J. Beyond the Mask: an initiative of Ontario's Anesthesiologists. Can J Anaesth 2024; 71:431-432. [PMID: 38265618 DOI: 10.1007/s12630-023-02684-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 11/20/2023] [Accepted: 11/21/2023] [Indexed: 01/25/2024] Open
Affiliation(s)
- David Neilipovitz
- Department of Anesthesiology and Pain Medicine, University of Ottawa and The Ottawa Hospital, Ottawa, ON, Canada.
| | | | - Emily Hill
- Ontario's Anesthesiologists, Toronto, ON, Canada
| | | |
Collapse
|
11
|
Baxter C, Schofield R, Currie G, Gauley P. Community health nurses leadership in advancing health equity. Public Health Nurs 2024; 41:310-317. [PMID: 38236193 DOI: 10.1111/phn.13286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Revised: 11/16/2023] [Accepted: 01/08/2024] [Indexed: 01/19/2024]
Abstract
OBJECTIVE To describe the solutions community health nurses (CHNs) identify to address health inequities during the COVID-19 pandemic and to explore what leadership competencies enable CHNs to enact these solutions. DESIGN Online survey, distributed to all members of the Community Health Nurses of Canada and associated provincial and territorial networks. PARTICIPANTS Inclusion criteria included all nurses who were working during the COVID-19 pandemic in Canada. A total of 245 responses were included in the analysis. MEASUREMENT The survey included 25 open ended and fixed response questions. Descriptive statistics were used to describe the quantitative data. Framework Analysis was used to analyze the qualitative data. RESULTS Solutions focused on advancing health equity and expanding community relationships and partnerships were identified as priorities. To enact these solutions system transformation, engaging others, and developing coalitions were identified as the main leadership competencies required by CHNs. CONCLUSION Participants in this study clearly articulated structural and process solutions to address health inequities among priority populations during the pandemic. CHNs described with practice knowledge and confidence that solutions enacted in system transformation with community partners are necessary to advance health equity.
Collapse
|
12
|
Manze M, Kwan A, Jones H, Roberts L, Romero D. Sexual and Reproductive Health Advocacy Successes, Failures, and Needs in the United States: Perspectives From Key Stakeholders. Health Promot Pract 2024; 25:183-187. [PMID: 36419323 DOI: 10.1177/15248399221137053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2024]
Abstract
Physician advocates for sexual and reproductive health (SRH) care have been active in the United States for decades. Despite such activism, access to SRH services has been fraught with persistent restrictions, particularly for abortion care. We sought the perspectives of key stakeholders on what makes for an effective SRH physician advocate and thoughts about the successes, failures, and needs of the abortion advocacy movement. We interviewed 15 SRH key informants (KIs) in sectors with expertise in organizational policy and advocacy (n = 6); clinical leadership and education (n = 3), media (n = 3), and reproductive justice (n = 3). The analytic team coded repeating ideas and conducted a thematic analysis, organizing findings within KI perspectives on the role of physician advocates in the field of abortion and contraception; successes, failures, and needs in abortion and contraception advocacy; and recommendations on the composition and components of an ideal clinician advocacy training program. KIs relayed that skill building related to communication, developing relationships with changemakers, and understanding political systems was critical for effective advocacy. They felt clinician advocacy training programs should include providers other than physicians and be designed for trainees to build relationships with one another over time. KI perspectives can be valuable in informing advocacy training programs and for contributing strategic approaches to increasing equitable and widespread access to SRH services.
Collapse
Affiliation(s)
- Meredith Manze
- City University of New York, Graduate School of Public Health and Health Policy, New York, NY, USA
| | - Amy Kwan
- City University of New York, Graduate School of Public Health and Health Policy, New York, NY, USA
| | - Heidi Jones
- City University of New York, Graduate School of Public Health and Health Policy, New York, NY, USA
| | - Lynn Roberts
- City University of New York, Graduate School of Public Health and Health Policy, New York, NY, USA
| | - Diana Romero
- City University of New York, Graduate School of Public Health and Health Policy, New York, NY, USA
| |
Collapse
|
13
|
Frye WS, Swan K, Gardner LM. Utilization of an Educational Liaison for Coordinated Care Between the Medical Home and School-Based Professionals for Students with Chronic Pain. J Sch Health 2024; 94:273-278. [PMID: 38097372 DOI: 10.1111/josh.13423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 10/13/2023] [Accepted: 11/14/2023] [Indexed: 02/07/2024]
Abstract
BACKGROUND Pediatric programs focused on treating chronic pain often do not include an educational liaison (EL) to coordinate services between the patient's medical home and school. As chronic pain in youth can have deleterious effects on school functioning, collaboration between the medical home and the school system are needed to assure these students receive appropriate accommodations. CONTRIBUTIONS TO THEORY This manuscript describes a model of coordinated care for students with chronic pain that includes a systemic strategy for collaborative care across settings. Specifically, the role of an EL is described in the context of advocating for the patient to receive appropriate educational accommodations. CONCLUSIONS This paper provides a guide for caregivers and professionals to assure appropriate access to support services across settings. Recommendations are included for school accommodations and services to improve academic functioning and outcomes for students with chronic pain.
Collapse
Affiliation(s)
- William S Frye
- Psychology Department, Johns Hopkins All Children's Hospital, 880 6th Street South, Suite 420, St. Petersburg, FL, 33701
| | - Kimberly Swan
- Psychology Department, Johns Hopkins All Children's Hospital, 880 6th Street South, Suite 420, St. Petersburg, FL, 33701
| | - Lauren M Gardner
- Psychology Department, Johns Hopkins All Children's Hospital, 880 6th Street South, Suite 420, St. Petersburg, FL, 33701
| |
Collapse
|
14
|
Barajas-Ochoa A, Mackie TI, Fofana B, Rosen Valverde JN. On legal guardianship: An exploratory assessment of knowledge, attitudes and practices of resident physicians. Med Teach 2024; 46:399-405. [PMID: 37722805 DOI: 10.1080/0142159x.2023.2256965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/20/2023]
Abstract
BACKGROUND Clinicians encounter patients under legal guardianship. We aimed to assess the knowledge, attitudes and practices (KAP) on legal guardianship in residents. METHODS A KAP pilot survey about legal guardianship was developed by an interdisciplinary medicine-law-public health team and was distributed via institutional email to internal medicine, psychiatry, and neurology residents in a single academic institution. RESULTS Of the 172 invited residents, 105 (61%) responded and 102 surveys were included in the final analysis. Most respondents (58% women; internal medicine 73%, neurology 15%, psychiatry 12%) had attended 42 medical schools from 16 countries and had heard about guardianship (88%), but only 23% reported having received training on guardianship during medical school or residency. The vast majority (97%) understood the intended benefit of guardianship, but only 22.5% reported knowing that guardianship removed an individual's decision-making rights. Nearly half (47%) of respondents reported never having asked for documentation to prove that an individual was a patient's guardian, and only 15% expected to see a court order as proof of guardianship status. CONCLUSIONS Although most residents intuitively understood the intended benefit of guardianship, they did not understand its full implications for clinical practice. Training interventions are warranted.
Collapse
Affiliation(s)
- Aldo Barajas-Ochoa
- Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA
- Division of Infectious Diseases, Department of Medicine, Virginia Commonwealth University Health System, Richmond, VA, USA
| | - Thomas I Mackie
- Department of Health Policy and Management, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
| | - Bintu Fofana
- Rutgers School of Public Health, Newark, NJ, USA
| | - Jennifer N Rosen Valverde
- Rutgers School of Public Health, Newark, NJ, USA
- Education and Health Law Clinic, Legal Director, H.E.A.L. Collaborative®, Rutgers University School of Law, Newark, NJ, USA
| |
Collapse
|
15
|
Garber PA, Dolins F, Lappan S. Scientific activism to protect the world's primates and their environments from extinction: Introduction to the special issue. Am J Primatol 2024; 86:e23601. [PMID: 38284477 DOI: 10.1002/ajp.23601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2023] [Revised: 01/16/2024] [Accepted: 01/18/2024] [Indexed: 01/30/2024]
Abstract
Nonhuman primates and their habitats are facing an impending extinction crisis. Approximately 69% of primate species are listed by the International Union for Conservation of Nature as threatened and 93% have declining populations. Human population growth (expected to reach 10.9 billion by the year 2100), the unsustainable demands of a small number of consumer nations for forest-risk commodities, deforestation and habitat conversion, the expansion of roads and rail networks, cattle ranching, the hunting and trapping of wild primate populations, and the potential spread of infectious diseases are among the primary drivers of primate population decline. Climate change will only exacerbate the current situation. The time to act to protect primate populations is now! In this special issue of the American Journal of Primatology, we present a series of commentaries, formulated as "Action Letters." These are designed to educate and inform primatologists, conservation biologists, wildlife ecologists, political leaders, and global citizens about the conservation challenges faced by particular primate taxa and particular world regions, and present examples of specific actions that one can take, individually and collectively, to promote the persistence of wild primate populations and environmental justice for local human populations and impacted ecological communities. As scientists, researchers, and educators, primatologists are in a unique position to lead local, national, and international efforts to protect biodiversity. In this special issue, we focus on primates of the Brazilian Amazon, lemurs of northeast Madagascar, Temminck's red colobus monkey (Piliocolobus badius temminckii), night monkeys (Aotus spp.), long-tailed macaques (Macaca fascicularis), the primate pet trade, and professional capacity building to foster conservation awareness and action. We encourage primatologists, regardless of their research focus, to engage in both advocacy and activism to protect wild primate populations worldwide.
Collapse
Affiliation(s)
- Paul A Garber
- Department of Anthropology, and Program in Ecology, Evolution, and Conservation Biology, University of Illinois, Urbana, Illinois, USA
- International Centre of Biodiversity and Primate Conservation, Dali University, Dali, Yunnan, China
| | - Francine Dolins
- Department of Behavioral Sciences, University of Michigan, Dearborn, Michigan, USA
| | - Susan Lappan
- Department of Anthropology, Malaysian Primatological Society, Appalachian State University, Boone, North Carolina, USA
| |
Collapse
|
16
|
Bloxom Q, Anderson B. Deconstructing Social Work Exam Bias: Advocacy Practice Guidelines to Close the Gap. J Evid Based Soc Work (2019) 2024; 21:236-264. [PMID: 37942617 DOI: 10.1080/26408066.2023.2278691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2023]
Abstract
INTRODUCTION The social work profession is in a precarious situation regarding licensure. Test takers of color are struggling to pass social work licensure exams at rates comparable to their White counterparts, per data released by the Association of Social Work Boards (ASWB). As a nation, we are required to meet the needs of our increasingly diverse population. Yet the recruitment and retention of a diverse body of social workers is unlikely to be actualized if disparities persist in these exams. Given ASWB's monopoly on social work exams and the likelihood that many states will continue to require the exams for licensure, we sought to explore public responses to the data released, using the National Association of Social Work (NASW) as our starting point. As the nation's largest association of social workers, having local chapters within each state, NASW serves as an area of connection between social workers nationwide. METHODS We utilized content analysis to explore emerging themes and conduct a review of the state chapter's public responses to exam pass rate data. RESULTS A variety of state chapter's responses, with few states engaging in advocacy efforts or taking action to facilitate change. DISCUSSION Advocacy efforts play a pivotal role in the restructuring of fragmented systems. This study revisits seemingly ignored disparities diverse test takers may face, while also serving as a call-to-action in advocacy engagement. We conclude with a set of advocacy practice guidelines for use in the promotion of equitable licensing opportunities for all test takers.
Collapse
Affiliation(s)
| | - Brandi Anderson
- College of Social Work, University of South Carolina, South Carolina, USA
| |
Collapse
|
17
|
Squires E, Whiting L, Petty J. Effects of climate change on the health of children and young people. Nurs Stand 2024:e12308. [PMID: 38419409 DOI: 10.7748/ns.2024.e12308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/15/2024] [Indexed: 03/02/2024]
Abstract
The effects of climate change, such as air pollution and extreme heat events, can adversely affect the physical and mental health of children and young people at all ages. This article explores the effects of climate change on children and young people's development and explains the effects of air pollution and heatwaves on their health. The article also discusses how children and young people are knowledgeable and concerned about the effects of climate change and can offer new perspectives on addressing these effects. Finally, the authors consider the role of nurses in raising awareness of the adverse effects of climate change on children's health, incorporating climate change in their practice and promoting opportunities for children's involvement in healthcare decision-making, strategies and policy development.
Collapse
Affiliation(s)
- Eleanor Squires
- School of Health and Social Work, University of Hertfordshire, Hatfield, England
| | - Lisa Whiting
- research, School of Health and Social Work, University of Hertfordshire, Hatfield, England
| | - Julia Petty
- School of Health and Social Work, University of Hertfordshire, Hatfield, England
| |
Collapse
|
18
|
Hagenaars LL, Schmidt LA, Groeniger JO, Bekker MPM, Ter Ellen F, de Leeuw E, van Lenthe FJ, Oude Hengel KM, Stronks K. Why we struggle to make progress in obesity prevention and how we might overcome policy inertia: Lessons from the complexity and political sciences. Obes Rev 2024. [PMID: 38424004 DOI: 10.1111/obr.13705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 12/18/2023] [Accepted: 01/18/2024] [Indexed: 03/02/2024]
Abstract
Despite evidence for the effectiveness of policies that target obesogenic environments, their adoption remains deficient. Using methods and concepts from complexity and political science (Stock-and-Flow analysis and Punctuated Equilibrium Theory) and a qualitative literature review, we developed system maps to identify feedback loops that hinder policymaking on mitigating obesogenic environments and feedback loops that could trigger and sustain policy change. We found numerous self-reinforcing feedback loops that buttress the assumption that obesity is an individual problem, strengthening the biomedical and commercial weight-loss sectors' claim to "ownership" over solutions. That is, improvements in therapies for individuals with obesity reinforces policymakers' reluctance to target obesogenic environments. Random events that focus attention on obesity (e.g., celebrities dismissing soda) could disrupt this cycle, when actors from outside the medical and weight-loss sector (e.g., anti-weight stigma activists) successfully reframe obesity as a societal problem, which requires robust and politically relevant engagement with affected communities prior to such events taking place. Sustained prioritization of policies targeting obesogenic environments requires shared problem ownership of affected communities and nonhealth government sectors, by emphasizing cobenefits of policies that target obesogenic environments (e.g., ultraprocessed food taxation for raising revenue) and solutions that are meaningful for affected communities.
Collapse
Affiliation(s)
- Luc L Hagenaars
- Department of Public Health, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands
- Philip R. Lee Institute for Health Policy Studies, School of Medicine, University of California, San Francisco, USA
| | - Laura A Schmidt
- Philip R. Lee Institute for Health Policy Studies, School of Medicine, University of California, San Francisco, USA
| | - Joost Oude Groeniger
- Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
- Erasmus School of Social and Behavioural Sciences, Erasmus MC, Rotterdam, The Netherlands
| | - Marleen P M Bekker
- Health and Society Group, Wageningen University & Research, Wageningen, The Netherlands
| | - Fleur Ter Ellen
- Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
| | - Evelyne de Leeuw
- Urban Health and Policy, University of New South Wales, Sydney, Australia
- École de Santé Publique, Université de Montréal, Montréal, Canada
| | - Frank J van Lenthe
- Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, Utrecht, The Netherlands
| | - Karen M Oude Hengel
- Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
- Department of Work Health Technology, Netherlands Organisation for Applied Scientific Research TNO, The Hague, The Netherlands
| | - Karien Stronks
- Department of Public Health, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands
| |
Collapse
|
19
|
Challinor J, Davidson A, Chantada G, Kebudi R, Pritchard-Jones K. The role of International Society of Paediatric Oncology (SIOP) in advancing global childhood cancer care. Ecancermedicalscience 2024; 18:1678. [PMID: 38439802 PMCID: PMC10911668 DOI: 10.3332/ecancer.2024.1678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Indexed: 03/06/2024] Open
Abstract
The Société Internationale d'Oncologie Pédiatrique [International Society of Paediatric Oncology] (SIOP), founded in 1969, aims to improve the lives of children and adolescents with cancer through global collaboration, education, training, research and advocacy. The annual congress provides the opportunity to share late-breaking research, clinical experiences and debate, with experts worldwide. SIOP's six Continental Branches represent their constituent members in North America, Oceania, Latin America, Africa, Europe and Asia and bring best practices and recent research findings of value to their specific patient populations. In 1990, the SIOP Board of Directors addressed the formerly predominantly European/North American society transforming into a global association by establishing a scholarship program to bring low- and middle-income country (LMIC) paediatric oncologists and nurses to SIOP meetings. A major achievement was SIOP's acceptance as a World Health Organisation (WHO) non-state actor in official relations in 2018, joining 220 non-governmental organisations, international business associations and philanthropic foundations with this privilege. SIOP supports advocacy with WHO member states and civil society to highlight the specific needs of cancer in this age-group through key programs especially supporting the WHO Global Initiative for Childhood Cancer. Sustained improvement in childhood cancer outcomes has paralleled the integration of research with care; thus, SIOP launched a Programme for Advancing Research Capacity for funding selected clinical trial groups in LMICs. SIOP supports south-south partnerships, and the principles elegantly expressed in SIOP Africa's checklist for co-branding projects, that include the prioritisation of local needs, cultivation of local expertise and commitment to equitable partnerships. SIOP now counts approximately 3,000 members from over 128 countries; 39% are from more than 60 LMICs. SIOP members have multidisciplinary expertise on all aspects of childhood cancer care working in collaboration with key stakeholders including governments, civil society organisations and funders to improve the lives of children/adolescents with cancer everywhere in all ways.
Collapse
Affiliation(s)
- Julia Challinor
- School of Nursing, University of California San Francisco, 2 Koret Way, San Francisco, CA 94143, USA
- https://orcid.org/0000-0002-5008-8501
| | - Alan Davidson
- Pediatric Hematology-Oncology Service, Red Cross War Memorial Children’s Hospital, University of Cape Town, Rondebosch, Cape Town 7700, South Africa
- https://orcid.org/0000-0002-4646-4332
| | - Guillermo Chantada
- Department of Pediatric Oncology, Hospital Sant Joan de Deu, Pg de Sant Joan de Déu, 2, Esplugues de Llobregat, 08950 Barcelona, Spain
- Departamento de Montevideo, Fundación Perez Scremini, Bv Gral Artigas 1556, Montevideo 11600, Uruguay
- https://orcid.org/0000-0002-9375-9336
| | - Rejin Kebudi
- Division of Pediatric Hematology-Oncology, Department of Clinical Oncology, Oncology Institute, Topkapı, Turgut Özal Millet Cd No:118, 34093 Fatih/Istanbul, Turkey
- Division of Pediatric Hematology-Oncology, Department of Preventive Oncology, Oncology Institute, Topkapı, Turgut Özal Millet Cd No:118, 34093 Fatih/Istanbul, Turkey
- https://orcid.org/0000-0003-4344-8174
| | - Kathy Pritchard-Jones
- University College London Great Ormond Street Institute of Child Health, 30 Guilford St, WC1N 1EH London, UK
- https://orcid.org/0000-0002-2384-9475
| |
Collapse
|
20
|
Krishnamoorthi VR, Johnson DY, Asay S, Beem A, Vuppaladhadiam L, Keegan GE, Zietowski ML, Chen S, Jain S, Arora VM. An Op-Ed Writing Curriculum for Medical Students to Engage in Advocacy Through Public Writing. J Gen Intern Med 2024:10.1007/s11606-024-08629-6. [PMID: 38413538 DOI: 10.1007/s11606-024-08629-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 01/11/2024] [Indexed: 02/29/2024]
Abstract
BACKGROUND Op-ed writing can be a powerful and accessible advocacy tool for physicians, but training is lacking in undergraduate medical education. AIM To train and engage first-year medical students in op-ed writing. SETTING Midwestern research-intensive medical school. PARTICIPANTS All students in a required first-year health policy course in 2021 and 2022. PROGRAM DESCRIPTION For their health policy course's final assignment, students could opt to write an op-ed on a healthcare issue of their choice. All students received written instruction on op-ed writing. Additionally, they could access a seminar, coaching and editing by peers and faculty, and publication guidance. PROGRAM EVALUATION Of 179 students over 2 years, 105 chose to write op-eds. Fifty-one attended the seminar, 35 attended peer coaching sessions, 33 accessed structured peer editing, and 23 received faculty assistance. Thirty-eight students submitted a total of 42 op-eds for publication. Twenty-two pieces were published in major outlets and 17 in the university's health policy review. Of the 22 in major outlets, 21 received editing from either peers or faculty. DISCUSSION An op-ed writing curriculum can be integrated into an existing medical school health policy course, resulting in a high level of engagement and in published op-eds by medical students.
Collapse
Affiliation(s)
- V Ram Krishnamoorthi
- Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
- Section of Hospital Medicine, Department of Medicine, University of Chicago, Chicago, IL, USA.
| | - Daniel Y Johnson
- Pritzker School of Medicine, University of Chicago, Chicago, IL, USA
| | - Spencer Asay
- Pritzker School of Medicine, University of Chicago, Chicago, IL, USA
| | - Alexandra Beem
- Pritzker School of Medicine, University of Chicago, Chicago, IL, USA
| | | | - Grace E Keegan
- Pritzker School of Medicine, University of Chicago, Chicago, IL, USA
| | | | - Samuel Chen
- Pritzker School of Medicine, University of Chicago, Chicago, IL, USA
| | - Shikha Jain
- University of Illinois Cancer Center, University of Illinois College of Medicine, Chicago, IL, USA
| | - Vineet M Arora
- Pritzker School of Medicine, University of Chicago, Chicago, IL, USA
- Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL, USA
| |
Collapse
|
21
|
Linden MA, McKinlay A, Hawley C, Aaro-Jonsson C, Kristiansen I, Meyer-Heim A, Ewing-Cobbs L, Wicks B, Beauchamp MH, Prasad R. Further recommendations of the International Paediatric Brain Injury Society (IPBIS) for the post-acute rehabilitation of children with acquired brain injury. Brain Inj 2024; 38:151-159. [PMID: 38329039 DOI: 10.1080/02699052.2024.2309252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 01/19/2024] [Indexed: 02/09/2024]
Abstract
BACKGROUND Paediatric acquired brain injury is a life-long condition which impacts on all facets of the individual's lived experience. The existing evidence base continues to expand and new fields of enquiry are established as clinicians and researchers uncover the extent of these impacts. PRIMARY OBJECTIVE To add to recommendations described in the International Paediatric Brain Injury Society's 2016 paper on post-acute care for children with acquired brain injury and highlight new areas of enquiry. REVIEW OF INFORMATION Recommendations were made based on the opinions of a group of experienced international clinicians and researchers who are current or past members of the board of directors of the International Paediatric Brain Injury Society. The importance of each recommendation was agreed upon by means of group consensus. OUTCOMES This update gives new consideration to areas of study including injuries which occur in pre-school children, young people in the military, medical referral, young offenders and the use of technology in rehabilitation.
Collapse
Affiliation(s)
- Mark A Linden
- School of Nursing & Midwifery, Queen's University Belfast, Belfast, UK
| | | | - Carol Hawley
- Warwick Medical School - Mental Health and Wellbeing, University of Warwick, UK
| | | | - Ingela Kristiansen
- Department of Pediatric Neurology, Uppsala University Hospital, Uppsala, Sweden
| | - Andreas Meyer-Heim
- Rehabilitation Centre, University Children's Hospital Zürich, Zurich, Switzerland
| | - Linda Ewing-Cobbs
- Department of Pediatrics, UTHealth Houston, McGovern Medical School, USA
| | | | - Miriam H Beauchamp
- Department of Psychology, University of Montréal, Montréal, Québec, Canada
| | - Rajendra Prasad
- Department of Neurosurgery, Indraprastha Apollo Hospitals, New Delhi, India
| |
Collapse
|
22
|
Udayanga S, De Zoysa LS, Bellanthudawa A. Mobilising Communities Prior to Healthcare Interventions: Reflections on the Role of Public Health Midwives Working With Vulnerable Communities of Sri Lanka. Community Health Equity Res Policy 2024:2752535X241232000. [PMID: 38308494 DOI: 10.1177/2752535x241232000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2024]
Abstract
Background: Public health midwives (PHMs) play a frontline role in the Sri Lankan public healthcare system, ensuring the health of children and women at the community level. However, cultural differences in diverse social contexts necessitate PHMs for customised interventions to ensure optimum child and maternal health, particularly in most vulnerable communities.Purpose: The objective of the present study is to explore how PHMs have adapted their roles as community change agents to facilitate community mobilisation before implementing healthcare interventions for children and mothers in the estate sector (a marginalised and vulnerable community) of Sri Lanka.Research Design and methods: Using an exploratory qualitative research design, data were collected through in-depth interviews with 16 participants. The thematic analysis revealed two main themes that describe how PHMs engage in community mobilisation in addition to their designated role as healthcare officials in the estate sector of Sri Lanka.Results: The first theme highlights PHMs' involvement in community mobilisation through context-relevant advocacy for effective service implementation. The second theme illustrates how PHMs' role has been reshaped as advocates to intervene in making the family a supportive institution for child and maternal health. PHMs who work in the estate sector in the country are morally committed to engaging in community mobilisation and advocacy. However, this obligation can be neglected due to the lack of formal arrangements and training in sociocultural determinants of health and working with vulnerable communities.Conclusions: The role of a PHM in the estate sector differs significantly from that in the urban and rural sectors, given the significance of their interventions in family health. Also, community mobilisation is a prerequisite for implementing health policies for child and maternal health in vulnerable communities. Both community-level and family-level advocacy interventions and mobilisation efforts are equally important to establishing a supportive environment, without which any child and maternal healthcare interventions are difficult to implement.
Collapse
Affiliation(s)
- Samitha Udayanga
- Bremen University and Constructor University, Bremen Graduate School of Social Science, Bremen, Germany
| | | | - Aravinda Bellanthudawa
- Department of Agricultural Engineering and Environmental Technology, University of Ruhuna, Matara, Sri Lanka
| |
Collapse
|
23
|
Cater M, Kuruvilla R, Lee J, Alibeji N, Wilaisakditipakorn TJ, Clark M. Resident Experiences in Pathways to Health for Cleveland Refugees: A Pilot Study. Clin Pediatr (Phila) 2024; 63:195-200. [PMID: 37151088 DOI: 10.1177/00099228231171231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Refugee families often report discomfort with navigating the United States health care system, while medical trainees feel unprepared to meet the needs of refugee families. Pediatric residents partnered with a local refugee resettlement organization to create and deliver a user-friendly health care navigation curriculum to newly arrived refugee families. Pediatric residents completed pre-intervention and post-intervention surveys to assess their comfort and interest in working with refugee populations. Residents reported high interest in working with refugees despite little direct experience working with this population. There was a significant increase in residents' reported understanding of refugee health as a result of this intervention. Future research is needed to assess the efficacy of such curricula for both refugee families and pediatric residents.
Collapse
Affiliation(s)
- Mackenzie Cater
- University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH, USA
| | - Rebecca Kuruvilla
- University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH, USA
| | - Jenny Lee
- University of Michigan, Ann Arbor, MI, USA
| | - Naba Alibeji
- University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH, USA
| | | | - Marie Clark
- University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH, USA
| |
Collapse
|
24
|
Morris JL, Armitage S, Davis J, Kaur J, Pretty M, Ea S, Seok J, de Vries I. Professional societies of obstetrics and gynecology as agents of change in sexual and reproductive health: FIGO's 10-country safe abortion advocacy project in Africa and Latin America. Int J Gynaecol Obstet 2024; 164 Suppl 1:31-41. [PMID: 38360034 DOI: 10.1002/ijgo.15334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2024]
Abstract
In 2019, FIGO started implementing its abortion project focusing on advocacy. The Advocacy for Safe Abortion (ASA) Project was conducted in partnership with 10 national professional societies of obstetrics and gynecology in Latin America and Africa. The project aimed to strengthen national societies, support them to be leaders in sexual and reproductive health, and enable them to obtain context-specific advocacy goals that improve access to safe abortion. Innovative monitoring and evaluation methodology enabled tracking of outcomes, consideration of their contribution to success, and cross-country evaluation. The project saw success through some key strategies: institutional capacity strengthening; enhanced work through collaborations; training to increase knowledge and reduce abortion-related stigma with a broad array of stakeholders; and generation and use of evidence to influence decision-makers. This article describes the project and methodology used and provides tangible examples of how societies have been agents of change in their countries and of the need for such important work to continue.
Collapse
|
25
|
Zhang P, Ventrapragada A, Shapiro RE, Do TP. Metaphorical use of "headache" and "migraine" in media: A longitudinal study of 1.3 million articles in major publications. Headache 2024; 64:172-178. [PMID: 38235911 DOI: 10.1111/head.14661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 10/05/2023] [Accepted: 10/09/2023] [Indexed: 01/19/2024]
Abstract
BACKGROUND Stigmatization and trivialization of headache confront individuals with headache disorders, but the degree to which media may contribute is incompletely understood. OBJECTIVE The objective of this study was to quantify the frequency of disparaging metaphorical use of the words "headache" and "migraine" in articles and summaries of major publications. METHODS This longitudinal study analyzed a dataset of 1.3 million articles and summaries written by authors and editors of 38 major publications. Data cover written publications from 1998 up to 2017. The use of the words "headache" or "migraine" in articles and summaries by major publications was rated by two authors (P.Z. and A.V.) as either "metaphorical" or "medical" based on their contextual application. Pearson's chi-squared test was applied to assess differences in the frequency of metaphorical use of "headache" in comparison to "migraine." Secondary outcomes were the source of publication and time of publication. RESULTS A total of 6195 and 740 articles included the words "headache" or "migraine," respectively; 7100 sentences contained the word "headache" and 1652 sentences contained the word "migraine." Among a random sample of 1000 sentences with the word "headache," there was a metaphorical use in 492 (49.2% [95% CI, 46.1-52.3]) sentences. Among a random sample of 1000 sentences with the word "migraine," there was a metaphorical use in 45 (4.5% [95% CI, 3.2-5.8]) sentences. The five most prevalent sources were CNN, Fox News, The New York Times, The Guardian, and The Washington Post. There was an overall increase in the number of articles containing the words "headache" or "migraine" from database inception until analysis (1998 up to 2017). The database included no articles containing either "headache" or "migraine" in 1998; in 2016, this number was 1480 articles. CONCLUSIONS In this longitudinal study, major publications applied a metaphorical use of "headache" about half of the time. The metaphorical use of "headache" is 11-fold greater than the metaphorical use of "migraine" in the same media sample. These depictions may contribute to the trivialization of headache and the stigmatization of individuals with headache disorders. Studies with individuals affected by headache disorders are needed to clarify potential influences.
Collapse
Affiliation(s)
- Pengfei Zhang
- Department of Neurology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
| | - Advika Ventrapragada
- Department of Neuroscience, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Robert E Shapiro
- Department of Neurological Sciences, University of Vermont Larner College of Medicine, Burlington, Vermont, USA
| | - Thien Phu Do
- Department of Neurology, Danish Headache Center, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark
- Danish Knowledge Center on Headache Disorders, Glostrup, Denmark
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| |
Collapse
|
26
|
Cullerton K, Demeshko A, Waller M. Effect of message framing on support for a sugar-sweetened beverage tax in Australia: a cross-sectional survey analysis. Health Promot Int 2024; 39:daad193. [PMID: 38206788 PMCID: PMC10783238 DOI: 10.1093/heapro/daad193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2024] Open
Abstract
Sugar-sweetened beverage (SSB) taxes are present in many countries with evidence that they are effective in decreasing purchases of SSBs. However, in Australia where SSB consumption per capita is high, and calls for an SSB tax are frequent, there is no SSB tax and policymakers have stated their lack of support for such a tax. We examined whether political party voting preference and sociodemographic factors affect individuals' support for an SSB tax, and whether message framing affects this support. A nationally representative sample of 1519 Australian adults was recruited for an online experimental survey. Three persuasive frames and one control frame were randomly provided to participants and measures of agreement towards an SSB tax were assessed. Sociodemographic factors and political party preference were also captured. Message framing had minimal effect on the level of support for the tax. However, participants who received the 'supportive of food and drink companies frame' showed the highest positive feelings towards the tax, and participants in rural areas had higher levels of support for an SSB tax when receiving the 'protecting teenagers' frame. Participants who voted for conservative (right-leaning) parties and for Labour (a centre-left party) had similar levels of support towards the tax, which was considerably lower than Greens voters. Undecided voters had the lowest levels of support for the tax, and the frames had limited impact on them. These findings highlight the potential role of message framing in shaping public support for an SSB tax in Australia, particularly in the context of voting preference and sociodemographic factors.
Collapse
Affiliation(s)
- Katherine Cullerton
- School of Public Health, The University of Queensland, 266 Herston Rd, Herston, Queensland 4006, Australia
| | - Anastassia Demeshko
- School of Public Health, The University of Queensland, 266 Herston Rd, Herston, Queensland 4006, Australia
| | - Michael Waller
- School of Public Health, The University of Queensland, 266 Herston Rd, Herston, Queensland 4006, Australia
| |
Collapse
|
27
|
Brown R, Graham S, Girard J, Moulaison N. Patient Engagement in Provincial and Territorial Medical Association Decision-Making: A Rapid Scoping Review. Cureus 2024; 16:e54400. [PMID: 38505451 PMCID: PMC10948959 DOI: 10.7759/cureus.54400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/18/2024] [Indexed: 03/21/2024] Open
Abstract
In recent years health systems have engaged patient partners in decision-making. Provincial and Territorial Medical Associations (PTMAs) are the sole bargaining agents for physicians. PTMA negotiations with governments are often seen as insular. Adding the patient perspective could add tremendous value to negotiating committees, etc. as PTMAs look to advocate for person-centered care provided by their members. Using rapid scoping review methodology, PubMed was searched for studies reporting on the use of patient partners in PTMA decision-making. Title and abstract screening were conducted by a single reviewer with full-text review screened by two reviewers. The search yielded 231 titles with 10 moving to full-text review and ultimately no titles meeting inclusion criteria. This empty scoping review has identified a paucity of literature reporting on patient engagement in PTMA decision-making. Further research is required to determine the utility of introducing patient partners in this capacity.
Collapse
Affiliation(s)
- Ryan Brown
- Emergency Medicine, Dalhousie University, Halifax, CAN
- Health System Integration and Practice Support, Doctors Nova Scotia, Dartmouth, CAN
| | - Samantha Graham
- Policy and Physician Wellness, Doctors Nova Scotia, Dartmouth, CAN
| | - Jennifer Girard
- Health System Integration and Practice Support, Doctors Nova Scotia, Dartmouth, CAN
| | - Noelle Moulaison
- Health System Integration and Practice Support, Doctors Nova Scotia, Dartmouth, CAN
| |
Collapse
|
28
|
Silverman JA, Chugh A, Hollier JM, Martin N, Raghu VK, Rosas-Blum E, van Tilburg MAL, Venkataraman-Rao P, Venkatesh RD, Lu PL. Using social media for patient care, research, and professional development: A North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition position paper. J Pediatr Gastroenterol Nutr 2024; 78:414-427. [PMID: 38299267 DOI: 10.1002/jpn3.12051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 10/02/2023] [Accepted: 10/15/2023] [Indexed: 02/02/2024]
Abstract
The advent of social media has changed numerous aspects of modern life, with users developing and maintaining personal and professional relationships, following and sharing breaking news and importantly, searching for and disseminating health information and medical research. In the present paper, we reviewed available literature to outline the potential uses, pitfalls and impacts of social media for providers, scientists and institutions involved in digestive health in the domains of patient care, research and professional development. We recommend that these groups become more active participants on social media platforms to combat misinformation, advocate for patients, and curate and disseminate valuable research and educational materials. We also recommend that societies such as NASPGHAN assist its members in accessing training on effective social media use and the creation and maintenance of public-facing profiles and that academic institutions incorporate substantive social media contributions into academic promotion processes.
Collapse
Affiliation(s)
- Jason A Silverman
- Division of Gastroenterology and Nutrition, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada
| | - Ankur Chugh
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Medical College of Wisconsin, Children's Wisconsin, Milwaukee, Wisconsin, USA
| | - John M Hollier
- Division of Gastroenterology, Hepatology, and Nutrition, Baylor College of Medicine, Houston, Texas, USA
| | - Nicole Martin
- Clinical Nutrition, Children's Wisconsin, Milwaukee, Wisconsin, USA
| | - Vikram K Raghu
- Division of Pediatric Gastroenterology, Hepatology, and Nutrition, UPMC Children's Hospital Pittsburgh, Pittsburgh, Pennsylvania, USA
| | | | - Miranda A L van Tilburg
- Department of Internal Medicine, Joan C Edwards School of Medicine, Marshall University, Huntington, West Virginia, USA
| | - Priya Venkataraman-Rao
- Office of Clinical Evidence & Analysis, Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, Maryland, USA
| | - Rajitha D Venkatesh
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Nationwide Children's Hospital, Columbus, Ohio, USA
| | - Peter L Lu
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Nationwide Children's Hospital, Columbus, Ohio, USA
| |
Collapse
|
29
|
Lee A, Schoen J, Scheel JR, Frederick-Dyer K. A CT Scan of Our Earth: The Radiology Department's How-To Guide for Addressing Planetary Health. J Am Coll Radiol 2024; 21:280-284. [PMID: 38042232 DOI: 10.1016/j.jacr.2023.11.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Revised: 11/17/2023] [Accepted: 11/29/2023] [Indexed: 12/04/2023]
Abstract
The planet has a fever, and it is getting worse. Climate change manifests through mechanisms such as extreme weather, shifting disease burden, wildfires, and drought, which all have negative implications on human health. Simultaneously, the health care sector is responsible for 4.6% of global greenhouse gas emissions. As users of some of the hospital's most energy-intensive equipment, radiology departments are key stakeholders in the transition to clean energy. The authors propose a framework to guide radiology departments to advance health care sustainability. The approach outlines how a radiology department can reduce its environmental footprint through appointing a sustainability officer, forming a dedicated green team, incorporating sustainability into the departmental strategic plan, quantifying total greenhouse gas emissions, committing to education, and advocating for systemic change. By delineating a structured path, the authors hope to encourage the transition toward environmentally friendly practices in all radiology practice settings.
Collapse
Affiliation(s)
- Amanda Lee
- Duke University Medical Center, Durham, North Carolina. https://twitter.com/AmandaLeeMD
| | - Julia Schoen
- Wake Forest University, Winston-Salem, North Carolina; and Co-Chair, ACR Sustainability Task Force. https://twitter.com/juliaschoenMD
| | - John R Scheel
- Vice Chair of Global and Planetary Health, Vanderbilt University Medical Center, Nashville, Tennessee. https://twitter.com/JohnRScheel
| | - Katherine Frederick-Dyer
- Radiology Medical Director of CT and the Vanderbilt Ingram Cancer Center and Director of Body MRI, Vanderbilt University Medical Center, Nashville, Tennessee.
| |
Collapse
|
30
|
Juanola van Keizerswaard L, de Vries I, Moran N, Poorter S, Kok M, Zamberlin N, Kim S, Favier M, Chavkin W. The role of healthcare providers in expanding legal abortion: Qualitative insights from Argentina, Ireland, and South Korea. Int J Gynaecol Obstet 2024; 164 Suppl 1:21-30. [PMID: 38360031 DOI: 10.1002/ijgo.15333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2024]
Abstract
Abortion laws are key in creating an enabling environment that facilitates the advancement of people's sexual and reproductive health and rights. Around 50 countries have liberalized their abortion laws in the last decades by adding new grounds allowing abortion. The road toward the expansion of legal abortion is a long, highly sensitive, and difficult process. The specific role of healthcare providers in influencing abortion law reforms has been scarcely studied. With the objective to better understand their (potential) roles, a qualitative study was conducted in 2021 focusing on three countries that had recently liberalized their abortion regulations: Argentina, South Korea, and Ireland. For each country, key informant interviews were conducted with actors in advocacy for legal change, the majority with healthcare providers. The study results indicate that healthcare providers can contribute to the expansion of legal abortion through their influence on public and legal debates. Healthcare providers were found to be scientifically credible and trustworthy. Their voice and argumentation counteracted anti-rights arguments and addressed information gaps, by providing specific clinical experiences and medical information. Healthcare providers amplified women's experiences through their testimonies and had entry points within governmental bodies, which facilitated their advocacy. These healthcare providers often functioned as individual operating obstetrician/gynecologists or general practitioners who were engaged in networks of health professionals or had previous advocacy experience. In a global context of social and political contention around abortion, extending the engagement of healthcare providers in law and policy deliberation on abortion appears to be useful. This requires recognizing the diversity of roles that healthcare providers can take up, creating a safe environment in which they can operate, equipping them with skills that go beyond the medical expert role and facilitating strategic partnerships that seek complementarity between multiple stakeholders, building on the uniqueness of each stakeholder's expertise.
Collapse
Affiliation(s)
| | - Irene de Vries
- KIT Royal Tropical Institute, Amsterdam, The Netherlands
| | - Nicole Moran
- KIT Royal Tropical Institute, Amsterdam, The Netherlands
| | - Saskia Poorter
- KIT Royal Tropical Institute, Amsterdam, The Netherlands
| | - Maryse Kok
- KIT Royal Tropical Institute, Amsterdam, The Netherlands
| | | | - Sunhye Kim
- Ewha Womans University, Seoul, South Korea
| | - Mary Favier
- Doctors for Choice Ireland, Dublin, Ireland
- Start Providers Group, Dublin, Ireland
- Global Doctors for Choice, New York City, New York, USA
| | - Wendy Chavkin
- Global Doctors for Choice, New York City, New York, USA
- Mailman School of Public Health and College Physicians and Surgeons, Columbia University, New York City, New York, USA
| |
Collapse
|
31
|
Gage R, Connor J, Jackson N, McKerchar C, Signal L. Generating political priority for alcohol policy reform: A framework to guide advocacy and research. Drug Alcohol Rev 2024; 43:381-392. [PMID: 38017702 DOI: 10.1111/dar.13782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 10/26/2023] [Accepted: 10/28/2023] [Indexed: 11/30/2023]
Abstract
INTRODUCTION While effective policies exist to reduce alcohol-related harm, political will to enact them is low in many jurisdictions. We aimed to identify key barriers and strategies for strengthening political priority for alcohol policy reform. METHODS A framework synthesis was conducted, incorporating relevant theory, key informant interviews (n = 37) and a scoping review. Thematic analysis informed the development of a framework for understanding and influencing political priority for alcohol policy. RESULTS Twelve barriers and 14 strategies were identified at multiple levels (global, national and local). Major barriers included neoliberal or free trade ideology, the globalised alcohol industry, limited advocate capacity and the normalisation of alcohol harms. Strategies fell into two categories: sector-specific and system change initiatives. Sector-specific strategies primarily focus on influencing policymakers and mobilising civil society. Examples include developing a clear, unified solution, coalition building and effective framing. System change initiatives target structural change to reduce the power imbalance between industry and civil society, such as restricting industry involvement in policymaking and securing sustainable funding for advocacy. A key example is establishing an international treaty, similar to the Framework Convention on Tobacco Control, to support domestic policymaking. DISCUSSION AND CONCLUSIONS Our findings provide a framework for understanding and advancing political priority for alcohol policy. The framework highlights that progress can be achieved at various levels and through diverse groups of actors. The importance of upstream drivers of policymaking was a key finding, presenting challenges for time-poor advocates, but offering potential facilitation through effective global leadership.
Collapse
Affiliation(s)
- Ryan Gage
- Department of Public Health, University of Otago Wellington, Wellington, New Zealand
| | - Jennie Connor
- Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand
| | | | - Christina McKerchar
- Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
| | - Louise Signal
- Department of Public Health, University of Otago Wellington, Wellington, New Zealand
| |
Collapse
|
32
|
Li C, Cheung WC, Burke MM, Taylor JL, DaWalt LS. Examining the associations among knowledge, empowerment, and advocacy among parents of transition-aged youth with autism. Autism 2024:13623613231221126. [PMID: 38270137 DOI: 10.1177/13623613231221126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2024]
Abstract
LAY ABSTRACT Parents of individuals with autism face many challenges in finding appropriate services and support for their children, and they also play an important role in advocating for their children's rights and needs. Despite the increasing availability of advocacy programs, it is still uncertain how to best encourage parents to advocate for their children. This study explored the connection between parents' knowledge and sense of empowerment, and how these factors relate to three types of advocacy activities (i.e. individual, peer, and systemic). The findings reveal that feeling empowered has a greater impact on advocacy than simply having knowledge. In addition, the study found that individual advocacy correlates to more peer advocacy, which also correlates to more systemic advocacy. These results can help researchers and professionals to better develop programs to increase parent advocacy and, in turn, help improve the lives of individuals with autism.
Collapse
|
33
|
Hancher-Rauch H, Auld ME. The Coalition of National Health Education Organizations: Recent Advances to Strengthen the Health Education Profession. Health Promot Pract 2024:15248399231223103. [PMID: 38264913 DOI: 10.1177/15248399231223103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2024]
Abstract
The Coalition of National Health Education Organizations (CNHEO) has existed since 1972, with a mission of bringing together national and international health education organizations who serve within the United States to seek joint actions in support of the health education profession. Much success and collaboration have occurred over the last 50 years, including developing and implementing the 2018-2025 strategic plan. The nine member organizations of the Coalition paused to review individual and collaborative work in addressing shared goals and objectives around policy and mandates, preparation and professional development, credentialing, identity and value of health education, health education workforce and diversity, and research and practice. Findings of this mid-progress strategic plan review suggest that great value is provided to the profession via the collaborative work of organizations (sharing of advocacy alerts and work, supporting training and certification efforts, etc.), but areas for improvement exist (more joint policy statements, better study and support for the profession, etc.). This article outlines important Coalition history for the profession, describes goal and objective accomplishments related to the CNHEO 2018-2025 strategic plan, and makes suggestions for future improvement designed to affect the health of the public and the health education profession.
Collapse
Affiliation(s)
| | - M Elaine Auld
- Society for Public Health Education, Washington, DC, USA
| |
Collapse
|
34
|
Schmutz W, Hejazi A, Brixner D, Arnwine C, Magness J. The Utah Pharmacy Summit: Collaborating to Optimize Patient Care. J Pharm Pract 2024:8971900241228806. [PMID: 38262928 DOI: 10.1177/08971900241228806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2024]
Abstract
Pharmacy has evolved significantly over the past 20 years, despite advances in pharmacotherapy and the expanding scope of pharmacy practice, pharmacists have struggled to collaborate across disciplines to create improved processes that enable the best outcomes from these innovations. A lack of innovation at any part of the healthcare system could inhibit the progress of practice innovations thereby leading to suboptimal patient medication and health outcomes. The Utah Pharmacy Summit was held in late 2022 with the goal of promoting pharmacist collaboration and a unified pharmacist voice within the state. The success of the Summit leads us to encourage collaborative forums across the Globe.
Collapse
Affiliation(s)
- Weston Schmutz
- Academy of Managed Care, Salt Lake City, UT, United States
- Pharmacotherapy Outcomes Research Center, University of Utah College of Pharmacy, Salt Lake City, UT, United States
| | - Andre Hejazi
- Academy of Managed Care, Salt Lake City, UT, United States
- Pharmacotherapy Outcomes Research Center, University of Utah College of Pharmacy, Salt Lake City, UT, United States
| | - Diana Brixner
- Academy of Managed Care, Salt Lake City, UT, United States
- Pharmacotherapy Outcomes Research Center, University of Utah College of Pharmacy, Salt Lake City, UT, United States
| | - Caitlin Arnwine
- Academy of Managed Care, Salt Lake City, UT, United States
- Amgen, Thousand Oaks, CA, United States
| | - Jonathan Magness
- Academy of Managed Care, Salt Lake City, UT, United States
- Magellan Rx Management, Scottsdale, AZ, United States
| |
Collapse
|
35
|
Katapodi MC, Pedrazzani C, Barnoy S, Dagan E, Fluri M, Jones T, Kim S, Underhill-Blazey ML, Uveges MK, Dwyer AA. ACCESS: an empirically-based framework developed by the International Nursing CASCADE Consortium to address genomic disparities through the nursing workforce. Front Genet 2024; 14:1337366. [PMID: 38264211 PMCID: PMC10804848 DOI: 10.3389/fgene.2023.1337366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Accepted: 12/14/2023] [Indexed: 01/25/2024] Open
Abstract
Introduction: Efforts are needed across disciplines to close disparities in genomic healthcare. Nurses are the most numerous trained healthcare professionals worldwide and can play a key role in addressing disparities across the continuum of care. ACCESS is an empirically-based theoretical framework to guide clinical practice in order to ameliorate genomic disparities. Methods: The framework was developed by the International Nursing CASCADE Consortium based on evidence collected between 2005 and 2023 from individuals and families of various ethnic backgrounds, with diverse hereditary conditions, and in different healthcare systems, i.e., Israel, Korea, Switzerland, and several U.S. States. The components of the framework were validated against published scientific literature. Results: ACCESS stands for Advocating, Coping, Communication, cascadE Screening, and Surveillance. Each component is demonstrated in concrete examples of clinical practice within the scope of the nursing profession related to genomic healthcare. Key outcomes include advocacy, active coping, intrafamilial communication, cascade screening, and lifelong surveillance. Advocacy entails timely identification of at-risk individuals, facilitating referrals to specialized services, and informed decision-making for testing. Active coping enhances lifelong adaptation and management of disease risk. Effective intrafamilial communication of predisposition to hereditary disease supports cascade testing of unaffected at-risk relatives. Lifelong surveillance is essential for identifying recurrence, changes in health status, and disease trajectory for life-threatening and for life-altering conditions. Discussion: ACCESS provides a standardized, systematic, situational, and unifying guide to practice and is applicable for nursing and for other healthcare professions. When appropriately enacted it will contribute towards equitable access to genomic resources and services.
Collapse
Affiliation(s)
- Maria C. Katapodi
- International Nursing CASCADE Consortium, Basel, Switzerland
- Department of Clinical Research, University of Basel, Basel, Switzerland
| | - Carla Pedrazzani
- International Nursing CASCADE Consortium, Basel, Switzerland
- Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland
| | - Sivia Barnoy
- International Nursing CASCADE Consortium, Basel, Switzerland
- Nursing Department, Tel-Aviv University, Tel Aviv, Israel
| | - Efrat Dagan
- International Nursing CASCADE Consortium, Basel, Switzerland
- The Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel
| | - Muriel Fluri
- International Nursing CASCADE Consortium, Basel, Switzerland
- Inselspital, Bern University Hospital, Bern, Switzerland
| | - Tarsha Jones
- International Nursing CASCADE Consortium, Basel, Switzerland
- Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, United States
| | - Sue Kim
- International Nursing CASCADE Consortium, Basel, Switzerland
- College of Nursing, Yonsei University, Seoul, Republic of Korea
| | - Meghan L. Underhill-Blazey
- International Nursing CASCADE Consortium, Basel, Switzerland
- School of Nursing, University of Rochester, Rochester, NY, United States
| | - Melissa K. Uveges
- International Nursing CASCADE Consortium, Basel, Switzerland
- William F. Connell School of Nursing, Boston College, Boston, MA, United States
| | - Andrew A. Dwyer
- International Nursing CASCADE Consortium, Basel, Switzerland
- William F. Connell School of Nursing, Boston College, Boston, MA, United States
- Massachusetts General Hospital, Harvard Center for Reproductive Medicine, Boston, MA, United States
| |
Collapse
|
36
|
Adler H, Lewis M, Ng CHM, Brooks C, Leonardi M, Mikocka-Walus A, Bush D, Semprini A, Wilkinson-Tomey J, Condous G, Patravali N, Abbott J, Armour M. Social Media, Endometriosis, and Evidence-Based Information: An Analysis of Instagram Content. Healthcare (Basel) 2024; 12:121. [PMID: 38201027 PMCID: PMC10778603 DOI: 10.3390/healthcare12010121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Revised: 12/20/2023] [Accepted: 12/25/2023] [Indexed: 01/12/2024] Open
Abstract
Social media platforms are used for support and as resources by people from the endometriosis community who are seeking advice about diagnosis, education, and disease management. However, little is known about the scientific accuracy of information circulated on Instagram about the disease. To fill this gap, this study analysed the evidence-based nature of content on Instagram about endometriosis. A total of 515 Instagram posts published between February 2022 and April 2022 were gathered and analysed using a content analysis method, resulting in sixteen main content categories, including "educational", which comprised eleven subcategories. Claims within educational posts were further analysed for their evidence-based accuracy, guided by a process which included fact-checking all claims against the current scientific evidence and research. Of the eleven educational subcategories, only four categories (cure, scientific article, symptoms, and fertility) comprised claims that were at least 50% or greater evidence-based. More commonly, claims comprised varying degrees of evidence-based, mixed, and non-evidence-based information, and some categories, such as surgery, were dominated by non-evidence-based information about the disease. This is concerning as social media can impact real-life decision-making and management for individuals with endometriosis. Therefore, this study suggests that health communicators, clinicians, scientists, educators, and community groups trying to engage with the endometriosis online community need to be aware of social media discourses about endometriosis, while also ensuring that accurate and translatable information is provided.
Collapse
Affiliation(s)
- Hannah Adler
- Centre for Social and Cultural Research, Griffith University, Gold Coast, QLD 4215, Australia;
| | - Monique Lewis
- Centre for Social and Cultural Research, Griffith University, Gold Coast, QLD 4215, Australia;
| | - Cecilia Hoi Man Ng
- Division of Obstetrics and Gynaecology, School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW 2052, Australia; (C.H.M.N.); (J.A.)
- Gynaecological Research and Clinical Evaluation (GRACE) Unit, Royal Hospital for Women, Sydney, NSW 2031, Australia
- National Endometriosis Clinical and Scientific Trials (NECST) Network, University of New South Wales, Sydney, NSW 2052, Australia
| | - Cristy Brooks
- School of Health Sciences, Western Sydney University, Sydney, NSW 2751, Australia
- Translational Health Research Institute, Western Sydney University, Sydney, NSW 2751, Australia;
| | - Mathew Leonardi
- Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON L8S 4LB, Canada
- Robinson Research Institute, University of Adelaide, Adelaide, SA 5006, Australia
| | | | - Deborah Bush
- World Endometriosis Organisations (WEO), Christchurch 8013, New Zealand
| | - Alex Semprini
- Medical Research Institute of New Zealand, Wellington 6021, New Zealand
- School of Biological Sciences, Victoria University of Wellington, Wellington 6021, New Zealand
- NICM Health Research Institute, Western Sydney University, Sydney, NSW 2145, Australia
| | | | - George Condous
- Endometriosis Ultrasound and Advanced Endosurgery Unit, Sydney Medical School Nepean, Sydney, NSW 2747, Australia
- Nepean Hospital, University of Sydney, Sydney, NSW 2747, Australia
| | - Nikhil Patravali
- Nepean Hospital, University of Sydney, Sydney, NSW 2747, Australia
- School of Medicine, University of Sydney, Sydney, NSW 2747, Australia
- Monash IVF, Sydney, NSW 2747, Australia
- Mildura Private Hospital, Mildura, VIC 3500, Australia
| | - Jason Abbott
- Division of Obstetrics and Gynaecology, School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW 2052, Australia; (C.H.M.N.); (J.A.)
- Gynaecological Research and Clinical Evaluation (GRACE) Unit, Royal Hospital for Women, Sydney, NSW 2031, Australia
- National Endometriosis Clinical and Scientific Trials (NECST) Network, University of New South Wales, Sydney, NSW 2052, Australia
| | - Mike Armour
- Translational Health Research Institute, Western Sydney University, Sydney, NSW 2751, Australia;
- NICM Health Research Institute, Western Sydney University, Sydney, NSW 2145, Australia
| |
Collapse
|
37
|
Ceryes C, Smith MN, Agnew J. Protecting Food Service Workers: Opportunities for Advocacy. Workplace Health Saf 2024; 72:39. [PMID: 38111293 DOI: 10.1177/21650799231214263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2023]
Affiliation(s)
| | - Marissa N Smith
- Department of Speech-Language Pathology and Audiology, Towson University
| | - Jacqueline Agnew
- Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health
| |
Collapse
|
38
|
Abstract
BACKGROUND Nurses and nursing students are at risk for negative mental health as a result of significant work stressors from the COVID-19 pandemic. AIMS The purpose of this study was to (1) describe the mental health of nursing students during the COVID-19 pandemic, (2) investigate relationships between stressful COVID-19 experiences and mental health, and (3) examine correlates of mental health service use. METHOD This observational study used a web-based survey to assess COVID-19 experiences, self-reported mental health, and mental health service utilization among nursing students in Los Angeles in spring 2021 (N = 174, 30.1% response rate). The survey used measures of stressful COVID-19 experiences (personal COVID-19 illness, hospitalization of close friends or family, and death of close friends or family), loneliness, resilience, depression, anxiety, COVID-19-related traumatic stress, and utilization of campus and noncampus mental health services. RESULTS Students had high levels of depression (30%), anxiety (38%), and traumatic stress (30%). There was no relationship between stressful COVID-19 experiences and mental health, but loneliness was associated with higher odds of mental health problems and resilience with lower odds. Mental health problems were not associated with use of campus or noncampus mental health services. Students with primary caregiving responsibilities (OR = 0.22, 95% CI [0.05, 0.87]) and students who identified as Asian/Pacific Islander (OR = 0.24, 95% CI [0.09, 0.70]) had lower odds of mental health service utilization. CONCLUSIONS Resilience and loneliness affect nursing student risk for negative mental health as a result of the COVID-19 pandemic. Targeted, accessible mental health support within nursing education programs may be warranted.
Collapse
Affiliation(s)
- Cecilia Jardon
- Cecilia Jardon, University of California, Los Angeles, CA, USA
| | - Kristen R Choi
- Kristen R. Choi, PhD, RN, FAAN, University of California, Los Angeles, CA, USA
| |
Collapse
|
39
|
Esce AR, Shuman AG. Drug Shortages and Otolaryngology. Otolaryngol Head Neck Surg 2024; 170:293-295. [PMID: 37668171 DOI: 10.1002/ohn.514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 08/12/2023] [Indexed: 09/06/2023]
Abstract
Every year in the United States, hundreds of shortages of life-saving, essential drugs impact patients and health care workers. While otolaryngologists may be shielded from these relative to other specialties, there is still a significant clinical impact with potentially dangerous consequences. Shortages of local anesthetics lead to increased costs, labor demands, and risk of medical errors. Shortages of cisplatin and carboplatin, workhorses in head and neck oncology, may leave patients without proven alternative therapies. The economic and geopolitical challenges that provoke these shortages are well described. So too are potential solutions at the national, regional, and local levels. Otolaryngologists have a responsibility to contribute to coordinated responses to drug shortages to protect and advocate for their current and future patients.
Collapse
Affiliation(s)
- Antoinette R Esce
- Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA
| | - Andrew G Shuman
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA
- Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA
| |
Collapse
|
40
|
Lennon T, Ruddy J, Badesch B, Krueger C, Solomon B, Hoops K. Pediatric Residents' Outpatient Firearm Screening and Safety Counseling Practices (Or Lack Thereof): A Retrospective Chart Review. Health Promot Pract 2024; 25:29-32. [PMID: 36995124 DOI: 10.1177/15248399231164909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/31/2023]
Abstract
The American Academy of Pediatrics recommends that children and adolescents be universally screened for access to firearms and exposure to violence. The purpose of this study was to characterize how often pediatric residents at one institution document screening for firearm access and violence risk factors and provide risk reduction counseling in the primary care setting. A retrospective chart review was conducted at two primary care clinics in Baltimore, Maryland, for patient ages 10 to 25 years who were seen by resident physicians for well care between October 2019 and December 2020. We reviewed 169 patients' charts meeting the inclusion criteria. Forty (24%) patients had a documented history of exposure to violence or history of suicidal ideation. Based on resident documentation, one (<1%) patient was screened for firearm access or exposure to firearm violence and 10 (6%) were provided risk reduction counseling or any type of firearm safety counseling. Pediatric resident physicians at our institution rarely screen for firearm access or provide violence prevention counseling in the primary care setting. Targeted interventions and quality improvement projects are needed to address screening barriers and design novel interventions to overcome these barriers.
Collapse
Affiliation(s)
- Tyler Lennon
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
| | - Jake Ruddy
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Columbia University Irving Medical Center, New York City, NY, USA
| | | | - Christine Krueger
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Yale University, New Haven, CT, USA
| | - Barry Solomon
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Katherine Hoops
- Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| |
Collapse
|
41
|
Galagoda GCS, Perera J, de Silva R, Wickramasinghe HT, Dasanayake D, Bravo L, Ismail Z, Goh DYT, Nelson EAS. ASVAC2022 : 8 th Asian Vaccine Conference. Hum Vaccin Immunother 2023; 19:2165360. [PMID: 36655357 PMCID: PMC9980669 DOI: 10.1080/21645515.2023.2165360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
Aiming to further the Immunization Partners in Asia Pacific (IPAP)'s vision of a world where no one suffers from a vaccine preventable disease, the 8th Asian Vaccine Conference (ASVAC 2022) was held in Colombo, Sri Lanka and virtually from 15 to 18, September 2022 (www.asianvaccine.com). This conference followed those held in Siem Reap, Cambodia (2009), Manila, Philippines (2010), Jakarta, Indonesia (2011), Cebu, Philippines (2013), Hanoi, Vietnam (2015), Singapore (2017) and Naypyidaw and Yangon, Myanmar (2019). The ASVAC2022 themed "Immunization: in Era of Pandemics," commenced with the EPI Managers' Workshop, followed by pre-conference workshops and Vaccinology Masterclass, followed by the main conference featuring 5 plenary lectures, 6 partner-led symposia, free paper and poster presentations, and industry-supported lunch and evening sessions. There were over 1830 registered participants, with 112 attending in person and 998 virtually from 63 countries. The conference was organized by IPAP and hosted by the Vaccine and Infectious Disease Forum of Sri Lanka, Sri Lanka College of Pediatricians, Sri Lanka College of Microbiologists and College of General Practitioners of Sri Lanka, with the support of the Ministry of Health, Sri Lanka. The 9th ASVAC is scheduled to be held in Davao City, Philippines in late 2023.
Collapse
Affiliation(s)
| | - Jennifer Perera
- Department of Medical Microbiology and Immunology, University of Colombo, Colombo, Sri Lanka
| | - Rajiva de Silva
- Department of Immunology, Medical Research Institute, Colombo 8, Sri Lanka
| | - H T Wickramasinghe
- Department of Paediatrics, Neville Fernando Teaching Hospital, Colombo, Sri Lanka
| | | | - Lulu Bravo
- Department of Pediatrics, University of the Philippines Manila, Manila, Philippines
| | - Zulkifli Ismail
- Department of Paediatrics, KPJ Selangor Specialist Hospital, Shah Alam, Malaysia.,Graduate School, KPJ Healthcare University College, Nilai, Malaysia
| | - Daniel Y T Goh
- Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - E Anthony S Nelson
- School of Medicine, The Chinese University of Hong Kong, Shenzhen, Guangdong, PR China.,Department of Paediatrics, The Chinese University of Hong Kong, Shatin, Hong Kong, PR China
| |
Collapse
|
42
|
Wilson L, Hamwi S, Zanni F, Lomazzi M. Global public health policies: gathering public health associations' perspectives. Glob Health Action 2023; 16:2183596. [PMID: 36856722 PMCID: PMC9979982 DOI: 10.1080/16549716.2023.2183596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023] Open
Abstract
BACKGROUND Advocacy is one of the core functions of public health and is a key tool for achieving Sustainable Development Goals. Public health associations play a key role in advocating for the development and implementation of strategies to prevent diseases and promote health and well-being. OBJECTIVE This study aims to map out the focus of public health advocacy carried out by selected national public health associations over 4 years, between 2018 and 2021, in order to identify gaps and strengths and support associations and professionals in their advocacy efforts. METHODS Twelve national public health associations participated in the study. Official policy documents produced between 2018 and 2021 were collected and analysed. The title and summary of the policy documents were examined line by line and coded into the main subject categories and themes. A qualitative thematic analysis was conducted. Policies were assessed from global and regional perspectives. RESULTS A total of 220 policy documents were analysed. Overall, the largest number of policy documents came from high-income countries and dealt with environmental health and communicable diseases, including COVID-19, with, however, important differences among regions. In the African region, public health advocacy focused mainly on strengthening health systems; Europe and South America were mostly concerned with communicable diseases and pandemic management; and North America and the Western Pacific regions focused primarily on climate change. Limited attention was paid to international health and health as a human right in all regions. CONCLUSION Our study showed that, especially in high-income countries, public health associations actively engage in advocacy; however, more effort needs to be devoted to implementing a more international and intersectoral approach at the global level, anchored in health as a human right and aligned with the Sustainable Development Goals.
Collapse
Affiliation(s)
- Liny Wilson
- World Federation of Public Health Associations c/o Institute of Global Health, University of Geneva, Geneva, Switzerland
| | - Sousan Hamwi
- World Federation of Public Health Associations c/o Institute of Global Health, University of Geneva, Geneva, Switzerland.,EPIUnit, Institute of Public Health of the University of Porto, Porto, Portugal
| | - Francesca Zanni
- World Federation of Public Health Associations c/o Institute of Global Health, University of Geneva, Geneva, Switzerland.,Department of Biomedical and Neuromotor Sciences, School of Public Health, University of Bologna, Bologna, Italy
| | - Marta Lomazzi
- World Federation of Public Health Associations c/o Institute of Global Health, University of Geneva, Geneva, Switzerland.,Institute of Global Health, University of Geneva, Geneva, Switzerland
| |
Collapse
|
43
|
Vernon VP. Legislation targeting sexual and gender minorities: A call to action. Am J Health Syst Pharm 2023:zxad319. [PMID: 38156456 DOI: 10.1093/ajhp/zxad319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Indexed: 12/30/2023] Open
Abstract
In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.
Collapse
Affiliation(s)
- Veronica P Vernon
- Butler University College of Pharmacy and Health Sciences, Indianapolis, IN, USA
| |
Collapse
|
44
|
Anderson MG, Anuar A, Tomei KL, Schwalb JM, Orrico KO, Sigounas D, Puffer RC, Bohl MA, Lonser RR, Martin JE. Survey of United States neurosurgeons on firearm injury prevention. J Neurosurg 2023:1-11. [PMID: 38134420 DOI: 10.3171/2023.11.jns231961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 11/21/2023] [Indexed: 12/24/2023]
Abstract
OBJECTIVE Firearm-related injuries and deaths are an endemic problem in the US, posing a burden on the healthcare system with significant social and economic consequences. As front-line care providers for these patients, neurosurgeons are both knowledgeable about these injuries and credible messengers in the public discussion of ways to reduce firearm injuries. The purpose of this study was to explore US-based neurosurgeons' views and behaviors regarding firearms to understand and define a potential role for neurosurgical organizations in advocacy efforts to reduce firearm death and injuries. METHODS The authors conducted an anonymous survey of US neurosurgeons using the American Association of Neurological Surgeons (AANS) member database from April to June 2023. The 22-question survey included questions related to firearm ownership, personal views on firearms, and support for both general and policy-specific advocacy efforts to reduce firearm deaths and injuries. RESULTS The survey response rate was 20.7%, with 1568 of the 7587 members invited completing the survey. The survey completion rate was 93.4%, with 1465 of the 1568 surveys completed and included in this analysis. The majority of respondents were male (raw: 81.7%; weighted 81.1%), White (raw: 69.7%; weighted 70.2%), and older than 50 years (raw: 56.2%; weighted: 54%). Most respondents reported treating patients with firearm injuries (raw: 83.3%; weighted: 82%), 85.5% (weighted: 85.1%) had used a firearm, and 42.4% (weighted: 41.5%) reported owning a firearm. Overall, 78.8% (weighted: 78.7%) of respondents felt that organized neurosurgery should participate in advocacy efforts. When examining individual policies, those that restrict the acquisition of firearms garnered the support of at least 65% of respondents, while nonrestrictive policies were supported by more than 75% of respondents. Free-text responses provided insight into both motivations for and objections to organizational advocacy. CONCLUSIONS The majority of US-based neurosurgeons support involvement in advocacy efforts to reduce firearm deaths and injuries. Themes expressed by members both supporting and objecting to advocacy provide insight into approaches that could ensure broad support. Neurosurgical organizations such as the AANS and Congress of Neurological Surgeons may use the results of this survey to make informed decisions regarding involvement in advocacy efforts on behalf of their membership to lessen the burden of firearm injury in the US.
Collapse
Affiliation(s)
- Megan G Anderson
- 1Division of Neurosurgery, Connecticut Children's, Hartford, Connecticut
- 2Research Operations and Development, Connecticut Children's, Hartford, Connecticut
| | - Amirul Anuar
- 2Research Operations and Development, Connecticut Children's, Hartford, Connecticut
| | - Krystal L Tomei
- 3Rainbow Babies & Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Jason M Schwalb
- 4Department of Neurosurgery, Henry Ford Medical Group, Detroit, Michigan
| | - Katie O Orrico
- 5Washington Office, American Association of Neurological Surgeons/Congress of Neurosurgeons, Washington, DC
| | - Dimitri Sigounas
- 6Department of Neurosurgery, George Washington University, Washington, DC
| | - Ross C Puffer
- 7Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, Maryland
| | - Michael A Bohl
- 8Carolina Neurosurgery & Spine Associates, Greensboro, North Carolina
| | - Russell R Lonser
- 9Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio; and
| | - Jonathan E Martin
- 1Division of Neurosurgery, Connecticut Children's, Hartford, Connecticut
- 10Department of Surgery, University of Connecticut School of Medicine, Farmington, Connecticut
| |
Collapse
|
45
|
Nguyen L, Dawe-McCord C, Frost M, Arafeh M, Chambers K, Arafeh D, Pozniak K, Thomson D, Mosel J, Cardoso R, Galuppi B, Strohm S, Via-Dufresne Ley A, Cassidy C, McCauley D, Doucet S, Alazem H, Fournier A, Marelli A, Gorter JW. A commentary on the healthcare transition policy landscape for youth with disabilities or chronic health conditions, the need for an inclusive and equitable approach, and recommendations for change in Canada. Front Rehabil Sci 2023; 4:1305084. [PMID: 38192636 PMCID: PMC10773791 DOI: 10.3389/fresc.2023.1305084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 11/27/2023] [Indexed: 01/10/2024]
Abstract
There is a growing number of youth with healthcare needs such as disabilities or chronic health conditions who require lifelong care. In Canada, transfer to the adult healthcare system typically occurs at age 18 and is set by policy regardless of whether youth and their families are ready. When the transition to adult services is suboptimal, youth may experience detrimental gaps in healthcare resulting in increased visits to the emergency department and poor healthcare outcomes. Despite the critical need to support youth with disabilities and their families to transition to the adult healthcare system, there is limited legislation to ensure a successful transfer or to mandate transition preparation in Canada. This advocacy and policy planning work was conducted in partnership with the Patient and Family Advisory Council (PFAC) within the CHILD-BRIGHT READYorNot™ Brain-Based Disabilities (BBD) Project and the CHILD-BRIGHT Policy Hub. Together, we identified the need to synthesize and better understand existing policies about transition from pediatric to adult healthcare, and to recommend solutions to improve healthcare access and equity as Canadian youth with disabilities become adults. In this perspective paper, we will report on a dialogue with key informants and make recommendations for change in healthcare transition policies at the healthcare/community, provincial and/or territorial, and/or national levels.
Collapse
Affiliation(s)
- Linda Nguyen
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON, Canada
| | - Claire Dawe-McCord
- Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
- Bachelor of Health Sciences Program, McMaster University, Hamilton, ON, Canada
- Patient and Family Advisory Council (young adult/patient partner), READYorNot™ Brain-Based Disabilities Project, CHILD-BRIGHT Network, Canada
| | - Michael Frost
- Patient and Family Advisory Council (young adult/patient partner), READYorNot™ Brain-Based Disabilities Project, CHILD-BRIGHT Network, Canada
| | - Musa Arafeh
- Patient and Family Advisory Council (young adult/patient partner), READYorNot™ Brain-Based Disabilities Project, CHILD-BRIGHT Network, Canada
| | - Kyle Chambers
- Patient and Family Advisory Council (young adult/patient partner), READYorNot™ Brain-Based Disabilities Project, CHILD-BRIGHT Network, Canada
| | - Dana Arafeh
- Patient and Family Advisory Council (young adult/patient partner), READYorNot™ Brain-Based Disabilities Project, CHILD-BRIGHT Network, Canada
| | - Kinga Pozniak
- Patient and Family Advisory Council (Parent/Family Partner), READYorNot™ Brain-Based Disabilities Project, CHILD-BRIGHT Network, Canada
| | - Donna Thomson
- Patient and Family Advisory Council (Parent/Family Partner), READYorNot™ Brain-Based Disabilities Project, CHILD-BRIGHT Network, Canada
| | - JoAnne Mosel
- Patient and Family Advisory Council (Parent/Family Partner), READYorNot™ Brain-Based Disabilities Project, CHILD-BRIGHT Network, Canada
| | | | - Barb Galuppi
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON, Canada
| | - Sonya Strohm
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON, Canada
| | | | - Caitlin Cassidy
- Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Dayle McCauley
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON, Canada
| | - Shelley Doucet
- Nursing and Health Sciences, University of New Brunswick, Saint John, NB, Canada
| | - Hana Alazem
- Department of Pediatrics, Faculty of Medicine, University of Ottawa and Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada
| | - Anne Fournier
- CHU Mère-Enfant, Sainte Justine Hospital, Montreal, QC, Canada
| | - Ariane Marelli
- Department of Medicine, Faculty of Medicine, McGill University, Montreal, QC, Canada
| | - Jan Willem Gorter
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON, Canada
- Department of Rehabilitation, Physical Therapy Science and Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, Netherlands
- Centre of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, Netherlands
| |
Collapse
|
46
|
Suarez-Balcazar Y, Balcazar F, Labbe D, McDonald KE, Keys C, Taylor-Ritzler T, Anderson SM, Agner J. Disability rights and empowerment: Reflections on AJCP research and a call to action. Am J Community Psychol 2023; 72:317-327. [PMID: 37853910 DOI: 10.1002/ajcp.12710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 06/06/2023] [Accepted: 08/22/2023] [Indexed: 10/20/2023]
Abstract
People living with physical, sensory, intellectual, and/or developmental disabilities experience complex social, environmental, political, and cultural challenges along with stigma and marginalization in education, employment, and community life. These multiple and complex barriers often hinder their full and effective participation in society. In this reflection, we curated articles on physical, sensory, intellectual, and/or developmental disabilities published in the American Journal of Community Psychology from 1973 to 2022. We reviewed titles and abstracts to identify themes that grouped manuscripts in relevant community psychology core concepts and values. From our analysis, five themes emerged: (a) promoting empowerment and advocacy; (b) promoting organizations and settings that support people with disabilities; (c) including people with disabilities in knowledge production; (d) promoting social justice in disability research, and (e) promoting support networks of families of people with disabilities. We conclude this reflection with a discussion of recommendations for future research, practice, and a call to action.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | - Joy Agner
- University of Southern California, Los Angeles, California, USA
| |
Collapse
|
47
|
Clark C, Staszewska K, Dolker T, Ravindran TKS. Advocacy for resourcing feminist and women's rights movements: an interview with the association for women's rights in development (AWID). Sex Reprod Health Matters 2023; 31:2214979. [PMID: 37352014 PMCID: PMC10291897 DOI: 10.1080/26410397.2023.2214979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/25/2023] Open
Affiliation(s)
- Cindy Clark
- Former Co-executive Director, AWID, Toronto, Canada
| | | | - Tenzin Dolker
- Resourcing Feminists Movements Lead, AWID, Toronto, Canada
| | - T K Sundari Ravindran
- Sexual and Reproductive Health Matters (Interviewer), Kerala, India. Correspondence:
| |
Collapse
|
48
|
Wagner GJ, Matovu JKB, Juncker M, Namisango E, Beyeza-Kashesya J, Wanyenze RK. Knowledge Mediates the Effects of Game Changers for Cervical Cancer Prevention (GC-CCP) Intervention on Increased VIA Screening Advocacy in Uganda. Cancer Prev Res (Phila) 2023; 16:689-697. [PMID: 37768937 PMCID: PMC10843060 DOI: 10.1158/1940-6207.capr-23-0262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 08/14/2023] [Accepted: 09/26/2023] [Indexed: 09/30/2023]
Abstract
Game Changers for Cervical Cancer Prevention (GC-CCP), a group advocacy training intervention, has been shown to increase cervical cancer prevention and screening advocacy. In this secondary analysis, we examined mediators and moderators of this effect. A randomized controlled trial of GC-CCP-a 7-session, peer led intervention designed to empower women to engage in cervical cancer prevention advocacy-was conducted with women who had recently been screened by visual inspection of the cervix with acetic acid for cervical cancer. Participants were assessed at baseline and month 6 follow-up. Cervical cancer-related constructs targeted by the intervention were examined as mediators using multivariate linear regression analysis. Individual and social network characteristics were examined as moderators. Change in cervical cancer knowledge fully mediated the intervention effect on increased cervical cancer prevention advocacy; change in cervical cancer risk management self-efficacy was a partial mediator. Moderators of the effect included no secondary education, having a main sex partner, and having trustworthy, supportive, non-stigmatizing peers. The effect of GC-CCP on cervical cancer prevention advocacy seems largely driven by its impact on cervical cancer knowledge, and the intervention may be most effective among women who are partnered, less educated, and have trusting, supportive social networks. PREVENTION RELEVANCE Enhancing cervical cancer knowledge among women who have screened for cervical cancer is key to empowering these women to engage in cervical cancer prevention advocacy and acting as change agents for encouraging other women to screen.
Collapse
Affiliation(s)
| | - Joseph KB Matovu
- Makerere University, School of Public Health, Kampala, Uganda
- Busitema University Faculty of Health Sciences, Mbale, Uganda
| | | | - Eve Namisango
- African Palliative Care Association, Kampala, Uganda
| | - Jolly Beyeza-Kashesya
- Mulago Specialized Women and Neonatal Hospital, Kampala, Uganda
- Makerere University, School of Medicine, Kampala, Uganda
| | | |
Collapse
|
49
|
Dewani D, Karwade P, Mahajan KS. The Invisible Struggle: The Psychosocial Aspects of Polycystic Ovary Syndrome. Cureus 2023; 15:e51321. [PMID: 38288169 PMCID: PMC10823298 DOI: 10.7759/cureus.51321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Accepted: 12/30/2023] [Indexed: 01/31/2024] Open
Abstract
Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder with multifaceted manifestations, affecting both physiological and psychosocial aspects of affected individuals. This abstract provides a succinct overview of the hormonal underpinnings in the pathogenesis of PCOS, focusing on altered luteinizing hormone (LH) action, insulin resistance, and hyperandrogenism. A prevailing theory suggests that insulin resistance exacerbates hyperandrogenism by influencing the synthesis of sex hormone-binding globulin and increasing androgen production from adrenal and ovarian sources. PCOS diagnosis relies on specific criteria related to hyperandrogenism, ovulatory dysfunction, and the presence of polycystic ovaries. Beyond its physical symptoms, PCOS profoundly impacts women's mental health and quality of life. The prevalence of PCOS underscores the urgency of understanding its hormonal intricacies. Insulin resistance and hyperandrogenism, particularly in the context of sex hormone-binding globulin suppression, play a central role in PCOS pathogenesis. Recognizing the key role of hormones, particularly insulin resistance and hyperandrogenism, provides a foundation for targeted interventions and treatment strategies. A comprehensive approach to PCOS must consider both its physiological and psychosocial dimensions to address the challenges faced by affected individuals.
Collapse
Affiliation(s)
- Deepika Dewani
- Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Pravin Karwade
- Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Kalyani S Mahajan
- Department of Obstetrics and Gynecology, Symbiosis Medical College for Women, Symbiosis International University, Pune, IND
| |
Collapse
|
50
|
Newton J, Wellman A, Ochoa L, Reinschmidt A, Vassar SJ, Vargas M, Kenyon DB, Frohm M. Young women in sororities more likely to have used tanning beds and report improved appearance and self-confidence with tan skin. Int J Womens Dermatol 2023; 9:e116. [PMID: 38028022 PMCID: PMC10653597 DOI: 10.1097/jw9.0000000000000116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Revised: 04/21/2023] [Accepted: 10/11/2023] [Indexed: 12/01/2023] Open
Affiliation(s)
- Jazmin Newton
- Department of Dermatology, University of South Dakota Sanford School of Medicine, Vermillion, South Dakota
| | - Allen Wellman
- Department of Dermatology, University of South Dakota Sanford School of Medicine, Vermillion, South Dakota
| | - Lauren Ochoa
- Department of Dermatology, University of South Dakota Sanford School of Medicine, Vermillion, South Dakota
| | - Alyssa Reinschmidt
- Department of Dermatology, University of South Dakota Sanford School of Medicine, Vermillion, South Dakota
| | - Samuel John Vassar
- Department of Dermatology, University of South Dakota Sanford School of Medicine, Vermillion, South Dakota
| | - Minga Vargas
- School of Public Health, University of South Dakota School of Health Sciences, Vermillion, South Dakota
| | - DenYelle B. Kenyon
- Department of Dermatology, University of South Dakota Sanford School of Medicine, Vermillion, South Dakota
- School of Public Health, University of South Dakota School of Health Sciences, Vermillion, South Dakota
| | - Marcus Frohm
- Department of Dermatology, University of South Dakota Sanford School of Medicine, Vermillion, South Dakota
| |
Collapse
|