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Henriquez J, van de Ven W, Melia A, Paolucci F. The roads to managed competition for mixed public-private health systems: a conceptual framework. HEPL 2024:1-16. [PMID: 38562087 DOI: 10.1017/s1744133123000373] [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: 04/04/2024]
Abstract
Health systems' insurance/funding can be organised in several ways. Some countries have adopted systems with a mixture of public-private involvement (e.g. Australia, Chile, Ireland, South Africa, New Zealand) which creates two-tier health systems, allowing consumers (groups) to have preferential access to the basic standard of care (e.g. skipping waiting times). The degree to which efficiency and equity are achieved in these types of systems is questioned. In this paper, we consider integration of the two tiers by means of a managed competition model, which underpins Social Health Insurance (SHI) systems. We elaborate a two-part conceptual framework, where, first, we review and update the existing pre-requisites for the model of managed competition to fit a broader definition of health systems, and second, we typologise possible roadmaps to achieve that model in terms of the insurance function, and focus on the consequences on providers and governance/stewardship.
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Affiliation(s)
- Josefa Henriquez
- College of Human and Social Futures, Newcastle Business School, University of Newcastle, Callaghan, NSW, Australia
| | - Wynand van de Ven
- Erasmus School of Health Policy & Management, Health Systems and Insurance (HSI), Erasmus University, Rotterdam, The Netherlands
| | - Adrian Melia
- College of Human and Social Futures, Newcastle Business School, University of Newcastle, Callaghan, NSW, Australia
| | - Francesco Paolucci
- College of Human and Social Futures, Newcastle Business School, University of Newcastle, Callaghan, NSW, Australia
- Department of Sociology and Business Law, School of Economics and Statistics, University of Bologna, Bologna, Italy
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Hong YA, Shen K, Han HR, Ta Park V, Lu HK, Cleaveland C. 'It's a lonely journey': caregiving experiences and psychosocial distress among Chinese American dementia family caregivers. Aging Ment Health 2024; 28:466-472. [PMID: 38038630 DOI: 10.1080/13607863.2023.2285918] [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] [Received: 06/30/2023] [Accepted: 11/10/2023] [Indexed: 12/02/2023]
Abstract
OBJECTIVES Chinese American family caregivers of persons with Alzheimer's disease and related dementia (ADRD) are a vulnerable but understudied population. The goal of this qualitative study was to examine their caregiving experiences and psychosocial distress process and explore intervention strategies. METHODS In-depth individual interviews were conducted with 18 Chinese American dementia caregivers. All interviews were transcribed verbatim; thematic content analysis was conducted to construct a conceptual framework. RESULTS All participants reported high levels of caregiving stress associated with care-recipients' advanced symptoms and required assistance in activities in daily living. The relationship of caregiver and care-recipient was strained in their roles transition. The complex healthcare system, insurance policies, and a lack of linguistically appropriate services aggravated their psychosocial distress. Chinese cultural norms on 'family harmony' hindered their seeking of social support. Prolonged caregiving stress led to physical and mental impairment, including poor sleep, depression, and chronic conditions. Participants described their caregiving experience as 'a lonely journey' with a pervasive sense of hopelessness and withdrawal; their distress process was positively or negatively influenced by their coping strategies. All participants were eager for any kind of support; especially culturally appropriate programs that could improve their caregiving skills, self-care, and access to services. CONCLUSION Our data suggest that Chinese American dementia caregivers, especially those with limited English proficiency, experience elevated psychosocial distress, which was aggravated by the barriers to social support and health services due to their immigrant and minority status. Culturally appropriate targeted intervention is urgently needed for this underserved and vulnerable population.
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Affiliation(s)
- Y Alicia Hong
- Department of Health Administration and Policy, College of Public Health, George Mason University, Fairfax, VA, USA
| | - Kang Shen
- Department of Health Administration and Policy, College of Public Health, George Mason University, Fairfax, VA, USA
| | - Hae-Ra Han
- School of Nursing, Johns Hopkins University, Baltimore, MD, USA
| | - Van Ta Park
- Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA
| | - Huixing Kate Lu
- Chinese Culture and Community Service Center, Inc, Gaithersburg, MD, USA
| | - Carol Cleaveland
- Department of Social Work, College of Public Health, George Mason University, Fairfax, VA, USA
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Stanley PL, Wilson C, Patterson E, Machmuller MB, Cotrufo MF. Ruminating on soil carbon: Applying current understanding to inform grazing management. Glob Chang Biol 2024; 30:e17223. [PMID: 38454532 DOI: 10.1111/gcb.17223] [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: 12/10/2023] [Revised: 02/19/2024] [Accepted: 02/22/2024] [Indexed: 03/09/2024]
Abstract
Among options for atmospheric CO2 removal, sequestering soil organic carbon (SOC) via improved grazing management is a rare opportunity because it is scalable across millions of globally grazed acres, low cost, and has high technical potential. Decades of scientific research on grazing and SOC has failed to form a cohesive understanding of how grazing management affects SOC stocks and their distribution between particulate (POM) and mineral-associated organic matter (MAOM)-characterized by different formation and stabilization pathways-across different climatic contexts. As we increasingly look to grazing management for SOC sequestration on grazinglands to bolster our climate change mitigation efforts, we need a clear and collective understanding of grazing management's impact on pathways of SOC change to inform on-the-ground management decisions. We set out to review the effects of grazing management on SOC through a unified plant ecophysiology and soil biogeochemistry conceptual framework, where elements such as productivity, input quality, soil mineral capacity, and climate variables such as aridity co-govern SOC accumulation and distribution into POM and MAOM. To maximize applicability to grazingland managers, we discuss how common management levers that drive overall grazing pattern, including timing, intensity, duration, and frequency can be used to optimize mechanistic pathways of SOC sequestration. We discuss important research needs and measurement challenges, and highlight how our conceptual framework can inform more robust research with greater applicability for maximizing the use of grazing management to sequester SOC.
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Affiliation(s)
- Paige L Stanley
- Department of Soil and Crop Science, Colorado State University, Fort Collins, Colorado, USA
| | - Chris Wilson
- Agronomy Department, University of Florida, Gainesville, Florida, USA
| | - Erica Patterson
- Graduate Degree Program in Ecology, Colorado State University, Fort Collins, Colorado, USA
| | - Megan B Machmuller
- Department of Soil and Crop Science, Colorado State University, Fort Collins, Colorado, USA
| | - M Francesca Cotrufo
- Department of Soil and Crop Science, Colorado State University, Fort Collins, Colorado, USA
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Linda NSB, Klopper HC, Phetlhu DR. Development of a conceptual framework for teaching-learning of spiritual care in nursing education. Curationis 2024; 47:e1-e8. [PMID: 38426793 PMCID: PMC10912879 DOI: 10.4102/curationis.v47i1.2461] [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: 12/21/2022] [Revised: 12/07/2023] [Accepted: 12/19/2023] [Indexed: 03/02/2024] Open
Abstract
BACKGROUND Conceptual frameworks are not only necessary for maintaining and preserving nursing knowledge through their unique contribution, but they also assist in the organisation and provision of complex nursing interventions. The lack of formal integration of spiritual care in health professions' education is blamed on the unavailability of guiding models among other challenges such as unavailability of relevant theories. OBJECTIVES The objective of this article was to describe the process followed to develop a conceptual framework as the basis for a practice theory for teaching-learning of spiritual care in nursing. METHOD An overall theory generative methodology was used. To develop the conceptual framework, conclusion statements deduced from empirical data using deductive and inductive strategies were applied. RESULTS The main concepts were identified, described, and classified. The relationship between concepts promoted synergy of the developed conceptual framework for teaching spiritual care in nursing. CONCLUSION The developed conceptual framework was founded on the notion that knowledge from different sources can provide a solid base in theory generation. Therefore, the concepts of the developed conceptual framework were not only related to what is 'ideal'; instead, their significance was underpinned by the created universal meanings for effective purposeful communication. Therefore, sources used to obtain data were critical in the development of the conceptual framework because they constituted different ways of perceiving and understanding the world.Contribution: The conceptual framework does not only guide nursing interventions but framework also provides a philosophical guide in meeting patient-centred diverse needs.
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Affiliation(s)
- Ntombizodwa S B Linda
- Department of Nursing, Faculty of Science, Agriculture and Engineering, University of Zululand, Empangeni.
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Hartmann M, Nyblade L, Otticha S, Marton T, Agot K, Roberts ST. The development of a conceptual framework on PrEP stigma among adolescent girls and young women in sub-Saharan Africa. J Int AIDS Soc 2024; 27:e26213. [PMID: 38379129 PMCID: PMC10879468 DOI: 10.1002/jia2.26213] [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: 06/01/2023] [Accepted: 01/17/2024] [Indexed: 02/22/2024] Open
Abstract
INTRODUCTION Stigma is a well-known barrier to HIV testing and treatment and is an emerging barrier to pre-exposure prophylaxis (PrEP) use. To guide future research, measurement and interventions, we developed a conceptual framework for PrEP stigma among adolescent girls and young women (AGYW) in sub-Saharan Africa, a priority population for PrEP. METHODS A literature review, expert consultations and focus group discussions (FGDs) were conducted to adapt the Health Stigma and Discrimination Framework, describing the stigmatization process nested within the socio-ecological framework. We reviewed all articles on PrEP stigma and on HIV, contraceptive or sexuality stigma among AGYW from 2009 to 2019. Expert consultations were conducted with 10 stigma or PrEP researchers and two Kenyan youth advisory boards to revise the framework. Finally, FGDs were conducted with AGYW PrEP users (4 FGDs; n = 20) and key influencers (14 FGDs; n = 72) in Kenya with the help of a Youth Research Team who aided in FGD conduct and results interpretation. Results from each phase were reviewed and the framework was updated to incorporate new and divergent findings. This was validated against an updated literature search from 2020 to 2023. RESULTS The conceptual framework identifies potential drivers, facilitators and manifestations of PrEP stigma, its outcomes and health impacts, and relevant intersecting stigmas. The main findings include: (1) PrEP stigma is driven by HIV, gender and sexuality stigmas, and low PrEP community awareness. (2) Stigma is facilitated by factors at multiple levels: policy (e.g. targeting of PrEP to high-risk populations), health systems (e.g. youth-friendly service availability), community (e.g. social capital) and individual (e.g. empowerment). (3) Similar to other stigmas, manifestations include labelling, violence and shame. (4) PrEP stigma results in decreased access to and acceptability of PrEP, limited social support and community resistance, which can impact mental health and decrease PrEP uptake and adherence. (5) Stigma may engender resilience by motivating AGYW to think of PrEP as an exercise in personal agency. CONCLUSIONS Our PrEP stigma conceptual framework highlights potential intervention targets at multiple levels in the stigmatization process. Its adoption would enable researchers to develop standardized measures and compare stigma across timepoints and populations as well as design and evaluate interventions.
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Affiliation(s)
- Miriam Hartmann
- Women's Global Health ImperativeRTI InternationalBerkeleyCaliforniaUSA
- Department of Global Public HealthKarolinska InstitutetStockholmSweden
| | - Laura Nyblade
- Women's Global Health ImperativeRTI InternationalBerkeleyCaliforniaUSA
| | | | - Tozoe Marton
- Women's Global Health ImperativeRTI InternationalBerkeleyCaliforniaUSA
| | - Kawango Agot
- Impact Research Development OrganizationKisumuKenya
| | - Sarah T. Roberts
- Women's Global Health ImperativeRTI InternationalBerkeleyCaliforniaUSA
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Pereira N, Duff JP, Hayward T, Kherani T, Moniz N, Champigny C, Carson-Stevens A, Bowie P, Egan R. Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. J Am Med Inform Assoc 2024; 31:499-508. [PMID: 38037171 PMCID: PMC10797275 DOI: 10.1093/jamia/ocad231] [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: 07/05/2023] [Revised: 11/13/2023] [Accepted: 11/21/2023] [Indexed: 12/02/2023] Open
Abstract
OBJECTIVES The objective of this scoping review is to map methods used to study medication safety following electronic health record (EHR) implementation. Patterns and methodological gaps can provide insight for future research design. MATERIALS AND METHODS We used the Joanna Briggs Institute scoping review methodology and a custom data extraction table to summarize the following data: (1) study demographics (year, country, setting); (2) study design, study period, data sources, and measures; (3) analysis strategy; (4) identified limitations or recommendations; (5) quality appraisal; and (6) if a Safety-I or Safety-II perspective was employed. RESULTS We screened 5879 articles. One hundred and fifteen articles met our inclusion criteria and were assessed for eligibility by full-text review. Twenty-seven articles were eligible for extraction. DISCUSSION AND CONCLUSION We found little consistency in how medication safety following EHR implementation was studied. Three study designs, 7 study settings, and 10 data sources were used across 27 articles. None of the articles shared the same combination of design, data sources, study periods, and research settings. Outcome measures were neither defined nor measured consistently. It may be difficult for researchers to aggregate and synthesize medication safety findings following EHR implementation research. All studies but one used a Safety-I perspective to study medication safety. We offer a conceptual model to support a more consistent approach to studying medication safety following EHR implementation.
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Affiliation(s)
- Nichole Pereira
- Faculty of Health Sciences, Health Quality Program, Queen’s University, Kingston, ON K7L 3N6, Canada
- Pediatric Intensive Care Unit, Alberta Health Services, Edmonton, AB T6G 2B7, Canada
| | - Jonathan P Duff
- Pediatric Intensive Care Unit, Alberta Health Services, Edmonton, AB T6G 2B7, Canada
- Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 1C9, Canada
| | - Tracy Hayward
- Department of Patient Safety, Covenant Health, Edmonton, AB T5R 4H5, Canada
| | - Tamizan Kherani
- Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 1C9, Canada
| | - Nadine Moniz
- Stroke Program, Alberta Health Services, Edmonton, AB T6G 2J3, Canada
| | | | - Andrew Carson-Stevens
- Faculty of Health Sciences, Health Quality Program, Queen’s University, Kingston, ON K7L 3N6, Canada
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff CF14 4XN, United Kingdom
| | - Paul Bowie
- Faculty of Health Sciences, Health Quality Program, Queen’s University, Kingston, ON K7L 3N6, Canada
- Medical Directorate, NHS Education for Scotland, Glasgow EH4 2XU, United Kingdom
- Institute of Health and Wellbeing, University of Glasgow, Glasgow G12 8TB, United Kingdom
| | - Rylan Egan
- Faculty of Health Sciences, Health Quality Program, Queen’s University, Kingston, ON K7L 3N6, Canada
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van Breugel M, Bongers F, Norden N, Meave JA, Amissah L, Chanthorn W, Chazdon R, Craven D, Farrior C, Hall JS, Hérault B, Jakovac C, Lebrija-Trejos E, Martínez-Ramos M, Muñoz R, Poorter L, Rüger N, van der Sande M, Dent DH. Feedback loops drive ecological succession: towards a unified conceptual framework. Biol Rev Camb Philos Soc 2024. [PMID: 38226776 DOI: 10.1111/brv.13051] [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] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Revised: 12/29/2023] [Accepted: 12/29/2023] [Indexed: 01/17/2024]
Abstract
The core principle shared by most theories and models of succession is that, following a major disturbance, plant-environment feedback dynamics drive a directional change in the plant community. The most commonly studied feedback loops are those in which the regrowth of the plant community causes changes to the abiotic (e.g. soil nutrients) or biotic (e.g. dispersers) environment, which differentially affect species availability or performance. This, in turn, leads to shifts in the species composition of the plant community. However, there are many other PE feedback loops that potentially drive succession, each of which can be considered a model of succession. While plant-environment feedback loops in principle generate predictable successional trajectories, succession is generally observed to be highly variable. Factors contributing to this variability are the stochastic processes involved in feedback dynamics, such as individual mortality and seed dispersal, and extrinsic causes of succession, which are not affected by changes in the plant community but do affect species performance or availability. Both can lead to variation in the identity of dominant species within communities. This, in turn, leads to further contingencies if these species differ in their effect on their environment (priority effects). Predictability and variability are thus intrinsically linked features of ecological succession. We present a new conceptual framework of ecological succession that integrates the propositions discussed above. This framework defines seven general causes: landscape context, disturbance and land-use, biotic factors, abiotic factors, species availability, species performance, and the plant community. When involved in a feedback loop, these general causes drive succession and when not, they are extrinsic causes that create variability in successional trajectories and dynamics. The proposed framework provides a guide for linking these general causes into causal pathways that represent specific models of succession. Our framework represents a systematic approach to identifying the main feedback processes and causes of variation at different successional stages. It can be used for systematic comparisons among study sites and along environmental gradients, to conceptualise studies, and to guide the formulation of research questions and design of field studies. Mapping an extensive field study onto our conceptual framework revealed that the pathways representing the study's empirical outcomes and conceptual model had important differences, underlining the need to move beyond the conceptual models that currently dominate in specific fields and to find ways to examine the importance of and interactions among alternative causal pathways of succession. To further this aim, we argue for integrating long-term studies across environmental and anthropogenic gradients, combined with controlled experiments and dynamic modelling.
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Affiliation(s)
- Michiel van Breugel
- Department of Geography, National University of Singapore, Arts Link, #03-01 Block AS2, 117570, Singapore
- Yale-NUS College, 16 College Avenue West, Singapore, 138527, Singapore
- Smithsonian Tropical Research Institute, Roosevelt Ave. Tupper Building - 401, Panama City, 0843-03092, Panama
| | - Frans Bongers
- Forest Ecology and Forest Management Group, Wageningen University & Research, PO Box 47, 6700 AA, Wageningen, The Netherlands
| | - Natalia Norden
- Centro de Estudios Socioecológicos y Cambio Global, Instituto de Investigación de Recursos Biológicos Alexander von Humboldt, Avenida Circunvalar #16-20, Bogotá, Colombia
| | - Jorge A Meave
- Departamento de Ecología y Recursos Naturales, Facultad de Ciencias, Universidad Nacional Autónoma de México. Circuito Exterior s/n, Ciudad Universitaria, Coyoacán, Ciudad de México, C.P. 04510, Mexico
| | - Lucy Amissah
- CSIR-Forestry Research Institute of Ghana, UPO Box 63, Kumasi, Ghana
| | - Wirong Chanthorn
- Department of Environmental Technology and Management, Faculty of Environment, Kasetsart University, 50 Ngamwongwan Road, Jatujak District, 10900, Thailand
| | - Robin Chazdon
- Forest Research Institute, University of the Sunshine Coast, 90 Sippy Downs Dr, Sippy Downs, Queensland, 4556, Australia
| | - Dylan Craven
- Center for Genomics, Ecology & Environment, Universidad Mayor, Camino La Piramide 5750, Huechuraba, Santiago, 8580745, Chile
| | - Caroline Farrior
- Department of Integrative Biology, University of Texas at Austin, 2415 Speedway, Stop C0930, Austin, Texas, 78705, USA
| | - Jefferson S Hall
- Smithsonian Tropical Research Institute, Roosevelt Ave. Tupper Building - 401, Panama City, 0843-03092, Panama
| | - Bruno Hérault
- CIRAD, UPR Forêts et Sociétés, F-34398 Montpellier, France & Forêts et Sociétés, Univ Montpellier, CIRAD, Montpellier, France
| | - Catarina Jakovac
- Departamento de Fitotecnia, Centro de Ciências Agrárias, Universidade Federal de Santa Catarina, Rod. Admar Gonzaga, 1346, 88034-000, Florianópolis, Brazil
| | - Edwin Lebrija-Trejos
- Department of Biology and Environment, University of Haifa-Oranim, Tivon, 36006, Israel
| | - Miguel Martínez-Ramos
- Instituto de Investigaciones en Ecosistemas y Sustentabilidad, Universidad Nacional Autónoma de México, Campus Morelia, Antigua Carretera a Pátzcuaro # 8701, Col. Ex-Hacienda de San José de la Huerta, CP 58190, Morelia, Michoacán, Mexico
| | - Rodrigo Muñoz
- Forest Ecology and Forest Management Group, Wageningen University & Research, PO Box 47, 6700 AA, Wageningen, The Netherlands
| | - Lourens Poorter
- Forest Ecology and Forest Management Group, Wageningen University & Research, PO Box 47, 6700 AA, Wageningen, The Netherlands
| | - Nadja Rüger
- Smithsonian Tropical Research Institute, Roosevelt Ave. Tupper Building - 401, Panama City, 0843-03092, Panama
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstr. 4, 04103, Leipzig, Germany
- Department of Economics, Institute of Empirical Economic Research, University of Leipzig, Grimmaische Str. 12, 04109, Leipzig, Germany
| | - Masha van der Sande
- Forest Ecology and Forest Management Group, Wageningen University & Research, PO Box 47, 6700 AA, Wageningen, The Netherlands
| | - Daisy H Dent
- Smithsonian Tropical Research Institute, Roosevelt Ave. Tupper Building - 401, Panama City, 0843-03092, Panama
- ETH Zürich, Department of Environmental Systems Science, Institute for Integrative Biology, Universitätstrasse 16, 8092, Zürich, Switzerland
- Max Planck Institute for Animal Behavior, Am Obstberg 1, 78315 Radolfzell, Germany
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Tsangaris E, van Haren EL, Poulsen L, Squitieri L, Hoogbergen MM, Cross K, Sørensen JA, van Alphen TC, Pusic A, Klassen AF. Identifying health-related quality of life concepts to inform the development of the WOUND-Q. J Wound Care 2024; 33:28-38. [PMID: 38197277 DOI: 10.12968/jowc.2024.33.1.28] [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: 01/11/2024]
Abstract
OBJECTIVE The impact of hard-to-heal wounds extends beyond traditional clinical metrics, negatively affecting a patient's health-related quality of life (HRQoL). Yet treatment outcomes are seldom measured from the patient's perspective. The purpose of the present study was to perform in-depth qualitative interviews with patients diagnosed with varying types of hard-to-heal wounds to identify outcomes important to them. METHOD Participants were recruited from wound care clinics in Canada, Denmark, the Netherlands and the US, and were included if they had a hard-to-heal wound (i.e., lasting ≥3 months), were aged ≥18 years, and fluent in English, Dutch or Danish. Qualitative interviews took place between January 2016 and March 2017. An interpretive description qualitative approach guided the data analysis. Interviews were audio-recorded, transcribed and coded line-by-line. Codes were categorised into top-level domains and themes that formed the final conceptual framework. RESULTS We performed 60 in-depth interviews with patients with a range of wound types in different anatomic locations that had lasted from three months to 25 years. Participants described outcomes that related to three top-level domains and 13 major themes: wound (characteristics, healing); HRQoL (physical, psychological, social); and treatment (cleaning, compression stocking, debridement, dressing, hyperbaric oxygen, medication, suction device, surgery). CONCLUSION The conceptual framework developed as part of this study represents the outcome domains that mattered the most to the patients with hard-to-heal wounds. Interview quotes were used to generate items that formed the WOUND-Q scales, a patient-reported outcome measure for patients with hard-to-heal wounds.
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Affiliation(s)
- Elena Tsangaris
- Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, US
| | - Emiel Lwg van Haren
- Department of Plastic and Reconstructive Surgery, Catharina Ziekenhuis, Eindhoven, the Netherlands
| | - Lotte Poulsen
- Research Unit for Plastic Surgery, Odense University Hospital, University of Southern Denmark, Denmark
- Odense Explorative Patient Network, Odense, Denmark
| | - Lee Squitieri
- RAND Corporation, Santa Monica, CA, US
- Plastic and Reconstructive Surgery, Adventist Health White Memorial, Los Angeles, CA, US
| | - Maarten M Hoogbergen
- Department of Plastic and Reconstructive Surgery, Catharina Ziekenhuis, Eindhoven, the Netherlands
| | - Karen Cross
- St. Michael's Hospital, Keenan Research Centre, Toronto, Ontario, Canada
| | - Jens Ahm Sørensen
- Research Unit for Plastic Surgery, Odense University Hospital, University of Southern Denmark, Denmark
- Odense Explorative Patient Network, Odense, Denmark
| | - Tert C van Alphen
- Department of Plastic and Reconstructive Surgery, Catharina Ziekenhuis, Eindhoven, the Netherlands
| | - Andrea Pusic
- Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, US
| | - Anne F Klassen
- Department of Pediatrics, McMaster University, Hamilton, ON, Canada
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Ambros-Antemate JF, Beristain-Colorado MDP, Vargas-Treviño M, Gutiérrez-Gutiérrez J, Hernández-Cruz PA, Gallegos-Velasco IB, Moreno-Rodríguez A. Improving Adherence to Physical Therapy in the Development of Serious Games: Conceptual Framework Design Study. JMIR Form Res 2023; 7:e39838. [PMID: 37948110 PMCID: PMC10674146 DOI: 10.2196/39838] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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: 05/25/2022] [Revised: 04/25/2023] [Accepted: 10/14/2023] [Indexed: 11/12/2023] Open
Abstract
BACKGROUND Insufficient levels of treatment adherence can have adverse effects on the outcomes of physical rehabilitation. To address this issue, alternative approaches to traditional therapies, such as serious games, have been designed to enhance adherence. Nevertheless, there remain gaps in the development of serious games concerning the effective implementation of motivation, engagement, and the enhancement of treatment adherence. OBJECTIVE This study aims to design a conceptual framework for the development of serious games that incorporate essential adherence factors to enhance patient compliance with physical rehabilitation programs. METHODS We formulated a conceptual framework using iterative techniques inspired by a conceptual framework analysis. Initially, we conducted a comprehensive literature review, concentrating on the critical adherence factors in physical rehabilitation. Subsequently, we identified, categorized, integrated, and synthesized the concepts derived from the literature review to construct the conceptual framework. RESULTS The framework resembles a road map, comprising 3 distinct phases. In the initial phase, the patient's characteristics are identified through an initial exploration. The second phase involves the development of a serious game, with a focus on enhancing treatment adherence by integrating the key adherence factors identified. The third phase revolves around the evaluation of the serious game. These phases are underpinned by 2 overarching themes, namely, a user-centered design and the GameFlow model. CONCLUSIONS The conceptual framework offers a detailed, step-by-step guide for creating serious games that incorporate essential adherence factors, thereby contributing to improved adherence in the physical rehabilitation process. To establish its validity, further evaluations of this framework across various physical rehabilitation programs and user groups are necessary.
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Affiliation(s)
| | | | - Marciano Vargas-Treviño
- Facultad de Sistemas Biológicos e Innovación Tecnológica, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca de Juárez, Mexico
| | - Jaime Gutiérrez-Gutiérrez
- Facultad de Sistemas Biológicos e Innovación Tecnológica, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca de Juárez, Mexico
| | - Pedro Antonio Hernández-Cruz
- Laboratorio de genómica y proteómica, Centro de investigación Universidad Nacional Autónoma de México-Universidad Autónoma "Benito Juárez" de Oaxaca, Facultad de Medicina y Cirugía, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca de Juárez, Mexico
| | - Itandehui Belem Gallegos-Velasco
- Laboratorio de genómica y proteómica, Centro de investigación Universidad Nacional Autónoma de México-Universidad Autónoma "Benito Juárez" de Oaxaca, Facultad de Medicina y Cirugía, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca de Juárez, Mexico
| | - Adriana Moreno-Rodríguez
- Facultad de Ciencias Químicas, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca de Juárez, Mexico
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Martinengo L, Lin X, Jabir AI, Kowatsch T, Atun R, Car J, Tudor Car L. Conversational Agents in Health Care: Expert Interviews to Inform the Definition, Classification, and Conceptual Framework. J Med Internet Res 2023; 25:e50767. [PMID: 37910153 PMCID: PMC10652195 DOI: 10.2196/50767] [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: 07/12/2023] [Revised: 09/21/2023] [Accepted: 09/29/2023] [Indexed: 11/03/2023] Open
Abstract
BACKGROUND Conversational agents (CAs), or chatbots, are computer programs that simulate conversations with humans. The use of CAs in health care settings is recent and rapidly increasing, which often translates to poor reporting of the CA development and evaluation processes and unreliable research findings. We developed and published a conceptual framework, designing, developing, evaluating, and implementing a smartphone-delivered, rule-based conversational agent (DISCOVER), consisting of 3 iterative stages of CA design, development, and evaluation and implementation, complemented by 2 cross-cutting themes (user-centered design and data privacy and security). OBJECTIVE This study aims to perform in-depth, semistructured interviews with multidisciplinary experts in health care CAs to share their views on the definition and classification of health care CAs and evaluate and validate the DISCOVER conceptual framework. METHODS We conducted one-on-one semistructured interviews via Zoom (Zoom Video Communications) with 12 multidisciplinary CA experts using an interview guide based on our framework. The interviews were audio recorded, transcribed by the research team, and analyzed using thematic analysis. RESULTS Following participants' input, we defined CAs as digital interfaces that use natural language to engage in a synchronous dialogue using ≥1 communication modality, such as text, voice, images, or video. CAs were classified by 13 categories: response generation method, input and output modalities, CA purpose, deployment platform, CA development modality, appearance, length of interaction, type of CA-user interaction, dialogue initiation, communication style, CA personality, human support, and type of health care intervention. Experts considered that the conceptual framework could be adapted for artificial intelligence-based CAs. However, despite recent advances in artificial intelligence, including large language models, the technology is not able to ensure safety and reliability in health care settings. Finally, aligned with participants' feedback, we present an updated iteration of the conceptual framework for health care conversational agents (CHAT) with key considerations for CA design, development, and evaluation and implementation, complemented by 3 cross-cutting themes: ethics, user involvement, and data privacy and security. CONCLUSIONS We present an expanded, validated CHAT and aim at guiding researchers from a variety of backgrounds and with different levels of expertise in the design, development, and evaluation and implementation of rule-based CAs in health care settings.
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Affiliation(s)
- Laura Martinengo
- Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore, Singapore
| | - Xiaowen Lin
- Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore, Singapore
| | - Ahmad Ishqi Jabir
- Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore, Singapore
- Future Health Technologies Programme, Campus for Research Excellence and Technological Enterprise, Singapore-ETH Centre, Singapore, Singapore
| | - Tobias Kowatsch
- Future Health Technologies Programme, Campus for Research Excellence and Technological Enterprise, Singapore-ETH Centre, Singapore, Singapore
- Institute for Implementation Science in Health Care, University of Zurich, Zurich, Switzerland
- School of Medicine, University of St.Gallen, St.Gallen, Switzerland
- Centre for Digital Health Interventions, Department of Management, Technology, and Economics, ETH Zurich, Zurich, Switzerland
| | - Rifat Atun
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Cambridge, MA, United States
| | - Josip Car
- Centre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore, Singapore
- Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom
| | - Lorainne Tudor Car
- Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore, Singapore
- Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom
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Subhani M, Talat U, Knight H, Morling JR, Jones KA, Aithal GP, Ryder SD, Rennick-Egglestone S. Application and Extension of the Alcohol Recovery Narratives Conceptual Framework. Qual Health Res 2023; 33:1203-1217. [PMID: 37683106 PMCID: PMC10626984 DOI: 10.1177/10497323231197384] [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] [Subscribe] [Scholar Register] [Indexed: 09/10/2023]
Abstract
Recovery narratives are personal stories of health problems and recovery. A systematic review proposed a conceptual framework characterising alcohol misuse recovery narratives, consisting of eight principal dimensions, each with types and subtypes. The current study aims to apply and extend this preliminary conceptual framework. Semi-structured interviews were conducted to collect alcohol misuse recovery narratives from adult participants. A two-stage inductive and deductive thematic analysis approach was used to assess the relevance of the dimensions and types included in the preliminary conceptual framework and identify new components. The sample consisted of 11 participants from diverse socioeconomic backgrounds who had previously displayed varying degrees of alcohol misuse. All conceptual framework dimensions (genre, identity, recovery setting, drinking trajectories, drinking behaviours and traits, stages, spirituality and religion, and recovery experience) were present in the collected narratives. Three dimensions were extended by adding types and subtypes. Whilst the existing conceptual framework fitted the collected narratives, a new dimension describing the alcohol environment was required to fully characterise narratives. Types included in the alcohol environment dimension were policy and practice and social dynamics. The extended framework could guide the production of resources enabling clinicians to engage with narratives shared by their clients.
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Affiliation(s)
- Mohsan Subhani
- Nottingham Digestive Diseases Biomedical Research Centre (NDDC), School of Medicine, University of Nottingham, Nottingham, UK
- NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK
| | - Usman Talat
- Alliance Manchester Business School, University of Manchester, Manchester, UK
| | - Holly Knight
- Population and Lifespan Sciences, University of Nottingham, Nottingham, UK
| | - Joanne R. Morling
- Nottingham Digestive Diseases Biomedical Research Centre (NDDC), School of Medicine, University of Nottingham, Nottingham, UK
- NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK
- Population and Lifespan Sciences, University of Nottingham, Nottingham, UK
| | - Katy A. Jones
- School of Medicine, Applied Psychology, University of Nottingham, Nottingham, UK
| | - Guruprasad P. Aithal
- Nottingham Digestive Diseases Biomedical Research Centre (NDDC), School of Medicine, University of Nottingham, Nottingham, UK
- NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK
| | - Stephen D. Ryder
- Nottingham Digestive Diseases Biomedical Research Centre (NDDC), School of Medicine, University of Nottingham, Nottingham, UK
- NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK
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Abstract
The current global age-friendly movement supports older adults by promoting different policies and services. However, there is a dearth of attention to nursing home (NH) residents as part of age-friendly movements. The pioneering idea of an age-friendly health system, i.e., the "4 Ms" model is significant for NHs and formative for further developments; however, it does not identify unique components of NH care. This article aims to identify specific aspects of person-centered care in the literature to advance the development of a standardized conceptual framework. Along with residents, NH staff and administrators are integral parts of NHs. Incorporating the central role of caregivers, this study proposes a new "8 Ms" framework to describe the age-friendly NH. The traditional 4 Ms model notes that everything related to care matters to residents, along with care related to medication, mobility, and mentation. The proposed age-friendly framework introduces five additional "M," i.e., meaningful care, motivation, moderation, modification, and monitoring. This framework is proposed to advance education, training, clinical practice, research, and advocacy to promote quality of care in NHs. Application of the 8 Ms framework may yield multiple benefits, assuring good quality of care to residents, caregivers' job satisfaction, and supporting NH management in providing residents optimal care.
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Affiliation(s)
- Kallol Kumar Bhattacharyya
- School of Aging Studies, University of South Florida, Tampa, Florida, USA
- College of Nursing & Health Sciences, Bethune-Cookman University, Daytona, Florida, USA
| | - Victor Molinari
- School of Aging Studies, University of South Florida, Tampa, Florida, USA
| | - Kathy Black
- School of Aging Studies, University of South Florida, Tampa, Florida, USA
| | - Susan Krauss Whitbourne
- Department of Gerontology, University of Massachusetts Boston, Boston, Massachusetts, USA
- Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, Massachusetts, USA
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13
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Saxby DJ, Pizzolato C, Diamond LE. A Digital Twin Framework for Precision Neuromusculoskeletal Health Care: Extension Upon Industrial Standards. J Appl Biomech 2023; 39:347-354. [PMID: 37567581 DOI: 10.1123/jab.2023-0114] [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: 04/29/2023] [Revised: 07/10/2023] [Accepted: 07/17/2023] [Indexed: 08/13/2023]
Abstract
There is a powerful global trend toward deeper integration of digital twins into modern life driven by Industry 4.0 and 5.0. Defense, agriculture, engineering, manufacturing, and urban planning sectors have thoroughly incorporated digital twins to great benefit across their respective product lifecycles. Despite clear benefits, a digital twin framework for health and medical sectors is yet to emerge. This paper proposes a digital twin framework for precision neuromusculoskeletal health care. We build upon the International Standards Organization framework for digital twins for manufacturing by presenting best available computational models within a digital twin framework for clinical application. We map a use case for modeling Achilles tendon mechanobiology, highlighting how current modeling practices align with our proposed digital twin framework. Similarly, we map a use case for advanced neurorehabilitation technology, highlighting the role of a digital twin in control of systems where human and machine are interfaced. Future work must now focus on creating an informatic representation to govern how digital data are passed to, from, and within the digital twin, as well as specific standards to declare which measurement systems and modeling methods are acceptable to move toward widespread use of the digital twin framework for precision neuromusculoskeletal health care.
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Affiliation(s)
- David J Saxby
- Giffith Centre of Biomedical and Rehabilitation Engineering, Menzies Health Institute Queensland, Griffith University, Parklands,Australia
- School of Health Sciences and Social Work, Griffith University, Parklands,Australia
| | - Claudio Pizzolato
- Giffith Centre of Biomedical and Rehabilitation Engineering, Menzies Health Institute Queensland, Griffith University, Parklands,Australia
- School of Health Sciences and Social Work, Griffith University, Parklands,Australia
| | - Laura E Diamond
- Giffith Centre of Biomedical and Rehabilitation Engineering, Menzies Health Institute Queensland, Griffith University, Parklands,Australia
- School of Health Sciences and Social Work, Griffith University, Parklands,Australia
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Etherington SJ, Moorhouse AJ, Paravicini TM, Towstoless M, Hayes A, Hryciw DH, Lexis L, Tangalakis K. Unpacking and validating the 'Cell Membrane' Core Concept of Physiology by an Australian team. Adv Physiol Educ 2023. [PMID: 37318997 DOI: 10.1152/advan.00143.2022] [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] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 06/07/2023] [Indexed: 06/17/2023]
Abstract
A task force of physiology educators from 25 Australian universities generated an Australia-wide consensus on seven core concepts for physiology curricula. One adopted core concept was 'Cell membrane', defined as 'Cell membranes determine what substances enter or leave the cell and its organelles. They are essential for cell signaling, transport, and other cellular functions'. This concept was unpacked by a team of three Australian physiology educators into four themes and 33 sub-themes arranged in a hierarchical structure up to five levels deep. The four themes related to defining the cell membrane, cell membrane structure, transport across cell membranes and cell membrane potentials. Subsequently, 22 physiology educators with a broad range of teaching experience reviewed and assessed the 37 themes and sub-themes for importance for students to understand and level of difficulty for students on a 5-point Likert scale. The majority (28) of items evaluated were rated as either Essential or Important. Theme 2 (cell membrane structure) was rated as less important than the other 3 themes. Theme 4 (membrane potentials) was rated most difficult, while theme 1 (defining cell membranes) was rated as the easiest. The importance of cell membranes as a key aspect of biomedical education received strong support from Australian educators. The unpacking of the themes and sub-themes within the cell membrane core concept provides guidance in the development of curricula and should facilitate better identification of the more challenging aspects within this core concept and help inform the time and resources required to support student learning.
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Affiliation(s)
- Sarah J Etherington
- College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia
| | - Andrew J Moorhouse
- School of Biomedical Sciences, University of New South Wales, Sydney, Australia
| | - Tamara M Paravicini
- School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia
| | | | - Alan Hayes
- Institute of Health and Sport, Victoria University, Melbourne, Australia
| | - Deanne H Hryciw
- School of Environment and Science, Griffith University, Nathan, Queensland, Australia
| | - Louise Lexis
- School of Agriculture, Biomedicine and Environment, La Trobe University, Bundoora, VIC, Australia
| | - Kathy Tangalakis
- First Year College, Victoria University, Melbourne, Victoria, Australia
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15
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Forcadell-Díez L, Juárez Martínez O, Abiétar DG, López MJ, Sánchez-Martínez F, Perez G. Healthy and Equitable Interpersonal Relationships, Health Inequalities and Socio-Educational Interventions: A Conceptual Framework for Action. J Sch Health 2023; 93:521-532. [PMID: 36917972 DOI: 10.1111/josh.13318] [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] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 02/09/2023] [Accepted: 02/12/2023] [Indexed: 05/10/2023]
Abstract
BACKGROUND Interpersonal relationships undoubtedly have a bidirectional connection with the health of individuals and communities. Relational models based on equity contribute to well-being, while asymmetrical relationships based on hierarchies and differences of power negatively impact mental, physical, and social health. METHODS A conceptual framework for understanding the determinants of interpersonal relational models was developed. RESULTS Structural determinants were identified as the combined action of systems of oppression, the socio-historical context that normalizes violence, and social stratification and segregation, consequences which included inequitable access to power, resources, and opportunities. Intermediate determinants include individual, psychosocial, behavioral, and community aspects. Structural and intermediate determinants impact health and health inequalities through multiple relational patterns that are simultaneously established and sustained by individuals and communities. The health impact of inequitable relational patterns includes: Reduced self-esteem; anxiety, stress, and depression; acceptance of violence; physical and sexual harm; suicide; and murder. CONCLUSIONS This conceptual framework allows for the modification of relational models by influencing structural and intermediate determinants. Six areas of intervention have been identified: educative policies, school governance, physical and symbolic space, school curriculum, school-community relations, and socio-educative interventions to promote healthy and equitable relationships. Healthy and equitable relationships are associated with improved subjective well-being, health status and protection from violence. Socio-educational interventions that consider the elements of this conceptual framework may be effective in promoting healthy and equitable relational models.
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Affiliation(s)
- Lluís Forcadell-Díez
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Associate Professor, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | | | - Daniel G Abiétar
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Associate Professor, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - María José López
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Associate Professor, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain; Researcher in CIBER de Epidemiología y Salud Pública, Madrid, Spain; Researcher in Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain
| | - Francesca Sánchez-Martínez
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Researcher in Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain
| | - Gloria Perez
- Agència de Salut Pública de Barcelona, Barcelona, Spain; Associate Professor, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain; Researcher in CIBER de Epidemiología y Salud Pública, Madrid, Spain; Researcher in Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain
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16
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Pienta MJ, Noly PE, Janda AM, Tang PC, Bitar A, Mathis MR, Aaronson KD, Pagani FD, Likosky DS. Rescuing the right ventricle: A conceptual framework to target new interventions for patients receiving a durable left ventricular assist device. J Thorac Cardiovasc Surg 2023; 165:2126-2131. [PMID: 35527048 DOI: 10.1016/j.jtcvs.2022.03.025] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 03/14/2022] [Accepted: 03/22/2022] [Indexed: 11/23/2022]
Affiliation(s)
- Michael J Pienta
- Section of Health Services Research and Quality, Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Mich
| | - Pierre-Emmanuel Noly
- Section of Health Services Research and Quality, Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Mich
| | - Allison M Janda
- Department of Anesthesiology, Michigan Medicine, Ann Arbor, Mich
| | - Paul C Tang
- Section of Health Services Research and Quality, Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Mich
| | - Abbas Bitar
- Division of Cardiovascular Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Mich
| | - Michael R Mathis
- Department of Anesthesiology, Michigan Medicine, Ann Arbor, Mich
| | - Keith D Aaronson
- Division of Cardiovascular Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Mich
| | - Francis D Pagani
- Section of Health Services Research and Quality, Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Mich
| | - Donald S Likosky
- Section of Health Services Research and Quality, Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Mich.
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Iwamura K, Isaki M, Uchiyama C, Nomura K, Tanimoto A, Kuroiwa H, Kozono M, Iwashita Y, Iwamura J, Hyodo M. Questionnaire survey on the conceptual framework, optimal evaluation, and support measures for children's language disorders in Japan using the Delphi method. Laryngoscope Investig Otolaryngol 2023; 8:763-774. [PMID: 37342114 PMCID: PMC10278105 DOI: 10.1002/lio2.1055] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 03/22/2023] [Accepted: 03/31/2023] [Indexed: 06/22/2023] Open
Abstract
Objectives To compile the opinions of native Japanese speakers on the conceptual framework, optimal evaluation, and support measures for children with language disorders to devise materials on which a consensus can be formed. Design A quantitative descriptive study using the Delphi method. Setting Using the Delphi method, 43 clinicians with at least 15 years of experience working professionally with children's language disorders in Japan were surveyed three times via a web-based questionnaire. Thirty-nine items that were carefully selected by the working group were surveyed, and the agreement level was set to ≥80%. Main Outcome Measures We investigated the following aspects related to developmental language disorder (DLD) among Japanese children: definition, core symptoms, evaluation of core symptoms, relationship with a second language, relationship with other related disorders, support systems, and information availability. Results Overall, 43 qualified panel members were included in this study. Among the 39 items in the questionnaire, a high level of consensus (≥80%) from the responses of the participants was achieved for five items in Round 1, whereas no consensus (<50%) was achieved for seven items. After revising and integrating the questionnaires into 22 items, we conducted Rounds 2 and 3 and obtained high and medium levels of agreement in 20 items on disease concept, core symptoms, coexisting disorders, and manner of support of DLD in children. Conclusion Our results clarify the previously ambiguous image of DLD in Japan. Information-sharing strategies that connect professionals, patients, their families, and community members are required in the future. Level of Evidence 5.
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Affiliation(s)
- Kenji Iwamura
- Department of RehabilitationKumamoto City HospitalKumamoto CityKumamotoJapan
| | - Motohiro Isaki
- Division of Speech‐Language‐Hearing Therapy, Department of Rehabilitation, Faculty of Health ScienceKumamoto Health Science UniversityKumamoto CityKumamotoJapan
| | - Chizuko Uchiyama
- Department of Speech, Language and Hearing TherapyFaculty of Health Sciences Mejiro UniversitySaitamaSaitamaJapan
| | - Keiko Nomura
- Department of PediatricsKumamoto University HospitalKumamoto CityKumamotoJapan
| | - Ayumi Tanimoto
- Department of RehabilitationTosa Kibounoie Health and Welfare Iryoufukushi CenterNankokuKochiJapan
| | - Hajime Kuroiwa
- Integrated Center for Advanced Medical Technologies, Kochi Medical School HospitalKochi UniversityNankokuKochiJapan
| | - Machiko Kozono
- Division of Speech‐Language‐Hearing Therapy, Department of Rehabilitation, Faculty of Health ScienceKumamoto Health Science UniversityKumamoto CityKumamotoJapan
| | - Yoshihiro Iwashita
- Division of Physical Therapy, Department of Rehabilitation, Faculty of Health ScienceKumamoto Health Science UniversityKumamoto CityKumamotoJapan
| | - Junko Iwamura
- Student Counseling and Academic Support CenterKumamoto Health Science UniversityKumamoto CityKumamotoJapan
| | - Masamitsu Hyodo
- Department of Otolaryngology‐Head and Neck Surgery, Kochi Medical SchoolKochi UniversityNankokuKochiJapan
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Tay JYL, Zotz G, Einzmann HJR. Smoothing out the misconceptions of the role of bark roughness in vascular epiphyte attachment. New Phytol 2023; 238:983-994. [PMID: 36775857 DOI: 10.1111/nph.18811] [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: 11/28/2022] [Accepted: 02/09/2023] [Indexed: 06/18/2023]
Abstract
Vascular epiphytes represent c. 10% of all vascular plant species. In epiphytes, attachment is essential for survival throughout consecutive ontogenetic stages of their life, starting with: (1) initial propagule attachment to the host; followed by (2) the development of first root-substrate connections; and (3) maintenance of this attachment despite increased size and mechanical disturbances by rain, wind, or crossing animals. Although structural dependence on a host is a defining characteristic of an epiphyte, the fundamental mechanism(s) of how these plants initially attach and remain attached to their hosts remain poorly understood. Bark characteristics such as stability and roughness have been highlighted as keys to an understanding of this connection. Here, we stress that the understanding of how an epiphyte attaches itself to the substrate is central for a meaningful quantification and interpretation of bark roughness. Without explicit information on the attachment mechanism or the relative sizes of the attaching structures, simply linking a haphazardly chosen index of bark roughness to epiphyte establishment is flawed. This review introduces a conceptual framework to explain the mechanistic link between epiphytes and host in different ontogenetic stages and should guide future work designed to improve our understanding of this vital part of epiphyte ecology.
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Affiliation(s)
- Jessica Y L Tay
- Functional Ecology of Plants, Institute of Biology and Environmental Sciences, Carl von Ossietzky University, D-26111, Oldenburg, Germany
| | - Gerhard Zotz
- Functional Ecology of Plants, Institute of Biology and Environmental Sciences, Carl von Ossietzky University, D-26111, Oldenburg, Germany
- Smithsonian Tropical Research Institute, Apartado Postal 08343-03092, Balboa, Panama, Panama
| | - Helena J R Einzmann
- Functional Ecology of Plants, Institute of Biology and Environmental Sciences, Carl von Ossietzky University, D-26111, Oldenburg, Germany
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Vander Elst OF, Foster NHD, Vuust P, Keller PE, Kringelbach ML. The Neuroscience of Dance: A Conceptual Framework and Systematic Review. Neurosci Biobehav Rev 2023; 150:105197. [PMID: 37100162 DOI: 10.1016/j.neubiorev.2023.105197] [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: 07/14/2022] [Revised: 04/13/2023] [Accepted: 04/21/2023] [Indexed: 04/28/2023]
Abstract
Ancient and culturally universal, dance pervades many areas of life and has multiple benefits. In this article, we provide a conceptual framework and systematic review, as a guide for researching the neuroscience of dance. We identified relevant articles following PRISMA guidelines, and summarised and evaluated all original results. We identified avenues for future research in: the interactive and collective aspects of dance; groove; dance performance; dance observation; and dance therapy. Furthermore, the interactive and collective aspects of dance constitute a vital part of the field but have received almost no attention from a neuroscientific perspective. Dance and music engage overlapping brain networks, including common regions involved in perception, action, and emotion. In music and dance, rhythm, melody, and harmony are processed in an active, sustained pleasure cycle giving rise to action, emotion, and learning, led by activity in specific hedonic brain networks. The neuroscience of dance is an exciting field, which may yield information concerning links between psychological processes and behaviour, human flourishing, and the concept of eudaimonia.
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Affiliation(s)
- Olivia Foster Vander Elst
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University & The Royal Academy of Music Aarhus/Aalborg, Denmark; Centre for Eudaimonia and Human Flourishing, Linacre College, University of Oxford, UK.
| | | | - Peter Vuust
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University & The Royal Academy of Music Aarhus/Aalborg, Denmark
| | - Peter E Keller
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University & The Royal Academy of Music Aarhus/Aalborg, Denmark; The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Australia
| | - Morten L Kringelbach
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University & The Royal Academy of Music Aarhus/Aalborg, Denmark; Centre for Eudaimonia and Human Flourishing, Linacre College, University of Oxford, UK; Department of Psychiatry, University of Oxford, UK
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20
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Yuan Y, Padgett D, Thorning H, Manuel J. "It's Stable but Not Stable": A Conceptual Framework of Subjective Housing Stability Definition Among Individuals with Co-occurring Mental Health and Substance Use Disorders. J Dual Diagn 2023; 19:111-123. [PMID: 37354898 DOI: 10.1080/15504263.2023.2225357] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [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] [Indexed: 06/26/2023]
Abstract
Objective: Despite increasing efforts to improve housing stability, research has largely defined housing stability in a narrow sense and heavily relied on objective measures, such as housing types and housing duration. The present study constructed a conceptual framework for a subjective housing stability definition from the perspectives of individuals with co-occurring mental health and substance use disorders and their behavioral health service providers. Methods: Following the principles of grounded theory, we collected and analyzed qualitative data through semistructured interviews with 24 individuals with serious mental illness and substance use problems and three focus groups with 22 behavioral health service providers. Results: We developed a conceptual framework with two domains of subjective housing stability: functional stability and experiential stability. The functional stability domain includes four theoretical concepts: meeting basic needs, housing quality, housing affordability, and housing permanence. The experiential stability domain includes four theoretical concepts: autonomy and independence, connectedness, safety, and supportiveness. Conclusions: The conceptual framework can inform future research, practices, and policies to move beyond focusing on merely providing housing to consider the diverse and underlying needs in improving housing stability and well-being among those experiencing or at risk of housing instability.
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Affiliation(s)
- Yeqing Yuan
- UCSF Benioff Homelessness and Housing Initiative, University of California, California, USA
| | - Deborah Padgett
- New York University Silver School of Social Work, New York, New York, USA
| | - Helle Thorning
- New York State Psychiatric Institute, New York, New York, USA
| | - Jennifer Manuel
- University of Connecticut School of Social Work, Hartford, Connecticut, USA
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Dikobe JM, Moagi MM, Sehularo LA. Conceptual Framework for the Psychosocial Support of Nurses Caring for Patients Diagnosed with COVID-19 Infection in North West Province, South Africa. Int J Environ Res Public Health 2023; 20:5078. [PMID: 36981987 PMCID: PMC10049523 DOI: 10.3390/ijerph20065078] [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] [Figures] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 03/09/2023] [Accepted: 03/09/2023] [Indexed: 06/18/2023]
Abstract
INTRODUCTION A conceptual framework provides the detailed components or concepts identifying the interrelationships in and across a project's components. Due to a lack of psychosocial support, nurses caring for patients diagnosed with COVID-19 are physically, psychologically and socially affected. However, there are no conceptual frameworks for the psychosocial support of nurses caring for patients diagnosed with COVID-19 infection in North West Province, South Africa. The purpose of this study was to develop a conceptual framework for the psychosocial support of these nurses. DESIGN A qualitative, descriptive phenomenological and contextual research design was followed to conduct this study. Six questions were used to classify concepts and develop the proposed framework. These six crucial questions are based on the agent, recipient, context, procedure, dynamics and terminus. FINDINGS The results of the framework involved the mobilisation of effective managerial support, the provision of adequate human medical healthcare resources and the mobilisation of support from nurses working in non-COVID wards and family members in the provision of psychological support systems (procedure). The newly developed conceptual framework aims to support nurses caring for patients diagnosed with COVID-19 infection in North West Province (terminus) and to improve their wellbeing. CONCLUSION The developed framework provides information that can assist nurses in providing quality care to patients. Contribution: The framework will provide solutions for healthcare institutions to respond effectively to similar pandemics in the future, improving the psychosocial wellbeing of nurses caring for patients diagnosed with COVID-19.
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Bucyibaruta JB, Doriccah M, Bamford L, Elizabeth van der Wath A, Dyer TA, Murphy A, Gatabazi P, Ajoke Anokwuru R, Muhire I, Anna Coetzee C, Coetzee H, Musekiwa A. Building consensus in defining and conceptualizing acceptability of healthcare: A Delphi study. Public Health Nurs 2023; 40:273-282. [PMID: 36478298 DOI: 10.1111/phn.13153] [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: 06/22/2022] [Revised: 09/19/2022] [Accepted: 10/25/2022] [Indexed: 12/12/2022]
Abstract
BACKGROUND The concept of healthcare acceptability is important for nursing staff spending most of their time with patients. Nevertheless, acceptability remains confusing without a collective definition in existing literature. OBJECTIVE This study aimed to create a consensus among experts on definition and conceptual framework of healthcare acceptability. METHODS We conducted two rounds of Delphi surveys to collect opinions from experts on definition and conceptual framework of healthcare acceptability proposed following thematic content analysis. We calculated the consensus among experts using the modified Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument and followed the guidance on conducting and reporting Delphi studies (CREDES) best practices. RESULTS A total of 34 experts completed two rounds of Delphi survey. The definition was validated through consensus as: "a multi-construct concept describing the nonlinear cumulative combination in parts or in whole of experienced or anticipated specific healthcare from the relevant patients/participants, communities, providers/researchers or healthcare systems' managers and policy makers' perspectives in a given context." The overall quality rating was 92.6% and 95.1% for the proposed definition and conceptual framework respectively. CONCLUSION Opinions collected from experts provided significant insights to build a consensus on healthcare acceptability advancing public health nursing.
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Affiliation(s)
- Joy Blaise Bucyibaruta
- School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, South Africa
| | - Mmapheko Doriccah
- Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, South Africa
| | - Lesley Bamford
- School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, South Africa.,National Department of Health, South Africa
| | | | | | - Andrea Murphy
- Faculty of Health, College of Pharmacy, Dalhousie University, Canada
| | - Paul Gatabazi
- Department of Anaesthesiology, Faculty of Health Sciences, University of the Witwatersrand, South Africa.,Department of Applied Statistics, College of Business and Economics, University of Rwanda, Rwanda.,Department of Mathematics and Applied Mathematics, Faculty of Science, University of Johannesburg, South Africa
| | - Rafiat Ajoke Anokwuru
- Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, South Africa
| | | | - Clarissa Anna Coetzee
- Department of Applied Statistics, College of Business and Economics, University of Rwanda, Rwanda
| | - Helene Coetzee
- Department of Zoology, Faculty of Science, University of Johannesburg, South Africa
| | - Alfred Musekiwa
- School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, South Africa
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23
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Balogun H, Alaka H, Egwim CN, Ajayi S. Systematic review of drivers influencing building deconstructability: Towards a construct-based conceptual framework. Waste Manag Res 2023; 41:512-530. [PMID: 36250852 DOI: 10.1177/0734242x221124078] [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: 06/16/2023]
Abstract
Deconstruction is an innovative and sustainable option for building end-of-life. It can turn the negative impacts of demolition, including diverting valuable resources from the congested landfill into beneficial use through reuse and recycling. However, the feasibility of deconstruction has placed a massive limitation on the implementation of deconstruction. This research carried out a systematic literature review of 35 academic and 3 non-academic pieces of literature to develop a construct-based deconstructability framework. This framework - built around technical, economic, legal, operational, schedule and social construct - describes the condition under which deconstruction is likely to work and drivers influencing deconstructability. A total of 44 drivers influencing deconstructability were established and ranked from which design and building technology, cost including expense and revenues from the resale, supply and demand of the recovered component and material, the schedule for the deconstruction were identified as most influential. However, every identified driver should be considered during the deconstructability assessment of a building.
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Affiliation(s)
- Habeeb Balogun
- Big Data Technologies and Innovation Laboratory, University of Hertfordshire, Hatfield, UK
| | - Hafiz Alaka
- Big Data Technologies and Innovation Laboratory, University of Hertfordshire, Hatfield, UK
| | | | - Saheed Ajayi
- School of Built Environment, Engineering and Computing, Leeds Beckett University, Leeds, UK
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24
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Alanazi A, Alshatri I, Aldosari B. A Framework and System Design for Medicines Resources Allocation: A Multi-Stakeholder Assessment of Processes and Electronic Platform Needs. Int J Environ Res Public Health 2023; 20:3846. [PMID: 36900857 PMCID: PMC10001098 DOI: 10.3390/ijerph20053846] [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] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/14/2023] [Accepted: 02/21/2023] [Indexed: 06/18/2023]
Abstract
Utilizing resources effectively is becoming more critical, especially with the ever-increasing healthcare cost. Little is known about the current practices used by healthcare organizations for the procurement, allocation, and utilization of medical resources. Moreover, the available literature needed to be enriched to bridge the link between resource utilization and allocation processes' performance and outcomes. This study investigated the processes that major healthcare facilities in Saudi Arabia apply to procure, allocate and utilize medicines resources. The work explored the role of electronic systems and provided a system design and conceptual framework to enhance the availability and utilization of resources. A three-part multi-method, multi-field (healthcare and operational), and multi-level exploratory and descriptive qualitative research design were used to collect the data that was analyzed and interrupted to feed the "future state" model. The findings demonstrated the current state procedure and discussed the challenges and the experts' opinions on developing the framework. The framework includes various elements and perspectives and is designed based on the results of the first part and was further validated by experts who were optimistic about the inclusiveness of this framework. Some major technical, operational, and human factors were perceived as obstacles by the subjects. Decision-makers can adopt the conceptual framework to gain insights into interrelated objects, entities, and processes. The findings of this study can imply future directions for research and practices.
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Affiliation(s)
- Abdullah Alanazi
- Health Informatics Department, King Saud Ibn Abdulaziz University for Health Sciences, Riyadh 11481, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh 14611, Saudi Arabia
| | - Ibtihal Alshatri
- King Abdullah International Medical Research Center, Riyadh 14611, Saudi Arabia
| | - Bakheet Aldosari
- Health Informatics Department, King Saud Ibn Abdulaziz University for Health Sciences, Riyadh 11481, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh 14611, Saudi Arabia
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25
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Borghmans F, Laletas S. Complex adaptive phenomenology: A conceptual framework for healthcare research. J Eval Clin Pract 2023. [PMID: 36740901 DOI: 10.1111/jep.13811] [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: 05/09/2022] [Accepted: 01/16/2023] [Indexed: 02/07/2023]
Abstract
RATIONALE Healthcare research exploring the lived experiences of health care professionals from different disciplines, such as nursing, medicine, and allied health, has repeatedly highlighted many methodological challenges, especially in understanding the individual human experience within complex systems. In response, complexity theory and phenomenological approaches emerged and evolved in ways that potentially offered researchers frameworks to inform an understanding of the individual human experience. However, while these two theoretical approaches inform a method of inquiry, there is a gap in understanding the phenomenon of 'being' and how this is embodied within complex systems such as the healthcare system. THE AIMS AND OBJECTIVES The aim of this paper is to present an integrated theoretical framework, namely complex adaptive phenomenology (CAP). CAP aims to address this inquiry gap by offering a structured conceptual framework wherein complexity theory and phenomenology are complementary but multi-dimensional. The key objective of CAP was to synthesize and integrate two methods of inquiry that examine the relational aspects of 'being', that is the gestalt of perception, action, and context, The authors argue that CAP is well-suited to complex research contexts such as healthcare. The framework focuses on the reciprocal, co-constructive relationships extant between perception, meaning, context, and action that shape experiences of 'being' within complex systems. Complexity theory's connectionist orientation explains the relationships that are formative of the experience of being, while phenomenology explores the manifestations of these formative relationships by attending to the notion of 'being' itself. CONCLUSION The authors propose that an integrated framework, of phenomenology and complexity theory, can provide a platform for deeper understandings of the experiences of health professionals and contribute to healthcare scholarship.
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26
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Bhattacharyya KK, Molinari V, Andel R. Longevity is not an ingredient of successful aging as self-reported by community-dwelling older adults: a scoping review. Aging Ment Health 2023; 27:217-229. [PMID: 35132879 DOI: 10.1080/13607863.2022.2033696] [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] [Indexed: 01/18/2023]
Abstract
OBJECTIVES There has been a long-standing debate in gerontology about what constitutes successful aging (SA). This scoping review investigated older adults' perspectives on longevity as part of SA to promote developing a standardized conceptual model. METHOD The current review followed the JBI methodological guidelines and used Rowe & Kahn's SA framework and Baltes' selection, optimization, and compensation model as the foundational theoretical framework. Five electronic databases (PubMed, Scopus, PsycInfo, CINAHL, and Web of Science) were searched using specific inclusion criteria (participants, concept, and context) to identify original studies that evaluated SA. RESULTS Eighteen studies, including 9,360 individuals (aged 60 years and older), were selected. Main indicators involved six primary domains: Psychological, physical, social, environmental, spiritual, and behavioral. Physical activity, basic aspects of wellbeing, positive outlook, satisfaction with life, interpersonal relationship, participation in meaningful activities, and financial security emerged as the most important factors. The findings suggest that older adults do not consider longevity a primary component of SA. CONCLUSION We identified multidimensional self-reported SA components without longevity being emphasized, guiding further improvement of older adults' wellbeing. The study outlines an updated conceptual framework that can be applied to real-life scenarios to test how older adults can best adapt to the challenges of aging.
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Affiliation(s)
| | - Victor Molinari
- School of Aging Studies, University of South Florida, Tampa, FL, USA
| | - Ross Andel
- School of Aging Studies, University of South Florida, Tampa, FL, USA
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Simonelli N, Bolgeo T, Iovino P, Di Matteo R, Maconi A, Vellone E. Self-care in coronary heart disease patient and caregiver dyads (HEARTS-IN-DYADS)-Protocol of a multicenter longitudinal study. Res Nurs Health 2023; 46:37-47. [PMID: 36538334 DOI: 10.1002/nur.22286] [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: 02/14/2022] [Revised: 11/18/2022] [Accepted: 11/26/2022] [Indexed: 12/24/2022]
Abstract
Self-care performed by patients and the caregiver contribution to this self-care are essential for improving cardiovascular outcomes; however, so far, no studies have sufficiently investigated this field in Italy. This paper describes a research protocol of a multi-center longitudinal study designed to investigate the self-care of patients affected by coronary heart disease (CHD), the caregiver's contribution to this self-care, the predictors of patient and caregiver self-care, the mediating role of self-efficacy, and the self-care outcomes. Data collection will be performed across seven Italian inpatient settings at baseline and 3 and 6 months from enrollment. Multilevel modeling and actor partner interdependence models will be implemented on a sample of 330 patient-caregiver dyads to adjust for the interdependence of measurements. The study received approval from an ethics committee in Italy and was financed in January 2021 by a grant from the Solidal Foundation in Alessandria. This research will advance the knowledge about the self-care process in CHD. The results will guide research and clinical practice by identifying variables sensitive to educational interventions.
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Affiliation(s)
- Niccolò Simonelli
- SC Cardiology, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Tatiana Bolgeo
- Research Training Innovation Infrastructure - Department of Research and Innovation - Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Paolo Iovino
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.,School of Nursing Midwifery and Paramedicin Australian Catholic University, Melbourne, Victoria, Australia
| | - Roberta Di Matteo
- Research Training Innovation Infrastructure - Department of Research and Innovation - Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.,Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | - Antonio Maconi
- Research Training Innovation Infrastructure - Department of Research and Innovation - Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy
| | - Ercole Vellone
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
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Abstract
Multiple treatment options are available to patients with Dupuytren contracture, making shared decision-making complex. Our rigorous qualitative analysis sought to understand patient perceptions of shared decision-making in Dupuytren contracture treatment and create a conceptual framework to optimize patient-physician communication. We interviewed 30 patients with Dupuytren contracture to learn about their experience with treatment selection. The following themes were integral to shared decision-making for Dupuytren contracture treatment: discussing disease progression and treatment initiation, presenting all available treatment options, assessing patients' pre-existing biases towards treatment, patient values and preferences for treatment trade-offs, treatment risks and benefits, physician recommendation and active patient participation. This model can optimize communication about treatment options and expectations for relevant outcomes including, recovery time, contracture recurrence, complications, and treatment-related expenses.Level of evidence: V.
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Affiliation(s)
| | - William T Chung
- Section of Plastic Surgery, Michigan Medicine, Ann Arbor, MI, USA
| | - Robert L Kane
- Section of Plastic Surgery, Michigan Medicine, Ann Arbor, MI, USA
| | - Kevin C Chung
- Section of Plastic Surgery, Michigan Medicine, Ann Arbor, MI, USA
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29
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Augustin J, Andrees V, Walsh D, Reintjes R, Koller D. Spatial Aspects of Health-Developing a Conceptual Framework. Int J Environ Res Public Health 2023; 20:1817. [PMID: 36767185 PMCID: PMC9914219 DOI: 10.3390/ijerph20031817] [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] [Figures] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 01/16/2023] [Accepted: 01/16/2023] [Indexed: 06/18/2023]
Abstract
Numerous studies and models address the determinants of health. However, in existing models, the spatial aspects of the determinants are not or only marginally taken into account and a theoretical discussion of the association between space and the determinants of health is missing. The aim of this paper is to generate a framework that can be used to place the determinants of health in a spatial context. A screening of the current first serves to identify the relevant determinants and describes the current state of knowledge. In addition, spatial scales that are important for the spatial consideration of health were developed and discussed. Based on these two steps, the conceptual framework on the spatial determinants of health was derived and subsequently discussed. The results show a variety of determinants that are associated with health from a spatial point of view. The overarching categories are global driving forces, policy and governance, living and physical environment, socio-demographic and economic conditions, healthcare services and cultural and working conditions. Three spatial scales (macro, meso and micro) are further subdivided into six levels, such as global (e.g., continents), regional (e.g., council areas) or neighbourhood (e.g., communities). The combination of the determinants and spatial scales are presented within a conceptual framework as a result of this work. Operating mechanisms and pathways between the spatial levels were added schematically. This is the first conceptual framework that links the determinants of health with the spatial perspective. It can form the working basis for future analyses in which spatial aspects of health are taken into account.
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Affiliation(s)
- Jobst Augustin
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), 20246 Hamburg, Germany
| | - Valerie Andrees
- Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), 20246 Hamburg, Germany
| | - David Walsh
- Glasgow Centre for Population Health, Glasgow G40 2QH, UK
| | - Ralf Reintjes
- Department of Health Sciences, Faculty of Life Sciences, Hamburg University of Applied Sciences, 20999 Hamburg, Germany
- Health Sciences Unit, Faculty of Social Sciences, Tampere University, 33100 Tampere, Finland
| | - Daniela Koller
- IBE—Institute for Medical Information Processing, Biometry and Epidemiology, Ludwig-Maximilians-Universität München, 81377 Munich, Germany
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30
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Liaw ST, Godinho MA. Digital health and capability maturity models-a critical thematic review and conceptual synthesis of the literature. J Am Med Inform Assoc 2023; 30:393-406. [PMID: 36451257 PMCID: PMC9846694 DOI: 10.1093/jamia/ocac228] [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: 08/22/2022] [Revised: 11/13/2022] [Accepted: 11/15/2022] [Indexed: 12/05/2022] Open
Abstract
OBJECTIVE A literature review of capability maturity models (MMs) to inform the conceptualization, development, implementation, evaluation, and mainstreaming of MMs in digital health (DH). METHODS Electronic databases were searched using "digital health," "maturity models," and related terms based on the Digital Health Profile and Maturity Assessment Toolkit Maturity Model (DHPMAT-MM). Covidence was used to screen, identify, capture, and achieve consensus on data extracted by the authors. Descriptive statistics were generated. A thematic analysis and conceptual synthesis were conducted. FINDINGS Diverse domain-specific MMs and model development, implementation, and evaluation methods were found. The spread and pattern of different MMs verified the essential DH foundations and five maturity stages of the DHPMAT-MM. An unanticipated finding was the existence of a new category of community-facing MMs. Common characteristics included:1. A dynamic lifecycle approach to digital capability maturity, which is:a. responsive to environmental changes and may improve or worsen over time;b. accumulative, incorporating the attributes of the preceding stage; andc. sequential, where no maturity stage must be skipped.2. Sociotechnical quality improvement of the DH ecosystem and MM, which includes:a. investing in the organization's human, hardware, and software resources andb. a need to engage and improve the DH competencies of citizens. CONCLUSIONS The diversity in MMs and variability in methods and content can create cognitive dissonance. A metamodel like the DHPMAT-MM can logically unify the many domain-specific MMs and guide the overall implementation and evaluation of DH ecosystems and MMs over the maturity lifecycle.
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Affiliation(s)
- Siaw-Teng Liaw
- WHO Collaborating Centre for eHealth (AUS-135), School of Population Health, UNSW Sydney, Sydney, Australia
| | - Myron Anthony Godinho
- WHO Collaborating Centre for eHealth (AUS-135), School of Population Health, UNSW Sydney, Sydney, Australia
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31
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Hare-Duke L, Charles A, Slade M, Rennick-Egglestone S, Dys A, Bijdevaate D. Systematic review and citation content analysis of the CHIME framework for mental health recovery processes: recommendations for developing influential conceptual frameworks. J Recovery Ment Health 2023; 6:38-44. [PMID: 36926313 PMCID: PMC7614322 DOI: 10.33137/jrmh.v6i1.38556] [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] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
OBJECTIVES To identify design features of the CHIME conceptual framework of mental health recovery which are associated with high rates of citation. RESEARCH DESIGN AND METHODS Systematic review of all citations of the Connectedness, Hope, Identity, Meaning, and Empowerment (CHIME) framework of mental health recovery. Papers citing CHIME were screened and extracted from three citation databases. Citation content analysis was used to investigate associations between nine CHIME design features. Citations were investigated across six forms of visibility: all citations; Anglophone vs non-Anglophone; academic vs non-academic; academic discipline; professional group; and clinical population. RESULTS There were 915 eligible documents identified. Six CHIME framework design features met predefined thresholds for high levels of influence: (i) using a systematic review methodology for development, (ii) adopting a memorable acronym, (iii) having disaggregable components, and being unaligned to a (iv) particular discipline (i.e., transdisciplinary), (v) professional group, or (vi) diagnostic population. Documents from Anglophone countries were more likely to cite CHIME with reference to trans-professional (χ2=3.96, df=1, p=0.05) and ethnicity sub-group analysis (p=0.039) design features than non-Anglophone documents. Non-academic documents were more likely to cite the acronym design feature than academic papers (χ2=5.73, df=1, p=0.01). Public Health-related publications were more likely to cite CHIME within a trans-diagnostic framework (χ2=16.39, df=1, p<0.001) than other disciplines. CONCLUSIONS The influence and impact of conceptual frameworks for recovery are increased when the framework is underpinned by a systematic review, includes disaggregable components which can be summarized using a memorable acronym, and when the framework is transdisciplinary, trans-professional, and trans-diagnostic.
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Affiliation(s)
- Laurie Hare-Duke
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
| | - Ashleigh Charles
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
| | - Mike Slade
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
- Nord University, Faculty of Nursing and Health Sciences, Health and Community Participation Devision, Namsos, Norway
| | - Stefan Rennick-Egglestone
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
| | - Ada Dys
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
| | - Daan Bijdevaate
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
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32
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El Ayadi AM, Mitchell A, Nalubwama H, Miller S, Semere W, Barageine JK, Korn AP, Obore S, Lucas R, Byamugisha J. The social, economic, emotional, and physical experiences of caregivers for women with female genital fistula in Uganda: A qualitative study. Glob Public Health 2023; 18:2242458. [PMID: 37671506 PMCID: PMC10497235 DOI: 10.1080/17441692.2023.2242458] [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: 01/05/2023] [Accepted: 07/24/2023] [Indexed: 09/07/2023]
Abstract
ABSTRACTThis study aimed to explore the firsthand experiences of informal primary caregivers of women with female genital fistula in Uganda. Caregivers that accompanied women for surgery at Mulago National Teaching and Referral Hospital were recruited between January and September 2015. Caregivers participated in in-depth interviews and focus groups. Data were analysed thematically and informed adaptation of a conceptual framework. Of 43 caregivers, 84% were female, 95% family members, and most married and formally employed. Caregivers engaged in myriad personal care and household responsibilities, and described being on call for an average of 22.5 h per day. Four overlapping themes emerged highlighting social, economic, emotional, and physical experiences/consequences. The caregiving experience was informed by specific caregiver circumstances (e.g. personal characteristics, care needs of their patient) and dynamic stressors/supports within the caregiver's social context. These results demonstrate that caregivers' lived social, economic, emotional, and physical experiences and consequences are influenced by both social factors and individual characteristics of both the caregiver and their patient. This study may inform programmes and policies that increase caregiving supports while mitigating caregiving stressors to enhance the caregiving experience, and ultimately ensure its feasibility, particularly in settings with constrained resources.
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Affiliation(s)
- Alison M. El Ayadi
- Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco
- Department of Epidemiology and Biostatistics, University of California, San Francisco
| | - Ashley Mitchell
- Institute for Global Health Sciences, University of California, San Francisco
| | - Hadija Nalubwama
- Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Kampala, Uganda
| | - Suellen Miller
- Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco
| | - Wagahta Semere
- Department of Medicine, University of California, San Francisco
| | - Justus K. Barageine
- Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Kampala, Uganda
| | - Abner P. Korn
- Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco
| | - Susan Obore
- Division of Urogynecology, Mulago National Referral and Teaching Hospital, Kampala, Uganda
| | | | - Josaphat Byamugisha
- Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Kampala, Uganda
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33
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Peng B, Ling L. Health service behaviors of migrants: A conceptual framework. Front Public Health 2023; 11:1043135. [PMID: 37124818 PMCID: PMC10140430 DOI: 10.3389/fpubh.2023.1043135] [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] [Received: 09/13/2022] [Accepted: 03/14/2023] [Indexed: 05/02/2023] Open
Abstract
Universal health coverage is vital to the World Health Organization's (WHO's) efforts to ensure access to health as a human right. However, it has been reported that migrants, including both international immigrants and internal migrants, underuse health services. Establishing a conceptual framework to facilitate research on the health service behaviors (HSB) of migrants is particularly important. Many theoretical frameworks explaining the general population's HSB have been published; however, most theoretical frameworks on migrants' HSB only focus on international immigrants without the inclusion of internal migrants. Of note, internal migrants are much more abundant than immigrants, and this group faces similar barriers to HSB as immigrants do. Based on theoretical frameworks of immigrants' HSB and Anderson's behavior model, the author proposes a new conceptual framework of migrants' HSB that includes both immigrants and internal migrants. The new conceptual framework divides the determinants into macro-structural or contextual factors, health delivery system characteristics, and characteristics of the population at risk and describes subgroup-specific factors. The author added some variables and reclassified variables in some dimensions, including characteristics of health delivery systems and access to healthcare. The characteristics of health delivery systems comprise the volume, organization, quality, and cost of the health delivery system, while the characteristics of access to healthcare include time accessibility, geographic accessibility, and information accessibility. The outcomes of HSB have been expanded, and relationships between them have been reported. The mediating effects of some variables have also been described. This conceptual framework can facilitate a deep and comprehensive understanding of the HSB determination process for migrants, including internal migrants.
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Affiliation(s)
- Boli Peng
- Department of Actuarial Science, School of Insurance, Guangdong University of Finance, Guangzhou, China
| | - Li Ling
- Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, China
- Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou, China
- *Correspondence: Li Ling,
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Stannard S, Berrington A, Paranjothy S, Owen R, Fraser S, Hoyle R, Boniface M, Wilkinson B, Akbari A, Batchelor S, Jones W, Ashworth M, Welch J, Mair FS, Alwan NA. A conceptual framework for characterising lifecourse determinants of multiple long-term condition multimorbidity. J Multimorb Comorb 2023; 13:26335565231193951. [PMID: 37674536 PMCID: PMC10478563 DOI: 10.1177/26335565231193951] [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] [Subscribe] [Scholar Register] [Indexed: 09/08/2023]
Abstract
Objective Social, biological and environmental factors in early-life, defined as the period from preconception until age 18, play a role in shaping the risk of multiple long-term condition multimorbidity. However, there is a need to conceptualise these early-life factors, how they relate to each other, and provide conceptual framing for future research on aetiology and modelling prevention scenarios of multimorbidity. We develop a conceptual framework to characterise the population-level domains of early-life determinants of future multimorbidity. Method This work was conducted as part of the Multidisciplinary Ecosystem to study Lifecourse Determinants and Prevention of Early-onset Burdensome Multimorbidity (MELD-B) study. The conceptualisation of multimorbidity lifecourse determinant domains was shaped by a review of existing research evidence and policy, and co-produced with public involvement via two workshops. Results Early-life risk factors incorporate personal, social, economic, behavioural and environmental factors, and the key domains discussed in research evidence, policy, and with public contributors included adverse childhood experiences, socioeconomics, the social and physical environment, and education. Policy recommendations more often focused on individual-level factors as opposed to the wider determinants of health discussed within the research evidence. Some domains highlighted through our co-production process with public contributors, such as religion and spirituality, health screening and check-ups, and diet, were not adequately considered within the research evidence or policy. Conclusions This co-produced conceptualisation can inform research directions using primary and secondary data to investigate the early-life characteristics of population groups at risk of future multimorbidity, as well as policy directions to target public health prevention scenarios of early-onset multimorbidity.
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Affiliation(s)
- Sebastian Stannard
- School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, Southampton General Hospital, Southampton, UK
| | - Ann Berrington
- Department of Social Statistics and Demography, University of Southampton, Southampton, UK
| | - Shantini Paranjothy
- School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK
| | - Rhiannon Owen
- Population Data Science, Faculty of Medicine, Health and Life Science, Medical School, Swansea University, Swansea, UK
| | - Simon Fraser
- School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, Southampton General Hospital, Southampton, UK
| | - Rebecca Hoyle
- School of Mathematical Sciences, University of Southampton, Southampton, UK
| | - Michael Boniface
- School of Electronics and Computer Science, University of Southampton, Southampton, UK
| | | | - Ashley Akbari
- Population Data Science, Faculty of Medicine, Health and Life Science, Medical School, Swansea University, Swansea, UK
| | | | - William Jones
- Patient and Public Involvement, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - Mark Ashworth
- School of Life Course and Population Sciences, King’s College London, London, UK
| | - Jack Welch
- Public Contributor on MELD-B, Southampton, UK
| | - Frances S Mair
- General Practice & Primary Care, School of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Nisreen A Alwan
- School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, Southampton General Hospital, Southampton, UK
- NIHR Southampton Biomedical Research Centre, University of Southampton; University Hospital Southampton NHS Foundation Trust, Southampton, UK
- NIHR Applied Research Collaboration Wessex, Southampton, UK
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Vernooij-Dassen M, Verspoor E, Samtani S, Sachdev PS, Ikram MA, Vernooij MW, Hubers C, Chattat R, Lenart-Bugla M, Rymaszewska J, Szczesniak D, Brodaty H, Welmer AK, Maddock J, van der Velpen IF, Wiegelmann H, Marseglia A, Richards M, Melis R, de Vugt M, Moniz-Cook E, Jeon YH, Perry M, Wolf-Ostermann K. Recognition of social health: A conceptual framework in the context of dementia research. Front Psychiatry 2022; 13:1052009. [PMID: 36590639 PMCID: PMC9798783 DOI: 10.3389/fpsyt.2022.1052009] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 11/24/2022] [Indexed: 12/23/2022] Open
Abstract
Objective The recognition of dementia as a multifactorial disorder encourages the exploration of new pathways to understand its origins. Social health might play a role in cognitive decline and dementia, but conceptual clarity is lacking and this hinders investigation of associations and mechanisms. The objective is to develop a conceptual framework for social health to advance conceptual clarity in future studies. Process We use the following steps: underpinning for concept advancement, concept advancement by the development of a conceptual model, and exploration of its potential feasibility. An iterative consensus-based process was used within the international multidisciplinary SHARED project. Conceptual framework Underpinning of the concept drew from a synthesis of theoretical, conceptual and epidemiological work, and resulted in a definition of social health as wellbeing that relies on capacities both of the individual and the social environment. Consequently, domains in the conceptual framework are on both the individual (e.g., social participation) and the social environmental levels (e.g., social network). We hypothesize that social health acts as a driver for use of cognitive reserve which can then slow cognitive impairment or maintain cognitive functioning. The feasibility of the conceptual framework is demonstrated in its practical use in identifying and structuring of social health markers within the SHARED project. Discussion The conceptual framework provides guidance for future research and facilitates identification of modifiable risk and protective factors, which may in turn shape new avenues for preventive interventions. We highlight the paradigm of social health in dementia as a priority for dementia research.
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Affiliation(s)
- Myrra Vernooij-Dassen
- Scientific Center for Quality of Healthcare, Radboud University Medical Center, Nijmegen, Netherlands
| | - Eline Verspoor
- Department Geriatric Medicine, Radboud University Medical Center, Nijmegen, Netherlands
| | - Suraj Samtani
- Discipline of Psychiatry and Mental Health, Centre for Healthy Brain Ageing (CHeBA), University of New South Wales, Sydney, NSW, Australia
| | - Perminder S. Sachdev
- Discipline of Psychiatry and Mental Health, Centre for Healthy Brain Ageing (CHeBA), University of New South Wales, Sydney, NSW, Australia
| | - M. Arfan Ikram
- Department of Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands
- Harvard T.H. Chan School of Public Health, Boston, MA, United States
| | - Meike W. Vernooij
- Department of Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus University Medical Center, Rotterdam, Netherlands
| | - Claudia Hubers
- Department Geriatric Medicine, Radboud University Medical Center, Nijmegen, Netherlands
| | - Rabih Chattat
- Department of Psychology, University of Bologna, Bologna, Italy
| | | | | | - Dorota Szczesniak
- Department of Psychiatry, Wrocław Medical University, Wrocław, Poland
| | - Henry Brodaty
- Discipline of Psychiatry and Mental Health, Centre for Healthy Brain Ageing (CHeBA), University of New South Wales, Sydney, NSW, Australia
- Dementia Centre for Research Collaboration, Sydney, NSW, Australia
| | - Anna-Karin Welmer
- Department of Neurobiology Care Sciences and Society, Aging Research Center & Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden
| | - Jane Maddock
- MRC Unit for Lifelong Health and Ageing at UCL, Faculty of Population Health, University College London, London, United Kingdom
| | - Isabelle F. van der Velpen
- Department of Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands
- Department of Radiology and Nuclear Medicine, Erasmus University Medical Center, Rotterdam, Netherlands
| | - Henrik Wiegelmann
- Department of Nursing Science Research, Institute of Public Health and Nursing Research, University of Bremen, Bremen, Germany
| | - Anna Marseglia
- Department of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden
| | - Marcus Richards
- MRC Unit for Lifelong Health and Ageing at UCL, Faculty of Population Health, University College London, London, United Kingdom
| | - Rene Melis
- Department Geriatric Medicine, Radboud University Medical Center, Nijmegen, Netherlands
| | - Marjolein de Vugt
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neurosciences, Faculty of Health, Medicine and Life Sciences, Alzheimer Centrum Limburg, Maastricht University, Maastricht, Netherland
| | - Esme Moniz-Cook
- Department of Clinical Psychology, University of Hull, Hull, United Kingdom
| | - Yun-Hee Jeon
- Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Marieke Perry
- Department Geriatric Medicine, Radboud University Medical Center, Nijmegen, Netherlands
| | - Karin Wolf-Ostermann
- Department of Nursing Science Research, Institute of Public Health and Nursing Research, University of Bremen, Bremen, Germany
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Mavragani A, Banegas MP, Henrikson NB. Conceptions of Legacy Among People Making Treatment Choices for Serious Illness: Protocol for a Scoping Review. JMIR Res Protoc 2022; 11:e40791. [PMID: 36485023 PMCID: PMC9789496 DOI: 10.2196/40791] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 07/11/2022] [Revised: 11/04/2022] [Accepted: 11/05/2022] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND Legacy-what one leaves behind and how one hopes to be remembered after death-is an unexplored and important dimension of decision-making for people facing serious illnesses. A preliminary literature review suggests that patients facing serious illness consider legacy when making medical decisions, for example, forgoing expensive treatment with limited or unknown clinical benefit to preserve one's inheritance for their children. To date, very little is known about the conceptual foundations of legacy. No conceptual frameworks exist that provide a comprehensive understanding of how legacy considerations relate to patient choices about their medical care. OBJECTIVE The objective of this scoping review is to understand the extent and type of research addressing the concept of legacy by people facing serious illness to inform a conceptual framework of legacy and patient treatment choices. METHODS This protocol follows the guidelines put forth by Levac et al, which expands the framework introduced by Arksey and O'Malley, as well as the Joanna Briggs Institute Reviewer's manual. This scoping review will explore several electronic databases including PubMed, Medline, CINAHL, Cochrane Library, PsycINFO, and others and will include legacy-specific gray literature, including dissertation research available via ProQuest. An initial search will be conducted in English-language literature from 1990 to the present with selected keywords to identify relevant articles and refine the search strategy. After the search strategy has been finalized, 2 independent reviewers will undertake a 2-part study selection process. In the first step, reviewers will screen article titles and abstracts to identify the eligibility of each article based on predetermined exclusion or inclusion criteria. A third senior reviewer will arbitrate discrepancies regarding inclusions or exclusions. During the second step, the full texts will be screened by 2 reviewers, and only relevant articles will be kept. Relevant study data will be extracted, collated, and charted to summarize the key findings related to the construct of legacy. RESULTS This study will identify how people facing serious illness define legacy, and how their thinking about legacy impacts the choices they make about their medical treatments. We will note gaps in the literature base. The findings of this study will inform a conceptual model that outlines how ideas about legacy impact the patient's treatment choices. The results of this study will be submitted to an indexed journal. CONCLUSIONS Very little is known about the role of legacy in the treatment decisions of patients across the continuum of serious illness. In particular, no comprehensive conceptual model exists that would provide an understanding of how legacy is considered by people making decisions about their care during serious illness. This study will be among the first to construct a conceptual model detailing how considerations of legacy impact medical decision-making for people facing or living with serious illnesses. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/40791.
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Affiliation(s)
| | - Matthew P Banegas
- Kaiser Permanente Center for Health Research, Portland, OR, United States.,Radiation Medicine and Applied Science School, University of California San Diego, La Jolla, CA, United States
| | - Nora B Henrikson
- Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States.,Department of Health Systems Science, Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, United States.,Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, United States
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Bao Y, Tao J, Liu Q. "Embedding" and "pulling back": Spatial transformations and urban assimilation of migrant elderlies following their children. Front Public Health 2022; 10:1009274. [PMID: 36478726 PMCID: PMC9720117 DOI: 10.3389/fpubh.2022.1009274] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 08/01/2022] [Accepted: 11/07/2022] [Indexed: 11/22/2022] Open
Abstract
Background Due to the rapid acceleration of social mobility and the shrinking size of families, China has begun to enter a new form of aging society, with an increasing number of migrant elderlies following their children. How to adapt and assimilate into the new living space profoundly affects those migrant elderlies' mental health. Drawing on the spatial framework proposed by Henry Lefebvre, this paper explores the factors affecting urban assimilation of migrant elderlies following their children in China, and puts forward corresponding strategies to promote the urban assimilation. Method Using semi-structured interviews and participatory observation, this study conducted a qualitative study among migrant elderlies following their children who lived in a University Community in Wuhan city, Hubei Province from May 2022 to July 2022. During the survey period, we participated in the gathering activities of the migrant elderly five times a week, and conducted semi-structured interviews with 15 migrant elderlies following their children. Results Firstly, this study reveals that family assimilation is the foundation of urban assimilation of migrant elderly following their children; Secondly, we could conclude that the urban life of the migrant elderlies are mostly community-based, so it is especially important for them to reconstruct close neighborhood relations and regain the humanity affection of the traditional acquaintance society. Lastly, the fundamental institutional barrier is a significant factor that influences the ability of these migrant elderlies to live a stable urban life. The Chinese government needs to promote a nationwide unified pension and health insurance system, so that the migrant elderlies can enjoy the same benefits as the local elderly residents in the "inflow" area.
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Affiliation(s)
- Yaxiong Bao
- School of Journalism and Culture Communication, Zhongnan University of Economics and Law, Wuhan, China
| | - Juanmei Tao
- School of Journalism and Culture Communication, Zhongnan University of Economics and Law, Wuhan, China
| | - Qian Liu
- School of Journalism and Communication, National Media Experimental Teaching Demonstration Center, Jinan University, Guangzhou, China,*Correspondence: Qian Liu
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Molefe LL, Sehularo LA, Koen DM. Conceptual framework for support of caregivers of children diagnosed with intellectual disabilities in Gauteng. Curationis 2022; 45:e1-e11. [PMID: 36331215 PMCID: PMC9634814 DOI: 10.4102/curationis.v45i1.2316] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 07/26/2022] [Accepted: 09/11/2022] [Indexed: 06/16/2023] Open
Abstract
UNLABELLED children. Their needs are not met. There is lack of support for caregivers and no existing conceptual framework of support. There was therefore a need to develop a conceptual framework of support for caregivers. OBJECTIVES The purpose of this study was to develop a conceptual framework of support for caregivers of children diagnosed with intellectual disabilities in the Gauteng province. METHOD Three phases were followed: an empirical phase, a classification of concepts and a development phase. A conceptual framework was developed based on the results of the empirical phase, after concepts were classified. RESULTS The conceptual framework of support for caregivers of children diagnosed with intellectual disabilities in the Gauteng province was developed, consisting of six components, namely agents, recipients, context, procedures, dynamics and terminus. CONCLUSION A framework will guide all stakeholders on how to support caregivers of children diagnosed with intellectual disabilities in the Gauteng province.Contribution: The framework serves as a guide for future studies aiming at developing support programmes and models for caregivers, and further provide guidance on how caregivers can effectively be supported when used in mental healthcare institutions.
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Affiliation(s)
- Lebogang L Molefe
- Department of Nursing, Faculty of Health Science, North-West University, Mahikeng.
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van Nunen K, Reniers G, Ponnet K. Measuring Safety Culture Using an Integrative Approach: The Development of a Comprehensive Conceptual Framework and an Applied Safety Culture Assessment Instrument. Int J Environ Res Public Health 2022; 19:13602. [PMID: 36294182 PMCID: PMC9602973 DOI: 10.3390/ijerph192013602] [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] [Figures] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 10/14/2022] [Accepted: 10/17/2022] [Indexed: 06/16/2023]
Abstract
An exponential amount of academic research has been dedicated to the safety culture concept, but still, no consensus has been reached on its definition and content. In general, safety culture research lacks an interdisciplinary approach. Furthermore, although the concept of safety culture is characterised by complexity and multifacetedness, the safety culture concept has been characterised by reductionism, where models and theories simplify the concept in order to better grasp it, leading to confined approaches. In this article, the multifacetedness of safety culture is acknowledged, and the topic is addressed from a safety science perspective, combining insights from multiple academic disciplines. An integrative and comprehensive conceptual framework to assess safety culture in organisations is developed, taking into account the limitations of existing models, as well as the needs of the work field. This conceptual framework is called the 'Integrated Safety Culture Assessment' (ISCA), where the 'assessment' refers to its practical usability. The practical rendition of ISCA can be used to map the safety culture of an organisation and to formulate recommendations in this regard, with the ultimate goal of bringing about a change towards a positive safety culture. The comprehensiveness of ISCA lies in the inclusion of technological factors, organisational or contextual factors and human factors interacting and interrelating with each other, and in considering both observable or objective safety-related aspects in an organisation, and non-observable or subjective safety-related aspects. When using ISCA, organisational safety culture is assessed in an integrative way by using a variety of research methods involving the entire organisation, and by taking into account the specific context of the organisation.
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Affiliation(s)
- Karolien van Nunen
- Research Chair Vandeputte, University of Antwerp, 2000 Antwerp, Belgium
- Safety and Security Science Group, Faculty of Technology, Policy and Management, Delft University of Technology, 2628 BX Delft, The Netherlands
| | - Genserik Reniers
- Safety and Security Science Group, Faculty of Technology, Policy and Management, Delft University of Technology, 2628 BX Delft, The Netherlands
- Antwerp Research Group on Safety and Security (ARGoSS), Faculty of Applied Economics, University of Antwerp, 2000 Antwerp, Belgium
- Centre for Economics and Corporate Sustainability (CEDON), KU Leuven, 3000 Leuven, Belgium
| | - Koen Ponnet
- Research Group for Media, Innovation and Communication Technologies, Department of Communication Sciences, imec-mict Ghent University, 9000 Ghent, Belgium
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Marí-Dell’Olmo M, Oliveras L, Barón-Miras LE, Borrell C, Montalvo T, Ariza C, Ventayol I, Mercuriali L, Sheehan M, Gómez-Gutiérrez A, Villalbí JR. Climate Change and Health in Urban Areas with a Mediterranean Climate: A Conceptual Framework with a Social and Climate Justice Approach. Int J Environ Res Public Health 2022; 19:12764. [PMID: 36232063 PMCID: PMC9566374 DOI: 10.3390/ijerph191912764] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 09/23/2022] [Accepted: 09/30/2022] [Indexed: 06/16/2023]
Abstract
The consequences of climate change are becoming increasingly evident and highlight the important interdependence between the well-being of people and ecosystems. Although climate change is a global phenomenon, its causes and consequences vary dramatically across territories and population groups. Among settings particularly susceptible to health impacts from climate change are cities with a Mediterranean climate. Here, impacts will put additional pressure on already-stressed ecosystems and vulnerable economies and societies, increasing health inequalities. Therefore, this article presents and discusses a conceptual framework for understanding the complex relationship between climate change and health in the context of cities with Mediterranean climate from a social and climate justice approach. The different elements that integrate the conceptual framework are: (1) the determinants of climate change; (2) its environmental and social consequences; (3) its direct and indirect impacts on health; and (4) the role of mitigation and adaptation policies. The model places special emphasis on the associated social and health inequalities through (1) the recognition of the role of systems of privilege and oppression; (2) the distinction between structural and intermediate determinants of climate change at the root of health inequalities; (3) the role of individual and collective vulnerability in mediating the effects of climate change on health; and (4) the need to act from a climate justice perspective to reverse health inequities.
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Affiliation(s)
- Marc Marí-Dell’Olmo
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, 08023 Barcelona, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain
| | - Laura Oliveras
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, 08023 Barcelona, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain
| | - Lourdes Estefanía Barón-Miras
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, 08023 Barcelona, Spain
- Department of Preventive Medicine and Epidemiology, Hospital Clinic, Universitat de Barcelona, Villarroel 170, 08036 Barcelona, Spain
| | - Carme Borrell
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, 08023 Barcelona, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain
- Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Doctor Aiguader 88, 08003 Barcelona, Spain
| | - Tomás Montalvo
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, 08023 Barcelona, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain
| | - Carles Ariza
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, 08023 Barcelona, Spain
| | - Irma Ventayol
- Oficina de Canvi Climàtic i Sostenibilitat, Ajuntament de Barcelona, Av. Diagonal 240, 08018 Barcelona, Spain
| | - Lilas Mercuriali
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, 08023 Barcelona, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain
| | - Mary Sheehan
- Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, 615 N. Wolfe Street, Baltimore, MD 21205, USA
- Joint Johns Hopkins University-Pompeu Fabra University Public Policy Center, Universitat Pompeu Fabra, Ramon Trias Fargas, 25-27, 08005 Barcelona, Spain
| | - Anna Gómez-Gutiérrez
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, 08023 Barcelona, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain
| | - Joan Ramon Villalbí
- Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, 08023 Barcelona, Spain
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Dhinagaran DA, Martinengo L, Ho MHR, Joty S, Kowatsch T, Atun R, Tudor Car L. Designing, Developing, Evaluating, and Implementing a Smartphone-Delivered, Rule-Based Conversational Agent (DISCOVER): Development of a Conceptual Framework. JMIR Mhealth Uhealth 2022; 10:e38740. [PMID: 36194462 PMCID: PMC9579935 DOI: 10.2196/38740] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 08/02/2022] [Accepted: 08/26/2022] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Conversational agents (CAs), also known as chatbots, are computer programs that simulate human conversations by using predetermined rule-based responses or artificial intelligence algorithms. They are increasingly used in health care, particularly via smartphones. There is, at present, no conceptual framework guiding the development of smartphone-based, rule-based CAs in health care. To fill this gap, we propose structured and tailored guidance for their design, development, evaluation, and implementation. OBJECTIVE The aim of this study was to develop a conceptual framework for the design, evaluation, and implementation of smartphone-delivered, rule-based, goal-oriented, and text-based CAs for health care. METHODS We followed the approach by Jabareen, which was based on the grounded theory method, to develop this conceptual framework. We performed 2 literature reviews focusing on health care CAs and conceptual frameworks for the development of mobile health interventions. We identified, named, categorized, integrated, and synthesized the information retrieved from the literature reviews to develop the conceptual framework. We then applied this framework by developing a CA and testing it in a feasibility study. RESULTS The Designing, Developing, Evaluating, and Implementing a Smartphone-Delivered, Rule-Based Conversational Agent (DISCOVER) conceptual framework includes 8 iterative steps grouped into 3 stages, as follows: design, comprising defining the goal, creating an identity, assembling the team, and selecting the delivery interface; development, including developing the content and building the conversation flow; and the evaluation and implementation of the CA. They were complemented by 2 cross-cutting considerations-user-centered design and privacy and security-that were relevant at all stages. This conceptual framework was successfully applied in the development of a CA to support lifestyle changes and prevent type 2 diabetes. CONCLUSIONS Drawing on published evidence, the DISCOVER conceptual framework provides a step-by-step guide for developing rule-based, smartphone-delivered CAs. Further evaluation of this framework in diverse health care areas and settings and for a variety of users is needed to demonstrate its validity. Future research should aim to explore the use of CAs to deliver health care interventions, including behavior change and potential privacy and safety concerns.
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Affiliation(s)
| | - Laura Martinengo
- Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore, Singapore
| | - Moon-Ho Ringo Ho
- School of Social Sciences, Nanyang Technological University Singapore, Singapore, Singapore
| | - Shafiq Joty
- School of Computer Sciences and Engineering, Nanyang Technological University Singapore, Singapore, Singapore
| | - Tobias Kowatsch
- Institute for Implementation Science in Health Care, University of Zurich, Zurich, Switzerland
- School of Medicine, University of St Gallen, St Gallen, Switzerland
- Centre for Digital Health Interventions, Department of Management, Technology, and Economics, ETH Zurich, Zurich, Switzerland
- Future Health Technologies Programme, Campus for Research Excellence and Technological Enterprise, Singapore-ETH Centre, Singapore, Singapore
| | - Rifat Atun
- Department of Global Health & Population, Department of Health Policy & Management, Harvard TH Chan School of Public Health, Harvard University, Cambridge, MA, United States
- Department of Global Health and Social Medicine, Harvard Medical School, Harvard University, Cambridge, MA, United States
- Health Systems Innovation Lab, Harvard TH Chan School of Public Health, Harvard University, Cambridge, MA, United States
| | - Lorainne Tudor Car
- Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore, Singapore
- Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom
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Fu J, Hong Y, Liu S, Lu Y, Kong D, Zhong Z, Luo Y. A modified conceptual framework for peer relationship amongst community-dwelling older people in China: A qualitative study. Health Soc Care Community 2022; 30:e2618-e2630. [PMID: 35025123 DOI: 10.1111/hsc.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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 12/10/2021] [Accepted: 12/17/2021] [Indexed: 06/14/2023]
Abstract
Little is known about the pattern, influencing factors of peer relationships, or their interplays amongst community-dwelling older people. This qualitative study was undertaken to understand and present these issues under the guidance of existing Adams-Blieszner-Ueno integrative conceptual framework for friendship in the context of China. Semi-structured interviews were undertaken with 20 older adults in Chongqing, China. Interview transcripts were then analysed by performing content analysis under the guidance of existing categories of Adams-Blieszner-Ueno integrative conceptual framework for friendship and developing separate categories inductively to ensure all data was captured. The results revealed four themes-context, individual characteristics, interactive motifs and peer relationship patterns-and 16 categories. Based on the original Adams-Blieszner-Ueno integrative conceptual framework for friendship, the revised framework for peer relationships modified two dimensions (from structural context to social context, friendship patterns to peer relationship patterns) and added two categories (natural context and health status) that emerge from the data. Besides, different dimensions in the modified framework for peer relationships are explicitly interrelated and not completely independent from each other. In conclusion, this study modified the pre-existing Adams-Blieszner-Ueno integrative conceptual framework for friendship, especially identifying two additional categories, natural context and health status, to understand peer relationships amongst the Chinese community-dwelling older people through careful examination of the data. All domains concerning the modified conceptual framework of peer relationship may serve as possible targets for developing peer-involved programs and thus improving social health, well-being and successful ageing of Chinese older people.
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Affiliation(s)
- Jingjing Fu
- School of Nursing, Army Medical University (Third Military Medical University), Chongqing, P.R. China
| | - Yan Hong
- School of Nursing, Army Medical University (Third Military Medical University), Chongqing, P.R. China
| | - Siqi Liu
- School of Nursing, Army Medical University (Third Military Medical University), Chongqing, P.R. China
| | - Ya Lu
- School of Nursing, Army Medical University (Third Military Medical University), Chongqing, P.R. China
| | - Dehui Kong
- School of Nursing, Army Medical University (Third Military Medical University), Chongqing, P.R. China
| | - Zhu Zhong
- School of Nursing, Army Medical University (Third Military Medical University), Chongqing, P.R. China
| | - Yu Luo
- School of Nursing, Army Medical University (Third Military Medical University), Chongqing, P.R. China
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Hvalič‐Touzery S, Dolničar V, Prevodnik K. Factors influencing informal carers' acceptance of assistive telecare systems in the pre- and post-implementation phase: A scoping study. Health Soc Care Community 2022; 30:e1484-e1504. [PMID: 35574935 PMCID: PMC9541532 DOI: 10.1111/hsc.13840] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 03/15/2022] [Accepted: 04/22/2022] [Indexed: 06/15/2023]
Abstract
Assistive telecare systems (ATSs) have great potential to be beneficial for informal carers (ICs) providing long-term care to older people (OP). However, little is known about ATS acceptance among ICs. This scoping study aims to investigate various factors that influence the ICs' acceptance of ATSs over time in the pre- and post-implementation phases. A five-stage scoping study was conducted. A systematic search of five bibliographic databases (Science Direct, Scopus, CINAHL, PubMED and Proquest Social Sciences Database) was conducted in September 2020, supplemented by a round of grey literature searches. Using the established selection criteria, 37 publications published between 2000 and September 2020 were included. The data were analysed with Atlas.ti 8 using content-based analysis and a combination of deductive and inductive approaches. The results show that work on understanding acceptance of ATS only gained wider attention after 2010. Seven key factors of ATS acceptance were identified: benefits and concerns about ATS, care situation, the influence of the OP, carer characteristics, perceived need to use and social influence. Several subfactors were also found. The post-intervention acceptance factors were found to be more nuanced than the pre-implementation factors, indicating that first-hand experience with ATSs enabled study participants to provide a more tangible, extensive and in-depth overview of the various ATS acceptance factors. This scoping review is useful for ATS developers, providers, health and social care scholars and practitioners, policy makers and commissioners, all of whom seek to improve and facilitate the provision of long-term care in the community.
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Affiliation(s)
- Simona Hvalič‐Touzery
- Faculty of Social Sciences, Centre for Social InformaticsUniversity of LjubljanaLjubljanaSlovenia
| | - Vesna Dolničar
- Faculty of Social Sciences, Centre for Social InformaticsUniversity of LjubljanaLjubljanaSlovenia
| | - Katja Prevodnik
- Faculty of Social Sciences, Centre for Social InformaticsUniversity of LjubljanaLjubljanaSlovenia
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Shesterinina A. Civil war as a social process: actors and dynamics from pre- to post-war. Eur J Int Relat 2022; 28:538-562. [PMID: 35971376 PMCID: PMC9373192 DOI: 10.1177/13540661221095970] [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] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
What accounts for overarching trajectories of civil wars? This article develops an account of civil war as a social process that connects dynamics of conflict from pre- to post-war periods through evolving interactions between nonstate, state, civilian, and external actors involved. It traces these dynamics to the mobilization and organization of nascent nonstate armed groups before the war, which can induce state repression and in some settings escalation of tensions through radicalization of actors, militarization of tactics, and polarization of societies, propelled by internal divisions and external support. Whether armed groups form from a small, clandestine core of dedicated recruits, broader networks, social movements, and/or fragmentation within the regime has consequences for their internal and external relations during the war. However, not only path-dependent but also endogenous dynamics shape overarching trajectories of civil wars. During the war, armed groups develop cohesion and fragment in the context of evolving internal politics, including socialization of fighters, institution-building in the areas that they control, which civilians can collectively resist, competition and cooperation with other nonstate and state forces, and external influence. After the war, armed groups transform to participate in continuing conflict and violence in different ways in interaction with multiple actors. This analysis highlights the contingency of civil wars and suggests that future research should focus on how relevant actors form and transform as they relate to one another to understand linkages between conflict dynamics over time and on continuities and discontinuities in these dynamics to grasp overarching trajectories of civil wars.
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Affiliation(s)
- Anastasia Shesterinina
- Anastasia Shesterinina, Department
of Politics and International Relations, The University of Sheffield,
Elmfield Building, Northumberland Road, Sheffield S10 2TU, UK.
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Jung S, Uttley L, Huang J. Housing With Care for Older People: A Scoping Review Using the CASP Assessment Tool to Inform Optimal Design. HERD 2022; 15:299-322. [PMID: 35996357 PMCID: PMC9523824 DOI: 10.1177/19375867221113359] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Objective: The purpose of this scoping review is to synthesize and map available evidence on the design of “housing with care” (HWC) schemes to inform design decisions built on objective data from previous research, which is key to ensuring such schemes are fit for purpose for older people. Background: HWC is becoming increasingly recognized as a model for developing housing schemes for older people and balances independent living with elevated levels of care. However, as this scheme is still relatively novel, there are currently no established theoretical frameworks to inform design. Methods: Scoping review, thematic analysis, and mapping methods were used to comprehensively search for and synthesize evidence that links design with assessments of quality-of-life data for HWC schemes. Study findings for each included paper were subject to data extraction for inductive analysis, and the quality of each study was assessed using a modified critical appaisal skills programme (CASP) checklist. Results: Our searches yielded 821 unique references, of which 18 unique articles met the inclusion criteria. The outcomes of interest were the design considerations or features in HWC schemes and their impact on the residents. The main themes identified were related to design element, accessibility, maneuverability, views, design procedure, and quality of life (QOL). Further subthemes identified across papers were identified to create a comprehensive map of the key features to consider in designing HWC schemes. Conclusion: This review provides an initial framework for designers and architects to (1) understand the effect of each design element of HWC and (2) inform design to ultimately improve the QOL of aged people.
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Affiliation(s)
- Suyee Jung
- School of Architecture, University of Sheffield, United Kingdom
| | - Lesley Uttley
- School of Health and Related Research, University of Sheffield, United Kingdom
| | - Junjie Huang
- School of Architecture, University of Sheffield, United Kingdom
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Bressan V, Snijder A, Hansen H, Koldby K, Andersen KD, Allegretti N, Porcu F, Marsillas S, García A, Palese A. Supporting the Community to Embrace Individuals with Dementia and to Be More Inclusive: Findings of a Conceptual Framework Development Study. Int J Environ Res Public Health 2022; 19:10335. [PMID: 36011964 PMCID: PMC9407991 DOI: 10.3390/ijerph191610335] [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] [Figures] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 08/12/2022] [Accepted: 08/17/2022] [Indexed: 06/15/2023]
Abstract
The number of community-dwelling people with dementia (PwD) is rising, and the role of their relatives is crucial in addressing and mitigating the implications of dementia on health care systems and on society. We developed a new conceptual framework to promote the collaboration of the community in supporting relatives who are caring for a PwD as well as a range of stakeholders in embracing dementia. A qualitatively driven, multi-method study divided into three phases was performed from 2019 to 2021. A qualitative descriptive study, a mixed-method systematic review and three consensus workshops were conducted, and their results were triangulated. The final version of the Community Collaboration Concept Framework is composed of three main domains based upon seven components: (1) embracing dementia; (2) creating empowerment and a sense of community; (3) collaborating through cocreation and design thinking. The new framework is based on the literature, the synthesis of empirical data and the consensus of a panel of international experts, supporting the global goal of improving community inclusiveness and collaboration. Further studies are needed to confirm its validity, how it should be implemented in practice in various settings and to propose improvements when designing projects based upon it.
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Affiliation(s)
- Valentina Bressan
- Department of Medicine, University of Udine, Viale Ungheria 20, 33100 Udine, Italy
| | - Allette Snijder
- Healthy Ageing Network Northern Netherlands, Peizerweg 140H, 9727 AP Groningen, The Netherlands
| | - Henriette Hansen
- South Denmark European Office, Av. Palmerston 18, 1000 Bruxelles, Belgium
| | - Kim Koldby
- Department for Further Education, University College Lillebaelt, Niels Bohrs Allé 1, 5230 Odense, Denmark
| | - Knud Damgaard Andersen
- Odense Kommune, Department for the Elderly and Persons with Disabilities (ÆHF), Flakhaven 2, 5000 Odense, Denmark
| | - Natalia Allegretti
- Connected Health Alliance CIC, 13A Ballyhoy Avenue, D05 K068 Dublin, Ireland
| | - Federica Porcu
- Connected Health Alliance CIC, 13A Ballyhoy Avenue, D05 K068 Dublin, Ireland
| | - Sara Marsillas
- Matia Gerontological Institute, Pinu Bidea, 35, 20018 Donostia-San Sebastián, Spain
| | - Alvaro García
- Matia Gerontological Institute, Pinu Bidea, 35, 20018 Donostia-San Sebastián, Spain
| | - Alvisa Palese
- Department of Medicine, University of Udine, Viale Ungheria 20, 33100 Udine, Italy
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Brady SS, Bavendam TG, Bradway CK, Conroy B, Dowling-Castronovo A, Epperson CN, Hijaz AK, Hsi RS, Huss K, Kim M, Lazar J, Lee RK, Liu CK, Loizou CN, Miran S, Mody L, Norton JM, Reynolds WS, Sutcliffe S, Zhang N, Hokanson JA. Noncancerous Genitourinary Conditions as a Public Health Priority: Conceptualizing the Hidden Burden. Urology 2022; 166:39-49. [PMID: 34536410 PMCID: PMC8924010 DOI: 10.1016/j.urology.2021.08.040] [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: 04/01/2021] [Revised: 08/07/2021] [Accepted: 08/30/2021] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To provide a conceptual framework to guide investigations into burdens of noncancerous genitourinary conditions (NCGUCs), which are extensive and poorly understood. METHODS The National Institute of Diabetes and Digestive and Kidney Diseases convened a workshop of diverse, interdisciplinary researchers and health professionals to identify known and hidden burdens of NCGUCs that must be measured to estimate the comprehensive burden. Following the meeting, a subgroup of attendees (authors of this article) continued to meet to conceptualize burden. RESULTS The Hidden Burden of Noncancerous Genitourinary Conditions Framework includes impacts across multiple levels of well-being and social ecology, including individual (ie, biologic factors, lived experience, behaviors), interpersonal (eg, romantic partners, family members), organizational/institutional (eg, schools, workplaces), community (eg, public restroom infrastructure), societal (eg, health care and insurance systems, national workforce/economic output), and ecosystem (eg, landfill waste) effects. The framework acknowledges that NCGUCs can be a manifestation of underlying biological dysfunction, while also leading to biological impacts (generation and exacerbation of health conditions, treatment side effects). CONCLUSION NCGUCs confer a large, poorly understood burden to individuals and society. An evidence-base to describe the comprehensive burden is needed. Measurement of NCGUC burdens should incorporate multiple levels of well-being and social ecology, a life course perspective, and potential interactions between NCGUCs and genetics, sex, race, and gender. This approach would elucidate accumulated impacts and potential health inequities in experienced burdens. Uncovering the hidden burden of NCGUCs may draw attention and resources (eg, new research and improved treatments) to this important domain of health.
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Affiliation(s)
- Sonya S Brady
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN.
| | - Tamara G Bavendam
- Division of Kidney, Urologic, and Hematologic Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD
| | - Christine K Bradway
- Department of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, PA
| | - Britt Conroy
- Urology Institute, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH
| | | | - Cynthia Neill Epperson
- Department of Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO
| | - Adonis K Hijaz
- Urology Institute, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH
| | - Ryan S Hsi
- Department of Urology, Vanderbilt University Medical Center, Nashville, TN
| | - Karen Huss
- Division of Extramural Science Programs, Symptom Science and Genetics, Self-Management Office, National Institute of Nursing Research, Bethesda, MD
| | - Michelle Kim
- Department of Urology, Massachusetts General Hospital, Boston, MA
| | - Jason Lazar
- Department of Medicine, SUNY Downstate Health Sciences University, New York, NY
| | - Richard K Lee
- Department of Urology, Weill Cornell Medical College, New York, NY
| | - Christine K Liu
- Section of Geriatrics, Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA; Geriatric Research and Education Clinical Center, Palo Alto VA Health Care System, Palo Alto, CA; Section of Geriatrics, Department of Medicine, Boston University, Boston, MA
| | | | - Saadia Miran
- Division of Kidney, Urologic, and Hematologic Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD
| | - Lona Mody
- Division of Geriatric and Palliative Medicine, University of Michigan Medical School, Ann Arbor, MI and VA Ann Arbor Healthcare System, Ann Arbor, MI
| | - Jenna M Norton
- Division of Kidney, Urologic, and Hematologic Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD
| | | | - Siobhan Sutcliffe
- Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine, St. Louis, MO
| | - Nicole Zhang
- The Valley Foundation School of Nursing, College of Health and Human Sciences, San Jose State University, San Jose, CA
| | - James A Hokanson
- Department of Biomedical Engineering, Medical College of Wisconsin, Milwaukee, WI
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Brun-Usan M, Zimm R, Uller T. Beyond genotype-phenotype maps: Toward a phenotype-centered perspective on evolution. Bioessays 2022; 44:e2100225. [PMID: 35863907 DOI: 10.1002/bies.202100225] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [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: 09/21/2021] [Revised: 06/30/2022] [Accepted: 07/04/2022] [Indexed: 11/08/2022]
Abstract
Evolutionary biology is paying increasing attention to the mechanisms that enable phenotypic plasticity, evolvability, and extra-genetic inheritance. Yet, there is a concern that these phenomena remain insufficiently integrated within evolutionary theory. Understanding their evolutionary implications would require focusing on phenotypes and their variation, but this does not always fit well with the prevalent genetic representation of evolution that screens off developmental mechanisms. Here, we instead use development as a starting point, and represent it in a way that allows genetic, environmental and epigenetic sources of phenotypic variation to be independent. We show why this representation helps to understand the evolutionary consequences of both genetic and non-genetic phenotype determinants, and discuss how this approach can instigate future areas of empirical and theoretical research.
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Affiliation(s)
- Miguel Brun-Usan
- Department of Biology, Lund University, 22362, Lund, Sweden.,Institute for Life Sciences/Electronics and Computer Science, University of Southampton, SO17 1BJ, Southampton, UK
| | - Roland Zimm
- Ecole Normale Supérieure de Lyon, Institute de Génomique Fonctionnelle de Lyon, Lyon, France
| | - Tobias Uller
- Institute for Life Sciences/Electronics and Computer Science, University of Southampton, SO17 1BJ, Southampton, UK
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Singh NS, Blanchard AK, Blencowe H, Koon AD, Boerma T, Sharma S, Campbell OMR. Zooming in and out: a holistic framework for research on maternal, late foetal and newborn survival and health. Health Policy Plan 2022; 37:565-574. [PMID: 34888635 PMCID: PMC9113153 DOI: 10.1093/heapol/czab148] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 12/05/2021] [Accepted: 12/08/2021] [Indexed: 12/03/2022] Open
Abstract
Research is needed to understand why some countries succeed in greater improvements in maternal, late foetal and newborn health (MNH) and reducing mortality than others. Pathways towards these health outcomes operate at many levels, making it difficult to understand which factors contribute most to these health improvements. Conceptual frameworks provide a cognitive means of rendering order to these factors and how they interrelate to positively influence MNH. We developed a conceptual framework by integrating theories and frameworks from different disciplines to encapsulate the range of factors that explain reductions in maternal, late foetal and neonatal mortality and improvements in health. We developed our framework iteratively, combining our interdisciplinary research team's knowledge, experience and review of the literature. We present a framework that includes health policy and system levers (or intentional actions that policy-makers can implement) to improve MNH; service delivery and coverage of interventions across the continuum of care; and epidemiological and behavioural risk factors. The framework also considers the role of context in influencing for whom and where health and non-health efforts have the most impact, to recognize 'the causes of the causes' at play at the individual/household, community, national and transnational levels. Our framework holistically reflects the range of interrelated factors influencing improved MNH and survival. The framework lends itself to studying how different factors work together to influence these outcomes using an array of methods. Such research should inform future efforts to improve MNH and survival in different contexts. By re-orienting research in this way, we hope to equip policy-makers and practitioners alike with the insight necessary to make the world a safer and fairer place for mothers and their babies.
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Affiliation(s)
- Neha S Singh
- London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
| | - Andrea K Blanchard
- Department of Community Health Sciences, University of Manitoba, R070-771 McDermot Avenue, Winnipeg, MB R3E 0T6, Canada
| | - Hannah Blencowe
- London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
| | - Adam D Koon
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA
| | - Ties Boerma
- Department of Community Health Sciences, University of Manitoba, R070-771 McDermot Avenue, Winnipeg, MB R3E 0T6, Canada
| | - Sudha Sharma
- CIWEC Hospital and Travel Medical Center, G.P.O. Box 12895, Kapurdhara Marg, Kathmandu 44600, Nepal
| | - Oona M R Campbell
- London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
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50
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Abstract
Freezing temperatures are inherently challenging for life, which is water based. How species cope with these conditions fundamentally shapes ecological and evolutionary processes. Despite this, there is no comprehensive conceptual framework for cold-survival strategies-seasonal migration, cold resistance and torpor. Here, I propose a framework with four components for conceptualizing and quantifying cold-survival strategies. Cold-survival strategies are (i) collectively encompassed by the proposed framework, and that this full breadth of strategies should be considered in focal species or systems (comprehensive consideration). These strategies also (ii) exist on a spectrum, such that species can exhibit partial use of strategies, (iii) are non-exclusive, such that some species use multiple strategies concurrently (combined use) and (iv) should collectively vary inversely and proportionally with one another when controlling for the external environment (e.g. when considering species that occur in sympatry in their summer range), such that use of one strategy reduces, collectively, the use of others (proportional use). This framework is relevant to understanding fundamental patterns and processes in evolution, ecology, physiology and conservation biology.
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Affiliation(s)
- Giorgia G Auteri
- Department of Ecology and Evolutionary Biology, University of Michigan, Ann Arbor, MI 48109, USA
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