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Cameron D, Wilson A, Mendham A, Wingard S, Kropinyeri R, Scriven T, Kerrigan C, Spaeth B, Stranks S, Kaambwa B, Ullah S, Worley P, Ryder C. Knowledge interface co-design of a diabetes and metabolic syndrome initiative with and for Aboriginal people living on Ngarrindjeri country. Public Health Pract (Oxf) 2024; 7:100496. [PMID: 38681115 PMCID: PMC11047281 DOI: 10.1016/j.puhip.2024.100496] [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: 10/26/2023] [Revised: 02/29/2024] [Accepted: 03/04/2024] [Indexed: 05/01/2024] Open
Abstract
Objectives This research program involves two phases to identify enablers and barriers to diabetes care for Aboriginal people on Ngarrindjeri country; and co-design a strength-based metabolic syndrome and Type 2 Diabetes (T2D) remission program with the Ngarrindjeri community. Study design A study protocol on qualitative research. Methods The study will recruit Aboriginal people living on Ngarrindjeri country above 18 years of age with a diagnosis of metabolic syndrome or T2D. Recruitment for phases one and two will occur through the Aboriginal Health Team at the Riverland Mallee Coorong Local Health Network. The lived experiences of T2D will be explored with 10-15 Aboriginal participants, through an Aboriginal conversational technique called 'yarning' (60-90 min) in phase 1. Elders and senior community representatives (n = 20-30) will participate in four co-design workshops (2-4 h) in phase 2. Qualitative data will be transcribed and thematically analysed (NVivo version 12). The analysis will focus on protective factors for the Cultural Determinants of Health. Ethics approval was obtained from Aboriginal Health Research Ethics Committee in South Australia (04-22-1009), and Flinders University Human Research Ethics Committee (5847). Results This work will be used to pilot the co-designed diabetes remission trial. Outcomes will be published in peer-reviewed journals, presented at conferences, focusing on following best practice guidelines from the Australian Institute of Aboriginal and Torres Strait Islander Studies and National Health and Medical Research Council. Research translation will occur through digital posters, manuals, and infographics. Conclusions The findings will be summarised to all Aboriginal organisations involved in this study, along with peak bodies, stakeholders, Aboriginal Services, and interested participants.
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Affiliation(s)
- D. Cameron
- Moorundi Aboriginal Community Controlled Health Service, Murray Bridge, Australia
| | - A. Wilson
- College of Medicine and Public Health, Flinders University, Adelaide, Australia
- Flinders Health and Medical Research Institute, Flinders University, Adelaide, Australia
| | - A.E. Mendham
- Riverland Academy of Clinical Excellence (RACE), Riverland Mallee Coorong Local Health Network, South Australia Health, Australia
| | - S. Wingard
- Riverland Academy of Clinical Excellence (RACE), Riverland Mallee Coorong Local Health Network, South Australia Health, Australia
| | - R. Kropinyeri
- Riverland Academy of Clinical Excellence (RACE), Riverland Mallee Coorong Local Health Network, South Australia Health, Australia
| | - T. Scriven
- Riverland Academy of Clinical Excellence (RACE), Riverland Mallee Coorong Local Health Network, South Australia Health, Australia
| | | | - B. Spaeth
- College of Medicine and Public Health, Flinders University, Adelaide, Australia
- Flinders Health and Medical Research Institute, Flinders University, Adelaide, Australia
| | - S. Stranks
- College of Medicine and Public Health, Flinders University, Adelaide, Australia
- Southern Adelaide Diabetes and Endocrine Services, South Australia Health, Adelaide, Australia
| | - B. Kaambwa
- College of Medicine and Public Health, Flinders University, Adelaide, Australia
- Flinders Health and Medical Research Institute, Flinders University, Adelaide, Australia
| | - S. Ullah
- College of Medicine and Public Health, Flinders University, Adelaide, Australia
- Flinders Health and Medical Research Institute, Flinders University, Adelaide, Australia
| | - P. Worley
- College of Medicine and Public Health, Flinders University, Adelaide, Australia
- Riverland Academy of Clinical Excellence (RACE), Riverland Mallee Coorong Local Health Network, South Australia Health, Australia
| | - C. Ryder
- College of Medicine and Public Health, Flinders University, Adelaide, Australia
- Flinders Health and Medical Research Institute, Flinders University, Adelaide, Australia
- The George Institute for Global Health, University of New South Wales, Sydney, Australia
- School of Population Health, University of New South Wales, Sydney, Australia
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Betz ME, Barnard LM, Knoepke CE, Rivara FP, Rowhani-Rahbar A. Creation of online maps for voluntary out-of-home firearm storage: Experiences and opportunities. Prev Med Rep 2023; 32:102167. [PMID: 36891542 DOI: 10.1016/j.pmedr.2023.102167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 02/21/2023] [Accepted: 02/22/2023] [Indexed: 02/27/2023] Open
Abstract
Online maps showing locations for voluntary, temporary firearm storage are a novel approach in suicide and injury prevention. A study team from two states with maps (Colorado and Washington) interviewed leaders from six additional states with maps and six without. Key considerations for map creation were: trust and partnerships; legal issues; funding; and map maintenance. Addressing these considerations - through stronger networks, liability protection, or sustainable programming - may enhance dissemination and use of out-of-home firearm storage options.
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Shi Z, Michalovic E, McKay R, Gainforth HL, McBride CB, Clarke T, Casemore S, Sweet SN. Outcomes of spinal cord injury peer mentorship: A community-based Delphi consensus approach. Ann Phys Rehabil Med 2023; 66:101678. [PMID: 35659583 DOI: 10.1016/j.rehab.2022.101678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 01/28/2022] [Accepted: 05/11/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Zhiyang Shi
- McGill University, Department of Kinesiology and Physical Education, Montreal, QC, Canada; Centre for Interdisciplinary Rehabilitation Research in Metropolitan Montreal, Montreal, QC, Canada.
| | - Emilie Michalovic
- McGill University, Department of Kinesiology and Physical Education, Montreal, QC, Canada; Centre for Interdisciplinary Rehabilitation Research in Metropolitan Montreal, Montreal, QC, Canada
| | - Rhyann McKay
- University of British Columbia Okanagan, School of Health and Exercise Sciences, Kelowna, BC, Canada; International Collaboration on Repair Discoveries, Canada
| | - Heather L Gainforth
- University of British Columbia Okanagan, School of Health and Exercise Sciences, Kelowna, BC, Canada; International Collaboration on Repair Discoveries, Canada
| | | | | | | | - Shane N Sweet
- McGill University, Department of Kinesiology and Physical Education, Montreal, QC, Canada; Centre for Interdisciplinary Rehabilitation Research in Metropolitan Montreal, Montreal, QC, Canada
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Aguilar-González A, Lou-Meda R, Chocó-Cedillos A, Moist L. Community engagement in kidney research: Guatemalan experience. BMC Nephrol 2022; 23:282. [PMID: 35962338 PMCID: PMC9373416 DOI: 10.1186/s12882-022-02891-8] [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] [Received: 02/20/2022] [Accepted: 07/08/2022] [Indexed: 11/24/2022] Open
Abstract
Background Community engagement is essential for effective research when addressing issues important to both the community and researchers. Despite its effectiveness, there is limited published evidence concerning the evaluation of community engagement in research projects, especially in the area of nephrology. Methods We developed a community engagement program in Guatemala to address the role of hydration in chronic kidney disease of unknown origin, using five key engagement principles: 1. Local relevance and determinants of health. 2. Acknowledgment of the community. 3. Dissemination of findings and knowledge gained to all partners. 4. Usage of community partners’ input. 5. Involvement of a cyclical and iterative process in the pursuit of goals. The effectiveness of community engagement was measured by a structured questionnaire on a 5-point likert scale. This measure determined how well and how often the research team adhered to the five engagement principles. We assessed internal consistency for each set of the engagement items through Omega coefficient. Results Sixty-two community leaders completed the questionnaire. Seventy-five percent were female, with a mean age of 37 years. All 5 engagement principles scored highly on the 5-point likert scale. Every item set corresponding to an engagement principles evaluation had a Omega coefficient > 0.80, indicating a firm internal consistency for all question groups on both qualitative and quantitative scales. Conclusion Engagement of the community in the kidney research provides sustainability of the efforts and facilitates the achievements of the goals. Community leaders and researchers became a team and develop a relationship in which commitment and empowerment facilitated the participation in all aspects of the research process. This initiative could be a useful tool for researchers, especially in low-middle income countries, to start research in a community, achieve objectives in a viable form, and open opportunities to further studies. Supplementary Information The online version contains supplementary material available at 10.1186/s12882-022-02891-8.
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Affiliation(s)
- Angie Aguilar-González
- Foundation for Children With Kidney Disease -FUNDANIER-, 6 avenida 9-18 zona 10, torre 1, Oficina 804, Edificio Sixtino 2, Guatemala, 01010, Guatemala.
| | - Randall Lou-Meda
- Foundation for Children With Kidney Disease -FUNDANIER-, 6 avenida 9-18 zona 10, torre 1, Oficina 804, Edificio Sixtino 2, Guatemala, 01010, Guatemala
| | - André Chocó-Cedillos
- Foundation for Children With Kidney Disease -FUNDANIER-, 6 avenida 9-18 zona 10, torre 1, Oficina 804, Edificio Sixtino 2, Guatemala, 01010, Guatemala
| | - Louise Moist
- Division of Nephrology, Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, Canada.,Kidney Clinical Research Unit, London Health Sciences Centre, London, Canada
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Betz ME, Brandspigel S, Barnard LM, Johnson RL, Knoepke CE, Peterson RA, Rivara FP, Rowhani-Rahbar A. Voluntary, temporary out-of-home firearm storage: a survey of law enforcement agencies in two states. Inj Epidemiol 2022; 9:24. [PMID: 35864502 PMCID: PMC9302866 DOI: 10.1186/s40621-022-00389-3] [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] [Received: 05/25/2022] [Accepted: 07/15/2022] [Indexed: 11/23/2022] Open
Abstract
Background Temporary, voluntary storage of firearms away from the home during times of risk is a recommended strategy for suicide prevention. Law enforcement agencies (LEAs) are often suggested as storage sites, and online maps in Colorado and Washington display LEAs willing to consider storage. Questions remain about the experiences and views of LEAs, including barriers to providing storage. Methods LEAs in Colorado and Washington were invited to complete a survey via mail or online from June to July 2021; invitations were sent by email and mail, with telephone calls to non-responders. Survey data were analyzed using descriptive statistics, with testing between states and other subgroups using Fisher’s exact tests. Results Overall, 168 LEAs in Colorado (n = 91) or Washington (n = 77) participated (40% participation rate). Of those, 53% provided temporary, voluntary storage upon request by community members at the time of the survey. More LEAs said they had ever provided storage when the requester was under a court order (74% overall). Over half (60%) of responding LEAs had received at least one storage request in the prior 12 months. Many (41%) said they had declined to return a firearm after temporary storage due to safety concerns. Most LEAs supported engagement in suicide prevention (89%) and provision of community services (77%), but they simultaneously preferred being a storage option of last resort (73%). Factors negatively influencing storage provision included liability and funding concerns. Conclusions In Colorado and Washington, half of LEAs currently offer temporary, voluntary firearm storage upon request. While LEAs support suicide prevention and community engagement, broader provision of storage and participation in online maps may be limited by logistic, liability, and financial concerns. Addressing these barriers may facilitate broader suicide prevention efforts. Supplementary Information The online version contains supplementary material available at 10.1186/s40621-022-00389-3.
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Affiliation(s)
- Marian E Betz
- Department of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. .,Injury and Violence Prevention Center, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. .,VA Eastern Colorado Geriatric Research Education and Clinical Center, Denver, CO, USA.
| | - Sara Brandspigel
- Injury and Violence Prevention Center, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Leslie M Barnard
- Department of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.,Department of Epidemiology, Colorado School of Public Health, Aurora, CO, USA
| | - Rachel L Johnson
- Department of Biostatistics & Informatics, Colorado School of Public Health, Aurora, CO, USA
| | - Christopher E Knoepke
- Division of Cardiology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.,Adult & Child Consortium for Outcomes Research & Delivery Science, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Ryan A Peterson
- Department of Biostatistics & Informatics, Colorado School of Public Health, Aurora, CO, USA
| | - Frederick P Rivara
- Firearm Injury Policy and Research Program, Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA, USA
| | - Ali Rowhani-Rahbar
- Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA
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Mergelsberg ELP, Olson JL, Moore S, Jensen JF, Seivwright H, Norman R, Watson NA. Providing evidence from practice: Evaluating 4.5 years of implementing diabetes education support program in carbohydrate management. Patient Educ Couns 2022; 105:2225-2233. [PMID: 35221169 DOI: 10.1016/j.pec.2022.02.001] [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: 10/22/2021] [Revised: 02/01/2022] [Accepted: 02/01/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To evaluate personal and economical outcomes of CarbSmart, a 3-hour person-centered, theory-based program implemented throughout Australia, targeting optimal dietary carbohydrate management. METHODS More than 500 CarbSmart programs were implemented over 4.5 years. Pre-, post-, (N = 4656) and 3-month follow-up assessments (N = 188) of knowledge, empowerment, confidence, and patient activation were collected from people with diabetes. Participant satisfaction and potential annual cost-savings were calculated. FINDINGS Repeated measures ANCOVAs showed large improvements pre- to post-program in all outcome variables (d = 0.80-1.68), which were maintained at 3-month follow-up in a sub-sample. Participant satisfaction was high (Net Promoter Score = 72.3). Potential annual cost-savings nation-wide were estimated at US$512million. CONCLUSION This paper provides evidence that CarbSmart is effective in improving behavioral indicators of self-management outcomes in Australians living with diabetes. PRACTICE IMPLICATIONS CarbSmart has the potential to prevent diabetes-related complications. However, not engaging people living with diabetes with lower levels of patient activation at baseline was recognized as a future opportunity to improve the impact of our service. Strategies are needed to engage people with lower activation levels to improve outcomes in vulnerable and at-risk populations. FUNDING The development of CarbSmart was funded by Diabetes WA, the national implementation of CarbSmart by the National Diabetes Services Scheme, an initiative of the Australian Government.
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Affiliation(s)
- Enrique L P Mergelsberg
- National Evaluation Team, National Diabetes Services Scheme (NDSS), Diabetes Australia, 3/322 Hay Street Subiaco, Western Australia 6008, Australia; School of Population Health, Curtin University, Kent Street, Perth, Western Australia 6102, Australia.
| | - Jenny L Olson
- National Evaluation Team, National Diabetes Services Scheme (NDSS), Diabetes Australia, 3/322 Hay Street Subiaco, Western Australia 6008, Australia
| | - Sheryl Moore
- Diabetes Educator, Health Services, Diabetes WA, 3/322 Hay Street Subiaco, Western Australia 6008, Australia
| | - Jessica F Jensen
- Research and Evaluation Team, Diabetes WA, 3/322 Hay Street Subiaco, Western Australia 6008, Australia
| | - Hayley Seivwright
- Research and Evaluation Team, Diabetes WA, 3/322 Hay Street Subiaco, Western Australia 6008, Australia
| | - Richard Norman
- School of Population Health, Curtin University, Kent Street, Perth, Western Australia 6102, Australia
| | - Natasha A Watson
- National Evaluation Team, National Diabetes Services Scheme (NDSS), Diabetes Australia, 3/322 Hay Street Subiaco, Western Australia 6008, Australia; Research and Evaluation Team, Diabetes WA, 3/322 Hay Street Subiaco, Western Australia 6008, Australia
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Leathem JM, Macht-Sliwinski M, Boak S, Courville A, Dearwater M, Gazi S, Scott A. Community exercise for individuals with spinal cord injury with inspiratory muscle training: A pilot study. J Spinal Cord Med 2021; 44:711-719. [PMID: 31525136 PMCID: PMC8477927 DOI: 10.1080/10790268.2019.1655200] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 12/12/2022] Open
Abstract
Context/Objective: Respiratory disorders are a common cause of rehospitalization, and premature death in individuals with spinal cord injuries (SCI). Respiratory training combined with community exercise programs may be a method to reduce secondary complications in this population.Objective: The present study explores the inclusion of inspiratory muscle training (IMT) in an existing community exercise program.Design: Case series.Setting: Community.Participants: Participants (N = 6) completed the exercise program. Five were male and one was female; four reported incomplete injuries, and two reported complete injuries; four had cervical injuries, and two had thoracic injuries. The average age was 33 years (SD = 18.6) and time since injury was 7 years (SD = 4.0).Interventions: Participants completed an 8-week program, once-per-week for 4 h that included a circuit of resistance training, aerobic exercise, trunk stability, and education. IMT was completed as a home exercise program.Outcome Measures: Transfer test, T-shirt test, four-directional reach, four-directional trunk strength, weekly training diaries, and a subjective interview.Results: Twenty-eight training logs were collected. All measures improved: transfer test (mean = -14.62, SD = 7.00 s), T-shirt test (mean = -7.83, SD = 13.88 s), four-directional reach (mean = 3.75, SD = 8.06 in) and hand-held dynamometer (mean = 6.73, SD = 8.02 kg). Individuals reported a positive impact of the program.Conclusions: This pilot study demonstrated community exercise with IMT use may have positive impact on functional measures for people with SCI who are vulnerable to respiratory compromise. Continued education may increase successful health outcomes.Trial Registration: NCT03743077.
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Affiliation(s)
- Jessica M. Leathem
- Physical Therapist, JFK Medical Center, Johnson Rehabilitation Institute, Edison, New Jersey, USA,Correspondence to: Jessica M. Leathem, Physical Therapist, JFK Medical Center, Johnson Rehabilitation Institute, 65 James Street, Edison, NJ, 08820, USA.
| | - Martha Macht-Sliwinski
- CUMC, Program in Physical Therapy, Columbia University Medical Center, Columbia University,New York, New York, USA
| | - Sarah Boak
- UCHealth Physical Therapy and Rehabilitation Clinic, Lone Tree Medical Center, University of Colorado Hospital, Lone Tree, Colorado, USA
| | - Aubrey Courville
- Sentara Therapy Center, Careplex Hospital, Hampton, Virginia, USA
| | | | - Sneha Gazi
- EMH Physical Therapy, New York, New York, USA
| | - Allison Scott
- Green Bay Area School District in Green Bay, Peshtigo, Wisconsin, USA
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Semin JN, Palm D, Smith LM, Ruttle S. Understanding breast cancer survivors' financial burden and distress after financial assistance. Support Care Cancer 2020; 28:4241-4248. [PMID: 31900619 DOI: 10.1007/s00520-019-05271-5] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [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: 08/12/2019] [Accepted: 12/23/2019] [Indexed: 12/26/2022]
Abstract
PURPOSE Little is known about how breast cancer may impact survivors' financial well-being. This study aims to investigate the financial status, burden, and opinions of breast cancer survivors who received short-term financial assistance, emotional support, and resource navigation from a community organization during treatment. METHODS Clients previously served by the community organization were mailed a 16-question survey (n = 751) to elicit their perspective on financial status and burden before, during, and after diagnosis and treatment along with general demographic and opinion items. RESULTS 136 surveys (18.1%) were returned yielding 118 (15.7%) suitable for analyses. Clients' average age was 54.3 years. Most were female (99.2%), Caucasian (66.1%), and diagnosed with Stage 1 or 2 breast cancer (58.5%). Clients reported significantly worse (p < 0.001) financial status after being diagnosed compared to before diagnosis. Financial distress was highest during cancer treatment (mean = 3.92, SD = 0.85), lowest prior to treatment (mean = 2.48, SD = 1.05), and remained high after treatment (mean = 3.59, SD = 1.05). Those with higher distress after treatment were significantly (p = 0.01) more likely to report lower social support during treatment. CONCLUSIONS Breast cancer survivors reported worsening financial status and distress after being diagnosed and during treatment despite receiving short-term financial assistance, emotional support, and resource navigation. Survivors' financial distress after treatment remained higher than before treatment. However, most felt receiving financial assistance improved their quality of life and made them feel more in control of financial decision-making. Breast cancer survivors who feel they have low social support during treatment may feel higher financial distress posttreatment.
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Affiliation(s)
- Jessica N Semin
- College of Public Health, University of Nebraska Medical Center, 984355 Medical Center, Omaha, NE, 68198-4355, USA.
| | - David Palm
- College of Public Health, University of Nebraska Medical Center, 984355 Medical Center, Omaha, NE, 68198-4355, USA
| | - Lynette M Smith
- College of Public Health, University of Nebraska Medical Center, 984355 Medical Center, Omaha, NE, 68198-4355, USA
| | - Sarah Ruttle
- Visiting Nurse Association, 12565 West Center Road, Suite 100, Omaha, NE, USA
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Regan EW, Handlery R, Liuzzo DM, Stewart JC, Burke AR, Hainline GM, Horn C, Keown JT, McManus AE, Lawless BS, Purcell M, Fritz S. The Neurological Exercise Training (NExT) program: A pilot study of a community exercise program for survivors of stroke. Disabil Health J 2019; 12:528-32. [PMID: 30967342 DOI: 10.1016/j.dhjo.2019.03.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Revised: 01/08/2019] [Accepted: 03/04/2019] [Indexed: 11/22/2022]
Abstract
BACKGROUND Many survivors of stroke face chronic disability and increased risk for recurrent stroke. Regular physical activity can reduce these risk factors and improve cardiovascular fitness. Most survivors of stroke face barriers to exercise, including lack of access to programs; as a result, most are sedentary. OBJECTIVE Pilot the Neurological Exercise Training (NExT) program or survivors of stroke for attendance, safety, and effectiveness. METHODS The NExT program was designed to promote self-directed exercise in a safe, accessible environment. Six participants attended as desired during open gym hours over two exercise periods per week totalling 19 weeks. After, participants were encouraged to continue exercise away from the gym for 20 weeks. Practicability of the program was assessed through safety, attendance, exercise intensity, and perception of the program. Pilot effectiveness measures were performed at five time points and effect sizes were generated. RESULTS Attendance averaged 76% (SD12%) of possible sessions with an average duration of 62 (SD 11.3) minutes. Effectiveness measures had positive effect sizes after 19 weeks of the NExT program, but these benefits were lost after 20-weeks (cohen's d, mobility = 0.67 to -0.22, balance = 0.57 to -1.22, strength = 0.41 to -0.30, endurance = 0.09 to -0.19 and fatigue = 1.02 to -0.57). CONCLUSION Results demonstrate that a community-based gym that is accessible for survivors of stroke will be well attended and perceived as beneficial. Pilot data suggests positive changes in multiple health domains regardless of the type of exercise self-selected by participants. Offering the gym on a continual basis may maintain gains.
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Sliwinski MM, Akselrad G, Alla V, Buan V, Kaemmerlen E. Community exercise programing and its potential influence on quality of life and functional reach for individuals with spinal cord injury. J Spinal Cord Med 2018; 43:358-363. [PMID: 30475164 PMCID: PMC7241565 DOI: 10.1080/10790268.2018.1543104] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [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: 10/27/2022] Open
Abstract
Context/Objective: After an individual with a Spinal Cord Injury (SCI) participates in the initial rehabilitation process, they often experience limited access to physical therapy services and other fitness activities. The purpose of this study was to examine previously collected data for changes in quality of life (QoL) and functional reach in individuals with SCI following an 8-week community exercise program.Design: Secondary analysis of previously collected data.Setting: Community-based exercise program.Participants: Twenty-two participants with an average of 9 years post-SCI, both complete and incomplete injuries, and injury levels ranging from C2 to L5.Interventions: Participants completed an 8-week program, once per week for 4 hours that included a four-station circuit of resistance training, aerobic exercise, trunk stability, and education.Outcome Measures: Physical function was measured using the modified Functional Reach Test (mFRT). QoL was measured with the Life Satisfaction Questionnaire-9 (LiSAT-9).Results: The mFRT improved by 2 inches (±7.04) P < 0.001 and QoL improved as well, P < 0.001.Conclusion: The findings of this study are consistent with the hypothesis that a supervised post-rehabilitation community exercise program, like Spinal Mobility, may positively impact the QoL and functional reach in individuals with SCI.
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Affiliation(s)
- Martha M. Sliwinski
- Program in Physical Therapy, Columbia University Medical Center, New York, New York, USA,Correspondence to: Martha M. Sliwinski, Program in Physical Therapy, Department of Rehabilitation and Regenerative Medicine at Vagelos College of Physicians & Surgeons, Columbia University, 617 West 168th Street, 3rd Floor Room 309, New York, NY 10032, USA.
| | - Gila Akselrad
- Physical Therapy Department, NewYork-Presbyterian, New York, New York, USA
| | - Victoria Alla
- Physical Therapy Department, ProActive Physical Therapy Specialists, Oregon City, Oregon, USA
| | - Valerie Buan
- Physical Therapy Department, California Rehabilitation Institute, Los Angeles, California, USA
| | - Emily Kaemmerlen
- Physical Therapy Department, Life’s Work Physical Therapy, Portland, Oregon, USA
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11
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Moores CJ, Bell LK, Miller J, Damarell RA, Matwiejczyk L, Miller MD. A systematic review of community-based interventions for the treatment of adolescents with overweight and obesity. Obes Rev 2018; 19:698-715. [PMID: 29345042 DOI: 10.1111/obr.12660] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Revised: 11/09/2017] [Accepted: 11/29/2017] [Indexed: 12/20/2022]
Abstract
Adolescent obesity is a risk factor for obesity and other chronic disease in adulthood. Evidence for the effectiveness of community-based obesity treatment programs for adolescents is required to inform policy and clinical decisions. This systematic review aims to evaluate recent effective and scalable community-based weight management programs for adolescents (13-17 years) who are overweight or obese. Eight databases (Medline, Embase, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Informit, and Scopus) were searched for studies published between January 2011-2 March 2017 which are scalable in a community setting and reported primary outcome measures relating to weight. Following deduplication, 10,074 records were screened by title/abstract with 31 publications describing 21 programs included in this review. Programs were heterogeneous in nature (including length, number and frequency of sessions, parent-involvement and technology involvement). Reduction in adolescent BMIz ranged from 2 to 9% post-program and from 2 to 11% after varied lengths of follow-up. Study quality varied (n = 5 weak; n = 8 moderate; n = 8 high), and findings are limited by the risk of selection and retention bias in the included studies. Factors including the effectiveness and acceptability to the target population must be considered when selecting such community programs.
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Affiliation(s)
- C J Moores
- Nutrition and Dietetics, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - L K Bell
- Nutrition and Dietetics, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - J Miller
- Nutrition and Dietetics, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - R A Damarell
- Gus Fraenkel Medical Library, Flinders University, Adelaide, South Australia, Australia
| | - L Matwiejczyk
- Nutrition and Dietetics, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - M D Miller
- Nutrition and Dietetics, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
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Hyun CS, Ventura WR, Kim SS, Yoon S, Lee S. A community- based hepatitis B linkage-to-care program: a case study on Asian Americans chronically infected with hepatitis B virus. Hepatol Med Policy 2016; 1:6. [PMID: 30288310 PMCID: PMC5898511 DOI: 10.1186/s41124-016-0006-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/07/2016] [Accepted: 04/11/2016] [Indexed: 01/05/2023]
Abstract
Background Hepatitis B is an important disease of ethnic disparity which affects Asian Americans and other minority populations disproportionately. Despite the high prevalence of hepatitis B in Asian Americans, many of them remain unscreened and untreated. A majority of the individuals chronically infected with hepatitis B virus (HBV) are not linked to care, for instance, due to a lack of culturally competent programs. There are many serious barriers preventing linkage to care (LTC), including personal, socio-cultural, and economic issues. The purpose of this study was to evaluate various barriers affecting LTC and to investigate the role and efficacy of a community-based Patient Navigator (PN) program in expediting LTC and in improving health outcomes for hepatitis B patients in a high risk population. Methods A total of 45 individuals chronically infected with HBV were identified through community screening events and were subsequently linked to patient navigators (PN), who then arranged for the patients to have a medical evaluation with a provider of their choice in their communities. The navigators kept detailed records of the patients’ progress towards goal, and planned follow up visits for each patient. A self-report questionnaire was employed to assess patients’ demographics, history of HBV infection, and barriers in accessing health care. Specifically, the levels of importance of the barriers due to language, culture, financial reasons were assessed. Results The study revealed that 38 of the 45 HBV infected individuals knew about their infection status from previous screening. Forty two out of 45 HBV infected individuals were linked to care within a 12 month period, demonstrating a high linkage rate. Most significant barriers identified were language and finance, followed by cultural barrier and others. Conclusion There are specific barriers to accessing adequate care for the patients affected by chronic hepatitis B (CHB) in Korean American community. The implementation of a PN program in conjunction with the community network of health care providers may help to overcome the barriers and facilitate LTC in hepatitis B.
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Affiliation(s)
- Chul S Hyun
- 1Holy Name Medical Center, Teaneck, NJ USA.,Center for Viral Hepatitis, 35 Van Nostrand Avenue, Englewood, NJ 07631 USA
| | | | - Soon S Kim
- Korean Community Services, Queens, NY USA
| | | | - Seulgi Lee
- Center for Viral Hepatitis, 35 Van Nostrand Avenue, Englewood, NJ 07631 USA
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Abstract
This manuscript describes the development and implementation of a unique volunteer service intended to meet the support needs of individuals with traumatic brain injury (TBI) and their families. As a part of the Traumatic Brain Injury Model System of Care, funded by the National Institute on Disability and Rehabilitation Research (NIDRR), the TBI Peer Support Program provides a valuable service of volunteer support from admission through community integration after discharge. TBI Peer Support Volunteers give individual attention to people with TBI and families through active listening, referral to community resources, and provision of information regarding TBI. The importance of including a structured individual peer support system is supported by clinical research review and patient and family interviews. The establishment and evolution of the program are described as well as suggestions for the creation and development of new volunteer TBI Peer Support Programs.
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Affiliation(s)
- G Moreci
- Traumatic Brain Injury Model System of Care, 950 S. Bascom Ave. Suite #2011, San Jose, California 95128, USA
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