A mixed-methods analysis of the implementation of a new community long-COVID service during the 2020 pandemic: learning from practice.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 29, 2024
ABSTRACT
Introduction
The
rapidly
increasing
prevalence
of
long-COVID
(LC),
the
multisystem
complexity
condition
and
high
patient
symptom
burden,
necessitated
an
immediate
need
to
develop
new
clinics
for
assessment
management.
This
article
reports
on
rapid
implementation
a
reactive
responsive
LC
care
pathway.
We
mapped
patients’
journey
through
this
pathway,
identifying
services
that
were
activated
according
prevalent
symptoms,
assessed
barriers
facilitators
its
delivery,
from
perspective
health
professionals
(HCPs)
patients
using
Theoretical
Domains
Framework
(TDF).
Methods
Mixed
methods
study,
including
retrospective
quantitative
cross-sectional
analysis
data
semi-structured
qualitative
interviews.
One
hundred
sixteen
who
attended
clinic
in
Hertfordshire,
UK,
first
5
months
existence,
consented
their
be
analysed
study.
Six
HCPs
five
participated
Results
Patients
referred
into
service
average
5.75
post
initial
COVID-19
infection.
82%
required
onward
referral
other
HCPs,
most
commonly
pulmonary
rehabilitation,
chronic
fatigue
specialists,
specialist
Rehab
general
practitioner
embedded
within
service.
reported
having
rehabilitation
needs,
moderate
depression
anxiety,
difficulties
performing
usual
activities
daily
living
at
point
care.
TDF
domains
relevant
pathway
beliefs
about
capabilities,
environmental
context
resources,
knowledge,
reinforcement
.
Discussion
Our
study
provides
novel
insight
development
multidisciplinary
Key
drivers
successful
identified,
such
as
leadership,
teamwork,
transferable
skills,
knowledge
exchange.
Barriers
set
up
included
funding
constraints
evolution
emergency
context.
Language: Английский
Promoting ‘testicular awareness’: Co‐design of an inclusive campaign using the World Café Methodology
Health Expectations,
Journal Year:
2023,
Volume and Issue:
27(1)
Published: Oct. 25, 2023
Abstract
Introduction
Testicular
cancer
is
the
most
common
in
men
aged
15–44
years
many
countries.
Most
with
testicular
present
a
lump.
symptoms
are
more
likely
to
occur
secondary
benign
diseases
like
epididymo‐orchitis,
sexually
transmitted
infection.
Gender
and
sexual
minorities
at
an
increased
risk
of
health
disparities.
The
aim
this
study
was
co‐design
inclusive
community‐based
campaign
promote
awareness.
Methods
This
uses
World
Café
methodology.
Participation
sought
from
Lesbian,
Gay,
Bisexual,
Transgender
Queer+
friendly
organisations,
survivors,
policy
makers,
media
marketing
experts
graphic
designers.
Participants
engaged
three
rounds
conversations
campaign.
Data
were
collected
using
drawing
sheets,
artefact
cards,
sticky
notes,
coloured
markers
voice
recorder.
Deductive
thematic
analysis
conducted.
Results
Seventeen
individuals
participated
study.
Six
themes
emerged
as
follows:
(i)
online
communication;
(ii)
offline
(iii)
behavioural
targeting
education;
(iv)
frequency
reach;
(v)
demographic
segmentation;
(vi)
identity.
use
social
for
delivery
featured
strongly
all
conversations.
also
recommended
communication
posters
radio/television
advertisements
scale
up
achieve
wider
reach.
Advertisements
overcome
embarrassment
surrounding
particularly
recommended.
emphasised
that
must
be
dynamic
whilst
ensuring
health‐promoting
messages
not
diluted
or
lost.
They
stressed
importance
being
tailoring
different
age
groups,
gender
identities
orientations.
Conclusions
Study
recommendations
will
used
design
deliver
Future
research
needed
evaluate
feasibility,
acceptability,
cost
effect
on
promoting
awareness
early
detection
diseases.
Patient
Public
Contribution
A
participatory
approach
members
(LGBTQ+)
LGBTQ+
student
bodies,
staff
networks,
sports
clubs,
men's
Language: Английский
Understanding the interactions that children and young people have with their natural and built environments: A survey to identify targets for active travel behaviour change in Wales
PLoS ONE,
Journal Year:
2024,
Volume and Issue:
19(10), P. e0311498 - e0311498
Published: Oct. 18, 2024
Active
travel
offers
many
societal
benefits,
including
improving
people’s
mental
and
physical
health
minimising
our
impacts
on
the
environment.
Increasing
active
is
particularly
important
amongst
children
young
people
(CYP),
who
are
building
habits
which
they
will
carry
into
adulthood.
Studies
CYP
limited,
however,
with
most
research
focusing
adult
participants
or
perceptions
of
children.
This
study
sought
to
understand
CYP’s
interactions
built
natural
environment–and
therefore
their
access
travel–through
Capability,
Opportunity,
Motivation,
Behaviour
(COM-B)
model.
With
a
stakeholder
group
representing
local
government,
youth
organisations
organisations,
we
co-created
two
bilingual
questionnaires–one
for
aged
12–16
years
living
in
Wales
other
parents
Wales.
Both
questionnaires
collected
information
behaviour
perceived
capability,
opportunity
motivation
engage
environments.
The
included
discrete
choice
experiment
(DCE),
proposed
series
binary
questions
indicating
preferences
based
landscape,
journey
time
type
travel.
A
total
124
(38
86
parents)
were
returned
analysis.
These
data
indicate
that
spent
outdoors
not
dependent
upon
geography
(rural/urban/suburban),
season,
school
holidays.
There
was
significant
difference
between
CYP,
over-estimating
psychological
capability
outdoors.
preference
favoured
mode
transport,
both
stating
would
increase
order
actively.
While
this
response
consistent
respondent’s
day-to-day
choices,
it
suggests
limitations
may
be
automatic
motivation,
rather
than
lack
opportunity.
Language: Английский