The Wellness Hub Program: Design of a theoretically-rooted support strategy to leverage facilitators and overcome barriers facing Long-Term Care and Retirement Homes in Ontario during the COVID-19 pandemic DOI Creative Commons
Christine Fahim, Keelia Quinn de Launay,

Vanessa Bach

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Авг. 12, 2024

Abstract Background Long-term care and retirement homes (LTCH/RH) faced systemic challenges that were exacerbated by the COVID-19 pandemic. Following a comprehensive needs assessment with 91 LTCH RH leaders from 47 LTCH/RH in Ontario, Canada, we identified three major facing homes: infection prevention control (IPAC), vaccine confidence uptake, staff well-being. We aimed to co-create an evidence-based, theoretically-rooted support program titled Wellness Hub navigate real-time challenges. Methods evidence-based interventions address challenges, which included: IPAC protocol implementation, uptake among accordance Canadian public health guidance, well-being mental wellness. used Knowledge Action model guide development. Barriers facilitators implementation mapped Theoretical Domains Framework (TDF) Consolidated for Implementation Research (CFIR). strategies barriers leverage via process of co-creation stakeholders guided COM-B rooted SELECT tool CFIR-ERIC mapping tool. Results Twelve TDF domains 18 CFIR constructs as and/or reflecting complexity during Via tool, six intervention functions 14 target individual-level change. An additional four organizational systems-level change The following facilitate our practices: town halls, coaches, promotion wellness days, creation infographics educational resources (including open-access resource repository), weekly newsletter directives, champions e-learning course, modelled change, IPAC-self-assessment seed funding, incentives, access off-site testing, monthly community practice meetings use opinion leaders. Conclusion demonstrate science methods rapidly real world, problems. Our protocols provide blueprint engaging communities implement comprehensive, multipronged emergencies. Trial Registration : https://osf.io/hkfae

Язык: Английский

Perceived barriers to implementation of biosecurity best management practices for control of Salmonella Dublin on dairy farms: A focus group study DOI Creative Commons
Michael W. Brunt, Caroline Ritter, D.L. Renaud

и другие.

Journal of Dairy Science, Год журнала: 2025, Номер unknown

Опубликована: Март 1, 2025

Язык: Английский

Процитировано

1
Strategies and resources used by public health units to encourage COVID-19 vaccination among priority groups: a behavioural science-informed review of three urban centres in Canada DOI Creative Commons
Tori Langmuir, Mackenzie Wilson, Nicola McCleary

и другие.

BMC Public Health, Год журнала: 2025, Номер 25(1)

Опубликована: Янв. 31, 2025

Ensuring widespread COVID-19 vaccine uptake is a public health priority in Canada and globally, particularly within communities that exhibit lower rates are at higher risk of infection. Public units (PHUs) have leveraged many resources to promote the recommended doses. Understanding barriers facilitators uptake, which strategies/resources been used address them date, may help identify areas where further support could be provided. We sought by PHUs first third doses among groups their jurisdictions. examined alignment these existing with behavioral science principles, inform potential complementary strategies/resources. reviewed online in-person three Ontario, (Black Eastern European populations, and/or neighbourhoods low or socioeconomic status). Strategies/resources were identified from PHU websites, social media, liaison. Behaviour Change Techniques (BCT) Taxonomy - describes 93 different ways supporting behaviour change categorise types used, Theoretical Domains Framework synthesises 14 factors can decisions actions addressed operationalised 21 out BCTs, ranging 15 20 BCTs per PHU. The most frequently found provided information about infection vaccines, increased access vaccination, integrated supports such as community ambassadors engagement sessions healthcare professionals. Identified aligned addressing related Knowledge, Environmental context resources, Beliefs consequences domains. several for groups. Opportunities should pursued broaden scope (e.g., operationalizing pros cons BCT) barriers/facilitators ongoing future efforts general prioritised populations.

Язык: Английский

Процитировано

0
Pre-vaccination immune markers predict response to BNT162b2 mRNA vaccine in vulnerable groups – The CONVERS project, report from a pediatric tertiary hospital DOI Creative Commons
Nicola Cotugno,

Marco Sanna,

Donato Amodio

и другие.

Vaccine, Год журнала: 2025, Номер 49, С. 126778 - 126778

Опубликована: Фев. 12, 2025

Язык: Английский

Процитировано

0
Increasing vaccine uptake in underserved populations using text message interventions: considerations and recommendations DOI Creative Commons
Gaby Judah

BMJ Quality & Safety, Год журнала: 2025, Номер unknown, С. bmjqs - 018245

Опубликована: Март 21, 2025

Язык: Английский

Процитировано

0
Using an intersectionality lens to explore barriers and enablers to hepatitis C point-of-care testing: a qualitative study among people who inject drugs and service providers DOI Creative Commons
Guillaume Fontaine, Justin Presseau,

Julie Bruneau

и другие.

International Journal for Equity in Health, Год журнала: 2024, Номер 23(1)

Опубликована: Июнь 17, 2024

Abstract Background Hepatitis C virus (HCV) infection is a significant global health burden, particularly among people who inject drugs. Rapid point-of-care HCV testing has emerged as promising approach to improve detection and linkage care in harm reduction organizations such needle syringe programs. The objective of this study was use an intersectionality lens explore the barriers enablers program. Methods A qualitative conducted using semi-structured interviews with clients (people drugs) service providers large community organization focused on prevention sexually transmitted blood borne infections Montreal, Canada. An used alongside Theoretical Domains Framework guide formulation research questions well data collection, analysis, interpretation. Results We interviewed 27 participants (15 clients, 12 providers). For four themes emerged: (1) understanding perceptions testing, (2) role accessible inclusive environment, (3) interplay emotions motivations decision-making, (4) impact intersectional stigma related HCV, behaviors, identities. providers, five knowledge, skills, confidence for professional roles their intersection identity lived experience, resources integration services, social emotional factors, (5) behavioral regulation incentives testing. Intersectional amplified access, informational clients. In contrast, experience acted powerful provision care. Conclusion application provides nuanced multilevel Findings underscore need tailored strategies that address stigma, provider communication, foster environment equitable Using implementation can offer valuable insights, guiding design equity-focused strategies.

Язык: Английский

Процитировано

1
Promoting Equity in Hepatitis C Care: A Qualitative Study Using an Intersectionality Lens to Explore Barriers and Facilitators to Point-of-Care Testing Among People Who Inject Drugs and Service Providers DOI Creative Commons
Guillaume Fontaine, Justin Presseau,

Julie Bruneau

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Апрель 29, 2024

Abstract Background: Hepatitis C virus (HCV) infection is a significant global health burden, particularly among people who inject drugs. Rapid point-of-care HCV testing has emerged as promising approach to improve detection and linkage care in harm reduction organizations such needle syringe programs. The objective of this study was use an intersectionality lens explore the barriers enablers program. Methods: A qualitative conducted using semi-structured interviews with clients (people drugs) service providers large community organization focused on prevention sexually transmitted blood borne infections Montreal, Canada. An used alongside Theoretical Domains Framework guide formulation research questions well data collection, analysis, interpretation. Results: We interviewed 27 participants (15 clients, 12 providers). intersectional analysis revealed that stigma amplifies access, emotional informational for drugs, while identity lived experience drug represent powerful tools leveraged by providers. There were four themes clients: (1) understanding perceptions testing, (2) accessible inclusive environment (3) interplay emotions motivations decision-making, (4) impact related HCV, behaviors (e.g., use), identities gender identity). For providers, five emerged: knowledge, skills, confidence professional roles their intersection experience, resources integration services, social factors, (5) behavioral regulation incentives testing. Conclusion: The application provides nuanced lives which Findings underscore need tailored strategies address stigma, provider communication, foster equitable care. Integrating into implementation offers valuable insights more effective interventions.

Язык: Английский

Процитировано

0
Healthcare Professionals' Experiences From the COVID‐19 Vaccination Program for the Homebound Population in Greece: A Cross‐Sectional Mixed‐Methods National Study DOI Creative Commons
Dimitra Iosifina Papageorgiou, Nikolaos Vlachopoulos, Magda Gavana

и другие.

World Medical & Health Policy, Год журнала: 2024, Номер unknown

Опубликована: Дек. 23, 2024

ABSTRACT During the pandemic, mobile vaccination units administered COVID‐19 shots to homebound populations. This study explores perspectives of public healthcare providers involved in Greece's home program, aiming identify challenges and inform improvements delivering services at home. is a cross‐sectional mixed‐methods survey with convergent design, conducted Primary Health Care facilities, using questionnaire. Facilities from all Districts were invited. The population included professionals administrative staff engaged units. Data collected April July 2022. Quantitative data analyzed descriptive statistics univariate linear regression analysis, while qualitative underwent thematic analysis. Integration analysis phase enhanced understanding reliability. was approved by Bioethics Committee Aristotle University Thessaloniki. A total 1200 participants 168 facilities across six responded. majority nurses (34.1%) general practitioners (24.7%). Participants unanimously praised program's concept, aligning it expressed readiness for future involvement, but reported time constraints. Those larger groups found management easier (1.68, 95% CI [1.28, 2.20], p < 0.001). Thematic 1070 text responses identified five themes, including guidance implementation, resource availability, field challenges, professionals' skillsets, engagement. Collaboration colleagues authorities address transportation problems proved vital success. Understaffing constraints evident. Integrating new service into busy settings poses underscoring need problem‐solving empowering personnel shortcomings.

Язык: Английский

Процитировано

0
The Wellness Hub Program: Design of a theoretically-rooted support strategy to leverage facilitators and overcome barriers facing Long-Term Care and Retirement Homes in Ontario during the COVID-19 pandemic DOI Creative Commons
Christine Fahim, Keelia Quinn de Launay,

Vanessa Bach

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Авг. 12, 2024

Abstract Background Long-term care and retirement homes (LTCH/RH) faced systemic challenges that were exacerbated by the COVID-19 pandemic. Following a comprehensive needs assessment with 91 LTCH RH leaders from 47 LTCH/RH in Ontario, Canada, we identified three major facing homes: infection prevention control (IPAC), vaccine confidence uptake, staff well-being. We aimed to co-create an evidence-based, theoretically-rooted support program titled Wellness Hub navigate real-time challenges. Methods evidence-based interventions address challenges, which included: IPAC protocol implementation, uptake among accordance Canadian public health guidance, well-being mental wellness. used Knowledge Action model guide development. Barriers facilitators implementation mapped Theoretical Domains Framework (TDF) Consolidated for Implementation Research (CFIR). strategies barriers leverage via process of co-creation stakeholders guided COM-B rooted SELECT tool CFIR-ERIC mapping tool. Results Twelve TDF domains 18 CFIR constructs as and/or reflecting complexity during Via tool, six intervention functions 14 target individual-level change. An additional four organizational systems-level change The following facilitate our practices: town halls, coaches, promotion wellness days, creation infographics educational resources (including open-access resource repository), weekly newsletter directives, champions e-learning course, modelled change, IPAC-self-assessment seed funding, incentives, access off-site testing, monthly community practice meetings use opinion leaders. Conclusion demonstrate science methods rapidly real world, problems. Our protocols provide blueprint engaging communities implement comprehensive, multipronged emergencies. Trial Registration : https://osf.io/hkfae

Язык: Английский

Процитировано

0