Leveraging Administrative Health Databases to Address Health Challenges in Farming Populations: Scoping Review and Bibliometric Analysis (1975-2024)

JMIR Public Health and Surveillance, Год журнала: 2025, Номер 11, С. e62939 - e62939

Опубликована: Янв. 9, 2025

Background Although agricultural health has gained importance, to date, much of the existing research relies on traditional epidemiological approaches that often face limitations related sample size, geographic scope, temporal coverage, and range events examined. To address these challenges, a complementary approach involves leveraging reusing data beyond its original purpose. Administrative databases (AHDs) are increasingly reused in population-based digital public health, especially for populations such as farmers, who distinct environmental risks. Objective We aimed explore reuse AHDs addressing issues within farming by summarizing current landscape AHD-based identifying key areas interest, gaps, unmet needs. Methods conducted scoping review bibliometric analysis using PubMed Web Science. Building upon previous reviews research, we comprehensive literature search 72 terms population AHDs. identify hot spots, directions, used keyword frequency, co-occurrence, thematic mapping. also explored profile exposome mapping co-occurrences between factors outcomes. Results Between 1975 April 2024, 296 publications across 118 journals, predominantly from high-income countries, were identified. Nearly one-third associated with well-established cohorts, Agriculture Cancer Agricultural Health Study. The most frequently included disease registers (158/296, 53.4%), electronic records (124/296, 41.9%), insurance claims (106/296, 35.8%), (95/296, 32.1%), hospital discharge (41/296, 13.9%). Fifty (16.9%) studies involved >1 million participants. broad exposure proxies used, (254/296, 85.8%) relied proxies, which failed capture specifics tasks. Research remains underexplored, predominant focus specific external exposome, particularly pesticide exposure. A limited have been examined, primarily cancer, mortality, injuries. Conclusions increasing use holds major potential advance populations. However, substantial gaps persist, low-income regions among underrepresented subgroups, women, children, contingent workers. Emerging issues, including per- polyfluoroalkyl substances, biological agents, microbiome, microplastics, climate change, warrant further research. Major persist understanding various conditions, cardiovascular, reproductive, ocular, sleep-related, age-related, autoimmune diseases. Addressing overlooked is essential comprehending risks faced communities guiding policies. Within this context, promoting conjunction other sources (eg, mobile social data, wearables) artificial intelligence approaches, represents promising avenue future exploration.

Язык: Английский

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Integrating IoT in pediatric dental health: A data-driven approach to early prevention and education

International Journal of Frontiers in Life Science Research, Год журнала: 2024, Номер 6(1), С. 022 - 035

Опубликована: Март 26, 2024

This paper explores the integration of IoT devices, data analytics, and education techniques to enhance pediatric dental health outcomes. By leveraging real-time collection, analysis, personalized interventions, can empower both caregivers children adopt proactive hygiene practices. comprehensive approach not only improves oral but also establishes lifelong habits for overall wellness. Pediatric is a vital often overlooked component well-being. Despite its significance, it frequently lacks attention deserves. Integrating Internet Things (IoT) technologies into care presents an opportunity substantial improvement in early prevention strategies. enhances conducive crucial determinant well-being, yet remains overshadowed by other priorities. Addressing requires measures, including The promising avenue revolutionize delves potential improving health. harnessing empowers holistic fosters development Through examination integration, this underscores transformative impact have on health, emphasizing importance prioritizing innovative approaches address critical aspect childhood

Язык: Английский

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Digital Health Interventions to Promote Physical Activity in Community-Dwelling Older Adults: A Systematic Review and Semiquantitative Analysis

International Journal of Public Health, Год журнала: 2025, Номер 69

Опубликована: Янв. 3, 2025

Physical activity (PA) is crucial for older adults' wellbeing. Digital health interventions (DHIs) are important, however a synthesis aimed at healthy community-dwelling OA lacking. This study aims to synthesize DHIs effect on PA levels among 60-year-old adults or older. A systematic review was performed. using eHealth/mHealth tools, apps and text messaging were included. Primary outcomes daily steps, moderate-to-vigorous sedentary time. Quality assessed via Cochrane risk-of-bias tools. Study-reported effect, quality, sample size, duration dropout rate semi-quantitatively synthesized determine the overall category effect. 12 studies 75% low-quality, size 16-18,080, 3-18 weeks, average 4.2%-46.7%. The of "motivational reminders" "dynamic exercise programs" showed an positive "PA self-monitoring" mixed results "exercise digital coaching" non-positive Motivational reminders dynamic programs proved more effective in increasing than other should be embedded structured public programs.

Язык: Английский

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An I-Change approach to understanding exercise determinants among black individuals with hypertension

Journal of Hypertension, Год журнала: 2025, Номер unknown

Опубликована: Янв. 28, 2025

Objective: Black populations are disproportionately affected by hypertension and less likely to engage in blood pressure-lowering activities, such as exercise, compared non-Hispanic White populations. There is a lack of theory-informed approaches understand how individual environmental racial disparities impact exercise participation among individuals with hypertension. The I-Change Model, an integrated behavior change framework, combines concepts from social health psychology explain the interaction between awareness, motivation, action adopting maintaining behaviors. This study aims apply augmented version Model enhance our understanding participation. Methods: Individuals self-reported doctor-diagnosed ( N = 370), comprising n 142) 228) adults who were recruited via online recruitment platform, completed survey validated theoretical constructs at baseline 4 weeks. Structural equation modeling race set group variable was used compare model path effects. Results: Among both races, intention enacted behavior, whereas psychological barriers reduced likelihood engaging behavior. However, notable participants included (e.g., safety, accessibility gym) that hindered affective attitudes did not facilitate intention. Conclusions: An promotion program fosters determinants creates accessible, supportive environment would equitable opportunities for Additional recommendations designing provided.

Язык: Английский

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Clinician perceptions of a novel multicomponent digital Care Assistant and support Program for people after Stroke or transient ischaemic attack (CAPS) for secondary prevention of stroke: a qualitative study (Preprint)

Опубликована: Фев. 19, 2025

We co-designed a novel multicomponent Care Assistant and support Program for people after Stroke or transient ischaemic attack (CAPS) to augment secondary prevention of stroke. Following completion feasibility study, we sought feedback from Australian clinicians service provider representatives (the potential deliverers CAPS) regarding their perceptions CAPS prevention, pathways real-world adoption. Qualitative descriptive study involved in delivery stroke care around Australia. A pragmatic convenience sample was obtained previous co-design participants, leveraging professional networks (e.g., LinkedIn), distributing flyers newsletters via Primary Healthcare Networks, General Practitioner (GP) networks, social media posts (CSIRO LinkedIn pages). Semi-structured interviews focus groups were conducted virtually with the Foundation (Australia). Data thematically analysed using an integrated approach. Three eighteen participated, five states, including medical specialists, GPs, nurses, allied health professionals. collected CAPS, benefits program considerations facilitators challenges implementation. Discussion perceived focussed more on patients than clinicians. implementation sub-themes included initiation duration, patient considerations; workflow alignment, which consideration barriers enablers uptake within primary practice outreach programs. There participants improve However, addressing raised by further integration considerations, such as sustainability model care, are likely required be successfully embedded clinical settings.

Язык: Английский

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Unveiling the digital phenotype: A protocol for a prospective study on physical activity behavior in community-dwelling older adults

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

Опубликована: Янв. 30, 2024

Background. Physical activity (PA) is a recognized boon for older adults, enhancing their overall well-being and mitigating health risks. Nevertheless, to encourage active lifestyles in this demographic, it vital understand the factors influencing PA. Conventional approaches predominantly rely on supervised cross-sectional evaluations, presuming both stability of PA determinants over time isolated components. However, complex nature real-life dynamics often involves temporal variability individual-level determinants. Digital phenotyping (DP), employing data recruited from personal digital devices, enables continuous, unsupervised real-time quantification an individual's behavior within natural context. This approach offers more ecological dynamic assessments, revolutionizing our understanding intricacies underlying individual patterns environmental Objective. paper aims design robust research protocol DP among healthy community-dwelling adults aged 65 above by novel measurement approach. Methods. Observational will be collected two-week period assess various functions combining longitudinal collection methods. Patterns affecting outcomes detected order identify phenotypes related The measurements are based Behavior Change Wheel include self-reporting clinical assessments momentary assessment as well series data. statistical analysis machine learning which handle complexity. Unsupervised used uncover patterns, variables. conducted RStudio (v3.6.3) with significance set at 0.05. Discussion. A adults' study. Challenges varying technology adoption, usability, unproven validity tech. Ethical considerations, representativeness, participant engagement, expertise also key aspects study's success. study promise bridging traditional methods promote lifestyles. Trial registration: Clinical Trials.gov: NCT06094374

Язык: Английский

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The Best of Two Worlds to Promote Healthy Cognitive Aging: Definition and Classification Approach of Hybrid Physical Training Interventions

JMIR Aging, Год журнала: 2024, Номер 7, С. e56433 - e56433

Опубликована: Июль 31, 2024

A healthy lifestyle can be an important prerequisite to prevent or at least delay the onset of dementia. However, large number physically inactive adults underscores need for developing and evaluating intervention approaches aimed improving adherence a active lifestyle. In this regard, hybrid physical training, which usually combines center- home-based exercise sessions has proven successful in rehabilitative settings, could offer promising approach preserving cognitive health aging population. Despite its potential, research area is limited as training interventions have been underused promoting aging. Furthermore, absence universally accepted definition classification framework poses challenge future progress direction. To address gap, article informs reader about by providing different types, discussing their specific advantages disadvantages, offering recommendations research. Specifically, we focus on applying digital technologies deliver exercises, use holds significant potential reaching underserved marginalized groups, such older with mobility impairments living rural areas.

Язык: Английский

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In It Together: effects from a randomized controlled trial of a digital intervention for elderly individuals with sensory loss and their spouses

Current Psychology, Год журнала: 2024, Номер 43(34), С. 27590 - 27612

Опубликована: Авг. 12, 2024

Abstract Sensory impairment is common in older age and associated with intra- interpersonal struggles, however, treatment efforts may be hampered by functional difficulties or unwillingness to seek face-to-face mental health services. The current study examined the efficacy of an online psychological intervention for adults sensory loss their spouses Denmark, using a two-arm, parallel-group, randomized controlled trial design wait-list control group. consisted four digital, sequential modules that contained psychoeducation Acceptance Commitment Therapy inspired therapeutic activities. Individuals ( N = 662) completed surveys (using SurveyXact platform) at baseline, 6 weeks, 10 weeks post-baseline, terms well-being, relationship satisfaction, depressive symptoms. data were analyzed SAS, version 9.4, multilevel modeling account non-independence (nesting within participant couple), specifying alpha level 0.05. Inconsistent hypotheses, we found group reported poorer well-being compared group, no effect satisfaction As first spouses, highlights need simple login procedures, speculate whether user customizable format better, features might useful any digital aimed elderly populations. These particular importance implementing interventions into standard healthcare practices.

Язык: Английский

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Enhancing Enrollment and Adherence in Long-term Wearables Dementia Research: A Qualitative Synthesis from a Systematic Review (Preprint)

Опубликована: Июнь 28, 2024

With the rapid expansion of wearable technologies, there is increased interest in their utility for passive data collection applications aging research. Wearables can be specifically beneficial to research featuring people with dementia and families who have burdens that make both study participation reliable more difficult, especially as progresses. However, population-specific issues affecting success wearables include remembering wear a device, fluctuating acceptance device or participation, reliance on strained caregivers. Better understanding how address these other necessary enhance participant buy-in sustained wearing better quality We undertook systematic evaluation contemporary describe this population's experiences, desired qualities, protocol needs. used PRISMA 2020 guide reviews searched three scholarly databases using medical subject heading (MeSH) terms papers published since 2018 use discussion devices persons dementia. screened 1757 abstracts retained 58 full-text review. present synthesized preferences, barriers, facilitators adherence A total 29 factors were categorized into four overarching categories aligned development: selection, considerations, enhancing recruitment, promoting adherence. These findings inform researcher guidelines selection design future longitudinal

Язык: Английский

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