🔰NEW RESEARCH🔰 Realist Needs Assessment Investigating the Factors Affecting Implementation of Guideline-Based Care for Chronic Pain in Rural Australia: Program Theory Generation 💻 https://lnkd.in/eSQU2WJD ✅ #openaccess 📗 International Journal of Qualitative Methods │ Sage Journals and Call for Papers AUTHORS 🟩 Ashley R. Grant, University of South Australia, Australia 🟩 Gill Westhorp, Northern Institute Charles Darwin University 🟩 Amelia Mardon, University of South Australia & Western Sydney University 🟩 Emma L. Karran, University of South Australia 🟩 Peter D. Hibbert, University of South Australia & Macquarie University 🟩 Christopher Roeger, Tumby Bay Medical, South Australia 🟩 G. Lorimer Moseley, University of South Australia ABSTRACT We developed a realist program theory describing factors that affect healthcare professionals’ delivery of guideline-based pain care in rural Australia as part of a realist-informed needs assessment. To our knowledge, this project is the first to apply a realist research approach to conducting a needs assessment. We conducted and analysed realist informed teacher-learner cycle interviews with rural healthcare professionals to inform our program theory. In these interviews, we presented participants with a summary of guideline recommendations for the assessment and management of chronic pain. We asked participants which recommendations they found easy and challenging to implement in their local setting, and discussed why, how, and in what circumstances this was the case. We detail how we analysed interview transcripts retroductively in NVivo and how the authorship team abstracted from the clinical scenarios provided by interviewees to generate theories at a ‘middle level’ of abstraction. Our discussion details lessons learned from the utilised methods with recommendations for how we would adapt these methods in the future. #CDUResearch #realistresearch #paincare #ruralhealthcare #chronicpainmanagement Charles Darwin University Steve Rogers Fiona Coulson Steven Greenland Adelle Sefton-Rowston Fiona Steele Australian Evaluation Society Asia Pacific Evaluation Association BetterEvaluation
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Better ways of generating and using evidence for people and the planet. Former Professor Public Sector Evaluation. Advisor and researcher.
Useful beyond its health context, this study provides a detailed description of using a #realist approach to #needsassessment - not just identifying patterns but #causalmechanisms in different #contexts.
🔰NEW RESEARCH🔰 Realist Needs Assessment Investigating the Factors Affecting Implementation of Guideline-Based Care for Chronic Pain in Rural Australia: Program Theory Generation 💻 https://lnkd.in/eSQU2WJD ✅ #openaccess 📗 International Journal of Qualitative Methods │ Sage Journals and Call for Papers AUTHORS 🟩 Ashley R. Grant, University of South Australia, Australia 🟩 Gill Westhorp, Northern Institute Charles Darwin University 🟩 Amelia Mardon, University of South Australia & Western Sydney University 🟩 Emma L. Karran, University of South Australia 🟩 Peter D. Hibbert, University of South Australia & Macquarie University 🟩 Christopher Roeger, Tumby Bay Medical, South Australia 🟩 G. Lorimer Moseley, University of South Australia ABSTRACT We developed a realist program theory describing factors that affect healthcare professionals’ delivery of guideline-based pain care in rural Australia as part of a realist-informed needs assessment. To our knowledge, this project is the first to apply a realist research approach to conducting a needs assessment. We conducted and analysed realist informed teacher-learner cycle interviews with rural healthcare professionals to inform our program theory. In these interviews, we presented participants with a summary of guideline recommendations for the assessment and management of chronic pain. We asked participants which recommendations they found easy and challenging to implement in their local setting, and discussed why, how, and in what circumstances this was the case. We detail how we analysed interview transcripts retroductively in NVivo and how the authorship team abstracted from the clinical scenarios provided by interviewees to generate theories at a ‘middle level’ of abstraction. Our discussion details lessons learned from the utilised methods with recommendations for how we would adapt these methods in the future. #CDUResearch #realistresearch #paincare #ruralhealthcare #chronicpainmanagement Charles Darwin University Steve Rogers Fiona Coulson Steven Greenland Adelle Sefton-Rowston Fiona Steele Australian Evaluation Society Asia Pacific Evaluation Association BetterEvaluation
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🎉 🎉 🎉 Hurrah! We won the Palliative Medicine Journal paper of the year award, at the European Association for Palliative Care conference today, with our paper about healthcare use and healthcare costs in persons with advanced cancer after engagement in advance care planning. The paper is a great example of teamwork, a collaboration (in the EU funded ACTION study) of 19 persons with different backgrounds such as oncology, economics, psychology, sociology, nursing and health sciences, just to name a few. With a special shout out to Ida Korfage who has brilliantly led this paper, with persistence and positivity, an example for all of us. Studying the effects of advance care planning in a cohort of patients with advanced disease was not easy. While costs should not be the primary consideration in offering advance care planning, cost studies about advance care planning provide essential additional information for healthcare organisations who consider implementation of advance care planning programmes. We found lower costs of care in the intervention group, but established that this was mainly explained by differences in patient characteristics between the groups with and without advance care planning. Thank you Mogens Groenvold and Luc Deliens for receiving the award in person in Barcelona, where -sadly- we could not be present. Open access to the paper: https://lnkd.in/e_w7P4KT
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IHE Executive Director Cheryl Clark has been announced as a co-principal investigator for Boston Medical Center (BMC)’s research on advancing treatment of hypertension and equitable care outcomes. Hypertension affects nearly half of U.S. adults and disproportionately impacts communities of color in morbidity, treatment and management – a clear issue of health equity. Over the next five years, the Institute for Health Equity Research, Evaluation and Policy will work with the Boston Medical Center research team to analyze the effectiveness of health system strategies in improving patient outcomes for hypertension management and mitigating disparities. Projects like these are the foundation of emancipatory research – investigating the roots, patient outcomes, and actionable solutions around health inequities to ensure that science benefits the patients most in need of new and effective care models. Read more: https://lnkd.in/dixeeyqy
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Chair at Young World Federation of Neurorehabilitation (yWFNR) | Doctor of Medicine/Health Researcher
Did you know that due to the general ageing of the population and advances in medicine and rehabilitation, the proportion of people living with SCI into old age, or acquiring SCI at an older age, is increasing? 👫 Furthermore, are you aware that the needs of this expanding population are distinct and require tailored approaches? 👩⚕️👨⚕️ If you are a healthcare professional: Did you know that you may need to adapt some treatments and techniques to meet the needs of people living with SCI into old age? 📑 Well, if you already know and want to learn more, or if you are new to this interesting topic, take a look at the results of our latest publication here: https://lnkd.in/ew6BwbGP 🤓 You will learn more about the interplay between ageing and SCI, the things you can do now in your clinical practice to provide better care, and the huge research gaps in this area.
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Excited to share that our research, published in the EULAR 2024 abstracts, was cited in HCPLive! It's an honor to contribute to the understanding of high fatigue rates in economically disadvantaged patients with RA. Check out the article for more insights. #EULAR2024 #Rheumatology
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PhD in Economics of Education || Adjunct Lecturer || Researcher || Writer || Licensed Teacher || Consultant || Author || Educational Management || Social Sciences
Useful frameworks that can help in developing a clear research question, identify relevant study design, and critically evaluate evidences 1. PICOS PICOS stands for Population, Intervention, Comparison, Outcome, and Study design. It's a widely used framework for developing research questions and searching for evidence. Example: Population: Patients with type 2 diabetes Intervention: Lifestyle modification program Comparison: Usual care Outcome: HbA1c levels Study design: Randomized controlled trial 2. SPIDER SPIDER stands for Sample, Phenomenon of Interest, Design, Evaluation, and Research type. It's a framework specifically designed for qualitative research. Example: Sample: Patients with chronic pain Phenomenon of Interest: Experiences with pain management Design: Semi-structured interviews Evaluation: Thematic analysis Research type: Qualitative descriptive study 3. ECLIPSE ECLIPSE stands for Expectation, Client group, Location, Impact, Professionals, Service, and Evaluation. It's a framework designed for searching and appraising evidence in healthcare. Example: Expectation: Improved patient outcomes Client group: Patients with heart failure Location: Primary care setting Impact: Reduced hospital readmissions Professionals: Nurses and doctors Service: Multidisciplinary team care Evaluation: Randomized controlled trial 4. PICO PICO is similar to PICOS, but it doesn't include Study design. It's still a useful framework for developing research questions and searching for evidence. Example: Population: Patients with hypertension Intervention: Medication adherence program Comparison: Usual care Outcome: Blood pressure control 5. FINER FINER stands for Feasible, Interesting, Novel, Ethical, and Relevant. It's a framework used to evaluate the quality and relevance of research studies. 6. CASP CASP stands for Critical Appraisal Skills Programme. It's a framework used to critically evaluate the quality and relevance of research studies. 7. PRISMA PRISMA stands for Preferred Reporting Items for Systematic Reviews and Meta-Analyses. It's a framework used to guide the reporting of systematic reviews and meta-analyses. 📌How it works: Use your research title/topic in search with any of the suitable framework to see the breakdown of your study! (#Beginnersguide) Try this and thank me later 😍 📌Remember to always critically evaluate the evidence and consider multiple perspectives when conducting research. Choose the framework that best fits your research question and study design. In weeks to come, I will be taking each framework in details See the comment section on tips for conducting research🔃 Repost if you found the lesson helpful ♻️ #teaching #research #BlessingOsaroMartins #education #learning #phdjourney #phdlife #framework #graduatestudents #ESTREL
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New Original Research article in RRH: Clinical outcomes in patients hospitalised with dysmagnesemia in the Northern Territory of Australia: a retrospective, longitudinal data-linkage study by Juhaina Al-Maqbali, Abdullah Al Alawi, Asanga Abeyaratne, Sandawana Majoni and Henrik Falhammar. https://lnkd.in/gwZH47GB Magnesium is required for almost all body system functions, including cardiovascular, neurological, endocrine, musculoskeletal and immune systems. Dysmagnesemia, or disorder in serum magnesium levels (hypermagnesemia or hypomagnesemia), is associated with poor health outcomes in hospitalised patients, including the need for longer hospital stays and increased risk of mortality. This register-based study assessed the prevalence of dysmagnesemia and associated health outcomes among hospitalised patients in the Northern Territory, Australia. #ruralhealth #magnesium #firstnations #indigenous #hospitalisation Healthengine Charles Darwin University Healthdirect Australia Sultan Qaboos University NT Health Asanga Abeyaratne Sandawana William Majoni
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Certified Hyperbaric Specialist 🧬 | Medical Hyperbaric Oxygen Advocate 🐸 | DeepSea Locker Dive Team 🔱
It's high time we stopped referring to the proper administration of therapeutic oxygen as a "MIRACLE." The benefits are well-established and extensively documented. Calling it a miracle undermines its credibility and hinders its growth and adoption. The FDA has approved insurance coverage for 14 conditions in the U.S., and hyperbaric oxygen therapy has been proven effective for countless other conditions as well. We’re not living in the Middle Ages, where science was a miracle. Let's embrace the therapeutic use of oxygen to enhance the quality of life for our citizens, beyond just the Medicare-approved $2000 per treatment. Let's also clear up a common misconception: medical-grade HBOT is not the same as mild hyperbaric treatments. Physicians and chiropractors practicing mild hyperbaric therapy should face serious scrutiny—perhaps even having their licenses reconsidered. The public deserves accurate information and effective treatments, not diluted versions that don't meet medical standards. Why is it that companies from Israel are setting up shop here, particularly in The Villages, and billing our taxpayers $43 million over the past four years while we’re served pressurized air useful at treating acute altitude sickness? It's time we take a breath, quite literally, and start utilizing this proven therapy more broadly and efficiently here at home. Let's stop holding our breath and start harnessing the full potential of hyperbaric oxygen therapy! #HyperbaricOxygenTherapy #HBOT #MedicalInnovation #HealthCareRevolution #OxygenTherapy #MedicalGradeHBOT #ScienceAndHealth #PatientCare #HealthcareQuality #LinkedInCommunity
Matthew Robinson, a college professor, came to the Aviv Medical Program feeling helpless and exhausted. Aviv was his last chance after suffering for several years with symptoms from long COVID, ME/CFS and POTS. Here is what he had to say about his experience in the Aviv Medical Program. "Aviv is the site of my medical miracle. It was truly my last hope of getting better after 4 years suffering.... I got all the way better during my treatment at Aviv. At Aviv, you will experience a caring team of experts in medicine, nursing, hyperbaric oxygen therapy, neuropsychology, exercise physiology, and nutrition who will create a care plan individualized for you based on your needs and abilities. My treatment lasted three months and included 60 "dives" in the hyperbaric oxygen suite, exercise (weight training and cardio), cognitive training, nutritional intervention, and lots of rest. When you join Aviv, you become part of a family for the rest of your life. Everyone at Aviv from the front desk to the back of house knows your name and asks about how you're doing on a daily basis. Going to Aviv on a daily basis and spending time there is very enjoyable, even when you're there for medical help, as I was. My experience at Aviv was truly remarkable. Though expensive, it turned out to be the best money I ever spent, for the treatment I received at Aviv healed me beyond my expectations and gave me life back. I recommend Aviv to everyone, whether you are considering going for healthy aging or, like me, you need medical help for a serious condition (a list of conditions they treat is in their website). 5 stars only because I can't give it 10!" Matthew has even written and published a book about his struggles with long COVID, ME/CFS and POTS and included a chapter about his time at Aviv: https://ow.ly/nJj550SuT5n. #AvivClinics #LongCOVIDRecovery #Professor #LongCOVID
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As the US faces many health crises despite significant technological advances, no better time for clinicians to work with the FDA. In Harlan Krumholz's inaugural issue of JACC Journals, I am honored to describe w/ Commissioner Robert Califf how all clinicians, especially the CV community can engage w/ FDA to advance public health. Evidence generation, patient-focused engagement and AI and digital health are essential domains. You can read the full article in a great issue 👇 https://lnkd.in/eiKs9zSY
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Hello Linkedin family, I am excited to share my happiness as I achieved a significant milestone in the journey of my research career. My research work titled “Understanding metabolic patterns in PCOS: Comparing lean and obese women at a family medicine clinic” got published in the Journal of Family Medicine and Primary Care (JFMPC). I thank everyone who helped me to accomplish this achievement. coGuide Research Simplified #Research_work #coGuide #Pubmed #Family_medicine #PCOS #Metabolic_diseases #Obesity #JFMPC
