UNDERSTANDING THE PRIORITIES OF YOUNG ADULTS WITH ATHEROSCLEROTIC CARDIOVASCULAR DISEASE AND THEIR FAMILY MEMBERS: AN EXPLORATORY MIXED-METHODS STUDY

2018 ◽  
Vol 34 (10) ◽  
pp. S113-S114
Author(s):  
R. Cho ◽  
J. Weng ◽  
K. Lynch ◽  
P. Ng ◽  
C. Brown ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Young Adults ◽  
Mixed Methods ◽  
Family Members ◽  
Mixed Methods Study ◽  
Atherosclerotic Cardiovascular Disease

scholarly journals Perspectives on Acceptance and Use of a Mobile Health Intervention for the Prevention of Atherosclerotic Cardiovascular Disease in Singapore: Mixed-Methods Study (Preprint)

2018 ◽  
Author(s):  
Victoria Haldane ◽  
Yao Guo Tan ◽  
Krichelle Wei Qi Teo ◽  
Joel Jun Kai Koh ◽  
Aastha Srivastava ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Mixed Methods ◽  
Technology Acceptance ◽  
Mobile Health ◽  
Technology Use ◽  
Mixed Methods Study ◽  
Intention To Use ◽  
Atherosclerotic Cardiovascular Disease ◽  
Mhealth Intervention

BACKGROUND Cardiovascular disease, including atherosclerotic cardiovascular disease (ASCVD), is a growing public health threat globally and many individuals remain undiagnosed, untreated, and uncontrolled. Simultaneously, mobile health (mHealth) interventions using short messaging service (SMS) have gained popularity globally. There is an opportunity for innovative approaches such as mHealth to encourage and enable adherence to medications for ASCVD and its risk factors. OBJECTIVE This study aimed to understand mobile technology acceptance, use, and facilitating conditions among the study population ahead of the design of an mHealth intervention. METHODS Using data from a mixed-methods study conducted in Singapore, we conducted a cross-sectional survey with 100 participants and in-depth, semistructured interviews with 20 patients. All participants were over the age of 40 years with ASCVD or its risk factors. Interviews were conducted in English and Mandarin and if needed translated to English. Nvivo 11 (QSR International) was used for analyses. RESULTS Participants reported their perspectives on technology use and preferences, including low or sporadic mobile phone use and usability concerns including small screen and text size, among others; the benefit of previous mHealth use in creating a favorable opinion of SMS for health information; trust in both the source of mHealth SMS, as well as in treatment; the formation of habits; and fear of sequelae or death for facilitating intention to use an mHealth intervention and adhere to medication. We also highlighted a case that underscored the importance of the period after diagnosis in habit forming as an opportunity for an mHealth intervention. CONCLUSIONS We explored both technology- and adherence-related factors that influence a patient’s intention to use an mHealth intervention for adherence to ASCVD medication in Singapore. We highlighted the importance of identifying the right opportunity to engage with patients and promote an mHealth intervention for adherence, such as immediately following diagnosis when patients are establishing medication-taking habits.

Exploring young adults’ knowledge of and experiences with emergency contraception in Ontario, Canada: a mixed-methods study

Contraception ◽  
2018 ◽  
Vol 98 (4) ◽  
pp. 359
Author(s):  
S Hukku ◽  
A Gauthier-Beaupré ◽  
E Fortier ◽  
F Doci ◽  
G Veillet-Lemay ◽  
...  
Keyword(s):  
Young Adults ◽  
Mixed Methods ◽  
Emergency Contraception ◽  
Mixed Methods Study

scholarly journals Should Researchers Offer Results to Family Members of Cancer Biobank Participants? A Mixed-Methods Study of Proband and Family Preferences

2018 ◽  
Vol 10 (1) ◽  
pp. 1-22 ◽  
Author(s):  
Deborah R. Gordon ◽  
Carmen Radecki Breitkopf ◽  
Marguerite Robinson ◽  
Wesley O. Petersen ◽  
Jason S. Egginton ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Family Members ◽  
Mixed Methods Study

scholarly journals Drowning among fishing communities on the Tanzanian shore of lake Victoria: a mixed-methods study to examine incidence, risk factors and socioeconomic impact

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032428 ◽  
Author(s):  
Hilary S Whitworth ◽  
Joyce Pando ◽  
Christian Hansen ◽  
Natasha Howard ◽  
Amen Moshi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mixed Methods ◽  
Lake Victoria ◽  
Family Members ◽  
Significant Risk ◽  
Mixed Methods Study ◽  
Sensitivity Analyses ◽  
Socioeconomic Impact ◽  
Fishing Communities ◽  
Socioeconomic Impacts

ObjectivesTo estimate the incidence of unintentional fatal drowning and describe associated risk factors among Lake Victoria fishing communities, and to assess perceived social, financial and other impacts among families and colleagues of persons who drowned.DesignA retrospective, observational mixed-methods study, conducted between September 2017 and February 2018.SettingEight Tanzanian fishing communities on Lake Victoria.ParticipantsPersons who drowned in the preceding 24 months were identified using an extensive community networking approach. Adult family members, colleagues or community members familiar with the habits and behaviours of people who drowned and/or circumstances of drowning incidents participated in surveys (n=44) and in-depth interviews (n=22).Main outcome measuresPooled drowning incidence, with sensitivity analyses allowing for uncertainties in population estimates. Risk factors were identified through the evaluation of behavioural characteristics of persons who drowned and circumstances of drowning incidents. Perceived socioeconomic impacts were assessed through semi-structured interviews with their family members and colleagues.ResultsThe estimated drowning incidence was 217/100 000 person-years (95% CI 118 to 425/100 000). Of 86 victims identified, 70 (81%) were fishermen (79% aged 18–40 years; all men) and 9 were children (all ≤10 years). All deaths occurred in the lake. Most adults (65/77; 84%) were fishing from a boat when they drowned; 57/77 (74%) died in the evening (from ~5 pm) or at night. Six children (67%) drowned while swimming/playing at the lakeshore unsupervised. Few victims (2/86; 2%) were wearing a life jacket at the time of death. Reported socioeconomic impacts of these deaths ranged from income loss to family break-up.ConclusionsDrowning is a significant risk in Tanzanian lakeside fishing communities, with estimated mortality exceeding national incidence rates of fatal malaria, tuberculosis or HIV, but preventative strategies appear uncommon. Socioeconomic impact at the family level may be substantial. Intervention strategies are required to reduce the drowning burden among this neglected at-risk population.

scholarly journals Trajectory of Smoking and Incidence of Atherosclerotic Cardiovascular Disease among Korean Young Adult Men

2019 ◽  
Vol 16 (12) ◽  
pp. 2219 ◽  
Author(s):  
Yongho Jee ◽  
Jooeun Jeon ◽  
Joung Hwan Back ◽  
Mikyung Ryu ◽  
Sung-il Cho
Keyword(s):  
Cardiovascular Disease ◽  
Young Adults ◽  
Young Adult ◽  
Trajectory Analysis ◽  
Atherosclerotic Cardiovascular Disease ◽  
Adult Men ◽  
Group 4 ◽  
Trajectory Group ◽  
Group 5 ◽  
Group 1

Introduction: Smoking among young adults is associated with atherosclerotic cardiovascular disease (ASCVD) in middle age. Our aim was to analyze the trajectory of smoking in young adults and analyze the effects of the trajectory group on incident ASCVD. Methods: This study was conducted among 60,709 young adult men aged 20–29 years who received health screening every two years from 1992–2004. Trajectory analysis was performed through smoking survey data measured 7 times during this period. ASCVD, including ischemic heart disease (IHD) and stroke events were confirmed from 2005–2015. The association between the trajectory group and ASCVD risk was analyzed using Cox proportional hazard models, controlling for covariates and mediators. Results: Trajectory analysis showed that smoking categorized into five groups as follows: Group 1 (28.3%), low steady; Group 2 (14.7%), lowering; Group 3 (17.3%), high steady; Group 4 (15.6%), rise and fall; and Group 5 (24.2%), very high steady. The model performance of the trajectory model (Akaike information criterion; AIC = 51,670.78) with mediators was better than the model (AIC = 51,847.85) without mediators. Group 5 showed a 49% higher risk of ASCVD than Group 1. The risk of IHD was 1.63-times higher for Group 5 and 1.31-times higher for Group 4, compared to Group 1. Compared to Group 1, Group 5 had a 1.36- and 1.58-times higher risk for total stroke and ischemic stroke, respectively. Conclusions: In young adult men, the multiple measured trajectory model with mediators was far more informative than one-time smoking for explaining the association with cardiovascular disease.

Sign in / Sign up

Export Citation Format

Share Document