scholarly journals A rural perspective of telephone counselling and referral

2004 ◽  
Vol 10 (2) ◽  
pp. 97
Author(s):  
Robert J Watson ◽  
John McDonald
Keyword(s):  
Rural Areas ◽  
Help Seeking ◽  
Telephone Survey ◽  
Telephone Counselling ◽  
Noncomparative Study ◽  
Related Services ◽  
Referral Service ◽  
Health Related ◽  
Health Support ◽  
Rural Australia

A telephone survey was used to examine rural residents? (n=102) perceptions and knowledge of a well-established national telephone counselling and referral service - Lifeline. Residents in rural Australia experience generally poorer access and availability to health-related services than their metropolitan counterparts. They may also have problems with confidentiality and stigmatisation in using what services are available in their area. Although this was a noncomparative study, it was reasoned that these barriers to help-seeking in rural areas would mean their population would know and value a service such as Lifeline, which provides equitable and anonymous support and referrals to all Australians. The results showed that the service was known, valued, and supported strongly by the respondents. The findings supported the belief that telephone counselling and referral has an important and unique place in rural health support and referral.

scholarly journals Pharmacotherapy Literacy of Parents in the Rural and Urban Areas of Serbia—Are There Any Differences?

Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 590
Author(s):  
Krajnović ◽  
Ubavić ◽  
Bogavac-Stanojević
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Pediatric Population ◽  
Basic Information ◽  
Cross Sectional ◽  
Related Services ◽  
Rural And Urban Areas ◽  
Parental Characteristics ◽  
Rural And Urban ◽  
Health Related

Background and objectives: Pharmacotherapy literacy (PHTL) is an individual’s capacity to obtain, evaluate, calculate, and comprehend basic information about pharmacotherapy and pharmacy-related services necessary to make appropriate medication-related decisions, regardless of the mode of content delivery (e.g., written, oral, visual images and symbols). It is already proven that low PHTL of parents can cause serious problems in the treatment of a pediatric population. We aimed to identify the differences in parental PHTL levels, socio-demographic and health-related characteristics (chronic disease of a child, breastfeeding of a child, annual visits to a pediatrician, parental-self-estimation of health status) between rural and urban areas and to investigate the influence of living in rural areas on a low PHTL level. Materials and methods: Our study was cross-sectional with a validated 14-item instrument (“Parental pharmacotherapy literacy questionnaire—Serbian”), which assessed overall PHTL and its three domains of knowledge, understanding and numerical skills necessary for the safe use of medicines. We analyzed 250 parents of pre-school children (1–7 years old) in rural areas and 182 parents from urban areas in Serbia. Results: Every tenth parent from rural and every fourth parent from urban areas had the highest PHTL level or more than 85% correct answers. However, 51% and 28% of parents in rural and urban areas, respectively, had a low PHTL level (less than 65% correct answers), [Х2(1, n = 432) = 33.2; p < 0.001]. Parents from different areas statistically differed in age, education level, employment, breastfeeding and annual visits to pediatrician rate. Those from rural areas had almost twice the probability of low PHTL levels (ORa = 2.033; p = 0.003) than their urban counterparts, independently of other examined parental characteristics. Conclusions: Parents from rural areas have more difficulties to obtain, evaluate, calculate and comprehend basic information related to pharmacotherapy than parents from urban areas.

Evaluation of health-related quality of life in adults with and without dyslipidaemia in rural areas of central China

2019 ◽  
Vol 29 (4) ◽  
pp. 925-939
Author(s):  
Hui Wu ◽  
Huijun Li ◽  
Haibin Li ◽  
Yu Ding ◽  
Chongjian Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rural Areas ◽  
Central China ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Characteristics of Confidence and Preparedness in Paramedics in Metropolitan, Regional, and Rural Australia to Manage Mental-Health-Related Presentations: A Cross-Sectional Study

2021 ◽  
Vol 18 (4) ◽  
pp. 1882
Author(s):  
Kate Emond ◽  
Melanie Bish ◽  
Michael Savic ◽  
Dan I. Lubman ◽  
Terence McCann ◽  
...  
Keyword(s):  
Mental Health ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Considerable Proportion ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Related ◽  
Manage Mental ◽  
Manage Mental Health

Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan and rural areas to manage mental-health-related presentations. Overall, 1140 paramedics were surveyed. Pearson chi-square and Fisher exact tests were used to compare categorical variables by sex and location of practice; continuous variables were compared using the non-parametric Mann–Whitney and Kruskal–Wallis tests. Perceived confidence and preparedness were each modelled in multivariable ordinal regressions. Female paramedics were younger with higher qualifications but were less experienced than their male counterparts. Compared to paramedics working in metropolitan regions, those working in rural and regional areas were generally older with fewer qualifications and were significantly less confident and less prepared to manage mental health presentations (p = 0.001). Compared to male paramedics, females were less confident (p = 0.003), although equally prepared (p = 0.1) to manage mental health presentations. These results suggest that higher qualifications from the tertiary sector may not be adequately preparing paramedics to manage mental health presentations, which signifies a disparity between education provided and workforce preparedness. Further work is required to address the education and training requirements of paramedics in regional and rural areas to increase confidence and preparedness in managing mental health presentations.

scholarly journals Inequalities in life expectancy by place of residence and its changes in Lithuania during 1990-2018

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Sauliune ◽  
O Mesceriakova-Veliuliene ◽  
R Kalediene
Keyword(s):  
Life Expectancy ◽  
Rural Areas ◽  
Place Of Residence ◽  
Entire Study ◽  
Demographic Groups ◽  
National Mortality ◽  
Health Related ◽  
Urban Rural ◽  
Notable Increase ◽  
Males And Females

Abstract Introduction Health inequalities have emerged as a big issue of public health in Lithuania. Recent studies have demonstrated increasing mortality differentials between different socio-demographic groups of the population. Urban/rural place of residence is related with a set of socio-economic characteristics, different access to material resources, presence or absence of social support, and attitudes to health-related behavior. The aim of the study To determine inequalities in life expectancy and its changes by place of residence (urban/rural) in Lithuania during 1990-2018. Methods Information on deaths and population numbers for the period of 1990-2018 was obtained from National Mortality Register and Population Register. Life expectancy for males and females of urban and rural populations was calculated using life tables. Changes in the magnitude of life expectancy inequalities by place of residence were assessed using rate differences (urban-rural); while trends in inequalities were estimated by conducting the Joinpoint regression analysis. Results Life expectancy among males and females was longer in urban compared to rural areas throughout the entire study period. Life expectancy increased statistically significantly for urban and rural males and females with the most notable increase for males, especially those living in rural areas (on average by 0.4% per year from 64.1 years in 1990 to 70.05 years in 2018). Inequalities in life expectancy by place of residence decreased statistically significantly among Lithuanian males from 3.48 years in 1990 to 1.39 years in 2018, while among females only the tendency of decrease was estimated. Conclusions Inequalities in life expectancy of males and females by place of residence decreased significantly in Lithuania throughout the period of 1990-2018, mainly due to positive changes in life expectancy among rural males. Key messages Inequalities in life expectancy of males and females by place of residence decreased significantly in Lithuania throughout the period of 1990-2018. Life expectancy increased for Lithuanian urban and rural males and females with the most notable increase for males, especially those living in rural areas.

scholarly journals Adaptation of the barriers to help-seeking for trauma (BHS-TR) scale: a cross-cultural cognitive interview study with female intimate partner violence survivors in Iceland

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Karen Birna Thorvaldsdottir ◽  
Sigridur Halldorsdottir ◽  
Rhonda M. Johnson ◽  
Sigrun Sigurdardottir ◽  
Denise Saint Arnault
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Help Seeking ◽  
Cognitive Interview ◽  
Intimate Partner ◽  
Interview Study ◽  
Trauma Survivors ◽  
Expert Committee ◽  
Health Related ◽  
Trauma Informed

Abstract Background Even though traumatization is linked to substantially reduced health-related quality of life, help-seeking and service utilization among trauma survivors are very low. To date, there has not been available in Iceland a culturally attuned, self-reported measure on help-seeking barriers after trauma. This study aimed to translate and cross-culturally adapt the English version of Barriers to Help-Seeking for Trauma (BHS-TR) scale into the Icelandic language and context. Methods The BHS-TR was culturally adapted following well-established and rigorous guidelines, including forward-backward translation, expert committee review, and pretesting through cognitive interviews. Two rounds of interviews with 17 female survivors of intimate partner violence were conducted using a think-aloud technique and verbal probing. Data were analyzed using qualitative content analysis, a combination of deductive and inductive approaches. Results Issues with the BHS-TR that were uncovered in the study were classified into four categories related to general design, translation, cultural aspects, and post-trauma context. The trauma-specific issues emerged as a new category identified in this study and included concepts specific to trauma experiences. Therefore, modifications were of great importance—resulting in the scale becoming more trauma-informed. Revisions made to address identified issues improved the scale, and the process led to an Icelandic version, which appears to be semantically and conceptually equivalent to the original version; additionally, the results provided evidence of content validity. Conclusions As a cognitive interview study, it adds to the growing cognitive interviewing methodology literature. Furthermore, the results provide essential insights into the self-report response process of trauma survivors, highlighting the significance of making health-related research instruments trauma-informed.

Assessing the Perceived Importance of Skin Cancer: How Question-Order Effects Are Influenced by Issue Involvement

2005 ◽  
Vol 32 (3) ◽  
pp. 398-412 ◽  
Author(s):  
Rajiv N. Rimal ◽  
Kevin Real
Keyword(s):  
Skin Cancer ◽  
Telephone Survey ◽  
Formative Research ◽  
Order Effects ◽  
Contextual Variables ◽  
The Public ◽  
Issue Involvement ◽  
Perceived Importance ◽  
Question Order ◽  
Health Related

Question-order effects refer to systematic differences in responses that can be attributed to the manner in which questions assessing attitudes and cognitions are asked. This article hypothesized that question-order effects in assessing the perceived importance of skin cancer would be moderated by the extent to which people are involved with the issue of skin cancer. A telephone survey ( N = 325) was conducted by administering two versions of the same questionnaire, one in which importance of skin cancer was assessed without other contextual variables and another in which contextual variables were asked before assessing the importance of skin cancer. As hypothesized, when people were highly involved with the issue, question-order effects did not occur. When involvement was low, importance of skin cancer was greater in the absence of contextual questions than in their presence. Findings have implications for how health-related issues are communicated to the public and how formative research is conducted.

scholarly journals Development and testing of a quantitative food frequency questionnaire for use in Kerala, India

1998 ◽  
Vol 1 (2) ◽  
pp. 123-130 ◽  
Author(s):  
James R Hebert ◽  
Prakash C Gupta ◽  
Ramesh B Bhonsle ◽  
PR Murti ◽  
Hemali Mehta ◽  
...  
Keyword(s):  
Food Frequency Questionnaire ◽  
Rural Areas ◽  
Correlation Coefficients ◽  
Regression Analyses ◽  
Food Frequency ◽  
Rural Villages ◽  
Head Of Household ◽  
Male Head ◽  
Health Related ◽  
Study Population

AbstractObjective:To develop and test a food frequency questionnaire (FFQ) for use in rural areas of Kerala, India.Design:Based on food use and market surveys of the study area, a quantitative 81-item interviewer-administered FFQ was developed. A validation study was conducted consisting of 24-h diet recalls (24HR) administered on 8 days randomly selected over an entire year and two administrations of the FFQ, one at the beginning of the l-year period and the other at the end. FFQ and 24HR-derived nutrient scores were compared using correlation and regression analyses and by examining differences in the nutrient scores.Setting:Rural villages in Ernakulum district, Kerala, South India.Subjects:In each of 30 households, the male head of household and female food preparer were enrolled.Results:Pearson (parametric) correlation coefficients (rp) averaged about 0.50 in comparing nutrient scores derived from the 24HR with those from the first FFQ and about 0.55 in comparing the second FFQ. On average, Spearman correlation coefficients (rs) were slightly lower than the rp in comparing the scores derived from the first FFQ, but virtually identical for the second FFQ. Regression analyses indicated better agreement in the comparison of the 24HR-derived scores with the first FFQ than the second FFQ. Difference scores, however, tended to be larger in comparing the first FFQ scores with the 24HR.Conclusions:This FFQ produces results broadly comparable to those used in Europe and North America, indicating its suitability for comparing exposures within a study population in reference to health-related endpoints.

Understanding Data Collection Mechanisms Used by Health and Wellness Applications (Preprint)

2021 ◽  
Author(s):  
Ben Philip ◽  
Mohamed Abdelrazek ◽  
Alessio Bonti ◽  
Scott Barnett ◽  
John Grundy
Keyword(s):  
Data Collection ◽  
User Experience ◽  
Health Data ◽  
Domain Model ◽  
Health And Wellness ◽  
Related Services ◽  
Related Data ◽  
Medical Apps ◽  
App Development ◽  
Health Related

UNSTRUCTURED Our objective is to better understand health-related data collection across different mHealth app categories. This would help in developing a health domain model for mHealth apps to facilitate app development and data sharing between these apps to improve user experience and reduce redundancy in data collection. We identified app categories listed in a curated library which was then used to explore the Google Play Store for health/medical apps that were then filtered using our inclusion criteria. We downloaded and analysed these apps using a script we developed around the popular AndroGuard tool. We analysed the use of Bluetooth peripherals and built-in sensors to understand how a given app collects/generates health data. We retrieved 3,251 applications meeting our criteria, and our analysis showed that only 10.7% of these apps requested permission for Bluetooth access. We found 50.9% of the Bluetooth Service UUIDs to be known in these apps, with the remainder being vendor specific. The most common health-related services using the known UUIDs were Heart Rate, Glucose and Body Composition. App permissions show the most used device module/sensor to be the camera (20.57%), closely followed by GPS (18.39%). Our findings are consistent with previous studies in that not many health apps were found to use built-in sensors or peripherals for collecting health data. The use of more peripherals and automated data collection along with integration with other apps could increase usability and convenience which would eventually also improve user experience and data reliability.

PROSTATE CANCER IN RURAL NIGERIA: DIMENSIONS, CULTURAL INTERPRETATIONS, COSTAND CARE

2021 ◽  
Vol 6 ◽  
pp. 36
Author(s):  
Sola Aluko-Arowolo, ◽  
Saheed Akinmayowa Lawal ◽  
Isaac A. Adedeji ◽  
Ebun O. Oduwole ◽  
Victor Kolo
Keyword(s):  
Prostate Cancer ◽  
Rural Areas ◽  
Significant Risk ◽  
Female Gender ◽  
Coping Resources ◽  
General Context ◽  
Rural Nigeria ◽  
Health Related ◽  
The Cost ◽  
Rural Dwellers

In connection with the global prevalence of prostate cancer, the incidence of prostate cancer in Nigeria is an emerging burden that requires urgent attention. While most health policies have focused on the female gender and children, it has left most men at significant risk of health problems and challenges which are dire. In the general context of cancer and its predominance in the population of people aged 40 and over, middle aged and older men have been found to be increasingly at risk. Hence the paper examines the dimension of prostate cancer in rural Nigeria. Although socio-cultural and economic factors play significant role in the health-related decisions of the human population, the paper discusses the cultural interpretations associated with prostate cancer. It also engages previous studies being a review paper on the cost and care for people affected with the disease. In conclusion, the lack of commensurate coping resources, rural dwellers are disproportionally impacted, both by the disease and the socio-economic burdens of prostate cancer, hence the need for more policies/action to address prostate cancer prevalence and incidence in rural areas of Nigeria

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