Migraine Headache in a Rural Community in Nigeria: Results of a Pilot Study

1982 ◽  
Vol 1 (1) ◽  
pp. 31-39 ◽  
Author(s):  
B.O. Osuntokun ◽  
Bruce S. Schoenberg ◽  
V. Nottidge ◽  
A. Adeuja ◽  
O. Kale ◽  
...  
Keyword(s):  
Pilot Study ◽  
Rural Community ◽  
Migraine Headache

Factors Used in Multiple-Relationship Ethical Decisions in a Small University Town

2020 ◽  
Vol 22 (1) ◽  
pp. 6-18
Author(s):  
Pooja D. Saraff ◽  
Carolyn M. Pepper
Keyword(s):  
Decision Making ◽  
Pilot Study ◽  
Rural Community ◽  
Ethical Standards ◽  
Multiple Relationships ◽  
Professional Relationship ◽  
Ethical Decisions ◽  
University Town ◽  
Decision Making Model

APA Ethical Standards for psychologists strongly caution against multiple relationships between professionals and clients to prevent exploitation; but clear guidelines are lacking. This dilemma is more common in smaller communities and this pilot study explored this issue in a small rural community using Gottlieb's (1993) decision-making model as a framework. Local practitioners (n = 25) were surveyed about their experience and factors used to make decisions regarding multiple relationships using vignettes. Majority chose to proceed with the secondary relationship citing importance of factors such as role incompatibility, clarity of termination of the professional relationship, and the availability of other professionals. Discrepancies were noted between factors rated as important and their actual influence on decisions made, which should be explored.

scholarly journals Reducing avoidable admissions in rural community palliative care: a pilot study of care coordination by General Practice registrars

2016 ◽  
Vol 25 (3) ◽  
pp. 141-147 ◽  
Author(s):  
Thea F. van de Mortel ◽  
Kenneth Marr ◽  
Elizabeth Burmeister ◽  
Hilton Koppe ◽  
Christine Ahern ◽  
...  
Keyword(s):  
Palliative Care ◽  
General Practice ◽  
Pilot Study ◽  
Rural Community ◽  
Care Coordination ◽  
Avoidable Admissions

scholarly journals Improving long-lasting insecticidal nets use in Kayange community of north-western Burundi: a pilot study exploring the use of quality improvement methodologies in low-resource community settings

2019 ◽  
Vol 8 (3) ◽  
pp. e000540 ◽  
Author(s):  
Desire Habonimana ◽  
Gideon Nimako ◽  
Jabulani Ncayiyana ◽  
Gabriel Ndayisaba ◽  
Rohit Ramaswamy
Keyword(s):  
Quality Improvement ◽  
Pilot Study ◽  
General Population ◽  
Pregnant Women ◽  
Rural Community ◽  
Community Settings ◽  
Low Resource ◽  
Utilisation Data ◽  
Long Lasting Insecticidal Nets ◽  
Children Under 5

Quality improvement (QI) approaches have demonstrated a lot of promise in improving clinical care processes, both in high-resource and low-resource settings. However, most examples of QI initiatives in healthcare in low-income countries are clinic-based. The objective of this study was to demonstrate feasibility of applying QI methods in low-resource community settings by applying them to the problem of correct utilisation of long-lasting insecticidal nets (LLINs) in a rural community in Burundi. Correct utilisation of LLINs had been shown to be a cost-effective approach to malaria prevention. In Burundi, LLINs utilisation is low. The Model for Improvement, a well-known QI approach, was used to increase LLINs utilisation in a rural community in Burundi. In the baseline, LLINs ownership and weekly utilisation together with factors affecting LLINs non-use were documented for a period of 4 weeks before intervention. Improvement ideas were collaboratively developed by a quality improvement team (QIT) and tested using Plan-Do-Study-Act (PDSA) cycles. The first PDSA cycle consisted of the demonstration of how to mount LLINs, the second was an implementation of reminders done by household ‘watchdogs’, the third cycle consisted of conducting two community reminders every week and the last cycle was a combination of the last two PDSA cycles. The intervention lasted 4 weeks and data were collected weekly. LLINs utilisation was calculated each week and plotted on a run chart to demonstrate improvement trends. LLINs utilisation data were collected for another 3 weeks postintervention. Of 96 households, 83 (87%) households owned at least one LLIN. After intervention, the number of LLINs used increased from 32% to 75% (134% increase) and the number of persons (general population) sleeping under LLINs from 35% to 73% (108% increase). The number of children under 5 years sleeping under LLINs increased from 31% to 76% (145% increase) and the number of pregnant women who slept under LLINs from 43% to 73% (69% increase). Also, the averages of the number of nights in each week that the general population slept under LLINs increased from 2.13 to 5.11 (140% increase), children under 5 years from 1.68 to 4.78 (184% increase) and pregnant women from 1.56 to 4.47 (186% increase). Each of the 4 PDSA cycles led to a significant increase in outcome indicators and the trends appear to persist even after the implementation was complete. While it is impossible to draw generalisable conclusions from a small pilot study, QI approaches appear to be feasible to implement in low-resource community setting and have promise in producing results. More research at larger scale should be encouraged to validate our initial findings.

scholarly journals Lessons Learned from a Rural, Community-Based Cervical Cancer Screen-and-Treat Pilot Study in Malawi

2021 ◽  
pp. 100110
Author(s):  
Laura Limarzi Klyn ◽  
John Chapola ◽  
Clement Mapanje ◽  
Agatha Bula ◽  
Jennifer H. Tang ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Pilot Study ◽  
Rural Community ◽  
Lessons Learned ◽  
Community Based ◽  
Cancer Screen ◽  
Cervical Cancer Screen

scholarly journals Seroprevalence of dengue among healthy adults in a rural community in Southern Malaysia: a pilot study

2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Amreeta Dhanoa ◽  
Sharifah Syed Hassan ◽  
Nowrozy Kamar Jahan ◽  
Daniel D. Reidpath ◽  
Quek Kia Fatt ◽  
...  
Keyword(s):  
Pilot Study ◽  
Rural Community ◽  
Healthy Adults

Developing and Pilot Testing a Population-focused Nutrition Screen Incorporating Social Determinants of Health

2020 ◽  
Vol 11 (2) ◽  
pp. 74-89
Author(s):  
Kyle L Thompson ◽  
Melissa Gutschall ◽  
Amanda Bliss ◽  
Grace Herman ◽  
Madison Zimmerman ◽  
...  
Keyword(s):  
United States ◽  
Pilot Study ◽  
Social Determinants Of Health ◽  
Rural Community ◽  
Social Determinants ◽  
The United States ◽  
Community Dwelling ◽  
Low Risk ◽  
Determinants Of Health ◽  
Risk Status

Introduction: Given that nutrition status is directly related to a variety of health outcomes, nutrition screening is a prime focus of public health nutrition practice.  Objectives: The purposes of this pilot study were to develop and pilot test a Rural Adult Nutrition Screen (RANS) that includes criteria addressing social determinants of health and to explore possible applications of the screen development methodology in other settings. Methods: Mixed-methods research including interviews and survey dissemination was conducted among a rural southern Appalachian population in the United States.  Themes identified in the research were used to construct a preliminary rural adult nutrition screen (RANS-1).  The RANS-1 was pilot-tested among a sample of community-dwelling rural residents (n = 83), and was revised based on participant, administrator, and nutrition practitioner comments.  The revised screen, the RANS, was pilot-tested among a sample of attendees of a free community medical clinic (n = 37).   Nutrition risk as determined by the RANS was compared with the Nutrition Triage Score of the Patient-Generated Subjective Global Assessment (PG-SGA), the United States Department of Agriculture 6-item Household Food Security Survey Module (USDA-6), and nutrition assessment performed by a Registered Dietitian Nutritionist who was also credentialed as a Physician Assistant (RDN, PA).  Non-parametric statistical tests were used to compare the results of the PG-SGA NTS and the USDA-6 with the RANS regarding “at risk” and “low risk” status. Results: In this small pilot study, no statistically significant differences were found among either comparative instrument and the RANS in determination of “at risk” and “low risk” status.  The RDN, PA’s agreement with the RANS was 100%.  Conclusion:  This pilot study provides some evidence that the RANS may be used to screen rural, community-dwelling adults for nutrition needs in light of social determinants of health common in rural settings.  Further research and formal validation of the RANS are needed in order to establish this tool as a valid nutrition screen for use in the rural community setting.  Procedures used to develop the RANS may be applicable to the development of population-specific nutrition screens in other rural and urban global populations.

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