scholarly journals Cultural adaptation of digital knowledge translation tools to improve child health outcomes in low-middle-income countries: A mixed-methods usability evaluation (Preprint)

2019 ◽  
Author(s):  
Salima Meherali ◽  
Lisa Hartling ◽  
Shannon Scott
Keyword(s):  
Child Health ◽  
Knowledge Translation ◽  
Health Information ◽  
Cultural Adaptation ◽  
Usability Evaluation ◽  
Middle Income ◽  
Middle Income Countries ◽  
Translation Tools ◽  
Low Middle Income Countries ◽  
Digital Knowledge

BACKGROUND Healthcare decisions based on the best available research are crucial for ensuring high quality patient care, optimal health outcomes and quality and safety in health care systems. Healthcare challenges in low-middle income countries (LMICs) have been the focus of many digital or ehealth initiatives that have aimed to improve both the access and the quality of healthcare delivery. Digital interventions have been identified as useful public health tool, particularly in LMICs. A wealth of research evidence is available from developed countries; however much less attention has been paid to how to scale up digital knowledge translation tools to be used by people in LMICs can use it. OBJECTIVE The objective of this research project was to augment digital art and story-based KT tools developed for Canadian parents on acute otitis media (AOM) for parents in Pakistan, a LMIC. In this paper we have presented the usability evaluation conducted to evaluate the usefulness and effectiveness of the digital KT tools for use by parents in Pakistan. METHODS A mixed-methods design (quantitative survey and qualitative focus groups) were used to evaluate the usability of translated digital arts-based KT tools for pediatric AOM. Participants were recruited from a private hospital in Karachi, Pakistan. A total of 47 parents completed the survey forms and 21 parents participated in focus group interviews. RESULTS The usability evaluation of translated digital tools revealed that both of the KT tools (whiteboard video and infographic) are useful and effective in communicating health information to parents. Parents reported that the tools are very usable and they preferred receiving health information in a narrative form in their own language through digital media. This study identified that culturally adapted translated digital KT tools are better than traditional format in transferring health information to parents. CONCLUSIONS Cultural adaptation of the KT tools generated important knowledge that will contribute to the science of KT. Scaling up of digital KT tools for use in a different culture provide the necessary leadership to enable innovative solutions to reach patients and their families in LMICs and can change the trajectory of child health globally.

scholarly journals Climate Change and Child Health Inequality: A Review of Reviews

2021 ◽  
Vol 18 (20) ◽  
pp. 10896
Author(s):  
Emmanuelle Arpin ◽  
Karl Gauffin ◽  
Meghan Kerr ◽  
Anders Hjern ◽  
Angela Mashford-Pringle ◽  
...  
Keyword(s):  
Climate Change ◽  
Child Health ◽  
Health Inequalities ◽  
Economic Resources ◽  
Middle Income ◽  
Quantitative Evidence ◽  
Middle Income Countries ◽  
Low Middle Income Countries ◽  
Review Of Reviews ◽  
And Child Health

There is growing evidence on the observed and expected consequences of climate change on population health worldwide. There is limited understanding of its consequences for child health inequalities, between and within countries. To examine these consequences and categorize the state of knowledge in this area, we conducted a review of reviews indexed in five databases (Medline, Embase, Web of Science, PsycInfo, Sociological Abstracts). Reviews that reported the effect of climate change on child health inequalities between low- and high-income children, within or between countries (high- vs low–middle-income countries; HICs and LMICs), were included. Twenty-three reviews, published between 2007 and January 2021, were included for full-text analyses. Using thematic synthesis, we identified strong descriptive, but limited quantitative, evidence that climate change exacerbates child health inequalities. Explanatory mechanisms relating climate change to child health inequalities were proposed in some reviews; for example, children in LMICs are more susceptible to the consequences of climate change than children in HICs due to limited structural and economic resources. Geographic and intergenerational inequalities emerged as additional themes from the review. Further research with an equity focus should address the effects of climate change on adolescents/youth, mental health and inequalities within countries.

scholarly journals The development and usability testing of digital knowledge translation tools for parents of children with bronchiolitis

2021 ◽  
Author(s):  
Anne Le ◽  
Lisa Hartling ◽  
Shannon D Scott
Keyword(s):  
Knowledge Translation ◽  
Health Information ◽  
Acute Infection ◽  
Usability Testing ◽  
Digital Tools ◽  
Healthcare Decision ◽  
Translation Tools ◽  
Healthcare Decision Making ◽  
Ed Visits ◽  
Digital Knowledge

Bronchiolitis is an acute infection of the lower respiratory tract that predominantly affects children less than two years old. Although self-limiting, symptoms of bronchiolitis can be distressing for young children. Research has demonstrated that parents may not have the necessary information to be able to identify bronchiolitis symptoms, resulting in emergency department (ED) visits and hospitalizations. Parents have expressed that they feel unprepared, afraid, and that they lack information on their child's condition. Digital knowledge translation (KT) tools have the potential to convey complex health information to parents. We worked with parents of children with bronchiolitis to develop and evaluate three digital tools on bronchiolitis (whiteboard animation video, infographic, and e-Book). Following prototype completion, usability testing was conducted using iPads in two Alberta ED waiting rooms. Parents were randomized to one out of the three tools. Overall, the tools were highly rated, suggesting that arts-based digital tools are useful in delivering complex health information to parents to support their healthcare decision-making needs.

The Impact of Covid 19 on Pregnant Women and Child Health

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1367-1373
Author(s):  
Nikhil Sanjay Mujbaile ◽  
Smita Damke
Keyword(s):  
Social Issues ◽  
Middle Income ◽  
Web Based ◽  
Middle Income Countries ◽  
Low Middle Income Countries ◽  
The Social ◽  
Social Separation ◽  
The Impact ◽  
And Child Health ◽  
General Wellbeing

The Covid illness (COVID-19) pandemic has spread rapidly all through the world and has had a drawn-out impact. The Pandemic has done incredible damage to society and made genuine mental injury to numerous individuals. Mental emergencies frequently cause youngsters to deliver sentiments of relinquishment, despondency, insufficiency, and fatigue and even raise the danger of self-destruction. Youngsters with psychological instabilities are particularly powerless during the isolate and colonial removing period. Convenient and proper assurances are expected to forestall the event of mental and social issues. The rising advanced applications and wellbeing administrations, for example, telehealth, web-based media, versatile wellbeing, and far off intuitive online instruction can connect the social separation and backing mental and conduct wellbeing for youngsters. Because of the mental advancement qualities of youngsters, this investigation additionally outlines intercessions on the mental effect of the COVID-19 Pandemic. Further difficulties in Low Middle-Income Countries incorporate the failure to actualize successful general wellbeing estimates, for example, social separating, hand cleanliness, definitive distinguishing proof of contaminated individuals with self-disconnection and widespread utilization of covers The aberrant impacts of the Pandemic on youngster wellbeing are of extensive concern, including expanding neediness levels, upset tutoring, absence of admittance to the class taking care of plans, decreased admittance to wellbeing offices and breaks in inoculation and other kid wellbeing programs. Kept tutoring is critical for kids in Low Middle-Income Countries. Arrangement of safe situations is mainly testing in packed asset obliged schools. 

Risk Factors of Mortality Among Patients with Stroke in Low Middle-Income Countries:  A Series of 180 Patients

2020 ◽  
Author(s):  
Larrey Kamabu ◽  
Hervé Monka Lekuya ◽  
Bienvenu Muhindo Kasusula ◽  
Nicole Kavugho Mutimani ◽  
Louange Maha Kathaka ◽  
...  
Keyword(s):  
Risk Factors ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low Middle Income Countries

scholarly journals Triaging and adaptations of surveillance of cancer services in the COVID pandemic

2020 ◽  
pp. 1-3
Author(s):  
Shirley Lewis ◽  
Lavanya Gurram ◽  
Umesh Velu ◽  
Krishna Sharan
Keyword(s):  
Cancer Patients ◽  
Clinical Examination ◽  
Cancer Care ◽  
Middle Income ◽  
Face To Face ◽  
Middle Income Countries ◽  
Cancer Services ◽  
Low Middle Income Countries

Abstract Introduction: Coronavirus disease (COVID-19) has significantly challenged the access to cancer care and follow-up for a patient with cancer. Methods: Based on published literature and our experiences, it is reasonable to presume that clinical examination and follow-up visits have been significantly curtailed worldwide in order to adhere to the new norms during the pandemic. Although telephonic and telemedicine consultations may help bridge a few gaps, completely dispensing with in-person consultation has its challenges, especially in low middle-income countries. Telephonic consultations could facilitate triaging of ambulatory cancer patients and allocation of face-to-face consultations for high priority patients. Conclusions: We propose a telephonic consultation-based triaging approach for ambulatory cancer patients in order to identify those needing in-hospital consultations.

scholarly journals Exploration of recovery of people living with severe mental illness (SMI) in low/middle-income countries (LMICs): a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e045005
Author(s):  
Fadia Gamieldien ◽  
Roshan Galvaan ◽  
Bronwyn Myers ◽  
Zarina Syed ◽  
Katherine Sorsdahl
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Scoping Review ◽  
Data Extraction ◽  
Flow Diagram ◽  
Personal Recovery ◽  
Middle Income ◽  
Middle Income Countries ◽  
Provider Perspectives ◽  
Low Middle Income Countries

ObjectiveTo examine the literature on how recovery of people with severe mental illness (SMI) is conceptualised in low/middle-income countries (LMICs), and in particular what factors are thought to facilitate recovery.DesignScoping review.Data sources and eligibilityWe searched 14 electronic databases, hand searched citations and consulted with experts during the period May–December 2019. Eligible studies were independently screened for inclusion and exclusion by two reviewers. Unresolved discrepancies were referred to a third reviewer.Data extraction and synthesisAll bibliographical data and study characteristics were extracted using a data charting form. Selected studies were analysed through a thematic analysis emerging from extracted data.ResultsThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram offers a summary of the results: 4201 titles, 1530 abstracts and 109 full-text articles were screened. Ten articles were selected for inclusion: two from Turkey, two from India, and one each from China, Swaziland, Indonesia, Egypt, South Africa and Vietnam. Although most studies used qualitative methods, data collection and sampling methods were heterogeneous. One study reported on service provider perspectives while the rest provided perspectives from a combination of service users and caregivers. Three themes emerged from the data analysis. First, studies frame recovery as a personal journey occurring along a continuum. Second, there was an emphasis on social relationships as a facilitator of recovery. Third, spirituality emerged as both a facilitator and an indicator of recovery. These themes were not mutually exclusive and some overlap exists.ConclusionAlthough there were commonalities with how high-income countries describe recovery, we also found differences in conceptualisation. These differences in how recovery was understood reflect the importance of framing the personal recovery concept in relation to local needs and contextual issues found in LMICs. This review highlighted the current sparse evidence base and the need to better understand recovery from SMI in LMICs.

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