Annals of family medicine
-
Annals of family medicine · Apr 2022
Outcomes of searching for online health and parenting information on behalf of others: A mixed methods research study.
Context: Use of trustworthy online consumer health information (OCHI) is generally associated with benefits, yet barriers such as low health literacy may reduce these benefits. One of the largest groups of OCHI consumers is parents of young children. In addition to OCHI, parents reach out to their social circle for tailored advice, emotional support, and culturally relevant parenting information. ⋯ Sharing information led to improved decision making, improved relationships, less worry and better health outcomes, or in some cases led to tensions. Conclusion: By better understanding how people use information together, health information can be adapted to meet both individual and group needs. Public health interventions aimed at supporting parents can do so by facilitating shared decision making.
-
Annals of family medicine · Apr 2022
Telehealth to improve continuity for patients receiving buprenorphine treatment for opioid use disorder.
Buprenorphine is medication-assisted treatment for opioid use disorder. It is a controlled substance and most states limit the dispensing to a 30-day supply. Patients with opioid use disorder often have social determinants of health barriers that make it difficult to engage with the health system to obtain a new supply of buprenorphine every month. Telehealth can be used to reduce barriers to accessing care and improve continuity of care for patients receiving buprenorphine treatment. ⋯ Our study shows that rates of continuity of care are higher using tele-health for patients receiving medication assisted therapy for opioid use disorder. In an urban underserved population, tele-health can result in improved continuity of care for patients with opioid use disorder. Telehealth may reduce barriers to accessing care including transportation, work schedule, childcare, and other competing demands.
-
Annals of family medicine · Apr 2022
Community-engaged fRAP: a mixed method approach for policy change and advocacy to reduce cancer disparities in Hispanic women.
Context: Cervical cancer is preventable and curable, yet Hispanic populations in certain areas of the United States have higher mortality rates from invasive cervical cancer than non-Hispanic white women. Objective: Our study aimed to develop community-engaged on-the-ground partnerships between our research team and local stakeholders to identify policy change targets for advocacy and action that could impact cervical cancer disparities in geographic areas of high need. Study Design: This mixed methods study utilized a community-engaged fRAP (focused Rapid Assessment Process) methodology to uncover modifiable differences in cervical cancer survivorship contributing to mortality differences at the county level. ⋯ Results: Through the use of multi-level cross-comparative investigation of community, medical and policy elements in different counties, we identified important contextual/policy differences impacting cervical cancer disparities in certain highest need locales. An online teach-out on immigrant health, a Facebook live "Platicas" workshop on women's health, and a county level disparities taskforce are one county's action steps to improve cervical cancer outcomes. Conclusions: Community-engaged fRAP effectively identifies local policy change targets for advocacy, with the goal for sustained community-engaged action aimed at decreasing cervical cancer disparities.
-
Annals of family medicine · Apr 2022
Mixed methods participatory social justice community engagement model.
Context: This is a community engagement model based on a Mixed Methods Participatory Social Justice (MMPSJ) research project. The community engagement model evolved as both synthesis and dissemination were co-created with participants. Indigenous community members alongside researchers and Elders explored health literacy in an effort to illuminate root causes of the social determinants of health (SDoH) and to build community capacity. ⋯ Research Questions: In what ways can literacy be considered a social determinant of health from an urban Indigenous community? What literacy issues marginalize the community? How would you like this information shared or disseminated? Conclusions: Appropriate engagement with local community can inform the social determinants of health in an appreciative way, can enhance ethical space, and a richer understanding within community-based research. This capacity building approach will impact health care practitioners, educators, policies, and help to strengthen relations across systems. This research was reviewed and approved by the Behavioural REB at the University of Saskatchewan.
-
Annals of family medicine · Apr 2022
Understanding culturally tailored approaches in males of punjabi ancestry with alcohol use disorder at roshni clinic.
1. Identify and describe factors that are important to the care of patients of Punjabi ancestry suffering from AUD. 2. Explain the importance of culturally tailored approaches to primary care in the context of AUD. ⋯ Culturally tailored approaches and providers fluent in the Punjabi language proved to be the most beneficial factors to patients at Roshni Clinic. There are limited culturally tailored, primary care addictions centers such as Roshni Clinic serving Punjabi males with AUD in BC’s Lower Mainland. Thus, this study stresses the importance of investment in research and development of patient informed culturally tailored care centers.