Development of family‐based follow‐up care system for patients with burn in Iran: Participatory action research

Interventions aiming to constructively address stress of conscience are rare. The aim of the study was to compare assessments of stress of conscience, perceptions of conscience, burnout, and social support among health care personnel (HCP) working in municipal residential care of older adults, before and after participation in a participatory action research (PAR) intervention aiming to learn to constructively deal with troubled conscience. Questionnaire data were collected at baseline and at follow-up (1-year interval; n = 29). Descriptive statistics and nonparametric statistical tests were used to make comparisons between baseline and follow-up. HCP gave significantly higher scores to the question, “Are your work achievements appreciated by your immediate superior?” at follow-up compared with baseline. No significant differences in levels of stress of conscience and burnout at follow-up were found. The results suggested that a PAR intervention aiming to learn HCP to deal with their troubled conscience in difficult situations could be partially successful.

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Evaluating the effectiveness of care coordination interventions designed and implemented through a participatory action research process: Lessons learned from a quasi-experimental study in public healthcare networks in Latin America

PLoS ONE ◽

10.1371/journal.pone.0261604 ◽

2022 ◽

Vol 17 (1) ◽

pp. e0261604

Author(s):

María-Luisa Vázquez ◽

Andrea Miranda-Mendizabal ◽

Pamela Eguiguren ◽

Amparo-Susana Mogollón-Pérez ◽

Marina Ferreira-de-Medeiros-Mendes ◽

...

Keyword(s):

Action Research ◽

Participatory Action Research ◽

Organizational Factors ◽

Lessons Learned ◽

Future Research ◽

Public Healthcare ◽

Participatory Action ◽

Intermediate Outcomes ◽

Quasi Experimental

Background Despite increasing recommendations for health professionals to participate in intervention design and implementation to effect changes in clinical practice, little is known about this strategy’s effectiveness. This study analyses the effectiveness of interventions designed and implemented through participatory action research (PAR) processes in healthcare networks of Brazil, Chile, Colombia, Mexico and Uruguay to improve clinical coordination across care levels, and offers recommendations for future research. Methods The study was quasi-experimental. Two comparable networks, one intervention (IN) and one control (CN), were selected in each country. Baseline (2015) and evaluation (2017) surveys of a sample of primary and secondary care doctors (174 doctors/network/year) were conducted using the COORDENA® questionnaire. Most of the interventions chosen were based on joint meetings, promoting cross-level clinical agreement and communication for patient follow-up. Outcome variables were: a) intermediate: interactional and organizational factors; b) distal: experience of cross-level clinical information coordination, of clinical management coordination and general perception of coordination between levels. Poisson regression models were estimated. Results A statistically significant increase in some of the interactional factors (intermediate outcomes) -knowing each other personally and mutual trust- was observed in Brazil and Chile INs; and in some organizational factors -institutional support- in Colombia and Mexico. Compared to CNs in 2017, INs of Brazil, Chile, Colombia and Mexico showed significant differences in some factors. In distal outcomes, care consistency items improved in Brazil, Colombia and Uruguay INs; and patient follow-up improved in Chile and Mexico. General perception of clinical coordination increased in Brazil, Colombia and Mexico INs. Compared to CNs in 2017, only Brazil showed significant differences. Conclusions Although more research is needed, results show that PAR-based interventions improved some outcomes regarding clinical coordination at network level, with differences between countries. However, a PAR process is, by definition, slow and gradual, and longer implementation periods are needed to achieve greater penetration and quantifiable changes. The participatory and flexible nature of interventions developed through PAR processes poses methodological challenges (such as defining outcomes or allocating individuals to different groups in advance), and requires a comprehensive mixed-methods approach that simultaneously evaluates effectiveness and the implementation process to better understand its outcomes.

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Management and Point-of-Care for Tobacco Dependence (PROMPT): a feasibility mixed methods community-based participatory action research project in Ottawa, Canada

BMJ Open ◽

10.1136/bmjopen-2017-018416 ◽

2018 ◽

Vol 8 (1) ◽

pp. e018416 ◽

Cited By ~ 3

Author(s):

Smita Pakhale ◽

Tina Kaur ◽

Catherine Charron ◽

Kelly Florence ◽

Tiffany Rose ◽

...

Keyword(s):

Mixed Methods ◽

Action Research ◽

Participatory Action Research ◽

Tobacco Dependence ◽

Community Research ◽

Secondary Outcome ◽

Participatory Action ◽

Community Based ◽

Polysubstance Use

ObjectiveTo determine the feasibility of a Community-Based Participatory Tobacco Dependence Strategy (PROMPT) in the inner city population of Ottawa (Canada).DesignA feasibility mixed methods prospective cohort study following principles of community-based participatory action research.InterventionRecruited 80 people whouse drugs, followed them for 6 months while providing access to counselling, nicotine replacement therapy and peer-support in a community setting.SettingCommunity research office in downtown Ottawa, adjacent to low-income housing, shelter services and street-based drug consumption.Primary outcomeRetention rate at 6-month follow-up.Secondary outcomeBiochemically validated 7-day point prevalence smoking abstinence at 26 weeks, self-reported abstinence in the past 7 days with exhaled carbon monoxide ≤10 ppm.ResultsThe average age of participants was 43.8 years. The 6-month follow-up rate was 42.5%. The mean number of smoking years reported was 27.3 years. The participants were 70% male, 33.7% reported less than a high-school education, 21% identified as indigenous and 43.8% reported an income between US$1000 and US$1999 per month. The baseline mean daily cigarette use was 20.5 and 9.3 cigarettes at study end, with mean reduction of 11.2 cigarettes at 6 months (P=0.0001). There was a considerable reduction in self-reported illicit substance use (18.8%), including a reduction in the opioids heroin (6.3%), fentanyl (2.6%) and Oxycontin (3.8%). The study findings also reveal psycho-socioeconomic benefits such as improved health, return to work and greater community engagement.ConclusionsThe PROMPT project describes socioeconomic variables associated with tobacco and polysubstance use. A programme focused on tobacco dependence, easily accessible in the community and led by community peers with lived experience is feasible to implement and has the potential to support positive life changes. PROMPT’s patient engagement model is an effective harm-reduction strategy for the growing opioid use crisis and can improve the health outcomes of marginalised at-risk populations worldwide.

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Developing Posdaya for Family Empowerment

KOMUNITAS INTERNATIONAL JOURNAL OF INDONESIAN SOCIETY AND CULTURE ◽

10.15294/komunitas.v7i1.3334 ◽

2015 ◽

Vol 7 (1) ◽

pp. 17-29

Author(s):

Pudji Muljono ◽

Sarwititi Sarwoprasojo Agung ◽

Mintarti Bachtiar

Keyword(s):

Action Research ◽

Participatory Action Research ◽

Human Trafficking ◽

Pilot Project ◽

Research Approach ◽

Participatory Action ◽

Action Research Approach ◽

The Family ◽

Family Based

This study aims to explore the role of Posdaya in creating an ideal and harmonious of family. Poverty, changes in consumer lifestyle and weakening of the meaning of family, have the potential to encourage domestic violence and human trafficking. This study used a participatory action research approach (PAR) for the development of family-based model of empowerment throught local institutions of Posdaya. The pilot project was conducted in Posdaya Jaya Kencana, Pabean Udik Village, Indramayu District, Indramayu Regency (fishermen communities) and in Posdaya Eka Mandiri, Cihideung Udik Village, Ciampea District, Bogor Regency, West Java Province (agriculture communities). The results show that Posdaya is potential institution that can be use to develop activities to strengthen the functions of the family. In addition, Posdaya can also serve as a forum for communication in the prevention and treatment of domestic violence.Penelitian ini bertujuan untuk mengetahui peran Posdaya dalam mewujudkan keluarga yang ideal dan harmonis. Akibat dari kemiskinan, perubahan gaya hidup konsumtif dan melemahnya makna keluarga, hal tersebut berpotensi mendorong KDRT dan human trafficking. Penelitian ini menggunakan pendekatan participatory action research (PAR) untuk pengembangan model pemberdayaan keluarga berbasis kelembagaan lokal Posdaya. Pilot project dilakukan di Posdaya Jaya Kencana, Desa Pabean Udik, Kecamatan Indramayu, Kabupaten Indramayu (komunitas nelayan) dan di Posdaya Eka Mandiri, Desa Cihideung Udik, Kecamatan Ciampea, Kabupaten Bogor, Provinsi Jawa Barat (komunitas pertanian). Hasil kajian menunjukkan bahwa Posdaya merupakan lembaga yang potensial dikembangkan sebagai wadah koordinasi kegiatan penguatan fungsi-fungsi keluarga. Selain itu, Posdaya juga dapat berfungsi sebagai forum komunikasi dalam upaya pencegahan dan penanganan KDRT.

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