scholarly journals Learning Complex Population-Coded Sequences

2009 ◽  
pp. 296-305 ◽  
Author(s):  
Kiran V. Byadarhaly ◽  
Mithun Perdoor ◽  
Suresh Vasa ◽  
Emmanuel Fernandez ◽  
Ali A. Minai
Keyword(s):  
Complex Population

scholarly journals Patient Activation, Depressive Symptoms, and Self-Rated Health: Care Management Intervention Effects among High-Need, Medically Complex Adults

2021 ◽  
Vol 18 (11) ◽  
pp. 5690
Author(s):  
Cynthia F. Corbett ◽  
Kenn B. Daratha ◽  
Sterling McPherson ◽  
Crystal L. Smith ◽  
Michael S. Wiser ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Care Management ◽  
Controlled Trial ◽  
Patient Activation ◽  
Study Groups ◽  
Telephone Intervention ◽  
Management Intervention ◽  
Self Rated Health ◽  
Randomized Controlled ◽  
Complex Population

The purpose of this randomized controlled trial (n = 268) at a Federally Qualified Health Center was to evaluate the outcomes of a care management intervention versus an attention control telephone intervention on changes in patient activation, depressive symptoms and self-rated health among a population of high-need, medically complex adults. Both groups had similar, statistically significant improvements in patient activation and self-rated health. Both groups had significant reductions in depressive symptoms over time; however, the group who received the care management intervention had greater reductions in depressive symptoms. Participants in both study groups who had more depressive symptoms had lower activation at baseline and throughout the 12 month study. Findings suggest that patients in the high-need, medically complex population can realize improvements in patient activation, depressive symptoms, and health status perceptions even with a brief telephone intervention. The importance of treating depressive symptoms in patients with complex health conditions is highlighted.

FRAILTY AND NOVEL TECHNOLOGIES – A STEP AHEAD

2015 ◽  
pp. 1-3
Author(s):  
E. KELAIDITI
Keyword(s):  
Quality Of Life ◽  
Population Aging ◽  
Assessment Instruments ◽  
Preventive Interventions ◽  
Frail Older People ◽  
Novel Technologies ◽  
Traditional Assessment ◽  
Complex Population

Dependence and disability are almost inevitable consequences of population aging. As these conditions are considered irreversible, a growing interest has been directed towards the identification of related conditions that are still amenable to preventive interventions. In this context, frailty has attracted an increasing scientific interest. Frailty is characterized by decreased homeostatic reserves and diminished resistance to stressors. The frail elderly constitutes a complex population in terms of assessment, monitoring, adherence to recommendations, and follow-up. The use of novel technologies may be considerably helpful for both clinical and research purposes. In particular, technologies may support interventions preventing disability, improving the quality of life, and enhancing the wellbeing of frail people. Traditional assessment instruments can be complemented or replaced by mobile devices measuring and monitoring frailty domains (e.g., physical performance, cognitive function, physical activity, nutritional status). Novel technologies have indeed the potential to benefit, assess, monitor, and support frail older people to live independently and improve their quality of life

Psychological Journey of a Patient With a Ventricular Assist Device: A VAD Coordinator’s Perspective

2021 ◽  
Vol 32 (4) ◽  
pp. 443-451
Author(s):  
Karen Meehan ◽  
Sarah E. Schroeder ◽  
Shana Creighton ◽  
Colleen Labuhn
Keyword(s):  
Ventricular Assist Device ◽  
Holistic Approach ◽  
Psychosocial Assessment ◽  
Psychosocial Needs ◽  
Assist Device ◽  
Ventricular Assist ◽  
Team Members ◽  
Complex Population ◽  
Device Placement ◽  
The Many

Background A thorough psychosocial assessment is needed during the evaluation of candidacy for ventricular assist device placement to identify potential barriers that would limit success with the device. Ventricular assist device coordinators are generally involved in the psychosocial assessment of the patient, allowing them to provide a more holistic approach to ventricular assist device candidacy during discussions at multidisciplinary meetings. There is a gap in the literature describing the psychological journey of patients after ventricular assist device implantation and the challenges ventricular assist device coordinators face when caring for this complex population. Objective The psychological journey of 3 patients with a ventricular assist device was explored to determine if common themes exist and to describe the experiences faced by the ventricular assist device coordinators with each patient. Methods Three patient case scenarios are described, as are the interactions with the patients’ ventricular assist device coordinator team members. Results All 3 case scenarios demonstrate similarities of younger ages, the need of family and social support, and ventricular assist device coordinators who went beyond the call of duty to assist in the successful heart transplantation for 2 cases and the successful decommission of the ventricular assist device in another case. Conclusion The psychosocial needs of patients with a ventricular assist device and ventricular assist device coordinators require ongoing assessment because of the many physical and emotional challenges that arise during the time a patient has an implanted ventricular assist device.

scholarly journals Mapping Population Vulnerability and Community Support during COVID-19

2021 ◽  
Vol 5 (4) ◽  
Author(s):  
Nina H Di Cara ◽  
Jiao Song ◽  
Valerio Maggio ◽  
Christopher Moreno-Stokoe ◽  
Alastair R Tanner ◽  
...  
Keyword(s):  
Community Support ◽  
Well Being ◽  
Community Action ◽  
Community Response ◽  
Multiple Data ◽  
Novel Approach ◽  
Data Pipeline ◽  
Complex Population ◽  
Flexible Integration ◽  
Interactive Map

Background  Disasters such as the COVID-19 pandemic pose an overwhelming demand on resources that cannot always be met by official organisations. Limited resources and human response to crises can lead members of local communities to turn to one another to fulfil immediate needs. This spontaneous citizen-led response can be crucial to a community’s ability to cope in a crisis. It is thus essential to understand the scope of such initiatives so that support can be provided where it is most needed. Nevertheless, quickly developing situations and varying definitions can make the community response challenging to measure. Aim     To create an accessible interactive map of the citizen-led community response to need during the COVID-19 pandemic in Wales, UK that combines information gathered from multiple data providers to reflect different interpretations of need and support. Approach      We gathered data from a combination of official data providers and community-generated sources to create 14 variables representative of need and support. These variables are derived by a reproducible data pipeline that enables flexible integration of new data. The interactive tool is available online (www.covidresponsemap.wales) and can map available data at two geographic resolutions. Users choose their variables of interest, and interpretation of the map is aided by a linked bee-swarm plot. Discussion    The novel approach we developed enables people at all levels of community response to explore and analyse the distribution of need and support across Wales. While there can be limitations to the accuracy of community-generated data, we demonstrate that they can be effectively used alongside traditional data sources to maximise the understanding of community action. This adds to our overall aim to measure community response and resilience, as well as to make complex population health data accessible to a range of audiences. Future developments include the integration of other factors such as well-being.

Caring for Older Adults During and After Critical Illness

2021 ◽  
pp. 216-234
Author(s):  
Maria C. Duggan ◽  
Julie Van ◽  
E. Wesley Ely
Keyword(s):  
Older Adults ◽  
Critical Illness ◽  
Health Care Professionals ◽  
Interdisciplinary Approach ◽  
Adverse Outcomes ◽  
Evidence Based ◽  
Complex Population ◽  
Multiple Domains ◽  
Over Time

Over half of people with critical illness are older adults, and the number of older adults admitted to intensive care units has been increasing over time. Older adults have increased vulnerability to disease, disability, and adverse outcomes across many domains. To address this most effectively, a unique, interdisciplinary approach is necessary to optimize not only survival but also functional status and quality of life. A shortage of health care professionals equipped to care for the aging population makes it imperative that all professionals become aware of basic principles of caring for older adults. To equip them to care for this complex population, this chapter provides an overview of how aging impacts multiple domains of an older person with critical illness and describes evidence-based approaches to caring for older adults with critical illness.

scholarly journals ADAPT study: adaptation of evidence-informed complex population health interventions for implementation and/or re-evaluation in new contexts: protocol for a Delphi consensus exercise to develop guidance

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e038965
Author(s):  
Mhairi Campbell ◽  
Graham Moore ◽  
Rhiannon E Evans ◽  
Dmitry Khodyakov ◽  
Peter Craig
Keyword(s):  
Population Health ◽  
Expert Opinion ◽  
Health Interventions ◽  
Institutional Research ◽  
Delphi Consensus ◽  
Policy Makers ◽  
Delphi Exercise ◽  
Complex Population ◽  
Methodological Considerations ◽  
The University

IntroductionComplex population health interventions that are effective in one context may not be effective elsewhere, and may even be harmful. As such, an intervention may require adaptation to ensure it fits with a new context. To date, there is no overarching guidance to help researchers to adapt and evaluate interventions in new contexts, and no criteria to support research funders or journals assess proposed or reported adaptations or evaluation. There is limited assistance for policy-makers and practitioners to decide if evidence-informed interventions are appropriate to their context, or if adaptation and further evaluation is needed. This Delphi exercise will contribute to the development of guidance for these communities to support the adaptation, implementation and/or re-evaluation of complex population health interventions in new contexts.MethodsWe will conduct a Delphi consensus exercise to gather expert opinion from researchers, research funders, journal editors and policy-makers. Expert opinion will be sought on: appropriate definitions and concepts, identifying key methodological considerations and establishing adaptations and processes to be undertaken during adaptation of complex population health interventions in new contexts.Ethics and disseminationEthics approval for the Delphi exercise has been obtained from the University of Glasgow and and the RAND institutional research board. Dissemination of the results of this study will be through peer-reviewed publications, workshops at national and international conferences, and a summary of the guidance developed for key organisations and stakeholders.

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