scholarly journals Online-based intervention on LGBTI+ health promotion in Brazil: development and preliminary impacts

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
M Signorelli ◽  
M Polidoro ◽  
D Canavese
Keyword(s):  
Health Promotion ◽  
Action Research ◽  
Focus Groups ◽  
Participatory Action Research ◽  
Formal Education ◽  
National Policy ◽  
Course Evaluation ◽  
Public Healthcare ◽  
Participatory Action ◽  
High Interest

Abstract Background Brazil reports public healthcare gaps concerning lesbian, gay, bisexual, transgender, and intersex (LGBTI+) people. Massive Open Online Courses (MOOCs) are online-based teaching interventions, however their use is still scarce in Brazil. We aim to describe the development and to analyze preliminary impacts of the first online-based intervention through MOOCs for LGBTI+ health promotion in Brazil. Methods We adopted mixed qualitative and quantitative approaches, based on participatory-action research: 1) to design the content and format of the MOOC, we conducted 10 focus groups during 2018 and 2019 with key stakeholders in three different Brazilian State capitals, identifying needs and challenges and linking it with guidelines of the National Policy for Comprehensive Health of LGBTI+ people; 2) based on step 1, we developed the MOOC, producing reading content, video-classes and multimedia; 3) we quantitatively analyzed, through a survey, its impact and reach after six months. Results The results showed that: a) focus groups were essentials to inform the priorities to design a tailored MOOC; b) the MOOC had 30 hours of autonomous learning activities divided into two modules, with problem-based evaluation; c) the first ten-month of the course had a total of 5,000 people enrolled with a completion rate of approximately 30%; d) 1,700 successfully completed the course; e) 582 participants joined the survey post-course evaluation and for 370 (63.6%) of them, this was the first training activity on LGBTI+ health. Conclusions Results point to a high interest in LGBTI+ health and high demand for training on this topic among health professionals. The MOOC format was successful and reliable in enabling the teaching-learning process. Key messages Participatory action research was able to inform the content of the first MOOC for LGBTI+ health in Brazil. The MOCC had high interest, and for the majority of concluding participants it was the first activity and formal education about LGBTI+ health.

scholarly journals Truckies and the Australian transport industry: Managers’ perspectives about enablers and inhibitors to workplace health promotion

Work ◽  
2021 ◽  
pp. 1-9
Author(s):  
Marguerite C. Sendall ◽  
Alison Brodie ◽  
Laura K. McCosker ◽  
Phil Crane ◽  
Marylou Fleming ◽  
...  
Keyword(s):  
Health Promotion ◽  
Action Research ◽  
Participatory Action Research ◽  
Workplace Health Promotion ◽  
Road Transport ◽  
Successful Implementation ◽  
Workplace Health ◽  
Participatory Action ◽  
Transport Industry ◽  
Health Promotion Interventions

BACKGROUND: There is little published research about managers’ views on implementing and embedding workplace health promotion interventions. OBJECTIVE: To shed light on research-to-practice challenges in implementing workplace health promotion interventions in the Australian road transport industry. METHODS: In this Participatory Action Research project, managers from small-to-midsized companies in the Australian road transport industry were asked their views about enablers and barriers to implementing nutrition and physical activity interventions in their workplace. RESULTS: Managers identified practical assistance with resources, ideas, and staffing as being key enablers to implementation. Barriers included time restraints, worker age and lack of interest, and workplace issues relating to costs and resources. CONCLUSION: Manager perspectives add new insights about successful implementation of workplace health promotion. A Participatory Action Research approach allows managers to develop their own ideas for adapting interventions to suit their workplace. These findings add to a small body of knowledge of managers’ views about implementing workplace health promotion in small-to-midsized road transport companies - a relatively unexplored group. Managers highlight the importance of time constraints and worker availability when designing interventions for the road transport industry. Managers require a good understanding of the workplaces’ socio-cultural context for successful health promotion and health behaviour change.

Youth Participatory Action Research (Youth PAR) in Public Schools: Opportunities and Challenges in an Inner-City High School

2004 ◽  
Vol 26 (2) ◽  
pp. 10-14 ◽  
Author(s):  
Stephen Schensul ◽  
Lisa LoBianco ◽  
Christina Lombardo
Keyword(s):  
Public Schools ◽  
Action Research ◽  
Participatory Action Research ◽  
Formal Education ◽  
After School ◽  
Teaching Staff ◽  
Youth Participatory Action Research ◽  
Participatory Action ◽  
Formal Curriculum ◽  
Inner City High School

The public school system, the central institution for the formal education of youth in nations throughout the world, provides great potential for the implementation of the principles and methods of Youth Participatory Action Research (Youth PAR). Governmental school systems utilize formal curricula which are reviewed and revised regularly, a professionally trained teaching staff to implement curricula a majority of youth who attend school at least until the legally required age, an annual budget, parental involvement, societal standards and evaluation protocols, and an administrative infrastructure. In contrast to non-standardized, decentralized after-school and other specialized programs, public schools offer innovative programs such as Youth PAR the opportunity to "go-to-scale" to institutionalize the program, to involve teachers in implementation, to build and establish formal curriculum, and to engage large numbers of students on a required, rather than voluntary, basis.

scholarly journals Talk About Self-Harm (TASH): participatory action research with young people, GPs and practice nurses to explore how the experiences of young people who self-harm could be improved in GP surgeries

2019 ◽  
Vol 36 (5) ◽  
pp. 621-626 ◽  
Author(s):  
Di Bailey ◽  
Linda Kemp ◽  
Nicola Wright ◽  
Gabriella Mutale
Keyword(s):  
Primary Care ◽  
Action Research ◽  
Young People ◽  
Focus Groups ◽  
Participatory Action Research ◽  
Participatory Action ◽  
Practice Nurses ◽  
Self Help ◽  
Self Harm ◽  
Data Statistics

Abstract Background The incidence of self-harm in young people in primary care is increasing dramatically, and many young people who self-harm visit their GP surgery as a first point of contact for help. Objective To explore with young people, GPs and practice nurses (PNs): (i) why young people present with self-harm to primary care and (ii) whether young people, GPs and PNs can take steps to have more helpful consultations about self-harm in GP surgeries that include self-help materials developed by young people being used to support such consultations to take place. Methods Participatory action research with GPs, PNs and young people employed mixed methods to collect statistical and narrative data. Statistics from 285 young people’s medical records were captured, including more detailed analyses of a random sample of 75 of these records. A series of 24 focus groups with a total of 45 GPs, PNs and young people, with an average number of eight participants in each group, was conducted. Statistical data were subject to descriptive and inferential analyses, and thematic analysis was applied to the transcripts from the focus groups. Results and conclusion The type of self-harm young people presented with influenced whether they would see a GP or PN. While self-help materials were welcomed and deemed helpful, young people, GPs and PNs were ambivalent about using these in short consultations where time was an overriding constraint. More research is needed on the feasibility of adopting self-help assisted interventions in GP surgeries.

Health Promotion and Participatory Action Research with South Asian Women

2002 ◽  
Vol 34 (1) ◽  
pp. 75-81 ◽  
Author(s):  
U.K. Choudhry ◽  
S. Jandu ◽  
J. Mahal ◽  
R. Singh ◽  
H. Sohi-Pabla ◽  
...  
Keyword(s):  
Health Promotion ◽  
Action Research ◽  
Participatory Action Research ◽  
South Asian ◽  
Asian Women ◽  
South Asian Women ◽  
Participatory Action

scholarly journals 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 ◽  
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.

scholarly journals P093: Sound check: quality in point of care ultrasound in rural and regional Saskatchewan through participatory action research

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S109-S110
Author(s):  
A.I. Moshynskyy ◽  
M. Kapusta ◽  
R. McGonigle ◽  
L. Miller ◽  
J.M. O’Brien ◽  
...  
Keyword(s):  
Action Research ◽  
Focus Groups ◽  
Participatory Action Research ◽  
Acute Care ◽  
Emergency Care ◽  
Online Survey ◽  
Point Of Care ◽  
Rural Setting ◽  
Point Of Care Ultrasound ◽  
Participatory Action

Introduction: In the rural setting, Point-of-Care Ultrasound (POCUS) can dramatically impact rural acute care. In Saskatchewan, many rural clinicians have undertaken POCUS training, but widespread integration into rural emergency care remains elusive. We aimed to explore of the obstacles limiting adoption and their possible solutions to inform the development of a robust and innovative rural POCUS program in Saskatchewan. Methods: We conducted a mixed methods Participatory Action Research (PAR) study using surveys and focus groups. Our rural co-investigators identified 4 key realms relating to rural POCUS use: equipment, access to training, quality assurance (QA), and research. These guided the design of an online survey sent out to rural clinicians throughout Saskatchewan. Results of the survey informed the development of three approaches (centralized, hub-and-spoke, and decentralized) to training, QA, and research which were discussed at focus group sessions held at Saskatchewan’s Emergency Medicine Annual Conference (Regina, SK. 2016). The focus groups were facilitated by the study investigators. Responses were analyzed using a simple thematic analysis to identify relevant themes and subthemes. Results: 34 rural clinicians responded to the online survey. There was general agreement that POCUS is valuable in rural acute care, training is difficult to access and should be standardized, and that QA and research are desired but impractical in the current environment. 11 rural clinicians attended the focus groups. Analysis of focus groups yielded seven distinct themes/needs: infrastructure needs, peer networks, common standards, both local and regional training opportunities, academic support, access to resources, and culture change. Seventeen sub-themes were identified and noted as having either a positive or negative and direct or indirect effect on the above themes. Broadly speaking, participants supported a distributed “spoke-hub” model where training, research and QA occurs within distributed, regional hubs with support from academic sites. Conclusion: The adoption of POCUS for emergency care in rural Saskatchewan faces significant opportunities and obstacles. There is interest on the part of rural clinicians to overcome these challenges to improve patient care.

Sign in / Sign up

Export Citation Format

Share Document