Qualitative Study of Health Care Providers' Uptake of the Project Extension for Community Health Outcomes for Chronic Pain

Abstract Objective To explore strategies used by people living with chronic pain when participating in physical activity and exercise and their recommendations for health care providers when promoting participation in physical activity and exercise. Design Interpretive description qualitative study. Setting Participants were recruited from primary care sites and a hospital-based chronic pain clinic in Kingston, Ontario, Canada. Subjects Adults (>18 years of age) who self-identified as experiencing chronic pain (three months’ duration) were interviewed. Methods In-depth semistructured interviews were conducted with participants. Interviews were audio-recorded, transcribed verbatim, and reviewed for accuracy by the interviewer. Transcripts were analyzed using thematic analysis. Peer debriefing, reflexivity, and multiple in-person meetings were used to establish trustworthiness. Results Sixteen adults (five men, 11 women) with a median age of 53 years were interviewed. Strategies used by people living with chronic pain to participate in physical activity and exercise included 1) finding the motivation, 2) setting up for success, 3) leveraging social support, and 4) managing pain and discomfort during activity. Recommendations for health care providers when promoting participation in physical activity and exercise for people living with chronic pain included 1) the importance of listening, 2) providing tailored advice, 3) being supportive, and 4) making physical activity and exercise programming accessible. Conclusions People living with chronic pain reported using multiple strategies to participate in physical activity and exercise. Recommendations for health care providers centered on the importance of listening and taking a supportive approach when promoting engagement in physical activity and exercise for this population.

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Faculty Opinions recommendation of Health care providers' attitudes towards termination of pregnancy: a qualitative study in South Africa.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1203964.669064 ◽

2009 ◽

Author(s):

Kelly Culwell

Keyword(s):

South Africa ◽

Health Care ◽

Qualitative Study ◽

Health Care Providers ◽

Termination Of Pregnancy ◽

Care Providers

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Antenatal and obstetric care in Afghanistan – a qualitative study among health care receivers and health care providers

BMC Health Services Research ◽

10.1186/1472-6963-13-166 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 26

Author(s):

Zuhal Rahmani ◽

Mette Brekke

Keyword(s):

Health Care ◽

Qualitative Study ◽

Health Care Providers ◽

Obstetric Care ◽

Care Providers

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Brazil’s Community Health Workers Practicing Narrative Medicine: Patients’ Perspectives

Journal of General Internal Medicine ◽

10.1007/s11606-021-06730-8 ◽

2021 ◽

Author(s):

Rogério Meireles Pinto ◽

Rahbel Rahman ◽

Margareth Santos Zanchetta ◽

W. Galhego-Garcia

Keyword(s):

Health Care ◽

Community Health ◽

Community Health Workers ◽

Health Care Providers ◽

Health Workers ◽

Hybrid Approach ◽

Narrative Medicine ◽

Structured Interview ◽

Patient Perspectives ◽

Care Providers

Abstract Background Narrative medicine (NM) encourages health care providers to draw on their personal experiences to establish therapeutic alliances with patients of prevention and care services. NM medicine practiced by nurses and physicians has been well documented, yet there is little understanding of how community health workers (CHWs) apply NM concepts in their day-to-day practices from patient perspectives. Objective To document how CHWs apply specific NM concepts in Brazil’s Family Health Strategy (FHS), the key component of Brazil’s Unified Health System. Design We used a semi-structured interview, grounded in Charon’s (2001) framework, including four types of NM relationships: provider–patient, provider–colleague, provider–society, and provider–self. A hybrid approach of thematic analysis was used to analyze data from 27 patients. Key Results Sample: 18 females; 13 White, 12 “Pardo” (mixed races), 12 Black. We found: (1) provider–patient relationship—CHWs offered health education through compassion, empathy, trustworthiness, patience, attentiveness, jargon-free communication, and altruism; (2) provider–colleague relationship—CHWs lacked credibility as perceived by physicians, impacting their effectiveness negatively; (3) provider–society relationship—CHWs mobilized patients civically and politically to advocate for and address emerging health care and prevention needs; (4) provider–self relationship—patients identified possible low self-esteem among CHWs and a need to engage in self-care practices to abate exhaustion from intense labor and lack of resources. Conclusion This study adds to patient perspectives on how CHWs apply NM concepts to build and sustain four types of relationships. Findings suggest the need to improve provider–colleague relationships by ongoing training to foster cooperation among FHS team members. More generous organizational supports (wellness initiatives and supervision) may facilitate the provider–self relationship. Public education on CHWs’ roles is needed to enhance the professional and societal credibility of their roles and responsibilities. Future research should investigate how CHWs’ personality traits may influence their ability to apply NM.

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The Adverse Health Outcomes, Economic Burden, and Public Health Implications of Unmanaged Attention Deficit Hyperactivity Disorder (ADHD): A Call to Action Resulting from CHADD Summit, Washington, DC, October 17, 2019

Journal of Attention Disorders ◽

10.1177/10870547211036754 ◽

2021 ◽

pp. 108705472110367

Author(s):

Bob Cattoi ◽

Ingrid Alpern ◽

Jeffrey S. Katz ◽

David Keepnews ◽

Mary V. Solanto

Keyword(s):

Public Health ◽

Health Care ◽

Health Outcomes ◽

Health Care Providers ◽

Economic Burden ◽

Emotional Health ◽

Care Providers ◽

Health Implications ◽

Adverse Health ◽

Adverse Health Outcomes

Recent research has increasingly documented the adverse effects of ADHD on physical health in addition to its well-known effects on emotional health. Responding to this concern, CHADD organized a summit meeting of health care providers, governmental and other health-related organizations, and health care payers. A White Paper generated from the meeting reviewed the adverse health outcomes, economic burden and public health implications of unmanaged ADHD. Here we summarize the resulting Calls to Action to the various stakeholder groups including: increased awareness and education of providers; development of professional guidelines for diagnosis and treatment; insurance coverage of the relevant services; support of research targeting the role of ADHD in the etiology and treatment of physical illness; and public education campaigns.

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Abstract 77: Health Care Providers and Traditional Healers Perspectives on Late Diagnosis of Breast CanceriIn Tanzania: A Qualitative Study

10.1158/1538-7755.asgcr21-77 ◽

2021 ◽

Author(s):

Elizabeth F. Msoka ◽

Lily Gutnik ◽

Agnes M. Cyril ◽

Brenda C. Kitali ◽

Vivian F. Saria ◽

...

Keyword(s):

Health Care ◽

Qualitative Study ◽

Health Care Providers ◽

Traditional Healers ◽

Late Diagnosis ◽

Care Providers

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Cultural Considerations in the Management of Chronic Pain

CAND Journal ◽

10.54434/candj.93 ◽

2021 ◽

Vol 28 (4) ◽

pp. 11-13

Author(s):

Shakila Mohmand ◽

Sumar Chams

Keyword(s):

Health Care ◽

Chronic Pain ◽

Cultural Competency ◽

Patient Outcomes ◽

Health Care Providers ◽

Cultural Beliefs ◽

Coping Mechanisms ◽

Care Providers ◽

Pain Experience ◽

Cultural Considerations

Cultural competency within health care helps eliminate racial and ethnic health disparities. When assessing and treating patients with chronic pain, practitioners should feel confident in using information regarding a patient’s individual cultural beliefs due to their significant impact on the pain experience. Culture impacts perception, outlook, and communication of pain, as well as coping mechanisms. These are aspects of subjective history that influence important decisions regarding the management of chronic pain. Becoming more aware of what to look for and which questions to ask can allow naturopathic doctors and other health-care providers to continue improving therapeutic relationships and patient outcomes.

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Patients’ Views on Self-Management of Chronic Musculoskeletal Pain

Izzivi prihodnosti ◽

10.37886/ip.2020.015 ◽

2020 ◽

Vol 5 (4) ◽

pp. 254-266

Author(s):

Barbka Huzjan ◽

Ivana Hrvatin

Keyword(s):

Health Care ◽

Chronic Pain ◽

Musculoskeletal Pain ◽

Health Care Providers ◽

Multidisciplinary Approach ◽

Research Question ◽

Chronic Musculoskeletal Pain ◽

Self Management ◽

Care Providers ◽

The Individual

Research Question (RQ): Chronic musculoskeletal pain is a complex condition and one of the most important causes of suffering of modern times. Self-management refers to the individual’s ability to manage the symptoms, treatment, physical and psychosocial consequences and life style changes inherent in living with a chronic condition. The research question is; what is the view on the selfmanagement of chronic musculoskeletal pain from the patient's perspective? Purpose: The purpose of this literature review was to review original articles that reported how selfmanagement educational programmes are viewed from the patient’s perspective. Method: We used an integrative review of the literature. The search was conducted from November 2019 to March 2020 on the PubMed, PEDro and OTseeker databases. We included original studies, written in English that examined the patients’ point of view on self-management. The included studies, needed to be conducted on adult patients of both sexes, that were suffering from chronic pain and were educated on self-management of their pain. Two authors independently searched for original studies. Results: Nine article were included in the review. Most of the studies included a multidisciplinary approach. Patients reported they more frequently used passive strategies to manage their pain. They want to be included in the management and be able to communicate with the provider of selfmanagement. There are several positive aspects of a multidisciplinary and groups approach. Organization: Health care providers can encourage an individual to proactively behave through ongoing processes of communication, partnerships and the creation of appropriate self-management plans over time. Society: We assume that the analysis will help to identify the social responsibility of the individual and society in the common concern for the health of the population and the individual within it. Originality: The research provides an up-to-date, new overview of the patients' perspective on self management on chronic pain. The review can be helpful to health care providers s they can compare their expectations with patients's. Limitations / further research: Further research would focus on high quality studies, and specific forms of multidisciplinary approach, and finding what patients use at a home setting and how to help them continue in the self management of their pain. Limitations of this review include the lack of risk of bias assessment and the fact that this is not a systematic review.

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Knowledge and attitudes of tuberculosis management in San Juan de Lurigancho district of Lima, Peru

The Journal of Infection in Developing Countries ◽

10.3855/jidc.335 ◽

2009 ◽

Vol 3 (10) ◽

pp. 783-788 ◽

Cited By ~ 18

Author(s):

Elizabeth M. Kiefer ◽

Theresa Shao ◽

Olveen Carrasquillo ◽

Pamela Nabeta ◽

Carlos Seas

Keyword(s):

Health Care ◽

Community Health ◽

Community Health Workers ◽

Health Care Providers ◽

Health Workers ◽

Knowledge Score ◽

San Juan ◽

Care Providers ◽

Knowledge Gaps ◽

Knowledge And Attitudes

Background: Expansion of the health care workforce in Peru to combat tuberculosis (TB) includes both professional health care providers (HCPs) such as doctors and nurses, and non-professional HCPs such as community health workers (CHWs). We describe the knowledge and attitudes of these HCPs, and identify modifiable barriers to appropriate anti-tuberculosis treatment. Methodology: We surveyed HCPs practicing in 30 clinical settings (hospitals, community health centers, and health posts) in the San Juan de Lurigancho district of Eastern Lima, Peru. Multiple-choice questions were used to assess knowledge of TB. A five-item Likert scale was created to assess attitudes toward the community, patients, and clinics. Linear regression was used to identify predictors of mean knowledge score, and analysis of variance was used to test differences in HCP score. Results: Of the 73 HCPs surveyed, 15% were professionals (doctors or nurses). The remaining 85% were health technicians, community health workers (CHWs) or students. The mean knowledge score was 10.0 ± 1.9 (maximum 14) with professional HCPs scoring higher than other HCPs (11.7 ± 1.1 vs. 9.7 ± 1.9), p < .01). Knowledge gaps included identification of patients at high risk for TB, assessment of treatment outcomes, and consequences of treatment failure. The most commonly cited modifiable barriers were structural, including laboratory facilities and staffing of TB clinics, with 52.1% and 62.5% of HCPs, respectively, citing these as problematic. Conclusions: Efforts to improve knowledge of TB HCPs in Peru should focus on the specific gaps we have identified. Further research is needed to evaluate whether these knowledge gaps correlate with TB control.

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