scholarly journals No pain no gain: a survey of use of healthcare and reasons not to seek healthcare by Norwegian climbers with chronic injuries

2019 ◽  
Vol 5 (1) ◽  
pp. e000513 ◽  
Author(s):  
Gudmund Grønhaug ◽  
Atle Saeterbakken
Keyword(s):  
Health Professionals ◽  
Outcome Measure ◽  
Strong Predictor ◽  
Chronic Injury ◽  
Web Based ◽  
The Past ◽  
Sport Climbing ◽  
Finger Injury ◽  
Chronic Injuries ◽  
And Gender

ObjectivesTo assess the use of healthcare, and reasons not to seek healthcare, by climbers with a chronic injury.MethodRetrospective survey.SettingWeb-based questionnaire.Participants667 active climbers (385 with chronic injuries).Outcome measureUse of healthcare (including reasons not to seek healthcare if the patient was not attended by health professionals), performance level in sport climbing, onset of a climbing-related injury, site of injury, preferred style of climbing and gender differences.ResultOf the 667 respondents, 385 had experienced a chronic injury in the past 6 months. Climbers with a chronic injury are reluctant to seek healthcare, and male climbers are less likely to seek healthcare than female climbers. The two most frequent reasons not to seek healthcare were: (1) an assumption that the injury was not serious enough (70%) and (2) a belief that a health professional could not help (60%). Only one in five of the climbers with a finger injury sought healthcare. The more experienced climbers were less likely to seek healthcare than recreational climbers.ConclusionUse of healthcare among climbers with a chronic injury is limited and injured climbers self-assess the injury before seeking medical aid. Experience is a strong predictor for not seeking healthcare after an injury. These findings open up the possibility that some of those who do not seek healthcare after self-assessing the injury are underestimating the seriousness of the injury due to lack of confidence in the health professionals’ abilities to help treating chronic climbing related injuries.

scholarly journals Lean and mean? Associations of level of performance, chronic injuries and BMI in sport climbing

2019 ◽  
Vol 5 (1) ◽  
pp. e000437 ◽  
Author(s):  
Gudmund Grønhaug
Keyword(s):  
Outcome Measure ◽  
General Linear Model ◽  
Performance Level ◽  
Descriptive Statistics ◽  
Chronic Injury ◽  
Web Based ◽  
Sport Climbing ◽  
Elite Level ◽  
Low Bmi ◽  
Chronic Injuries

ObjectivesTo assess possible associations between performance level (achieved level of difficulty), chronic injuries and body mass index (BMI) in sport climbing.MethodRetrospective survey.SettingWeb-based questionnaire.Participants667 active climbers (385 reported having chronic injuries).Outcome measureBMI, performance level in sport climbing, onset of a climbing-related injury, preferred style of climbing, education, gender.StatisticsDescriptive statistics and general linear model(GLM) performed with SPSS V.25 for windows.ResultNo associations were found between level of performance in sport climbing, onset of a climbing-related injury, preferred style of climbing, education, gender and BMI.ConclusionBMI is not associated with climbing-related chronic injury or level of performance in climbing. The average BMI of climbers up to the elite level is similar to that of a lower rate of performance.Clinical relevanceThe findings in this study suggest that there is no need for maintaining a low BMI to be able to reach elite levels in climbing.

scholarly journals Self-reported chronic injuries in climbing: who gets injured when?

2018 ◽  
Vol 4 (1) ◽  
pp. e000406 ◽  
Author(s):  
Gudmund Grønhaug
Keyword(s):  
Gender Difference ◽  
Outcome Measure ◽  
Chronic Injury ◽  
Web Based ◽  
Retrospective Survey ◽  
Main Outcome Measure ◽  
Chronic Injuries ◽  
Level Of Experience ◽  
Different Levels

ObjectivesTo assess self-reported chronic injuries in climbing and possible connections with gender, experience and style of climbing.MethodRetrospective survey.SettingWeb-based questionnaire.Participants667 active climbers (385 with chronic injuries, 289 males and 96 females).Main outcome measureClimbers who had experienced at least one chronic injury during the last 6 months.ResultAbout 2/3 of male outdoor climbers had experienced a chronic injury. The three most frequent sites of injury were fingers (41.3%), shoulders (19.4%) and elbows (17.7%). The most frequent injury for the females were fingers (29.2%), shoulder (21.9%), wrist (12.5%), elbow (11.5%) and foot/ankle (10.4%). The most frequent injuries for the male were fingers (45.3%), elbow (19.7%) and shoulder (18.7%). Respondents who preferred outdoor climbing were more prone to injury than others.ConclusionFingers were the most prevalent site of injury regardless of level of experience, gender and whether level of expertise is reported in terms of bouldering or route climbing. There seems to be a gender difference in respect of site of injury prevalence and a different prevalence of injuries according to style of climbing and different levels of expertise. Furthermore, the use of the suggested way of reporting levels of expertise to compare between bouldering and route climbing seems to be robust with no huge differences in terms of incidence level of different injuries.

Health Professional ‘Web Based Conversational Learning’ on Unusual Forms of Lupus

2011 ◽  
Vol 1 (3) ◽  
pp. 1-6
Author(s):  
David Elpern ◽  
Henry Foong
Keyword(s):  
Health Professional ◽  
Professional Learning ◽  
Health Professionals ◽  
The United States ◽  
Learning System ◽  
Web Based ◽  
Diagnostic Uncertainty ◽  
The Past ◽  
Conversational Learning ◽  
Grand Rounds

This article illustrates a web-based conversational learning system termed, “Virtual Grand Rounds in Dermatology” (VGRD), that was developed by two dermatologist colleagues from the United States and Malaysia, respectively, over the past decade. Two blog posts discussing the diagnostic uncertainty around possible dermatological manifestations of lupus are highlighted along with a few conversational comments from other health professionals. The posts, as they appear on VGRD are presented verbatim and illustrate a health professional narrated website that relies heavily on images and pattern recognition. We show that health professional learning may thrive on feedback from colleagues, even if minimal.

An implementation pilot of the MindBalance web-based intervention for depression in three IAPT services

2014 ◽  
Vol 7 ◽  
Author(s):  
Cecily Morrison ◽  
Graham Walker ◽  
Kai Ruggeri ◽  
Jamie Hacker Hughes
Keyword(s):  
Health Professionals ◽  
Clinical Evidence ◽  
Clinical Effectiveness ◽  
Policy Support ◽  
Surprising Result ◽  
Patient Acceptability ◽  
Web Based ◽  
Face To Face ◽  
The Past ◽  
Adherence Data

AbstractWeb-based interventions for depression have burgeoned over the past 10 years as researchers and health professionals aim to harness the reach and cost-effectiveness that the internet promises. Despite strong clinical evidence of their effectiveness and policy support, web-based interventions have not become widely used in practice. We explored this translation gap by conducting an implementation pilot of MindBalance, a web-based intervention for depression built on the SilverCloud platform, in three IAPT services. We posed three questions: (1) Who chooses to use MindBalance? (2) Is MindBalance effective for these clients? (3) How do clients use MindBalance? Our results for questions (1) and (2) are commensurate with the positive findings in the literature on patient acceptability and clinical effectiveness for such interventions. Client usage, captured in adherence data as well as usage case-studies, was diverse and differed markedly from face-to-face sessions. The most surprising result, however, concerned the small number of people who were offered the intervention. We reflect upon why this was and discuss implementation issues that primary mental health services should consider when adding a web-based intervention to their services.

scholarly journals Smokers’ Likelihood to Engage With Information and Misinformation on Twitter About the Relative Harms of e-Cigarette Use: Results From a Randomized Controlled Trial

10.2196/27183 ◽  
2021 ◽  
Vol 7 (12) ◽  
pp. e27183
Author(s):  
Jessica Liu ◽  
Caroline Wright ◽  
Philippa Williams ◽  
Olga Elizarova ◽  
Jennifer Dahne ◽  
...  
Keyword(s):  
Social Media ◽  
Randomized Controlled Trial ◽  
Regression Models ◽  
Outcome Measure ◽  
Controlled Trial ◽  
Cigarette Use ◽  
Web Based ◽  
Randomized Controlled ◽  
The Past ◽  
Twitter Users

Background Information and misinformation on the internet about e-cigarette harms may increase smokers’ misperceptions of e-cigarettes. There is limited research on smokers’ engagement with information and misinformation about e-cigarettes on social media. Objective This study assessed smokers’ likelihood to engage with—defined as replying, retweeting, liking, and sharing—tweets that contain information and misinformation and uncertainty about the harms of e-cigarettes. Methods We conducted a web-based randomized controlled trial among 2400 UK and US adult smokers who did not vape in the past 30 days. Participants were randomly assigned to view four tweets in one of four conditions: (1) e-cigarettes are as harmful or more harmful than smoking, (2) e-cigarettes are completely harmless, (3) uncertainty about e-cigarette harms, or (4) control (physical activity). The outcome measure was participants’ likelihood of engaging with tweets, which comprised the sum of whether they would reply, retweet, like, and share each tweet. We fitted Poisson regression models to predict the likelihood of engagement with tweets among 974 Twitter users and 1287 non-Twitter social media users, adjusting for covariates and stratified by UK and US participants. Results Among Twitter users, participants were more likely to engage with tweets in condition 1 (e-cigarettes are as harmful or more harmful than smoking) than in condition 2 (e-cigarettes are completely harmless). Among other social media users, participants were more likely to likely to engage with tweets in condition 1 than in conditions 2 and 3 (e-cigarettes are completely harmless and uncertainty about e-cigarette harms). Conclusions Tweets stating information and misinformation that e-cigarettes were as harmful or more harmful than smoking regular cigarettes may receive higher engagement than tweets indicating e-cigarettes were completely harmless. Trial Registration International Standard Randomized Controlled Trial Number (ISRCTN) 16082420; https://doi.org/10.1186/ISRCTN16082420

scholarly journals Smokers’ Likelihood to Engage With Information and Misinformation on Twitter About the Relative Harms of e-Cigarette Use: Results From a Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Jessica Liu ◽  
Caroline Wright ◽  
Philippa Williams ◽  
Olga Elizarova ◽  
Jennifer Dahne ◽  
...  
Keyword(s):  
Social Media ◽  
Randomized Controlled Trial ◽  
Regression Models ◽  
Outcome Measure ◽  
Controlled Trial ◽  
Cigarette Use ◽  
Web Based ◽  
Randomized Controlled ◽  
The Past ◽  
Twitter Users

BACKGROUND Information and misinformation on the internet about e-cigarette harms may increase smokers’ misperceptions of e-cigarettes. There is limited research on smokers’ engagement with information and misinformation about e-cigarettes on social media. OBJECTIVE This study assessed smokers’ likelihood to engage with—defined as replying, retweeting, liking, and sharing—tweets that contain information and misinformation and uncertainty about the harms of e-cigarettes. METHODS We conducted a web-based randomized controlled trial among 2400 UK and US adult smokers who did not vape in the past 30 days. Participants were randomly assigned to view four tweets in one of four conditions: (1) e-cigarettes are as harmful or more harmful than smoking, (2) e-cigarettes are completely harmless, (3) uncertainty about e-cigarette harms, or (4) control (physical activity). The outcome measure was participants’ likelihood of engaging with tweets, which comprised the sum of whether they would reply, retweet, like, and share each tweet. We fitted Poisson regression models to predict the likelihood of engagement with tweets among 974 Twitter users and 1287 non-Twitter social media users, adjusting for covariates and stratified by UK and US participants. RESULTS Among Twitter users, participants were more likely to engage with tweets in condition 1 (e-cigarettes are as harmful or more harmful than smoking) than in condition 2 (e-cigarettes are completely harmless). Among other social media users, participants were more likely to likely to engage with tweets in condition 1 than in conditions 2 and 3 (e-cigarettes are completely harmless and uncertainty about e-cigarette harms). CONCLUSIONS Tweets stating information and misinformation that e-cigarettes were as harmful or more harmful than smoking regular cigarettes may receive higher engagement than tweets indicating e-cigarettes were completely harmless. CLINICALTRIAL International Standard Randomized Controlled Trial Number (ISRCTN) 16082420; https://doi.org/10.1186/ISRCTN16082420

scholarly journals Designing Emails Aimed at Increasing Family Physicians� Use of a Web-Based Audit and Feedback Tool to Improve Cancer Screening Rates: Cocreation Process (Preprint)

2018 ◽  
Author(s):  
Caroline A. Bravo ◽  
Diego Llovet ◽  
Holly O Witteman ◽  
Laura Desveaux ◽  
Justin Presseau ◽  
...  
Keyword(s):  
Behavior Change ◽  
Focus Groups ◽  
Health Professionals ◽  
Scientific Evidence ◽  
Primary Care Providers ◽  
Performance Data ◽  
Audit And Feedback ◽  
Web Based ◽  
User Input ◽  
The Past

BACKGROUND Providing clinical performance data to health professionals, a process known as audit and feedback, can play an important role in health system improvement. However, audit and feedback tools can only be effective if the targeted health professionals access and actively review their data. Email is used by Cancer Care Ontario, a provincial cancer agency, to promote access to a Web-based audit and feedback tool called the Screening Activity Report (SAR); however, current emails that lack behavior change content have been ineffective at encouraging log-in to the SAR. OBJECTIVE The objective of our study was to describe the process and experience of developing email content that incorporates user input and behavior change techniques (BCTs) to promote the use of the SAR among Ontario primary care providers. METHODS Our interdisciplinary research team first identified BCTs shown to be effective in other settings that could be adapted to promote use of the SAR. We then developed draft BCT-informed email content. Next, we conducted cocreation workshops with physicians who had logged in to the SAR more than once over the past year. Participants provided reactions to researcher-developed BCT-informed content and helped to develop an email that they believed would prompt their colleagues to use the SAR. Content from cocreation workshops was brought to focus groups with physicians who had not used the SAR in the past year. We analyzed notes from the cocreation workshops and focus groups to inform decisions about content. Finally, 8 emails were created to test BCT-informed content in a 2×2×2 factorial randomized experiment. RESULTS We identified 3 key tensions during the development of the email that required us to balance user input with scientific evidence, organizational policies, and our scientific objectives, which are as follows: conflict between user preference and scientific evidence, privacy constraints around personalizing unencrypted emails with performance data, and using cocreation methods in a study with the objective of developing an email that featured BCT-informed content. CONCLUSIONS Teams tasked with developing content to promote health professional engagement with audit and feedback or other quality improvement tools might consider cocreation processes for developing communications that are informed by both users and BCTs. Teams should be cautious about making decisions solely based on user reactions because what users seem to prefer is not always the same as what works. Furthermore, implementing user recommendations may not always be feasible. Teams may face challenges when using cocreation methods to develop a product with the simultaneous goal of having clearly defined variables to test in later studies. The expected role of users, evidence, and the implementation context all warrant consideration to determine whether and how cocreation methods could help to achieve design and scientific objectives.

Acquiring penmanship and writing skills from the first to fifth grade of primary school: Joined-up writing vs. Comenia Script

2018 ◽  
Vol 6 (2) ◽  
pp. 1-13
Author(s):  
Olga Kučerová ◽  
Anna Kucharská
Keyword(s):  
Primary School ◽  
Error Rate ◽  
Writing Skills ◽  
Fifth Grade ◽  
Point Scale ◽  
The Past ◽  
School Year ◽  
And Gender ◽  
Developmental Dynamics ◽  
The Given

Abstract The project presented here deals with a typical human means of communication – writing. The aim of the project is to map the developmental dynamics of handwriting from the first to the fifth grade of primary school. The question remains topical because of the fact that several systems of writing have been used in the past few years. Our project focuses on comparing the systems of joined-up handwriting (the standard Latin alphabet) and the most widespread form of printed handwriting: Comenia Script. The research can be marked as sectional; pupils took a writing exam at the beginning and at the end of the 2015/2016 school year. The total number of respondents was 624 pupils, evenly distributed according to the school year, system of writing and gender. To evaluate handwriting, the evaluation scale of Veverková and Kucharská (2012) was adjusted to include a description of phenomena related to graphomotor and grammatical aspects of writing, including the overall error rate and work with errors. Each area that was observed included a series of indicators through which it was possible to create a comprehensive image of the form handwriting took in the given period. Each indicator was independently classified on a three-point scale. Thanks to that, a comprehensive image of the form of writing of a contemporary pupil emerged.

Agriculture, Diversification, and Gender in Rural Africa: What Lessons Can We Learn?

2018 ◽  
Author(s):  
Agnes Andersson Djurfeldt ◽  
Fred Mawunyo Dzanku ◽  
Aida Cuthbert Isinika
Keyword(s):  
Gender Gap ◽  
Cash Income ◽  
Crop Diversification ◽  
Grain Production ◽  
The Past ◽  
Development Agenda ◽  
Yield Gaps ◽  
Rural Africa ◽  
And Gender ◽  
High Share

Smallholder-friendly messages, albeit not always translated into action, returned strongly to the development agenda over a decade ago. Smallholders’ livelihoods encompass social and economic realities outside agriculture, however, providing opportunities as well as challenges for the smallholder model. While smallholders continue to straddle the farm and non-farm sectors, the notion of leaving agriculture altogether appears hyperbolic, given the persistently high share of income generated from agriculture noted in the Afrint dataset. Trends over the past fifteen years can be broadly described as increasing dynamism accompanied by rising polarization. Positive trends include increased farm sizes, rising grain production, crop diversification, and increased commercialization, while negative trends include stagnation of yields, persistent yield gaps, gendered landholding inequalities, gendered agricultural asset inequalities, growing gendered commercialization inequalities, and an emerging gender gap in cash income. Regional nuances in trends reinforce the need for spatial contextualization of linkages between the farm and non-farm sectors.

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