Pivoting an MCI Empowerment Program to Online Engagement

In the Spring of 2020, closures and safe distancing orders swept much of the United States due to the COVID-19 pandemic. This paper presents a case study of pivoting an in-person empowerment program focused on lifestyle interventions for people newly diagnosed with Mild Cognitive Impairment (MCI) to an online program. Working as rapidly as possible to sustain participant engagement, our design decisions and subsequent iterations point to initial constraints in telehealth capabilities, as well as learning on the fly as new capabilities and requirements emerged. We present the discovery of emergent practices by family members and healthcare providers to meet the new requirements for successful online engagement. For some participants, the online program led to greater opportunities for empowerment while others were hampered by the lack of in-person program support. Providers experienced a sharp learning curve and likewise missed the benefits of in-person interaction, but also discovered new benefits of online collaboration. This work lends insights and potential new avenues for understanding how lifestyle interventions can empower people with MCI and the role of technology in that process.

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Too Little, Too Late?

Anthropology in Action ◽

10.3167/aia.2018.250203 ◽

2018 ◽

Vol 25 (2) ◽

pp. 13-23

Author(s):

Lilian Milanés ◽

Joanna Mishtal

Keyword(s):

Critical Role ◽

Healthcare Providers ◽

Young Men ◽

The United States ◽

Clinical Environment ◽

Sexually Transmitted ◽

Low Expectations ◽

Research Findings ◽

Reproductive Healthcare

AbstractScholarship and advocacy work regarding reproductive health have often focused on women’s experiences. Concerns about men’s sexual and reproductive healthcare (SRH) have historically been on the margins in this context. In the United States, young men are at the greatest risk for sexually transmitted infections (STIs), yet are the least likely to seek SRH. Based on research with 18 healthcare providers in a large public Florida university clinic, we examined providers’ perspectives about expanding men’s SRH provision and utilisation. Research findings demonstrate inconsistent provider strategies in treating men’s SRH needs and a clinical environment that has low expectations of men receiving preventive care, further perpetuating the placement of SRH responsibility upon women. This article contributes to applied and medical anthropology scholarship on health inequalities through its discussion of the challenges and barriers that contribute to poor SRH for young men and the critical role of providers in this context.

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What Do Women Want? Consent for the Use of Electronic Fetal Monitoring

International Journal of Childbirth ◽

10.1891/ijcbirth-d-20-00044 ◽

2021 ◽

Vol 11 (3) ◽

pp. 145-153

Author(s):

Sonya Dal Cin ◽

Lisa Kane Low ◽

Denise Lillvis ◽

Megan Masten ◽

Raymond De Vries

Keyword(s):

United States ◽

Healthcare Providers ◽

Fetal Monitoring ◽

Healthcare Setting ◽

Professional Associations ◽

The United States ◽

Cesarean Birth ◽

Electronic Fetal Monitoring ◽

Risk Patients

BACKGROUNDGuidelines published by professional associations of midwives, obstetricians, and nurses in the United States recommend against using continuous cardiotocography (CTG) in low-risk patients. In the United States, CTG or electronic fetal/uterine monitoring (EFM) rather than auscultation with a fetoscope or Pinard horn is the norm. Interpretation of the fetal heart rate (FHR) and uterine activity (UA) tracings provided by continuous EFM may be associated with the decision for a cesarean birth. Typically, consent is not sought in the decision about type of monitoring. No studies were identified where women's attitudes about the need to consent to the type of fetal monitoring used during labor have been explored. Therefore, the purpose of this research was to examine women's attitudes about the use of EFM in a healthcare setting.METHODSWe asked a sample of women aged 18–50 years to respond to one of three monitoringscenarios. The scenarios were used to distinguish between attitudes about monitoring in general, monitoring the health of a mother in labor, and monitoring the health of the fetus during labor. Wemeasured their level of interest in being monitored and their opinions about whether healthcare providers should be required to obtain consent for the monitoring described in the scenario.RESULTSInterest in receiving monitoring (across all three scenarios) was moderate, with the highest level of interest in monitoring the fetus during labor and the least interest in monitoring a general health context. Across all scenarios, 82% of respondents believed that practitioners should obtain consent for monitoring, 14% were unsure, and 4% said there should not be a requirement for consent. While low (6%), the percentage responding that consent was not needed was highest in monitoring a fetus in labor.CONCLUSIONSWomen in our study expressed a strong preference for the opportunity to consent to the use of monitoring regardless of the healthcare scenario. There is findings suggest the need for further research exploring what women do and do not know about CTG and what their informed performance are a pressing need to rethink the role of a pressing need to rethink the role of shared decision-making and informed consent about the type of monitoring use during labor.

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A Narrative Systematic Literature Review: A Focus on Qualitative Studies on HIV and Medication-Assisted Therapy in the United States

Pharmacy ◽

10.3390/pharmacy9010067 ◽

2021 ◽

Vol 9 (1) ◽

pp. 67

Author(s):

Alina Cernasev ◽

Sunitha Kodidela ◽

Michael P. Veve ◽

Theodore Cory ◽

Hilary Jasmin ◽

...

Keyword(s):

United States ◽

Literature Review ◽

Healthcare Providers ◽

The United States ◽

Hiv And Aids ◽

Opioid Use ◽

Screening Process ◽

Persons Living With Hiv ◽

Opioid Medications

Over the last two decades, the United States (U.S.) has experienced an opioid crisis that has had a significant negative societal and economic impact. Due to the high utilization of opioids in Persons Living with HIV and AIDS (PLWHA), there is a need for a qualitative literature review that presents opioid-use related problems in this population. This study aims to present and identify a thematic overview of the qualitative manuscripts on PLWHA who take opioid medications in the U.S., with a focus on perceptions surrounding medication assisted therapy. The systematic literature search was performed in December 2019. Four databases were searched: PubMed/MEDLINE, Scopus, Web of Science, and Cumulative Index to Nursing & Allied Health Literature (CINAHL). A total of 5348 results were exported from databases into EndNote x9, and duplicates were removed for a total of 3039 unique abstracts to screen. The records were imported into Rayyan, an online platform designed to expedite the screening process. Three authors screened titles and abstracts and determined 19 articles that would be screened in full text. On 9 April 2020, it was determined that eight articles would be included for review. The analysis of the eight manuscripts that fit the inclusion and exclusion criteria revealed barriers and facilitators to medication assisted therapy (MAT) in PLWHA. This review communicates or describes the story of PLWHA who might have delayed access to HIV healthcare providers and the commencement of antiretroviral therapy. In the literature, several studies have focused on the role of physicians in prescribing and addressing the medication regimens but none of the studies examined the role of pharmacists in access to care in this population. Therefore, further research is needed for a better understanding of the social aspects of taking opioid medications in PLWHA and the role of pharmacists within the continuum of care.

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The Role of Hormones in Women’s Stroke Risk

Einstein Journal of Biology and Medicine ◽

10.23861/ejbm20112722 ◽

2016 ◽

Vol 27 (1) ◽

pp. 3

Author(s):

Dara M. Bier

Keyword(s):

Stroke Risk ◽

Hormone Replacement ◽

Healthcare Providers ◽

The United States ◽

Health Issues ◽

Mortality And Morbidity ◽

Risks And Benefits ◽

United States Today ◽

Health Risks And Benefits

Although often overshadowed by breast cancer and other women’s health issues, stroke is a primary cause of mortality and morbidity among women in the United States today. This article explores three major populations of women: postmenopausal women who are taking hormone-replacement therapy, women ingesting estrogen-containing oralcontraceptive pills, and women who are currently pregnant. It compiles recent research and physiologic information that can aid in assessing these women’s risk for stroke. This review can help healthcare providers evaluate and manage these populations, and assess the health risks and benefits of certain estrogen-containing therapies.

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Understanding the Role of Law in Reducing Firearm Injury through Clinical Interventions

The Journal of Law Medicine & Ethics ◽

10.1177/1073110520979416 ◽

2020 ◽

Vol 48 (S4) ◽

pp. 146-154 ◽

Cited By ~ 1

Author(s):

Blake N. Shultz ◽

Carolyn T. Lye ◽

Gail D'Onofrio ◽

Abbe R. Gluck ◽

Jonathan Miller ◽

...

Keyword(s):

Healthcare Providers ◽

The United States ◽

Unintended Consequences ◽

Patient Counseling ◽

Health Crisis ◽

Firearm Injury ◽

Clinical Scenarios ◽

Injury Reporting ◽

Laws And Regulations

Firearm injury in the United States is a public health crisis in which physicians are uniquely situated to intervene. However, their ability to mitigate harm is limited by a complex array of laws and regulations that shape their role in firearm injury prevention. This piece uses four clinical scenarios to illustrate how these laws and regulations impact physician practice, including patient counseling, injury reporting, and the use of court orders and involuntary holds. Unintended consequences on clinical practice of laws intended to reduce firearm injury are also discussed. Lessons drawn from these cases suggest that physicians require more nuanced education on this topic, and that policymakers should consult front-line healthcare providers when designing firearm policies.

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Hearts and Minds

Cornell Internation Affairs Review ◽

10.37513/ciar.v9i2.478 ◽

2016 ◽

Vol 9 (2) ◽

Author(s):

Adrienne Ou

Keyword(s):

Healthcare Providers ◽

The United States ◽

Social Divisions ◽

The North ◽

The Us ◽

American Method ◽

European Method ◽

Muslim Communities ◽

The Uk

Bataclan. San Bernadino. One need not read any further to understand how radicalization is crucial to counterterrorism and national security. Some states have implemented counter-radicalization strategies to cull terrorism at its root. These tactics fall within two broad groups: the North American method, which emphasizes behavioral radicalization, and the European method, which stresses cognitive radicalization. This paper compares the two methods by examining counter-radicalization strategies in the United States and in the United Kingdom. Case studies explain the social ramifications and the effectiveness of the US’ Countering Violent Extremism policy and the UK’s Prevent strategy, and the roles they play in abolishing or inadvertently incentivizing social divisions that lead to radicalization and terrorism. While the US strategy emphasizes the role of law enforcement, the UK strategy focuses on the role of community in preventing terrorism, including those of universities and healthcare providers. This difference is crucial in how Muslim communities view their place in the broader context of society, which makes up a fundamental precept of political alienation. Consequentially, this paper brings radicalization studies out of the ivory tower and into its broader sociopolitical context and effects.

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The Role of Gender and Sensation Seeking in Film Choice

Journal of Media Psychology Theories Methods and Applications ◽

10.1027/1864-1105.20.3.97 ◽

2008 ◽

Vol 20 (3) ◽

pp. 97-105 ◽

Cited By ~ 15

Author(s):

Smita C. Banerjee ◽

Kathryn Greene ◽

Marina Krcmar ◽

Zhanna Bagdasarov ◽

Dovile Ruginyte

Keyword(s):

United States ◽

Undergraduate Students ◽

Sensation Seeking ◽

Negative Mood ◽

Positive Mood ◽

The United States ◽

High Arousal ◽

Subject Design ◽

Happy Mood

This study demonstrates the significance of individual difference factors, particularly gender and sensation seeking, in predicting media choice (examined through hypothetical descriptions of films that participants anticipated they would view). This study used a 2 (Positive mood/negative mood) × 2 (High arousal/low arousal) within-subject design with 544 undergraduate students recruited from a large northeastern university in the United States. Results showed that happy films and high arousal films were preferred over sad films and low-arousal films, respectively. In terms of gender differences, female viewers reported a greater preference than male viewers for happy-mood films. Also, male viewers reported a greater preference for high-arousal films compared to female viewers, and female viewers reported a greater preference for low-arousal films compared to male viewers. Finally, high sensation seekers reported a preference for high-arousal films. Implications for research design and importance of exploring media characteristics are discussed.

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