Models of care for musculoskeletal health: a cross-sectional qualitative study of Australian stakeholders’ perspectives on relevance and standardised evaluation

IntroductionCombined efforts to encompass different aspects of tobacco control have been in place for some time. Despite the recognition of the need to offer support to tobacco users to quit tobacco use, such support remains highly inadequate in India. However, little is known about the practice of oral health professionals (OHP) and the experiences and expectations of dental patients in the context of tobacco cessation (TC) services. In this article, we describe the protocol of a doctoral research project that explores OHPs and their patients in an Indian city. The aims are (A) to understand the functioning of the oral healthcare system towards TC and what changes to it will be needed to benefit TC and (B) to capture the views of dental patients on TC services provided by OHPs.Methods and analysisA cross-sectional qualitative study based on individual interviews with OHPs and dental patients will be carried out in the city of Ahmedabad, Gujarat, India. The OHP will be purposively selected from two major organisation types: (1) single-doctor dental clinics and (2) dental hospital attached to teaching institutions. The sample population will be divided into two subgroups: general OHP (dentists practising general dentistry irrespective of their qualification) and prosthodontists (dentists with a specialisation in prosthodontics). We will sample dental patients through convenient sampling from a public teaching hospital and select private dental care facilities. The sampling of OHPs and dental patients will continue until we reach data saturation. Interviews will be audio recorded, transcribed verbatim and coded by hand. The interview transcript will subsequently be analysed using thematic content analysis.Ethics and disseminationThe study received ethical approval from the Institutional Ethical Committee of the Government Dental College and Hospital, Ahmedabad. The findings will be disseminated through conference presentations, peer-reviewed publications and to the study participants.

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Occupational Exposure of Healthcare Workers during COVID-19 Field Surveillance Activities in South India: A Cross-Sectional Qualitative Study

Open Journal of Epidemiology ◽

10.4236/ojepi.2021.114036 ◽

2021 ◽

Vol 11 (04) ◽

pp. 446-456

Author(s):

Surya Srinivasan ◽

Shailaja Tetali

Keyword(s):

Occupational Exposure ◽

Qualitative Study ◽

Healthcare Workers ◽

South India ◽

Cross Sectional

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Prevalence, Risk Factors, and Perception of Metabolic Syndrome Among Thai Buddhist Monks in a Rural Community, Central Thailand: A Mixed-Methods Study

10.21203/rs.3.rs-601669/v1 ◽

2021 ◽

Author(s):

Annop Kittithaworn ◽

Prempreeda Wongprasert ◽

Worathon Worasangkart ◽

Noppawit Aiumtrakul ◽

Surapong Saravutthikul ◽

...

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

Qualitative Study ◽

Cross Sectional Study ◽

Noncommunicable Diseases ◽

Early Screening ◽

Cross Sectional ◽

Depth Interview ◽

Atherosclerotic Cardiovascular Diseases ◽

Central Thailand

Abstract Background Metabolic syndrome (MetS) is described as a cluster of cardiometabolic risk factors that can increase the possibility of developing atherosclerotic cardiovascular diseases. According to monastic rules, Thai Buddhist monks are not allowed to cook meals and do exercise. This unique lifestyle generally encompasses low physical activities and may cause several noncommunicable diseases. Thus, in this study, we aimed to examine the prevalence, risk factors, and perception of MetS among Thai Buddhist monks. Methods This was a cross-sectional study conducted among Thai Buddhist monks living in Tha Luang District, Lopburi Province, Central Thailand. Study participants completed a questionnaire inquiring about personal and health data, and they also underwent physical examination, including anthropometric measurements, before undergoing biochemical blood tests. MetS was defined based on the National Cholesterol Education Program ATP III (NCEP ATP3) criteria. A qualitative study using in-depth interview was conducted to determine the knowledge and perceptions regarding MetS among Thai Buddhist monks. Results In total, 96 Thai Buddhist monks were included in this study. The prevalence of MetS was 28.1%. Participants who had a body mass index of \(\ge\)25 kg/m2 were determined to have a higher risk of developing MetS (OR, 4.5; 95% CI, 1.6–13.3). The in-depth interview revealed that participants’ perceptions were directly associated with their beliefs, experience, and basic healthcare knowledge. A qualitative study identified two primary factors of MetS among Thai Buddhist monks, viz., unhealthy diet and low physical activity. Conclusions MetS prevalence in Thai Buddhist monks was moderate compared with that reported by other studies. Medical providers and Buddhist devotees should cooperate in providing health promotion by donating healthy food, conducting annual health checkups, and arranging alternative exercises in a private area that correspond with the monastic rules. Therefore, early screening, treatment, and patient education are the most important factors to manage MetS in Thai Buddhist monks.

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Comment on “Models of care for musculoskeletal health in Australia: now more than ever to drive evidence into health policy and practice”

Australian Health Review ◽

10.1071/ah14163 ◽

2015 ◽

Vol 39 (1) ◽

pp. 117 ◽

Cited By ~ 1

Author(s):

Tamzin Dimmock

Keyword(s):

Health Policy ◽

Models Of Care ◽

Musculoskeletal Health ◽

Policy And Practice ◽

Health Policy And Practice

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106: A Qualitative Study of Factors to Consider in the Integration of Caregiver-Reported Outcomes Into Patient-Centred Models of Care

Radiotherapy and Oncology ◽

10.1016/s0167-8140(21)08816-2 ◽

2021 ◽

Vol 163 ◽

pp. S46

Author(s):

Michael McKenzie ◽

Scott Beck ◽

Kelsey Lynch ◽

Maria Torrejon ◽

Jonathan Avery ◽

...

Keyword(s):

Qualitative Study ◽

Models Of Care

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Relationship between models of care and key rehabilitation milestones following unilateral transtibial amputation: a national cross-sectional study

Physiotherapy ◽

10.1016/j.physio.2018.11.307 ◽

2019 ◽

Vol 105 (4) ◽

pp. 476-482 ◽

Cited By ~ 2

Author(s):

J. Hebenton ◽

H. Scott ◽

C. Seenan ◽

F. Davie-Smith

Keyword(s):

Cross Sectional Study ◽

Models Of Care ◽

Sectional Study ◽

Cross Sectional ◽

Transtibial Amputation

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Exploring the Prescribing Process of Domperidone for Low Milk Supply: A Qualitative Study Among Mothers, IBCLCs, and Family Doctors

Journal of Human Lactation ◽

10.1177/0890334420964070 ◽

2020 ◽

pp. 089033442096407

Author(s):

Lara A. Tauritz Bakker ◽

Liset van Dijk ◽

Patricia M. L. A. van den Bemt

Keyword(s):

Qualitative Study ◽

Family Physicians ◽

Milk Supply ◽

Clinical Protocol ◽

Structured Interviews ◽

Cross Sectional ◽

Family Doctors ◽

Provider Perspectives ◽

Lactation Consultants ◽

Dutch Family

Background When mothers are confronted with milk supply problems, taking domperidone is regularly suggested. However, domperidone has been associated with sudden cardiac death and caution in prescribing is advised. In 2016, a multidisciplinary group of authors from a tertiary academic hospital (Erasmus MC) published a clinical protocol in a leading Dutch physicians’ journal to support Dutch family physicians in prescribing domperidone to stimulate lactation. Research aim To explore consumer and health care provider perspectives and experiences regarding the prescribing of domperidone for lactation insufficiency following publication of a national clinical protocol. Methods A cross-sectional qualitative study was performed using semi-structured interviews ( N = 40) based on a topic list covering the prescribing process. Participants were mothers ( n = 18) who had been advised to try domperidone to boost their milk supply between November 2016 and May 2018, their International Board Certified Lactation Consultants ( n = 9), and their family physicians ( n = 15). Another group of participants (mothers; n = 6) answered short questionnaires. All interviews were recorded, transcribed and analyzed using ATLAS.ti software. The resulting list of codes was organized according to the topics. Results In the process leading to domperidone use to stimulate lactation, participant family physicians relied on the IBCLC, pharmacist, or mother to guide the prescription of domperidone, often citing the published national clinical protocol as back up. The medical safeguards incorporated in the protocol (e.g., taking medical history, physical exam, performing electrocardiograms, limiting dosage) were usually not implemented. Conclusions Though the availability of a national clinical protocol in which the prescribing of domperidone for lactation is supported appeared to increase the willingness of participant family physicians to prescribe, gaps were identified between clinical practice and this clinical protocol for prescribing domperidone.

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