Comparison of self-reported scales and structured interviews for the assessment of depression in an urban male working population in Japan: a cross-sectional survey

IntroductionIndia has an overall neonatal mortality rate of 28/1000 live births, with higher rates in rural India. Approximately 3.5 million pregnancies in India are affected by preterm birth (PTB) annually and contribute to approximately a quarter of PTBs globally. Embedded within the PROMISES study (which aims to validate a low-cost salivary progesterone test for early detection of PTB risk), we present a mixed methods explanatory sequential feasibility substudy of the salivary progesterone test.MethodsA pretraining and post-training questionnaire to assess Accredited Social Health Activists (ASHAs) (n=201) knowledge and experience of PTB and salivary progesterone sampling was analysed using the McNemar test. Descriptive statistics for a cross-sectional survey of pregnant women (n=400) are presented in which the acceptability of this test for pregnant women is assessed. Structured interviews were undertaken with ASHAs (n=10) and pregnant women (n=9), and were analysed using thematic framework analysis to explore the barriers and facilitators influencing the use of this test in rural India.ResultsBefore training, ASHAs’ knowledge of PTB (including risk factors, causes, postnatal support and testing) was very limited. After the training programme, there was a significant improvement in the ASHAs’ knowledge of PTB. All 400 women reported the salivary test was acceptable with the majority finding it easy but not quick or better than drawing blood. For the qualitative aspects of the study, analysis of interview data with ASHAs and women, our thematic framework comprised of three main areas: implementation of intervention; networks of influence and access to healthcare. Qualitative data were stratified and presented as barriers and facilitators.ConclusionThis study suggests support for ongoing investigations validating PTB testing using salivary progesterone in rural settings.

Download Full-text

Over-the-Counter Drugs and Complementary Medications Use among Children in Southern Italy

BioMed Research International ◽

10.1155/2015/413912 ◽

2015 ◽

Vol 2015 ◽

pp. 1-8 ◽

Cited By ~ 6

Author(s):

Claudia Pileggi ◽

Valentina Mascaro ◽

Aida Bianco ◽

Maria Pavia

Keyword(s):

Positive Attitude ◽

Southern Italy ◽

Sole Source ◽

Structured Interviews ◽

Cross Sectional Survey ◽

Community Based ◽

Cross Sectional ◽

Over The Counter ◽

Source Of Information

The use of nonprescription medicines (NPDs) for children illnesses without a doctor’s suggestion can lead to unnecessary medication use and is not free of risks. The aim of our study was to examine attitudes and practice of parents towards NPDs use for their children. We also investigated the conditions that may predict NPDs use. A cross-sectional survey was conducted on parents of children attending Community Based Pediatrician (CBP) consultation and data were collected through structured interviews. Positive attitude on NPDs use was reported by 71.4% of parents, and 61.5% of them had administered NPDs in the previous 6 months. Antipyretic drugs were the most frequently used medication class without the supervision of the CBP. A positive attitude towards NPDs was significantly more frequent in parents who did not use the CBP as the sole source of information about drugs. The study demonstrated a widespread use of NPDs in children in our context, supported by a substantial positive attitude towards their safety. However, considering potential harms related to some NPDs and the finding that most parents rely on CBP advice, role of CBP on appropriate use of NPDs by parents should be emphasized.

Download Full-text

Inpatient telehealth experience of limited English proficient patients: a cross-sectional survey and semi-structured interview (Preprint)

10.2196/preprints.34354 ◽

2021 ◽

Author(s):

Lily Payvandi ◽

Chase Parsons ◽

Fabienne C. Bourgeois ◽

Jonathan Hron

Keyword(s):

Limited English Proficient ◽

Structured Interview ◽

Structured Interviews ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Team Coordination ◽

Spanish Speaking ◽

Equipment Availability ◽

High Satisfaction ◽

English Speaking

BACKGROUND Limited English proficient (LEP) patients are at higher risk of poor health outcomes and are less likely to utilize telehealth compared to English speaking patients. There is no formal evaluation of inpatient telehealth user experience by language preference to date. OBJECTIVE To compare the experience of Spanish and English-speaking patients and families using our inpatient telehealth program (ITP). To evaluate the experience of Spanish interpreters using ITP. METHODS We prospectively administered a survey to English and Spanish speaking patients and families who used our ITP from October 1, 2020 to March 31, 2021. We performed semi-structured interviews of hospital based Spanish interpreters by phone who participated in ITP. RESULTS High satisfaction was reported by both English and Spanish speakers (SD 0.47-1.7, IQR 0-2). Both English and Spanish speaking patients participated in ITP with their primary inpatient care team, subspecialty consultants and other clinicians. Hospital tablets were used more often than personal devices, and only English speaking patients utilized a personal laptop. Patients and families encountered challenges with log-in, team coordination with multiple users and equipment availability. Interpreters encountered challenges with audio and visual quality, communication, safety, and Wi-fi access. CONCLUSIONS There is high satisfaction amongst both English and Spanish speaking patients using our ITP. Use cases are multi-disciplinary and suggest lasting applicability post-pandemic, however significant investment is needed to provide robust infrastructure to support utilization by all patients, but especially integration of interpreter services for LEP patients. CLINICALTRIAL N/A

Download Full-text

Workplace Bullying and Sleep Disturbances: Findings from a Large Scale Cross-Sectional Survey in the French Working Population

SLEEP ◽

10.1093/sleep/32.9.1211 ◽

2009 ◽

Vol 32 (9) ◽

pp. 1211-1219 ◽

Cited By ~ 80

Author(s):

Isabelle Niedhammer ◽

Simone David ◽

Stéphanie Degioanni ◽

Anne Drummond ◽

Pierre Philip ◽

...

Keyword(s):

Sleep Disturbances ◽

Large Scale ◽

Workplace Bullying ◽

Working Population ◽

Cross Sectional Survey ◽

Cross Sectional

Download Full-text

Nitrite Inhalants Use and HIV Infection among Men Who Have Sex with Men in China

BioMed Research International ◽

10.1155/2014/365261 ◽

2014 ◽

Vol 2014 ◽

pp. 1-9 ◽

Cited By ~ 3

Author(s):

Dongliang Li ◽

Xueying Yang ◽

Zheng Zhang ◽

Xiao Qi ◽

Yuhua Ruan ◽

...

Keyword(s):

Hiv Infection ◽

Casual Sex ◽

Structured Interviews ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Past ◽

Logistic Analysis ◽

Independent Association ◽

Blood Specimens ◽

Sex With Men

Objective. This is the first study in China to examine the use of nitrite inhalants and its correlates among men who have sex with men (MSM) in Beijing, China.Methods. A cross-sectional survey was conducted in 2012. Structured interviews collected data on demographics, sexual and drug use behaviors, and the use of HIV services. Blood specimens were collected and tested for HIV and syphilis.Results. A total of 400 MSM eligible for the study were between 19 and 63 years of age and overall HIV prevalence was 6.0% (9.0% among nitrite inhalant users and 3.3% among nonusers). Nearly half (47.3%) of them reported ever using nitrite inhalants and 42.3% admitted using nitrite inhalants in the past year. Multivariable logistic analysis revealed that ever using nitrite inhalants in the past was independently associated with being aged≤25years, having higher education attainment, seeking sex via Internet, having casual partners in the past three months, and being HIV positive.Conclusion. The use of nitrite inhalants was alarmingly prevalent among MSM in Beijing. The independent association of the nitrite inhalant use with more casual sex partners and HIV infection underscored the need for intervention and prevention of nitrite inhalant use.

Download Full-text

Language diversity and challenges to communication in Indian emergency departments

International Journal of Emergency Medicine ◽

10.1186/s12245-021-00380-7 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Katherine Douglass ◽

Lalit Narayan ◽

Rebecca Allen ◽

Jay Pandya ◽

Zohray Talib

Keyword(s):

Emergency Departments ◽

Critical Incident ◽

English Language ◽

Rapid Assessment ◽

Assessment Process ◽

Language Diversity ◽

Structured Interviews ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Impact

Abstract Background Communication in emergency departments (ED) in India is complicated by the country’s immense language diversity. Prior research has revealed challenges in language and communication as barriers to care. Our objective was to quantify language diversity among clinicians in Indian EDs and better understand issues related to clinician-clinician and clinician-patient communication. Methodology A cross-sectional survey of ED clinicians was conducted. Survey participants were recruited in-person and through email at six partner sites in India. ANOVA and binary logistic regression were used for subgroup analysis. Semi-structured interviews were conducted with ED clinicians. Interview data was analyzed using the rapid assessment process to determine predominant themes. Results 106 clinicians completed the survey. On average, clinicians spoke 3.75 languages. Seventy-one percent used a non-English language to speak to fellow clinicians most of the time, and 53% reported at least one critical incident over the last year where poor communication played a part. Interviews revealed challenges including low health literacy, high patient volume, and workplace hierarchy. Conclusions This study is the first to document the impact of language diversity and communication barriers in Indian EDs. The results highlight the need for effective strategies to improve communication between the multiple languages spoken by clinicians and patients.

Download Full-text

Language Diversity and Challenges to Communication in Indian Emergency Departments

10.21203/rs.3.rs-154113/v1 ◽

2021 ◽

Author(s):

Katherine Douglass ◽

Lalit Narayan ◽

Rebecca Allen ◽

Jay Pandya ◽

Zohray Talib

Keyword(s):

Emergency Departments ◽

Critical Incident ◽

English Language ◽

Rapid Assessment ◽

Assessment Process ◽

Language Diversity ◽

Structured Interviews ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Impact

Abstract BackgroundCommunication in emergency departments (ED) in India is complicated by the country’s immense language diversity. Prior research has revealed challenges in language and communication as barriers to care. Our objective was to quantify language diversity among clinicians in Indian EDs and better understand issues related to clinician-clinician and clinician-patient communicationMethodologyA cross-sectional survey of ED clinicians was conducted. Survey participants were recruited in-person and through email at six partner sites in India. ANOVA and binary logistic regression were used for subgroup analysis. Semi-structured interviews were conducted with ED clinicians. Interview data was analyzed using the rapid assessment process to determine predominant themes.Results 106 clinicians completed the survey. On average, clinicians spoke 3.75 languages. 71% used a non-English language to speak to fellow clinicians most of the time. 53% reported at least one critical incident over the last year where poor communication played a part. Interviews revealed challenges including low health literacy, high patient volume,and workplace hierarchy.Conclusions This study is the first to document the impact of language diversity and communication barriers in Indian EDs. The results highlight the need for effective strategies to improve communication that account for the multiple languages spoken by clinicians and patients.

Download Full-text

The Health Professional’s View on the Inclusion of Age in the Recommendations for Pneumococcal Vaccination: Results of a Cross-Sectional Survey in France

Geriatrics ◽

10.3390/geriatrics7010004 ◽

2021 ◽

Vol 7 (1) ◽

pp. 4

Author(s):

Gaëlle Farge ◽

Benoît de Wazières ◽

Jocelyn Raude ◽

Clémence Delavelle ◽

Fabienne Humbert ◽

...

Keyword(s):

Vaccination Coverage ◽

Healthcare Professionals ◽

Vaccination Campaign ◽

Pneumococcal Vaccination ◽

Attitudes And Beliefs ◽

Structured Interviews ◽

Pneumococcal Infections ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Vaccination Recommendations

Elderly people are at high risk for pneumococcal infections. However, older age is not an eligibility factor for pneumococcal vaccination in France. Adults with certain co-morbidities or immunocompromised states are eligible for vaccination, which leaves adults aged ≥65 years without comorbidities at-risk for pneumococcal infections. The objective of the study was to evaluate the acceptability to healthcare professionals (HCPs) of extending pneumococcal vaccination to all individuals ≥65 years. Based on themes identified in semi-structured interviews with 24 HCPs, a representative sample of 500 general practitioners and pharmacists were surveyed about their knowledge, attitudes and beliefs with respect to pneumococcal vaccination for individuals ≥65 years. Current recommendations for pneumococcal vaccination are poorly understood by participants (mean score: 5.8/10). Respondents were generally supportive of inclusion of age in vaccination recommendations (7.5/10), with 58% being very supportive. For 72% of HCPs, this would contribute to improved vaccination coverage. The strategy could be facilitated by associating pneumococcal vaccination with the influenza vaccination campaign (8.3/10). Pharmacists were favourable to participating in pneumococcal vaccination (8.5/10). In conclusion, extension of pneumococcal vaccination to all people aged ≥65 years would be welcomed by HCPs, simplifying identification of patients to be vaccinated and potentially improving vaccination coverage.

Download Full-text

Physiotherapists perceived role in managing anxiety in patients with Relapsing-Remitting Multiple Sclerosis: a mixed-methods study.

10.1101/2021.04.06.21254964 ◽

2021 ◽

Author(s):

Lauren Lucas ◽

Jack Parker

Keyword(s):

Mixed Methods ◽

Clinical Supervision ◽

Management Practices ◽

Training Needs ◽

Outpatient Rehabilitation ◽

Structured Interviews ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Physiotherapy Practice ◽

The Impact

ABSTRACT Objectives: To explore how physiotherapists manage anxiety in patients with RRMS in community and outpatient settings. To identify further training and research to better develop physiotherapy practice. Design: A mixed-methods design, combining a cross-sectional survey and semi-structured interviews with UK-physiotherapists. Participants: Sixteen UK-registered physiotherapists: 11 in the survey, 5 in the interviews. Methods: To inform the qualitative study, a cross-sectional survey collected data from physiotherapists working in neurology to understand the impact and management of anxiety in people with MS (PwMS) during rehabilitation. Analysis used descriptive statistics and the findings formed the interview guide. Semi-structured interviews with specialist physiotherapists explored barriers and facilitators to managing anxiety, physiotherapy training needs and offered suggestions to develop physiotherapy research and practice. Themes were derived inductively. Results: The survey suggested how PwMS present with anxiety, its impact during rehabilitation, physiotherapy management practices, and physiotherapist skills and training needs. Five semi-structured interviews with specialist physiotherapists expanded on the survey findings and identified five main themes: Understanding the MS journey, modifying assessment and treatment, anxiety management toolbox, lagging behind Musculoskeletal Physiotherapy, and gaining knowledge and skills. Conclusion: Physiotherapists encounter anxiety in PwMS in community and outpatient rehabilitation and perceive they have a role in managing it as it presents. Facilitators included communication, listening skills and opportunities to develop strong therapeutic relationships. Poor training and support, lack of clinical guidelines and limited research evidence were considered barriers. Clinically relevant learning opportunities, interprofessional working, and greater support through clinical supervision is recommended to better develop physiotherapy practice.

Download Full-text

Eye Care Practices, Knowledge and Attitude of Glaucoma Patients at Community Eye Screening Outreaches in Nigeria.

10.21203/rs.3.rs-60150/v1 ◽

2020 ◽

Author(s):

Olusola Olawoye ◽

Olufunmilayo Fawole ◽

Adeyinka Ashaye

Keyword(s):

Health Workers ◽

Structured Interviews ◽

Eye Care ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Past ◽

Knowledge And Attitudes ◽

South West ◽

Main Hospital ◽

Care Practices

Abstract Purpose: To assess the eye care practices, knowledge and attitudes of glaucoma patients identified at community eye outreaches (CEO) in Nigeria. Methodology: This was a mixed method study. The quantitative component was a cross sectional survey of patients with suspected glaucoma identified at routine CEO in South West Nigeria. Surveys were administered by trained personnel and gathered information on knowledge and attitudes toward glaucoma. The qualitative component consisted of structured interviews with providers to assess their knowledge and perspectives of glaucoma patients’ attitudes and behaviors. Results: A total of 1881 patients were screened at 24 outreaches in South West Nigeria, among which 120 glaucoma cases/suspects were identified. Fifty-six (46.7%) of the glaucoma patients were aware of glaucoma and only 39 (32.5%) patients could answer at least one knowledge question correctly. Predictors of awareness of glaucoma were minimum of secondary school education (adjusted odds ratio [OR] 9.76; 95% confidence interval [CI] 3.18-29-92) and having had an eye check-up in the past (adjusted OR 6.22; 95% CI 1.96 – 19.78). More than half 55.8% had attended an eye outreach in the past and 34.2% did not follow up at the main hospital. Patients said cost and ‘not knowing the disease was serious’ were reasons for not following up at the main hospital. Health workers interviewed said cost and poor knowledge were the main reasons glaucoma patients frequently attended free screening outreach events rather than seeking definitive care.Conclusion: Although community eye outreaches improves access to eye care, provision of appropriate health education programs and strengthening of the health insurance scheme are needed to improve its impact in glaucoma care.

Download Full-text