scholarly journals Closing the gaps in defining and conceptualising acceptability of healthcare: A synthesis review and thematic content analysis

2020 ◽  
Author(s):  
Blaise Joy Bucyibaruta ◽  
Doriccah Peu ◽  
Lesley Bamford ◽  
Annatjie van der Wath
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Conceptual Framework ◽  
Public Health Research ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
The Public ◽  
Health Community ◽  
Acceptability Of Healthcare ◽  
Definition Of

Abstract Background: Acceptability of healthcare is gaining ground in public health research and practice. Overlooking healthcare acceptability when designing, implementing, monitoring and assessing healthcare interventions may lead to those interventions failing. Despite the importance of acceptability, the public health community still has to agree on an explicit definition and conceptual framework of acceptability. We considered different definitions and conceptual frameworks of healthcare acceptability, and identified commonalities to develop an integrated definition of healthcare acceptability. Methods: We conducted a synthesis review and thematic content analysis of research articles that attempt to define healthcare acceptability. We searched online databases including MEDLINE/PubMed, Cochrane Library and Google Scholar for relevant articles. The retained articles were imported into ATLAS.ti 8.4. Using thematic content analysis, we deductively and inductively coded categories and themes related to definitions and frameworks of healthcare acceptability. Results: Our review of the literature described the complexity of healthcare acceptability. The concept of acceptability remains poorly defined limiting its application in public health. We propose a definition of acceptability that includes the needs and expectations of the healthcare recipient, healthcare provider as well as the capacity of the healthcare systems. We define acceptability as a multi-construct concept describing nonlinear cumulative combination in parts or in whole of expected and experienced degree of healthcare from patient, provider or health systems and policy perspectives in a given context. We provide a conceptual framework of acceptability, applicable to the public health research and practice. Conclusion: We present a definition of acceptability that can be applied to different actors of public health including patients, providers, and health systems or policy. The proposed definition of acceptability, together with the conceptual framework provides a coherent conceptualisation that can be used by the broader public health community.

Navigating the Ethics of Big Data in Public Health

2019 ◽  
pp. 353-367
Author(s):  
Effy Vayena ◽  
Lawrence Madoff
Keyword(s):  
Public Health ◽  
Big Data ◽  
Credit Card ◽  
Health Sector ◽  
Public Health Research ◽  
Ethical Challenges ◽  
The Public ◽  
Health Community ◽  
Digital Disease Detection ◽  
The Public Sphere

“Big data,” which encompasses massive amounts of information from both within the health sector (such as electronic health records) and outside the health sector (social media, search queries, cell phone metadata, credit card expenditures), is increasingly envisioned as a rich source to inform public health research and practice. This chapter examines the enormous range of sources, the highly varied nature of these data, and the differing motivations for their collection, which together challenge the public health community in ethically mining and exploiting big data. Ethical challenges revolve around the blurring of three previously clearer boundaries: between personal health data and nonhealth data; between the private and the public sphere in the online world; and, finally, between the powers and responsibilities of state and nonstate actors in relation to big data. Considerations include the implications for privacy, control and sharing of data, fair distribution of benefits and burdens, civic empowerment, accountability, and digital disease detection.

Key Drivers of State Preemption of Food, Nutrition, and Agriculture Policy: A Thematic Content Analysis of Public Testimony

2019 ◽  
Vol 33 (6) ◽  
pp. 894-902 ◽  
Author(s):  
Jennifer L. Pomeranz ◽  
Mark Pertschuk
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Multinational Corporations ◽  
Local Control ◽  
Local Governments ◽  
Food Policy ◽  
State Legislature ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
Food Nutrition

Purpose: Local communities are often active public health policy makers, so state preemption—when the state withdraws authority from local governments—can hinder public health progress. Kansas enacted the most sweeping law in the nation preempting food, nutrition, and agricultural policy. Design: Qualitative thematic content analysis was used on public comments to identify and evaluate common and key arguments. A codebook was developed using an iterative process. Open coding was applied to all comments. Setting: All testimony and comments submitted by individuals and organizations to the Kansas State Legislature on the preemptive bill. Participants: Eight types of commentators submitted 34 written and 12 oral comments. Measures: The data were evaluated on a latent level to examine underlying drivers of preemption. Results: Comments addressed 18 themes, referenced 366 times; 68% in opposition. Common themes included local control, food labeling, public health, need for statewide standards, and debate over food regulation. Key themes included the need for state and federal uniformity to support businesses and consumers, debate over topics not in the bill, the value of local control, confusion over bill coverage, and outside influences. Conclusion: Confusion about bill language and coverage, the combination of food and agricultural issues, and backing by multinational corporations helped propel preemption forward in Kansas. Food policy stakeholders nationally can anticipate similar arguments and strategies in their state.

scholarly journals Analysis of the Coverage of Paratriathlon and Paratriathletes in Canadian Newspapers

Sports ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. 87
Author(s):  
Gregor Wolbring ◽  
Brian Martin
Keyword(s):  
Content Analysis ◽  
Public Opinion ◽  
Sport Participation ◽  
Public Domain ◽  
Elite Sport ◽  
Disabled People ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
The Public ◽  
Personal Stories

From recreational to elite levels, sport has many benefits for disabled people. At the same time, it is acknowledged that there is a trickle-down problem from para-elite sport to sport participation of disabled people, in general. Newspapers are one form of media that sets agendas and influences public opinion. Many studies have highlighted problematic aspects of parasport and para-athlete coverage in newspapers. Paratriathlon was one of two new events added to the Paralympics in Rio 2016, which increased its visibility in the public domain. We investigated the coverage of paratriathlon and paratriathletes in 300 Canadian newspapers using the ProQuest database Canadian Newsstream as a source, and utilizing a descriptive quantitative and a qualitative thematic content analysis. The main themes evident in the reporting on paratriathlon and paratriathletes, in the three hundred Canadian newspapers we covered, were the supercrip imagery of the para-athlete, personal stories mostly linked to the supercrip imagery, and the theme of able-bodied athletes in juxtaposition to the para-athletes. Using the lens of the four legacy goals of the International Paralympic Committee, we conclude that our findings are detrimental to the fulfillment of the four legacy goals.

scholarly journals Sadness, despair and anger when a patient dies alone from COVID-19: A thematic content analysis of Twitter data from bereaved family members and friends

2021 ◽  
pp. 026921632110170
Author(s):  
Lucy E Selman ◽  
Charlotte Chamberlain ◽  
Ryann Sowden ◽  
Davina Chao ◽  
Daniel Selman ◽  
...  
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
End Of Life ◽  
English Language ◽  
Qualitative Content Analysis ◽  
Care Providers ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
Twitter Data ◽  
Health And Social Care

Background: To inform clinical practice and policy, it is essential to understand the lived experience of health and social care policies, including restricted visitation policies towards the end of life. Aim: To explore the views and experiences of Twitter social media users who reported that a relative, friend or acquaintance died of COVID-19 without a family member/friend present. Design: Qualitative content analysis of English-language tweets. Data sources: Twitter data collected 7–20th April 2020. A bespoke software system harvested selected publicly-available tweets from the Twitter application programming interface. After filtering we hand-screened tweets to include only those referring to a relative, friend or acquaintance who died alone of COVID-19. Data were analysed using thematic content analysis. Results: 9328 tweets were hand-screened; 196 were included. Twitter users expressed sadness, despair, hopelessness and anger about their experience and loss. Saying goodbye via video-conferencing technology was viewed ambivalently. Clinicians’ presence during a death was little consolation. Anger, frustration and blame were directed at governments’ inaction/policies or the public. The sadness of not being able to say goodbye as wished was compounded by lack of social support and disrupted after-death rituals. Users expressed a sense of political neglect/mistreatment alongside calls for action. They also used the platform to reinforce public health messages, express condolences and pay tribute. Conclusion: Twitter was used for collective mourning and support and to promote public health messaging. End-of-life care providers should facilitate and optimise contact with loved ones, even when strict visitation policies are necessary, and provide proactive bereavement support.

scholarly journals Informatics and Data Analytics to Support Exposome-Based Discovery for Public Health

2017 ◽  
Vol 38 (1) ◽  
pp. 279-294 ◽  
Author(s):  
Arjun K. Manrai ◽  
Yuxia Cui ◽  
Pierre R. Bushel ◽  
Molly Hall ◽  
Spyros Karakitsios ◽  
...  
Keyword(s):  
Public Health ◽  
Data Analytics ◽  
Public Health Research ◽  
Public Health Genomics ◽  
Public Health Community ◽  
Human Genomics ◽  
The Public ◽  
Health Community ◽  
Genomics Research ◽  
Data Ecosystem

The complexity of the human exposome—the totality of environmental exposures encountered from birth to death—motivates systematic, high-throughput approaches to discover new environmental determinants of disease. In this review, we describe the state of science in analyzing the human exposome and provide recommendations for the public health community to consider in dealing with analytic challenges of exposome-based biomedical research. We describe extant and novel analytic methods needed to associate the exposome with critical health outcomes and contextualize the data-centered challenges by drawing parallels to other research endeavors such as human genomics research. We discuss efforts for training scientists who can bridge public health, genomics, and biomedicine in informatics and statistics. If an exposome data ecosystem is brought to fruition, it will likely play a role as central as genomic science has had in molding the current and new generations of biomedical researchers, computational scientists, and public health research programs.

scholarly journals What arguments and from whom are most influential in shaping public health policy: thematic content analysis of responses to a public consultation on the regulation of television food advertising to children in the UK

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e028221 ◽  
Author(s):  
Ahmed Razavi ◽  
J Adams ◽  
Martin White
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Health Policy ◽  
Public Health Policy ◽  
Television Advertising ◽  
Public Consultation ◽  
Food Advertising ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
Advertising To Children

ObjectivesWe explore one aspect of the decision making process—public consultation on policy proposals by a national regulatory body—aiming to understand how public health policy development is influenced by different stakeholders.DesignWe used thematic content analysis to explore responses to a national consultation on the regulation of television advertising of foods high in fat, salt and sugar aimed at children.SettingUK.Results139 responses from key stakeholder groups were analysed to determine how they influenced the regulator’s initial proposals for advertising restrictions. The regulator’s priorities were questioned throughout the consultation process by public health stakeholders. The eventual restrictions implemented were less strict in many ways than those originally proposed. These changes appeared to be influenced most by commercial, rather than public health, stakeholders.ConclusionsPublic health policy making appears to be considered as a balance between commercial and public health interests. Tactics such as the questioning and reframing of scientific evidence may be used. In this example, exploring the development of policy regulating television food advertising to children, commercial considerations appear to have led to a watering down of initial regulatory proposals, with proposed packages not including the measures public health advocates considered to be the most effective. This seems likely to have compromised the ultimate public health effectiveness of the regulations eventually implemented.

scholarly journals Exploring the roles and contributions of industrial psychologists in South Africa against a multi-dimensional conceptual framework (part 2)

2007 ◽  
Vol 33 (2) ◽  
Author(s):  
Graeme Barnard ◽  
Linda Fourie
Keyword(s):  
South Africa ◽  
Content Analysis ◽  
Conceptual Framework ◽  
Professional Roles ◽  
Structured Interviews ◽  
Thematic Content Analysis ◽  
Thematic Content

The study was undertaken to explore the professional roles and contributions of industrial psychologists in South Africa. Semi-structured interviews were conducted among 23 registered psychologists to gain their views on the roles and contributions within each of the dimensions of a conceptual framework of organisational success developed earlier. A process of analytical induction, supported by thematic content analysis, revealed a range of generic roles yet specific industrial psychological contributions. The implications of the findings for the development of academic curricula, the establishment of clarity among industrial psychologists and the fostering of awareness in organisations regarding the value of these professionals are discussed.

scholarly journals Building Sustainable Rural Age-Friendly Communities: Grassroots Perspectives

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 698-698
Author(s):  
Patricia Oh
Keyword(s):  
Content Analysis ◽  
Rural Communities ◽  
Community Engagement ◽  
Local Knowledge ◽  
Peer To Peer ◽  
Effect Change ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
Technical Advice ◽  
Rural Work

Abstract Joining the AARP Network of Age-Friendly States and Communities does not make a community age-friendly; the age-friendly team must cultivate community engagement, develop collaborations with diverse stakeholders, mobilize resources, and document achievements. Little research describes the tools age-friendly rural communities use to effect change and develop sustainability. Thematic content analysis of 67 interviews conducted between December 09, 2018 and January 24, 2020 with age-friendly leaders in rural Maine communities suggested that peer-to-peer networking, privileging local knowledge, engaging local and regional partners, technical advice from a trusted source, and fun were among the tools used to move age-friendly rural work forward.

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