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Partners in Diabetes: Action research in a primary care setting
In: Action research, Volume 5, Issue 4, p. 378-406
ISSN: 1741-2617
Diabetes is a growing problem that threatens both individual health and health care systems throughout the industrialized world. This study analyzes the process and evolution of a collaborative project dealing with diabetes and employing action research methodology and the Citizen Health Care model. Partners in Diabetes (PID) was created through a democratic process among patients, families and providers in a primary care setting in the United States. Fourteen PID `support partners' were nominated by their physicians to receive training and then reach out to other patients and families across a variety of contexts (e.g. home, clinic, telephone). We conducted qualitative analyses of detailed meeting process-notes spanning more than three years, and key-informant interviews with providers, patients and family members. We identified key developmental themes, including how providers and patients learned to overcome traditional hierarchy, how PID was designed and implemented, what challenges were encountered and what mistakes were made. Lessons for extending similar projects are highlighted.
Using Community‐Based Participatory Research (CBPR) to Target Health Disparities in Families
In: Family relations, Volume 58, Issue 4, p. 475-488
ISSN: 1741-3729
Community‐based participatory research (CBPR) is an action research approach that emphasizes collaborative partnerships between community members, community organizations, health care providers, and researchers to generate knowledge and solve local problems. Although relatively new to the field of family social science, family and health researchers have been using CBPR for over a decade. This paper introduces CBPR methods, illustrates the usefulness of CBPR methods in families and health research, describes two CBPR projects related to diabetes, and concludes with lessons learned and strengths and weaknesses of CBPR.
Adoptive Couples: Communication and Changes Made in Openness Levels
In: Family relations, Volume 45, Issue 2, p. 223
ISSN: 1741-3729
A Pain to Practice: Attitudes of Medical Family Therapists Working With Patients With Opioid Use Disorder
In: The American journal of family therapy: AJFT, Volume 45, Issue 3, p. 163-174
ISSN: 1521-0383
Backing the Blue: Trauma in Law Enforcement Spouses and Couples
In: Family relations, Volume 69, Issue 2, p. 308-319
ISSN: 1741-3729
ObjectiveTo explore the lived experiences of secondary trauma among partners of law enforcement professionals (LEPs).BackgroundStress is a common occurrence for LEPs. Although research suggests that LEPs are directly affected by trauma exposure, few studies focus on the secondary trauma of partners or spouses of LEPs.MethodUtilizing transcendental phenomenological inquiry, in‐depth qualitative interviews were conducted with a purposeful sample of eight spouses of law enforcement recruited from community groups and police departments.ResultsThe results revealed three overarching themes of how participants experienced being partnered with an LEP: (a) types of trauma exposure, (b) the ripple impact of trauma, and (c) strength of couples and how they cope with trauma.ConclusionFindings suggest that spouses are both affected by trauma and serve a supportive role to LEPs following trauma exposure. Because secondary trauma can exacerbate existing difficulties in communication and emotional intimacy within couples' relationships, a greater understanding of the impact of trauma on law enforcement couples may lead to greater resources to help support couples wherein one individual is directly exposed to work‐related trauma.ImplicationsFamily professionals should promote healthy responses and coping among law enforcement couples following exposure to traumatic events.
Adolescents' Satisfaction with Contact in Adoption
In: Child & adolescent social work journal, Volume 21, Issue 2, p. 175-190
ISSN: 1573-2797
Elective surgery cancellations due to the COVID-19 pandemic. Global predictive modelling to inform surgical recovery plans
Background: The COVID-19 pandemic has disrupted routine hospital services globally. This study estimated the total number of adult elective operations that would be cancelled worldwide during the 12 weeks of peak disruption due to COVID-19. Methods: A global expert response study was conducted to elicit projections for the proportion of elective surgery that would be cancelled or postponed during the 12 weeks of peak disruption. A Bayesian β-regression model was used to estimate 12-week cancellation rates for 190 countries. Elective surgical case-mix data, stratified by specialty and indication (surgery for cancer versus benign disease), were determined. This case mix was applied to country-level surgical volumes. The 12-week cancellation rates were then applied to these figures to calculate the total number of cancelled operations. Results: The best estimate was that 28 404 603 operations would be cancelled or postponed during the peak 12 weeks of disruption due to COVID-19 (2 367 050 operations per week). Most would be operations for benign disease (90·2 per cent, 25 638 922 of 28 404 603). The overall 12-week cancellation rate would be 72·3 per cent. Globally, 81·7 per cent of operations for benign conditions (25 638 922 of 31 378 062), 37·7 per cent of cancer operations (2 324 070 of 6 162 311) and 25·4 per cent of elective caesarean sections (441 611 of 1 735 483) would be cancelled or postponed. If countries increased their normal surgical volume by 20 per cent after the pandemic, it would take a median of 45 weeks to clear the backlog of operations resulting from COVID-19 disruption. Conclusion: A very large number of operations will be cancelled or postponed owing to disruption caused by COVID-19. Governments should mitigate against this major burden on patients by developing recovery plans and implementing strategies to restore surgical activity safely.
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