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https://www.readbyqxmd.com/read/28545307/examining-occupational-health-and-safety-vulnerability-among-canadian-workers-with-disabilities
#1
F Curtis Breslin, A Morgan Lay, Arif Jetha, Peter Smith
OBJECTIVE: To compare workers with and without disabilities on their reported workplace hazard exposure and the presence of occupational health and safety vulnerability factors. METHODS: Working-aged adults in Ontario or British Columbia were recruited to participate in a cross-sectional survey (n = 1988). Self-reported measures included demographic factors, work-related variables, perceived level of activity limitation at work, and presence of work safety vulnerability factors utilizing a novel framework...
May 26, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28486980/task-shifting-of-triage-to-peer-expert-informal-care-providers-at-a-tertiary-referral-hiv-clinic-in-malawi-a-cross-sectional-operational-evaluation
#2
Megan Landes, Courtney Thompson, Edson Mwinjiwa, Edith Thaulo, Chrissie Gondwe, Harriet Akello, Adrienne K Chan
BACKGROUND: HIV treatment models in Africa are labour intensive and require a high number of skilled staff. In this context, task-shifting is considered a feasible alternative for ART service delivery. In 2006, a lay health cadre of expert patients (EPs) at a tertiary referral HIV clinic in Zomba, Malawi was capacitated. There are few evaluations of EP program efficacy in this setting. Triage is the process of prioritizing patients in terms of the severity of their condition and ensures that no harmful delays occur to treatment and care...
May 9, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28482899/improving-access-to-health-care-amongst-vulnerable-populations-a-qualitative-study-of-village-malaria-workers-in-kampot-cambodia
#3
Marco Liverani, Chea Nguon, Ra Sok, Daro Kim, Panharith Nou, Sokhan Nguon, Shunmay Yeung
BACKGROUND: There is growing interest in the expansion of community health workers programmes in low- and middle-income countries as a cost-effective approach to address shortages of health professionals. However, our understanding of the reception of large-scale programmes and how to improve them remains limited, with knowledge gaps about factors that may promote or discourage equitable access to services. This paper examines the case of the Village Malaria Workers (VMW) programme in Cambodia, an extensive community-based intervention for the management of malaria cases in remote rural areas...
May 8, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28456615/a-pilot-study-of-trabajadora-de-salud-a-lay-health-worker-intervention-for-latinas-os-with-traumatic-brain-injuries-and-their-caregivers
#4
Kristen F Linton, Bum Jung Kim
BACKGROUND: Latinas/os with traumatic brain injuries (TBIs) and their caregivers experience worse outcomes than others. OBJECTIVE: The study aimed to assess the acceptability and promise of Trabajadora de Salud on the functional abilities, hospital readmission, rehabilitation, employment, depression, somatic symptoms, and caregiver burden among Latinas/os with TBIs and their caregivers. METHODS: A pre-posttest experimental pilot study was conducted...
April 21, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/28436276/should-trained-lay-providers-perform-hiv-testing-a-systematic-review-to-inform-world-health-organization-guidelines
#5
C E Kennedy, P T Yeh, C Johnson, R Baggaley
New strategies for HIV testing services (HTS) are needed to achieve UN 90-90-90 targets, including diagnosis of 90% of people living with HIV. Task-sharing HTS to trained lay providers may alleviate health worker shortages and better reach target groups. We conducted a systematic review of studies evaluating HTS by lay providers using rapid diagnostic tests (RDTs). Peer-reviewed articles were included if they compared HTS using RDTs performed by trained lay providers to HTS by health professionals, or to no intervention...
April 24, 2017: AIDS Care
https://www.readbyqxmd.com/read/28425023/challenges-and-opportunities-in-global-mental-health-a-research-to-practice-perspective
#6
REVIEW
Milton L Wainberg, Pamela Scorza, James M Shultz, Liat Helpman, Jennifer J Mootz, Karen A Johnson, Yuval Neria, Jean-Marie E Bradford, Maria A Oquendo, Melissa R Arbuckle
PURPOSE OF REVIEW: Globally, the majority of those who need mental health care worldwide lack access to high-quality mental health services. Stigma, human resource shortages, fragmented service delivery models, and lack of research capacity for implementation and policy change contribute to the current mental health treatment gap. In this review, we describe how health systems in low- and middle-income countries (LMICs) are addressing the mental health gap and further identify challenges and priority areas for future research...
May 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/28407262/lay-worker-health-literacy-a-concept-analysis-and-operational-definition
#7
Kathleen Paco Cadman
The concept of lay worker health literacy is created by concurrently analyzing and synthesizing two intersecting concepts, lay workers and health literacy. Articulation of this unique intersection is the result of implementing a simplified Wilson's Concept Analysis Procedure. This process incorporates the following components: a) selecting a concept, b) determining the aims/purposes of analysis, c) identifying all uses of the concept, d) determining defining attributes, e) identifying a model case, f) identifying borderline, related, contrary, and illegitimate cases, g) identifying antecedents and consequences, and h) defining empirical referents...
April 13, 2017: Nursing Forum
https://www.readbyqxmd.com/read/28400954/increasing-use-of-mental-health-services-in-remote-areas-using-mobile-technology-a-pre-post-evaluation-of-the-smart-mental-health-project-in-rural-india
#8
Pallab K Maulik, Sudha Kallakuri, Siddhardha Devarapalli, Vamsi Krishna Vadlamani, Vivekanand Jha, Anushka Patel
BACKGROUND: About 25% of the Indian population experience common mental disorders (CMD) but only 15-25% of them receive any mental health care. Stigma, lack of adequate mental health professionals and mental health services account for this treatment gap, which is worse in rural areas. Our project evaluated task shifting and mobile-technology based electronic decision support systems to enhance the ability of primary care health workers to provide evidence-based mental health care for stress, depression, and suicidal risk in 30 remote villages in the state of Andhra Pradesh, India...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28400951/contribution-of-community-health-workers-to-improving-access-to-timely-and-appropriate-case-management-of-childhood-fever-in-mozambique
#9
Tanya Guenther, Salim Sadruddin, Karen Finnegan, Erica Wetzler, Fatima Ibo, Paulo Rapaz, Jeanne Koepsell, Ibad Ul Haque Khan, Agbessi Amouzou
BACKGROUND: Large scale evaluations in several settings have demonstrated that lay community health workers can be trained to provide quality case management of childhood illnesses. In 2010, Mozambique introduced the integrated community case management (iCCM) strategy to reach children in remote areas with care provided through Agentes Polivalentes Elementares (APEs). We assessed the contribution of the program to improved care-seeking and appropriate treatment of childhood febrile illness in Nampula Province...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28399952/reducing-the-treatment-gap-for-mental-neurological-and-substance-use-disorders-in-africa-lessons-from-the-friendship-bench-in-zimbabwe
#10
D Chibanda
Mental, neurological and substance use disorders (MNS) are a leading cause of disability in Africa. In response to the large treatment gap for MNS, a growing body of evidence-based treatments (EBTs) is emerging from Africa; however, there is a dearth of knowledge on how to scale up EBT. The Friendship Bench intervention is a brief psychological treatment delivered through the primary health care system in Zimbabwe by trained lay health workers. It has contributed significantly towards narrowing the treatment gap for common mental disorders in Zimbabwe where it has been scaled up to over 70 primary health care facilities...
April 12, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28393741/impact-and-acceptability-of-lay-health-trainer-led-lifestyle-interventions-delivered-in-primary-care-a-mixed-method-study
#11
Shelina Visram
Aim To evaluate the impact and acceptability of offering one-to-one lifestyle interventions delivered by lay health trainers in the primary care setting. BACKGROUND: Chronic conditions represent major causes of ill-health, avoidable disability, pain and anxiety, and tend to be more prevalent in less affluent groups. This is due, in part, to the link between unhealthy lifestyles and lower socio-economic status, although factors such as poverty, worklessness and social exclusion play a larger role...
April 10, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28370767/insiders-and-incomers-how-lay-public-health-workers-knowledge-might-improve-public-health-practice
#12
Heather Yoeli, Mima Cattan
Since 2005, health trainers and other lay public health workers (LPHWs) have been increasingly active in the UK. Although elsewhere in the world LPHWs are expected to come from the communities within which they work and know that their knowledge is valued, neither is the case for LPHWs in the UK. This study sought to discover the lay knowledge of health trainers and other LPHWs, aiming to ascertain how this knowledge might more effectively be utilised within UK public health services. This paper describes a participatory and ethnographic case study research project undertaken on an anonymised urban estate in North East England...
March 28, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28353007/clarifying-values-and-preferences-for-care-near-the-end-of-life-the-role-of-a-new-lay-workforce
#13
Debra K Litzelman, Thomas S Inui, Kathleen M Schmitt-Wendholt, Anthony Perkins, Wilma J Griffin, Ann H Cottingham, Steven S Ivy
Community health workers (CHWs) can engage elderly persons in advance care planning (ACP) conversations. We report how trained CHWs used Go Wish cards (GW (R) cards) to identify patients' highest priority preferences and evaluated whether engaging in ACP conversations was associated with subsequent health care utilization. A one-year long, pre-post longitudinal design was used to evaluate our educational intervention using mixed-methods. 392 patients (mean of 73.3 years, 82% women, 48% African American, 43% Caucasian) enrolled in the Aging Brain Care (ABC) program and participated in ACP discussions with CHWs...
March 28, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28351344/why-do-women-choose-an-unregulated-birth-worker-to-birth-at-home-in-australia-a-qualitative-study
#14
Elizabeth Christine Rigg, Virginia Schmied, Kath Peters, Hannah Grace Dahlen
BACKGROUND: In Australia the choice to birth at home is not well supported and only 0.4% of women give birth at home with a registered midwife. Recent changes to regulatory requirements for midwives have become more restrictive and there is no insurance product that covers private midwives for intrapartum care at home. Freebirth (planned birth at home with no registered health professional) with an unregulated birth worker who is not a registered midwife or doctor (e.g. Doula, ex-midwife, lay midwife etc...
March 28, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28330379/patient-self-defined-goals
#15
Sandra Ellen Schellinger, Eric Worden Anderson, Monica Schmitz Frazer, Cindy Lynn Cain
This research, a descriptive qualitative analysis of self-defined serious illness goals, expands the knowledge of what goals are important beyond the physical-making existing disease-specific guidelines more holistic. Integration of goals of care discussions and documentation is standard for quality palliative care but not consistently executed into general and specialty practice. Over 14 months, lay health-care workers (care guides) provided monthly supportive visits for 160 patients with advanced heart failure, cancer, and dementia expected to die in 2 to 3 years...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/28322881/the-cost-of-implementing-two-small-media-interventions-to-promote-hpv-vaccination
#16
Siddharth S Karanth, David R Lairson, Danmeng Huang, Lara S Savas, Sally W Vernon, María E Fernández
OBJECTIVE: To estimate the cost of implementing lay health worker delivered print-based photonovella intervention and iPad-based tailored interactive multimedia intervention (TIMI) to promote Human Papillomavirus (HPV) vaccine uptake and completion among Hispanic parents of daughters 9-17years old. METHODS: We recruited 301 participants in control, 422 in photonovella, and 239 in TIMI clinics. Intervention costs were estimated using micro-costing from the societal perspective...
March 18, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28321400/toward-elimination-of-dog-mediated-human-rabies-experiences-from-implementing-a-large-scale-demonstration-project-in-southern-tanzania
#17
Emmanuel Abraham Mpolya, Tiziana Lembo, Kennedy Lushasi, Rebecca Mancy, Eberhard M Mbunda, Selemani Makungu, Matthew Maziku, Lwitiko Sikana, Gurdeep Jaswant, Sunny Townsend, François-Xavier Meslin, Bernadette Abela-Ridder, Chanasa Ngeleja, Joel Changalucha, Zacharia Mtema, Maganga Sambo, Geofrey Mchau, Kristyna Rysava, Alphoncina Nanai, Rudovick Kazwala, Sarah Cleaveland, Katie Hampson
A Rabies Elimination Demonstration Project was implemented in Tanzania from 2010 through to 2015, bringing together government ministries from the health and veterinary sectors, the World Health Organization, and national and international research institutions. Detailed data on mass dog vaccination campaigns, bite exposures, use of post-exposure prophylaxis (PEP), and human rabies deaths were collected throughout the project duration and project areas. Despite no previous experience in dog vaccination within the project areas, district veterinary officers were able to implement district-wide vaccination campaigns that, for most part, progressively increased the numbers of dogs vaccinated with each phase of the project...
2017: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/28291302/psychosocial-group-interventions-to-improve-psychological-well-being-in-adults-living-with-hiv
#18
REVIEW
Ingrid van der Heijden, Naeemah Abrahams, David Sinclair
BACKGROUND: Being diagnosed with human immunodeficiency virus (HIV), and labelled with a chronic, life-threatening, and often stigmatizing disease, can impact on a person's well-being. Psychosocial group interventions aim to improve life-functioning and coping as individuals adjust to the diagnosis. OBJECTIVES: To examine the effectiveness of psychosocial group interventions for improving the psychological well-being of adults living with HIV/AIDS. SEARCH METHODS: We searched the following electronic databases up to 14 March 2016: the Cochrane Central Register of Controlled Trials (CENTRAL) published in the Cochrane Library (Issue 2, 2016), PubMed (MEDLINE) (1996 to 14 March 2016), Embase (1996 to 14 March 2016), and Clinical Trials...
March 14, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28274245/identifying-barriers-to-and-facilitators-of-tuberculosis-contact-investigation-in-kampala-uganda-a-behavioral-approach
#19
Irene Ayakaka, Sara Ackerman, Joseph M Ggita, Phoebe Kajubi, David Dowdy, Jessica E Haberer, Elizabeth Fair, Philip Hopewell, Margaret A Handley, Adithya Cattamanchi, Achilles Katamba, J Lucian Davis
BACKGROUND: The World Health Organization recommends routine household tuberculosis contact investigation in high-burden countries but adoption has been limited. We sought to identify barriers to and facilitators of TB contact investigation during its introduction in Kampala, Uganda. METHODS: We collected cross-sectional qualitative data through focus group discussions and interviews with stakeholders, addressing three core activities of contact investigation: arranging household screening visits through index TB patients, visiting households to screen contacts and refer them to clinics, and evaluating at-risk contacts coming to clinics...
March 9, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28264943/innovative-home-visit-models-associated-with-reductions-in-costs-hospitalizations-and-emergency-department-use
#20
Sarah Ruiz, Lynne Page Snyder, Christina Rotondo, Caitlin Cross-Barnet, Erin Murphy Colligan, Katherine Giuriceo
While studies of home-based care delivered by teams led by primary care providers have shown cost savings, little is known about outcomes when practice-extender teams-that is, teams led by registered nurses or lay health workers-provide home visits with similar components (for example, care coordination and education). We evaluated findings from five models funded by Health Care Innovation Awards of the Centers for Medicare and Medicaid Services. Each model used a mix of different components to strengthen connections to primary care among fee-for-service Medicare beneficiaries with multiple chronic conditions; these connections included practice-extender home visits...
March 1, 2017: Health Affairs
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