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An aphasia research agenda – a consensus statement from the collaboration of aphasia trialists
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In: Research outputs 2014 to 2021 (2022)
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Survey on Deaf British Sign Language (BSL) Users’ Experiences of adult NHS Hearing Aid Clinics in England ...
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Differences in Narrative Language in Evaluations of Medical Students by Gender and Under-represented Minority Status.
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In: Journal of general internal medicine, vol 34, iss 5 (2019)
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Using participatory design methodologies to co-design and culturally adapt the Spanish version of the Mental Health eClinic: Qualitative study
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In: Medical Papers and Journal Articles (2019)
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Abstract:
Background: The Mental Health eClinic (MHeC) aims to deliver best-practice clinical services to young people experiencing mental health problems by making clinical care accessible, affordable, and available to young people whenever and wherever they need it most. The original MHeC consists of home page with a visible triage system for those requiring urgent help; a online physical and mental health self-report assessment; a results dashboard; a booking and videoconferencing system; and the generation of a personalized well-being plan. Populations who do not speak English and reside in English-speaking countries are less likely to receive mental health care. In Australia, international students have been identified as disadvantaged compared with their peers; have weaker social support networks; and have higher rates of psychological distress. This scenario is acquiring significant relevance as Spanish-speaking migration is rapidly growing in Australia, and the mental health services for culturally and linguistically diverse populations are limited. Having a Spanish version (MHeC-S) of the Mental Health eClinic would greatly benefit these students. Objective: We used participatory design methodologies with users (young people aged 16-30 years, supportive others, and health professionals) to (1) conduct workshops with users to co-design and culturally adapt the MHeC; (2) inform the development of the MHeC-S alpha prototype; (3) test the usability of the MHeC-S alpha prototype; (4) translate, culturally adapt, and face-validate the MHeC-S self-report assessment; and (5) collect information to inform its beta prototype. Methods: A research and development cycle included several participatory design phases: co-design workshops; knowledge translation; language translation and cultural adaptation; and rapid prototyping and user testing of the MHeC-S alpha prototype. Results: We held 2 co-design workshops with 17 users (10 young people, 7 health professionals). A total of 15 participated in the one-on-one user testing sessions (7 young people, 5 health professionals, 3 supportive others). We collected 225 source documents, and thematic analysis resulted in 5 main themes (help-seeking barriers, technology platform, functionality, content, and user interface). A random sample of 106 source documents analyzed by 2 independent raters revealed almost perfect agreement for functionality (kappa=.86; P<.001) and content (kappa=.92; P<.001) and substantial agreement for the user interface (kappa=.785; P<.001). In this random sample, no annotations were coded for help-seeking barriers or the technology platform. Language was identified as the main barrier to getting medical or psychological services, and smartphones were the most-used device to access the internet. Acceptability was adequate for the prototype’s 5 main elements: home page and triage system, self-report assessment, dashboard of results, booking and video visit system, and personalized well-being plan. The data also revealed gaps in the alpha prototype, such as the need for tailored assessment tools and a greater integration with Spanish-speaking services and communities. Spanish-language apps and e-tools, as well as online mental health information, were lacking. Conclusions: Through a research and development process, we co-designed and culturally adapted, developed and user tested, and evaluated the MHeC-S. By translating and culturally adapting the MHeC to Spanish, we aimed to increase accessibility and availability of e-mental health care in the developing world, and assist vulnerable populations that have migrated to English-speaking countries.
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Keyword:
community-based participatory research; eHealth; ethnic groups; Hispanics; Latinos; medical informatics; Medicine and Health Sciences; mental health; quality of health care; telemedicine; transients and migrants
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URL: https://researchonline.nd.edu.au/cgi/viewcontent.cgi?article=2076&context=med_article
https://researchonline.nd.edu.au/med_article/1073
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Improving feedback by using first-person video during the emergency medicine clerkship.
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Improving feedback by using first-person video during the emergency medicine clerkship.
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The next forum for unraveling FDA off-label marketing rules: State and federal legislatures
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Public Health and Disasters: An Emerging Translational and Implementation Science, Not "Lessons Learned".
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In: Disaster medicine and public health preparedness, vol 11, iss 5 (2017)
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| 9 |
Implementation of the National Partnership for Action to End Health Disparities: A Three-Year Retrospective
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Espinosa, Oscar; Coffee-Borden, MPP, Brandon Coffee-Borden, MPP; Bakos, PhD, MPH, RN, Alexis Bakos, PhD, MPH, RN, D....
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In: Journal of Health Disparities Research and Practice (2017)
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The Guide to Community Preventive Services Review of Interventions to Promote Health Equity in the United States
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In: Journal of Health Disparities Research and Practice (2017)
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| 11 |
Achieving Health Equity for Indian Country
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In: Journal of Health Disparities Research and Practice (2017)
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An Assessment of Funding and Other Capacity Needs for Health Equity Programming Within State-Level Chronic Disease Programs
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In: Journal of Health Disparities Research and Practice (2017)
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Rhode Island’s Health Equity Zones: Addressing Local Problems with Local Solutions
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In: Journal of Health Disparities Research and Practice (2017)
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A Roundtable on Cross-Sector Collaboration and Resource Alignment for Health Equity: Meeting Summary
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In: Journal of Health Disparities Research and Practice (2017)
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| 15 |
Improving Access and Utilization of Data to Support Research and Programs Intended to Eliminate Disparities and Promote Health Equity
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In: Journal of Health Disparities Research and Practice (2017)
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| 16 |
Many Hands Make Light Work: Crowdsourced Ratings of Medical Student OSCE Performance
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In: Graduate Theses and Dissertations (2017)
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| 17 |
Modeling the Effect of Olivocochlear Efferents on the Subcortical Envelope Following Response in Humans
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Elucidating the Expression Profile of EZH2 Isoforms in Endometriosis: An immunohistochemical study
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In: Journal of Health Disparities Research and Practice (2016)
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Igniting Passion for Science Across a Vast Ocean: Nurturing a New Generation of Pacific Island Scientists
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In: Journal of Health Disparities Research and Practice (2016)
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Traditional Foods: Impacting Type 2 Diabetes for Menominee People
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In: Journal of Health Disparities Research and Practice (2016)
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