125 results on '"Driedger, S. Michelle"'
Search Results
102. Using participatory design to develop (public) health decision support systems through GIS
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Driedger, S. Michelle, Kothari, Anita, Morrison, Jason, Sawada, Michael, Crighton, Eric J, and Graham, Ian D
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Ontario ,Information Dissemination ,Information Management ,Research ,Business, Management and Accounting(all) ,Child Health Services ,Community Participation ,Reproducibility of Results ,Community Health Planning ,Child Development ,Child, Preschool ,Organizational Case Studies ,Geographic Information Systems ,Decision Support Systems, Management ,Humans ,Program Development ,Public Health Administration ,Computer Science(all) - Abstract
Background Organizations that collect substantial data for decision-making purposes are often characterized as being 'data rich' but 'information poor'. Maps and mapping tools can be very useful for research transfer in converting locally collected data into information. Challenges involved in incorporating GIS applications into the decision-making process within the non-profit (public) health sector include a lack of financial resources for software acquisition and training for non-specialists to use such tools. This on-going project has two primary phases. This paper critically reflects on Phase 1: the participatory design (PD) process of developing a collaborative web-based GIS tool. Methods A case study design is being used whereby the case is defined as the data analyst and manager dyad (a two person team) in selected Ontario Early Year Centres (OEYCs). Multiple cases are used to support the reliability of findings. With nine producer/user pair participants, the goal in Phase 1 was to identify barriers to map production, and through the participatory design process, develop a web-based GIS tool suited for data analysts and their managers. This study has been guided by the Ottawa Model of Research Use (OMRU) conceptual framework. Results Due to wide variations in OEYC structures, only some data analysts used mapping software and there was no consistency or standardization in the software being used. Consequently, very little sharing of maps and data occurred among data analysts. Using PD, this project developed a web-based mapping tool (EYEMAP) that was easy to use, protected proprietary data, and permit limited and controlled sharing between participants. By providing data analysts with training on its use, the project also ensured that data analysts would not break cartographic conventions (e.g. using a chloropleth map for count data). Interoperability was built into the web-based solution; that is, EYEMAP can read many different standard mapping file formats (e.g. ESRI, MapInfo, CSV). Discussion Based on the evaluation of Phase 1, the PD process has served both as a facilitator and a barrier. In terms of successes, the PD process identified two key components that are important to users: increased data/map sharing functionality and interoperability. Some of the challenges affected developers and users; both individually and as a collective. From a development perspective, this project experienced difficulties in obtaining personnel skilled in web application development and GIS. For users, some data sharing barriers are beyond what a technological tool can address (e.g. third party data). Lastly, the PD process occurs in real time; both a strength and a limitation. Programmatic changes at the provincial level and staff turnover at the organizational level made it difficult to maintain buy-in as participants changed over time. The impacts of these successes and challenges will be evaluated more concretely at the end of Phase 2. Conclusion PD approaches, by their very nature, encourage buy-in to the development process, better addresses user-needs, and creates a sense of user-investment and ownership.
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- 2007
103. Using linking systems to build capacity and enhance dissemination in heart health promotion: a Canadian multiple-case study
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Robinson, Kerry, primary, Elliott, Susan J., additional, Driedger, S. Michelle, additional, Eyles, John, additional, O'Loughlin, Jennifer, additional, Riley, Barb, additional, Cameron, Roy, additional, and Harvey, Dexter, additional
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- 2004
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104. Charting Uncertainty in Science-Policy Discourses: The Construction of the Chlorinated Drinking-Water Issue and Cancer
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Driedger, S Michelle, primary and Eyles, John, additional
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- 2003
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105. Constructing Scientific Authorities: Issue Framing of Chlorinated Disinfection Byproducts in Public Health
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Driedger, S. Michelle, primary, Eyles, John, additional, Elliott, Susan D., additional, and Cole, Donald C., additional
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- 2002
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106. Using Stories to Guide the Path for Policy and Organizational Change: Experiences from the Canadian Heart Health Initiative
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Driedger, S. Michelle, primary, Elliott, Susan J., additional, Robinson, Kerry, additional, and Eyles, John, additional
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- 2002
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107. The evolution of blame and trust: an examination of a Canadian drinking water contamination event.
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Driedger, S. Michelle, Mazur, Christine, and Mistry, Bhavnita
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CONTAMINATION of drinking water ,PUBLIC health administration ,POLITICAL trust (in government) ,HEALTH risk assessment - Abstract
Assigning ‘blame’ is a normal human reaction when trying to identify who or what was responsible for something going wrong. What was done, by whom, the extent of the damage, combined with the system in place to prevent a reoccurrence can influence short and long-term trust. Studies to date have examined how governments have handled large-scale public health disasters without necessarily taking a close look at the factors leading to blame and the potential role it plays in the loss of trust in government in the affected communities. This study examines the evolution of blame and restoration of trust by the public after a localized public health risk event, the contamination of drinking water supplies by E. coli bacteria in Walkerton, Ontario, Canada in May 2000. Data are drawn from an analysis of national media sources from May 2000 to December 2011 and focus group discussions with members of the general public in 10 select communities in Ontario. An evolution of blame was revealed in the data analysis: over time, members of the public directed blame from a more general scope to specific targets as information became available. Within a relatively short period of time, Walkerton residents appeared to lose trust in both their water supply and those who are supposed to protect it. By contrast, focus group participants had mixed reactions: at a surface level, they expressed a general loss of trust in ‘government,’ but when probed more deeply, they remained confident in the overall system of regulations to ensure public protection. Nonetheless, Walkerton has served to raise public expectations about food and drinking water issues. ‘Walkerton’ is frequently invoked when the potential exists for a ‘system’ failure and public health is put at risk. [ABSTRACT FROM AUTHOR]
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- 2014
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108. Understanding the interplay of factors informing vaccination behavior in three Canadian provinces.
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Boerner, Franziska, Keelan, Jennifer, Winton, Laura, Jardine, Cindy, and Driedger, S. Michelle
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- 2013
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109. PANDEMIC INFLUENZA: MODELLING AND PUBLIC HEALTH PERSPECTIVES.
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ARINO, JULIEN, BAUCH, CHRIS, BRAUER, FRED, DRIEDGER, S. MICHELLE, GREER, AMY L., MOGHADAS, SEYED M., PIZZI, NICK J., SANDER, BEATE, TUITE, ASHLEIGH, VAN DEN DRIESSCHE, P., WATMOUGH, JAMES, JIANHONG WU, and PING YAN
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- 2011
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110. Finding Common Ground in Team-Based Qualitative Research Using the Convergent Interviewing Method.
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Driedger, S. Michelle, Gallois, Cindy, Sanders, Carrie B., and Santesso, Nancy
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PUBLIC health research , *RESEARCH , *QUALITATIVE research , *INFORMATION services , *DATA analysis - Abstract
Research councils, agencies, and researchers recognize the benefits of team-based health research. However, researchers involved in large-scale team-based research projects face multiple challenges as they seek to identify epistemological and ontological common ground. Typically, these challenges occur between quantitative and qualitative researchers but can occur between qualitative researchers, particularly when the project involves multiple disciplinary perspectives. The authors use the convergent interviewing technique in their multidisciplinary research project to overcome these challenges. This technique assists them in developing common epistemological and ontological ground while enabling swift and detailed data collection and analysis. Although convergent interview big is a relatively new method described primarily in marketing research, it compares and contrasts well with grounded theory and other techniques. The authors argue that this process provides a rigorous method to structure and refine research projects and requires researchers to identify and be accountable for developing a common epistemological and ontological position. [ABSTRACT FROM AUTHOR]
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- 2006
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111. The more the better? A comparison of the information sources used by the public during two infectious disease outbreaks
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Jardine, Cynthia G., Boerner, Franziska U., Boyd, Amanda D., and Driedger, S. Michelle
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3. Good health - Abstract
Recent infectious disease outbreaks have resulted in renewed recognition of the importance of risk communication planning and execution to public health control strategies. Key to these efforts is public access to information that is understandable, reliable and meets their needs for informed decision-making on protective health behaviours. Learning from the trends in sources used in previous outbreaks will enable improvements in information access in future outbreaks. Two separate random-digit dialled telephone surveys were conducted in Alberta, Canada, to explore information sources used by the public, together with their perceived usefulness and credibility, during the 2003 Severe Acute Respiratory Syndrome (SARS) epidemic (n = 1209) and 2009–2010 H1N1 pandemic (n = 1206). Traditional mass media were the most used information sources in both surveys. Although use of the Internet increased from 25% during SARS to 56% during H1N1, overall use of social media was not as high as anticipated. Friends and relatives were commonly used as an information source, but were not deemed very useful or credible. Conversely, doctors and health professionals were considered credible, but not consulted as frequently. The use of five or more information sources increased by almost 60% between the SARS and H1N1 surveys. There was a shift to older, more educated and more affluent respondents between the surveys, most likely caused by a decrease in the use of landlines amongst younger Canadians. It was concluded that people are increasingly using multiple sources of health risk information, presumably in a complementary manner. Subsequently, although using online media is important, this should be used to augment rather than replace more traditional information channels. Efforts should be made to improve knowledge transfer to health care professionals and doctors and provide them with opportunities to be more accessible as information sources. Finally, the future use of telephone surveys needs to account for the changing demographics of the respondents accessed through such surveys.
112. "There's a little bit of mistrust": Red River Métis experiences of the H1N1 and COVID-19 pandemics.
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Driedger SM, Maier R, Capurro G, Jardine C, Tustin J, Chartrand F, Sanguins J, and Kloss O
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- Humans, Trust, SARS-CoV-2, Manitoba, Focus Groups, Risk Management, Male, Female, COVID-19 epidemiology, Influenza A Virus, H1N1 Subtype, Pandemics, Influenza, Human epidemiology
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We examined the perspectives of the Red River Métis citizens in Manitoba, Canada, during the H1N1 and COVID-19 pandemics and how they interpreted the communication of government/health authorities' risk management decisions. For Indigenous populations, pandemic response strategies play out within the context of ongoing colonial relationships with government institutions characterized by significant distrust. A crucial difference between the two pandemics was that the Métis in Manitoba were prioritized for early vaccine access during H1N1 but not for COVID-19. Data collection involved 17 focus groups with Métis citizens following the H1N1 outbreak and 17 focus groups during the COVID-19 pandemic. Métis prioritization during H1N1 was met with some apprehension and fear that Indigenous Peoples were vaccine-safety test subjects before population-wide distribution occurred. By contrast, as one of Canada's three recognized Indigenous nations, the non-prioritization of the Métis during COVID-19 was viewed as an egregious sign of disrespect and indifference. Our research demonstrates that both reactions were situated within claims that the government does not care about the Métis, referencing past and ongoing colonial motivations. Government and health institutions must anticipate this overarching colonial context when making and communicating risk management decisions with Indigenous Peoples. In this vein, government authorities must work toward a praxis of decolonization in these relationships, including, for example, working in partnership with Indigenous nations to engage in collaborative risk mitigation and communication that meets the unique needs of Indigenous populations and limits the potential for less benign-though understandable-interpretations., (© 2024 The Authors. Risk Analysis published by Wiley Periodicals LLC on behalf of Society for Risk Analysis.)
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- 2024
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113. Validity of dried blood spot testing for sexually transmitted and blood-borne infections: A narrative systematic review.
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Cholette F, Périnet S, Neufeld B, Bryson M, Macri J, Sibley KM, Kim J, Driedger SM, Becker ML, Sandstrom P, Meyers AFA, and Paquette D
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Testing for human immunodeficiency virus (HIV) and hepatitis C virus (HCV) using dried blood spot (DBS) specimens has been an integral part of bio-behavioural surveillance in Canada for almost two decades, though less is known regarding the use of DBS in surveillance of other sexually transmitted and blood-borne infections (STBBI). A systematic review was conducted using a peer-reviewed search strategy to assess the current evidence regarding the validity of STBBI testing using DBS specimens. Eligibility criteria included studies reporting use of DBS specimens for STBBI testing with either commercially available or "in-house" tests in populations 15 years of age or older. Studies reporting a measure of validity such as sensitivity, specificity, positive and negative predictive values were eligible for inclusion. Quality of studies and risk of bias were assessed using the QUADAS-2 tool. A total of 7,132 records were identified. Of these, 174 met the criteria for inclusion. Among the studies that reported validity measures, a substantial proportion demonstrated high sensitivity (≥90%) in 62.5% of cases (N = 334/534 sensitivity measurements), and high specificity (≥90%) was observed in 84.9% of instances (N = 383/451 specificity measurements). However, the quality of the studies varied greatly. Our findings support the validity of the use of DBS specimens in STBBI testing where sufficient evidence was available, but validity is highly dependent on thorough method development and validation., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Cholette et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2024
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114. Intersecting Inequities in COVID-19 Vaccination: A Discourse Analysis of Information Use and Decision-Making Among Ethnically Diverse Parents in Canada.
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Marfo EA, Manca T, Cha E, Aylsworth L, Driedger SM, Meyer SB, Pelletier C, Dubé È, and MacDonald SE
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Background: Little is known about how intersecting social privilege and disadvantage contribute to inequities in COVID-19 information use and vaccine access. This study explored how social inequities intersect to shape access to and use of COVID-19 information and vaccines among parents in Canada., Methods: We conducted semi-structured interviews on COVID-19 vaccination information use with ethnically diverse parents of children ages 11 to 18 years from April to August 2022. We purposefully invited parents from respondents to a national online survey to ensure representation across diverse intersecting social identities. Five researchers coded transcripts in NVivo using a discourse analysis approach informed by intersectionality. Our analysis focused on use of vaccine information and intersecting privileges and oppressions, including identifying with equity-denied group(s)., Results: Interview participants (N = 48) identified as ethnically diverse non-Indigenous (n = 40) and Indigenous (n = 8) Peoples from seven Canadian provinces. Racialized minority or Indigenous participants reflected on historical and contemporary events of racism from government and medical institutions as barriers to trust and access to COVID-19 information, vaccines, and the Canadian healthcare system. Participants with privileged social locations showed greater comfort in resisting public health measures. Despite the urgency to receive COVID-19 vaccines, information gaps and transportation barriers delayed vaccination among some participants living with chronic medical conditions., Conclusion: Historicization of colonialism and ongoing events of racism are a major barrier to trusting public health information. Fostering partnerships with trusted leaders and/or healthcare workers from racialized communities may help rebuild trust. Healthcare systems need to continuously implement strategies to restore trust with Indigenous and racialized populations., (© 2024. The Author(s).)
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- 2024
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115. We're here too: child health information-seeking experiences and preferences of Red River Métis families - a qualitative study.
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Knisley L, Driedger SM, Hartling L, Chartrand F, Sanguins J, and Scott SD
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- Child, Humans, Aged, Parents, Qualitative Research, Canada, Information Seeking Behavior, Child Health
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Background: Red River Métis families need access to meaningful and appropriate resources when their children are sick. At the invitation of the Manitoba Métis Federation (MMF) to partner in this research, our aim was to understand Red River Métis parents' experiences and preferences for seeking child health information when their child is acutely ill, to inform the adaptation of existing parent resources., Methods: A qualitative descriptive approach underpinned by a participatory paradigm guided this study. Semi-structured interviews were conducted with 19 Red River Métis parents and Elders via Zoom or telephone. An inductive thematic analysis approach was used to explore patterns and themes across the data., Results: Analysis generated four themes: (1) We're here too; (2) We are not all the same; (3) Finding trustworthy information; and (4) Information needs to be widely available. Red River Métis pride was prominent in the results. Parents provided tangible ways to modify existing parent resources, including adding information on how to access Elders, healers and/or traditional medicines and showing different family structures, transport, living situations, Métis names, and incorporating Métis languages. While most parents reported looking for child health information online, they also stressed the need to provide multiple options, including information sheets, recognizing that parents seek information in different contexts. Parents also emphasized the importance of accessible, safe spaces to find child health information, including local schools, community centres, healthcare organizations and the MMF., Conclusion: There is a lack of child health information created specifically for Red River Métis families. The development of this information can support their information needs and preferences and the ongoing efforts to revitalize Red River Métis culture and language. Study findings will inform the adaptation and dissemination of existing child health resources to ensure they reflect Red River Métis parents' information needs and preferences. This research is a critical step in addressing an identified need for Red River Métis families to have culturally relevant and meaningful child health resources, and in the pursuit of equitable care for all children in Canada., Trial Registration: N/A., (© 2023. The Author(s).)
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- 2023
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116. Characterizing Canadian funded partnered health research projects between 2011 and 2019: a retrospective analysis.
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Sibley KM, Khan M, Touchette AJ, Crockett LK, Driedger SM, Gainforth HL, Prabhu D, Steliga D, Tefft O, and Graham ID
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- Humans, Canada, Retrospective Studies, Social Support, Social Work, Biomedical Research
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Background and Aims: Involving research users in collaborative research approaches may increase the relevance and utility of research findings. Our primary objectives were to (i) identify and describe characteristics of Canadian federally and provincially funded health research projects that included research users and were funded between 2011 and 2019; (ii) explore changes over time; and (iii) compare characteristics between funder required and optional partnerships., Methods: Retrospective analysis. Inclusion criteria were projects that included research users. We analyzed publicly available project variables, and coded field and type of research using established classification systems. We summarized data with descriptive statistics and compared variables across three funding year blocks and partnership requirement status., Results: We identified 1153 partnered health research projects, representing 137 fields of research and 37 types of research categories. Most projects included a required partnership (80%) and fell into health and social care services research (66%). Project length and funding amount increased from average of 24.8 months and $266 248 CAD in 2011-2013 to 31.6 months and $438 766 CAD in 2017-2019. There were significantly fewer required partnerships in 2017-2019., Conclusions: Between 2011 and 2019 Canadian federally and provincially funded partnered health research reflected primarily care services research across many fields. The observed breadth suggests that partnered health research approaches are applicable in many fields of research. Additional work to support partnered research across all types of health research (especially biomedical research) is warranted. The administration of larger grants that are funded for longer time periods may address previously identified concerns among research teams engaging in partnered research but may mean that fewer teams receive funding and risk delaying responding to time-sensitive data needs for users. Our process and findings can be used as a starting point for international comparison., (© 2023. BioMed Central Ltd., part of Springer Nature.)
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- 2023
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117. "I Want People to Be Able to Make an Informed Choice": How Quebec naturopaths discuss vaccination in their practice.
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Malo B, Labbé F, Meyer SB, Filice E, Graham JE, MacDonald NE, Bettinger JA, Greyson D, MacDonald SE, Driedger SM, Kawchuk G, and Dubé E
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- Humans, Quebec, Canada, Vaccination, Complementary Therapies, Naturopathy
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Health care providers' recommendations can play an important role in individuals' vaccination decisions. Despite being one of the most popular complementary and alternative medicine (CAM), naturopathy is understudied in relation to vaccination decisions. We sought to address this gap through this study of vaccination perspectives of naturopathy practitioners in the province of Quebec, Canada. We conducted in-depth interviews with 30 naturopaths. Thematic analysis was conducted. Main themes were developed deductively (i.e., based on prior literature) and expanded through inductive coding of the data. Participants noted that they discuss vaccination in their practice, but only when clients asked questions or wanted advice. Naturopaths described refraining from explicitly recommending for or against vaccination. Instead, they focus on empowering their clients to make their own informed decision regarding vaccination. Most participants noted that they direct clients towards sources of information so that clients could decide for themselves, but some mentioned they discussed with clients what they considered to be risks associated with vaccination, as well as its benefits. These discussions were framed through a personalized and individual approach with clients., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)
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- 2023
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118. Use of narratives to enhance childhood vaccine acceptance: Results of an online experiment among Canadian parents.
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Dube E, Trottier ME, Greyson D, MacDonald NE, Meyer SB, MacDonald SE, Driedger SM, Witteman HO, Ouakki M, and Gagnon D
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- Humans, Male, Female, Canada, Adult, Health Knowledge, Attitudes, Practice, Patient Acceptance of Health Care psychology, Vaccines administration & dosage, Child, Intention, Child, Preschool, Vaccination Hesitancy psychology, Vaccination Hesitancy statistics & numerical data, Middle Aged, Young Adult, Parents psychology, Narration, Vaccination psychology
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Identifying effective interventions to promote children's vaccination acceptance is crucial for the health and wellbeing of communities. Many interventions can be implemented to increase parental awareness of the benefits of vaccination and positively influence their confidence in vaccines and vaccination services. One potential approach is using narratives as an intervention. This study aims to evaluate the effects of a narrative-based intervention on parents' attitudes and vaccination intentions. In a pre-post experiment, 2,000 parents of young children recruited from an online pan-Canadian panel were randomly exposed to one of the three videos presenting narratives to promote childhood vaccination or a control condition video about the importance and benefits of physical activity in children. Pre-post measures reveal a relatively modest but positive impact of the narratives on parents' attitudes and intention to vaccinate their child(ren). The results also suggest that narratives with more emotional content may be more effective in positively influencing vaccine attitudes than the more factual narrative. Using narratives to promote vaccination can positively influence parents' views and intentions toward childhood vaccines, but research is still required to identify the best components of such interventions.
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- 2024
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119. "None of it was especially easy": improving COVID-19 vaccine equity for people with disabilities.
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Sebring JCH, Capurro G, Kelly C, Jardine CG, Tustin J, and Driedger SM
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- Humans, COVID-19 Vaccines, Canada, Vaccination, COVID-19 epidemiology, COVID-19 prevention & control, Disabled Persons, Influenza Vaccines
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Objectives: Our study aimed to (1) identify barriers to equitable access to COVID-19 vaccines for Canadians with disabilities and (2) present recommendations made by study participants to improve immunization programs in terms of inclusivity and equitable access., Methods: We invited Manitobans living with disabilities to participate in online focus groups. Focus groups were conducted across multiple disability experiences, although one focus group was advertised explicitly as offering simultaneous American Sign Language interpretation to encourage people who are d/Deaf or hard of hearing to participate. Participants were asked about their perspectives on the management of COVID-19 public health measures and vaccination program rollout. Participants were also asked about barriers and facilitators of their vaccination experiences and if they had recommendations for improvement., Results: The participants identified three areas where they encountered routine barriers in accessing the COVID-19 vaccines: (1) vaccine information and appointment booking, (2) physical access to vaccination clinics, and (3) vaccination experience. While participants identified specific recommendations to improve vaccine accessibility for people with disabilities, the single most crucial advice consistently identified was to involve people with disabilities in developing accessible immunization programs., Conclusion: Meaningful engagement with people living with disabilities in immunization program planning would help ensure that people with disabilities, who already face significant challenges due to COVID-19, are offered the same protections as the rest of the population. These recommendations could be easily transferred to the administration of other large-scale immunization campaigns (e.g., influenza vaccines)., (© 2022. The Author(s).)
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- 2022
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120. COVID-19 vaccine uptake and intention during pregnancy in Canada.
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Reifferscheid L, Marfo E, Assi A, Dubé E, MacDonald NE, Meyer SB, Bettinger JA, Driedger SM, Robinson J, Sadarangani M, Wilson SE, Benzies K, Lemaire-Paquette S, Gagneur A, and MacDonald SE
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- COVID-19 Vaccines, Canada epidemiology, Cross-Sectional Studies, Female, Humans, Intention, Patient Acceptance of Health Care, Pregnancy, Vaccination, COVID-19 epidemiology, COVID-19 prevention & control, Vaccines
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Objective: To investigate COVID-19 vaccine uptake and intent among pregnant people in Canada, and determine associated factors., Methods: We conducted a national cross-sectional survey among pregnant people from May 28 through June 7, 2021 (n = 193). Respondents completed a questionnaire to determine COVID-19 vaccine acceptance (defined as either received or intend to receive a COVID-19 vaccine during pregnancy), factors associated with vaccine acceptance, and rationale for accepting/not accepting the vaccine., Results: Of 193 respondents, 57.5% (n = 111) reported COVID-19 vaccine acceptance. Among those who did not accept the vaccine, concern over vaccine safety was the most commonly cited reason (90.1%, n = 73), and 81.7% (n = 67) disagreed with receiving a vaccine that had not been tested in pregnant people. Confidence in COVID-19 vaccine safety (aOR 16.72, 95% CI: 7.22, 42.39), Indigenous self-identification (aOR 11.59, 95% CI: 1.77, 117.18), and employment in an occupation at high risk for COVID-19 exposure excluding healthcare (aOR 4.76, 95% CI: 1.32, 18.60) were associated with vaccine acceptance. Perceived personal risk of COVID-19 disease was not associated with vaccine acceptance in the multivariate model., Conclusion: Vaccine safety is a primary concern for this population. Safety information should be communicated to this population as it emerges, along with clear messaging on the benefits of vaccination, as disease risk is either poorly understood or poorly valued in this population., (© 2022. The Author(s).)
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- 2022
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121. Culturally Responsive Supports for Metis Elders and Metis Family Caregivers.
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Cooper EJ, Sanguins J, Menec V, Chartrand AF, Carter S, and Driedger SM
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- Aged, Caregivers psychology, Culturally Competent Care, Female, Focus Groups, Healthcare Disparities, Humans, Male, Manitoba, Qualitative Research, Aging, Caregivers organization & administration, Indigenous Canadians
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Malgré une attention académique considérable au rôle de la famille des soignants avec la population générale, peu de recherches ont été menées avec les familles autochtones. Cette étude qualitative vise à combler cette lacune en se concentrant sur l'expérience des soignants Metis, fournir des soins aux adultes Metis plus âges. Des groupes de discussions et des entrevues ont été menés avec des aidants familiaux Metis (n - 79), aînés Metis (n - 11), et soignants officiels (n - 8). Bien qu'il existe de parallèles considérables dans les expériences des soins identifiés dans cette étude sur les Metis avec celles déjà documentées dans la littérature, il existe néanmoins des différences importantes pour la prestation des soins culturellement adaptés aux aînés Metis., Despite considerable academic attention to the role of family caregivers within the general population, little research has been conducted with Indigenous families. This qualitative study aims to fill that gap by focusing on the experiences of Metis caregivers providing care for older Metis adults. Focus groups and interviews were conducted with Metis family caregivers (n = 79), Metis Elders (n = 11) and formal caregivers (n = 8). Although there are considerable parallels in the caregiving experiences identified in this Metis study with those already documented in the literature, there are nonetheless important differences for providing culturally responsive care to Metis seniors.
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- 2020
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122. Dengue Disease Risk Mental Models in the City of Dhaka, Bangladesh: Juxtapositions and Gaps Between the Public and Experts.
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Dhar-Chowdhury P, Haque CE, and Driedger SM
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- Animals, Bangladesh epidemiology, Cities, Dengue psychology, Humans, Insect Vectors, Risk Management, Dengue epidemiology, Health Knowledge, Attitudes, Practice, Models, Psychological
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Worldwide, more than 50 million cases of dengue fever are reported every year in at least 124 countries, and it is estimated that approximately 2.5 billion people are at risk for dengue infection. In Bangladesh, the recurrence of dengue has become a growing public health threat. Notably, knowledge and perceptions of dengue disease risk, particularly among the public, are not well understood. Recognizing the importance of assessing risk perception, we adopted a comparative approach to examine a generic methodology to assess diverse sets of beliefs related to dengue disease risk. Our study mapped existing knowledge structures regarding the risk associated with dengue virus, its vector (Aedes mosquitoes), water container use, and human activities in the city of Dhaka, Bangladesh. "Public mental models" were developed from interviews and focus group discussions with diverse community groups; "expert mental models" were formulated based on open-ended discussions with experts in the pertinent fields. A comparative assessment of the public's and experts' knowledge and perception of dengue disease risk has revealed significant gaps in the perception of: (a) disease risk indicators and measurements; (b) disease severity; (c) control of disease spread; and (d) the institutions responsible for intervention. This assessment further identifies misconceptions in public perception regarding: (a) causes of dengue disease; (b) dengue disease symptoms; (c) dengue disease severity; (d) dengue vector ecology; and (e) dengue disease transmission. Based on these results, recommendations are put forward for improving communication of dengue risk and practicing local community engagement and knowledge enhancement in Bangladesh., (© 2015 Society for Risk Analysis.)
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- 2016
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123. Development of the effective musculoskeletal consumer scale.
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Kristjansson E, Tugwell PS, Wilson AJ, Brooks PM, Driedger SM, Gallois C, O'Connor AM, Qualman A, Santesso N, Wale J, and Wells GA
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- Female, Health Surveys, Humans, International Cooperation, Male, Middle Aged, Patient Education as Topic, Psychometrics, Reproducibility of Results, Musculoskeletal Diseases classification, Musculoskeletal Diseases psychology, Musculoskeletal Diseases therapy, Outcome Assessment, Health Care methods, Patient Participation methods, Self Care methods, Severity of Illness Index, Surveys and Questionnaires
- Abstract
Programs and initiatives have been created to empower, educate, and provide information to consumers; these are sometimes generically known as self-management interventions. Evaluating and comparing such programs has been a challenge, as many skills that consumers believe are important to manage and participate in their individual healthcare are not currently captured by existing tools. The objective of the Effective Musculoskeletal Consumer Project is to develop a scale to measure an effective consumer. A review of the literature, interviews, workshops, and preliminary surveys at OMERACT 7 (May 2005) were conducted in the first phases of the Project. A questionnaire consisting of 64 items was developed to measure the skills and attributes of an effective musculoskeletal (MSK) consumer. Content experts on our team reduced this scale to 48 items, which was pilot-tested with consumers from Canada and Australia. Dimensionality assessment showed that the scale was unidimensional. Classical and item response theory analyses showed that the 48-item scale had quite high reliability, but that 2 items were very poor. Based on the item analysis, 35 items were retained. The revised scale was presented at OMERACT 8, where a panel reviewed the scale and provided input. This input and another expert review by our team was used to further refine the Effective Consumer Scale to 17 items. Plans are now under way to validate this 17-item scale in self-management interventions.
- Published
- 2007
124. Advancing Health Promotion Priorities: Stories of Capacity Building from the Canadian Heart Health Initiative (CHHI).
- Author
-
Driedger SM, Robinson K, Eyles J, Elliott S, Iannantuono A, Donovan C, McQuillen K, Gough M, McLean S, Naylor PJ, Raine K, Khalema E, Ebbesen L, Fowler K, McKay M, Moase O, and Riley B
- Abstract
The purpose of this paper is to explore how public health professionals built capacity to carry out health promotion despite a low level of investment and competition for financial resources with acute-oriented healthcare services. Three data sources are used in this analysis: key-informant interviews with project participants, final reports from three provincial Heart Health projects in Canada (Prince Edward Island, Ontario and Manitoba) and major provincial health policy documents prior to and during each project. We use a narrative policy analysis to identify contextual factors influencing health promotion priority and progress through capacity building. Common capacity building themes emerged from the data despite the different contexts within which the projects were situated: building community trust and support, developing a linking system that promotes provincial partnerships and assisting in sustainability efforts by coordinating resources and efforts towards a common chronic disease prevention strategy. Each of these provincial projects overcame instances of resistance to advancing a health promotion agenda by concentrating on building relationships, by making better use of existing structures and organizations and by developing new productive unions that shared a primary prevention agenda.
- Published
- 2007
125. Attributes and skills of an effective musculoskeletal consumer.
- Author
-
Tugwell PS, Wilson AJ, Brooks PM, Driedger SM, Gallois C, O'Connor AM, Qualman A, Santesso N, Wale J, and Wells GA
- Subjects
- Humans, Treatment Outcome, Arthritis, Rheumatoid psychology, Arthritis, Rheumatoid therapy, Community Participation, Musculoskeletal Diseases psychology, Musculoskeletal Diseases therapy
- Abstract
The OMERACT 7 Effective Musculoskeletal Consumer Workshop brought together people with rheumatoid arthritis, healthcare professionals, and researchers to discuss what they thought made a musculoskeletal consumer effective at managing their disease. Preliminary work before OMERACT provided a draft list of potential characteristics of an effective consumer. Participants at the workshop provided feedback about the list including relevance, missing items, format, and language. The feedback provided was useful and will be incorporated into a revised list to aid in the development of an instrument to measure health consumer effectiveness.
- Published
- 2005
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