Article
Medicine, General & Internal
Saurabh Kumar Gupta, P. V. M. Lakshmi, Ashu Rastogi, Manmeet Kaur
Summary: This study aims to improve self-care practices among people living with type 2 DM by developing and implementing a diabetes self-care intervention package based on behavioral change theory and model. The research design includes both qualitative and quantitative approaches to identify barriers, facilitators, and evaluate the intervention package's effectiveness.
Article
Medicine, General & Internal
Xavier Debussche, Maryvette Balcou-Debussche, Delphine Ballet, Jessica Caroupin-Soupoutevin
Summary: Considering health literacy needs is crucial for health services to effectively support diabetes self-management among vulnerable individuals. This qualitative study examines the health literacy of people with type 2 diabetes in relation to their daily self-care practices. The results demonstrate different levels of engagement in health knowledge, disease management, expertise, and social support. Treatment and follow-up primarily rely on health professionals, while diet, exercise, and social support involve more active patient participation. Decision-making and accessible resources for healthcare participation should be considered in interventions for type 2 diabetes.
Article
Medicine, General & Internal
Namuna Shrestha, Khem Karki, Anil Poudyal, K. K. Aryal, Namra Kumar Mahato, Nitisha Gautam, K. C. Dirghayu, Pradip Gyanwali, Meghnath Dhimal, Anjani Kumar Jha
Summary: The study conducted in Nepal found that the prevalence of diabetes mellitus was 8.5%, with higher odds of occurrence in older age groups, men, urban residents, and individuals with high blood pressure, overweight/obesity, or high triglyceride levels. Targeted interventions and control of associated risk factors could help reduce diabetes prevalence in Nepal.
Article
Medicine, General & Internal
Aysha Almas, Safia Awan, Gerald Bloomfield, Muhammad Imran Nisar, Sameen Siddiqi, Asma Ahmed, Asad Ali, Saad Hameed Shafqat, Zulfiqar Ahmed Bhutta, Daniel Benjamin Mark, Pamela Douglas, John Bartlett, Tazeen H. Jafar, Zainab Samad
Summary: This study analyzed the NCD research and training at Aga Khan University in Pakistan using a qualitative approach. The findings suggest that high-quality research training programs for NCDs are rare and there is a need to establish programs with protected time, career guidance, and mentorship to improve research capacity in Pakistan.
Review
Medicine, General & Internal
William Ndjidda Bakari, Ahmad Moustapha Diallo, Celestin Danwang, Rolf Nyah Tuku Nzalie, Henri Michel Benoist
Summary: This systematic review and meta-analysis aims to determine the long-term effect of non-surgical periodontal therapy on the glycaemic control of patients with diabetes and periodontitis, focusing on studies with a follow-up period of at least 6 months. The analysis will include a range of databases and statistical methods to assess the impact of therapy beyond the short-term improvements seen in previous research.
Article
Medicine, General & Internal
Charles Agyemang, Eva L. van der Linden, Daniel Antwi-Berko, Samuel Nkansah Darko, Sampson Twumasi-Ankrah, Karlijn Meeks, Bert-Jan H. Van den Born, Peter Henneman, Ellis Owusu-Dabo, Erik Beune
Summary: The Research on Obesity and Diabetes among African Migrants (RODAM) prospective (RODAM-Pros) cohort study aims to identify key changes in environmental exposures and epigenetic modifications driving the high burden of cardiovascular disease (CVD) risk among sub-Saharan African migrants. Baseline results indicate higher prevalence of CVD risk factors among migrants. Follow-up data collection will reveal specific environmental exposures and epigenetic modifications contributing to the high CVD risk in this population.
Article
Medicine, General & Internal
Madelyn Whitaker, Monique C. Aguirre, Manuel Gutierrez Chavez, Elizabeth Beaulieu, Yeny B. Arones, Dana Gershenoff, Kristie Hinton, Natalie Klein, Jeanne Munezerou Uwizeye, Eru Napia, Carmen Ramos, O. Fahina Tavake-Pasi, Jeannette Villalta, Cathy Wolfsfeld, Brieanne Witte, Ellen Maxfield, Kalani Raphael, Debra L. Simmons, Lauren Clark, Tamara Sher, Timothy W. Smith, Katherine J. W. Baucom
Summary: This manuscript describes a randomised pilot trial protocol for a couple-based lifestyle intervention to prevent type 2 diabetes. The objective is to evaluate the feasibility of the intervention and study protocol for a future randomised clinical trial.
Article
Medicine, General & Internal
Norah Anthony, Lea Bruneau, Sebastien Leruste, Jean-Marc Franco, Alain Domercq, Christine Kowalczyk, Estelle Nobecourt, C. Marimoutou
Summary: This study aims to identify factors associated with incident type 2 diabetes mellitus in subjects with pre-diabetes diagnosed in primary care. The study is based on an observational, non-randomised prospective cohort design, with follow-up by general practitioners and collection of data. The results will be disseminated through various channels.
Article
Medicine, General & Internal
Rangkyoung Ha, Kyunghee Jung-Choi
Summary: This study aimed to investigate the impact of area-based socioeconomic inequalities on diabetes management and the potential role of healthcare resource distribution in explaining these inequalities. The results showed significant associations between area-based socioeconomic disparities and diabetes management indicators, particularly in the most deprived areas. The disparities in regional healthcare resources explained a portion of the inequalities in diabetes management, especially in the most deprived areas. Therefore, policy interventions for a more equitable distribution of healthcare resources may reduce the impact of regional socioeconomic inequalities on diabetes management.
Review
Medicine, General & Internal
Lauren Anne Gardner, Amy-Leigh Rowe, Nicola Clare Newton, Tess Aitken, Emily Stockings, Louise Thornton, Maree Teesson, Emma Krogh Devine, Katrina Elizabeth Champion
Summary: This systematic review aims to determine the existence and efficacy of school-based preventive interventions targeting e-cigarette use among adolescents. The researchers will conduct a systematic search and analysis of published studies, and meta-analysis will be used to summarize the data. The findings will be published in a peer-reviewed journal and used to guide the development of new school-based e-cigarette preventive interventions.
Article
Medicine, General & Internal
Sarah Yeo, Priscilla Magrath, Halimatou Alaofe, Abidemi Okechukwu
Summary: This study aims to explore the experiences of Arabic-speaking refugee women in the USA when accessing maternal care, using in-depth interviews and 'go-along' interviews. The study will focus on spatial experiences to understand participants' perceptions of environments and barriers, with the goal of addressing the unique needs of this population through community involvement and feedback.
Review
Medicine, General & Internal
Kalpita Shringarpure, Meera Gurumurthy, Karuna D. Sagili, Melissa Taylor, Paul Garner, Jamie Tonsing, Raghuram Rao, Kuldeep Singh Sachdeva
Summary: This study synthesized qualitative studies from the Indian subcontinent to understand the factors influencing adherence to tuberculosis (TB) treatment. The findings showed that personal factors, healthcare provider interactions, and social, economic, and cultural factors all influence treatment adherence. Therefore, TB programs need to adopt more flexible and people-centered approaches to improve adherence and treatment outcomes.
Article
Medicine, General & Internal
Puspa Raj Pant, Pranita Rana, Kriti Pradhan, Sunil Kumar Joshi, Julie Mytton
Summary: This study used the Delphi approach to identify and prioritize the research needed to improve the road safety system in Nepal. Through interviews, ranking, and workshops, six urgent research questions were identified, providing important directions for future road safety research in Nepal.
Article
Medicine, General & Internal
Tuba Saygin Avsar, Louise Jackson, Hugh McLeod
Summary: Tobacco cessation during pregnancy is not considered a priority in LMICs despite international recognition of the issue. Factors such as country-specific prevalence of tobacco use during pregnancy, availability of healthcare resources, and characteristics of potential interventions all influence the use of health economics evidence for policy making in LMICs.
Article
Medicine, General & Internal
Lena Schnitzler, Aggie T. G. Paulus, Tracy E. Roberts, Silvia M. A. A. Evers, Louise J. Jackson
Summary: The objective of this study was to explore the intersectoral costs and benefits associated with sexual health issues and interventions, categorize them into sectors, and develop a preliminary framework for future research and policy-making. The study found that sexual health issues have wide-ranging impacts on other health sectors and non-health sectors. Therefore, these different sectors need to be considered when evaluating interventions and making policy decisions.
Article
Environmental Sciences
Hassane Alami, Pascale Lehoux, Sara E. Shaw, Chrysanthi Papoutsi, Sarah Rybczynska-Bunt, Jean-Paul Fortin
Summary: Virtual care became widespread during the COVID-19 pandemic, but its benefits were not equally accessible to all. This paper discusses the challenges of access and use of virtual care during COVID-19 and examines whether these challenges follow the Inverse Care Law. The authors highlight the inequalities in access to public and private virtual care and suggest ways to ensure equitable access and use of virtual care.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Review
Primary Health Care
Emma Ladds, Maaedah Khan, Lucy Moore, Asli Kalin, Trish Greenhalgh
Summary: This systematic review explores the impact of remote and digital care models on continuity in primary care. It finds that both patients and clinicians value continuity in remote care, but there are challenges and risks involved. Further research is needed to understand the relationship between remote care, continuity, and equity.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Medicine, General & Internal
Nicholas Jones, Jason Oke, Seren Marsh, Kurosh Nikbin, Jonathan Bowley, H. Paul Dijkstra, F. D. Richard Hobbs, Trisha Greenhalgh
Summary: This study aimed to determine the safety and tolerability of wearing different types of face masks during moderate-to-high intensity exercise in healthy young adults. The findings suggest that exercising at moderate-to-high intensity wearing a face mask appears to be safe in healthy, young adults.
Article
Health Policy & Services
Hassane Alami, Pascale Lehoux, Fiona A. A. Miller, Sara E. E. Shaw, Jean-Paul Fortin
Summary: Health systems have a responsibility to protect the health and well-being of individuals and populations, but healthcare contributes to a significant percentage of global greenhouse gas emissions. This paper examines the potential integration of "environmental sustainability" into the concept of the "Sextuple Aim" and explores the challenges and opportunities of incorporating environmental sustainability into healthcare goals. The authors propose policy and practical approaches to help healthcare systems move towards achieving the Sextuple Aim.
INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT
(2023)
Editorial Material
Primary Health Care
Emma Ladds, Trish Greenhalgh
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Book Review
Primary Health Care
Trish Greenhalgh
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Review
Health Care Sciences & Services
Martha Pickard Strange, Amy Booth, Melissa Akiki, Sietse Wieringa, Sara E. Shaw
Summary: Virtual consulting has been found to reduce healthcare carbon emissions by reducing patient travel. However, there is limited research on system factors associated with implementing virtual healthcare delivery and wider carbon emissions across the entire clinical pathway.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Rik Wehrens, Lieke Oldenhof, Marjolijn Heerings, Violet Petit-Steeghs, Sander van Haperen, Roland Bal, Trisha Greenhalgh
Summary: Holmstrom and co-authors advocate for integrating system dynamics into action research to address the increasing complexity in healthcare. However, they overlook the aspect of normative complexity, which involves multiple conflicting values that actors in healthcare systems must pragmatically respond to in their daily practices. We argue that a better understanding of value multiplicity and how actors navigate value conflicts can enhance discussions about complexity in healthcare. We propose the alternative methodology of 'value exnovation' to expand the scope of system-based thinking and action research in healthcare.
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
(2023)
Letter
Medicine, General & Internal
Trisha Greenhalgh, Danielle J. Cane, Matthew Oliver
ANNALS OF INTERNAL MEDICINE
(2023)
Article
Anesthesiology
Sara E. Shaw, Gemma Hughes, Rupert Pearse, Ester Avagliano, James R. Day, Mark E. Edsell, Jennifer A. Edwards, Leslie Everest, Timothy J. Stephens
Summary: This study examines the opportunities for shared decision-making about major surgery in older high-risk patients. Three types of consultations were identified, with varying levels of opportunity for shared decision-making. The nature of the presenting problem, comorbidities, clinical pathways, and patient trajectories all influenced the extent to which shared decision-making was available.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Article
Public, Environmental & Occupational Health
Emma Ladds, Trisha Greenhalgh, Richard Byng, Sarah Rybczynska-Bunt, Asli Kalin, Sara Shaw
Summary: Primary care has seen a decline in traditional continuity, based on one-to-one doctor-patient relationships, as contemporary practices have become more complex with new technologies and staff roles. However, continuity remains valued and can be extended through remote and digital modalities. Four different types of continuity were identified: therapeutic relationship, illness episode, distributed work, and community commitment.
SOCIAL SCIENCE & MEDICINE
(2023)