Tribal Veterans Representative (TVR) Training Program: The Effect of Community Outreach Workers on American Indian and Alaska Native Veterans Access to and Utilization of the Veterans Health Administration.
Abstract American Indians and Alaska Natives serve at the highest rate of any US race or ethnic group, yet are the most underserved population of Veterans and do not take advantage of the Department of Veterans Affairs (VA) benefits and services. Barriers to seeking care include stigma, especially for mental health issues; distance to care; and lack of awareness of benefits and services they are entitled to receive. In response to this underutilization of the VA, an innovative program-the Tribal Veterans Representative (TVR) program-was developed within the VA to work with American Indians and Alaska Natives in ru...
Source: Rural Remote Health - March 2, 2014 Category: Rural Health Authors: Kaufmann LJ, Buck Richardson WJ, Floyd J, Shore J Tags: J Community Health Source Type: research

Nucleoside Analogues Alone or Combined with Vaccination Prevent Hepadnavirus Viremia and Induce Protective Immunity: Alternative Strategy for Hepatitis B Virus Post-exposure Prophylaxis.
CONCLUSIONS: NA-based PEP strategies (NA alone or in combination with vaccine) may be an alternative of HBV PEP, especially in those living in the remote and rural areas of the developing countries and the non-responders to the current vaccine, and may be valuable in the PEP of HBV and HIV co-infection after occupational and non-occupational exposure. Further clinical studies are warranted to confirm the valuable of NA-based strategies in HBV PEP. PMID: 24583157 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 27, 2014 Category: Rural Health Authors: Wang B, Zhu Z, Zhu B, Wang J, Song Z, Huang S, Fan W, Tao Y, Wang Z, Wang H, Lu M, Yang D Tags: Antiviral Res Source Type: research

"This is not just a little accident": a qualitative understanding of paediatric burns from the perspective of parents.
Conclusion: Findings from this research will allow health professionals to optimise a holistic clinical service from a consumer's perspective at all stages of the burn journey. These research conclusions could be used for the development of protocols to underpin a comprehensive information and social support management plan for families that would complement and support the surgical, medical and therapeutic treatment plan, providing direction for comprehensive service delivery. Implications for Rehabilitation Health professionals should optimise a holistic clinical service from a consumer's perspective taking into consider...
Source: Rural Remote Health - February 27, 2014 Category: Rural Health Authors: McGarry S, Elliott C, McDonald A, Valentine J, Wood F, Girdler S Tags: Disabil Rehabil Source Type: research

Challenges and strategies for cohort retention and data collection in an indigenous population: Australian Aboriginal Birth Cohort.
CONCLUSIONS: Satisfactory follow-up rates of a prospective longitudinal Indigenous birth cohort with traditional characteristics are possible while maintaining scientific rigor in a challenging setting. Approaches included flexibility, respect, and transparent communication along with the adoption of culturally sensitive behaviours. This work should inform and assist researchers undertaking or planning similar studies in Indigenous and developing populations. PMID: 24568142 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 26, 2014 Category: Rural Health Authors: Lawrance M, Sayers SM, Singh GR Tags: BMC Med Res Methodol Source Type: research

"Giving Voice": Evaluation of an Integrated Telehealth Community Care Model by Parents/Guardians of Children Diagnosed with Fetal Alcohol Spectrum Disorder in Manitoba.
Conclusions: This study provides support for the use of telehealth as an effective technology beyond diagnosis for individuals with FASD and their families. Families support the utilization of this technology and, despite its minor shortcomings, appreciate the flexibility of telehealth, which allows them to remain in their home communities, connected to their families and support systems. PMID: 24568178 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 25, 2014 Category: Rural Health Authors: Hanlon-Dearman A, Edwards C, Schwab D, Millar MC, Longstaffe S Tags: Telemed J E Health Source Type: research

Design of a randomized, non-inferiority trial to evaluate the reliability of videoconferencing for remote consultation of diabetes.
DISCUSSION: Despite rapid growth in application of telemedicine in a variety of medical specialities, little is known about the reliability of videoconferencing for remote consultation of people with diabetes. Results of this proposed study will provide evidence of the reliability of specialist consultation offered by videoconference for people with diabetes. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry ACTRN12612000315819. PMID: 24528569 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 20, 2014 Category: Rural Health Authors: Fatehi F, Martin-Khan M, Gray LC, Russell AW Tags: BMC Med Inform Decis Mak Source Type: research

Impact of a regionalised clinical cardiac support network on mortality among rural patients with myocardial infarction.
Abstract OBJECTIVE: To evaluate the impact of the regionalised Integrated Cardiovascular Clinical Network (ICCNet) on 30-day mortality among patients with myocardial infarction (MI) in an Australian rural setting. DESIGN, SETTING AND PATIENTS: An integrated cardiac support network incorporating standardised risk stratification, point-of-care troponin testing and cardiologist-supported decision making was progressively implemented in non-metropolitan areas of South Australia from 2001 to 2008. Hospital administrative data and statewide death records from 1 July 2001 to 30 June 2010 wer...
Source: Rural Remote Health - February 17, 2014 Category: Rural Health Authors: Tideman PA, Tirimacco R, Senior DP, Setchell JJ, Huynh LT, Tavella R, Aylward PE, Chew DP Tags: Med J Aust Source Type: research

Supervision, support and mentoring interventions for health practitioners in rural and remote contexts: an integrative review and thematic synthesis of the literature to identify mechanisms for successful outcomes.
CONCLUSION: Through a synthesis of the literature, this research has identified a number of mechanisms that are associated with successful support interventions for health-care practitioners in rural and remote contexts. This research utilised a methodology developed for studying complex interventions in response to the perceived limitations of traditional systematic reviews. This synthesis of the evidence will provide decision-makers at all levels with a collection of mechanisms that can assist the development and implementation of support strategies for staff in rural and remote contexts. PMID: 24521004 [PubMed - as...
Source: Rural Remote Health - February 13, 2014 Category: Rural Health Authors: Moran AM, Coyle J, Pope R, Boxall D, Nancarrow SA, Young J Tags: Hum Resour Health Source Type: research

Determinants of Care Seeking for Children With Pneumonia and Diarrhea in Guatemala: Implications for Intervention Strategies.
Conclusions. Proximal factors associated with recognizing need for care were important in determining formal care, and were strongly linked to social determinants. In addition to specific action by the health system with an enhanced community health worker role, a systems approach can help ensure barriers are addressed among poorer and more remote homes. (Am J Public Health. Published online ahead of print February 13, 2014: e1-e11. doi:10.2105/AJPH.2013.301658). PMID: 24524510 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 13, 2014 Category: Rural Health Authors: Bruce N, Pope D, Arana B, Shiels C, Romero C, Klein R, Stanistreet D Tags: Am J Public Health Source Type: research

The Koori Growing Old Well Study: investigating aging and dementia in urban Aboriginal Australians.
Conclusion: This paper details our protocol for a population-based study in collaboration with local Aboriginal community organizations. The study will provide the first available prevalence rates for dementia and cognitive impairment in a representative sample of urban Aboriginal people, across city and rural communities, where the majority of Aboriginal Australians live. It will also contribute to improved assessment of dementia and cognitive impairment and to the understanding of social determinants of successful aging, of international significance. PMID: 24507414 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 10, 2014 Category: Rural Health Authors: Radford K, Mack HA, Robertson H, Draper B, Chalkley S, Daylight G, Cumming R, Bennett H, Jackson Pulver L, Broe GA Tags: Int Psychogeriatr Source Type: research

Northern Territory Heart Failure Initiative-Clinical Audit (NTHFI-CA)-a prospective database on the quality of care and outcomes for acute decompensated heart failure admission in the Northern Territory: study design and rationale.
This study has been approved by respective ethics committees of both the admitting institutions. All participants will be provided a written informed consent which will be completed prior to enrolment in the study. The study results will be disseminated through local and international health conferences and peer reviewed manuscripts. PMID: 24477314 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - February 9, 2014 Category: Rural Health Authors: Iyngkaran P, Tinsley J, Smith D, Haste M, Nadarajan K, Ilton M, Battersby M, Stewart S, Brown A Tags: BMJ Open Source Type: research

Cancer survival for Aboriginal and Torres Strait Islander Australians: a national study of survival rates and excess mortality.
CONCLUSIONS: Cancer survival is lower for Indigenous than other Australians, for all cancers combined and many individual cancer sites, although more accurate recording of Indigenous status by cancer registers is required before the extent of this disadvantage can be known with certainty. Cancer care for Indigenous Australians needs to be considerably improved; cancer diagnosis, treatment, and support services need to be redesigned specifically to be accessible and acceptable to Indigenous people. PMID: 24479861 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - February 9, 2014 Category: Rural Health Authors: Condon JR, Zhang X, Baade P, Griffiths K, Cunningham J, Roder DM, Coory M, Jelfs PL, Threlfall T Tags: Popul Health Metr Source Type: research

Neurological and ocular fascioliasis in humans.
Conclusions indicate that neurological cases are overlooked in human fascioliasis endemic areas and also in developing countries in general. In remote zones, rural health centres and small hospitals in or near the human endemic areas do not dispose of the appropriate equipments for neurological analyses. Moreover, physicians may not be aware about the potential relationship between liver fluke infection and neurological implications, and such cases may therefore remain misdiagnosed, even in developed countries. Priority should henceforth be given to the consideration of neurological and ocular affection in human endemic ar...
Source: Rural Remote Health - February 9, 2014 Category: Rural Health Authors: Mas-Coma S, Agramunt VH, Valero MA Tags: Adv Parasitol Source Type: research

Vocal local versus pharmacological treatments for pain management in tubal ligation procedures in rural Kenya: a non-inferiority trial.
CONCLUSION: VL + local anesthesia is as effective as VL + local anesthesia + analgesics for pain management during tubal ligation in rural Kenya. Avoiding analgesics is associated with numerous benefits including cost savings and fewer issues related to the maintenance, procurement and monitoring of restricted opioid drugs, particularly in remote low-resource settings where these systems are weak. TRIAL REGISTRATION: Pan-African Clinical Trials Registry PACTR201304000495942. PMID: 24490628 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 9, 2014 Category: Rural Health Authors: Keogh SC, Fry K, Mbugua E, Ayallo M, Quinn H, Otieno G, Ngo TD Tags: BMC Womens Health Source Type: research

Measuring Adjusted Quality of Life in Telemedicine.
Conclusions: It appears that the needs for telemedicine health services increased along with the aging of our society in rural and underserved regions. PMID: 24502820 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 6, 2014 Category: Rural Health Authors: Wang F Tags: Telemed J E Health Source Type: research

Taking Healthy Steps: rationale, design and baseline characteristics of a randomized trial of a pedometer-based internet-mediated walking program in veterans with chronic obstructive pulmonary disease.
DISCUSSION: Participants include 239 Veterans (mean age 66.7 years, 93.7% male) with 155 randomized to Taking Healthy Steps and 84 to the wait list control arm; rural-living (45.2%); ever-smokers (93.3%); and current smokers (25.1%). Baseline mean St. George's Respiratory Questionnaire Total Score was 46.0; 30.5% reported severe dyspnea; and the average number of comorbid conditions was 4.9. Mean baseline daily step counts was 3497 (+/- 2220).Veterans with COPD can be recruited to participate in an online walking program. We successfully recruited a cohort of older Veterans with a significant level of disability including ...
Source: Rural Remote Health - February 3, 2014 Category: Rural Health Authors: Martinez CH, Moy ML, Nguyen HQ, Cohen M, Kadri R, Roman P, Holleman RG, Myra Kim H, Goodrich DE, Giardino ND, Richardson CR Tags: BMC Pulm Med Source Type: research

Access to Medical and Supportive Care for Rural and Remote Cancer Survivors in Northern British Columbia.
CONCLUSION: Medical and supportive care can be inaccessible, unavailable, and unaffordable for cancer survivors living in rural northern communities. PMID: 24483272 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 1, 2014 Category: Rural Health Authors: Fuchsia Howard A, Smillie K, Turnbull K, Zirul C, Munroe D, Ward A, Tobin P, Kazanjian A, Olson R Tags: J Rural Health Source Type: research

Biological, socio-demographic, work and lifestyle determinants of sitting in young adult women: a prospective cohort study.
CONCLUSIONS: Among young adult Australian women, those with higher BMI, those born in Asia, those with higher level occupations and long working hours, were most at risk of higher sitting time. These results can be used to identify at-risk groups and inform intervention development. PMID: 24457004 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 24, 2014 Category: Rural Health Authors: Uijtdewilligen L, Twisk JW, Singh AS, Chinapaw MJ, van Mechelen W, Brown WJ Tags: Int J Behav Nutr Phys Act Source Type: research

Behavioral Health Aides in Rural Alaska: Their Experience in Caring for Alaska Native Cancer Survivors.
This study provides information to help guide development of content of that education. PMID: 24459014 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 24, 2014 Category: Rural Health Authors: Kelley SF, Decourtney C, Owens X Tags: J Cancer Educ Source Type: research

Telehealth Personalized Cancer Risk Communication to Motivate Colonoscopy in Relatives of Patients With Colorectal Cancer: The Family CARE Randomized Controlled Trial.
Abstract PURPOSE: The rate of adherence to regular colonoscopy screening in individuals at increased familial risk of colorectal cancer (CRC) is suboptimal, especially among rural and other geographically underserved populations. Remote interventions may overcome geographic and system-level barriers. We compared the efficacy of a telehealth-based personalized risk assessment and communication intervention with a mailed educational brochure for improving colonoscopy screening among at-risk relatives of patients with CRC. METHODS: Eligible individuals age 30 to 74 years who were not up-to-date with risk-appropr...
Source: Rural Remote Health - January 21, 2014 Category: Rural Health Authors: Kinney AY, Boonyasiriwat W, Walters ST, Pappas LM, Stroup AM, Schwartz MD, Edwards SL, Rogers A, Kohlmann WK, Boucher KM, Vernon SW, Simmons RG, Lowery JT, Flores K, Wiggins CL, Hill DA, Burt RW, Williams MS, Higginbotham JC Tags: J Clin Oncol Source Type: research

Clinical associations of human T-lymphotropic virus type 1 infection in an indigenous Australian population.
CONCLUSION: HTLV-1 infection contributes to morbidity among socially disadvantaged Indigenous adults in central Australia. This is largely due to an increased risk of other infections and respiratory disease. The spectrum of HTLV-1 related diseases may vary according to the social circumstances of the affected population. PMID: 24454973 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 16, 2014 Category: Rural Health Authors: Einsiedel L, Spelman T, Goeman E, Cassar O, Arundell M, Gessain A Tags: PLoS Negl Trop Dis Source Type: research

Implementing Evidence-Informed Policy into Practice for Health Care Professionals Managing People with Low Back Pain in Australian Rural Settings: A Preliminary Prospective Single-Cohort Study.
Abstract OBJECTIVE: To provide access to professional development opportunities for health care professionals, especially in rural Australian regions, consistent with recommendations in the Australian National Pain Strategy and state government policy. DESIGN AND SETTING: A preliminary prospective, single-cohort study design, which aligned health policy with evidence-informed clinical practice, evaluated the implementation and effectiveness of an interprofessional, health care provider pain education program (hPEP) for management of nonspecific low back pain (nsLBP) in rural Western Australia. INTERVENTI...
Source: Rural Remote Health - January 16, 2014 Category: Rural Health Authors: Slater H, Briggs AM, Smith AJ, Bunzli S, Davies SJ, Quintner JL Tags: Pain Med Source Type: research

Comparing progress toward the millennium development goal for under-five mortality in Leon and Cuatro Santos, Nicaragua, 1990-2008.
CONCLUSIONS: All rural and urban areas in Nicaragua included in this study were on track to reach MDG4, but social stratification in child survival showed different patterns; unfavorable patterns with increasing inequity in the peri-urban rural zone and a more equitable development in the urban as well as the poor and remote rural area. An equitable progress in child survival may also be accelerated in very poor settings. PMID: 24428933 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 15, 2014 Category: Rural Health Authors: Pérez W, Eriksson L, Blandón EZ, Persson LA, Källestål C, Peña R Tags: BMC Pediatr Source Type: research

Patient Stories: An Innovative Direction for Nurses Providing Support to Hematology Patients in Rural Areas.
CONCLUSION: Most participants believed that a "Patient Stories" DVD would be a beneficial and effective way for nurses delivering psychosocial support to hematology patients. Such benefits included a sense of normalization from hearing similar stories and providing convenient support that did not require travel or potentially uncomfortable social situations. However, some participants did not show interest in the idea for reasons such as already having a local support system and not wanting to watch potentially frightening stories. PMID: 24404922 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 9, 2014 Category: Rural Health Authors: McGrath P, Holewa H Tags: Nurs Forum Source Type: research

A qualitative study of rural primary care clinician views on remote monitoring technologies.
CONCLUSIONS: Adoption of RMTs by rural primary care clinicians may be influenced by equipment purpose and functionality, implementation resources, and payment. Clinician and staff engagement will be critical to actualize RMT use in routine primary care. PMID: 24383486 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 1, 2014 Category: Rural Health Authors: Davis MM, Currey JM, Howk S, Desordi MR, Boise L, Fagnan LJ, Vuckovic N Tags: J Rural Health Source Type: research

Adventures in rural and remote health services innovation: the role of researcher as collaborator.
PMID: 24400936 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 1, 2014 Category: Rural Health Authors: Kosteniuk JG, Morgan DG, Bracken J, Kessler P Tags: Rural Remote Health Source Type: research

Examination of the use of complementary and alternative medicine in Central Appalachia, USA.
Abstract INTRODUCTION: A growing number of people in the USA and worldwide use complementary and alternative medicine (CAM). CAM usage has been reported to differ by region. Little is known about the usage of CAM, especially among the Appalachian region population. The aim of this study is to evaluate the usage of CAM among adults in Central Appalachia. METHODS: A 23-question survey was distributed to 250 participants seeking free medical care at remote area medical events held in Wise County, Virginia in July 2012 and in Buchanan County, Virginia in October 2012. The questions on the survey addressed various...
Source: Rural Remote Health - January 1, 2014 Category: Rural Health Authors: Nguyen D, Gavaza P, Hollon L, Nicholas R Tags: Rural Remote Health Source Type: research

Occupational stress in remote area nursing: development of the Remote Area Nursing Stress Scale (RANSS).
CONCLUSION: The development and validation of the RANSS is a significant advancement in remote area nursing research. The RANSS should be administered on an ongoing basis to monitor occupational stress among nurses working in very remote Australia. The RANSS should also be administered internationally in countries that also accommodate remote health care facilities. This would determine whether the RANSS is a psychometrically valid stress measure beyond the context of very remote Australia. PMID: 24053055 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - December 21, 2013 Category: Rural Health Authors: Opie T, Dollard M, Lenthall S, Knight S Tags: J Nurs Meas Source Type: research

Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project.
CONCLUSION: The study results indicate that the NDTP telepharmacy model is effective in identifying and resolving QREs in CAHs. The use of the telepharmacy services increased over the study period, suggesting that CAH practitioners became more comfortable using the technology on a regular basis to enhance patient safety. PMID: 24352183 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 21, 2013 Category: Rural Health Authors: Scott DM, Friesner DL, Rathke AM, Doherty-Johnsen S Tags: Am J Health Syst Pharm Source Type: research

Characterising emergency department high-frequency users in a rural hospital.
This study describes frequent users of ED services in a rural community setting and the association between counts of patient's visits and discrete diagnoses. DESIGN: Retrospective study of 1652 frequent ED adult patients from a rural US hospital over a one-year period. Descriptive statistics and Poisson regression were used to explore the characteristics of frequent users and their patterns of diagnoses. RESULTS: Frequent user visits ranged from 4 to 66 per patient. Frequent users were 9.41% of patient volume accounting for 33.94% of the total visits and were younger compared with patients with
Source: Rural Remote Health - December 18, 2013 Category: Rural Health Authors: Hardie TL, Polek C, Wheeler E, McCamant K, Dixson M, Gailey R, Lafrak K Tags: Emerg Med J Source Type: research

Supervising allied health assistants: a concerning skill gap in allied health professionals.
Abstract The purpose of this paper is to identify and discuss the problem of a skill gap in the training of allied health professionals. Allied health assistants are required to work under the supervision of allied health professionals. There is little evidence to suggest supervisory skills are routinely taught as part of the development of professional behavior. With increasing concern about a lack of supervisory skill, there is an opportunity for supervisory skills to be incorporated into the undergraduate curriculum. A combination of classroom and clinical experience is required to ensure this professional skil...
Source: Rural Remote Health - December 16, 2013 Category: Rural Health Authors: Schmidt D Tags: J Allied Health Source Type: research

Shared Care Combined with Telecare Improves Glycemic Control of Diabetic Patients in a Rural Underserved Community.
Conclusions: Shared care combined with telecare could significantly reduce HbA1c levels in type 2 diabetic patients with poor glycemic control in underserved rural communities. Further studies should be conducted to clarify the target users and to develop cost-effective interventions. PMID: 24320193 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 9, 2013 Category: Rural Health Authors: Liou JK, Soon MS, Chen CH, Huang TF, Chen YP, Yeh YP, Chang CJ, Kuo SJ, Hsieh MC Tags: Telemed J E Health Source Type: research

Guidelines for Establishing a Telemental Health Program to Provide Evidence-Based Therapy for Trauma-Exposed Children and Families.
Arellano MA Abstract Although similar rates of traumatic experiences exist in both rural and urban settings, mental health resources available to those living in rural areas are often scarce. Limited resources pose a problem for children and families living in rural areas, and several barriers to service access and utilization exist including reduced anonymity, few "after hours" services, decreased availability of evidence-based treatments, few specialty clinics, and expenses associated with travel, taking time off work, and provision of childcare. As a solution, the authors discuss the utility, use, and...
Source: Rural Remote Health - December 9, 2013 Category: Rural Health Authors: Jones AM, Shealy KM, Reid-Quiñones K, Moreland AD, Davidson TM, López CM, Barr SC, de Arellano MA Tags: Psychol Serv Source Type: research

Assessing health literacy in rural settings: a pilot study in rural areas of Cluj County, Romania.
s RM Abstract Health literacy improves knowledge and builds skills to help individuals make appropriate decisions regarding their health. Over the past 20 years, several studies have described associations between health literacy and health outcomes. With respect to Romania, evidence is scarce on the level of health literacy, as well as on its determinants. Thus, the objectives of this study were to briefly screen functional health literacy levels in a sample of rural inhabitants, to assess the relationship between health literacy and reported health status, as well as to explore health literacy determinants withi...
Source: Rural Remote Health - December 4, 2013 Category: Rural Health Authors: Pop OM, Brînzaniuc A, Sirlincan EO, Baba CO, Chereches RM Tags: Glob Health Promot Source Type: research

Decentralized nursing education in Northern Norway: towards a sustainable recruitment and retention model in rural Arctic healthcare services.
CONCLUSION: The DNE programme demonstrates itself as a successful study model regarding recruitment and retention of RNs to rural and remote areas. PMID: 24286063 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 2, 2013 Category: Rural Health Authors: Norbye B, Skaalvik MW Tags: Int J Circumpolar Health Source Type: research

Examining rainfall and cholera dynamics in Haiti using statistical and dynamic modeling approaches.
Abstract Haiti has been in the midst of a cholera epidemic since October 2010. Rainfall is thought to be associated with cholera here, but this relationship has only begun to be quantitatively examined. In this paper, we quantitatively examine the link between rainfall and cholera in Haiti for several different settings (including urban, rural, and displaced person camps) and spatial scales, using a combination of statistical and dynamic models. Statistical analysis of the lagged relationship between rainfall and cholera incidence was conducted using case crossover analysis and distributed lag nonlinear models. Dy...
Source: Rural Remote Health - November 27, 2013 Category: Rural Health Authors: Eisenberg MC, Kujbida G, Tuite AR, Fisman DN, Tien JH Tags: Epidemics Source Type: research

Mental health care training for practitioners in remote and rural areas.
This article shares how the needs within a national pre-hospital mental health care programme were identified, and demonstrates how consensus over the content of a national course was achieved through the use of a modified Delphi approach. The Clinical Skills Managed Educational Network (CSMEN), Self-Harm Mitigation Training (STORM®) and BASICS, alongside RRHEAL, contributed to this development. Using blended learning techniques the resulting course encourages a contextual approach to user needs, specifically teaching generic mental health care skills to staff who are often working single-handed, and are required to re...
Source: Rural Remote Health - November 18, 2013 Category: Rural Health Authors: de Mello G, Fraser F, Nicoll P, Ker J, Green G, Laird C Tags: Clin Teach Source Type: research

Treatment engagement of psychotic patients with a mobile mental health unit in rural areas in Greece: a five-year study.
Conclusion. Engagement rates in our study were comparable to previous research, involving urban settings and shorter follow-up duration. Community mental health teams may ensure treatment continuation for psychotic patients in deprived, remote areas. This is important for low-income countries, affected by economic crisis, such as Greece. PMID: 24222849 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - November 18, 2013 Category: Rural Health Authors: Peritogiannis V, Tatsioni A, Menti N, Grammeniati A, Fotopoulou V, Mavreas V Tags: Schizophr Res Treatment Source Type: research

Chronic disease patients' experiences with accessing health care in rural and remote areas: a systematic review and qualitative meta-synthesis.
CONCLUSIONS: This study corroborates previous knowledge and concerns about access issues in rural and remote areas, such as geographical distance and shortage of health care professionals and services. Unhealthy behaviours and reduced willingness to seek care increase patients' vulnerability. Patients' perspectives also highlight rural culture's potential to either exacerbate or mitigate access issues. PLAIN LANGUAGE SUMMARY: People who live in a rural area may feel more vulnerable-that is, more easily harmed by their health problems or experiences with the health care system. Qualitative research looks at these exper...
Source: Rural Remote Health - November 18, 2013 Category: Rural Health Authors: Brundisini F, Giacomini M, Dejean D, Vanstone M, Winsor S, Smith A Tags: Ont Health Technol Assess Ser Source Type: research

Nonmydriatic Fundus Photography for Teleophthalmology Diabetic Retinopathy Screening in Rural and Urban Clinics.
Abstract Abstract Purpose: To evaluate the relative diagnostic value of nonmydriatic fundus photography (nFP) among patients screened for diabetic retinopathy in remote rural medical clinics and an urban academic medical center for nonadherence to recommended annual dilated eye examination. Subjects and Methods: A retrospective cross-sectional study was performed among diabetic patients seen in primary outpatient clinics between 2006 and 2011 who were screened for diabetic retinopathy with nFP for history of nonadherence to recommended annual dilated eye examination. A single nonstereoscopic, 45°, 10-megapixel...
Source: Rural Remote Health - November 12, 2013 Category: Rural Health Authors: Chin EK, Ventura BV, See KY, Seibles J, Park SS Tags: Telemed J E Health Source Type: research

A lifestyle intervention supported by mobile health technologies to improve the cardiometabolic risk profile of individuals at risk for cardiovascular disease and type 2 diabetes: study rationale and protocol.
This study was undertaken to investigate the effects of a tailored exercise prescription alone or supported by mobile health technologies to improve metabolic syndrome and related cardiometabolic risk factors in rural community-dwelling adults at risk for cardiovascular disease and type 2 diabetes. METHODS: Adults (n = 149) with at least two metabolic syndrome risk factors were recruited from rural communities and randomized to either: 1) an intervention group receiving an exercise prescription and devices for monitoring of risk factors with a smartphone data portal equipped with a mobile health application; or 2) an ...
Source: Rural Remote Health - November 7, 2013 Category: Rural Health Authors: Stuckey MI, Shapiro S, Gill DP, Petrella RJ Tags: BMC Public Health Source Type: research

Extreme heat and health: perspectives from health service providers in rural and remote communities in South australia.
This study draws on lived experiences to explore these issues in eleven rural and remote communities across South Australia, framing these within a socio-ecological model. Semi-structured interviews with health service providers (n = 13), and a thematic analysis of these data, has identified particular challenges for rural communities and their health services during extreme heat. The findings draw attention to the social impacts of extreme heat in rural communities, the protective factors (independence, social support, education, community safety), and challenges for adaptation (vulnerabilities, infrastructure, community ...
Source: Rural Remote Health - November 4, 2013 Category: Rural Health Authors: Williams S, Bi P, Newbury J, Robinson G, Pisaniello D, Saniotis A, Hansen A Tags: Int J Environ Res Public Health Source Type: research

Retrospective chart review for obesity and associated interventions among rural Mexican-American adolescents accessing healthcare services.
CONCLUSIONS: Obesity is a healthcare problem among rural Mexican-American adolescents accessing care at the rural health clinic. Obesity intervention and follow-up was suboptimal within this setting. Rural and ethnic minority adolescents experience health disparities concerning obesity prevalence and remote healthcare access. IMPLICATIONS: Obesity prevention and treatment during adolescence is a national health priority given physiologic and psychological tolls on health and potential for obesity into adulthood. Obesity assessment and translation of evidence-based interventions for rural Mexican-American adolescents a...
Source: Rural Remote Health - November 1, 2013 Category: Rural Health Authors: Champion JD, Collins JL Tags: J Am Assoc Nurse Pract Source Type: research

Aboriginal Australians' experience of social capital and its relevance to health and wellbeing in urban settings.
Abstract Social capital has been linked to physical and mental health. While definitions of social capital vary, all include networks of social relationships and refer to the subsequent benefits and disadvantages accrued to members. Research on social capital for Aboriginal Australians has mainly focused on discrete rural and remote Aboriginal contexts with less known about the features and health and other benefits of social capital in urban settings. This paper presents findings from in-depth interviews with 153 Aboriginal people living in urban areas on their experiences of social capital. Of particular interes...
Source: Rural Remote Health - October 31, 2013 Category: Rural Health Authors: Browne-Yung K, Ziersch A, Baum F, Gallaher G Tags: Soc Sci Med Source Type: research

Psychosis 101: evaluating a training programme for northern and remote youth mental health service providers.
CONCLUSIONS: The results about developing service partnerships and relationship with specialist services are encouraging for policy and service decision-makers to address mental health service needs in northern and remote areas. PMID: 24164723 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 31, 2013 Category: Rural Health Authors: Cheng C, Deruiter WK, Howlett A, Hanson MD, Dewa CS Tags: Early Interv Psychiatry Source Type: research

The influence of a clinical rural placement programme on the work location of new dental graduates from the University of Sydney, NSW, Australia.
CONCLUSIONS: The study followed up recent dental graduates' working locations to provide longitudinal evidence of the influence of an undergraduate rural placement programme on their work choices. It was found that a higher proportion of graduates who participated in the rural placement programme were working in a rural location when compared with those who had not been offered a placement. PMID: 24127764 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 21, 2013 Category: Rural Health Authors: Johnson G, Blinkhorn A Tags: Eur J Dent Educ Source Type: research

Self-management of chronic conditions in a rural and remote context.
PMID: 24135049 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 18, 2013 Category: Rural Health Authors: Sav A, King MA, Kelly F, McMillan SS, Kendall E, Whitty JA, Wheeler AJ Tags: Aust J Prim Health Source Type: research

Spanning Boundaries into Remote Communities: An Exploration of Experiences with Telehealth Chronic Disease Self-Management Programs in Rural Northern Ontario, Canada.
Conclusions: Our findings suggest overall the tele-CDSMP was a positive experience for participants and that tele-CDSMPs are an effective option to increasing access to more geographically isolated communities. PMID: 24134184 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 17, 2013 Category: Rural Health Authors: Guilcher SJ, Bereket T, Voth J, Haroun VA, Jaglal SB Tags: Telemed J E Health Source Type: research

Social Dynamics in Rural Sri Lankan Hospitals: Revelations From Self-Poisoning Cases.
Abstract Different hospitals produce different cultures-products of relationships between people of different staff categories and people from external community groups. These relationships demonstrate unique social dynamics in rural peripheral hospitals that form a major part of the health care system in Sri Lanka and other developing countries. Understanding the existing social dynamics might be useful when trying to implement new treatment guidelines that can involve behavior change. We aimed to explore the existing social dynamics in peripheral hospitals in rural Sri Lanka by examining the treatment related to...
Source: Rural Remote Health - October 17, 2013 Category: Rural Health Authors: Senarathna L, Hunter C, Dawson AH, Dibley MJ Tags: Qual Health Res Source Type: research

Role of community based savings groups (CBSGs) enhancing the utilization of community midwives in chitral district of Pakistan.
This study will assess the relationship between women membership of CBSGs and their utilization of MNCH services, specifically those offered by CMWs, in the community. METHODS: The research question will be answered through guided interviews of women in the target population who have delivered within one month. The outcome variable will be the utilization of full continuum of skilled MNCH care (disaggregated by 1+ ANC, 1+ PNC and skilled delivery). The primary independent variable of interest will be participation in a CBSG.Focus Group Discussions (FGDs) will be conducted to generate further understanding and informat...
Source: Rural Remote Health - October 11, 2013 Category: Rural Health Authors: Noorani QA, Azam I, Shaikh BT, Ranasinghe T, Abbas S, Wali S, Rippey P, Javed W Tags: BMC Pregnancy Childbirth Source Type: research