Towards universal health coverage: a mixed-method study mapping the development of the faith-based non-profit sector in the Ghanaian health system.
CONCLUSION: FBNPs have had a long-standing role in the provision of health services and remain a valuable asset within national health systems in Ghana and sub-Saharan Africa more broadly. Collaboration between the public sector and such non-state providers, drawing on the comparative strengths and resources of FBNPs and focusing on whole system strengthening, is essential for the achievement of UHC. PMID: 30286758 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 5, 2018 Category: Rural Health Authors: Grieve A, Olivier J Tags: Int J Equity Health Source Type: research

Development of a 3D, networked multi-user virtual reality environment for home therapy after stroke.
CONCLUSIONS: Multi-user VR environments hold promise for home therapy, although the importance of reducing complexity of operation for the user in the VR system must be emphasized. A modified version of the VERGE system is currently being used in a home therapy study. PMID: 30290777 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 5, 2018 Category: Rural Health Authors: Triandafilou KM, Tsoupikova D, Barry AJ, Thielbar KN, Stoykov N, Kamper DG Tags: J Neuroeng Rehabil Source Type: research

Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism: Recommendations
Authors: Abstract Acute pulmonary embolism (PE) is the third most common acute cardiovascular disease, after myocardial infarction and stroke. The optimal diagnostic strategy for suspected PE among experts remains controversial, and it can differ based on factors related to the health care setting (i.e., urban, rural, or remote) that may impact access to diagnostic technologies. For instance, provision of timely diagnosis may be more challenging in rural and remote facilities due to lack of access to certain testing and imaging modalities and specialist expertise, as well as geographical barriers to care. Inabili...
Source: Rural Remote Health - October 4, 2018 Category: Rural Health Tags: Book Source Type: research

Handover training in the workplace: having a CHAT.
CONCLUSIONS: We suggest that work-based handover assessment and feedback provided by clinicians are feasible and should be developed further. Students can learn to give handovers safely even in a remote setting. Clinicians may find CHAT helpful in the learning and teaching of structured handovers in other clinical settings. PMID: 30264474 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 28, 2018 Category: Rural Health Authors: Moore M, Roberts C Tags: Clin Teach Source Type: research

Geographic Disparities in Previously Diagnosed Health Conditions in Colorectal Cancer Patients Are Largely Explained by Age and Area Level Disadvantage.
Conclusion: It is unlikely that health disparities in terms of previously diagnosed conditions account for poorer CRC survival in regional and remote areas. Interventions to improve the health of regional CRC patients may need to target issues unique to socio-economic disadvantage and older age. PMID: 30254984 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - September 27, 2018 Category: Rural Health Authors: Goodwin BC, March S, Ireland MJ, Crawford-Williams F, Ng SK, Baade PD, Chambers SK, Aitken JF, Dunn J Tags: Front Oncol Source Type: research

Impacts of prescribed fires and benefits from their reduction for air quality, health and visibility in the Pacific Northwest of the United States.
This study assesses the potential regional and local air quality, public health and visibility impacts from prescribed burning activities as well as benefits that can be achieved by a potential reduction in emissions for a scenario where biomass is harvested for conversion to biofuel. As prescribed burning activities become more frequent, they can be more detrimental for air quality and health. Forest residue based biofuel industry can be source of cleaner fuel with co-benefits of improved air quality, reduction in health impacts and improved visibility. PMID: 30252621 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 25, 2018 Category: Rural Health Authors: Ravi V, Vaughan JK, Wolcott MP, Lamb BK Tags: J Air Waste Manag Assoc Source Type: research

The impact and understanding of childhood drowning by a community in West Bengal, India, and the suggested preventive measures.
CONCLUSION: Drowning was clearly a complex issue in rural West Bengal, with a significant impact on children and their families. Community-based approaches are clearly needed. This article is protected by copyright. All rights reserved. PMID: 30252948 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 25, 2018 Category: Rural Health Authors: Lukaszyk C, Mittal S, Gupta M, Das R, Ivers R, Jagnoor J Tags: Acta Paediatr Source Type: research

"If I had known, I would have applied": poor communication, job dissatisfaction, and attrition of rural health workers in Sierra Leone.
CONCLUSIONS: HCWs in Sierra Leone lacked accurate information about entitlements, policies, and procedures, and this was a driver of rural HCW job dissatisfaction and attrition. System-oriented, low-cost initiatives can address these underlying structural causes in Sierra Leone. These issues likely apply to other countries facing HCW retention challenges and should be considered in development of global HCW retention strategies. PMID: 30249253 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 24, 2018 Category: Rural Health Authors: Narayan V, John-Stewart G, Gage G, O'Malley G Tags: Hum Resour Health Source Type: research

Digital Health in Melanoma Posttreatment Care in Rural and Remote Australia: Systematic Review.
CONCLUSIONS: Digital interventions may be used as an adjunct service by clinicians during melanoma posttreatment care, especially in regions that are less-resourced by practitioners and health infrastructure, such as rural and remote Australia. Technology could be used to reduce the disparity in melanoma incidence, mortality rates, and accessibility to posttreatment care management between urban and rural/remote populations. PMID: 30249578 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 24, 2018 Category: Rural Health Authors: Rollin A, Ridout B, Campbell A Tags: J Med Internet Res Source Type: research

Health-related quality of life on tele-monitoring for users with pacemakers 6 months after implant: the NORDLAND study, a randomized trial.
d KT Abstract BACKGROUND: With an ageing population and widening indications for pacemakers implantation, the number of persons carrying an implant is steadily increasing. The routine follow-up is thus a heavy burden for the respective NHS as well as for the patients and their relatives. Most of them of the studies have been performed in densely populated areas and nearby to the hospital. It is thus unknown whether these results could be applied also in rural areas such as Northern Norway with a more scattered population. The aim of this study was to assess the effectiveness of tele-monitoring (TM) in patients wit...
Source: Rural Remote Health - September 21, 2018 Category: Rural Health Authors: Lopez-Villegas A, Catalan-Matamoros D, Lopez-Liria R, Enebakk T, Thunhaug H, Lappegård KT Tags: BMC Geriatr Source Type: research

Delivering Collaborative Care in Rural Settings: Integrating Remote Teleconsultation and Local Supervision in Rural Nepal.
Abstract The collaborative care model can deliver high-quality mental health care. In rural regions, clinical supervision is conducted remotely rather than in person. The authors implemented a remote teleconsultation model in rural Nepal, where the consulting psychiatrist is over 30 hours away. This column describes strategies for several challenges: poor mental health competencies and high turnover among primary care providers; need for urgent consultations; psychiatrist discomfort with lack of direct patient contact; unreliable electricity, technological tools, documentation, and delivery of treatment recommenda...
Source: Rural Remote Health - September 17, 2018 Category: Rural Health Authors: Swar S, Rimal P, Gauchan B, Maru D, Yang Y, Acharya B Tags: Psychiatr Serv Source Type: research

Fostering healthcare innovation in public hospitals: the Queensland experience.
Abstract Faced with scarce resources and a demand for health care that exceeds supply, health policy makers at all levels of government need to adopt some form of rationing when deciding which health services should be funded in the public health system. With a relatively small investment, programs such as Queensland Health's New Technology Funding Evaluation Program (NTFEP) fosters innovation by providing funding and pilot studies for new and innovative healthcare technologies. The NTFEP assists policy makers to make informed decisions regarding investments in new safe and effective technologies based on availabl...
Source: Rural Remote Health - September 10, 2018 Category: Rural Health Authors: Mundy L, Howard S, McQueen L, Thomson J, Hewson K Tags: Aust Health Rev Source Type: research

Use of fetal fibronectin testing in women transferred for threatened preterm labour in remote far north Queensland.
CONCLUSION: Adherence to clinical guidelines and greater availability and use of fetal fibronectin testing in Cape York have the potential to reduce aeromedical transfers for threatened preterm labour. Substantial inpatient and excess outpatient stays could be avoided with associated reduction in health system and social costs. Strategies to improve adherence to guidelines and increase access to testing are required. PMID: 30175874 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 3, 2018 Category: Rural Health Authors: Downing SG, Wright R, Marquardt T, Callander E Tags: Aust N Z J Obstet Gynaecol Source Type: research

An explanation of turnover intention among early-career nursing and allied health professionals working in rural and remote Australia - findings from a grounded theory study.
CONCLUSIONS: The study offers a holistic explanation of life factors influencing the turnover intention of early-career health professionals working in public health services in rural NSW. These findings and the turnover intention risk matrix are thought to be suitable for use by Australian public health services and governments, as well as in other highly industrialised countries, to assist in the development of policies and strategies tailored for individual health professionals' work-experience level and life stage. By adopting such a whole-of-person approach, health services and governments will be better positioned to...
Source: Rural Remote Health - September 1, 2018 Category: Rural Health Authors: Cosgrave C, Maple M, Hussain R Tags: Rural Remote Health Source Type: research

Primary health care nurses' competencies in rural disasters caused by floods.
CONCLUSIONS: Although the competencies could be related to the established international competencies for nurses in disasters, a number were described only in this study. These competencies can contribute to the education and practice of nurses in primary health care, strengthening the capacity of the profession to face flood disaster situations in rural areas. PMID: 30173538 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 1, 2018 Category: Rural Health Authors: Prosdocimi Menegat R, Witt RR Tags: Rural Remote Health Source Type: research

Building clinical trials around patients: Evaluation and comparison of decentralized and conventional site models in patients with low back pain.
This study evaluated different trial settings, a decentralized arm via telemedicine center (virtual study conduct), a conventional arm via health clinic (onsite study conduct) and a mixed model arm. Acute low-back pain patients (20-65 years) were recruited to this non-interventional trial in Switzerland. The study consisted of a screening period and a 2-week data collection period using direct data capture (eSource), electronic informed consent form (eICF), electronic diary (eDiary) and wearable actigraphy sensor. A higher number of patients were enrolled in the decentralized arm (N = 18) compared to the conventional a...
Source: Rural Remote Health - August 11, 2018 Category: Rural Health Authors: Sommer C, Zuccolin D, Arnera V, Schmitz N, Adolfsson P, Colombo N, Gilg R, McDowell B Tags: Contemp Clin Trials Commun Source Type: research

Co-optimization of sponge-core bioreactors for removing total nitrogen and antibiotic resistance genes from domestic wastewater.
In this study, DDHS reactors were assessed for such applications, and achieved over 79% and 84% removal of Chemical Oxygen Demand and Ammonium, respectively, and up to 71% removal of Total Nitrogen (TN) from domestic wastes. Elevated TN removals were achieved via bypassing a fraction of raw wastewater around the top layer of the DDHS system to promote denitrification. However, it was not known how this bypass impacts AMR gene (ARG) and mobile genetic element (MGE) levels in treated effluents. High-throughput qPCR was used to quantify ARG and MGE levels in DDHS bioreactors as a function of percent bypass (0, 10, 20 and 30% ...
Source: Rural Remote Health - June 16, 2018 Category: Rural Health Authors: Jong MC, Su JQ, Bunce JT, Harwood CR, Snape JR, Zhu YG, Graham DW Tags: Sci Total Environ Source Type: research

Development of a Community Health Worker-Delivered Cognitive Behavioral Training Intervention for Individuals With Diabetes and Chronic Pain.
We present an iterative developmental approach that combined program adaptation, pretesting, and CHW training processes for a CBT-based diabetes self-care program for individuals living with diabetes and chronic pain. Collaborative intervention refinement, combined with CHW training, is a promising methodology for community-engaged research in remote, underresourced communities. PMID: 29781919 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 23, 2018 Category: Rural Health Authors: Andreae SJ, Andreae LJ, Cherrington AL, Lewis M, Johnson E, Clark D, Safford MM Tags: Fam Community Health Source Type: research

Cost-effectiveness of the controlled temperature chain for the hepatitis B virus birth dose vaccine in various global settings: a modelling study.
Abstract BACKGROUND: The controlled temperature chain (CTC) strategy allows vaccines to be kept outside the cold chain for a short period of time. In remote rural areas, the CTC strategy for the hepatitis B virus (HBV) birth dose vaccination could improve its geographical coverage and timeliness of delivery, but with additional outreach costs. We assessed the cost-effectiveness of the CTC strategy for the HBV birth dose across six world regions and 72 countries according to their HBV prevalence, delivery costs, and birth dose coverage and timing. METHODS: By use of a mathematical model of perinatal HBV transm...
Source: Rural Remote Health - May 20, 2018 Category: Rural Health Authors: Scott N, Palmer A, Morgan C, Lesi O, Spearman CW, Sonderup M, Hellard M Tags: Lancet Glob Health Source Type: research

Reducing Amputations in People with Diabetes (RAPID): Evaluation of a New Care Pathway.
Abstract People with diabetes are at increased risk of foot ulcers, which, if left untreated, can lead to infection, gangrene, and subsequent amputation. Management by a multidisciplinary diabetes foot team has been shown to reduce amputation rates; however, accessing specialist treatment is made particularly difficult when living in remote and rural locations, such as many individuals cared for within NHS Highland. The RAPID project was made up of two phases: firstly, to evaluate the technical feasibility of a new integrated care pathway using innovative technology, and secondly, to establish process enhancement ...
Source: Rural Remote Health - May 16, 2018 Category: Rural Health Authors: MacRury S, Stephen K, Main F, Gorman J, Jones S, Macfarlane D Tags: Int J Environ Res Public Health Source Type: research

Design and Rationale for a Parent-Led Intervention to Increase Fruit and Vegetable Intake in Young Childhood Cancer Survivors (Reboot): Protocol for a Pilot Study.
CONCLUSIONS: Reboot aims to support healthy dietary behaviors in childhood cancer survivors who are at increased risk of developing serious cardiometabolic complications after their cancer treatment. Results will inform the development and implementation of future evidence-based dietary interventions delivered to childhood cancer survivors, particularly those living in rural and remote areas. REGISTERED REPORT IDENTIFIER: RR1-10.2196/9252. PMID: 29769170 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - May 16, 2018 Category: Rural Health Authors: Touyz L, Cohen J, Wakefield C, Grech A, Garnett S, Gohil P, Cohn R Tags: JMIR Res Protoc Source Type: research

An overview of the general practice nurse workforce in Australia, 2012?15.
Abstract Several surveys of the general practice nurse (GPN) workforce have been undertaken in Australia over the last decade, but they have limitations, which mean that the workforce is not well-understood. The aim of this study is to describe the profile of the GPN workforce using the dataset available through the Australia Health Practitioner Registration Agency and to explore how it differs from the non-GPN nursing workforce, and if this workforce is changing over time. Data from labour force surveys conducted from 2012 to 2015 were used. Variables examined were age group, gender, remoteness area, hours worked...
Source: Rural Remote Health - May 8, 2018 Category: Rural Health Authors: Heywood T, Laurence C Tags: Aust J Prim Health Source Type: research

The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with Depression.
Abstract Suicide is a leading cause of death, particularly in rural and remote areas. Although depression is strongly related to both suicidal ideation and attempt, it lacks specificity as a predictor, and little is known about characteristics that increase suicide risk among people with depression. A telephone version of the World Mental Health Composite International Diagnostic Interview explored lifetime depression, suicidal ideation, suicide attempt, and related factors among a community-dwelling sample of rural and remote Australians, selected for an interview based on a screener for psychological distress (1...
Source: Rural Remote Health - May 7, 2018 Category: Rural Health Authors: Handley T, Rich J, Davies K, Lewin T, Kelly B Tags: Int J Environ Res Public Health Source Type: research

Telesonography in emergency medicine: A systematic review.
Abstract Ultrasound is an efficacious, versatile and affordable imaging technique in emergencies, but has limited utility without expert interpretation. Telesonography, in which experts may remotely support the use of ultrasound through a telecommunications link, may broaden access to ultrasound and improve patient outcomes, particularly in remote settings. This review assesses the literature regarding telesonography in emergency medicine, focussing on evidence of feasibility, diagnostic accuracy and clinical utility. A systematic search was performed for articles published from 1946 to February 2017 using the Coc...
Source: Rural Remote Health - May 5, 2018 Category: Rural Health Authors: Marsh-Feiley G, Eadie L, Wilson P Tags: PLoS One Source Type: research

Compounding medications in a rural setting: an interprofessional perspective.
Conclusion: This study highlights that workshops of this nature have a role to play in developing collaborative interprofessional practice and increasing awareness of pharmaceutical services among undergraduate health students. However, further evidence is needed to assess whether positive perceptions of specialty practice IPL workshops will translate into improved patient outcomes in practice. PMID: 29719402 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - May 3, 2018 Category: Rural Health Authors: Taylor S, Hays C, Glass B Tags: J Multidiscip Healthc Source Type: research

A Remote Collaborative Care Program for Patients with Depression Living in Rural Areas: Open-Label Trial.
CONCLUSIONS: Higher rates of treatment adherence in the remote collaborative care program suggest that technology-assisted interventions may help rural primary care teams in the management of depressive patients. Future cost-effectiveness studies are needed. TRIAL REGISTRATION: Clinicaltrials.gov NCT02200367; https://clinicaltrials.gov/ct2/show/NCT02200367 (Archived by WebCite at http://www.webcitation.org/6xtZ7OijZ). PMID: 29712627 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 30, 2018 Category: Rural Health Authors: Rojas G, Guajardo V, Martínez P, Castro A, Fritsch R, Moessner M, Bauer S Tags: J Med Internet Res Source Type: research

An investigation into the use of radiographer abnormality detection systems by Queensland public hospitals.
CONCLUSION: This study found an infrequent use of RADSs in Queensland public hospitals. This finding presents a unique opportunity for medical imaging professionals to enhance communication between the facets of a multidisciplinary emergency team via the implementation of RADS complemented by a radiographer commenting system. PMID: 29707911 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - April 29, 2018 Category: Rural Health Authors: Murphy A, Neep M Tags: J Med Radiat Sci Source Type: research

Parental Translation into Practice of Healthy Eating and Active Play Messages and the Impact on Childhood Obesity: A Mixed Methods Study.
Abstract Childhood obesity is a significant health issue worldwide. Modifiable risk factors in early childhood relate to child healthy eating and active play, and are influenced by parents. The aim of the study was two-fold. Firstly, to determine the weight status of children aged between birth and 3.5 years in a rural and remote area of Australia. Secondly, to explore the relationship between child weight status and translation of advice on healthy eating and active play provided to parents by local, nurse-led, Maternal Child Health (MCH) services. Measured anthropometric data (n = 438) were provided by MCH servi...
Source: Rural Remote Health - April 27, 2018 Category: Rural Health Authors: Huxtable A, Millar L, Love P, Bell C, Whelan J Tags: Nutrients Source Type: research

Impact of Telehealth Interventions on Processes and Quality of Care for Patients With ESRD.
Abstract Caring for patients with end-stage renal disease (ESRD) requiring dialysis is intensive and expensive. Telehealth may improve the access and efficiency of ESRD care. For this perspective, we systematically reviewed studies that examined the effectiveness of telehealth versus or in addition to usual care for ESRD management. 10 studies were identified, including 7 randomized trials and 3 cohort studies. Study populations, modes of delivery (including telephone, telemetry, or videoconferencing), and the outcomes evaluated varied substantially between studies. Two studies examined telehealth interventions ve...
Source: Rural Remote Health - April 23, 2018 Category: Rural Health Authors: Lunney M, Lee R, Tang K, Wiebe N, Bello AK, Thomas C, Rabi D, Tonelli M, James MT Tags: Am J Kidney Dis Source Type: research

Orthopedic Knowledge and Need in the Provincial Philippines: Pilot Study of a Population-Based Survey.
CONCLUSION: The survey describes perceived barriers to care and gaps in knowledge for acute orthopedic injuries. With some modification, this survey tool could be expanded and utilized on a regional or national level to assess gaps in knowledge and barriers to acute orthopedic care. CourtneyCS, KirschTD. Orthopedic knowledge and need in the Provincial Philippines: pilot study of a population-based survey. PMID: 29681244 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - April 23, 2018 Category: Rural Health Authors: Courtney CS, Kirsch TD Tags: Prehosp Disaster Med Source Type: research

Community-based diagnosis of non-communicable diseases and their risk factors in rural and urban Haiti: a cross-sectional prevalence study.
CONCLUSIONS: Women in Haiti had significantly higher prevalence rates of most NCDs and risk factors than men, and urban populations frequently, but not always, had higher rates of NCDs risk factors than the rural population. Further, it was shown that using point of care blood tests combined with community health workers, it is feasible to screen for NCDs and risk factors in remote areas which otherwise have limited access to healthcare. PMID: 29678978 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 20, 2018 Category: Rural Health Authors: DeGennaro V, Malcolm S, Crompton L, Vaddiparti K, Mramba LK, Striley C, Cottler L, Taylor K, Leverence R Tags: BMJ Open Source Type: research

Urbanization prolongs hantavirus epidemics in cities.
Abstract Urbanization and rural-urban migration are two factors driving global patterns of disease and mortality. There is significant concern about their potential impact on disease burden and the effectiveness of current control approaches. Few attempts have been made to increase our understanding of the relationship between urbanization and disease dynamics, although it is generally believed that urban living has contributed to reductions in communicable disease burden in industrialized countries. To investigate this relationship, we carried out spatiotemporal analyses using a 48-year-long dataset of hemorrhagi...
Source: Rural Remote Health - April 17, 2018 Category: Rural Health Authors: Tian H, Hu S, Cazelles B, Chowell G, Gao L, Laine M, Li Y, Yang H, Li Y, Yang Q, Tong X, Huang R, Bjornstad ON, Xiao H, Stenseth NC Tags: Proc Natl Acad Sci U S A Source Type: research

Oral health knowledge, attitudes, and practices (KAP) in rural Haiti: a 40-year follow-up study.
Abstract This paper reports the changed findings over a 40-year period on oral health knowledge, attitudes, and practices (KAP) of a very remote and rural population living the Jeremie region of Haiti. The far-sighted investigators of that original 1970 survey stated in their published 1972 paper that our "…findings are descriptive, but have to be accepted tentatively rather than definitively because time was short, transportation was difficult, and the small sample that had to be used could not random." They further insightfully stated their hopes that their "…results may be regarded ...
Source: Rural Remote Health - April 14, 2018 Category: Rural Health Authors: Katz RV, Prophete SE, Lafontant C, Gebrian B, Bourdeau LC, Joseph JE, Lafontant GJ, St Jean HL, Rundberg PE Tags: J Public Health Dent Source Type: research

Regional South Australia Health (RESONATE) survey: study protocol.
Abstract INTRODUCTION: Access to quality healthcare services is considered a moral right. However, for people living in regional locations, timely access to the services that they need may not always be possible because of structural and attitudinal barriers. This suggests that people living in regional areas may have unmet healthcare needs. The aim of this research will be to examine the healthcare needs, expectations and experiences of regional South Australians. METHODS AND ANALYSIS: The Regional South Australia Health (RESONATE) survey is a cross-sectional study of adult health consumers living in any pri...
Source: Rural Remote Health - April 13, 2018 Category: Rural Health Authors: Leach MJ, Jones M, Gillam M, May E Tags: BMJ Open Source Type: research

The feasibility and concurrent validity of performing the Movement Assessment Battery for Children - 2nd Edition via telerehabilitation technology.
CONCLUSIONS AND IMPLICATIONS: This study establishes the feasibility and concurrent validity of the administration of the Movement Assessment Battery for Children - 2nd Edition via telerehabilitation technology. Overall, participants perceived their experience with telerehabilitation positively. PMID: 29656273 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - April 12, 2018 Category: Rural Health Authors: Nicola K, Waugh J, Charles E, Russell T Tags: Res Dev Disabil Source Type: research

Mortality in a cohort of remote-living Aboriginal Australians and associated factors.
CONCLUSIONS: To reduce premature mortality, public health practitioners should prioritise the prevention and treatment of diabetes and renal disease in Aboriginal people in remote WA. This will require a sustained and holistic approach. PMID: 29621272 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 7, 2018 Category: Rural Health Authors: Hyde Z, Smith K, Flicker L, Atkinson D, Almeida OP, Lautenschlager NT, Dwyer A, LoGiudice D Tags: PLoS One Source Type: research

Piloting the addition of contingency management to best practice counselling as an adjunct treatment for rural and remote disordered gamblers: study protocol.
This study was approved by the University of Lethbridge's Human Subject Research Committee (#2016-080). The investigators plan to publish the results from this study in academic peer-reviewed journals. Summary information will be provided to the funder. TRIAL REGISTRATION NUMBER: NCT02953899; Pre-results. PMID: 29615445 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 3, 2018 Category: Rural Health Authors: Christensen DR, Witcher CSG, Leighton T, Hudson-Breen R, Ofori-Dei S Tags: BMJ Open Source Type: research

Localizing Global Medicine: Challenges and Opportunities in Cervical Screening in an Indigenous Community in Ecuador.
ay AC Abstract This participatory research study examines the tensions and opportunities in accessing allopathic medicine, or biomedicine, in the context of a cervical cancer screening program in a rural indigenous community of Northern Ecuador. Focusing on the influence of social networks, the article extends research on "re-appropriation" of biomedicine. It does so by recognizing two competing tensions expressed through social interactions: suspicion of allopathic medicine and the desire to maximize one's health. Semistructured individual interviews and focus groups were conducted with 28 women who had...
Source: Rural Remote Health - March 26, 2018 Category: Rural Health Authors: Nugus P, Désalliers J, Morales J, Graves L, Evans A, Macaulay AC Tags: Qual Health Res Source Type: research

Telemedicine in the perioperative experience.
Abstract Telemedicine, the remote diagnosis and treatment of patients by means of technology, provides an alternative means for patients to gain access to health care services. Telemedicine is a general term that includes the use of various communication technologies, including telephone, email, or videoconferencing. Telemedicine has the potential to reduce inefficiencies in the delivery of healthcare, diminish patient travel and wait times, and increase access to specialists for patients in rural settings. We review the use of telemedicine in the perioperative phase of care for pediatric surgical patients, their ...
Source: Rural Remote Health - March 21, 2018 Category: Rural Health Authors: Lesher AP, Shah SR Tags: Semin Pediatr Surg Source Type: research

Sleep problems in adolescence and overweight/obesity in young adults: is there a causal link?
CONCLUSION: Although there is evidence for a causal association between sleep problems and general Ow/Ob, the link between sleep problems and abdominal Ow/Ob needs more research to produce conclusive results. Nonetheless, behavioral interventions encouraging healthy sleep practice in young subjects are likely to influence future Ow/Ob outcome. PMID: 29555128 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - March 21, 2018 Category: Rural Health Authors: Fatima Y, Doi SAR, Al Mamun A Tags: Sleep Health Source Type: research

The retail availability of tobacco in Tasmania: evidence for a socio-economic and geographical gradient.
Abstract OBJECTIVES: To describe the retail availability of tobacco and to examine the association between tobacco outlet density and area-level remoteness and socio-economic status classification in Tasmania. DESIGN: Ecological cross-sectional study; analysis of tobacco retail outlet data collected by the Department of Health and Human Services (Tasmania) according to area-level (Statistical Areas Level 2) remoteness (defined by the Remoteness Structure of the Australian Statistical Geographical Standard) and socio-economic status (defined by the 2011 Australian Bureau of Statistics Index of Relative Socioec...
Source: Rural Remote Health - March 17, 2018 Category: Rural Health Authors: Melody SM, Martin-Gall V, Harding B, Veitch MG Tags: Med J Aust Source Type: research

Strengthening the Anesthesia Workforce in Low- and Middle-Income Countries.
This article explores some of the key issues that must be tackled to strengthen the anesthesia workforce in low- and lower-middle-income countries. First, we need to increase the overall number of safe anesthesia providers to match a huge burden of disease, particularly in the poorest countries in the world and in remote and rural areas. Through using a task-sharing model, an increase is required in both nonphysician anesthesia providers and anesthesia specialists. Second, there is a need to improve and support the competency of anesthesia providers overall. It is important to include a broad base of knowledge, skills, and...
Source: Rural Remote Health - March 17, 2018 Category: Rural Health Authors: Kudsk-Iversen S, Shamambo N, Bould MD Tags: Anesth Analg Source Type: research

eHealth as a facilitator of equitable access to primary healthcare: the case of caring for non-communicable diseases in rural and refugee settings in Lebanon.
CONCLUSIONS: Low-cost eHealth netbook application was deemed effective in identifying new cases of NCDs and establishing appropriate referrals in underserved communities. PMID: 29546440 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - March 15, 2018 Category: Rural Health Authors: Saleh S, Alameddine M, Farah A, El Arnaout N, Dimassi H, Muntaner C, El Morr C Tags: Int J Public Health Source Type: research

Medical Services at an International Summer Camp Event Under Hot and Humid Conditions: Experiences From the 23rd World Scout Jamboree, Japan.
CONCLUSIONS: Our findings suggest the importance of taking effective countermeasures against heat strain, fatigue, and unsanitary conditions at the WSJ. Medical services staff should take attendees' age, sex, and period into consideration to prevent heat strain-related diseases during such camps under hot and humid conditions. PMID: 29530472 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - March 9, 2018 Category: Rural Health Authors: Watanabe T, Mizutani K, Iwai T, Nakashima H Tags: Wilderness Environ Med Source Type: research

Pragmatism in practice: lessons learned during screening and enrollment for a randomised controlled trial in rural northern Ethiopia.
CONCLUSIONS: Examples given in the previous section are contextualised and general principles extracted where possible. We conclude that it is possible to conduct a trial that balances approaches that support internal validity (e.g. careful design of proformas, accurate case identification, control over data quality and high retention rates) with those that favour generalisability (e.g. 'real world' setting and low rates of exclusion). Strategies, such as Rapid Ethical Assessment, that increase researchers' understanding of the study setting and inclusion of hard-to-reach participants are likely to have resource and time i...
Source: Rural Remote Health - March 7, 2018 Category: Rural Health Authors: Molla M, Negussie H, Ngari M, Kivaya E, Njuguna P, Enqueselassie F, Berkley JA, Davey G Tags: BMC Med Res Methodol Source Type: research

A randomized trial using telehealth technology to link caregivers with dementia care experts for in-home caregiving support: FamTechCare protocol.
Abstract The number of persons with dementia (PWD) in the United States is expected to reach 16 million by 2050. Due to the behavioral and psychological symptoms of dementia, caregivers face challenging in-home care situations that lead to a range of negative health outcomes such as anxiety and depression for the caregivers and nursing home placement for PWD. Supporting Family Caregivers with Technology for Dementia Home Care (FamTechCare) is a multisite randomized controlled trial evaluating the effects of a telehealth intervention on caregiver well-being and PWD behavioral symptoms. The FamTechCare intervention ...
Source: Rural Remote Health - March 5, 2018 Category: Rural Health Authors: Williams K, Blyler D, Vidoni ED, Shaw C, Wurth J, Seabold D, Perkhounkova Y, Van Sciver A Tags: Res Nurs Health Source Type: research

A social & ndash;contextual investigation of smoking among rural women: multi-level factors associated with smoking status and considerations for cessation.
CONCLUSIONS: These findings indicate that a social-contextual approach to tobacco control may be useful for narrowing a widening trajectory of smoking disparity for rural women. Interpersonal context, in particular, must be considered in the development of culturally targeted cessation interventions for Ohio Appalachian women. PMID: 29500916 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - March 1, 2018 Category: Rural Health Authors: Nemeth JM, Thomson TL, Lu B, Peng J, Krebs V, Doogan NJ, Ferketich AK, Post DM, Browning CR, Paskett ED, Wewers ME Tags: Rural Remote Health Source Type: research

Find Cancer Early: Evaluation of a Community Education Campaign to Increase Awareness of Cancer Signs and Symptoms in People in Regional Western Australians.
Conclusion: Despite limited use of mass media, Find Cancer Early successfully improved knowledge of cancer symptoms and possibly led to changes in behavior. Social marketing campaigns using community development can raise awareness and knowledge of a health issue in the absence of television advertising. PMID: 29473031 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - February 27, 2018 Category: Rural Health Authors: Croager EJ, Gray V, Pratt IS, Slevin T, Pettigrew S, Holman CD, Bulsara M, Emery J Tags: Front Public Health Source Type: research

Direct whole-genome sequencing of Plasmodium falciparum specimens from dried erythrocyte spots.
CONCLUSION: This study describes a simple filter paper based protocol for sampling P. falciparum from malaria patients for subsequent direct WGS, enabling acquisition of samples in remote settings with no access to electricity. PMID: 29471822 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 23, 2018 Category: Rural Health Authors: Nag S, Kofoed PE, Ursing J, Lemvigh CK, Allesøe RL, Rodrigues A, Svendsen CA, Jensen JD, Alifrangis M, Lund O, Aarestrup FM Tags: Malar J Source Type: research

Telegerontology as a Novel Approach to Address Health and Safety by Supporting Community-Based Rural Dementia Care Triads: Randomized Controlled Trial Protocol.
CONCLUSIONS: Results from this study will demonstrate a novel approach to dementia care that has the potential to impact both rural PCPs, family caregivers, and people with dementia, as well as provide evidence for the utility of Telegerontology in models of eHealth-based care. PMID: 29472178 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - February 22, 2018 Category: Rural Health Authors: Wallack EM, Harris C, Ploughman M, Butler R Tags: JMIR Res Protoc Source Type: research