The health and health preparation of long-term Australian travellers.
This study highlights that long-term travellers have significant health needs and are likely to require health services during their extended travel. Additionally, it identifies that currently few strategies are used to plan for health care during travel. This raises issues for rural and remote health services in terms of both capacity and continuity of care. PMID: 28592352 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 8, 2017 Category: Rural Health Authors: Halcomb E, Stephens M, Smyth E, Meedya S, Tillott S Tags: Aust J Prim Health Source Type: research

Content Design and System Implementation of a Teleophthalmology System for Eye Disease Diagnosis and Treatment and Its Preliminary Practice in Guangdong, China.
CONCLUSION: From the practice, the project has shown the telemedicine system and associated contents have satisfied our initial goal and demonstrated their effectiveness and efficiency. PMID: 28586267 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 6, 2017 Category: Rural Health Authors: Xiao D, Vignarajan J, Chen T, Ye T, Xiao B, Congdon N, Kanagasingam Y Tags: Telemed J E Health Source Type: research

Longitudinal Tracking of Workplace Outcomes for Undergraduate Allied Health Students Undertaking Placements in Rural Australia.
CONCLUSIONS: Preliminary findings indicated a positive perception of the rural placement experience and impact on intention to work rurally or in a rural location, particularly from those who had not previously spent time in a rural area. Future directions are to investigate longer-term workforce outcomes and the impact on the rural health workforce. PMID: 28561864 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 2, 2017 Category: Rural Health Authors: Brown L, Smith T, Wakely L, Wolfgang R, Little A, Burrows J Tags: J Allied Health Source Type: research

mHealth for mental health in the Middle East: Need, technology use, and readiness among Palestinians in the West Bank.
The objective of this study was to examine whether mHealth approaches that leverage mobile phones for remote mental health treatment may be viable alternatives. We surveyed 272 Palestinian adults in urban, rural, and refugee camp settings. Most participants (93.4%) reported owning mobile phones. The penetration of mobile devices was high across all study sites. Males and females did not differ in their access to this resource. Among mobile phone owners, 79.9% had smartphones, 32.2% had basic mobile phones, and 12.2% owned both. Respondents reported having reliable access to electricity (99.6%) and Wi-Fi (80.9%). Almost all...
Source: Rural Remote Health - June 1, 2017 Category: Rural Health Authors: Ben-Zeev D, Fathy C, Jonathan G, Abuharb B, Brian RM, Kesbeh L, Abdelkader S Tags: Asian J Psychiatr Source Type: research

Measuring geographical accessibility to rural and remote health care services: Challenges and considerations.
This study demonstrates how the selection of geographical areal units and different methods for measuring geographical accessibility could affect the distribution of healthcare resources in rural areas. These methodological issues have implications for determining where there is reduced access that will ultimately impact health human resource priorities and policies. PMID: 28552191 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 30, 2017 Category: Rural Health Authors: Shah TI, Milosavljevic S, Bath B Tags: Spat Spatiotemporal Epidemiol Source Type: research

Mini-review: high rate algal ponds, flexible systems for sustainable wastewater treatment.
Abstract Over the last 20 years, there has been a growing requirement by governments around the world for organisations to adopt more sustainable practices. Wastewater treatment is no exception, with many currently used systems requiring large capital investment, land area and power consumption. High rate algal ponds offer a sustainable, efficient and lower cost option to the systems currently in use. They are shallow, mixed lagoon based systems, which aim to maximise wastewater treatment by creating optimal conditions for algal growth and oxygen production-the key processes which remove nitrogen and organic ...
Source: Rural Remote Health - May 13, 2017 Category: Rural Health Authors: Young P, Taylor M, Fallowfield HJ Tags: World J Microbiol Biotechnol Source Type: research

Tele-pharmacy in rural Scotland: a proof of concept study.
DISCUSSION: Community pharmacy services delivered remotely using tele-technology are feasible and acceptable. A larger study should be undertaken to confirm the potential of the TPRSS to reduce health inequalities in rural areas. PMID: 28466547 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 4, 2017 Category: Rural Health Authors: Inch J, Notman F, Watson M, Green D, Baird R, Ferguson J, Hind C, McKinstry B, Strath A, Bond C, Telepharmacy Research Team Tags: Int J Pharm Pract Source Type: research

Increasing use of mental health services in remote areas using mobile technology: a pre-post evaluation of the SMART Mental Health project in rural India.
CONCLUSIONS: The intervention led to individuals being screened for common mental disorders by village health workers and increase in mental health service use by those referred to the primary care doctor. The model was deemed feasible and acceptable. The effectiveness of the intervention needs to be demonstrated using more robust randomized controlled trials, while addressing the issues identified that will facilitate scale up. PMID: 28400954 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 14, 2017 Category: Rural Health Authors: Maulik PK, Kallakuri S, Devarapalli S, Vadlamani VK, Jha V, Patel A Tags: J Glob Health Source Type: research

The Development of a Telemedicine Planning Framework Based on Needs Assessment.
Abstract Providing equitable access to healthcare services in rural and remote communities is an ongoing challenge that faces most governments. By increasing access to specialty expertise, telemedicine may be a potential solution to this problem. Regardless of its potential, many telemedicine initiatives do not progress beyond the research phase, and are not implemented into mainstream practice. One reason may be that some telemedicine services are developed without the appropriate planning to ascertain community needs and clinical requirements. The aim of this paper is to report the development of a planning fram...
Source: Rural Remote Health - March 24, 2017 Category: Rural Health Authors: AlDossary S, Martin-Khan MG, Bradford NK, Armfield NR, Smith AC Tags: J Med Syst Source Type: research

Perspectives on Patient Access to Radiation Oncology Facilities and Services in Mainland China.
In this report, we would highlight the positive changes that have occurred during the time and outline what is still needed for the future of this important cancer specialty in China. PMID: 28325243 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - March 24, 2017 Category: Rural Health Authors: Wang L, Lu JJ, Yin W, Lang J Tags: Semin Radiat Oncol Source Type: research

Benefits of an Android Based Tablet Application in Primary Screening for Eye Diseases in a Rural Population, India.
Abstract To investigate the effectiveness, efficiency and cost gains in collecting patient eye health information from remote rural villages of India by trained field investigators through an Android Based Tablet Application namely 'Sankara Electronic Remote Vision Information System (SERVIS)". During January and March 2016, a population based cross-sectional study was conducted in three Indian states employing SERVIS and manual method. The SERVIS application has a 48-items survey instrument programed into the application. Data on 281 individuals were collected for each of these methods as part of screening. ...
Source: Rural Remote Health - February 19, 2017 Category: Rural Health Authors: Imtiaz SA, Krishnaiah S, Yadav SK, Bharath B, Ramani RV Tags: J Med Syst Source Type: research

Systematic review of the effectiveness, barriers and facilitators to general practitioner engagement with specialist secondary services in integrated palliative care.
CONCLUSIONS: This is an emerging field and further research is required assessing the effectiveness of different models of integrated palliative care. PMID: 28196828 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 13, 2017 Category: Rural Health Authors: Carmont SA, Mitchell G, Senior H, Foster M Tags: BMJ Support Palliat Care Source Type: research

Improving access to Chagas disease diagnosis and etiologic treatment in remote rural communities of the Argentine Chaco through strengthened primary health care and broad social participation.
CONCLUSIONS AND SIGNIFICANCE: Our results demonstrate that diagnosis and treatment of T. cruzi infection in remote, impoverished rural areas can be effectively addressed through strengthened primary healthcare attention and broad social participation with adequate external support. This strategy secured high treatment coverage and adherence; effectively managed ADRs, and provided early evidence of positive therapeutic responses. PMID: 28192425 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 12, 2017 Category: Rural Health Authors: Sartor P, Colaianni I, Cardinal MV, Bua J, Freilij H, Gürtler RE Tags: PLoS Negl Trop Dis Source Type: research

Community Paramedicine Initiative: Transforming Paramedicine in British Columbia.
Abstract British Columbia's health care system is facing challenges related to rural access to care and an ever increasing demand for services. These variables are compounded by the anticipated needs of an aging population that can expect to live several of their golden years with a chronic illness. The introduction of community paramedicine in BC allows for a care delivery model that expands the role of qualified paramedics to include the delivery of prevention, health promotion and primary care services in the community. The implementation of the Community Paramedicine Initiative in rural and remote BC highlight...
Source: Rural Remote Health - February 12, 2017 Category: Rural Health Authors: Calderone C, Brittain M, Sirivar D, Kotani N Tags: Stud Health Technol Inform Source Type: research

Electrophysiological, cognitive and clinical profiles of at-risk mental state: The longitudinal Minds in Transition (MinT) study.
Abstract The onset of schizophrenia is typically preceded by a prodromal period lasting several years during which sub-threshold symptoms may be identified retrospectively. Clinical interviews are currently used to identify individuals who have an ultra-high risk (UHR) of developing a psychotic illness with a view to provision of interventions that prevent, delay or reduce severity of future mental health issues. The utility of bio-markers as an adjunct in the identification of UHR individuals is not yet established. Several event-related potential measures, especially mismatch-negativity (MMN), have been identifi...
Source: Rural Remote Health - February 12, 2017 Category: Rural Health Authors: Atkinson RJ, Fulham WR, Michie PT, Ward PB, Todd J, Stain H, Langdon R, Thienel R, Paulik G, Cooper G, MinT Consortium, Schall U Tags: PLoS One Source Type: research

Participatory science and innovation for improved sanitation and hygiene: process and outcome evaluation of project SHINE, a school-based intervention in Rural Tanzania.
CONCLUSIONS: The Project SHINE model shows promise as an innovative capacity building approach and as an engagement and empowerment strategy for youth and communities to develop locally sustainable strategies to improve sanitation and hygiene. PMID: 28173789 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 6, 2017 Category: Rural Health Authors: Hetherington E, Eggers M, Wamoyi J, Hatfield J, Manyama M, Kutz S, Bastien S Tags: BMC Public Health Source Type: research

Changes to radiotherapy utilisation in Western NSW after the opening of a local service.
CONCLUSIONS: A new radiotherapy service in a sparsely populated health district significantly changed the pattern of radiotherapy use for those who lived only in the Orange region. Treatment capacity at the Orange radiotherapy centre has doubled with the opening of a second linear accelerator since this study was conducted. Thus, a follow-up study is recommended to ascertain if radiotherapy rates remain low in the regions beyond Orange. PMID: 28160454 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 2, 2017 Category: Rural Health Authors: Butler SM Tags: J Med Radiat Sci Source Type: research

A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia.
CONCLUSIONS: Overall, despite evidence of disparity in CRC survival and clinical management across geographic locations, the evidence was limited and at times inconsistent. Further, access to treatment and services may not be the main driver of disparities, with individual patient characteristics and type of region also playing an important role. A better understanding of factors driving ongoing and significant geographical disparities in cancer related outcomes is required to inform the development of effective interventions to improve the health and welfare of regional Australians. PMID: 28152983 [PubMed - in proces...
Source: Rural Remote Health - February 1, 2017 Category: Rural Health Authors: Ireland MJ, March S, Crawford-Williams F, Cassimatis M, Aitken JF, Hyde MK, Chambers SK, Sun J, Dunn J Tags: BMC Cancer Source Type: research

Validity and Acceptability of Kimberley Mum's Mood Scale to Screen for Perinatal Anxiety and Depression in Remote Aboriginal Health Care Settings.
CONCLUSION: KMMS is an effective tool for identifying Kimberley Aboriginal perinatal women at risk of anxiety and depressive disorders. Adoption of KMMS with culturally safe training and support is likely to improve screening processes, and with further validation may have broader applicability across remote Australia. PMID: 28135275 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 1, 2017 Category: Rural Health Authors: Marley JV, Kotz J, Engelke C, Williams M, Stephen D, Coutinho S, Trust SK Tags: PLoS One Source Type: research

Demography, maternal health and the epidemiology of malaria and other major infectious diseases in the rural department Tsamba-Magotsi, Ngounie Province, in central African Gabon.
CONCLUSIONS: Despite major improvements in the accessibility of Tsamba Magotsi over the past decade the epidemiological transition does not appear to have majorly changed on the spectrum of diseases in this rural Gabonese population. The high prevalence of Plasmodium infection indicates a high burden of malaria related morbidity. Infectious diseases remain one of the most important health issues and further research activities in the field of tropical medicine and infectious diseases could help improve health care for the local population. PMID: 28129759 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 27, 2017 Category: Rural Health Authors: Manego RZ, Mombo-Ngoma G, Witte M, Held J, Gmeiner M, Gebru T, Tazemda B, Mischlinger J, Groger M, Lell B, Adegnika AA, Agnandji ST, Kremsner PG, Mordmüller B, Ramharter M, Matsiegui PB Tags: BMC Public Health Source Type: research

Introducing eHealth strategies to enhance maternal and perinatal health care in rural Tanzania.
CONCLUSIONS: E-Health presents an opportunity for improving maternal health care in underserved remote areas in low-resource settings by broadening knowledge and skills, and by connecting frontline care providers with consultants for emergency teleconsultations. PMID: 28116114 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 26, 2017 Category: Rural Health Authors: Nyamtema A, Mwakatundu N, Dominico S, Kasanga M, Jamadini F, Maokola K, Mawala D, Abel Z, Rumanyika R, Nzabuhakwa C, van Roosmalen J Tags: Matern Health Neonatol Perinatol Source Type: research

Human resources for health (and rehabilitation): Six Rehab-Workforce Challenges for the century.
CONCLUSIONS: Concrete examples of feasible local, global and research action toward meeting the Six Rehab-Workforce Challenges are provided. Altogether, these may help advance a policy and research agenda for ensuring that an adequate rehabilitation workforce can meet the current and future rehabilitation health needs. PMID: 28114960 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 22, 2017 Category: Rural Health Authors: Jesus TS, Landry MD, Dussault G, Fronteira I Tags: Hum Resour Health Source Type: research

Discontinuation from Antiretroviral Therapy: A Continuing Challenge among Adults in HIV Care in Ethiopia: A Systematic Review and Meta-Analysis.
Abstract BACKGROUND: Discontinuation of antiretroviral therapy (ART) reduces the immunological benefit of treatment and increases complications related to human immune-deficiency virus (HIV). However, the risk factors for ART discontinuation are poorly understood in developing countries particularly in Ethiopia. This review aimed to assess the best available evidence regarding risk factors for ART discontinuation in Ethiopia. METHODS: Quantitative studies conducted in Ethiopia between 2002 and 2015 that evaluated factors associated with ART discontinuation were sought across six major databases. Only English ...
Source: Rural Remote Health - January 22, 2017 Category: Rural Health Authors: Gesesew HA, Ward P, Hajito KW, Feyissa GT, Mohammadi L, Mwanri L Tags: PLoS One Source Type: research

Telementoring Primary Care Clinicians to Improve Geriatric Mental Health Care.
This study assesses whether Project ECHO(®) (Extension for Community Healthcare Outcomes) GEMH (geriatric mental health)-a remote learning and mentoring program-is an effective strategy to address geriatric mental health challenges in rural and underserved communities. Thirty-three teleECHO clinic sessions connecting a team of specialists to 54 primary care and case management spoke sites (approximately 154 participants) were conducted in 10 New York counties from late 2014 to early 2016. The curriculum consisted of case presentations and didactic lessons on best practices related to geriatric mental health care. Twent...
Source: Rural Remote Health - January 19, 2017 Category: Rural Health Authors: Fisher E, Hasselberg M, Conwell Y, Weiss L, Padrón NA, Tiernan E, Karuza J, Donath J, Pagán JA Tags: Popul Health Manag Source Type: research

Mobile Phones and Mental Well-Being: Initial Evidence Suggesting the Importance of Staying Connected to Family in Rural, Remote Communities in Uganda.
Abstract Due to the ubiquity of mobile phones around the globe, studies are beginning to analyze their influence on health. Prior work from developed countries highlights negative mental health outcomes related to overuse of mobile phones. However, there is little work on mental health impacts of mobile phone use or ownership in developing countries. This is an important gap to address because there are likely variations in mental health impacts of mobile phones between developing and developed countries, due to cultural nuances to phone use and distinct variations in financial models for obtaining mobile phone ac...
Source: Rural Remote Health - January 19, 2017 Category: Rural Health Authors: Pearson AL, Mack E, Namanya J Tags: PLoS One Source Type: research

Noma: Overview of a Neglected Disease and Human Rights Violation.
Abstract Noma is an orofacial gangrene affecting malnourished children and mainly observed in tropical countries, particularly sub-Saharan Africa. Epidemiological data on noma are scarce, but a current estimate of the global incidence is 30,000-40,000 cases per year, with a mortality rate of approximately 85% and a burden of disease calculated to be a loss of 1-10 million disability-adjusted life years. The etiology of noma is multifactorial with malnutrition as an ever present factor, often in combination with concomitant diseases, such as measles, malaria, and human immunodeficiency virus (HIV), and poor oral hy...
Source: Rural Remote Health - January 15, 2017 Category: Rural Health Authors: Leila Srour M, Marck K, Baratti-Mayer D Tags: Am J Trop Med Hyg Source Type: research

Use of information and communication technology and retention of health workers in rural post-war conflict Northern Uganda: findings from a qualitative study.
CONCLUSIONS: This qualitative study showed low confidence, poor knowledge and skills in ICT usage but positive perceptions about the benefits and contributions of ICT. These findings suggest the need for specific investment in ICT infrastructural development for health care providers in remote rural areas of northern Uganda. PMID: 28068980 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 9, 2017 Category: Rural Health Authors: Yagos WO, Tabo Olok G, Ovuga E Tags: BMC Med Inform Decis Mak Source Type: research

Improving the knowledge of labour and delivery nurses in India: a randomized controlled trial of mentoring and case sheets in primary care centres.
CONCLUSIONS: This study demonstrates that provision of case sheets or checklists alone is insufficient to improve knowledge and practices. However, on-site mentoring in combination with case sheets can have a demonstrable effect on improving nurse knowledge and skills around essential obstetric and neonatal care in remote rural areas of India. We recommend scaling up of this mentoring model in order to improve staff knowledge and skills and reduce maternal and neonatal mortality in India. TRIAL REGISTRATION: This study is registered at clinicaltrials.gov, Identifier No. NCT02004912 , November 27, 2013. PMID: 2806...
Source: Rural Remote Health - January 6, 2017 Category: Rural Health Authors: Bradley J, Jayanna K, Shaw S, Cunningham T, Fischer E, Mony P, Ramesh BM, Moses S, Avery L, Crockett M, Blanchard JF Tags: BMC Health Serv Res Source Type: research

Reasons why specialist doctors undertake rural outreach services: an Australian cross-sectional study.
CONCLUSIONS: Specialist doctors undertake rural outreach services for a range of reasons, mainly to complement the growth and diversity of their main practice or maintain a regional connection. Structuring rural outreach around the specialist's main practice is likely to support participation and improve service distribution. PMID: 28061894 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 6, 2017 Category: Rural Health Authors: O'Sullivan BG, McGrail MR, Stoelwinder JU Tags: Hum Resour Health Source Type: research

The Contribution of Individual, Social and Work Characteristics to Employee Mental Health in a Coal Mining Industry Population.
CONCLUSION: This is the first study to examine the characteristics associated with mental health problems in the Australian coal mining industry. The findings indicate the salience of mental health needs in this population, and the associated interplay of personal, social and work characteristics. The work characteristics associated with psychological distress are modifiable and can guide an industry response, as well as help inform the understanding of the role of workplace factors in mental health problems in a male dominated workforce more generally. PMID: 28045935 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 5, 2017 Category: Rural Health Authors: Considine R, Tynan R, James C, Wiggers J, Lewin T, Inder K, Perkins D, Handley T, Kelly B Tags: PLoS One Source Type: research

Nutrition Smoothing: Can Proximity to Towns and Cities Protect Rural Children against Seasonal Variation in Agroclimatic Conditions at Birth?
Abstract A large literature links early-life environmental shocks to later outcomes. This paper uses seasonal variation across the Democratic Republic of the Congo to test for nutrition smoothing, defined here as attaining similar height, weight and mortality outcomes despite different agroclimatic conditions at birth. We find that gaps between siblings and neighbors born at different times of year are larger in more remote rural areas, farther from the equator where there are greater seasonal differences in rainfall and temperature. For those born at adverse times in places with pronounced seasonality, the gains ...
Source: Rural Remote Health - January 5, 2017 Category: Rural Health Authors: Darrouzet-Nardi AF, Masters WA Tags: PLoS One Source Type: research

Utilization of teledentistry as a tool to screen for dental caries among 12-year-old school children in a rural region of India.
CONCLUSION: Teledentistry examination is comparable to clinical examination when screening for dental caries among school children. This study provides evidence that teledentistry may be used as an alternative screening tool for assessment of dental caries and is viable for remote consultation and treatment planning. Teledentistry offers to change the dynamics of dental care delivery and may effectively bridge the rural-urban oral health divide. PMID: 28035658 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 29, 2016 Category: Rural Health Authors: Purohit BM, Singh A Tags: J Public Health Dent Source Type: research

Web-Based Quality Assurance Process Drives Improvements in Obstetric Ultrasound in 5 Low- and Middle-Income Countries.
Abstract High quality is important in medical imaging, yet in many geographic areas, highly skilled sonographers are in short supply. Advances in Internet capacity along with the development of reliable portable ultrasounds have created an opportunity to provide centralized remote quality assurance (QA) for ultrasound exams performed at rural sites worldwide. We sought to harness these advances by developing a web-based tool to facilitate QA activities for newly trained sonographers who were taking part in a cluster randomized trial investigating the role of limited obstetric ultrasound to improve pregnancy outcom...
Source: Rural Remote Health - December 22, 2016 Category: Rural Health Authors: Swanson JO, Plotner D, Franklin HL, Swanson DL, Lokomba Bolamba V, Lokangaka A, Sayury Pineda I, Figueroa L, Garces A, Muyodi D, Esamai F, Kanaiza N, Mirza W, Naqvi F, Saleem S, Mwenechanya M, Chiwila M, Hamsumonde D, McClure EM, Goldenberg RL, Nathan RO Tags: Glob Health Sci Pract Source Type: research

Strategies for overcoming challenges for decentralised diagnostics in resource-limited and catastrophe settings.
Abstract INTRODUCTION: Globally, both communicable and non-communicable diseases pose a serious threat to populations in developed as well as developing countries. Access to reliable diagnostic testing along with qualified health practitioners is severely limited in low resource and very remote areas and following natural catastrophes. Areas Covered: This paper provides an overview of the challenges involved and suggests strategies to address them. The emergence of more robust, user-friendly, cost-effective and "sample-to-result" point-of-care (POC) tools, along with the proliferation of mobile technolog...
Source: Rural Remote Health - December 22, 2016 Category: Rural Health Authors: Sharma S, Crawley A, O'Kennedy R Tags: Expert Rev Mol Diagn Source Type: research

Genetic evidence that the Makira region in northeastern Madagascar is a hotspot of malaria transmission.
CONCLUSIONS: Prevalence and genetic diversity data indicate that the Makira region is a hotspot of P. falciparum transmission in Madagascar. This suggests that the area should be highlighted for future interventions and that additional areas of high transmission may be present in ecologically similar regions nearby. PMID: 27998292 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 19, 2016 Category: Rural Health Authors: Rice BL, Golden CD, Anjaranirina EJ, Botelho CM, Volkman SK, Hartl DL Tags: Malar J Source Type: research

Oral health interventions in Australian Aboriginal communities: a review of the literature.
CONCLUSIONS: Implementing successful oral health interventions in Aboriginal communities is a challenge that is compounded by the complex interplay between psychosocial and cultural determinants. Even interventions that follow a rigorous and consultative design have a high failure rate in Aboriginal communities if upstream determinants of health are not adequately understood and addressed. This article is protected by copyright. All rights reserved. PMID: 27997996 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 19, 2016 Category: Rural Health Authors: Patel J, Durey A, Hearn L, Slack-Smith LM Tags: Aust Dent J Source Type: research

Support and performance improvement for primary health care workers in low- and middle-income countries: a scoping review of intervention design and methods.
Abstract Primary health care workers (HCWs) in low- and middle-income settings (LMIC) often work in challenging conditions in remote, rural areas, in isolation from the rest of the health system and particularly specialist care. Much attention has been given to implementation of interventions to support quality and performance improvement for workers in such settings. However, little is known about the design of such initiatives and which approaches predominate, let alone those that are most effective. We aimed for a broad understanding of what distinguishes different approaches to primary HCW support and performa...
Source: Rural Remote Health - December 18, 2016 Category: Rural Health Authors: Vasan A, Mabey DC, Chaudhri S, Brown Epstein HA, Lawn SD Tags: Health Policy Plan Source Type: research

Key indicators of obstetric and neonatal care in the Republic of Sakha (Yakutia).
ev VA Abstract In the absence of a medical birth registry, the official statistics are the only sources of information about pregnancy outcomes in the Republic of Sakha (Yakutia) (RS). We analysed the official statistical data about birth rate, fertility, infant and maternal mortality in the RS in the period 2003-2014. Compared with all-Russian data, the RS had a higher birth rate, especially in rural districts. Maternal and infant mortality were also higher compared with all-Russian data, but had a decreasing trend. The majority of deaths occurred in the small level 1 units. We suggest that establishment of good ...
Source: Rural Remote Health - December 17, 2016 Category: Rural Health Authors: Burtseva TE, Odland JØ, Douglas NI, Grigoreva AN, Pavlova TY, Chichahov DA, Afanasieva LN, Baisheva NS, Rad YG, Tomsky MI, Postoev VA Tags: Int J Circumpolar Health Source Type: research

The safety and effectiveness of HBV vaccination in patients with juvenile idiopathic arthritis controlled by treatment.
CONCLUSIONS: HBV vaccination is safe and effective. Pediatric rheumatologists should consider HBV vaccination for unimmunized patients with JIA, because the response to HBV vaccine might be influenced by age, and children have a higher risk for potential HBV infection than adults. PMID: 26471922 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - December 16, 2016 Category: Rural Health Authors: Nerome Y, Akaike H, Nonaka Y, Takezaki T, Kubota T, Yamato T, Yamasaki Y, Imanaka H, Kawano Y, Takei S Tags: Mod Rheumatol Source Type: research

The Association between HbA1c and Cardiovascular Disease Markers in a Remote Indigenous Australian Community with and without Diagnosed Diabetes.
CONCLUSIONS: Screening in this remote Indigenous Australian community highlights the high proportion of individuals who are at high risk of diabetes as indicated by HbA1c and who also had an accentuated cardiovascular risk profile. PMID: 26989697 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - December 16, 2016 Category: Rural Health Authors: Arnold LW, Hoy WE, Sharma SK, Wang Z Tags: J Diabetes Res Source Type: research

The development of a culturally appropriate school based intervention for Australian Aboriginal children living in remote communities: A formative evaluation of the Alert Program( ®) intervention.
CONCLUSIONS: This study identified aspects of the Alert Program(®) training, delivery and measures for evaluation that need modification before their use in assessing the efficacy of the Alert Program(®) in remote Aboriginal community primary schools. PMID: 27966224 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 12, 2016 Category: Rural Health Authors: Wagner B, Fitzpatrick J, Symons M, Jirikowic T, Cross D, Latimer J Tags: Aust Occup Ther J Source Type: research

What do beginning students, in a rurally focused medical course, think about rural practice?
CONCLUSION: Students entering medical school already have both positive and negative views about the life and work of a rural doctor. Those students from capital city areas have significantly more negative views despite being selected to enter a medical course with a rural focus based on their expressed rural perceptions. Further work is required to refine selection criteria and the year level experiences and learning opportunities which may positively influence student perceptions about rural medical practice to overcome early negative perceptions at the beginning of medical school. PMID: 27923368 [PubMed - in proces...
Source: Rural Remote Health - December 6, 2016 Category: Rural Health Authors: Young L, Lindsay DB, Ray RA Tags: BMC Med Educ Source Type: research

CAF É: a multicomponent audit and feedback intervention to improve implementation of healthy food policy in primary school canteens: a randomised controlled trial.
CONCLUSIONS: While there was insufficient statistical evidence to suggest that this multicomponent audit and feedback intervention was effective in improving primary schools' compliance with a healthy canteen policy, the intervention demonstrated some positive impact in reducing the availability of 'red' items on the menu. TRIAL REGISTRATION: This trial was prospectively registered with the Australian New Zealand Clinical Trials Registry ( ACTRN12613000543785 ). Registered 15th May 2013. PMID: 27919261 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 4, 2016 Category: Rural Health Authors: Yoong SL, Nathan N, Wolfenden L, Wiggers J, Reilly K, Oldmeadow C, Wyse R, Sutherland R, Delaney T, Butler P, Janssen L, Preece S, Williams CM Tags: Int J Behav Nutr Phys Act Source Type: research

Factors affecting job satisfaction of Aboriginal mental health workers working in community mental health in rural and remote New South Wales.
Conclusions Policy and procedural changes to the AMHW training program may address the lower remuneration and limited career opportunities identified with regard to the Bachelor Health Sciences (Mental Health) qualification. Delivering training to increase levels of understanding about the AMHW training program, and cultural awareness generally, to CMH staff and NSW Health management may assist in addressing the negative team, organisational and cultural issues identified.What is known about the topic? The Bachelor Health Sciences (Mental Health) qualification and traineeship pathway undertaken by AMHWs differs significant...
Source: Rural Remote Health - December 4, 2016 Category: Rural Health Authors: Cosgrave C, Maple M, Hussain R Tags: Aust Health Rev Source Type: research

Social learning in a longitudinal integrated clinical placement.
Abstract Recent research has demonstrated that longitudinal integrated placements (LICs) are an alternative mode of clinical education to traditional placements. Extended student engagement in community settings provide the advantages of educational continuity as well as increased service provision in underserved areas. Developing and maintaining LICs require a differing approach to student learning than that for traditional placements. There has been little theoretically informed empirical research that has offered explanations of which are the important factors that promote student learning in LICs and the relat...
Source: Rural Remote Health - December 2, 2016 Category: Rural Health Authors: Roberts C, Daly M, Held F, Lyle D Tags: Adv Health Sci Educ Theory Pract Source Type: research

Implementation of the BETTER 2 program: a qualitative study exploring barriers and facilitators of a novel way to improve chronic disease prevention and screening in primary care.
CONCLUSIONS: The implementation of a novel CDPS program into new primary care settings is a complex, multi-level process. This study identified key elements that hindered or facilitated the implementation of the BETTER approach in three primary care settings in Newfoundland and Labrador. Employing the CFIR as an overarching typology allows for comparisons with other contexts and settings, and may be useful for practices, researchers, and policy-makers interested in the implementation of CDPS programs. PMID: 27906041 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - November 30, 2016 Category: Rural Health Authors: Sopcak N, Aguilar C, O'Brien MA, Nykiforuk C, Aubrey-Bassler K, Cullen R, Grunfeld E, Manca DP Tags: Implement Sci Source Type: research

Use of telehealth to treat and manage chronic viral hepatitis in regional Queensland.
Abstract For regional and rural Queenslanders, chronic viral hepatitis treatment is a major unmet health need, with restricted access to specialists outside of tertiary, largely metropolitan hospitals. To increase treatment of chronic viral hepatitis in regional Queensland, a team-based telehealth model was expanded. This expansion embedded an initial nursing consultation prior to specialist telehealth consultation. We conducted a retrospective audit of the introduction and expansion of hepatology telehealth services. Activity from July 2014-June 2015 (pre-expansion) was compared with July 2015- June 2016 (post-ex...
Source: Rural Remote Health - November 3, 2016 Category: Rural Health Authors: Keogh K, Clark P, Valery PC, McPhail SM, Bradshaw C, Day M, Smith AC Tags: J Telemed Telecare Source Type: research

Impact of simple conventional and Telehealth solutions on improving mental health in Afghanistan.
Abstract For more than a century Afghanistan has been unstable, facing decades of war, social problems, and intense poverty. As a result, many of the population suffer from a variety of mental health problems. The Government recognises the situation and has prioritised mental health, but progress is slow and services outside of Kabul remain poor. An international collaborative implemented a project in Badakshan province of Afghanistan using conventional and simple low-cost e-Health solutions to address the four most common issues: depression, psychosis, post-traumatic stress disorder, and substance abuse. Conventi...
Source: Rural Remote Health - November 3, 2016 Category: Rural Health Authors: Khoja S, Scott R, Husyin N, Durrani H, Arif M, Faqiri F, Hedayat E, Yousufzai W Tags: J Telemed Telecare Source Type: research

Investigation of a Suicide Ideation Risk Profile in People With Co-occurring Depression and Substance Use Disorder.
This article explores risk profiles for suicidal ideation among treatment seekers with depression and substance misuse. Participants completed assessments at baseline and 6 months. Baseline demographics, psychiatric history, and current symptoms were entered into a decision tree to predict suicidal ideation at follow-up. Sixty-three percent of participants at baseline and 43.5% at follow-up reported suicidal ideation. Baseline ideation most salient when psychiatric illness began before adulthood, increasing the rate of follow-up ideation by 16%. Among those without baseline ideation, dysfunctional attitudes were the most i...
Source: Rural Remote Health - October 31, 2016 Category: Rural Health Authors: Handley TE, Kay-Lambkin FJ, Baker AL, Lewin TJ, Kelly BJ, Inder KJ, Attia JR, Kavanagh DJ Tags: J Nerv Ment Dis Source Type: research

"They made me go through like weeks of appointments and everything": Documenting women's experiences seeking abortion care in Yukon territory, Canada.
CONCLUSION: Efforts to streamline the process of obtaining an abortion and providing women with more information at the first point of contact would improve service access and quality. Mifepristone has the potential to improve access for rural and remote populations, reduce wait times and alleviate privacy concerns, but only if the medication abortion regimen is affordable and available at a range of service delivery points and provision requirements are aligned with the global evidence. IMPLICATIONS: By documenting women's experiences, the identified barriers and outlined suggestions for improvement offer realistic a...
Source: Rural Remote Health - October 25, 2016 Category: Rural Health Authors: Cano JK, Foster AM Tags: Contraception Source Type: research