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Use of an Infographic to Understand Barriers to Diabetes Care for People with Lived Experience of Homelessness in Shelters and Increase Diabetes Awareness Among Shelter Staff and Interprofessional Health Teams
Full text linkIntroduction/Objective: Diabetes mellitus is a chronic medical condition that is considered to be a global health emergency (International Diabetes Federation, 2021). Managing diabetes is challenging and requires a multi-disciplinary approach while also demanding a significant degree of patient engagement and self-management. People with lived experience of homelessness (PWLEH) universally face barriers to accessing diabetes care, engaging in self-management and are consequently more likely to have chronic hyperglycemia (Hwang et al., 2000) and adverse outcomes (Sharan et al., 2023). A study discovered that PWLEH and diabetes experience myriad unique barriers to diabetes self-management in shelters (Grewal et al., 2021). A community- based prioritization exercise identified that this group’s main priority was to increase the diabetes-related knowledge and awareness of those living and working in emergency shelters. We sought to co-create an infographic with PWLEH to address some of this knowledge and understanding gaps for those in the sector. Methods: The infographic was created through a focus group discussion with PWLEH and diabetes, with consultation from clinical experts. The infographic addresses identified knowledge gaps by presenting accessible and user-friendly information about diabetes, including its definition and general management principles such as blood glucose monitoring and insulin administration. We also outline key symptoms and management principles of hypoglycemia and hyperglycemia and highlight that both conditions can mimic intoxication. Conclusion: The infographic will be disseminated in shelters with a goal of increasing knowledge regarding diabetes and its management among shelter staff with the hopes of improving the experiences of those living with the condition in shelters. This will foster education among and between interprofessional healthcare providers working in shelters and community health centres, and frontline shelter staff who are involved in the care of people with diabetes. We also aim to evaluate its efficacy in achieving this outcome
Youth and Caregiver Perspectives of Barriers and Facilitators to the Transition From Pediatric to Adult Care: A Qualitative Descriptive Study
Full text linkBackground: Transitions from pediatric to adult care can be a complex process for youth and their caregivers. Exploring barriers and facilitators to transitions from pediatric to adult care is critical to inform the design and implementation of evidence-based interventions to improve transition processes. Previous literature has focused on describing experiences with transition; however, determinants influencing transitions need further exploration. Objective: This study explored barriers and facilitators to the transition from pediatric to adult care from youth and caregiver perspectives to inform future intervention design, implementation, and evaluation to support transitions in care. Methods: This study used a qualitative descriptive design guided by the COM-B Model of Behaviour. Youth and caregivers of youth in Nova Scotia, Canada, were recruited for semi-structured interviews. Data analysis consisted of directed content analysis, followed by inductive thematic analysis to identify barriers and facilitators of transitioning from pediatric to adult care. Results: A total of nine youth and nine caregivers participated in the semi-structured interviews. We identified barriers and facilitators related to the COM-B Model of Behaviour’s components of capability, opportunity, and motivation. Main themes from both the youth and caregiver participants relate to developing health literacy for transition processes, shifting roles to increase youth independence, and the importance of health system coordination. Conclusion: This project identified intersecting behavioural and contextual determinants related to youth and caregivers’ capability, opportunity, and motivation that influence the transition of care process. These findings will be instrumental for designing and adapting interventions and policies to improve youth transitions from pediatric to adult care
Improving Access and Inclusion Through Collaborative Health Solutions: Crossroads Interdisciplinary Health Research Conference Abstracts
No full textWe are pleased to welcome readers to Vol 5, Issue 2 of the Healthy Populations Journal (HPJ). As part of our mission to support and disseminate student-led research, advancing knowledge on population health research and global health equity, the HPJ partnered with the co-chairs of the 21st annual Crossroads Interdisciplinary Health Research Conference themed Improving Access & Inclusion Through Collaborative Health Solutions. Crossroads is a student-led, peer-reviewed academic conference that is hosted by graduate students within the Faculty of Health at Dalhousie University
Dumas, Alexandre. La Reine Margot. Édition de Sylvain Ledda. Le Comte de Monte-Cristo. Édition de Jacques-Henry Bornecque
No full textThe Gag City Grammar Police: Language and Algorithmic Community on Stan Twitter
Full text linkWhile there is a wealth of sociolinguistic research on subculture and a rapidly growing field of digital ethnography, little research has been conducted on subcultural language use online. Superfan groups, or stans, form speech communities on Twitter/X and present as a closed group despite remaining public. Through digital ethnographic observation of nonstandard English use on Twitter, I argue that Barbz--Nicki Minaj stans––discourage their posts from spreading to the general public. Working with the algorithm’s composition of social media feeds, Barbz use language to conceal themselves while remaining discoverable. Individuals use language variation and encoding to interact directly with the algorithm, strategically hiding their conversations from the public. By way of sociolinguistic theories including variance and enregisterment, I situate this study in relation to fandom studies, cultural capital, and structural theories of internet. This netnography takes a multimodal approach to social media, showing that Barbz strategically open their community at specific times and in specific ways that are advantageous to them. On Twitter, Barbz employ language to manipulate the borders of both their community and their audience. In order to understand group maintenance, formation, and relationality online it is vital to account for the role of the algorithm as companion rather than structural affordance. 
