1,721,026 research outputs found
Triad of trust : vaccine decision-making by pregnant people during the COVID-19 pandemic in British Columbia and Ontario
No full textBackground: While challenges surrounding vaccine acceptance in pregnancy were prevalent prior to the COVID-19 pandemic, this pandemic introduced a different context for pregnant people – including concerns about COVID-19 infection during pregnancy, changes to the format of perinatal care and social support, and the introduction of new vaccines. This thesis aims to examine these new influences on vaccine decision-making during pregnancy.
Methods: Using data from a mixed-methods project headed by the University of British Columbia and McMaster University, this research seeks to answer the question, “How does trust influence the decision-making process of pregnant people around vaccination during pregnancy in the context of the COVID-19 pandemic?” Data from semi-structured interviews with 74 participants who gave birth in Ontario or British Columbia from May 1st, 2020 to December 1st, 2021 were analyzed. This process of reflexive thematic analysis was initially conducted with sensitizing constructs from the Theory of Reasoned Action, Theory of Planned Behaviour, and Health Belief Model but came to incorporate Maya J. Goldenberg’s “Crisis of Trust” framework following preliminary analysis.
Results: With the role of trust as central to this analysis, an extended “Crisis of Trust” model was created, with three related, overlapping facets identified – trust in prenatal care providers, trust in institutions, and trust in networks. Trust in prenatal care providers was shaped by participants’ goals of alleviating their mental load, differential cultural norms influencing degrees of trust in healthcare providers, and perceived transparency of providers. Trust in institutions focused on overall trust in the government and healthcare system, trust in the goodwill of the pharmaceutical industry (or lack thereof) and perceptions of relationships between these institutions. Finally, trust in networks included social networks as a potent site of (dis)trust, lived experience forming an interpretive lens for prenatal care, and views of COVID-19 vaccines as a moral obligation or source of hope for the broader community.
Conclusions: This study demonstrates that vaccine hesitancy in pregnant people extends beyond an informational problem into a deeper deficiency of trust. These insights allow for the implementation of public health policies which target these ideological conflicts to better improve vaccine acceptance.Medicine, Faculty ofPopulation and Public Health (SPPH), School ofGraduat
Everyday triangulation in response to challenging informational and legal contexts : applying everyday triangulation to decision-making and information seeking about cannabis use in pregnancy and lactation
No full textWithin the medical research, evidence on the risks and benefits of cannabis use in pregnancy and lactation is lacking. Information that does exist on this topic is often inconclusive or conflicting. Cannabis use is also highly stigmatized and often politicized that is a contextual component that has potentially significant effects on an individual’s information seeking and informed decision-making process. A deeper exploration of information seeking behaviour and decision-making relating to cannabis use in pregnancy and lactation can help practitioners who seek to support their patients in informed decision-making. This study asks: 1) what are the information needs of individuals considering cannabis use in pregnancy and lactation and how adequately are these needs met by existing resources, and 2) in what ways are information triangulation, or other information seeking behaviours, used to meet identified information needs? This study is a secondary analysis of data collected through phone interviews with 23 participants in 2020 and applies qualitative deductive and inductive coding that is grounded in Reflexive Thematic Analysis. Four overarching themes were developed and explored, contributing to the development of a novel information behaviour model of ‘Everyday Triangulation’ that is proposed in this thesis. Everyday Triangulation (ET) is situated within the current literature as an information behaviour that is distinct from other information behaviours and established forms of triangulation in academic research. ET is a complex information behaviour that combines several layered information behaviours in an iterative process that is performed in response to a complex information need.Arts, Faculty ofInformation, School ofGraduat
Info Policy News: Olympic Issues and ACTA
Full text linkIn this third news column from the BCLA Information Policy Committee, we report on our November Salon: The Olympics and Free Speech Issues. The salon, jointly hosted with the Intellectual Freedom Committee, featured speakers Chris Shaw and David Eby, who highlighted issues including limits placed on free expressions, cost of the Olympics, impact on poor and homeless people, privacy and surveillance, and transparency and accountability of VANOC and Olympic-related security endeavours
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
A Community Organizing Informed Approach to Open Access : Embedded Librarianship Supporting Research Transition to an Open Era
No full textObjective: Health researchers today must understand and respond to open access issues and requirements. This program description of a research centre's open access activities considers the question of whether lessons from community organizing models can be adapted by librarians embedded within a research environment to effectively help transition research groups and organizations to a more open access model of functioning. Methods: Case study of the program of Open Access activities within a health research institute with an embedded librarian, and comparison of such activities with principles of community organizing models. Activities highlighted include: education sessions, meetings/fora, creating a core committee, outreach to support key community leaders and “grow” new organizers, creating shared community infrastructure, and collaborative research projects that address questions and needs of various members of the community. Results: While some elements of some community organizing models are inappropriate to the academic environment, other elements can inform strategies to effectively reach researchers, helping a research unit to transition to the new landscape of information delivery and knowledge translation. Discussion: Librarians embedded within research groups are ideally positioned, as conduits between the information policy world and the health research community, to use strategies adapted from community organizing models to educate, support and transition researchers in the new Open Access era
Introducing: Information Policy News
Full text linkThe BCLA Information Policy Committee introduces our new regular Browser column. We introduce the committee and our activities, and invite any BCLA member to join the committee. Also in this quarter's column, we highlight our recent Information Policy Salon, in which Jennifer Parisi spoke to the committee about Community Resistance and Public Surveillance. Parisi recently completed a MA thesis that focused on three very different anti-surveillance activist groups, all with different participants and approaches. This Salon was also an opportunity to discuss the upcoming Vancouver/Whistler Olympic Games, the surveillance issues that come with those massive international events, and what individuals and libraries might do to increase awareness of citizen surveillance and privacy issues
Net Neutrality: A Library Issue
Full text linkNet neutrality is a critical component of equitable access to information and freedom of expression. While Canada has recently made some progress toward enshrining principles of net neutrality in our telecommunications regulations, the status quo does not guarantee protection of consumers from unnecessary “traffic management” on the part of ISPs. Librarians and library associations in Canada and the U.S. have advocated for net neutrality as part of their goal of protecting intellectual freedom, and such efforts must continue until net neutrality is assured
Health-related information practices and the experiences of young parents
No full textBackground: Young parents are targeted by a variety of health information interventions, aiming to educate and monitor them in order to improve population health. However, we know little about the ways young parents use health information or experience health information interventions in their everyday lives.
Objectives: The objectives of the dissertation are to use a series of article-style chapters to: (1) describe the health-related information practices of young parents (Chapter 3); (2) explore how knowledge and expertise are discursively constructed within young parents’ health information worlds (Chapter 4); and (3) examine the functioning and values of population health information interventions in the lives of young parents (Chapter 5).
Methods: The analyses presented in this dissertation are based on data collected via ethnographic observation at two Young Parent Programs and individual interviews with 37 young mothers and 2 young fathers ages 15-24 in Greater Vancouver, British Columbia. Data was analyzed in accordance with constructivist grounded theory and situational analysis.
Results: Young parents in Greater Vancouver were often sophisticated health information seekers. Information assessment was a major task, for which young parents employed various methods of triangulation. These practices took place in social worlds that discursively constructed the “teen mom” as paradoxically knowledgeable (in matters of sexuality and technology) and ignorant (in matters of parenting and health. Population health information interventions (communication and surveillance) were prominent in these social worlds, and carried ethical implications for social justice. Young parent acceptance varied depending on the positionality of those implementing interventions, as well as their intrusiveness and level of stigmatization of young parents.
Conclusion: By investigating, documenting, and theorizing the ways young parents interact with health information in the contexts of their everyday lives, this study generated theory that can help inform information interventions aimed at supporting this public health priority population. Programs and materials for young parents should take into account the heterogeneity of their childcare experience and parenting knowledge, as well as cultural norms. Future research should further explore the intersection between individual information practices and health information interventions, and test the emergent theoretical propositions related to population health information interventions.Graduate and Postdoctoral StudiesGraduat
Info Policy News: Autumn Events & Lawful Access
No full textIn this second news column from the BCLA Information Policy Committee, we report on Autumn activities to date. Jeremy Buhler reports on our September Salon "What is Information Policy?" with Brian Campbell. Committee members who staffed the joint IPC/IFC button-making table at Word on the Street highlight our need for multilingual brochures. The "5 Facts About" feature focuses this quarter on basic facts about Lawful Access
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