27 research outputs found
A Social Practice Theory Perspective to Exploring the Lived Experiences of Physical Activity in People with Type-2 Diabetes in Urban Nigeria
No full textThis thesis aims to gain a greater understanding of the social, material and historical processes underlying physical activity participation in the lived experiences of people with type-2 diabetes in Urban Nigeria. Using social practice theory and life-course perspective as guiding theoretical frameworks, a qualitative narrative inquiry was conducted with thirty-five people with type-2 diabetes receiving outpatient care at the University College Hospital Ibadan, Oyo state, Nigeria. Through a multi-modal research design, data were collected in three phases: Firstly, a narrative interview study was conducted to obtain biographical accounts of how people’s relationship with physical activity has evolved over their life course. Secondly, participants took part in a one-week activity tracking and diary study to capture their daily life patterns of activity. Thirdly, the diary study was followed up with a visual elicitation interview co-explore their captured data to gain deeper access to the context of their daily lives and how physical activity fits within this context. Additionally, an informal contextual inquiry involving observations and discussions with healthcare professionals was conducted to help build a bigger picture of the context in which people lived.
Four separate analyses of the research data were performed. The first involved a case-based narrative analysis of six of the thirty-five participants’ data to understand the nuances and peculiarities of their individual lived experiences. This was followed by a cluster analysis of participants’ daily activities to identify groups of participants with similar patterns of activities. The third included a thematic analysis of participants’ experiences of physical activity over the life course. Lastly, a separate thematic analysis was conducted to understand participants’ knowledge about physical activity as part of their type-2 diabetes management.
The cluster analysis of people with type-2 diabetes’ daily activities identified six participant sub-groups, with members of each group having similar patterns of activities. Physical activity patterns also varied across the life course and were strongly implicated in processes including changing social roles within the family life trajectory, transitions to retirement, ageing, type-2 diabetes diagnosis, gender norms, absence of an exercise culture, and negative age stereotypes.
The research makes three contributions. Firstly, it makes an empirical contribution by providing an in-depth multi-layered account of the socio-historical dynamics of physical activity in the lived experiences of people with type-2 diabetes in an urban Nigerian context. Secondly, the research offers a methodological contribution by demonstrating how combining SPT with concepts from life-course perspectives can facilitate a relational and temporal approach to exploring the lived experiences of physical activity in people with Type-2 diabetes in Urban Nigeria. Thirdly, the research findings contribute to the growing theoretical debates that physical activity engagement is not a static or linear behaviour but a dynamic, ongoing process of change that encompasses an interplay of transitions, turning points, and social interactions in people’s lives
sj-docx-1-smo-10.1177_20503121221095411 – Supplemental material for Mother-to-child transmission of human immunodeficiency virus, hepatitis B virus and hepatitis C virus among pregnant women with single, dual or triplex infections of human immunodeficiency virus, hepatitis B virus and hepatitis C virus in Nigeria: A systematic review and meta-analysis
No full textSupplemental material, sj-docx-1-smo-10.1177_20503121221095411 for Mother-to-child transmission of human immunodeficiency virus, hepatitis B virus and hepatitis C virus among pregnant women with single, dual or triplex infections of human immunodeficiency virus, hepatitis B virus and hepatitis C virus in Nigeria: A systematic review and meta-analysis by George Uchenna Eleje, Chinyere Ukamaka Onubogu, Preye Owen Fiebai, Ikechukwu Innocent Mbachu, Godwin Otuodichinma Akaba, Olabisi Morebise Loto, Hadiza Abdullahi Usman, Ayyuba Rabiu, Moriam Taiwo Chibuzor, Rebecca Chinyelu Chukwuanukwu, Ngozi Nneka Joe-Ikechebelu, Chike Henry Nwankwo, Stephen Okoroafor Kalu, Chukwuanugo Nkemakonam Ogbuagu, Shirley Nneka Chukwurah, Chinwe Elizabeth Uzochukwu, Ijeoma Chioma Oppah, Aishat Ahmed, Richard Obinwanne Egeonu, Chiamaka Henrietta Jibuaku, Samuel Oluwagbenga Inuyomi, Bukola Abimbola Adesoji, Ubong Inyang Anyang, Uchenna Chukwunonso Ogwaluonye, Ekene Agatha Emeka, Odion Emmanuel Igue, Ogbonna Dennis Okoro, Prince Ogbonnia Aja, Chiamaka Perpetua Chidozie, Hadiza Sani Ibrahim, Fatima Ele Aliyu, Aisha Ismaila Numan, Solace Amechi Omoruyi, Osita Samuel Umeononihu, Chukwuemeka Chukwubuikem Okoro, Ifeanyi Kingsley Nwaeju, Arinze Anthony Onwuegbuna, Eric Okechukwu Umeh, Sussan Ifeyinwa Nweje, Lydia Ijeoma Eleje, Ifeoma Clara Ajuba, David Chibuike Ikwuka, Emeka Philip Igbodike, Chisom God’swill Chigbo, Uzoamaka Rufina Ebubedike, Chigozie Geoffrey Okafor, Nnaedozie Paul Obiegbu, Ibrahim Adamu Yakasai, Oliver Chukwujekwu Ezechi and Joseph Ifeanyichukwu Ikechebelu in SAGE Open Medicine</p
Using normalisation process theory to evaluate the implementation of a digital health intervention in community and secondary care long COVID clinics
No full textObjectives The potential and expected benefits of digital health interventions (DHI) have long been discussed, yet substantial challenges are associated with deploying DHI at scale. Insights are presented concerning the implementation of a DHI consisting of a patient-facing app and a digital dashboard for clinicians providing supported self-management for long COVID to support both clinicians and patients.Design Qualitative reflexive thematic analysis, mapped against Normalisation Process Theory.Setting Fifty-five and a half hours of zoom recordings of meetings between clinicians in community and secondary care long COVID clinics and members of the research team.Participants Allied health professionals, service delivery managers and members of the core team, including representatives from industry partners.Results The DHI fitted with contextual circumstances and the design supported flexibility to suit circumstances in different trusts. The DHI also aligned with existing ways of working.Healthcare professionals worked together to support the implementation of the DHI, requiring flexibility to take account of local circumstances. The DHI was appraised in both positive and negative terms by healthcare professionals. Using DHIs was said to have the potential to complement care but not be a replacement for face-to-face clinical input. The DHI was judged to have demonstrated the potential to affect long-established patterns and organisational structures of engagement between healthcare professionals and patients in terms of access to care.Conclusions NPT provided a framework for considering both individual agency and the organisation context, enabling reflections to be made at the level of the structure of services as well as people’s experiences. The discipline of considering first the context, then the work and finally the practical effects helped place order on the ‘mess’ involved in the rapid cycle of developing, refining and implementing a DHI in an atypical environment (a pandemic)
Implementing EHR Suites:Lessons from a Norwegian Configuration Process
No full textThe implementation of electronic health record (EHR) suites is a complex process that involves configuring the EHR suite for local healthcare practices. In this study, we investigate the process of configuring Epic’s EHR suite for Norwegian healthcare practices. From the point of view of the interviewed subject-matter experts (SMEs) and super users, this EHR implementation has struggled with managing and processing the input from the highly prioritized user participation in the configuration process. In addition, the SMEs have been in a difficult in-between role. These struggles and difficulties are evident in three main issues. First, SMEs and Epic’s developers tended to negotiate rather than collaborate. Second, SMEs tended to contribute their personal expertise rather than represent their peer groups. Third, the specialty-specific groups for doing the configuration work tended to optimize the EHR for each specialty rather than for teamwork.The implementation of electronic health record (EHR) suites is a complex process that involves configuring the EHR suite for local healthcare practices. In this study, we investigate the process of configuring Epic’s EHR suite for Norwegian healthcare practices. From the point of view of the interviewed subject-matter experts (SMEs) and super users, this EHR implementation has struggled with managing and processing the input from the highly prioritized user participation in the configuration process. In addition, the SMEs have been in a difficult in-between role. These struggles and difficulties are evident in three main issues. First, SMEs and Epic’s developers tended to negotiate rather than collaborate. Second, SMEs tended to contribute their personal expertise rather than represent their peer groups. Third, the specialty-specific groups for doing the configuration work tended to optimize the EHR for each specialty rather than for teamwor
Retrieval Augmented Generation: What Works and Lessons Learned
No full textRetrieval Augmented Generation has been shown to improve the output of large language models (LLMs) by providing context to the question or scenario posed to the model. We have tried a series of experiments to understand how best to improve the performance of the native models. We present the results of each of several experiments. These can serve as lessons learned for scientists looking to improve the performance of large language models for medical question answering tasks.</p
The Semantic Clinical Artificial Intelligence (SCAI) Chatbot:Preliminary Usability Testing
No full textWe developed a doctor-facing chatbot named SCAI. We aimed to evaluate response speed and user satisfaction. Ten questions were used to test the response speed of the SCAI chatbot. The response time was long, but overall the participants were satisfied with SCAI.</p
Factors Affecting Co-creation of Modern Horticultural Technologies and Practices in Southwest Nigeria: An Empirical Analysis
No full textOver the years, the horticultural industry has seen growing awareness and implementation of more recent and modern technology and practices to achieve better results and increase efficiency, especially in farming. For developing countries like Nigeria, the horticultural sector needs to act quickly to meet growing food demands and overcome the many limitations in the industry. This is because there is a high failure rate due to different climatic and farming conditions when implemented directly in Nigeria with no altercations. To overcome this, co-creation has been proposed as a solution whereby the local farmers are given the opportunity to come up with and realize working solutions befitting their environment. This research thesis aims to explore the realistic applicability of factors that affect horticultural technology co-creation with local farmers in southwest Nigeria. An in-depth literature review to identify relevant and applicable frameworks on co-creation is carried out....Management of Technology (MoT
Usability Challenges in Electronic Health Records: Impact on Documentation Burden and Clinical Workflow: A Scoping Review
No full textBackgroundThe adoption of Electronic Health Records (EHRs) has become integral to today's healthcare by supporting preventive care; however, it often imposes significant documentation burdens that disrupt workflows. These challenges may stem from usability issues driven by system or interface design flaws that result in the misalignment of EHR with clinical workflows, increasing clinicians' cognitive load. This study aims to identify and analyze the usability issues contributing to documentation burdens and subsequently lead to workflow disruptions.MethodsThe scoping review employed the methodology developed by Levac. Three databases, namely PubMed, Scopus, and Ovid MEDLINE, were searched to identify relevant studies published in English between 2007 and 2024. Handsearching of key journals was also conducted to ensure comprehensive coverage of the literature. All findings were reported according to PRISMA guidelines for scoping reviews.ResultsOf 2387 identified records, only 28 studies met the inclusion criteria, employing qualitative, mixed methods as well as time-motion studies. The studies noted that clinicians frequently experienced significant workflow disruptions caused by poorly designed interfaces, which led to task-switching, excessive and prolonged screen navigation, and fragmented critical information across EHR. These challenges often necessitated workarounds, such as duplicating documentation and using external tools, further increasing the risk of data entry errors and prolonging documentation times.ConclusionOur study findings highlight the critical need for improved EHR design that minimises workflow disruptions associated with documentation burden. Addressing these challenges requires human factors approach that streamlines information retrieval, optimizes interface usability, and eliminates unnecessary task complexity
Mapping Challenges for Conducting Decentralized Clinical Trials in Denmark
No full textThis paper identifies challenges for conducting Decentralized Clinical Trials (DCTs) in Denmark from key stakeholders' perspectives. Challenges concern defining and disseminating DCT activities and implementing recruitment strategies. For remote access to source data and validating endpoints, challenges include quality assurance and data transfer. Challenges for IT systems include data capture, transfer, harmonization, and backup. Challenges are concerned with over/under-reporting when reporting side effects. Documentation and safety challenges occur for Investigational Medical Product (IMP) shipment and home administration. Concerning the surveillance of trial participants’ (TP) safety, the principal investigator's (PI) oversight is the main challenge. National working groups are established for selected areas of DCTs
Challenges Associated with Utilization of Legal Information Resources by Postgraduate Law Students in Federal Universities of Northern Nigeria
No full textThe paper investigates the challenges associated with utilization of legal information resources in the faculty of law libraries in federal universities of northern Nigeria. The study employed quantitative research method using cross-sectional survey research design. The population of the study comprised of 1,348 postgraduate law students in the libraries studied. Simple random sampling equation (SRS-Equation) was used to select the sample size for the study. A total of 308 postgraduate law students was therefore the sample size chosen for the study. A self-developed questionnaire was used to collect data. A total number of 308 copies of questionnaire were administered personally by the author and 4 research assistants, out of which 271 were returned and found useful for further analysis. Data collected was analyzed using descriptive statistics with the aid of SPSS (v21). Findings revealed that, the printed legal information resources were highly utilized by postgraduate law students except e-resources and on-line legal databases that had low utilization. Some challenges associated with the utilization of legal resources were insufficient copies of books, inadequate reading facilities and defaced information resources; inadequate infrastructure for accessing resources electronically, insufficient computers and interrupted power supply, among others. The study concludes that, despite the technological advancement and globalization the world is experiencing, postgraduate law students in federal universities of northern Nigeria are yet to fully enjoy the vast electronic legal information resources, and this could significantly affect the quality of legal researches and academic excellence in legal profession. The study recommends among other things the need for the provision of adequate electronic legal information resources and regular subscription to online legal databases in the faculty of law libraries in federal universities in northern Nigeria.
Keywords: Utilization, Legal Information Resources, Postgraduates, Law students, Librarie
