Assessing the effectiveness and feasibility of implementing mitigation measures for an influenza pandemic in remote and isolated First Nations communities: a qualitative community-based participatory research approach.
Identifieur interne : 001768 ( Ncbi/Merge ); précédent : 001767; suivant : 001769Assessing the effectiveness and feasibility of implementing mitigation measures for an influenza pandemic in remote and isolated First Nations communities: a qualitative community-based participatory research approach.
Auteurs : Nadia A. Charania [Canada] ; Leonard Js TsujiSource :
- Rural and remote health [ 1445-6354 ]
Descripteurs français
- KwdFr :
- Adulte, Contrôle des maladies contagieuses (), Contrôle des maladies contagieuses (économie), Enquêtes et questionnaires, Fermeture d'établissement de santé, Grippe humaine (), Humains, Indiens d'Amérique Nord, Médecine factuelle, Ontario, Pandémies (), Population rurale, Quarantaine (), Recherche participative basée sur la communauté (), Recherche qualitative, Sous-type H1N1 du virus de la grippe A, Études de faisabilité, Études rétrospectives, Évaluation de programme.
- MESH :
- économie : Contrôle des maladies contagieuses.
- Adulte, Contrôle des maladies contagieuses, Enquêtes et questionnaires, Fermeture d'établissement de santé, Grippe humaine, Humains, Indiens d'Amérique Nord, Médecine factuelle, Ontario, Pandémies, Population rurale, Quarantaine, Recherche participative basée sur la communauté, Recherche qualitative, Sous-type H1N1 du virus de la grippe A, Études de faisabilité, Études rétrospectives, Évaluation de programme.
English descriptors
- KwdEn :
- Adult, Communicable Disease Control (economics), Communicable Disease Control (methods), Community-Based Participatory Research (methods), Evidence-Based Medicine, Feasibility Studies, Health Facility Closure, Humans, Indians, North American, Influenza A Virus, H1N1 Subtype, Influenza, Human (prevention & control), Ontario, Pandemics (prevention & control), Program Evaluation, Qualitative Research, Quarantine (methods), Retrospective Studies, Rural Population, Surveys and Questionnaires.
- MESH :
- geographic : Ontario.
- economics : Communicable Disease Control.
- methods : Communicable Disease Control, Community-Based Participatory Research, Quarantine.
- prevention & control : Influenza, Human, Pandemics.
- Adult, Evidence-Based Medicine, Feasibility Studies, Health Facility Closure, Humans, Indians, North American, Influenza A Virus, H1N1 Subtype, Program Evaluation, Qualitative Research, Retrospective Studies, Rural Population, Surveys and Questionnaires.
Abstract
The next influenza pandemic is predicted to disproportionately impact marginalized populations, such as those living in geographically remote Aboriginal communities, and there remains a paucity of scientific literature regarding effective and feasible community mitigation strategies. In Canada, current pandemic plans may not have been developed with adequate First Nations consultation and recommended measures may not be effective in remote and isolated First Nations communities.
PubMed: 24261860
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pubmed:24261860Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Assessing the effectiveness and feasibility of implementing mitigation measures for an influenza pandemic in remote and isolated First Nations communities: a qualitative community-based participatory research approach.</title><author><name sortKey="Charania, Nadia A" sort="Charania, Nadia A" uniqKey="Charania N" first="Nadia A" last="Charania">Nadia A. Charania</name><affiliation wicri:level="1"><nlm:affiliation>University of Waterloo, Waterloo, Ontario, Canada. ncharani@uwaterloo.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>University of Waterloo, Waterloo, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Tsuji, Leonard Js" sort="Tsuji, Leonard Js" uniqKey="Tsuji L" first="Leonard Js" last="Tsuji">Leonard Js Tsuji</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2013 Oct-Dec</MedlineDate></PubDate></date><idno type="RBID">pubmed:24261860</idno><idno type="pmid">24261860</idno><idno type="wicri:Area/PubMed/Corpus">000913</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000913</idno><idno type="wicri:Area/PubMed/Curation">000913</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000913</idno><idno type="wicri:Area/PubMed/Checkpoint">001F29</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001F29</idno><idno type="wicri:Area/Ncbi/Merge">001768</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Assessing the effectiveness and feasibility of implementing mitigation measures for an influenza pandemic in remote and isolated First Nations communities: a qualitative community-based participatory research approach.</title><author><name sortKey="Charania, Nadia A" sort="Charania, Nadia A" uniqKey="Charania N" first="Nadia A" last="Charania">Nadia A. Charania</name><affiliation wicri:level="1"><nlm:affiliation>University of Waterloo, Waterloo, Ontario, Canada. ncharani@uwaterloo.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>University of Waterloo, Waterloo, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Tsuji, Leonard Js" sort="Tsuji, Leonard Js" uniqKey="Tsuji L" first="Leonard Js" last="Tsuji">Leonard Js Tsuji</name></author></analytic><series><title level="j">Rural and remote health</title><idno type="eISSN">1445-6354</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Communicable Disease Control (economics)</term><term>Communicable Disease Control (methods)</term><term>Community-Based Participatory Research (methods)</term><term>Evidence-Based Medicine</term><term>Feasibility Studies</term><term>Health Facility Closure</term><term>Humans</term><term>Indians, North American</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (prevention & control)</term><term>Ontario</term><term>Pandemics (prevention & control)</term><term>Program Evaluation</term><term>Qualitative Research</term><term>Quarantine (methods)</term><term>Retrospective Studies</term><term>Rural Population</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Contrôle des maladies contagieuses ()</term><term>Contrôle des maladies contagieuses (économie)</term><term>Enquêtes et questionnaires</term><term>Fermeture d'établissement de santé</term><term>Grippe humaine ()</term><term>Humains</term><term>Indiens d'Amérique Nord</term><term>Médecine factuelle</term><term>Ontario</term><term>Pandémies ()</term><term>Population rurale</term><term>Quarantaine ()</term><term>Recherche participative basée sur la communauté ()</term><term>Recherche qualitative</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Études de faisabilité</term><term>Études rétrospectives</term><term>Évaluation de programme</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ontario</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Communicable Disease Control</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Communicable Disease Control</term><term>Community-Based Participatory Research</term><term>Quarantine</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term><term>Pandemics</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Contrôle des maladies contagieuses</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Evidence-Based Medicine</term><term>Feasibility Studies</term><term>Health Facility Closure</term><term>Humans</term><term>Indians, North American</term><term>Influenza A Virus, H1N1 Subtype</term><term>Program Evaluation</term><term>Qualitative Research</term><term>Retrospective Studies</term><term>Rural Population</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Contrôle des maladies contagieuses</term><term>Enquêtes et questionnaires</term><term>Fermeture d'établissement de santé</term><term>Grippe humaine</term><term>Humains</term><term>Indiens d'Amérique Nord</term><term>Médecine factuelle</term><term>Ontario</term><term>Pandémies</term><term>Population rurale</term><term>Quarantaine</term><term>Recherche participative basée sur la communauté</term><term>Recherche qualitative</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Études de faisabilité</term><term>Études rétrospectives</term><term>Évaluation de programme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The next influenza pandemic is predicted to disproportionately impact marginalized populations, such as those living in geographically remote Aboriginal communities, and there remains a paucity of scientific literature regarding effective and feasible community mitigation strategies. In Canada, current pandemic plans may not have been developed with adequate First Nations consultation and recommended measures may not be effective in remote and isolated First Nations communities.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24261860</PMID><DateCompleted><Year>2015</Year><Month>01</Month><Day>23</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1445-6354</ISSN><JournalIssue CitedMedium="Internet"><Volume>13</Volume><Issue>4</Issue><PubDate><MedlineDate>2013 Oct-Dec</MedlineDate></PubDate></JournalIssue><Title>Rural and remote health</Title><ISOAbbreviation>Rural Remote Health</ISOAbbreviation></Journal><ArticleTitle>Assessing the effectiveness and feasibility of implementing mitigation measures for an influenza pandemic in remote and isolated First Nations communities: a qualitative community-based participatory research approach.</ArticleTitle><Pagination><MedlinePgn>2566</MedlinePgn></Pagination><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The next influenza pandemic is predicted to disproportionately impact marginalized populations, such as those living in geographically remote Aboriginal communities, and there remains a paucity of scientific literature regarding effective and feasible community mitigation strategies. In Canada, current pandemic plans may not have been developed with adequate First Nations consultation and recommended measures may not be effective in remote and isolated First Nations communities.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This study employed a community-based participatory research approach. Retrospective opinions were elicited via interview questionnaires with adult key healthcare informants (n=9) regarding the effectiveness and feasibility of implementing 41 interventions to mitigate an influenza pandemic in remote and isolated First Nations communities of sub-Arctic Ontario, Canada. Qualitative data were manually transcribed and deductively coded following a template organizing approach.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The results indicated that most mitigation measures could potentially be effective if modified to address the unique characteristics of these communities. Participants also offered innovative alternatives to mitigation measures that were community-specific and culturally sensitive. Mitigation measures were generally considered to be effective if the measure could aid in decreasing virus transmission, protecting their immunocompromised population, and increasing community awareness about influenza pandemics. Participants reported that lack of resources (eg supplies, monies, trained personnel), poor community awareness, overcrowding in homes, and inadequate healthcare infrastructure presented barriers to the implementation of mitigation measures.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study highlights the importance of engaging local key informants in pandemic planning in order to gain valuable community-specific insight regarding the design and implementation of more effective and feasible mitigation strategies. As it is ethically important to address the needs of marginalized populations, it is recommended that these findings be incorporated in future pandemic plans to improve the response capacity and health outcomes of remote and isolated First Nations communities during the next public health emergency.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Charania</LastName><ForeName>Nadia A</ForeName><Initials>NA</Initials><AffiliationInfo><Affiliation>University of Waterloo, Waterloo, Ontario, Canada. ncharani@uwaterloo.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tsuji</LastName><ForeName>Leonard Js</ForeName><Initials>LJ</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>11</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>Australia</Country><MedlineTA>Rural Remote Health</MedlineTA><NlmUniqueID>101174860</NlmUniqueID><ISSNLinking>1445-6354</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003140" MajorTopicYN="N">Communicable Disease Control</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055812" MajorTopicYN="N">Community-Based Participatory Research</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019317" MajorTopicYN="N">Evidence-Based Medicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005240" MajorTopicYN="N">Feasibility Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006271" MajorTopicYN="N">Health Facility Closure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007198" MajorTopicYN="Y">Indians, North American</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009864" MajorTopicYN="N" Type="Geographic">Ontario</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015397" MajorTopicYN="N">Program Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D036301" MajorTopicYN="N">Qualitative Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011790" MajorTopicYN="N">Quarantine</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012424" MajorTopicYN="Y">Rural Population</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>11</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>11</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>1</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24261860</ArticleId><ArticleId IdType="pii">2566</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country></list><tree><noCountry><name sortKey="Tsuji, Leonard Js" sort="Tsuji, Leonard Js" uniqKey="Tsuji L" first="Leonard Js" last="Tsuji">Leonard Js Tsuji</name></noCountry><country name="Canada"><noRegion><name sortKey="Charania, Nadia A" sort="Charania, Nadia A" uniqKey="Charania N" first="Nadia A" last="Charania">Nadia A. 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