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Article ; Online: Short-term clinical and manometric outcomes of percutaneous tibial nerve stimulation for faecal incontinence: a large single-centre series.

O'Connor, A / Molyneux, C / Foster, K / Faulkner, G / Sharma, A / Kiff, E / Vasant, D H / Telford, K

2024 Volume 28, Issue 1, Page(s) 45

Abstract: Background: Faecal incontinence (FI) is common, with a significant impact on quality of life. Percutaneous tibial nerve stimulation (PTNS) is a therapy for FI; however, its role has recently been questioned. Here we report the short-term clinical and ... ...

Abstract	Background: Faecal incontinence (FI) is common, with a significant impact on quality of life. Percutaneous tibial nerve stimulation (PTNS) is a therapy for FI; however, its role has recently been questioned. Here we report the short-term clinical and manometric outcomes in a large tertiary centre. Methods: A retrospective review of a prospective PTNS database was performed, extracting patient-reported FI outcome measures including bowel diary, the St Marks's Incontinence Score (SMIS) and Manchester Health Questionnaire (MHQ). Successful treatment was > 50% improvement in symptoms, whilst a partial response was 25-50% improvement. High-resolution anorectal manometry (HRAM) results before and after PTNS were recorded. Results: Data were available from 135 patients [119 (88%) females; median age: 60 years (range: 27-82years)]. Overall, patients reported a reduction in urge FI (2.5-1) and passive FI episodes (2-1.5; p < 0.05) alongside a reduction in SMIS (16.5-14) and MHQ (517.5-460.0; p < 0.001). Some 76 (56%) patients reported success, whilst a further 20 (15%) reported a partial response. There were statistically significant reductions in rectal balloon thresholds and an increase in incremental squeeze pressure; however, these changes were independent of treatment success. Conclusion: Patients report PTNS improves FI symptoms in the short term. Despite this improvement, changes in HRAM parameters were independent of this success. HRAM may be unable to measure the clinical effect of PTNS, or there remains the possibility of a placebo effect. Further work is required to define the role of PTNS in the treatment of FI.
MeSH term(s)	Female ; Humans ; Male ; Middle Aged ; Fecal Incontinence/therapy ; Manometry ; Prospective Studies ; Quality of Life ; Tibial Nerve ; Adult ; Aged ; Aged, 80 and over
Language	English
Publishing date	2024-04-03
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2083309-X
ISSN	1128-045X ; 1123-6337
ISSN (online)	1128-045X
ISSN	1123-6337
DOI	10.1007/s10151-024-02916-4
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Article ; Online: Sacral neuromodulation: time to seize the opportunity to collaborate on a 'de-prioritised' service?

O'Connor, A / Mullins, D / Sharma, A / Faulkner, G / Telford, K

Techniques in coloproctology

2023 Volume 27, Issue 6, Page(s) 517–518

MeSH term(s)	Humans ; Electric Stimulation Therapy ; Botulinum Toxins, Type A ; Sacrum ; Sacrococcygeal Region ; Lumbosacral Plexus
Chemical Substances	Botulinum Toxins, Type A (EC 3.4.24.69)
Language	English
Publishing date	2023-04-01
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2083309-X
ISSN	1128-045X ; 1123-6337
ISSN (online)	1128-045X
ISSN	1123-6337
DOI	10.1007/s10151-023-02785-3
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Article: Examining the correlates of cigarette smoking, e-cigarette use and dual use among Canadian post-secondary students.

Fagan, Matthew James / Zhan, Jian Kun / Wunderlich, Kelly B / Faulkner, Guy

Tobacco use insights

2024 Volume 17, Page(s) 1179173X241247414

Abstract: Many Canadians use nicotine products such as cigarettes and e-cigarettes. A particular subpopulation of concern is post-secondary students given they have a higher prevalence of use. Many correlates of cigarette smoking and e-cigarette use have been ... ...

Abstract	Many Canadians use nicotine products such as cigarettes and e-cigarettes. A particular subpopulation of concern is post-secondary students given they have a higher prevalence of use. Many correlates of cigarette smoking and e-cigarette use have been identified. However, less focus has been on examining the correlates of cigarette smoking, e-cigarette use and dual use. This study explores the correlates of different nicotine modality use in post-secondary students. Using data from the Canadian Campus Wellbeing Survey (CCWS;
Language	English
Publishing date	2024-04-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2532401-9
ISSN	1179-173X
ISSN	1179-173X
DOI	10.1177/1179173X241247414
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Article ; Online: So That's How You Use It: How Effective Is Education on Inhaler Use?

Faulkner, Garner

Respiratory care

2017 Volume 62, Issue 7, Page(s) 1001–1003

MeSH term(s)	Humans ; Nebulizers and Vaporizers
Language	English
Publishing date	2017
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	603252-7
ISSN	1943-3654 ; 0098-9142 ; 0020-1324
ISSN (online)	1943-3654
ISSN	0098-9142 ; 0020-1324
DOI	10.4187/respcare.05687
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Article ; Online: Elusive boundaries: using an attribute framework to describe systems for population physical activity promotion.

Baugh Littlejohns, Lori / Rasali, Drona / McKee, Geoffrey / Naiman, Daniel / Faulkner, Guy

Health promotion international

2024 Volume 39, Issue 1

Abstract: The cost of physical inactivity is alarming, and calls for whole-of-system approaches to population physical activity promotion (PPAP) are increasing. One innovative approach to PPAP is to use a framework of interdependent attributes and associated ... ...

Abstract	The cost of physical inactivity is alarming, and calls for whole-of-system approaches to population physical activity promotion (PPAP) are increasing. One innovative approach to PPAP is to use a framework of interdependent attributes and associated dimensions of effective systems for chronic disease prevention. Describing system boundaries can be an elusive task, and this article reports on using an attribute framework as a first step in describing and then assessing and strengthening a provincial system for PPAP in British Columbia, Canada. Interviews were conducted with provincial stakeholders to gather perspectives regarding attributes of the system. Following this, two workshops were facilitated to document important stories about the current system for PPAP and link story themes with attributes. Results from interviews and workshops were summarized into key findings and a set of descriptive statements. One hundred and twenty-one statements provide depth, breadth and scope to descriptions of the system through the lens of an adapted framework including four attributes: (i) implementation of desired actions, (ii) resources, (iii) leadership and (iv) collaborative capacity. The attribute framework was a useful tool to guide a whole-of-system approach and turn elusive boundaries into rich descriptors of a provincial system for PPAP. Immediate implications for our research are to translate descriptive statements into variables, then assess the system through group model building and identify leverage points from a causal loop diagram to strengthen the system. Future application of this approach in other contexts, settings and health promotion and disease prevention topics is recommended.
MeSH term(s)	Humans ; Delivery of Health Care ; Exercise ; Canada ; Health Promotion/methods ; Propylamines
Chemical Substances	N-(3-phenyl-n-propyl)-1-phenyl-2-aminopropane (131903-56-5) ; Propylamines
Language	English
Publishing date	2024-02-02
Publishing country	England
Document type	Journal Article
ZDB-ID	1027448-0
ISSN	1460-2245 ; 0957-4824
ISSN (online)	1460-2245
ISSN	0957-4824
DOI	10.1093/heapro/daae003
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Article ; Online: Inequitable Changes in School Connectedness During the Ongoing COVID-19 Pandemic in a Cohort of Canadian Adolescents.

Patte, Karen A / Gohari, Mahmood R / Faulkner, Guy / Bélanger, Richard E / Leatherdale, Scott T

The Journal of school health

2024

Abstract: Background: We examined whether subgroups of adolescents experienced disparate changes in school connectedness-a robust predictor of multiple health outcomes-from before the COVID-19 pandemic to the first full school year following pandemic onset.: ... ...

Abstract	Background: We examined whether subgroups of adolescents experienced disparate changes in school connectedness-a robust predictor of multiple health outcomes-from before the COVID-19 pandemic to the first full school year following pandemic onset. Methods: We used 2 waves of prospective survey data from 7178 students attending 41 Canadian secondary schools that participated during the 2019-2020 (T1; pre-COVID-19 onset) and 2020-2021 (T2; ongoing pandemic) school years. Fixed effects analyses tested differences in school connectedness changes by gender, race, bullying victimization, socioeconomic position, and school learning mode. Results: Relatively greater declines in school connectedness were reported by students that identified as females, were bullied, perceived their family to be less financially comfortable than their classmates, and attended schools in lower income areas. Marginally greater school connectedness declines resulted among students attending schools that were fully online at T2 than those at schools using a blended model. Conclusion: Results point to disparate school connectedness declines during the pandemic, which may exacerbate pre-existing health inequities by gender and socioeconomic position, and among bullied youth. Implications for school health policy, practice, and equity: Effective strategies to improve school climates for equity denied groups are critical for pandemic recovery and preparedness for future related events.
Language	English
Publishing date	2024-02-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	952835-0
ISSN	1746-1561 ; 0022-4391
ISSN (online)	1746-1561
ISSN	0022-4391
DOI	10.1111/josh.13443
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Article ; Online: Correlates of Active School Transportation During the COVID-19 Pandemic Among Canadian 7- to 12-Year-Olds: A National Study.

Larouche, Richard / Bélanger, Mathieu / Brussoni, Mariana / Faulkner, Guy / Gunnell, Katie / Tremblay, Mark S

Journal of physical activity & health

2024 Volume 21, Issue 3, Page(s) 294–306

Abstract: Background: Active school transportation (AST) is an important source of physical activity for children and a potentially important climate change mitigation strategy. However, few studies have examined factors associated with AST in the context of the ... ...

Abstract	Background: Active school transportation (AST) is an important source of physical activity for children and a potentially important climate change mitigation strategy. However, few studies have examined factors associated with AST in the context of the COVID-19 pandemic. Methods: We used baseline data from a longitudinal survey to investigate correlates of AST during the second wave of COVID-19 (December 2020). We collected survey data from 2291 parents of 7- to 12-year-olds across Canada and linked this information with data on neighborhood walkability and weather from national databases. We assessed potential correlates representing multiple levels of influence of the social-ecological model. We used gender-stratified binary logistic regression models to determine the correlates of children's travel mode to/from school (dichotomized as active vs motorized), while controlling for household income. We examined the correlates of travel mode for both the morning and afternoon trips. Results: Consistent correlates of AST among Canadian children during the COVID-19 pandemic included greater independent mobility, warmer outdoor temperature, having a parent who actively commuted to work or school, living in a household owning fewer vehicles, and living in a more walkable neighborhood. These findings were largely consistent between boys and girls and between morning and afternoon school trips. Conclusions: Policymakers, urban planners, and public health workers aiming to promote AST should focus on these correlates while ensuring that neighborhoods are safe for children. Future research should monitor the prevalence and correlates of AST as COVID-19 restrictions are removed.
MeSH term(s)	Male ; Child ; Female ; Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; Pandemics/prevention & control ; Canada/epidemiology ; Exercise ; Schools
Language	English
Publishing date	2024-01-03
Publishing country	United States
Document type	Journal Article
ISSN	1543-5474
ISSN (online)	1543-5474
DOI	10.1123/jpah.2023-0243
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Article ; Online: Long-term usage of a commercial mHealth app: A "multiple-lives" perspective.

Lau, Erica Y / Mitchell, Marc S / Faulkner, Guy

Frontiers in public health

2022 Volume 10, Page(s) 914433

Abstract: Background: Emerging evidence suggests that individuals use mHealth apps in multiple disjointed ways in the real-world-individuals, for example, may engage, take breaks, and re-engage with these apps. To our knowledge, very few studies have adopted this ...

Abstract	Background: Emerging evidence suggests that individuals use mHealth apps in multiple disjointed ways in the real-world-individuals, for example, may engage, take breaks, and re-engage with these apps. To our knowledge, very few studies have adopted this 'multiple-live' perspective to analyze long-term usage of a physical activity (PA) app. This study aimed to examine the duration of use, as well as the frequency, length, and timing of streaks (uninterrupted periods of use) and breaks (uninterrupted periods of non-use) within a popular commercial PA app called Carrot Rewards over 12 months. We also examined sociodemographic correlates of usage. Method: This retrospective observational study analyzed data from 41,207 Carrot Rewards users participating in the "Steps" walking program from June/July 2016 to June/July 2017. We measured four usage indicators: duration of use, frequency and length of streaks and breaks, time to first break, and time to resume second streak. We also extracted information regarding participants' age, gender, province, and proxy indicators of socioeconomic status derived from census data. We used descriptive statistics to summarize usage patterns, Kaplan-Meier curves to illustrate the time to first break and time to resume second streak. We used linear regressions and Cox Proportional Hazard regression models to examine sociodemographic correlates of usage. Results: Over 60% of the participants used Carrot Rewards for ≥6 months and 29% used it for 12 months (mean = 32.59 ± 18.435 weeks). The frequency of streaks and breaks ranged from 1 to 9 (mean = 1.61 ± 1.04 times). The mean streak and break length were 20.22 ± 18.26 and 16.14 ± 15.74 weeks, respectively. The median time to first break was 18 weeks across gender groups and provinces; the median time for participants to resume the second streak was between 12 and 32 weeks. Being female, older, and living in a community with greater post-secondary education levels were associated with increased usage. Conclusion: This study provides empirical evidence that long-term mHealth app usage is possible. In this context, it was common for users to take breaks and re-engage with Carrot Rewards. When designing and evaluating PA apps, therefore, interventionists should consider the 'multiple-lives' perspective described here, as well as the impact of gender and age.
MeSH term(s)	Humans ; Female ; Male ; Mobile Applications ; Telemedicine ; Exercise
Language	English
Publishing date	2022-11-10
Publishing country	Switzerland
Document type	Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2022.914433
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Article ; Online: In non-blinded trials, self-report measures could mislead.

Faulkner, George

The lancet. Psychiatry

2015 Volume 2, Issue 4, Page(s) e7

MeSH term(s)	Cognitive Therapy ; Humans ; Reproducibility of Results ; Self Report ; Surveys and Questionnaires
Language	English
Publishing date	2015-04
Publishing country	England
Document type	Comment ; Letter
ISSN	2215-0374
ISSN (online)	2215-0374
DOI	10.1016/S2215-0366(15)00089-9
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Article ; Online: An Evaluation of a Commercialized mHealth Intervention to Promote Physical Activity in the Workplace.

Di Sebastiano, Katie M / Lau, Erica Y / Yun, Lira / Faulkner, Guy

Frontiers in public health

2022 Volume 10, Page(s) 740350

Abstract: Background: UPnGO with ParticipACTION (UPnGO) was a commercialized 12-month workplace physical activity intervention, aimed at encouraging employees to sit less and move more at work. Its design took advantage of the ubiquitous nature of mobile fitness ... ...

Abstract	Background: UPnGO with ParticipACTION (UPnGO) was a commercialized 12-month workplace physical activity intervention, aimed at encouraging employees to sit less and move more at work. Its design took advantage of the ubiquitous nature of mobile fitness trackers and aimed to be implemented in any office-based workplace in Canada. The program was available at cost from June 2017 to April 2020. The objectives of this study are to evaluate the program and identify key lessons from the commercialization of UPnGO. Methods: Using a quasi-experimental design over 3 time points: baseline, 6 months, 12 months, five evaluation indicators were measured as guided by the RE-AIM framework. Results: Reach Conclusions: The commercialization of UPnGO was an ambitious initiative that met with limited success; however, some key lessons can be generated from the attempt. The workplace remains an important environment for PA interventions but effective mHealth PA programs may be difficult to implement and sustain long-term.
MeSH term(s)	Canada ; Exercise ; Fitness Trackers ; Health Promotion ; Humans ; Telemedicine ; Workplace
Language	English
Publishing date	2022-03-15
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2022.740350
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