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  1. Article ; Online: Figure it out on your own: a mixed-method study on pelvic health survivorship care after gynecologic cancer treatments.

    Bernard, Stéphanie / Wiebe, Ericka / Waters, Alexandra / Selmani, Sabrina / Turner, Jill / Dufour, Sinéad / Tandon, Puneeta / Pepin, Donna / McNeely, Margaret L

    Journal of cancer survivorship : research and practice

    2024  

    Abstract: Purpose: Pelvic health issues after treatment for gynecological cancer are common. Due to challenges in accessing physiotherapy services, exploring virtual pelvic healthcare is essential. This study aims to understand needs, preferences, barriers, and ... ...

    Abstract Purpose: Pelvic health issues after treatment for gynecological cancer are common. Due to challenges in accessing physiotherapy services, exploring virtual pelvic healthcare is essential. This study aims to understand needs, preferences, barriers, and facilitators for a virtual pelvic healthcare program for gynecological cancer survivors.
    Methods: A multi-center, sequential mixed-methods study was conducted. An anonymous online survey (N=50) gathered quantitative data on pelvic health knowledge, opportunities, and motivation. Focus groups (N=14) explored patient experiences and consensus on pelvic health interventions and virtual delivery. Quantitative data used descriptive statistics, and focus group analyses employed inductive thematic analysis. Findings were mapped to the capability, opportunity, and motivation (COM-B) behavior change model.
    Results: Participants reported lacking knowledge about pelvic health interventions and capability related to the use of vaginal dilators and continence care. Barriers to opportunity included lack of healthcare provider-initiated pelvic health discussions, limited time in clinic with healthcare providers, finding reliable information, and cost of physical therapy pelvic health services. Virtual delivery was seen favorably and may help to address motivational barriers related to embarrassment and frustration with care.
    Conclusion: Awareness of pelvic healthcare is lacking among people treated for gynecological cancer. Virtual delivery of pelvic health interventions is perceived as a solution to enhance access while minimizing travel, cost, embarrassment, and exposure risks.
    Implications for cancer survivors: A better understanding of the pelvic health needs of individuals following gynecological cancer treatments enables the development of tailored virtual pelvic health rehabilitation interventions which may improve access to pelvic health survivorship care.
    Language English
    Publishing date 2024-03-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2388888-X
    ISSN 1932-2267 ; 1932-2259
    ISSN (online) 1932-2267
    ISSN 1932-2259
    DOI 10.1007/s11764-024-01565-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: How Can We Span the Boundaries between Wildland Fire Science and Management in the United States?

    Kocher, Susan D. / Toman, Eric / Trainor, Sarah F. / Wright, Vita / Briggs, Jennifer S. / Goebel, Charles P. / Eugénie, M. / Oxarart, Annie / Pepin, Donna L. / Steelman, Toddi A. / Thode, Andrea / Waldrop, Thomas A.

    Journal of forestry

    Volume v. 110,, Issue no. 8

    Abstract: In 2009, the federal Joint Fire Science Program (JFSP) initiated a national network of boundary organizations, known as regional fire science consortia, to accelerate the awareness, understanding, and use of wildland fire science. Needs assessments ... ...

    Abstract In 2009, the federal Joint Fire Science Program (JFSP) initiated a national network of boundary organizations, known as regional fire science consortia, to accelerate the awareness, understanding, and use of wildland fire science. Needs assessments conducted by consortia in eight regions of the United States are synthesized here using a case survey approach. Although regions used different methods based on their different ecosystems, geography, and demography, results showed striking similarities in how fire science is accessed and used, barriers to its use, and research information needed. Use of Internet-based information is universally high; however, in-person knowledge exchange is preferred. Obstacles to fire science application include lack of time, resources, and access to the most relevant information as well as communication barriers between scientists and managers. Findings show a clear need for boundary organizations to span fire science and management to (a) organize and consolidate fire science information through easily accessible websites and (b) strengthen relationships between scientists and managers to facilitate production and communication of science relevant to managers' concerns. This article contributes to boundary spanning theory by underscoring and documenting the advantages of regionally focused boundary organizations in meeting user needs and building bridges between fire scientists and managers.
    Keywords demography ; managers ; geography ; wildfires ; surveys ; scientists ; ecosystems ; Internet ; wildland fire use
    Language English
    Document type Article
    ISSN 0022-1201
    Database AGRIS - International Information System for the Agricultural Sciences and Technology

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