Dialogues in health最新文献

{"title":"Empowering diabetes care: Patient practices and the role of mobile health – A qualitative exploration","authors":"Jayvardhan Singh ,&nbsp;Ramesh Kumar Sangwan ,&nbsp;Shiv Kumar Mudgal ,&nbsp;Ramesh Kumar Huda","doi":"10.1016/j.dialog.2025.100231","DOIUrl":"10.1016/j.dialog.2025.100231","url":null,"abstract":"<div><h3>Introduction</h3><div>Effective diabetes management relies on medical treatment and self-care practices, yet many individuals face challenges in adhering to prescribed routines. With the rise of mobile health (mHealth), there is potential to enhance self-management through regular reminders, guidance, and support. This qualitative study explores patient practices in managing diabetes and the role of mHealth in influencing their behaviours and outcomes.</div></div><div><h3>Methodology</h3><div>The study employed semi-structured, in-depth interviews with 14 individuals living with diabetes who had received SMS reminders and utilized the feedback application services as part of their diabetes management. Participants got education regarding self-care routines, including medication adherence, diet, exercise, and blood glucose monitoring. Thematic analysis was conducted to identify patterns related to diabetes management practices, patient challenges, and the role of mHealth.</div></div><div><h3>Results</h3><div>Participants expressed positive feedback on the SMS and app-based services, which promote medication adherence and provide valuable health information. Challenges in diabetes management include physical limitations, social pressures leading to dietary lapses, time constraints, and concerns about receiving spam or misleading information via SMS. However, they recommended improvements, such as guidance on treatment, dietary advice, and the inclusion of interactive features like sugar level tracking.</div></div><div><h3>Conclusion</h3><div>mHealth has the potential to enhance diabetes self-management significantly, and patient feedback suggests a need for more personalised, interactive, and comprehensive support. Addressing these recommendations alongside patients' physical, social, and financial challenges could improve health outcomes and foster more effective diabetes management.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100231"},"PeriodicalIF":0.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond poverty alleviation: The impact of child support grants on healthcare access and contraception use in South Africa","authors":"Norman Tafirenyika Nhede,&nbsp;Adrino Mazenda,&nbsp;Dymon Gondwe","doi":"10.1016/j.dialog.2025.100228","DOIUrl":"10.1016/j.dialog.2025.100228","url":null,"abstract":"<div><div>This study examines the impact of Child Support Grants (CSGs) on access to medical care and contraception use in South Africa, investigating whether social assistance can enhance healthcare access beyond its primary aim of alleviating poverty. While previous research highlights CSGs' poverty reduction and welfare enhancement effects, little is known about their effects on healthcare and reproductive healthcare access, especially given South Africa's healthcare disparities. Using data from the first wave of the 2020 National Income Dynamics Study—Coronavirus Rapid Mobile Survey (NIDS-CRAM), this study employs mediation analysis to analyse the effects of CSG receipt on healthcare and contraception access while controlling for socio-economic factors. The findings indicate a complex relationship. CSGs have a positive but insignificant indirect effect on healthcare and contraception access and a significant negative direct effect, suggesting that the current grant structure may not adequately address existing barriers. The results highlight the need for policy changes, indicating that while CSGs are vital as a social safety net, their effectiveness in improving healthcare access could be enhanced through increased grant amounts and targeted interventions to address healthcare costs and structural barriers.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100228"},"PeriodicalIF":0.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144587597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening cancer care for the LGBTQIA+ population in Nepal: A narrative review to set priorities for equitable oncology services","authors":"Sunil Shrestha ,&nbsp;Nabin Pathak ,&nbsp;Simit Sapkota ,&nbsp;Sudip Thapa ,&nbsp;Subhas Pandit ,&nbsp;Jeebana Bhandari ,&nbsp;Pankaj Barman ,&nbsp;Pratik Khanal ,&nbsp;Kamal Ranabhat ,&nbsp;Vibhu Paudyal ,&nbsp;Deependra Singh","doi":"10.1016/j.dialog.2025.100229","DOIUrl":"10.1016/j.dialog.2025.100229","url":null,"abstract":"<div><div>Cancer epidemiology and care services in low- and middle-income countries, has traditionally overlooked the specific needs of the lesbian, gay, bisexual, transgender, queer, intersex, and asexual community, including people who identify with diverse gender identities and sexual orientations (LGBTQIA+). This narrative review examines the intersection of LGBTQIA+ individual's health and oncology cases in Nepal, highlighting disparities in cancer risk factors, delayed diagnosis, limited screening access and the compounding effects of social stigma and discrimination. Drawing from regional data and global insights, we identify systemic barriersincluding heteronormative healthcare environments, lack of provider training in LGBTQIA+-inclusive oncology, and policy gaps that hinder equitable cancer care access. We also outline targeted strategies to improve cancer outcomes for LGBTQIA+ individuals, including stakeholder engagement, culturally competent oncology training for healthcare providers and students, and community-led education and advocacy. This review underscores the urgent need to integrate LGBTQIA+-specific priorities into Nepal's national cancer strategies to advance equity in oncology care delivery.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100229"},"PeriodicalIF":0.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of pharmacovigilance knowledge and ADR reporting skills in undergraduate medical students using the OSPA model","authors":"T.Y. Sree Sudha ,&nbsp;Kusum Kumari ,&nbsp;C. Vasantha Kalyani ,&nbsp;Monika Kankarwal ,&nbsp;K.S.B.S. Krishna Sasanka","doi":"10.1016/j.dialog.2025.100227","DOIUrl":"10.1016/j.dialog.2025.100227","url":null,"abstract":"<div><h3>Background</h3><div>Pharmacovigilance (PV) and adverse drug reaction (ADR) reporting are essential components of ensuring medication safety. However, many healthcare students have limited knowledge in these areas. This study evaluates the pharmacovigilance knowledge and ADR reporting skills among undergraduate medical and nursing students.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted at the All India Institute of Medical Sciences (AIIMS), Deoghar, with 190 undergraduate healthcare students. Participants completed a validated structured questionnaire assessing their pharmacovigilance and ADR reporting knowledge. Data were analyzed using SPSS version 23.0, with descriptive statistics to present the results.</div></div><div><h3>Results</h3><div>The findings revealed that 35 % of students had limited knowledge of pharmacovigilance and ADR reporting, while 52 % demonstrated a moderate level of understanding. A majority were aware of the importance of pharmacovigilance and ADR reporting, although they faced challenges in completing ADR reports accurately.</div></div><div><h3>Conclusions</h3><div>Although students exhibited a basic understanding of pharmacovigilance, significant gaps were found in their ability to effectively report ADRs. These findings underscore the need for enhanced pharmacovigilance education within healthcare curricula, ensuring students are adequately prepared to apply their knowledge in clinical settings.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100227"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnancy to postpartum: Analyzing dropouts and socioeconomic predictors of continuum of maternal healthcare in India","authors":"Pooja Singh ,&nbsp;Sanjiv Singh ,&nbsp;Kaushalendra Kumar Singh","doi":"10.1016/j.dialog.2025.100226","DOIUrl":"10.1016/j.dialog.2025.100226","url":null,"abstract":"<div><h3>Background</h3><div>Continuum of care (CoC) emphasizes the importance of establishing connections between maternal healthcare service provided at various stages throughout pregnancy, labour, and the postpartum period. The objective of this study was to investigate the CoC for maternal health, focusing on recent utilization and dropout pattern and to examine the underlying wealth inequality and its association with the dimensions of women's empowerment.</div></div><div><h3>Material and methods</h3><div>For our analysis, we focused on mothers who had given birth within the five years preceding the National family health survey (NFHS)-5 survey. Outcome variable, the CoC for maternal health was assessed at three distinct levels: CoC until 4+ antenatal care (ANC), CoC until skilled birth attendance (SBA), CoC until postnatal care (PNC) or complete CoC. Binary logistic regression, concentration curve and index were utilized to address the objectives of the study.</div></div><div><h3>Results</h3><div>Our study found that 93.8 % of women initiated maternal healthcare with at least one ANC visit, but only 63.1 % completed the recommended 4+ visits. Among them, 94.6 % received SBA, yet only 62 % continued to PNC. A concerning dropout pattern was observed across all states, with even prosperous states like Chandigarh, West Bengal, Goa, Kerala, New Delhi, and Gujarat showing higher dropout rates before PNC than the national average of 38 %. Concentration curves revealed pro-rich inequality in CoC. Women's social independence positively influenced CoC adherence, along with parity, pregnancy intention, wealth index, and region of residence as key determinants.</div></div><div><h3>Conclusion</h3><div>Our findings reveal significant gaps in the continuum of maternal healthcare, including high dropout rates before postnatal care and persistent wealth-based disparities. Addressing these issues requires targeted policies, greater women's empowerment, and equitable healthcare access. Future research should conduct a comprehensive analysis to understand why dropout rates remain high, even in relatively prosperous states, by examining health system inefficiencies, sociocultural barriers, and policy gaps.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100226"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Negotiating beauty in Pakistan: A qualitative exploration of body image, nutrition, and cultural ideals among young women in Azad Jammu & Kashmir","authors":"Sajal Bint-e-Khalil ,&nbsp;Inayat Ali","doi":"10.1016/j.dialog.2025.100225","DOIUrl":"10.1016/j.dialog.2025.100225","url":null,"abstract":"<div><div>Beauty is not a static or universal phenomenon. However, it is a dynamic ideal shaped by sociocultural patterns and practices. Particulalry, multiple sociocultural patterns prevail regarding how a female body should be maintained, displayed, and evaluated. Media representations, in particular, play a central role in reinforcing and circulating narrow, idealized, and often unattainable beauty standards, contributing to a system in which women are disproportionately subject to stringent aesthetic scrutiny. This phenomenological study explores the sociocultural construction of beauty and its experience as well as internalization among young women in Azad Jammu &amp; Kashmir, Pakistan. We used in-depth interviews to explore and understand how participants perceive the relationship between beauty and nutrition, revealing a deeply embedded tension between individual experience and cultural expectations. While approximately half of the participants defined beauty in terms of physical appearance, the remainder emphasized internal traits such as personality and behavior. Notably, nearly 45 % of respondents believed that beauty is objective rather than subjective, which suggests a limited engagement with internal or emotional dimensions of self-perception, and reflects the powerful influence of external social and cultural standards.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100225"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144536123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “A culturally-specific education strategy to improve stroke health literacy in Vietnamese communities in South Western Sydney” [Dialogues in Health: Volume 6 (2025)- 100211]","authors":"Jessica Ly ,&nbsp;Christopher Blair ,&nbsp;Helen Badge ,&nbsp;Michael Camit ,&nbsp;Khoi Do ,&nbsp;Timmy Pham ,&nbsp;Nicola Chappelow ,&nbsp;Dennis J. Cordato ,&nbsp;Mark W. Parsons","doi":"10.1016/j.dialog.2025.100222","DOIUrl":"10.1016/j.dialog.2025.100222","url":null,"abstract":"","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100222"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144291334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Claiming justice in the health sector of Nepal: Exploring causes and consequences of protests among health care workers","authors":"Sony K.C. ,&nbsp;Christine Bigler ,&nbsp;Susan Thieme","doi":"10.1016/j.dialog.2025.100223","DOIUrl":"10.1016/j.dialog.2025.100223","url":null,"abstract":"<div><div>The health workers in Nepal have engaged in strikes to protest issues within the healthcare sector, confronting the public, health care management, policymakers and educational institutions. This paper examines the evolution and root causes of these strikes, exploring the motivations behind health workers' participation despite work demands and their pursuit of justice. A qualitative, grounded theory lite approach was employed for data collection. Respondents included doctors, nurses, assistant health workers, government and non-government officials and policymakers. To understand the nature of the strike and validate findings, a participant observant approach was utilized. The first author joined in the protest for three days in September 2023 in Kathmandu Valley to observe the demonstrations and negotiation process. Findings reveal that widespread tension stemming from corruption, privatization and politicization in medical institutions has driven health workers to protest. Their demands have included better salaries, workplace safety, an overdue pandemic allowance, and an end to violence in healthcare institutions. While the management of medical institutions and the state remain silent, public perception of health workers has become negative. This has ignited frustration in the public and a sense of helplessness among health professionals. The strikes have created opportunities dialogue to address systemic flaws in Nepal's health sector. However, significant gaps remain, which requires immediate action from the government and relevant authorities. Without sound reforms, Nepal's healthcare sector foresees migration of health workers, tensions between public and health workers and unstable health sector.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"7 ","pages":"Article 100223"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing the challenge of rheumatic heart disease in Pakistan: A call to action","authors":"Abdul Hakeem ,&nbsp;Masood Sadiq ,&nbsp;Javerya Hassan ,&nbsp;Isbaah Tejani ,&nbsp;Ijaz Hussain ,&nbsp;Jalil Khan ,&nbsp;Mohammad Waleed ,&nbsp;Sabha Bhatti ,&nbsp;Sana Sheikh ,&nbsp;Sobia Masood ,&nbsp;Ali H. Mokdad ,&nbsp;Aziz Sheikh ,&nbsp;Zafar Mirza ,&nbsp;Zainab Samad","doi":"10.1016/j.dialog.2025.100221","DOIUrl":"10.1016/j.dialog.2025.100221","url":null,"abstract":"<div><div>Despite its high prevalence, Acute rheumatic fever (ARF) and Rheumatic heart disease (RHD) is underrepresented in Pakistan's national and federal health plans. To address this gap, we gathered multi-geographic and specialty perspectives from frontline clinicians in Pakistan'. Major challenges in RHD diagnosis and care include regional healthcare disparities, diagnostic limitations, scarcity of Benzathine Penicillin G (BPG) for prophylaxis, and lack of multidisciplinary RHD teams.</div><div>Our practitioner-informed recommendations emphasize community outreach, targeted screening, and surveillance, and comprehensive training for healthcare providers in the diagnosis and management of GAS infections and ARF. Strengthening multidisciplinary care and ensuring stable BPG supplies are essential, as is integrating RHD care into Universal Health Coverage (UHC) models currently being implemented to reduce patient financial burdens. Improving RHD management requires systemic changes to healthcare infrastructure, practitioner training, and coordinated policy efforts. Crucially, these proposals align with WHO's latest RHD guidelines on primary (treating GAS infections) and secondary prevention (antibiotic prophylaxis and screening). By translating local clinical wisdom into actionable policies, this viewpoint yields practical interventions tailored to Pakistan that are also adaptable to similar LMIC settings.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100221"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying user-centred techniques and expert feedback to refine an AI-based app for addressing mobile gaming addiction in adolescents","authors":"Anna Khoziasheva","doi":"10.1016/j.dialog.2025.100220","DOIUrl":"10.1016/j.dialog.2025.100220","url":null,"abstract":"<div><h3>Background</h3><div>The prevalent use of smartphones has contributed to a rise in mobile gaming addiction, especially in young people. This study aimed to describe the design of an enhanced version of the AI-based mGaming Wellness mobile app, to support young individuals in developing healthy mobile gaming habits.</div></div><div><h3>Methods</h3><div>The study utilised a 4-phased methodology, based on user-centred design principles, the Mobile App Rating Scale, a focus group and in-depth interviews with the app's target audience, and a think-aloud method.</div></div><div><h3>Results</h3><div>The first round of refinement of mGaming Wellness, guided by input from an expert panel, focused on enhancing engagement and information quality. Feedback led to the identification of 5 key components for digital interventions, including mood and sleep trackers, a statistics dashboard, and educational modules tailored to young users' needs. Subsequent user research prompted the simplification of mood trackers and adjustments in educational content to align closely with adolescents' experiences. Usability testing of a high-fidelity prototype highlighted the app's ease of use and identified areas for further improvement, particularly in understanding how to reduce gaming time and effectively manage gaming-related notifications. The refined mGaming Wellness app can be a valuable resource for mental health professionals, educators, and youngsters seeking support with problematic mobile gaming or interested in building healthy digital habits.</div></div><div><h3>Discussion</h3><div>The findings advocate for the user-centred techniques in developing digital health interventions, contributing valuable input for research in mental health app development targeted at adolescents. Future research will evaluate the app's effectiveness in reducing problematic gaming behaviour.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100220"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}