Publications by authors named "Paul Watson"

Objectives: To examine leisure-time physical activity (LTPA) volume in the Australian spinal cord injury (SCI) population while exploring its associations with sociodemographic and injury-related characteristics.

Methods: This study was a cross-sectional analysis of the Australian cohort of the International Spinal Cord Injury Survey. The study included 1579 participants aged 18 years or older with an SCI.

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Background: The COVID-19 pandemic exacerbated existing disparities in healthcare access and outcomes, particularly among underserved communities. As one site participating in the NIH-funded Community Engagement Alliance Against COVID-19, our focus was to address COVID-19 disparities by training immigrant and refugee communities to advocate for their needs by increasing capacity to campaign for policy-level changes.

Objective: To evaluate the impact of a train-the-trainer policy advocacy program for ethnically-based community leaders within San Diego County using a mixed-methods evaluation.

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Objective: To investigate barriers to leisure-time physical activity (LTPA) for physically active people with spinal cord injury (SCI).

Design: Prospective cross-sectional.

Setting: General community.

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Article Synopsis
  • The COVID-19 pandemic revealed health disparities in underserved Latino/a communities, particularly regarding testing access.
  • The CO-CREATE project developed a community-driven, culturally-tailored COVID-19 testing program in San Ysidro in partnership with local health organizations.
  • Over two years, the program provided 24,422 tests to a primarily Latino/a population, significantly enhancing testing rates and emphasizing the need for future public health strategies to improve access for underserved communities.
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Introduction: More than 90% of children in military families attend civilian schools that may lack understanding of the unique experiences and stressors of military life. School success in children of military families has important implications on future academic achievement, health outcomes, and military groups; yet there has not been an examination of challenges of school success among children of military families in the United States using nationally representative data.

Materials And Methods: Data captured in the 2021-2022 National Survey of Children's Health, limited to children aged 6 to 17 years, were used to examine the association between child's caregiver military status and challenges of school success: lack of school engagement measured through caring about school and completing schoolwork, school absenteeism, and grade repetition (n = 60,599).

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Article Synopsis
  • Chronic headaches are a common issue for military Veterans after experiencing traumatic brain injuries (TBI), and their treatment is often complicated and costly.
  • A study of 141,125 Veterans post-9/11 revealed that those with specific types of headache combinations, especially post-TBI migraines, faced significantly higher healthcare costs.
  • There's a need for further research to understand if the high costs correlate with better treatment results or indicate persistent, harder-to-treat headaches.
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Study Design: Longitudinal cross-sectional.

Objectives: To examine motives to, and perceived gains from, leisure-time physical activity (LTPA) in people with spinal cord injury (SCI).

Setting: Community.

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Background: Following onset of the COVID-19 pandemic, chronic kidney disease (CKD) clinics in BC shifted from established methods of mostly in-person care delivery to virtual care (VC) and thereafter a hybrid of the two.

Objectives: To determine strengths, weaknesses, quality-of-care delivery, and key considerations associated with VC usage to inform optimal way(s) of integrating virtual and traditional methods of care delivery in multidisciplinary kidney clinics.

Design: Qualitative evaluation.

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Background: There continues to be a need for COVID-19 testing that is pragmatic, community-centered, and sustainable. This study will refine and test implementation strategies prioritized by community partners: (1) walk-up no-cost testing, (2) community health worker (promotores)-facilitated testing and preventive care counseling, (3) vending machines that dispense no-cost, self-testing kits.

Methods: A co-designed Theory of Change from an earlier study phase and the Practical, Robust Implementation and Sustainment Model (PRISM) will guide the study design, measures selection, and evaluation.

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  • This review examined the effectiveness of behavior-change strategies to boost physical activity participation among individuals with spinal cord injuries (SCI).
  • It followed systematic guidelines and analyzed various studies, including randomized and non-randomized trials, while using established tools to assess intervention characteristics and outcomes.
  • The findings indicated a moderate positive effect on physical activity levels post-intervention, with participants averaging an increase of 22 minutes of activity per week, particularly benefiting from interventions that included practical support.
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Background: COVID-19 inequities are abundant in low-income communities of color. Addressing COVID-19 vaccine hesitancy to promote equitable and sustained vaccination for underserved communities requires a multi-level, scalable, and sustainable approach. It is also essential that efforts acknowledge the broader healthcare needs of these communities including engagement in preventive services.

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Introduction: : This mixed methods study describes processes to actively engage underserved, immigrant, and refugee communities in COVID-19 vaccine efforts to co-create culturally relevant resources and dissemination.

Methods: : A survey on health care characteristics and COVID-19 attitudes was deployed between March-November 2021 followed by listening sessions conducted in December 2021. All participants were recruited through the project's Community Advisory Board.

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Since the beginning of the Covid-19 pandemic in January 2020 the need for rapid information spread grew and social media became the ultimate platform for information exchange as well as a tool for connection and entertainment. With the rapid information spread along came the various public misconceptions and misinformation which consequently influenced perceptions and behaviors of the public towards the coronavirus pandemic. Thus, there was a need for identification and collation of public perceptions information to address future public health initiatives.

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Background: Community Advisory Boards (CABs) have been frequently used to engage diverse partners to inform research projects. Yet, evaluating the quality of engagement has not been routine. We describe a multi-method ethnographic approach documenting and assessing partner engagement in two "virtual" CABs, for which we conducted all meetings remotely.

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This study described leisure-time physical activity (LTPA) for people in Australia with spinal cord injury (SCI) and whether certain sociodemographic and psychosocial variables might be associated with LTPA uptake and guidelines adherence. The Physical Activity Scale for Individuals with a Physical Disability was used to measure the intensity and volume of LTPA of 1,579 individuals with SCI. Summary statistics were calculated for LTPA guidelines adherence.

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Background: Meaningful community engagement is instrumental to effective implementation and sustainment of equitable public health interventions. Significant resources are necessary to ensure that community engagement takes place in culturally sensitive, trusted ways that optimize positive public health outcomes. However, the types and costs of resources best suited to enable meaningful community engagement in implementation research are not well-documented.

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Background: Multidisciplinary care of patients with chronic kidney disease (CKD) as it previously existed was predicated on an evidence and experience base of improved patient outcomes within an established and well-described service delivery model. The onset of the COVID-19 pandemic brought with it a departure from this established care delivery model toward integration of virtual care and in-person care.

Objective: To develop an evaluation framework to determine whether this shift in service delivery models has affected quality of multidisciplinary kidney care and/or patient-clinician interactions and relationships.

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Unlabelled: Self-management in chronic kidney disease (CKD) can slow disease progression; however, there are few tools available to support patients with early CKD. is a patient-focused electronic health (eHealth) self-management tool developed by patients and caregivers. This study will investigate the implementation of across primary care and general nephrology clinics.

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Objectives: To describe the use of a Theory of Change to meaningfully engage community members from or support underserved communities in two National Institutes of Health-funded implementation science projects aimed at promoting equitable access to COVID-19 testing and vaccination for underserved communities.

Study Setting: Both projects focused on Latino, Black, and immigrant and refugee communities in South/Central San Diego and/or individuals accessing care at a federally qualified health center near the US/Mexico border during December 2020-April 2021.

Study Design: By using a participatory action research design, Community Advisory Boards (CABs) were established for each project with 11 and 22 members.

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Agricultural expansion and intensification are major drivers of ecosystem degradation and loss of biodiversity around the world. Countries are relying on protected areas to conserve habitats and prevent species decline, but these are either too few, too small, or too disconnected to capture and protect the needs of species at risk (SAR). Privately owned and managed lands and agricultural producers are increasingly needed to assist with habitat conservation and SAR recovery.

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Objectives: To assess the effect of an app providing national blood transfusion guidelines on prescribing decisions.

Background: National, regional and local audits in England consistently show inappropriate use of all blood components; around 15%-20% of red blood cells (RBC) and 20%-30% of platelets and fresh frozen plasma (FFP). Hospital transfusion guidelines may be difficult to locate and not agree with national guidelines.

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Background: Inadequate checking of safety-critical issues can compromise care quality in general practice (GP) work settings. Adopting a systemic, methodical approach may lead to improved standardisation of processes and reliability of task performance, strengthening the safety systems concerned. This study aimed to revise, modify and test the content and relevance of a previously validated safety checklist to the current GP context.

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Background: Small randomized trials demonstrated that a lower compared with higher dialysate temperature reduced the average drop in intradialytic blood pressure. Some observational studies demonstrated that a lower compared with higher dialysate temperature was associated with a lower risk of all-cause mortality and cardiovascular mortality. There is now the need for a large randomized trial that compares the effect of a low vs high dialysate temperature on major cardiovascular outcomes.

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Article Synopsis
  • The boron isotope ratio of coral carbonates is crucial for detecting past pH changes, requiring high precision and accuracy in measurements using MC-ICPMS.
  • The study used the automated prepFAST-MC method for sample purification, optimizing conditions and testing its effects on accuracy with various coral and standard samples.
  • Results show that prepFAST-MC produces reliable δ B values with negligible blank contamination and efficiency in matrix removal, validating its effectiveness compared to traditional methods.
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