Photovoice is a participatory action research method in which participants take and narrate photographs to share their experiences and perspectives. This method is gaining in popularity among health researchers. Few studies, however, have described virtual photovoice data collection despite the growing interest among qualitative health researchers for online data collection. As such, the aim of this article is to discuss the implementation of a virtual photovoice study and presents some of the challenges of this design and potential solutions. The study examined issues of social isolation and mental health among older adults during the COVID-19 pandemic in the Canadian province of Québec. Twenty-six older adults took photographs depicting their experience of the pandemic that were then shared in virtual discussion groups. In this article, we discuss three key challenges arising from our study and how we navigated them. First, we offer insights into managing some of the technical difficulties related to using online meeting technologies. Second, we describe the adjustments we made during our study to foster and maintain positive group dynamics. Third, we share our insights into the process of building and maintaining trust between both researchers and participants, and amongst participants. Through a discussion of these challenges, we offer suggestions to guide the work of health promotion researchers wishing to conduct virtual photovoice studies, including with older adults.

Variations in Patients' Assessment of Chronic Illness Care AbstractPurpose: To measure patients' assessment of chronic illness care and its variation across primary healthcare (PHC) models. Methods: We recruited 776 patients with diabetes, heart failure, arthritis or chronic obstructive pulmonary disease from 33 PHC clinics. Face-to-face interviews, followed by a telephone interview at 12 months, were conducted using the Patient Assessment of Chronic Illness Care (PACIC). Multilevel regression was used in the analysis. Results: The mean PACIC score was low at 2.5 on a scale of 1 to 5. PACIC scores were highest among patients affiliated with family medicine groups (mean, 2.78) and lowest for contact models (mean, 2.35). Patients with arthritis and older persons generally reported a lower assessment of chronic care. Conclusion: Family medicine groups represent an integrated model of PHC associated with higher levels of achievement in chronic care. variations across PHC organizations suggest that some models are more appropriate for improving management of chronic illness. RésuméObjet : Mesurer l' évaluation par les patients des soins pour les maladies chroniques et repérer les variations parmi les modèles de soins de santé primaires (ssP). Méthode : nous avons recruté, auprès de 33 cliniques de ssP, 776 patients atteints de diabètes, d'insuffisance cardiaque, d' arthrite ou de maladie pulmonaire obstructive chronique. À l' aide du PACIC (Patient Assessment of Chronic Illness Care), nous avons mené des entrevues en personne, suivies d' entrevues téléphoniques douze mois plus tard. L' analyse a été faite par régression multiniveaux. Résultats : L'indice moyen du PACIC était bas, avec 2,5 points sur une échelle de 1 à 5. Les plus hauts indices du PACIC se trouvent chez les patients affiliés à des groupes de médecine de famille (moyenne, 2,78) et les indices les plus bas se retrouvent dans les modèles de contact (moyenne, 2,35). L' évaluation des soins chroniques est moindre, en général, chez les patients atteints d' arthrite et chez les personnes âgées. Conclusion : Les groupes de médecine de famille représentent un modèle intégré de ssP associé à de plus hauts niveaux d' accomplissement des soins chroniques. La variation parmi les organisations de ssP laisse voir que certains modèles sont plus appropriés pour l' amélioration de la gestion des maladies chroniques.

Purpose: To explore the association between primary healthcare (PHC) organizational model and health-related quality of life (HRqoL) in persons with chronic disease. Methods: We recruited 776 patients with a primary diagnosis of one of four chronic diseases from 33 PHC clinics. Patients were interviewed at baseline, 6, 12 and 18 months. We categorized PHC model by administrative type and by a taxonomy according to organizational attributes. HRqoL was measured by disease-specific questionnaires. Results: mean age was 67 years and 55.3% were female. PHC models differed with respect to case mix: community models served older patients with higher co-morbidity and lower health status. multilevel logistic regression revealed that none of the PHC organizational models was associated with HRqoL. Having fewer co-morbidities, higher self-rated health and not using home care services were associated with higher HRqoL. Conclusion: Despite their having patients with more complex health problems, HRqoL in patients of community practices was equivalent to that of patients in other types of PHC organizations.

Our objective was to explore how individual and primary healthcare (PHC) organizational attributes influence patients' ability in chronic illness self-management. We conducted a cohort study, recruiting 776 adults with chronic disease from 33 PHC settings in the province of quebec. Organizational data on the PHC clinics were obtained from a prior study. Participants were interviewed at baseline, 6 and 12 months, responding to questionnaires on self-efficacy, health status, socio-demographics, healthcare use and experience of care. multilevel modelling showed that 52.5% of the variance in self-efficacy occurs at the level of

Background Operative management of clavicle fractures is increasingly common. In the context of explaining the risks and benefits of surgery, understanding the impact of incisional numbness as it relates to the patient experience is key to shared decision making. This study aims to determine the prevalence, extent, and recovery of sensory changes associated with supraclavicular nerve injury after open reduction and plate internal fixation of middle or lateral clavicle shaft fractures. Methods Eighty-six patients were identified retrospectively and completed a patient experience survey assessing sensory symptoms, perceived post-operative function, and satisfaction. Correlations between demographic factors and outcomes, as well as subgroup analyses were completed to identify factors impacting patient satisfaction. Results Ninety percent of patients experienced sensory changes post-operatively. Numbness was the most common symptom (64%) and complete resolution occurred in 32% of patients over an average of 19 months. Patients who experienced burning were less satisfied overall with the outcome of their surgery whereas those who were informed of the risk of sensory changes pre-operatively were more satisfied overall. Conclusions Post-operative sensory disturbance is common. While most patients improve, some symptoms persist in the majority of patients without significant negative effects on satisfaction. Patients should always be advised of the risk of persistent sensory alterations around the surgical site to increase the likelihood of their satisfaction post-operatively.