Papers by Dr. Mirella Veras
Canadian Medical Education Journal, 2013
Background: There is an increased interest in global health among medical students, family medici... more Background: There is an increased interest in global health among medical students, family medicine residents, and medical educators. This paper is based on research to assess confidence in knowledge and skills in global health in family medicine residents in five universities across Ontario. Methods: A web-based survey was sent to 166 first-year family medicine residents from five universities within Ontario. Descriptive statistics were used to analyze residents' confidence in their knowledge and skills in global health. The strength of association between each of the self-perceived knowledge and skills variables was assessed by the Spearman correlation coefficient Results: The response rate ranged from 29% to 66% across the five universities. Self-perceived knowledge scores revealed that 34.3% of the respondents were very confident, 51.9% were somewhat confident, and 13.8% were not at all confident about their global health knowledge. Participants' confidence scores were lower in relation to knowledge of access to health care for low income nations (44.3%), and were better on their global health skills related to working in a team (70.9%) and listening actively to patients' concerns (64.6%). Conclusions: The global health competency scale has identified key areas of strengths and weaknesses of family medicine programs in global health education. This can be used to evaluate and analyze progress over time.
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Introduction: Metaverse technology is spurring a transformation in healthcare and has the potenti... more Introduction: Metaverse technology is spurring a transformation in healthcare and has the potential to cause a disruptive shift in rehabilitation interventions. The technology will surely be a promising field offering new resources to improve clinical outcomes, compliance, sustainability, and patients' interest in rehabilitation. Despite the growing interest in technologies for rehabilitation, various barriers to using digital services may continue to perpetuate a digital divide. This article proposes a framework with five domains and elements to consider when designing and implementing Metaverse-based rehabilitation services to reduce potential inequalities and provide best patient care. Methods: The framework was developed in two phases and was informed by previous frameworks in digital health, the Metaverse, and health equity. The main elements were extracted and synthesized via consultation with an interdisciplinary team, including a knowledge user. Results: The proposed framework discusses equity issues relevant to assessing progress in moving toward and implementing the Metaverse in rehabilitation services. The five domains of the framework were identified as equity, health services integration, interoperability, global governance, and humanization. Discussion: This article is a call for all rehabilitation professionals, along with other important stakeholders, to engage in developing an equitable, decentralized, and sustainable Metaverse service and not just be a spectator as it develops. Challenges and opportunities and their implications for future directions are highlighted.
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Copyright © 2013 Mirella Veras et al. This is an open access article distributed under the Creati... more Copyright © 2013 Mirella Veras et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. Globalization is contributing to changes in health outcomes and healthcare use in many ways, including health pro-fessionals ’ practices. The objective of this study was to assess and compare global health competencies in rehabilitation students. Method. Online cross-sectional survey of physiotherapy and occupational therapy students from five universities within Ontario. We used descriptive statistics to analyze students ’ perceived knowledge, skills, and learning needs in global health. We used Chi-square tests, with significance set at
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O objetivo deste estudo foi avaliar e comparar as competencias em saude global em estudantes de r... more O objetivo deste estudo foi avaliar e comparar as competencias em saude global em estudantes de reabilitacao. Trata-se de um estudo transversal com um survey on-line para os estudantes de fisioterapia e terapia ocupacional de cinco universidades em Ontario – Canada. Foi utilizada a estatistica descritiva para analisar o conhecimento percebido dos alunos, habilidades e necessidades de aprendizagem na area da saude global. Utilizou-se o teste de qui-quadrado, com um conjunto de significância de p<0,05 para comparacao de resultados entre as profissoes. 166 alunos responderam a pesquisa. Em geral, tanto os estudantes de fisioterapia e terapia ocupacional tiveram escores mais elevados nos itens referentes a “relacao entre trabalho e saude”, “relacao entre renda e saude” e “posicao socioeconomica (PSE) e impacto na saude” como obtiveram escores menores nos itens sobre “acesso aos cuidados de saude em paises de baixa renda”, “mecanismos pelos quais as disparidades raciais e etnicas exis...
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Global Journal of Health Science
Loss of arm function occurs in up to 85% of stroke survivors. Home-based telerehabilitation is a ... more Loss of arm function occurs in up to 85% of stroke survivors. Home-based telerehabilitation is a viable approach for upper limb training post-stroke when rehabilitation services are not available. Method: A costing analysis of a telerehabilitation program was conducted under several scenarios, alongside a single-blind two-arm randomized controlled trial with participants randomly allocated to control (N=25) or intervention group (N=26). Detailed analysis of the cost for two different scenarios for providing telerehabilitation were conducted. The fixed costs of the telerehabilitation are an important determinant of the total costs of the program. The detailed breakdown of the costs allows for costs of future proposed telerehabilitation programs to be easily estimated. The costs analysis found that a program supplying all required technology costs between CAD$475 per patient and CAD$482 per patient, while a program supplying only a camera would have total costs between CAD$242 per pat...
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Fisioterapia Brasil
O Programa Saúde da Família (PSF) é uma estratégia que tem como objetivo principal contribuir par... more O Programa Saúde da Família (PSF) é uma estratégia que tem como objetivo principal contribuir para a reorientação do modelo assistencial à saúde a partir da atenção básica, em conformidade com os princípios do Sistema Único de Saúde. O município de Sobral, localizado na região norte do Estado do Ceará, vem adotando esta estratégia desde 1997 e, a partir de 1999, o fisioterapeuta foi inserido no Programa. O objetivo deste trabalho foi conhecer opiniões de usuários do sistema sobre a atuação do fisioterapeuta dentro do PSF. A pesquisa foi realizada através do método qualitativo com abordagem descritiva do tipo exploratória. Foram realizadas entrevistas semi-estruturadas com os usuários dos serviços de fisioterapia no PSF. A partir da análise das entrevistas, observamos que os profissionais vêm atuando principalmente na realização de atividades referentes à promoção da saúde e prevenção de doenças. Apesar do pouco tempo de atuação do fisioterapeuta na Estratégia Saúde da Família, o res...
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Revista de salud publica (Bogota, Colombia)
Literature has reported that language is the most common barrier in a health care setting and a r... more Literature has reported that language is the most common barrier in a health care setting and a risk factor associated with negative outcomes. The present study reports the differences between nursing students who speak one language and nursing students who speak two or more languages (self-reported language proficiency) and their skills and learning needs in global health. An observational cross-sectional study was performed among nursing students from five Ontario universities. A survey was designed to measure knowledge, skills and learning needs in global health. Students who speak more than two languages are more likely to have more interest in learning global health issues, such as health risks and their association with travel and migration (p=0.44), and social determinants of health (p=0.042). Language training is needed for nursing students to be able to face language barriers in health care settings and improve global health, locally and internationally.
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Physiotherapy Canada, 2016
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Journal of telemedicine and telecare, Jan 24, 2016
Despite the increased interest in telerehabilitation (TR), virtual reality (VR) and outcome measu... more Despite the increased interest in telerehabilitation (TR), virtual reality (VR) and outcome measures for stroke rehabilitation, surprisingly little research has been done to map and identify the most common outcome measures used in TR. For this review, we conducted a systematic search of the literature that reports outcome measures used in TR or VR for stroke rehabilitation. Our specific objectives included: 1) to identify the outcome measures used in TR and VR studies; and 2) to describe which parts of the International Classification of Functioning are measured in the studies. We conducted a comprehensive search of relevant electronic databases (e.g. PubMed, the Cumulative Index to Nursing and Allied Health Literature, Embase, PSYCOINFO, The Cochrane Central Register of Controlled Trial and the Physiotherapy Evidence Database). The scoping review included all study designs. Two reviewers conducted pilot testing of the data extraction forms and independently screened all the studie...
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Saude Soc, 2007
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Sanare Revista De Politicas Publicas, Feb 1, 2013
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Evidence-Based Child Health: A Cochrane Review Journal, 2013
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Canadian Medical Education Journal, Sep 30, 2013
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Journal of Epidemiology & Community Health, 2011
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Papers by Dr. Mirella Veras