Public Health, Physiotherapy and Sports Science Research Collection

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  • Publication
    The InBetweeners: Queer and Allied Insider/Outsider Experiences and Perspectives from Higher Education in an Evolving Ireland
    The Marriage Equality Act and Gender Recognition Acts of 2015, along with other legal frameworks, have irrevocably changed the landscape for LGBTQI+ people in Ireland. Since 2000, social acceptance of LGBTQI+ people in Ireland has risen dramatically. This chapter explores the experiences of four authors working in student-centered roles in Irish higher education, their identities as LGBTQI+, and their allyship. They contemplate how their identities as LGBTQI+ enhance and influence their ability to work openly in the Irish higher education system. The four authors considered how their innate “outsiderness” has evolved into a form of “insiderness” through their time working in Irish higher education and how they and their actions are perceived within their scholarly communities. The authors also consider how their own communities have viewed them through the activities they undertake to make more inclusive, diverse, and accepting campuses for all students. The chapter was developed using auto-ethnography and a compassionate critical friends process so that all four authors could share their journeys, address commonalities and differences, and challenge their own preconceptions. Though this chapter focuses on Irish higher education, the experiences, perceptions, and realizations can be applied to a wider range of educational settings globally.
  • Publication
    Barriers to uptake of Open-Source automated insulin delivery Systems: Analysis of socioeconomic factors and perceived challenges of adults with type 1 diabetes from the OPEN survey
    Aims: Social and technical trends are empowering people with diabetes to co-create or self-develop medical devices and treatments to address their unmet healthcare needs, for example, open-source automated insulin delivery (AID) systems. This study aims to investigate the perceived barriers towards adoption and maintaining of open-source AID systems. Methods: This is a multinational study based on a cross-sectional, retrospective web-based survey of non-users of open-source AID. Participants (n = 129) with type 1 diabetes from 31 countries were recruited online to elicit their perceived barriers towards building and maintaining of an open-source AID system. Results: Sourcing the necessary components, lack of confidence in one's own technology knowledge and skills, perceived time and energy required to build a system, and fear of losing healthcare provider support appear to be major barriers towards the uptake of open-source AID. Conclusions: This study identified a range of structural and individual-level barriers to uptake of open-source AID. Some of these individual-level barriers may be overcome over time through the peer support of the DIY online community as well as greater acceptance of open-source innovation among healthcare professionals. The findings have important implications for understanding the possible wider diffusion of open-source diabetes technology solutions in the future.
      30Scopus© Citations 3
  • Publication
    Barriers to Uptake of Open-Source Automated Insulin Delivery Systems: Analysis of Socioeconomic Factors and Perceived Challenges of Caregivers of Children and Adolescents With Type 1 Diabetes From the OPEN Survey
    As a treatment option for people living with diabetes, automated insulin delivery (AID) systems are becoming increasingly popular. The #WeAreNotWaiting community plays a crucial role in the provision and distribution of open-source AID technology. However, while a large percentage of children were early adopters of open-source AID, there are regional differences in adoption, which has prompted an investigation into the barriers perceived by caregivers of children with diabetes to creating open-source systems.Methods: This is a retrospective, cross-sectional and multinational study conducted with caregivers of children and adolescents with diabetes, distributed across the online #WeAreNotWaiting online peer-support groups. Participants-specifically caregivers of children not using AID-responded to a web-based questionnaire concerning their perceived barriers to building and maintaining an open-source AID system. Results: 56 caregivers of children with diabetes, who were not using open-source AID at the time of data collection responded to the questionnaire. Respondents indicated that their major perceived barriers to building an open-source AID system were their limited technical skills (50%), a lack of support by medical professionals (39%), and therefore the concern with not being able to maintain an AID system (43%). However, barriers relating to confidence in open-source technologies/unapproved products and fear of digital technology taking control of diabetes were not perceived as significant enough to prevent non-users from initiating the use of an open-source AID system. Conclusions: The results of this study elucidate some of the perceived barriers to uptake of open-source AID experienced by caregivers of children with diabetes. Reducing these barriers may improve the uptake of open-source AID technology for children and adolescents with diabetes. With the continuous development and wider dissemination of educational resources and guidance-for both aspiring users and their healthcare professionals-the adoption of open-source AID systems could be improved.
  • Publication
    Establishing consensus on key public health indicators for the monitoring and evaluating childhood obesity interventions: a Delphi panel study
    Background: Childhood obesity is influenced by myriad individual, societal and environmental factors that are not typically reflected in current interventions. Socio-ecological conditions evolve and require ongoing monitoring in terms of assessing their influence on child health. The aim of this study was to identify and prioritise indicators deemed relevant by public health authorities for monitoring and evaluating childhood obesity interventions. Method: A three-round Delphi Panel composed of experts from regions across Europe, with a remit in childhood obesity intervention, were asked to identify indicators that were a priority in their efforts to address childhood obesity in their respective jurisdictions. In Round 1, 16 panellists answered a series of open-ended questions to identify the most relevant indicators concerning the evaluation and subsequent monitoring of interventions addressing childhood obesity, focusing on three main domains: built environments, dietary environments, and health inequalities. In Rounds 2 and 3, panellists rated the importance of each of the identified indicators within these domains, and the responses were then analysed quantitatively. Results: Twenty-seven expert panellists were invited to participate in the study. Of these, 16/27 completed round 1 (5 9% response rate), 14/16 completed round 2 (87.5% response rate), and 8/14 completed the third and final round (57% response rate). Consensus (defined as > 70% agreement) was reached on a total of 45 of the 87 indicators (49%) across three primary domains (built and dietary environments and health inequalities), with 100% consensus reached for 5 of these indicators (6%). Conclusion: Forty-five potential indicators were identified, pertaining primarily to the dietary environment, built environment and health inequalities. These results have important implications more widely for evaluating interventions aimed at childhood obesity reduction and prevention.
      34Scopus© Citations 6
  • Publication
    Inclusive Teaching & Learning Case Studies in Engineering, Architecture & Affiliated Disciplines
    Diversity and inclusion are core to UCD values. We seek to attract students from a wide range of social and economic backgrounds and students who reflect the true diversity of the country. And as a global university, UCD attracts international students from over 100 countries. This diversity enriches our campus, and the experience of our students. The University's strategy 2020-2024 'Rising to the Future' also recognises the importance of inclusion and diversity, in seeking to "provide an inclusive educational experience that defines international best practice and prepares our graduates to thrive in present and future societies." However, an inclusive educational experience will not be achieved by simply creating diversity in the student body. It requires that we adjust our approach in everything we do to support and encourage our students’ success. We have clearly articulated in our strategy, and further emphasised in our Education and Student Success strategy, that our goal is to "equip all our educators with the tools and resources required to embed Universal Design for Learning on an institution-wide basis".