Evidence map›Paper›PMID 38913633›Full record

ArticlePloS one2024

The feasibility, appropriateness, and usability of mobile neuro clinics in addressing the neurosurgical and neurological demand in Uganda.

Benjamin Mukumbya, David Kitya, Yesel Trillo-Ordonez, Keying Sun, Oscar Obiga, Di D Deng, Kearsley A Stewart, Alvan-Emeka K Ukachukwu, Michael M Haglund, Anthony T Fuller

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Perceptions and experiences of caretakers of children with neurologic deficits after severe malaria in Uganda.International journal of qualitative studies on health and well-being · 2026
    Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Benjamin MukumbyaDuke Global Neurosurgery and Neurology, Durham, NC, United States of America.
David KityaDuke Global Neurosurgery and Neurology, Durham, NC, United States of America.
Yesel Trillo-OrdonezDuke Global Neurosurgery and Neurology, Durham, NC, United States of America.
Keying SunDuke Global Health Institute, Durham, NC, United States of America.ORCID 0009-0004-3797-317X
Oscar ObigaDuke Global Neurosurgery and Neurology, Durham, NC, United States of America.
Di D DengDuke Global Neurosurgery and Neurology, Durham, NC, United States of America.
Kearsley A StewartDuke Global Health Institute, Durham, NC, United States of America.
Alvan-Emeka K UkachukwuDuke Global Neurosurgery and Neurology, Durham, NC, United States of America.ORCID 0000-0001-7501-7649
Michael M HaglundDuke Global Neurosurgery and Neurology, Durham, NC, United States of America.
Anthony T FullerDuke Global Neurosurgery and Neurology, Durham, NC, United States of America.ORCID 0000-0001-8841-6948

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUganda has a high demand for neurosurgical and neurological care. 78% of the over 50 million population reside in rural and remote communities where access to neurosurgical and neurological services is lacking. This study aimed to determine the feasibility, appropriateness, and usability of mobile neuro clinics (MNCs) in providing neurological care to rural and remote Ugandan populations.

methodsNeurosurgery, neurology, and mobile health clinic providers participated in an education and interview session to assess the feasibility, appropriateness, and usability of the MNC intervention. A qualitative analysis of the interview responses using the constructs in the updated Consolidated Framework for Implementation Research was performed. Providers' opinions were weighted using average sentiment scores on a novel sentiment-weighted scale adapted from the CFIR. A stakeholder analysis was also performed to assess the power and interest of the actors described by the participants.

resultsTwenty-one healthcare providers completed the study. Participants discussed the potential benefits and concerns of MNCs as well as potential barriers and critical incidents that could jeopardize the intervention. Of the five CFIR domains evaluated, variables in the implementation process domain showed the highest average sentiment scores, followed by the implementation climate constructs, inner setting, innovation, and outer setting domains. Furthermore, many interested stakeholders were identified with diverse roles and responsibilities for implementing MNCs. These findings demonstrate that MNC innovation is feasible, appropriate, and usable.

conclusionThe findings of this study support the feasibility, appropriateness, and usability of MNCs in Uganda. However, integration of this innovation requires careful planning and stakeholder engagement at all levels to ensure the best possible outcomes.

Indexed as

Feasibility StudiesAdultFemaleHealth PersonnelHealth Services AccessibilityHealth Services Needs and DemandHumansMaleMobile Health UnitsNeurologyNeurosurgeryNeurosurgical ProceduresRural PopulationUganda

Identifiers

PMID38913633
PMCPMC11195962

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.