Introduction People experiencing homelessness (PEH) have poorer health than housed people but face barriers accessing care and being involved in research. As an often‐ignored group, their contribution to help shape research that is for and about them is essential, as it can strengthen the research proposal, in turn facilitating research and outcomes that are relevant to this vulnerable group. Methods Six people with experience of homelessness attended a PPI consultation aided by Pathway, a UK homeless peer advocacy charity, which coordinates an ‘Experts by Experience’ group. We present reflections on conducting PPI with PEH that informed the development of a physiotherapy research proposal. Kolb's Experiential Learning Cycle guided reflections across four stages: (1) describing the PPI experience; (2) reviewing and reflecting on the PPI experience; (3) learning from the PPI experience; and (4) planning and trying out learning. Results Reflections highlighted the importance of: working closely with an advocacy organisation and leader to reach under‐served people; the diversity of experiences; using familiar venues, contingency and budget planning; flexibility and ‘allowing time; talking less; listening more’; planning for early and ongoing PPI, and the potential of mobile ‘one‐off’ PPI outreach models to reach vulnerable groups. Conclusion Kolb's Experiential Learning Cycle aided team reflection on feedback from PEH, which helped refine and strengthen a physiotherapy research proposal. The project was unfunded. However, a reflective model helped maximize learning and impact including for future PPI and research. The novel application of Kolb's Experiential Learning Cycle provided structure, facilitated reflection and enhanced individual and collective learning and may benefit capturing learning from PPI with other vulnerable populations. Patient or Public Contribution We highlight how a PPI consultation with people with experience of homelessness helped shape a funding proposal. Additionally, the reflections of the experts by experience team leader are included.
Expanding image by an arbitrary scale factor and thereby creating an enlarged image is a crucial image processing operation. De-interlacing is an example of such operation where a video field is enlarged in vertical direction with 1 to 2 scale factor. The most advanced de-interlacing algorithms use a few consequent input fields to generate one output frame. In order to save hardware resources in video processors, missing lines in each field may be generated without reference to the other fields. Line doubling, known as "bobbing", is the simplest intra field de-interlacing method. However, it may generate visual artifacts. For example, interpolation of an inserted line from a few neighboring lines by vertical filter may produce such visual artifacts as "jaggies". In this work we present edge adaptive image up-scaling and/or enhancement algorithm, which can produce "jaggies" free video output frames. As a first step, an edge and its parameters in each interpolated pixel are detected from gradient squared tensor based on local signal variances. Then, according to the edge parameters including orientation, anisotropy and variance strength, the algorithm determines footprint and frequency response of two-dimensional interpolation filter for the output pixel. Filter's coefficients are defined by edge parameters, so that quality of the output frame is controlled by local content. The proposed method may be used for image enlargement or enhancement (for example, anti-aliasing without resampling). It has been hardware implemented in video display processor for intra field de-interlacing of video images.
An edge adaptive method for image resampling and enhancement is presented. The developed method increases resolution of an image by generating additional pixels without introducing jagging artifacts. This is accomplished by making interpolation along a detected local edge.Author Keywords image resampling; image enhancement; edge adaptive interpolation; gradient squared tensor; 2D filter / V. Lachine • SID 2014 DIGEST
Background Self-management support (SMS) forms a central pillar in the management of long-term conditions. It is firmly aligned with UK health policy but there is a paucity of evidence exploring how it is enacted in the context of neuromuscular diseases (NMDs). Bridges is a SMS programme originally developed in stroke. A new version of the programme (Neuromuscular Bridges) has recently been co-designed with people with lived experience of NMD and requires evaluation. The implementation of SMS is inherently complex with potential barriers at the level of the patient, provider, and wider organisation. The success of implementing programmes can be highly dependent on context, indicating a rationale for considering implementation determinants at an early stage. This study aims to explore the feasibility of (1) delivering, (2) evaluating, and (3) implementing Neuromuscular Bridges at a specialist neuromuscular centre. Methods This study employs a hybrid II design underpinned by Normalisation Process Theory (NPT), which has been used prospectively to inform the implementation plan and will also inform the analysis. The feasibility of delivering, evaluating, and implementing Neuromuscular Bridges will be assessed using a single-arm pre-post design. In terms of delivery and evaluation, we will explore acceptability, demand within the service, performance of outcome measures, recruitment, and retention. Implementation strategies have been selected from a refined taxonomy of strategies, mapped to NPT, and targeted at known barriers and facilitators at the specialist centre that were identified from preliminary stakeholder engagement activities. The impact of the strategy bundle on fidelity, acceptability, appropriateness, and adoption will be evaluated using qualitative interviews, administrative data, surveys, and a notes audit. Conclusions This this study will provide valuable feasibility data on a co-designed SMS programme for people with NMDs that will be used to inform a larger implementation study, requirements for embedding it in a specialist centre, and rollout to other specialist centres. Using hybrid methodology at the feasibility stage is unusual and this study will provide important insights into the usefulness of taking this approach at this point in the research pipeline. Trial registration ISRCTN Trial ID: ISRCTN14208138. Date registered: 18/08/2021.
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