{"id":"https://openalex.org/W3045807936","doi":"https://doi.org/10.1017/cts.2020.440","title":"4112 Tools for Self-Management of Obstetric Fistula in Low and Middle-income Countries: A Qualitative Study Exploring Pre-implementation Barriers and Facilitators among Global Stakeholders","display_name":"4112 Tools for Self-Management of Obstetric Fistula in Low and Middle-income Countries: A Qualitative Study Exploring Pre-implementation Barriers and Facilitators among Global Stakeholders","publication_year":2020,"publication_date":"2020-06-01","ids":{"openalex":"https://openalex.org/W3045807936","doi":"https://doi.org/10.1017/cts.2020.440","mag":"3045807936"},"language":"en","primary_location":{"id":"doi:10.1017/cts.2020.440","doi":"https://doi.org/10.1017/cts.2020.440","is_oa":true,"landing_page_url":"https://doi.org/10.1017/cts.2020.440","pdf_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/ABA73439ACE2BA379AD2EBDE5037C68E/S2059866120004409a.pdf/div-class-title-4112-tools-for-self-management-of-obstetric-fistula-in-low-and-middle-income-countries-a-qualitative-study-exploring-pre-implementation-barriers-and-facilitators-among-global-stakeholders-div.pdf","source":{"id":"https://openalex.org/S4210205013","display_name":"Journal of Clinical and Translational Science","issn_l":"2059-8661","issn":["2059-8661"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311721","host_organization_name":"Cambridge University Press","host_organization_lineage":["https://openalex.org/P4310311721","https://openalex.org/P4310311702"],"host_organization_lineage_names":["Cambridge University Press","University of Cambridge"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical and Translational Science","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/ABA73439ACE2BA379AD2EBDE5037C68E/S2059866120004409a.pdf/div-class-title-4112-tools-for-self-management-of-obstetric-fistula-in-low-and-middle-income-countries-a-qualitative-study-exploring-pre-implementation-barriers-and-facilitators-among-global-stakeholders-div.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5049803026","display_name":"Nessa Ryan","orcid":"https://orcid.org/0000-0002-8051-0021","observed_orcids":["https://orcid.org/0000-0002-8051-0021"]},"institutions":[{"id":"https://openalex.org/I4405269994","display_name":"Clinical and Translational Science Institute","ror":"https://ror.org/05tzwje72","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405269994"]},{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nessa E Ryan","raw_affiliation_strings":["NYU - H+H Clinical and Translational Science Institute"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NYU - H+H Clinical and Translational Science Institute","institution_ids":["https://openalex.org/I4405269994","https://openalex.org/I57206974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038584263","display_name":"Bernadette M Boden-Albala","orcid":"https://orcid.org/0000-0002-3752-329X","observed_orcids":["https://orcid.org/0000-0002-3752-329X"]},"institutions":[{"id":"https://openalex.org/I204250578","display_name":"University of California, Irvine","ror":"https://ror.org/04gyf1771","country_code":"US","type":"education","lineage":["https://openalex.org/I204250578"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bernadette Boden-Albala","raw_affiliation_strings":["University of California, Irvine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of California, Irvine","institution_ids":["https://openalex.org/I204250578"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001740024","display_name":"Gabriel Ganyaglo","orcid":"https://orcid.org/0000-0002-1840-755X","observed_orcids":["https://orcid.org/0000-0002-1840-755X"]},"institutions":[{"id":"https://openalex.org/I2803053305","display_name":"Korle Bu Teaching Hospital","ror":"https://ror.org/01vzp6a32","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2803053305"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Gabriel Ganyaglo","raw_affiliation_strings":["Korle Bu Teaching Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Korle Bu Teaching Hospital","institution_ids":["https://openalex.org/I2803053305"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110291426","display_name":"Alison El Ayadi","orcid":"https://orcid.org/0000-0003-2674-4887","observed_orcids":["https://orcid.org/0000-0003-2674-4887"]},"institutions":[{"id":"https://openalex.org/I4405269994","display_name":"Clinical and Translational Science Institute","ror":"https://ror.org/05tzwje72","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405269994"]},{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alison El Ayadi","raw_affiliation_strings":["NYU - H+H Clinical and Translational Science Institute"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NYU - H+H Clinical and Translational Science Institute","institution_ids":["https://openalex.org/I4405269994","https://openalex.org/I57206974"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1750,"currency":"USD","value_usd":1750},"apc_paid":{"value":1750,"currency":"USD","value_usd":1750},"fwci":0.0,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.1254391,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":94},"biblio":{"volume":"4","issue":"s1","first_page":"149","last_page":"150"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.4968000054359436,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.4968000054359436,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12634","display_name":"Ureteral procedures and complications","score":0.49050000309944153,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11731","display_name":"Global Health and Surgery","score":0.002899999963119626,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/obstetric-fistula","display_name":"obstetric fistula","score":0.9990000128746033},{"id":"https://openalex.org/keywords/self-management","display_name":"self-management","score":0.9649999737739563},{"id":"https://openalex.org/keywords/implementation-barriers-and-facilitators","display_name":"implementation barriers and facilitators","score":0.8479999899864197},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.8939999938011169},{"id":"https://openalex.org/keywords/stakeholder-perspectives","display_name":"stakeholder perspectives","score":0.7609999775886536},{"id":"https://openalex.org/keywords/consolidated-framework-for-implementation-research","display_name":"Consolidated Framework for Implementation Research","score":0.9129999876022339},{"id":"https://openalex.org/keywords/relative-advantage","display_name":"relative advantage","score":0.5730000138282776},{"id":"https://openalex.org/keywords/implementation-climate","display_name":"implementation climate","score":0.503000020980835},{"id":"https://openalex.org/keywords/organizational-culture","display_name":"organizational culture","score":0.6200000047683716},{"id":"https://openalex.org/keywords/implementation-champions","display_name":"implementation champions","score":0.44999998807907104},{"id":"https://openalex.org/keywords/women-s-health","display_name":"women's health","score":0.6819999814033508}],"concepts":[{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6338092088699341},{"id":"https://openalex.org/C72497813","wikidata":"https://www.wikidata.org/wiki/Q110051588","display_name":"Implementation research","level":3,"score":0.5694341659545898},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.5620938539505005},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5303661823272705},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5209011435508728},{"id":"https://openalex.org/C26869875","wikidata":"https://www.wikidata.org/wiki/Q2596417","display_name":"Beneficiary","level":2,"score":0.5180823802947998},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.4803846478462219},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.4284958839416504},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.42022547125816345},{"id":"https://openalex.org/C3018472363","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Low and middle income countries","level":3,"score":0.41474491357803345},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3805593252182007},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.37168949842453003},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.341091513633728},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3156566619873047},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.29563528299331665},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.1716671884059906},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.15526798367500305},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.13022959232330322},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.12276908755302429},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.11079439520835876},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.10674935579299927},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1017/cts.2020.440","doi":"https://doi.org/10.1017/cts.2020.440","is_oa":true,"landing_page_url":"https://doi.org/10.1017/cts.2020.440","pdf_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/ABA73439ACE2BA379AD2EBDE5037C68E/S2059866120004409a.pdf/div-class-title-4112-tools-for-self-management-of-obstetric-fistula-in-low-and-middle-income-countries-a-qualitative-study-exploring-pre-implementation-barriers-and-facilitators-among-global-stakeholders-div.pdf","source":{"id":"https://openalex.org/S4210205013","display_name":"Journal of Clinical and Translational Science","issn_l":"2059-8661","issn":["2059-8661"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311721","host_organization_name":"Cambridge University Press","host_organization_lineage":["https://openalex.org/P4310311721","https://openalex.org/P4310311702"],"host_organization_lineage_names":["Cambridge University Press","University of Cambridge"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical and Translational Science","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:8823601","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8823601","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Clin Transl Sci","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:53629b9f2cbf49068453bc9db2548963","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/53629b9f2cbf49068453bc9db2548963","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Clinical and Translational Science, Vol 4, Pp 149-150 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1017/cts.2020.440","doi":"https://doi.org/10.1017/cts.2020.440","is_oa":true,"landing_page_url":"https://doi.org/10.1017/cts.2020.440","pdf_url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/ABA73439ACE2BA379AD2EBDE5037C68E/S2059866120004409a.pdf/div-class-title-4112-tools-for-self-management-of-obstetric-fistula-in-low-and-middle-income-countries-a-qualitative-study-exploring-pre-implementation-barriers-and-facilitators-among-global-stakeholders-div.pdf","source":{"id":"https://openalex.org/S4210205013","display_name":"Journal of Clinical and Translational Science","issn_l":"2059-8661","issn":["2059-8661"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311721","host_organization_name":"Cambridge University Press","host_organization_lineage":["https://openalex.org/P4310311721","https://openalex.org/P4310311702"],"host_organization_lineage_names":["Cambridge University Press","University of Cambridge"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical and Translational Science","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"Partnerships for the goals","score":0.46000000834465027,"id":"https://metadata.un.org/sdg/17"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3045807936.pdf","grobid_xml":"https://content.openalex.org/works/W3045807936.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4297858056","https://openalex.org/W4296260252","https://openalex.org/W2615979943","https://openalex.org/W3135991483","https://openalex.org/W7163336784","https://openalex.org/W7223101129","https://openalex.org/W2807288372","https://openalex.org/W4403825711","https://openalex.org/W2969571169","https://openalex.org/W4235792428"],"abstract_inverted_index":{"OBJECTIVES/GOALS:":[0],"Insertable":[1],"devices":[2],"(IDs)":[3],"for":[4,41,45,106,120,145,174,198,200,220,239,258,272,281,305],"obstetric":[5,309],"fistula":[6,310],"(OF)":[7],"management":[8],"are":[9,23],"feasible,":[10],"acceptable,":[11],"but":[12],"not":[13],"accessible;":[14],"implementation":[15,141,171,215],"determinants":[16],"in":[17,47,78,278,284,311],"low":[18],"and":[19,36,66,80,95,109,115,127,156,161,176,183,185,188,193,212,262,268,275],"middle-income":[20],"countries":[21],"(LMICs)":[22],"unknown.":[24],"Thus,":[25],"the":[26,82,164,232,251,296],"purpose":[27],"of":[28,84,104,140,142,210,214,229,231,308],"this":[29],"study":[30],"was":[31],"to":[32,223],"understand":[33],"pre-adoption":[34],"facilitators":[35],"barriers":[37],"among":[38],"global":[39],"stakeholders":[40],"a":[42],"therapeutic":[43,240,306],"ID":[44,144],"OF":[46,107,146,236,241,248,265,282,287],"LMICs.":[48,285],"METHODS/STUDY":[49],"POPULATION:":[50],"Stakeholders,":[51],"including":[52],"researchers":[53],"(n":[54,58,63,68],"=":[55,59,64,69],"11),":[56],"clinicians":[57],"4),":[60,70],"government":[61],"officials":[62],"2),":[65],"administrators":[67],"were":[71,99,113,131],"purposefully":[72],"identified":[73],"from":[74],"various":[75],"sectors":[76],"involved":[77],"understanding":[79],"addressing":[81],"needs":[83,182],"women":[85],"with":[86,293],"OF:":[87],"clinical":[88,225],"care,":[89],"academia,":[90],"international":[91],"health,":[92],"civil":[93],"society,":[94],"government.":[96],"Twenty-one":[97],"individuals":[98],"interviewed":[100],"about":[101,163],"their":[102,110],"perceptions":[103],"IDs":[105,280],"self-management":[108,147,242,283,307],"implementation.":[111],"Interviews":[112],"audio-recorded":[114],"transcribed.":[116],"The":[117],"Consolidated":[118],"Framework":[119],"Implementation":[121],"Research":[122],"(CFIR)":[123],"guided":[124],"data":[125],"collection":[126],"analysis.":[128],"Thematic":[129],"analyses":[130],"carried":[132],"out":[133],"within":[134],"Nvivo":[135],"v.12.":[136],"RESULTS/ANTICIPATED":[137],"RESULTS:":[138],"Determinants":[139],"an":[143,254,302],"(by":[148],"CFIR":[149,252],"domain)":[150],"include:":[151,196,218],"(1)":[152],"intervention":[153],"characteristics\u2014relative":[154],"advantage":[155,205],"cost;":[157],"(2)":[158],"individual":[159],"characteristics\u2014knowledge":[160],"beliefs":[162],"innovation;":[165],"(3)":[166],"inner":[167],"setting--":[168,180],"organizational":[169],"culture,":[170],"climate,":[172],"tension":[173,197],"change,":[175],"compatibility;":[177],"(4)":[178],"outer":[179],"patient":[181],"resources":[184],"external":[186],"policy":[187],"incentives;":[189],"(5)":[190],"process\u2014opinion":[191],"leaders":[192],"collaboration.":[194],"Facilitators":[195],"change":[199],"low-cost,":[201],"accessible":[202],"IDs;":[203],"relative":[204],"over":[206],"existing":[207],"tools;":[208],"development":[209],"partnerships;":[211],"identification":[213],"champions.":[216],"Barriers":[217],"need":[219],"educational":[221],"strategies":[222],"encourage":[224],"provider":[226],"acceptability;":[227],"lack":[228],"evidence":[230],"optimal":[233],"beneficiary.":[234],"DISCUSSION/SIGNIFICANCE":[235],"IMPACT:":[237],"Tools":[238],"could":[243],"be":[244,270],"integrated":[245],"into":[246],"comprehensive":[247],"programming.":[249],"Employing":[250],"as":[253],"overarching":[255],"typology":[256],"allows":[257],"comparison":[259],"across":[260],"contexts":[261],"settings":[263],"where":[264],"care":[266],"occurs":[267],"may":[269],"useful":[271],"clinicians,":[273],"researchers,":[274],"policy-makers":[276],"interested":[277],"implementing":[279],"CONFLICT":[286],"INTEREST":[288],"DESCRIPTION:":[289],"I":[290],"am":[291],"working":[292],"colleagues":[294],"at":[295],"non-profit":[297],"Restore":[298],"Health":[299],"on":[300],"developing":[301],"insertable":[303],"cup":[304],"LMICs":[312]},"counts_by_year":[{"year":2025,"cited_by_count":1}],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2020-08-03T00:00:00"}
