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2. Can you be a peer if you don't share the same health or social conditions? A qualitative study on peer integration in a primary care setting.
- Author
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Lessard, Émilie, O'Brien, Nadia, Panaite, Andreea-Catalina, Leclaire, Marie, Castonguay, Geneviève, Rouly, Ghislaine, and Boivin, Antoine
- Subjects
RESEARCH funding ,QUALITATIVE research ,GROUP identity ,PRIMARY health care ,AFFINITY groups ,PILOT projects ,PATIENT care ,DESCRIPTIVE statistics ,ATTITUDE (Psychology) ,THEMATIC analysis ,SOCIAL support ,COMPARATIVE studies ,DATA analysis software ,INTEGRATED health care delivery - Abstract
Background: Peer support has been extensively studied in specific areas of community-based primary care such as mental health, substance use, HIV, homelessness, and Indigenous health. These programs are often built on the assumption that peers must share similar social identities or lived experiences of disease to be effective. However, it remains unclear how peers can be integrated in general primary care setting that serves people with a diversity of health conditions and social backgrounds. Methods: A participatory qualitative study was conducted between 2020 and 2022 to explore the feasibility, acceptability, and perceived effects of the integration of a peer support worker in a primary care setting in Montreal, Canada. A thematic analysis was performed based on semi-structured interviews (n = 18) with patients, relatives, clinicians, and a peer support worker. Findings: Findings show that peers connect with patients through sharing their own hardships and how they overcame them, rather than sharing similar health or social conditions. Peers provide social support and coaching beyond the care trajectory and link identified needs with available resources in the community, bridging the gap between health and social care. Primary care clinicians benefit from peer support work, as it helps overcome therapeutic impasses and facilitates communication of patient needs. However, integrating a peer into a primary care team can be challenging due to clinicians' understanding of the nature and limits of peer support work, financial compensation, and the absence of a formal status within healthcare system. Conclusion: Our results show that to establish a relationship of trust, a peer does not need to share similar health or social conditions. Instead, they leverage their experiential knowledge, strengths, and abilities to create meaningful relationships and reliable connections that bridge the gap between health and social care. This, in turn, instills patients with hope for a better life, empowers them to take an active role in their own care, and helps them achieve life goals beyond healthcare. Finally, integrating peers in primary care contributes in overcoming obstacles to prevention and care, reduce distrust of institutions, prioritize needs, and help patients navigate the complexities of healthcare services. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. Supportive Interventions of Chinese Police in Domestic Violence: Do Officer Knowledge and Training Matter?
- Author
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Xue, Jia, Lin, Kai, Li, Luye, Wang, Hayden Huaixing, and Sun, Ivan
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POLICE education ,INTIMATE partner violence -- Law & legislation ,INTELLECT ,VICTIMS ,RISK assessment ,CRONBACH'S alpha ,T-test (Statistics) ,SATISFACTION ,PROBABILITY theory ,WORK environment ,QUESTIONNAIRES ,RESEARCH evaluation ,DESCRIPTIVE statistics ,CHI-squared test ,GENDER inequality ,ODDS ratio ,DOMESTIC violence ,RESEARCH methodology ,STATISTICS ,SOCIAL support ,COUNSELING ,COMPARATIVE studies ,DATA analysis software ,EMPLOYMENT ,REGRESSION analysis - Abstract
Policing domestic violence (DV) poses significant challenges in China due to cultural, legal, and organizational complexities. Policing DV in China favors mediation over assertive interventions, complicating law enforcement's role. While previous research has focused on coercive interventions by Chinese police, there is limited information on non-coercive, supportive approaches. This study investigates the relationship between police officers' knowledge and training regarding the Anti-DV law and their willingness to provide supportive services to DV victims in China. It also considers various individual and organizational factors. The data used in this study are derived from the Policing DV in China project, with a sample of 1,353 respondents who had experience dealing with DV cases within the past 3 years. The study focuses on three dependent variables representing supportive approaches to DV cases: Referral, Counseling, and Protection orders. Independent variables include officers' knowledge of the Anti-DV law and agency training. Control variables include the use of body-worn cameras (BWC) and attitudes toward Violence Tolerance, Male Dominance, and Gender Equality. Additionally, demographic variables, working environment, length of service, and police rank are considered. The analytical approach involves a three-step strategy, incorporating descriptive, bivariate analyses, and regression analyses. The results are interpreted using odds ratios and average marginal effects, and statistical software such as SPSS by IBM and R by Open-Source Model is utilized for data analysis. Key findings indicate that more than half of the officers referred intimate partner violence survivors to shelters and assisted victims in filing protection orders. Counseling practices varied across provinces and between male and female officers. Agency training and the use of BWC were positively associated with non-coercive and supportive approaches, while knowledge of the DV Act, male dominance score, and gender equality score did not predict the use of such approaches. Demographic characteristics, including police rank, length of service, and province of employment, influenced the utilization of non-coercive and supportive approaches. This study examines the challenges faced by Chinese police officers when responding to DV cases and their willingness to provide supportive interventions. The study highlights the complexities surrounding the initiation of protection orders due to officers' legal knowledge and discretion. The study emphasizes the importance of police support in addressing DV in China and the role of agency training in promoting non-coercive responses. It highlights regional variations in police support and underscores the need for addressing disparities in service provision across different provinces. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
4. Profiles of Permanent Supportive Housing Residents Related to Their Quality of Life and Community Integration.
- Author
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Fleury, Marie-Josée, L'Espérance, Nadia, Armoon, Bahram, and Skouteris, Helen
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MEDICAL care use ,SUBSTANCE abuse ,SELF-esteem testing ,INDEPENDENT living ,RESEARCH funding ,CLUSTER analysis (Statistics) ,T-test (Statistics) ,SATISFACTION ,PSYCHOLOGICAL distress ,OUTPATIENT services in hospitals ,REHABILITATION ,INTERVIEWING ,FISHER exact test ,MENTAL illness ,SEX distribution ,QUESTIONNAIRES ,PRIMARY health care ,SYMPTOMS ,CHI-squared test ,DESCRIPTIVE statistics ,AGE distribution ,FOSTER home care ,HOSPITAL emergency services ,FUNCTIONAL status ,QUALITY of life ,RESEARCH methodology ,SUICIDE ,HOUSING ,SOCIODEMOGRAPHIC factors ,COMMUNITY services ,SOCIAL support ,PERSONALITY tests ,DATA analysis software ,CONFIDENCE intervals ,PATIENT satisfaction ,HOMELESSNESS ,COMORBIDITY ,EDUCATIONAL attainment ,SELF-perception ,COVID-19 pandemic - Abstract
Permanent supportive housing (PSH) is the main approach advocated in Western countries for eradicating homelessness. Considering that PSH residents are not a homogeneous group and that their quality of life (QoL) and community integration (CI) might differ in this setting, improving our understanding of these residents' profiles may help stakeholders formulate informed recommendations to improve PSH. This study identified PSH resident profiles based on their QoL, CI, and sociodemographic and clinical characteristics and associated these profiles with housing features and service use. A total of 308 PSH residents were recruited in Montreal (Canada) in 2020–2022. Structured interviews were conducted. PSH resident profiles were produced with cluster analysis and subsequently compared using chi‐square, Fisher's, and t‐tests, taking into account housing features and service use. Three PSH resident profiles were found. Profile 1 residents (22% of the sample) had low QoL and CI, were younger, and had major social and health issues and unmet needs. Showing moderate QoL and CI, Profile 2 residents (27%) were more educated, had little foster care history, were older on their first homelessness episode, and had few co‐occurring MD‐SUD. Profile 3 residents (51%) had the best QoL and CI and mostly included men with little education, affected by co‐occurring MD‐SUD and satisfied with services. More intensive housing support and care coordination may be recommended for Profile 1 PSH residents in response to their diverse needs. Work integration may be beneficial to Profile 2 residents, with programs such as Individual Placement and Support, along with increased rehabilitation activities. A better integration of MD‐SUD treatments may be promoted for Profile 3 residents. Considering most PSH residents had multiple health issues and unmet needs, satisfaction with care could be monitored better, as it was found to be a key variable in measuring care adequation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
5. "I Had to Know About It, I Had to Find It, I Had to Know How to Access it": Experiences of Access to Rehabilitation Services Among People Living with Long COVID.
- Author
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Hung, Pam, Brehon, Katelyn, Miciak, Maxi, Brown, Darren A., Bostick, Geoffrey, Brown, Cary, Churchill, Katie, Hall, Mark, Hoddinott, Lance, Hudon, Anne, Hunter, Simone, Perreault, Kadija, Wieler, Marguerite, Skolnik, Kate, Lam, Grace Y., Weatherald, Jason, and Gross, Douglas P.
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HEALTH services accessibility ,PHYSICAL therapy ,MEDICAL quality control ,ACADEMIC medical centers ,QUALITATIVE research ,POST-acute COVID-19 syndrome ,INTERVIEWING ,MEDICAL care ,JUDGMENT sampling ,WORKERS' compensation ,PEER counseling ,DESCRIPTIVE statistics ,EXPERIENCE ,THEMATIC analysis ,MASS media ,PATIENT-centered care ,CONCEPTUAL structures ,RESEARCH methodology ,RESEARCH ,TELEPHONES ,QUALITY of life ,PHYSICIAN-patient relations ,VIDEOCONFERENCING ,NEEDS assessment ,PATIENT satisfaction ,SOCIAL support ,COMPARATIVE studies ,DATA analysis software ,COVID-19 ,PEOPLE with disabilities ,SOCIAL stigma ,PSYCHOSOCIAL factors ,PHYSICAL therapists ,HEALTH care teams - Abstract
Copyright of Physiotherapy Canada is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
- View/download PDF
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