Search

The authors examined the associations between acculturation, supervisors' multicultural competence, and clinicians' self-efficacy in a sample of 153 immigrant therapists currently practicing in the United States. Participants completed a demographic questionnaire and 3 additional questionnaires that examined their levels of acculturation, perceived supervisors' multicultural competence, and clinical self-efficacy. Results suggested that perceived prejudice, not level of acculturation, was significantly associated with foreign-born therapists' clinical self-efficacy. Perceived supervisors' multicultural competence was significantly associated with therapists' clinical self-efficacy. Recommendations for supervisors working with foreign-born therapists are provided.

Introduction: Cleft lip and/or palate (CL/P) affects not just the child born with the condition but also the child's parents. Prior research has been primarily cross-sectional, quantitative, and focused on [...]

Summary: Cardiovascular disease (CVD) is a leading cause of preventable morbidity and mortality in Aboriginal and Torres Strait Islander peoples. This statement from the Australian Chronic Disease Prevention Alliance, the Royal Australian College of General Practitioners, the National Aboriginal Community Controlled Health Organisation and the Editorial Committee for Remote Primary Health Care Manuals communicates the latest consensus advice of guideline developers, aligning recommendations on the age to commence Aboriginal and Torres Strait Islander CVD risk assessment across three guidelines. Main recommendations: In Aboriginal and Torres Strait Islander peoples without existing CVD: CVD risk factor screening should commence from the age of 18 years at the latest, including for blood glucose level or glycated haemoglobin, estimated glomerular filtration rate, serum lipids, urine albumin to creatinine ratio, and other risk factors such as blood pressure, history of familial hypercholesterolaemia, and smoking status.Individuals aged 18–29 years with the following clinical conditions are automatically conferred high CVD risk: ▶type 2 diabetes and microalbuminuria;▶moderate to severe chronic kidney disease;▶systolic blood pressure ≥ 180 mmHg or diastolic blood pressure ≥ 110 mmHg;▶familial hypercholesterolaemia; or▶serum total cholesterol > 7.5 mmol/L.Assessment using the National Vascular Disease Prevention Alliance absolute CVD risk algorithm should commence from the age of 30 years at the latest — consider upward adjustment of calculated CVD risk score, accounting for local guideline use, risk factor and CVD epidemiology, and clinical discretion.Assessment should occur as part of an annual health check or opportunistically. Subsequent review should be conducted according to level of risk. Changes in management as a result of this statement: From age 18 years (at the latest), Aboriginal and Torres Strait Islander adults should undergo CVD risk factor screening, and from age 30 years (at the latest), they should undergo absolute CVD risk assessment using the NVDPA risk algorithm. [ABSTRACT FROM AUTHOR]

Raising a child born with cleft lip and/or palate (CL/P) can be challenging for parents. Few researchers have examined how having a child born with CL/P impacts couples. The purpose of this descriptive qualitative study was to examine how a child's CL/P diagnosis affects couples' relational adjustment and coping. We conducted interviews with 17 couples (10 prenatal and seven postnatal) caring for children born with CL/P. After conducting thematic content analysis, six overarching themes emerged: (a) relationship growth, (b) challenges, (c) roles and responsibilities, (d) sources of support, (e) talking about cleft, and (f) lessons learned. Findings suggest that couples should be routinely assessed for psychosocial issues and prevention programs should be tailored to preexisting stressors and timing of the diagnosis. [ABSTRACT FROM AUTHOR]

With the growing diversity in the United States among both clinicians and clients, many therapeutic encounters are cross-cultural, requiring providers to connect across cultural differences. Foreign-born therapists have many areas of differences to work through. Thus, exploring how foreign-born family therapists in the United States connect to their clients can uncover helpful strategies that all therapists can use to establish stronger cross-cultural therapeutic connections. A thematic analysis was conducted to understand strategies 13 foreign-born therapists used during therapeutic encounters. Four themes were identified: making therapy a human-to-human connection, dealing with stereotypes, what really matters, and flexibility. Findings suggest that developing a deep therapeutic connection using emotional attunement and human-to-human engagement is crucial for successful cross-cultural therapy. Clinical and training implications are provided. [ABSTRACT FROM AUTHOR]

The article reports on the study of smoking among Indigenous and Torres Strait Islander workers of Aboriginal community-controlled health services (ACCHSs) in Australia. It mentions the Talking About the Smokes (TATS) project which surveyed 374 staff of the medical care services. It also notes a gradual prevalence of smoking to the personnel.

The article reports on tobacco control regulations and activities in Aboriginal community-controlled health services (ACCHSs) in Australia. It mentions that the policies are driven by significant level of dedication and experience within the services for reducing the prevalence of smoking in the population of Indigenous people in the country. An overview of the Talking About the Smokes (TATS) project and its quota sampling design is also presented.

The article reports on predictors toward the cessation of Aboriginal and Torres Strait Islander smokers from smoking in Australia. It mentions that 70% of them are interested in quitting while others continue particularly those who live in poor areas. An overview of the Talking About the Smokes (TATS) project and its quota sampling design is also presented.

The article reports on past attempts of smoking cessation by Aboriginal and Torres Strait Islander smokers in Australia. It mentions the role of tobacco regulating programs in urging them to quit despite its insufficiency in motivating those living in poor and remote areas. An overview of the Talking About the Smokes (TATS) project and its quota sampling design is also presented.

The article reports on the Talking About the Smoke (TATS) project and its description by the World Health Organization (WHO) in Australia. It mentions its guiding principles for community-based participatory research (PR) which involve Aboriginal people as well as its aim in supporting other projects. An overview of its benefits, funding and approval is also presented.

The article reports on the Talking About the Smokes (TATS) project of the International Tobacco Control Evaluation Project towards Aboriginal and Torres Strait Islanders in Australia. It highlights the methods of its research and baseline sample. An overview of the 2008 National Aboriginal and Torres Strait Islander Social Survey (NATSISS) is also presented.

An introduction to the journal is presented in which the authors discuss the Talking About the Smoke (TATS) project and its aim in reducing the rate of smoking within the Aboriginal and Torres Strait Islander population in Australia.