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To develop and evaluate the effectiveness of a structured therapeutic communication module on psychological distress and perceived needs among caregivers of critically ill patients. Caregivers of critically ill patients experience intense psychological distress, and their needs often go unexpressed or unidentified. Structured therapeutic communication enables nurses to explore and fulfill these needs. A mixed-method study was conducted among 30 caregivers of critically ill patients. During phase one, a qualitative interview was conducted, and a structured therapeutic communication module was developed based on Hildegard Peplau's Interpersonal Relations Theory. In the second phase, one group pre-test and post-test design was adopted. The Hospital Anxiety and Depression Scale (HADS) and a Semi-structured interview schedule were used to assess psychological distress and perceived needs, respectively. Half of (50 %) the caregivers reported a high level of anxiety before intervention, with a mean of 11.30 (SD: 4.0), and 66.7 % of them had a high level of depression, with a mean of 12.03 (SD: 0.08). There was a statistically significant difference in anxiety (CI: 0.451–2.016) and depression (CI: 0.261–1.538) before and after the intervention. The qualitative analysis revealed unmet needs perceived by caregivers. Using a structured therapeutic communication module helps nurses to alleviate the psychological distress experienced by caregivers of CCU patients. Nurses need to be sensitive to the unexpressed needs of caregivers of critically ill patients. The structured therapeutic communication modules can be integrated into routine nursing care practice to ensure family-centered care. • Caregivers of critically ill patients experience anxiety and depression. • They perceive several needs that need to be identified by nurses. • Use of structured therapeutic communication module helps nurses to identify and meet the perceived needs of caregivers. [ABSTRACT FROM AUTHOR]

Abstract Background Physiotherapy is effective to reduce pain and improve the quality of life of people living with chronic pain. To offer high-quality physiotherapy services, these services must be patient-centred and respond to patients’ needs. However, few studies seem to target patients’ perceived needs, whereas more studies tend to focus on needs assessed by healthcare experts, which are not always in line with patients’ perceived needs. In addition, people living with chronic pain are often faced with several health inequities and may have varied perceived needs depending on their personal conditions. To offer services that truly meet patients’ needs, it is therefore crucial to understand these needs. This scoping review aims to identify and map the perceived needs of people living with chronic pain towards physiotherapy services. Methods To conduct this review, we followed the six stages framework proposed by Arksey and O’Malley. We searched four databases (Medline, Embase, CINHAL and APA PsycINFO) as well as the grey literature. We included all studies describing the needs, demands, preferences or expectations of adults living with chronic pain towards physiotherapy. We then performed an inductive thematic analysis of the results and discussion sections of these studies to identify the perceived needs. Once those needs were identified, we mapped them into the seven dimensions of the patient-centred healthcare delivery framework. Results Our review included 96 studies. Various perceived needs were identified through the thematic analysis, such as the needs for an empathetic relationship; for a clear, adapted and supervised exercise program; and for personalized treatment. Our mapping into the patient-centred healthcare delivery framework showed that most studies reported needs associated with the dimensions of interpersonal care, individualized healthcare and professional care. Needs associated with the other dimensions of the framework (access; coordination and continuity; services and facilities; data and information) were less frequently mentioned. Conclusions The results of this review have enabled us to identify and better understand multiple needs perceived by people living with chronic pain regarding physiotherapy services. The perceived needs identified through this scoping review were mapped within the seven dimensions of the Patient-centred healthcare delivery framework.

Purpose: Cancer survivors are at greater risk of cardiovascular disease (CVD) than cancer-free controls. Despite evidence-based guidelines recommending CVD risk factor assessment, surveillance and risk-reduction, many people with cancer do not receive adequate CVD care. To address potential barriers and enablers of care, we examined healthcare professionals' (HCPs) perceptions and experiences of CVD risk assessment and management in people with cancer. Methods: We conducted one focus group and 12 individual interviews to examine HCPs' perceptions and experiences of CVD care in care. We used reflexive thematic analysis to collect and analyse the qualitative data to construct and understand themes. Results: Twenty-one HCPs participated (8 oncologists, 5 nurses, 3 general practitioners, 2 dietitians, 1 cardiologist, 1 haematologist and 1 physiotherapist). Majority of HCPs were aware of CVD risk in cancer but were concerned they could not deliver CVD care alone due to system-level barriers including lack of time and training. HCPs also perceived patient-level barriers including socioeconomic disadvantage and fatalistic outlook. Despite barriers, HCPs suggested diverse solutions for improving CVD care in cancer including new models-of-care, clinical pathways, risk assessment/management tools and education. Conclusions: The diversity of perceived barriers and suggested solutions identified by HCPs suggests the need for a multilevel approach tailored to context. Future research involving people with cancer is needed to co-design acceptable interventions. Implications for Cancer Survivors: Improved understanding of HCP's perceptions can inform the development of new interventions to deliver CVD care to people with cancer to reduce morbidity and mortality. [ABSTRACT FROM AUTHOR]

The reconstruction of residences has led to an increase in the use of single-use materials in the construction industry. In the context of the circular economy, with the implementation of circular housing from a cradle-to-cradle perspective, the field of housing construction is changing rapidly. Innovation and sharing improve the consumer experience and increase consumers' purchase intention. This research integrates design attributes, sharing attributes, perceived value, and affective value to study the impact of circular housing on acceptance and identification. The framework of SOR theory framework is used to analyze the predictive factors of consumer intention. The results emphasize that emotional responses in terms of affective value, perceived value, and social equity are the most prominent. This research also utilizes the KJ method. The research methods include a literature review, field observations, expert interviews, questionnaire surveys, and triangulation validation. Moreover, this research uses PLS-SEM to analyze the data of 568 participants. The structural analysis shows that consumers' acceptance and identification of circular housing are strongly influenced by social equity. A total of 16 out of 17 hypotheses are established, with eight partial mediating effects, including the mediating role of social equity. Perceived value is found to affect consumers' cognition and attitudes Perceived value and design attributes, as well as these factors combined, influence consumer acceptance and identification. This research provides strategies to enhance the design of circular housing and promote its development. This research explores the relationship between consumers' acceptance and identification of circular design and the development of circular housing. It first establishes a structural model based on the SOR theory. Adding the mental map of interview results to the model, the results of this research analyzes the design attribute value, and the SEM-PLS analysis influences highlights the identification and acceptance of circular housing. [ABSTRACT FROM AUTHOR]

Background; Gynecological cancer significantly affects femininity, sexuality, fertility, physical and psychosocial relationships leading to impaired quality of life. There is a dearth of literature that identifies the unmet psychosocial supportive care needs of gynecological cancer patients in North East, India especially in Manipur. The study aims to explore the unmet supportive care needs of women with gynecological cancers and to determine correlates with demographic variables. Methodology: A cross-sectional study using the “Supportive Care Needs Survey questionnaire (SCNS SF-34) in conjunction with demographic data was done on 72 participants recruited through purposive sampling. Ethical clearance was obtained. Data was analyzed with SPSS version 26. Results: Physical and daily living were the domains with the highest unmet supportive needs. The top five items with highest unmet needs were lack of energy, feelings of sadness, not being able to do things they used to do, pain, feeling unwell and feeling depressed. Age, education, occupation, income, type of cancer, and comorbidities showed a significant difference in sexual and psychological unmet needs (p=

The critical role of the educational sector in improving and reforming society and the world has aroused the interest of governments and agencies to exert substantial financial resources to reduce the financial burden of parents in educating children and attaining a holistic approach to national development. This paper evaluates the impact of variables such as professional needs, form of training, duration period, perceived impact, and feedback effect on teacher professional development (PD) in Ghana. To facilitate the study objective, we used a survey design approach to collect data from 400 teachers in the Central region of Ghana. This paper adopted PLS-SEM for analysis. The study concludes that: (1) The duration period of PD training significantly affects teacher feedback effect and professional needs. (2) Feedback effect from teachers has a significant effect on PD. (3) The form of training that teachers receive has a direct effect on PD. (4) Perceived impact influences feedback effect and PD. (5) Teachers' professional needs impact their feedback effect. To achieve the target goals, stakeholders, teachers, and PD planners for SHS, must ask more specifically from teachers about what knowledge or content they would like to learn and their prioritized mode of training and duration period needed. [ABSTRACT FROM AUTHOR]

Objectives: Romantic jealousy could be understood as a continuum, from reality‐based, transient and functional jealousy to a more chronic form of jealousy with varying insight, intensity and duration. The latter has some overlaps with obsessive–compulsive disorder (here termed obsessional jealousy). Little is known about the nature of obsessional jealousy and its association with functional impairment, perceived negative consequences (drinking, violence), current and past relationship factors (e.g., length of relationship, being in love, infidelity, previous jealousy) or perceived need for professional support. Methods: Participants were 1076 adults (55% women) who filled in an anonymous survey. Results: Obsessional jealousy, measured with the Obsessional Jealousy Severity Scale, was strongly associated with functional impairment and verbal violence, and more weakly with physical violence and alcohol consumption. Individuals with a history of previous jealousy had more severe symptoms and were more likely to perceive the need for psychological support. Approximately 25% of the sample expressed interest in treatment. Conclusions: The results suggest that there is a group of individuals with impairing levels of obsessional jealousy who have a perceived need for help with their difficulties. More research is needed on the prevalence and clinical characteristics of these individuals. The development of jealousy‐specific psychological models and treatments is warranted. [ABSTRACT FROM AUTHOR]

Introduction: As the world is fighting against the epidemic of COVID-19, nurses as the largest group of healthcare professionals at the forefront of this struggle, perceive the threats and challenges. Therefore, it is important to know the factors that help or hinder the health of nurses. The aim of this study is to investigate the experiences of nurses caring for patients with COVID-19. Methods: The data for this qualitative study was collected during the summer and early fall of 2020. Participants were nurses from a hospital, which was considered the main hospitalization center for COVID-19 patients in Kerman, a city in Iran; they were selected through purposive sampling. Data were collected through semi-structured interviews. Conventional content analysis method was used to analyze th data. Results: 10 nurses participated in the study. Three main categories and six subcategories were identified. Perceived barriers (including subcategories of “negative emotions” and “limitations in service delivery”), perceived facilities (subcategories included “perceived support”, commitment to work”, “previous experience”), and prevised needs (subcategories included “self-care” and “information needs”) were identified through analysis. Conclusion: Lack of seriousness to overcome the challenges and obstacles of nurses, results in epidemic, the health physical and psychological harm to them and in continuation of COVID-19 system will face nurses who will not have the enough capability to provide appropriate nursing care. [ABSTRACT FROM AUTHOR]

Pharmacists have been included in general practice teams to provide non-dispensing services for patients. In Australia, pharmacists' role in general practice has been slowly expanding. However, there is a paucity of research to explore patients' opinions toward pharmacist-led services in general practice. This study aimed to assess patient awareness, perceived needs, and satisfaction with these services. A cross-sectional survey was conducted with a purposeful sample of patients who visited six general practices in the Australian Capital Territory that included pharmacists in their team. The survey was informed by the literature and pre-tested. The survey was distributed to two samples: patients who had seen a pharmacist and those who had not seen a pharmacist. Of 100 responses received, 86 responses were included in the analysis: patients who had seen a pharmacist (n = 46) and patients who had not seen a pharmacist (n = 40). Almost all the patients who utilised pharmacist-led services were highly satisfied with those services. Among patients who had not seen a pharmacist, 50% were aware of the existence of general practice pharmacists. Patients who had visited the pharmacist rated higher scores for perceived needs. Patient satisfaction towards the pharmacist-led services in general practices was very high, and patients supported the expansion of these services. However, awareness of the availability of general practice pharmacist services could be improved. [ABSTRACT FROM AUTHOR]

Teacher identity among physical therapists is challenged by other identities such as clinician and/or researcher. Yet, having a teacher identity has been shown to be a critical organizing element in a persons' professional life, driving their choices and energies. This discussion paper was designed to explore the health science teacher identity literature and start a conversation about teacher identity formation among physical therapy teachers. Topics explored included the importance of a teacher identity, its challenges, and what supports teacher identity. A lack of pedagogical training continues to limit teacher identity formation. Subgroups of research literature on teacher identity were grouped according to how faculty development and institutions could support the following factors: (1) a sense of appreciation for supporting student learning – supported by acknowledgement; (2) a sense of connectedness – supported by communities of practice, mentoring, communication; (3) a sense of competence – supported by skills training based on perceived needs of teachers; (4) a sense of commitment – supported by reflection and goal-setting; (5) a future trajectory – supported by possibility of promotion; (6) a sense of autonomy – supported by letting teachers decide content/methods; and (7) a "care-full" environment – where teachers know they are cared for. Similar supports were identified for all types of teachers, although contexts of experience and workplace were always important. A merged or integrated identity between teacher and physical therapist was suggested as most desirable. Faculty development should continue to focus on interventions that promote teacher identity among their physical therapy teachers. [ABSTRACT FROM AUTHOR]

Background and Purpose: Urban agriculture (UA) has become an even more attractive option for food security and safety brought by the spread of COVID-19 which causes global health crisis. However, studies examining the perceived values, challenges, and needs towards urban agriculture are very limited and this does not exempt even the context of Cebu City in the Philippines. In this regard, this study aimed to assess the problems and prospects concerning urban agriculture in the aforementioned City. The purposes are to propose action plans and offer insights in designing and implementing food and agricultural programs and policies in the planned participatory action research (PAR) for sustainable urban agriculture. Methodology: This study used Kemmis and McTaggart's (1988) Model of Action Research. The use of this research method is an essential approach towards constructing sustainable developments of urban agricultural systems. However, only the planning stage was accomplished in this phase of action research of which it employed sequential explanatory research design. There were 509 household representatives in this stage of the study who participated in an online survey, 217 and 292 were from the north district and south district, respectively. Subsequently, each district had five representatives who were subjected to interviews to explain the quantitative results. Findings: Results indicate that Cebuanos positively perceives the social, economic, health, environmental, and aesthetic values of urban agriculture. However, the presence of urban agriculture in the metropolitan is only from moderate to nonexistent due to lack of space or designated area. In addition, the participants disclosed a lack of training and capital or funding, thus further disengaging them from adopting urban agriculture. Nonetheless, the majority (n=463) expressed willingness to be trained in urban agriculture if given the opportunity. Contributions: This study provides key points as to how urban agriculture can be promoted. These include designating some portions of public and privately unused lands as "urban agriculture areas". In addition, financing institutions may also allocate small subsidies for marginally low-income families as their starting capital for urban agriculture activities. Finally, universities, non-government, and government agencies in the agriculture sector may train Cebuanos in backyard and rooftop gardening being the widely accepted urban agriculture form. [ABSTRACT FROM AUTHOR]

Pharmacists have been included in general practice teams to provide non-dispensing services for patients. In Australia, pharmacists’ role in general practice has been slowly expanding. However, there is a paucity of research to explore patients’ opinions toward pharmacist-led services in general practice. This study aimed to assess patient awareness, perceived needs, and satisfaction with these services. A cross-sectional survey was conducted with a purposeful sample of patients who visited six general practices in the Australian Capital Territory that included pharmacists in their team. The survey was informed by the literature and pre-tested. The survey was distributed to two samples: patients who had seen a pharmacist and those who had not seen a pharmacist. Of 100 responses received, 86 responses were included in the analysis: patients who had seen a pharmacist (n = 46) and patients who had not seen a pharmacist (n = 40). Almost all the patients who utilised pharmacist-led services were highly satisfied with those services. Among patients who had not seen a pharmacist, 50% were aware of the existence of general practice pharmacists. Patients who had visited the pharmacist rated higher scores for perceived needs. Patient satisfaction towards the pharmacist-led services in general practices was very high, and patients supported the expansion of these services. However, awareness of the availability of general practice pharmacist services could be improved.

The provision of mental healthcare is vital for the sustainable development of societies. However, current systems in several countries fail to meet citizens' needs and are called to identify new planning approaches to ensure the balance between supply and needs. Nevertheless, the estimation of mental healthcare needs is challenging since there are perceived needs, that are explicitly expressed, and unperceived needs, that are not explicitly expressed and are difficult to measure. To deal with this challenge, this study aims to build estimates for the future needs of mental healthcare services by departing from a simulation model based on a Markov cycle tree that considers both perceived and unperceived needs. The development and application of the proposed model to the Lisbon and Tagus Valley region in Portugal followed a mixed-method approach consisting of: i) a set of interviews with mental healthcare experts, providing information on key aspects entailing mental healthcare needs in general, and in the Portuguese context in particular; ii) a Markov cycle tree model, reflecting the information gathered in the interviews; and iii) a survey conducted to estimate key parameters required to apply the Markov model to the Portuguese context. The results indicate that mental healthcare needs are expected to increase by 2030, reaching 68.62% of the total population, with 21% of these representing perceived and unsatisfied needs, while 20% represents unperceived needs. Also, more than 95% of the required capacity by 2030 is expected to be missing. The suggested tool thus distinguishes among perceived and unperceived needs, helping policy makers and managers who aim to plan the future operations of mental healthcare systems. • A Markov cycle tree model was built to estimate future mental healthcare needs. • A mixed-method approach comprising interviews and a survey was used to collect data. • Mental healthcare needs are distinguished between perceived and unperceived needs. • Mental healthcare needs are expected to increase by 2030 in Lisbon and Tagus Valley. [ABSTRACT FROM AUTHOR]

Background: There has been a surge in mental health concerns during the COVID-19 pandemic, which has prompted the increased use of digital platforms. However, there is little known about the mental health needs and behaviors of the global population during the pandemic. This study aims to fill this knowledge gap through the analysis of real-world data collected from users of a digital mental health app (Wysa) regarding their engagement patterns and behaviors, as shown by their usage of the service., Objective: This study aims to (1) examine the relationship between mental health distress, digital health uptake, and COVID-19 case numbers; (2) evaluate engagement patterns with the app during the study period; and (3) examine the efficacy of the app in improving mental health outcomes for its users during the pandemic., Methods: This study used a retrospective observational design. During the COVID-19 pandemic, the app's installations and emotional utterances were measured from March 2020 to October 2021 for the United Kingdom, the United States of America, and India and were mapped against COVID-19 case numbers and their peaks. The engagement of the users from this period (N=4541) with the Wysa app was compared to that of equivalent samples of users from a pre-COVID-19 period (1000 iterations). The efficacy was assessed for users who completed pre-post assessments for symptoms of depression (n=2061) and anxiety (n=1995) on the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) test measures, respectively., Results: Our findings demonstrate a significant positive correlation between the increase in the number of installs of the Wysa mental health app and the peaks of COVID-19 case numbers in the United Kingdom (P=.02) and India (P<.001). Findings indicate that users (N=4541) during the COVID period had a significantly higher engagement than the samples from the pre-COVID period, with a medium to large effect size for 80% of these 1000 iterative samples, as observed on the Mann-Whitney test. The PHQ-9 and GAD-7 pre-post assessments indicated statistically significant improvement with a medium effect size (PHQ-9: P=.57; GAD-7: P=.56)., Conclusions: This study demonstrates that emotional distress increased substantially during the pandemic, prompting the increased uptake of an artificial intelligence-led mental health app (Wysa), and also offers evidence that the Wysa app could support its users and its usage could result in a significant reduction in symptoms of anxiety and depression. This study also highlights the importance of contextualizing interventions and suggests that digital health interventions can provide large populations with scalable and evidence-based support for mental health care., (©Chaitali Sinha, Saha Meheli, Madhura Kadaba. Originally published in JMIR Formative Research (https://formative.jmir.org), 26.01.2023.)