Search

In 2019, the World Health Organization urged a global shift towards recovery‐focused practices in mental health care. In Western nations, this transition often prioritised individualism over collectivism. In contrast, collectivist societies prioritise recovery through community and social support. This study explored mental health recovery from the perspectives of consumers, carers and registered nurses in a mainly collectivist society (Saudi Arabia) using a qualitative exploratory descriptive design. Sixteen consumers, ten carers and eight registered nurses participated in online semi‐structured interviews. Inductive thematic analysis was employed to analyse English‐translated versions of the 34 interviews. Consolidated criteria for reporting qualitative studies 32‐item checklist were used. The study found that recovery was perceived as a process of transforming towards living a meaningful life of goals and values supported by trusted people who share moments of comfort and empowerment. A unique finding was the 'bond of recovery' a collectivist value that aid consumers' community integration in society. Saudi consumers' experiences of recovery were similar to consumers' movement narratives of recovery. Future research should establish a recovery‐focused educational program that incorporates our findings into a recovery‐oriented approach. This will facilitate providing a collaborative care between consumers, carers and nurses that centres around consumers' recovery goals and values. [ABSTRACT FROM AUTHOR]

Midterm student feedback is a common process in post-secondary institutions that can lead to enhanced teaching practices and thereby potentially to higher ratings of instructional skills in summative course evaluations. At McMaster University, midterm student feedback is called a 'Course Refinement' and includes consultation with educational developers. As part of a multiphase study investigating teachers' perceptions of the Course Refinement process and its impact, this analysis presents effective attributes of the process as an adaptation of Chickering and Gamson's well-known 'seven principles for good practice in undergraduate education', as our findings align with their work. To our knowledge, this marks the first educational development adaptation of the 'seven principles'.

Ascertaining how racket orientation angle differences at ball-impact influence the accuracy of different squash strokes could assist player skill development and possibly reduce the number of unforced errors hit within a match. The purpose of this study was to identify differences in racket orientation angles of accurate and inaccurate forehand and backhand drive, volley and drop shots. A magnetic-inertial measurement unit embedded in a racket output orientation angles of twelve male junior players, with five accurate and five inaccurate shots per player per stroke analysed. Paired samples t-tests revealed that inaccurate backhand drop shots exhibited significantly (p < 0.05) less racket roll angle (racket face less open) at impact than accurate shots, indicating this parameter was a determining factor in the accuracy of this stroke. Racket orientation angle differences between accurate and inaccurate shots of the remaining strokes were too small to be used to distinguish shot accuracy. There was significantly greater variability in racket orientation angles during inaccurate forehand drop and backhand drive shots compared to accurate shots. These findings demonstrate how racket orientation angle differences at ball-impact can influence the accuracy of shots and highlights the need for consistent racket orientations to allow for an accurate shot. [ABSTRACT FROM AUTHOR]

Purpose: Heart failure is a global health concern and associated with poor health-related quality of life and increased mortality. There is a disproportionate burden on patients and health systems in low- and middle-income countries. This systematic review and meta-analysis estimates the health-related quality of life of people with heart failure in low- and middle-income countries. Methods: A systematic literature search was conducted to identify relevant studies from January 2012 to November 2022 using the following databases: MEDLINE, EMBASE, PsycINFO, CINAHL, Web of Science, Scopus and JBI EBP database. Study screening, quality appraisal and data extraction were conducted using JBI methodology. A random-effects model was used to perform the meta-analysis. Heterogeneity was assessed using the I2 statistic. All statistical analyses were done in STATA version 17. Results: A total of 33 studies with 5612 participants were included in this review. The Minnesota Living with Heart Failure Questionnaire (MLHFQ) and the Short-Form-36 questionnaire (SF-36) were the most used instruments across 19 and 8 studies, respectively. The pooled mean MLHFQ and SF-36 scores using the random-effects model were 46.08 (95% CI 35.06, 57.10) and 41.23 (95% CI 36.63, 45.83), respectively. In a subgroup analysis using both instruments, the highest health-related quality-of-life scores occurred in studies with inpatient participants. Conclusion: The overall health-related quality of life of people with heart failure in low- and middle-income countries is poor. Strategies should be strategically developed to improve the health-related quality of life of people with heart failure in these countries. Systematic review registration: PROSPERO CRD42022377781. [ABSTRACT FROM AUTHOR]

The torso muscles play important roles in longitudinal rotation between the upper and lower torso on land but demands on these muscles at different swimming speeds and their role in torso twist in front crawl remains unclear. We aimed to compare torso muscle activity at different front crawl speeds and to assess the relationships between torso muscle activity and torso twist. Three-dimensional kinematics and torso muscle EMG data were collected from 15 male swimmers during middle-distance and sprint front crawl. Internal oblique, external oblique, and rectus abdominis, but not erector spinae, activities were greater at sprint than middle-distance pace. Sprint swimmers are likely to benefit from focusing training on the abdominal muscles. Cross-correlation peak coefficients between muscle activity and torso twist occurred with 517–775 and 400–600 ms lag at middle-distance and sprint paces (respectively). These lags are beyond the torso muscle electromechanical delay (~220 ms) and are too long for these muscles to produce movement changes. Further, peak coefficients coincided with both positive and negative shifts, indicating that muscle activity did not always precede kinematic changes. The torso muscles are therefore likely to play a greater role in maintaining stability and controlling posture in front crawl than producing torso twist. [ABSTRACT FROM AUTHOR]

Introduction: Heart failure is a growing public health concern around the world. People with heart failure have a high symptom burden, such as depression, which affects health-related quality of life (HRQoL). The objective of this systematic review and meta-analysis was to estimate the pooled prevalence of depression and evaluate its association with HRQoL among people with heart failure in low- and middle-income countries (LMICs). Methods: This systematic review was conducted in accordance with the JBI methodology. Electronic databases such as MEDLINE, PsycINFO, EMBASE, CINAHL, Web of Science, Scopus and JBI EBP were searched to identify relevant studies published from January 2012 to August 2022. The methodological quality of each article was assessed using relevant JBI critical appraisal instruments. A random-effects model was employed to estimate the pooled prevalence of depression. Heterogeneity across the studies was investigated using Cochrane's Q test and I2 statistic. The Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines 2020 were followed for reporting the results. All statistical analyses were performed using STATA version 17 software. Results: After screening, a total of 21 eligible articles with 5074 participants with heart failure were included in this review. The pooled prevalence of depression among people with heart failure in LMICs was 51.5% (95% CI = 39.7, 63.3%, I2 = 99.00%). Subgroup analysis revealed, the highest prevalence in studies whose participants were in-patients, and from the Middle East and North Africa, and studies utilizing Becks Depression Inventory (BDI). Depression was positively associated with HRQoL. Conclusion: This review revealed that almost half of all people with heart failure in low- and middle-income countries have comorbid depression. People with heart failure and depressive symptoms had poor HRQoL. Therefore, early screening of depression is critical for improving HRQoL in this population. Systematic review registration: PROSPERO CRD42022361759. [ABSTRACT FROM AUTHOR]

Springboard diving training is often focused upon skill repetition to establish movement accuracy, stability and consistency. Within-participant study designs provide the ability to understand how individuals create these skills under different movement strategies. IMUs measured angular velocity time-series data of two athletes performing multiple repetitions of forward 3½ somersault pike dives. Functional Principal Component Analyses (fPCA) were performed to examine individual movement structure and variability. The first five fPC's represented approximately 98% of the variability in angular velocity for both divers. To determine the relative importance of angular velocity variability, Pearson's correlations for pairwise comparisons were used to assess the relationship between fPC scores and discrete performance variables during takeoff, flight and entry. Divers exhibited a different number and types of significant correlations (International = 4; National = 11). Only one correlation was common for both divers; higher angular velocity during Initial Flight and/or Somersault phases resulted in more vertically aligned entry posture (International: fPC1 r = −0.761, p < 0.05; National: fPC3 r = −0.796, p < 0.01). Findings identify individualised angular velocity time-series structure and kinematic performance variables (International = angular; National = linear) that can be used by coaching/sport science teams to optimisation performance success. [ABSTRACT FROM AUTHOR]