2,709 results
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2. Paper Spirits and Flower Sacrifices: Hmong Shamans in the 21st Century.
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Helsel, Deborah
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AGE distribution , *RITES & ceremonies , *GROUNDED theory , *HEALERS , *HMONG (Asian people) , *IMMIGRANTS , *INTERVIEWING , *RESEARCH methodology , *METROPOLITAN areas , *CULTURAL pluralism , *STATISTICAL sampling , *SHAMANISM , *SPIRITUAL healing , *QUALITATIVE research , *LAW - Abstract
Introduction: Fresno, California, is home to more than 30,000 Hmong. The purpose of this research was to explore the utilization of Hmong shamans 40 years after the first Hmong immigrants arrived in the United States. Hmong shamanism is examined to identify and analyze changes to shamans' practices or patients. Methods: Using grounded theory, semistructured interviews were conducted with a convenience sample of 20 shamans in their homes. Transcribed data were qualitatively analyzed. Results: Shamans continue to train and practice in this community; utilization by older patients persists while young adult patients have become the fastest-growing group of users. Healing rituals have changed in response to the legalities of animal sacrifice in urban areas and the time demands of work schedules. Discussion: Nurses' awareness that the availability of biomedicine does not preclude the continuing or recurring utilization of traditional healers can facilitate understanding of culturally defined health care needs. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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3. The Symbolic Functions of Nurses’ Cognitive Artifacts on a Medical Oncology Unit.
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Blaz, Jacquelyn W., Doig, Alexa K., Cloyes, Kristin G., and Staggers, Nancy
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ONCOLOGY nursing ,COGNITION ,DOCUMENTATION ,INTERVIEWING ,RESEARCH methodology ,NURSE-patient relationships ,NURSES' attitudes ,SCIENTIFIC observation ,RESEARCH funding ,STATISTICAL sampling ,QUALITATIVE research ,FIELD notes (Science) - Abstract
Acute care nurses continue to rely on personally created paper-based tools—their “paper brains”—to support work during a shift, although standardized handoff tools are recommended. This interpretive descriptive study examines the functions these paper brains serve beyond handoff in the medical oncology unit at a cancer specialty hospital. Thirteen medical oncology nurses were each shadowed for a single shift and interviewed afterward using a semistructured technique. Field notes, transcribed interviews, images of nurses’ paper brains, and analytic memos were inductively coded, and analysis revealed paper brains are symbols of patient and nurse identity. Caution is necessary when attempting to standardize nurses’ paper brains as nurses may be resistant to such changes due to their pride in constructing personal artifacts to support themselves and their patients. [ABSTRACT FROM AUTHOR]
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- 2018
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4. Holistic Admissions: From Paper File to Live Interview.
- Author
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Scheer-Cohen, Alison R., Heisler, Lori, and Moineau, Suzanne
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SPEECH therapy ,LEADERSHIP ,COMMUNICATIVE competence ,PATIENTS ,INTERVIEWING ,HOLISTIC medicine ,HOSPITAL admission & discharge ,CRITICAL thinking ,INTERPERSONAL relations ,INTELLECT ,WRITTEN communication ,VIDEO recording - Abstract
Purpose: The holistic approach to admissions includes an evaluation of traditional measures (e.g., cumulative grade-point average), attributes unique to the applicant (e.g., leadership), and variables important to the field (e.g., interpersonal skills). Outlined in this clinical focus article is an innovative approach to holistic admissions that includes evaluation of a video-recorded response to a case-based prompt and a live interview that includes application of knowledge, demonstration of critical thinking skills, and assessment of personal attributes. Conclusions: This comprehensive process includes evaluation of an applicant's knowledge, skills, and professional dispositions. Planning, implementation, outcomes, evaluation, and challenges of this approach are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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5. 'Reforms Looked Really Good on Paper': Rural Food Service Responses to the Healthy, Hunger-Free Kids Act of 2010.
- Author
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Cornish, Disa, Askelson, Natoshia, and Golembiewski, Elizabeth
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PREVENTION of childhood obesity , *SCHOOLS , *ATTITUDE (Psychology) , *NUTRITION policy , *CHANGE , *EMPLOYEE attitudes , *FOOD service , *INTERVIEWING , *MANAGEMENT , *MEDICAL cooperation , *NATURAL foods , *RESEARCH , *RESEARCH funding , *RURAL conditions , *STUDENT health , *QUALITATIVE research , *THEMATIC analysis , *HUMAN services programs , *DATA analysis software , *MEDICAL coding , *DESCRIPTIVE statistics , *LAW - Abstract
ABSTRACT BACKGROUND The Healthy, Hunger-Free Kids Act of 2010 ( HHKA) required schools to make changes to meals provided to children. Rural school districts have limited resources, with increased obesity rates and local food insecurity. In this study we sought to understand the perceptions of rural food service directors and the barriers to implementing the changes. METHODS Food service directors from rural school districts were invited to complete a semistructured telephone interview and online survey. A total of 51 respondents completed both, 6 completed only the online survey, and 16 completed only the telephone interview. Qualitative interview data were analyzed through open thematic coding; descriptive statistics were calculated for the quantitative data. RESULTS Food service directors mostly perceived the changes as negative, challenging, and burdensome. They believed that the changes resulted from concern about childhood obesity, which they did not view as a problem for their students. Diverse challenges were reported related to cost, preparation, and student preference. CONCLUSIONS Food service directors in isolated, rural areas need support to enhance understanding of HHKA requirements, build professional networks to learn from one another, and communicate with students, families, and other stakeholders. Future efforts should focus on changing perceptions and supporting directors in order to make implementation a success. [ABSTRACT FROM AUTHOR]
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- 2016
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6. Research paper. Differential trends in cigarette smoking in the USA: is menthol slowing progress?
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Giovino, Gary A., Villanti, Andrea C., Mowery, Paul D., Sevilimedu, Varadan, Niaura, Raymond S., Vallone, Donna M., and Abrams, David B.
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SMOKING , *AGE distribution , *CONFIDENCE intervals , *FLAVORING essences , *INTERVIEWING , *QUESTIONNAIRES , *RESEARCH funding , *SEX distribution , *LOGISTIC regression analysis , *TOBACCO products , *DISEASE prevalence , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Introduction Mentholated cigarettes are at least as dangerous to an individual's health as non-mentholated varieties. The addition of menthol to cigarettes reduces perceived harshness of smoke, which can facilitate initiation. Here, we examine correlates of menthol use, national trends in smoking menthol and non-menthol cigarettes, and brand preferences over time. Methods We estimated menthol cigarette use during 2004-2010 using annual data on persons ≥12 years old from the National Surveys on Drug Use and Health. We adjusted self-reported menthol status for selected brands that were either exclusively menthol or nonmenthol, based on sales data. Data were weighted to provide national estimates. Results Among cigarette smokers, menthol cigarette use was more common among 12-17 year olds (56.7%) and 18-25 year olds (45.0%) than among older persons (range 30.5% to 34.7%). In a multivariable analysis, menthol use was associated with being younger, female and of non-Caucasian race/ethnicity. Among all adolescents, the percentage who smoked non-menthol cigarettes decreased from 2004-2010, while menthol smoking rates remained constant; among all young adults, the percentage who smoked non-menthol cigarettes also declined, while menthol smoking rates increased. The use of Camel menthol and Marlboro menthol increased among adolescent and young adult smokers, particularly non-Hispanic Caucasians, during the study period. Conclusions Young people are heavy consumers of mentholated cigarettes. Progress in reducing youth smoking has likely been attenuated by the sale and marketing of mentholated cigarettes, including emerging varieties of established youth brands. This study should inform the Food and Drug Administration regarding the potential public health impact of a menthol ban. [ABSTRACT FROM AUTHOR]
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- 2015
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7. White paper touts gaming as tool to combat youth MH crisis.
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Canady, Valerie A.
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NONPROFIT organizations , *PROBLEM solving , *PSYCHOLOGY of parents , *PUBLIC health , *SOCIAL stigma , *GAMES , *INTERVIEWING , *VIDEO games , *EMOTIONS , *HOBBIES , *MENTAL health services , *MENTAL illness , *ADOLESCENCE - Abstract
In an effort to help the public better understand the mental health implications of gaming, an international foundation and a public health nonprofit this month released a white paper, calling it a first‐of‐its‐kind report, that analyzes the potential role of gaming as an innovative solution to the increasing mental health crisis in this country. [ABSTRACT FROM AUTHOR]
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- 2023
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8. I need you to survive: a qualitative exploration of family-based beliefs among resettled Congolese refugee women in the USA.
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Spates, Kamesha, Evans, Na'Tasha, Smith, Jordan, Gairola, Richa, Jindra, Rebecca, Guttoo, Parishma, Mubikayi Kabasele, Cedric, Kirkland, Chelsey, and Aminu, PraiseGod
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FAMILIES & psychology ,EMIGRATION & immigration ,ACCULTURATION ,PSYCHOLOGY of refugees ,HUMAN beings ,STATISTICAL sampling ,INTERVIEWING ,PSYCHOLOGY of women ,DESCRIPTIVE statistics ,PARENTING ,THEMATIC analysis ,METROPOLITAN areas ,RESEARCH methodology ,SOCIAL support ,INTERPERSONAL relations - Abstract
Purpose: The prevalence of Congolese refugee women seeking asylum in the USA has recently garnered substantial attention. Many women have fled the Democratic Republic of Congo due to trauma and loss. Likewise, the resettlement process, particularly acculturative stress, may exacerbate mental health issues such as depression and anxiety. By recognizing the centrality of family within Congolese culture, this study aims to investigate cultural beliefs about family among Congolese refugee women in the USA, using acculturative theory as an interpretative lens. Design/methodology/approach: The authors' study centered on understanding the resettlement experiences of 20 Congolese refugee women living within an urban area of Midwest America after their arrival in America since 2011. Through using convenient sampling methods, the authors chose these particular activists as they could provide insight into their stories concerning their journey from Congo to settling down as refugees within Northeast America. During interviews, semi-structured questioning was used to gather responses from participants which were later analyzed through implementing a thematic interpretation process. Findings: Three themes emerged encapsulating cultural beliefs about family: supporting one another; the importance of togetherness; and disciplining our children. These findings provide culturally tailored resources to support Congolese refugee women and their families upon resettlement optimally. Research limitations/implications: The authors' work provides health equity researchers with an opportunity to better understand cultural beliefs among Congolese refugee women. Findings from this study provide an increased understanding of how to provide culturally specific tools to better aid Congolese refugee women and their families upon arrival. Practical implications: The authors' research offers insights for health equity researchers seeking to understand the cultural beliefs of Congolese refugee women. The findings contribute to an enhanced understanding of how to provide culturally specific resources better to support Congolese refugee women and their families upon arrival. Originality/value: The authors verify that, to the best of the authors' knowledge, the paper was written completely independently, and neither the entire work nor any of its parts have been previously published. The authors confirm that the paper has not been submitted to peer review, nor is in the process of peer reviewing, nor has been accepted for publishing in another journal. The authors confirm that the research in their work is original. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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9. Measuring Library Broadband Networks to Address Knowledge Gaps and Data Caps.
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Ritzo, Chris, Rhinesmith, Colin, and Jie Jiang
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DIGITAL libraries ,FOCUS groups ,DIGITAL divide ,RURAL conditions ,DIGITAL technology ,LIBRARY technical services ,QUANTITATIVE research ,INTERVIEWING ,RACE ,QUALITATIVE research ,CONCEPTUAL structures ,SURVEYS ,INTERNET access ,QUALITY assurance ,RESEARCH funding ,ACCESS to information ,METROPOLITAN areas ,ETHNIC groups ,PUBLIC libraries ,INTERNET service providers ,LONGITUDINAL method ,INFORMATION technology - Abstract
In this paper, we present findings from a three-year research project funded by the US Institute of Museum and Library Services that examined how advanced broadband measurement capabilities can support the infrastructure and services needed to respond to the digital demands of public library users across the US. Previous studies have identified the ongoing broadband challenges of public libraries while also highlighting the increasing digital expectations of their patrons. However, few large-scale research efforts have collected automated, longitudinal measurement data on library broadband speeds and quality of service at a local, granular level inside public libraries over time, including when buildings are closed. This research seeks to address this gap in the literature through the following research question: How can public libraries utilize broadband measurement tools to develop a better understanding of the broadband speeds and quality of service that public libraries receive? In response, quantitative measurement data were gathered from an open-source broadband measurement system that was both developed for the research and deployed at 30 public libraries across the US. Findings from our analysis of the data revealed that Ookla measurements over time can confirm when the library's internet connection matches expected service levels and when they do not. When measurements are not consistent with expected service levels, libraries can observe the differences and correlate this with additional local information about the causes. Ongoing measurements conducted by the library enable local control and monitoring of this vital service and support critique and interrogation of the differences between internet measurement platforms. In addition, we learned that speed tests are useful for examining these trends but are only a small part of assessing an internet connection and how well it can be used for specific purposes. These findings have implications for state library agencies and federal policymakers interested in having access to data on observed versus advertised speeds and quality of service of public library broadband connections nationwide. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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10. Caregiving and receiving experiences in UK community mental health services during COVID‐19 pandemic restrictions: A qualitative, co‐produced study.
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McKeown, Jane, Short, Valentina, Newbronner, Elizabeth, Wildbore, Ellie, and Black, Carrie‐Ann
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RESEARCH funding ,QUALITATIVE research ,MEDICAL care ,INTERVIEWING ,STATISTICAL sampling ,PATIENT care ,STAY-at-home orders ,PSYCHIATRIC nurses ,THEMATIC analysis ,NURSES' attitudes ,RESEARCH methodology ,CONVALESCENCE ,DATA analysis software ,SOCIAL support ,COVID-19 pandemic ,PATIENTS' attitudes - Abstract
Accessible Summary: What is known on the subject?: At the outset of the COVID‐19 pandemic, little was known about ways of delivering registered nurse practice within CMHTs under restrictions associated with a global pandemic.Emerging research focused on broad healthcare staff wellbeing during the pandemic. Qualitative research explored the overall response of COVID‐19 on people with existing health needs or remote working more specifically.Over the past 2 years studies have emerged detailing experiences but no studies have used qualitative research to understand community mental health nurses and service users experience of services. What the paper adds to existing knowledge?: This co‐produced qualitative study is the first to explore the changes to CMHT care from the experience of service users and nurses later in the COVID‐19 pandemic.The study questions whether recovery‐based approaches are possible in a hybrid way of working.The findings identify challenges for nurses' well‐being and work–life boundaries when working from home.The study adds to historical professional narratives of mental health nursing. What are the implications for practice: While hybrid approaches developed in response to COVID‐19 restrictions may offer more choice these approaches need further co‐produced evaluation on the impact of recovery‐focused care and therapeutic relationships.Mental health nurses need to review how future hybrid working continues to impact nurses' mental health and emotional safety.Nurses and service users need to raise awareness within society and policy on the impact that COVID‐19 had on people with existing mental health conditions. Introduction: Community Mental Health Team responses to COVID‐19 included fundamental service delivery adaptations. Aim/Question: Our co‐produced study sought to understand which service delivery changes experienced by service users and registered nurses were helpful or unhelpful to caregiving and receiving. Method: Qualitative semi‐structured interviews were undertaken with 10 service users and 13 registered nurses from 3 NHS England sites. Co‐produced throughout, people with lived experience of mental health services and nurses wishing to improve their research experience undertook interviews following training. Data were analysed thematically. Findings: Care radically changed from in‐person to large phone or video contact. This reportedly altered therapeutic relationship building and raised questions about whether recovery‐focused care was possible. Hybrid working was viewed as helpful but raised challenges for nurse wellbeing. Discussion: Changes to care delivery challenged the fundamentals of recovery‐focused interventions and therapeutic relationships. Service users and nurses well‐being consequently suffered. The impact of the pandemic on people with existing mental health conditions was poorly acknowledged in the media. Implications for Practice: Recovery‐focused interventions and relationship building need evaluating in the light of ongoing hybrid working. Teams need to consider the well‐being of nurses engaged in complex service‐user interactions from home. [ABSTRACT FROM AUTHOR]
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- 2024
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11. How the experiences of implementation support recipients contribute to implementation outcomes.
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Metz, Allison J., Jensen, Todd M., Afkinich, Jenny L., Disbennett, Mackensie E., and Farley, Amanda B.
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SOCIAL workers ,INTERVIEWING ,EVALUATION of medical care ,BEHAVIOR ,SOUND recordings ,RESEARCH methodology ,SOCIAL support ,EVALUATION - Abstract
Introduction: There is a growing body of literature on the activities and competencies of implementation support practitioners (ISPs) and the outcomes of engaging ISPs to support implementation efforts. However, there remains limited knowledge about the experiences of implementation support recipients who engage with ISPs and how these experiences shape the trajectory of implementation and contribute to implementation outcomes. This study aimed to extend the research on ISPs by describing the experiences of professionals who received implementation support and inform our understanding of the mechanisms by which ISPs produce behavior change and contribute to implementation outcomes. Methods: Thirteen individuals with roles in supporting implementation efforts at a private foundation participated in semi-structured interviews. Data were analyzed using qualitative narrative analysis and episode profile analysis approaches. Iterative diagramming was used to visualize the pathway of experiences of implementation support recipients evidenced by the interview data. Results: The majority of recipients described how positive experiences and trusting relationships with ISPs increased acceptance of implementation science throughout the foundation and increased the perception of implementation science as both an appropriate and feasible approach for strengthening the impact of foundation strategies. As perceptions of appropriateness and feasibility increased, recipients of implementation support described increasing knowledge and application of implementation science in their funding engagements and internal foundation strategies. Finally, recipients reported that the application of implementation science across the foundation led to sustained implementation capacity and better outcomes. Discussion: The experiences of implementation support recipients described in this paper provide a source for further understanding the mechanisms of change for delivering effective implementation support leading to better implementation quality. Insights from these experiences can enhance our understanding for building implementation capacity and the rationales for evolving approaches that emphasize the dynamic, emotional, and highly relational nature of supporting others to use evidence in practice. [ABSTRACT FROM AUTHOR]
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- 2024
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12. Contextualizing the experiences of Black pregnant women during the COVID-19 pandemic: 'It's been a lonely ride'.
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Dahl, Alicia A., Yada, Farida N., Butts, Shanika Jerger, Tolley, Annalise, Hirsch, Sophie, Lalgondar, Priyanka, Wilson, Kala S., and Shade, Lindsay
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HEALTH services accessibility ,COMMUNITY health services ,CROSS-sectional method ,SELF-evaluation ,AFRICAN Americans ,MATERNAL health services ,RESEARCH funding ,INTERVIEWING ,QUESTIONNAIRES ,PREGNANT women ,PSYCHOLOGICAL adaptation ,DESCRIPTIVE statistics ,EXPERIENCE ,SURVEYS ,THEMATIC analysis ,RESEARCH methodology ,SOCIAL adjustment ,STATISTICS ,PUBLIC health ,COMPARATIVE studies ,DATA analysis software ,COVID-19 pandemic - Abstract
The emergence of the COVID-19 pandemic significantly changed the prenatal care experience, specifically regarding medical appointments and social opportunities. It is critical to capture this change through the narratives of pregnant people, particularly those of marginalized populations, whose voices may often be underrepresented in the literature. This mixed-methods paper summarizes the experiences of 40 pregnant Black/African American (AA) women during the COVID-19 pandemic. A cross-sectional, online survey was administered between 2020 and 2021 to assess prenatal health and the impacts of the COVID-19 pandemic on patients' pregnancy experience. Coping behaviors during the pandemic were self-reported using the COPE-IS. Univariate analyses were conducted. An additional analysis of participants (n = 4) was explored through a week-long qualitative exercise using a photo documentation procedure. Photo-Elicitation Interviews (PEI) were conducted to capture and center their pandemic pregnancy experiences. Sources of stress during the pandemic varied, with the most common being financial concerns (n = 19, 47.5%). Over half of the sample (n = 18, 54.5%) self-reported increases in their positive coping behaviors during the pandemic, such as communicating with friends and family, talking to healthcare providers, listening to music, and engaging in spiritual practices–such as prayer. The four PEI study participants reflected on the impacts of social distancing on their prenatal experience and mentioned hospital and provider-related weariness due to their race. The findings of this study suggest that during the COVID-19 pandemic, Black/AA pregnant women in Charlotte, NC used social support, mindfulness practices, self-advocacy, and health literacy to navigate challenges present during their prenatal health experience. This paper highlights the personal, social, and structural experiences of pregnant women during a public health crisis so that responsive and effective programs or policies can be planned in the future. [ABSTRACT FROM AUTHOR]
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- 2023
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13. Optimising a clinical decision support tool to improve chronic kidney disease management in general practice.
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Hunter, Barbara, Davidson, Sandra, Lumsden, Natalie, Chima, Sophie, Gutierrez, Javiera Martinez, Emery, Jon, Nelson, Craig, and Manski-Nankervis, Jo-Anne
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TREATMENT of chronic kidney failure ,RISK assessment ,MEDICAL protocols ,FAMILY medicine ,HUMAN services programs ,RESEARCH funding ,MEDICAL informatics ,QUALITATIVE research ,CLINICAL decision support systems ,EVALUATION of human services programs ,INTERVIEWING ,PRIMARY health care ,DECISION making in clinical medicine ,PATIENT care ,JUDGMENT sampling ,DESCRIPTIVE statistics ,CHRONIC kidney failure ,TECHNOLOGY ,ELECTRONIC health records ,MATHEMATICAL models ,COMPUTER-aided diagnosis ,QUALITY assurance ,THEORY ,MEDICAL practice ,USER interfaces ,DISEASE risk factors - Abstract
Background: Early identification and treatment of chronic disease is associated with better clinical outcomes, lower costs, and reduced hospitalisation. Primary care is ideally placed to identify patients at risk of, or in the early stages of, chronic disease and to implement prevention and early intervention measures. This paper evaluates the implementation of a technological intervention called Future Health Today that integrates with general practice EMRs to (1) identify patients at-risk of, or with undiagnosed or untreated, chronic kidney disease (CKD), and (2) provide guideline concordant recommendations for patient care. The evaluation aimed to identify the barriers and facilitators to successful implementation. Methods: Future Health Today was implemented in 12 general practices in Victoria, Australia. Fifty-two interviews with 30 practice staff were undertaken between July 2020 and April 2021. Practice characteristics were collected directly from practices via survey. Data were analysed using inductive and deductive qualitative analysis strategies, using Clinical Performance - Feedback Intervention Theory (CP-FIT) for theoretical guidance. Results: Future Health Today was acceptable, user friendly and useful to general practice staff, and supported clinical performance improvement in the identification and management of chronic kidney disease. CP-FIT variables supporting use of FHT included the simplicity of design and delivery of actionable feedback via FHT, good fit within existing workflow, strong engagement with practices and positive attitudes toward FHT. Context variables provided the main barriers to use and were largely situated in the external context of practices (including pressures arising from the COVID-19 pandemic) and technical glitches impacting installation and early use. Participants primarily utilised the point of care prompt rather than the patient management dashboard due to its continued presence, and immediacy and relevance of the recommendations on the prompt, suggesting mechanisms of compatibility, complexity, actionability and credibility influenced use. Most practices continued using FHT after the evaluation phase was complete. Conclusions: This study demonstrates that FHT is a useful and acceptable software platform that provides direct support to general practice in identifying and managing patients with CKD. Further research is underway to explore the effectiveness of FHT, and to expand the conditions on the platform. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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14. Engaging suicide prevention and firearm stakeholders in developing a workshop promoting secure firearm storage for suicide prevention.
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Christian, Hanna, Crasta, Dev, Lloyd-Lester, Garra, True, Gala, Goodman, Marianne, Bass, Brett, Coric, Kathryne, Ruetten, Timothy, Lane, Robert, and Khazanov, Gabriela
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SUICIDE risk factors ,SAFETY ,RISK assessment ,SELF-efficacy ,RESEARCH funding ,QUALITATIVE research ,INTERVIEWING ,FAMILIES ,FIREARMS ,CONFIDENCE ,DISCUSSION ,SUICIDE prevention ,THEMATIC analysis ,ADULT education workshops ,CONCEPTUAL structures ,RESEARCH methodology ,STAKEHOLDER analysis - Abstract
Background: In the US, over 50% of suicide deaths are by firearm injury. Studies have found that limiting access to firearms, including storing them temporarily outside of the home or locking and unloading them securely at home, helps prevent suicide. Family members and other loved ones are in a unique position to encourage secure firearm storage. This paper describes the development of a workshop to empower loved ones of individuals at risk for suicide to discuss secure firearm storage in New York State. Methods: Using a multistakeholder engagement framework, we partnered with New York State county-level suicide prevention coalitions, local firearms experts, and other stakeholders to develop a 90-min workshop addressing secure firearm storage for suicide prevention. Pilot workshops were co-facilitated by a suicide prevention coalition member and a local firearms expert. Feedback gathered via surveys from workshop attendees and interviews with workshop co-facilitators were used to revise workshop content and inform dissemination. Following pilot workshops, a 1-day training event was held for potential future facilitators, and survey data were collected to assess trainee experiences and interest in facilitating future workshops. Data analysis included rapid qualitative analysis of interviews and statistical analysis of survey responses about acceptability of workshop. Results: Four pilot workshops included a total of 23 attendees. Pilot workshop attendees endorsed willingness and confidence to discuss secure firearm storage with a family member or loved one. The training event included 42 attendees, of which 26 indicated interest in facilitating a workshop within the next year. Co-facilitators agreed on several key themes, including the importance of having a "trusted messenger" deliver the firearms portion of the workshop, keeping the conversation focused on firearm safety for suicide prevention, and developing interventions that reflect firearm owning community's culture. Conclusions: Consistent with a public health approach to suicide prevention, this study leveraged a multistakeholder engagement framework to develop a community-based workshop empowering loved ones of individuals at risk for suicide to discuss secure firearm storage. The workshop will be disseminated across New York State. We noted positive and collaborative relationships across stakeholder groups, and willingness to facilitate the workshop among both suicide prevention and firearm stakeholders. [ABSTRACT FROM AUTHOR]
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- 2024
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15. Successes and lessons learned from a mobile health behavior intervention to reduce pain and improve health in older adults with obesity and chronic pain: a qualitative study.
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Brooks, Amber K., Athawale, Abha, Rush, Virginia, Yearout, Abigail, Ford, Sherri, Rejeski, W. Jack, Strahley, Ashley, and Fanning, Jason
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OBESITY treatment ,HEALTH self-care ,MOBILE apps ,PATIENT compliance ,HEALTH literacy ,HABIT ,CHRONIC pain ,HEALTH status indicators ,QUALITATIVE research ,RESEARCH funding ,MEETINGS ,FOOD consumption ,INTERVIEWING ,SEDENTARY lifestyles ,RESPONSIBILITY ,MINDFULNESS ,PHYSICAL fitness mobile apps ,STATISTICAL sampling ,PILOT projects ,DIGITAL health ,RESEARCH evaluation ,INFORMATION technology ,ANXIETY ,WEARABLE technology ,RANDOMIZED controlled trials ,GOAL (Psychology) ,TELEMEDICINE ,THEMATIC analysis ,FOOD ,MOTIVATION (Psychology) ,SELF-talk ,TELEPHONES ,SOCIAL support ,BODY movement ,SOFTWARE architecture ,THEORY ,HEALTH outcome assessment ,DATA analysis software ,GROUP process ,THOUGHT & thinking ,OLD age - Abstract
Introduction: Chronic pain is a prevalent issue among older adults in the United States that impairs quality of life. Physical activity has emerged as a costeffective and non-pharmacological treatment for chronic pain, offering benefits such as improved physical functioning, weight loss, and enhanced mood. However, promoting physical activity in older individuals with chronic pain is challenging, given the cyclical relationship between pain and sedentary behavior. The Mobile Intervention to Reduce Pain and Improve Health (MORPH) trial was designed as an innovative, mobile health (mHealth) supported intervention to address this issue by targeting daylong movement, weight loss, and mindfulness to manage pain in older adults with chronic multisite pain. The objective of this paper is to provide the result of a qualitative analysis conducted on post-intervention interviews with MORPH participants. Methods: At the conclusion of the MORPH study, 14 participants were interviewed regarding their experience with the program. All interviews were conducted by phone before being transcribed and verified. A codebook of significant takeaways was created based on these accounts. Summaries were further synthesized into themes using the principles of thematic analysis. Results: Three key themes of the MORPH intervention emerged from the qualitative interviews: MORPH technology (smart scales, Fitbit, MORPH Companion App) facilitated program adherence and accountability; MORPH intervention components (food tracking and mindfulness activities) facilitated program adherence and awareness, respectively; and, group meetings provided motivational support and accountability. Mobile health technologies, including a dedicated MORPH app, facilitated self-monitoring strategies, helped to break the cycle of old habits, and provided participants with immediate feedback on successes; however, technical issues required timely support to maintain engagement. Food tracking contributed to adherence and accountability for weight loss. Mindfulness activities increased participants' awareness of anxiety provoking thoughts and pain triggers. Finally, social support via group meetings and connection, played a crucial role in behavior change, but participants noted consistency in the delivery medium was essential to fostering genuine connections. Conclusion: Overall, the study results highlight the key considerations related to program technology, intervention components, and the value of social support that can help to guide the development of future interventions similar to MORPH. [ABSTRACT FROM AUTHOR]
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- 2024
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16. Where do incarcerated trans women prefer to be housed and why? Adding nuanced understandings to a complex debate through the voices of formerly incarcerated trans women in Australia and the United States.
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Brömdal, Annette, Sanders, Tait, Stanners, Melinda, du Plessis, Carol, Gildersleeve, Jessica, Mullens, Amy B., Phillips, Tania M., Debattista, Joseph, Daken, Kirstie, Clark, Kirsty A., and Hughto, Jaclyn M. W.
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SAFETY , *IMPRISONMENT , *RESEARCH funding , *CORRECTIONAL institutions , *GAY people , *CRIMINALS , *INTERVIEWING , *ATTITUDES toward sex , *DESCRIPTIVE statistics , *THEMATIC analysis , *SOUND recordings , *ATTITUDE (Psychology) , *SOCIAL attitudes , *CONCEPTUAL structures , *RESEARCH methodology , *TRANS women , *HOUSING - Abstract
Background: Incarcerated trans women experience significant victimization, mistreatment, barriers to gender-affirming care, and human rights violations, conferring high risk for trauma, psychological distress, self-harm, and suicide. Across the globe, most carceral settings are segregated by sex assigned at birth and governed by housing policies that restrict gender expression—elevating ‘safety and security’ above the housing preferences of incarcerated people. Aim/methods: Drawing upon the lived experiences of 24 formerly incarcerated trans women in Australia and the United States and employing Elizabeth Freeman’s notion of chrononormativity, Rae Rosenberg’s concept of heteronormative time, and Kadji Amin’s use of queer temporality, this paper explores trans women’s carceral housing preferences and contextual experiences, including how housing preferences challenge governing chrononormative and reformist carceral housing systems. Findings: Participants freely discussed their perspectives regarding housing options which through thematic analysis generated four options for housing: 1) men’s carceral settings; 2) women’s carceral settings; 3) trans- and gay-specific housing blocks; and 4) being housed in protective custody or other settings. There appeared to be a relationship between the number of times the person had been incarcerated, the duration of their incarceration, and where they preferred to be housed. Conclusions: This analysis contributes to richer understandings regarding trans women’s experiences while incarcerated. This paper also informs the complexities and nuances surrounding housing preferences from the perspectives of trans women themselves and considers possible opportunities to enhance human rights, health and wellbeing when engaging in transformative approaches to incarceration. [ABSTRACT FROM AUTHOR]
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- 2024
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17. Ageing with (and into) assistive technology: an exploration of the narratives of amputees and polio survivors.
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Johnstone, Lewis, Almukhtar, Ali, DePasquale, Rebecca, Warren, Narelle, and Block, Pamela
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PSYCHOLOGICAL aspects of aging , *PATIENT autonomy , *POLIO patients , *INTERVIEWING , *AMPUTEES , *DESCRIPTIVE statistics , *PSYCHOLOGICAL adaptation , *DECISION making , *ASSISTIVE technology , *THEMATIC analysis , *BIOGRAPHY (Literary form) , *PATIENTS' attitudes , *SELF-perception - Abstract
Assistive technologies (AT) perform an important social role, interacting with cultural systems to produce or hinder accessibility to biosocial environments. This interaction profoundly shapes not only how an individual body can be experienced by users but also produce and hinder accessibility to biosocial environments. AT users have historically been viewed through a medical model, which deems them disabled by their impairments and by dominant ableist narratives. Therefore, this paper serves to provide an insight into the importance of ageing with and into AT. This paper aims to investigate polio survivors' and diabetic amputees' experiences of assistive technologies in order to better understand impacts upon narrative and identity. By applying an anthropological and sociological lens, a holistic view of the experiences of polio survivor and amputee AT users is developed. This paper draws on 16 in-depth interviews with polio survivors and diabetic amputees in the United States (US) and Australia, which were analysed using an experience-centered narrative approach. Both projects were approved by ethics boards. All participants provided written consent. Five themes were identified: a) disruption to biographies, which reflected AT impact on how narratives become altered; b) impacts to autonomy, which reflected the importance of regaining previous daily activities; c) re-engaging with community life, which highlighted how AT supported participation in valued activities; d) self-perceptions of assistive technologies, which act in opposition to external perspectives and challenge ableist narratives; and e) an intergenerational comparison of new and older AT users highlights the importance of temporalities. This paper offers new perspectives on ageing with assistive technologies, with a focus on identity and narrative. The importance of this paper is to contribute to the existing literature that demonstrates the cultural implications that arise through embodiment and assistive technologies. The use of assistive technology can help individuals regain function, but the individual circumstances require consideration The use of assistive technology is a complex entanglement of bodies, environments, biographies, and imagined futures. The use of assistive technology can provide participants autonomy over their narratives and assist with maintaining their identities [ABSTRACT FROM AUTHOR]
- Published
- 2024
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18. Evaluation of the Effectiveness of a Tablet Computer Application (App) in Helping Students with Visual Impairments Solve Mathematics Problems.
- Author
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Beal, Carole R. and Rosenblum, L. Penny
- Subjects
ANALYSIS of variance ,STUDENTS with disabilities ,HIGH school students ,INTERVIEWING ,MATHEMATICS ,MEDICAL cooperation ,MIDDLE school students ,MOTIVATION (Psychology) ,MULTIVARIATE analysis ,PORTABLE computers ,PROBABILITY theory ,PROBLEM solving ,RESEARCH ,SCALE analysis (Psychology) ,SCHOOL children ,STUDENT attitudes ,TEACHERS ,VISION disorders ,TEACHING methods ,TEACHER development ,COLLEGE teacher attitudes ,MOBILE apps ,DESCRIPTIVE statistics - Abstract
Introduction: The authors examined a tablet computer application (iPad app) for its effectiveness in helping students studying pre-algebra to solve mathematical word problems. Methods: Forty-three visually impaired students (that is, those who are blind or have low vision) completed eight alternating mathematics units presented using their traditional literacy medium or an iPad app. Twenty percent of the mathematics problems included graphics such as maps, line graphs, and bar graphs. During each session, teachers of visually impaired students rated the amount of support they provided for students and the student motivation. Results: Students answered more mathematics problems correctly when using the iPad app and, overall, teachers reported that their students were more motivated with the app than with their traditional literacy medium. Students often used the hints provided in the app when they did not solve a problem correctly the first time. Discussion: Visually impaired students and their teachers found the app and graphics to be easy to use and motivating. The built-in Scratch pad was used by almost all students who were print users. Implications for practitioners: The study results contribute to the growing body of knowledge about the potential value of tablet-type devices for use by visually impaired students. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
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19. A qualitative exploration of speech–language pathologists' approaches in treating spoken discourse post‐traumatic brain injury.
- Author
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Hoffman, Rhianne, Spencer, Elizabeth, and Steel, Joanne
- Subjects
- *
SPEECH therapy , *MEDICAL logic , *MEDICAL protocols , *QUALITATIVE research , *INTERVIEWING , *CONTENT analysis , *JUDGMENT sampling , *PHYSICIAN practice patterns , *RESEARCH methodology , *SOCIAL skills , *BRAIN injuries , *DISEASE complications - Abstract
Background: Spoken discourse impairments post‐traumatic brain injury (TBI) are well‐documented and heterogeneous in nature. These impairments have chronic implications for adults in terms of employment, socializing and community involvement. Intervention delivered by a speech–language pathologist (SLP) is recommended for adults with discourse impairments post‐TBI, with an emphasis on context‐sensitive treatment. The developing evidence base indicates a wide array of treatment components for SLPs to evaluate and implement within their clinical practice. However, there is limited insight into how SLPs are currently treating discourse impairments and the rationales informing clinical practice. Aims: To explore the under‐researched area of clinical practice for spoken discourse interventions with adults post‐TBI, including treatment components and clinician rationales, and to contribute towards a shared knowledge base. Methods & Procedures: Participants were recruited via purposeful sampling strategies. Six SLPs participated from Australia, the United Kingdom (UK) and the United States (US). Semi‐structured interviews were conducted via Zoom. Interviews were manually transcribed, coded and analysed via a qualitative content analysis approach. Outcomes & Results: :Participants described discourse treatment practices across various settings and TBI recovery stages. Results indicated that SLPs used numerous treatment activities, resources and outcome measures. Intervention approaches primarily targeted social communication skills, strategy development/utilization and insight‐building. Clinical practice conformed to available guidelines where possible, reflected best practice and incorporated components of the research literature. Participants reported using individualized treatment activities aimed at addressing client‐specific factors and rationales prioritized tailored, context‐sensitive and goal‐directed treatment. Conclusions & Implications: This study provided insight into a previously under‐researched area. It highlighted a wide range of treatment activities and factors informing current SLPs' treatment of spoken discourse impairment post‐TBI. Overall, clinical practice and rationales discussed in this study were aligned with best practice and emphasized a contextualized, individualized approach to discourse treatment across service settings and stages of recovery. Participants identified areas requiring further support, including access to training, resources and research, and the challenge of finding suitable outcome measures. Further investigation into discourse management post‐TBI, from initial assessment to outcome measurement, may help inform clinical decision‐making and the transfer of research to practice. WHAT THIS PAPER ADDS: What is already known on the subject: Spoken discourse impairments occur in dialogic and monologic productions post‐TBI. Interventions targeting both genres are detailed within the research literature; however, studies exploring clinical practice and decision‐making for discourse interventions post‐TBI are limited. What this paper adds to existing knowledge: This study provides new insight into the current treatment targets, activities, resources and outcome measures employed by clinicians supporting adults with discourse impairment post‐TBI. It details the factors that influence clinical decision‐making for this caseload and identifies an emphasis on client priorities and the value of clinician experience. What are the potential or actual clinical implications of this work?: This study identifies the broad and complex considerations required to deliver context‐sensitive discourse intervention post‐TBI. It indicates the need for an in‐depth review from assessment to treatment outcomes to better understand and support this area of practice and to direct future research. This study also highlighted the role of clinician experience in discourse intervention and the value of sharing clinical knowledge and resources within and across the profession to support all levels of clinician experience. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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20. How Helpful Is Bystander Intervention? Perspectives of Dating and Sexual Violence Survivors.
- Author
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McMahon, Sarah
- Subjects
COLLEGE students ,RESEARCH ,SOCIAL support ,RESEARCH methodology ,DATING violence ,INTERVIEWING ,GENDER-nonconforming people ,QUALITATIVE research ,SEX crimes ,SOUND recordings ,LGBTQ+ people ,DESCRIPTIVE statistics ,RESEARCH funding ,SOCIAL skills ,THEMATIC analysis ,EMOTIONS - Abstract
While bystander intervention education has demonstrated promise as a strategy to reduce dating and sexual violence (DSV) on campus, little is known about whether survivors on whose behalf the interventions take place find these helpful. This paper uses qualitative, in-depth interviews with 33 DSV survivors to explore their perspectives on bystander intervention. Results indicate that while some interventions were identified as helpful, especially those that provided support to the survivor, many were not helpful enough or even harmful. Further work is needed to understand the consequences of bystander action. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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21. Integration of Dementia Systems in Central America: A Social Network Approach.
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CURRERI, NEREIDE A., GRIFFITHS, DAVE, and MCCABE, LOUISE
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DIAGNOSIS of dementia ,HEALTH services accessibility ,SELF-evaluation ,MEDICAL quality control ,COMPUTER software ,RESEARCH funding ,INTERVIEWING ,STATISTICAL sampling ,GOVERNMENT agencies ,DESCRIPTIVE statistics ,SOCIAL networks ,RESEARCH methodology ,DEVELOPING countries ,PUBLIC administration ,COMPARATIVE studies ,INTEGRATED health care delivery ,DEMENTIA patients ,ACTIVE aging - Abstract
Introduction: Action 3 of the UN Decade of Healthy Ageing plan is to deliver integrated care to improve older adults' lives. Integrated care is vital in meeting the complex needs of people with dementia but little is known about how this is or could be delivered in low and middle income countries (LMIC). This paper provides insights into previously unknown care system structures and on the potential and reality of delivering integrated care in Central America for people with dementia. Methods: A social network analysis (SNA) methodology was adopted to engage with providers of services for older adults and families with dementia in Guatemala, El Salvador, Honduras, Costa Rica and Panama. Sixty-eight (68) semi-structured interviews were completed, 57 with organisations and 11 with families. Results: Across the five countries there was evidence of fragmentation and low integration within the dementia care systems. A variety of services and types of providers are present in all five countries, and high levels of diversified connections exist among organisations of differing disciplines. However, unawareness among network members about other members that they could potentially form active links with is a barrier on the path to integration. Conclusion: This innovative and robust study demonstrates SNA can be applied to evaluate LMIC care systems. Findings provide baselines of system structures and insights into where resources are needed to fortify integration strategies. Results suggest that Central American countries have the building blocks in place to develop integrated care systems to meet the needs of people with dementia, but the links across service providers are opportunistic rather than context based coordinated integration policies. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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22. "It's Like Being a Parent at Work": Antiviolence Frontline Work, Boundaries, and Intimacy During COVID-19.
- Author
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Schwarz, Corinne and Welch, Leigh
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EMPLOYEE psychology ,CRIME prevention ,VIOLENCE prevention ,HUMAN trafficking prevention ,PREVENTION of infectious disease transmission ,WORK ,HEALTH services administration ,PROFESSIONAL ethics ,INTIMATE partner violence ,SEX crimes ,INTERVIEWING ,WORK-life balance ,PSYCHOLOGICAL adaptation ,CLIENT relations ,SOUND recordings ,THEMATIC analysis ,DOMESTIC violence ,SOCIAL boundaries ,TELECOMMUTING ,REGULATORY approval ,INTIMACY (Psychology) ,COVID-19 pandemic ,EMPLOYEE attitudes ,EXPERIENTIAL learning ,INDUSTRIAL safety ,SOCIAL isolation - Abstract
COVID-19 profoundly shaped how service providers in the antiviolence sector interact with clients, coworkers, and community stakeholders. In addition to stressors inherent in antiviolence work, service providers negotiated new, challenging social distancing and remote communication strategies. In this paper, we analyze interviews with 23 antiviolence workers in the US Great Plains region, focusing on participants' descriptions of workplace boundaries and intimacy. We demonstrate how COVID-19 both expanded and contracted public/private boundaries and formal/informal connections in antiviolence workers' daily experiences. Pandemic conditions revealed the pressing need for frontline workers to exercise discretion over levels of intimate engagement with coworkers and clients. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
23. When the United Nations Convention on the Rights of the Child meets Confucianism: Chinese parents' understanding of children's right to play.
- Author
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Liu, Chang and Xu, Yuwei
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HUMAN rights organizations ,EDUCATION ,PARENT attitudes ,RESEARCH methodology ,INTERVIEWING ,SELF-efficacy ,PLAY ,QUESTIONNAIRES ,RELIGION ,CULTURAL awareness - Abstract
This study employs a poststructuralist theoretical framework to explore parents' attitudes towards children's right to play in Shanghai, China. It adopted mixed methods of online questionnaires (N = 880) and semi-structured interviews (N = 11). The findings suggest that participants struggle with embracing and practising children's right to play as defined by the United Nations Convention on the Rights of the Child (UNCRC), reflecting culturally-sensitive and -contextualised concerns around their children's future success. Those concerns are connected with the hegemony of Confucianism in shaping educational values in Chinese education. In the context of globalisation, this paper points to the empowerment of parents in practising children's rights to play in China. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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24. 'I just think it's weird': the nature of ethical and substantive non-ethical concerns about infertility treatments among Black and White women in U.S. graduate programmes.
- Author
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Tierney, Katherine and Urban, Amber
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INFERTILITY treatment ,AMERICAN women ,RACISM ,ETHICS ,RESEARCH methodology ,INTERVIEWING ,PATIENTS' attitudes ,RESEARCH funding ,WHITE people ,STUDENT attitudes ,POLICY sciences ,HEALTH equity ,AFRICAN Americans - Abstract
In the United States, Black women's use of infertility treatments is relatively low, despite elevated or similar rates of infertility compared with White women. Ethical concerns about infertility treatments have been identified as a potential sociocultural factor contributing to these treatment-seeking disparities. Despite documented differences, the substance of these ethical concerns is unclear. Clarifying the nature of these concerns contributes to our understanding of the social forces that shape the contexts of infertility care. Using an intersectional and comparative analysis of semi-structured interviews with Black or African American and White women enrolled in U.S. graduate programmes, this paper investigates the nature and substance of ethical concerns about medicalized infertility treatments. Three central themes emerged: (i) ethical concerns were not binary; (ii) ethical concerns varied by modality, but not by race, and focussed primarily on infertility treatments involving third parties; and (iii) substantive non-ethical concerns were concentrated among Black women and were driven by discomfort with or preferences against treatments involving third-parties. The paper concludes with a discussion of the implications of these findings for researchers, providers, and policymakers. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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25. A school‐based health centre partnership: Faculty practice, nursing student learning and wellness in youth, families and community.
- Author
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Beierwaltes, Patricia, Bell, Sue Ellen, Cornell, Rhonda, Ostrow, Laurel Gail, Schmitz, Nicole, Verchota, Gwen, Clisbee, David, Houston, Rebecca, and Eggenberger, Sandra K.
- Subjects
FAMILIES & psychology ,EVALUATION of medical care ,HEALTH education ,SCHOOL health services ,HEALTH services accessibility ,COMMUNITIES ,INTERVIEWING ,MEDICAL teaching personnel ,NURSING education ,LEARNING strategies ,HUMAN services programs ,QUALITATIVE research ,HEALTH ,PHILOSOPHY of education ,RESEARCH funding ,SOCIAL classes ,MEDICAL practice ,NURSING students ,HEALTH equity ,CONTENT analysis ,EDUCATIONAL outcomes ,HEALTH promotion ,SECONDARY analysis - Abstract
Aims and Objectives: This paper describes the development of a SBHC with an innovative model of care that grew out of a partnership between a public‐school district and a university nursing programme in the midwestern region of the United States. Background and Purpose: Persistent barriers to health and health care experienced by youth are well documented. School‐based health centres (SBHCs) can improve educational and health outcomes, positively impacting health equity. Academic systems are positioned to address health care needs of the school‐aged population, yet educators face challenges of accessing quality learning placements for students and faculty practice sites. Methods: A community‐based collaborative methodology guided the planning phases that were driven by priority needs identified by families and stakeholders. With the mission of "partnering with students, families, and communities in the promotion of health and wellness through engagement in practice, education, and research," an ongoing dialogue over a two‐year period led to articulating a vision, designing a plan and implementing a nurse‐managed SBHC. The Standards for Reporting Qualitative Research (SRQR) checklist was considered in the preparation of this paper. Results: In three years, this SBHC has addressed and identified priority needs and served individual youth and families. The SBHC provides opportunities for the faculty to fulfil a practice requirement for certification and accreditation. Nursing students engage with youth and families in health education and health promotion while strengthening their technical and relational skills. Family nurse practitioner students gain valuable clinical experience. Faculty with expertise in family nursing guide family assessments, support family resiliency and direct therapeutic conversations with family units. Conclusion: SBHCs serve youth, families, and community. This academic–practice partnership has the added benefit of providing faculty practice opportunities and nursing student experiential learning. Relevance to Clinical Practice: SHBCs provide practice opportunities that address needs in individuals, families, and communities. Partnerships should be considered at academic nursing programmes to support their needs and fulfil commitments to address health equity gaps. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
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26. Developing as a person: How international educational programs transform nurses and midwives.
- Author
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JOHNSTON, JACQUELINE, MCKENNA, PROFESSOR LISA, MALIK, GULZAR, and REISENHOFER, SONIA
- Subjects
- *
NURSING education , *NURSES , *COMMUNICATIVE competence , *MIDWIVES , *INTERNSHIP programs , *INTERVIEWING , *STATISTICAL sampling , *MIDWIFERY education , *JUDGMENT sampling , *CONFIDENCE , *REFLECTION (Philosophy) , *PSYCHIATRIC nurses , *PROFESSIONAL employee training , *EXCHANGE of persons programs , *SERVICE learning , *RESEARCH methodology , *INDIVIDUAL development , *GROUNDED theory - Abstract
Objective: To determine impact of undertaking an international educational program during a nurse's or midwife's pre-registration program on subsequent practice, focusing on how nurses and midwives were transformed personally through participation in such programs. Background: Participation in international educational programs has been reported to enhance nursing and midwifery students' personal and professional development, however long-term impacts remain unclear. This paper presents findings drawn from a larger grounded theory study. Study design and Methods: Charmaz's grounded theory methodology was used to elicit experiences from 13 general nurses, two mental health nurses, three midwives and four dual qualified nurse/midwives across eight different countries. Data analysis led to the creation of three categories, with this paper reporting on the category of Developing as a Person. Findings: Participation in international educational programs can be transformative for nurses and midwives with long-lasting impacts, contributing positively to their personal growth and development. Discussion: The study findings underscore significant long-term impacts of international educational programs for nurses and midwives. These outcomes highlight the importance of incorporating international experiences into healthcare education. Conclusion: By providing opportunities for healthcare professionals to engage with diverse settings and populations, organisations and educational institutions can foster the development of well-rounded and globally competent practitioners. Implications for research, policy, and practice: The study's findings hold significant implications for research, policy, and practice in healthcare education. To deepen our understandings, additional longitudinal research across diverse countries is warranted. Policymakers have an opportunity to acknowledge the positive impact of these programs on the personal growth and development of nurses and midwives, potentially leading to the integration of global competency requirements into licensure programs. In order to provide comprehensive education, educational institutions should consider the inclusion of study abroad opportunities, cultural exchanges, and global clinical placements within nursing and midwifery curricula. What is already known about the topic? • International educational programs are widely used as a way of developing nursing and midwifery students' cultural understandings. • Previous studies have reported on short-term impacts of international educational programs. What this paper adds: • Long-term impacts of participation in an international educational program on nurses and midwives are described. • Personal development and subsequent transformations occur for nurses and midwives as a result of participation in international educational programs. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
27. Barriers to Disclosure of Intimate Partner Violence Among Undocumented Spanish-Speaking Immigrants in the United States.
- Author
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Zero, Odette, Tobin-Tyler, Elizabeth, and Goldman, Roberta E.
- Subjects
DISCLOSURE ,HEALTH services accessibility ,HUMAN rights ,RESEARCH methodology ,LANGUAGE & languages ,INTERVIEWING ,FEAR ,MEDICAL care costs ,INTIMATE partner violence ,QUALITATIVE research ,SELF-consciousness (Awareness) ,UNDOCUMENTED immigrants ,PSYCHOSOCIAL factors ,PSYCHOLOGY of women ,SOUND recordings ,MISINFORMATION ,DATA analysis software ,MEDICAL coding ,POLICE - Abstract
Undocumented monolingual Spanish-speaking immigrants are one of the most vulnerable and marginalized groups to experience intimate partner violence (IPV) in the United States. This paper explores the barriers that prevent IPV disclosure in healthcare settings. Qualitative interviews (n = 14) were conducted with previously undocumented Spanish-speaking legal clients of a community domestic violence agency. The major barriers expressed by the interviewees regarding IPV screening and disclosure include limited opportunities for IPV screening, misinformation about legal rights from abusers, fear of deportation and separation from children, and lack of knowledge about resources. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
28. Nurses' experiences of working in the community with adolescents who self‐harm: A qualitative exploration.
- Author
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Leddie, Gemma, Fox, Claudine, and Simmonds, Sarah
- Subjects
PSYCHIATRIC nursing ,NURSES' attitudes ,RESEARCH methodology ,MENTAL health ,INTERVIEWING ,NURSE-patient relationships ,QUALITATIVE research ,PHENOMENOLOGY ,SELF-mutilation in adolescence ,NURSES ,COMMUNITY mental health personnel ,JUDGMENT sampling ,THEMATIC analysis - Abstract
Accessible Summary: What is known on the subject?: Nurses' experience challenges of managing risk, boundaries and emotional responses when working with people who self‐harm.Adolescent self‐harm is a growing problem, with rates increasing in the UK.Existing research has failed to differentiate and specifically explore nurses' experiences of working with adolescents who self‐harm. What the paper adds to existing knowledge?: This paper provides an understanding of the impact of working with adolescents who self‐harm in the community on nurses, and highlights recommendations to improve staff and patient experiences and care.Community CAMHS nurses experience personal and professional conflicts when working with adolescents who self‐harm. They experience interpersonal conflicts balancing the needs of adolescents with the needs of the systems around them, and intrapersonal conflicts regarding experiencing mixed emotions, and balancing the care they want to provide with service pressures.Community CAMHS nurses experience feelings of self‐doubt and shame due to their emotional responses, self‐care behaviours, personal and professional boundaries. They use their feelings of pride, honour and enjoyment to manage these experiences. What are the implications for practice?: Nurses working in CAMHS should be provided with more opportunities for reflective practice and self‐care, to enable reflection and learning regarding the emotional impacts and working with systems. Managerial investment is required to facilitate this.Nurses working with adolescents who self‐harm in CAMHS could benefit from training regarding understanding and managing self‐harm (such as dialectical behavioural therapy), and effectively working with families and people who support these adolescents (such as attachment‐based family therapy). Introduction: Nurses often work in the community with adolescents who self‐harm. There is a lack of qualitative research exploring nurses' experiences of working with adolescents who self‐harm. Aim: This study aimed to gain an understanding of community nurses' experiences of working with adolescents who self‐harm. Method: Ten semi‐structured interviews were conducted with registered nurses working in Child and Adolescent Mental Health Services (CAMHS) in the United Kingdom (UK). Results: Data were analysed using interpretative phenomenological analysis (IPA). Two superordinate themes were identified, each consisting of two subordinate themes: personal and professional conflicts, describing interpersonal and intrapersonal conflicts the nurses experienced working with adolescents who self‐harm and the systems around them, and personal and professional development, outlining processes of management of conflicts and development. Discussion: Nurses feel conflicted about working with adolescents who self‐harm within the context of working with systems surrounding the adolescent. They report positive experiences, which they use to reframe their experiences and feelings of shame as a result of their emotional responses, self‐care behaviours and personal and professional boundaries. Implications for Practice: Nurses working with adolescents who self‐harm would benefit from training, reflective practice and self‐care. CAMHS managers should encourage and invest in these areas. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
29. Human-centered integrated care pathways for co-creating a digital, user-centric health information solution.
- Author
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Turk, Eva, Wontor, Viola, Vera-Muñoz, Cecilia, Comnes, Lucia, Rodrigues, Natercia, Ferrari, Giovanna, and Moen, Anne
- Subjects
UNIVERSAL design ,HEALTH services accessibility ,INDIVIDUALIZED medicine ,DIGITAL health ,PRIVATE sector ,INTERVIEWING ,HEALTH ,INFORMATION resources ,HEALTH behavior ,HEALTH care teams ,PUBLIC sector ,INTERPROFESSIONAL relations ,INTEGRATED health care delivery ,PATIENT compliance ,NEEDS assessment ,ADULT education workshops - Abstract
Purpose: A broader challenge of co-creating digital solutions with patients addresses the question how to apply an open-access digital platform with trusted digital health information as a measure to transform the way patients access and understand health information. It further addresses use this for adherence to treatment, risk minimization and quality of life throughout the integrated patient journey. The aim of this paper is to demonstrate the early steps in towards progress to co-creating the digital solution. Design/methodology/approach: To coordinate the co-creation process, the authors established a multiphased plan to deep-dive into user needs and behaviors across patient journeys, to identify nuances and highlight important patterns in stakeholder and end-user segment at various stages in the patient's journey. Findings: A set of tools was designed to serve as a human-centered compass throughout the lifecycle of the project. Those tools include shared objects; personas, user journeys, a set of performance indicators with related requirements – all those tools being consistently refined in ongoing co-creation workshops with members of the cross-functional stakeholder groups. Originality/value: In this study, a multidisciplinary, public-private partnership looked at integrated digital tool to improve access, understanding and adherence to treatment for diverse groups of patients across all stages of their health journeys in a number of countries including European Union (EU) and United States of America (USA). As a result of this work, the authors attempt to increase the possibility that the improved availability and understanding of health information from trusted sources translates to higher levels of adherence to treatment, safer use of medication (pharmacovigilance), better health outcomes and quality of life integrated in the patient's journey. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
30. Parole officers close the book on paper.
- Author
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Bailey, Sarah
- Subjects
PERSONAL computers ,PAROLE officers ,INTERVIEWING ,LAPTOP computers - Abstract
Reports on the use of Gateway Incorporated's Tablet PC by state parole officers in Georgia to record interviews with parolees. Information on how the personal computer works; Advantages of Tablet PC over laptops; Plan of the Maryland Division of Parole and Probation to develop a management system similar to Georgia.
- Published
- 2003
31. The Iterative Mindset Method: a neuroscientific theoretical approach for sustainable behavior change and weight-loss in digital medicine.
- Author
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Bobinet, Kyra and Greer, Stephanie M.
- Subjects
EMPLOYEE psychology ,PREVENTION of obesity ,NEUROSCIENCES ,PILOT projects ,THOUGHT & thinking ,MATHEMATICAL models ,DIGITAL health ,INTERVIEWING ,QUALITATIVE research ,WEIGHT loss ,THEORY ,SOUND recordings ,BEHAVIOR modification ,LONGITUDINAL method - Abstract
With the growing prevalence of chronic conditions driving 85% of all healthcare costs, digital health offers a promising opportunity to reverse disease and improve health at-scale. The healthcare industry's predominant approach to behavior change is performance-based with a focus on goals and tracking. This has not reversed the epidemic of chronic diseases and also can harm chronically ill and vulnerable patients via perceived failure-induced loss of motivation. Still nascent, the digital health industry is uniquely positioned to adopt and scale new and better behavior change approaches. In this paper, we present the theoretical foundation and initial findings of a neuroscience-based behavior change approach—what we call the Iterative Mindset Method
TM . We discuss its promise, as a potentially more effective, neuroscience-based approach to changing health behaviors long-term, particularly in vulnerable populations. We conclude with avenues for future research. [ABSTRACT FROM AUTHOR]- Published
- 2023
- Full Text
- View/download PDF
32. The quest for diffusible community health worker projects and the pitfalls of scaling culture.
- Author
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Aue, Luis and Hanrieder, Tine
- Subjects
PATIENT participation ,NEGOTIATION ,PRACTICAL politics ,EVIDENCE-based medicine ,INTERVIEWING ,THEORY of knowledge ,HUMAN services programs ,QUALITATIVE research ,SELF-efficacy ,CULTURAL competence ,TEACHING aids ,DESCRIPTIVE statistics ,RESEARCH funding ,COMMUNITY-based social services ,INTERPROFESSIONAL relations ,CURRICULUM planning ,CULTURAL awareness ,SECONDARY analysis - Abstract
Researchers of community health worker (CHW) models in many countries are looking for ways to scale without losing one of their main advantages, their context-sensitivity. This paper looks at one research strategy to make CHW projects scalable, namely by developing a generic notion of culture-sensitivity. Based on in-depth qualitative analysis, we reconstruct how 'culture' has been enshrined in a US-based CHW project and specifically in the artefact of a binder with teaching materials for vulnerable mothers. The inscription of generalized, culture-sensitive spaces into the binder did allow the Project to comply with standards of evidence-based medicine while respecting community self-determination and made space for creative and competent CHW practices. Yet at the same time, it took away from more substantive conceptions of community engagement and from community empowerment through CHWs. Our analysis highlights how the focus on culture can invisibilise and displace the importance of competent CHW practice and processes of community engagement. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
33. Promoting racial equity and antiracist practice in child welfare: perceptions of public child welfare administrators.
- Author
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Collins-Camargo, Crystal and Winters, Andrew
- Subjects
PREVENTION of racism ,CHILD welfare ,EMPLOYEE retention ,SUPERVISION of employees ,EXECUTIVES ,QUALITATIVE research ,INSTITUTIONAL racism ,CONVERSATION ,HUMAN services programs ,PROFESSIONAL practice ,STATISTICAL sampling ,INTERVIEWING ,UNIVERSITIES & colleges ,CHILD abuse ,RESPONSIBILITY ,STRATEGIC planning ,DESCRIPTIVE statistics ,DECISION making ,ANXIETY ,REFLECTION (Philosophy) ,ANTI-racism ,PUBLIC relations ,INSTITUTIONAL cooperation ,SOUND recordings ,THEMATIC analysis ,ROOT cause analysis ,ATTITUDES of medical personnel ,RESEARCH ,RESEARCH methodology ,DISTRACTION ,EMPLOYEE recruitment ,COMPARATIVE studies ,DATA analysis software ,PRACTICAL politics ,COMMITMENT (Psychology) ,RACIAL inequality ,LABOR supply ,MANAGEMENT - Abstract
There is much discussion in the literature regarding the role public child welfare has played in disproportionately intervening with children and families of color, and debate regarding how this has impacted their wellbeing and the role systemic racism has played. The voice of individuals serving as regional and state-level administrators of public child welfare agencies regarding this topic and how to address existing inequities has been missing in this dialogue. This paper reports on semi-structured interviews conducted with sixteen such administrators regarding where they have observed these issues in their agencies and a wide array of strategies they believe have the best likelihood of promoting racial equity and antiracist practice in the child welfare system, with some describing approaches currently being implemented. Participants discussed what they need from community and university partners to support this work. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
34. Adapting private family time in child protective services decision‐making processes.
- Author
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Lalayants, Marina and Merkel‐Holguin, Lisa
- Subjects
FAMILIES & psychology ,ANTI-racism ,RESEARCH methodology ,SOCIAL justice ,INTERVIEWING ,QUALITATIVE research ,SELF-efficacy ,FAMILY attitudes ,CHILD welfare ,CHILD health services ,DECISION making ,DESCRIPTIVE statistics ,RESEARCH funding ,PSYCHOLOGICAL adaptation ,EMPIRICAL research ,SOCIAL responsibility - Abstract
The Family Group Conference (FGC) is grounded in a rights‐based framework, whereby children and their families have the right and responsibility to be primary decision‐makers when child protection issues arise, and the statutory agency has the responsibility to convene the entitled members of the family network to lead the decision‐making. A distinct core component of FGC—private family time (PFT)—allows families to discuss the information and formulate their responses and plans privately during conferencing. This paper describes how a large child welfare agency in the United States adapted PFT in two ways: (1) including a parent advocate (PA) and (2) abbreviating the amount of time allowed for this discussion. Given the lack of empirical research on the PFT component, this qualitative exploratory study sought to understand the functions and perceived impacts of PA‐supported PFT during initial child protective services (CPS) conferences at which decisions of child removal or placement were being contemplated. PFT served multiple beneficial functions and impacted families in several positive ways: families gained greater awareness of safety concerns, felt empowered and confident in the preferred safety and service plan, became increasingly engaged and involved in the case decision‐making process and ultimately felt less apprehensive. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
35. "It's More Us Helping Them Instead of Them Helping Us": How Class Disadvantage Motivates Asian American College Students to Help Their Parents.
- Author
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Harrington, Blair
- Subjects
PSYCHOLOGY of parents ,MOTIVATION (Psychology) ,INTERVIEWING ,UNDERGRADUATES ,FAMILY attitudes ,SOCIAL classes ,DESCRIPTIVE statistics ,RESEARCH funding ,ENDOWMENTS - Abstract
While considerable attention has been given to the ways that parents contribute to undergraduates' success, far less attention has been given to what these students do for their families, variation in students' provision of help, or the consequences of giving. Drawing on 61 interviews with Asian American college students from diverse ethnic and class backgrounds, this paper extends conventional understanding of families and college by analyzing the financial assistance and translation support Asian American undergraduates give their parents. Using a trichotomous model of class—comparing disadvantaged, advantaged, and ambiguous students—I show that class disadvantage motivated students' helping, advantage deterred it, while the ambiguous fell in between. Culture (i.e., filial piety) and a broad view of family (i.e., siblings' contributions) also influenced students' help. Finally, based on interview data combined with partial support from analysis of participants' grade point averages data, I demonstrate that helping had positive and negative implications for students' college experience. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
36. Applying the CDC Science Impact Framework to the results of the National Institute for Occupational Safety and Health and the Bureau of Labor Statistics 2001 survey of respirator use and practices.
- Author
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Yoon, Nami, Ari, Mary, Yorio, Patrick, Iskander, John, and D'Alessandro, Maryann
- Subjects
PUBLIC health surveillance ,WORK environment ,LABOR unions ,INDUSTRIAL safety ,RESEARCH methodology ,INTERVIEWING ,CONCEPTUAL structures ,RESPIRATORY protective devices ,SURVEYS ,QUALITATIVE research ,EMPLOYMENT ,GOVERNMENT agencies ,CONTENT analysis ,ELECTRONIC publications ,DIFFUSION of innovations - Abstract
During 2001–2002, the National Institute for Occupational Safety and Health (NIOSH), at the United States Centers for Disease Control and Prevention, collaborated with the Bureau of Labor Statistics (BLS) at the United States Department of Labor to conduct a voluntary survey of U.S. employers regarding the use of respiratory protective devices. In 2003, the survey results were jointly published by NIOSH and BLS. This study highlights and evaluates the scientific impact of the 2001–2002 survey by using the Science Impact Framework which provides a historical tracking method with five domains of influence. The authors conducted interviews with original project management as well as a thorough document review and qualitative content analysis of published papers, books, presentations, and other relevant print media. A semi-structured and cross-vetted coding was applied across the five domains: Disseminating Science, Creating Awareness, Catalyzing Action, Effecting Change, and Shaping the Future. The 2001–2002 survey findings greatly enhanced understanding and awareness of respirator use in occupational settings within the United States. It also led to similar surveys in other countries, regulatory initiatives by the Occupational Safety and Health Administration and Mine Safety and Health Administration, and ultimately to a renewed partnership between NIOSH and BLS to collect contemporary estimates of respirator use in the workplace within the United States. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
37. "A center for trans women where they help you": Resource needs of the immigrant Latinx transgender community.
- Author
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Gonzalez, Kirsten A., Abreu, Roberto L., Rosario, Cristalís Capielo, Koech, Jasmine M., Lockett, Gabriel M., and Lindley, Louis
- Subjects
IMMIGRANTS ,COMMUNITY life ,HEALTH services accessibility ,HISPANIC Americans ,TRANS women ,RESEARCH methodology ,INTERVIEWING ,COMMUNITY support ,QUALITATIVE research ,INTERSECTIONALITY ,EMPLOYMENT ,DESCRIPTIVE statistics ,THEMATIC analysis ,HOMELESSNESS ,ENDOWMENTS ,NEEDS assessment ,MEDICAL needs assessment - Abstract
Background: Immigrant Latinx transgender people often migrate to the United States because of a desire for increased safety and more opportunities. However, after migrating to the United States, immigrant Latinx transgender people often struggle to access basic needs, including health care, jobs, and stable finances. These struggles are exacerbated for undocumented immigrant Latinx transgender people. There is a gap in the literature regarding needed resources for immigrant Latinx transgender community members living in the United States. Aims: Utilizing a critical intersectionality framework, the aim of the present study was to investigate the resource needs of immigrant Latinx transgender community members living in the United States. Methods: A community sample of 18 immigrant Latinx transgender people living in a large metropolitan city in Florida participated in individual semi-structured interviews to explore their community resource needs. Results: Thematic analysis revealed five themes related to resources that participants needed including: 1) Transgender healthcare/resources, 2) Public education, 3) Financial aid resources, 4) Homelessness resources, and 5) Addictions care. Two resource need-related themes were identified that pertain specifically to undocumented immigrant Latinx transgender people, including: 1) Documentation papers for access, and 2) Legal aid. Conclusions: Findings suggest that immigrant Latinx transgender community members in this study provided guidance about broad resources needed to enhance their wellness and safety, and promote liberation of community members. Participants' resource needs suggest the importance of policy and structural level changes from institutions with power that consider and enhance the wellness of immigrant Latinx transgender people. Findings also suggest the need for more tailored interventions and case work to better support immigrant Latinx transgender people. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
38. Challenges of de‐implementing feeding tube auscultation: A qualitative study.
- Author
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Bourgault, Annette M., Upvall, Michele J., Nicastro, Samantha, and Powers, Jan
- Subjects
AUSCULTATION ,INTENSIVE care nursing ,INTUBATION ,RESEARCH methodology ,HEALTH facility administration ,INTERVIEWING ,QUALITATIVE research ,RESPONSIBILITY ,RESEARCH funding ,THEMATIC analysis ,CORPORATE culture - Abstract
Aim: This qualitative study explored de‐implementation of feeding tube auscultation practice in adult patients by critical care nurses. Background: Despite years of evidence suggesting inaccuracy and harm, auscultation (air bolus method) continues to be used by the majority of critical care nurses to verify small‐bore feeding tube placement in adults. Design This descriptive qualitative study used thematic analysis with telephone interview data. Methods: Fourteen critical care nurses from four stratified groups within the United States (by hospital type and auscultation practice) participated in telephone interviews. Results: Two major themes of individual influence and organizational leadership emerged from the data. Categories identified key components required for auscultation de‐implementation. Conclusions: Nurses feel obligated to follow hospital policies and expressed less accountability for their own practice. Organizational leadership involvement is recommended to facilitate de‐implementation of this tradition‐based, low‐value practice and mitigate harm events. Summary statement: What is already known about this topic? Auscultation is not an accurate method to identify feeding tube placement.Many critical care nurses continue to use the auscultation method (a low‐value, tradition‐based practice) to verify feeding tubes.Factors associated with de‐implementation of auscultation method for feeding tube verification are unknown. What this paper adds? Many nurses are aware that auscultation is not evidence based for adult feeding tube verification and are falsely comforted by hearing the whoosh sound (psychological bias).A combination of individual and organizational factors are barriers to de‐implementing auscultation of feeding tubes.Nurses seek guidance from leaders within their organization to facilitate de‐implementation, which is a necessary component of evidence‐based practice. The implications of this paper: A major challenge to de‐implementation of auscultation is the lack of valid bedside methods to assess feeding tube placement. Active involvement by organizational leaders will facilitate decision‐making to recommend a safe substitution for the auscultation method.Nurses expressed eagerness to incorporate evidence into their practice if they have adequate leadership support and the necessary resources to make practice changes.Formal intervention by organizational leaders is needed to promote de‐implementation of auscultation for feeding tubes. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
39. Modes of Informed Caring: Perspectives of Health Professionals Who Are Mothers of Adult Children with Schizophrenia.
- Author
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Klages, Debra, East, Leah, Usher, Kim, and Jackson, Debra
- Subjects
ADULT children ,ATTITUDE (Psychology) ,COMMUNICATION ,INTERPROFESSIONAL relations ,INTERVIEWING ,SERVICES for caregivers ,MEDICAL personnel ,MOTHERHOOD ,PROFESSIONS ,RESEARCH funding ,SCHIZOPHRENIA ,QUALITATIVE research ,JUDGMENT sampling ,OCCUPATIONAL roles ,THEMATIC analysis ,PSYCHIATRIC treatment ,ATTITUDES of mothers ,HEALTH literacy ,PATIENTS' families - Abstract
Schizophrenia is a global concern, and, this paper, describes the caring roles of health professionals who are mothers of adult children with schizophrenia. A thematic analysis of data from a doctoral study identified a blending of expertise into an informed care model. Caring roles included: constant carer; coordinator carer; watchful bystander carer; and life coach carer. Previous research has not explored these dual roles. This paper elucidates their responsive approaches and contributions to mothering and caregiving roles. Informed by a fusion of professional and mothering knowledges, their insights into mental health care have been forged by their experiences and is an untapped resource. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
40. Confronting Shifting Identities: Reflflections on Subjectivity in Transnational Research.
- Author
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Jiyoung Kang
- Subjects
INTERVIEWING ,RACE identity ,ETHNIC groups ,SUBJECTIVITY ,RESEARCHER positionality ,TRANSNATIONALISM - Abstract
As researchers' identities impact the research process, researchers need to take a reflexive stance toward their positionality in the research. The issue of positionality is especially important for research focusing on multicultural issues, which necessarily involves dynamic power relations among different racial/ethnic groups. Drawing from reflections on my research focusing on South Korean adolescents' understandings of migrants, this paper illustrates when and how I confronted my positionality. My positionality as a racial/ethnic minority in the United States affected the process of selecting the research topic and the theoretical framework as well as analyzing interview data while my positionality as an ethnic Korean was salient when making interview questions, interviewing ethnic Korean adolescents, and reporting the findings. There was also a moment in which my identity as an international student from the United States outweighed my ethnic/racial identity during interviews. By sharing my experiences in conducting transnational research in my home country, this paper attempts to contribute to underrepresented discourse on the use of reflexivity in non-Western societies, especially when neither the researcher nor the researched is White. [ABSTRACT FROM AUTHOR]
- Published
- 2020
41. Counseling practices of speech-language pathologists working with aphasia: “I did not have adequate training in actual counseling strategies.”.
- Author
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Hoepner, Jerry K. and Townsend, Aspen K.
- Subjects
- *
MOBILE apps , *QUALITATIVE research , *INTERVIEWING , *APHASIA , *SURVEYS , *THEMATIC analysis , *VIDEOCONFERENCING , *MEDICAL coding , *COUNSELING , *MEDICAL practice - Abstract
Background: Counseling is a part of the scope of practice for speech-language pathologists (SLPs), however training has been inconsistent across programs. Students, clinical fellows, and practicing SLPs alike report feeling under-prepared to address the counseling needs of clients and their families. Research evidence about counseling training and practices specific to addressing the psychological well-being of individuals with aphasia and their families is even more limited. While practicing SLPs feel confident and prepared to address communication-specific interventions for aphasia, they feel ill prepared to address the counseling needs that arise on a regular basis. Aims: The present investigation was part of a two-part investigation that included an online survey to practicing SLPs throughout the United States (US) and follow-up interviews with a subgroup of those participants. This paper addresses the counseling practice interview portion and addresses two research questions: How confident do SLPs feel using counseling with individuals with aphasia? To what extent are SLPs implementing counseling in practice with individuals with aphasia and their family members? Methods & Procedures: Eight practicing SLPs who participated in the part 1 counseling practices survey agreed to participate in the part 2 counseling practices intervention. They varied by years of practice, region of practice, and practice setting (acute, subacute, and chronic). Participants engaged in the Counseling Practices Interview (CPI) via the BlueJeans video conferencing application. Interviews were transcribed and coded qualitatively using open and axial coding methods. Multiple rounds of iterative coding were conducted to ensure rigor and coding stability. Outcomes & Results: Multiple rounds of coding resulted in the following overarching themes: confidence in aphasia-specific skills/ techniques, SLPs encounter emotional and psychosocial discussions regularly, confidence with educational counseling, not prepared for psychosocial adjustment counseling, taking the perspective of individuals with aphasia and their family, referrals/ interprofessional practices and scope of practice issues, and SLP self-care. SLPs reported a clear difference between knowledge and skills for which they feel prepared and confident, versus addressing psychological well-being of individuals with aphasia and understanding practice boundaries. Conclusions: SLPs recognize the importance of counseling skills for working with individuals with aphasia because counseling moments arise regularly. They use a variety of techniques but lack intentionality and specialised training. Academic training was deemed to be inadequate in scope and instructional methods. Postacademic training was identified as hard to access but useful. SLPs reported a lack of clarify on scope of practice, practice boundaries, and referrals. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
42. "It's Not, Can You Do This? It's... How Do You Feel About Doing This?" A Critical Discourse Analysis of Sexuality Support After Spinal Cord Injury.
- Author
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Bryant, Chloe, Aplin, Tammy, Piantedosi, Diana K., and Setchell, Jenny
- Subjects
- *
AUTONOMY (Psychology) , *HUMAN sexuality , *SEX education , *STATISTICAL sampling , *INTERVIEWING , *QUESTIONNAIRES , *SPINAL cord injuries , *DISCOURSE analysis , *CONCEPTUAL structures , *HUMAN reproduction , *RESEARCH methodology , *SOCIAL support , *PEOPLE with disabilities , *EJACULATION , *INTIMACY (Psychology) , *SEXUAL health - Abstract
Previous research has indicated that healthcare support for sexuality after spinal cord injury appears to be neglected or inadequately provided. The perspectives of people living with spinal cord injuries regarding what is lacking and what support they would like to be provided, and why, has yet to be explored. This paper uses critical theory to explore how societal constructs of sexuality and disability shape how sexuality is supported after a spinal cord injury. To do this, we conducted in-depth semi-structured interviews with 11 people with a spinal cord injury from Australia, the United Kingdom, and the United States. We drew from the works of various critical disability theorists to analyze what discourses underpinned the experiences people with spinal cord injuries had when receiving sexuality support. Analysis suggested that the following discourses were apparent: (1) broken bodies require repair, (2) sex is penetration, ejaculation then reproduction, and (3) sexual autonomy is required. Findings indicated healthcare professionals need to recognize people with spinal cord injuries as sexual beings with a diverse range of desires, lives, relations, and bodies. Provision of individualized comprehensive high-quality sexuality support is therefore warranted. To achieve this, healthcare professionals should aim to be aware of, and mitigate, ableist and normative assumptions. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
43. Selling Papers.
- Subjects
NEWSPAPERS ,PHOTOGRAPHS ,INTERVIEWING ,PUBLISHING - Abstract
This article provides the best-selling stories published in newspapers in the U.S. in 1923. "The St. Louis Post-Despatch" prints pictures of local débutantes as they look now and as they looked ten years ago. A newspaper in Dayton, Ohio, publishes a daily interview with some prominent people. A weekly periodical in Kansas prints a column titled " My Lucky Accident."
- Published
- 1923
44. Barriers and Facilitators to Home- and Community-Based Services Access for Persons With Dementia and Their Caregivers.
- Author
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Waymouth, Molly, Siconolfi, Daniel, Friedman, Esther M, Saliba, Debra, Ahluwalia, Sangeeta C, and Shih, Regina A
- Subjects
SERVICES for caregivers ,HEALTH services accessibility ,CAREGIVERS ,MINORITIES ,HOME care services ,RURAL conditions ,COMMUNITY health services ,INTERVIEWING ,HEALTH status indicators ,DEMENTIA patients ,QUALITATIVE research ,QUALITY of life ,CULTURAL competence ,INDEPENDENT living ,RESEARCH funding ,HEALTH equity ,MEDICAID ,REHABILITATION ,LONG-term health care ,MEDICARE - Abstract
Objectives The United States has seen increasing shifts toward home- and community-based services (HCBS) in place of institutional care for long-term services and supports. However, research has neglected to assess whether these shifts have improved access to HCBS for persons with dementia. This paper identifies HCBS access barriers and facilitators, and discusses how barriers contribute to disparities for persons with dementia living in rural areas and exacerbate disparities for minoritized populations. Methods We analyzed qualitative data from 35 in-depth interviews. Interviews were held with stakeholders in the HCBS ecosystem, including Medicaid administrators, advocates for persons with dementia and caregivers, and HCBS providers. Results Barriers to HCBS access for persons with dementia range from community and infrastructure barriers (e.g. clinicians and cultural differences), to interpersonal and individual-level barriers (e.g. caregivers, awareness, and attitudes). These barriers affect the health and quality of life for persons with dementia and may affect whether individuals can remain in their home or community. Facilitators included a range of more comprehensive and dementia-attuned practices and services in health care, technology, recognition and support for family caregivers, and culturally competent and linguistically accessible education and services. Discussion System refinements, such as incentivizing cognitive screening, can improve detection and increase access to HCBS. Disparities in HCBS access experienced by minoritized persons with dementia may be addressed through culturally competent awareness campaigns and policies that recognize the necessity of familial caregivers in supporting persons with dementia. These findings can inform efforts to ensure more equitable access to HCBS, improve dementia competence, and reduce disparities. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
45. Elder Civic Engagement and Rural Community Development.
- Author
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Stoecker, Randy and Witkovsky, Benny
- Subjects
MOTIVATION (Psychology) ,RURAL conditions ,INTERVIEWING ,QUALITATIVE research ,COMMUNITY-based social services ,RESEARCH funding ,POLITICAL participation ,RURAL population - Abstract
Rural areas are becoming more and more concerned about their aging population and perceived loss of youth. Analysts see the older members of communities as a burden, and focus their development strategies on attracting and retaining the young. In doing so, they may be missing the value that elders' civic engagement can provide to rural community development. This qualitative study, based on interviews with 40 elders in mostly rural areas of Wisconsin, in the United States, shows the benefits that their civic engagement brings to rural areas. They have biographical availability, political and economic freedom, and life-long experience to offer. They do face some challenges, including occasional health issues, lack of technological agility, and change-resistant peers. The paper concludes by considering how communities can better access and honour elder civic engagement, including understanding elders' motivations and skills for civic engagement. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
46. Korean Immigrant Fathers' Perceptions and Attitudes Toward Their Parenting Involvement.
- Author
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Choi, Kyung-Mee, Kim, Caleb, and Jones, Brady
- Subjects
IMMIGRANTS ,EMIGRATION & immigration ,ACCULTURATION ,FAMILY conflict ,FATHERS' attitudes ,INTERVIEWING ,SOCIOECONOMIC factors ,PARENTING education ,CULTURAL competence ,PARENTING ,SOCIAL theory ,FAMILY relations ,CHURCH buildings ,FATHER-child relationship ,EXPERIENCE ,RESEARCH methodology ,RELIGION ,PHENOMENOLOGY ,SELF-perception ,INTERGENERATIONAL relations - Abstract
This paper examines Korean immigrant fathers' lived experiences of their parenting involvement by using interpretative phenomenological analysis of seven participants who were recruited through Korean ethnic churches in a Midwestern city. In semi-structured interviews, we explored five main areas affecting Korean immigrant fathers' perceptions and attitudes toward parenting involvement and found the following issues to be especially salient for participants: limited acculturation progress, economic difficulties, low self-esteem, experiences of intergenerational conflict, and involvement in religious faith and church activities. This study contributes to the field's understanding of Korean immigrant fathers' perceptions of intergenerational and intercultural conflicts when raising their Americanized children and underlines for mental health providers the importance of providing culturally competent parenting education on the topic of positive fathering. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
47. "We're open to all": The paradox of diversity in the U.S.-based free fitness movement.
- Author
-
Carter, Andrew, Alexander, Adam C., Gomez, Vicky, Zhang, Ni, and Allen, Monica
- Subjects
DIVERSITY & inclusion policies ,CULTURE ,STAKEHOLDER analysis ,RESEARCH methodology ,PHYSICAL fitness ,INTERVIEWING ,EXPERIENCE ,QUALITATIVE research ,PHYSICAL activity ,MEMBERSHIP ,SURVEYS ,COMMUNITY-based social services ,INTERPERSONAL relations ,SOUND recordings ,DESCRIPTIVE statistics ,COMMUNICATION ,DISCOURSE analysis ,STATISTICAL sampling ,PARTICIPANT observation ,THEMATIC analysis - Abstract
Recent interdisciplinary scholarship has drawn increased critical attention to issues related to race, gender, class, and culture within public physical activity (PA) spaces, foregrounding the importance of rethinking dominant narratives of PA and promoting diverse and more inclusive practices within these contexts to address PA disparities. This paper addresses issues related to diversity and inclusion within community fitness spaces by examining the experiences of stakeholders and members involved in 'The Collective' Free Fitness Group (CFFG), a free, open-to-the-public fitness community based in Oakland, Ca (the original name has been changed for purposes of anonymity). This organization has made intentional efforts towards addressing diversity and inclusion across its membership and is located in one of the most ethnoracially diverse regions of the country. Drawing on McGee's (1980) concept of ideographs, we explore the potential limitations and consequences of how the CFFG Oakland community members communicated discourses and lived experiences of
and to one another and the broader Oakland community. Specifically, we argue that by emphasizing certain expressions of and while deemphasizing alternative forms, participant responses reflected a 'paradox' of diversity, despite their shared in-group identification around as an important individual moral virtue and their open and community. This study contributes new knowledge to the 'paradox' literature and may inform future physical activity interventions and theoretical directions of study. [ABSTRACT FROM AUTHOR] - Published
- 2023
- Full Text
- View/download PDF
48. Family Experiences with the Autism Developmental Evaluation Process: Perspectives of Immigrant and US-Born Mothers.
- Author
-
Kizildag, Deniz, Eilenberg, Jenna Sandler, Blakey, Ariel, Cardona, Nicole, Feinberg, Emily, Broger-Fingert, Sarabeth, and Long, Kristin A.
- Subjects
DIAGNOSIS of autism ,TREATMENT of autism ,IMMIGRANTS ,CULTURE ,ATTITUDES of mothers ,CHILD development ,PSYCHOLOGY of mothers ,PARENTS of children with disabilities ,RESEARCH methodology ,MEDICAL personnel ,MEDICAL screening ,PEDIATRICS ,INTERVIEWING ,EXPERIENCE ,PATIENTS' families ,PRIMARY health care ,COMPARATIVE studies ,QUALITATIVE research ,RESEARCH funding ,PSYCHOSOCIAL factors ,DIAGNOSTIC errors ,THEMATIC analysis ,EARLY medical intervention - Abstract
Research has repeatedly shown the positive effects of early diagnosis and intervention in improving the quality of life and symptom trajectory of individuals with autism spectrum disorder (ASD). Immigrant and racial/ethnic minority children are diagnosed with ASD at significantly older ages, and have access to interventions later than their White peers. Recent efforts to address diagnostic disparities have focused on universal ASD screening in pediatric primary care. However, little is known about immigrant families' experiences with ASD screening and with navigating subsequent referrals after receiving a positive ASD screen. In the current study, we explored cultural influences on: mothers' perceptions of child development and disability, communication with pediatric healthcare providers, and perceived benefits of Early Intervention services. We interviewed 26 mothers (14 US-born and 12 immigrant—representing twelve different nationalities) of children who screened positively for ASD in primary care but did not receive an ASD diagnosis after a formal evaluation (i.e., false positive ASD screen). Mothers completed semi-structured qualitative interviews that explored their perceptions of child development, experiences with the ASD screening and developmental evaluation process, and experiences with developmental services. Data were stratified by U.S. nativity and analyzed using applied thematic analysis. Immigrant mothers described different ways of monitoring child development than US-born mothers, and described a mismatch between their own views and the child development frameworks used in the U.S. Due to this mismatch, immigrant parents may be less likely to raise concerns to their pediatricians, and therefore may particularly benefit from routine screening. This paper uses data from a supplemental study to a larger clinical trial. The clinical trial registration number is NCT02359084. Highlights: Immigrant families view child development as a process that unfolds uniquely for each child, therefore, monitoring development through milestones can be a new idea for culturally diverse families. Immigrant children with elevated risk for ASD may be at higher risk for later identification of developmental delays if they are not screened at their well-child visits. Culturally and linguistically accessible explanations of child development and disabilities can help immigrant families throughout the ASD screening process. Immigrant families emphasize benefiting from family navigation and logistical support during the developmental evaluation process. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
49. Explanatory models of mental illness among working professionals diagnosed with bipolar or depression in the United States.
- Author
-
Elliott, Marta
- Subjects
EMPLOYEE psychology ,DIAGNOSIS of bipolar disorder ,DIAGNOSIS of mental depression ,MENTAL depression risk factors ,PSYCHOTHERAPY patients ,SELF-evaluation ,INTERVIEWING ,MENTAL depression ,PSYCHOSOCIAL factors ,DESCRIPTIVE statistics ,RESEARCH funding ,BIPOLAR disorder ,DISEASE risk factors - Abstract
Background: People diagnosed with mental illness develop a variety of explanatory models of their conditions in the face of uncertainty. Explanatory models matter because they are associated with internalized stigma and illness behaviors such as treatment preferences. Aims: This paper explores how working professionals in the United States draw on biological and/or environmental factors to explain the cause(s) of their diagnoses of bipolar or depression. Method: Findings are derived from an analysis of transcripts of in-depth interviews with 52 individuals from across the United States who were invited to participate in a study of working professionals diagnosed with mental illness. About 25 self-identified as having bipolar disorder and 27 as having major depression. Transcript data were analyzed following the principles of flexible coding with the goal of establishing a typology of explanatory models of self-identified bipolar versus depression. Results: Six types of explanatory models emerged from the analysis. One was exclusively biological, a second was exclusively environmental, and the remaining four combined biological and environmental factors in different ways. Quotations from the interviews are provided to illustrate each type, and comparisons between types are made based on primary diagnosis (bipolar vs. depression), and self-reports of trauma and stressful experiences. Conclusion: Implications for the future research on explanatory models and how they may impact people who are diagnosed with a mental illness across multiple dimensions of their lives are presented. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
50. Stigma and mental health problems in an Indian context. Perceptions of people with mental disorders in urban, rural and tribal areas of Kerala.
- Author
-
Raghavan, Raghu, Brown, Brian, Horne, Francesca, Kumar, Sanjana, Parameswaran, Uma, Ali, Ameer B, Raghu, Ardra, Wilson, Amanda, Svirydzenka, Nadia, Venkateswaran, Chitra, Kumar, Manoj, Kamal, Sreedevi R, Barrett, Andy, Dasan, Chandra, Varma, Aarcha, and Banu, Asha
- Subjects
ATTITUDES toward mental illness ,CAREGIVER attitudes ,PSYCHOTHERAPY patients ,SOCIAL support ,MARRIAGE ,RURAL conditions ,SOCIAL stigma ,INTERVIEWING ,PATIENTS' attitudes ,EXPERIENCE ,PSYCHOSOCIAL factors ,RESEARCH funding ,METROPOLITAN areas ,PUBLIC opinion - Abstract
Background: The concept of stigma has been widely used to understand patterns of discrimination and negative ideas surrounding people with mental health problems, yet we know little of the specific nuances of how this might operate beyond the 'Global North'. Aim: This paper aims to explore the notion of stigma in an Indian context by considering the lived experience of patients, carers and community members. Methods: A sample of 204 participants, representing mental health patients, informal carers and community members was recruited from urban and rural areas in Kerala, India. Participants took part in interviews where they were encouraged to talk about their experiences of mental ill health, attitudes towards these problems, barriers encountered and sources of support. Results: Experiences akin to the experience of stigma in Europe and the United States were elicited but there were important local dimensions specific to the Indian context. The difficulties faced by people with diagnoses of mental disorders in finding marriage partners was seen as an important problem, leading to marriage proposals being refused in some cases, and secrecy on the part of those with mental health problems. Rather than the 'self-stigma' identified in the US, participants were more likely to see this as a collective problem in that it could reflect badly on the family group as a whole rather than just the sufferer. Conclusions: In the Indian context, the idioms of stigma emphasised impairments in marriage eligibility and the implications for the family group rather than just the self. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
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