10 results on '"Michelle Engels"'
Search Results
2. The acceptability, appropriateness, and feasibility of implementing supportive supervision within humanitarian contexts: A qualitative study
- Author
-
Meg Ryan, Nadeen Abujaber, Dr Áine Travers, Kelly A. McBride, Pia Tingsted Blum, Michelle Engels, Ahmad Alshibi, Hannah Greene, Sandra Githaiga, Anna Didenko, and Frédérique Vallières
- Subjects
Supportive supervision ,Mental health ,Humanitarian context ,Human resources ,Mental healing ,RZ400-408 ,Public aspects of medicine ,RA1-1270 - Abstract
Supervision is considered integral to quality mental health and psychosocial support (MHPSS) interventions and features as a key recommendation in all major international guidelines. Despite this, provision of supervision remains a gap within MHPSS programming and is often one of the most challenging aspects and unmet needs in programme implementation within humanitarian contexts.The IFRC Reference Centre for Psychosocial Support (PSC) and Trinity Centre for Global Health (TCGH) have developed the Integrated Model for Supervision (IMS) Handbook and accompanying training guidelines using participatory action research approaches. The IMS reflects input from a range of stakeholders, ensuring a user-centered design. The IMS was piloted within four organizations in Afghanistan, Nigeria, Jordan, and Ukraine.The acceptability, appropriateness, and feasibility of the IMS were assessed through (a) surveys of training participants (n-40), (b) in-session feedback gathered during training workshops (n = 2 workshops), and (c) in depth interviews with workshop participants (n = 8). Interview participants were supervisors, supervisees and leadership and management who had completed the IMS training and workshops.Results point to the acceptability and appropriateness of the IMS Handbook and its accompanying training for use within humanitarian contexts; with participants indicating that the IMS addressed issues and challenges that were present in their organizations. Preliminary data suggests that training in the IMS is associated with improvements in knowledge of MHPSS and perceived supervision practices, as well as reductions in secondary traumatic stress and burnout. Themes emerging from the qualitative analysis suggest that the IMS training promotes buy-in for supervision practices within organizations, and that the IMS training meet the need for providing emotional support within organizations. Participants indicate that the follow-up support and practical guidance offered as part of the IMS training is essential for effective supervision. This study bolsters evidence for the importance of strengthening support structures for human resources for mental health programming.
- Published
- 2023
- Full Text
- View/download PDF
3. Priorities for Mental Health and Psychosocial Support Intervention Research in the Context of the Climate Crisis: A Modified Delphi Study
- Author
-
Jura Augustinavicius, Viola Graef, Alessandro Massazza, Michelle Engels, Julian Eaton, Kyle Hill, Michael Ungar, and Leslie Snider
- Subjects
climate change ,climate crisis ,mental health and psychosocial support ,mental health ,psychosocial wellbeing ,Psychology ,BF1-990 ,Mental healing ,RZ400-408 - Abstract
The climate crisis is adversely impacting mental health and wellbeing. Research on interventions to address these impacts remains scarce, particularly in humanitarian settings. This study used a modified Delphi process to identify research priorities for mental health and psychosocial support (MHPSS) and climate crisis research, drawing on the perspectives of those with demonstrated interest, engagement, and/or expertise in MHPSS and the climate crisis. The study consisted of two online surveys. In the first survey, demographic and qualitative data were collected and analysed to generate a list of research priorities and a concept map to describe the area of climate crisis and MHPSS research. In the second survey, participants ranked and rated their agreement with priorities and provided recommendations for modification of individual priorities and the concept map. In total, 91 experts working primarily but not exclusively in MHPSS programming or practice participated in the study. Consensus was reached on 20 research priorities, and 8 top-ranked priorities were identified. Given the urgency of the climate crisis, MHPSS and climate crisis research must contribute to mitigating and adapting to the climate crisis while promoting both mental health and psychosocial wellbeing and just international development.
- Published
- 2022
- Full Text
- View/download PDF
4. Scalable psychological interventions for Syrian refugees in Europe and the Middle East: STRENGTHS study protocol for a prospective individual participant data meta-analysis
- Author
-
Pim Cuijpers, Kenneth Carswell, Ceren Acarturk, Martha Bird, Zeynep Ilkkursun, Marit Sijbrandij, Ersin Uygun, Bayard Roberts, Richard Bryant, Egbert Sondorp, David McDaid, Christine Knaevelsrud, Mark J D Jordans, A-La Park, Aemal Akhtar, Ulrich Schnyder, Sebastian Burchert, Trudy Mooren, Anke B Witteveen, Peter Ventevogel, Anne M de Graaff, Mhd Salem Alkneme, May Aoun, Manar Awwad, Ahmad Y Bawaneh, Felicity L Brown, Annelieke Drogendijk, Michelle Engels, Daniela C Fuhr, Pernille Hansen, Edith van 't Hof, Luana Giardinelli, Mahmoud Hemmo, Jonas M Hessling, Nikolai Kiselev, Gülsah Kurt, Saara Martinmäki, Naser Morina, Hadeel Naser, Monique C Pfaltz, Matthis Schick, Julia Spaaij, Frederik Steen, Karine Taha, Claire Whitney, Martine van den Dool, Cansu Mirzanlı, Nana Wiedemann, and Aniek Woodward
- Subjects
Medicine - Abstract
Introduction The World Health Organization’s (WHO) scalable psychological interventions, such as Problem Management Plus (PM+) and Step-by-Step (SbS) are designed to be cost-effective non-specialist delivered interventions to reduce symptoms of common mental disorders, such as anxiety, depression and post-traumatic stress disorder (PTSD). The STRENGTHS consortium aims to evaluate the effectiveness, cost-effectiveness and implementation of the individual format of PM+ and its group version (gPM+), as well as of the digital SbS intervention among Syrian refugees in seven countries in Europe and the Middle East. This is a study protocol for a prospective individual participant data (IPD) meta-analysis to evaluate (1) overall effectiveness and cost-effectiveness and (2) treatment moderators of PM+, gPM+ and SbS with Syrian refugees.Methods and analysis Five pilot randomised controlled trials (RCTs) and seven fully powered RCTs conducted within STRENGTHS will be combined into one IPD meta-analytic dataset. The RCTs include Syrian refugees of 18 years and above with elevated psychological distress (Kessler Psychological Distress Scale (K10>15)) and impaired daily functioning (WHO Disability Assessment Schedule 2.0 (WHODAS 2.0>16)). Participants are randomised into the intervention or care as usual control group, and complete follow-up assessments at 1-week, 3-month and 12-month follow-up. Primary outcomes are symptoms of depression and anxiety (25-item Hopkins Symptom Checklist). Secondary outcomes include daily functioning (WHODAS 2.0), PTSD symptoms (PTSD Checklist for DSM-5) and self-identified problems (PSYCHLOPS). We will conduct a one-stage IPD meta-analysis using linear mixed models. Quality of evidence will be assessed using the GRADE approach, and the economic evaluation approach will be assessed using the CHEC-list.Ethics and dissemination Local ethical approval has been obtained for each RCT. This IPD meta-analysis does not require ethical approval. The results of this study will be published in international peer-reviewed journals.
- Published
- 2022
- Full Text
- View/download PDF
5. Scalable psychological interventions for Syrian refugees in Europe and the Middle East: STRENGTHS study protocol for a prospective individual participant data meta-analysis
- Author
-
Anne M, de Graaff, Pim, Cuijpers, Ceren, Acarturk, Aemal, Akhtar, Mhd Salem, Alkneme, May, Aoun, Manar, Awwad, Ahmad Y, Bawaneh, Felicity L, Brown, Richard, Bryant, Sebastian, Burchert, Kenneth, Carswell, Annelieke, Drogendijk, Michelle, Engels, Daniela C, Fuhr, Pernille, Hansen, Edith, van 't Hof, Luana, Giardinelli, Mahmoud, Hemmo, Jonas M, Hessling, Zeynep, Ilkkursun, Mark J D, Jordans, Nikolai, Kiselev, Christine, Knaevelsrud, Gülsah, Kurt, Saara, Martinmäki, David, McDaid, Naser, Morina, Hadeel, Naser, A-La, Park, Monique C, Pfaltz, Bayard, Roberts, Matthis, Schick, Ulrich, Schnyder, Julia, Spaaij, Frederik, Steen, Karine, Taha, Ersin, Uygun, Peter, Ventevogel, Claire, Whitney, Anke B, Witteveen, Marit, Sijbrandij, Aniek, Woodward, Acartürk, Zeynep Ceren (ORCID 0000-0001-7093-1554 & YÖK ID 39271), İlkkurşun, Zeynep, Kurt, Gülşah, de Graaff, A.M., Cuijpers, P., Akhtar, A., Alkneme, M.S., Aoun, M., Awwad, M., Bawaneh, A.Y., Brown, F.L., Bryant, R., Burchert, S., Carswell, K., Drogendijk, A., Engels, M., Fuhr, D.C., Hansen, P., van 't Hof, E., Giardinelli, L., Hemmo, M., Hessling, J.M., Jordans, M.J.D., Kiselev, N., Knaevelsrud, C., Martinmaki, S., McDaid, D., Morina, N., Naser, H., Park, A.L., Pfaltz, M.C., Roberts, B., Schick, M., Schnyder, U., Spaaij, J., Steen, F., Taha, K., Uygun, E., Ventevogel, P., Whitney, C., Witteveen, A.B., Sijbrandij, M., STRENGTHS consortium, College of Social Sciences and Humanities, Graduate School of Social Sciences and Humanities, Department of Psychology, Anthropology of Health, Care and the Body (AISSR, FMG), Clinical Psychology, World Health Organization (WHO) Collaborating Center, APH - Mental Health, APH - Global Health, Clinical, Neuro- & Developmental Psychology, and Midwifery Science
- Subjects
Refugees ,BF Psychology ,Syria ,Anxiety disorders ,Depression and mood disorders ,General and internal medicine ,General Medicine ,Psychosocial Intervention ,Depression & mood disorders ,Stress Disorders, Post-Traumatic ,Middle East ,MENTAL HEALTH ,Meta-Analysis as Topic ,RA0421 Public health. Hygiene. Preventive Medicine ,HN Social history and conditions. Social problems. Social reform ,Humans ,100 Philosophie und Psychologie::150 Psychologie::150 Psychologie ,mental health ,Randomized Controlled Trials as Topic - Abstract
Introduction: The World Health Organization's (WHO) scalable psychological interventions, such as Problem Management Plus (PM+) and Step-by-Step (SbS) are designed to be cost-effective non-specialist delivered interventions to reduce symptoms of common mental disorders, such as anxiety, depression and post-traumatic stress disorder (PTSD). The STRENGTHS consortium aims to evaluate the effectiveness, cost-effectiveness and implementation of the individual format of PM+ and?its group version (gPM+), as well as of the digital SbS intervention among Syrian refugees in seven countries in Europe and the Middle East. This is a study protocol for a prospective individual participant data (IPD) meta-analysis to evaluate (1) overall effectiveness and cost-effectiveness and (2) treatment moderators of PM+, gPM+ and?SbS with Syrian refugees. Methods and analysis: Five pilot randomised controlled trials (RCTs) and seven fully powered RCTs conducted within STRENGTHS will be combined into one IPD meta-analytic dataset. The RCTs include Syrian refugees of 18 years and above with elevated psychological distress (Kessler Psychological Distress Scale (K10>15)) and impaired daily functioning (WHO Disability Assessment Schedule 2.0 (WHODAS 2.0>16)). Participants are randomised into the intervention or care as usual control group, and complete follow-up assessments at 1-week, 3-month and 12-month follow-up. Primary outcomes are symptoms of depression and anxiety (25-item Hopkins Symptom Checklist). Secondary outcomes include daily functioning (WHODAS 2.0), PTSD symptoms (PTSD Checklist for DSM-5) and self-identified problems (PSYCHLOPS). We will conduct a one-stage IPD meta-analysis using linear mixed models. Quality of evidence will be assessed using the GRADE approach, and the economic evaluation approach will be assessed using the CHEC-list. Ethics and dissemination: Local ethical approval has been obtained for each RCT. This IPD meta-analysis does not require ethical approval. The results of this study will be published in international peer-reviewed journals., European Union (EU); Horizon 2020; Framework Programme for Research and Innovation (2014–2020)
- Published
- 2022
6. Long-term efficacy of clinical hunger provocation to wean feeding tube dependent children
- Author
-
Marc A. Benninga, Tim G. J. de Meij, Hilde Krom, Liesbeth van der Sluijs Veer, Suzanne M.C. van Zundert, Michelle Engels, Elisabeth M. van Dijk-Lokkart, Riëtte Zilverberg, Marie Anne G.M. Otten, C. M. Frank Kneepkens, Anita M. Stok-Akerboom, A. Kindermann, Liesbeth Kuiper-Cramer, Pediatric surgery, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam Reproduction & Development (AR&D), Medical psychology, Internal medicine, Neurology, Graduate School, AGEM - Digestive immunity, AGEM - Re-generation and cancer of the digestive system, Paediatric Gastroenterology, Paediatric Psychosocial Care, and APH - Mental Health
- Subjects
Male ,0301 basic medicine ,Pediatrics ,medicine.medical_specialty ,Time Factors ,Hunger ,Provocation test ,030209 endocrinology & metabolism ,Weaning ,Critical Care and Intensive Care Medicine ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Medicine ,Infant Nutritional Physiological Phenomena ,Child ,Intubation, Gastrointestinal ,Feeding tube ,Netherlands ,Gastrostomy ,Avoidant Restrictive Food Intake Disorder ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Tube dependency ,business.industry ,Incidence (epidemiology) ,Body Weight ,Infant, Newborn ,Infant ,Retrospective cohort study ,Feeding Behavior ,medicine.disease ,Body Height ,Infant Nutrition Disorders ,Feeding and eating disorders ,Malnutrition ,Treatment Outcome ,Parenteral nutrition ,Female ,business ,Enteral nutrition - Abstract
Background & aims: The incidence of tube feeding dependency seems to increase worldwide, and these children may remain on prolonged tube feeding for many months to years. The multidisciplinary clinical hunger provocation (CHP) program is an intensive inpatient intervention of usually 2–3 weeks, aimed at weaning children from tube feeding. CHP has been proven highly effective on the short term (80–86%), particularly when applied before the age of two years but long-term data are lacking. The aims of our study were to determine the long-term efficacy of the CHP program and factors associated with success or failure and to assess anthropometrics, feeding behavior, and medical outcomes at long-term follow-up. Methods: All tube-dependent children who underwent CHP at a tertiary hospital in Amsterdam, the Netherlands, between 2001 and 2014, and had a minimum follow-up of 12-months in 2015, were eligible to participate in this retrospective cohort study. During the CHP program, tube feeding is ceased stepwise to create appetite, according to a strict protocol. The program was defined successful if patients achieved oral intake and could be fully weaned from tube feeding following the CHP program. Acute malnourishment was defined as weight for height 1 SD within 3 months, chronic malnourishment as height for age
- Published
- 2020
7. Clinical tube weaning supported by hunger provocation in fully-tube-fed children
- Author
-
Anita M. Stok-Akerboom, Elisabeth M. van Dijk-Lokkart, C. M. Frank Kneepkens, Caroline M. Hartdorff, Michelle Engels, Angelika Kindermann, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, Paediatric Gastroenterology, Pediatric surgery, Medical psychology, and Other Research
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,Hunger ,Provocation test ,Weaning ,law.invention ,Treatment and control groups ,Feeding and Eating Disorders ,Eating ,Enteral Nutrition ,Randomized controlled trial ,law ,Outcome Assessment, Health Care ,medicine ,Humans ,Medical history ,Cross-Over Studies ,business.industry ,Gastroenterology ,Infant ,Feeding Behavior ,medicine.disease ,Oral aversion ,Crossover study ,Ulcerative colitis ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Female ,business - Abstract
Background: Children with congenital malformations, mental retardation, and complex early medical history frequently have feeding problems. Although tube feeding is effective in providing the necessary energy and nutrients, it decreases the child’s motivation to eat and may lead to oral aversion. In this study, we sought to confirm our previous results, showing that a multidisciplinary clinical hunger provocation program may lead to quick resumption of oral feeding. Methods: In a crossover study, 22 children of 9 to 24 months of age who were fully dependent on tube feeding were randomly assigned to one of two groups: group A, intervention group (2-week multidisciplinary clinical hunger provocation program); and group B, control group (4-week outpatient treatment by the same multidisciplinary team). Patients failing one treatment were reassigned to the other treatment group. Primary outcome measures were at least 75% orally fed at the conclusion of the intervention and fully orally fed and gaining weight 6 months after the intervention. Results: In group A, 9/11 patients were successfully weaned from tube feeding (2 failures: 1 developed ulcerative colitis, 1 drop-out). In group B, only 1 patient was weaned successfully; 10/11 were reassigned to the clinical hunger provocation program, all being weaned successfully. Six months after the intervention, 1 patient had to resume tube feeding. In total, in the control group, 1/11 (9%) was weaned successfully as compared with 18/21 (86%) in the hunger provocation group (P < 0.001). Conclusions: Multidisciplinary clinical hunger provocation is an effective short-term intervention for weaning young children from tube feeding.
- Published
- 2015
8. Discontinuation of tube feeding in young children by hunger provocation
- Author
-
Angelika Kindermann, Michelle Engels, Anita Stok, A. C. Douwes, Elisabeth Maria van Dijk, C. M. F. Kneepkens, Pediatric surgery, Medical psychology, Obstetrics and gynaecology, Other Research, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, and Paediatric Gastroenterology
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,Time Factors ,Hunger ,Provocation test ,Weight Gain ,Eating ,Enteral Nutrition ,Weight loss ,Weight Loss ,medicine ,Humans ,Infant Nutritional Physiological Phenomena ,Tube dependency ,Food refusal ,business.industry ,digestive, oral, and skin physiology ,Gastroenterology ,Infant ,Feeding Behavior ,Discontinuation ,Hospitalization ,Parenteral nutrition ,El Niño ,Pediatrics, Perinatology and Child Health ,Female ,medicine.symptom ,business ,Weight gain - Abstract
OBJECTIVES: Pathological food refusal (PFR) is not rare in young children with chronic conditions requiring prolonged tube feeding. We investigated whether these children could be weaned from tube feeding with a multidisciplinary hunger provocation program. PATIENTS AND METHODS: The study included children younger than 2 years with PFR who had been dependent on tube feeding for at least 3 months. They followed a multidisciplinary in-hospital program. During step 1, only 50% of the normal allowance was given by tube. During step 2, oral feeding was offered and completed up to 50% with tube feeding afterwards. During step 3, supplementary tube feeding was given at night. During step 4, only insensible loss (400 mL/m2), was replaced. When the child had started eating, parents took over feeding (step 5). Primary endpoints were eating without tube feeding while gaining weight at 3 and 6 months after discharge. RESULTS: Ten children (age 9-21 months; 7 girls) were exclusively tube fed for 7 to 19 months. Hospital stay lasted 9 to 33 days (mean 17.3 days). All children but 1 remained in clinically stable condition and started to eat within 1 week. Weight loss was 3.7% to 15.6% (mean 9.2%); in 1 child, the program was discontinued because of excessive weight loss. At follow-up after 3 and 6 months, 9 of 10 and 8 of 10 children, respectively, were eating adequately and gaining weight without tube feeding. Two children with recurrent infections resumed partial (25%-50%) tube feeding during follow-up. CONCLUSIONS: The multidisciplinary hunger provocation program seems to be a promising method to promote discontinuation of tube feeding in young children
- Published
- 2008
9. Discontinuation of tube feeding in young children by hunger provocation - a randomized controlled trial
- Author
-
C. M. Frank Kneepkens, Alice Em van Dijk, Reinoud J. B. J. Gemke, Michelle Engels, Anita Stok, A. Kindermann, and Caroline M Hartdorff
- Subjects
Pediatrics ,medicine.medical_specialty ,Randomized controlled trial ,business.industry ,law ,Pediatrics, Perinatology and Child Health ,Provocation test ,medicine ,Tube (fluid conveyance) ,business ,Discontinuation ,law.invention - Published
- 2013
10. Effects of firefighting on semen parameters: an exploratory study
- Author
-
Michelle Engelsman, Leisa-Maree L Toms, Xianyu Wang, Andrew P W Banks, and Debbie Blake
- Subjects
Reproduction ,QH471-489 ,Gynecology and obstetrics ,RG1-991 - Abstract
Firefighters are occupationally exposed to heat intensities and chemical concentrations that may affect fertility. Twenty firefighters participated in an exploratory study assessing fertility of firefighters via an online survey and semen analysis. Data analysis included consideration of demographic characteristics, reproductive history and occupational exposures. Overall, firefighter semen parameters were below World Health Organisation reference values designating fertility in men. Firefighters younger than 45 years had a higher incidence of abnormal semen parameters (42%) than those aged 45 years or greater (9%). Increased rank and higher levels of occupational and/or personal hygiene were associated with improved semen quality. Increased frequency of fire exposure was associated with a reduction in normal forms, volume, sperm concentration and total sperm count. Sperm clumping was greater than 10% in 26% of samples, suggesting reduced semen quality. This exploratory study provides novel data that support the hypothesis of an association between semen quality and firefighter’s occupational exposure to toxic environments.
- Published
- 2021
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.