Search

Despite being considered the 'new normal' for many workers since the COVID‐19 pandemic, there is a dearth of applied research on hybrid working, especially in the context of inclusivity. This study uses the Behaviour Change Wheel to examine barriers, which hinder, and enablers, which help, to support hybrid working after the COVID‐19 pandemic and then identifies intervention strategies for its improvement. Data included 36 open‐ended questionnaires and 20 interviews from diverse (gender, sexual and ethnic identities; age; job role/grade scale; caregiving responsibilities and disability status) academic and professional staff at a large UK public research university, collected in May–July 2022. Barriers included the lack of technological skills, lack of clarity and application of the hybrid working policy, childcare and travel issues, no suitable space and equipment, managers' lack of understanding of specific needs, feeling lonely and isolated, and fears and uncertainty. Enablers included self‐management skills, purposeful office days, positive feelings, work/life balance, productivity and support from others. Issues related to equity and inclusivity were highlighted based on disability status, caregiving responsibilities, age and job role. Strategies are offered to improve hybrid working, such as training, organisational infrastructure and practices and policies to enable a collaborative, cooperative and inclusive hybrid work environment. [ABSTRACT FROM AUTHOR]

Self-harm amongst young people in the United Kingdom is higher than in other European countries. Young people who self-harm are often reluctant to seek professional help, turning increasingly to the internet for support, including online forums. There are concerns about misinformation or harmful content being shared, potentially leading to self-harm contagion. Moderation of online forums can reduce risks, improving forum safety. Moderation of self-harm content, however, is an under-researched area. Using the Behaviour Change Wheel (BCW), this study examines the barriers and enablers to moderation of self-harm content and suggests behaviour change techniques (BCTs) to address barriers. Qualitative interviews with 8 moderators (of a total of 16) from the UK's leading young people's support service for under 25s, The Mix, were conducted. Thematic analysis identified eleven enablers, four barriers and one both an enabler and a barrier. Barriers included emotional exhaustion, working with partial information, access to timely support, vagueness within the guidelines and influence of community users. BCTs selected included increasing social support through a moderation buddy. Optimisation strategies focus on increasing the support and level of information available to moderators and could be considered by other organisations providing similar services. [ABSTRACT FROM AUTHOR]

Introduction: The mental health of young people (aged 16–25 years) is a growing public health concern in the United Kingdom due to the increasing numbers of young people experiencing mental health difficulties, with many not in contact with mental health services. To design services that meet the needs of all young people, a diversity of young people must be involved in mental health research, beyond being participants. This Delphi study aimed to identify different types of 'involvement' and to define and describe 'under‐representation' in young people's involvement in mental health research. Methods: Twenty‐seven experts in young people's mental health research completed a series of online questionnaires. The experts were academic researchers, patient and public involvement (PPI) professionals and young 'experts by experience'. Round 1 generated panellists' views on 'involvement' and 'under‐representation'. Round 2 summarised panellists' responses from Round 1 and sought consensus (minimum 70% agreement) in nine question areas. Round 3 validated the findings of the previous rounds. Results: Consensus was achieved in eight out of nine areas, resulting in a matrix (with definitions) of the different types of young people's involvement in mental health research, from being advisors to involvement ambassadors. The findings generated an agreed‐upon definition of under‐representation, an identification of when in the research process there is under‐representation and the characteristics of the young people who are under‐represented. Experts further agreed on demographic data that should be collected to improve reporting on involvement. Conclusions: This study adds to our understanding of involvement and under‐representation in the context of young people's mental health research through expert consensus. It provides a practical resource for researchers considering involving young people in the research process and suggests the data that should be collected to improve reporting on the diversity of the young people involved. Patient and Public Contribution: A research oversight group of five young people advised on this study. They contributed throughout the project—from endorsing the research question to commenting on the findings and dissemination. Two of the group reviewed all participant materials and piloted the initial questionnaire. [ABSTRACT FROM AUTHOR]

Survey research has evidenced the work-related stresses reported by higher education staff during the COVID-19 pandemic, with indications that some groups may have been more vulnerable than others. However, for the most part, this research has not taken into account individuals' intersecting identities and their circumstances, which are likely to influence the strategies which are best placed to support their wellbeing. This qualitative study contributes to this area of research through an examination of workplace wellbeing for diverse professional and academic staff, providing a more in-depth understanding of their lived experiences during the pandemic. Data were 36 open-ended questionnaires and 20 interviews from diverse academic and professional staff, in terms of their intersecting gender, sexual and ethnic identities; age; job role and grade scale; caregiving responsibilities and disability status, at a large UK public research university. Using inductive thematic analysis, the findings support key influences identified in the quantitative studies but also highlight new themes such as the salience of ethnic, religious and gender identities and anxiety and trauma from the pandemic. The findings further emphasise the importance of the organisational infrastructure to support staff welfare. Evidence-based, workplace strategies are offered to address the key findings. Overall, our study highlights the importance of providing targeted support and acknowledging the traumatic experiences of university staff during crisis situations and underscores how equity, diversity and inclusion are key considerations for wellbeing practices and policies in the workplace. [ABSTRACT FROM AUTHOR]

Background: Previous systematic reviews of digital eating disorder interventions have demonstrated effectiveness at improving symptoms of eating disorders; however, our understanding of how these interventions work and what contributes to their effectiveness is limited. Understanding the behavior change techniques (BCTs) that are most commonly included within effective interventions may provide valuable information for researchers and developers. Establishing whether these techniques have been informed by theory will identify whether they target those mechanisms of action that have been identified as core to changing eating disorder behaviors. It will also evaluate the importance of a theoretical approach to digital intervention design. Objective: This study aims to define the BCTs within digital self-management interventions or minimally guided self-help interventions for adults with eating disorders that have been evaluated within randomized controlled trials. It also assessed which of the digital interventions were grounded in theory and the range of modes of delivery included. Methods: A literature search identified randomized controlled trials of digital intervention for the treatment of adults with eating disorders with minimal therapist support. Each digital intervention was coded for BCTs using the established BCT Taxonomy v1; for the application of theory using an adapted version of the theory coding scheme (TCS); and for modes of delivery using the Mode of Delivery Ontology. A meta-analysis evaluated the evidence that any individual BCT moderated effect size or that other potential factors such as the application of theory or number of modes of delivery had an effect on eating disorder outcomes. Results: Digital interventions included an average of 14 (SD 2.6; range 9-18) BCTs. Self-monitoring of behavior was included in all effective interventions, with Problem-solving, Information about antecedents, Feedback on behavior, Self-monitoring of outcomes of behavior, and Action planning identified in >75% (13/17) of effective interventions. Social support and Information about health consequences were more evident in effective interventions at follow-up compared with postintervention measurement. The mean number of modes of delivery was 4 (SD 1.6; range 2-7) out of 12 possible modes, with most interventions (15/17, 88%) being web based. Digital interventions that had a higher score on the TCS had a greater effect size than those with a lower TCS score (subgroup differences: Χ2 1=9.7; P=.002; I²=89.7%) within the meta-analysis. No other subgroup analyses had statistically significant results. Conclusions: There was a high level of consistency in terms of the most common BCTs within effective interventions; however, there was no evidence that any specific BCT contributed to intervention efficacy. The interventions that were more strongly informed by theory demonstrated greater improvements in eating disorder outcomes compared to waitlist or treatment-as-usual controls. These results can be used to inform the development of future digital eating disorder interventions. [ABSTRACT FROM AUTHOR]