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109,743 result(s) for "Social interventions"
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Enhancing Healthcare and Rehabilitation
Summary Description This book is primarily a celebration of the qualitative work undertaken internationally by a number of experienced researchers. It also focuses on developing the use of qualitative research for health and rehabilitative practitioners by recognizing its value methodologically and empirically. We find that the very nature of qualitative research offers an array of opportunities for researchers in being able to understand the social world around us. Further, through experience and discussion, this book identifies the multifaceted use of qualitative methods in the healthcare and rehabilitative setting. This book touches on the role of the researcher, the participants involved, and the research environment. In short, we see how these three central elements can affect the nature of qualitative work in attempts to offer originality. This text speaks to a number of audiences. Students who are writing undergraduate dissertations and research proposals, they may find the myriad of examples stimulating and may support the rationale for methodological decisions in their own work. For academics, practitioners, and prospective qualitative researchers this book also aims to demonstrate an array of opportunism in the field of qualitative research and how they may resonate with arguments proffered. It is anticipated that readers will find this collection of qualitative examples not only useful for informing their own research, but we also hope to enlighten new discussions and arguments regarding both methodological and empirical use of qualitative work internationally. Features Encompasses the importance of qualitative research and how it can be used to facilitate healthcare and rehabilitation across a wide range of health conditions. Evaluates empirical data whilst critically applying it to contemporary practices. Provides readers with an overview with future directions and influence policy makers in order to develop practice.  Focuses on an array of health conditions that can affect groups of the population, coincided with life issues and the care and family support received. Offers innovative methodological insights for prospective researchers in order to add to the existing evidence base.   1. Introduction. 2. Qualitative Research in Rehabilitation. 3. Children and Young Adults. 4. Life Issues. 5. Older People. 6. Caregivers and Family Support. 7. Policymakers. 'As an introduction to qualitative work in rehabilitation settings with a focus on the perspective of healthcare professionals, this book provides sufficient information and examples of qualitative research that has been conducted by experts in their respective fields. This book is worth reading and I recommend it. The qualitative examples are useful for helping to inform readers about their own research and for demonstrating the value of qualitative research both methodologically and empirically.' - Dominique Kinnett-Hopkins , Northwestern University Feinberg School of Medicine Dr. Hayre is currently a lecturer in diagnostic radiography at the University of Suffolk. He has published both qualitative and quantitative refereed papers in the field of diagnostic radiography. He founded the Journal of Social Science & Allied Health Professions and remains Editor in Chief. He is currently writing a book chapter surrounding sustainable practices in medical imaging and is currently a visiting lecturer at the Odisee University in Brussels. Professor Muller is currently Editor of the CRC series with Professor Marcia Scherer on Rehabilitation Science in Practice. He was founder Editor of the Journal Aphasiology and is currently Editor in Chief of the Journal Disability and Rehabilitation. He has published over forty refereed papers and has been involved either as Series Editor, Editor or Author of over fifty books. He is a visiting Professor at the University of Suffolk, United Kingdom.
Longitudinal Follow-Up Study of Social Intervention Outcomes for Children on the Autism Spectrum
A prior randomized trial found a school social intervention yielded significantly better outcomes (social and autism features) immediately following intervention compared to typical school programming (services-as-usual [SAU]) for children on the autism spectrum. In that study, children in the SAU condition subsequently completed a summer social intervention. This study tested longer-term maintenance of effects for children who completed both interventions. A total of 103 children (ages 6–12 years) on the autism spectrum enrolled and 102 completed the initial RCT. Following the summer social intervention, 90 children from the original RCT completed the longer-term follow-up study. In addition to baseline and posttest in the initial RCT, children from both groups were tested at three follow-up points (five total testing points). At the time of first longitudinal follow-up testing, the children were 1.25–4.25 years post-intervention (ages 8–15 years). Longitudinal multilevel model analyses (and follow-up contrasts) revealed significant improvements for both groups post-intervention on measures of emotion recognition, autism features, and social skills, indicating maintenance of post-intervention improvements over the three follow-up testing points. No between-group differences were found for autism features or social skills over time; however, the school social intervention may have yielded somewhat better emotion recognition skills. Exploratory tests found that child IQ, language level, and length of time since completing the intervention did not moderate outcomes. Both social interventions yielded positive and durable longer-term improvements for children on the autism spectrum. [ClinicalTrials.gov, NCT03338530; November 8, 2017; original retrospectively registered trial]
Handbook for working with children and youth : pathways to resilience across cultures and contexts
The Handbook For Working With Children & Youth: Pathways To Resilience Across Cultures and Contexts examines lives lived well despite adversity. Calling upon some of the most progressive thinkers in the field, it presents a groundbreaking collection of original writing on the theories, methods of study, and interventions to promote resilience. Unlike other works that have left largely unquestioned their own culture-bound interpretations of the ways children and youth survive and thrive, this volume explores the multiple paths children follow to health and well-being in diverse national and international settings. It demonstrates the connection between social and political health resources and addresses the more immediate concerns of how those who care for children create the physical, emotional, and spiritual environments in which resilience is nurtured.
Effectiveness of Psychological Capital Intervention and Its Influence on Work-Related Attitudes: Daily Online Self-Learning Method and Randomized Controlled Trial Design
Research on positive psychology intervention is in its infancy; only a few empirical studies have proved the effectiveness and benefits of psychological capital interventions in workplaces. From a practical perspective, a more convenient intervention approach is needed for when organizations have difficulties in finding qualified trainers. This study aims to extend the psychological capital intervention (PCI) model and examine its influence on work-related attitudes. A daily online self-learning approach and a randomized controlled trial design are utilized. A final sample of 104 full-time employees, recruited online, is randomly divided into three groups to fill in self-report questionnaires immediately before (T1), immediately after (T2), and one week after (T3) the intervention. The results indicate that the intervention is effective at improving psychological capital (PsyCap), increasing job satisfaction, and reducing turnover intention. The practical implications for human resource managers conducting a flexible and low-cost PsyCap intervention in organizations are discussed. Limitations related to sample characteristics, short duration effect, small sample size, and small effect size are also emphasized. Due to these non-negligible drawbacks of the study design, this study should only be considered as a pilot study of daily online self-learning PsyCap intervention research.
Ethical and Information Governance Considerations for Promoting Digital Social Interventions in Primary Care
Promoting online peer support beyond the informal sector to statutory health services requires ethical considerations and evidence-based knowledge about its impact on patients, health care professionals, and the wider health care system. Evidence on the effectiveness of digital interventions in primary care is sparse, and definitive guidance is lacking on the ethical concerns arising from the use of social media as a means for health-related interventions and research. Existing literature examining ethical issues with digital interventions in health care mainly focuses on apps, electronic health records, wearables, and telephone or video consultations, without necessarily covering digital social interventions, and does not always account for primary care settings specifically. Here we address the ethical and information governance aspects of undertaking research on the promotion of online peer support to patients by primary care clinicians, related to medical and public health ethics.
Randomized Clinical Trial of an Internet-Based Adolescent Depression Prevention Intervention in Primary Care: Internalizing Symptom Outcomes
Approximately 20% of people will experience a depressive episode by adulthood, making adolescence an important developmental target for prevention. CATCH-IT (Competent Adulthood Transition with Cognitive-behavioral, Humanistic, and Interpersonal Training), an online depression prevention intervention, has demonstrated efficacy in preventing depressive episodes among adolescents reporting elevated symptoms. Our study examines the effects of CATCH-IT compared to online health education (HE) on internalizing symptoms in adolescents at risk for depression. Participants, ages 13–18, were recruited across eight US health systems and were randomly assigned to CATCH-IT or HE. Assessments were completed at baseline, 2, 6, 12, 18, and 24 months. There were no significant differences between groups in change in depressive symptoms (b = −0.31 for CATCH-IT, b = −0.27 for HE, p = 0.80) or anxiety (b = −0.13 for CATCH-IT, b = −0.11 for HE, p = 0.79). Improvement in depressive symptoms was statistically significant (p < 0.05) for both groups (p = 0.004 for CATCH-IT, p = 0.009 for HE); improvement in anxiety was significant for CATCH-IT (p = 0.04) but not HE (p = 0.07). Parental depression and positive relationships with primary care physicians (PRPC) moderated the anxiety findings, and adolescents’ externalizing symptoms and PRPC moderated the depression findings. This study demonstrates the long-term positive effects of both online programs on depressive symptoms and suggests that CATCH-IT demonstrates cross-over effects for anxiety as well.
A meta-analysis of preventive psychosocial interventions against depressive and anxiety symptoms in older adults
Common mental disorders (CMDs) such as depression and anxiety are highly prevalent among older adults. While psychosocial interventions are increasingly recognized for their preventive potential, a comprehensive synthesis of their effectiveness with nonclinical elderly populations is pending. This study aimed to evaluate the effectiveness of such interventions in reducing depressive and anxiety symptoms among older adults with subclinical symptom levels and to examine potential moderators (that is, intervention type, length, delivery modality, and control group characteristics). A meta-analysis was conducted of 58 randomized controlled trials (RCTs) testing psychosocial interventions aimed at preventing depression and/or anxiety, using validated measures and targeting adults aged ≥60. Moderator variable effects were assessed through mixed-effects meta-regressions, and effect generality was examined using multiverse analyses. Psychosocial interventions showed a moderate postintervention effect in reducing depressive symptoms (d = −0.474) that remained nontrivial and modest at follow-up (d = −0.386) compared to control. For anxiety, a small-to-moderate effect was observed postintervention (d = −0.333), with a small, albeit nominally nonsignificant, effect at follow-up (d = −0.205) compared to control. No significant differences were found between intervention types or control conditions. Younger participants experienced greater reductions in depressive symptoms from pre-to-post-intervention and at follow-up, and in anxiety symptoms from pre-to-post-intervention only. Multiverse analyses showed that intervention effects generalized across numerous variables, thus indicating a remarkable robustness of the findings. Our findings demonstrate that it is important to implement psychosocial interventions in community settings, regardless of intervention type, to protect the elderly against CMDs.
The efficacy of psychosocial interventions on anxiety and depression in cancer caregivers: a network meta-analysis
Background Cancer caregivers often face substantial psychosocial burdens, which can lead to significant anxiety and depression. This network meta-analysis aimed to evaluate the relative efficacy of various psychosocial interventions in alleviating these symptoms. Methods Following PRISMA guidelines, we conducted a systematic literature search for randomized controlled trials (RCTs) that evaluated psychosocial interventions for cancer caregivers. Data were synthesized using a network meta-analysis to compare the effects of different interventions on anxiety and depression. Results A total of 35 trials involving 7 types of psychosocial interventions were included. Three interventions—meaning-centered psychotherapy (anxiety: MD =  − 5.48, 95% CI: − 8.46 to − 2.49; depression: MD =  − 5.13, 95% CI: − 8.27 to − 1.96), psychoeducation (anxiety: MD =  − 9.38, 95% CI: − 13.76 to − 4.94), and supportive therapy (anxiety: MD =  − 7.05, 95% CI: − 11.12 to − 3.05; depression: MD =  − 5.59, 95% CI: − 9.83 to − 1.36), showed significant efficacy in reducing anxiety and depression. Network meta-analysis indicated that these interventions were superior to control conditions in alleviating symptoms. Conclusion Meaning-centered psychotherapy, psychoeducation, and supportive therapy are particularly effective in reducing anxiety and depression among cancer caregivers. Our findings support the implementation of these psychosocial interventions as part of routine care.
Feasibility, acceptability, and preliminary efficacy of a self-directed online psychosocial intervention for women with metastatic breast cancer: Finding My Way-Advanced
Purpose Few digital interventions target patients with advanced cancer. Hence, we feasibility-tested Finding My Way-Advanced (FMW-A) , a self-guided program for women with metastatic breast cancer. Methods A single-site randomised controlled pilot trial was conducted. Participants were recruited through clinicians, professional networks, and social media and randomised to intervention or usual-care control. Participants were randomly allocated to either the intervention ( FMW-A; a 6-week, 6-module CBT-based online self-directed psychosocial program for women with MBC + usual care resources) or control (usual care resources: BCNA’s Hope and Hurdles kit). Feasibility outcomes included rates of recruitment, uptake, engagement, and attrition. Distress, QOL, and unmet needs were evaluated for signals of efficacy, and qualitative feedback was collected to assess acceptability. Results Due to COVID-19 and funding constraints, the target recruitment of 40 was not reached ( n  = 60 approached; n  = 55 eligible; n  = 35 consented). Uptake was high ( n  = 35/55; 63.6%), engagement modest (median 3/6 modules per user), and attrition acceptable (66% completed post-treatment). Efficacy signals were mixed: compared to controls, FMW-A participants experienced small improvements in fear of progression ( d  = 0.21) and global QOL ( d  = 0.22) and demonstrated a trend towards improvements in cancer-specific distress ( d  =  0.13 ) and role functioning ( d  = 0.18). However, FMW-A participants experienced small-to-moderate deteriorations in general distress ( d  = 0.23), mental QOL ( d  = 0.51), and social functioning ( d  = 0.27), whereas controls improved. Qualitatively, participants (n  =  4) were satisfied with the program, perceived it as appropriate, but noted some sections could evoke transient distress. Conclusion The study demonstrated feasibility (high uptake and acceptable retention) and generated realistic recruitment estimates. While FMW-A appears promising for targeting cancer-specific distress and fear of progression, the mixed findings in quality of life and general distress warrant further revisions and testing.
Dyadic Psychosocial eHealth Interventions: Systematic Scoping Review
Dyadic psychosocial interventions have been found beneficial both for people coping with mental or physical health conditions as well as their family members and friends who provide them with support. Delivering these interventions via electronic health (eHealth) may help increase their scalability. This scoping review aimed to provide the first comprehensive overview of dyadic eHealth interventions for individuals of all ages affected by mental or physical illness and their family members or friends who support them. The goal was to understand how dyadic eHealth interventions have been used and to highlight areas of research needed to advance dyadic eHealth intervention development and dissemination. A comprehensive electronic literature search of PubMed, EMBASE, Cochrane, Cumulative Index to Nursing and Allied Health Literature, and PsycINFO was conducted for articles published in the English language through March 2019. Eligible records described a psychosocial eHealth intervention that intervened with both care recipients and their support person. A total of 7113 records were reviewed of which 101 met eligibility criteria. There were 52 unique dyadic eHealth interventions identified, which were tested across 73 different trials. Of the unique interventions, 33 were conducted among dyads of children and their supporting parent, 1 was conducted with an adolescent-young adult care recipient population, and the remaining 18 were conducted among adult dyads. Interventions targeting pediatric dyads most commonly addressed a mental health condition (n=10); interventions targeting adult dyads most commonly addressed cancer (n=9). More than three-fourths of interventions (n=40) required some human support from research staff or clinicians. Most studies (n=64) specified one or more primary outcomes for care recipients, whereas less than one-fourth (n=22) specified primary outcomes for support persons. Where specified, primary outcomes were most commonly self-reported psychosocial or health factors for both care recipients (n=43) and support persons (n=18). Results of the dyadic eHealth intervention tended to be positive for care recipients, but evidence of effects for support persons was limited because of few studies specifying primary outcomes for supporters. Trials of dyadic eHealth interventions were most commonly randomized controlled trials (RCTs; n=44), and RCTs most commonly compared the dyadic eHealth intervention to usual care alone (n=22). This first comprehensive review of dyadic eHealth interventions demonstrates that there is substantial, diverse, and growing literature supporting this interventional approach. However, several significant gaps were identified. Few studies were designed to evaluate the unique effects of dyadic interventions relative to individual interventions. There was also limited assessment and reporting of outcomes for support persons, and there were no interventions meeting our eligibility criteria specifically targeting the needs of older adult dyads. Findings highlight areas of research opportunities for developing dyadic eHealth interventions for novel populations and for increasing access to dyadic care.