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  1 / 78938 MEDLINE  
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PMID:29351325
Autor:Carolan K; Verran J; Crossley M; Redfern J; Whitton N; Amos M
Dirección:School of Computing, Mathematics and Digital Technology, Manchester Metropolitan University, Manchester, United Kingdom.
Título:Impact of educational interventions on adolescent attitudes and knowledge regarding vaccination: A pilot study.
Fuente:PLoS One; 13(1):e0190984, 2018.
ISSN:1932-6203
País de publicación:United States
Idioma:eng
Resumen:BACKGROUND: Current immunisation levels in England currently fall slightly below the threshold recommended by the World Health Organization, and the three-year trend for vaccination uptake is downwards. Attitudes towards vaccination can affect future decisions on whether or not to vaccinate, and this can have significant public health implications. Interventions can impact future vaccination decisions, and these interventions can take several forms. Relatively little work has been reported on the use of vaccination interventions in young people, who form the next generation of individuals likely to make vaccination decisions. METHOD: We investigated the impact of two different types of educational intervention on attitudes towards vaccination in young people in England. A cohort of young people (n = 63) was recruited via a local school. This group was divided into three sub-groups; one (n = 21) received a presentation-based intervention, one (n = 26) received an interactive simulation-based intervention, and the third (n = 16) received no intervention. Participants supplied information on (1) their attitudes towards vaccination, and (2) their information needs and views on personal choice concerning vaccination, at three time points: immediately before and after the intervention, and after six months. RESULTS: Neither intervention had a significant effect on participants' attitudes towards vaccination. However, the group receiving the presentation-based intervention saw a sustained uplift in confidence about information needs, which was not observed in the simulation-based intervention group. DISCUSSION: Our findings with young people are consistent with previous work on vaccination interventions aimed at adults, which have shown limited effectiveness, and which can actually reduce intention to vaccinate. Our findings on the most effective mode of delivery for the intervention should inform future discussion in the growing "games for health" domain, which proposes the use of interactive digital resources in healthcare education.
Tipo de publicación:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T


  2 / 78938 MEDLINE  
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PMID:29219248
Autor:Mackworth-Young CR; Bond V; Wringe A; Konayuma K; Clay S; Chiiya C; Chonta M; Sievwright K; Stangl AL
Dirección:Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Título:"My mother told me that I should not": a qualitative study exploring the restrictions placed on adolescent girls living with HIV in Zambia.
Fuente:J Int AIDS Soc; 20(4), 2017 Dec.
ISSN:1758-2652
País de publicación:Switzerland
Idioma:eng
Resumen:INTRODUCTION: Adolescent girls in sub-Saharan Africa are disproportionately affected by HIV due to a range of social and structural factors. As they transition to adulthood, they are recipients of increasing blame for HIV infection and 'improper' sex, as well as increasing scrutiny, restrictions and surveillance. This study used a qualitative and participatory approach to explore the messaging and restrictions imposed on adolescent girls living with HIV in Zambia. METHODS: Thirty-four in-depth interviews and four participatory workshops were carried out with 24 adolescent girls aged 15 to 19 years old living with HIV in Lusaka, Zambia. Key themes explored included experiences living with HIV, finding out about HIV status, disclosure, experiences with antiretroviral treatment, and support needs. Data were organized, coded and analysed using a grounded theory approach to thematic analysis. This analysis uses data on participants' experiences of living with HIV and their interactions with their parents, guardians and healthcare providers. RESULTS: Family and healthcare providers, partly in a quest to protect both the health of adolescent girls living with HIV and also to protect them from blaming discourse, imposed restrictions on their behaviour around three main topics: don't disclose your HIV status, don't have sex, and don't miss your medicines. These restrictions were often delivered using tactics of fear, and usually disconnected from other options. Participants responded to these messages in several ways, including internalizing the messages, changing their behaviour either to comply with or resist the restrictions, by remaining silent and anxious when restrictions were broken, and developing concerns around their own health and sexual and reproductive aspirations. Participants also sometimes experiencing stigma when restrictions could not be maintained. CONCLUSIONS: Restrictive messages were delivered to adolescent girls living with HIV through the broader social discourses of stigma, religion, and global and local narratives about HIV. Programmes aiming to support adolescent girls living with HIV need to work together with parents and healthcare providers to reflect on the impact of sanctioning messages, and to encourage more enabling and empowering messaging for adolescent girls living with HIV.
Tipo de publicación:JOURNAL ARTICLE


  3 / 78938 MEDLINE  
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PMID:28471340
Autor:Sanberk I; Emen M; Kabakçi D
Dirección:a Department of Counseling Psychology , Cukurova University , Adana , Turkey.
Título:An Investigation of Socially Advantaged and Disadvantaged Turkish Mothers' Views About Training on Preventing Children From Sexual Abuse.
Fuente:J Child Sex Abus; 26(3):288-307, 2017 Apr.
ISSN:1547-0679
País de publicación:United States
Idioma:eng
Resumen:This study aims to investigate the views of socially advantaged (N = 8) and disadvantaged mothers (N = 8) whose children are aged between 48 and 66 months old about the issue of sexual abuse before and after the training provided to them. The views of mothers in both groups were investigated before and after the 5-week experience-based training about my body belongs to me, knowing and expressing feelings, good and bad touch, good and bad secrets, knowing how to say no, and help resources. The data were analyzed using content analysis methods. The study showed that the mothers have inaccurate or insufficient information and approaches about preventing sexual abuse. However, short-term training provided to the mothers changed their views, and the mothers in the disadvantaged group gained more awareness. The mothers in both groups stated that sexual abuse prevention trainings should be disseminated in preschool institutions.
Tipo de publicación:JOURNAL ARTICLE


  4 / 78938 MEDLINE  
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PMID:28460130
Autor:Ochoa A; Kitayama K; Uijtdehaage S; Vermillion M; Eaton M; Carpio F; Serota M; Hochman ME
Dirección:UCLA PRIME, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Título:Patient and provider perspectives on the potential value and use of a bilingual online patient portal in a Spanish-speaking safety-net population.
Fuente:J Am Med Inform Assoc; 24(6):1160-1164, 2017 Nov 01.
ISSN:1527-974X
País de publicación:England
Idioma:eng
Resumen:Objective: To assess patient and provider perspectives on the potential value and use of a bilingual patient portal in a large safety-net health system serving predominantly Spanish-speaking patients. Materials and Methods: We captured patient and provider perspectives through the administration of surveys to assess Internet access, barriers, and facilitators to patient portal adoption, along with portal preferences. We report on these survey results using descriptive and comparative statistics. Results: Four hundred patients (82% response rate) and 59 providers (80% response rate) participated in the study. Although 73% of providers believed that the patient portal would increase patient satisfaction, just 39% planned to recommend portal use to patients, citing concerns related to time and reimbursement. In contrast, 72% of patients believed the patient portal would strengthen the patient-provider relationship and 77% believed it would improve the quality of care. Latino patients in particular believed the patient portal would strengthen the patient-provider relationship. Seventy-five percent of patients reported interest in a mobile version of the portal. Discussion: Patients from a safety-net health system, most of whom were Spanish-speaking, reported a high level of interest in the patient portal. Providers at the same health system expressed reluctance about the portal due to concerns related to time and reimbursement. Conclusion: Bilingual patient portal implementation has considerable potential to promote health care engagement within Spanish-speaking safety-net populations; however, lack of provider engagement in the process could undermine the effort.
Tipo de publicación:JOURNAL ARTICLE


  5 / 78938 MEDLINE  
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PMID:29267420
Autor:Corbière M; Lecomte T; Lachance JP; Coutu MF; Negrini A; Laberon S
Dirección:Département d'éducation et pédagogie, Université du Québec à Montréal; Centre de recherche de l'Institut universitaire en santé mentale de Montréal (CR-IUSMM); Chaire de recherche en santé mentale et travail, Fondation de l'IUSMM.
Título:[Return to Work Strategies of Employees who Experienced Depression: Employers and HR's Perspectives].
Título:Stratégies de retour au travail d'employés ayant fait l'expérience d'une dépression : perspectives des employeurs et des cadres des ressources humaines..
Fuente:Sante Ment Que; 42(2):173-196, 2017.
ISSN:0383-6320
País de publicación:Canada
Idioma:fre
Resumen:Major depression is one of the leading causes of work disability across the world. In Canada, the lifetime prevalence of depression varies from 10 to 12%. Depression impacts not only the employee who is often stigmatized and can lose his professional identity, but also has consequences on colleagues and supervisors in organizations. In the literature, four models are described from which employers and managers use in their organizations to make decisions regarding the work disability of employees on sick leave: biomedical, financial management, personnel management, and organizational development. These models can also be supported by economic, legal and ethical interests. Even though these models are essential to better understand the decision of employers and HR regarding work disability, information remains scarce regarding the concrete strategies used by these stakeholders to facilitate the return to work for employees on sick leave due to depression.Objectives the aim of this paper is to document, considering employers' and human resources' perspectives, the best strategies to put in place to facilitate the return to work of employees on sick leave due to depression.Method This study was part of a larger study carried out in Canada to assess factors influencing the return to work after a depression-related sick leave, taking into account the viewpoint of four types of stakeholders: employers/human resources, supervisors, unions and people diagnosed with depression. 219 employers (68.5%) and human resources directors (31.5%) from 82.6% organizations having more than 100 employees accepted to answer a telephone semi-structured interview. The question of interest in this study is: In your opinion, what are the best strategies to help an employee who has had a depression to return to work? Coding was influenced by empirical findings and theories related to psychosocial risk factors that the authors use in their respective disciplines as well as return to work principles/steps mentioned in the literature. The main objective was to keep all the strategies mentioned by participants, and analyzing them with major principles of return to work.Results 24 return to work strategies spread on six principles emerged: 1) Contact with the employee during his sick leave (10 strategies); 2) Evaluate and plan the return to work without precipitating it (6); 3) Training for managers and colleagues regarding mental health in the workplace (4); 4) Concertation between key return to work stakeholders (4); 5) Progressive return to work with work accommodations (4); 6) Health and work follow-up regarding the employee (6).Conclusion These six principles including 34 strategies are usually related to the timeframe process of the return to work, though they can be implemented sometimes in parallel. This possible overlap reinforces the idea to consider the return to work as sustainable in order to prevent potential relapses and improve the performance at work. Next steps will be to systematically implement these principles and strategies in organizations in order to evaluate their impact on return to work of employees on sick leave due to depression.
Tipo de publicación:JOURNAL ARTICLE


  6 / 78938 MEDLINE  
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PMID:29267418
Autor:Laberon S; Scordato N; Corbière M
Dirección:Faculté de psychologie, Laboratoire de psychologie EA4139, Université de Bordeaux, France.
Título:[Representations of Mental Disorders and Employment Fit Perceived by Employers of the Regular Labour Market in France].
Título:Représentations du « trouble psychique ¼ et adéquation à l'emploi perçue par des employeurs du milieu ordinaire de travail en France..
Fuente:Sante Ment Que; 42(2):133-153, 2017.
ISSN:0383-6320
País de publicación:Canada
Idioma:fre
Resumen:Introduction People with mental disorders face stigma and discriminatory hiring practices in the competitive labour market. This study on employers' representations of mental disorders provides knowledge regarding the specifics of their negative perceptions for this population, which appears to be an important barrier to their inclusion in the workplace. Heilman's lack of fit model (1983) enabled to show that recruiters seek to match the characteristics they perceive in candidates with those they deem necessary to succeed in the organization. A lack of fit between the two components-candidates and the selection criteria-would explain the non-selection of the applicant. This psychological process can be applied to the recruitment of people with psychiatric disabilities.Objectives The goal of this study was to identify employers' representations towards mental disorder in general and in the workplace particularly, as well as to determine the prerequisites for hiring this population. As such, this would allow to better understand the psychological processes involved in the exclusion of people with psychiatric disabilities.Method In a qualitative study, 29 semi-structured interviews were conducted with employers and HR Department representatives of organizations in France that were under the French legal obligation to hire people with a disability (organizations having more than 20 employees). We used the free association technique to identify representational contents concerning mental disorder. Qualitative data on the essential prerequisites for recruitment were collected through open-ended questions. The data were processed by a categorical content analysis conducted independently by three researchers. The structure of the representation was identified by distinguishing the components of the central nucleus from those of the peripheral nucleus according to the two criteria of the method of Moliner (1994): the index of popularity of each element and the co-occurrence between each element of the representation.Results Results revealed negative representations of people with mental disorders, focusing on social deviance and harm to society, believing that people with mental disorders would have non-standard skills and behaviours and would be socially disruptive and burdensome, particularly in the workplace. The analysis of the prerequisites for hiring persons with psychiatric disabilities showed how these representations towards mental disorders are barriers for their recruitment, mainly linked to a perceived lack of employment fit.Conclusion Future avenues of research and actions are suggested. They are as follows: learning, education on mental disorders, training and specific techniques to reduce organizational stakeholders' stereotypes and prejudice. Also, supporting stakeholders for the inclusion of people with mental disorders in the workplace appears fundamental, especially by improving recruitment and integration practises.
Tipo de publicación:JOURNAL ARTICLE


  7 / 78938 MEDLINE  
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PMID:29443470
Autor:Agbemenu K
Título:Acculturation and Health Behaviors of African Immigrants Living in the United States: An Integrative Review.
Fuente:ABNF J; 27(3):67-73, 2016 Summer.
ISSN:1046-7041
País de publicación:United States
Idioma:eng
Resumen:This research was conducted to identify the acculturation and health behaviors in the African Immigrant population, which is presently living in the United States. Ten studies met the criteria and included health behaviors of status, access to health care, psychiatric services, prostate cancer, morbidity and mortality, HIV knowledge and beliefs, perceptions of suicide, smoking, and obesity. Acculturation was measured using the most common social constructs that influenced the health behaviors of nativity, English (language proficiency), age at immigration, education and socioeconomic status, religion, age at immigration, and length of stay in the U.S. More research is needed to assist in prioritizing the health conditions that need intervention in serving this particular population.
Tipo de publicación:JOURNAL ARTICLE; REVIEW


  8 / 78938 MEDLINE  
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PMID:29406647
Autor:Stokes D
Título:Empowering Children with Autism Spectrum Disorder and Their Families within the Healthcare Environment.
Fuente:Pediatr Nurs; 42(5):254-5, 2016 Sep-Oct.
ISSN:0097-9805
País de publicación:United States
Idioma:eng
Resumen:Patient and family education is a critical element of diabetes management. Many children with new onset type 1 diabetes present with symptoms of diabetic ketoacidosis (DKA) and are hospitalized at diagnosis. These children and their families receive their initial education in the hospital setting. As soon as blood glucose levels are stabilized and the acidosis is corrected. The patient is discharged home, usually within three days (Nettles, 2005). There is little time to provide the skills and education, as well as emotional support, for a smooth transition to home. It is a challenge to achieve these goals if the only resource person for diabetes education is the clinical nurse specialist (CNS). The CNS for a 14-bed pediatric unit sought to expand the role of the bedside nurse to being the primary educator of patients with diabetes through education and support. All nurses attended an eight-hour workshop on diabetes. A DKA protocol was developed through multidisciplinary collaboration, and nurses were educated on this protocol. Additionally, the CNS organized a diabetes resource cart that contains the tools for diabetes education. The protocol and education materials were uploaded in the Pediatric Share Point site to make them accessible to nurses. Most importantly, the CNS developed a structured patient education plan that is outcome-oriented, and based on review of current literature and practices in the unit. This initiative resulted in an increase in nursing confidence and expertise related to diabetes care as demonstrated by competencies met by nurses and anecdotal evidence from nurses and patients' caregivers.
Tipo de publicación:JOURNAL ARTICLE


  9 / 78938 MEDLINE  
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PMID:29424991
Autor:Budanova EI; Bogomolov AV
Título:[Description of the life quality of contracted servicemen].
Fuente:Gig Sanit; 95(7):627-32, 2016.
ISSN:0016-9900
País de publicación:Russia (Federation)
Idioma:rus
Resumen:There are presented results of a comprehensive study of the life quality of representatives of three reference groups of servicemen on contract: cadets of military high schools (n = 400), contracted servicemen of the units of power ministries and departments (n = 453), common soldiers and junior commanders (n = 357). The study was executed with the aid of the public survey, the performing of both psychological and functional load tests. This work is notable for the complexation of indices which characterize socio-hygienic, psychological and medical aspects of the life quality, life values, life satisfaction, and specific features of the military profession. Results of the study, which differ from the prior investigation by inclusion of indices characterizing the specific features of military-professional activity, lifestyle and spirituality, for the first time made it possible to assess the life quality related to health, taking into account the axiological values in life and important needs of the studied population. Changes in the life quality indices of contract servicemen were shown to be more sensitive to changes in their health than the traditional clinical-laboratory and instrumental data, which allows to recommend a wide practical use of the monitoring the life quality for professional selection and medical support of the military service, including the implementation of measures on optimization of psychological climate in military units, and the personification of the complex of therapeutic-recreational measures. The results allow us to recommend to military medical commissions of military commissariats in the call of citizens for military service under contract to carry out studies of quality and lifestyle of recruits for the early detection of groups of risk for their health. The program of in-depth medical examinations of military-contract there is recommended to include research aimed at identifying adverse social and hygienic factors of service and living conditions, psychopathological personality traits, rehabilitation and psychological climate in a military collective, execution of a personalized set of therapeutic measures.
Tipo de publicación:JOURNAL ARTICLE


  10 / 78938 MEDLINE  
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PMID:29367349
Autor:Ezekiel S
Título:"Where there is life, there is hope".
Fuente:BMJ; 360:j5920, 2018 01 24.
ISSN:1756-1833
País de publicación:England
Idioma:eng
Tipo de publicación:JOURNAL ARTICLE; PERSONAL NARRATIVES



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