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Sat Oct 7 12:53:46 PDT 2023
NYU Information for Practice Daily Digest (Unofficial)
(https://ifp.nyu.edu/2023/infographics/with-north-carolina-adopting-medicaid-expansion-a-dwindling-number-of-states-are-missing-out-on-its-economic-and-health-benefits/) With North Carolina Adopting Medicaid Expansion, a Dwindling Number of States Are Missing Out on Its Economic and Health Benefits
Oct 7th 2023, 15:32
The post (https://ifp.nyu.edu/2023/infographics/with-north-carolina-adopting-medicaid-expansion-a-dwindling-number-of-states-are-missing-out-on-its-economic-and-health-benefits/) With North Carolina Adopting Medicaid Expansion, a Dwindling Number of States Are Missing Out on Its Economic and Health Benefits was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/ab-22112/) The developmental characteristics of proactive and reactive aggression in late childhood: The effect of parental control
Oct 7th 2023, 15:24
Abstract
Previous research has confirmed that parental control is related to children’s aggressive behavior. However, few studies have focused on proactive and reactive aggression to distinguish the different effects of parental psychological and behavioral control. Moreover, additional longitudinal evidence is needed to understand these links. In the current paper, a three-wave longitudinal study was conducted to examine the developmental characteristics of proactive and reactive aggression and the role of parental control in China. A total of 484 4th- and 7th-grade students participated at wave 1 (51.65% in 4th-grade, Mage = 11.66 ± 1.52 years), 465 students (52.04% in 4th-grade) at wave 2, and 447 children (51.90% in 4th-grade) at wave 3. The results showed that: (1) Proactive aggression in late childhood remained stable overall, while reactive aggression displayed a clear upward trend. (2) In proactive aggression, boys and girls had a consistent developmental trend. The initial level of boys was higher than that of girls. In reactive aggression, the growth rate was inversely associated with their initial level and the initial level of boys in 7th-grade was significantly higher than that of girls. (3) Both parental psychological and behavioral control positively predicted students’ reactive aggression in 4th- and 7th-grade, whereas only parental behavioral control positively predicted proactive aggression in 7th-grade students, with no gender differences.
(https://onlinelibrary.wiley.com/doi/10.1002/ab.22112?af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/ab-22112/) The developmental characteristics of proactive and reactive aggression in late childhood: The effect of parental control was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/1525822x231195726/) Estimating the Size of the Target Population in Data Limited Settings
Oct 7th 2023, 14:03
Field Methods, Ahead of Print. Not knowing the population size is a common problem in data-limited contexts. Drawing on work in Sierra Leone, this short take outlines a four-step solution to this problem: (1) estimate the population size using expert interviews; (2) verify estimates using interviews with participants sampled; (3) triangulate using secondary data; and (4) reconfirm using focus group discussions.
(https://journals.sagepub.com/doi/abs/10.1177/1525822X231195726?ai=2b4&mi=ehikzz&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/1525822x231195726/) Estimating the Size of the Target Population in Data Limited Settings was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/grey-literature/partisan-house-appropriations-bills-underfund-non-defense-priorities-and-are-a-sharp-break-from-the-bipartisan-debt-ceiling-agreement-2/) Partisan House Appropriations Bills Underfund Non-Defense Priorities and Are a Sharp Break From the Bipartisan Debt Ceiling Agreement
Oct 7th 2023, 13:31
The post (https://ifp.nyu.edu/2023/grey-literature/partisan-house-appropriations-bills-underfund-non-defense-priorities-and-are-a-sharp-break-from-the-bipartisan-debt-ceiling-agreement-2/) Partisan House Appropriations Bills Underfund Non-Defense Priorities and Are a Sharp Break From the Bipartisan Debt Ceiling Agreement was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/13557858-2023-2208312/) The impact of racial discrimination on the health of Asian Americans during the COVID-19 pandemic: a scoping review
Oct 7th 2023, 13:04
Volume 28, Issue 7, October 2023, Page 957-982.
(https://www.tandfonline.com/doi/full/10.1080/13557858.2023.2208312?ai=1mp&mi=79r7c4&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/13557858-2023-2208312/) The impact of racial discrimination on the health of Asian Americans during the COVID-19 pandemic: a scoping review was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/13642537-2023-2240821-2/) “Blurred facilitation stand” – the hidden factor when working with LGBTQ: Diagnosis and addressing an unspoken effect of internalized homophobia
Oct 7th 2023, 13:03
Volume 25, Issue 3, September 2023, Page 247-262.
(https://www.tandfonline.com/doi/full/10.1080/13642537.2023.2240821?ai=1l8&mi=79r7c4&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/13642537-2023-2240821-2/) “Blurred facilitation stand” – the hidden factor when working with LGBTQ: Diagnosis and addressing an unspoken effect of internalized homophobia was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/07334648231197386/) Impacts of COVID-19 on Health and Healthcare for Rural Veterans in Home-Based Primary Care
Oct 7th 2023, 12:31
Journal of Applied Gerontology, Ahead of Print. This qualitative study explored the impact of COVID-19 on older rural-dwelling veterans and their caregivers enrolled in home-based primary care (HBPC) through the Birmingham VA Health Care System (BVAHCS). Phone interviews were conducted with 16 veterans and/or their caregivers and rapid qualitative analysis of interview notes was performed. Average age of veterans was 77 (range = 69–97) and 93.7% were white males. Despite a significant number of co-morbidities, 68.8% reported minimal adverse impacts of COVID-19 on overall physical and mental health. Like many healthcare teams, the inter-disciplinary VA HBPC team incorporated Telehealth during COVID-19. Telehealth utilization varied among the 16 participants, with 50% using telehealth independently, 37.5% needing assistance, and 12% lacking access. Our findings are consistent with prior research that identifies resilient characteristics as potentially protective in this high-risk older veteran population during the COVID-19 pandemic.
(https://journals.sagepub.com/doi/abs/10.1177/07334648231197386?ai=2b4&mi=ehikzz&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/07334648231197386/) Impacts of COVID-19 on Health and Healthcare for Rural Veterans in Home-Based Primary Care was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/07334648231202678/) Exploring Differences in Home Modification Strategies According to Household Location and Occupant Disability Status: 2019 American Housing Survey Analysis
Oct 7th 2023, 12:31
Journal of Applied Gerontology, Ahead of Print. Home modification is essential in helping older adults age in place safely and independently. The purpose of this study was to examine the impact of housing location and disability status on home modification projects among older adults using the 2019 American Housing Survey Data. The study found that recent home modification strategies were significantly different according to older adults’ housing locations and health status. Older adults in non-metropolitan areas and with disability were less likely to make home modifications, and when they did so, they spent less money on the modifications. The findings highlight the importance of providing adequate home modification programs and resources for home modifications, as well as support and education from community organizations, particularly for older adults in non-metropolitan areas. The results of this study can assist in developing housing policies and guidelines to address these current and future challenges in home modification implementation for the aging population.
(https://journals.sagepub.com/doi/abs/10.1177/07334648231202678?ai=2b4&mi=ehikzz&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/07334648231202678/) Exploring Differences in Home Modification Strategies According to Household Location and Occupant Disability Status: 2019 American Housing Survey Analysis was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/17446295231202021/) Usefulness of interactive video-based instruction on learning performance in relation to cognitive development of children with moderate intellectual disability
Oct 7th 2023, 12:30
Journal of Intellectual Disabilities, Ahead of Print. The usefulness of information and communication technology has been witnessed around the globe with the occurrence of rapid changes in the field of education i.e. through the formal or informal way. For this, the researchers have assessed Interactive video-based instruction (IVBI) on (N = 95; males = 47 & females = 48 age range between 12 and 15 years) moderate intellectual disability children in Guwahati, Assam, India from three day-care rehabilitation centres. The main objective was to examine the effect of IVBI intervention (IIVBI & CIVBI) on academic performance in association with the cognitive development of children with moderate intellectual disability in a comfortable setting within working hours. The findings conclude that children in the CIVBI group performed more actively as compared to IIVBI and comparison group, and it was due to the involvement of video-based instruction that helped understand the topic more precisely and acts effectively for CIVBI children in an experimental setting.
(https://journals.sagepub.com/doi/abs/10.1177/17446295231202021?ai=2b4&mi=ehikzz&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/17446295231202021/) Usefulness of interactive video-based instruction on learning performance in relation to cognitive development of children with moderate intellectual disability was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/10790632231198019/) Perpetration-Focused Prevention: The Perceptions of Victim-Survivors
Oct 7th 2023, 12:29
Sexual Abuse, Ahead of Print. Policymakers are increasingly calling on victim-survivors of child sexual abuse to consult on prevention initiatives, including perpetration-focused prevention efforts like Stop it Now! However, very little is known about the perspectives of victim-survivors on perpetration-focused prevention and whether they support such initiatives. This study was informed by the research question: How do victim-survivors of child sexual abuse perceive perpetration-focused prevention, including the Stop it Now! program? Sixteen Australian victim-survivors participated in an individual, one-hour interview and the data were analysed according to thematic analysis. Four themes emerged through the data analysis: Core of repulsion; Doubt and dismissal; Conditions for congruence; and Arriving at acceptability. These themes are represented as a spiral from the first theme at the centre to the last at the outer edge, reflecting a process of rationalisation. Their initial reaction was a sense of revulsion to perpetration-focused prevention, but their final position was one of conditional support.
(https://journals.sagepub.com/doi/abs/10.1177/10790632231198019?ai=2b4&mi=ehikzz&af=R) Read the full article ›
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(https://ifp.nyu.edu/2023/journal-article-abstracts/10790632231201398/) Sexual Offending: Adverse Childhood Experiences, Shame, and Self-Compassion Explain the Variance in Self-Harm and Harm Towards Others?
Oct 7th 2023, 12:29
Sexual Abuse, Ahead of Print. Research investigating potential pathways from Adverse Childhood Experiences (ACEs) to later self-harming and offending behaviours has inconsistent findings. Past research, however, has not fully explored the interplay between ACEs and modifiable psychological factors, such as shame and self-compassion. The present study explored the relationship between ACE, shame, and self-compassion to identify their role in explaining the variance in later harm in a sample of individuals who have committed sexual offences. Two hundred and fifty adults incarcerated for sexual offences participated. Multiple Regression and Mediation Analyses were applied to establish if ACE, shame and self-compassion explained the variance in harm and explore potential psychological pathways between ACE and harm, with shame and self-compassion as potential modifiable mediators. ACE, shame and self-compassion explained 55% of self-harm and 52% of psychological and physical harm variance. A more complex relationship was indicated for sexual harm, with only 19% of the variance explained by the model. The study increases our understanding of the relationship between variables and potential modifiable pathways between ACEs and later harming behaviours in a sample of individuals with sexual convictions. These modifiable psychological factors could be targeted to increase resilience, post-traumatic growth and reduce the risk of harm in later life.
(https://journals.sagepub.com/doi/abs/10.1177/10790632231201398?ai=2b4&mi=ehikzz&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/10790632231201398/) Sexual Offending: Adverse Childhood Experiences, Shame, and Self-Compassion Explain the Variance in Self-Harm and Harm Towards Others? was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/history/7243357/) Global Histories of Disability, 1700-2015: Power, Place and People
Oct 7th 2023, 12:12
The post (https://ifp.nyu.edu/2023/history/7243357/) Global Histories of Disability, 1700-2015: Power, Place and People was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/navigating-the-value-of-lived-experience-in-support-work-with-multiply-disadvantaged-adults/) ‘Navigating’ the Value of Lived Experience in Support Work with Multiply Disadvantaged Adults
Oct 7th 2023, 12:07
This article furthers understanding of the value of experiential knowledge for social policy and practice. It draws on new empirical material to critically explore the opportunities and challenges inherent in lived experience support work with multiply disadvantaged adults. Reflecting on the experiences of those delivering a ‘navigator’ service, particular attention is paid to an ambiguity around the ways in which experiential knowledge might generate more productive models of relationship-based work, the positioning of lived experience in relation to ‘expert’ ways of knowing as well as the potential risks that the navigator role poses to those employed in the position. The discussion is situated within a wider body of literature that helps us to understand these practical, ideological and political tensions within the wider context of neoliberal welfare reforms.
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/navigating-the-value-of-lived-experience-in-support-work-with-multiply-disadvantaged-adults/) ‘Navigating’ the Value of Lived Experience in Support Work with Multiply Disadvantaged Adults was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/everyday-influence-democracy-when-health-and-social-care-are-part-of-everyday-life/) Everyday influence – democracy when health and social care are part of everyday life
Oct 7th 2023, 12:07
This article contributes to ongoing discussions about frailty and vulnerability in critical gerontology by asserting that possibilities to engage and enact influence in everyday life situations is a crucial dimension of democracy in later life. We discuss how democracy in this sense can be threatened for older persons for whom health and social care services are needed, following from the labelling practices of frailty and the non-recognition of the social processes that set capabilities in motion. We utilise three examples grounded in research with older persons in their home environment in a Swedish context. The examples show how older people use creative, emotional, practical and social resources to integrate activities in a manner that address their needs and capabilities, and influence the situations in direction towards how and when to be engaged in everyday activities. Based on a discussion of the examples, we argue that health and social care services that provide and build social infrastructures need to recognise the potential concurrency of interdependency, vulnerability and agency within older persons’ local everyday practices. This to address capabilities and enable concrete expression of democracy in everyday situations. Overall, we suggest that conceptual and methodological shifts in research, as well as policy and practice, are needed to bring democratic processes forward through the relational and situated aspects of resources, agency and influence.
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/everyday-influence-democracy-when-health-and-social-care-are-part-of-everyday-life/) Everyday influence – democracy when health and social care are part of everyday life was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/casp-2748/) Profiles of volunteers’ motivations and positive experiences relate to their sustained volunteering during the COVID‐19 pandemic
Oct 7th 2023, 12:07
Abstract
Volunteering benefits individuals and society but is hard to sustain, especially in emergencies. Based on the volunteer process model and self-determination theory, this study identified the optimal number of motivations and positive experiences profiles and investigated these profiles’ relationships with volunteers’ sustained volunteering during the COVID-19 pandemic. Seven hundred and eighteen volunteers completed a series of measures about motivations to volunteer (e.g., autonomous and controlled), positive experiences (e.g., satisfaction, meaningfulness and happiness) and sustained volunteering. Results indicated that meaningfulness and happiness positively predicted sustained volunteering but satisfaction did not. Furthermore, we identified four distinct groups using latent profile analysis: the highest autonomy-best experience group (34.96%), high autonomy-well experience group (44.84%), moderate autonomy-general experience group (17.83%) and low autonomy-bad experience group (2.37%). Volunteers in the highest autonomy-best experience group showed the highest level of sustained volunteering compared to those in other groups. These findings suggest that volunteers’ motivations and positive experiences play a combined role in sustained volunteering. They also have significance for fostering long-term volunteering. Please refer to the Supplementary Material section to find this article’s Community and Social Impact Statement.
(https://onlinelibrary.wiley.com/doi/10.1002/casp.2748?af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/casp-2748/) Profiles of volunteers’ motivations and positive experiences relate to their sustained volunteering during the COVID‐19 pandemic was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/13642537-2023-2239261-2/) Exploring themes of racialization in “The Vanishing Half”: Is the term “white passing” a useful way for psychotherapists, counsellors and psychological therapists to conceptualise racial identity?
Oct 7th 2023, 11:03
Volume 25, Issue 3, September 2023, Page 232-246.
(https://www.tandfonline.com/doi/full/10.1080/13642537.2023.2239261?ai=1l8&mi=79r7c4&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/13642537-2023-2239261-2/) Exploring themes of racialization in “The Vanishing Half”: Is the term “white passing” a useful way for psychotherapists, counsellors and psychological therapists to conceptualise racial identity? was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/podcasts/building-a-social-care-system-that-puts-families-first/) Building a social care system that puts families first
Oct 7th 2023, 10:57
The post (https://ifp.nyu.edu/2023/podcasts/building-a-social-care-system-that-puts-families-first/) Building a social care system that puts families first was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/guidelines-plus/new-beginnings-program-for-divorcing-and-separating-parents-nbp-2/) New Beginnings Program for Divorcing and Separating Parents (NBP)
Oct 7th 2023, 10:11
The post (https://ifp.nyu.edu/2023/guidelines-plus/new-beginnings-program-for-divorcing-and-separating-parents-nbp-2/) New Beginnings Program for Divorcing and Separating Parents (NBP) was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/clinical-trials/intervention-to-enhance-coping-and-help-seeking-among-youth-in-foster-care/) Intervention to Enhance Coping and Help-seeking Among Youth in Foster Care
Oct 7th 2023, 10:07
The post (https://ifp.nyu.edu/2023/clinical-trials/intervention-to-enhance-coping-and-help-seeking-among-youth-in-foster-care/) Intervention to Enhance Coping and Help-seeking Among Youth in Foster Care was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/13642537-2023-2241327-2/) Could therapists, their supervisors and their professional bodies do more to protect the public?
Oct 7th 2023, 10:04
Volume 25, Issue 3, September 2023, Page 219-231.
(https://www.tandfonline.com/doi/full/10.1080/13642537.2023.2241327?ai=1l8&mi=79r7c4&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/13642537-2023-2241327-2/) Could therapists, their supervisors and their professional bodies do more to protect the public? was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/open-access-journal-articles/s41073-023-00137-1/) Authorship and citation patterns of highly cited biomedical researchers: a cross-sectional study
Oct 7th 2023, 09:58
Scientific productivity is often evaluated by means of cumulative citation metrics. Different metrics produce different incentives. The H-index assigns full credit from a citation to each coauthor, and thus ma…
(https://researchintegrityjournal.biomedcentral.com/articles/10.1186/s41073-023-00137-1) Read the full article ›
The post (https://ifp.nyu.edu/2023/open-access-journal-articles/s41073-023-00137-1/) Authorship and citation patterns of highly cited biomedical researchers: a cross-sectional study was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/video/social-work-in-west-berkshire-whats-stopping-you/) Social Work in West Berkshire – What’s stopping you?
Oct 7th 2023, 09:39
The post (https://ifp.nyu.edu/2023/video/social-work-in-west-berkshire-whats-stopping-you/) Social Work in West Berkshire – What’s stopping you? was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/grey-literature/house-republicans-snap-amendments-would-take-food-away-from-more-than-1-million-low-income-people/) House Republicans’ SNAP Amendments Would Take Food Away From More Than 1 Million Low-Income People
Oct 7th 2023, 09:37
The post (https://ifp.nyu.edu/2023/grey-literature/house-republicans-snap-amendments-would-take-food-away-from-more-than-1-million-low-income-people/) House Republicans’ SNAP Amendments Would Take Food Away From More Than 1 Million Low-Income People was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/17423953231198893/) Socio-Clinical factors associated with Parkinson’s disease–related specific self-management behaviours
Oct 7th 2023, 09:04
Chronic Illness, Ahead of Print. ObjectiveTo test associations between socio-clinical factors, self-management and patient activation among patients with Parkinson’s disease (PD), and to explore the use of regression tree to find the cut-off levels of socio-clinical factors which associate with lower or higher self-management behaviours and patient’s activation.MethodsA cross-sectional study of patients with PD (n = 62) who underwent assessment of their socio-clinical factors including age, gender, cognitive status, comorbidities, disease severity (motor and non-motor symptoms) and social support. The associations of these factors to specific aspects of self-management behaviours including utilization of rehabilitative treatments, physical activity and patient activation were tested.ResultsMost patients did not utilize rehabilitative treatments. Non-motor symptoms and cognitive status were significantly associated with physical activity (R2 = 0.35, F(3, 58) = 10.50, p < 0.001). Non-motor symptoms were significantly associated with patient activation (R2 = 0.30, F(1, 30) = 25.88, p < 0.001). Patients with Mini-Mental State Exam score ≤24 performed less physical activity, relative to those with a higher score. Patients with ≤5 non-motor symptoms showed higher activation relative to those with >5.ConclusionIn PD, disease-specific clinical characteristics overshadow other personal factors as determinants of self-management behaviours. The role of non-motor symptoms in reduced self-management behaviours and activation is highlighted.
(https://journals.sagepub.com/doi/abs/10.1177/17423953231198893?ai=2b4&mi=ehikzz&af=R) Read the full article ›
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(https://ifp.nyu.edu/2023/meta-analyses-systematic-reviews/non-pharmacological-interventions-to-reduce-anxiety-among-children-undergoing-surgery-a-systematic-review/) Non-pharmacological interventions to reduce anxiety among children undergoing surgery: A systematic review
Oct 7th 2023, 08:28
The post (https://ifp.nyu.edu/2023/meta-analyses-systematic-reviews/non-pharmacological-interventions-to-reduce-anxiety-among-children-undergoing-surgery-a-systematic-review/) Non-pharmacological interventions to reduce anxiety among children undergoing surgery: A systematic review was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/02692163231191548/) More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
Oct 7th 2023, 08:08
Palliative Medicine, Ahead of Print. Background:Intrathecal Drug Delivery Systems are underutilised in the management of refractory cancer pain despite evidence of their efficacy. Not all patients who are offered this treatment modality accept it. There is no current evidence that indicates if the use of intrathecal drug delivery systems impacts on place of care for patients with cancer related pain.Aims:This service evaluation compared place of care, place of death and morphine equivalent daily dose at end of life for patients in whom Intrathecal Drug Delivery was successfully established versus those who chose comprehensive medical management.Setting/participants:A retrospective longitudinal cohort study of 45 patients with cancer pain comparing those who had ongoing analgesia successfully delivered via an implanted Intrathecal Drug Delivery System (n = 28) with those who continued to receive comprehensive medical management (n = 17).Results:There was a markedly greater time spent in the community in the intrathecal group than the medical management group (median 126.5vs 25.5 days; p = 0.002) and a lower morphine equivalent daily dose at end of life (median 127.5vs 440.0 p = 0.022).Conclusion:In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.
(https://journals.sagepub.com/doi/abs/10.1177/02692163231191548?ai=2b4&mi=ehikzz&af=R) Read the full article ›
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(https://ifp.nyu.edu/2023/journal-article-abstracts/17423953231196611/) A hospital care coordination team intervention for patients with multimorbidity: A practice-based, participatory pilot study
Oct 7th 2023, 07:44
Chronic Illness, Ahead of Print. ObjectivesThis study aims to develop and pilot a hospital care coordination team intervention for patients with multimorbidity and identify key uncertaintiesMethodsPractice-based, participatory pilot study with mixed methods in a middle-large teaching hospital. We included adult patients who had visited seven or more outpatient specialist clinics in 2018. The intervention consisted of an intake, a comprehensive review by a dedicated care coordination team, a consultation to discuss results and two follow-up appointments. We collected both quantitative and qualitative data.ResultsOut of 131 invited patients, 28 participants received the intake and comprehensive review. The intervention resulted in mixed outputs and short-term outcomes. Among the 28 participants, 21 received recommendations for at least two out of three categories (medication, involved medical specialists, other). Patients’ experienced effects ranged from no to very large effects. Key uncertainties were how to identify patients with a need for care coordination and the minimum of required data that can be collected during regular clinical care with feasible effort.DiscussionRecruitment and selection for hospital care coordination should be refined to include patients with multimorbidity who might benefit most. Outcomes of research and clinical care should align and first focus on evaluating the results of care coordination before evaluating health-related outcomes.
(https://journals.sagepub.com/doi/abs/10.1177/17423953231196611?ai=2b4&mi=ehikzz&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/17423953231196611/) A hospital care coordination team intervention for patients with multimorbidity: A practice-based, participatory pilot study was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/02692163231188156/) Unrepresented, unheard and discriminated against: A qualitative exploration of relatives’ and professionals’ views of palliative care experiences of people of African and Caribbean descent during the COVID-19 pandemic
Oct 7th 2023, 07:07
Palliative Medicine, Ahead of Print. Background:People of African and Caribbean descent experienced disproportionately high mortality from COVID-19 and have poor access to palliative care.Aim:To explore palliative care experiences of people of African and Caribbean descent during and immediately prior to the pandemic.Design:Qualitative interview study with thematic analysis. Refinement of themes/recommendations in consultation with an expert patient and public advisory group.Setting/participants:Twenty-six bereaved relatives and 13 health/social care professionals (cared for people of African and Caribbean descent) from throughout England, recruited using social media, community networks and direct advertising to over 150 organisations.Results:Three themes were identified: Representation: Participants did not see themselves reflected in the palliative care services and did not expect their needs to be understood. Mistrust of the healthcare system and perceptions of racism were common and led to anticipation of inequitable care. Personalisation: Relatives and professionals reported a lack of cultural and religious sensitivity in healthcare. Assumptions were made based on ethnicity, and services not offered to all. Awareness and education: Professionals felt they lacked the knowledge to provide care to diverse communities, but were reluctant to ask, due to fear of making mistakes. Inequitable access to services was exacerbated by, but not unique to, the pandemic. Participants recommended raising awareness of palliative services, building professional competence in culturally-sensitive care, and greater ethnic diversity within services.Conclusions:Person-centred, culturally-competent palliative care is not the norm for people of African and Caribbean descent. Expectations of inequitable care are widespread. Sustained action on multiple fronts is needed.
(https://journals.sagepub.com/doi/abs/10.1177/02692163231188156?ai=2b4&mi=ehikzz&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/02692163231188156/) Unrepresented, unheard and discriminated against: A qualitative exploration of relatives’ and professionals’ views of palliative care experiences of people of African and Caribbean descent during the COVID-19 pandemic was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/journal-article-abstracts/tam0000190/) Violence in a place of healing: Weapons-based attacks in health care facilities.
Oct 7th 2023, 06:04
Journal of Threat Assessment and Management, Vol 10(3), Sep 2023, 151-187; doi:10.1037/tam0000190
We examined 137 incidents of potentially lethal, weapon-enabled, targeted violence at health care facilities between 2008 and 2017 in the U.S. using open-source data. Individually held grievances by the perpetrator were commonly present. Perpetrators most commonly targeted one person, though collateral victimization did occur. Two thirds of cases involved at least one fatality. Firearm use outnumbered other forms of attack, followed distally by stabbing, blunt force trauma, and strangulation. Hospitals and residential care facilities represented the overwhelming majority of venues; patient rooms, main corridors/waiting areas, and parking areas were the most common locations of attack within facilities. Various attack characteristics, including weapon choice, perpetrator and victim relationship to the venue, incident location within a venue, were more frequently observed for certain motivations. Incidents involving an existing/former intimate relationship between the perpetrator and victim represented the largest proportion of cases. Preincident warning behaviors were most likely reported in cases motivated by disgruntlement with a perpetrator’s own care or by intimate partner animus (IPA), and least likely in cases motivated by “mercy” or despondence over a loved one’s health. These attacks usually continued until concluded by the perpetrator; perpetrator suicide occurred in a minority of cases. Potential mitigation measures are proposed for threat assessment professionals and facility staff. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
(https://ifp.nyu.edu/?internalerror=true) Read the full article ›
The post (https://ifp.nyu.edu/2023/journal-article-abstracts/tam0000190/) Violence in a place of healing: Weapons-based attacks in health care facilities. was curated by (https://ifp.nyu.edu) information for practice.
(https://ifp.nyu.edu/2023/open-access-journal-articles/15579883231193915/) A Person-Centered Perspective on Physical Activity-Related Barriers Perceived by Male Fluctuators 50 Plus: A Cross-Sectional Study
Oct 7th 2023, 05:22
American Journal of Men’s Health, Volume 17, Issue 5, September-October 2023. Men aged 50 or older (50 plus) represent a hard-to-reach target group for health-enhancing physical activity (PA) interventions. However, a considerable percentage of men 50 plus do not entirely fail to achieve the PA milestones set by the World Health Organization (WHO) guidelines. They show fluctuating PA behavior, influenced by various barriers hindering or preventing regular PA participation. As “one-size-fits-all” behavioral change interventions are only partially effective in specific subgroups, it is essential to tailor PA promotion measures to the particular needs of male fluctuators 50 plus. The standardized questionnaire included validated instruments measuring participants’ current stage of behavioral change, their perceived barriers to PA, questions on selected psychosocial correlates of PA, and sociodemographic variables. Out of 1,013 participants, 133 men (13.1%) classified themselves as fluctuators. Using a person-centered approach, we formed groups with similar intra-individual relevant barrier profiles using hierarchical cluster analysis (Ward method) followed by k-means clustering. We identified four clusters. Cluster 1 (n = 31) involves men predominantly perceiving physical constraints. Cluster 2 (n = 33) represents men lacking self-motivation and struggling with their weaker selves. Men in Cluster 3 (n = 51) primarily indicate professional and private obligations that prevent them from being physically active. Finally, men in Cluster 4 (n = 18) miss appropriate sports courses that meet their individual needs. Our findings support identifying individually tailored strategies designed to promote regular PA in male fluctuators 50 plus. Further research is required to determine the effectiveness of this approach in improving adherence to PA guidelines and corresponding health-enhancing effects for men 50 plus.
(https://journals.sagepub.com/doi/abs/10.1177/15579883231193915?ai=2b4&mi=ehikzz&af=R) Read the full article ›
The post (https://ifp.nyu.edu/2023/open-access-journal-articles/15579883231193915/) A Person-Centered Perspective on Physical Activity-Related Barriers Perceived by Male Fluctuators 50 Plus: A Cross-Sectional Study was curated by (https://ifp.nyu.edu) information for practice.
Forwarded by:
Michael Reeder LCPC
Baltimore, MD
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