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(https://ifp.nyu.edu/2024/journal-article-abstracts/jme-2023-109671v1/) Extending patient-centred communication to non-speaking intellectually disabled persons
Mar 21st 2024, 15:51

Patient-centred communication is widely regarded as a best practice in contemporary medical care, both in terms of maximising health outcomes and respecting persons. However, not all patients communicate in ways that are easily understood by clinicians and other healthcare professionals. This is especially so for patients with non-speaking intellectual disabilities. We argue that assumptions about intellectual disability—including those in diagnostic criteria, providers’ implicit attitudes and master narratives of disability—negatively affect communicative approaches towards intellectually disabled patients. Non-speaking intellectually disabled patients may also be taken to lack decision-making capacity and resultingly, may be given very little role in determining their care. But, given evidence of the heterogeneous communicative practices available to non-speaking patients, efforts should be made to extend patient-centred communication to them. We offer four suggestions for doing so: (1) treating those with non-speaking intellectual disabilities as potential communicators; (2) lengthening appointment times to develop relationships necessary for communication; (3) disentangling capacity from communication in concept and in practice; and (4) recognising the bidirectional connection between supported decision-making and patient-centred communication.
(https://jme.bmj.com/content/early/2024/02/19/jme-2023-109671?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/news/semaglutide-shows-promise-as-a-potential-alcohol-use-disorder-medication/) Semaglutide Shows Promise as a Potential Alcohol Use Disorder Medication
Mar 21st 2024, 15:36

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(https://ifp.nyu.edu/2024/journal-article-abstracts/ip-2023-044926v1/) Prevalence of vision zero action plans or strategies: USA, 2021
Mar 21st 2024, 14:52

Background
Vision Zero is a strategy to eliminate traffic fatalities and to promote equitable mobility options for all road users. Using a nationally representative survey, we aimed to estimate the prevalence of Vision Zero action plans or strategies in the USA.
Methods
Municipal officials were surveyed in 2021. In this cross-sectional study, we calculated the prevalence of Vision Zero plans or strategies and compared municipalities with adjusted prevalence ratios (PR) to account for region and sociodemographic characteristics.
Results
Among 1955 municipalities participating in the survey (question-specific response rate: 44.3%), the prevalence of a Vision Zero action plan or strategy was 7.7%; 70.5% responded no and 21.8% don’t know. Prevalence was 4.8% in small municipalities (1000–2499 residents), 20.3% in medium-large municipalities (50 000–124 999 residents; PR=4.1), and 37.8% in large municipalities (≥125 000 residents; PR=7.6).
Conclusion
The prevalence of Vision Zero plans and strategies across the USA is low. Additional adoption of Vision Zero plans and strategies could help address traffic fatalities.

(https://injuryprevention.bmj.com/content/early/2024/02/19/ip-2023-044926?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/journal-article-abstracts/ip-2023-045035v1/) State expansion of Supplemental Nutrition Assistance Program eligibility and rates of firearm-involved deaths in the United States
Mar 21st 2024, 14:51

Introduction
Poverty is a consistent correlate of firearm-involved mortality, yet little work has considered the effects of social and economic policies on these deaths. This study examined associations of state elimination of the asset test and increases in the income limit for Supplemental Nutrition Assistance Program (SNAP) eligibility with rates of firearm-involved suicide and homicide deaths in the United States.
Methods
This ecological repeated cross-sectional study used 2015–2019 data from the SNAP Policy Database and death certificate data from the National Vital Statistics System. The exposures were (1) state elimination of the asset test for SNAP eligibility and (2) state elimination of the asset test and increases in the income limit for SNAP eligibility, compared with (3) state adoption of neither policy. The outcomes were firearm-involved suicide deaths and firearm-involved homicide deaths. The research team conducted mixed-effects regressions to estimate associations.
Results
State elimination of the asset test for SNAP eligibility (incidence rate ratio (IRR), 0.67; 95% CI, 0.48 to 0.91) and state adoption of both eliminating the asset test and increasing the income limit for SNAP eligibility (IRR, 0.68; 95% CI, 0.49 to 0.92) were associated with decreased rates of firearm-involved suicide deaths compared with state adoption of neither policy. There were no associations with state firearm-involved homicide rates.
Conclusions
SNAP is an important social safety net programme that addresses food insecurity, and the present results suggest it may also contribute to reducing firearm-involved suicide.

(https://injuryprevention.bmj.com/content/early/2024/02/16/ip-2023-045035?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/journal-article-abstracts/ip-2023-045177v1/) Unintentional injury deaths associated with sport and recreation in Quebec, Canada, 2006-2019
Mar 21st 2024, 13:52

Objectives
This study examined trends in the frequencies and rates of deaths associated with unintentional injuries in sport and recreation in Québec, Canada, for the period January 2006–December 2019.
Methods
In this descriptive retrospective study, data were extracted from the database of the Bureau du coroner du Québec. Incidence rates were calculated using participation data from the Étude des blessures subies au cours de la pratique d’activités récréatives et sportives au Québec (ÉBARS) and Canadian census population data. Poisson regression was used to investigate changes in death rates over the 14-year period by estimating incidence rate ratios.
Results
There were 1937 unintentional injury deaths and the population-based death rate was 1.72 per 100 000 person-years. The participation-based rate was 1.40 per 100 000 participant-years, considering the 24 matching activities in both ÉBARS’ editions. Using both population-based and participation-based denominators, separate analyses consistently showed declining death rates in non-motorised navigation and cycling. Deaths related to all-terrain vehicles, snowmobiles, swimming, cycling, motorised navigation and non-motorised navigation activities accounted for 80.2% of all deaths. Drowning was documented as a cause of death in 39.3% of all fatalities. Males represented 86.8% of all deaths, with males aged 18–24 years and 65 and over having the highest rates.
Conclusion
The death rates of unintentional injury deaths associated with non-motorised navigation and cycling declined, from January 2006 to December 2019. The characteristics and mechanisms of drowning deaths and fatalities that occurred in activities associated with higher death frequencies and rates need to be further investigated.

(https://injuryprevention.bmj.com/content/early/2024/02/19/ip-2023-045177?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/grey-literature/addressing-the-behavioral-health-workforce-crisis-understanding-the-drivers-of-turnover-strategies-for-retention/) Addressing the Behavioral Health Workforce Crisis: Understanding  the Drivers of Turnover & Strategies for Retention
Mar 21st 2024, 13:23

The post (https://ifp.nyu.edu/2024/grey-literature/addressing-the-behavioral-health-workforce-crisis-understanding-the-drivers-of-turnover-strategies-for-retention/) Addressing the Behavioral Health Workforce Crisis: Understanding  the Drivers of Turnover & Strategies for Retention was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/open-access-journal-articles/factors-associated-with-frequent-buprenorphine-naloxone-initiation-in-a-national-survey-of-canadian-emergency-physicians/) Factors associated with frequent buprenorphine / naloxone initiation in a national survey of Canadian emergency physicians
Mar 21st 2024, 13:11

The post (https://ifp.nyu.edu/2024/open-access-journal-articles/factors-associated-with-frequent-buprenorphine-naloxone-initiation-in-a-national-survey-of-canadian-emergency-physicians/) Factors associated with frequent buprenorphine / naloxone initiation in a national survey of Canadian emergency physicians was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/bmjsrh-2023-202149v1/) Initiating medical abortion in an emergency department in the United States
Mar 21st 2024, 12:54

Objectives
The primary objective of this study was to assess the feasibility of initiating medical abortions in a large, academic emergency department (ED) in the United States.
Methods
A retrospective case series analysis was conducted to evaluate a protocol for initiating medical abortion in the ED implemented from January 2020 to October 2023 at an academic, tertiary care hospital in California, USA. Participants included ED patients diagnosed with pregnancies in the first trimester that were undesired and who opted for medical abortion. The medical abortion protocol was collaboratively designed by a multidisciplinary team and follow-up was conducted by our institution’s gynaecology department. Data were sourced from a data repository of electronic health records and subjected to descriptive statistical analysis.
Results
A total of 27 eligible patients initiated medical abortions in the ED during the study period. The cohort was diverse in terms of racial and ethnic backgrounds and almost evenly split between private and public insurance. No patients had significant complications identified in the medical record. Two patients required uterine aspiration by the gynaecology team; one patient in clinic and one during a return visit to the ED.
Conclusions
Data from this case series suggest that initiating medical abortion in the ED is feasible. The ED may be considered as an additional access point for abortion care services, especially in areas where other care options are not readily available. Educational, legal and regulatory frameworks that allow emergency physicians to take a greater role in providing this care should be considered.

(https://srh.bmj.com/content/early/2024/02/16/bmjsrh-2023-202149?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/meta-analyses-systematic-reviews/11033088241226556/) Exploring the Landscape of Children’s Rights in Sports: A Scoping Review of Research Topics and Approaches in Social Sciences
Mar 21st 2024, 12:48

YOUNG, Ahead of Print. The aim of this study was to contribute to the research field of children’s rights in sports by synthesizing the scientific approaches applied and topics addressed in previous social science research focused on children’s rights per se. A scoping literature review was conducted via database searches (Scopus, Web of Science, SPORTDiscus). The search strategy yielded 44 articles eligible for inclusion. The analysis showed that the articles covered 17 identified topics in total, most frequently abuse. Fewer than half had a direct focus on children’s rights in sports. The research was mostly descriptive, non-theoretical and encompassed few countries, sports and ages. The sample of empirical studies generally encompassed child participants or international policy and regulations. In conclusion, studies with more explanatory and theoretical designs and a clearer, direct focus on children’s rights would be beneficial for enhancing general and theoretical understanding of children’s rights and explaining associated problems.
(https://journals.sagepub.com/doi/abs/10.1177/11033088241226556?ai=2b4&mi=ehikzz&af=R) Read the full article ›
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(https://ifp.nyu.edu/2024/monographs-edited-collections/sex-in-canada-the-who-why-when-and-how-of-getting-down-up-north/) Sex in Canada: The Who, Why, When, and How of Getting Down Up North
Mar 21st 2024, 12:12

The post (https://ifp.nyu.edu/2024/monographs-edited-collections/sex-in-canada-the-who-why-when-and-how-of-getting-down-up-north/) Sex in Canada: The Who, Why, When, and How of Getting Down Up North was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/spcare-2023-004746v2/) Cannabidiol oil or placebo in advanced cancer-disease progression and survival: a secondary analysis
Mar 21st 2024, 11:52

Objectives
Medical cannabinoids have become increasingly popular over the last decade. Preclinical trials suggest cannabinoids, for example, cannabidiol (CBD), may provide an anticancer effect; however, good-quality clinical information supporting this is lacking. We assessed the effect of CBD treatment on disease progression and survival in patients enrolled in a study of CBD versus placebo for symptom management in patients with advanced cancer (MEDCAN-1).
Methods
We reviewed the clinical records of all patients enrolled in the MEDCAN-1 Study (CBD vs placebo) at days 14, 28 and 56 of study follow-up, for evidence of disease progression. The proportion of participants with disease progression by treatment arm at each time point was compared, as was survival between both groups from study entry to the censor date (end of study period) and the effect of treatment arm and disease progression status on survival.
Results
Of the 135 patient records assessed, 128 were included in the final analysis. 36% (n=46) had progressive disease documented at day 28, rising to 49.2% (n=63) by day 56. No significant difference in disease progression was noted between the two groups at days 14 (p=0.33), 28 (p=0.67) or 56 (p=0.50). There was no difference in survival between both groups from study entry to censor date (p=0.38). Disease progression at day 14 was highly predictive of mortality (p<0.001).
Conclusions
In this substudy analysis, treatment with CBD oil did not affect disease progression or survival over the course of 56 days in patients with advanced cancer.

(https://spcare.bmj.com/content/early/2024/02/14/spcare-2023-004746?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/journal-article-abstracts/spcare-2024-004815v1/) Personalised virtual reality in palliative care: clinically meaningful symptom improvement for some
Mar 21st 2024, 10:52

Objectives
This study examined the effects of virtual reality (VR) among palliative care patients at an acute ward. Objectives included evaluating VR therapy benefits across three sessions, assessing its differential impact on emotional versus physical symptoms and determining the proportion of patients experiencing clinically meaningful improvements after each session.
Methods
A mixed-methods design was employed. Sixteen palliative inpatients completed three personalised 20 min VR sessions. Symptom burden was assessed using the Edmonton Symptom Assessment Scale-Revised and quality of life with the Functional Assessment of Chronic Illness Therapy (FACIT-Pal-14). Standardised criteria assessed clinically meaningful changes. Quantitative data were analysed using linear mixed models.
Results
Quality of life improved significantly pre-VR to post-VR with a large effect size (Cohen’s d: 0.98). Total symptom burden decreased after 20 min VR sessions (Cohen’s d: 0.75), with similar effect sizes for emotional (Cohen’s d: 0.67) and physical symptoms (Cohen’s d: 0.63). Over 50% of patients experienced clinically meaningful improvements per session, though substantial individual variability occurred.
Conclusions
This study reveals the nuanced efficacy of personalised VR therapy in palliative care, with over half of the patients experiencing meaningful benefits in emotional and physical symptoms. The marked variability in responses underscores the need for realistic expectations when implementing VR therapy.

(https://spcare.bmj.com/content/early/2024/02/20/spcare-2024-004815?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/video/suny-downstate-celebrates-social-work-month-with-michele-karloff-lcsw/) SUNY Downstate celebrates Social Work Month with Michele Karloff, LCSW
Mar 21st 2024, 10:19

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(https://ifp.nyu.edu/2024/podcasts/health-behavior-assessment-and-intervention-services-payment-update/) Health Behavior Assessment and Intervention Services Payment Update
Mar 21st 2024, 10:12

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(https://ifp.nyu.edu/2024/guidelines-plus/guidance-16-to-19-funding-allocations-supporting-documents-for-2024-to-2025/) Guidance: 16 to 19 funding allocations supporting documents for 2024 to 2025
Mar 21st 2024, 10:11

The post (https://ifp.nyu.edu/2024/guidelines-plus/guidance-16-to-19-funding-allocations-supporting-documents-for-2024-to-2025/) Guidance: 16 to 19 funding allocations supporting documents for 2024 to 2025 was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/spcare-2024-004787v1/) Hospital-based palliative care referrals: determinants in older adults with cancer
Mar 21st 2024, 09:52

Objectives
Early palliative care improves the quality of life of older patients with cancer. This work aimed to analyse the effect of sociodemographic, geriatric, and tumour-related determinants on hospital-based palliative care (HPC) referral in older patients with cancer, taking into account competing risk of death.
Methods
Older adults with diagnosed cancer from 2014 to 2018 according to the general cancer registry of Gironde (French department) were identified in three population-based cohorts on ageing (PAQUID, 3C – Three City, AMI). Cause-specific Cox models focused on 10 usual determinants in geriatric oncology and palliative care: age, gender, living alone, place of residency, tumour prognosis, activities of daily living (ADL) and instrumental-ADL (IADL) limitations, cognitive impairment, depressive disorders, and polypharmacy.
Results
131 patients with incident cancer (mean age: 86.2 years, men: 62.6%, poor cancer prognosis: 32.8%) were included, HPC occurring for 26 of them. Unfavourable cancer prognosis was a key determinant for HPC referral (HR 7.02, 95% CI 2.86 to 17.23). An altered IADL score was associated with precocious (first year) referral (HR 3.21, 95% CI 1.20 to 8.64, respectively). Women had a higher rate immediately (first week) after diagnosis (HR 8.64, 95% CI 1.27 to 87.27).
Conclusions
Cancer prognosis, functional decline and gender are independent factors of HPC referral in older patients with cancer. These findings may help for a better anticipation of the healthcare pathway.

(https://spcare.bmj.com/content/early/2024/02/20/spcare-2024-004787?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/news/finally-a-path-toward-modern-housing-in-2024/) Finally, a Path Toward “Modern Housing” in 2024
Mar 21st 2024, 09:52

Political movements for dignified housing forced many European nations, such as England, Germany and the Netherlands, to invest in what Catherine Bauer (above) termed “modern housing”: non-speculative, affordable homes with adequate space, light, ventilation and community space. These modest dignified homes provided a sharp contrast to the speculative spree of development dominant in 1920s America.
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(https://ifp.nyu.edu/2024/grey-literature/health-of-the-nonprofit-sector-the-latest-data/) Health of the Nonprofit Sector: The Latest Data
Mar 21st 2024, 09:16

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(https://ifp.nyu.edu/2024/journal-article-abstracts/medhum-2023-012794v1/) Diagnosing Shosha: literature as a lens to view disease and history
Mar 21st 2024, 08:53

In recent decades, physicians have diagnosed fictional and non-fictional characters through portraits, biographies and writing. We argue that such an exercise can be beneficial for a uniquely health humanities reason—better understanding of our current world and the social determinants of health. Drawing on the method of health and social justice studies, we explore the character of Shosha, who appears repeatedly in the writings of Nobel Prize winner Isaac Bashevis Singer. Singer’s strong story-telling skill and commitment to writing about the Jewish communities of prewar Poland in vivid detail preserve a slice of history, ensure that future generations will better understand what was destroyed by Nazi extermination policies, and provide lessons for modern political, hunger and war threats to human health. Shosha suffers from a lifelong debilitating disease that neither Singer nor subsequent commentaries ever name. The authors focus first on diagnosing the disease by consulting medical literature and experts. They then examine the value and pitfalls of this exercise and suggest that the lessons of understanding the disease historically, for teaching physicians how to recognise diseases rooted in war and poverty, and for enlightening all of us to the risks faced in human health by a world increasingly taking up arms and sliding towards fascism make diagnosing Shosha necessary and meaningful.
(https://mh.bmj.com/content/early/2024/02/09/medhum-2023-012794?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/open-access-journal-articles/vaccinating-humanitarian-workers-against-covid-19/) Vaccinating humanitarian workers against COVID-19 
Mar 21st 2024, 08:34

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(https://ifp.nyu.edu/2024/journal-article-abstracts/medhum-2023-012808v1/) Neurodiversity and disability: what is at stake?
Mar 21st 2024, 07:53

Neurodiversity has come hugely to the fore in recent years in a variety of contexts, and is now subject to academic debate, activist discussion, and increasingly embedded in a range of institutional and corporate settings in the Global North, from workplaces to early years education, from psychotherapy to mainstream political discourses. The term has gained traction in Medical Humanities, as well as debate within bioethics, philosophy of psychology, and of law. Institutionally, it is now relied on in therapeutic practice, autism service provision, as well as in higher education, in particular. In this conceptual article we examine what is at stake in these usages and the implications in need of scrutiny. We resituate neurodiversity in relation to questions of disability by examining the deployment of neurology as the basis for identity, rights and benefits. The emergence of the term and the understandings to which it gives rise, we argue, leave out urgent questions of what is at stake for disabled people in a political climate of increasing harshness and ableism.
(https://mh.bmj.com/content/early/2024/02/14/medhum-2023-012808?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/meta-analyses-systematic-reviews/effectiveness-of-culturally-tailoring-smoking-cessation-interventions-for-reducing-or-quitting-combustible-tobacco-a-systematic-review-and-meta-analyses/) Effectiveness of culturally tailoring smoking cessation interventions for reducing or quitting combustible tobacco: A systematic review and meta-analyses
Mar 21st 2024, 07:32

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(https://ifp.nyu.edu/2024/news/dean-of-professor-suspended-from-hebrew-university-opposes-her-return-if-she-doesnt-recant/) Dean of professor suspended from Hebrew University opposes her return if she doesn’t recant
Mar 21st 2024, 07:04

Dr. Shalhoub-Kevorkian said in the Makdisi Street podcast that Israel is committing genocide in the Gaza Strip. She also cast doubt that there was sexual violence on October 7. She added, “Zionism is a crime, and only through its cancelation/erasure will we be able to continue.” The university administration announced her temporary suspension from teaching by arguing that “her statements take freedom of expression and academic freedom to an extreme and make cynical use of them, to the point of division and incitement”
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(https://ifp.nyu.edu/2024/journal-article-abstracts/bmjsrh-2023-202083v1/) Seeking support for abortion online: a qualitative study of womens experiences
Mar 21st 2024, 06:53

Introduction
Social support can mitigate the impact of stress and stigma before or after an abortion. However, stigma anticipation can limit access to in-person support. Informal online spaces can offer opportunities to address unmet support needs including supplementing in-person support lacking within stigmatised contexts. While earlier studies have explored content of posts comprising personal accounts of abortion, little is known about the nuances of how and to what end online spaces are navigated.
Methods
Semi-structured interviews were conducted remotely (online or by telephone) with 23 women living in Scotland (aged 20–54 years) recruited through social media and online advertisements. Reflexive thematic analysis was supported by NVivo12 software.
Results
Key themes: obtaining support that was unavailable from in-person networks; preparation for abortion; reducing feelings of isolation. The majority of participants independently searched online for accounts of abortion, with only three receiving any signposting to specific resources. Without guidance, finding relevant, supportive content was not straightforward. The search process was additionally complicated by the prevalence of abortion stigma online, which generated an additional burden at a potentially challenging time. Those who received direction towards particular resources reported primarily positive online experiences.
Conclusions
While online content could address perceived in-person support gaps, the process of finding supportive content without guidance can be complex. Online searching may also expose women to stigmatising material and interactions. Signposting by abortion services towards well-moderated and trustworthy online resources could be constructive in limiting exposure to stigma and misinformation, while allowing those seeking it to access better support.

(https://srh.bmj.com/content/early/2024/02/09/bmjsrh-2023-202083?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/journal-article-abstracts/medhum-2023-012785v2/) Medical clowning in hospitals: practices, training and perception
Mar 21st 2024, 05:53

Previous studies on medical clowning focused on patients, while research remains inadequate concerning clowning itself: training programmes and prerequisite requirements, clowning methods, deontology and accepted practices. Diverse approaches and paradigms in this field of complementary medicine are promoted by non-profit organisations worldwide. Based on an ethnographic study, we explore the current forms of medical clowning in 5 Israeli hospitals. The observed clowns are from the two Israeli organisations, Dream Doctors and Simchat Halev (in Hebrew: joy of the heart), consisting of paid professional medical clowns and volunteers, respectively. According to the findings, significant differences were observed to exist between the organisations. Dream Doctors is conceived and pursued as an expertise practised by performance art professionals, requiring extensive training. These clowns work unaccompanied, receive a salary, are considered members of the medical team, and, given their privileged status, have access to hospitals’ open and closed areas. The Dream Doctors consider medical clowning as a paramedical practice, in which interventions are individually suited to the circumstances of each patient, and obtain therapeutic results. In contrast, Simchat Halev’s medical clowns are volunteers with no prerequisite artistic background and undergo shorter periods of training. The access granted to these clowns, usually working in pairs, is restricted to open areas. Simchat Halev promotes medical clowning as a volunteer-based public practice, offering general entertainment to all patients indiscriminately, and their contribution is characterised as achieving basic entertainment value.
(https://mh.bmj.com/content/early/2024/02/14/medhum-2023-012785?rss=1) Read the full article ›
The post (https://ifp.nyu.edu/2024/journal-article-abstracts/medhum-2023-012785v2/) Medical clowning in hospitals: practices, training and perception was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/news/heart-of-worcester-college-students-protest-at-redditch-campus-over-closure-of-social-work-course/) Heart of Worcester college students protest at Redditch campus over closure of social work course
Mar 21st 2024, 04:58

The students have been told their course will be moving to Birmingham City University (BCU) and the news has left them distraught.
The post (https://ifp.nyu.edu/2024/news/heart-of-worcester-college-students-protest-at-redditch-campus-over-closure-of-social-work-course/) Heart of Worcester college students protest at Redditch campus over closure of social work course was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/bmjsrh-2023-202116v1/) Patient experiences of undergoing abortion with and without an ultrasound scan in Britain
Mar 21st 2024, 04:53

Background
Routine ultrasound scanning to determine gestational age and pregnancy location has long been part of pre-abortion assessment in Britain, despite not being legally required or recommended in national clinical guidelines. To support implementation of fully telemedical abortion care (implemented in Britain in April 2020), the Royal College of Obstetricians and Gynaecologists (RCOG) issued clinical guidance for an ‘as-indicated’ approach to pre-abortion ultrasound, removing the need for a clinic visit. We aimed to understand patient experiences of ultrasound in abortion care by conducting a qualitative study with individuals who had abortions with and without an ultrasound scan.
Methods
Between November 2021 and July 2022, we recruited patients who had a medical abortion at home without a pre-procedure ultrasound at 69 days’ gestation or less at British Pregnancy Advisory Service (BPAS), and also had at least one other abortion with an ultrasound from any provider in Britain. We conducted interviews using a semi-structured interview guide to explore our participants’ experiences and conducted reflexive thematic analysis.
Results
We recruited 24 participants and included 19 interviews in our analysis. We developed three themes from our data. These were ‘Ultrasound scans and their relationship with autonomy and decision-making’, ‘Intrusive and out of place: the ultrasound as an inappropriate technology’ and ‘Towards preference-centred, quality care’.
Conclusions
Further research and user-testing of strategies to improve the scan experience should be undertaken. Patient testimonies on the negative impact of ultrasound scans in abortion care should reassure providers that omitting them according to patient preference is a positive step towards providing patient-centred care.

(https://srh.bmj.com/content/early/2024/02/16/bmjsrh-2023-202116?rss=1) Read the full article ›
The post (https://ifp.nyu.edu/2024/journal-article-abstracts/bmjsrh-2023-202116v1/) Patient experiences of undergoing abortion with and without an ultrasound scan in Britain was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/grey-literature/how-is-survey-interviewing-changing-post-pandemic/) How is survey interviewing changing post-pandemic?
Mar 21st 2024, 04:44

The post (https://ifp.nyu.edu/2024/grey-literature/how-is-survey-interviewing-changing-post-pandemic/) How is survey interviewing changing post-pandemic? was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/open-access-journal-articles/values-and-economic-performance-across-european-welfare-state-regimes-direct-and-indirect-effects-through-social-capital-human-capital-and-managerial-skills/) Values and economic performance across European welfare state regimes: Direct and indirect effects through social capital, human capital and managerial skills
Mar 21st 2024, 04:39

The post (https://ifp.nyu.edu/2024/open-access-journal-articles/values-and-economic-performance-across-european-welfare-state-regimes-direct-and-indirect-effects-through-social-capital-human-capital-and-managerial-skills/) Values and economic performance across European welfare state regimes: Direct and indirect effects through social capital, human capital and managerial skills was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/bmjsrh-2023-202046v1/) Womens experiences of postpartum contraceptive services when elective caesarean section is the method of birth: a qualitative study
Mar 21st 2024, 03:54

Background
The unmet need for postpartum contraception is a global challenge. Postpartum placement of an intrauterine device (IUD) within 48 hours of vaginal delivery is available in many settings worldwide, but is not routinely practised in Sweden. To improve contraceptive services and facilitate the informed choice of IUD placement at the time of a caesarean section (CS), we performed this study to identify and describe women’s experiences of contraceptive services before, during and after an elective CS.
Methods
A qualitative design and methodology was used. We interviewed 20 women aged 28–42 years who underwent elective CS in Sweden. Interviews were analysed using reflexive thematic analysis.
Results
The three main themes found were (1) receptivity to contraceptive counselling in the context of CS, (2) communication and decision-making about postpartum contraception before CS and (3) lack of support and guidance to receive contraceptive services before and after CS. The participants described readiness and interest regarding postpartum contraception. They prefered counselling from around 25 weeks of gestation. Despite this finding, antenatal communication and contraceptive decision-making seemed rare. Participants reported a lack of support and guidance which necessitated a need by women to navigate the contraceptive services themselves in order to receive information about contraception before CS and to receive postpartum support.
Conclusions
Antenatal contraceptive counselling including information about IUD placement during CS was appreciated and welcomed by women with elective CS as their birth method. Most of the women whom we interviewed would prefer to receive contraception counselling on postpartum use during the second half of their pregnancy.

(https://srh.bmj.com/content/early/2024/02/16/bmjsrh-2023-202046?rss=1) Read the full article ›
The post (https://ifp.nyu.edu/2024/journal-article-abstracts/bmjsrh-2023-202046v1/) Womens experiences of postpartum contraceptive services when elective caesarean section is the method of birth: a qualitative study was curated by (https://ifp.nyu.edu) information for practice.

Forwarded by:
Michael Reeder LCPC
Baltimore, MD

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