Psychosocial Interventions for Health and Well-Being

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anne Marie Mork Rokstad ◽  
Janne Røsvik ◽  
Marit Fossberg ◽  
Siren Eriksen

Abstract Background Worldwide, restrictive measures have been taken to manage the spread of the COVID-19 pandemic. Social distancing and self-isolation have considerably affected the lives of people with dementia and their informal caregivers. The purpose of the study was to explore the consequences of the COVID-19 pandemic as experienced by the spouses of home-dwelling people with dementia in Norway. Methods The study had a qualitative descriptive design using individual telephone interviews for data collection. A total sample of 17 spouses of people with dementia were included, 14 women and three men ages 52 to 82 years. A qualitative content analysis following six steps inspired by Graneheim and Lundman was used to identify the categories presented. Results The participants emphasized four main perspectives: 1) Radical changes in available services, 2) Restrictions changed everyday life, 3) Impacts on health and well-being, and 4) Actions that made life easier. The participants also described how positive activities and easily accessible services helped them in this situation. Conclusions The governmental restrictions of the COVID-19 pandemic resulted in radical changes in available services with severe consequences for the lives and well-being of home-dwelling people with dementia and their spouses. Examples of coping strategies and possible psychosocial interventions compatible with virus precautions were identified. The potential of such interventions should be further explored to meet the needs of vulnerable groups in situations like a pandemic.


2018 ◽  
Vol 56 (1) ◽  
pp. 267-286 ◽  
Author(s):  
Hanna Kienzler ◽  
Thomas Wenzel ◽  
Mimoza Shaini

Accounts are increasing of non-voluntary deportations of Kosovar adolescents from European countries to Kosovo, and human rights organizations have condemned deportation practices endorsed by European governments for being violent and detrimental to adolescents’ physical and psychosocial health and well-being. However, research remains scarce on the connections among migration, repatriation and reintegration realities, and adolescents’ experiences of psychosocial health and well-being. This article describes how adolescent returnees living in Kosovo express their emotional distress, their struggle with negative living conditions, and their exposure to violence. Semi-structured interviews were conducted with 14 adolescents with very high-level post-traumatic stress and depression symptomatology and a General Health Questionnaire score of 40 or higher. This empirical data provided in-depth information about the adolescents’ narratives of symptoms and illness, explanations of symptom and illness causation, ongoing stressors and the impacts these factors have on their health and well-being. The study found that suffering and related health problems are associated with a sense of loss and ongoing social isolation, economic problems, precarious living conditions, and discrimination. The adolescents’ lack of social and economic capital makes accessing appropriate resources and professional help for their health and social problems extremely difficult. In the discussion and conclusion section, recommendations are made for the development of appropriate and holistic psychosocial interventions focusing on well-being and human rights.


Dementia ◽  
2018 ◽  
Vol 19 (6) ◽  
pp. 1955-1973 ◽  
Author(s):  
Jennifer J Merrilees ◽  
Alissa Bernstein ◽  
Sarah Dulaney ◽  
Julia Heunis ◽  
Reilly Walker ◽  
...  

Objectives To illustrate specific psychosocial interventions aimed at improving self-efficacy among family caregivers enrolled in the Care Ecosystem, a model of navigated care designed to support persons with dementia and their primary caregivers. Enrolled family caregivers work with unlicensed care team navigators who are trained in dementia care and provide information, linkages to community resources, and emotional support by phone and email. Method We conducted focus groups and interviews with the care team navigators to identify the approaches they used to target caregiver self-efficacy. We assessed mean self-efficacy scores in a sample of 780 family caregivers and selected three exemplary cases in which the caregivers had low self-efficacy scores at baseline with significantly higher scores after six months of participation in the Care Ecosystem intervention. Results Multiple psychosocial strategies were utilized by care team navigators working with patients with dementia and their family caregivers. Using thematic coding we identified three categories of Care Team Navigator intervention: emotional, informational, and instrumental support. These are consistent with a psychosocial approach to building self-efficacy. Discussion Self-efficacy represents a family caregiver’s knowledge and preparedness in managing the challenges of care. Psychosocial support shows benefit in improving caregiver self-efficacy that in turn, may positively influence caregiver health and well-being. The findings in this manuscript demonstrate how a model of navigated care can positively impact self-efficacy among dementia family caregivers.


2012 ◽  
Vol 82 (3) ◽  
pp. 144-147 ◽  
Author(s):  
Ibrahim Elmadfa ◽  
Alexa L. Meyer

A high-quality diet is one of the foundations of health and well-being. For a long time in human history, diet was chiefly a source of energy and macronutrients meant to still hunger and give the strength for work and activities that were in general much harder than nowadays. Only few persons could afford to emphasize enjoyment. In the assessment of quality, organoleptic properties were major criteria to detect spoilage and oxidative deterioration of food. Today, food hygiene is a quality aspect that is often taken for granted by consumers, despite its lack being at the origin of most food-borne diseases. The discovery of micronutrients entailed fundamental changes of the concept of diet quality. However, non-essential food components with additional health functions were still barely known or not considered important until recently. With the high burden of obesity and its associated diseases on the rise, affluent, industrialized countries have developed an increased interest in these substances, which has led to the development of functional foods to optimize special body functions, reduce disease risk, or even contribute to therapeutic approaches. Indeed, nowadays, high contents of energy, fat, and sugar are factors associated with a lower quality of food, and products with reduced amounts of these components are valued by many consumers. At the same time, enjoyment and convenience are important quality factors, presenting food manufacturers with the dilemma of reconciling low fat content and applicability with good taste and appealing appearance. Functional foods offer an approach to address this challenge. Deeper insights into nutrient-gene interactions may enable personalized nutrition adapted to the special needs of individuals. However, so far, a varied healthy diet remains the best basis for health and well-being.


Sign in / Sign up

Export Citation Format

Share Document