scholarly journals Predictors of Satisfaction with Autism Treatment Services During COVID-19

2021 ◽  
Author(s):  
Emily F. Ferguson ◽  
Maria Jimenez-Muñoz ◽  
Harrison Feerst ◽  
Ty W. Vernon
Keyword(s):  
Behavioral Therapy ◽  
Emotional Dysregulation ◽  
Perceived Support ◽  
Survey Study ◽  
Treatment Services ◽  
Autism Treatment ◽  
Factors Influencing ◽  
Therapy Services ◽  
Caregiver Report ◽  
Delivery Medium

AbstractThe COVID-19 pandemic has created unprecedented challenges and disruptions for autistic individuals receiving specialized treatment services. This caregiver-report survey study (n = 339) explored predictors of satisfaction with autism services during COVID-19 to improve perceived support for these families. Specifically, we investigated whether service delivery medium (telehealth vs. in person), child’s emotional functioning, and caregiver stress would predict satisfaction with the most highly utilized services. Satisfaction ratings for ABA/behavioral, speech/language, and occupational therapy were lower when delivered via telehealth as compared to in person. Caregivers who reported higher emotional dysregulation in their children were less satisfied with behavioral therapy services. These results provide a critical caregiver-informed perspective on factors influencing satisfaction with specialized autism services during COVID-19.

scholarly journals Doctors’ perception of support and the processes involved in complaints investigations and how these relate to welfare and defensive practice: a cross-sectional survey of the UK physicians

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017856 ◽  
Author(s):  
Tom Bourne ◽  
Bavo De Cock ◽  
Laure Wynants ◽  
Mike Peters ◽  
Chantal Van Audenhove ◽  
...  
Keyword(s):  
Online Survey ◽  
Well Being ◽  
Adverse Outcomes ◽  
Perceived Support ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Final Sample ◽  
Perception Of Support ◽  
The Uk

ObjectiveHow adverse outcomes and complaints are managed may significantly impact on physician well-being and practice. We aimed to investigate how depression, anxiety and defensive medical practice are associated with doctors actual and perceived support, behaviour of colleagues and process issues regarding how complaints investigations are carried out.DesignA survey study. Respondents were classified into three groups: no complaint, recent/current complaint (within 6 months) or past complaint. Each group completed specific surveys.SettingBritish Medical Association (BMA) members were invited to complete an online survey.Participants95 636 members of the BMA were asked to participate. 7926 (8.3%) completed the survey, of whom 1780 (22.5%) had no complaint, 3889 (49.1%) had a past complaint and 2257 (28.5%) had a recent/current complaint. We excluded those with no complaints leaving 6144 in the final sample.Primary outcomes measuresWe measured anxiety and depression using the Generalised Anxiety Disorder Scale 7 and Physical Health Questionnaire 9. Defensive practice was assessed using a new measure for avoidance and hedging.ResultsMost felt supported by colleagues (61%), only 31% felt supported by management. Not following process (56%), protracted timescales (78%), vexatious complaints (49%), feeling bullied (39%) or victimised for whistleblowing (20%), and using complaints to undermine (31%) were reported. Perceived support by management (relative risk (RR) depression: 0.77, 95% CI 0.71 to 0.83; RR anxiety: 0.80, 95% CI 0.74 to 0.87), speaking to colleagues (RR depression: 0.64, 95% CI 0.48 to 0.84 and RR anxiety: 0.69, 95% CI 0.51 to 0.94, respectively), fair/accurate documentation (RR depression: 0.80, 95% CI 0.75 to 0.86; RR anxiety: 0.81, 95% CI 0.75 to 0.87), and being informed about rights (RR depression 0.96 (0.89 to 1.03) and anxiety 0.94 (0.87 to 1.02), correlated positively with well-being and reduced defensive practice. Doctors worried most about professional humiliation following a complaint investigation (80%).ConclusionPoor process, prolonged timescales and vexatious use of complaints systems are associated with decreased psychological welfare and increased defensive practice. In contrast, perceived support from colleagues and management is associated with a reduction in these effects.

scholarly journals Factors Influencing Utilization of Cervical Cancer Screening Services in Kenya: The Case of Nyeri County

2018 ◽  
Vol 7 (4) ◽  
pp. 236
Author(s):  
Gichogo Agnes Wangeci ◽  
David Macharia
Keyword(s):  
Cervical Cancer ◽  
Developing Countries ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Precancerous Lesions ◽  
Survey Study ◽  
Mortality And Morbidity ◽  
Awareness Campaigns ◽  
Factors Influencing ◽  
Screening Services

<span lang="EN-US">Globally, cervical cancer continues to be a major cause of mortality and morbidity among women with developing countries accounting for more than 86% of the deaths from the disease. In Kenya, cervical cancer ranks as the second most frequent cancer among women: regrettably, with 80% of the cases presented during the late stages of the disease when the scope of successful treatment is limited. An opportunity to prevent occurrence of cervical cancer exists through cervical cancer screening for early detection and treatment of precancerous lesions before these develop to cancer. However, only a negligible proportion of women benefit from cervical cancer screening services in developing countries, including Kenya. The purpose of this descriptive survey study was to determine the factors influencing utilization of cervical cancer screening services; and focused on the women seeking maternal and family planning services at Central Provincial General Hospital, Kenya. The study established that, as in most developing countries, utilization of cervical cancer screening services was low, regardless of the women’s education level, autonomy in decision making and even good family support. The low level of awareness on the need for screening services and the long waiting time at the clinic for those seeking the services were identified as the two key issues that negatively influenced the utilization of the screening services, It is therefore recommended that the Ministry of Health and other agencies, including individuals of good will, collaborate in designing and implementing awareness campaigns through the media and other appropriate avenues, including one-to-one encounters, targeting both men and women in the communities. It is also recommended that the male partners support their women in accessing this vital life-saving service.</span>

Factors Influencing Student Success in a Graduate Clinical Neuroscience Course: A Survey Study

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505188p1-7512505188p1
Author(s):  
Cassie A. Baus ◽  
Dianna Lunsford ◽  
Kristin Valdes
Keyword(s):  
Physical Therapy ◽  
Student Success ◽  
Survey Study ◽  
Clinical Neuroscience ◽  
Factors Influencing ◽  
Physical Therapy Programs ◽  
Primary Author

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. The purpose of this study is to explore factors that may influence student success in a graduate clinical neuroscience course using a survey. Success in a neuroscience course may be supported with prior science coursework and additional resources such as a tutor, visuals, and other supplementary materials. OT and physical therapy programs may consider implementing a neuroscience course that provides additional resources in order to facilitate student success. Primary Author and Speaker: Cassie A. Baus Additional Authors and Speakers: Dianna Lunsford, Kristin Valdes

Concurrent Treatment of Intimate Partner Violence and Trichotillomania From an Emotion Regulation Framework: A Case Study

2020 ◽  
pp. 153465012096458
Author(s):  
Jena B. Casas ◽  
Daniel R. Szoke ◽  
Lorraine T. Benuto
Keyword(s):  
Intimate Partner Violence ◽  
Emotion Regulation ◽  
Partner Violence ◽  
Behavioral Therapy ◽  
Intimate Partner ◽  
Coping Mechanisms ◽  
Emotional Dysregulation ◽  
Repetitive Behaviors ◽  
Concurrent Treatment

Survivors of intimate partner violence (IPV) experience a vast array of emotional and behavioral consequences, including difficulties in areas related to emotion regulation, and they often qualify for comorbid psychological diagnoses. Although a modified version of DBT has been examined as a treatment for survivors of IPV experiencing emotional dysregulation, there has been little mention of how to treat comorbid disorders among this population. Given that body focused repetitive behaviors (BFRB’s), such as trichotillomania, can be conceptualized as poor coping mechanisms to soothe dysregulated emotions, it seems beneficial to understand how to treat these diagnoses in the context of IPV sequelae. To date, there are limited examinations of DBT enhanced cognitive behavioral therapy for those suffering from IPV exposure and trichotillomania. The following case provides a successful example for how and why such therapy can be conducted for the treatment of comorbid diagnoses following IPV exposure.

Sociodemographic factors influencing participation in the Barcelona Health Survey study on serum concentrations of persistent organic pollutants

Chemosphere ◽  
2009 ◽  
Vol 76 (2) ◽  
pp. 216-225 ◽  
Author(s):  
Miquel Porta ◽  
Magda Gasull ◽  
Elisa Puigdomènech ◽  
Maica Rodríguez-Sanz ◽  
José Pumarega ◽  
...  
Keyword(s):  
Organic Pollutants ◽  
Health Survey ◽  
Persistent Organic Pollutants ◽  
Sociodemographic Factors ◽  
Survey Study ◽  
Serum Concentrations ◽  
Factors Influencing

scholarly journals Factors influencing adults’ immunization practices: a pilot survey study of a diverse, urban community in central Ohio

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Alexa M. Sevin ◽  
Cristina Romeo ◽  
Brittany Gagne ◽  
Nicole V. Brown ◽  
Jennifer L. Rodis
Keyword(s):  
Urban Community ◽  
Survey Study ◽  
Pilot Survey ◽  
Factors Influencing

scholarly journals Individual and community-level factors influencing optimal breastfeeding: A multilevel analysis from a national survey study of Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0241428
Author(s):  
Amanuel Hagos ◽  
Mache Tsadik ◽  
Abate Bekele Belachew ◽  
Afewerki Tesfahunegn
Keyword(s):  
Multilevel Analysis ◽  
Random Effect ◽  
Sampling Technique ◽  
Wealth Index ◽  
Information Criteria ◽  
Community Level ◽  
Survey Study ◽  
Hierarchical Level ◽  
Explanatory Variables ◽  
Factors Influencing

Background Optimal breastfeeding is critical for healthy growth of the child. Globally, 820,000 children and 20,000 women lost due to in appropriate breastfeeding each year. In Ethiopia, 50,000 children lost related to malnutrition with 18% were due to poor breastfeeding habit. Little is known on the determinants of breastfeeding with hierarchical level. Therefore, this study aimed to identify factors influencing optimal breastfeeding among children under six month in Ethiopia using a multilevel analysis. Methods The data of this study were obtained from Ethiopian Demographic and health survey conducted from January to June 2016. A total 1,087 children aged 0–5 months were selected using two stage stratified sampling technique. Multilevel logistic regression analysis was done to identify significant explanatory variables. Akaike information criteria were used to select the best model fit. Fixed effect was done to estimate the association between the outcome and explanatory variable and also random effect to measure the variation explained by the higher level. Result Among the total of 1,087 children, 45.4% were optimally breastfeed. Children from the richest wealth index (AOR = 2.87; 95% CI: 1.53–5.43) was positively associated with optimal breastfeeding but, children aged 4–5 months (AOR = 0.19; 95%CI: 0.12–0.27), children born through cesarean section (AOR = 0.18; 955 CI: 0.07–0.51) and residing in Afar region (AOR = 0.13; 95%CI: 0.02–0.92) were found inversely associated with optimal breastfeeding. The random-effects showed that the variation between communities was statistically significant. Conclusion Individual and community level factors play a significant role in shaping optimal breastfeeding. Future strategies and health interventions should be strengthen to target individual and community level factors that enhance optimal breastfeeding.

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