Gegenseitige Unterstützung Psychiatrieerfahrener in Krisenunterkünften – ein Scoping Review

2020 ◽  
Author(s):  
Sebastian von Peter ◽  
Julian Schwarz

Zusammenfassung Ziel Als Alternative zur psychiatrischen Versorgung gibt es v. a. im angloamerikanischen Raum sogenannte Crisis Respites (CR), in denen sich krisen- und genesungserfahrene Menschen (Peers) gegenseitig unterstützen. In dieser Arbeit wird untersucht, wie CR aufgebaut sind und mit welchen Ansätzen und Ergebnissen sie evaluiert werden. Methodik Systematische Literaturrecherche. Studien wurden eingeschlossen, auch der „grauen“ Literatur, sofern sie empirisches Material enthielten. Ergebnisse Auswahl von 12 Publikationen mit Bezug zu insgesamt 10 CR. Die Arbeits- und Organisationsformen von CR sind sehr heterogen. Es wurden unterschiedliche Evaluationsansätze (RCT, qualitativ, Mixed-Methods) genutzt. Schlussfolgerung CR sind kein Ersatz für die psychiatrische Versorgung, sondern eine eigene, wirksame Unterstützungsform. Der Einfluss von Peers bei der Umsetzung und Evaluation ist von zentraler Bedeutung, damit ihre Eigenheiten erhalten bleiben.

Author(s):  
Patrick Alexander Wachholz ◽  
Deborah Cristina De Oliveira ◽  
Kathryn Hinsliff-Smith ◽  
Reena Devi ◽  
Paulo José Fortes Villas Boas ◽  
...  

This scoping review aimed to explore the characteristics, strengths, and gaps in research conducted in Brazilian long-term care facilities (LTCFs) for older adults. Electronic searches investigating the residents (≥60 years old), their families, and the LTCF workforce in Brazil were conducted in Medline, EMBASE, LILACS, and Google Scholar, within the timescale of 1999 to 2018, limited to English, Portuguese, or Spanish. The reference lists were hand searched for additional papers. The Mixed Methods Appraisal Tool (MMAT) was used for critical appraisal of evidence. Data were reported descriptively considering the study design, using content analysis: 327 studies were included (n = 159 quantitative non-randomized, n = 82 quantitative descriptive, n = 67 qualitative, n = 11 mixed methods, n = 6 randomized controlled trials, and n = 2 translation of assessment tools). Regardless of the study design, most were conducted in a single LTCF (45.8%), in urban locations (84.3%), and in non-profit settings (38.7%). The randomized trials and descriptive studies presented the lowest methodological quality based on the MMAT. This is the first review to provide an overview of research on LTCFs for older people in Brazil. It illustrates an excess of small-scale, predominantly qualitative papers, many of which are reported in ways that do not allow the quality of the work to be assured.


10.2196/18992 ◽  
2020 ◽  
Vol 9 (8) ◽  
pp. e18992
Author(s):  
Belinda Lovell ◽  
Mary Steen ◽  
Adrian Esterman ◽  
Angela Brown

Background The mother-child relationship is extremely important, and for mothers experiencing incarceration, this relationship has unique challenges. There is limited evidence currently available to identify the type and content of parenting education that would best suit women who are incarcerated. Objective This study aims to design and evaluate a parent education program for women experiencing incarceration in South Australia. The program must meet the specific needs of incarcerated women and considers the cultural needs of Aboriginal and or Torres Strait Islanders and migrant women. Hereafter Aboriginal and/or Torres Strait Islander peoples will be referred to as Aboriginal; the authors acknowledge the diversity within Aboriginal cultures. Methods This study will utilize a mixed methods approach, including six phases framed by a community-based theoretical model. This methodology provides a collaborative approach between the researcher and the community to empower the women experiencing incarceration, allowing their parenting education needs to be addressed. Results A scoping review was undertaken to inform this study protocol. This paper describes and discusses the protocol for this mixed methods study. Recruiting commenced in December 2019, results will be published in 2020, and the project will be completed by August 2022. This project has been supported by a Research Training Scholarship from the Australian Government. Conclusions The scoping review highlighted a lack of rigorous evidence to determine the most appropriate parenting education program to suit women experiencing incarceration specifically, and there was little consideration for the cultural needs of women. It also became clear that when quantitative and qualitative data are utilized, the women’s voices can assist in the determination of what works, what will not work, and what can be improved. The data collected and analyzed during this study, as well as the current evidence, will assist in the development of a specific parenting education program to meet the needs of women experiencing incarceration in South Australia and will be implemented and evaluated as part of the study. International Registered Report Identifier (IRRID) PRR1-10.2196/18992


2021 ◽  
Author(s):  
Ane van Schalkwyk ◽  
Sara Grobbelaar ◽  
Euodia Vermeulen

BACKGROUND There is a growing trend in the potential benefits and application of log data for the evaluation of mHealth Apps. However, the process by which insights may be derived from log data remains unstructured, resulting in underutilisation of mHealth data. OBJECTIVE We aimed to acquire an understanding of how log data analysis can be used to generate valuable insights in support of realistic evaluations of mobile Apps through a scoping review. This understanding is delineated according to publication trends, associated concepts and characteristics of log data, framework or processes required to develop insights from log data, and how these insights may be utilised towards evaluation of Apps. METHODS The PRISMA-ScR guidelines for a scoping review were followed. The Scopus database, the Journal of Medical Internet Research (JMIR), and grey literature (through a Google search) delivered 105 articles of which 33 articles were retained in the sample for analysis and synthesis. RESULTS A definition for log data is developed from its characteristics and articulated as: anonymous records of users’ real-time interactions with the application, collected objectively or automatically and often accessed from cloud-based storage. Publications for theoretical and empirical work on log data analysis have increased between 2010 and 2021 (100% and 95% respectively). The research approach is distributed between inductive (43%), deductive (30%), and a hybrid approach (27%). Research methods include mixed-methods (73%) and quantitative only (27%), although mixed-methods dominate since 2018. Only 30% of studies articulated the use of a framework or model to perform the log data analysis. Four main focus areas for log data analysis are identified as usability (40%), engagement (15%), effectiveness (15%), and adherence (15%). An average of one year of log data is used for analysis, with an average of three years from the launch of the App to the analysis. Collected indicators include user events or clicks made, specific features of the App, and timestamps of clicks. The main calculated indicators are features used or not used (24/33), frequency (21/33), and duration (18/33). Reporting the calculated indicators per ‘user or user group’ was the most used reference point. CONCLUSIONS Standardised terminology, processes, frameworks, and explicit benchmarks to utilise log data are lacking in literature. Thereby, the need for a conceptual framework that is able to standardise the log analysis of mobile Apps is determined. We provide a summary of concepts towards such a framework. CLINICALTRIAL NA


Author(s):  
Collin A. Webster ◽  
Genee Glascoe ◽  
Chanta Moore ◽  
Brian Dauenhauer ◽  
Cate A. Egan ◽  
...  

School administrator involvement is recognized as a key factor in the extent to which school health promotion programs and initiatives are successfully implemented. The aims of this scoping review are to: (a) Identify existing documents that contain recommendations regarding the involvement of school administrators in school-based health promotion; (b) distill and summarize the recommendations; (c) examine differences in the recommendations by targeted professional level, professional group, health promotion content focus, and by whether the recommendations are evidence-based or opinion-based; and (d) evaluate the research informing the recommendations. We drew upon the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines to conduct the review. Our team conducted a comprehensive literature search with no date or geographic restrictions from January 2018 through April 2018 using four electronic databases: Academic Search Complete, Google Scholar, Physical Education Index, and PubMed. Eligibility criteria included any online documents, in English, that contained recommendations targeting school administrators’ (e.g., principals, assistant principals, superintendents) involvement (e.g., support, endorsement, advocacy) in school health programming (e.g., physical activity, nutrition, wellness). The search yielded a total of 1225 records, which we screened by title, then by abstract, and finally by full text, resulting in 61 records that met inclusion criteria. Data (e.g., recommendations, targeted contexts, targeted administrators) from these records were extracted for a content analysis. Included records contained 80 distinct recommendations, which we summarized into three themes (Collaboration, Advocacy, and Support) using a content analysis. Separate content analyses revealed no qualitative differences in the recommendations by professional level, professional group, or content focus, or by whether the recommendations were evidence-based or opinion-based. Twenty-one of the included records were peer-reviewed research articles. Using the Mixed Methods Appraisal Tool (MMAT), we appraised qualitative research articles the highest and mixed methods research articles the lowest. This review provides a basis for future research and professional practice aiming to increase school administrators’ involvement in school-based health promotion.


2018 ◽  
Author(s):  
Sondra M Stegenga ◽  
Kelley Munger ◽  
Jane Squires ◽  
Daniel Anderson

Big data holds immense potential for innovation and new understanding in research, evaluation, practice, and policy related to young children and their families. Although big data is a relatively new concept, particularly in early intervention systems (EI), recent pushes for data systems alignment in EI and education have propelled the use of large-scale integrated data systems in recent years (U.S. Department of Health and Human Services & the U.S. Department of Education, 2016). This combined with a plethora of new and rapidly increasing data sources has created a new data world. In response, research methodology, ethics, and tools need to be examined to ensure developmentally appropriate and ethical practices in research. A mixed methods systematic scoping review was conducted to gain a foundational understanding of the literature on big data use in EI settings. Strengths, challenges, systems-level needs, and implications for researchers, administrators, and policy makers are included.


2021 ◽  
Vol 13 (5) ◽  
pp. 654-665
Author(s):  
En Ye Ong ◽  
Kelly J. Bower ◽  
Louisa Ng

ABSTRACT Background Physicians require the expertise to care for an increasingly aging population. A robust understanding of geriatric educational interventions is needed to improve geriatric training for physicians. Objective To map the breadth of geriatric educational interventions for residents (in non-geriatric specialties). Methods We used a scoping review methodology. We searched MEDLINE, Embase, EMCare, CENTRAL, ERIC, and Scopus from 2004 to September 2019 for search terms related to “educational approaches” AND “geriatric” AND “residents.” Two authors independently selected eligible studies, extracted data (categorized by educational approaches and Kirkpatrick level outcomes), and critically appraised studies using the Mixed Methods Appraisal Tool. Results There were 63 included studies, with a total of 6976 participants. Twelve studies had comparators, including 5 randomized controlled trials. Fifty-three studies (84%) described multicomponent interventions, incorporating combinations of didactic or self-directed approaches with interactive, simulation, experiential, and/or group-based learning. Use of curricular process was explicitly reported in 34 studies (59%). Most studies met at least 4 of 5 Mixed Methods Appraisal Tool criteria. Studies commonly measured outcomes at Kirkpatrick levels 1 and 2 (reaction and learning), with 15 studies measuring performance outcomes (Kirkpatrick levels 3 and 4b). All included studies had at least one positive result. Conclusions All educational interventions had positive outcomes; however, curriculum-informed multicomponent interventions were the most common. This scoping review demonstrates that robust methodology with comparators, longer-term designs, and use of higher-level Kirkpatrick outcome measures is possible but not commonly used. Clear direction for future research is provided.


2019 ◽  
Vol 8 (1) ◽  
Author(s):  
David J. T. Campbell ◽  
Rachel B. Campbell ◽  
Carolyn Ziegler ◽  
Kerry A. McBrien ◽  
Stephen W. Hwang ◽  
...  

2020 ◽  
Author(s):  
Atiqur sm-Rahman ◽  
Yasmin Jahan

Abstract Background: Older adults (with and without dementia) are discriminated against at different social levels and often over-generalized in a stereotypical manner is called ageism. Despite advancements in gerontological research, the methodological implementations in the field of ageing and dementia studies have not been shared equally. This article reports on a systematic scoping review of the emerging methodological trends (use and application of research designs and methods) in this combined field.Methods: The study reviewed evidence-based articles published from 2009 to 2018 and indexed in five scientific electronic databases Web of Science, PubMed, Scopus, PsycINFO, and CINAHL complete by following PRISMA-ScR protocol. Both visual scanning of reference lists and hand searching of leading journals were performed in the field of ageing and dementia in order to maximize the search result.Results: A total of 112 papers were included. The review reveals that the predominant form of methodological application was a quantitative design (74.1%) compared to a qualitative (19.6%) and mixed methods (6.2%) in the combined field of ageing and dementia. Furthermore, the data collection instruments mostly used a variety of questionnaire surveys (with and without validated scales) and interviews. Both quantitative, qualitative, and mixed-methods studies have targeted the general public and healthcare professionals by and large, not older adults or people with dementia in particular. Conclusions: The results have important implications for the methodological advancement of ageing and dementia research, as well as for the development of inter-disciplinary and cross-cultural interventions considering the potentialities and limitations of data collection tools. The study provides a first step towards understanding key aspects in any study setting and recommends to be purposeful about what information will be gathered, which measurement tool or instrument is consistent with study purpose, and how the knowledge will be utilized.


2021 ◽  
pp. 1-14
Author(s):  
Anne-Marie Hanff ◽  
Anja K. Leist ◽  
Joëlle V. Fritz ◽  
Claire Pauly ◽  
Rejko Krüger ◽  
...  

Background: Self-stigma in people with Parkinson’s disease (PD) can substantially impact quality of life and possibilities for social participation. An integrative analysis of determinants of self-stigma has been lacking. Objective: We sought to explore which complementary insights from qualitative and quantitative studies, as well as from expert consultation, could be gained. Methods: An established mixed methods study design was employed to first conduct a mixed methods scoping review of published qualitative and quantitative literature, and then consult with experts to arrive at an exhaustive list of determinants of self-stigma after a thematic synthesis. Results: A total of 87 unique determinants of self-stigma were identified. Quantitative studies and expert consultations mainly identified personal determinants of people with self-stigma (e.g., age, anxiety, or apathy). In contrast, qualitative studies identified social situations associated with self-stigma (e.g., joint meals of people with typical PD with others). Notably, self-stigma of people with PD was found to be particularly salient in unfamiliar places, at the working place or in contact with people without PD. Across methods, cognitive impairment, tremor, and abnormal walk and unsteady gait, respectively, were associated with self-stigma. Conclusion: The mixed method study design yielded complementary insights, but also factors commonly associated with self-stigma across methods. Future prioritization exercises may gain further insights into self-stigma of people with PD. Facilitating social encounters by both addressing needs of affected people and raising knowledge and public awareness may improve quality of life in people with PD.


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