Acceptability of a Newly Developed Financial Program for Caregivers of Individuals Living with a Chronic Illness

Abstract Over 40 million informal caregivers provide care to adults aged 50 or older with a chronic illness. In addition to the negative health and well-being impact, caregivers experience financial difficulties including lost income, retirement benefits, future earnings, and unanticipated out-of-pocket costs. Few evidence-informed programs exist to assist caregivers in understanding and managing these financial tasks. This poster presents preliminary acceptability data from 71 caregivers who completed the newly developed Managing Money: A Caregiver’s Guide to Finances program. The 60-minute program was delivered online by trained community educators and addressed caregiving costs/impacts; future planning; initiating conversations; avoiding financial abuse/fraud; and identifying needs. Participants (Mage = 59.45, SD = 11.31) were 87.32% female with 77.46% self-identified as White, 9.86%, as Black, and 8.45% as Hispanic/Latino. Using a Likert scale (1=strongly disagree to 5=strongly agree), participants indicated the program: 1) identified financial challenges (M= 4.11 ; SD = 0.73); 2) provided information for managing money (M = 3.99; SD = 0.64); 3) content was easy to read/understand (M = 4.49; SD = 0.61); 4) program length was appropriate (M = 4.18; SD= 0.68); and 5) activities were helpful (M = 4.13; SD = 0.69). Participants rated the program as very important (M = 4.54; SD = 0.82) and would highly recommend (M = 4.52; SD = 0.53). Results indicated the program was well-received by participants and highly acceptable. Discussion will highlight key program features designed to promote acceptability along with the importance of measuring acceptability for large-scale implementation along with next research steps.

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Tourist Mental Health Drives Destination Choice, Marketing, and Matching

Journal of Travel Research ◽

10.1177/00472875211011548 ◽

2021 ◽

pp. 004728752110115

Author(s):

Mary-Ann Cooper ◽

Ralf Buckley

Keyword(s):

Mental Health ◽

Large Scale ◽

Well Being ◽

Destination Choice ◽

Destination Marketing ◽

Health Maintenance ◽

Nature Tourism ◽

Tourism Destinations ◽

Tourism Enterprises ◽

Health And Well Being

Leisure tourism, including destination choice, can be viewed as an investment in mental health maintenance. Destination marketing measures can thus be analyzed as mental health investment prospectuses, aiming to match tourist desires. A mental health framework is particularly relevant for parks and nature tourism destinations, since the benefits of nature for mental health are strongly established. We test it for one globally iconic destination, using a large-scale qualitative approach, both before and during the COVID-19 pandemic. Tourists’ perceptions and choices contain strong mental health and well-being components, derived largely from autonomous information sources, and differing depending on origins. Parks agencies emphasize factual cognitive aspects, but tourism enterprises and destination marketing organizations use affective approaches appealing to tourists’ mental health.

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Designing a Participatory Total Worker Health® Organizational Intervention for Commercial Construction Subcontractors to Improve Worker Safety, Health, and Well-Being: The “ARM for Subs” Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17145093 ◽

2020 ◽

Vol 17 (14) ◽

pp. 5093 ◽

Cited By ~ 1

Author(s):

Susan E. Peters ◽

Hao D. Trieu ◽

Justin Manjourides ◽

Jeffrey N. Katz ◽

Jack T. Dennerlein

Keyword(s):

Large Scale ◽

Action Planning ◽

Well Being ◽

Target Population ◽

Practical Experience ◽

Formative Research ◽

Worker Safety ◽

Intervention Design ◽

Organizational Intervention ◽

Health And Well Being

Background: Evidence supports organizational interventions as being effective for improving worker safety, health and well-being; however, there is a paucity of evidence-based interventions for subcontracting companies in commercial construction. Methods: A theory-driven approach supplemented by formative research through key stakeholder interviews and focus groups and an iterative vetting process with stakeholders, resulted in the development of an intervention for subcontractors in the commercial construction industry. We piloted the intervention in one subcontracting commercial construction company. We used these findings to adapt and finalize the intervention design to be tested in a future large-scale trial. Results: There were several key findings from the formative research, including challenges faced by companies and assets that should be considered in the intervention design. This resulted in a communication infrastructure company-based, continual improvement, participatory intervention design, consisting of a needs assessment and report, committee-led prioritization, action planning and implementation, and worker communication/feedback cycle. The pilot contributed to the final intervention design with modifications made with respect to timing, implementation support, capacity building, adaptability and sustainability. Conclusions: The use of a theory-driven participatory approach to developing an integrated organizational intervention for commercial construction subcontracting companies was important and necessary. It allowed us to consider the empirical evidence and relevant theories and tailor these to meet the needs of our target population. This study gives pragmatic insight into the early development of a complex intervention, with practical experience of how we adapted our intervention at each stage. This intervention will be tested in a future randomized trial.

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Sustainable Housing Supporting Health and Well-Being

Proceedings ◽

10.3390/proceedings2020065012 ◽

2020 ◽

Vol 65 (1) ◽

pp. 12

Author(s):

Régis Decorme ◽

Silvia Urra ◽

Olatz Nicolas ◽

Carina Dantas ◽

Annelore Hermann ◽

...

Keyword(s):

Large Scale ◽

Systemic Change ◽

Integrated Approach ◽

Well Being ◽

Adaptation Measures ◽

Public And Private ◽

Sustainable Housing ◽

Returns On Investment ◽

Concrete Elements ◽

Health And Well Being

Despite its proven potential for systemic change, large-scale investment (both public and private) in sustainable homes still faces barriers, often caused by insecurity about personal, societal and financial returns on investment and a lack of clarity about concrete elements of sustainable age-friendly living environments and the choice of building, retrofitting and adaptation measures to be implemented. The projects that contributed to this workshop are developing solutions to tackle these barriers and propose a holistic and integrated approach to progress on implementation.

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Mental Health and Well-Being of Caregivers: A Review of the Literature

International Journal of Indian Psychology ◽

10.25215/0304.030 ◽

2016 ◽

Vol 3 (4) ◽

Author(s):

Garima Singh ◽

Anubhuti Dubey

Keyword(s):

Mental Health ◽

Chronic Illness ◽

Family Caregivers ◽

Mentally Ill ◽

Family Members ◽

Chronically Ill ◽

Well Being ◽

Knowledge Gap ◽

Review Of The Literature ◽

Health And Well Being

The present piece of work attempts to fill this knowledge gap by capturing different shades of caregiving experiences of family members who were engaged in caregiving for their chronically ill family members or relatives. Maximum studies of caregiving indulge in caregivers of mentally ill. This study intends to apprehend how family caregivers in chronic illness perspective create implication of their caring role in the Indian setup.

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BOTTOM-UP STRATEGIES FOR COMMUNITY ENGAGEMENT AND INFORMAL LEARNING: TARGETING MEN AGED 60 YEARS OR MORE

Andragoška spoznanja ◽

10.4312/as.25.2.19-35 ◽

2019 ◽

Vol 25 (2) ◽

pp. 19-35 ◽

Cited By ~ 1

Author(s):

Marta Gregorčič

Keyword(s):

Quality Of Life ◽

Informal Learning ◽

Large Scale ◽

Research Study ◽

Well Being ◽

Community Based ◽

Qualitative Research Study ◽

Community Based Learning ◽

Health And Well Being

The article presents findings from a large-scale qualitative research study conducted as part of a three-year Erasmus+ project entitled Old Guys Say Yes to Community, which included partners from Slovenia, Portugal, Poland and Estonia. The project explored how inactive ageing affects the quality of life, health and well-being of men aged 60 years or more, and how (self-)exclusion from the community can lead to social and psychological ‘death’. The article highlights four interconnected themes which are inadequately, insufficiently, or simply not addressed by national institutions and often also the non-governmental sector in the researched countries. The themes – the pluralisation of transitions to retirement and ageing; absent bodies and invisible lives; hegemonic masculinity and gendered experiences; and community-based learning, action and spaces – are supported by well-defined issues and obstacles preventing men from integrating into the community and are completed with suggestions and recommendations to implement much-needed changes. In addition to these four themes, the article touches upon a series of subtopics and questions that should be addressed by further scientific research in the observed countries.

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A Person-Oriented Approach to Multidimensional Perfectionism: Perfectionism Profiles in Health and Well-Being

Journal of Psychoeducational Assessment ◽

10.1177/0734282919877754 ◽

2019 ◽

Vol 38 (1) ◽

pp. 127-142

Author(s):

Danielle S. Molnar ◽

Fuschia M. Sirois ◽

Gordon L. Flett ◽

Stanley Sadava

Keyword(s):

Mental Health ◽

Chronic Illness ◽

University Students ◽

Physical Health ◽

Psychological Health ◽

Well Being ◽

Subjective Well Being ◽

Socially Prescribed Perfectionism ◽

Health And Well Being ◽

Oriented Approach

Advances in understanding of the perfectionism construct have been limited by an almost exclusive reliance on a variable-centered approach. This study utilized a person-oriented approach to examine Hewitt and Flett’s conceptualization of multidimensional perfectionism in relation to health and well-being. Levels of conscientiousness, extraversion, and neuroticism were also assessed. Cluster analyses were employed to examine within-person configurations of self-oriented, other-oriented, and socially prescribed perfectionism (SPP) in university students ( n = 538) and adults with chronic illness ( n = 773). Five unique configurations were found in both samples and three clusters replicated across samples. “Extreme perfectionists” with high scores across all perfectionism dimensions reported relatively poor physical health, psychological health, psychosocial resources, and well-being along with elevated neuroticism and conscientiousness. A group distinguished by elevated SPP also reported relatively poorer outcomes along with elevated neuroticism and lower conscientiousness. In contrast, “nonperfectionists” reported relatively elevated levels of health and well-being. These profiles differed in their links with health and well-being even after taking into account key differences in conscientiousness and neuroticism. Our results illustrate the importance of employing a person-oriented approach to the study of multidimensional perfectionism, especially as it relates to physical health, mental health, and subjective well-being.

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Developing the UNICEF Malawi School Handwashing Program

Social Marketing Quarterly ◽

10.1177/1524500418766355 ◽

2018 ◽

Vol 24 (2) ◽

pp. 74-88 ◽

Cited By ~ 1

Author(s):

Joy Parkinson ◽

Philip C. Mkandawire ◽

Timo Dietrich ◽

Abi Badejo ◽

Mohammad Kadir ◽

...

Keyword(s):

School Children ◽

Primary Schools ◽

Large Scale ◽

School Administrators ◽

Change Agents ◽

Cost Effective ◽

Well Being ◽

Structural Barriers ◽

Staff Members ◽

Health And Well Being

Diarrhea is one of the major causes of morbidity and mortality among children and immune-compromised individuals in Malawi. Handwashing with soap (HWWS) is one of the most cost-effective health interventions to prevent diarrhea. United Nations Children’s Fund (UNICEF) Malawi has adopted a social marketing approach to achieve large-scale behavioral change for HWWS. The study, commissioned by UNICEF Malawi, was developed by PSI Malawi and Griffith University and conducted by PSI Malawi. Formative research insights using two research studies are presented including observations at 30 primary schools in terms of HWWS behavior. Second, key informant interviews with school administrators and staff members were conducted to understand HWWS motivation, opportunity, and ability factors. This study found less than half of the assessed schools had handwashing facilities. Structural barriers that prevent school children from practicing HWWS were identified including a lack of financial resources to construct permanent handwashing facilities in schools. Many schools also experience a lack of support from the community as citizens are not aware of the benefits of HWWS. Changes to school and community infrastructure are required to facilitate the adoption of the behavior. Supporting activities to encourage school children to practice HWWS and reinforcement strategies to sustain the behavior over time should also be implemented. School children can then become change agents for HWWS by reinforcing the behavior at home thereby contributing to the achievement of the national objectives to reduce diarrhea and leading to improved health and well-being for communities in Malawi.

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Implementation factors affecting the large-scale deployment of digital health and well-being technologies: A qualitative study of the initial phases of the ‘Living-It-Up’ programme

Health Informatics Journal ◽

10.1177/1460458215594651 ◽

2016 ◽

Vol 22 (4) ◽

pp. 867-877 ◽

Cited By ~ 7

Author(s):

Ruth Agbakoba ◽

Marilyn McGee-Lennon ◽

Matt-Mouley Bouamrane ◽

Nicholas Watson ◽

Frances S Mair

Keyword(s):

Qualitative Study ◽

Large Scale ◽

Digital Health ◽

Well Being ◽

Normalisation Process Theory ◽

Important Lesson ◽

Factors Affecting ◽

Services Delivery ◽

Design Activities ◽

Health And Well Being

Little is known about the factors which facilitate or impede the large-scale deployment of health and well-being consumer technologies. The Living-It-Up project is a large-scale digital intervention led by NHS 24, aiming to transform health and well-being services delivery throughout Scotland. We conducted a qualitative study of the factors affecting the implementation and deployment of the Living-It-Up services. We collected a range of data during the initial phase of deployment, including semi-structured interviews (N = 6); participant observation sessions (N = 5) and meetings with key stakeholders (N = 3). We used the Normalisation Process Theory as an explanatory framework to interpret the social processes at play during the initial phases of deployment. Initial findings illustrate that it is clear − and perhaps not surprising − that the size and diversity of the Living-It-Up consortium made implementation processes more complex within a ‘multi-stakeholder’ environment. To overcome these barriers, there is a need to clearly define roles, tasks and responsibilities among the consortium partners. Furthermore, varying levels of expectations and requirements, as well as diverse cultures and ways of working, must be effectively managed. Factors which facilitated implementation included extensive stakeholder engagement, such as co-design activities, which can contribute to an increased ‘buy-in’ from users in the long term. An important lesson from the Living-It-Up initiative is that attempting to co-design innovative digital services, but at the same time, recruiting large numbers of users is likely to generate conflicting implementation priorities which hinder − or at least substantially slow down − the effective rollout of services at scale. The deployment of Living-It-Up services is ongoing, but our results to date suggest that − in order to be successful − the roll-out of digital health and well-being technologies at scale requires a delicate and pragmatic trade-off between co-design activities, the development of innovative services and the efforts allocated to widespread marketing and recruitment initiatives.

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The Australian National Survey of Mental Health and Well-Being

The British Journal of Psychiatry ◽

10.1192/bjp.177.4.325 ◽

2000 ◽

Vol 177 (4) ◽

pp. 325-330 ◽

Cited By ~ 53

Author(s):

Ailsa Korten ◽

Scott Henderson

Keyword(s):

Mental Health ◽

Large Scale ◽

Psychological Symptoms ◽

Adult Population ◽

Composite International Diagnostic Interview ◽

Well Being ◽

Diagnostic Interview ◽

Australian Population ◽

Socio Economic Variables ◽

Health And Well Being

BackgroundThe mental health of populations can be represented by case prevalence rates and by symptom scales. Scales have the advantage of identifying sub-syndromal levels of distress, which may be common and associated with considerable disability.AimsTo examine the distribution of common psychological symptoms and associated disablement in the Australian population.MethodA household sample of 10 641 individuals representative of the adult population of Australia was interviewed using the Composite International Diagnostic Interview and completed scales measuring recent symptoms and disablement.ResultsSymptom scales showed similar associations with socio-economic variables as did diagnoses, although only a small amount of variance in symptom levels was explained by these variables. Considerable disablement was associated with symptom levels indicating distress but not reaching levels for formal diagnoses of anxiety or depression.ConclusionsSymptom scales provide parsimonious measures of psychological distress and are appropriate for use in large-scale surveys of mental health and disablement.

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Supporting LGBT Lives? Complicating the suicide consensus in LGBT mental health research

Sexualities ◽

10.1177/1363460716648099 ◽

2016 ◽

Vol 20 (1-2) ◽

pp. 65-85 ◽

Cited By ~ 14

Author(s):

Audrey Bryan ◽

Paula Mayock

Keyword(s):

Mental Health ◽

Large Scale ◽

Well Being ◽

Mental Health Research ◽

Mixed Methods Study ◽

Sexuality And Gender ◽

Self Harm ◽

Lgbt People ◽

And Gender ◽

Health And Well Being

This article locates itself within an emergent, counter-discursive body of scholarship that is critical of universalizing depictions portraying queer-identified or LGBT youth as vulnerable and ‘at-risk’ of a range of negative mental health outcomes, including self-harm and suicidality. Drawing on key findings from a large-scale, mixed-methods study exploring the mental health and well-being of LGBT people, we seek to contribute to the development of a more expansive understanding of LGBT lives by demonstrating the diverse ways people engage with their sexuality and gender identity and illuminating the complex meanings that those LGBT people who have experienced psychological and suicidal distress ascribe to their feelings, thoughts and actions.

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