Sharing Psychotherapy Notes with Patients: Therapists’ Attitudes and Experiences

Social Work ◽  
2020 ◽  
Vol 65 (2) ◽  
pp. 159-168 ◽  
Author(s):  
Hannah Chimowitz ◽  
Stephen O’Neill ◽  
Suzanne Leveille ◽  
Katrina Welch ◽  
Jan Walker

Abstract Evidence suggests that the practice of sharing clinicians’ notes with patients via online patient portals may increase patient engagement and improve patient–clinician relationships while requiring little change in providers’ workflow. Authors examined clinical social workers’ experiences and attitudes related to open psychotherapy notes using focus groups and telephone interviews. Twenty-four of 29 eligible therapists agreed to open their notes to patients, and nine participated in this study. Participants were generally positive about their experiences and reported few disruptions to their workload or practice. However, they were hesitant to bring up notes to patients during sessions, and they discussed the benefits of open therapy notes mostly hypothetically. The five therapists who did not share notes worried that open notes would be detrimental to therapeutic relationships, patient well-being, and workflow. However, the concern they discussed most often related to the electronic health record rather than to open notes, because therapy notes are visible to all authorized clinicians as part of the general medical record. Future research is needed to deepen our understanding of the risks and benefits of open psychotherapy notes and to inform development of training programs to support therapists in opening notes.

Author(s):  
Sonja Heintz ◽  
Willibald Ruch ◽  
Chloe Lau ◽  
Donald H. Saklofske ◽  
Paul McGhee

Abstract. Humor training has become increasingly popular to enhance the “sense of humor” and well-being and to decrease depressive symptoms. Despite the wide applications of these training programs, the assessment of training efficacy has attracted less attention. The Sense of Humor Scale (SHS; McGhee, 1996 , 1999 ) recently was expanded to a long version (SHS-L) to enhance its internal consistency ( Ruch & Heintz, 2018 ). At the same time, there is also the need for a brief version of this scale. The purpose of the present study is to develop a short version (SHS-S) in both German- and English-speaking countries, test its psychometric properties (internal consistency, factorial, construct, and criterion validity), and assess measurement invariance across gender and the two languages. Using three samples (Sample 1: 570 English-speakers, Sample 2: 353 German-speakers, Sample 3: 94 other-reports), the 29-item SHS-S was developed and yielded promising internal consistency and validity scores for the six humor skill factors of enjoyment of humor, laughter, verbal humor, finding humor in everyday life, laughing at yourself, and humor under stress. Overall, the SHS-S is an internally consistent, valid, and economic tool for future research and group-based applications, while the SHS-L seems especially useful in individual applications.


2021 ◽  
Vol 12 ◽  
Author(s):  
Ianina Scheuch ◽  
Natalie Peters ◽  
Max S. Lohner ◽  
Caroline Muss ◽  
Carmela Aprea ◽  
...  

The importance of resilience for employees' well-being and performance at work has grown steadily in recent years. This development has become even more pronounced through the recent COVID-19 pandemic and its consequences, including major changes in occupational settings. Although there is increasing interest in resilience in general and a growing number of publications focusing on the development of resilience in particular, many questions remain about resilience training, especially in organizational contexts. The purpose of this scoping review is to uncover what is known about resilience training in organizational contexts. A systematic search of four databases for articles published through 2021 was conducted. A total of 48 studies focusing on resilience training programs in organizational contexts were included in this review. The review provides relevant insights into resilience training programs by focusing on program characteristics, target group, study design, and outcomes. Based on the results, the main aspects that concern the development of resilience training programs for organizational settings and requirements for the study design for empirical investigation were summarized. The results of the review highlight possible directions for future research and offer useful insights for resilience-enhancing training programs in organizations.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 950-951
Author(s):  
Yeji Hwang ◽  
Anjali Rajpara ◽  
Sonia Talwar ◽  
LaShauna Connell ◽  
Katie Ramirez ◽  
...  

Abstract Community-residing persons living with dementia (PLWD) are a high-risk population for the Coronavirus Disease 2019 (COVID-19) because of advanced age, comorbidities, and impaired cognition. While family caregivers report additional anxiety symptoms by caring for PLWD at home, little is known about their caregiving experience during the current COVID-19 pandemic. The purpose of this study is to examine the influence of the COVID-19 on dementia caregivers. Study participants were recruited from parent study, the Healthy Patterns Clinical Trial (Hodgson; R01NR015226). Data were collected from June 13th to August 28th, 2020 via semi-structured telephone interviews. Thirty-four dementia caregivers participated in this study. Mean caregiver age was 59.2±12.7. Over 70% of the study participant reported worry about spreading COVID-19 to the PLWD and 41.2% reported that they have taken on additional caregiving duties for others in their family or network since COVID-19. In this sample, 61.8% of the dementia caregivers reported one or more anxiety symptoms. Independent t-tests were conducted to compare dementia caregivers who reported anxiety symptoms and those who did not report anxiety symptoms. Anxiety symptoms in dementia caregivers were related to poor physical function of their care recipients (p=0.036). However, anxiety symptoms of dementia caregivers were not related to either cognitive level (p=0.11) or number of neuropsychiatric symptoms of their care recipients (p=0.366). Health care professionals should be alert to the anxiety and concerns expressed by dementia caregivers in order to maintain and improve the well-being of both caregivers and their care recipients during this unprecedented pandemic.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 898-899
Author(s):  
Stephanie Chesser ◽  
Michelle Porter

Abstract In 2018, the Centre on Aging at the University of Manitoba adapted the FrameWorks Institute’s Gaining Momentum toolkit into an interactive workshop that was delivered to aging-related stakeholders (e.g., health professionals, educators, researchers, advocates, older persons) across the province of Manitoba, Canada. The purpose of this study was to complete a qualitative assessment of attendee experiences with the workshop and its impact, if any, on their aging-related communication behaviours. Study participants completed two telephone interviews—one approximately two weeks and one approximately three months post-workshop—about their workshop experiences, motivations for attending, and short and long-term communication goal setting. Through the interviews, most participants expressed positive experiences with the workshop content, as well as an enjoyment of its interactive elements (e.g., self-introduction activity, reframing short and long form aging-related communications, group feedback). Several also shared specific examples of how workshop content was influencing their short/long-term aging communication strategies. Some participants, however, also identified ways that local culture could impact the interpretation of and, thus, potential success of workshop language and/or framing recommendations in specific communities. Overall, the findings from this study suggest that the Gaining Momentum workshop was a valuable experience for attendees that inspired critical assessment of, and changes to, the ways they communicated about aging in their professional and personal lives. Future research is warranted to explore the ways its content could be adapted to better meet the unique communication considerations within the province of Manitoba (e.g., cultural, geographic, and language-related implications).


ANALITIKA ◽  
2018 ◽  
Vol 10 (1) ◽  
pp. 31 ◽  
Author(s):  
Zaini Said ◽  
Goh Lei Kheng

<p><em>Previous research has been done on mindfulness and nursing stress but no review has been done to highlight the most up-to-date findings, to justify the recommendation of mindfulness training for the nursing field. The present paper aims to review the relevant studies, derive conclusions, and discuss future direction of research in this field. A total of 19 research papers were reviewed. The majority was intervention studies on the effects of mindfulness-training programs on nursing stress. Higher mindfulness is correlated with lower nursing stress. Mindfulness-based training programs were found to have significant positive effects on nursing stress and psychological well-being. The studies were found to have non-standardized intervention methods, inadequate research designs, small sample size, and lack of systematic follow-up on the sustainability of treatment effects, limiting the generalizability of the results. There is also a lack of research investigation into the underlying mechanism of action of mindfulness on nursing stress. Future research that addresses these limitations is indicated.</em></p>


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 899-899
Author(s):  
Stephanie Chesser ◽  
Michelle Porter

Abstract The Centre on Aging at the University of Manitoba adapted the FrameWorks Institute’s Gaining Momentum toolkit into an interactive workshop that was delivered to aging-related stakeholders (e.g., health professionals, educators, researchers, advocates, older persons) across the province of Manitoba, Canada. The purpose of this study was to complete a qualitative assessment of attendee experiences with the workshop and its impact, if any, on their aging-related communication behaviors. Study participants recruited from four communities (two urban, two rural) completed two telephone interviews—one approximately two weeks and one approximately three months post-workshop—about their experiences, motivations for attending, and short and long-term communication goal setting. Through the interviews, most participants expressed positive experiences with the workshop content, as well as an enjoyment of its interactive elements (e.g., self-introduction activity, reframing short and long form aging-related communications, group feedback). Several also shared specific examples of how workshop content was influencing their short/long-term aging communication strategies. Some participants, however, also identified ways that local culture could impact the interpretation of and, thus, potential success of workshop language and/or framing recommendations in specific communities. Overall, the findings from this study suggest that the Gaining Momentum workshop was a valuable experience for attendees that inspired critical assessment of, and changes to, the ways they communicated about aging in their professional and personal lives. Future research is warranted to explore the ways its content could be adapted to better meet the unique communication considerations within the province of Manitoba (e.g., cultural, geographic, and language-related implications).


Author(s):  
Zaini Said ◽  
Goh Lei Kheng

Previous research has been done on mindfulness and nursing stress but no review has been done to highlight the most up-to-date findings, to justify the recommendation of mindfulness training for the nursing field. The present paper aims to review the relevant studies, derive conclusions, and discuss future direction of research in this field.A total of 19 research papers were reviewed. The majority was intervention studies on the effects of mindfulness-training programs on nursing stress. Higher mindfulness is correlated with lower nursing stress. Mindfulness-based training programs were found to have significant positive effects on nursing stress and psychological well-being. The studies were found to have non-standardized intervention methods, inadequate research designs, small sample size, and lack of systematic follow-up on the sustainability of treatment effects, limiting the generalizability of the results. There is also a lack of research investigation into the underlying mechanism of action of mindfulness on nursing stress. Future research that addresses these limitations is indicated.


2021 ◽  
Vol 36 ◽  
pp. 153331752110087
Author(s):  
Yeji Hwang ◽  
LaShauna M. Connell ◽  
Anjali R. Rajpara ◽  
Nancy A. Hodgson

Little is known about the family experience of caregiving for persons living with dementia (PLWD) at home during the COVID-19 pandemic. The purpose of this study was to examine the influence of COVID-19 on concerns of current family caregivers of PLWD. Study participants were recruited from the parent study, Healthy Patterns Clinical Trial (NCT03682185). Data was collected from 34 caregivers via semi-structured telephone interviews. Over 70% of the study participants reported worrying about spreading COVID-19 to the PLWD, 41% reported they had taken on additional caregiving duties for others in their family since COVID-19, and 62% reported one or more anxiety symptoms. Dementia caregivers who reported anxiety symptoms reported lower scores on functional independence of their care recipients compared to dementia caregivers who did not report anxiety symptoms ( p=0.036). Health care professionals should be alert to the concerns expressed by dementia caregivers for their well-being during this unprecedented pandemic.


2020 ◽  
Vol 29 (2) ◽  
pp. 841-850 ◽  
Author(s):  
Courtney T. Byrd ◽  
Danielle Werle ◽  
Kenneth O. St. Louis

Purpose Speech-language pathologists (SLPs) anecdotally report concern that their interactions with a child who stutters, including even the use of the term “stuttering,” might contribute to negative affective, behavioral, and cognitive consequences. This study investigated SLPs' comfort in providing a diagnosis of “stuttering” to children's parents/caregivers, as compared to other commonly diagnosed developmental communication disorders. Method One hundred forty-one school-based SLPs participated in this study. Participants were randomly assigned to one of two vignettes detailing an evaluation feedback session. Then, participants rated their level of comfort disclosing diagnostic terms to parents/caregivers. Participants provided rationale for their ratings and answered various questions regarding academic and clinical experiences to identify factors that may have influenced ratings. Results SLPs were significantly less likely to feel comfortable using the term “stuttering” compared to other communication disorders. Thematic responses revealed increased experience with a specific speech-language population was related to higher comfort levels with using its diagnostic term. Additionally, knowing a person who stutters predicted greater comfort levels as compared to other clinical and academic experiences. Conclusions SLPs were significantly less comfortable relaying the diagnosis “stuttering” to families compared to other speech-language diagnoses. Given the potential deleterious effects of avoidance of this term for both parents and children who stutter, future research should explore whether increased exposure to persons who stutter of all ages systematically improves comfort level with the use of this term.


2020 ◽  
Vol 09 (04) ◽  
pp. 106-113
Author(s):  
Ysabeau Bernard-Willis ◽  
Emily De Oliveira ◽  
Shaheen E Lakhan

AbstractChildren with epilepsy often have impairments in cognitive and behavioral functioning which may hinder socio-occupational well-being as they reach adulthood. Adolescents with epilepsy have the added worry of health problems while starting the transition from family-centered pediatric care into largely autonomous adult care. If this transition is not appropriately planned and resourced, it may result in medical mistrust, nonadherence, and worsening biopsychosocial health as an adult. In recent years, there has been increased availability of digital health solutions that may be used during this stark change in care and treating teams. The digital health landscape includes a wide variety of technologies meant to address challenges faced by patients, caregivers, medical professionals, and health care systems. These technologies include mobile health products and wearable devices (e.g., seizure monitors and trackers, smartphone passive data collection), digital therapeutics (e.g., cognitive/behavioral health management; digital speech–language therapy), telehealth services (e.g., teleneurology visits), and health information technology (e.g., electronic medical records with patient portals). Such digital health solutions may empower patients in their journey toward optimal brain health during the vulnerable period of pediatric to adult care transition. Further research is needed to validate and measure their impact on clinical outcomes, health economics, and quality of life.


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