Hospitalism: The Results of Fifty-Nine Amputations of the Limbs in Home Practice

BMJ ◽  
1869 ◽  
Vol 2 (465) ◽  
pp. 597-597
Author(s):  
J. Cullen
Keyword(s):  
Home Practice

scholarly journals Effectiveness of a Community-based Group Mindfulness Program tailored for Arabic and Bangla-speaking Migrants

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ilse Blignault ◽  
Hend Saab ◽  
Lisa Woodland ◽  
Haider Mannan ◽  
Arshdeep Kaur
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Outcomes ◽  
Mental Health Outcomes ◽  
Home Practice ◽  
Community Based ◽  
Mindfulness Skills ◽  
Arabic Speakers ◽  
Language Groups

Abstract Background Migrant communities are often underserved by mainstream mental health services resulting in high rates of untreated psychological distress. This collaborative study built on evidence that mindfulness-based interventions delivered in-language and culturally tailored were acceptable and clinically effective for Arabic speakers in Australia. It aimed to establish whether a group mindfulness program produced expected outcomes under normal operational conditions, and to test its scalability and its transferability to Bangla speakers. Methods A 5-week mindfulness program was delivered to 15 Arabic-speaking and 8 Bangla-speaking groups in community settings. The mixed-methods evaluation incorporated a pre-post study. Descriptive statistics were used to summarise the socio-demographic data, group attendance and home practice. Differences in DASS 21 and K10 scores from pre to post-intervention were tested using the nonparametric sign test for paired samples (two-sided). Multiple linear regression analysis was performed to determine the effects of selected sociodemographic variables, group attendance and home practice on clinical outcomes, based on intention to treat. Content analysis was used to examine the qualitative data. Results The program attracted 168 Arabic speakers and 103 Bangla speakers aged 16 years and over, mostly women. Cultural acceptability was evident in the overall 80% completion rate, with 78% of Arabic speakers and 84% of Bangla speakers retained. Both language groups showed clinically and statistically significant improvements in mental health outcomes on the DASS21 and K10. Thirty new referrals were made to mental health services. Participant feedback emphasised the benefits for their everyday lives. All but one participant reported sharing the mindfulness skills with others. Conclusions Across multiple and diverse groups of Arabic and Bangla speakers in Sydney, the community-based group mindfulness program was shown to have high levels of cultural acceptability and relevance. It resulted in clinically and statistically significant improvements in mental health outcomes, facilitated access to mental health care and boosted mental health literacy. This innovative, low-intensity, in-language mental health intervention that was originally developed for Arabic speakers is scalable. It is also transferable—with cultural tailoring—to Bangla speakers.

scholarly journals Brief Mindfulness-Based Interventions: Teacher and Course Attendee Perspectives on Content

Mindfulness ◽  
2021 ◽  
Author(s):  
Kelly Birtwell ◽  
Rebecca Morris ◽  
Christopher J. Armitage
Keyword(s):  
Thematic Analysis ◽  
Scientific Literacy ◽  
Stakeholder Involvement ◽  
The Body ◽  
Focused Attention ◽  
Home Practice ◽  
Mixed Methods Design ◽  
Stakeholder Perspectives ◽  
Open Questions ◽  
Intervention Content

Abstract Objectives While brief mindfulness-based interventions (MBIs) show promise, stakeholder involvement in their design is lacking and intervention content can vary substantially. The aim of this study is to explore stakeholder perspectives of brief MBIs, brief MBI content, and adapting existing MBIs. Methods In this convergent mixed methods design study, 22 mindfulness teachers and 20 mindfulness course attendees completed an online UK-based survey. Twenty-six participants were female, and mean age was 50.8 years. Data from closed questions were analysed using descriptive and inferential statistics, and data from open questions were analysed using reflexive thematic analysis. Results Findings suggest a brief MBI could comprise five 80-min sessions and include focused attention practice, informal mindfulness, inquiry, psychoeducation, and 20 min of daily home practice. Opinions of some elements differed among participants, such as the body scan, poetry, and the sitting with difficulty practice. Four themes were generated from participants’ comments about their attitudes to brief MBIs, which were generally positive but expressed concerns about insufficient content and poor delivery. Three themes were generated about adapting MBIs, suggesting tensions between adhering to a curriculum and meeting group needs. Five themes were generated from views about the content and characteristics of MBIs, highlighting the importance of accessibility, teacher training, and participant safety. Conclusions Brief MBIs may increase access to mindfulness training, yet there is a need for adequate governance and transparency regarding their strengths and limitations. Clarity and evidence of MBI mechanisms along with scientific literacy in teachers will support fidelity-consistent modifications.

Home practice and quality of life among patients with neurofibromatosis randomized to a mind-body intervention

2019 ◽  
Vol 42 ◽  
pp. 114-118
Author(s):  
C.J. Funes ◽  
E.L. Zale ◽  
C.M. Luberto ◽  
A.M. Vranceanu
Keyword(s):  
Quality Of Life ◽  
Home Practice

scholarly journals Enactment of home practice following mindfulness-based relapse prevention and its association with substance-use outcomes

2015 ◽  
Vol 40 ◽  
pp. 16-20 ◽  
Author(s):  
Joel C. Grow ◽  
Susan E. Collins ◽  
Erin N. Harrop ◽  
G. Alan Marlatt
Keyword(s):  
Substance Use ◽  
Relapse Prevention ◽  
Home Practice

Home Practice Breath Awareness

1981 ◽  
pp. 361-365
Author(s):  
Erik Peper ◽  
Elizabeth Ann Williams
Keyword(s):  
Home Practice ◽  
Breath Awareness

Home Practice Theta

1981 ◽  
pp. 313-317
Author(s):  
Erik Peper ◽  
Elizabeth Ann Williams
Keyword(s):  
Home Practice

It Is Not Your Parents’ Long-Term Services System: Nursing Homes in a Changing World

2018 ◽  
Vol 39 (8) ◽  
pp. 898-901
Author(s):  
Robert Applebaum ◽  
Shahla Mehdizadeh ◽  
Diane Berish
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Length Of Stay ◽  
Older Person ◽  
Home Practice ◽  
Data Set ◽  
Study Results ◽  
Utilization Data ◽  
First Time

The long-term services system has changed substantially since the mid-1970s, when the landmark book Last Home for the Aged argued that the move to the nursing home was the last move an older person would make until death. Using detailed nursing home utilization data from the Minimum Data Set, this study tracks three cohorts of first-time nursing home admissions in Ohio from 1994 through 2014. Each cohort was followed for a 3-year period. Study results report dramatic reductions in nursing home length of stay between the 1994 and 2011 cohorts. Reduction in length of stay has important implications for nursing home practice and quality monitoring. The article argues that administrative and regulatory practices have not kept pace with the dramatic changes in how nursing homes are now being used in the long-term services system.

scholarly journals Effect of an iOS App on Voice Therapy Adherence and Motivation

2021 ◽  
Vol 30 (1) ◽  
pp. 210-227
Author(s):  
Eva van Leer ◽  
Brittney Lewis ◽  
Nick Porcaro
Keyword(s):  
Voice Therapy ◽  
Home Practice ◽  
Adherence Behavior ◽  
Therapy Adherence ◽  
System Usability Scale ◽  
System Usability ◽  
Scale Scores ◽  
Cepstral Peak Prominence ◽  
Voice Exercises ◽  
To Receive

Purpose Patients commonly report difficulties adhering to voice therapy. An iOS app was developed in our lab that assists practice via reminder notifications, instructional recordings, and cepstral peak prominence analysis results. The purpose of this study was to assess the effect of such homework support modality on adherence behavior and associated motivation in a comparison of app support and written homework instructions and to assess the usability and utility of the app. Method Thirty-four individuals exhibiting adducted hyperfunction were randomized to receive either written homework instructions or the app when practicing resonant voice exercises for 3 weeks. All patients digitally audio-recorded all home practice, provided self-reported estimates of generalization, and completed weekly motivation scales. Results App support significantly increased practice frequency but did not affect self-reported generalization or motivation. Practice was significantly predicted by System Usability Scale scores. Utility of reminders and instructions were good, but cepstral peak prominence feedback was considered useful to only a subset of participants. Conclusion Interactive mobile therapy support can significantly increase practice of resonant voice homework without influencing motivation.

scholarly journals Dosage, Intensity, and Frequency of Language Therapy for Aphasia: A Systematic Review–Based, Individual Participant Data Network Meta-Analysis

Stroke ◽  
2021 ◽  
Author(s):  
Marian C. Brady ◽  
Myzoon Ali ◽  
Kathryn VandenBerg ◽  
Linda J. Williams ◽  
Louise R. Williams ◽  
...  
Keyword(s):  
Outcome Measurement ◽  
Meta Analysis ◽  
Individual Participant Data ◽  
Functional Communication ◽  
Clinical Services ◽  
Language Outcomes ◽  
Home Practice ◽  
Language Therapy ◽  
Post Intervention ◽  
Individual Participant

Background and Purpose: Optimizing speech and language therapy (SLT) regimens for maximal aphasia recovery is a clinical research priority. We examined associations between SLT intensity (hours/week), dosage (total hours), frequency (days/week), duration (weeks), delivery (face to face, computer supported, individual tailoring, and home practice), content, and language outcomes for people with aphasia. Methods: Databases including MEDLINE and Embase were searched (inception to September 2015). Published, unpublished, and emerging trials including SLT and ≥10 individual participant data on aphasia, language outcomes, and time post-onset were selected. Patient-level data on stroke, language, SLT, and trial risk of bias were independently extracted. Outcome measurement scores were standardized. A statistical inferencing, one-stage, random effects, network meta-analysis approach filtered individual participant data into an optimal model examining SLT regimen for overall language, auditory comprehension, naming, and functional communication pre-post intervention gains, adjusting for a priori–defined covariates (age, sex, time poststroke, and baseline aphasia severity), reporting estimates of mean change scores (95% CI). Results: Data from 959 individual participant data (25 trials) were included. Greatest gains in overall language and comprehension were associated with >20 to 50 hours SLT dosage (18.37 [10.58–26.16] Western Aphasia Battery–Aphasia Quotient; 5.23 [1.51–8.95] Aachen Aphasia Test–Token Test). Greatest clinical overall language, functional communication, and comprehension gains were associated with 2 to 4 and 9+ SLT hours/week. Greatest clinical gains were associated with frequent SLT for overall language, functional communication (3–5+ days/week), and comprehension (4–5 days/week). Evidence of comprehension gains was absent for SLT ≤20 hours, <3 hours/week, and ≤3 days/week. Mixed receptive-expressive therapy, functionally tailored, with prescribed home practice was associated with the greatest overall gains. Relative variance was <30%. Risk of trial bias was low to moderate; low for meta-biases. Conclusions: Greatest language recovery was associated with frequent, functionally tailored, receptive-expressive SLT, with prescribed home practice at a greater intensity and duration than reports of usual clinical services internationally. These exploratory findings suggest critical therapeutic ranges, informing hypothesis-testing trials and tailoring of clinical services. Registration: URL: https://www.crd.york.ac.uk/PROSPERO/ ; Unique identifier: CRD42018110947.

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