scholarly journals Compassionate leadership during COVID-19: an ABC approach to the introduction of new medical graduates as Foundation interim Year 1s (FiY1s)

BMJ Leader ◽  
2020 ◽  
pp. leader-2020-000323
Author(s):  
Claire Dougan ◽  
Sally-Anne Philips ◽  
Denise Hughes ◽  
Keith Gardiner
Keyword(s):  
Information Dissemination ◽  
Well Being ◽  
Leadership Model ◽  
New Graduates ◽  
Medical Graduates ◽  
Positive Effects ◽  
Buddy System ◽  
Training Programmes ◽  
Process Completion

BackgroundIncreasingly challenging workplaces detrimentally affect doctors’ well-being and patient care. The General Medical Council’s ‘ABC’ compassionate leadership model aims to improve doctor well-being. When COVID-19 emerged, a 4 Nation agreement facilitated early graduation and provisional registration of final year medical students and deployment of new graduates into Foundation interim Year 1 (FiY1) positions. We report how the Northern Ireland Medical and Dental Training Agency (NIMDTA) applied compassionate leadership to the induction of FiY1s.MethodsEmploying ‘What matters to you’, we identified FiY1s’ educational objectives and reviewed information dissemination options within distancing restrictions.A dedicated FiY1 webpage summarised requirements and resources. A regional digital induction with a well-being emphasis facilitated flexible completion. Welcome packs promoted belonging while a ‘buddy system’ delivered support. Collaboration with other stakeholders created staggered follow-up video conferences providing practical and psychological support, removing communication barriers.FindingsFeedback showed high FiY1 satisfaction with the global introduction to practice (83%) and 82% felt valued by NIMDTA and by Trusts after process completion.ConclusionApplying compassionate leadership to induction creates positive effects on doctors’ feeling of value and aligns with organisational strategic aims to support, develop and retain doctors in training programmes. We envision this model being applied to future postgraduate induction programmes.

scholarly journals A HOME-VISIT PILOT INTERVENTION TO PROMOTE COMMUNICATION SKILLS AND WELL-BEING FOR DEMENTIA FAMILY CAREGIVERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S676-S676
Author(s):  
Jung-Ah Lee ◽  
Priscilla Kehoe ◽  
Lisa Gibbs
Keyword(s):  
Family Caregivers ◽  
Communication Skills ◽  
Caregiver Burden ◽  
Self Efficacy ◽  
Home Visit ◽  
Home Visits ◽  
Well Being ◽  
Rank Test ◽  
Positive Effects

Abstract Dementia takes a significant toll on caregivers resulting in their suffering from chronic stress and depression due to responsibility for care for persons with dementia (PWD). Behaviors of PWD could be aggravated by inappropriate responses by family caregivers such as correcting PWD’s memories. The study purpose is to examine the feasibility of a home-visit-based intervention designed to promote communication skills with PWD and well-being in family caregivers. This pilot study used a single-arm experimental pre-post design to test the feasibility of 4 weekly home visits for 13 female family caregivers in Southern California (spouse, n=7; adult children, n=6; mean age=64.3, ranging 46-82). Trained home visitors used video scenarios for behavioral education for caregivers. All caregivers completed the entire home visit program. Significantly caregiver burden was decreased from baseline (M(SD)=51.38(4.58)) to follow-up at 5 weeks (M=43.31(5.67), Wilcoxon signed rank test: p=.04). Additionally, caregiver-reported PWD’s negative behaviors were reduced from baseline to follow-up (Mbase=22.31(3.52), Mfolllowup=19.31(4.4), p=.13). There were other improvements (non-significant) in greater caregiver self-efficacy and less depressive symptoms from baseline to follow-up. Caregiver satisfaction with the intervention was high (M=4.6(0.65) of 5). Qualitatively, participants appreciated the home visits for educational sessions and welcomed the empathy provided. Caregivers expressed better communications and responsiveness to the PWDs. The results showed the home-visit-based caregiver intervention was feasible and had a potential effectiveness on reduction of caregiver burden and possibly on self-efficacy and well-being. A larger-scale study will be needed to demonstrate long term positive effects on caregiver interactive skills and their well-being.

scholarly journals Impact of a University-Wide Interdisciplinary Mind-Body Skills Program on Student Mental and Emotional Well-Being

2020 ◽  
Vol 9 ◽  
pp. 216495612097398
Author(s):  
Brenna K Novak ◽  
Anna Gebhardt ◽  
Harini Pallerla ◽  
Susan Blocksom McDonald ◽  
Aviad Haramati ◽  
...  
Keyword(s):  
Negative Affect ◽  
Sleep Disturbance ◽  
Well Being ◽  
Public University ◽  
Control Group ◽  
Cross Sectional ◽  
Positive Effects ◽  
Booster Sessions ◽  
The Mind

Background Positive effects of mind-body skills programs on participant well-being have been reported in health professions students. The success seen with medical students at this university led to great interest in expanding the mind-body skills program so students in other disciplines could benefit from the program. Objective The purpose of this study was to assess the effects of a 9-week mind-body skills program on the mental and emotional well-being of multidisciplinary students compared to controls. We also sought to determine if the program’s effects were sustained at 1-year follow-up. Methods A cross-sectional pre-post survey was administered online via SurveyMonkey to participants of a 9-week mind-body skills program and a control group of students from 7 colleges at a public university from 2017–2019. Students were assessed on validated measures of stress, positive/negative affect, resilience, depression, anxiety, fatigue, sleep disturbance, mindfulness, empathy, and burnout. Scores were analyzed between-groups and within-groups using bivariate and multivariate analyses. A 1-year follow-up was completed on a subset of participants and controls. Results 279 participants and 247 controls completed the pre-survey and post-survey (79% response rate; 71% female, 68% white, mean age = 25 years). Participants showed significant decreases in stress, negative affect, depression, anxiety, sleep disturbance, and burnout, while positive affect, resilience, mindfulness, and empathy increased significantly ( P <  .05). Only sleep disturbance showed a significant decrease in the control group. Follow-up in a subset of participants showed that only mindfulness remained elevated at 1-year ( P <  .05), whereas the significant changes in other well-being measures were not sustained. Conclusion Participation in a 9-week mind-body skills program led to significant improvement in indicators of well-being in multidisciplinary students. A pilot 1-year follow-up suggests that effects are only sustained for mindfulness, but not other parameters. Future programming should focus on implementing mind-body skills booster sessions to help sustain the well-being benefits.

scholarly journals Physical activity, return to work self-efficacy, and work status among employees undergoing chemotherapy for cancer - a prospective study with 12 months follow-up

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rikke Rosbjerg ◽  
Robert Zachariae ◽  
Dorte Gilså Hansen ◽  
Inger Hoejris ◽  
Saskia Duijts ◽  
...  
Keyword(s):  
Physical Activity ◽  
Return To Work ◽  
Cancer Patients ◽  
Self Efficacy ◽  
Well Being ◽  
Work Status ◽  
Mediating Role ◽  
Positive Effects

Abstract Background Numerous studies emphasize the positive effects of physical activity on health and well-being in cancer patients. The effects of physical activity on the working lives of cancer patients have received less attention. The aim of the present study was to examine the association between physical activity and work status in employees with cancer, and the mediating role of return to work self-efficacy (RTWSE) in this association. Methods Data from questionnaires (physical activity, RTWSE, performance status, sociodemographic), patient records, and Danish national registries (work status, education) were collected for 217 employees initiating chemotherapy for cancer. The associations of physical activity at baseline with work status at baseline and at twelve months follow-up, respectively, were estimated with logistic regression. The mediating role of RTWSE was investigated using the Sobel Goodmann test. Results Employees with moderate (> 30 min/day) or high (> 150 min/day) levels of current daily activity at baseline had significantly increased odds for working at baseline (OR = 2.83, 95%CI = 0.73–10.96 and OR = 6.13, 95%CI = 1.68–22.40, respectively) and at twelve months (OR = 3.90, 95%CI = 1.19–12.77 and OR = 3.43, 95%CI = 1.12–10.51, respectively), compared to sedentary employees. Likewise, employees, physically active in their leisure time (light or vigorous psychical activity) for 2–4 h/week or > 4 h/week of light activity at baseline, had increased odds for working at twelve months (OR range = 1.20 (95%CI = 0.40–3.61)–5.39(95%CI = 0.78–37.32)), compared to sedentary employees. RTWSE was not found to mediate the observed associations. Conclusions Physical activity appears positively associated with work status in employees undergoing treatment for cancer in the twelve months period after initiating chemotherapy.

Changes in hairdressers' work techniques and physical capacity during rehabilitation

1998 ◽  
Vol 1 (4) ◽  
pp. 259-268
Author(s):  
Nina Nevala-Puranen ◽  
Merja Halonen ◽  
Ritva Tikkanen ◽  
Jari P.A. Arokoski
Keyword(s):  
Work Ability ◽  
Well Being ◽  
Voluntary Contraction ◽  
Physical Capacity ◽  
Medical Rehabilitation ◽  
Musculoskeletal Symptoms ◽  
Subjective Well Being ◽  
Positive Effects ◽  
In The Beginning

Changes in the work techniques, physical capacity, musculoskeletal symptoms and work ability of hairdressers were studied after occupationally oriented medical rehabilitation for pain symptoms in the neck and shoulders, upper limbs or back. The measurements were carried out in the beginning of the rehabilitation course and after a follow-up period of 1.5 years. The synchronized video-electromyographic data on each subject's habitual work techniques were utilized in teaching and training for improving the ergonomic characteristics of the hairdressers' work. The mean muscle activity of the trapezius muscles was 612% voluntary contraction (MVC) in the beginning of the rehabilitation and 38% follow-up. The musculoskeletal pain index decreased from 5.0 to 2.6 (p=0.03) during the follow-up. This result showed that the occupationally oriented rehabilitation had positive effects on the hairdressers' daily work techniques, physical capacity, work ability, and subjective well-being.

scholarly journals Collaborative care vs consultation liaison for depression and anxiety disorders in general practice: study protocol for two randomized controlled trials (the Danish Collabri Flex trials)

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Nadja Kehler Curth ◽  
Ursula Brinck-Claussen ◽  
Kirstine Bro Jørgensen ◽  
Susanne Rosendal ◽  
Carsten Hjorthøj ◽  
...  
Keyword(s):  
Collaborative Care ◽  
Well Being ◽  
World Health ◽  
Secondary Outcome ◽  
Depression Symptoms ◽  
Short Term ◽  
Positive Effects ◽  
Link Type ◽  
Cluster Randomized

Abstract Background Models of collaborative care and consultation liaison propose organizational changes to improve the quality of care for people with common mental disorders, such as anxiety and depression. Some literature suggests only short-term positive effects of consultation liaison on patient-related outcomes, whereas collaborative care demonstrates both short-term and long-term positive effects. To our knowledge, only one randomized trial has compared the effects of these models. Collaborative care was superior to consultation liaison in reducing symptoms of depression for up to 3 months, but the authors found no difference at 9-months' follow-up. The Collabri Flex Trial for Depression and the Collabri Flex Trial for Anxiety aim to compare the effects of collaborative care with those of a form of consultation liaison that contains potential contaminating elements from collaborative care. The trials build on knowledge from the previous cluster-randomized Collabri trials. Methods Two randomized, investigator-initiated, parallel-group, superiority trials have been established: one investigating the effects of collaborative care vs consultation liaison for depression and one investigating the effects of collaborative care vs consultation liaison for generalized anxiety, panic disorder and social anxiety disorder at 6-months' follow-up. Participants are recruited from general practices in the Capital Region of Denmark: 240 in the depression trial and 284 in the anxiety trial. The primary outcome is self-reported depression symptoms (Beck Depression Inventory (BDI-II)) in the depression trial and self-reported anxiety symptoms (Beck Anxiety Inventory (BAI)) in the anxiety trial. In both trials, the self-reported secondary outcomes are general psychological problems and symptoms (Symptom Checklist 90-Revised), functional impairment (Sheehan Disability Scale) and general well-being (World Health Organization-Five Well-Being Index). In the depression trial, BAI is an additional secondary outcome, and BDI-II is an additional secondary outcome in the anxiety trial. Explorative outcomes will also be collected. Discussion The results will supplement those of the cluster-randomized Collabri trials and provide pivotal information about the effects of collaborative care in Denmark. Trial registration ClinicalTrials.gov, NCT03113175 and NCT03113201. Registered on 13 April 2017.

Well-Being Therapy for Depressive Symptoms in Chronic Migraine: A Case Report

2021 ◽  
pp. 153465012198981
Author(s):  
Giovanni Mansueto ◽  
Fiammetta Cosci
Keyword(s):  
Depressive Symptoms ◽  
Chronic Migraine ◽  
Single Case ◽  
Well Being ◽  
Heterosexual Woman ◽  
Short Term ◽  
Psychological Variables ◽  
Positive Effects ◽  
Vexing Problem

Depression in chronic migraine is a common and vexing problem. Stress-oriented psychotherapies showed to improve depressive symptoms but not to affect migraine disability or attacks. Well-Being Therapy (WBT) is a short-term psychotherapy intervention based on promoting well-being and optimizing functioning, which showed to be effective in the treatment of residual depressive symptoms and chronic pain. This single case describes an account of successful WBT for a case of chronic migraine with depressive symptoms. The patient is a 37-year old employed, engaged, Caucasian heterosexual woman who had chronic migraine without aura and depressive symptoms and received eight WBT sessions. Number of migraine attacks, migraine disability, and psychological variables were assessed at baseline, at sessions 4 and 8 of WBT, and at 3-month follow-up. At session 8 of WBT, a decrease in number of migraine attacks and migraine disability was observed together with an improvement on depressive symptoms as well as an increase of well-being and euthymia. The positive effects of WBT were maintained at 3-month follow-up. WBT may be a promising intervention for chronic migraine patients with depressive symptoms.

scholarly journals Using Social Network Sites to Boost Savoring: Positive Effects on Positive Emotions

2020 ◽  
Vol 17 (17) ◽  
pp. 6407
Author(s):  
Sen-Chi Yu ◽  
Kennon M. Sheldon ◽  
Wen-Ping Lan ◽  
Jia-Huei Chen
Keyword(s):  
Treatment Group ◽  
University Students ◽  
Positive Emotions ◽  
Well Being ◽  
Control Group ◽  
Treatment Control ◽  
Positive Effects ◽  
Post Test ◽  
Treatment Control Group

Research has demonstrated that positive interventions (PIs) can be effective in enhancing well-being. Our study used Facebook to conduct a PI based on savoring. Sixty-one university students in Taiwan were randomly assigned to undergo a three-week savoring PI, and 61 participants were assigned to a no-treatment control group. The results showed significantly enhanced positive affect in the treatment group compared to the control group, in both a post-test and a final follow-up, but no significant differences between the two groups in negative affect. The treatment group also displayed significantly lower depression in the post-test, which was not maintained at the follow-up. These results indicate that, for university students, a savoring intervention via Facebook can be an effective way of enhancing positive emotions.

scholarly journals NLP for Japanese workers’ mental well-being: pilot study

2019 ◽  
Vol 24 (3) ◽  
pp. 183-194
Author(s):  
Yasuhiro Kotera ◽  
David Sheffield
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Well Being ◽  
Repeated Measurements ◽  
Content Type ◽  
Positive Effects ◽  
Japanese Workers ◽  
Significant Difference ◽  
Mental Well Being

Purpose Although numerous national and organisational level approaches have taken to improve their mental health, Japanese workers still suffer from high rates of mental health problems. Despite its worldwide application, neuro-linguistic programming (NLP) has not been evaluated for these problems in-depth. The purpose of this paper is to examine the effects of NLP training for mental health among Japanese workers. Design/methodology/approach A pre-post test design with repeated measurements was used with 30 Japanese workers, who were undertaking NLP Practitioner Certification training. The effects on mental health were assessed with the Depression, Anxiety and Stress Scale-21 and the Warwick-Edinburgh Mental Well-being Scale at pre-training, post-training and a three-month follow-up. Findings The mean scores of depression and stress decreased significantly, and mental well-being increased significantly between pre-training and post-training and between pre-training and follow-up. There was no significant difference between post-training and the follow-up for any of the measures. Practical implications The results suggest this training was effective for mental health of Japanese workers, and the positive effects on mental well-being were sustained. Originality/value This is the first ever study to empirically evaluate the effects of the regulated NLP training on the mental health of Japanese workers, conducted by researchers well-versed in NLP. This training might be conducive to improving the mental health of the Japanese workforce. Larger scale and/or controlled studies are needed.

Healing by design: The influence of an artistic design on the well being of cancer patients—A 10 years follow up

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 18615-18615
Author(s):  
H. Samonigg ◽  
E. Andritsch ◽  
G. Dietmaier ◽  
T. Bauernhofer ◽  
H. Andritsch ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Healing Process ◽  
Well Being ◽  
Structured Interview ◽  
Design Quality ◽  
Positive Effects ◽  
The Impact

18615 Background: The style of the surrounding in which cancer patients, who experience physical as well as high psychological distress are treated, can help them to acquire a sense of security, to reduce their anxiety and depression. Inspired by this model the famous artist F. Hundertwasser created the redesign of the oncological ward with the aim to generate an atmosphere of security by utilizing bright, warm and vivid colours, light and plants. The aim of this study was to investigate in a prospective manner whether the artistic redesign have an influence on the welfare of cancer patients using standardized questionnaires pre and immediately post reconstruction and in a follow up 10 years later. Methods: A total of 261 patients were interviewed (93 before the redesign, 81 immediately and 87 ten years after redesign) to assess the influence of depression (Zerssen Depression Scale, PD-S) quality of life (Spitzer Index)and perceptions of the ward design (semi-structured interview) on wellbeing (Zerrsen Mood Scale, Bf-S). Results: A factor analysis of the semi-structured interview yielded four factors assessed with a MANOVA showing that patients interviewed after redesign reported more positive effects of the ward design (F2;227 = 484.274; p < 0.001). In addition, they were more content with treatment and medical care (F2;227 = 20.103; p < 0.001), more positive in their emotions and thoughts regarding illness (F2;227 = 8.600; p = 0.003) and placed greater importance on the fixtures (F2;227 = 6.067; p = 0.003) than the patients interviewed before the redesign. In a regression analysis depression, the “impact of ward design”, quality of life, gender, “emotions and thoughts regarding illness”, age and education predicted wellbeing with an “R” of 0.0469 (p < 0.05). Conclusions: The results provide important aspects for the discussion if the physical surroundings in which cancer patients are treated serve as a potentially positive factor in the “healing process”. No significant financial relationships to disclose.

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