A mixed-methods longitudinal evaluation of a one-day mental health wellness intervention

Objectives: This study evaluated the impact of a one-day mental health Wellness Workshop on participants’ mental health and attitudes towards mental health. Design: Convergent, longitudinal mixed-methods approach. Setting: The study evaluated Wellness Workshops which took place throughout the Republic of Ireland. Method: Questionnaires measuring hope, mental health self-efficacy, attitudes towards mental health and perceived impact on wellbeing were administered to participants before the workshop ( n = 415), 1 week after ( n = 221) and 3 months after ( n = 110). Semi-structured interviews were carried out with 24 participants to generate a more in-depth understanding of the impact of the workshop. Results: Quantitative findings relating to hope, mental health self-efficacy and attitudes towards mental health did not identify statistically significant changes; however, participants’ perceptions of the effect of the workshop on wellbeing suggested a positive impact which was maintained over time. Qualitative findings, however, suggested that hope and self-efficacy were improved and the simplicity and utility of the wellness strategies disseminated in the workshop, in addition to the warmth and openness of the narrative approach used by the facilitators, were central to the perceived positive impact. Conclusion: This evaluation demonstrates the potential for wellness interventions to have a subjective improvement in wellbeing in members of the general public.

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The Perceptions of Nurses About the Behavioral Needs for Daylighting and View to the Outside in Inpatient Facilities

HERD Health Environments Research & Design Journal ◽

10.1177/1937586719851271 ◽

2019 ◽

Vol 13 (1) ◽

pp. 191-205

Author(s):

Arsalan Gharaveis ◽

Hamed Yekita ◽

Gholamreza Shamloo

Keyword(s):

Mixed Methods ◽

Nursing Staff ◽

Medical Error ◽

Behavioral Responses ◽

Structured Interviews ◽

Mixed Methods Approach ◽

Behavioral Needs ◽

Extensive Body ◽

Nurses Perceptions ◽

The Impact

Objectives: This research aims to explore the perceptions of nursing staff regarding the effects of daylighting on behavioral factors including mood, stress, satisfaction, medical error, and efficiency. Background: In spite of an extensive body of literature seeking to investigate the impact of daylighting on patients, a limited number of studies have been done for the sake of nurses’ perceptions and behavioral responses. Method: A mixed-methods approach, comprised of qualitative explorations (structured interviews) and a validated survey, was applied and the results were compared and triangulated. Five nurses were interviewed and 156 nurses volunteered for a lighting survey from six departments of three inpatient facilities in Iran. Results: The findings of this study are consistent with the existing evidence that daylighting and view to the outside enhance nurses’ perceptions regarding satisfaction, mood, stress, medical error, and alertness, while reducing fatigue and stress. Conclusion: Patient rooms and work stations are the most crucial areas to provide daylighting from nurses’ perspectives.

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Exploring the barriers that influence intention to donate and role of the charity shop within the multi-tier supply chain

Journal of Humanitarian Logistics and Supply Chain Management ◽

10.1108/jhlscm-07-2020-0055 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Hailan Guo ◽

Xiaoling Xu

Keyword(s):

Supply Chain ◽

Mixed Methods ◽

Structured Interviews ◽

Content Type ◽

Mixed Methods Approach ◽

Lack Of Information ◽

Donation Process ◽

Quality Stock ◽

The Uk ◽

The Impact

PurposeHumanitarian relief organisations such as charities count on donations to provide assistance to people in need when disasters occur. In the UK, about 11,200 charity shops collect second-hand goods from donors to raise funds for their parent charity to support target beneficiaries. As their numbers increase, charity shops are finding it difficult to secure good quality stock. Furthermore, they may need to plan ahead to secure sufficient stock when the economy experiences a downturn. This paper identifies the charity shop's role and its donation flow in the multi-tier supply chain and empirically assesses the barriers that influence intention to donate with a mixed-methods approach.Design/methodology/approachIn order to explore the charity shop's role within the multi-tier supply chain, this study begins with a literature review and then develops a conceptual model. In order to empirically evaluate the barriers that influence intention to donate, the authors conducted semi-structured interviews with 14 charity shop managers and collected 222 usable questionnaires from donors. The interpretive structural modelling (ISM) approach was applied to examine the interrelationship among barriers and rank their priority.FindingsThis paper identifies ten significant barriers that influence intention to donate: lack of good quality items for donation; lack of information on how charity shops make use of donations; lack of familiarity with the donation process; lack of information of what items can be accepted by charity shops; lack of awareness of the impact that donations make; the difficulty of being available at the scheduled times for charity shops' free pick-up services; the difficulty of donating during shops' opening hours; the difficulty of finding parking to access charity shops; and living too far away from charity shops. In particular, the questionnaires' results indicate that lack of good quality items is the most significant barrier. This is also reflected in the ISM model, and thus needs more attention.Practical implicationsThe results are very useful for charity shops themselves to understand current barriers to securing good quality stock and to develop potential stock-securing interventions based on these barriers' priority.Originality/valueAlthough charity shops have been investigated by several researchers, their supply chain remains insufficiently explored. This paper fills this gap by identifying the charity shop's role and its donation flow in the supply chain and by empirically assessing the supply-side barriers with a mixed-methods approach.

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Mental healthcare clinician engagement with point of care testing; a qualitative study

BMC Psychiatry ◽

10.1186/s12888-021-03067-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Joseph Butler ◽

Simone de Cassan ◽

Phil Turner ◽

Belinda Lennox ◽

Gail Hayward ◽

...

Keyword(s):

Mental Health ◽

Clinical Practice ◽

Mental Health Professionals ◽

Positive Impact ◽

Point Of Care ◽

Mental Healthcare ◽

Successful Implementation ◽

Point Of Care Testing ◽

Structured Interviews ◽

The Impact

Abstract Background Point of Care Testing (POCT) is being increasingly used to augment the delivery of physical health care in a variety of settings, but their use in mental health has been limited. Research into understanding the barriers faced for successful implementation of POCT in these settings is lacking. We aimed to identify factors affecting engagement and implementation of POCT within mental health teams by exploring the attitudes to POCT, and the perceived impact POCT has on the practice of mental healthcare clinicians. Methods Alongside a study evaluating the impact of a point of care device in Community Mental Health Teams (CMHTs), qualitative interviews were carried out with CMHT clinicians using POCT as part of annual physical checks for patients with severe and enduring mental illness. Data were collected using semi-structured interviews and analysed using thematic analysis. Results Fifteen clinicians were interviewed across a range of professional backgrounds. Clinicians identified usability of the technology, positive impact on their patient’s experience and improved self-efficacy as drivers for successful implementation of POCT into their clinical practice. Issues with device functioning and the potential for a negative effect on the therapeutic relationship with their patients were identified as barriers. Level of physical heath training was not found to be a barrier by mental health professionals to using POCT. Conclusions Understanding barriers and drivers for engagement is important to allow co-production of POCT and guidelines to facilitate introduction of POCT into routine clinical practice.

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Exploring the impact of shielding advice on the health and wellbeing of individuals identified as extremely vulnerable and advised to shield in Southwest England amid the COVID-19 pandemic: A mixed-methods evaluation

10.1101/2022.01.05.21268251 ◽

2022 ◽

Author(s):

Gemma Lasseter ◽

Polly Compston ◽

Charlotte Robin ◽

Helen Lambert ◽

Matthew Hickman ◽

...

Keyword(s):

Mental Health ◽

Mixed Methods ◽

Negative Impact ◽

Community Support ◽

Supplementary Information ◽

Physical And Mental Health ◽

Structured Interviews ◽

Health And Wellbeing ◽

The Impact

Objective: Explore the impact and responses to public health advice on the health and wellbeing of individuals identified as clinically extremely vulnerable (CEV) and advised to shield (not leave home for 12 weeks at start of the pandemic) in Southwest England during the first COVID-19 lockdown. Design: Mixed-methods study; structured survey and follow-up semi-structured interviews. Setting: Communities served by Bristol, North Somerset & South Gloucestershire Clinical Commissioning Group. Participants: 204 people (57% female, 54% >69 years, 94% White British, 64% retired) in Southwest England identified as CEV and were advised to shield completed the survey. Thirteen survey respondents participated in follow-up interviews (53% female, 40% >69years, 100% White British, 61% retired). Results: Receipt of official communication from NHS England or General Practitioner (GP) was considered by participants as the legitimate start of shielding. 80% of survey responders felt they received all relevant advice needed to shield, yet interviewees criticised the timing of advice and often sought supplementary information. Shielding behaviours were nuanced, adapted to suit personal circumstances, and waned over time. Few interviewees received community support, although food boxes and informal social support were obtained by some. Worrying about COVID-19 was common for survey responders (90%). Since shielding had begun, physical and mental health reportedly worsened for 35% and 42% of survey responders respectively. 21% of survey responders scored 10 or more on the PHQ-9 questionnaire indicating possible depression and 15% scored 10 or more on the GAD-7 questionnaire indicating possible anxiety. Conclusions: This research highlights the difficulties in providing generic messaging that is applicable and appropriate given the diversity of individuals identified as CEV and the importance of sharing tailored and timely advice to inform shielding decisions. Providing messages that reinforce self-determined action and assistance from support services could reduce the negative impact of shielding on mental health and feelings of social isolation.

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A qualitative study exploring experiences of discrimination associated with mental-health problems in Ireland

Epidemiology and Psychiatric Sciences ◽

10.1017/s2045796012000017 ◽

2012 ◽

Vol 21 (3) ◽

pp. 271-279 ◽

Cited By ~ 11

Author(s):

R. Lakeman ◽

P. McGowan ◽

L. MacGabhann ◽

M. Parkinson ◽

M. Redmond ◽

...

Keyword(s):

Mental Health ◽

Help Seeking ◽

Mental Health Problems ◽

Health Problems ◽

Structured Interviews ◽

Health Practitioners ◽

Help Seeking Behaviour ◽

The Republic ◽

The Impact

Aims.Stigma and discrimination related to mental-health problems impacts negatively on people's quality of life, help seeking behaviour and recovery trajectories. To date, the experience of discrimination by people with mental-health problems has not been systematically explored in the Republic of Ireland. This study aimed to explore the experience impact of discrimination as a consequence of being identified with a mental-health problem.Methods.Transcripts of semi-structured interviews with 30 people about their experience of discrimination were subject to thematic analysis and presented in summary form.Results.People volunteered accounts of discrimination which clustered around employment, personal relationships, business and finance, and health care. Common experiences included being discounted or discredited, being mocked or shunned and being inhibited or constrained by oneself and others.Conclusions.Qualitative research of this type may serve to illustrate the complexity of discrimination and the processes whereby stigma is internalised and may shape behaviour. Such an understanding may assist health practitioners reduce stigma, and identify and remediate the impact of discrimination.

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2048. Antibiogram Use in Wisconsin Nursing Homes

Open Forum Infectious Diseases ◽

10.1093/ofid/ofz360.1728 ◽

2019 ◽

Vol 6 (Supplement_2) ◽

pp. S690-S690

Author(s):

Lindsay N Taylor ◽

Lillian Vranas ◽

Joseph Boero ◽

Diane Dohm ◽

Ashlie Dowdell ◽

...

Keyword(s):

Mixed Methods ◽

Nursing Homes ◽

Structured Interviews ◽

Specific Data ◽

Mixed Methods Approach ◽

Prescribing Behavior ◽

Traditional Drug ◽

The Impact ◽

Over Time

Abstract Background A 2014 survey demonstrated that fewer than 10% of Wisconsin (WI) Nursing Homes (NHs) used an antibiogram. In 2016, the Centers for Medicare & Medicaid Services released regulations requiring NHs to track and report their antibiotic-related outcomes. The impact these regulations will have on the development and use of antibiograms in NHs is unknown. Methods To characterize antibiogram use in WI NHs, a mixed-methods approach was used consisting of two statewide surveys, a combination of semi-structured interviews with key NH personnel, and a structured survey administered to providers in a sample of facilities using an antibiogram. Answers to questions included on statewide surveys administered in 2014 and 2018 were used to assess change in antibiogram use over time. Semi-structured interviews with key NH personnel focused on antibiogram development and dissemination. Structured surveys of providers focused on their awareness of antibiogram existence and the extent to which it influenced their prescribing behavior. A copy of the antibiogram was obtained from some facilities to assess consistency with Clinical and Laboratory Standards Institute (CLSI) recommendations. Results Antibiogram use in WI NHs increased from 9.3% in 2014 to 32.5% in 2018. The majority of antibiograms were not facility-specific, primarily due to inadequate numbers of isolates at individual facilities. Most facilities reported that antibiogram tools were updated annually, and most made an effort to disseminate them to prescribers. However, 30% of surveyed prescribers reported being unaware of the existence of an antibiogram and only 40% reported it influenced their prescribing decisions. Review of antibiograms provided by NHs revealed that all were created using the traditional “drug-bug” format; however, none were fully compliant with CLSI recommendations. Conclusion Antibiogram use in WI NHs increased significantly between 2014 and 2018. The majority of antibiograms used in WI NHs are not based on facility-specific data. A substantial number of providers are unaware of the existence of an antibiogram in their facility and only a minority felt that it impacted their prescribing decisions. More research is needed on how to increase antibiogram utility in NHs. Disclosures All authors: No reported disclosures.

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Examining the impact of a black men's initiative : a mixed methods approach to program evaluation

10.32469/10355/88119 ◽

2021 ◽

Author(s):

◽

Jonathan Ferguson

Keyword(s):

Higher Education ◽

Mixed Methods ◽

Identity Development ◽

Self Efficacy ◽

Qualitative Interviews ◽

Future Research ◽

Mixed Methods Approach ◽

Quantitative Results ◽

The Impact ◽

Different Levels

The attrition of Black males in higher education has garnered much attention within recent years. Subsequently, programming specific to this issue has been developed to intervene; however, there is very little research that has captured the impact of such initiatives. The current study employed a mixed methods approach to evaluate the effect a Black men's initiative has on the academic performance, retention, racial identity, sense of belonging, college self-efficacy, and career decision making self-efficacy of Black male college students. Quantitative results for the initiative were inconclusive; however, qualitative interviews reveal that students in the BMI experience different levels of access and identity development than their peers not enrolled in the program. The current study produces implications for future research and academic practice/policy of administratrators in higher education.

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The Impact of Facebookers’ Posts on Other Users’ Attitudes According to Their Age and Gender: Evidence from Al Ain University of Science and Technology

Social Sciences ◽

10.3390/socsci7080128 ◽

2018 ◽

Vol 7 (8) ◽

pp. 128 ◽

Cited By ~ 3

Author(s):

Abdel Rahman Mitib Altakhaineh ◽

Sulafah Abdul Salam Alnamer

Keyword(s):

Mixed Methods ◽

Special Focus ◽

Structured Interviews ◽

Negative Attitudes ◽

Age And Gender ◽

Mixed Methods Approach ◽

Al Ain ◽

Gender And Age ◽

And Gender ◽

The Impact

This study aims at exploring the reasons that drive many Facebookers to share negative posts on Facebook, with a special focus on their gender and age. It also aims at identifying the negative attitudes and feelings that negative Facebook posts might evoke in Facebookers. Thus, a mixed-methods approach was adopted employing both a five-point agreement Likert scale questionnaire and semi-structured interviews which were conducted with 40 participants. Based on the participants’ responses, the results show that many Facebookers write posts to satisfy different needs including receiving compliments and attention, sharing daily updates, showing off, and deliberately teasing others, all of which have been found to trigger feelings of jealousy, hatred, annoyance, demotivation, inferiority, and sadness. The study concludes with recommendations for further research.

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Switching roles: a qualitative study of staff experiences of being dialectical behaviour therapists within the National Health Service in England

The Cognitive Behaviour Therapist ◽

10.1017/s1754470x17000083 ◽

2017 ◽

Vol 10 ◽

Cited By ~ 1

Author(s):

Rebecca Hutton ◽

Suzanne Hodge ◽

Martin Tighe

Keyword(s):

Mental Health ◽

National Health Service ◽

Health Service ◽

National Health ◽

Positive Impact ◽

Behavioural Therapy ◽

Future Research ◽

Structured Interviews ◽

Job Role ◽

The Impact

AbstractMany National Health Service (NHS) Trusts in England have invested in dialectical behavioural therapy (DBT) for mental health service users. The experiences of NHS staff delivering DBT were explored using semi-structured interviews with six dialectical behaviour therapists working in secondary mental health services within the NHS. The aim was to consider the impact on staff of adding the DBT therapist role onto their existing job role. Interview data were analysed using thematic analysis. Six themes were inductively generated from the data: DBT as a useful framework; DBT as the most satisfying part of the job; ‘Worzel Gummidge heads’– conflicts in roles; ‘DBT buddies’– the importance of informal support; uncertainty about the future; and recursivity – using DBT skills personally. Interactions between themes, implications for the service and future research directions are discussed. Key findings suggest that the addition of the DBT therapist role, as well as the recursive nature of DBT, has a positive impact professionally and personally. However, the service context within which participants were working can lead this additional role to cause increased demands and therefore stress, reducing that positive impact.

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Evaluating clinical outcomes of routinely delivered task-shared care for depression in rural Haiti

Global Mental Health ◽

10.1017/gmh.2021.17 ◽

2021 ◽

Vol 8 ◽

Author(s):

Alexandra L. Rose ◽

Ryan McBain ◽

Jesse Wilson ◽

Sarah F. Coleman ◽

Emmanuel Mathieu ◽

...

Keyword(s):

Mental Health ◽

Clinical Outcomes ◽

Positive Impact ◽

International Health ◽

Routine Care ◽

Care Organization ◽

Depression Care ◽

Resource Limited Settings ◽

Resource Limited ◽

The Impact

Abstract Background There is a growing literature in support of the effectiveness of task-shared mental health interventions in resource-limited settings globally. However, despite evidence that effect sizes are greater in research studies than actual care, the literature is sparse on the impact of such interventions as delivered in routine care. In this paper, we examine the clinical outcomes of routine depression care in a task-shared mental health system established in rural Haiti by the international health care organization Partners In Health, in collaboration with the Haitian Ministry of Health, following the 2010 earthquake. Methods For patients seeking depression care betw|een January 2016 and December 2019, we conducted mixed-effects longitudinal regression to quantify the effect of depression visit dose on symptoms, incorporating interaction effects to examine the relationship between baseline severity and dose. Results 306 patients attended 2052 visits. Each visit was associated with an average reduction of 1.11 in depression score (range 0–39), controlling for sex, age, and days in treatment (95% CI −1.478 to −0.91; p < 0.001). Patients with more severe symptoms experienced greater improvement as a function of visits (p = 0.04). Psychotherapy was provided less frequently and medication more often than expected for patients with moderate symptoms. Conclusions Our findings support the potential positive impact of scaling up routine mental health services in low- and middle-income countries, despite greater than expected variability in service provision, as well as the importance of understanding potential barriers and facilitators to care as they occur in resource-limited settings.

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