scholarly journals Feasibility, Acceptability and Usage Patterns of a 24-Hour Mobile Phone Helpline Service for Women Discharged from a Mother-Baby Psychiatry Unit (MBU) in India

2020 ◽  
Vol 42 (6) ◽  
pp. 530-534
Author(s):  
G Ragesh ◽  
Sundarnag Ganjekar ◽  
Harish Thippeswamy ◽  
Geetha Desai ◽  
Ameer Hamza ◽  
...  
Keyword(s):  
Infant Health ◽  
Sleep Problems ◽  
Limiting Factor ◽  
Middle Income ◽  
Technical Problems ◽  
Middle Income Countries ◽  
Language Difficulties ◽  
The Family ◽  
Usage Patterns ◽  
Phone Service

Background: For women with perinatal mental illness, phone helplines may be a useful way of accessing help. This study assessed the feasibility, acceptability, limitations, and usage patterns of a helpline service for mothers discharged from a mother-baby psychiatry unit. Methods: Mothers discharged from a mother baby unit during an 18-month period were provided with a helpline number. A social worker answered the calls. Details of the calls, including the reasons and the interventions provided, were recorded. Feasibility and acceptability were assessed by calling all users and nonusers. Satisfaction with the helpline was recorded among users, and reasons for not calling were assessed among nonusers. Results: Among 113 mothers, 51 (45%) made 248 calls. Calls were regarding medication, sleep problems, planning pregnancies, symptom exacerbation, appointments, and suicidal ideation. Some calls were related to domestic violence ( n = 13, 5.24%), and infant health and breastfeeding ( n = 11, 4.44%). Seventy-six (67%, 44 callers and 32 noncallers) were contacted. The majority (41/44) of the callers found it useful: 91% said they got help, and 95% said they would recommend it to others. However, language difficulties (9%) and technical problems (5%) were reported. Among the noncallers, the majority reported having experienced no problem related to mental health or had contacted a doctor. However, of the noncallers, one woman died of suicide, did not have access to a phone, and the family did not choose to call. Conclusions: Helpline phone service appears to be feasible and acceptable and can be adapted in other mother-baby psychiatry units in low and middle-income countries. However, in some women, the nonavailability of a phone may be a limiting factor.

scholarly journals I Keep Looking at What I’m Doing to My Organs: Samoans’ Responses to Adapted Anti-Tobacco Television Advertisements

2021 ◽  
pp. 101053952110209
Author(s):  
Elaine Umali ◽  
Helen Tanielu ◽  
Robyn Whittaker ◽  
Cam Sugden ◽  
Judith McCool
Keyword(s):  
Pacific Islands ◽  
Culturally Appropriate ◽  
Internal Organs ◽  
Media Campaigns ◽  
Middle Income ◽  
Middle Income Countries ◽  
Stop Smoking ◽  
The Family ◽  
Television Advertisements ◽  
Promote Smoking Cessation

There has been an increase of adapted tobacco control media campaigns in low- and middle-income countries. Adapting existing material offers many benefits especially to countries with limited resources. We adapted 3 television advertisements for the Tu’u Nei Loa Le Ulaula Tapa’a (Stop Smoking Now) campaign in Samoa. Adaption included rigorous efforts to ensure advertisements were culturally appropriate. To determine audiences’ perception of anti-tobacco television advertisements to promote smoking cessation, we conducted 8 talanoa, a Pacific Islands research methodology, among 54 smokers and nonsmokers in Apia, Samoa. The talanoa were transcribed, translated, and thematically coded. Results suggest that the advertisements raised awareness on the negative health impacts of tobacco use, especially to the internal organs. Graphic and emotionally evocative advertisements, especially those that have an impact on the family, have greater potential to motivate Samoans to quit.

scholarly journals Socio-Ecological Nature of Drowning in Low- and Middle-Income Countries: A Review to Inform Health Promotion Approaches

2020 ◽  
Vol 12 (2) ◽  
Author(s):  
Muthia Cenderadewi ◽  
Richard Franklin ◽  
Sue Devine
Keyword(s):  
Health Promotion ◽  
Protective Factor ◽  
Prevention Strategies ◽  
Water Safety ◽  
Middle Income ◽  
Drowning Prevention ◽  
Middle Income Countries ◽  
Ovid Medline ◽  
The Family ◽  
Low And Middle Income

Most deaths by drowning (91%) have occurred in low- and middle-income countries (LMICs), particularly in Southeast Asia (35%) and Africa (20%), in proportion to total drowning deaths worldwide. Poor data collection in LMICs hinders the planning, implementation, and evaluation of prevention strategies. The objective of this study was to review the rates and risk factors of unintentional drowning in LMICs and to identify drowning prevention strategies within a socio-ecological health promotion framework. A systematic search, guided by PRISMA, was conducted on Ovid MEDLINE, CINAHL, Informit health, PsycINFO (ProQuest), Scopus, SafetyLit, Google Scholar, and BioMed Central databases for all relevant studies published between 2012 and 2017. McMaster appraisal guideline was used for critical review. The disparity of available drowning data was observed across selected countries. The highest rates were identified in low-middle income South-east Asian countries. The socio-economic background of the family, overcrowding, and living close to water bodies were important predictors for paediatric drowning in LMICs, while the presence of mother as caregiver was identified as a protective factor. The over-reliance on active injury prevention strategies was identified. Further research focusing on developing relevant upstream drowning prevention and water safety promotion is needed to ensure the sustainability of drowning prevention in LMICs.

scholarly journals Sleep problems and depression among 237 023 community-dwelling adults in 46 low- and middle-income countries

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Andrew Stickley ◽  
Mall Leinsalu ◽  
Jordan E. DeVylder ◽  
Yosuke Inoue ◽  
Ai Koyanagi
Keyword(s):  
Sleep Problems ◽  
Community Dwelling ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Psychotic experiences and subjective cognitive complaints among 224 842 people in 48 low- and middle-income countries

2018 ◽  
Vol 29 ◽  
Author(s):  
A. Koyanagi ◽  
B. Stubbs ◽  
E. Lara ◽  
N. Veronese ◽  
D. Vancampfort ◽  
...  
Keyword(s):  
Cognitive Deficits ◽  
Sleep Problems ◽  
World Health ◽  
Psychotic Experiences ◽  
Cognitive Complaints ◽  
World Health Survey ◽  
Middle Income ◽  
Middle Income Countries ◽  
Subjective Cognitive Complaints ◽  
Low And Middle Income

Abstract Aims Cognitive deficits are an important factor in the pathogenesis of psychosis. Subjective cognitive complaints (SCCs) are often considered to be a precursor of objective cognitive deficits, but there are no studies specifically on SCC and psychotic experiences (PE). Thus, we assessed the association between SCC and PE using data from 48 low- and middle-income countries. Methods Community-based cross-sectional data of the World Health Survey were analysed. Two questions on subjective memory and learning complaints in the past 30 days were used to create a SCC scale ranging from 0 to 10 with higher scores representing more severe SCC. The Composite International Diagnostic Interview was used to identify past 12-month PE. Multivariable logistic regression and mediation analyses were performed. Results The final sample consisted of 224 842 adults aged ⩾18 years [mean (SD) age 38.3 (16.0) years; 49.3% males]. After adjustment for sociodemographic factors, a one-unit increase in the SCC scale was associated with a 1.17 (95% CI 1.16–1.18) times higher odds for PE in the overall sample, with this association being more pronounced in younger individuals: age 18–44 years OR = 1.19 (95% CI 1.17–1.20); 45–64 years OR = 1.15 (95% CI 1.12–1.17); ⩾65 years OR = 1.14 (95% CI 1.09–1.19). Collectively, other mental health conditions (perceived stress, depression, anxiety, sleep problems) explained 43.4% of this association, and chronic physical conditions partially explained the association but to a lesser extent (11.8%). Conclusions SCC were associated with PE. Future longitudinal studies are needed to understand temporal associations and causal inferences, while the utility of SCC as a risk marker for psychosis especially for young adults should be scrutinised.

scholarly journals I keep looking at what I’m doing to my organs: Samoans’ responses to adapted anti-tobacco television advertisements

2020 ◽  
Author(s):  
Elaine Umali ◽  
Helen Tanielu ◽  
Robyn Whittaker ◽  
Cam Sugden ◽  
Judith McCool
Keyword(s):  
Pacific Islands ◽  
Cost Effective ◽  
Preliminary Evidence ◽  
Internal Organs ◽  
Media Campaigns ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Family ◽  
Television Advertisements ◽  
Promote Smoking Cessation

Abstract Background There has been an increase of adapted tobacco control media campaigns in low and middle countries. Adapting existing material offers many benefits especially to countries with limited resources. We adapted three television advertisements for the Tu’u Nei Loa Le Ulaula Tapa’a (Stop Smoking Now) campaign in Samoa. Adaption included rigorous efforts to ensure advertisements were culturally appropriate. Methods To determine audiences’ perception and perceived efficacy of anti-tobacco television advertisements to promote smoking cessation, we conducted eight talanoa , a Pacific Islands research methodology, among 54 smokers and non-smokers in Apia, Samoa. The talonoa were transcribed, translated and thematically coded. Results Qualitative results suggest that the advertisements raised the awareness of the participants on the negative health impacts of tobacco use, especially to the internal organs. Graphic, and emotionally evocative advertisements, especially those that impact on the family, have greater potential to motivate Samoans to quit.Conclusion Study findings provide preliminary evidence that adapting advertisements may offer a cost-effective strategy to reduce smoking rates for low- and middle-income countries to use existing campaigns that have been proven effective in other countries.

scholarly journals Sedentary behaviour and sleep problems among 42,489 community-dwelling adults in six low- and middle-income countries

2018 ◽  
Vol 27 (6) ◽  
pp. e12714 ◽  
Author(s):  
Davy Vancampfort ◽  
Brendon Stubbs ◽  
Joseph Firth ◽  
Noemi Hagemann ◽  
Inez Myin-Germeys ◽  
...  
Keyword(s):  
Sedentary Behaviour ◽  
Sleep Problems ◽  
Community Dwelling ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income
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