scholarly journals Participation profiles among Chinese stroke survivors: A latent profile analysis

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244461
Author(s):  
Yuxia Li ◽  
Xuemei Li ◽  
Lanshu Zhou
Keyword(s):  
Social Support ◽  
Low Income ◽  
Latent Profile Analysis ◽  
Current Status ◽  
Stroke Survivors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
The Mean ◽  
The Impact

Objectives To investigate the current status of participation and explore the characteristics of individuals with different levels of participation among stroke survivors in mainland China. Design Cross-sectional survey. Setting Participants were recruited by convenience sampling from the neurology department of the tertiary hospitals and communities. Subjects Stroke survivors (N = 517; mean (±SD) age, 69.97±11.51 y; 36.8% female). Intervention Not applicable. Main outcome measures Participation was measured using the Chinese version of the Impact on Participation and Autonomy Questionnaire (IPA). Rating of disability was assessed using the Modified Rankin Scale (mRS). The Perceived Social Support Scale (PSSS), the Medical Coping Modes Questionnaire (MCMQ), and the Herth Hope Scale (HHS) were also employed to measure social support, coping strategy, and hope of stroke survivors. The latent profiles analysis (LPA) was conducted using the Mplus version 8.3. Results The mean score of participation was 41.21±21.204. Participants were divided into three groups according to the participation using the LPA. The mean score on the sum of IPA for the high, medium, and low participation groups was 18.93±8.529, 42.50±8.302, and 69.44±9.516, respectively. Conclusions Stroke survivors have a low level of participation. Stroke survivors with low income, high mRS stage, bad health condition, and being dissatisfied for life tended to have low participation. Healthcare professionals should pay special attention to them and make targeted interventions based on their characteristics.

scholarly journals Social support, functional outcome and quality of life among stroke survivors in an urban area

2019 ◽  
Vol 13 ◽  
Author(s):  
Nipaporn Butsing ◽  
Mathuros Tipayamongkholgul ◽  
Disya Ratanakorn ◽  
Nawarat Suwannapong ◽  
Kanitta Bundhamcharoen
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Functional Outcome ◽  
Short Form ◽  
Cross Sectional Study ◽  
Linear Regression Method ◽  
Stroke Survivors ◽  
Cross Sectional ◽  
The Mean

AbstractSophisticated medical technologies can prolong a stroke patient’s life but not always their quality of life (QoL) due to poor functional outcomes. Social support can theoretically assist a patient’s adaptation to life after stroke and improve their QoL, but existing findings are inconclusive. This inconclusiveness is especially found in large cities where family and social bonding can be scarce. We conducted a hospital-based, cross-sectional study among 358 stroke patients to identify the effects of social support and functional outcome on QoL and its domains. The study took place in Bangkok, Thailand between July and December 2016. Data were collected by personal interview using a structured questionnaire that included the Short-Form WHO Quality of Life Instrument (WHOQOL-BREF) and by review of medical records. A hierarchical linear regression method was used to analyze data. The mean age of stroke respondents was 66.0 years (SD 13.5 years), and half were male. The mean total QoL score for patients was 68.6 (SD 15.2). Hierarchical multiple regression analysis found emotional support significantly impacted QoL in every domain (ps < .05) when all included variables were controlled for. To improve the quality of life among stroke survivors, health personnel and family members should provide not only physical assistance but also psychological support.

scholarly journals Impact of Cognitive Dysfunction in the Middle East Depressed Patients: The ICMED Study

2018 ◽  
Vol 14 (1) ◽  
pp. 270-283 ◽  
Author(s):  
Abdulqader Al Jarad ◽  
Ahmad Al Hadi ◽  
Ali Al Garatli ◽  
Aly Akram ◽  
Dakhil Alsaeidi ◽  
...  
Keyword(s):  
Cognitive Dysfunction ◽  
United Arab Emirates ◽  
Rating Scale ◽  
Common Factor ◽  
High Rate ◽  
Negative Consequences ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Mean ◽  
The Impact

Background:Major depressive disorder is a common condition with a high rate of recurrence, chronicity, and affecting economic burden, including disability in the workplace, which leads to negative consequences on both individuals and society.Objectives:This study aimed to estimate the impact of cognitive dysfunction, as declared by the patient, on performing daily tasks/activities among patients with major depression disorder (MDD).Methods:This investigation is based on multinational cross-sectional survey of 499 workers recruited from the Kingdom of Saudi Arabia (KSA) and United Arab Emirates (UAE). We assessed the severity of depression by Hamilton Depression Rating Scale (HDRS). Impact of Depression in the Workplace in Europe Audit (IDEA) survey and trial making test (TMT) parts A and B were used to assess the impact of cognitive dysfunction on performing daily tasks/activities in adult patients presented with MDD.Results:A total of 499 persons were included in this study, aged 18–66 years, current workers and managers. Of them, 17.8% were normal (remitted), 22.4% were mildly depressed, 23.4% were moderately depressed, 8.6% were severely depressed, and 27.7% were very severely depressed at the time of the study according to HDRS. Common symptoms attributable to depression were low mode or sadness (89.8%), followed by insomnia (75.2%) and crying (70.9%). Of them, low mode or sadness was the most common factor affecting the work performance (90.2%). About 66.3% of participants diagnosed with depression by a doctor/medical professional. Awareness of the disease was recognizable by patients’ managers in only 31.9% of the cases. Furthermore, 45.3% of cases had taken off work due to depression with mean duration of 38.7 (95% CI 37.7 to 39.7) days. The mean TMT parts A and B score were 69.2 (95% CI 66.3 to 72.2) and 126.6 (95% CI 121 to 132), respectively. Lastly, a significant positive correlation between the mean score for HDRS and TMT-A and B scores was observed.Conclusion:Depression affects work productivity and work environment with negative consequences to countries’ economy. Awareness of depression in the workplace in KSA and UAE is still suboptimal. The personal and societal burden of this issue cannot be neglected when we become aware of the proportion of affected people.

scholarly journals Changes in perceived knowledge about childbirth among pregnant women participating in the Senses of Birth Intervention in Brazil: A cross-sectional study

2020 ◽  
Author(s):  
Luísa M M Fernandes ◽  
Sônia Lansky ◽  
Bernardo J Oliveira ◽  
Amélia A L Friche ◽  
Christine T. Bozlak ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Cross Sectional Study ◽  
Low Income Countries ◽  
Perceived Knowledge ◽  
Cross Sectional ◽  
Knowledge Domains ◽  
Normal Birth ◽  
The Mean ◽  
The Impact

Abstract Background: Senses of Birth (SoB) is a health education intervention in Brazil that addresses reproductive rights, the benefits and risks of normal birth and cesarean, and use of evidence-based practices (EBP) during labor and childbirth, aiming to reduce unnecessary cesareans in the country. This study evaluates the impact of the SoB intervention on pregnant women’s perceived knowledge about normal birth, cesarean, and use of EBP in childbirth. Method: 1,287 pregnant women answered a structured questionnaire, immediately after their visit to the exhibition, between March 2015 and March 2016, in four cities. To identify the impact of the intervention on women’s perceived knowledge and possible association with socioeconomic and demographic characteristics, statistical analyses were performed including paired T-tests, ANOVA, and logistic and linear regressions. Results: The mean score (MS) of perceived knowledge after the intervention was higher than the mean score before experiencing the SoB for all three knowledge domains: Normal Birth (MS Before= 3.71 x MS After= 4.49), Cesarean (MS Before= 3.54 x MS After= 4.26) and EBPs (MS Before= 3.14 x MS After= 4.14). The results suggest that SoB intervention was more effective for low income women (B = 0.206; p < 0.001 for EBP), women without private health insurance (OR 2.47, 95% CI: 1.49- 4.09 for normal birth), women with private prenatal care (OR 2.42, 95% CI: 1.59- 3.66 for normal birth), women experiencing their first pregnancy (OR 1.92, 95% CI: 1.31-2.82 for EBP; OR 1.37, 95% CI: 1.03-1.84 for normal birth; OR 1.37, 95% CI: 1.03-1.84 for cesarean), and women in their first or second trimester at the time of the intervention (OR 1.64, 95% CI: 1.13-2.39 for EBP; OR 1.48, 95% CI: 1.11-1.97 for normal birth; OR 1.85, 95% CI: 1.40-2.41 for cesarean). Conclusion: The study showed opportunities to increase knowledge among Brazilian pregnant women for the three knowledge domains, and a need to focus the discussion on how to achieve a positive experience of birth using EBP. The intervention gains relevance considering the lack of evidence of the efficacy of non-clinical interventions to reduce unnecessary cesareans in middle and low-income countries targeting women.

Predicting career adaptability of fresh graduates' through personal factors

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Stellamaris Ifunanya AJU ◽  
Oluyemi Theophilus Adeosun
Keyword(s):  
Social Support ◽  
Working Environment ◽  
Career Adaptability ◽  
Personal Factors ◽  
Job Market ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Entry Level ◽  
The Impact

Purpose This study sought to determine the contribution of personal factors towards career adaptability among fresh graduates who had been employed for less than two years. This cohort is considered as entry-level employees in organisations. Several dimensions of personal factors focused on the study were self-esteem, conscientiousness, spiritual intelligence and social support. Design/methodology/approach This study used a quantitative approach using a cross-sectional survey. The study sample comprised fresh graduate employees (n=423) from four Malaysian public universities. Findings The regression model fitted the data; the personal factors significantly predicted fresh graduates’ career adaptability, F(4, 418) = 31.982, p < 0.001. Conscientiousness showed highest contribution compared to other variables, with social support being the lowest. Research limitations/implications Owing to challenges faced by fresh graduates as entry-level employees, continuous career adaptation in the working environment is crucial to achieving satisfaction and success in life. All stakeholders, especially in higher education institutions, play an important role in inculcating the requisite personal traits in undergraduates to enhance their career adaptability upon joining the job market. Originality/value This study was conducted with fresh graduates as entry-level employees in Malaysia. It is hoped that the findings of the study would provide a better understanding of the impact of personal factors on career adaptability of fresh graduates in Malaysia, so that the stakeholders involved could act accordingly to help fresh graduates enter the job market with the confidence to adapt to changes at the workplace.

scholarly journals Parallel deficits in linear growth and mental development in low-income Mexican infants in the second year of life

2006 ◽  
Vol 9 (2) ◽  
pp. 178-186 ◽  
Author(s):  
Lia C Fernald ◽  
Lynnette M Neufeld ◽  
Lauren R Barton ◽  
Lourdes Schnaas ◽  
Juan Rivera ◽  
...  
Keyword(s):  
Low Income ◽  
Infant Development ◽  
Mental Development ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
Parental Characteristics ◽  
Second Year Of Life ◽  
Second Year ◽  
Height For Age

AbstractObjectiveTo explore anthropometric indicators and mental development in very-low-income children in the second year of life.DesignCross-sectional survey.SettingLow-income areas (income <20th percentile) in semi-urban Mexico (defined as towns or cities with 2500–50 000 inhabitants).SubjectsEight hundred and ninety-six children aged 12.5–23.5 months surveyed from September to December 2001.MethodsQuestionnaire survey and anthropometric survey of households. Multivariate regression models evaluated differences across age in anthropometry (height-for-age Z-score (HAZ) and weight-for-height Z-score) and cognitive function (Mental Development Index (MDI) of the Bayley Scales of Infant Development) while controlling for socio-economic and parental characteristics.ResultsThere was a significant decline in HAZ and in age-adjusted MDI score across the second year of life. Although the children showed MDI scores close to the mean, normed US values at 13–14 months, the scores were significantly lower than expected in older children (P < 0.0001), even after controlling for socio-economic status and parental characteristics. At 13–14 months, only 3% of children received scores below 70 (less than minus two standard deviations), whereas by 19–20 months, almost 17% of children were performing below this level. No socio-economic or parental characteristics were significant predictors of HAZ or MDI.ConclusionsParallel deficits are evident in both height-for-age and cognitive functioning during the second year of life in low-income Mexican infants. The consistency of these growth and development findings further stresses the need for targeted interventions to reduce the vulnerability of low-income Mexican children very early in life.

scholarly journals Differential Impact of Types of Social Support in the Mental Health of Formerly Incarcerated Latino Men

2013 ◽  
Vol 8 (3) ◽  
pp. 226-239 ◽  
Author(s):  
Miguel Muñoz-Laboy ◽  
Nicolette Severson ◽  
Ashley Perry ◽  
Vincent Guilamo-Ramos
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Emotional Support ◽  
Health Indicators ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Latino Men ◽  
Formerly Incarcerated ◽  
The Impact

The role of social support in the mental health of formerly incarcerated Latino men (FILM) is an issue overlooked in public health prevention efforts. The objectives of this analysis were to (a) describe the levels of social support perceived and received by FILM; (b) identify the associations, if any, between levels of social support and mental health indicators such as depression and anxiety; and (c) explore the impact of familism and hypermasculinity on the receptivity of social support and the potential role of these factors in mediating associations between social support and mental health indicators. To accomplish the objectives, we conducted a cross-sectional survey with FILM ( n = 259), ages 18 to 59, in New York City, and one nominated member of their social network ( n = 130 dyads). In this analysis, we examined four dimensions of social support (instrumental, informational, appraisal, and emotional) from two perspectives: provided (as reported by members of the social networks) and perceived (as reported by FILM). The major outcome variables for this analysis were the presence/absence of major anxiety and depressive symptoms. Our logistic regression analyses suggest that perceived emotional support was inversely associated with both anxiety and depression. Our findings suggest that familism mediated the association between perceived emotional support and anxiety/depression. Therefore, we must consider designing network enhancement interventions that focus on both FILM and their social support systems.

Chemotherapy-Induced Nausea and Vomiting: Incidence and Management in Jordan

2017 ◽  
Vol 27 (6) ◽  
pp. 730-742
Author(s):  
Mohammad Al Qadire
Keyword(s):  
Cancer Patients ◽  
Survey Design ◽  
Nausea And Vomiting ◽  
Current Status ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
High Incidence ◽  
High Incidence Rate ◽  
The Mean ◽  
Patients Experience

Cancer patients experience a considerable number of symptoms during the course of their disease. Of these symptoms, chemotherapy-induced nausea and vomiting (CINV) is one of the most reported and it increases the cancer burden on patients. This study aims to assess the current status of CINV among Jordanian cancer patients, with regard to its incidence and management. A descriptive cross-sectional survey design was used. The study sample was 185 cancer patients. The mean age of participants was 46.6 years ( SD = 15.5, range = 18-76) and were mainly female (56.8%). The incidence of nausea and vomiting was high at 71.4% and 57.3%, respectively. Most of the patients (89.7%) received a 5-HT3 antagonist therapy combined with corticosteroids therapy (81.1%). This study demonstrated a high incidence rate of all types of CINV, which was undertreated. Antiemetic treatment could be improved by encouraging nurses to introduce the internationally agreed guidelines into their daily clinical practice.

scholarly journals Stressful experiences impact on pain, fatigue and mental health in people with endometriosis: a questionnaire study during the COVID-19 pandemic

2021 ◽  
Author(s):  
Lysia Demetriou ◽  
Christian Becker ◽  
Beatriz Martínez-Burgo ◽  
Adriana Invitti ◽  
Marina Kvaskoff ◽  
...  
Keyword(s):  
Mental Health ◽  
Effect Size ◽  
Online Survey ◽  
Current Status ◽  
Physical And Mental Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Holistic Management ◽  
Stressful Experiences ◽  
The Impact

Objective To explore the impact of the COVID-19 pandemic on pain and fatigue symptoms and their interactions with the impact on mental health in people with endometriosis. Design Global cross-sectional survey. Setting Online survey. Sample A total of 4717 adults with a surgical or radiological diagnosis of endometriosis. Methods An online global study collected data in 5 languages between 11th May to 8th June 2020. The survey included questions on current-status and changes of endometriosis-symptoms, mental health, demographics, and the impact of the COVID-19 pandemic on the respondents’ lives. Main Outcome Measures Self-reported changes to endometriosis-associated symptoms (pelvic pain, tiredness/fatigue, bleeding) and to mental health during the early stages of the COVID-19 pandemic. Results Respondents reported a marked worsening of their endometriosis symptoms (endo-associated pain (39.3%; 95% CI [37.7, 40.5]), tiredness/fatigue (49.9%; 95% CI [48.4, 51.2]) and bleeding (39.6%; 95% CI [38.2, 41])) and mental health (38.6%; 95% CI [37.2, 39.9]). Those with a pre-existing mental health diagnosis (38.8%) were more negatively impacted. The worsening of pain and TF were significantly correlated with worsening of mental health (p<0.001) and these relationships were found to be weakly mediated by pain catastrophising scores (pain: effect size: 0.071, LLCI= 0.060, ULCI= 0.082, TF: effect size: 0.050, LLCI= 0.040, ULCI= 0.060). Conclusions This study demonstrates that stressful experiences impact the physical and mental health of people with endometriosis. The findings highlight the need to consider psychological approaches in the holistic management of people with endometriosis.

Prevalence and Impact of Dietary Avoidance among Individuals with Hidradenitis Suppurativa

Dermatology ◽  
2019 ◽  
Vol 236 (4) ◽  
pp. 289-295 ◽  
Author(s):  
Alison Dempsey ◽  
Melissa Butt ◽  
Joslyn S. Kirby
Keyword(s):  
Hidradenitis Suppurativa ◽  
Additional Research ◽  
Food Groups ◽  
Multiple Sources ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Mean ◽  
Few Data ◽  
The Impact

Background: People with hidradenitis suppurativa (HS) are interested in dietary alterations to manage the condition. However, there are few data on the prevalence of this or the impact on HS activity. The objective of this study was to investigate the prevalence and impact of dietary alterations made by people with HS. Methods: A cross-sectional survey was sent to people with HS through multiple sources. Participants reported food alterations in the prior 6 months. ­Results: Overall, 242 complete surveys were included in this analysis; the mean age was 35.8 years, and most (87.5%) were women. The majority (75.8%, n = 182) altered at least one food from their diet. Within this group, 154 (84.6%) made changes to multiple food groups. The top 5 food groups that were altered were gluten (48.8%), dairy (44.2%), refined sugars (40.0%), tomatoes (36.7%), and alcohol (37.1%). Smoking was eliminated in 27.5% of participants. Some participants (30.9%) reported the change made the HS “much better.” Conclusions: Dietary alteration to manage HS was common among participants in this study. Some people reported improvement in HS activity, but some noted worsening. Additional research is needed to evaluate the efficacy of dietary alteration to manage HS and to better understand the underlying pathomechanisms.

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