scholarly journals Development of a Family-Community Interactive Program to Prevent Postpartum Depression: A Mixed Method Study Protocol

Author(s):  
Di Zhao ◽  
Meilan Niu ◽  
Rui Ma ◽  
Huashan Yang ◽  
Panpan Guo ◽  
...  

Abstract Background: Postpartum depression has become a serious public health hazard. Family and community support can be effective in alleviating the symptoms of postpartum depression. Currently, there is a lack of research directed at promoting family and community caregiver interactions to avoid postpartum depression. Therefore, this study aimed to construct a family-community interaction program to avoid postpartum depression.Method: This mixed-methods study with the longitudinal design consists of two phases. Phase one :quantitative study. A quantitative analysis method is applied to conduct longitudinal research on the pregnant and parturient women to explore the status quo of indicators of family support, social support, quality of life, and postnatal depression. Phase two: qualitative study to explore the current status of the interaction. In this phase, the subjects will be selected through purposive sampling; In-depth individual interviewing will be used for data collection. Mixed data were used to analyze qualitative and quantitative results and to construct a family-community interaction intervention program.Discussion: The present research is the first study to investigate family-community Interactions. For the purposes of the study, a mixed-methods approach will be used which aims to develop family-community Interactive Program, which can prevent postpartum depression of pregnant and parturient women and clarify the responsibilities of family members and Community caregivers in the prevention of postpartum depression, cultivating the awareness of interaction and collaboration between families and communities, and providing the targeted intervention policy to long-term positive interaction.Trial registration number: ChiCTR2100045901

BMJ Open ◽  
2015 ◽  
Vol 5 (11) ◽  
pp. e008781 ◽  
Author(s):  
Caroline Huxley ◽  
Jackie Sturt ◽  
Jeremy Dale ◽  
Rosie Walker ◽  
Isabela Caramlau ◽  
...  

2021 ◽  
Vol 21 (3) ◽  
pp. 48-62
Author(s):  
Katja Vilhunen ◽  
Sinikka Hannele Pöllänen ◽  
Harri Pitkäniemi

The purpose of this study was to describe the reasons for knitting blogging and the importance of blogging for the bloggers’ crafting. A multiphase mixed-methods study focusing on quantitative research methods was the methodological basis. Therefore, the study included both sequential and simultaneous investigation paths. In this study, the quantitative data were collected from the same group of Finnish knitting bloggers by two online surveys in 2008 (N= 501) and in 2013 (N= 212). The quantitative data focused on time-related changes in blogging, whereas the qualitative data, collected by essays (N=50) during 2013-2014, was used to explain the quantitative data. In quantitative analysis, the key features of reasons for knitting blogging were analysed by principal component analysis. The differences in the principal components for the background groups between the surveys were elucidated by means of 2-way analysis of variance. The qualitative data were analysed by data-driven content analysis. The results indicated that there were several reasons for knitting blogging. According to the results, the elements of knitting blogging were: 1) inspiration and materialization, 2) connecting and community support, 3) encouragement and 4) reflection and reminiscence. Knitting blogging has reshaped crafting by combining the material and tactile process of knitting with digital practices of life-streaming and with participatory activities in networked spaces. It appeared that knitting and blogging complemented each other, and that blogging supported development of the blogger’s crafting into a serious leisure activity with meaningful long-term activities and clear goals. Keywords: digital practices, knitting blog, leisure, mixed methods design, online communities


2021 ◽  
Author(s):  
Yueh-Tao Chiang ◽  
Chi-Wen Chang ◽  
Hsing-Yi Yu ◽  
Pei-Kwei Tsay ◽  
Fu-Sung Lo ◽  
...  

BACKGROUND Adolescents with type 1 diabetes face various challenges which are often associated with poor blood glucose control during their transition to early adulthood. Using appropriate mobile applications for health management can improve the efficiency of disease self-management. OBJECTIVE To develop and test a mobile application that supports the disease self-management of adolescents with type 1 diabetes during their transition to early adulthood. METHODS A sequential mixed-methods design was employed. The application content was designed according to previously identified care needs and expectations, followed by application development on the Android operating system. From the outpatient clinic of the Department of Pediatric Endocrinology and Metabolism at a medical center in northern Taiwan, 35 individuals aged between 16 and 25 years participated in application testing. RESULTS The final application consisted of 11 interfaces, namely: CEO’s Profile, Health Tracking, CEO Knowledge Base, Barrier-free Communication, See Here: Diet and Exercise, Help Me, Detective!, CEO Chat Room, CEO's Secretary, SOS Calls, Q & A, and Who’s the Best CEO . The average user interaction satisfaction score of the application was 4.54 (± 0.41), indicating positive interaction satisfaction. CONCLUSIONS In this study, we developed the Healthcare Chief Executive Officer application tailored to the needs of patients with type 1 diabetes in the transition period. The application can support the disease self-management of adolescents with type 1 diabetes in the transition period, as well as provide references for clinical intervention. CLINICALTRIAL Future research will use a randomized controlled trial (RCT) design to evaluate the effectiveness of the application. Trial registration: listed on ClinicalTrials.gov, identifier: NCT05022875.


2019 ◽  
Vol 41 (3) ◽  
pp. 405-419 ◽  
Author(s):  
Marina Romeo ◽  
Montserrat Yepes-Baldó ◽  
Miguel Ángel Piñeiro ◽  
Kristina Westerberg ◽  
Maria Nordin

Purpose The purpose of this paper is to analyze the moderation effect of over-commitment in the job crafting–well-being relationship, in the elderly care sector in Spain. Design/methodology/approach A cross-sectional design was implemented and a final sample of 353 participants were assessed using the Job Crafting Questionnaire, an adaptation of the Over-commitment Scale from the Effort-Reward Imbalance Questionnaire, and the General Health Questionnaire (GHQ-12). Findings A positive interaction between relational and task crafting and over-commitment is observed in the prediction of well-being levels. Specifically, the effect of over-commitment in the task crafting–well-being relationship proved to be statistically significant when opposed to low, medium and high levels of over-commitment. Additionally, the effect of over-commitment in the relational crafting–well-being relationship proved to be statistically significant only when opposed to medium and high levels of over-commitment. Finally, a direct and simple effect was observed between cognitive crafting and well-being, not moderated by over-commitment. Research limitations/implications Implementation of non-behavioral measurements, and a non-longitudinal design are suggested. The development of behavioral measures for job crafting is encouraged, along with the implementation of longitudinal designs sensitive to changes in over-commitment. Possible over-commitment results are biased by an economically contracted environment. Practical implications Job crafting training, over-commitment early detection and further research on job crafting strategies’ preferences are suggested. Originality/value The moderating role of over-commitment in the job crafting–well-being relationship in the elderly care sector represents one of these attempts to better understand evidences of how work-related efforts modify a worker’s psychological functioning and adaptation, which is the reason why, specially in contexts of uncertainty, its study becomes relevant.


Author(s):  
Yolanda Eraso ◽  
Stephen Hills

Self-isolation and quarantine measures were introduced by the UK Government on 12 March 2020 as part of the ‘delay’ phase to control the spread of SARS-CoV-2. Non-adherence to self-isolation for 7 days after the development of symptoms is considered suboptimal and little is known about adherence to quarantine for 14 days if a co-habitant developed symptoms. This study aims to analyse non-adherence behaviours to self-isolation and quarantine measures by identifying their potential psycho-social and demographic predictors and by exploring people’s accounts of their experiences with these measures. A mixed-methods convergent design was used, comprising an online survey (n = 681) completed by residents in six North London boroughs and qualitative interviews with a subsample of participants (n = 16). Findings identified not accessing community support, lack of control over leaving the house, and lack of perceived benefit and need to follow the rules as behaviours associated with non-adherence to quarantine (42.7%). Non-adherence to self-isolating measures (24.4%) was associated with individuals’ perceived lack of control over responsibilities, lack of control over leaving the house, uncertainty about symptoms experienced, lack of access to tests, and distrust in the Government. Adherence to self-isolation and quarantine could be improved through strengthening perceived benefit to self-isolate with messages emphasising its effectiveness, by implementing a two-way information system to support symptoms identification, and with Government-funded, locally supported packages at different levels (financial, food, and practical needs).


2021 ◽  
Author(s):  
Luna Girolamini ◽  
Silvano Salaris ◽  
Maria Rosaria Pascale ◽  
Marta Mazzotta ◽  
Sandra Cristino

AbstractIn man-made water distribution systems, Legionella community interactions remain unknown, due to their ability to change from sessile to planktonic states or live in viable but non-culturable forms, in response to anthropic and environmental stress. During 7 years of hospital Legionella surveillance, in 191 hot water positive samples, the interactions among the Legionella species, temperature, and disinfection treatment were evaluated. Legionella was isolated following ISO 11731:2017, and identification was performed by mip gene sequencing and sequence-based typing (SBT) for L. anisa or L. rubrilucens and L. pneumophila, respectively. The species with the higher frequency of isolation was L. pneumophila serogroup 1 (78.53%; 4865.36 ± 25,479.11 cfu/L), followed by L. anisa (54.45%; 558.79 ± 2637.41 cfu/L) and L. rubrilucens (21.99%; 307.73 ± 1574.95 cfu/L), which were sometimes present together. Spearman’s rho correlation test was conducted among the species with respect to temperature and disinfectant (H2O2/Ag+). The results showed a generally positive interaction among these species sharing the same environment, except for competition between L. anisa and L. rubrilucens. High temperature (48.83 ± 2.59 °C) and disinfection treatment (11.58 ± 4.99 mg/L) affected the presence of these species. An exception was observed with L. anisa, which showed disinfection treatment resistance. For the purposes of environmental surveillance, it is fundamental to better understand the interactions and dynamic of the Legionella community in man-made water systems in order to choose the proper physical or chemical treatments. The simultaneous presence of different Legionella species could result in an increased resistance to high temperature and disinfectant treatment, leading to changes in contamination level and species diversity.


Author(s):  
Natalie Jones ◽  
Deirdre Dlugonski ◽  
Rachel Gillespie ◽  
Emily DeWitt ◽  
Joann Lianekhammy ◽  
...  

Obesity is an increasing public health concern in the U.S. and a contributor to chronic illness, with trends revealing a rise in adult obesity and chronic disease rates among the most vulnerable and disadvantaged populations, including those in rural communities. A mixed-methods approach was used to examine perspectives on perceived physical activity barriers, resources, and level of community support. Researchers utilized the socioecological model to examine the multiple domains that support physical activity in rural Appalachia. The present study focuses on baseline data, including a cohort survey to assess physical activity, health status, and barriers to physical activity, and five focus groups with elected community leaders, community residents, members, and key stakeholders to assess perspectives on physical activity barriers and resources within the county. The cohort survey sample (N = 152) reported a median of 6 barriers (range 0–13) to participating in at least 30 min of physical activity daily. The qualitative analysis yielded three overarching themes related to physical activity participation: lack of motivation, physical environment, and cultural barriers. This mixed-methods study revealed the challenges and perceptions among rural residents across the socioecological model when assessing physical inactivity. Findings can be used to tailor future interventions focused on expanding social support, designing infrastructure, and creating policies that promote physical activity.


2019 ◽  
Author(s):  
P Paul Chandanabhumma ◽  
Michael D Fetters ◽  
Francis D Pagani ◽  
Preeti N Malani ◽  
John M Hollingsworth ◽  
...  

BACKGROUND Durable ventricular assist device (VAD) therapy is reserved for patients with advanced heart failure who have a poor estimated 1-year survival. However, despite highly protocolized management processes, patients are at a unique risk for developing a health care–associated infection (HAI). Few studies have examined optimal strategies for HAI prevention after durable VAD implantation, despite variability in rates across centers and their impact on short- and long-term outcomes. OBJECTIVE The objective of this study is to develop recommendations for preventing the most significant HAIs after durable VAD implantation. The study has 3 specific aims: (1) identify determinants of center-level variability in HAI rates, (2) develop comprehensive understanding of barriers and facilitators for achieving low center-level HAI rates, and (3) develop and disseminate a best practices toolkit for preventing HAIs that accommodates various center contexts. METHODS This is a sequential mixed methods study starting with a cross-sectional assessment of current practices. To address aim 1, we will conduct (1) a systematic review of HAI prevention studies and (2) in-depth quantitative analyses using administrative claims, in-depth clinical data, and organizational surveys of VAD centers. For aim 2, we will apply a mixed methods patient tracer assessment framework to conduct semistructured interviews, field observations, and document analysis informed by findings from aim 1 at 5 high-performing (ie, low HAIs) and 5 low-performing (ie, high HAI) centers, which will be examined using a mixed methods case series analysis. For aim 3, we will build upon the findings from the previous aims to develop and field test an HAI preventive toolkit, acquire stakeholder input at an annual cardiac surgical conference, disseminate the final version to VAD centers nationwide, and conduct follow-up surveys to assess the toolkit’s adoption. RESULTS The project was funded by the Agency for Healthcare Research and Quality in 2018 and enrollment for the overall project is ongoing. Data analysis is currently under way and the first results are expected to be submitted for publication in 2019. CONCLUSIONS This mixed methods study seeks to quantitatively assess the determinants of HAIs across clinical centers and qualitatively identify the context-specific facilitators and barriers for attaining low HAI rates. The mixed data findings will be used to develop and disseminate a stakeholder-acceptable toolkit of evidence-based HAI prevention recommendations that will accommodate the specific contexts and needs of VAD centers. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/14701


2016 ◽  
Vol 22 (6) ◽  
pp. 545 ◽  
Author(s):  
Claire Palermo ◽  
Breeana Gardiner ◽  
Carena Gee ◽  
Stella Charaktis ◽  
Miranda Blake

Retail stores are a promising setting for improving access to nutritious food. This study opportunistically evaluated an initiative that supported stores in small rural Victorian towns to sell fresh fruit and vegetables. It aimed to measure whether the initiative showed a trend towards improved access to fruit and vegetables in these rural communities. A mixed-methods, pre-post evaluation was employed to measure the range and price of 39 fruits and 45 vegetables, together with 15 interviews with stakeholders 2.5 years after the commencement of the initiative. Twenty-one of 35 eligible stores took up the initiative. Analysis of qualitative and quantitative data showed that the initiative improved the availability of and access to fruit and vegetables, and that stores have a role in improving access to fruit and vegetables. The overall range of fruit and vegetables increased over 18 months from a median of 10 varieties (n=10) to 17 varieties (n=15) (P=0.028) and the prices decreased over 12 months in five out of seven stores where data was available. The capacity to influence availability of fruit and vegetables was affected by time, human resources and community support. Sustaining change to fruit and vegetables access is challenging. Using stores for health promotion may be an effective strategy for improving rural populations’ fruit and vegetable intake.


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