scholarly journals Digitalising a Brief Intervention to Reduce Intrusive Memories of Psychological Trauma: Qualitative Interview Study (Preprint)

10.2196/23712 ◽  
2020 ◽  
Author(s):  
Beau Gamble ◽  
Katherine Depa ◽  
Emily A Holmes ◽  
Marie Kanstrup
2020 ◽  
Author(s):  
Beau Gamble ◽  
Katherine Depa ◽  
Emily A Holmes ◽  
Marie Kanstrup

BACKGROUND The COVID-19 pandemic has escalated the global need for remotely-delivered and scalable interventions after psychological trauma. A brief intervention involving a computer game as an imagery-competing task has shown promising results for reducing the number of intrusive memories of trauma—a core clinical symptom of posttraumatic stress disorder. To date, the intervention has only been delivered face-to-face. To be tested and implemented on a wider scale, digital adaptation for remote delivery is crucial. An important first step is to develop digitalised intervention materials in a systematic way based on feedback from clinicians, researchers and students, in preparation for pilot-testing with target-users. OBJECTIVE Our first aim was to obtain and analyse qualitative feedback on the digital intervention materials, namely two animated videos and two quizzes that (i) explain the target clinical symptom, and (ii) provide intervention instructions. The second aim was to refine the digitalised materials based on this feedback. METHODS We carried out semi-structured interviews with 12 participants who had experience delivering or had knowledge of the intervention when delivered face-to-face. We obtained in-depth feedback on perceived feasibility of using the digitalised materials and suggestions for improvements. Interviews were assessed using qualitative content analysis, and suggested improvements evaluated for implementation using a systematic method of prioritisation. RESULTS Three overarching themes were identified from the data. First, participants were highly positive about the potential benefits of using these digital materials for remote delivery, reporting that the videos effectively conveyed key concepts of the symptom and its treatment. Second, some modifications to the materials were suggested for improving clarity; based on this feedback we made nine specific changes. Finally, participants raised some key challenges for remote delivery, mainly in overcoming the lack of real-time communication during the intervention. CONCLUSIONS Clinicians, researchers and clinical psychology students were overall confident in the use of digitalised materials to remotely deliver a brief intervention to reduce intrusive memories of trauma. Guided by participant feedback, we identified and implemented changes to refine the intervention materials. This study lays the groundwork for the next step: pilot-testing remote delivery of the full intervention to trauma survivors.


2019 ◽  
Vol 17 (6) ◽  
pp. 764-783
Author(s):  
Frederike Ambagtsheer ◽  
Linde Van Balen

This article presents the results of a qualitative interview study amongst 41 Dutch transplant professionals. The overarching aim was to acquire in-depth understanding of transplant professionals’ experiences with and attitudes towards patients who purchase kidneys. We found that transplant professionals occasionally treat patients who are suspected of kidney purchases abroad. However, they turn a blind eye to their patients’ suspected purchases. Secrecy and silence function as a tacit agreement between patients and their caregivers that keeps the subject of kidney purchase at a safe distance and allows transplant professionals to ignore its suspected occurrence. They thus participate in the building of walls of secrecy and silence in the organ trade.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045469
Author(s):  
Rachel Stocker ◽  
Siân Russell ◽  
Jennifer Liddle ◽  
Robert O Barker ◽  
Adam Remmer ◽  
...  

BackgroundThe COVID-19 pandemic has taken a heavy toll on the care home sector, with residents accounting for up to half of all deaths in Europe. The response to acute illness in care homes plays a particularly important role in the care of residents during a pandemic. Digital recording of a National Early Warning Score (NEWS), which involves the measurement of physical observations, started in care homes in one area of England in 2016. Implementation of a NEWS intervention (including equipment, training and support) was accelerated early in the pandemic, despite limited evidence for its use in the care home setting.ObjectivesTo understand how a NEWS intervention has been used in care homes in one area of North-East England during the COVID-19 pandemic, and how it has influenced resident care, from the perspective of stakeholders involved in care delivery and commissioning.MethodsA qualitative interview study with care home (n=10) and National Health Service (n=7) staff. Data were analysed using thematic analysis.ResultsUse of the NEWS intervention in care homes in this area accelerated during the COVID-19 pandemic. Stakeholders felt that NEWS, and its associated education and support package, improved the response of care homes and healthcare professionals to deterioration in residents’ health during the pandemic. Healthcare professionals valued the ability to remotely monitor resident observations, which facilitated triage and treatment decisions. Care home staff felt empowered by NEWS, providing a common clinical language to communicate concerns with external services, acting as an adjunct to staff intuition of resident deterioration.ConclusionsThe NEWS intervention formed an important part of the care home response to COVID-19 in the study area. Positive staff perceptions now need to be supplemented with data on the impact on resident health and well-being, workload, and service utilisation, during the pandemic and beyond.


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Theo Lorenc ◽  
Lambert Felix ◽  
Mark Petticrew ◽  
G J Melendez-Torres ◽  
James Thomas ◽  
...  

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