scholarly journals Web-Based Health Intervention for Young People Who Have a Parent with a Mental Illness: Delphi Study Among Potential Future Users (Preprint)

2018 ◽  
Author(s):  
Jodie L Matar ◽  
Darryl J Maybery ◽  
Louise A McLean ◽  
Andrea Reupert

BACKGROUND Young people who have a parent with a mental illness face elevated risks to their mental health and well-being. However, they may not have access to appropriate interventions. Web-based interventions may reach and meet the needs of this at-risk group, yet their preferences regarding the features of this medium are unknown. OBJECTIVE This study sought to determine the utility of a Web-based intervention to meet the needs of young people who have a parent with a mental illness and their perspectives regarding the types of features of such a website. METHODS A systematic, 2-round Delphi study was employed to solicit the views of 282 young people aged 16 to 21 years (Round 1, n=14; Round 2, n=268) from urban and regional settings in Australia who self-reported that their parent has a mental illness. “Regional” was used to refer to nonurban participants in the study. After ascertaining whether a Web-based intervention was warranted, Web-based intervention features were identified, including how the site might be facilitated, topics, duration and frequency, and the nature of the professional contact. The extent to which young people agreed on the importance of these factors was assessed. Differences and similarities across gender and location were investigated. A mixed method analytic framework was employed using thematic analysis as well as 2-way between-groups analysis of covariance (ANCOVA) controlling for age and chi-square test of independence analysis. RESULTS Both rounds highlighted a strong preference for a Web-based intervention. Consensus was reached for a professionally monitored site, young people and professionals having equal input into the weekly facilitated sessions (eg, sharing the lead role in discussions or deciding on relevant session content), unlimited time access, 1-hour, open discussion, weekly sessions over 6 weeks, psychoeducation about mental illness, and considerations for the management of safety violations. There were significant main effects of location type and several of the preferred features for a Web-based intervention for young people who have a parent with a mental illness. However, effect sizes were small to moderate, limiting practical application. CONCLUSIONS Young people aged 16 to 21 years indicated a need for a professionally monitored, psychoeducational, Web-based intervention, with input from professional facilitators and other young people who have a parent with a mental illness, in addition to recommendations to external resources. These findings may inform the development of future Web-based interventions for this highly vulnerable group.

10.2196/10158 ◽  
2018 ◽  
Vol 20 (10) ◽  
pp. e10158 ◽  
Author(s):  
Jodie L Matar ◽  
Darryl J Maybery ◽  
Louise A McLean ◽  
Andrea Reupert

Author(s):  
Johanna Hietamäki ◽  
Marjukka Huttunen ◽  
Marita Husso

Background—Intimate partner violence (IPV) has both direct and longer-term effects on children’s well-being. Much of the research thus far has relied on caregiver reports of IPV and clinical samples of children. By contrast, minimal research has examined violence between parents from the perspective of children using nationwide samples. Objective—This study explored the frequency of IPV witnessed by children and gender variations regarding the victims, perpetrators, and witnesses. Methods—The data were derived from a sample of 11,364 children from the Finnish Child Victim Survey 2013. The children were between 11 and 17 years old and were enrolled in the Finnish school system. The main methods of analysis included crosstabulation and the chi-square test. Results—The results indicate that children witnessed more IPV against their mother (4.9%) than their father (3.5%). Girls reported having witnessed more violence against both their mother (7.0%) and father (5.1%) than boys did (mothers 2.7%, fathers 1.8%). Girls’ reports of IPV against both parents were twice or more than twice as common as boys’ reports. Conclusions—The above differences might result from gendered expectations and boys’ and girls’ different relationships to violence, as well as differences in the recognition and interpretation of violent incidents. Therefore, practitioners should adopt a gender-sensitive approach as a precondition and practice for working with children in social and health care.


Author(s):  
Ihsan Khan ◽  
Ashfaq Rehman ◽  
Niaz Muhammad

This study examines the outcomes of frequent relations between juvenile and adult prisoners at the populous prisons of Khyber Pakhtunkhwa, Pakistan in districts Mansehra, Dera Ismail Khan, Peshawar, Swabi and Mardan. According to SPARC (2015), there were total of 199 juvenile prisoners out of them 132 were taken as a sample size through Sekaran (2010) sample size table. The primary data was collected through interview schedule, with major aim to see association of joint dwelling of adult prisoners and juvenile inmates in the selected prisons. For measuring the association between adult and juvenile inmates, a Chi-square test was applied by using Microsoft Excel. It was found that there exist a strong association of adult with juvenile inmates; which resulted in reinforcing the delinquent behaviour of juvenile by supporting them financially, providing them with various kinds of drugs and persuading them to join their networks after they were released. Such situation was directly contradictory to the well-being of juvenile inmates at jails, where they were supposed to rehabilitate their offending behaviour. The study recommends establishment of separate jails for juvenile inmates, being inclusive part of the JJSO-2000.


2019 ◽  
Vol 66 (2) ◽  
pp. 118-123 ◽  
Author(s):  
Subhashini Gopal ◽  
Greeshma Mohan ◽  
Sujit John ◽  
Vijaya Raghavan

Background: Understanding the concept of recovery in severe mental illnesses such as schizophrenia from the social and cultural aspects is important as it will help in developing models of recovery and appropriate interventions. Client and caregiver perspectives on recovery play a significant role in shaping these models and interventions. Hence, the aim of this study was to understand how clients with schizophrenia and their caregivers perceive recovery and to examine the differences between male and female clients with schizophrenia. Materials and methods: A total of 100 clients with schizophrenia and 80 caregivers of clients with schizophrenia were included in the study after written informed consent. A semi-structured proforma was used to collect the sociodemographic profile and illness variables. A questionnaire was developed to assess the indicators of recovery from mental illness and was administered to study participants. Descriptive statistics including frequency and percentages were used along with the chi-square test for analysis. Results: The most common indicators of recovery for the clients with schizophrenia were absence of symptoms (88%), no relapse (70%) and going back to work (70%), while for the caregivers were absence of symptoms (100%), becoming independent (92.5%) and no relapse (91%). Indicators of recovery were similar between male and female clients with schizophrenia except for the need to stop medication as an indicator of recovery observed significantly more in females ( p = .006). Most clients used internal validation of indicators to assess their recovery (79%). Conclusion: Results indicate that clients and caregivers from India perceive recovery as being symptom free, able to go back to work and being independent. Clients with schizophrenia use internal validation to assess recovery. Gender does not play a role in the perceptions toward recovery in schizophrenia. These results will help in developing models of recovery for severe mental illness in Indian context leading to tailored interventions.


2018 ◽  
Vol 46 (8) ◽  
pp. 3209-3218
Author(s):  
Jinhua Liu ◽  
Hongsheng Chen ◽  
Yang Chen ◽  
Zhigang Li

Objective This study investigated the effect of the number of close friends (within and outside of social housing neighbourhoods) on the emotional well-being of men and women in social housing neighbourhoods in China. Methods Data (n = 535) were collected in 13 social housing neighbourhoods in Guangzhou from September to December 2013 using the random sample method. The t-test, chi-square test, and linear regression analysis were used to analyse the factors influencing residents’ emotional well-being. Results Having a greater number of close friends living within the social housing neighbourhood had a significantly positive association with the respondents’ emotional well-being (regression coefficient = 0.473). The number of close friends living in nearby neighbourhoods was only positively related to women’s emotional well-being (coefficient = 0.433). Conclusions These results highlight the importance of friendship for residents’ emotional well-being. Especially for women, friendship outside the social housing neighbourhood is essential for good mental health. This conclusion is based on analysis of cross-sectional data, and reflects the directionality of social associations. The mental health of the poor warrants greater attention in China.


2016 ◽  
Vol 40 (3) ◽  
pp. 200-206 ◽  
Author(s):  
G Thiruvenkadam ◽  
Sharath Asokan ◽  
J Baby John ◽  
PR Geetha Priya

Objective: The aim of the study was to assess the association of optimism and psychosocial well being of school going children on their oral health status. Study design: The study included 12- to 15-year-old school going children (N = 2014) from Tamilnadu, India. Optimism was measured using the revised version of the Life Orientation Test (LOT-R). A questionnaire was sent to the parents regarding their child's psychosocial behavior which included shyness, feeling inferiority, unhappiness and friendliness. Clinical examination for each child was done to assess the DMFT score and OHI-S score. The data obtained were statistically analyzed using Pearson Chi-Square test, Mann-Whitney test and Kruskal-Wallis test with the aid of SPSS software (version 17). Odds Ratio (OR) was calculated with 95% Confidence Interval (CI). The p value ≤ 0.05 was considered statistically significant. Results: Boys with high optimism had significantly lesser DMFT score than the boys with low optimism (p=0.001). Girls with high optimism had significantly higher DMFT score (p=0.001). In psychosocial outcomes, inferiority (p=0.002) and friendliness (p=0.001) showed significant association with DMFT score. Among the boys, children who felt less inferior (p=0.001), less unhappy (p=0.029) and more friendly (p=0.001) had lesser DMFT score. Conclusion: Among the psychosocial outcomes assessed, inferiority and friendliness had significant association with oral health of the children and hence, can be used as a proxy measures oral health.


2021 ◽  
Author(s):  
Rong Rong ◽  
Wei Chen ◽  
Zihao Dai ◽  
Jingli Gu ◽  
Weiying Chen ◽  
...  

Abstract Background: The Chinese medical students suffer from high prevalent mental health-related issues and low empathy. Effective strategies to improve the situations are lacking. This study aims to investigate the efficacy of the well-designed interventional courses to enhance the mental health and empathy of the senior Chinese medical students. Methods: A total of 146 3rd and 4th year medical students were randomized to intervention group (n=74) and control group (n=72). A pilot study including 5 pre-clinical students and 5 interns was first carried out to determine the themes and contents of the interventional courses. The designed courses were delivered in the intervention group once a month for three times, while the control group had no specific intervention. Five self-assessment questionnaires including the General Self-Efficacy (GSE), Medical Outcomes Study Short Form 8 (SF-8), Patient Health Questionnaire-9 (PHQ-9), Maslach Burnout Inventory (MBI), and Jefferson Scale of Empathy-Health Care Provider Student version (JSE-HPS) that separately evaluated the level of self-efficacy (SE), quality of life (QoL), depression, burnout, and empathy were completed by the students before and one month after the courses. Qualitative data were collected via e-mails two year after the intervention.Results: Compared to the control group, the interventional group showed significantly higher scores of the empathy (111.0 [IQR 102.0, 118.0] vs 106.0 [IQR 93.0, 111.5]; P = .01) and QoL (32.0 [IQR 28.0, 35.0] vs 29.5 [IQR 26.0, 34.0]; P = .04). The rate of depression was significantly decreased in the interventional group compared to that in the control group (13.5% vs 29.2%; Chi-square test, P = .02). However, no significant differences of self-efficacy (25.6 ± 4.8 vs 24.3 ± 6.3; P = .16) and burnout (27.0% vs 34.7%; Chi-square test, P = .31) were observed between the two groups.Conclusions: The well-designed interventional courses had a positive impact on the mental well-being and empathy in senior Chinese medical students, which may help provide novel information for incorporation into the medical school curriculum.


2014 ◽  
Vol 18 (3) ◽  
pp. 133-143
Author(s):  
Georgios S Chatzopoulos ◽  
Vasiliki P. Koidou

SUMMARYPurpose: The aim of this paper is to document the oral hygiene and nutrition habits of young people (aged 18 to 25) in Greece.Material and Methods: In a random sample of 100 people in Greece aged 18 to 25, a questionnaire including 23 questions (4 demographical and 19 other) was given. The frequency, the usual reason for visiting the dentist, the frequency of brushing, the type of toothbrush and the criteria for choosing toothbrush and toothpaste were searched. The nutrition habits were recorded as frequency in receiving sugar or no sugar meals during the day. The statistical analysis included frequencies and the use of chi-square test for interrelation with the demographical questions.Results: 72% of the sample visits the dentist at least once a year, while the reason for visiting was prevention in 69%. 85% brushes at least twice a day, and the same percentage uses medium hardness toothbrush. The choice of the toothpaste is based on flavour and fragrance in 25%. The frequency of receiving sugar meals was recorded as 45% once daily and 43% in 2 or 3 times daily (p<0.05 between smokers and non smokers). 78% of the young people receives less than 5 meals and snacks per day. There was no statistically significant difference between different available monthly budgets in the sample for the oral hygiene and nutrition habits.Conclusion: More than 1/3 of young people in Greece aged 18 to 25 visits the dentist at least once yearly for prevention and uses medium hardness toothbrush. The frequency of sugar consumption was significantly higher in smokers when compared to non smokers. Statistically significant differences were not observed between males and females except for the frequency in brushing (p<0.05). A review of the literature was performed for issues related to this project.


Retos ◽  
2015 ◽  
pp. 46-50
Author(s):  
Francisco Ruiz-Juan ◽  
Jorge Ruiz-Risueño Abad ◽  
Ernesto De la Cruz Sánchez ◽  
María Elena García Montes

El presente estudio aborda la relación entre dos factores del estilo de vida que tienen una especial incidencia en la salud de los adultos, como son la práctica habitual de ejercicio físico y el consumo de alcohol. Se evaluaron en 3329 sujetos mayores de 15 años el consumo de alcohol y la cantidad habitual de actividad física. Se realizó un análisis descriptivo e inferencial, con una prueba de estadístico ÷2 (Chi-cuadrado de Pearson) para estimar las diferencias significativas existentes en los diferentes grupos. Los resultados muestran que los adultos estudiados tienen patrones de comportamiento similares al resto de la población española en lo que se refiere a la ingesta habitual de bebidas alcohólicas y práctica de actividad física cotidiana. Existen diferencias en el consumo habitual de alcohol en función de la cantidad actividad físico-deportiva realizada.Abstract: This study addresses the relationship between two lifestyle factors that have a particular impact on the health of young people, as are the usual practice of leisure-time physical activity and alcohol consumption. Were assessed in 3329 subjects older than 15 years the consumption of alcohol and the usual amount of physical activity. We used a Pearson Chi-square test to estimate the significant differences between groups. The results show that adults have studied patterns of behavior similar to the rest of the Spanish population in relation to the intake of alcohol and practice of physical activity daily. Differences in the consumption of alcohol depending on the quantity of leisure-time physical activity.


2020 ◽  
Vol 11 (3) ◽  
pp. 251-263
Author(s):  
José Francisco dos Reis Neto ◽  
Michelle Da Rosa Lopes ◽  
Celso Correia de Souza ◽  
Marlucy Ferreira Machado Xavier

Urban green parks, considered as natural resources, should be seen as strategic elements for conservation of natural resources, socialization, health and well-being, since it significantly influences the local economy. The research sought to quantify the Willingness to Pay (WTP) for environmental conservation and its influencing factors, indicated by the population using three urban parks in Campo Grande, MS, Brazil: Parque das Nações Indígenas (PNI); Parque Ayrton Senna (PAS); and Parque Matas do Segredo (PMS). It was a quantitative approach, interviewing 824 users from the three parks object of the research, highlighting those who know and frequent the parks. A structured questionnaire was used, divided into groups of variables to identify the perceptions of socioeconomic, maintenance and preservation of parks, satisfaction with the equipment offered, and with the environmental preservation and maintenance of the Parks. Descriptive statistics and Chi-square test were used to compare the independence between the proportions obtained for each Park, at the level of significance at p <0.05, bilateral. A binary logistic regression analysis of discrete variables was also performed to identify the factors that may influence the user of the Park to WTP of environmental conservation. As a result, it was identified that there is satisfaction in the Parks, in relation to the questions: place for social interaction, appearance, attractiveness, calm, cozy, beautiful and clean environment. In relation to WTP, it was identified that the people who attend the Parks are willing to pay for the protection and environmental conservation of these. This article has its academic importance in contributing to the knowledge of the importance of Urban Green Parks, as well as providing indications for the evolution of others socio-environmental research projects. Under the business scope, it provides data and conclusions for the direction of public policies enlist the population and entrepreneurs to strengthen the preservation and maintenance.


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