scholarly journals Implementation Outcome Scales for Digital Mental Health (iOSDMH): Scale Development and Cross-sectional Study (Preprint)

2020 ◽  
Author(s):  
Natsu Sasaki ◽  
Erika Obikane ◽  
Rajesh Vedanthan ◽  
Kotaro Imamura ◽  
Pim Cuijpers ◽  
...  
Keyword(s):  
Mental Health ◽  
Outcome Measures ◽  
Reliability And Validity ◽  
Implementation Process ◽  
Cross Sectional Study ◽  
Health Interventions ◽  
Major Step ◽  
Cross Sectional ◽  
Policy Makers ◽  
Mental Health Interventions

BACKGROUND Digital mental health interventions are being used more than ever for the prevention and treatment of psychological problems. Optimizing the implementation aspects of digital mental health is essential to deliver the program to populations in need, but there is a lack of validated implementation outcome measures for digital mental health interventions. OBJECTIVE The primary aim of this study is to develop implementation outcome scales of digital mental health for different levels of stakeholders involved in the implementation process: users, providers, and managers or policy makers. The secondary aim is to validate the developed scale for users. METHODS We developed English and Japanese versions of the implementation outcome scales for digital mental health (iOSDMH) based on the literature review and panel discussions with experts in implementation research and web-based psychotherapy. The study developed acceptability, appropriateness, feasibility, satisfaction, and harm as the outcome measures for users, providers, and managers or policy makers. We conducted evidence-based interventions via the internet using UTSMeD, a website for mental health information (N=200). Exploratory factor analysis (EFA) was conducted to assess the structural validity of the iOSDMH for users. Satisfaction, which consisted of a single item, was not included in the EFA. RESULTS The iOSDMH was developed for users, providers, and managers or policy makers. The iOSDMH contains 19 items for users, 11 items for providers, and 14 items for managers or policy makers. Cronbach α coefficients indicated intermediate internal consistency for acceptability (α=.665) but high consistency for appropriateness (α=.776), feasibility (α=.832), and harm (α=.777) of the iOSDMH for users. EFA revealed 3-factor structures, indicating acceptability and appropriateness as close concepts. Despite the similarity between these 2 concepts, we inferred that acceptability and appropriateness should be used as different factors, following previous studies. CONCLUSIONS We developed iOSDMH for users, providers, and managers. Psychometric assessment of the scales for users demonstrated acceptable reliability and validity. Evaluating the components of digital mental health implementation is a major step forward in implementation science.

Aspects of Selecting Outcome Measures to Demonstrate the Effectiveness of Comprehensive Rehabilitation

1993 ◽  
Vol 56 (11) ◽  
pp. 394-400 ◽  
Author(s):  
Lily I H Jeffrey
Keyword(s):  
Mental Health ◽  
Psychometric Properties ◽  
Social Functioning ◽  
Outcome Measures ◽  
Selection Criteria ◽  
Self Care ◽  
Informed Choice ◽  
Health Interventions ◽  
Mental Health Interventions ◽  
Comprehensive Rehabilitation

To enable clinicians to make an informed choice when selecting outcome measures to demonstrate the effectiveness of comprehensive rehabilitation, what objective criteria should be examined? This article considers the importance of the purpose, content, psychometric properties and ease of administration in selecting measures. Several outcome instruments evaluating self-care and mobility, mental health interventions and comprehensive rehabilitation approaches are examined with reference to these selection criteria. Measures that evaluate physical, psychological and social functioning, taking into account the desired outcome of the patient and his/her carers, are highlighted.

scholarly journals The economics of mental health in the workplace: what do we know and where do we go?

2007 ◽  
Vol 16 (4) ◽  
pp. 294-298 ◽  
Author(s):  
David McDaid
Keyword(s):  
Mental Health ◽  
Grey Literature ◽  
Cost Effective ◽  
Evidence Base ◽  
Poor Mental Health ◽  
Health Interventions ◽  
Economic Evaluations ◽  
Policy Makers ◽  
Productivity Losses ◽  
Mental Health Interventions

AbstractTo provide an overview of the economic impact of poor mental health in the workplace and assess the extent to which economic evaluation has been used to further the case for investment in workplace based mental health programmes. Rapid scoping review of published and grey literature. The socio-economic costs of poor mental health in the workplace are substantial but conservative, as few studies have included productivity losses from work cutback, as well as absenteeism. While few economic evaluations of workplace based mental health interventions were identified, the available evidence base suggests that they have the potential to be highly cost effective. Much of this evidence may be from the US and be less applicable elsewhere; it may also have been solely published in company documents making assessment of methodological quality difficult. The potential economic case for workplace based mental health interventions appears good. More collaboration between policy makers and the private sector would help facilitate rigorous and transparent economic evaluations. A number of evaluations are planned. The challenge is to build on these initiatives, in order to address what remains a major gap in our knowledge on the economics of mental health.

scholarly journals The Assessment of Fear of COVID-19 among the Elderly Population: A Cross-Sectional Study

2021 ◽  
Vol 10 (23) ◽  
pp. 5537
Author(s):  
Siddarth Agrawal ◽  
Mateusz Dróżdż ◽  
Sebastian Makuch ◽  
Alicja Pietraszek ◽  
Małgorzata Sobieszczańska ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Well Being ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Policy Makers ◽  
Related Information ◽  
Fear And Anxiety

The prevailing COVID-19 pandemic has dramatically affected the mental health and well-being of individuals. This cross-sectional study aimed to assess the perceived fear of COVID-19 among older adults in Poland and identify subpopulations with the highest risk of potential mental health disorders. The study was conducted in November–December 2020 on 500 people aged ≥60 years (mean M = 67.9, standard deviation SD = 4.2). In order to collect information on participants’ characteristics and COVID-19-related information, they were asked to complete a questionnaire based on recorded telephone calls. Perceived fear of COVID-19 was measured using our generated and validated seven-item tool: “Scale of fear of COVID-19 infection”, which ranged from 7 to 35. Multiple linear regression was performed to identify factors associated with the perceived fear of COVID-19. Our results showed that the highest level of fear of COVID-19 infection was observed among women (p = 0.025) and patients taking anticoagulants (p = 0.004). Moreover, older adults with higher anxiety levels were more likely to be fearful of COVID-19 (according to the GAS-10 scale; p < 0.001). These findings may help policy makers and healthcare workers to adapt and implement better mental health strategies to help the elderly fight fear and anxiety during the prevailing pandemic.

scholarly journals The impact of the COVID-19 pandemic on the mental health of the adult population in Bangladesh: A nationwide cross-sectional study

2020 ◽  
Author(s):  
Hasan Al Banna ◽  
Abu Sayeed ◽  
Satyajit Kundu ◽  
Enryka Christopher ◽  
M Tasdik Hasan ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Health Interventions ◽  
Cross Sectional ◽  
Logistic Regressions ◽  
Economy And Education ◽  
The Impact

The recent COVID-19 pandemic has imposed threats on both physical andmental health since its outbreak. This study aimed to explore the impactof the COVID-19 pandemic on mental health among a representativesample of home-quarantined Bangladeshi adults. A cross-sectional designwas used with an online survey completed by a convenience samplerecruited via social media. A total of 1,427 respondents were recruited,and their mental health was assessed by the DASS-21 measure. Theprevalence of anxiety symptoms and depressive symptoms was 33.7%and 57.9%, respectively, and 59.7% reported mild to extremely severelevels of stress. Perceptions that the pandemic disrupted life events,affected mental health, jobs, the economy and education, predictions ofa worsening situation, and uncertainty of the health care system capacitieswere significantly associated with poor mental health outcomes.Multivariate logistic regressions showed that sociodemographic factorsand perceptions of COVID-19 significantly predict mental health outcomes.These findings warrant the consideration of easily accessible lowintensitymental health interventions during and beyond this pandemic.

scholarly journals Workplace factors associated with mental health of healthcare workers during the COVID-19 pandemic: an international cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ankur Khajuria ◽  
Wojtek Tomaszewski ◽  
Zhongchun Liu ◽  
Jian-hua Chen ◽  
Roshana Mehdian ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
International Study ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Policy Makers ◽  
Factors Associated ◽  
Mental Health Support ◽  
Health Support ◽  
Workplace Factors

Abstract Background The association of workplace factors on mental health of healthcare workers (HCWs) during the COVID-19 pandemic needs to be urgently established. This will enable governments and policy-makers to make evidence-based decisions. This international study reports the association between workplace factors and the mental health of HCWs during the pandemic. Methods An international, cross-sectional study was conducted in 41 countries. The primary outcome was depressive symptoms, derived from the validated Patient Health Questionnaire-2 (PHQ-2). Multivariable logistic regression identified factors associated with mental health outcomes. Inter-country differences were also evaluated. Results A total of 2527 responses were received, from 41 countries, including China (n = 1213; 48.0%), UK (n = 891; 35.3%), and USA (n = 252; 10.0%). Of all participants, 1343 (57.1%) were aged 26 to 40 years, and 2021 (80.0%) were female; 874 (34.6%) were doctors, and 1367 (54.1%) were nurses. Factors associated with an increased likelihood of depressive symptoms were: working in the UK (OR = 3.63; CI = [2.90–4.54]; p < 0.001) and USA (OR = 4.10; CI = [3.03–5.54]), p < 0.001); being female (OR = 1.74; CI = [1.42–2.13]; p < 0.001); being a nurse (OR = 1.64; CI = [1.34–2.01]; p < 0.001); and caring for a COVID-19 positive patient who subsequently died (OR = 1.20; CI = [1.01–1.43]; p = 0.040). Workplace factors associated with depressive symptoms were: redeployment to Intensive Care Unit (ICU) (OR = 1.67; CI = [1.14–2.46]; p = 0.009); redeployment with perceived unsatisfactory training (OR = 1.67; CI = [1.32–2.11]; p < 0.001); not being issued with appropriate personal protective equipment (PPE) (OR = 2.49; CI = [2.03–3.04]; p < 0.001); perceived poor workplace support within area/specialty (OR = 2.49; CI = [2.03–3.04]; p < 0.001); and perceived poor mental health support (OR = 1.63; CI = [1.38–1.92]; p < 0.001). Conclusion This is the first international study, demonstrating that workplace factors, including PPE availability, staff training pre-redeployment, and provision of mental health support, are significantly associated with mental health during COVID-19. Governments, policy-makers and other stakeholders need to ensure provision of these to safeguard HCWs’ mental health, for future waves and other pandemics.

scholarly journals Reliability and validity of the Chinese version of the Patient Health Questionnaire-9 (C-PHQ-9) in patients with psoriasis: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e033211
Author(s):  
Xin Ye ◽  
Hui-Ling Shu ◽  
Xia Feng ◽  
Deng-mei Xia ◽  
Zheng-qun Wang ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Cross Sectional Study ◽  
Health Questionnaire ◽  
Sectional Study ◽  
Cross Sectional ◽  
Dsm V ◽  
Patient Health ◽  
The Mean

ObjectiveTo evaluate the clinical reliability and validity of the Chinese version of the Patient Health Questionnaire-9 (C-PHQ-9) in patients with psoriasis.DesignCross-sectional study.SettingTertiary care centre.ParticipantsPatients with psoriasis who have not been diagnosed with depression (n=148; mean age 43.37±17.46 years; 31.19% female).Primary and secondary outcome measuresThe primary outcome measures considered in this study were the C-PHQ-9 and the Hamilton Depression Scale (HAMD). The American Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-V) was used as the gold standard for the diagnosis of depression. Cronbach’s α and test–retest reliability after 1 week were evaluated using reliability analysis, and criterion and structural validity were assessed using validity analysis. Receiver operating characteristic (ROC) analysis was performed to identify the best demarcation score and diagnostic accuracy.ResultsCompared with DSM-V (27.27%), both C-PHQ-9 (39.19%) and HAMD (31.01%) had higher rates for detecting depression. The mean completion time for C-PHQ-9 evaluation (2.02±0.84 min) was significantly less than that for HAMD (23.37±3.21 min, p<0.001). The Cronbach’s α coefficient for the C-PHQ-9 was 0.938. The correlation coefficients of the nine items with the total scale ranged from 0.540 to 0.854, and the mean inter-item correlation coefficients ranged from 0.376 to 0.933. After a week, the retest coefficient was 0.955 (p<0.01). Principal component factor analysis showed that C-PHQ-9 identified a unifactorial structure. The best cut-off point was 9 points, with a sensitivity of 98.00% and a specificity of 90.80%. The area under the ROC curve was 0.979 (95% CI 0.968 to 0.991).ConclusionC-PHQ-9 has good reliability and validity in patients with psoriasis and can be used for primary screening of patients with psoriasis and depression. This scale has obvious time and labour advantages over the HAMD and should be considered for use in clinical practice.

scholarly journals Are preschool children active enough in Shanghai: an accelerometer-based cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e024090 ◽  
Author(s):  
Minghui Quan ◽  
Hanbin Zhang ◽  
Jiayi Zhang ◽  
Tang Zhou ◽  
Jinming Zhang ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Preschool Children ◽  
Outcome Measures ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Registration Number ◽  
Shanghai City

ObjectiveEngaging in physical activity (PA) plays an important role in promoting physical and mental health, but the PA data for Chinese preschool children are lacking. This study aims to objectively assess the PA levels of preschool children in Shanghai, China and to evaluate their PA levels relative to age-specific recommendations.Design, setting and participantsA cross-sectional study was conducted among preschool children in Shanghai, city of China. There were a total of 303 preschool children (boys, 174; girls, 129) recruited from eight kindergarten classes in the Yangpu and Baoshan Districts of Shanghai.Main outcome measuresDaily PA was assessed using ActiGraph GT3X+accelerometers for seven consecutive days. Children were required to have data from at least 2 weekdays and 1 weekend day, with a minimum daily wear time of 480 min to be included in the analysis.ResultsPreschool children in Shanghai accumulated, on average, 70.9 min of moderate-to-vigorous PA (MVPA) and 168.0 min of total PA (TPA) per day (d). Boys engaged in more MVPA and TPA than girls (72.8 min/day vs 68.3 min/day and 171.9 min/day vs 162.9 min/day, respectively). Overall, 72.9% of the participants met the age-specific recommendations of MVPA, while 35.3% met TPA recommendations.ConclusionsFindings of this study warn of the insufficiency of PA in Shanghai preschool children, suggesting there is substantial room to improve their PA.Trial registration numberChiCTR-OOC-15007439; Results.

Mental-Health Impact of Quarantine Measures during the Coronavirus Disease 2019 (COVID-19) Outbreak in Eastern Province, Saudi Arabia

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Al-Khathami AD ◽  
◽  
AlHumam AS ◽  
Aldgather M ◽  
AlMulhim MA ◽  
...  
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Health Impact ◽  
Cross Sectional Study ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Mental Health Interventions ◽  
Loss Of Motion ◽  
The Impact

Objectives: To explore, among residents of Dammam and Al-Khobar, Saudi Arabia, the impact of quarantining as a result of coronavirus disease 2019 (COVID-19) infection on depression, anxiety, and stress levels. Methods: A cross-sectional study of all patients with COVID-19 in Dammam and Al-Khobar was conducted in July 5–18, 2020. Of the 395 patients targeted, 283 responded (response rate: 72%). Results: The participants’ mean age (± standard deviation) was 31.3 (± 10.7) years; 46% were women. Loss of smell (26.5%), headache (25.4%), cough (25.1%), loss of taste (22.6%), and loss of motion (22.6%) were common symptoms. The main source of COVID-19 infection was family gatherings (38.2% of cases). Overall, 47% of the sample showed depression, 37% showed anxiety, and 29% showed depression and anxiety. Approximately 50% of those with depression, anxiety, and/or stress developed symptoms after infection; of these, 90% experienced stress. For 75% of those with depression, anxiety, and/or stress, quarantining did not exacerbate these symptoms. Depression was high among women, with diabetes mellitus, headache, loss of motion, body aches, lack of appetite, fatigue, shortness of breath, and loss of smell and taste showing significant associations in this regard. Anxiety was only significantly associated with fatigue. Conclusion: Loss of smell and taste, fatigue, and headache indicate a risk of developing depression, anxiety, and/or stress. Early mental-health interventions are necessary to prevent patients entering COVID-19 quarantine from experiencing long-term symptoms.

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