scholarly journals Factors that help and hinder the implementation of digital depression prevention programs: A school based cross-sectional study (Preprint)

2020 ◽  
Author(s):  
Joanne Rose Beames ◽  
Lara Johnston ◽  
Bridianne O'Dea ◽  
Michelle Torok ◽  
Helen Christensen ◽  
...  
Keyword(s):  
Mental Health ◽  
Prevention Program ◽  
Prevention Programs ◽  
Barriers And Facilitators ◽  
Capital City ◽  
Survey Study ◽  
School Type ◽  
Cross Sectional ◽  
Depression Prevention ◽  
School Based

BACKGROUND Background: Digital prevention programs that are delivered in the school environment can inoculate young people against depression. However, little is known about the school-based factors that help and hinder the implementation of these programs. School staff are integral to supporting mental health programs in schools and are likely to have a wealth of expertise and knowledge about the factors that affect implementation. OBJECTIVE Objective: The primary objective of this study was to explore the barriers and facilitators to implementing a digital depression prevention program in Australian secondary schools with teachers, counsellors, and principals. The secondary objective was to explore variation in these factors across different school contexts, including school type (government or non-government), location (capital city, regional, or rural), and socio-economic status (low, medium, high). METHODS Methods: This quantitative cross-sectional survey study assessed the barriers and facilitators to implementing a hypothetical digital prevention program in Australian schools. Ninety-seven teachers (Mage = 38.3), 93 counsellors (Mage = 39.4), and 11 principals (Mage = 50.91) across New South Wales, Australia, responded to the surveys between November 2017 and July 2018. RESULTS Results: A range of barriers and facilitators relating to logistics and resourcing, staff support, and program factors were endorsed by the surveyed staff. Consistent with prior research, common barriers included a lack of time and resources (i.e., staffing and rooms). These barriers were particularly evident in government, rural/regional, and low socioeconomic schools. Other barriers were specific to digital delivery, including privacy issues and a lack of clarity around staff roles and responsibilities. Facilitators included upskilling staff through training, embedding the program into the curriculum, and other program factors including universal delivery, screening of students’ mental health, and clear referral pathways. Knowledge about program efficacy was also perceived as important by a large proportion of respondents. CONCLUSIONS Conclusions: The digital depression prevention program was perceived as suitable for use within different schools in Australia, although certain factors need to be considered to enable effective implementation. Logistics and resourcing, support, and program factors were identified as particularly important for school-based implementation. To maximise the effectiveness in the delivery of digital programs, implementation may need to be tailored to staff role and school type.

scholarly journals Privacy and Confidentiality Concerns Related to the Use of mHealth Apps for HIV Prevention Efforts Among Malaysian Men Who Have Sex With Men: Cross-sectional Survey Study

10.2196/28311 ◽  
2021 ◽  
Vol 5 (12) ◽  
pp. e28311
Author(s):  
Roman Shrestha ◽  
Celia Fisher ◽  
Jeffrey A Wickersham ◽  
Antoine Khati ◽  
Rayne Kim ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Prevention Program ◽  
Prevention Programs ◽  
Survey Study ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Risks And Benefits ◽  
Sex With Men ◽  
Privacy And Confidentiality

Background The use of mobile health (mHealth), including smartphone apps, can improve the HIV prevention cascade for key populations such as men who have sex with men (MSM). In Malaysia, where stigma and discrimination toward MSM are high, the mHealth platform has the potential to open new frontiers for HIV prevention efforts. However, little guidance is available to inform researchers about privacy and confidentiality concerns unique to the development and implementation of app-based HIV prevention programs. Objective Given the lack of empirical data in this area, we aim to understand the privacy and confidentiality concerns associated with participation in a hypothetical app-based research study for HIV prevention efforts. Methods A cross-sectional, web-based survey was conducted between June and July 2020 among 355 Malaysian MSM. The survey included demographic and sexual health questions and a series of short videos describing a hypothetical app-based HIV prevention program, followed by questions related to privacy and confidentiality concerns in each step of the app-based program (ie, recruitment, clinical interaction, risk assessment, and weekly reminder). Multivariable logistic regression models were used to identify the correlates of willingness to use such an app-based program. Results Most of the participants (266/355, 74.9%) indicated their willingness to participate in a hypothetical mHealth app–based HIV prevention program. Participants expressed concerns about privacy, confidentiality, data security, and risks and benefits of participating in all stages of the app-based HIV research process. Multivariate analyses indicated that participants who had a higher degree of perceived participation benefits (adjusted odds ratio [aOR] 1.873; 95% CI 1.274-2.755; P=.001) were more willing to participate. In contrast, participants who had increased concerns about app-based clinical interaction and e-prescription (aOR 0.610; 95% CI 0.445-0.838; P=.002) and those who had a higher degree of perceived risks of participating (aOR 0.731; 95% CI 0.594-0.899; P=.003) were less willing to participate. Conclusions Overall, our results indicate that mHealth app–based HIV prevention programs are acceptable for future research on Malaysian MSM. The findings further highlighted the role of privacy and confidentiality, as well as the associated risks and benefits associated with participation in such a program. Given the ever-evolving nature of such technological platforms and the complex ethical–legal landscape, such platforms must be safe and secure to ensure widespread public trust and uptake.

Understanding Injury and Injury Prevention in Para Sport Athletes

2021 ◽  
pp. 1-7
Author(s):  
Shana E. Harrington ◽  
Sean McQueeney ◽  
Marcus Fearing
Keyword(s):  
Injury Prevention ◽  
Prevention Program ◽  
Prevention Programs ◽  
The United States ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Descriptive Information ◽  
Cross Training ◽  
Injury Prevention Program

Context: Training loads, injury, and injury prevention in the Para sports population has not been well established. Objective: The purpose of this study was to survey elite-level swimming, cycling, and athletic Para sport athletes in the United States who were competing in the 2016 US Paralympic trials to better understand common injuries among athletes in each sport and to determine whether injury prevention programs were being utilized. Design: Cross-sectional, survey study. Setting: The 2016 US Paralympic trials for swimming, cycling, and athletics. Participants: Athletes who competed in swimming, cycling, and/or athletics at the 2016 US Paralympic trials (N = 144; 83 males and 61 females). Main Outcome Measures: Participants completed electronic survey using Qualtrics XM (Qualtrics, Provo, UT) with questions pertaining to average number of hours trained per week, number of cross-training hours performed each week, descriptive information regarding sport-related injuries, pain, whether athletes received treatment for injuries, and descriptive information regarding whether the athletes had participated in an injury prevention program. Results: Over 64% of respondents reported training greater than or equal to 11 hours per week, and 45% of athletes reported spending greater than or equal to 6 hours per week cross-training. Forty-two percent of athletes reported currently having pain with 34% reporting missing a competition because of injury. Only 24% of respondents reported having participated in an injury prevention program. Conclusions: Many Para sport athletes train at similar durations as able-bodied counterparts and have pain that interferes with their ability to train and compete, however, only a small percentage consistently perform injury prevention programs.

scholarly journals Privacy and Confidentiality Concerns Related to the Use of mHealth Apps for HIV Prevention Efforts Among Malaysian Men Who Have Sex With Men: Cross-sectional Survey Study (Preprint)

2021 ◽  
Author(s):  
Roman Shrestha ◽  
Celia Fisher ◽  
Jeffrey A Wickersham ◽  
Antoine Khati ◽  
Rayne Kim ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Prevention Program ◽  
Prevention Programs ◽  
Survey Study ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Risks And Benefits ◽  
Sex With Men ◽  
Privacy And Confidentiality

BACKGROUND The use of mobile health (mHealth), including smartphone apps, can improve the HIV prevention cascade for key populations such as men who have sex with men (MSM). In Malaysia, where stigma and discrimination toward MSM are high, the mHealth platform has the potential to open new frontiers for HIV prevention efforts. However, little guidance is available to inform researchers about privacy and confidentiality concerns unique to the development and implementation of app-based HIV prevention programs. OBJECTIVE Given the lack of empirical data in this area, we aim to understand the privacy and confidentiality concerns associated with participation in a hypothetical app-based research study for HIV prevention efforts. METHODS A cross-sectional, web-based survey was conducted between June and July 2020 among 355 Malaysian MSM. The survey included demographic and sexual health questions and a series of short videos describing a hypothetical app-based HIV prevention program, followed by questions related to privacy and confidentiality concerns in each step of the app-based program (ie, recruitment, clinical interaction, risk assessment, and weekly reminder). Multivariable logistic regression models were used to identify the correlates of willingness to use such an app-based program. RESULTS Most of the participants (266/355, 74.9%) indicated their willingness to participate in a hypothetical mHealth app–based HIV prevention program. Participants expressed concerns about privacy, confidentiality, data security, and risks and benefits of participating in all stages of the app-based HIV research process. Multivariate analyses indicated that participants who had a higher degree of perceived participation benefits (adjusted odds ratio [aOR] 1.873; 95% CI 1.274-2.755; <i>P</i>=.001) were more willing to participate. In contrast, participants who had increased concerns about app-based clinical interaction and e-prescription (aOR 0.610; 95% CI 0.445-0.838; <i>P</i>=.002) and those who had a higher degree of perceived risks of participating (aOR 0.731; 95% CI 0.594-0.899; <i>P</i>=.003) were less willing to participate. CONCLUSIONS Overall, our results indicate that mHealth app–based HIV prevention programs are acceptable for future research on Malaysian MSM. The findings further highlighted the role of privacy and confidentiality, as well as the associated risks and benefits associated with participation in such a program. Given the ever-evolving nature of such technological platforms and the complex ethical–legal landscape, such platforms must be safe and secure to ensure widespread public trust and uptake.

scholarly journals Impact of the COVID-19 Pandemic on the Psychological Distress of Medical Students in Japan: Cross-sectional Survey Study (Preprint)

2020 ◽  
Author(s):  
Yoshito Nishimura ◽  
Kanako Ochi ◽  
Kazuki Tokumasu ◽  
Mikako Obika ◽  
Hideharu Hagiya ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Online Education ◽  
Cross Sectional Study ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
State Of Emergency ◽  
Web Based ◽  
Subjective Mental Health

BACKGROUND The COVID-19 pandemic has negatively affected medical education. However, little data are available about medical students’ distress during the pandemic. OBJECTIVE This study aimed to provide details on how medical students have been affected by the pandemic. METHODS A cross-sectional study was conducted. A total of 717 medical students participated in the web-based survey. The survey included questions about how the participants’ mental status had changed from before to after the Japanese nationwide state of emergency (SOE). RESULTS Out of 717 medical students, 473 (66.0%) participated in the study. In total, 29.8% (141/473) of the students reported concerns about the shift toward online education, mostly because they thought online education would be ineffective compared with in-person learning. The participants’ subjective mental health status significantly worsened after the SOE was lifted (<i>P</i>&lt;.001). Those who had concerns about a shift toward online education had higher odds of having generalized anxiety and being depressed (odds ratio [OR] 1.97, 95% CI 1.19-3.28) as did those who said they would request food aid (OR 1.99, 95% CI 1.16-3.44) and mental health care resources (OR 3.56, 95% CI 2.07-6.15). CONCLUSIONS Given our findings, the sudden shift to online education might have overwhelmed medical students. Thus, we recommend that educators inform learners that online learning is not inferior to in-person learning, which could attenuate potential depression and anxiety.

Overview

2017 ◽  
pp. 1-9
Author(s):  
Dana D. Marchese ◽  
Kimberly D. Becker ◽  
Jennifer P. Keperling ◽  
Celene E. Domitrovich ◽  
Wendy M. Reinke ◽  
...  
Keyword(s):  
Prevention Program ◽  
Prevention Programs ◽  
Good Behavior Game ◽  
Evidence Based ◽  
Personalized Feedback ◽  
Coaching Model ◽  
School Based ◽  
Coaching Strategies ◽  
Planning Action

Chapter 1 provides a rationale for the use of prevention programs in schools, the benefits of a school-based prevention program, and a description of two of the most widely disseminated, evidence-based universal school-based preventive interventions: the PATHS Curriculum and the PAX Good Behavior Game. The importance of coaching in obtaining quality implementation of prevention programs is discussed. In addition, an overview of the PATHS to PAX Coaching Model is provided based on research and theory in the literature. Also described are coaching strategies, including building positive relationships, modeling, observing, providing personalized feedback, discussing barriers, and planning action items.

Conducting IPT-AST in Schools

2016 ◽  
pp. 136-143
Author(s):  
Jami F. Young ◽  
Laura Mufson ◽  
Christie M. Schueler
Keyword(s):  
Mental Health ◽  
School Setting ◽  
School Personnel ◽  
Skills Training ◽  
Interpersonal Psychotherapy ◽  
Boards Of Education ◽  
Depression Prevention ◽  
School Settings ◽  
School Based ◽  
Mental Health Programs

This chapter discusses the delivery of Interpersonal Psychotherapy–Adolescent Skills Training (IPT-AST) in school settings. The literature on school-based mental health programs is reviewed. Advantages of delivering preventive interventions in schools and challenges to implementation are outlined. These challenges include obtaining agreement from school personnel and boards of education; identifying personnel who will take the lead in implementing IPT-AST; identifying adolescents who will be appropriate for these services; explaining IPT-AST to adolescents and parents to engage them in the program; and managing logistical and scheduling issues within the schools. The authors discuss strategies to address the challenges of implementing this depression prevention program in a school setting.

scholarly journals Patient satisfaction with the quality of nursing care: A cross-sectional study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Skhvitaridze ◽  
T Lobjanidze ◽  
A Papidze ◽  
E Barjadze ◽  
N Landia
Keyword(s):  
Patient Satisfaction ◽  
Nursing Care ◽  
Waiting Time ◽  
Cross Sectional Study ◽  
Capital City ◽  
Survey Study ◽  
Cross Sectional ◽  
Patients Satisfaction ◽  
Quality Of Nursing

Abstract Aim To evaluate patients' satisfaction with the quality of nursing care and examine factors which affect their decision. Design A retrospective, cross-sectional, descriptive survey study. Methods Data were collected using a structured questionnaire in Georgian language was administered to the patients. The response rate was 93% and the final sample was composed of 173 patients who enrolled consequently after taking written informed consent. One hospital and one outpatient department in the capital city of Georgia were selected for the study setting. Data were collected during one month. Data on demography was collected. Descriptive and inferential statistics were applied accordingly using STATA version 17. Eligible criteria: Adults, capable of independent communication and who talk Georgian language, did not have any severe process or complications, were in the recovery stage, with no referral and discharging to home. Results Majority of respondents were aged between 56-65 years (50%), males (52.5%), residents of the capital city (70%), having higher education (80%) and employed (75%). Overall, 89% of patients described provided nursing care as an excellent. The most important factors, which affect patients' satisfaction are the waiting time before admission, safety of services, comfortable environment along with the proper level of care and attentiveness. These results can be generalized and may be useful in comparative studies of patient satisfaction. Key messages Permanent evaluation of nursing care is important to evaluate patients satisfaction. Factors as waiting time, safety of services, comfortable and friendly environment, and attentiveness are key for high level of satisfaction.

scholarly journals School Climate, Peer Relationships, and Adolescent Mental Health: A Social Ecological Perspective

2020 ◽  
pp. 0044118X2097023
Author(s):  
Emily Long ◽  
Claudia Zucca ◽  
Helen Sweeting
Keyword(s):  
Mental Health ◽  
School Climate ◽  
Peer Relationships ◽  
Multilevel Models ◽  
Adolescent Mental Health ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
School Based ◽  
Inclusive School ◽  
School Differences

The current study investigated peer relationship and school climate factors associated with adolescent mental health. Cross-sectional data from 2,571 fifteen-year old students in 22 Scottish secondary schools was used. Multilevel models tested for school differences in mental health, and nested linear regression models estimated peer and school effects. Results demonstrated no significant between-school variation in mental health. Peer victimization was the only peer effect associated with mental health. School-belonging, student-teacher relationships, and a perceived inclusive school climate were associated with better mental health, whereas a perceived school climate of exam pressure was associated with worse mental health. The findings highlight multiple aspects of school climate that could be targeted in school-based interventions for adolescent mental health.

Sign in / Sign up

Export Citation Format

Share Document