scholarly journals iCOPE with COVID-19: A Brief Telemental Health Intervention for Children and Adolescents during the COVID-19 Pandemic

2021 ◽  
Author(s):  
Michelle Zepeda ◽  
Stephanie Deighton ◽  
Veronika Markova ◽  
Joshua Madsen ◽  
Nicole Racine
Keyword(s):  
Children And Adolescents ◽  
Health Care Access ◽  
Child Anxiety ◽  
Psychosocial Care ◽  
Health Intervention ◽  
Future Research ◽  
Telemental Health ◽  
Daily Lives ◽  
Care Access ◽  
Videoconferencing Technology

The COVID-19 pandemic has prompted unprecedented disruptions to the daily lives of children and adolescents worldwide, which has been associated with an increase of anxiety and depressive symptoms in youth. However, due to public health measures, in-person psychosocial care has been affected causing barriers to mental health care access. This study investigated the feasibility, acceptability and preliminary effectiveness of iCOPE with COVID-19, a brief telemental health intervention for children and adolescents to address anxiety symptoms. Sessions were provided exclusively using videoconferencing technology. Feasibility and acceptability were measured with client satisfaction data. The main outcome measure for effectiveness was anxiety symptom severity measured using the Screen for Child Anxiety and Related Disorders (SCARED). Results indicated that the treatment was well accepted by participants. Significant reductions in anxiety were noted for social anxiety, and were observed to be trending towards a mean decrease for total anxiety. The findings suggest that this brief telemental health intervention focused on reducing anxiety related to COVID-19 is acceptable and feasible to children and adolescents. Future research using a large sample and with a longer follow-up period could inform whether symptom decreases are sustained over time.

scholarly journals iCOPE with COVID-19: A Brief Telemental Health Intervention for Children and Adolescents during the COVID-19 Pandemic

2021 ◽  
Author(s):  
Michelle Zepeda ◽  
Stephanie Deighton ◽  
Veronika Markova ◽  
Joshua Madsen ◽  
Nicole Racine
Keyword(s):  
Children And Adolescents ◽  
Health Care Access ◽  
Child Anxiety ◽  
Psychosocial Care ◽  
Health Intervention ◽  
Future Research ◽  
Telemental Health ◽  
Daily Lives ◽  
Care Access ◽  
Videoconferencing Technology

The COVID-19 pandemic has prompted unprecedented disruptions to the daily lives of children and adolescents worldwide, which has been associated with an increase of anxiety and depressive symptoms in youth. However, due to public health measures, in-person psychosocial care has been affected causing barriers to mental health care access. This study investigated the feasibility, acceptability and preliminary effectiveness of iCOPE with COVID-19, a brief telemental health intervention for children and adolescents to address anxiety symptoms. Sessions were provided exclusively using videoconferencing technology. Feasibility and acceptability were measured with client satisfaction data. The main outcome measure for effectiveness was anxiety symptom severity measured using the Screen for Child Anxiety and Related Disorders (SCARED). Results indicated that the treatment was well accepted by participants. Significant reductions in anxiety were noted for social anxiety, and were observed to be trending towards a mean decrease for total anxiety. The findings suggest that this brief telemental health intervention focused on reducing anxiety related to COVID-19 is acceptable and feasible to children and adolescents. Future research using a large sample and with a longer follow-up period could inform whether symptom decreases are sustained over time.

scholarly journals Health Among Sexual Minority Older Adults: Individual Differences and Implications for Improving Health

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 860-860
Author(s):  
Britney Wardecker ◽  
Cara Exten
Keyword(s):  
Older Adults ◽  
Individual Differences ◽  
Sexual Minority ◽  
Health Care Access ◽  
Psychological Health ◽  
Negative Mood ◽  
Health Problems ◽  
Future Research ◽  
Care Access ◽  
Age Related

Abstract The number of sexual minority (SM) older adults is increasing rapidly, yet this population continues to be underrepresented in research (Fredriksen-Goldsen & Kim, 2017) and experiences significant disparities in health and health care access (Fredriksen-Goldsen, 2016; Wallace et al., 2011). In the current symposium, we analyze data from U.S. national probability samples of middle-aged and older adults (MIDUS, HRS, NESARC-III) to consider how age-related concerns and challenges may be experienced differently by SM individuals compared to their heterosexual counterparts. This symposium includes novel methods and statistical tools, such as daily diary assessments, multilevel modeling, and time-varying effects models. Individual presentations evaluate how: (1) SM women, compared to heterosexual women, may respond differently to menopause through norms and values surrounding womanhood; (2) midlife and older SM individuals use alcohol and cigarettes more frequently across a typical week than their heterosexual counterparts, though their substance use may not be tied to common triggers (e.g., negative mood, stress); (3) despite bisexual older adults reporting more health problems compared to lesbian and gay counterparts, they are less prepared for health concerns and crises (e.g., reporting a lower number of valid wills); and (4) the prevalence of depression and anxiety varies across age, such that older SM adults—especially women—are particularly vulnerable to psychological health problems. These presentations collectively examine complex issues facing older SM adults while emphasizing individual differences (i.e., women’s concerns, bisexual people’s issues). We discuss challenges in researching this growing at-risk population, and we highlight areas of future research and intervention.

Measuring Health in Jails: Limitations and Opportunities in Measurement of Health-Related Constructs

2019 ◽  
Vol 41 (4) ◽  
pp. 21-25
Author(s):  
Christine L. Arazan ◽  
Brianna A. Barrios ◽  
Meredith S. Brown ◽  
Natalia O. Dmitrieva
Keyword(s):  
Public Health ◽  
Health Care Access ◽  
Research Team ◽  
Future Research ◽  
Health Concerns ◽  
The Public ◽  
Measurement Issues ◽  
Care Access ◽  
Health Related ◽  
Current Article

Limited research exists concerning measurement issues of health-related constructs among those incarcerated in American jails. This gap in the literature impedes research on health outcomes and health care access among jailed populations and may render the public health concerns of jailed populations hidden from societal view. The current article examines a research team's experience in conducting a related study (see Trotter et al. 2018) by highlighting the methodological limitations and opportunities faced during the study and provides suggestions for future research. The manuscript provides future researchers with a foundation for implementing health-focused studies within a jail, with special attention paid to the obstacles the research team overcame.

scholarly journals Refugee Health: A Gender Comparison in Health Care Access

2021 ◽  
Author(s):  
Kate Dadey
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Refugee Health ◽  
Future Research ◽  
Health Seeking ◽  
Men And Women ◽  
Gender Comparison ◽  
Care Access ◽  
Immigrant And Refugee ◽  
Refugee Men

Research suggests that Canada's newly arrived immigrant and refugee communities tend to be healthier than the domestic population, and that their health declines over time. Studies examining immigrant and refugee health primarily focus on how barriers associated with language, the settlement experience, culture, and systemic processes impede the utilization of health services among refugee men and women respectively. However, without the benefit of a gender comparison, such studies fail to identify the variation in health needs and differences in health-seeking between refugee men and women, and are thus limited in their capacity to improve service utilization. Drawing from exiting literature on refugee health status pre-migration and during resettlement, this paper implicates the role of health care reform processes in exploring the gender differences in access and health-seeking. A postcolonial feminist epistemology is advanced as a means to include the voices of refugees and other marginalized groups in future research and practice in order to encourage substantive change.

scholarly journals The Experiences of People Living With Chronic Pain During a Pandemic: “Crumbling Dreams With Uncertain Futures”

2021 ◽  
pp. 104973232110148
Author(s):  
Kristina Amja ◽  
Marie Vigouroux ◽  
M. Gabrielle Pagé ◽  
Richard B. Hovey
Keyword(s):  
Chronic Pain ◽  
Health Care Access ◽  
Chronic Conditions ◽  
Daily Lives ◽  
Pain Experience ◽  
Care Access ◽  
Life Circumstances ◽  
Socially Isolated ◽  
Multiple Challenges ◽  
Improving Health Care

People living with chronic pain experience multiple challenges in their daily activities. Chronic pain is complex and often provokes life circumstances that create increased social isolation. Living with chronic pain during the pandemic may add additional layers of complexity to their daily lives. The researchers endeavored to explore the experiences of people living with chronic pain during the COVID-19 pandemic. Researchers conducted semi-structured, open-ended interviews about how the pandemic influenced participants’ lives. The interviews were recorded and analyzed using an applied philosophical hermeneutics approach. The findings were feeling socially isolated, losing their sense of livinghood, and experiencing augmented stress levels which, in most cases, aggravated their chronic pain. In addition to gaining an in-depth understanding of the needs of people living with chronic pain, these findings may guide policy decisions with the intention of improving health care access and the overall experiences of people living with chronic conditions during a pandemic.

scholarly journals Step On It! Impact of a Workplace New York City Taxi Driver Health Intervention to Increase Necessary Health Care Access

2015 ◽  
Vol 105 (4) ◽  
pp. 786-792 ◽  
Author(s):  
Francesca Gany ◽  
Sehrish Bari ◽  
Pavan Gill ◽  
Rebecca Loeb ◽  
Jennifer Leng
Keyword(s):  
Health Care ◽  
New York ◽  
New York City ◽  
Health Care Access ◽  
York City ◽  
Health Intervention ◽  
Taxi Driver ◽  
Care Access ◽  
It Impact

scholarly journals Micronesian Migrant Health Issues in Hawaii

2009 ◽  
Vol 7 (2) ◽  
pp. 16-31 ◽  
Author(s):  
Seiji Yamada ◽  
Ann Pobutsky
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Access ◽  
Clinical Care ◽  
Marshall Islands ◽  
Future Research ◽  
Public Health Services ◽  
Care Access ◽  
The Impact ◽  
The U.S

Increasing numbers of people from the Federated States of Micronesia and the Republic of the Marshall Islands are presenting for clinical and public health services across the U.S., especially in Hawaii. We review the impact of historical and contemporary relationships between the U.S. and these Freely Associated States on the health status and health care access of these migrants. We draw upon both epidemiological evidence and clinical experience to suggest measures to assure health care access and appropriate clinical care for these populations. We also point to potential public health measures, and indicate directions for future research.

scholarly journals Systematic Review of School Telehealth Evaluations

2018 ◽  
Vol 35 (1) ◽  
pp. 61-76 ◽  
Author(s):  
Denisse Sanchez ◽  
Jennifer F. Reiner ◽  
Rachel Sadlon ◽  
Olga Acosta Price ◽  
Michael W. Long
Keyword(s):  
Systematic Review ◽  
Health Care Access ◽  
School Personnel ◽  
Emergency Department Visits ◽  
Decision Makers ◽  
Future Research ◽  
Dissemination And Implementation ◽  
Sample Population ◽  
Care Access ◽  
Improve Health Status

School telehealth is an alternative delivery model to increase student health-care access with minimal evaluation to aid decision makers in the adoption or expansion of programs. This systematic review assesses school-based telehealth programs using a dissemination and implementation (D&I) framework to inform practitioners and decision makers of the value of school telehealth. We assessed findings from 20 studies on telehealth published between January 2006 and June 2018 and summarized program evaluation on a range of D&I constructs. The sample population included children in school- or center-based early childhood education under age 22 and included parents, providers, and school personnel across urban and suburban locations. There is some evidence that school telehealth can reduce emergency department visits and improve health status for children with chronic and acute illnesses. Future research should report on barriers and facilitators of implementation of programs, including costs related to application of telehealth services and utilization rates.

scholarly journals Refugee Health: A Gender Comparison in Health Care Access

2021 ◽  
Author(s):  
Kate Dadey
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Refugee Health ◽  
Future Research ◽  
Health Seeking ◽  
Men And Women ◽  
Gender Comparison ◽  
Care Access ◽  
Immigrant And Refugee ◽  
Refugee Men

Research suggests that Canada's newly arrived immigrant and refugee communities tend to be healthier than the domestic population, and that their health declines over time. Studies examining immigrant and refugee health primarily focus on how barriers associated with language, the settlement experience, culture, and systemic processes impede the utilization of health services among refugee men and women respectively. However, without the benefit of a gender comparison, such studies fail to identify the variation in health needs and differences in health-seeking between refugee men and women, and are thus limited in their capacity to improve service utilization. Drawing from exiting literature on refugee health status pre-migration and during resettlement, this paper implicates the role of health care reform processes in exploring the gender differences in access and health-seeking. A postcolonial feminist epistemology is advanced as a means to include the voices of refugees and other marginalized groups in future research and practice in order to encourage substantive change.

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