scholarly journals Sharper Minds 2021 Pilot Report

2022 ◽  
Author(s):  
Genevieve Dingle ◽  
Julie Hodges ◽  
Leanne Hides ◽  
Blake M McKimmie ◽  
Sjaan Gomersall ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Exercise Physiology ◽  
Stepped Care ◽  
First Year ◽  
Practical Training ◽  
Care Providers ◽  
Care Package ◽  
Randomised Controlled

Sharper Minds is a stepped care package designed by the researchers in collaboration with students and UQ Health Care providers to increase awareness and use of mental health prevention strategies among first year university students. The package was 'soft launched' in 2021, and this report presents findings from the pilot evaluation. The pilot adopted a non-randomised controlled design with 266 students (33% international students). Of these, 157 were in the INTERVENTION condition (students who participated in any aspect of the Sharper Minds package: app tracker or one of the short courses) and 109 were in the CONTROL condition (students who completed pre and post surveys only). Results showed a significantly greater benefit to students in the Intervention v Control on pre to post changes in % screening positive for mental health problems, and scores on measures of depression, wellbeing, and loneliness. Students in both conditions improved across semester on measures of anxiety, somatic symptoms, number of academic stressors and number of COVID-19 related stressors. The pilot also provided practical training for 15 Masters in Psychology students and 2 Masters in Dietetics students; and research thesis projects for 1 Masters in Clinical Psychology student; 21 Psychology Honours students; and 5 Exercise Physiology Honours students.

scholarly journals Impact of mental health and addiction NIMHANS ECHO on primary care physicians: study from a rural state of India

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S157-S157
Author(s):  
Shabinabegam A M Sheth ◽  
Bhavya Bairy ◽  
Aurobind Ganesh ◽  
Sumi Jain ◽  
Prabhat Chand ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Health Problems ◽  
Care Providers ◽  
Primary Health ◽  
Secondary Outcomes

AimsAs per National Mental Health Survey-2015-16, 83 out of 100 people having mental health problems do not have access to care in India. Further, primary health care providers (PCPs) have not been adequately trained in the screening, diagnosis, and initial management of common mental health conditions. There is thus a need to train health care providers at the State level to incorporate mental health into primary health care. In this paper, we report the findings of a collaborative project between the National Institute of Mental Health and Neuro Sciences (NIMHANS) Bangalore India, and the state of Chhattisgarh incorporating mental health into primary care and addressing urban-rural disparities through tele-mentoring.MethodWe assessed the impact of the NIMHANS Extended Community Health Care Outcome (ECHO), an online, blended training program on participants' knowledge and competence (primary outcome) and commitment, satisfaction, and performance (Secondary outcomes) using Moore's evaluation framework. Primary and secondary outcomes were determined through a pre-post evaluation, assessment of trainee participation in the quarterly tele ECHO clinic as well as periodic assignments, respectively.ResultOver ten months of the NIMHANS ECHO program, there was a significant improvement in the participants' knowledge post-ECHO (p < 0.05, t = −3.52). Self-efficacy in diagnosis and management of mental health problems approached significance; p < 0.001. Increased engagement in tele-ECHO sessions was associated with better performance for declarative and procedural knowledge. The attrition rate was low (5 out of 30 dropped out), and satisfaction ratings of the course were high across all fields. The participants reported a 10- fold increase in the number of patients with mental health problems they had seen, following the training. A statistically significant increase in the number of psychotropic drugs prescribed post ECHO with t = −3.295, p = 0.01.ConclusionThe outcomes indicate that the NIMHANS ECHO with high participant commitment is a model with capacity building potential in mental health and addiction for remote and rural areas by leveraging technology. This model has the potential to be expanded to other states in the country in providing mental health care to persons in need of care.

From Medical Student to Medical Resident

2017 ◽  
pp. 145-169 ◽  
Author(s):  
Warren G. McDonald ◽  
Matt Martin ◽  
Lenard D. Salzberg
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Mental Health Problems ◽  
Medical Profession ◽  
Health Problems ◽  
Medical Residents ◽  
First Year ◽  
Practical Training ◽  
Systematic Screening ◽  
Health Distress

The transition from medical school to board-certified medical practice includes a period of intense, practical training known as medical residency. Medical residents are at risk for greater mental health distress than the general population. Interns, which are first year residents, are most at risk for, at worst, depression and suicidal ideation, and, at best, negative outlooks on the medical profession. Risk factors include role transition, decreased sleep, relocation, isolation, stigma toward mental health problems and treatment, and health care industry changes. Untreated mental health problems can lead to burnout later during a physician's career. Residents thrive on social and organisational support which can include systematic screening and treatment of mental health problems. Although research regarding best practices for addressing mental health problems during residency is limited, we offer four core strategies for preventing and addressing mental health problems in medical residents: education, screening, treatment, and support.

Supporting families managing parental mental illness: Challenges and resources

2018 ◽  
Vol 53 (5-6) ◽  
pp. 361-370 ◽  
Author(s):  
Michelle D Sherman ◽  
Stephanie A Hooker
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Family Medicine ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Family Members ◽  
The United States ◽  
Parental Mental Illness ◽  
Care Providers ◽  
Treatment Needs

Over five million children in the United States have a parent living with a serious mental illness. These offspring are at higher risk for developing mental health problems themselves due to a complex interplay of biological, psychological, and psychosocial factors. Life with a parent with psychiatric symptoms can be scary, confusing, overwhelming, and sad; children often blame themselves for their parent’s problems, find their parent’s behavior embarrassing, and struggle to explain the illness to their friends. Unfortunately, these children’s needs and experiences are often ignored by overwhelmed parents, worried family members and relatives, separate mental health systems of care for adults and children that often fail to coordinate care, and even well-intentioned health-care providers. Family medicine teams have an opportunity to detect and support these families in unique ways. We offer four recommendations for family medicine teams to help families managing parental mental illness including assessing functioning, treatment needs, and impacts on each family member; educating all family members about mental illness; instilling hope, noting the range of effective treatments for mental illness; and encouraging the use of supports and referral options. Providers can leverage family members’ strengths, work with community-based resources, and offer continuity to these families, as they struggle with an oftentimes chronic, relapsing disease that has ripple effects throughout the family system.

scholarly journals Flourishing Despite Migraines: A Nationally Representative Portrait of Resilience and Mental Health among Canadians

2021 ◽  
Author(s):  
Esme Fuller-Thomson
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Secondary Analysis ◽  
Well Being ◽  
Care Providers ◽  
Physical And Mental Health ◽  
History Of ◽  
Nationally Representative ◽  
The Relationship

Objective 1) To examine the relationship between migraine status and complete mental health (CMH) among a nationally representative sample of Canadians; 2) To identify significant correlates of CMH among those with migraine. Methods Secondary analysis of the nationally representative Canadian Community Health Survey – Mental Health (CCHS-MH) (N=21,108). Bivariate analyses and a series of logistic regression models were performed to identify the association between migraine status and CMH. Significant correlates of CMH were identified in the sample of those with migraine (N=2,186). Results Individuals without a history of migraine had 72% higher odds of being in CMH (OR=1.72; 95% CI=1.57, 1.89) when compared with those with a history of migraine. After accounting for physical health and mental health problems, the relationship between migraine status and CMH was reduced to non-significance, with both groups having an approximately equal likelihood of achieving CMH (OR=1.03; 05% CI=(0.92, 1.15). Among those with migraine, factors that were strongly associated with CMH were a lack of a history of depression, having a confidant, and having an income of $80,000 or more. Conclusion Clinicians and health care providers should also address co-occurring physical and mental health issues to support the overall well-being of migraineurs.

Moderation Effects of Substance Use on Physical and Mental Well-Being in Adults

2021 ◽  
pp. 107839032110520
Author(s):  
Mercy Ngosa Mumba ◽  
Alexandria Nancarrow ◽  
Jessica L. Jaiswal ◽  
Erika Hocchaus ◽  
Madelyn H. Campbell ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Substance Use ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Care Providers ◽  
Mental Well Being ◽  
The Relationship

BACKGROUND: Each year about one in five adults experiences mental illness. Although the independent physical and mental health consequences of alcohol misuse and cigarette smoking are well documented, little is known on how substance use moderates the relationship between physical and mental well-being. OBJECTIVE: The purpose of this study was to examine whether substance use moderates the relationship between physical activity and mental health in adults. METHODS: This was a secondary analysis of data provided by the Behavioral Risk Factor Surveillance System (BRFSS). RESULTS: Participants ( N = 450,016) were adults who completed the BRFSS in 2017. Those who did not drink alcohol had fewer mental health problems when they indicated greater amounts of time spent doing physical activities each week. Last, smokers’ number of mental health problems decreased as they engaged in more physical activity, whereas nonsmokers’ number of mental health problems increased as they engaged in more physical activity. CONCLUSIONS: The relationship between physical activity and mental health outcomes is well established and cannot be overemphasized. Nonetheless, substance abuse can moderate this relationship and should be routinely screened for by health care providers regardless of treatment setting.

Contested meanings of mental health and well-being among university students

2017 ◽  
Vol 48 (4) ◽  
pp. 453-464 ◽  
Author(s):  
Vinitha Jithoo
Keyword(s):  
Mental Health ◽  
Health Care ◽  
University Students ◽  
Emerging Adults ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Care Providers ◽  
Health And Well Being

Emerging adults are an important group not only because their opinions and knowledge will determine future attitudes but also because of the emergence of mental health problems during young adulthood. In order to provide relevant support, academics, health care providers as well as policy makers need to be more cognisant of how emerging adults make meaning of their psycho-social developmental context. The objective of the study was to explore how a cohort of 150 university students made meaning of emotional well-being and mental illness, the causes of mental health problems, the negative connotations associated with mental ill health, help-seeking behaviours, and how culture was used as a lens through which mental well-being was understood. The main findings indicate that students struggle to fully understand these concepts mainly because it is shrouded in mystery and complexity and not engaged with freely because of stigma and stereotypical attitudes, and while culture provides a lens to understand the causes and interventions, emerging adults often adopt a level of scepticism and are beginning to vacillate between tradition and modernity. Emerging adults face many barriers to accessing health care services including limited knowledge and stigma related to services, lack of confidentiality, fear of mistreatment, location of facilities, and the high cost of services. Universities and government should actively engage with research evidence to inform policies and programmes to improve the health and well-being of emerging adults.

scholarly journals Impact of intensive training on mental health, the experience of Port Said, Egypt.

2020 ◽  
Author(s):  
Saverio Bellizzi ◽  
Amal Khalil ◽  
Ahmed Sawahel ◽  
Alessandra Nivoli ◽  
Liliana Lorettu ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Primary Care Providers ◽  
World Health ◽  
Mental Health Training ◽  
Care Providers ◽  
Intensive Training ◽  
Port Said ◽  
Over Time

Abstract Background Mental disorder is extremely common globally and integration of mental health in primary health services represents a critical gap especially in Low- and Middle-Income Countries like Egypt. The World Health Organization has repeatedly called for effective training and support of primary care providers in the identification and treatment of mental health problems over the last decades. Methods This paper aimed to evaluate attitudes and knowledge of health care providers toward mentally ill patients and measure knowledge and retention of training messages over time. A three-day mental health training workshop for nurses of public health facilities in the Governorate of Port Said was organized. Pre-training and post-training questionnaires (immediately after the workshop and three months later) were used. Significance of gain in scores was examined between baseline and following cross sectional rounds. Results The 73 participants at the study revealed a statistically significant improvement in knowledge and attitude toward mental health from the baseline (pre-training), from a general mean score for desirable answers of 10.5 (+/- 1.2) to 21.2 (+/- 0.6). However, results slightly declined after the months from the workshop (18.5 (+/- 0.6)). Conclusions Intensive short-term training on mental illness could be instrumental in improving knowledge and attitudes in a country like Egypt with extensive needs in terms of quality of comprehensive healthcare at primary and secondary level. However, additional evidence is needed to improve retention of information over time and to translate knowledge in clinical practice.

scholarly journals Usability Evaluations of Mobile Mental Health Technologies: Systematic Review (Preprint)

2019 ◽  
Author(s):  
Yavuz Inal ◽  
Jo Dugstad Wake ◽  
Frode Guribye ◽  
Tine Nordgreen
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Health Problems ◽  
Small Sample ◽  
Care Providers ◽  
Health Technologies ◽  
Mobile Mental Health ◽  
Mhealth Apps

BACKGROUND Many mobile health (mHealth) apps for mental health have been made available in recent years. Although there is reason to be optimistic about their effect on improving health and increasing access to care, there is a call for more knowledge concerning how mHealth apps are used in practice. OBJECTIVE This study aimed to review the literature on how usability is being addressed and measured in mHealth interventions for mental health problems. METHODS We conducted a systematic literature review through a search for peer-reviewed studies published between 2001 and 2018 in the following electronic databases: EMBASE, CINAHL, PsycINFO, PubMed, and Web of Science. Two reviewers independently assessed all abstracts against the inclusion and exclusion criteria, following the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. RESULTS A total of 299 studies were initially identified based on the inclusion keywords. Following a review of the title, abstract, and full text, 42 studies were found that fulfilled the criteria, most of which evaluated usability with patients (n=29) and health care providers (n=11) as opposed to healthy users (n=8) and were directed at a wide variety of mental health problems (n=24). Half of the studies set out to evaluate usability (n=21), and the remainder focused on feasibility (n=10) or acceptability (n=10). Regarding the maturity of the evaluated systems, most were either prototypes or previously tested versions of the technology, and the studies included few accounts of sketching and participatory design processes. The most common reason referred to for developing mobile mental health apps was the availability of mobile devices to users, their popularity, and how people in general became accustomed to using them for various purposes. CONCLUSIONS This study provides a detailed account of how evidence of usability of mHealth apps is gathered in the form of usability evaluations from the perspective of computer science and human-computer interaction, including how users feature in the evaluation, how the study objectives and outcomes are stated, which research methods and techniques are used, and what the notion of mobility features is for mHealth apps. Most studies described their methods as trials, gathered data from a small sample size, and carried out a summative evaluation using a single questionnaire, which indicates that usability evaluation was not the main focus. As many studies described using an adapted version of a standard usability questionnaire, there may be a need for developing a standardized mHealth usability questionnaire.

scholarly journals The Effect of Social Media Exposure on the Mental Health of Individuals with Disabilities during the Coronavirus 2019 Pandemic

2021 ◽  
Vol 11 (4) ◽  
pp. 167
Author(s):  
Rasheed Khuwayshan Algethami ◽  
Turki Mahdi Alqarni ◽  
Fahmi Mustafa Albakour
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Media Exposure ◽  
Care Providers ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Individuals With Disabilities ◽  
Epidemic Period

The purpose of this study is to examine the mental health problems and social media exposure for individuals with disabilities, as well as explore whether this exposure could impact their mental health during the COVID-19 epidemic period. A hundred and twenty individuals with disabilities participated in this cross-sectional study, conducted in Taif, Saudi Arabia. We used an online questionnaire built through the translation of two scales, including Generalized Anxiety Disorder-7 " GAD-7" and CES-D-10 scale assessing depression. The findings of this study underlined important messages for individuals with disabilities. First finding revealed that individuals with disabilities were almost half a day anxious, depressed, and frequently exposed to social media. Also, the information spread on social media had a significant effect on their anxiety level, but no significant effect was found on their depression level. Practical recommendations were highlighted to benefit these individuals during the COVID-19 pandemic period. We should use clear and accessible languages and health messages with individuals with disabilities. Health care providers should be exposed to an awareness program to reduce the racisms towards those individuals.     Received: 8 March 2021 / Accepted: 23 June 2021 / Published: 8 July 2021

scholarly journals Usability Evaluations of Mobile Mental Health Technologies: Systematic Review

10.2196/15337 ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. e15337 ◽  
Author(s):  
Yavuz Inal ◽  
Jo Dugstad Wake ◽  
Frode Guribye ◽  
Tine Nordgreen
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Health Problems ◽  
Small Sample ◽  
Care Providers ◽  
Health Technologies ◽  
Mobile Mental Health ◽  
Mhealth Apps

Background Many mobile health (mHealth) apps for mental health have been made available in recent years. Although there is reason to be optimistic about their effect on improving health and increasing access to care, there is a call for more knowledge concerning how mHealth apps are used in practice. Objective This study aimed to review the literature on how usability is being addressed and measured in mHealth interventions for mental health problems. Methods We conducted a systematic literature review through a search for peer-reviewed studies published between 2001 and 2018 in the following electronic databases: EMBASE, CINAHL, PsycINFO, PubMed, and Web of Science. Two reviewers independently assessed all abstracts against the inclusion and exclusion criteria, following the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Results A total of 299 studies were initially identified based on the inclusion keywords. Following a review of the title, abstract, and full text, 42 studies were found that fulfilled the criteria, most of which evaluated usability with patients (n=29) and health care providers (n=11) as opposed to healthy users (n=8) and were directed at a wide variety of mental health problems (n=24). Half of the studies set out to evaluate usability (n=21), and the remainder focused on feasibility (n=10) or acceptability (n=10). Regarding the maturity of the evaluated systems, most were either prototypes or previously tested versions of the technology, and the studies included few accounts of sketching and participatory design processes. The most common reason referred to for developing mobile mental health apps was the availability of mobile devices to users, their popularity, and how people in general became accustomed to using them for various purposes. Conclusions This study provides a detailed account of how evidence of usability of mHealth apps is gathered in the form of usability evaluations from the perspective of computer science and human-computer interaction, including how users feature in the evaluation, how the study objectives and outcomes are stated, which research methods and techniques are used, and what the notion of mobility features is for mHealth apps. Most studies described their methods as trials, gathered data from a small sample size, and carried out a summative evaluation using a single questionnaire, which indicates that usability evaluation was not the main focus. As many studies described using an adapted version of a standard usability questionnaire, there may be a need for developing a standardized mHealth usability questionnaire.

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