scholarly journals Psychosocial Issues ‌of Retirement in Iran: ‌A Qualitative Study

Salmand ◽  
2021 ◽  
Vol 15 (4) ◽  
pp. 396-409
Author(s):  
Zohreh Alavi ◽  
◽  
Fardin Alipour ◽  
Hassan Rafiey ◽  
◽  
...  
Keyword(s):  
Elderly Care ◽  
Sampling Strategy ◽  
Well Being ◽  
Individual Characteristics ◽  
Barriers And Facilitators ◽  
Psychological Resilience ◽  
Care Providers ◽  
Structured Interviews ◽  
Emotional Deprivation ◽  
Psychosocial Challenges

Objectives: Retirement is a potentially challenging event in old age that has different‏ effects on older people’s lives. This study aims to identify the psychosocial consequences, barriers, and facilitators of adaption to retirement in Iran. Methods & Materials: In this study, we used conventional content analysis. The samples consisted of 22 people with experience or expertise in the field of retirement, who were selected by maximum diversity and purposeful sampling strategy Data were collected through semi-structured interviews from February 2019 to September 2019. Graneheim and Lundman's approach was used for data analysis. Results: Of 22 participants, 59% were male and 41% were female. Four main categories and 13 sub-categories were extracted covering different psychosocial aspects of adaption to retirement Including: Psychosocial challenges (emotional deprivation, reduced psychological resilience, role loss, social isolation, and family challenges), post-retirement development (developing interests and activities, and feeling of being free), barriers to retirement adaptation (health problems, lack of a retirement plan, and macro-structural deficiencies), and contextual/supportive facilitators (individual characteristics, job characteristics, and social support systems). Conclusion: After retirement, people face psychosocial challenges or opportunities for development. In the meantime, some barriers and facilitators can affect adaption to retirement. Therefore, preparation for retirement is an important issue in the field of gerontology services. Elderly care providers and health professionals can benefit from the finding of this study in their interventions to promote the psychosocial well-being of retirees and their families.‎

The Importance of Religiosity to the Well-Being of African American Older Adults Living With Dementia

2018 ◽  
Vol 39 (5) ◽  
pp. 509-518 ◽  
Author(s):  
Fayron Epps ◽  
Ishan C. Williams
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Family Caregivers ◽  
Family Involvement ◽  
Health Care Providers ◽  
Well Being ◽  
Religious Practices ◽  
Care Providers ◽  
Religious Activities ◽  
Structured Interviews

This study was a post hoc analysis of a larger qualitative descriptive study exploring family involvement in health promotion activities for African Americans living with dementia where participants identified religious practices as meaningful health promotion activities. The purpose of this study was to explore ways in which religiosity may influence the well-being of older adults living with dementia. Semi-structured interviews were conducted among a sample of 22 family caregivers and 15 older adults living with dementia ( N = 37). Three themes emerged: Engagement, Promotion of Faith and Spiritual Connectedness, and Maintenance of Religious Practices. It is imperative for family caregivers to understand the important contributions of religious activities and beliefs to the well-being of their family member. This information might be of use for faith communities, policy makers, and health care providers in the provision of optimal person-centered care and the promotion of quality of life for persons living with dementia.

scholarly journals Barriers and facilitators in implementing a pilot, pragmatic, telemedicine-delivered healthy lifestyle program for obesity management in a rural, academic obesity clinic

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
John A. Batsis ◽  
Auden C. McClure ◽  
Aaron B. Weintraub ◽  
Diane Sette ◽  
Sivan Rotenberg ◽  
...  
Keyword(s):  
Weight Loss ◽  
Healthy Lifestyle ◽  
Video Conferencing ◽  
Tertiary Care ◽  
Physical Space ◽  
Individual Characteristics ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Intervention Delivery ◽  
Link Type

Abstract Purpose Few evidence-based strategies are specifically tailored for disparity populations such as rural adults. Two-way video-conferencing using telemedicine can potentially surmount geographic barriers that impede participation in high-intensity treatment programs offering frequent visits to clinic facilities. We aimed to understand barriers and facilitators of implementing a telemedicine-delivered tertiary-care, rural academic weight-loss program for the management of obesity. Methods A single-arm study of a 16-week, weight-loss pilot evaluated barriers and facilitators to program participation and exploratory measures of program adoption and staff confidence in implementation and intervention delivery. A program was delivered using video-conferencing within an existing clinical infrastructure. Elements of Consolidated Framework for Implementation Research (CFIR) provided a basis for assessing intervention characteristics, inner and outer settings, and individual characteristics using surveys and semi-structured interviews. We evaluated elements of the RE-AIM model (reach, adoption) to assess staff barriers to success for future scalability. Findings There were 27 patients and 8 staff completing measures. Using CFIR, the intervention was valuable from a patient participant standpoint; staff equally had positive feelings about using telemedicine as useful for patient care. The RE-AIM framework demonstrated limited reach but willingness to adopt was above average. A significant barrier limiting sustainability was physical space for intervention delivery and privacy and dedicated resources for staff. Scheduling stressors were also a challenge in its implementation. Conclusions The need to engage staff, enhance organizational culture, and increase reach are major factors for rural health obesity clinics to enhance sustainability of using telemedicine for the management of obesity. Trial registration Clinicaltrials.gov NCT03309787. Registered on 16 October 2017.

scholarly journals Malaria Intermittent Preventive Treatment in Nigeria: A Qualitative study to explore barriers and facilitators

2020 ◽  
Author(s):  
Fatima Muhammad Mahmud ◽  
Saharnaz Nedjat ◽  
Haniye Sadat Sajadi ◽  
Mahbubeh Parseian ◽  
Reza Majdzadeh
Keyword(s):  
Qualitative Study ◽  
Service Delivery ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Intermittent Preventive Treatment ◽  
Sampling Strategy ◽  
Preventive Treatment ◽  
Barriers And Facilitators ◽  
Care Providers ◽  
The Sustainable Development

Abstract Background : Sulphadoxine pyrimethamine (SP) used as a preventive treatment for malaria is low among pregnant women in Nigeria. However, there is limited evidence on the barriers and facilitators of intermittent preventive treatment (IPTp) use in pregnant women. This study aimed to explore the barriers and facilitators of IPTp use among pregnant women in Kano state, Nigeria.Methods: This qualitative study used a conventional content analysis method. Purposive sampling strategy was used to select study participants. A total of 14 key informant interviews were conducted with policy makers, malaria experts and health care providers. Three focus group discussions (FGD) were also conducted among pregnant women. Furthermore, separate three FGDs were conducted among husbands whom were selected using opportunistic maximum variation sampling method. MaxqDA 10 software was used for data analysis, i.e., to develop categories, subcategories and themes.Results: Malaria policy implementation, antenatal care attendance, accessibility of intermittent preventive treatment in the communities, strengthening IPTp service delivery were the facilitators of IPTp use while political reluctance, high population density, inadequate budget to implement IPTp related policies emerged as barriers to IPTp use.Conclusion: The political will to allocate sufficient budget could help improve service delivery and IPTp use among pregnant women and facilitate the achievement of the Sustainable Development Agenda to end malaria in 2030.

scholarly journals Malaria Intermittent Preventive Treatment in Nigeria: A Qualitative study to explore barriers and facilitators

2020 ◽  
Author(s):  
Fatima Muhammad Mahmud ◽  
Saharnaz Nedjat ◽  
Haniye Sadat Sajadi ◽  
Mahbubeh Parseian ◽  
Reza Majdzadeh
Keyword(s):  
Qualitative Study ◽  
Service Delivery ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Intermittent Preventive Treatment ◽  
Sampling Strategy ◽  
Preventive Treatment ◽  
Barriers And Facilitators ◽  
Care Providers ◽  
The Sustainable Development

Abstract Background : Sulphadoxine pyrimethamine (SP) used as a preventive treatment for malaria is low among pregnant women in Nigeria. However, there is limited evidence on the barriers and facilitators of intermittent preventive treatment (IPTp) use in pregnant women. This study aimed to explore the barriers and facilitators of IPTp use among pregnant women in Kano state, Nigeria. Methods: This qualitative study used a conventional content analysis method. Purposive sampling strategy was used to select study participants. A total of 14 key informant interviews were conducted with policy makers, malaria experts and health care providers. Three focus group discussions (FGD) were also conducted among pregnant women. Furthermore, separate three FGDs were conducted among husbands whom were selected using opportunistic maximum variation sampling method. MaxqDA 10 software was used for data analysis, i.e., to develop categories, subcategories and themes. Results: Malaria policy implementation, antenatal care attendance, accessibility of intermittent preventive treatment in the communities, strengthening IPTp service delivery were the facilitators of IPTp use while political reluctance, high population density, inadequate budget to implement IPTp related policies emerged as barriers to IPTp use. Conclusion: The political will to allocate sufficient budget could help improve service delivery and IPTp use among pregnant women and facilitate the achievement of the Sustainable Development Agenda to end malaria in 2030. Key words: Malaria , Intermittent preventive treatment, Equity, Pregnant women, Nigeria.

Improving infectious TB education for foreign-born patients and family members

2021 ◽  
pp. 001789692110615
Author(s):  
Nancy Bedingfield ◽  
Bonnie Lashewicz ◽  
Dina Fisher ◽  
Kathryn King-Shier
Keyword(s):  
Family Member ◽  
Health Care Providers ◽  
Family Members ◽  
Large City ◽  
Well Being ◽  
Care Providers ◽  
Foreign Born ◽  
Structured Interviews ◽  
Negative Impacts ◽  
Many Sources

Objective: In low tuberculosis (TB) incidence countries, linguistic and cultural dissonance between families experiencing infectious TB and TB health care providers is a barrier to effective communication and successful treatment. The purpose of this research was to explore infectious TB education and counselling from the perspective of patients and family members who are foreign-born. Design/Setting: One component of a multiphase, qualitative case study conducted in Calgary, a large city in western Canada. Method: Data were collected through semi-structured interviews, chart review and field notes and analysed thematically. Eight families were represented in the 6 patient and 13 family member participants who had recently experienced infectious TB. Results: Three themes were generated from the data: ‘learning about TB from many sources’, ‘reassurance and connection’ and ‘missing information’. Participants described learning about TB in different ways, feeling reassured once they knew more and sharing information with others. Overall, participants expressed satisfaction with education and counselling received. However, there were indications that communication problems had occurred. Participants asked questions during the interview, described areas of lingering confusion and shared TB-related behaviours incongruent with medical understanding. Knowledge gaps often increased isolation. Conclusion: Gaps in infectious TB education and counselling have negative impacts on patient and family member well-being. Education and counselling can be improved using multiple modes of communication, proactively addressing common misperceptions and reducing barriers to patient participation. Improvements could empower families to better manage their own experience and share accurate TB information with their communities.

scholarly journals Factors that influence enrollment in syringe services programs in rural areas: a qualitative study among program clients in Appalachian Kentucky

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Umedjon Ibragimov ◽  
Katherine E. Cooper ◽  
Evan Batty ◽  
April M. Ballard ◽  
Monica Fadanelli ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Rural Areas ◽  
Healthcare Providers ◽  
Individual Characteristics ◽  
Barriers And Facilitators ◽  
Risk Environment ◽  
Structured Interviews ◽  
Meso Level ◽  
Appalachian Kentucky ◽  
Low Threshold

Abstract Background Enrolling sufficient number of people who inject drugs (PWID) into syringe services programs (SSP) is important to curtail outbreaks of drug-related harms. Still, little is known about barriers and facilitators to SSP enrollment in rural areas with no history of such programs. This study’s purpose was to develop a grounded theory of the role of the risk environment and individual characteristics of PWID in shaping SSP enrollment in rural Kentucky. Methods We conducted one-on-one semi-structured interviews with 41 clients of 5 SSPs that were established in rural counties in Appalachian Kentucky in 2017–2018. Interviews covered PWID needs, the process of becoming aware of SSPs, and barriers and facilitators to SSP enrollment. Applying constructivist grounded theory methods and guided by the Intersectional Risk Environment Framework (IREF), we applied open, axial and selective coding to develop the grounded theory. Results Stigma, a feature of IREF’s meso-level social domain, is the main factor hampering SSP enrollment. PWID hesitated to visit SSPs because of internalized stigma and because of anticipated stigma from police, friends, family and healthcare providers. Fear of stigma was often mitigated or amplified by a constellation of meso-level environmental factors related to healthcare (e.g., SSPs) and social (PWID networks) domains and by PWID’s individual characteristics. SSPs mitigated stigma as a barrier to enrollment by providing low threshold services in a friendly atmosphere, and by offering their clients program IDs to protect them from paraphernalia charges. SSP clients spread positive information about the program within PWID networks and helped their hesitant peers to enroll by accompanying them to SSPs. Individual characteristics, including child custody, employment or high social status, made certain PWID more susceptible to drug-related stigma and hence more likely to delay SSP enrollment. Conclusions Features of the social and healthcare environments operating at the meso-level, as well as PWID’s individual characteristics, appear to enhance or mitigate the effect of stigma as a barrier to SSP enrollment. SSPs opening in locations with high stigma against PWID need to ensure low threshold and friendly services, protect their clients from police and mobilize PWID networks to promote enrollment.

scholarly journals Exploring barriers and facilitators of physical distancing in the context of the COVID-19 pandemic: a qualitative interview study

2021 ◽  
Vol 4 ◽  
pp. 50
Author(s):  
Karen Farrell ◽  
Hannah Durand ◽  
Jenny McSharry ◽  
Oonagh Meade ◽  
Eanna Kenny ◽  
...  
Keyword(s):  
Close Relationships ◽  
Personal Responsibility ◽  
Life Stage ◽  
Sampling Strategy ◽  
Well Being ◽  
Barriers And Facilitators ◽  
Health Campaigns ◽  
Qualitative Interview Study ◽  
The Republic ◽  
Public Health Campaigns

Background: Physical distancing measures (e.g., keeping a distance of two metres from others, avoiding crowded areas, and reducing the number of close physical contacts) continue to be among the most important preventative measures used to reduce the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that causes coronavirus disease 2019 (COVID-19). Therefore, it is important to understand barriers and facilitators of physical distancing to help inform future public health campaigns. Methods: The current study aimed to qualitatively explore barriers and facilitators of physical distancing in the context of the COVID-19 pandemic using a qualitative interpretative design. Semi-structured one-to-one phone interviews were conducted with 25 participants aged 18+ years and living in the Republic of Ireland between September and October 2020. A purposive sampling strategy was used to maximise diversity in terms of age, gender, and socioeconomic status. Interviews were analysed using inductive thematic analysis. Results: Analysis resulted in the development of six main themes related to barriers and facilitators of physical distancing: (1) Maintaining and negotiating close relationships; (2) Public environments support or discourage physical distancing; (3) Habituation to threat; (4) Taking risks to protect well-being; (5) Personal responsibility to control the “controllables”; and (6) Confusion and uncertainty around government guidelines. Conclusions: Physical distancing measures were judged to be more or less difficult based on a number of internal and external psychosocial factors. Barriers to distancing included difficulties maintaining and negotiating close relationships, habituation to COVID-19-related threat, risk compensation, and confusion and uncertainty around government guidelines. Having a sense of personal responsibility to prevent COVID-19 transmission through distancing was an important facilitator. The structure of public environments was viewed as both barrier and facilitator. Barriers and facilitators may vary depending on context and life stage, which should be considered in the design of interventions to target physical distancing behaviour.

scholarly journals Stakeholder Perspectives on the Biopsychosocial and Spiritual Realities of Living With ALS: Implications for Palliative Care Teams

2019 ◽  
Vol 36 (10) ◽  
pp. 851-857 ◽  
Author(s):  
Klaudia Kukulka ◽  
Karla T. Washington ◽  
Raghav Govindarajan ◽  
David R. Mehr
Keyword(s):  
Palliative Care ◽  
Family Caregivers ◽  
Health Care Providers ◽  
Quantitative Data ◽  
Well Being ◽  
Social Needs ◽  
Care Providers ◽  
Structured Interviews ◽  
Palliative Care Teams ◽  
The Impact

Context: Amyotrophic lateral sclerosis (ALS) is an all-encompassing, life-limiting disease, resulting in the eventual paralysis of all voluntary muscles and concurrent loss of independence. As the disease advances, both patients and their family caregivers develop complex biological, psychological, and social needs, leading to increasing calls for the involvement of palliative care teams in the management of ALS. Objective: The purpose of this study was to generate a rich description of the realities of living with ALS, equipping palliative care teams with an in-depth understanding of the experiences and needs of patients with ALS and their family caregivers. Methods: This study employed a mixed-methods design, with quantitative data supplementing a larger body of qualitative data. Semi-structured interviews with 42 key stakeholders, including patients, family caregivers, and health-care providers, were analyzed for themes essential for effective understanding of ALS. Results: Identified themes were organized into 2 broad categories: (1) biopsychosocial needs of patients with ALS and family caregivers and (2) the impact of ALS on spiritual and emotional well-being. Quantitative data supported the recognized themes, particularly with regard to challenges associated with preserving independence, securing sufficient social support, and managing the emotional complexities of the disease. Conclusion: Study findings illustrate the intricacies of living with ALS and the importance of eliciting individualized values when caring for patients with ALS and their families. The complex biopsychosocial needs experienced by patients and family caregivers suggest numerous opportunities for meaningful palliative care involvement.

scholarly journals Barriers to and facilitators of endorsement for scheduled medicines in podiatry: a qualitative descriptive study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Kristin Graham ◽  
Helen A. Banwell ◽  
Ryan S. Causby ◽  
Saravana Kumar ◽  
Esther Jie Tian ◽  
...  
Keyword(s):  
Role Models ◽  
Financial Incentive ◽  
Sampling Strategy ◽  
Barriers And Facilitators ◽  
Training Process ◽  
Structured Interviews ◽  
Training Requirements ◽  
Qualitative Descriptive ◽  
Extrinsic Motivators ◽  
Training Opportunities

Abstract Background Australian podiatrists and podiatric surgeons who have successfully completed the requirements for endorsement for scheduled medicines, as directed by the Podiatry Board of Australia, are eligible to prescribe a limited amount of schedule 2, 3, 4 or 8 medications. Registration to become endorsed for scheduled medicines has been available to podiatrists for over 10 years, yet the uptake of training has remained low (approximately 2% of registered podiatrists/podiatry surgeons). This study aimed to explore barriers to and facilitators of engagement with endorsement for scheduled medicines by podiatrists. Methods Qualitative descriptive methodology informed this research. A purposive maximum variation sampling strategy was used to recruit 13 registered podiatrists and a podiatric surgeon who were either endorsed for scheduled medicines, in training or not endorsed. Semi-structured interviews were employed to collate the data which were analysed using thematic analysis. Results Three overarching super-ordinate themes were identified which encompassed both barriers and facilitators: (1) competence and autonomy, (2) social and workplace influences, and (3) extrinsic motivators. Within these, several prominent sub-themes emerged of importance to the participants including workplace and social networks role in modelling behaviours, identifying mentors, and access to supervised training opportunities. Stage of life and career often influenced engagement. Additionally, a lack of financial incentive, cost and time involved in training, and lack of knowledge of training requirements were influential barriers. Rural podiatrists encountered a considerable number of barriers in most of the identified areas. Conclusion A multitude of barriers and facilitators exist for podiatrists as part of the endorsement for scheduled medicines. The findings suggest that a lack of engagement with endorsement for scheduled medicines training may be assisted by a more structured training process and increasing the number of podiatrists who are endorsed to increase the numbers of role models, mentors, and supervision opportunities. Recommendations are provided for approaches as means of achieving, and sustaining, these outcomes.

scholarly journals What Treatment Outcomes Matter Most? A Q-study of Outcome Priority Profiles Among Youth with Lived Experience of Depression

2020 ◽  
Author(s):  
K. R. Krause ◽  
J. Edbrooke-Childs ◽  
H. A. Bear ◽  
A. Calderón ◽  
M. Wolpert
Keyword(s):  
Lived Experience ◽  
Q Methodology ◽  
Service Use ◽  
Care Delivery ◽  
Principal Component ◽  
Well Being ◽  
Limited Attention ◽  
Care Providers ◽  
Structured Interviews ◽  
Treatment Of Depression

AbstractObjectiveOver the past years, interest in youth perspectives on what constitutes an important outcome in the treatment of depression has been growing, but limited attention has been given to heterogeneity in outcome priorities and minority viewpoints. These are important to consider for person-centered outcome tracking in clinical practice, or when conducting clinical trials targeting specific populations. This study used Q-methodology to identify outcome priority profiles among youth with lived experience of service use for depression.MethodA purposive sample of 28 youth (aged 16–21 years) rank-ordered 35 outcomes by importance and completed brief semi-structured interviews eliciting their sorting rationales. By-person principal component analysis was used to identify outcome priority profiles based on all Q-sort configurations. Priority profiles were described and interpreted with reference to the qualitative interview data.ResultsFour distinct outcome priority profiles were identified: “symptom reduction and enhanced well-being”; “improved coping and self-management”; “better understanding past and present”; and “less interference with daily life”. All four profiles prioritized outcomes related to improved mood and affect over other outcome concepts. Beyond these core outcomes, profiles differed in the level of importance assigned to learning practical coping skills, processing experiences, finding safe ways to articulate emotions, and reduced interference of depression with life and identity.ConclusionAs part of a person-centered approach to care delivery, care providers should routinely engage young people in conversation and shared decision-making about the types of change they would like to prioritize and track during treatment, beyond a common core of consensus outcomes.

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