A pilot integrated clinic using a biopsychosocial model to treat incontinence and prolapse

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

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The Interactive Systemic Approach: An Expansion of The Biopsychosocial Model

10.2986/tren.088-0039 ◽

2002 ◽

Author(s):

Steven L. ATER

Keyword(s):

Biopsychosocial Model ◽

Systemic Approach

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Faculty Opinions recommendation of Predicting relapse in Crohn's disease: a biopsychosocial model.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1127850.584940 ◽

2008 ◽

Author(s):

Ingvar Bjarnason

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Biopsychosocial Model

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Physical Activity Behavior from a Transdisciplinary Biopsychosocial Perspective: a Scoping Review

Sports Medicine - Open ◽

10.1186/s40798-020-00279-2 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Jannika M. John ◽

Vanessa Haug ◽

Ansgar Thiel

Keyword(s):

Physical Activity ◽

Scoping Review ◽

Social Factors ◽

Biopsychosocial Model ◽

Scientific Work ◽

Physical Activity Behavior ◽

Biopsychosocial Approach ◽

Scoping Reviews ◽

Activity Behavior ◽

Biopsychosocial Perspective

Abstract Background Physical activity behavior is a complex and multidimensional phenomenon. For its analysis, transdisciplinary biopsychosocial approaches yield great potential. In health research, the biopsychosocial model has experienced a renaissance. Researchers have tried to grasp the complex interplay of biological, psychological, and social factors. With this scoping review, we aimed to examine how the ‘biopsychosocial’ has been conceptualized in scientific work related to physical activity behavior. Methods The scoping review was informed by the PRISMA guidelines for scoping reviews (PRISMA-ScR). A systematic literature search was conducted in Web of Science, SportDiscus, PsycArticles, PsycInfo, and PubMed. Only articles published in peer-reviewed journals that contained all three components of a biopsychosocial approach (e.g., bio/physio/genetic, psycho/mental, and socio/cultural/environmental) were included. We only included articles in our narrative synthesis that integrated physical activity behavior into a biopsychosocial model, or investigated or described physical activity behavior on the basis of such a model. Results Thirteen studies met the inclusion criteria; eight articles pursued a biopsychosocial approach in the tradition of Engel, five employed a socio-ecological approach. The models in the analyzed articles referred to either correlates of physical activity behavior, or the influence of physical activity on health or aging. Only a minority of the articles, however, referred to interactions between biological, psychological, and social factors. Conclusions The included articles were quite heterogeneous in their approach to physical activity from a biopsychosocial perspective. The included articles illustrate that the adoption of a biopsychosocial perspective may assist to capture and understand the complex phenomenon of physical activity behavior and might inform future transdisciplinary physical activity research.

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Risk factors for excessive gestational weight gain in a UK population: a biopsychosocial model approach

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03519-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

S. M. Garay ◽

L. A. Sumption ◽

R. M. Pearson ◽

R. M. John

Keyword(s):

Risk Factors ◽

Weight Gain ◽

Gestational Weight Gain ◽

Biopsychosocial Model ◽

Elective Caesarean Section ◽

Depression Symptoms ◽

Institute Of Medicine ◽

Contributing Factors ◽

Gestational Weight ◽

The Uk

Abstract Background Gestational weight gain (GWG) can have implications for the health of both mother and child. However, the contributing factors remain unclear. Despite the advantages of using a biopsychosocial approach, this approach has not been applied to study GWG in the UK. This study aimed to investigate the risk factors of excessive GWG in a UK population, employing a biopsychosocial model. Methods This study utilised data from the longitudinal Grown in Wales (GiW) cohort, which recruited women in late pregnancy in South Wales. Specifically, data was collected from midwife recorded notes and an extensive questionnaire completed prior to an elective caesarean section (ELCS) delivery. GWG was categorised according to Institute of Medicine (IOM) guidelines. The analysis was undertaken for 275 participants. Results In this population 56.0% of women had excessive GWG. Increased prenatal depression symptoms (Exp(B)=1.10, p=.019) and an overweight (Exp(B)=4.16, p<.001) or obese (Exp(B)=4.20, p=.010) pre-pregnancy BMI, consuming alcohol in pregnancy (Exp(B)=.37, p=.005) and an income of less than £18,000 (Exp(B)=.24, p=.043) and £25–43,000 (Exp(B)=.25, p=.002) were associated with excessive GWG. Conclusion GWG is complex and influenced by a range of biopsychosocial factors, with the high prevalence of excessive weight gain in this population a cause for concern. Women in the UK may benefit from a revised approach toward GWG within the National Health Service (NHS), such as tracking weight gain throughout pregnancy. Additionally, this research provides evidence for potential targets for future interventions, and potentially at-risk populations to target, to improve GWG outcomes.

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