scholarly journals Understanding the Wellbeing Effects of a Community Music Program for People With Disabilities: A Mixed Methods, Person-Centered Study

2020 ◽  
Vol 11 ◽  
Author(s):  
Una M. MacGlone ◽  
Joy Vamvakaris ◽  
Graeme B. Wilson ◽  
Raymond A. R. MacDonald
Keyword(s):  
Mixed Methods ◽  
Complex Intervention ◽  
Positive Impact ◽  
People With Disabilities ◽  
Quantitative Measure ◽  
Mental Wellbeing ◽  
Community Music ◽  
Service Users ◽  
Mixed Response ◽  
Service Staff

People with disabilities face inequalities in mental wellbeing, for which social exclusion is a contributing factor. Musical activities offer a promising but complex intervention, making impacts on a population with highly varied characteristics and needs challenging to capture. This paper reports on a mixed methods, person-centered study investigating a community music intervention for such a population. Three groups of adult service users with varied disabilities (either physical, learning, or both), took part in weekly music workshops in different locations. Music staff, housing and resource center staff, as well as participants and members of their families, took part in semi-structured interviews. A quantitative measure administered by service staff was used to rate service users’ social development. Two lay researchers, both individuals with a disability contributed to all aspects of the study. Interviews were analyzed through thematic analysis. Improvements in individuals’ self-expression, confidence, mood, and social skills were consistent with previous findings. Differences in effect between centers included: Group 1, some of whom had previous experience of workshops, showed an improvement in musical skills; Group 2 showed a mixed response, some participated with enthusiasm but others chose art activities over music workshops; Group 3 had lasting positive impact, this group had very limited opportunities for music due to their rural location. Quantitative analysis showed significant increase over all groups in communication, interaction with others, and joint attention. The intervention was beneficial for participants in separate locations in similar ways, but also highlighted that context and prior experience mediated effects in distinct ways. The lay researchers enhanced the qualitative analysis by emphasizing (1) the importance of recognizing participants’ self-expression in non-verbal modes of communication and (2) the importance of having music staff with a disability to provide a positive role model. This paper proposes that mixed methods person-centered research is the most suitable approach to capture and understand the multiple and varied effects of this complex intervention for a diverse group of participants.

scholarly journals Protocol for a mixed methods process evaluation of the Smoking Treatment Optimisation in Pharmacies (STOP) trial

2020 ◽  
Author(s):  
Sandra Jumbe ◽  
Vichithranie Madurasinghe ◽  
Colin Houlihan ◽  
Samantha L Jumbe ◽  
Wai-Yee James ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Community Pharmacy ◽  
Process Evaluation ◽  
Complex Intervention ◽  
List Type ◽  
Service Users ◽  
Pharmacy Staff ◽  
Stop Smoking ◽  
Treatment Optimisation ◽  
Stop Trial

AbstractIntroductionAssessing the fidelity of complex behavioural interventions and examining the contextual reasons why such interventions succeed, or fail are important activities but challenging and rarely reported. The Smoking Treatment Optimisation in Pharmacies (STOP) trial is a cluster randomised trial evaluating the effectiveness of a complex intervention to optimise the National Health Service (NHS) Stop Smoking Service delivered in community pharmacies. This complex intervention comprises a training package for pharmacy staff involving motivational interviewing and communication skills aimed at increasing smoking cessation knowledge and proactive client engagement. We report on a process evaluation which was planned alongside the trial to offer findings that will assist in the interpretation of the main trial results and help inform potential implementation in community pharmacy settings on a wider scale.Methods and analysisQuantitative data on recruitment and retention process of pharmacies, pharmacy staff and service users has been collected during the trial along with data on dose and fidelity of the intervention delivery from participating intervention arm pharmacies to identify potential implementation issues. Simulated client data on behaviour change skills and display of intervention materials from both control and intervention pharmacies is being assessed. These data will be combined with qualitative data; including adviser-smoker consultation recordings that provide a snapshot of behaviour skills delivery by stop smoking advisers and semi-structured interviews with pharmacy staff and services users from the intervention arm.DiscussionPublished protocols for process evaluations of complex health interventions are still rare despite increasing funding for this work to facilitate understanding of trial outcomes from an implementation perspective. This mixed methods protocol will contribute to the developing literature around the conduct of process evaluation and the value they add to health services research.Trial registration numberISRCTN16351033.Strengths and limitations of this studyA planned mixed methods process evaluation that draws together data from different sources to help explain the trial results and establish the feasibility of scaling this complex intervention up in community pharmacy settings.A strength is the use of a previously tested mystery shopping method to assess fidelity of skills performance at the pharmacy counterThe process evaluation relies on willing pharmacy staff and service users involved in the trial to collect some of the data, which may introduce bias.This paper also provides a detailed example of how to use the MRC framework for process evaluation of complex interventions to design an extensive process evaluation within trial settings.

scholarly journals “It’s Changed My Life Not To Have the Continual Worry of Being Warm” – Health and Wellbeing Impacts of a Local Fuel Poverty Programme: A Mixed-Methods Evaluation

2021 ◽  
Author(s):  
Alexandra Sawyer ◽  
Nigel Sherriff ◽  
Mary Darking ◽  
Jörg W. Huber
Keyword(s):  
Mixed Methods ◽  
Physical Health ◽  
Positive Impact ◽  
Economic Consequences ◽  
Determinants Of Health ◽  
Mental Wellbeing ◽  
Physical And Mental Health ◽  
Heating Systems ◽  
Health And Wellbeing ◽  
The Impact

Abstract Background Living in a cold home and being fuel poor can contribute to adverse physical and mental health. Energy efficiency interventions are considered the simplest ways of tackling fuel poverty and preventing associated negative health, wellbeing, and socio-economic consequences. The overall aim of the current study was to provide a greater understanding of the impact of a locally administered programme, which funded the installation of major heating/insulation measures in areas of high fuel poverty, on the health and wellbeing of beneficiaries of the programme. Methods A mixed-methods approach to explore the health and wellbeing impacts of a fuel poverty programme in East Sussex that took place between October 2016 and March 2018. Beneficiaries completed the Warwick-Edinburgh Mental Wellbeing Scale before and after any heating/insulation work had been completed in their home. Beneficiaries were also asked to retrospectively rate their health pre- and post-installation. Interviews with 23 beneficiaries of the programme were conducted to explore in-depth the impact of the programme on people’s health and wellbeing and the wider social determinants of health. Results A major heating/insulation measure was installed in 149 homes. The majority of measures installed were boilers (57.7%) and new central heating systems (32.2%). Self-rated health and wellbeing were significantly higher post-installation. Interviewees described clear examples of the positive impacts on physical health and wellbeing such as fewer chest infections, reduced pain, feeling less anxious and depressed, and generally feeling happier and more relaxed. Interviews also highlighted broader areas of impact such as reduced social isolation and increased use of domestic space. Many of the beneficiaries also reported a reduction in their energy bills since their new heating systems had been installed. Conclusions The findings from the evaluation suggest that the installation of major heating or insulation measures such as new boilers have substantial benefits for the health and wellbeing of beneficiaries. The findings also suggest that the programme had a positive impact on wider determinants of health including reduction in stress and isolation that are likely to be part of the pathways between fuel poverty interventions and mental and physical health outcomes.

Exploring Social Identity Among People with Disabilities: A Mixed-Methods Approach

2012 ◽  
Author(s):  
Adena T. Rottenstein ◽  
Ryan J. Dougherty ◽  
Alexis Strouse ◽  
Lily Hashemi ◽  
Hilary Baruch
Keyword(s):  
Mixed Methods ◽  
Social Identity ◽  
People With Disabilities ◽  
Mixed Methods Approach

scholarly journals Beyond the Pandemic: COVID-19 Pandemic Changed the Face of Life

2021 ◽  
Vol 18 (11) ◽  
pp. 5645
Author(s):  
Shaden A. M. Khalifa ◽  
Mahmoud M. Swilam ◽  
Aida A. Abd El-Wahed ◽  
Ming Du ◽  
Haged H. R. El-Seedi ◽  
...  
Keyword(s):  
Human Activities ◽  
Social Life ◽  
Positive Impact ◽  
Mental Wellbeing ◽  
Negative Effects ◽  
Population Movements ◽  
Social Distancing ◽  
The Face ◽  
The Impact ◽  
Positive Impacts

The COVID-19 pandemic is a serious challenge for societies around the globe as entire populations have fallen victim to the infectious spread and have taken up social distancing. In many countries, people have had to self-isolate and to be confined to their homes for several weeks to months to prevent the spread of the virus. Social distancing measures have had both negative and positive impacts on various aspects of economies, lifestyles, education, transportation, food supply, health, social life, and mental wellbeing. On other hands, due to reduced population movements and the decline in human activities, gas emissions decreased and the ozone layer improved; this had a positive impact on Earth’s weather and environment. Overall, the COVID-19 pandemic has negative effects on human activities and positive impacts on nature. This study discusses the impact of the COVID-19 pandemic on different life aspects including the economy, social life, health, education, and the environment.

scholarly journals Effect of exergaming on wellbeing of residents in a nursing home: a single blinded intervention study

2021 ◽  
Author(s):  
Marlies Gunst ◽  
Isabelle De Meyere ◽  
Hannah Willems ◽  
Birgitte Schoenmakers
Keyword(s):  
Intervention Study ◽  
Positive Impact ◽  
Objective Assessment ◽  
Intervention Group ◽  
Social Contact ◽  
Mental Wellbeing ◽  
Vulnerable Groups ◽  
Future Research ◽  
Control Group ◽  
Average Intensity

Abstract Introduction To improve the quality of life in nursing homes, meaningful activities and social contact are indispensable. Exergames can play a role addressing these needs. Methods In a randomized single blinded controlled intervention study, we investigated the effect of playing exergames on general wellbeing, fun and on social interaction. Results Thirty-five residents participated: 18 residents took part in the intervention group and 17 in the control group. The median mental wellbeing score of the intervention group increased from 42/50 to 45. The median sleep score of the intervention increased from 23/30 to 28. The median pain score of the intervention group improved from 18/20 to 20. The median score on subjective cognition increased from 24/30 to 26 while the mean scores on the objective assessment decreased from 1.8/2 to 1.7. Coaches gave an average fun score of 8.9/10 and an average intensity of exercise score of 11.6/20. Residents and coaches appreciated the social contact. Coaches reported a high feasibility (average of 4.1/5) but a low accessibility and a high intensity of supervision. Conclusions Exergaming is a feasible and pleasant complement to the usual activities with a positive impact on wellbeing, sleep, pain, and perceived cognition. Future research should focus on vulnerable groups and aim to develop a study in an implementation design.

scholarly journals Urban nature as a response to stress of urban population

2017 ◽  
pp. 185-198
Author(s):  
Maja Vujcic ◽  
Jelena Tomicevic-Dubljevic
Keyword(s):  
Urban Population ◽  
Positive Impact ◽  
Well Being ◽  
Mental Wellbeing ◽  
Control Group ◽  
Study Group ◽  
Urban Nature ◽  
Healthy Habits ◽  
Response To Stress ◽  
And Control

In everyday life, urban residents, especially the younger population, have given up some healthy habits of spending their free time outdoors in urban forests or parks. This study was conducted in order to understand how urban nature might help in reducing psychological stress and improving mental wellbeing. The participants were volunteer students of the Faculty of Forestry in Belgrade (n=47). These students were randomly recruited in the study and control group and self-tested using DASS 21 scale. The Arboretum of the Faculty of Forestry represented a research location and a special healing environment with a high variety of species. The study group stayed at the Arboretum during the study break period, while a control group was inside the Faculty. After the intervention, a slightly greater reduction in stress scale on the total score was recorded in the study group (F1.45 = 3.781; r < .058). This study has shown that urban green areas can have a positive impact on the mental well-being and reveal their role as a great response to the stress from urban population.

Contribution of the co.LAB Framework to the Collaborative Design of Serious Games: Mixed-Methods Validation Study (Preprint)

2021 ◽  
Author(s):  
Dominique Jaccard ◽  
Laurent Suppan ◽  
Félicia Bielser
Keyword(s):  
Mixed Methods ◽  
Game Design ◽  
Serious Games ◽  
Positive Impact ◽  
Serious Game ◽  
Multidisciplinary Design ◽  
Design Teams ◽  
Design And Development ◽  
Significant Difference ◽  
The Impact

BACKGROUND Multidisciplinary collaboration is essential to the successful development of serious games, albeit difficult to achieve. The co.LAB serious game design framework was created to support collaboration within serious game multidisciplinary design teams. Its use has not yet been validated in a naturalistic context. OBJECTIVE The objective of this study was to perform a first assessment of the impact of the co.LAB framework on collaboration within multidisciplinary teams during serious game design and development. METHODS This was a mixed-methods study based on two serious game design projects in which the co.LAB framework was used. The first phase was qualitative and carried out using a general inductive approach. To this end, all members of the first serious game project team who used the co.LAB framework were invited to take part in a focus group session (N=6). Results inferred from qualitative data were then used to define a quantitative instrument (questionnaire) which was designed according to the Checklist for Reporting Results of Internet E-Surveys. Members of both project teams (N=11) were then asked to answer the questionnaire. Quantitative results were reported as median [Q1;Q3] and appropriate non-parametric tests used to assess for between group differences. Finally, results gathered through the qualitative and quantitative phases were integrated. RESULTS In both phases, the participation rate was 100%. Verbatim transcripts were classified into 4 high level themes: influence on collaborative dimensions; impact on project course, monitoring and efficiency; qualitative perceptions of the framework; and influence of team composition on the use of the framework. Accordingly, the web-based questionnaire was then developed according to Burhardt's seven dimensions of collaboration. In both projects, the co.LAB framework had a positive impact on most dimensions of collaboration during the multidisciplinary design and development of serious games. When all collaborative dimensions were aggregated, the overall impact of the framework was rated on a scale from "-42" to "+42" (very negative to very positive). The overall score was 23 [20;27], with no significant difference between groups (P=.58). Most respondents also believed that all serious game design teams should include a member possessing a significant expertise in serious game design frameworks to guide the development process. CONCLUSIONS The co.LAB framework has a positive impact on collaboration within serious game development teams. However, expert guidance seems necessary to maximize development efficiency. Whether such guidance can be provided by means of a collaborative web platform remains to be determined.

Online Mindfulness Interventions

2018 ◽  
pp. 1-27 ◽  
Author(s):  
Farah Ahmad ◽  
Jamie Jianmin Wang ◽  
Christo El Morr
Keyword(s):  
Positive Impact ◽  
Scale Up ◽  
Virtual Community ◽  
Cost Effective ◽  
Mental Wellbeing ◽  
Individual Level ◽  
Symptoms Of Depression ◽  
The Social ◽  
Mindfulness Interventions ◽  
The Individual

The current chapter systematically reviewed literature on online mindfulness interventions. Electronic databases were searched from 2005 to July 2016. The aim was to examine the nature of online mindfulness interventions, design features, and their effectiveness in improving symptoms of depression, anxiety, and stress. The review of selected studies shows that online delivery of mindfulness psycho-education and practice is an area in its infancy. There is evidence that online mindfulness interventions can have a positive impact on mental health in terms of stress, depression, and anxiety; however, large sample studies are needed in order to have conclusive results. Moreover, the extension of online mindfulness interventions beyond the individual level to include a community dimension, such as virtual community features, and a focus on the social determinants of health, needs to be explored in future. The online mindfulness intervention could be a cost-effective way to scale up the promotion of mental wellbeing.

Student Perceptions Regarding Clickers

2018 ◽  
pp. 291-315 ◽  
Author(s):  
Sheri Stover ◽  
Sharon G. Heilmann ◽  
Amelia R. Hubbard
Keyword(s):  
Mixed Methods ◽  
Student Learning ◽  
Real Time ◽  
Student Perceptions ◽  
Mixed Methods Research ◽  
Positive Impact ◽  
T Test ◽  
Polling Systems ◽  
Attrition Rates ◽  
Improve Student Learning

This mixed-methods research study shows that the incorporation of real-time polling in an introductory Anthropology course (n = 107) taught in a large lecture class at a mid-size university can have a positive impact on students' perceptions of (1) satisfaction; (2) participation; and (3) whether the instructor was able to use the polling results effectively to gauge students' understanding. Independent sample t-test and ANOVA results indicated gender, race, and extroversion level were shown to have significant impacts on participation and understanding. Students did not show a significant preference for either of the two real-time polling systems (TopHat or TurningPoint) used in this study. This study shows how the incorporation of real-time polling in large, introductory, lecture classes can have a positive impact on students and has the potential to decrease the attrition rates and to improve student learning enrolled in these classes.

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