scholarly journals Using Trauma Informed Principles in Health Communication: Improving Faith/Science/Clinical Collaboration to Address Addiction

2021 ◽  
Vol 12 ◽  
Author(s):  
Andrea D. Clements ◽  
Natalie A. Cyphers ◽  
Deborah L. Whittaker ◽  
Bridget Hamilton ◽  
Brett McCarty
Keyword(s):  
Health Communication ◽  
Health Information ◽  
Information Dissemination ◽  
Health Resources ◽  
Religious Faith ◽  
Faith Communities ◽  
Dissemination And Implementation ◽  
Religious Groups ◽  
Trauma Informed ◽  
Trauma Informed Practice

Problematic substance use is a pressing global health problem, and dissemination and implementation of accurate health information regarding prevention, treatment, and recovery are vital. In many nations, especially the US, many people are involved in religious groups or faith communities, and this offers a potential route to positively affect health through health information dissemination in communities that may have limited health resources. Health information related to addiction will be used as the backdrop issue for this discussion, but many health arenas could be substituted. This article evaluates the utility of commonly used health communication theories for communicating health information about addiction in religious settings and identifies their shortcomings. A lack of trusting, equally contributing, bidirectional collaboration among representatives of the clinical/scientific community and religious/faith communities in the development and dissemination of health information is identified as a potential impediment to effectiveness. The Substance Abuse and Mental Health Services Administration’s (SAMHSA) tenets of trauma-informed practice, although developed for one-on-one use with those who have experienced trauma or adversity, are presented as a much more broadly applicable framework to improve communication between groups such as organizations or communities. As an example, we focus on health communication within, with, and through religious groups and particularly within churches.

The “Be All and End All”? Young People, Online Sexual Health Information, Science and Skepticism

2021 ◽  
pp. 104973232110035
Author(s):  
Adrian Farrugia ◽  
Andrea Waling ◽  
Kiran Pienaar ◽  
Suzanne Fraser
Keyword(s):  
Young People ◽  
Sexual Health ◽  
Health Information ◽  
Information Science ◽  
Medical Information ◽  
Health Resources ◽  
Sexual Practices ◽  
Sexual Health Information ◽  
Science Society ◽  
Online Sources

In this article, we investigate young people’s trust in online sexual health resources. Analyzing interviews with 37 young people in Australia using Irwin and Michael’s account of science–society relations and Warner’s conceptualization of “publics,” we explore the processes by which they assess the credibility of online sexual health information. We suggest that when seeking medical information, young people opt for traditionally authoritative online sources that purport to offer “facts.” By contrast, when seeking information about relationships or sexual practices, participants indicated a preference for websites presenting “experiences” rather than or as well as “facts.” Regardless of content, however, our participants approached online sexual health information skeptically and used various techniques to appraise its quality and trustworthiness. We argue that these young people are productively understood as a skeptical public of sexual health. We conclude by exploring the implications of our analysis for the provision of online sexual health information.

scholarly journals Incidence and prevalence of systemic lupus erythematosus among Korean women in childbearing years: A nationwide population-based study

Lupus ◽  
2021 ◽  
pp. 096120332098484
Author(s):  
Min Kyung Chung ◽  
Jin Su Park ◽  
Hyunsun Lim ◽  
Chan Hee Lee ◽  
Jisoo Lee
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Health Information ◽  
National Health ◽  
Lupus Erythematosus ◽  
Health Resources ◽  
Population Group ◽  
Korean Women ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Systemic Lupus

Background Most women with systemic lupus erythematosus (SLE) are diagnosed with the disease in their reproductive years, but the incidence and prevalence of SLE among women of childbearing age have not been studied. The objective of this study was to estimate the incidence and prevalence of SLE among the Korean women of childbearing age. Methods Women aged 20 to 44 years with SLE were identified from National Health Insurance Service – National Health Information Database (2009-2016), which contain health information of approximately 97% of the Korean population. SLE was defined by International Classification of Diseases, 10th revision code, M32. Incidence and prevalence were calculated per 100,000 person-years and stratified by year and age. Results A total of 12,756 women with SLE were identified. The incidence of SLE from 2011 to 2016 among women in childbearing years was 8.18/100,000 person-years (95% CI 7.94–8.43), with the highest incidence in 2016 (8.56/100,000 person-years, 95% CI 7.95–9.17) and the lowest incidence in 2012 (7.85/100,000 person-years, 95% CI 7.28–8.42). The prevalence of SLE from 2009 to 2016 among women in childbearing years was 77.07/100,000 person-years (95% CI 75.76–78.39), with the highest prevalence in 2014 (79.47/100,000 person-years, 95% CI 77.64–81.30) and the lowest in 2010 (74.19/100,000 person-years, 95% CI 72.45–75.93). The peak age for SLE incidence was between 25–39 years, and lower incidence was seen in the early (20–24 years) and late (40–44 years) childbearing age periods. There was an increasing trend in prevalence according to age in women of childbearing age, with the highest prevalence occurring in the 40–44 age group. Conclusions The risk and burden of SLE are high among women during their childbearing years. This calls for special attention to this particular population group when allocating health resources.

Safety, Collaboration, and Empowerment

Archivaria ◽  
2021 ◽  
pp. 38-73
Author(s):  
Kirsten Wright ◽  
Nicola Laurent
Keyword(s):  
Practice Theory ◽  
Comprehensive Review ◽  
Archival Practice ◽  
Memory Work ◽  
Radical Empathy ◽  
The People ◽  
Individual Memory ◽  
Trauma Informed ◽  
Trauma Informed Practice ◽  
Past Wrongs

In order to undertake liberatory memory work, engage effectively with communities and individuals, and centre people rather than records in their work, archival organizations must be aware of trauma and its effects. This article introduces the concept of trauma-informed practice to archives and other memory organizations. Trauma-informed practice is a strengths-based approach for organizations that acknowledges the pervasiveness of trauma and the risk and potential for people to be retraumatized through engagement with organizations such as archives and seeks to minimize triggers and negative interactions. It provides a framework of safety and offers a model of collaboration and empowerment that recognizes and centres the expertise of the individuals and communities documented within the records held in archives. Traumainformed practice also provides a way for archivists to practically implement many of the ideas discussed in the literature, including liberatory memory work, radical empathy, and participatory co-design. This article proposes several areas where a trauma-informed approach may be useful in archives and may lead to trauma-informed archival practice that provides better outcomes for all: users, staff, and memory organizations in general. Applying trauma-informed archival practice is multidimensional. It requires the comprehensive review of archival practice, theory, and processes and the consideration of the specific needs of individual memory organizations and the people who interact with them. Each organization should implement trauma-informed practice in the way that will achieve outcomes appropriate for its own context. These out comes can include recognizing and acknowledging past wrongs, ensuring safety for archives users and staff, empowering communities documented in archives, and using archives for justice and healing.

Framing in Health Communication: Identifying the Factors That Influence the Re-posting of Social Media Messages during COVID-19 Outbreaks in China (Preprint)

2021 ◽  
Author(s):  
Jingzhong Xie ◽  
Jun Lai ◽  
Dongying Zhang
Keyword(s):  
Social Media ◽  
Health Communication ◽  
Health Information ◽  
Information Needs ◽  
Information Sources ◽  
Negative Binomial ◽  
Public Awareness ◽  
Public Health Agencies ◽  
Media Messages ◽  
Action Frame

BACKGROUND Social media has become an important tool to implement risk communication in COVID-19 pandemic, and made health information can gain more exposure by re-posting. OBJECTIVE This paper attempts to identify the factors associated with re-posting of social media messages about health information METHODS Content analysis was applied to scrutinize 4396 Weibo posts that were posted by national and provincial public health agencies Weibo accounts and identified features of information sources and information features, and adopted Zero-Inflated Negative Binomial (ZINB) model to analyze the association between these features and the frequency of message being re-posted. RESULTS Results showed that the followers and the governmental level of information sources are correlated with increased message reposting. The information features, such as hashtags#, picture, video, emotional(!), and the usage of severity, reassurance, efficacy and action frame were associated with increased message reposting behaviors, while hyperlink and usage of uncertainty frame correlated with reduced message reposting behaviors. CONCLUSIONS The features of health information sources, structures , style and content should be paid close attention by health organizations and medical professionals to satisfy the public’s information needs and preferences, promote the public's health engagement. Suitable information systems designing, and health communication strategies making during different stages of the pandemic may improve public awareness of the COVID-19, alleviate negative emotions, promote preventive measures to curb the spread of the virus.

scholarly journals The Limits of Resilience and the Need for Resistance: Articulating the Role of Music Therapy With Young People Within a Shifting Trauma Paradigm

2021 ◽  
Vol 12 ◽  
Author(s):  
Elly Scrine
Keyword(s):  
Young People ◽  
Music Therapy ◽  
Perceived Risk ◽  
Power Relations ◽  
Social Emotional ◽  
Life Threatening ◽  
Trauma Informed ◽  
Trauma Informed Practice ◽  
A Site

A broad sociocultural perspective defines trauma as the result of an event, a series of events, or a set of circumstances that is experienced as physically or emotionally harmful or life threatening, with lasting impacts on an individual’s physical, social, emotional, or spiritual wellbeing. Contexts and practices that aim to be “trauma-informed” strive to attend to the complex impacts of trauma, integrating knowledge into policies and practices, and providing a sanctuary from harm. However, there is a body of critical and decolonial scholarship that challenges the ways in which “trauma-informed” practice prioritizes individualized interventions, reinscribes colonial power relations through its conceptualizations of safety, and obscures the role of systemic injustices. Within music therapy trauma scholarship, research has thus far pointed to the affordances of music in ameliorating symptoms of trauma, bypassing unavailable cognitive processes, and working from a strengths-based orientation. In critiquing the tendency of the dominant trauma paradigm to assign vulnerability and reinforce the individual’s responsibility to develop resilience through adversity, this conceptual analysis outlines potential alternatives within music therapy. Drawing on a case example from a research project with young people in school, I elucidate the ways in which music therapy can respond to power relations as they occur within and beyond “trauma-informed” spaces. I highlight two overarching potentials for music therapy within a shifting trauma paradigm: (1) as a site in which to reframe perceived risk by fostering young people’s resistance and building their political agency and (2) in challenging the assumption of “safe spaces” and instead moving toward practices of “structuring safety.”

scholarly journals Forecasting the Suitability of Online Mental Health Information for Effective Self-Care Developing Machine Learning Classifiers Using Natural Language Features

2021 ◽  
Vol 18 (19) ◽  
pp. 10048
Author(s):  
Meng Ji ◽  
Wenxiu Xie ◽  
Riliu Huang ◽  
Xiaobo Qian
Keyword(s):  
Mental Health ◽  
Machine Learning ◽  
Health Information ◽  
Self Care ◽  
Health Resources ◽  
Health Issues ◽  
Mental Health Information ◽  
Learning Classifier ◽  
Mental Health Issues ◽  
Bayesian Machine Learning

Background: Online mental health information represents important resources for people living with mental health issues. Suitability of mental health information for effective self-care remains understudied, despite the increasing needs for more actionable mental health resources, especially among young people. Objective: We aimed to develop Bayesian machine learning classifiers as data-based decision aids for the assessment of the actionability of credible mental health information for people with mental health issues and diseases. Methods: We collected and classified creditable online health information on mental health issues into generic mental health (GEN) information and patient-specific (PAS) mental health information. GEN and PAS were both patient-oriented health resources developed by health authorities of mental health and public health promotion. GENs were non-classified online health information without indication of targeted readerships; PASs were developed purposefully for specific populations (young, elderly people, pregnant women, and men) as indicated by their website labels. To ensure the generalisability of our model, we chose to develop a sparse Bayesian machine learning classifier using Relevance Vector Machine (RVM). Results: Using optimisation and normalisation techniques, we developed a best-performing classifier through joint optimisation of natural language features and min-max normalisation of feature frequencies. The AUC (0.957), sensitivity (0.900), and specificity (0.953) of the best model were statistically higher (p < 0.05) than other models using parallel optimisation of structural and semantic features with or without feature normalisation. We subsequently evaluated the diagnostic utility of our model in the clinic by comparing its positive (LR+) and negative likelihood ratios (LR−) and 95% confidence intervals (95% C.I.) as we adjusted the probability thresholds with the range of 0.1 and 0.9. We found that the best pair of LR+ (18.031, 95% C.I.: 10.992, 29.577) and LR− (0.100, 95% C.I.: 0.068, 0.148) was found when the probability threshold was set to 0.45 associated with a sensitivity of 0.905 (95%: 0.867, 0.942) and specificity of 0.950 (95% C.I.: 0.925, 0.975). These statistical properties of our model suggested its applicability in the clinic. Conclusion: Our study found that PAS had significant advantage over GEN mental health information regarding information actionability, engagement, and suitability for specific populations with distinct mental health issues. GEN is more suitable for general mental health information acquisition, whereas PAS can effectively engage patients and provide more effective and needed self-care support. The Bayesian machine learning classifier developed provided automatic tools to support decision making in the clinic to identify more actionable resources, effective to support self-care among different populations.

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