scholarly journals Utilization of Psychotherapeutic Interventions by Pediatric Psychosocial Providers

Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 1045
Author(s):  
Cynthia Fair ◽  
Amanda Thompson ◽  
Marie Barnett ◽  
Stacy Flowers ◽  
June Burke ◽  
...  
Keyword(s):  
Online Survey ◽  
Behavioral Therapy ◽  
Family Members ◽  
Psychosocial Care ◽  
Psychosocial Interventions ◽  
The United States ◽  
Future Research ◽  
Children With Cancer ◽  
Psychotherapeutic Interventions ◽  
Evidenced Based

One of the Standards of Psychosocial Care for Children with Cancer and their Families recommends that all youth with cancer and their family members have access to psychotherapeutic interventions and support throughout the cancer trajectory. This study was created to identify the psychosocial interventions and services provided to children with cancer and their family members, to ascertain whether there are differences in interventions provided by age of the patient and stage of treatment, and to learn about barriers to psychosocial service provision. An online survey was disseminated to psychosocial providers through the listservs of national and international professional organizations. The majority of the 242 respondents were either psychologists (39.3%) or social workers (26.9%) and 79.7% worked in the United States. The intervention offered most often to pediatric patients, caregivers, and siblings, at every stage of treatment, was psychoeducation (41.7–48.8%). Evidence-based interventions, including cognitive behavioral therapy (56.6%) and mindfulness-based interventions (57.9%) were reported to be frequently used with patients. Interventions designed specifically for the pediatric oncology population were not commonly endorsed. Psychosocial providers reported quality of care would be improved by additional staff, better communication/collaboration with medical team members and increased community-based resources. Future research should focus on improving accessibility to population-specific evidenced-based interventions and translating science to practice.

Evidence-Based Psychosocial Interventions in Pediatric Psycho-Oncology

2021 ◽  
pp. 703-714
Author(s):  
Lori Wiener ◽  
Marie Barnett ◽  
Stacy Flowers ◽  
Cynthia Fair ◽  
Amanda L. Thompson
Keyword(s):  
Support Groups ◽  
Behavioral Therapy ◽  
Care Transitions ◽  
Psychosocial Care ◽  
Psychosocial Interventions ◽  
Evidence Based ◽  
Adult Care ◽  
Children With Cancer ◽  
Positive Coping ◽  
Acceptance And Commitment

Children with cancer and their families experience significant emotional distress throughout the cancer trajectory. Evidence-based psychosocial interventions can alleviate suffering and promote adaptation and positive coping strategies. This chapter reviews interventions frequently used within pediatric oncology settings, including evidence-based approaches and those with limited empirical data to date. Interventions utilized at initial diagnosis, during active treatment, throughout survivorship, and at end of life and bereavement are presented. Strategies such as psychoeducation, procedural support for children, mind-body interventions, play and expressive techniques, cognitive-behavioral therapy, acceptance and commitment therapy, adherence interventions, support groups, communication, and advanced care planning tools are described along with available efficacy information. Data is also presented to describe the interventions most commonly used by pediatric psychosocial providers when caring for children with cancer and their families. The development of evidence-based standards of psychosocial care highlight the significant progress made toward supporting children with cancer and their families. Gaps in interventions are addressed, particularly on developmental and culturally sensitive approaches, school re-entry support, pediatric to adult care transitions, individual bereavement interventions, and intervention format/delivery. The field of pediatric psycho-oncology would benefit from ongoing translation of science into practice and increased access to evidence-based interventions.

Psychosocial Status of Turkish Families of Pediatric Cancer Patients

2019 ◽  
Vol 31 (3) ◽  
pp. 227-241
Author(s):  
Melike Ayca Ay ◽  
Imatullah Akyar
Keyword(s):  
Cancer Patients ◽  
Pediatric Cancer ◽  
Family Members ◽  
Psychosocial Care ◽  
Psychosocial Interventions ◽  
Care Quality ◽  
Psychosocial Effects ◽  
Pediatric Cancer Patients ◽  
Sample Characteristics

Introduction: In some countries, family members are not involved in routine pediatric cancer psychosocial care although it is essential. This integrative review aims to determine the extent of research on family members of pediatric cancer patients in Turkey. Method: Four main keywords were used: parent/sibling/family, child/pediatric, cancer and psychosocial outcomes to search articles on PubMed, EKUAL, ULAKBİM, WOS databases (limited to 1997-2017). Among first 317 hits, 284 records were excluded. Of 33 eligible articles, 14 were excluded due to sample characteristics. Results: Research on psychosocial effects of pediatric cancer on family members is mostly descriptive and offers moderate-quality evidence. The reported psychosocial effects are (1) depression, anxiety, hopelessness, acceptance; (2) burden of care, quality of life, posttraumatic stress disorder; and (3) need for social support, information. Discussion: This study will contribute to the literature and help for the planning of protective psychosocial interventions for family members of children with cancer in Turkey.

scholarly journals The role of implementation science in improving distress assessment and management in oncology: a commentary on “Screening for psychosocial distress among patients with cancer: implications for clinical practice, healthcare policy, and dissemination to enhance cancer survivorship”

2019 ◽  
Vol 9 (2) ◽  
pp. 292-295 ◽  
Author(s):  
Paul B Jacobsen ◽  
Wynne E Norton
Keyword(s):  
Implementation Science ◽  
Psychosocial Care ◽  
Clinical Effectiveness ◽  
Psychosocial Interventions ◽  
Evidence Base ◽  
Future Research ◽  
Distress Screening ◽  
Screening Programs ◽  
Patients With Cancer ◽  
Pragmatic Clinical Trials

Abstract Despite considerable evidence that psychosocial interventions can effectively relieve distress in patients with cancer, many individuals who could benefit from these interventions do not receive them. A proposed solution to this problem is the establishment of programs in oncology settings that routinely screen for distress and refer patients for appropriate psychosocial care. This commentary addresses a review by Ehlers et al. that describes policies and procedures related to distress screening, summarizes prior research on this topic, and identifies key areas for future research. Among their major conclusions is the need for research to fill the gap in knowledge about how best to implement new distress screening programs as well as optimize the use and efficiency of existing programs. This commentary focuses on how the types of study methods, designs, and outcomes that are commonplace in implementation science to facilitate the integration of research into practice can be applied to distress screening programs. Priorities identified include designing and conducting pragmatic clinical trials, evaluating multilevel interventions, and using hybrid designs to simultaneously evaluate clinical effectiveness and barriers and facilitators of implementation. Use of these approaches holds considerable potential for developing an evidence base that can promote more widespread adoption of effective distress screening programs and inform further development of standards and policies related to the psychosocial care of patients with cancer.

Comparing the Effects of Different Story Types and Speakers in Hepatitis B Storytelling Videos

2020 ◽  
Vol 21 (5) ◽  
pp. 811-821
Author(s):  
Julia M. Alber ◽  
Chari Cohen ◽  
Amy Bleakley ◽  
Sanam F. Ghazvini ◽  
Brenda Trang Tolentino ◽  
...  
Keyword(s):  
Young Adult ◽  
Hepatitis B ◽  
Older Adult ◽  
Asian American ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Personal Story ◽  
Personal Stories ◽  
Severity Scores

Chronic hepatitis B, a condition associated with severe complications, disproportionately affects Asian Americans and Pacific Islanders in the United States. Increasing testing among this population is critical for improving health outcomes. This study compares different types of video narratives that use storytelling techniques to an informational video (control), to examine whether narratives are associated with higher hepatitis B beliefs scores and video rating outcomes. A sample of Asian American and Pacific Islander adults ( N = 600) completed an online survey where they viewed one of four video conditions, three of which included storytelling techniques and one with informational content. Results indicated that parental stories received significantly higher perceived effectiveness ratings ( M = 3.88, SD = 0.61) than the older adult personal stories ( M = 3.62, SD = 0.74), F(3, 596) = 3.795, p = .010. Parental stories also had significantly higher perceived severity scores ( M = 3.83, SD = 0.69) compared to the young adult stories ( M = 3.73, SD = 0.74) and the informational videos ( M = 3.83, SD = 0.69), F(3, 596) = 7.72, p < .001. The informational videos ( M = 4.10, SD = 0.65) received significantly higher message credibility ratings than the older adult personal stories ( M = 3.84, SD = 0.70), F(3, 596) = 4.71, p = .003. Follow-up tests using Bonferroni correction revealed that parental stories ( M = 3.98, SD = 0.64) and young adult personal stories ( M = 3.934, SD = 0.76) scored significantly higher on speaker ratings than the older adult personal stories ( M = 3.698, SD = 0.77). Results suggest that storytelling has the potential for connecting with a specific audience in an emotional way that is perceived well overall. Future research should examine the long-term impact of hepatitis B personal story videos and whether the addition of facts or statistics to videos would improve outcomes.

Gendered Racial Microaggressions and Traumatic Stress Symptoms Among Black Women

2019 ◽  
Vol 43 (2) ◽  
pp. 201-214 ◽  
Author(s):  
Anahvia Taiyib Moody ◽  
Jioni A. Lewis
Keyword(s):  
Black Women ◽  
Racial Socialization ◽  
Traumatic Stress ◽  
Online Survey ◽  
Racial Microaggressions ◽  
The United States ◽  
Future Research ◽  
Gendered Racism ◽  
Stress Symptoms ◽  
Survey Results

We investigated the relations between gendered racial microaggressions (i.e., subtle gendered racism), gendered racial socialization, and traumatic stress symptoms among Black women. We hypothesized that gendered racial microaggressions would be significantly associated with traumatic stress symptoms and that gendered racial socialization would moderate the relations between gendered racial microaggressions and traumatic stress symptoms. Participants were 226 Black women from across the United States who completed an online survey. Results from a hierarchical multiple regression analysis indicated that a greater frequency of gendered racial microaggressions was significantly associated with greater traumatic stress symptoms; internalized gendered racial oppression moderated the relations between gendered racial microaggressions and traumatic stress symptoms. The results of this study can inform future research on Black women’s experiences of gendered racism and the role of gendered racial socialization in their lives. Online slides for instructors who want to use this article for teaching are available on PWQ’s website at http://journals.sagepub.com/page/pwq/suppl/index

scholarly journals Pediatric Speech-Language Pathologists’ Use of Mobile Health Technology: Qualitative Questionnaire Study (Preprint)

2019 ◽  
Author(s):  
Kelsey Thompson ◽  
Emily Zimmerman
Keyword(s):  
Parent Education ◽  
Technology Use ◽  
Online Survey ◽  
Mobile Apps ◽  
Clinical Work ◽  
The United States ◽  
Mobile App ◽  
Future Research ◽  
Age Group ◽  
Speech Language Pathologists

BACKGROUND While technology use in pediatric therapies is increasing, there is so far no research available focusing on how pediatric speech-language pathologists (SLPs) in the United States use technology. OBJECTIVE This paper sought to determine if, and to what extent, pediatric SLPs are using mobile apps, to determine what purpose they are using them for, and to identify gaps in available technology to provide guidance for future technological development. METHODS Pediatric SLPs completed an online survey containing five sections: demographics, overall use, use in assessment, use in intervention, barriers, and future directions. RESULTS Mobile app use by 485 pediatric SLPs in the clinical setting was analyzed. Most (364/438; 83.1%) pediatric SLPs reported using technology ≤50% of the time in their clinical work, with no differences evident by age group (&lt;35 years and ≥35 years; <italic>P</italic>=.97). Pediatric SLPs are currently using apps for intervention (399/1105; 36.1%), clinical information (241/1105; 21.8%), parent education (151/1105; 13.7%), assessment (132/1105; 12%), client education (108/1105; 9.8%), and other uses (55/1105; 5.0%). Cost (46/135; 34.1%) and lack of an evidence base (36/135; 26.7%) were the most frequently reported barriers. Most SLPs (268/380; 70.7%) desired more technology use, with no difference evident by age group (<italic>P</italic>=.81). CONCLUSIONS A majority of pediatric SLPs are using mobile apps less than 50% of the time in a pediatric setting and they use them more during intervention compared to assessment. While pediatric SLPs are hesitant to add to their client’s screen time, they would like more apps to be developed that are supported by research and are less expensive. Implications for future research and app development are also discussed.

Psychotherapeutic Interventions

2017 ◽  
Author(s):  
Jocelyn Soffer ◽  
César A. Alfonso ◽  
John Grimaldi ◽  
Jack M. Gorman
Keyword(s):  
Couples Therapy ◽  
Psychiatric Symptoms ◽  
Behavioral Therapy ◽  
Psychosocial Interventions ◽  
Group Settings ◽  
Psychotherapeutic Interventions ◽  
Psychological Suffering ◽  
Care Family ◽  
Living With Hiv ◽  
Psychotherapeutic Care

Psychotherapeutic care for persons with HIV is an important component of overall treatment, helping people to cope and decreasing the psychological suffering that may be attendant when navigating the complex array of biopsychosocial stresses and challenges of living with HIV. A combination of psychotherapeutic and psychosocial interventions can effectively address psychological aspects of functioning and reduce psychiatric symptoms, as well as improve adherence to risk reduction and medical care. This chapter reviews several psychotherapeutic interventions, including supportive, psychodynamic, and interpersonal psychotherapy, cognitive-behavioral therapy, and motivational interviewing. Both individual and group settings are discussed, as well as the particular settings of spiritual care, family therapy, and couples therapy.

Video-Based Motion Analysis Use: A National Survey of Orthopedic Physical Therapists

2020 ◽  
Vol 100 (10) ◽  
pp. 1759-1770
Author(s):  
Craig P Hensley ◽  
Devyn Millican ◽  
Nida Hamilton ◽  
Amy Yang ◽  
Jungwha Lee ◽  
...  
Keyword(s):  
United States ◽  
Clinical Practice ◽  
Treatment Outcomes ◽  
Motion Analysis ◽  
Online Survey ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Reliability And Validity ◽  
The United States ◽  
Future Research

Abstract Objectives Motion analysis is performed by physical therapists to assess and improve movement. Two-dimensional video-based motion analysis (VBMA) is available for smartphones/tablets and requires little to no equipment or cost. Research on VBMA use in clinical practice is limited. The purpose of this study was to examine the current use of VBMA in orthopedic physical therapist practice. Methods Members of the Academy of Orthopaedic Physical Therapy completed an online survey. Questions examined frequency of VBMA use, reasons for use, facilitators/barriers, device/apps used, practice patterns, other certificates/degrees, and demographic information. Results Among the final analysis sample of 477 respondents, 228 (47.8%) use VBMA. Of 228 VBMA users, 91.2% reported using it for ≤25% of their caseload, and 57.9% reported using their personal device to capture movement. Reasons for using VBMA included visual feedback for patient education (91.7%), analysis of movement (91.2%), and assessment of progress (51.8%). Barriers to use included lack of device/equipment (48.8%), lack of space (48.6%), and time restraint (32.1%). Those with ≤20 years of clinical experience (odds ratio [OR] = 1.83, 95% CI = 1.21–2.76), residency training (OR = 2.49, 95% CI = 1.14–5.43), and fellowship training (OR = 2.97, 95% CI = 1.32–6.66), and those from the West region of the United States (OR = 1.66, 95% CI = 1.07–2.56) were more likely to use VBMA. Conclusions More than 50% of surveyed orthopedic physical therapists do not use VBMA in clinical practice. Future research should be directed toward assessing reliability and validity of VBMA use by smartphones, tablets, and apps and examining whether VBMA use enhances treatment outcomes. Data security, patient confidentiality, and integration into the electronic medical record should be addressed. Impact This study is the first to our knowledge to describe the use of VBMA in orthopedic physical therapist practice in the United States. It is the first step in understanding how VBMA is used and might be used to enhance clinical assessment and treatment outcomes.

Twin anemia-polycythemia sequence and routine monitoring practices amongst maternal-fetal medicine specialists in the United States: an initial investigation

2019 ◽  
Vol 47 (4) ◽  
pp. 388-392 ◽  
Author(s):  
Lauren D. Nicholas ◽  
Rebecca L. Fischbein ◽  
Surya S. Bhamidipalli
Keyword(s):  
United States ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine ◽  
Initial Investigation ◽  
Routine Monitoring ◽  
Gift Card ◽  
Twin Pregnancies

AbstractBackgroundThe purpose of this initial investigation was to begin to understand the routine twin anemia-polycythemia sequence (TAPS) monitoring practices of maternal-fetal medicine specialists (MFM specialists) in the United States in the absence of a formal guideline.MethodsThis study used an anonymous, online survey of 90 MFM specialists who were practicing in the United States. A $5 gift card to an online store was used to incentivize participants. Descriptive statistics were calculated.ResultsAll MFM specialists reported at least some familiarity (100.00%) with TAPS. Most participants (92.94%) were familiar with methods for monitoring patients for TAPS and nearly all (97.50%) responded that they use ‘Doppler MCA-PSV’ to make a prenatal TAPS diagnosis. Nearly two-thirds of MFM specialists surveyed (65.06%) reported performing regular TAPS monitoring for patients with monochorionic-diamniotic (MCDA) pregnancies.ConclusionDespite no formal guidelines, the majority of American MFM specialists surveyed are using routine TAPS screening in their management of MCDA twin pregnancies, suggesting that the MFM specialists included in this study consider it a valuable diagnostic tool. Future research should further explore this possible trend toward routine TAPS monitoring amongst MFM specialists in the United States, as well as the potential value of routine TAPS monitoring in MCDA pregnancy.

Bereavement Outcomes for Atheist Individuals: The Role of Spirituality, Discrimination, and Meaning

2020 ◽  
pp. 003022282097453
Author(s):  
Jacob S. Sawyer
Keyword(s):  
United States ◽  
Regression Analysis ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Meaning Reconstruction ◽  
Research And Practice ◽  
Group A ◽  
The Relationship

The present study applied several concepts typically included in thanatology research to an atheist sample. Atheists are a growing segment of the population in the United States, though little is known about this group. A sample of 355 adults who self-identify as atheist completed an online survey assessing forms of spirituality, anti-atheist discrimination, and meaning reconstruction in order to examine associations between these variables and bereavement outcomes of complicated grief and psychological distress. Results of a multiple regression analysis suggested that spirituality was not related to bereavement outcomes, anti-atheist discrimination was related to poorer bereavement outcomes, while the relationship between meaning reconstruction and bereavement outcomes was mixed. These results provide a foundation for additional exploration of bereavement processes in atheist individuals, and implications for future research and practice are discussed.

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