scholarly journals Multimodal Interventions to Improve the Management of Chronic Non-Malignant Pain in Primary Care Using Participatory Research

2021 ◽  
Vol 11 (3) ◽  
pp. 561-581
Author(s):  
Yolanda Morcillo-Muñoz ◽  
Maria Holgado Jiménez Castellano ◽  
Francisco Jose Díaz Exposito ◽  
Antonio Jose Sanchez-Guarnido ◽  
Miguel Gimenez Alcantara ◽  
...  

Background: The use of diverse therapies combined with a multidisciplinary approach and prevention initiatives for patients with chronic non-malignant pain (CNMP) can improve health and have a positive impact on psychotropic drug use and the self-management of pain. Purpose: This purpose of this study has been two-fold: to conduct a literature review with a view to selecting best evidence recommendations for CNMP and to prioritize self-care recommendations using a participatory methodology for the analysis and selection of interventions. Methods: A qualitative, descriptive, and documentary method based on participatory action research was used. Findings: Based on the study results, a multimodal psychosocial intervention program has been designed for CNMP that includes psychoeducational therapy, pharmacological therapy, physical exercise, and health assets. Discussion: The findings are consistent with previous studies underlining the need to invest in resources for the management of CNMP, including strategies for good differential diagnoses and pharmacological treatments combined with non-pharmacological treatments to confer greater well-being for people living with pain who want to participate in their own recovery.

2020 ◽  
Vol 16 (4) ◽  
pp. 129-138
Author(s):  
Amgad S.D. Khaled ◽  
Nabil Mohamed Alabsy ◽  
Eissa A. Al-Homaidi ◽  
Abdulmalek M.M. Saeed

The study aims to synthesize the challenges that retailers are facing during the COVID-19 emergency. The research is definitive, informative, and based on a single design of cross-sectional research. Quantitative data based on the research instrument were produced (a questionnaire). Five hundred responses were collected from employees of major retail stores in India. Retailer performance is considered a dependent variable, whereas employee well-being, customer and brand protection, use of technology, government policies, and supply chain are used as independent variables. The current study results indicated that employee well-being and government policies have a significant positive impact on retailer performance, while customer and brand protection, use of technology, and supply chain have a significant positive impact on retailers’ performance. This study will help retailers develop strategies for their employees to protect them and understand that technology is needed in the new normal times. This study highlights the need to be flexible in executing strategic strategies, but retailers need to develop comprehensive action plans, including selecting managers of initiative and defining goals and deadlines. Provided that retailers’ current reality is different from the old normal, no time is lost in taking audacious action.


Author(s):  
Maria Jose Alberdi-Erice ◽  
Esperanza Rayón-Valpuesta ◽  
Homero Martinez

Salutogenesis focuses on factors that generate health and is a useful construct for identifying factors that promote health and for guiding activities to this end. This article describes health assets identified in a community diagnosis and how to leverage them with actions for improvement to deepen the understanding of this concept and its impact on health promotion. An intervention strategy was designed following the principles of participatory action research (PAR). The study was carried out in Mañaria (Basque Country, Spain) using semi-structured and in-depth interviews, participant observation, desk review, and photographs, alongside different participatory strategies. Twenty-six women were interviewed, 21 of whom were community inhabitants, and five were key informants who worked in public or private institutions. Participant recruitment stopped when data saturation was reached. Data were analysed through discourse analysis, progressive coding, and categorisation. Six meta-categories emerged, and for each of these categories, health assets were identified together with actions to improve the community’s health. The latter were presented by the community to the authorities to trigger specific actions towards improving the health of the community. Identification of health assets led to different actions to improve the health of the community including improving the existing physical and social environments, personal and group skills, and the promotion of physical, social, emotional and cultural well-being.


2021 ◽  
Vol 7 (2) ◽  
pp. 112
Author(s):  
Wini Delvia Riski ◽  
Nellis Mardhiah

This study aims to determine: (1) the socialization strategy, (2) the supporting factors of the socialization strategy, and (3) the inhibiting factors of the socialization strategy. To find out the problems that occur, the researcher uses a qualitative descriptive research method. Data was collected using library techniques, observation, interviews, and documentation for data analysis techniques using descriptive analysis techniques. The study results indicate that: (1) The selection of a good and correct strategy in conducting socialization is the task of the Aceh Privileges and People's Welfare section. The socialization strategy plays a role in realizing the implementation of the death benefit assistance program, which in essence, the community can know and understand death compensation. after that, determine the target in the socialization, then choose the media to be used and the management of socialization. (2) This program supports several parties such as payment partners and the infrastructure used to support this activity. (3) There are obstacles in managing death compensation, namely in terms of education, economy, and social, which causes the majority of the public not to know information about death compensation assistance.


2021 ◽  
Vol 15 (2) ◽  
pp. 82-93
Author(s):  
Marta Reis ◽  
Lúcia Ramiro ◽  
Margarida Gaspar de Matos

Health promotion is defined as the process of enabling people to increase control over and to enhance their health. It focuses on individual behaviors towards a wide range of interventions on social and environmental determinants of health and other health related aspects of life (WHO, 2015; 2017). Thus, health promotion implies the need to promote and empower people with resources and skills towards health and well-being (Saboga-Nunes, et al., 2019). The literature reports a negative variation in the lifestyle of university students, and simultaneously demonstrates a significant percentage of university students with a set of emotional, relational, anxiety and stress management difficulties (WHO, 2021, 2018). The need to curb behavioral tendencies harmful to the health of young university students comes justify the need for health promotion in the context of these institutions. This study aimed at analyzing the impact of university students' training, in the area of health promotion and of personal and socio-emotional skills. Participated 286 students. The results show that in addition to the skills worked during the training, the students’ well-being and health also improved at the end of the training. The variables that evidenced to be the most important for the university students’ health promotion were that they finished the training with more self-esteem, resilience, psychological well-being, self-efficacy, happiness and less instability and alienation. Regarding the pre and post evaluation comparisons about skills, importance and usefulness of HBSC/JUnP training, it was observed that both knowledge about health aspects and personal and socio-emotional skills, namely the resilience, self-regulation and problem-solving strategies had a strong positive impact on promoting the health and well-being of students. Higher education institutions present themselves as enhancers of public health, contributing to the students make healthy choices. Keywords: health promotion, personal and socio-emotional skills, university students’ training, healthy universities, Portugal


2021 ◽  
Author(s):  
Ana Catarini Lopes Baltazar ◽  
Amanda Mansur Rosa ◽  
Ana Luiza Soares Henriques de Almeida ◽  
Isabela Guedes ◽  
Luciana Maria Campos e Silva ◽  
...  

Background: Pharmacological treatments for dementia, such as antipsychotics and benzodiazepines, cause significant side effects. Therefore, the search for non-pharmacological alternatives for relieving behavioral and psychological symptoms of dementia is increasing. Up to 90% of patients with dementia are affected by one or more symptoms: behavior change, disturbing vocalization, restlessness, rambling, apathy, among others. Objectives: Analyze the effectiveness of non-pharmacological measures in the management of dementia. Design and Setting: Review of the literature. Methods: The PubMed database was used with the descriptors “non pharmacological interventions”, and “dementia”. From the 450 found, 9 articles published between 2015 and 2019 were selected. Results: Some non-pharmacological measures reported were art therapy, music therapy, aromatherapy, behavioral therapy and physical exercises. However, intervention methods varied between studies as they used different teoric bases and investigated individually the effect of personalized activities. The best results were found when the treatment was adapted to the interests and skills of the participants, mainly regarding apathy and agitation. In addition, a study has shown that an organized non-pharmacological intervention program was also effective in controlling external and intrinsic symptoms, including hallucination and delirium. Conclusion: Studies focusing on alternative approaches reveal that different non-pharmacological interventions are able to reduce psychological symptoms and behavioral disorders. Therefore, they should be considered as first option interventions for treatment. In addition, these variants of precise treatment for greater visibility and more comprehensive studies.


BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e054010
Author(s):  
Haleema Yasmin ◽  
Afreen Sadia ◽  
Areesha Qamar ◽  
Anam Shahil Feroz

IntroductionIn the wake of the unprecedented public health challenge of the COVID-19 pandemic, it is highly significant to recognise the mental health impact of this mounting threat on healthcare providers (HCPs) working in the obstetrics and gynaecology department. Experience from epidemics and emerging literature around COVID-19 show that the unparalleled amount of stress that HCPs are dealing with is linked with the increased burden of mental health conditions. We aim to conduct an exploratory qualitative descriptive study to assess HCPs’ perceptions of mental health amid the COVID-19 pandemic in the obstetrics and gynaecology department of a public sector tertiary care hospital of Karachi, Pakistan.Methods and analysisThis study will use a qualitative descriptive approach where approximately 20–25 HCPs from the obstetrics and gynaecology department will be recruited using a purposive sampling approach. Data will be collected through semistructured interviews and it will be analysed thematically using NVivo V.12 Plus software.Ethics and disseminationEthical approval for this study has been obtained from the Institutional Review Board Committee of Jinnah Postgraduate Medical Center hospital. The study results will be disseminated to the scientific community and the HCPs participating in the study. The findings will help us to explore the doctor’s perceptions of mental health during the current pandemic of COVID-19 and its impact on their daily lives and mental well-being.


2018 ◽  
Vol 27 (1) ◽  
pp. 50-57 ◽  
Author(s):  
Mary J. Minten ◽  
Cass Dykeman

Relationship health impacts many facets of both physical and mental well-being, including depression, heart health, and even children’s health. For a variety of reasons, distressed couples often delay entering therapy despite its value in supporting wellness and preventing distress. One early intervention program, the marriage checkup (MC), aims to keep healthy couples healthy with a brief supportive checkup. The MC is based on motivational interviewing principles, and research on MC shows the program has a positive impact on relationship satisfaction, prevents decline, and improves health on other variables such as intimacy. However, past research on MCs has only focused on heterosexual couples. As such, this study explores the research question, “What is the impact of a relationship wellness checkup on lesbian couples’ relationship satisfaction?” Using a single-subject design, specifically concurrent multiple-baseline, multiple-probe design, this study extends MC research to an underrepresented population. After conducting checkups over 10 weeks with three lesbian couples, findings show the intervention had a medium effect on satisfaction (nonoverlap of all pairs = .66). These results indicate a relationship checkup can increase satisfaction for lesbian couples. The findings also suggest checkups with lesbian couples can have a comparable impact to their use with heterosexual couples. This study concludes by advocating that the checkup may help lesbian couples stay healthy, providing support for this marginalized group of couples in a time of prejudice.


2021 ◽  
Vol 12 ◽  
Author(s):  
Marina Davila-Ross ◽  
Guillaume Dezecache

Laughter and smiles are often, but not always, associated with positive affect. These expressions of humans help to promote social relationships as well as the development of cognitive and socio-emotional skills and they may have a positive impact on health and well-being, hereby covering a selection of fitness-relevant benefits. Both laughter and smiles of positive affect also occur early in human development and across cultures, suggesting deep roots in human biology. The present work provides an evolutionary reconstruction of the evolution of human laughter and smiles of positive affect in form and function, based on the principle of maximum parsimony. According to the Complexity and Continuity Hypothesis, human laughter and smiles of positive affect must have evolved within the context of play from ancestral species. Furthermore, ancestral ape laughter and their open-mouth faces must already have been complex in form and function and changed over time via categorically different phylogenetic pathways to become characteristic, effective, and pervasive behaviors of everyday social interactions in humans.


2020 ◽  
Vol 9 (2) ◽  
pp. 197-220
Author(s):  
Stuart Sanders ◽  
Joanna Karmowska

This paper explores the effects of flexible working arrangements on employees and their managers in a service sector. Analyzing a case study of a global management consultancy, the study concerns the impact of flexible working arrangements on job satisfaction, commitment and performance as well as well-being. While it is generally accepted that flexible working arrangements have a positive impact on employees, there has been only limited theorizing and research explaining how and why such impact is generated and which contextual organizational factors might be significant in shaping the outcome. The study provides mixed evidence for benefits from flexible working arrangements where potential for increased employee performance, well-being and job satisfaction is offset by work intensification, blurred work/home boundaries, professional isolation and perceived organizational injustice. Practical implications of the study results have been intensified by accelerated organizational transition into flexible working arrangements caused by restrictions imposed as a result of Covid-19 pandemic.


Author(s):  
Ausra Lisinskiene ◽  
Marc Lochbaum

The purpose of this 12-month intervention program was to examine parent–child relationship changes within the sports context. A qualitative interpretative phenomenological analysis was used for the study design. Ten families consented to in-depth interviews. The participants were 10 youth sport parents who had one child each aged 5–6 years. The intervention program involved the participation of all the parents and children. The program integrated psychological, educational, and sports skills into pre-organized sports training sessions. The study results revealed that the intervention program had a positive impact on the parent–child relationship in the sports context. Additionally, the study results suggest that parental involvement in the intervention program positively affected parent–child attachment, the quality of interpersonal relationships between the parent and the child, and effective parenting strategies. Future intervention programs should include both parent and children dyads.


Sign in / Sign up

Export Citation Format

Share Document