Barriers to implementation of pediatric emergency department interventions for parental tobacco use and dependence: a qualitative study using the theoretical domains framework

Background Pediatric emergency department (PED) and urgent care (UC) professionals can play a key role in delivering evidence-based guidelines to address parental tobacco use and child tobacco smoke exposure (TSE). Understanding PED/UC professionals’ perceptions regarding these guidelines is the first step in developing and implementing a TSE screening and counseling intervention in these settings. This study aimed to use the theoretical domains framework (TDF) to identify current screening and counseling behaviors of PED/UC professionals related to parental tobacco use and child TSE, and determine barriers and enablers that influence these behaviors. Methods Semi-structured, focused interviews were conducted with 29 actively practicing PED/UC clinical staff who worked at one large, Midwestern children’s hospital. The interview guide was informed by the TDF and included open-ended questions. Content analysis of interview transcripts was guided by the TDF. Nurses, physicians, and healthcare administrators were assessed overall and by group membership to ensure each group was represented based on their varying PED/UC roles. Results Fifty-one percent were nurses, 38% were physicians, and 11% were healthcare administrators. Most PED/UC professionals did not currently follow the guidelines, but perceived addressing parental tobacco use as part of their role. All 14 TDF domains were identified by nurses, physicians, and administrators in relation to counseling for parental tobacco use and child TSE. Domains with the most sub-themes were (1) knowledge: lack of knowledge about tobacco counseling, including implementing counseling, cessation resources/referrals, and thirdhand smoke; (2) beliefs about capabilities: not comfortable counseling parents, easier to discuss with parents who are receptive and to ask and advise when patients have a TSE-related complaint, and more likely to discuss if there were resources/referrals; and (3) environmental context and resources: barriers include lack of time, training, and resources and referral information to give to parents, and an enabler is using TSE-related complaints as a context to offer counseling. Conclusions Study findings provide a strong foundation for developing and implementing clinical practice guidelines regarding parental tobacco use and child TSE in the PED/UC setting. Future intervention development will address all TDF domains and test the implementation of the intervention in the PED/UC setting.

Research on the Construction of University Public Health Emergency Management System Based on Psychological Counseling Intervention

After entering the information society, all kinds of risks, crises, and conflicts in society are more severe, more sudden, and uncertain than those in agricultural society and industrial society. Under the unexpected events in colleges and universities, college students’ psychological crisis, which cannot be dealt with and overcome by conventional methods, arises from their own experiences, psychological endurance, and weak self-awareness. In the face of emergencies, as a talent training base, how to collect information quickly and accurately and make prevention and control plans is directly related to the success or failure of event handling. This study attempts to analyze the characteristics and causes of students’ psychological changes in public health emergencies in colleges and universities and puts forward relevant countermeasures, so as to improve the management system of public health emergencies in colleges and universities, improve the ability to effectively deal with and properly handle public health emergencies, and promote the harmonious development of society. In the face of public health emergencies, colleges and universities should enhance the awareness of emergency management of public health emergencies, change the concept of emergency, build an efficient emergency management system, improve the ability and level of emergency management, and ensure the harmony and stability of the school.

You and Me Against the World: Biographical Narrative Analysis on Same-Sex Couples' Experiences in the Philippines

This article contributes to the emerging literature on gender studies, in general, and on the LGBTQ+ phenomenon, in particular. While the global society recognizes the rights of the third sex, other countries are reluctantly acknowledging while inadvertently stigmatizing LGBTQ+ individuals. Unfortunately, some Filipino same-sex couples were still the target of ridicule, criticism, and prejudice. In this paper, we analyzed via a biographical narrative the relationship dynamics of same-sex Filipino couples confronted with homophobia, heteronormativity, and discrimination. Biographical narratives established an excellent way of making theoretical sense of social phenomena such as gender studies. To do this, we interviewed same-sex couples from the provinces of Western Visayas, Philippines. The results revealed interdisciplinary perspectives that reflected the basis for engaging and maintaining such a relationship. A recurring essence across all identified perspectives that compelled same-sex couples to stay in a relationship was their mutual love. Mutual love becomes a strong driving force that keeps the relationship between same-sex couples all the more substantial while facing heterosexual society's disapprobation. The concepts of love and friendship, by extension, genuine same-sex relationship, when properly understood, can go beyond the border of human instinctual tendencies. Such impartial manifestation of love can extend across cultural differences and eventually build crossroads as avenues of sharing what one has without counting the cost. We recommend the need to further the campaign against homophobic views, albeit providing counseling intervention and psycho-education that help improve the psychological well-being of same-sex couples. Received: 16 August 2021 / Accepted: 16 November 2021 / Published: 3 January 2022

Increasing Migrants' Work Self-efficacy and Job Search Self-efficacy Perceptions by Developing Career Adaptability

Today's unstable labor market increasingly requires flexibility and adaptability to cope with the threat of unemployment. It can cause distress in people and have a more significant negative impact on fragile workers, such as migrants. This study aimed to test whether a Career Counseling intervention designed for Migrants (CCfM) can develop Career Adaptability and, therefore, both Work Self-efficacy (WSe) and Job Search Self-efficacy (JSSe) perceptions. It was conducted in Italy and involved a sample of 233 migrants, who were asked to respond to a questionnaire available in three languages (Italian, French, and English). Data analysis showed that an improvement was demonstrated in all the variables considered, namely career adaptability (including concern, control, confidence, and curiosity), WSe, and JSSe, even though the CCfM was not directly designed to increase the last one. In addition, the development of career adaptability explained the increase in migrants' WSe and JSSe, and the initial level of career adaptability was found to explain the increase in WSe due to the initial positive level of curiosity.

Desensitisasi Bersistem (CBT-SD) Terhadap Simptomatologi PTSD Mangsa Buli: Satu Kajian Kes

Bullying not only has a significant influence on victims' physical and emotional well-being, but they are also reported to experience symptoms of post-traumatic stress disorder (PTSD) such as nightmares, intrusive thoughts and emotions of hopelessness and powerlessness. The symptomatology of untreated PTSD exposes victims to other psychological issues such as substance abuse, depersonalization and suicide. This case study was conducted to identify the effectiveness of Cognitive Behavioral Therapy-Systematic Desensitization (CBT-SD), a counseling intervention for reducing symptomatology of PTSD. He was diagnosed with clinically severe symptomatology of PTSD (T> 65) by using the Detailed Assessment of Posttraumatic Stress (DAPS) (Briere, 2001). The treatment planning using CBT-SD technique was constructed aimed at answering the research questions. The results indicate a decrease in the symptomatology of PTSD and other psychological issues, particularly on the scales of dissociation and suicide. Reducing PTSD symptoms has a favourable impact on the client’s cognitive, emotional and behavioural functioning, as seen by his improved personal functioning in his daily life. Hence, prevention and early rehabilitation through counseling interventions are crucial in aiding victims of bullying achieve psychological balance. The implications of this intervention are also discussed.

Upaya Meningkatkan Pengetahuan Ibu dalam Pemberian Makanan Pendamping Asi (MPASI) di Desa Rabutdaiyo Tahun 2021

Abstrak Latar belakang: Pemberian MPASI yang benar dapat mengoptimalkan tumbuh kembang anak, akan tetapi masih banyak orang tua yang belum memahami praktek pemberian MPASI yang benar. Hasil observasi menunjukan sebagian besar orang tua di Desa Rabutdaiyo belum mengetahui kapan waktu yang ideal untuk memberikan MPASI. Hampir sebagian besar orang tua di Desa Rabutdaiyo memberikan MPASI sebelum 6 bulan, bahkan ada yang kurang dari 3 bulan. Berdasarkan fakta di atas maka peneliti tertarik untuk memberikan penyuluhan sebagai upaya meningkatkan pemahaman ibu dalam pemberian makanan pendamping ASI (MPASI). Metode: Eksperimen semu (quasi experiment) berdasarkan rancangan one group pre-posttest design digunakan dalam studi ini. Penelitian ini dilakukan secara langsung melalui intervensi penyuluhan tentang MPASI. Variabel dalam penelitian ini terdiri dari pengetahuan ibu tentang MPASI, usia ibu, pendidikan ibu, paritas dan status pemberian MPASI. Besar sampel dalam studi ini menggunakan total sampling 20 ibu yang memiliki baduta Hasil: Analisis t-test menunjukkan ada perbedaan yang signifikan antara skor pengetahuan tentang MPASI sebelum dan sesudah intervensi Kesimpulan: Kegiatan penyuluhan tentang MPASI di Desa Rabutdaiyo terbukti secara statistik dapat meningkatkan pengetahuan ibu tentang MPASI. Kata kunci: Penyuluhan MPASI, tumbuh kembang, pengetahuan ibu Abstract Background: Giving the correct complimentary food to children can help them grow and develop more quickly, but many parents are unaware of this practice. According to the findings, the majority of parents in Rabutdaiyo Village do not know when it is appropriate to administer MPASI. The majority of parents in Rabutdaiyo Village provided supplemental feeding prior to the age of six months, and some even before the age of three months. The researchers are interested in undertaking counseling to boost mothers' knowledge of complementary feeding (MPASI). based on the findings above Methods: A quasi-experiment with a one-group pre-posttest design was employed as the research approach. This research was conducted directly through counseling intervention about MPASI. Mother's awareness of complementary meals, mother's age, mother's education, parity, and status of complementary feeding were the variables in this study. A total of 20 mothers with children under the age of two were included in this study's sample size. Result: There was a significant difference in complementary food knowledge scores before and after the intervention, according to the t-test analysis. Conclusion: Counseling activities on MPASI in Rabutdaiyo Village were statistically proven to increase mothers' knowledge about MPASI. Key Words: MPASI counseling , growth and development, mother's knowledge

Socio-Demographic Characteristics, Personality Traits and Stress Level of Senior High School Students

Students involved with the medical school are perceived as stressed because of the difficulties in the field. The study was conducted to determine the relationship between personality traits and stress level as the basis for developing counseling intervention for the students. This study utilized the descriptive correlational method. The study involved 1,003 senior high school students, with ages ranging from 15-20 years old. For the findings, the majority of the students are 16-17 years old. Females outnumbered male students. The average monthly family income was ₱50,001 to ₱100,000. Most students were living with two biological parents and one sibling. Senior high school students’ dominant personality types are extraversion and agreeableness. Also, the result revealed that the leading stressors centered on academic workload, anxiety, high expectation of parents and environmental concerns. In general, there was no significant relationship between personality traits and stress level. However, it was found that there is a significant positive correlation between the personality trait of neuroticism and the stress level of the students. Moreover, there is a significant negative correlation between the personality traits of extraversion, conscientiousness, and openness and stress level. Meanwhile, there is no significant and negative relationship between the personality trait of agreeableness and stress level.

Dementia Caregivers' Trajectories of Well-Being Before and During the COVID-19 Pandemic

Residents of long-term care settings and their family caregivers have been severely impacted by the COVID-19 pandemic. The present mixed-methods study examines trajectories of well-being pre- and post-pandemic onset for caregivers of persons with dementia living in residential long-term care. Participants were taking part in, or had recently completed, an ongoing intervention trial to support families transitioning a relative into long-term care. Beginning in summer 2020, we started assessing caregivers’ COVID-19-related experiences and added three surveys spanning 4-months beyond the 12-month parent study period to capture caregivers' adjustment throughout the pandemic. Using latent growth curve models, we estimated caregivers' (N = 104) trajectories of depressive symptoms, burden, and self-efficacy before and during the pandemic. We also tested whether the counseling intervention had protective effects for participants in the treatment group, and examined moderators including long-term care facility size, care recipient's dementia and health status, and quality of staff interactions.

EDUKASI HIPERTENSI PADA LANSIA DI KELURAHAN PASIR PUTIH, DEPOK, JAWA BARAT

The elderly is people aged of 60 years and older. The global elderly population is expected to increase, as is the increase nationally. Hypertension is a state of a state of increase in systolic blood pressure over 140mmHg and diastolic pressure of more than 90mmHg. Hypertension affected by age, lifestyle, diet, and family history of heredity. Factors that play more role are lifestyle factors such as smoking habits, excess fat and sodium intake, lack of physical activity, and caffeine consumption habits so that sleep quality worsens. The prevalence of hypertension in the elderly should be reduced so it is necessary to conduct a nutrition program using the OOPP (Objectiver Oriented Project Planning) method. OOPP is a method of planning a program based on empirical data. Oopp stages include situation analysis, problem analysis, objective analysis, alternative analysis, and Project Planning Matrix (PPM). ). A total of 96% of respondents had poor sleep quality, 63.3% of respondents had excess fat intake levels, and 73.3% had excess sodium intake, and as many as 96.7% of respondents had poor sleep quality. After counseling intervention, respondents' knowledge increased with the results of the Paired T-Test Wilcoxon test by 0,000 (p value < 0.005) which showed that there were differences in knowledge levels before and after the intervention.Lansia merupakan seseorang yang telah mencapai usia 60 tahun atau lebih. Populasi lansia secara global diperkirakan akan meningkat, begitu pula peningkatan secara nasional. Hipertensi merupakan kondisi kenaikan tekanan darah sistolik lebih dari 140mmHg dan tekanan diastolik lebih dari 90mmHg. Hipertensi dapat dipengaruhi usia, pola hidup, pola makan, serta riwayat keturunan keluarga. Faktor yang lebih banyak berperan adalah faktor pola hidup seperti kebiasaan merokok, asupan lemak dan natrium yang berlebih, kurangnya aktivitas fisik, serta kebiasaan konsumsi kafein sehingga kualitas tidur memburuk. Untuk menurunkan prevalensi Hipertensi pada lansiadi wilayah Pasir Putih, perlu dilakukan program gizi menggunakan metode OOPP (Objectiver Oriented Project Planning). OOPP adalah metode untuk merencanakan sebuah program yang berdasar pada data empiris. Tahapan OOPP meliputi analisis situasi, analisis masalah, analisis objektif, analisis alternatif, serta Project Planning Matrix (PPM). Sebanyak 96% responden memiliki kualitas tidur yang buruk, 63.3% responden memiliki tingkat asupan lemak berlebih, dan 73.3% memiliki asupan natrium berlebih, serta sebanyak 96.7% responden memiliki kualitas tidur yang buruk. Setelah dilakukan intervensi berupa penyuluhan, pengetahuan responden meningkat dengan hasil uji Paired T-Test Wilcoxon sebesar 0.000 (p value < 0.005) yang menunjukkan bahwa terdapat perbedaan tingkat pengetahuan sebelum dan sesudah dilakukan intervensi.

Behavioral Counseling of Theory of Planned Behavior-Based to Increase Sufferers' Intention in Preventing Recurrent Ischemic Stroke: A Randomized Control Trial

Introduction: Ischemic stroke has become the leading cause of premature death in the last two decades. The biggest problem in preventing recurrence ischemic stroke is the compliance of the sufferers and the obedient behavior will arise only if they are consistent and have a strong intention. This study aims to determine the effect of behavioral counseling in increasing the intention to prevent recurrent ischemic stroke by using the theory of planned behavior model approach. Methods: Randomized Control Trial was conducted on 64 patients after an ischemic stroke that was managed by a public health center in East Java, Indonesia. Simple random sampling technique was used to take samples in this study. We provided behavioral counseling regarding the prevention of ischemic stroke recurrence to the treatment group using the Behavioral module which was compiled based on the guidelines from the Theory of Planned Behavior (TPB), while the intention variable was measured using the intention measurement instrument from the TPB Questionaries. The data obtained were then analyzed by using an independent t test. Results: The result revealed that there was a significant difference in the mean value of the intention variable between the control group and the treatment group after the TPB-based behavioral counseling intervention for 1 month (p=0.015). Discussion: The behavioral counseling of TPB-based can be implemented as an alternative way in increasing the sufferers’ intention to prevent recurrence ischemic stroke. Further research in a broader scope is needed to prove the effectiveness of behavioral counseling on the structural values of the Theory of Planned Behavior.