Perceived barriers and facilitators towards help-seeking for eating disorders: A systematic review

2016 ◽  
Vol 50 (1) ◽  
pp. 9-21 ◽  
Author(s):  
Kathina Ali ◽  
Louise Farrer ◽  
Daniel B. Fassnacht ◽  
Amelia Gulliver ◽  
Stephanie Bauer ◽  
...  
2020 ◽  
Vol 32 (5) ◽  
pp. 611-634 ◽  
Author(s):  
Michelle Parker ◽  
Sally Barlow ◽  
Juanita Hoe ◽  
Leanne Aitken

ABSTRACTObjective:To identify barriers and facilitators to help seeking for a dementia diagnosis from the perspective of carers and people with dementia.Design:A systematic review of the literature was conducted according to the PRISMA guidelines (PROSPERO protocol registration CRD42018092524). Nine electronic databases were searched for qualitative, quantitative, and mixed methods primary research studies. Two independent reviewers screened titles and abstracts, full texts of eligible studies, and conducted quality appraisal of included articles. A convergent qualitative synthesis approach was used.Results:From 7496 articles, 35 papers representing 32 studies from 1986 to 2017 were included. Studies originated from 13 countries across 4 continents. Barriers and facilitators were reported predominantly by carers. A small number of studies included people with dementia. Barriers included denial, stigma and fear, lack of knowledge, normalization of symptoms, preserving autonomy, lack of perceived need, unaware of changes, lack of informal network support, carer difficulties, and problems accessing help. Facilitators included recognition of symptoms as a problem, prior knowledge and contacts, and support from informal network.Conclusions:Studies from a 30-year period demonstrated that barriers to help seeking persist globally, despite increasing numbers of national dementia policies. Barriers and facilitators rarely existed independently demonstrating the complexity of help seeking for a diagnosis of dementia. Multiple barriers compounded the decision-making process and more than one facilitator was often required to overcome them. Multi-faceted interventions to reduce barriers are needed, one approach would be a focus on the development of dementia friendly communities to reduce stigma and empower people with dementia and carers.


2020 ◽  
Vol 75 ◽  
pp. 101812 ◽  
Author(s):  
Yulisha Byrow ◽  
Rosanna Pajak ◽  
Philippa Specker ◽  
Angela Nickerson

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Joyce Lui ◽  
June Brown ◽  
Joyce Lui

Abstract Background High rates of mental health illness affect university students, most commonly depression and anxiety. Despite this, help-seeking behaviours are extremely low. This is the first systematic review aiming to summarise the barriers and facilitators to help-seeking for depression and/or anxiety among university students. Methods Three databases, EMBASE, MEDLINE and PsychINFO were searched for studies reporting barriers and facilitators to help-seeking for university students with depression and/or anxiety. In order to review data from both qualitative and quantitative studies, information on barriers and facilitators were coded into themes. Results Ten final papers were included; four qualitative and six quantitative. The most prominent barriers were self-reliance, stigma, physical barriers, poor awareness of mental health symptoms, poor knowledge of services and effectiveness, and symptom severity. Although there was significantly less research on facilitators, common facilitator themes were good mental health literacy and encouragement or pressure from others to seek help. Conclusions A recommendation from this review is the need to explore self-reliance as a barrier to help-seeking as this was the most commonly barrier, but a little researched area. Another recommendation is that more research is undertaken to investigate the facilitators to help-seeking. Clinical recommendations include using the internet to provide support and information on mental health disorders and services, implementing anti-stigma workshops in universities and integrating family members, partners, and friends into an individual’s mental health care. It is hoped that the findings from this review will be used to improve mental health services to address poor help-seeking behaviours among this student population.


Author(s):  
Hyun Jie Lee ◽  
Eunkyung Kim ◽  
Brenna L. Morse ◽  
Seung Eun Lee

This review was undertaken to identify the perceived barriers and facilitators of nurses’ and physicians’ willingness to work during a respiratory disease outbreak. This mixed-methods systematic review involved the extraction of data from the electronic databases PubMed, Web of Science, CINAHL, and PsycINFO and from a manual search of articles published between 2003 and April 2021. The quality of the included studies was assessed using a mixed-method appraisal tool. A total of 29 studies were eligible for inclusion: 21 quantitative and 8 qualitative. Using the Integrated Behavioral Model, perceived barriers and facilitators were identified under seven categories: demographics, attitude, perceived norm, personal agency, knowledge and skills to perform the behavior, environmental constraints, and habit. The results of this study broaden the understanding of various factors that affect nurses’ and physicians’ willingness to work during a respiratory disease outbreak. These findings will facilitate the modification of current pandemic workplace staffing strategies and practices and will inform preparedness planning for similar situations in the future.


Author(s):  
Rachel J Nesbit ◽  
Charlotte L Bagnall ◽  
Kate Harvey ◽  
Helen F Dodd

Adventurous play, defined as exciting, thrilling play where children are able to take age-appropriate risks has been associated with a wide range of positive outcomes. Despite this, it remains unclear what factors might aid or hinder schools in offering adventurous play opportu-nities. The purpose of this systematic review is to synthesise findings from qualitative studies on the perceived barriers and facilitators of adventurous play in schools. A total of nine studies were included in the final synthesis. The review used two synthesis strategies: a meta-aggregative syn-thesis and narrative synthesis. Findings were similar across the two syntheses, highlighting that key barriers and facilitators were: adults’ perceptions of children; adults’ attitudes and beliefs about adventurous play and concerns pertaining to health; and, safety and concerns about legis-lation. Based on the findings of the review, recommendations for policy and practice as provided to support adventurous play in schools.


2011 ◽  
Vol 25 (6) ◽  
pp. 613-629 ◽  
Author(s):  
W Slort ◽  
BPM Schweitzer ◽  
AH Blankenstein ◽  
EA Abarshi ◽  
Il Riphagen ◽  
...  

2017 ◽  
Vol 47 (11) ◽  
pp. 1880-1892 ◽  
Author(s):  
S. J. Coleman ◽  
S. A. M. Stevelink ◽  
S. L. Hatch ◽  
J. A. Denny ◽  
N. Greenberg

A recent quantitative review in the area of stigma and help seeking in the armed forces has questioned the association between these factors (Sharp et al. 2015). To date, the contribution of qualitative literature in this area has largely been ignored, despite the value this research brings to the understanding of complex social constructs such as stigma. The aim of the current systematic review of qualitative studies was to identify appropriate literature, assess the quality and synthesize findings across studies regarding evidence of stigma-related barriers and facilitators to help seeking for mental health issues within the armed forces. A multi-database text word search incorporating searches of PsycINFO, MEDLINE, Social Policy and Practice, Social Work Abstracts, EMBASE, ERIC and EBM Review databases between 1980 and April 2015 was conducted. Literature was quality assessed using the Critical Appraisal Skills Programme tool. Thematic synthesis was conducted across the literature. The review identified eight studies with 1012 participants meeting the inclusion criteria. Five overarching themes were identified across the literature: (1) non-disclosure; (2) individual beliefs about mental health; (3) anticipated and personal experience of stigma; (4) career concerns; and (5) factors influencing stigma. The findings from the current systematic review found that unlike inconsistent findings in the quantitative literature, there was substantial evidence of a negative relationship between stigma and help seeking for mental health difficulties within the armed forces. The study advocates for refinement of measures to accurately capture the complexity of stigma and help seeking in future quantitative studies.


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