scholarly journals Stigma and treatment of eating disorders in Ireland: healthcare professionals’ knowledge and attitudes

2015 ◽  
Vol 33 (1) ◽  
pp. 21-31 ◽  
Author(s):  
F. McNicholas ◽  
C. O’Connor ◽  
L. O’Hara ◽  
N. McNamara
Keyword(s):  
Eating Disorders ◽  
Healthcare Professionals ◽  
Response Rate ◽  
Service Providers ◽  
Young Person ◽  
Web Based ◽  
Knowledge And Attitudes ◽  
Educational Programmes

ObjectivesThis study examines aspects of healthcare professionals’ knowledge and attitudes about eating disorders (EDs), which might impede the effective detection or treatment of EDs in Ireland.MethodsA total of 1,916 healthcare professionals were invited to participate in a web-based survey. Participants were randomly allocated to view one of five vignettes depicting a young person with symptoms consistent with anorexia nervosa, bulimia nervosa, binge-eating disorder, depression or type 1 diabetes. Study-specific questions examined participants’ responses to the vignettes and ED knowledge and experience.ResultsIn total, 171 clinicians responded (9% response rate). Participants had an average of 15.8 years of clinical experience (s.d.=9.2) and included psychiatrists, GPs, psychologists and counsellors. Although participants’ knowledge of EDs was moderately good overall, responses showed poor recognition of the symptoms of EDs compared with depression [χ2 (4, n=127)=20.17, p<0.001]. Participants viewed EDs as chronic disorders that primarily affected females. Participants believed that clinicians like working with patients with depression and diabetes more than with AN patients [F (4,101)=5.11, p=0.001]. Among the professionals surveyed, psychiatrists were the most knowledgeable about EDs [F (4,82)=9.18, p<0.001], and were more confident in their ability to diagnose and treat EDs than professionals of all other disciplines, except psychologists [F (4,85)=8.99, p<0.001]. Psychiatrists were also the most pessimistic about ED patients’ long-term life prospects [χ2 (4, n=65)=15.84, p=0.003].ConclusionsThis study recommends that specific attention should be given to EDs in professional educational programmes across healthcare disciplines. This training should not be restricted to improving healthcare professionals’ knowledge of EDs, but should also strive to increase service-providers’ awareness of how their own potentially stigmatising attitudes can undermine engagement with treatment.

Identifying and managing eating disorders in type 1 diabetes mellitus: An all-Wales study

2021 ◽  
pp. 135910452110095
Author(s):  
Jacinta O A Tan ◽  
Imogen Spector-Hill
Keyword(s):  
Diabetes Mellitus ◽  
Primary Care ◽  
Eating Disorders ◽  
Type 1 Diabetes ◽  
Eating Disorder ◽  
Type 1 Diabetes Mellitus ◽  
Healthcare Professionals ◽  
Health And Wellbeing ◽  
Level Of Knowledge

Background: Co-morbid diabetes and eating disorders have a particularly high mortality, significant in numbers and highly dangerous in terms of impact on health and wellbeing. However, not much is known about the level of awareness, knowledge and confidence amongst healthcare professionals regarding co-morbid Type 1 Diabetes Mellitus (T1DM) and eating disorders. Aim: To understand the level of knowledge and confidence amongst healthcare professionals in Wales regarding co-morbid T1DM and eating disorder presentations, identification and treatment. Results: We conducted a survey of 102 Welsh clinicians in primary care, diabetes services and eating disorder services. 60.8% expressed low confidence in identification of co-morbid T1DM and eating disorders. Respondents reported fewer cases seen than would be expected. There was poor understanding of co-morbid T1DM and eating disorders: 44.6% identified weight loss as a main symptom, 78.4% used no screening instruments, and 80.3% consulted no relevant guidance. The respondents expressed an awareness of their lack of knowledge and the majority expressed willingness to accept training and education. Conclusion: We suggest that priority must be given to education and training of all healthcare professionals in primary care, diabetes services and mental health services who may see patients with co-morbid T1DM and eating disorders.

Long-term effectiveness of web-based cognitive behavioral therapy for patients with eating disorders

2020 ◽  
Author(s):  
Elke D. ter Huurne ◽  
Hein A. de Haan ◽  
Marloes G. Postel ◽  
Cor A. J. DeJong ◽  
Joanne E. L. VanDerNagel ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Web Based

Eating disorders in people with Type 1 diabetes: experiential perspectives of both clients and healthcare professionals

2017 ◽  
Vol 35 (2) ◽  
pp. 223-231 ◽  
Author(s):  
P. Macdonald ◽  
C. Kan ◽  
M. Stadler ◽  
G. L. De Bernier ◽  
A. Hadjimichalis ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Type 1 Diabetes ◽  
Healthcare Professionals

Weaning Strategy of Diuretics in Outpatient Preterm Infants with Bronchopulmonary Dysplasia: A National Survey

2020 ◽  
Author(s):  
Keren Armoni Domany ◽  
Israel Amirav ◽  
Efraim Sadot ◽  
Nir Diamant ◽  
Dror Mandel ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Bronchopulmonary Dysplasia ◽  
Practice Patterns ◽  
Response Rate ◽  
Controlled Study ◽  
Cross Sectional ◽  
Web Based ◽  
Key Points ◽  
Wide Range

Objective Long-term diuretic treatment in patients with bronchopulmonary dysplasia (BPD) is common despite lack of data that support its use. We aimed to characterize the commonly used diuretics weaning strategies for outpatient clinically stable preterm infants with BPD. Study Design We conducted a cross-sectional web-based survey among all pediatric pulmonologists and neonatologists in Israel. Questionnaire included data regarding practitioners' different diuretics-weaning practice in this population. Results The response rate for pulmonologists and neonatologists were 35/50 (70%) and 36/120 (30%), respectively. When both oxygen and diuretics are used, 59% wean oxygen first and 32% wean diuretics first. If patients are solely on diuretics, 27% discontinue instantly, 34% decrease the dosage gradually, and 34% outgrow the discharge dosage. Significantly more pulmonologists decrease the dosage gradually, while more neonatologists discontinue at once (p < 0.001). Most participants (94%) reported being unsatisfied with the existing data and guidelines regarding these issues. Conclusion Our results showed a wide range of practice patterns in the weaning strategy of diuretics in outpatient preterm infants with BPD. Pulmonologists and neonatologists differ significantly in their weaning strategy. A prospective larger controlled study to explore the outcome of gradual tapering versus discontinuation without weaning is warranted. Key Points

Current Practice for Transverse Mandibular and Maxillary Discrepancies in the Netherlands: A Web-Based Survey Among Orthodontists and Oral and Maxillofacial Surgeons

2021 ◽  
pp. 194338752110276
Author(s):  
Atilla Gül ◽  
Stephen T. H. Tjoa ◽  
Jan P. de Gijt ◽  
Justin T. van der Tas ◽  
Hadi Sutedja ◽  
...  
Keyword(s):  
The Netherlands ◽  
Orthodontic Treatment ◽  
Current Practice ◽  
Response Rate ◽  
Professional Association ◽  
Long Term Outcomes ◽  
Web Based ◽  
Technical Aspects ◽  
The Web

The main objective of this study was to provide an overview of the current practice for transverse mandibular and maxillary discrepancies in the Netherlands using a web-based survey. Orthodontists (ORTHO) and Oral and Maxillofacial Surgeons (OMFS) in the Netherlands were invited to the web-based survey via their professional association. Three cases were presented which could be treated non-surgically and surgically. Participants were asked what treatment they preferred: no treatment, orthodontic treatment with optional extractions or surgically assisted orthodontic treatment. The web-based survey ended with questions on various technical aspects and any experienced complication. Invitation was sent to all 303 members of professional association for ORTHO and to all 379 members of professional association for OMFS. Overall response number was 276 (response rate of 40.5%), including 127 incomplete responses. Generally, ORTHO prefer orthodontic treatment with optional extractions and OMFS lean towards surgically assisted orthodontic treatment. Mandibular Midline Distraction appears to be less preferred, possibly due to lack of clinical experience or knowledge by both professions despite being proven clinical stable surgical technique with stable long-term outcomes. There seems to be consensus on technical aspects by both professions, however, there are various thoughts on duration of consolidation period. Complications are mostly minor and manageable.

scholarly journals Patients’ Use and Perceptions of a Drug-Drug Interaction Database: A Survey of Janusmed Interactions

Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 23
Author(s):  
Hanna Justad ◽  
Ylva Askfors ◽  
Tero Shemeikka ◽  
Marine L. Andersson ◽  
Tora Hammar
Keyword(s):  
Drug Interaction ◽  
General Population ◽  
Healthcare Professionals ◽  
Response Rate ◽  
Personal Account ◽  
Web Based ◽  
The Public ◽  
Interaction Database ◽  
Survey Response Rate ◽  
High Health Literacy

Janusmed interactions is a drug-drug interactions (DDI) database available online for healthcare professionals (HCP) at all levels of the healthcare system including pharmacies. The database is aimed at HCP but is also open to the public for free, for those individuals who register for a personal account. The aim of this study was to investigate why and how patients use the database Janusmed interactions, how they perceive content and usability, and how they would react if they found an interaction. A web-based questionnaire was sent by email to all users who had registered for Janusmed interactions as a “patient” (n = 3219). A total of 406 patients completed the survey (response rate 12.6%). The study shows that there is an interest among patients to use a DDI database to check their own or a relative’s medication. The respondents found the database easy to use and perceive they understand the information aimed at HCP. Most patients stated they would talk to their HCP if they found an interaction and not adjust their treatment by themselves. However, the respondents in this study are actively searching for information and seem to have high health literacy. Thus, the findings are not generalizable for the general population.

Long-Term Insulin Pump Treatment in Girls with Type 1 Diabetes and Eating Disorders—Is It Feasible?

2010 ◽  
Vol 12 (11) ◽  
pp. 873-878 ◽  
Author(s):  
Orit Pinhas-Hamiel ◽  
Chana Graph-Barel ◽  
Valentina Boyko ◽  
Michal Tzadok ◽  
Liat Lerner-Geva ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Type 1 Diabetes ◽  
Insulin Pump

Parents’ advice to other parents of children with spinal muscular atrophy: Two nationwide follow-ups

2021 ◽  
pp. 136749352110155
Author(s):  
Elin Hjorth ◽  
Ulrika Kreicbergs ◽  
Thomas Sejersen ◽  
Ulla Werlauff ◽  
Jes Rahbek ◽  
...  
Keyword(s):  
Content Analysis ◽  
Spinal Muscular Atrophy ◽  
Healthcare Professionals ◽  
Response Rate ◽  
Muscular Atrophy ◽  
First Year ◽  
Progressive Muscle Weakness ◽  
First Year Of Life ◽  
Existential Issues

Being a parent of a child with spinal muscular atrophy (SMA), a disease that causes progressive muscle weakness, involves a range of challenges. The purpose of this study was to explore what advice parents of children with severe SMA, in absence of effective therapies, would like to give to other parents. This study derives from two nationwide parental surveys in Sweden and Denmark, where content analysis was used to analyse one open-ended question about parents’ advice to other parents. Ninety-five parents (parents of children diagnosed with SMA type 1 or 2, for whom respiratory support was considered during first year of life) participated (response rate: 84%). Of these 95 parents, 81 gave written advice to other parents. Advice covered coping with everyday life with the ill child, existential issues of living with and losing a child with SMA and involvement in care of the child. Parents highlighted leading normal lives insofar as possible, for example, trying to see healthy aspects in their child, not only focusing on care and treatment. Shared advice can be related to resilience strategies to parents, which can help healthcare professionals and others to support parents in similar situations.

Applications of Data Mining in CRM Based on Web Log

2012 ◽  
Vol 446-449 ◽  
pp. 3762-3765
Author(s):  
Jian Ning Dang ◽  
Ai Qin Zhang ◽  
Wei Jing
Keyword(s):  
Data Mining ◽  
Service Providers ◽  
Integrated Approach ◽  
Financial Service ◽  
Customer Relationships ◽  
Customer Relationship ◽  
Web Based ◽  
Future Success ◽  
Key Factor

Nowadays, under intensified competition, winning and keeping customers is becoming more and more important. Company must focus on building long-term relationships with their customers for continuously adding market share. For defeating other financial service providers, the banks should have the ability to address their customers' preferences and priorities effectively, and should strategically use this understanding in every area to establish and strengthen long-term customer relationships. Consequently, systematic and web-based customer relationship management (CRM) will be a key factor to future success for financial service institutions. This thesis research explored advanced data mining technologies for building a best next offer predictive model, and focused on providing an integrated approach to improve performance of the prediction.

Supporting young people with type 1 diabetes: experiences from healthcare professionals in Sweden

2021 ◽  
Vol 2 (3) ◽  
pp. 117-124
Author(s):  
Malin Rising Holmström ◽  
Marie Häggström ◽  
Siv Söderberg
Keyword(s):  
Type 1 Diabetes ◽  
Young People ◽  
Diabetes Care ◽  
Healthcare Professionals ◽  
Young Person ◽  
Support Needs ◽  
Individual Interviews ◽  
Qualitative Research Design ◽  
Approach Working

Background Healthcare professionals in paediatric care face great demands to provide high-quality acute care and support for young people with long-term illnesses, such as type 1 diabetes. This study aims to describe healthcare professionals' experiences of supporting young people with type 1 diabetes in order to improve care. Methods A qualitative research design was used to conduct individual interviews with seven healthcare professionals. The interview transcripts were subjected to inductive qualitative thematic content analysis. Results Four themes were identified: strengthening young people's motivation, sharing knowledge for better support, the imbalance between resources and needs and the transition of responsibility to the young person and their family. Conclusions Healthcare professionals described motivating young people to improve their metabolic control by using a person-centred approach. Working in a team strengthened cross-professional perspectives, competence and understanding of young people's support needs and developed diabetes care. The transition of responsibility from healthcare to families and young people was important in improving glycemic control. The increased imbalance in resources and support needs in diabetes care must be addressed at a societal level and adapted according to today's needs.

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