scholarly journals Factors associated with tobacco cessation attempts among inpatients in a psychiatric hospital

2020 ◽  
Vol 15 (2) ◽  
pp. 84-93
Author(s):  
Janet K. Otachi ◽  
Sarret Seng ◽  
Chizimuzo T. C. Okoli
Keyword(s):  
Tobacco Cessation ◽  
Smoking Initiation ◽  
Mental Illnesses ◽  
Evidence Based ◽  
Psychiatric Facility ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Tobacco Treatment ◽  
Cold Turkey

AbstractIntroductionSeveral effective evidence-based tobacco treatment approaches can optimize cessation attempts; however, little is known about the utilization of such strategies by people with mental illnesses (MI) during their cessation attempts.AimsTo examine methods used during and factors associated with tobacco cessation attempts among people with MI.MethodsSelf-administered cross-sectional survey data were obtained from 132 tobacco using inpatients from a psychiatric facility in Kentucky, USA.ResultsOur study found ‘cold turkey’ as the most reported method by inpatient tobacco users with MI in their prior cessation attempts regardless of the psychiatric diagnosis category. Multivariate logistic regression found ethnicity (OR 26.1; 95% CI 2.9–237.1), age at 1st smoke (OR 1.1; 95% CI 1.0–1.1), importance to quit (OR 1.2; 95% CI 1.0–1.4), and receipt of brief tobacco treatment interventions (OR 1.1; 95% CI 1.0–1.3) significantly associated with quit attempt in the past year.ConclusionDespite the existence of various evidence-based approaches to enhance tobacco cessation among people with MI, ‘cold-turkey’ was the most preferred method in this sample. In addition, this study highlighted ethnicity, importance to quit, age at 1st smoke, and receipt of brief interventions as important factors to consider when tailoring tobacco cessation in this population. Though ethnicity is a non-modifiable factor, an informed provider may intervene skillfully by addressing socio-cultural barriers specific to an ethnic group. Lower ratings on the motivation ruler and early age of smoking initiation could also inform providers when using motivational interviewing and other evidence-based tobacco-cessation approaches.

Factors Associated With Staff Engagement in Patients’ Tobacco Treatment in a State Psychiatric Facility

2017 ◽  
Vol 23 (4) ◽  
pp. 268-278 ◽  
Author(s):  
Chizimuzo T. C. Okoli ◽  
Janet K. Otachi ◽  
Sooksai Kaewbua ◽  
Marc Woods ◽  
Heather Robertson
Keyword(s):  
Behavioral Control ◽  
Subjective Norms ◽  
Mental Illnesses ◽  
Perceived Behavioral Control ◽  
Evidence Based ◽  
Psychiatric Facility ◽  
Cross Sectional ◽  
Factors Associated ◽  
Tobacco Treatment ◽  
State Psychiatric

BACKGROUND: Persons with mental illnesses (MI) who use tobacco are likely to experience poorer physical health and worsened psychiatric symptomology as compared to their non–tobacco-using counterparts. Therefore, engaging them in treatment is an important aspect of evidence-based care. OBJECTIVE: To use the theory of planned behavior to examine factors associated with intentions to provide and the provision of evidence-based tobacco treatment. DESIGN: This study is based on a cross-sectional analysis of survey data from 195 staff at a state psychiatric hospital. Results: When controlling for demographic variables, attitudes, subjective norms, and perceived behavioral control toward providing tobacco treatment were associated with intentions to provide tobacco treatment, but only subjective norms and perceived behavioral control were associated with reported provision of evidence-based tobacco treatment. CONCLUSIONS: Understanding factors that influence provider delivery of tobacco treatment can better determine strategies to reduce the disproportionate tobacco use and related illnesses in behavioral health settings.

Nursing Staff Attitude, Subjective Norms, Perceived Behavior Control, and Intention to Provide Tobacco Treatment in a Psychiatric Hospital

2021 ◽  
pp. 107839032110457
Author(s):  
Bassema Abufarsakh ◽  
Chizimuzo T.C. Okoli
Keyword(s):  
Nursing Staff ◽  
Subjective Norms ◽  
Mental Illnesses ◽  
Perceived Behavioral Control ◽  
Psychiatric Facility ◽  
Behavior Control ◽  
Cross Sectional ◽  
Tobacco Treatment ◽  
Perceived Behavior Control ◽  
Perceived Behavior

Background: Although the nursing staff is fundamental in assisting individuals with mental illnesses (MI) to stop tobacco use, they often have mixed feelings about providing tobacco treatment (TT) services to people with MI in inpatient psychiatric settings. Objective: Therefore, this study aimed to understand factors associated with nursing staff’s intentions to provide TT interventions for individuals diagnosed with MI in a psychiatric facility using the constructs of the theory of planned behavior (TPB). Method: Secondary data analysis was performed using cross-sectional data collected from 98 nursing staff who worked in a state inpatient psychiatric facility. A 15-item questionnaire was used to assess nursing staff intentions to provide TT services based on TPB constructs, including attitudes (four items), subjective norms (four items), perceived behavioral controls (four items), and intentions (three items) toward providing TT. The mean scores of each subscale ranged from 1 to 7. A logistic regression analysis was used to examine the relationship between TBP constructs and nursing staff intentions to provide TT for people with MI. Results: Nursing staff had an acceptable mean score in the intentions subscale (4.34 ± 2.01). Only two constructs of TPB explained nursing staff intentions to provide TT: subjective norms (OR = 2.14, 95% CI [1.46, 3.13]) and perceived behavioral control (OR = 2.33, 95% CI [1.32, 4.12]). Conclusions: The constructs of the TPB, the subjective norms, and the perceived behavior control were able to predict nurses’ intentions to provide TT for inpatients in a psychiatric setting. Accordingly, we suggest implementing policies that make TT a normative practice while supporting the confidence and competence of nurses to deliver TT in psychiatric facilities.

scholarly journals How anxious were Quebec healthcare professionals during the first wave of the COVID-19 pandemic? A web-based cross-sectional survey

Work ◽  
2021 ◽  
pp. 1-12
Author(s):  
Jude Emmanuel Cléophat ◽  
Philippe Simon ◽  
Gilles Chiniara ◽  
Liette St-Pierre ◽  
Eusèbe Ahossi ◽  
...  
Keyword(s):  
State Anxiety ◽  
Healthcare Professionals ◽  
Multivariate Analyses ◽  
Evidence Based ◽  
State Trait Anxiety Inventory ◽  
Organizational Strategies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Factors Associated

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic may cause significant anxiety among healthcare professionals (HCPs). COVID-19-related psychological impacts on HCPs in Western countries have received relatively little attention. OBJECTIVE: This study aims to assess the levels of anxiety in HCPs working in the province of Quebec (Canada) during the first wave of the COVID-19 pandemic and identify factors associated with changes in anxiety scores. METHODS: An exploratory online cross-sectional survey was conducted among Quebec HCPs from April to July 2020. The Spielberger’s State-Trait Anxiety Inventory (STAI) was used to measure state anxiety among HCPs. Descriptive and multivariate analyses were performed. RESULTS: A total of 426 HCPs completed the survey. Anxiety scores ranged from 20 to 75 points, with 80 being the highest possible value on the STAI scale. Being a female HCP [B = 5.89, 95%confidence interval (CI): 2.49–9.3] and declaring having the intention to avoid caring for patients with COVID-19 (B = 3.75, 95%CI: 1.29–6.22) were associated with increased anxiety scores. Having more years of experience was associated with decreased anxiety scores [B = –0.2, 95%CI: –0.32–(–0.08)]. CONCLUSION: Organizational strategies aimed at preventing and relieving anxiety should target junior female HCPs who express the intention to avoid caring for patients with COVID-19. Seniority could become an important criterion in selecting frontline HCPs during pandemics. Further studies are needed to comprehensively examine the impacts of the COVID-19 pandemic on Canadian HCPs and identify evidence-based coping strategies.

Factors associated with ordering food via online meal ordering services

2021 ◽  
pp. 1-18
Author(s):  
Liyuwork Mitiku Dana ◽  
Ellen Hart ◽  
Alison McAleese ◽  
Alice Bastable ◽  
Simone Pettigrew
Keyword(s):  
Fast Food ◽  
Food Choices ◽  
Home Delivery ◽  
Evidence Based ◽  
Fast Food Restaurant ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Income Levels ◽  
Factors Associated ◽  
Sugary Drinks

Abstract Objective: Online meal ordering services are increasing in popularity in Australia and globally. Meals ordered online for home delivery are typically less healthy than home-made meals, potentially contributing to weight gain. The aim of the present study was to identify the types of consumers who are most likely to engage in online meal ordering. Design: A cross-sectional survey including items relating to demographic and lifestyle factors was disseminated via a web panel provider. Setting: Australia. Participants: 2,010 Australian adults aged 18+ years. Results: More than a quarter of respondents (28%) engaged in online meal ordering at least once in the previous month. Younger respondents, those with a higher body mass index, and those with higher education and income levels were more likely to have done so. Consuming higher levels of sugary drinks and fast food restaurant patronage were significantly associated with ordering meals online for home delivery. Conclusions: The outcomes of this study suggest that the use of online meal ordering services is becoming a common practice in Australia, and it is therefore important to implement evidence-based strategies and policies to encourage individuals to make healthy food choices when using these services.

scholarly journals Assessing Pharmacists Knowledge and Attitude Toward the Direct Oral Anticoagulants in Qatar

2020 ◽  
Vol 26 ◽  
pp. 107602962093394
Author(s):  
Ahmed El-Bardissy ◽  
Hazem Elewa ◽  
Ahmed Khalil ◽  
Walid Mekkawi ◽  
Shaban Mohammed ◽  
...  
Keyword(s):  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Community Pharmacists ◽  
Evidence Based ◽  
Total Response ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Professional Characteristics ◽  
Knowledge And Attitude

Pharmacists were found to play a key role in anticoagulation care. In order to make an appropriate selection and counselling regarding direct oral anticoagulants (DOACs), pharmacists should be knowledgeable and abiding by evidence-based practice. We aim in this study to assess the knowledge and practices of practicing hospital and community pharmacists in Qatar regarding DOACs and their reflection on the dispensing and patient education. A prospective cross-sectional survey was developed. It included questions on demographic and professional characteristics. Additionally, it evaluated the awareness regarding safety, efficacy, and dispensing of DOACs. Lastly, a separate question was used to address the participant’s satisfaction with their knowledge. A total response were received from 211 pharmacists participating in the survey. Overall awareness score was moderate (41.6% ± 26%). These scores were in alignment with participants’ self-satisfaction with knowledge on DOACs (72% of participants were not satisfied). Being a clinical pharmacist, of male gender, and with a board certification were factors associated with increased awareness on DOACs. Results from this survey point to the importance of having more educational activities in order to improve pharmacist’s knowledge of DOACs.

scholarly journals Manic episode, aggressive behavior and poor insight are significantly associated with involuntary admission in patients with bipolar disorders

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e7339 ◽  
Author(s):  
Chenyuli Luo ◽  
Hui Chen ◽  
Shaoling Zhong ◽  
Huijuan Guo ◽  
Qiguang Li ◽  
...  
Keyword(s):  
Aggressive Behavior ◽  
Bipolar Disorders ◽  
Manic Episode ◽  
Mental Illnesses ◽  
Chinese Patients ◽  
Involuntary Admission ◽  
Contributing Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated

Objective(s) Serious mental illnesses, such as bipolar disorders and schizophrenia, are closely associated with involuntary admission. Many studies have focused on involuntary admission in people with schizophrenia, but little is known about the factors associated with involuntary admission in Chinese patients with bipolar disorders. This study aimed to investigate socio-demographic and clinical factors associated with involuntary admission in Chinese patients with bipolar disorders. Methods In this multi-center cross-sectional survey in China, a total of 155 newly admitted patients with bipolar disorders were consecutively recruited from 16 psychiatric institutions from 15 March to 14 April, 2013. Patients’ socio-demographic and clinical data were collected from their medical records. The Modified Overt Aggression Scale and the Insight and Treatment Attitudes Questionnaire were used to measure patients’ level of aggression and insight of current psychiatric illness. Results The prevalence of involuntary admission was 52% in this sample of Chinese inpatients with bipolar disorders. In multiple logistic regression, a high level of aggression (odds ratio (OR) = 2.48), diagnosis of manic episode (OR = 3.65), poor insight (OR = 7.52), and a low level of education (OR = 3.13) were significantly associated with involuntary admission. Conclusion Manic episode, aggressive behavior, and poor insight were the significant contributing factors to involuntary admission in Chinese patients with bipolar disorders.

scholarly journals A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gerard Alvarez ◽  
Cristian Justribo ◽  
Tobias Sundberg ◽  
Oliver P. Thomson ◽  
Matthew J. Leach
Keyword(s):  
Evidence Based Practice ◽  
Evidence Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Professional Literature ◽  
Media Campaigns ◽  
Participant Engagement ◽  
Online Databases ◽  
Research Findings ◽  
Healthcare Professions

Abstract Background Although evidence-based practice (EBP) is largely supported across healthcare professions, its implementation in manual therapy professions such as osteopathy remains limited and debated. There is currently little knowledge of how Spanish osteopaths relate to EBP. Objectives The main aim of this study was to investigate the attitudes, skills and use of EBP among Spanish osteopaths. A secondary aim was to identify barriers and facilitators for the adoption of EBP in the Spanish osteopathic context. Methods National cross-sectional survey of Spanish osteopaths registered and non-registered to an osteopathic association in Spain. Eligible participants were invited by a range of recruitment strategies including email and social media campaigns to complete the Spanish-translated Evidence-Based practice Attitude and utilization Survey (EBASE) anonymously online. Results A total of 567 osteopaths completed the survey which represents an approximate response rate of 9%. Participant’s attitudes toward EBP were largely positive. Most respondents agreed or strongly agreed that EBP was necessary in the practice of osteopathy (89.6%) and that professional literature and research findings were useful to their day-to-day practice (88.9%). Levels of perceived skill in EBP were reported as low to moderate with lowest levels for items related to ‘research conduct’. Except reading/reviewing professional literature and using online search engines to find practice-related literature, participant engagement in all other EBP-related activities was generally infrequent. The perceived proportion of clinical practice that was based on clinical research evidence was reported to be very small. Main barriers to EBP uptake included a lack of clinical evidence in osteopathy and insufficient skills for applying research findings. Main facilitators of EBP uptake included access to full-text articles, internet at the workplace and online databases. Conclusions Spanish osteopaths were largely supportive of evidence-based practice, had low to moderate skills in EBP and engaged in EBP activities infrequently. Formal regulation of the profession in Spain and the inclusion of osteopathic programs into the university sector would potentially improve EBP skills and use.

scholarly journals A cross-sectional survey of stigma towards people with a mental illness in the general public. The role of employment, domestic noise disturbance and age

2021 ◽  
Author(s):  
S. C. C. Oudejans ◽  
M. E. Spits ◽  
J. van Weeghel
Keyword(s):  
Depressive Disorder ◽  
Social Services ◽  
Psychotic Disorder ◽  
Social Distance ◽  
Community Integration ◽  
Mental Illnesses ◽  
Public Stigma ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Noise Disturbance

Abstract Introduction Stigmatization impedes the social integration of persons recovering from mental illnesses. Little is known about characteristics of the stigmatized person that lessen or aggravate public stigma. Purpose This study investigates which characteristics of persons with mental illnesses (i.e. with a depression or a psychotic disorder) might increase or decrease the likelihood of public stigma. Methods Over 2,000 adults read one of sixteen vignettes describing a person with a depressive disorder or a psychotic disorder and answered a set of items measuring social distance. Results The person who was employed (vs. unemployed), or whose neighbors did not experience domestic noise disturbance (vs. disturbance) elicited significantly less social distance. Also persons with a depressive disorder elicited less social distance, vs. persons with a psychotic disorder. Conclusion Employment and good housing circumstances may destigmatize persons coping with mental illnesses. Mental health and social services should encourage paid employment, quality housing and other paths to community integration.

Prevalence and determinant factors of exclusive breastfeeding practices among mothers in Marrakesh province, Morocco: A cross- sectional survey

2021 ◽  
pp. 1-11
Author(s):  
Soufiane El Moussaoui ◽  
Kamal Kaoutar ◽  
Ahmed Chetoui ◽  
Abdeslam El Kardoudi ◽  
Fatiha Chigr ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Multivariate Logistic Regression ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
Survey Report ◽  
Duration Of Breastfeeding ◽  
Breastfeeding Practice

BACKGROUND: Exclusive breastfeeding is the best form of nutrition for infants during the first 6 months of life. Nevertheless, the practice of breastfeeding is currently declining throughout the world. OBJECTIVE: The objective of this study was to assess the prevalence of exclusive breastfeeding (EBF) practice and its associated factors among mothers living in Marrakesh province, Morocco. METHODS: The data were collected using an interviewer administered questionnaire. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with exclusive breastfeeding practice. RESULTS: Prevalence of exclusive breastfeeding was 50.2%. Mothers with age more than 30 years, residing in rural area, receiving counseling related breastfeeding during antenatal follow up and having knowledge about duration of breastfeeding were more likely to practice exclusive breastfeeding than their counterparts. CONCLUSION: Although the prevalence of breastfeeding in Marrakesh was higher than the last national survey report but it is still insufficient. These findings have to stress authorities and deciders to sensitize mothers and future mothers to increase exclusive breastfeeding practice notably through the involvement of health professionals.

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