scholarly journals An Impact Evaluation protocol for the rapid design and delivery of an experience-based co-designed mobile app to support the mental health needs of healthcare workers impacted by COVID-19. (Preprint)

2020 ◽  
Author(s):  
Matthew Lewis ◽  
Victoria J Palmer ◽  
Aneta Kotevski ◽  
Konstancja Densley ◽  
Meaghan L O'Donnell ◽  
...  
Keyword(s):  
Mental Health ◽  
Impact Evaluation ◽  
Qualitative Data ◽  
Outcome Data ◽  
Mobile App ◽  
Design Development ◽  
Structured Interviews ◽  
Rapid Design ◽  
Patient Health ◽  
The Impact

BACKGROUND The COVID-19 pandemic has highlighted the central importance of health care workers’ (HCWs) mental health and wellbeing for the successful function of the health care system. Few targeted digital tools exist to support HCWs’ mental health and none appear to have been co-designed with end users. OBJECTIVE RMHive is being developed as a mobile app to support the mental health challenges being posed by COVID-19 to HCWs using experience-based co-design (EBCD) processes. We present the Impact Evaluation protocol for the rapid design and delivery of the RMHive mobile app. METHODS The Impact Evaluation will adopt a mixed-methods approach. Qualitative data from photo interviews undertaken with HCWs exploring needs and experiences, and semi-structured interviews conducted with governance stakeholders during design development and implementation will be integrated with quantitative user analytics data and user generated demographic and mental health data entered into the app. Analyses will address three evaluation questions related to: (1) engagement with and use of the mobile app; (2) implementation and integration; and (3) the quantifiable and qualitative impacts on individual mental health. The mobile app design and development will be described using the mobile health (mHealth) evidence reporting and assessment (mERA) guidelines. Implementation of the app will be evaluated using Normalisation Process Theory (NPT) as a framework to analyse qualitative data combined with text and video analysis from semi-structured interviews. Mental health impacts will be assessed using the Patient Health Questionnaire (PHQ4) total score and subscale scores for the Patient Health Questionnaire (PHQ2) for depression and Generalised Anxiety Scale (GAD2) for anxiety. The PHQ4 will be completed at download (baseline), then at 14 and 28 days. RESULTS The anticipated use period of the app is an average of 30 days. The rapid design will occur over four months using EBCD approaches to collect qualitative data and develop app content. The Impact Evaluation will monitor outcome data for up to 12 weeks following the Minimal Viable Product release. The study received funding and institutional ethics approvals in June, 2020. Outcome data is expected to be available in March, 2021 and the Impact Evaluation published mid 2021. CONCLUSIONS The Impact Evaluation will examine the rapid design, development and implementation of the RMHive app and the mental health and wellbeing outcomes for HCWs. Evaluation outcomes will provide guidance for the integration of EBCD in rapid design and implementation processes. Outcomes will inform future development and roll out of the app programmatically to support the mental health needs of HCWs more widely.

scholarly journals Mental Health in Equestrian Sport

2019 ◽  
Vol 13 (3) ◽  
pp. 405-420
Author(s):  
Hannah Butler-Coyne ◽  
Vaithehy Shanmuganathan-Felton ◽  
Jamie Taylor
Keyword(s):  
Mental Health ◽  
Professional Training ◽  
Qualitative Data ◽  
Emotional Wellbeing ◽  
Structured Interviews ◽  
Dual Approach ◽  
Mental Health Difficulties ◽  
Equestrian Sport ◽  
The Impact ◽  
General Wellbeing

Equestrian media is showing an increasing interest in the impact of mental health on performance and general wellbeing of equestrian athletes. This study explores the awareness of mental health difficulties and psychological wellbeing within equestrian sport from the perspectives of equestrian athletes, instructors/coaches and parents. The exploratory nature of the research offered opportunity to use a dual approach including e-surveys and semi-structured interviews. Analysis of the qualitative data identified five key themes (Emotional WellbeinginBalance; Emotional WellbeingImbalance; WellbeingImbalance—Impact on Equestrian Sportspeople; Impact of Equestrian Sport on Wellbeing; Regaining Balance) and 22 sub-themes. The findings determine a compelling need for education, promotion of sharing experiences, facilitation of specialist (clinical and sport) professional training and intervention as well as a review of regulations from equestrian Governing Bodies.

scholarly journals Implementing a digital health model of care in Australian youth mental health services: protocol for impact evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Piper ◽  
Tracey A. Davenport ◽  
Haley LaMonica ◽  
Antonia Ottavio ◽  
Frank Iorfino ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Impact Evaluation ◽  
Digital Health ◽  
Youth Mental Health ◽  
Model Of Care ◽  
Health Service Provision ◽  
Industrial Grade ◽  
The Impact

Abstract Background The World Economic Forum has recently highlighted substantial problems in mental health service provision and called for the rapid deployment of smarter, digitally-enhanced health services as a means to facilitate effective care coordination and address issues of demand. In mental health, the biggest enabler of digital solutions is the implementation of an effective model of care that is facilitated by integrated health information technologies (HITs); the latter ensuring the solution is easily accessible, scalable and sustainable. The University of Sydney’s Brain and Mind Centre (BMC) has developed an innovative digital health solution – delivered through the Youth Mental Health and Technology Program – which incorporates two components: 1) a highly personalised and measurement-based (data-driven) model of youth mental health care; and 2) an industrial grade HIT registered on the Australian Register of Therapeutic Goods. This paper describes a research protocol to evaluate the impact of implementing the BMC’s digital health solution into youth mental health services (i.e. headspace - a highly accessible, youth-friendly integrated service that responds to the mental health, physical health, alcohol or other substance use, and vocational concerns of young people aged 12 to 25 years) within urban and regional areas of Australia. Methods The digital health solution will be implemented into participating headspace centres using a naturalistic research design. Quantitative and qualitative data will be collected from headspace health professionals, service managers and administrators, as well as from lead agency and local Primary Health Network (PHN) staff, via service audits, Implementation Officer logs, online surveys, and semi-structured interviews, at baseline and then three-monthly intervals over the course of 12 months. Discussion At the time of publication, six headspace centres had been recruited to this study and had commenced implementation and impact evaluation. The first results are expected to be submitted for publication in 2021. This study will focus on the impact of implementing a digital health solution at both a service and staff level, and will evaluate digital readiness of service and staff adoption; quality, usability and acceptability of the solution by staff; staff self-reported clinical competency; overall impact on headspace centres as well as their lead agencies and local PHNs; and social return on investment.

scholarly journals An evaluation of Cognitive Stimulation Therapy sessions for people with dementia and a concomitant support group for their carers

Dementia ◽  
2016 ◽  
Vol 16 (8) ◽  
pp. 985-1003 ◽  
Author(s):  
Jan Bailey ◽  
Paul Kingston ◽  
Simon Alford ◽  
Louise Taylor ◽  
Edward Tolhurst
Keyword(s):  
Support Groups ◽  
Support Group ◽  
Qualitative Data ◽  
Cognitive Stimulation ◽  
Structured Interviews ◽  
Post Intervention ◽  
Cognitive Stimulation Therapy ◽  
People With Dementia ◽  
Quasi Experimental ◽  
The Impact

This research aimed to ascertain the impact of a pragmatic Cognitive Stimulation Therapy course of 10 sessions on the cognitive function of people living with dementia and whether attending a concomitant carers support group was beneficial to carers. A mixed method quasi-experimental approach was adopted; data were collected pre- and post-intervention. The quantitative arm utilised three validated questionnaires rated by the carers. Qualitative data were collected via semi-structured interviews with carers regarding their perceptions of the impact of Cognitive Stimulation Therapy and the carers support group. Quantitative data analysis found no statistically significant differences within or between groups. The qualitative data demonstrated that carers perceived Cognitive Stimulation Therapy had some benefits for the people living with dementia, especially social benefits. Carers also perceived that attending the carers support group was beneficial for them in terms of gaining a better understanding of dementia, developing coping skills and having peer support. The study was limited in scale and further research with a larger sample, using direct measures of the impact of Cognitive Stimulation Therapy with people living with dementia and supplementary research exploring which characteristic of carers support groups are effective would be worthwhile.

scholarly journals The Impact of the Sars Cov-2 Pandemic on the Mental Health and Well-Being of Seniors in Social Care Facilities

2021 ◽  
Vol 12 (3) ◽  
pp. 104-110
Author(s):  
Z. Budayova ◽  
L. Ludvigh Cintulova
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Research Study ◽  
Social Care ◽  
Well Being ◽  
Structured Interviews ◽  
Care Facilities ◽  
Open Coding ◽  
The Impact ◽  
Health And Well Being

The research study analyses the effects of the Covid-19 pandemic and identifies changes in the life satisfaction of seniors in social services facilities. The research sample consisted of 79 seniors in social services facilities, the sample consisted of ten participants, data collection took place in the period from November 2020 to April 2021, where the method of qualitative research was used in empirical research, through semi-structured interviews to determine the impact of Covid-19 on We collected the data collected by open coding and pointed to those dimensions of the lives of seniors that were most marked by pandemic measures against the spread of Covid-19.

scholarly journals “Here in the Bible Belt, It’s Predominantly Negative”: Sexual Identity Stigma in the American South, 50 Years After Stonewall

2021 ◽  
Vol 12 ◽  
Author(s):  
Joseph J. Frey ◽  
William J. Hall ◽  
Jeremy T. Goldbach ◽  
Paul Lanier
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Disparities ◽  
Sexual Identity ◽  
Minority Stress ◽  
The United States ◽  
Mental Health Disparities ◽  
Structured Interviews ◽  
United States South ◽  
The Impact

Lesbian, gay, bisexual, and pansexual (LGB+) individuals have disproportionate rates of mental illness. Minority stress and sexual identity stigma are posited as the primary social determinants of LGB+ mental health disparities. Discussions in the literature have questioned the impact of sexual identity stigma in a world increasingly accepting of sexual minorities. Additionally, the LGB+ population in the United States South is often overlooked in American research. This article details a qualitative study exploring experiences related to sexual identity stigma among adults who identify as LGB+ in the United States South. Semi-structured interviews with 16 individuals were analyzed using content analysis. Six thematic categories of stigma emerged from participants’ experiences: (a) navigating an LGB+ identity, (b) social acceptability of an LGB+ identity, (c) expectation of LGB+ stigma, (d) interpersonal discrimination and harassment, (e) structural stigma, and (f) relationship with the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community. Findings suggest that sexual identity stigma remains a common experience among these Southern United States participants. Further, thematic categories and subcategories primarily aligned with extant theory with one exception: Intracommunity stigma, a form of stigma emanating from the LGBTQ community, emerged as a stigma type not currently accounted for in theoretical foundations underpinning mental health disparities in this population.

scholarly journals Mental health professionals’ perceptions on patients control of data sharing

2020 ◽  
Vol 26 (3) ◽  
pp. 2011-2029 ◽  
Author(s):  
Julia Ivanova ◽  
Adela Grando ◽  
Anita Murcko ◽  
Michael Saks ◽  
Mary Jo Whitfield ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Information ◽  
Data Sharing ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Health Data ◽  
Structured Interviews ◽  
Timely Access ◽  
The Impact

Integrated mental and physical care environments require data sharing, but little is known about health professionals’ perceptions of patient-controlled health data sharing. We describe mental health professionals’ views on patient-controlled data sharing using semi-structured interviews and a mixed-method analysis with thematic coding. Health information rights, specifically those of patients and health care professionals, emerged as a key theme. Behavioral health professionals identified patient motivations for non-sharing sensitive mental health records relating to substance use, emergency treatment, and serious mental illness (94%). We explore conflicts between professional need for timely access to health information and patient desire to withhold some data categories. Health professionals’ views on data sharing are integral to the redesign of health data sharing and informed consent. As well, they seek clarity about the impact of patient-controlled sharing on health professionals’ roles and scope of practice.

scholarly journals Health and mass unemployment events—developing a framework for preparedness and response

2018 ◽  
Vol 41 (4) ◽  
pp. 665-673
Author(s):  
A R Davies ◽  
L Homolova ◽  
C N B Grey ◽  
M A Bellis
Keyword(s):  
Public Health ◽  
Population Health ◽  
Early Warning System ◽  
Qualitative Data ◽  
Warning System ◽  
Adverse Impact ◽  
Structured Interviews ◽  
Health Studies ◽  
The Impact ◽  
Detrimental Impact

Abstract Background Mass unemployment events are not uncommon yet the impact on health is not well recognised. There is a need for a preparedness and response framework, as exists for other events that threaten population health. Methods Framework informed by a narrative review of the impact of mass unemployment on health (studies published in English from 1990 to 2016), and qualitative data from 23 semi-structured interviews with individuals connected to historical national and international events, addressing gaps in published literature on lessons learnt from past responses. Results Economic and employment shock triggered by mass unemployment events have a detrimental impact on workers, families and communities. We present a public health informed response framework which includes (i) identify areas at risk, (ii) develop an early warning system, (iii) mobilise multi-sector action including health and community, (iv) provision of support across employment, finance and health (v) proportionate to need, (vi) extend support to family members and (vii) communities and (viii) evaluate and learn. Conclusion Mass unemployment events have an adverse impact on the health, financial and social circumstances of workers, families, and communities. This is the first framework for action to mitigate and address the detrimental impact of mass unemployment events on population health.

scholarly journals Work after Death: An Examination of the Relationship between Grief, Emotional Labour, and the Lived Experience of Returning to Work after a Bereavement

2020 ◽  
pp. 136078042094634
Author(s):  
Natalie Pitimson
Keyword(s):  
Work Environment ◽  
Lived Experience ◽  
Qualitative Data ◽  
Structured Interviews ◽  
Disenfranchised Grief ◽  
Emotional Labour ◽  
Company Policy ◽  
Returning To Work ◽  
The Impact ◽  
The Relationship

The lived experience of returning to work after a bereavement remains relatively under researched. Within sociology, the notion of emotional labour has been explored at length, but the place and experience of grief in the workplace is less well understood. This research, framed by Hochschild’s work on feeling rules, focuses on professional individuals working in UK companies who agreed to discuss their experiences of returning to work after a bereavement, in terms of dealing with their own emotions and those of their colleagues, as well as navigating company policy in the area of compassionate leave. Qualitative data from seven semi-structured interviews were analysed, exposing key common emotional and experiential themes, particularly regarding disenfranchised grief, comfort in the familiarity of the work environment, and the impact of silent or awkward responses from colleagues. The emergent themes from the data were used to address the research objective of examining the relationship between grief, emotional labour, and the lived experience of returning to work after a bereavement.

scholarly journals An evaluation of the transition from BAME community mental health worker to IAPT low intensity psychological wellbeing practitioner

2019 ◽  
Vol 12 ◽  
Author(s):  
Naheem Hakim ◽  
Andrew R. Thompson ◽  
Gail Coleman-Oluwabusola
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Worker ◽  
Culturally Responsive ◽  
Behavioural Therapy ◽  
Psychological Wellbeing ◽  
Mental Health Worker ◽  
Structured Interviews ◽  
Low Intensity ◽  
The Impact

AbstractThe Improving Access to Psychological Therapies (IAPT) programme started in 2008, but it contained little provision for specifically meeting the needs of Black, Asian and minority ethnic (BAME) groups. The purpose of this evaluation was to describe the experience of transition from BAME community mental health worker (CMHW) to IAPT low-intensity psychological wellbeing practitioner (PWP) in order to identify possible gains and losses for the former communities served, and the factors that might contribute to successful training of people with BAME expertise. Four former CMHWs who had transitioned into working as PWPs were interviewed. Semi-structured interviews were used. The data were analysed using thematic analysis. Six major themes were identified with the benefits of training emerging as an important factor for the participants in enhancing their role. Three of the themes interconnected and focused on the impact for BAME communities in terms of access to service and barriers. Evident in the interviews were descriptions of adaptations that were made as a result of CMHW having access to both new and old skills. Finally, two themes focused on the participant recommendations as to how IAPT services might become more culturally responsive. The findings suggest that there can be significant benefits for services to provide IAPT training to people already providing culturally specific services. The participants reported that low-intensity cognitive behavioural therapy (LICBT) was effective, but only when cultural sensitive adaptations were made. The evaluation has some clear recommendations as to how IAPT services might seek to offer culturally responsive CBT. Suggestions for carrying out further practice-based evaluations are made.

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