scholarly journals Family-Centred Care for Children with Biopsychosocial Support Needs: A Scoping Review

Disabilities ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 301-330
Author(s):  
Lizz Carrington ◽  
Leigh Hale ◽  
Claire Freeman ◽  
Ayesha Qureshi ◽  
Meredith Perry

Children’s health and wellness are influenced by a wide range of biological, psychological or social factors with a rising number of children requiring supportive healthcare. Family-centred care is considered best practice paediatric healthcare; however, processes and actions are not well explored in the literature. This research aimed to synthesise the evidence on the processes of implementation of family-centred care for children with biopsychosocial support needs and identify outcome measures used in the studies. A scoping search across Cinahl, Medline, Web of Science, Scopus, Psyc INFO, Embase and Education Research Complete for English language publications published between 2005 and 14 October 2020 was conducted. A total of 42 studies met the inclusion criteria: a focus on the processes of implementation of family-centred care for children aged 0–21 years with biopsychosocial needs. Diversity in the implementation of interventions of family-centred care was evident due to heterogeneity in study populations, methodology and reporting. Health condition or impairment focused outcome measures were found to be standard with a paucity of outcomes measuring participation or activity. Theoretical and practical elements of implementing interventions were identified as novel and key attributes of family-centred care and contributed to a new standardised framework for the processes of implementation of family-centred care. Future research should address whether mapping family-centred care to the International Classification of Function model helps families and health professionals identify meaningful participation and activity outcomes, which in turn may guide the processes of implementation of family-centred care interventions.

2017 ◽  
pp. 1-11
Author(s):  
A.J. SINCLAIR ◽  
A. ABDELHAFIZ ◽  
T. DUNNING ◽  
M. IZQUIERDO ◽  
L. RODRIGUEZ MANAS ◽  
...  

Aim: the the International Position Statement provides the opportunity to summarise all existing clinical trial and best practice evidence for older people with frailty and diabetes. It is the first document of its kind and is intended to support clinical decisions that will enhance safety in management and promote high quality care. Methods: the Review Group sought evidence from a wide range of studies that provide sufficient confidence (in the absence of grading) for the basis of each recommendation. This was supported by a given rationale and key references for our recommendations in each section, all of which have been reviewed by leading international experts. Searches for any relevant clinical evidence were generally limited to English language citations over the previous 15 years. The following databases were examined: Embase, Medline/PubMed, Cochrane Trials Register, Cinahl, and Science Citation. Hand searching of 16 key major peer-reviewed journals was undertaken by two reviewers (AJS and AA) and these included Lancet, Diabetes, Diabetologia, Diabetes Care, British Medical Journal, New England Journal of Medicine, Journal of the American Medical Association, Journal of Frailty & Aging, Journal of the American Medical Directors Association, and Journals of Gerontology – Series A Biological Sciences and Medical Sciences. Results: two scientific supporting statements have been provided that relate to the area of frailty and diabetes; this is accompanied by evidence-based decisions in 9 clinical domains. The Summary has been supported by diagrammatic figures and a table relating to the inter-relations between frailty and diabetes, a frailty assessment pathway, an exercise-based programme of intervention, a glucose-lowering algorithm with a description of available therapies. Conclusions: we have provided an up to date evidence-based approach to practical decision-making for older adults with frailty and diabetes. This Summary document includes a user-friendly set of recommendations that should be considered for implementation in primary, community-based and secondary care settings.


2021 ◽  
Author(s):  
Su Golder ◽  
Robin Stevens ◽  
Karen O'Conor ◽  
Richard James ◽  
Graciela Gonzalez-Hernandez

BACKGROUND Background: A growing amount of health research uses social media data. Those critical of social media research often cite that it may be unrepresentative of the population, but the suitability of social media data in digital epidemiology is more nuanced. Identifying the demographics of social media users can help establish representativeness. OBJECTIVE Objectives: We sought to identify the different approaches or combination of approaches to extract race or ethnicity from social media and report on the challenges of using these methods. METHODS Methods: We present a scoping review to identify the methods used to extract race or ethnicity from Twitter datasets. We searched 17 electronic databases and carried out reference checking and handsearching in order to identify relevant articles. Sifting of each record was undertaken independently by at least two researchers with any disagreement discussed. The included studies could be categorized by the methods the authors applied to extract race or ethnicity. RESULTS Results: From 1249 records we identified 67 that met our inclusion criteria. The majority focus on US based users and English language tweets. A range of types of data were used including Twitter profile -pictures or information from bios (such as names or self-declarations), or location and/or content in the tweets themselves. A range of methodologies were used including using manual inference, linkage to census data, commercial software, language/dialect recognition and machine learning. Not all studies evaluated their methods. Those that did found accuracy to vary from 45% to 93% with significantly lower accuracy identifying non-white race categories. The inference of race/ethnicity raises important ethical questions which can be exacerbated by the data and methods used. The comparative accuracy of different methods is also largely unknown. CONCLUSIONS Conclusion: There is no standard accepted approach or current guidelines for extracting or inferring race or ethnicity of Twitter users. Social media researchers must use careful interpretation of race or ethnicity and not over-promise what can be achieved, as even manual screening is a subjective, imperfect method. Future research should establish the accuracy of methods to inform evidence-based best practice guidelines for social media researchers, and be guided by concerns of equity and social justice.


2017 ◽  
Vol 31 (10) ◽  
pp. 1281-1293 ◽  
Author(s):  
Alexandra Lewis ◽  
Don Grubin ◽  
Callum C Ross ◽  
Mrigendra Das

Background: Sexual offending is a significant international issue causing long-term consequences for victims, perpetrators and society. Aims: The purpose of this study was to review the existing research data assessing the efficacy of gonadotrophin-releasing hormone agonists for treating adult, male, sexual offenders. Method: The method of this review involved the examination of studies involving participants prescribed at least one month of a gonadotrophin-releasing hormone agonist for the purposes of reducing sexual drive related to offending. The primary outcome measures were recidivism rates and sexual functioning. Secondary outcome measures included assessment of side effects and effects on interpersonal/psychiatric functioning. Studies in the English language that were dated 1969–2015 were included. Results: Twelve eligible studies (323 participants) were identified. A reduction in a variety of measures of sexual functioning and/or risk was found in all studies. Robust recidivism data was limited. Medication was rarely described as ineffectual. All studies reported side effects. Reduction in bone density and potential long-term reduction in fertility in some subjects were issues of concern. Conclusion: Whilst identified studies showed promising results with respect to sexual functioning, challenges in performing randomised control trials in this subject group meant that included studies were methodologically limited. This review recommends that future research must be performed before the effectiveness and tolerability of gonadotrophin-releasing hormone agonists in this population can be confirmed.


Author(s):  
Christina M. Balderrama-Durbin ◽  
Caitlin L. Fissette ◽  
Douglas K. Snyder

Couple distress is not only highly prevalent but also detrimental to individual emotional, behavioral, and physical well-being. Moreover, relationship problems can impede treatment response for a wide range of psychological disorders. Understanding couple distress requires that assessment extend beyond individual factors to include the broader relational and socioecological context. This chapter describes the multifaceted etiological considerations in couple assessment and provides brief screening measures and methods for the diagnosis of couple distress. Assessment techniques capable of evaluating behavioral, cognitive, and affective components of couple distress are highlighted. The chapter emphasizes the best practices in conceptualizing and assessing couple distress for the purpose of treatment planning and evaluation. Best practice recommendations and potential areas for future research are explicated.


2019 ◽  
Vol 35 (4) ◽  
pp. 1252-1275 ◽  
Author(s):  
Dena M. Bravata ◽  
Sharon A. Watts ◽  
Autumn L. Keefer ◽  
Divya K. Madhusudhan ◽  
Katie T. Taylor ◽  
...  

ABSTRACT Background Impostor syndrome is increasingly presented in the media and lay literature as a key behavioral health condition impairing professional performance and contributing to burnout. However, there is no published review of the evidence to guide the diagnosis or treatment of patients presenting with impostor syndrome. Purpose To evaluate the evidence on the prevalence, predictors, comorbidities, and treatment of impostor syndrome. Data Sources Medline, Embase, and PsycINFO (January 1966 to May 2018) and bibliographies of retrieved articles. Study Selection English-language reports of evaluations of the prevalence, predictors, comorbidities, or treatment of impostor syndrome. Data Extraction Two independent investigators extracted data on study variables (e.g., study methodology, treatments provided); participant variables (e.g., demographics, professional setting); diagnostic tools used, outcome variables (e.g., workplace performance, reductions in comorbid conditions); and pre-defined quality variables (e.g., human subjects approval, response rates reported). Data Synthesis In total, 62 studies of 14,161 participants met the inclusion criteria (half were published in the past 6 years). Prevalence rates of impostor syndrome varied widely from 9 to 82% largely depending on the screening tool and cutoff used to assess symptoms and were particularly high among ethnic minority groups. Impostor syndrome was common among both men and women and across a range of age groups (adolescents to late-stage professionals). Impostor syndrome is often comorbid with depression and anxiety and is associated with impaired job performance, job satisfaction, and burnout among various employee populations including clinicians. No published studies evaluated treatments for this condition. Limitations Studies were heterogeneous; publication bias may be present. Conclusions Clinicians and employers should be mindful of the prevalence of impostor syndrome among professional populations and take steps to assess for impostor feelings and common comorbidities. Future research should include evaluations of treatments to mitigate impostor symptoms and its common comorbidities.


Polymers ◽  
2021 ◽  
Vol 13 (13) ◽  
pp. 2071
Author(s):  
Ayesha Siddika ◽  
Ailar Hajimohammadi ◽  
Md. Abdullah Al Mamun ◽  
Rayed Alyousef ◽  
Wahid Ferdous

Every year, the world is producing around 100 metric tons of waste glass (WG), the majority of them are going to landfills that create massive environmental problems. One approach to solve this problem is to transform waste glass into construction materials. Glass is recyclable; however, the melting temperature of the glass is highly dependent on its colour that requires sorting before recycling. To overcome this challenge, many researchers and end-users are using broken glass in concrete either as a binder or aggregates. While significant investigations have done in this area, however, the outcomes of these studies are scattered, and difficult to reach a firm conclusion about the effectiveness of WG in concrete. In this study, the roles of WG and its impact on microstructural and durability properties for both cement and geopolymer concrete are critically reviewed. This review reveals that the amorphous silica in WG effectively participate to the hydration and geopolymerization process and improve concrete microstructural properties. This behaviour of WG help to produce durable concrete against shrinkage, chemical attack, freeze-thaw action, electrical and thermal insulation properties. The optimum replacement volume of binders or natural aggregates and particle size of WG need to be selected carefully to minimise the possible alkali-silica reaction. This review discusses a wide range of parameters for durability properties and challenges associated with WG concrete, which provides necessary guidelines for best practice with future research directions.


2020 ◽  
Vol 37 (3) ◽  
pp. 192-197
Author(s):  
L. Rooney ◽  
F. McNicholas

AbstractIn response to the global pandemic COVID-19, the Irish government has called upon the Garda Síochána to implement an unparalleled mode of policing to mitigate and contain the spread of the Coronavirus. Studies investigating smaller scale epidemics, such as Severe Acute Respiratory Syndrome (SARS), indicate that staff at the frontlines of an outbreak are exposed to an insuperable amount of stress and experience increased psychological morbidities as a result. Furthermore, research not only indicates that heighted levels of psychological distress are an occupational hazard associated with the law enforcement profession, but that members of the Garda Síochána feel their mental health needs are largely unmet by their organisation. Given the pandemic’s propensity to expose officers to indeterminate echelons of physical and psychological threat; there has never been a more appropriate time to explore the potential burdens associated with ‘policing’ a pandemic, question the governments capacity to address the psychological support needs of frontline professionals, and plan future research for best practice.


2019 ◽  
Vol 50 (4) ◽  
pp. 693-702 ◽  
Author(s):  
Christine Holyfield ◽  
Sydney Brooks ◽  
Allison Schluterman

Purpose Augmentative and alternative communication (AAC) is an intervention approach that can promote communication and language in children with multiple disabilities who are beginning communicators. While a wide range of AAC technologies are available, little is known about the comparative effects of specific technology options. Given that engagement can be low for beginning communicators with multiple disabilities, the current study provides initial information about the comparative effects of 2 AAC technology options—high-tech visual scene displays (VSDs) and low-tech isolated picture symbols—on engagement. Method Three elementary-age beginning communicators with multiple disabilities participated. The study used a single-subject, alternating treatment design with each technology serving as a condition. Participants interacted with their school speech-language pathologists using each of the 2 technologies across 5 sessions in a block randomized order. Results According to visual analysis and nonoverlap of all pairs calculations, all 3 participants demonstrated more engagement with the high-tech VSDs than the low-tech isolated picture symbols as measured by their seconds of gaze toward each technology option. Despite the difference in engagement observed, there was no clear difference across the 2 conditions in engagement toward the communication partner or use of the AAC. Conclusions Clinicians can consider measuring engagement when evaluating AAC technology options for children with multiple disabilities and should consider evaluating high-tech VSDs as 1 technology option for them. Future research must explore the extent to which differences in engagement to particular AAC technologies result in differences in communication and language learning over time as might be expected.


Author(s):  
Vera Joanna Burton ◽  
Betsy Wendt

An increasingly large number of children receiving education in the United States public school system do not speak English as their first language. As educators adjust to the changing educational demographics, speech-language pathologists will be called on with increasing frequency to address concerns regarding language difference and language disorders. This paper illustrates the pre-referral assessment-to-intervention processes and products designed by one school team to meet the unique needs of English Language Learners (ELL).


2015 ◽  
Vol 25 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Ryan W. McCreery ◽  
Elizabeth A. Walker ◽  
Meredith Spratford

The effectiveness of amplification for infants and children can be mediated by how much the child uses the device. Existing research suggests that establishing hearing aid use can be challenging. A wide range of factors can influence hearing aid use in children, including the child's age, degree of hearing loss, and socioeconomic status. Audiological interventions, including using validated prescriptive approaches and verification, performing on-going training and orientation, and communicating with caregivers about hearing aid use can also increase hearing aid use by infants and children. Case examples are used to highlight the factors that influence hearing aid use. Potential management strategies and future research needs are also discussed.


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