Victims of cyberbullying are at a greater risk than nonvictims of both self-harm and suicidal behaviors. To a lesser extent, perpetrators of cyberbullying are at risk of suicidal behaviors and suicidal ideation when compared with nonperpetrators. Policy makers and schools should prioritize the inclusion of cyberbullying involvement in programs to prevent traditional bullying
Background: We conducted a randomized controlled trial of a digital health system supporting clinical care through monitoring and self-management support in community-based patients with moderate to very severe chronic obstructive pulmonary disease (COPD).
Objective: The aim was to illustrate uses and experiences with the secure e-recovery portal “ReConnect” as an adjunct to ongoing community mental health care and explore its potential role in shifting practices toward recovery.
Conclusions: Leisure-time MVPA increased more in the app+counseling than counseling only group, although no difference was found when comparing the increase between the two groups. Counseling accompanied by printed materials appears to be effective in improving adherence to the Mediterranean diet, although the app does not increase adherence.
Objectives: The general objective of this review was to set out how to ensure that eHealth contributes to reducing SHIs rather than exacerbating them. This review has three objectives: (1) identifying characteristics of people at risk of experiencing social inequality in health; (2) determining the possibilities of developing eHealth tools that avoid increasing SHI; and (3) modeling the process of using an eHealth tool by people vulnerable to SHI.
Conclusions: This study provides empirical evidence on the use of a coordinated social media strategy for the dissemination of evidence to professionals providing health services to children and youth. The results and lessons learned from our study provide guidance for future knowledge dissemination activities using social media tools.
Conclusions: There is a high prevalence of stigma in youth with type 1 diabetes that is associated with both elevated HbA1c levels and severe hypoglycemia. Targeted strategies to address stigma are needed.
Conclusions: Groups delivered by videoconference are feasible and potentially can improve the accessibility of group interventions. This may be particularly useful for those who live in rural areas, have limited mobility, are socially isolated, or fear meeting new people. Outcomes are similar to in-person groups, but future research on facilitation process in videoconferencing-mediated groups and large-scale studies are required to develop the evidence base.
Conclusions: While telehealth-mediated self-management was not consistently superior to usual care, none of the reviews reported any negative effects, suggesting that telehealth is a safe option for delivery of self-management support, particularly in conditions such as heart failure and type 2 diabetes, where the evidence base is more developed.
Conclusions: The ValCrònic telemonitoring program in patients at high risk for rehospitalization or an emergency department visit appears to be useful to improve target disease control and to reduce the use of resources.
Background: Diabetes in pregnancy is a global problem. Technological innovations present exciting opportunities for novel approaches to improve clinical care delivery for gestational and other forms of diabetes in pregnancy.
Background: The optimal design of pedagogical strategies for e-learning in graduate and postgraduate medical education remains to be determined. Video-based e-learning use is increasing, with initial research suggesting that taking short breaks while watching videos (independent of answering test questions) may improve learning by focusing attention on the content presented. Interspersed test questions may also improve knowledge acquisition and retention.
Objective: This study examined the effect of personalized text messages on physical activity, as measured by a pedometer, and clinical outcomes in a diverse population of patients with T2DM
Our in-depth study demonstrates that nearly two-thirds of the psoriasis-related videos we analyzed disseminate misleading or even dangerous content. Subjective anecdotal and unscientific content is disproportionately overrepresented and poor-quality videos are predominantly rated positively by users, while higher quality video clips receive less positive ratings. Strategies by professional dermatological organizations are urgently needed to improve the quality of information on psoriasis on YouTube and other social media.
Objective: The study aim was to identify patient factors associated with short-term and long-term portal usage after patients registered to access all portal functions.
Conclusions: These results provide evidence that Web- and computer-based stress-management interventions can be effective and have the potential to reduce stress-related mental health problems on a large scale.
Conclusions: This study supported the use of MAP [My Asthma Portal] to enhance asthma quality of life but not asthma control as measured by an administrative database.
We found evidence of “recentism,” which refers to preferential citation of recently published journal articles in Wikipedia. Traditional high-impact medical and multidisciplinary journals were extensively cited by Wikipedia, suggesting that Wikipedia medical articles have robust underpinnings. In keeping with the Wikipedia policy of citing reviews/secondary sources in preference to primary sources, the Cochrane Database of Systematic Reviews was the most referenced journal.
Objective: The objective of this study was to test the hypothesis that a narrative would motivate increased Advanced Video Game play, though a feasibility study that investigated the motivational effect of adding a previously developed narrative cutscene to an originally nonnarrative AVG, Nintendo Wii Sports Resort: Swordplay Showdown.
Conclusions: Although mostly positive, the proportion of reviews containing wishlist requests indicates consumer needs are not adequately addressed by currently available disorder management apps. Consumers value content that is helpful, supportive, and easy to use, and they are integrating apps into their health management and clinical care without necessarily considering the evidence-base or clinical effectiveness of the tool.
Conclusion: This study is the first to compare a therapist-assisted iCBT program for OCD to an analogous active attention control condition using iPRT. Our findings demonstrate the large magnitude effect of iCBT for OCD; interestingly, iPRT was also moderately efficacious, albeit significantly less so than the iCBT intervention.
Conclusions: This review revealed that therapist-supported iCBT significantly improves stress, anxiety, and depressive symptoms among postpartum women with small to large effects. Future effectiveness studies should establish the essential components, format, and approach of iCBT with optimal levels of human support to maximize a long-term effect.
Conclusions: As NHS policy prompts more widespread use of digital communication to improve the health care experience, our findings suggest that benefit is most likely, and harms are mitigated, when digital communication is used with patients who already have a relationship of trust with the clinical team, and where there is identifiable need for patients to have flexible access
Conclusions: “Intermediate” telerehabilitation treatments offering FMT, some face-to-face consulting, and a gym-based exercise location should be pursued as promising alternatives to conventional chronic pain rehabilitation. Further research is necessary to explore whether strategies other than health care premium reductions could also increase the value of home telerehabilitation treatment.
Conclusions: Patients with a recent myocardial infarction and symptoms of depression and anxiety showed low treatment activity in this guided iCBT intervention with regard to completed modules, completed assignments, and internal messages sent to their therapist. The findings call attention to the need for researchers to carefully consider the preferences, personal situation, and technical skills of the end users during the development of these interventions. The study indicates several challenges that need to be addressed to improve treatment activity, user satisfaction, and usability in internet-based interventions in this population.
There is a consensus that website design, clear layout, interactive features, and the authority of the owner have a positive effect on trust or credibility, whereas advertising has a negative effect. With regard to content features, authority of the author, ease of use, and content have a positive effect on trust or credibility formation. Demographic factors influencing trust formation are age, gender, and perceived health status.
The findings imply that systematically fostering planning skills and maintenance self-efficacy prior to or during Internet-based interventions would help participants to successfully complete these treatments.
The objective of our study was to evaluate for the first time the effectiveness of a self-guided mobile-based intervention primarily targeting agoraphobic symptoms, with respect to a generic mobile app targeting anxiety.
Background: The British Columbia Centre for Disease Control implemented a comprehensive Web-based testing service GetCheckedOnline (GCO) in September 2014 in Vancouver, Canada. GCO’s objectives are to increase testing for sexually transmitted and blood-borne infections (STBBIs), reach high-prevalence populations facing testing barriers, and increase clinical STI service capacity
Conclusions: Physical frailty status is associated with older peoples’ ICT use independent of age, education, and opinions on ICT use. This should be taken into consideration when designing preventive and assistive technologies and interventions for older people at risk of health impairment.
Conclusions: A medical IoT system can be integrated into the existing nursing workflow and may reduce patient bed fall risk in acute care hospitals, a high priority but an elusive patient safety challenge. By using an alerting system that sends notifications directly to nurses’ mobile devices, nurses can equally respond to unassisted bed-exit attempts wherever patients are located on the ward. Further study, including a fully powered randomized controlled trial, is needed to assess effectiveness across hospital settings.
Results: The prototypes for mobile apps were received positively by participants. The prototype that used a dialogue support approach was identified as the most likely to be used or recommended by those interviewed, and was perceived as more persuasive than both of the other prototypes
Conclusions: Although there were many smartphone and health app users, a substantial proportion of the population was not engaged. Findings suggest age-related, socioeconomic-related, literacy-related, and health-related disparities in the use of mobile technologies. Health app use may reflect a user’s motivation to change or maintain health behaviors. App developers and researchers should take account of the needs of older people, people with low health literacy, and chronic conditions.
Objective: The goal of our research was to conduct a randomized comparison of the relative effects of independent and supported Web-centered training on therapist competence and investigate the persistence of the effects.
Conclusions: Web 2.0 tools have demonstrated a positive effect on the promotion of prevention strategies for STDs and can help attract and link youth to campaigns related to sexual health. These tools can be combined with other interventions. In any case, Web 2.0 and especially Facebook have all the potential to become essential instruments for public health.
Conclusions: This evaluation shows that users can effectively be transitioned from face-to-face to Web-based services and that this introduces a new population to Web-based service use and changes the focus of clinic-based activity. Further development is underway to optimize the triage and signposting process to support test completion.
Objective: The objective of this study was to determine the efficacy of the web-based guided, 9-month, cognitive-behavioral aftercare program IN@ for women with BN following inpatient treatment.
Conclusions: Hazardous alcohol consumption appears to be a key factor of the dropout rate in a Web-based alcohol intervention study. Thus, it is important to develop strategies to keep participants who are at high risk in Web-based interventions.
This study examined job endings and work trajectories among participants in a study comparing the effects of adding cognitive remediation to supported employment among individuals who had not benefited from supported employment.. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text. SSOTP- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
The CPFT study is the first of its kind to provide evidence of the value of Young People’s Panels, which are widely used across the country, but little has been know about their effectiveness until now.
The research by Sophie Allan and Dr Emma Hill from Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) was presented at the annual conference of the British Psychological Society’s Division of Clinical Psychology in Liverpool on 18 January.
Despite the importance of labour supply of social care staff for both meeting demand for social care services and delivering good quality services through adequate staffing and continuity of care, there is little evidence on what drives recruitment and retention in social care.
This paper analyses job satisfaction and differences in factors affecting it among workers with an intellectual disability and mental illness (MI) depending on their work regime [special employment regime (SER) or occupational service (OS)]. To do so, answers were analysed from 874 participants on a Job Satisfaction Scale used in sheltered workshops in Spain.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Using an interactionist perspective to test on‐the‐job embeddedness and off‐the‐job embeddedness as possible moderators for the predictive effects of job satisfaction and job stress on nurses’ turnover intentions.. To read the full article, log in using your MPFT NHS OpenAthens details.
Current research on employment options for people with Intellectual Disability emphasizes the importance of employee needs and satisfaction. The study aims at systematically reviewing the literature on job satisfaction and related constructs. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The ‘Job Well Done’ initiative has been launched at the Trust’s Swallownest Court Adult Mental Health Unit to provide a programme of vocational support for patients to gain and retain work.
Today marks a significant milestone in the campaign for carers of people with dementia who are admitted to hospital to be welcomed to visit them at any time or stay with them. This fast-growing campaign has now been officially endorsed by NHS England in its newly published Commissioning for Quality and Innovation (CQUIN) payment framework for 2016-17, which will offer financial rewards to healthcare providers who apply the principles espoused by John’s Campaign.
Visitors can try apple pressing when they visit the farm shop and horticulture project run by Cambridgeshire and Peterborough NHS Foundation Trust on 25 and 26 October between 10am and 4pm.
Two of Nottingham’s largest employers are combining their strengths to develop innovative solutions that help address major issues facing mental health and community services.
Nottinghamshire Healthcare and Nottingham Trent University have signed a strategic partnership agreement in order to cooperate more closely and address the challenges that the NHS is currently facing. Work will be undertaken to share knowledge and experience in a wide range of areas such as skills and talent development, student support, empowering people approaches, research and innovation, and the mutual use of facilities and equipment.
One area of focus will be workforce recruitment, retention and skills development. The University will work with the Trust to develop new pathways to enable individuals to convert or upgrade their skills. In turn, this will enable students to carry out specific project work as well as undertake work placements and experience within the Trust, leading to enhanced employment opportunities.
With increasing diversity in therapeutic dyads, there has been renewed attention to the process of ‘joining’ in cross-cultural encounters. Inspired by discourse analysis, we conducted a close reading of therapy transcripts between a Pakistani immigrant mother-daughter dyad and a Canadian white female therapist in an outpatient clinic. Our findings illustrate detailed discursive interactions for joining techniques – selective joining, confirmation, and tracking – (1) where the therapist facilitates joining moments with the family and (2) where the same techniques are used to preclude further exploration of the family's cultural views. Consequently, the joining process is at times limited by the therapist's enactment of her own assumptions about the family's culture. Due to the doxic nature of cultural assumptions, a discursive analysis may help to prevent therapists from silencing their clients’ cultural voices and to be more reflexive of their assumptions, thus promoting joining. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The Joining the Dots team has co-created a selection of digital solutions with teams of dedicated service users, carers and staff in Bristol Mental Health (BMH). This software aims to help mental health services to work in an integrated way, using health data and information to improve care for the people who need it most.
oining the Dots is a range of digital tools that has been developed with teams of dedicated service users, carers and staff in Bristol Mental Health (BMH). These tools help mental health services to work in an integrated way, using health data and information to improve care for the people who need it most.
A new joint report from the Royal College of GPs and the British Geriatrics Society has been published today, showcasing how GPs and geriatricians are collaborating to design and lead innovative schemes to improve the provision of integrated care for older people with frailty.
Advancements in medicine are a great success story, and as a result our patients are living longer, but they are also increasingly living with multiple, long term conditions and that brings a number of challenges for general practice and the wider NHS.
The new model of care for low and medium secure adult mental health services aims to provide care closer to home and reduce the need for hospital admissions and out-of-area treatments.
The NHS trusts making up the network, along with Southern Health, are: Oxford Health (who led the bid); Berkshire Healthcare; Central and Northwest London; Solent; and Dorset HealthCare; along with Response, a charity that provides home-based mental health care.
Both rare copy number variants (CNVs) and common single-nucleotide polymorphisms (SNPs) contribute to liability to schizophrenia, but their etiological relationship has not been fully elucidated. The authors evaluated an additive model whereby risk of schizophrenia requires less contribution from common SNPs in the presence of a rare CNV, and tested for interactions. . Login at top right hand side of page using your MPFT NHS OpenAthens for full text.
A joint declaration has been published on post diagnostic dementia care and support.
It is based on a recognition that people living with the effects of dementia and their families and carers have a need for the right information and support so they can live as fulfilling lives as possible, prepare for the future and their preferences for end of life are acted upon.
NHS England and the Equality and Human Rights Commission are hosting a series of seminars across the country to support organisations in the NHS to meet the Public Sector Equality Duty, and to discuss initiatives such as EDS2, the Workforce Disability Equality Standard and the Learning Disabilities Employment Programme.
Psychological Medicine; Cambridge Vol. 49, Iss. 13, (Oct 2019): 2158-2167. DOI:10.1017/S0033291718002982
Background
Normative and pathological personality traits have rarely been integrated into a joint large-scale structural analysis with psychiatric disorders, although a recent study suggested they entail a common individual differences continuum.. To read the full article, log in using your MPFT NHS OpenAthens details.
Anxiety disorders (AD) are very prevalent in the elderly, tend to compromise quality of life, and generate substantial costs. Considering that the prevention and early detection of anxiety may be relevant to increase health gains in older adults, it would be of great interest to identify whether the joint hypermobility syndrome (JHS) is also related to anxiety disorders in this age range. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
This cross-sectional study evaluated associations of joint hypermobility and multiple joint osteoarthritis (MJOA) in a community-based cohort of adults 45+ years of age. Open Access
In 2013 the Mental Health Partnership Board (MHPB) was formed to develop best practice and partnership between the Met Police and Mental Health Services in London. One of only two stated priorities was to reduce the number of times people in crisis are taken into police custody when in need of a safe space – the figures now average less than one person a month.
“Our ambition was to work with the police to stop the practice of taking people in mental distress to police cells and instead ensure they are taken to an appropriate environment to assess their needs and give them access to the right support quickly.” says Maria Kane, a member of the Cavendish Square Group and the lead liaison between the NHS in the capital and the Metropolitan Police.
Local Safeguarding Children Boards and member agencies can use this guidance to understand how inspections are conducted. They may also find it useful when carrying out self evaluations or improvement planning.
Joint targeted area inspections include a ‘deep dive’ investigation – an evaluation of children and young people’s experiences. This changes periodically to investigate different themes in detail. The theme for May to December 2017 is response to children experiencing neglect.
Following recent publicity relating to fitness to practise cases regarding resuscitation we felt it was important to clarify the current position. Clear new guidance was developed jointly in 2016 by the Resuscitation Council, BMA and RCN called ‘Decisions relating to cardiopulmonary resuscitation’. The NMC is supportive of this guidance.
The Health Innovation Network AHSN, NICE recognised Joint Pain Advisor intervention is a safe and cost effective alternative to GP consultations.
Involving a series of face-to-face consultations, Advisors work collaboratively with people with hip and/or knee osteoarthritis and/or back pain, focusing on supporting self-management.
Using behavioural change techniques Advisors work with individuals to discuss their lifestyle, challenges and goals, and begin to alter people’s health beliefs about joint pain and impact on healthy behaviour and lifestyles.
The Boards of the three trusts within the Transforming Care Together (TCT) partnership* have agreed, after careful consideration, that the integration of the three trusts into one organisation will now not happen.
James MacCabe on recent study of the association of combined patterns of tobacco and cannabis use in adolescents who go on to experience psychotic symptoms.
With the creation of the first fully integrated post at director level, the new role builds on the existing partnership between the county council and local mental health trust which sees social workers from the council operate as part of integrated mental health teams.
The new Joint Targeted Area Inspections of services for vulnerable children and young people (JTAI) will launch this year, involving CQC, Ofsted, Her Majesty’s Inspectorate of Constabulary (HMIC) and Her Majesty’s Inspectorate of Probation (HMIP).
From February, all four inspectorates will jointly assess how local authorities, the police, health, probation and youth offending services are working together in an area to identify, support and protect vulnerable children and young people.
Today we have published an updated version of our joint working protocol.
This sets out how we works with councils, and updates a version signed in 2011.
Working with councils help us regulate health and adult social care in England. This in turn which promotes high quality care and drives improvement. Our working relationship involves sharing information and taking coordinated action over health or adult social care providers.
Our resource is designed to support clinical commissioning groups (CCGs) and local authorities in England to effectively commission palliative care for children and young people aged 0–25.
Social care settings provide a complex landscape for systemic psychotherapists, particularly in relation to issues of power that are particularly pervasive. Conversation Analysis (CA) was used as a research method to understand the detail of how systemic psychotherapists and parents work together in the safeguarding context. The study aimed to examine the power issues arising, and how they were being managed.. To read the full article, log in using your MPFT NHS OpenAthens details.
esterday we published a blog about a recent systematic review of social media interventions for people with schizophrenia by Chris O’Sullivan. Today we’re following it up with this personal view by mental health campaigner Jonny Benjamin.
A letter in a leading journal has sparked controversy by claiming that Indian alternative medicines for diabetes are “maximum hype, minimum science.” To read the full article, log in using your NHS OpenAthens details
To gain insight into the quantity and quality of spiritual care provided by nurses in curative cancer care, from the perspectives of both patients and nurses. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
‘Journeying through dementia’ will test the effectiveness of a manualised self-management intervention and has been designed to improve the quality of life for people in the early stages of dementia.
Objective: The goal of this work was to provide an overview of the practices implemented for the assessment of stroke patients and cognitive rehabilitation. This study puts together traditional methods and the most recent personalized platforms based on ICT technologies and Internet of Things.
The aim of our study was to evaluate how therapists use upper limb movement information visualized on a dashboard to support the rehabilitation process
This study resonates with previous research that has highlighted the importance of involving end users in the design process. The study suggests that having a single solution for stroke rehabilitation or assistance could be challenging or even impossible, and thus, engineers should clearly identify the targeted stroke population needs before the design of any device for the upper extremity.
Objective: The aim of our study was to review the state of the art of technologies for persons with dementia regarding issues on development, usability, effectiveness and cost-effectiveness, deployment, and ethics in 3 fields of application of technologies: (1) support with managing everyday life, (2) support with participating in pleasurable and meaningful activities, and (3) support with dementia health and social care provision. The study also aimed to identify gaps in the evidence and challenges for future research.
Objective: The aim of this study was to investigate the effect of the Hinge Health 12-week digital care program (DCP) for Chronic Knee Pain on knee pain and function, with secondary outcomes of surgery interest and satisfaction, at 12 weeks and 6 months after starting the program.
Conclusions: Very few of the available apps have been validated in peer-reviewed studies. Of the apps that have been validated, further independent research is required to fully understand their accuracy at detecting ear and hearing conditions.
A judge has criticised Greenwich council for not considering placing two children with their aunt as part of care planning in a case that saw them adopted.
The guidance comes months after a judgment by Sir James Munby, which highlighted persistent social work failings and misuse of voluntary section 20 arrangements. Munby issued guidance on the correct use of the arrangement at the time, and Judge Bellamy has expanded on the practical implications for practitioners.