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Vallo Hult H, Abovarda A, Master Östlund C, Pålsson P. Digital learning strategies in residency education. Ann Med 2025; 57:2440630. [PMID: 39692274 DOI: 10.1080/07853890.2024.2440630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Revised: 10/24/2024] [Accepted: 11/14/2024] [Indexed: 12/19/2024] Open
Abstract
BACKGROUND New digital learning environments have transformed medical education and training, allowing students and teachers to engage in synchronous, real-time interactions and asynchronous learning activities online. Despite extensive research on the role of digital technologies in education, understanding the interplay between digital technology, work, and learning, especially in complex fields like healthcare, remains a challenge. OBJECTIVE The objective of this study is to examine resident physicians' perceptions and experiences of using a digital learning environment as part of their specialist medical training. The paper focuses on digital learning through video conferencing (virtual lectures and seminars) and related learning technologies. It aims to understand how resident physicians perceive pedagogical opportunities and challenges in digital learning environments during their medical training and what strategies they use to address these. MATERIALS AND METHODS The methodological approach is qualitative, aiming to capture and understand participants' experiences and views of digital learning. The empirical data gathered from open-ended responses to four course evaluation surveys and semi-structured interviews with nine physicians from a cohort of participants enrolled in two or more digital courses were analyzed through thematic analysis. The analysis revealed three main themes related to digital transformation of learning: sociotechnical, educational and administrative. RESULTS The results suggest that (i) sociotechnical aspects and understanding of the context in which the learning takes place contribute to enhancing digital learning for resident physicians; (ii) insights into participants' perceptions of digital learning emphasize that interactive communication and group discussions are significant for their learning, and (iii) administrative aspects related to course design, lecture management, and instructional support are more important in digital learning environments compared to traditional teaching and learning. CONCLUSION Findings from this study confirm and extend prior studies on digital learning in healthcare, contributing to a better understanding of how digital learning environments, especially virtual lectures and seminars, can be developed and integrated into residency programs and health professions education to increase their usefulness.
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Affiliation(s)
- Helena Vallo Hult
- School of Business, Economics and IT, University West, Trollhättan, Sweden
- Department of Education, NU Hospital Group, Trollhättan, Sweden
| | - Adam Abovarda
- School of Business, Economics and IT, University West, Trollhättan, Sweden
| | | | - Paul Pålsson
- Department of Education, NU Hospital Group, Trollhättan, Sweden
- Institute of Neuroscience and Physiology, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden
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Kaur M, Sharma A, Vijin PP, Kaur R, Kaur R, Anupama G, Singh P, Bansal VK, Sharma N, Sahni M, Gupta J, Lakshmi P, Kumar R. Exploring the complexities of slum vulnerability in Haryana, India: a qualitative research journey into economic, social, physical, and health dimensions. Int J Qual Stud Health Well-being 2025; 20:2432692. [PMID: 39676514 DOI: 10.1080/17482631.2024.2432692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2024] [Accepted: 11/18/2024] [Indexed: 12/17/2024] Open
Abstract
PURPOSE The study explores the conditions contributing to slum dweller's vulnerability to poor health and examines interplay between economic, physical/infrastructural, and social factors affecting health status to inform policy and programme. METHODS The methodology deployed for data analysis was mixed deductive-inductive. A deductive framework was adapted for categorizing the data into four broad themes: Economic, Physical/Infrastructure, Social, and Health. Using Braun and Clarke's principle, we also mapped sub themes based on researchers' insights with the experiences shared by the slum populations. The study was conducted across 13 districts in slum areas to gather information from vulnerable groups based on the 40 focus group discussions. FINDINGS Poverty serves as a primary driver of domestic/internal migration from rural to urban areas, aggravating issues such as illiteracy, unemployment, and inadequate living conditions, which predispose slum dwellers to various health problems. Limited access to food, poor water quality, and improper waste disposal further compound health risks. People living in slums face economic, social, and physical vulnerabilities leading to health vulnerability and outcome. CONCLUSIONS Enhancing the health and well-being of slum dwellers requires adopting an integrated and comprehensive approach of policy intervention, community mobilization, and multisectoral intervention.
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Affiliation(s)
- Manmeet Kaur
- Health Equity Action Learnings, Chandigarh, India
| | | | - P P Vijin
- Health Equity Action Learnings, Chandigarh, India
| | - Rupinder Kaur
- Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Rajbir Kaur
- Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - G Anupama
- Health Department, Government of India, Haryana, India
| | - Prabhjot Singh
- National health Mission, Government of India, Haryana, India
| | - V K Bansal
- National health Mission, Government of India, Haryana, India
| | - Nidhi Sharma
- National Urban health Mission, Government of India, Haryana, India
| | - Mona Sahni
- National Urban health Mission, Government of India, Haryana, India
| | - Jyoti Gupta
- National Urban health Mission, Government of India, Haryana, India
| | - Pvm Lakshmi
- Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Rajesh Kumar
- Health Equity Action Learnings, Chandigarh, India
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Martins MV, Pereira L, Veleva Z, Popova I, Rautakallio-Hokkanen S, Galhardo A. Playing a serious game to increase fertility awareness: perceptions of adolescents, parents and teachers. HUM FERTIL 2025; 28:2451334. [PMID: 39850992 DOI: 10.1080/14647273.2025.2451334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2024] [Accepted: 12/08/2024] [Indexed: 01/25/2025]
Abstract
Infertility is increasing globally, affecting one in six adults due to factors like delayed childbearing and lifestyle changes. Despite the recognition of the importance of increasing fertility awareness, levels remain low. This study evaluated the perceptions of 'FActs!', a serious game aimed at improving adolescents' fertility awareness. The narratives of adolescents, parents and teachers about the utility of this tool and its educational potential were also addressed using focus groups. The game (https://myfacts.eu/) comprises 12 questions (birth year, biological sex, country and nine questions addressing fertility topics (probability of conceiving, the definition of infertility, and fertility risk factors such as age, smoking, alcohol, drugs and physical exercise). These questions emerge from four scenarios: a school playground, a party, a gym and a sibling's house. Players receive immediate feedback about their answers and brief educational information to improve their knowledge. Players accumulate stars for correct answers as they progress through the scenarios and answer the questions. Findings revealed that 'FActs!' effectively engages adolescents and enhances their understanding of fertility. Adolescents, parents and teachers responded positively, appreciating its interactive nature and ability to facilitate discussions on reproductive health. However, limitations such as the need for more comprehensive information and high reading requirements were noted. The study highlights the importance of integrating comprehensive fertility education into health curricula using diverse, engaging methods. It also underscores the necessity of supporting parents and teachers to improve their comfort and capability in discussing fertility. "FActs!" is a valuable tool with the potential for broader educational contexts. Future research should quantitatively assess "FActs!" across various demographics and include interventions to boost fertility awareness among parents and teachers, thereby enhancing their support for adolescents' informed reproductive choices.
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Affiliation(s)
- Mariana V Martins
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
- Center for Psychology at, University of Porto, Porto, Portugal
| | - Luísa Pereira
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Zdravka Veleva
- Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland
| | - Irina Popova
- Fertility Europe, Clos de la Ballade 11, Evere, Belgium
| | | | - Ana Galhardo
- Instituto Superior Miguel Torga, Coimbra, Portugal
- University of Coimbra, CINEICC, Faculty of Psychology and Education Sciences of the University of Coimbra, Coimbra, Portugal
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Halama P, Tencerová J, Uhrecký B. "The doctors and nurses looked like aliens': a qualitative study on the subjective hospitalization experiences of severe COVID-19 patients in Slovakia". Int J Qual Stud Health Well-being 2025; 20:2438831. [PMID: 39656605 DOI: 10.1080/17482631.2024.2438831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2024] [Accepted: 12/03/2024] [Indexed: 12/17/2024] Open
Abstract
Due to the need to hospitalize a large number of patients during the COVID-19 pandemic, the psychological conditions of hospitalized patients were often overlooked. This study focuses on the qualitative analysis of the subjective experiences of patients with a severe COVID-19 disease in Slovakia during hospitalization. A total of 27 Slovak participants (11 men and 16 women, mean age 57.10 years) who were hospitalized with severe COVID-19 disease were interviewed about their subjective experiences during hospitalization. The data was analysed using thematic analysis. The main themes included negative emotions such as distress, discomfort with the illness, discomfort with the medical environment and helplessness. The main sources of distress were the sense of isolation, witnessing the death of another patient, own death concerns, and concerns for others. Sources and strategies used by patients to improve their mental state included interpersonal resources such as contact with relatives and friends, instrumental support from them, mutual help among patients and professional psychological support. Interpersonal resources included optimism, hope, religion and spirituality, recollection of significant others, and reconciliation with the possibility of death. The results have implications for medical staff as they help them to understand the psychological state of COVID-19 patients during hospitalization and can inform psychological interventions to improve hospital care for these patients.
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Affiliation(s)
- Peter Halama
- Institute of Experimental Psychology, Centre of Social and Psychological Sciences, Slovak Academy of Sciences, Bratislava, Slovakia
| | - Jana Tencerová
- Institute of Experimental Psychology, Centre of Social and Psychological Sciences, Slovak Academy of Sciences, Bratislava, Slovakia
| | - Branislav Uhrecký
- Institute of Experimental Psychology, Centre of Social and Psychological Sciences, Slovak Academy of Sciences, Bratislava, Slovakia
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Rønneberg M, Mjølstad BP, Hvas L, Getz LO. Stories that matter: a qualitative study of general practitioners' reflections and experiences of exploring patients' impactful life stories. Int J Qual Stud Health Well-being 2025; 20:2454043. [PMID: 39847491 PMCID: PMC11758800 DOI: 10.1080/17482631.2025.2454043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2024] [Accepted: 01/12/2025] [Indexed: 01/25/2025] Open
Abstract
PURPOSE There is solid evidence of the impact of life experiences on health. Yet, knowledge of how general practitioners (GPs) relate to patients' stories of such experiences is sparse. This study explored GPs' reflections and experiences concerning managing potentially impactful patient stories. METHODS We conducted four focus group interviews among Norwegian and Danish GPs and analysed them using Reflexive thematic analysis. RESULTS Three main themes were developed. First, GPs apply various strategies to recognize and unfold impactful stories. Second, they attribute diverse purposes to engaging with these stories, from viewing them as instrumentally useful to recognizing their intrinsic value. These views influence GPs' objectives and strategies when managing impactful stories. The instrumental utility approach can lead to an unfair dismissal of impactful stories. Finally, the commitment of some of the GPs to patients' impactful stories is considered fulfilling and highly satisfactory but also associated with external resistance. CONCLUSIONS Patients and GPs encounter difficulties in addressing impactful stories, which resonate with the theory of epistemic injustice. Nevertheless, engaging with these stories is vital for providing ethically grounded and meaningful primary care. The paper proposes strategies and a conceptual framework to support work with impactful stories in clinical practice.
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Affiliation(s)
- Marianne Rønneberg
- Tingvoll Healthcare Centre, Norway and General Practice Research Unit, Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Bente Prytz Mjølstad
- General Practice Research Unit, Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Lotte Hvas
- The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Linn Okkenhaug Getz
- General Practice Research Unit, Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
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Hamoen EC, van Blankenstein FM, de Jong PGM, Langeveld K, Reinders MEJ. Internal medicine clerks' motivation in an online course: a mixed-methods study. MEDICAL EDUCATION ONLINE 2025; 30:2445915. [PMID: 39743776 DOI: 10.1080/10872981.2024.2445915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 12/17/2024] [Accepted: 12/18/2024] [Indexed: 01/04/2025]
Abstract
PURPOSE At LUMC, a Small Private Online Course (SPOC) was developed complementary to the clinical learning environment of the internal medicine clerkship. The developers used the self-determination theory in the design of the SPOC's assignments aiming to improve learners' intrinsic motivation. This study investigates the impact of the SPOC and its specific assignments on student motivation. METHODS The study uses a mixed-methods approach. The authors describe a quantitative analysis of students' responses on an intrinsic motivation inventory (IMI), and a qualitative thematic analysis of semi-structured group interviews, respectively. RESULTS Seventy-eight students (response rate 42%) filled out the IMI. Their scores were (7-point Likert scale): interest/enjoyment 3.76, competence 4.02, choice 3.53, value/usefulness 4.20, relatedness 3.85. Thematic analysis of the interviews (14 students) revealed seven themes: collaboration with peers, usefulness, SPOC-related factors, workload, motivation, and performance. CONCLUSIONS Motivation could be optimized creating useful, authentic cases that train skills that are directly transferrable to clinical practice. Challenging, interesting and student-generated assignments positively influenced students' autonomy and motivation. Lack of awareness of online performance negatively affected the feeling of competence. Perceptions of online collaboration were suboptimal. The study can be helpful for other teachers to enhance motivation while developing online courses.
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Affiliation(s)
- Esther C Hamoen
- Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands
| | - Floris M van Blankenstein
- Center for Innovation in Medical Education, Leiden University Medical Center, Leiden, The Netherlands
| | - Peter G M de Jong
- Center for Innovation in Medical Education, Leiden University Medical Center, Leiden, The Netherlands
| | - Kirsten Langeveld
- Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands
| | - Marlies E J Reinders
- Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Haugen T, Halvorsen JØ, Friborg O, Schei B, Hagemann CT, Kjelsvik M. Therapists perspectives on the Early Intervention after Rape study: a qualitative process evaluation of a randomized controlled trial. Eur J Psychotraumatol 2025; 16:2443279. [PMID: 39773406 PMCID: PMC11721860 DOI: 10.1080/20008066.2024.2443279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2024] [Revised: 11/29/2024] [Accepted: 12/09/2024] [Indexed: 01/11/2025] Open
Abstract
ABSTRACTBackground: Early interventions using trauma-focused cognitive behavioural therapy have the potential to alleviate post-traumatic stress symptoms in individuals who have experienced recent sexual assault. Specialized Sexual Assault Centers (SACs) in Norway offers psychosocial support, however, this support varies across SACs and its efficacy has not been researched. The Early Intervention after Rape (EIR) study is a multisite randomized controlled trial designed to assess the efficacy and effectiveness of training SAC nurses and social workers to deliver a modified version of prolonged exposure therapy shortly after rape.Objective: This article aims to present a qualitative process evaluation of the implementation of the EIR study across three SACs in Norway, from the perspective of nurses and social workers.Method: We conducted semi-structured interviews with fifteen nurses and social workers, ten of whom received training in prolonged exposure therapy (mPE). We used Thematic Analysis to identify themes and subthemes.Results: Thematic analysis yielded four significant themes for process evaluation: (1) The quality of the new intervention modified prolonged exposure was considered satisfactory through training and supervision and delivered with good adherence to the manual, although some therapists perceived the manual as too rigid; (2) Adoption dynamics within the SACs are complex and include both enthusiasm for clinical research as well as resistance to change; (3) Narrow inclusion criteria and burden with participation for patients may limit reach and representativeness of the RCT; (4) Unintended consequences were identified, such as delayed start, conflicting advices and cross-contamination, underscoring the ongoing necessity for process evaluation alongside RCTs.Conclusion: This qualitative process evaluation offers insight into real-world clinical challenges with implementing a new intervention and conducting a multisite RCT within SACs in Norway. This study may inform opportunities to advance evidence-based practices for rape survivors seeking help.Trial registration: ClinicalTrials.gov identifier: NCT05489133..
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Affiliation(s)
- Tina Haugen
- Department of Psychology, Norwegian University of Science and Technology (NTNU), TrondheimNorway
- Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), TrondheimNorway
| | - Joar Øveraas Halvorsen
- Department of Psychology, Norwegian University of Science and Technology (NTNU), TrondheimNorway
- St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Oddgeir Friborg
- Department of Psychology, The Arctic University of Norway (UiT), Tromsø, Norway
| | - Berit Schei
- Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- Department of Obstetrics and Gynecology, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Cecilie Therese Hagemann
- Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), TrondheimNorway
- Department of Obstetrics and Gynecology, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Marianne Kjelsvik
- Department of Health Sciences in Aalesund, Norwegian University of Science and Technology (NTNU), Aalesund, Norway
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Montesanti S, Fitzpatrick KM, Verstraeten BSE, Tourangeau B, Albert L, Oster RT. Revitalising strong cultural connections and resilience: Co-designing a pilot Elder-led mentorship program for Indigenous mothers in a remote northern community in Alberta, Canada. Glob Public Health 2025; 20:2457109. [PMID: 39878703 DOI: 10.1080/17441692.2025.2457109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2024] [Accepted: 12/16/2024] [Indexed: 01/31/2025]
Abstract
Connecting with traditional knowledge and culture promotes the well-being of Indigenous parents and creates healthy environments for child development. Community Elders in a remote northern community in Alberta, Canada, collaborated with researchers to design a pilot Elders Mentoring Program. The programme aims to support young Indigenous mothers(-to-be), bringing back cultural traditions and teachings. Twelve workshops for Indigenous mothers(-to-be) focused on cultural activities and passing down traditional knowledge from Elders. Nine mothers(-to-be) completed a survey about their perinatal and postpartum experiences and care needs. Sharing circles with Elders and individual debriefings with mothers were conducted to understand their experiences in the workshops. Survey responses showed limited childcare services and transportation availability as barriers to accessing perinatal and postpartum support. Four themes emerged from qualitative data analysis: (1) the meaningful role of Elder mentorship for Indigenous mothers(-to-be); (2) Weekly workshops provided a safe space to share and develop relationships; (3) Participation in workshop activities fostered positive coping and improved self-esteem; (4) Elder-led workshops encouraged cultural connection and transference of traditional knowledge to younger generations. Cultural workshops led by Elders enhanced the connection to culture and resilience for Indigenous mothers and expectant mothers in a remote northern community.
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Affiliation(s)
- Stephanie Montesanti
- School of Public Health, University of Alberta, Edmonton, Alberta, Canada
- Centre for Healthy Communities, School of Public Health, University of Alberta, Edmonton, Alberta, Canada
| | | | | | | | | | - Richard T Oster
- Indigenous Wellness Core, Alberta Health Services, Edmonton, Alberta, Canada
- Department of Agricultural, Food & Nutritional Science, University of Alberta, Edmonton, Alberta, Canada
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Lv T, Zhang H, Xie X, Yuan H, Huang Y, Zou Y. Perspectives on advanced care planning of adolescent and young adult cancer patients, families, and healthcare providers: A qualitative study based on the health belief model. Asia Pac J Oncol Nurs 2025; 12:100635. [PMID: 39790111 PMCID: PMC11714373 DOI: 10.1016/j.apjon.2024.100635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2024] [Accepted: 12/02/2024] [Indexed: 01/03/2025] Open
Abstract
Objective Adolescents and young adults (AYAs) cancer patients face higher long-term and late-stage risks, so advance care planning (ACP) is an important way for them to participate autonomously in healthcare decision-making. However, in Chinese culture, discussing ACP with AYAs is challengeable due to their role as their family's hope, contributing to insufficient attention to this group in cancer care. This study aimed to explore the perceptions of AYA patients, their families, and healthcare providers about ACP based on the health belief model. Methods This study was a qualitative descriptive research using a phenomenological approach. 7 AYA patients and their 7 family members, as well as 8 healthcare providers from Hunan Province, China, underwent three focus group interviews. In addition, 15 AYA patients were recruited for semi-structured interviews, with data saturation being achieved. NVivo Pro 12.0 software was used for data management, and thematic analysis method was used for data analysis. Results Six main themes emerged from the data: perceived severity, perceived susceptibility, perceived benefits, perceived barriers, perceived self-efficacy, and action cues. These themes highlight how AYA cancer patients, their families, and healthcare providers perceive the threats of cancer, the potential advantages of engaging in ACP, the challenges they were facing, and the supportive actions needed to facilitate ACP discussions. Conclusions ACP can enhance patient autonomy, alleviate anxiety, improve family communication, and optimize resource utilization. However, promoting ACP in China need overcome cultural barriers, enhance education, and provide strong family and social support to encourage more active participation among young patients.
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Affiliation(s)
- Tingting Lv
- Clinical Nursing Teaching and Research Section, Second Xiangya Hospital, Central South University, Changsha, China
| | - Huilin Zhang
- Clinical Nursing Teaching and Research Section, Second Xiangya Hospital, Central South University, Changsha, China
| | - Xia Xie
- Clinical Nursing Teaching and Research Section, Second Xiangya Hospital, Central South University, Changsha, China
| | - Huan Yuan
- Clinical Nursing Teaching and Research Section, Second Xiangya Hospital, Central South University, Changsha, China
| | - Yuting Huang
- Clinical Nursing Teaching and Research Section, Second Xiangya Hospital, Central South University, Changsha, China
| | - Ying Zou
- Clinical Nursing Teaching and Research Section, Second Xiangya Hospital, Central South University, Changsha, China
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Balaam MC, Haith-Cooper M. The influence of HARP (The Health Access for Refugees' Project) on vaccine hesitancy in people seeking asylum and refugees in Northern England. Glob Health Action 2025; 18:2457808. [PMID: 39898763 PMCID: PMC11792117 DOI: 10.1080/16549716.2025.2457808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2024] [Accepted: 01/19/2025] [Indexed: 02/04/2025] Open
Abstract
BACKGROUND Evidence suggests that people who are asylum seekers and refugees experience poorer physical and mental health compared to the general UK population and poor outcomes from COVID-19 if unvaccinated. However, this population can experience vaccine hesitancy and other barriers inhibiting their up-take of the COVID-19 vaccine. OBJECTIVES This study explored the influence of HARP (Health Access for Refugees' Project) workshops on the intention to have the vaccine in people who are asylum-seekers and refugees. METHODS A qualitative study including clients (asylum-seekers and refugees), volunteers and HARP staff was undertaken to explore perceptions of HARP workshops and their influence on the barriers to the uptake of the COVID-19 vaccine including vaccine hesitancy. Semi-structured telephone interviews were undertaken with 10 participants, HARP clients (n = 1), HARP volunteers (n = 6, of whom 4 had been clients) and staff (n = 3). Data were thematically analysed. RESULTS Intention to have the vaccine was influenced by trusted sources including peers and health professionals. Tailoring evidence-based information to individuals and challenging misinformation were important influencers on vaccine uptake. HARP activity increased the uptake of vaccines in large accommodation centres and hotels. Grassroots-level interventions such as HARP workshops appear to increase intention to take up the COVID-19 vaccine in asylum seeking and refugee communities. CONCLUSION This model could be adopted for health screening such as breast cancer and other vaccinations within asylum seeking and refugee communities.
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Affiliation(s)
- Marie-Clare Balaam
- School of Nursing and Midwifery, University of Central Lancashire (UCLan), Preston, UK
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11
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Nord-Baade S, Ness O, Rowe M, Jensen CB, Landheim A. "I've always felt like I'm on the outside": identity and social inclusion among young adults with mental illness and complex needs - a qualitative study. Int J Qual Stud Health Well-being 2025; 20:2433320. [PMID: 39648767 PMCID: PMC11632936 DOI: 10.1080/17482631.2024.2433320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2024] [Accepted: 11/20/2024] [Indexed: 12/10/2024] Open
Abstract
PURPOSE Addressing social inclusion often involves objective measures and means related to work, education, housing and economy. However, important subjective factors, such as the relationship between identity on social inclusion among young adults with mental illness and complex needs, are understudied. The study objective is to explore how young adults with mental illness and complex needs experience their identity in relation to social inclusion. MATERIALS AND METHODS The study adopted a qualitative, explorative, and participatory design. Seven young adults (three males/four females, aged 22-29) were recruited though Flexible Assertive Community Treatment (FACT) Teams, and semi-structured interviews were conducted. Reflexive thematic analysis was employed in the analysis. RESULTS The analysis resulted in two main themes. Theme one, "Who they are", included three subthemes: "A lifelong sense of being someone on the outside", "Feeling different from others", and "Someone who is worthless and doesn't matter". Theme two, "Who they want to be", included two subthemes "Wanting to be someone else", and "The need to redefine oneself". CONCLUSIONS This study underlines the importance of working systematically on subjective aspects such as identity, in addition to objective measures, to address social exclusion in a vulnerable and marginalized group. Future directions for research and the development of a more tangible and holistic approach to promote social inclusion are suggested.
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Affiliation(s)
- Silje Nord-Baade
- Innlandet Hospital Trust, Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Hamar, Norway
- Department of Health and Nursing Sciences and Section for Mental Health and Rehabilitation, University of Inland Norway, Elverum, Norway
| | - Ottar Ness
- Department of Education and Lifelong Learning, Faculty of Social and Educational Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - Michael Rowe
- Department of Health and Nursing Sciences and Section for Mental Health and Rehabilitation, University of Inland Norway, Elverum, Norway
- School of Medicine, Department of Psychiatry, Yale Program for Recovery and Community Health, Yale University, New Haven, CT, USA
| | - Camilla Bergsve Jensen
- Innlandet Hospital Trust, Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Hamar, Norway
| | - Anne Landheim
- Innlandet Hospital Trust, Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Hamar, Norway
- Department of Health and Nursing Sciences and Section for Mental Health and Rehabilitation, University of Inland Norway, Elverum, Norway
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Etowa J, Massaquoi N, Omorodion F, Brown-Shreves D, Hyman I, Gebremeskel A, Loemba H, Ghose B, Etowa E, Rayner J, Dabone C, Brown O'Sullivan L, Sule A, Kiirya J, Yaya S, Tharao W, Inoua H, Kaida A, Odhiambo A, Beckford C. The development and implementation of an innovative community-based intervention to strengthen community capacity for HIV prevention and care among Canadians of African Caribbean and Black (ACB) women in Ontario: a research protocol. Glob Public Health 2025; 20:2436425. [PMID: 39869663 DOI: 10.1080/17441692.2024.2436425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2024] [Accepted: 11/25/2024] [Indexed: 01/30/2025]
Abstract
African, Caribbean, and Black (ACB) women are overrepresented among new HIV diagnoses due to social and structural factors. This study seeks to create, implement, and evaluate a community-based peer-led intervention to improve access to HIV prevention and care for ACB women in Canada. This multisite, five-year project, using community-based participatory research, implementation science and evaluation frameworks, will be implemented in five non-iterative phases. Phase 1: Community and partner engagement; Phase 2: Critical health and racial literacy training curriculum and HIV resource development; Phase 3: Implementation research with first cohort of trained HIV Peer Equity Navigators [PENs] in three sites; Phase 4: Training of second cohort of HIV PENs and program implementation of HIV PEN intervention across Ontario; and Phase 5: Evaluation, knowledge sharing and plans for national scale up. We will use a mixed methods approach, including quantitative and qualitative data, such as surveys and qualitative interviews, to analyze and identify implementation scenarios, changes in improving access, and ensuring equity to HIV prevention and care for ACB women in Ontario, Canada. Evidence on the effectiveness of this innovative, peer-led intervention will be used to inform policies and practice related to HIV prevention and care for ACB women in Canada.
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Affiliation(s)
- Josephine Etowa
- School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- School of International Development and Global Studies, University of Ottawa, Ottawa, Canada
| | - Notisha Massaquoi
- Health and Society, Faculty of Social Work, University of Toronto Scarborough, Toronto, Canada
| | - Francisca Omorodion
- Department of Sociology and Criminology, Faculty of Arts, Social Sciences and Humanities, University of Windsor, Windsor, Canada
| | - Danielle Brown-Shreves
- University of Ottawa & Queens's University, Ottawa, Canada
- Restore Medical Clinics, Ottawa, Canada
| | - Ilene Hyman
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
| | - Akalewold Gebremeskel
- School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- School of International Development and Global Studies, University of Ottawa, Ottawa, Canada
| | - Hugues Loemba
- Faculty of Medicine, University of Ottawa, & Clinician at Montfort Hospital (Ottawa)/Hôpital Montfort (Ottawa), Ottawa, Canada
| | - Bishwajit Ghose
- School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
| | - Egbe Etowa
- African and Caribbean Council for HIV/AIDS in Ontario, Toronto, Canada
| | - Jennifer Rayner
- Alliance for Healthier Communities (Toronto) /Alliance pour des communautés en santé (Toronto), Toronto, Canada
| | - Charles Dabone
- Canadians of African Descent Health Organization, Ottawa, Canada
| | | | - Azeeza Sule
- Somerset West Community Health Centre, Ottawa, Canada
| | | | - Sanni Yaya
- Global and International Studies Faculty of Social Sciences and Humanities, University of Ottawa/Université d'Ottawa, Ottawa, Canada
| | - Wangari Tharao
- Women's Health in Women's Hands (Toronto), Toronto, Canada
| | | | - Angela Kaida
- Community Health and Epidemiology Faculty of Health Sciences, Simon Fraser University (Burnaby, B.C.), Burnaby, Canada
| | - Apondi Odhiambo
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
| | - Clinton Beckford
- Office of Vice President, Equity, Diversity, Inclusion, University of Windsor (Ontario), Windsor, Canada
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L J B, Y K E, S B, F C G J S, P B O. Evaluation of the psychosocial impact and received care in patients with gestational trophoblastic disease - a qualitative interview based study. J Psychosom Obstet Gynaecol 2025; 46:2451992. [PMID: 39877952 DOI: 10.1080/0167482x.2025.2451992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2024] [Revised: 12/21/2024] [Accepted: 01/06/2025] [Indexed: 01/31/2025] Open
Abstract
The diagnosis gestational trophoblastic disease (GTD) is known to have a significant psychological impact on women. Our objective was to provide insight in the psychological and physical consequences of women with GTD, while also reflecting on their coping strategies and their experiences of received care. A qualitative study was carried out using semi-structured interviews among women recently diagnosed with GTD. Interviews were audio-recorded, transcribed verbatim and analyzed using a thematic network approach. Eight interviews were analyzed. The abruptness of the diagnosis resulted in women feeling sad, uncertain and powerless. Coping strategies included seeking emotional support, accurate information, peer connections and distraction. Women were generally satisfied with care, emphasizing personalization, empathy, medical expertise and feeling heard as important aspects. They appreciated offered psychological support from specialized nurses. Nevertheless, aspects such as provided information, communication and logistical issues need improvement. The results of this study emphasize the importance of comprehensive patient information, the need for personalized psychological support and more frequent consultations at reference centers, while treatment is conducted locally.
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Affiliation(s)
- Blok L J
- Department of Laboratory Medicine, Radboud University Medical Centre, Nijmegen, the Netherlands
- Department of Medical Oncology, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - Eysbouts Y K
- Department of Obstetrics and Gynaecology, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - Bastiaans S
- Department of Obstetrics and Gynaecology, Gelderse Vallei Hospital, Ede, the Netherlands
| | - Sweep F C G J
- Department of Laboratory Medicine, Radboud University Medical Centre, Nijmegen, the Netherlands
| | - Ottevanger P B
- Department of Medical Oncology, Radboud University Medical Centre, Nijmegen, the Netherlands
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Bekele D, Martínez-Hernáez A. Qualitative studies on men with prostate cancer: a systematic meta-synthesis. Int J Qual Stud Health Well-being 2025; 20:2436720. [PMID: 39719863 DOI: 10.1080/17482631.2024.2436720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2024] [Accepted: 11/27/2024] [Indexed: 12/26/2024] Open
Abstract
PURPOSE Prostate cancer (PCa) is the second most common cancer among men. Despite advancements in clinical interventions and improvements in public health outreach, a multi-dimensional lack of understanding of the lived experiences of men diagnosed with PCa continues. Improving the quantity and quality of knowledge about this subject could guide clinical decisions and interventions for this group. METHODS This paper reviews qualitative studies focusing on PCa patients using the Critical Appraisal Skills Programme tool (CASP), synthesizes the data, and maps the overarching themes through a systematic meta-synthesis. RESULTS The authors identified 3546 manuscripts, of which 103 met the inclusion criteria. Six themes were identified that addressed: support needs, diagnosis, and treatment experiences, lived experiences, information accessibility, care, and threats to masculinity. CONCLUSION Treatment side-effects caused a re-configuration and re-evaluation of masculine ideologies. Men mainly relied on close family and support groups to cope with their feelings of stigma, uncertainty, and recovery. Professional healthcare and consultation quality eased their anxiety concerning long-term treatment and other factors associated with their condition. The studies were socio-demographically heterogeneous. Thus, researchers could use qualitative research to explore knowledge gaps in the following interconnected themes: masculinity care, masculinity support, masculinity information, and incorporating a more diverse socio-demographical sample.
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Affiliation(s)
- Deborah Bekele
- Department of Anthropology, Philosophy, and Social Work, Medical Anthropology Research Center, Universitat Rovira i Virgili, Tarragona, Spain
| | - Angel Martínez-Hernáez
- Department of Anthropology, Philosophy, and Social Work, Medical Anthropology Research Center, Universitat Rovira i Virgili, Tarragona, Spain
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Allport T, Briggs H, Osman F. 'At the heart of the community' - a Somali woman's experience of 'alignment' of support to escape social isolation in pregnancy and early motherhood. Int J Qual Stud Health Well-being 2025; 20:2439467. [PMID: 39690727 DOI: 10.1080/17482631.2024.2439467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2024] [Accepted: 12/04/2024] [Indexed: 12/19/2024] Open
Abstract
PURPOSE Stresses in pregnancy and early motherhood can affect women's health and wellbeing, and babies' development. Migrant women face compounding stressors from the intersection of gender, race, social class, migration, and language. We explored one Somali woman's experience of pregnancy and the transition to motherhood, following migration to an urban environment in the Global North, aiming to understand resilience in this specific socio-cultural context. METHODS This case study used interpretative phenomenological analysis of a single two-hour semi-structured interview with a Somali woman in the UK to explore how this experience may have relevance for communities and practitioners in the Global North. RESULTS We identified two overarching themes in this woman's experience: "vicious" and "virtuous" circles, attempting to make sense of her experience of isolation and lack of wellbeing, and subsequent confidence, engagement, and community-building. CONCLUSIONS An experience of "alignment" in social relationships appeared to make possible the shift from "vicious" to "virtuous" circle, which enabled escape from social isolation. This account of transformation-from social isolation to community contribution-underlines the role of community organizations facilitating positive social networks and peer support during pregnancy and early motherhood.
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Affiliation(s)
- Tom Allport
- Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK
- Community Children's Health Partnership, Sirona Care & Health, Bristol, UK
| | - Hannah Briggs
- Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK
| | - Fatumo Osman
- School of Health and Welfare, Dalarna University, Bristol, Sweden
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Cogan N, Tse D, Finlayson M, Lawley S, Black J, Hewitson R, Aziz S, Hamer H, Short C. A journey towards a trauma informed and responsive Justice system: the perspectives and experiences of senior Justice workers. Eur J Psychotraumatol 2025; 16:2441075. [PMID: 39760261 PMCID: PMC11705546 DOI: 10.1080/20008066.2024.2441075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Revised: 11/07/2024] [Accepted: 12/03/2024] [Indexed: 01/07/2025] Open
Abstract
Objectives: There is a risk of re-traumatisation for survivors of trauma who engage with the Justice system, given their high propensity to encounter situations that trigger traumatic responses. While a growing body of research has explored the experience of trauma informed practice (TIP) from service user perspectives, little research has incorporated the views and experiences of practitioners working in the Justice system in terms of the implementation of TIP in their service setting.Method: An exploratory, qualitative research design based on semi-structured, in-depth interviews. One to one, online interviews were conducted with senior Justice workers (n = 22) who had undertaken theoretically informed TIP training and had responsibility for its implementation. Interviews were audio-recorded, transcribed and analysed using an inductive, reflexive thematic approach.Results: The themes identified were: (1) Supporting staff and user knowledge and well-being (training, trust, safety, reflection), (2) Recognition in the value of TIP (reflected in the resources, supervision, infrastructure and physical environment), (3) Encouraging flexible, creative and collaborative ways of working (overcoming resistance).Conclusions: The findings have implications at the service user, provider and organisational level. Emphasis is placed on the importance of overcoming barriers to implementing TIP through adopting a whole systems approach that encourages collaborative working while supporting staff well-being, access to ongoing TIP training, supervision and resources to establish a safe working environment. Implementing a strengths-based, non-pathologising approach to TIP service delivery within the Justice system is essential. Further longitudinal work to explore the mechanisms by which TIP can help reduce re-traumatisation to service users and providers is recommended.
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Affiliation(s)
- Nicola Cogan
- Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
| | - Dwight Tse
- Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
| | - Melanie Finlayson
- Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
| | - Samantha Lawley
- Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
| | - Jacqueline Black
- Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
| | - Rhys Hewitson
- Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
| | | | - Helen Hamer
- School of Medicine, Yale University, New Haven, CT, USA
- Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - Cherrie Short
- The Sliver School of Social Work, New York University, New York, NY, USA
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Tisseghem E, Fleer J, Horlait M, Pype P, Lauwerier E. From trainee to general practitioner: A qualitative study of transition experiences of Flemish GP trainees. Eur J Gen Pract 2025; 31:2443603. [PMID: 39772933 PMCID: PMC11722024 DOI: 10.1080/13814788.2024.2443603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2024] [Revised: 11/26/2024] [Accepted: 12/12/2024] [Indexed: 01/11/2025] Open
Abstract
BACKGROUND The transition from trainee to professional marks a key milestone in a family doctor's career, bringing both emotional and mental challenges. This critical period of specialisation shapes how young doctors adapt and influences their future career choices. OBJECTIVES We explored trainees' experiences during their first year of advanced medical training in family medicine/general practice, including barriers and facilitators. METHODS Using qualitative methodology, we conducted ten focus group interviews with 111 trainees. These group interviews were held as part of small-group sessions integrated into a self-guided reflection course. All interviews were held between February 2021 and March 2021, conducted online via MS Teams, recorded, and transcribed verbatim for analysis. FINDINGS Our analysis uncovered two adaptational processes during this transition period: personal adaptation and professional socialisation. We interpreted this as a complex balancing act, with impact on mental health aspects such as energy, exhaustion, and self-confidence. Multiple elements at different levels influenced these processes, including the workplace (e.g. interactions with colleagues and patients), the educational program (e.g. assignments, courses), and societal expectations (e.g. role expectations, support). CONCLUSION The findings highlight the importance of understanding both personal adaptation and professional socialisation to support trainees effectively during their transition into practice. Future studies should validate these findings and explore their evolution over time, particularly in relation to adaptation and career choices.
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Affiliation(s)
- Ellen Tisseghem
- Department of Public Health, Vrije Universiteit Brussel, Brussel, Belgium
| | - Joke Fleer
- Department of Health Sciences, Section Health Psychology, University Medical Centre Groningen, University of Groningen, The Netherlands
| | - Melissa Horlait
- Department of Public Health, Vrije Universiteit Brussel, Brussel, Belgium
| | - Peter Pype
- Department of Public Health and Primary Care, Ghent University, Gent, Belgium
- Interprofessional Collaboration in Education, Research and Practice (IPC-ERP), Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Emelien Lauwerier
- Department of Public Health and Primary Care, Ghent University, Gent, Belgium
- Department of Experimental-Clinical and Health Psychology, Ghent University
- Department of Psychology, Open University, The Netherlands
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Knippenberg I, Leontjevas R, Declercq I, van Lankveld J, Gerritsen D. Measuring implicit associations with behaviours to improve resident mood: development of implicit association tasks for nursing home care providers. INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES 2025; 8:100292. [PMID: 39877378 PMCID: PMC11773274 DOI: 10.1016/j.ijnsa.2025.100292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2024] [Revised: 12/31/2024] [Accepted: 01/05/2025] [Indexed: 01/31/2025] Open
Abstract
Objective To develop and evaluate instruments for measuring implicit associations of nursing home care providers with behaviours aimed at improving resident mood. Method Study 1 (N = 41) followed an iterative approach to develop two implicit association tasks measuring implicit attitude (positive versus negative valence) and motivation (wanting versus not wanting) regarding mood-improving behaviours, followed by an evaluation of the content validity for target stimuli representing these behaviours. In Study 2 (N = 230), the tasks were assessed for stimulus classification ease (accuracy and speed) and internal consistency. A subsample (n = 111) completed additional questionnaires to evaluate convergent validity (with self-reported attitudes towards depression, altruism, and mood-improving behaviours), and discriminant validity (against social desirability), and repeated the tasks after 2 weeks to assess test-retest reliability. Results Content validity indexes for target stimuli were satisfactory. Error rates were acceptable for attribute stimuli, but exceeded the 10 % limit for target stimuli. Response times for all stimuli exceeded the 800-millisecond threshold. Both tasks demonstrated good internal consistency but poor test-retest reliability. Regarding convergent validity, both tasks significantly correlated with altruism, the implicit attitude task associated with self-reported mood-improving behaviours, and the implicit motivation task correlated with the behavioural scale of attitudes towards depression. Discriminant validity was supported as neither task was significantly associated with social desirability. Conclusions The implicit association tasks show potential for measuring implicit associations with mood-improving behaviours of care providers, offering an innovative pathway for exploring processes influencing caregiving behaviours. However, limitations in psychometric properties were identified, aligning with challenges observed in similar measures.
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MESH Headings
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