Introduction: First- and second-generation immigrant children under 15 years of age make up 37.5% of the total population of children in Canada. Immigrant children aged 10-19, irrespective of their immigration status, face more ethnic victimization at school and in their neighborhoods. By 2036, the number of immigrant children in Canada is predicted to increase by 49%. Method: A well-established Arksey and O’Malley’s five-stage methodological framework was applied to conduct this scoping review. This project reviewed the existing research literature on factors affecting immigrant and refugee children's mental health in Canada. Results: The mental health of immigrant and refugee children can be viewed as a combined product of personal, social, cultural, economic, and pre- and post-migratory factors. Immigrant and refugee children’s experiences of migration can be stressful and destabilizing. Service providers are not well trained and often cannot grasp the circumstances of immigrant and refugee children and families, which consequently disengages them from required treatment services and follow-up care. Conclusion: Reflection of diversity and inclusivity in mental health policies can influence actions in a primary care setting and reduce accessibility gaps and barriers that affect immigrant and refugee children in Canada. Keywords: child; Canada; immigrant; mental health; refugee
{"title":"The mental health of immigrant and refugee children in Canada: A scoping review","authors":"Nazish, O. Petrovskaya, B. Salami","doi":"10.32920/ihtp.v1i3.1467","DOIUrl":"https://doi.org/10.32920/ihtp.v1i3.1467","url":null,"abstract":"Introduction: First- and second-generation immigrant children under 15 years of age make up 37.5% of the total population of children in Canada. Immigrant children aged 10-19, irrespective of their immigration status, face more ethnic victimization at school and in their neighborhoods. By 2036, the number of immigrant children in Canada is predicted to increase by 49%. \u0000Method: A well-established Arksey and O’Malley’s five-stage methodological framework was applied to conduct this scoping review. This project reviewed the existing research literature on factors affecting immigrant and refugee children's mental health in Canada. \u0000Results: The mental health of immigrant and refugee children can be viewed as a combined product of personal, social, cultural, economic, and pre- and post-migratory factors. Immigrant and refugee children’s experiences of migration can be stressful and destabilizing. Service providers are not well trained and often cannot grasp the circumstances of immigrant and refugee children and families, which consequently disengages them from required treatment services and follow-up care. \u0000Conclusion: Reflection of diversity and inclusivity in mental health policies can influence actions in a primary care setting and reduce accessibility gaps and barriers that affect immigrant and refugee children in Canada. \u0000Keywords: child; Canada; immigrant; mental health; refugee","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128509461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: A problem-based learning approach using intentionally created client profiles and nursing care summaries formed the foundation of a remote clinical experience for first year undergraduate nursing students. Methods: Using carefully designed client scenarios, care summaries and active learning strategies, students were introduced to the nursing profession and provided the opportunity to develop skills in collaboration, critical thinking, clinical reasoning, and clinical judgement. Results: Based on discussion with students, the remote experience assisted in the development of several skills addressing communication, theoretical foundation, and critical thinking. As well, this experience allowed for the integration and application of newly acquired nursing knowledge, and an enhanced understanding of the role of the professional nurse. Implications: Significant lessons learned may serve other nursing programs around the world as we continue to navigate both current and future public health mandates while managing competing demands for in-person clinical practice sites. Conclusion: Face-to-face clinical experiences remain a critical component of comprehensive nursing education, however, given today’s climate and continued restrictions, a hybrid model, utilizing a remote platform, is worthy of further exploration.
{"title":"Creation of a remote clinical practice curriculum for first year nursing students: Reflections and lessons learned","authors":"Diane MacEachern, Joyal Miranda, S. Cherney","doi":"10.32920/ihtp.v1i3.1466","DOIUrl":"https://doi.org/10.32920/ihtp.v1i3.1466","url":null,"abstract":"Introduction: A problem-based learning approach using intentionally created client profiles and nursing care summaries formed the foundation of a remote clinical experience for first year undergraduate nursing students. Methods: Using carefully designed client scenarios, care summaries and active learning strategies, students were introduced to the nursing profession and provided the opportunity to develop skills in collaboration, critical thinking, clinical reasoning, and clinical judgement. Results: Based on discussion with students, the remote experience assisted in the development of several skills addressing communication, theoretical foundation, and critical thinking. As well, this experience allowed for the integration and application of newly acquired nursing knowledge, and an enhanced understanding of the role of the professional nurse. Implications: Significant lessons learned may serve other nursing programs around the world as we continue to navigate both current and future public health mandates while managing competing demands for in-person clinical practice sites. Conclusion: Face-to-face clinical experiences remain a critical component of comprehensive nursing education, however, given today’s climate and continued restrictions, a hybrid model, utilizing a remote platform, is worthy of further exploration. ","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130283050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Sant’Ana, A. D. Dos Santos, Felipe Da Silva, R. Bastos, C. Lima, C. Maheu, E. Turato, Simone Godoy
Objective: To identify the impacts of head and neck cancer treatment on the sexual health of patients. Methods: An integrative literature review was carried out from May to October 2020 using PubMed, CINAHL, Web of Science, LILACS, and the SciELO portal. A total of 287 primary articles were identified. After assessing them, 6 articles met the eligibility criteria, which were: all articles published in the last ten years that addressed the sexual impact of HNC treatment on people's lives, without any language or age. Results: Patients with Head and Neck Cancer have to face aesthetic disfigurement challenges in post-treatment. This leads to a greater degree of suffering and social and sexual problems than is observed in other cancer patients. Health professionals do not feel safe to access the intimate and sexual demands of patients during the clinical treatment. Conclusions: Most of the studies included in this review focused on measuring the quality of life using only one or two variables related to sexuality. There is the need other research to explore how multiple factors, such as social, psychological, cultural, religious, ethnic, and ethical factors, affect sexuality. This promotes the creation of the paths for comprehensive care and management of patients.
目的:探讨头颈部肿瘤治疗对患者性健康的影响。方法:对2020年5月至10月PubMed、CINAHL、Web of Science、LILACS和SciELO门户网站进行综合文献综述。共鉴定出287篇主要文章。在对它们进行评估后，有6篇文章符合资格标准，它们是:在过去十年中发表的所有关于HNC治疗对人们生活的性影响的文章，没有任何语言或年龄。结果:头颈癌患者在术后面临颜面缺损的挑战。与其他癌症患者相比，这导致了更大程度的痛苦以及社会和性问题。在临床治疗期间，卫生专业人员对接触患者的亲密和性需求感到不安全。结论:本综述中包含的大多数研究都集中在仅使用一两个与性有关的变量来衡量生活质量。有必要进行其他研究来探索多重因素，如社会、心理、文化、宗教、种族和伦理因素如何影响性行为。这促进了对患者进行综合护理和管理的路径的创建。
{"title":"Head and neck cancer treatment and its sexual impact on quality of life: An integrative literature review.","authors":"R. Sant’Ana, A. D. Dos Santos, Felipe Da Silva, R. Bastos, C. Lima, C. Maheu, E. Turato, Simone Godoy","doi":"10.32920/ihtp.v1i3.1464","DOIUrl":"https://doi.org/10.32920/ihtp.v1i3.1464","url":null,"abstract":"Objective: To identify the impacts of head and neck cancer treatment on the sexual health of patients. Methods: An integrative literature review was carried out from May to October 2020 using PubMed, CINAHL, Web of Science, LILACS, and the SciELO portal. A total of 287 primary articles were identified. After assessing them, 6 articles met the eligibility criteria, which were: all articles published in the last ten years that addressed the sexual impact of HNC treatment on people's lives, without any language or age. Results: Patients with Head and Neck Cancer have to face aesthetic disfigurement challenges in post-treatment. This leads to a greater degree of suffering and social and sexual problems than is observed in other cancer patients. Health professionals do not feel safe to access the intimate and sexual demands of patients during the clinical treatment. Conclusions: Most of the studies included in this review focused on measuring the quality of life using only one or two variables related to sexuality. There is the need other research to explore how multiple factors, such as social, psychological, cultural, religious, ethnic, and ethical factors, affect sexuality. This promotes the creation of the paths for comprehensive care and management of patients.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127805058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This discussion paper attends to subcultural production emerging at the intersection of Medical Assistance in Dying (MAiD), death, disability, and other forms of precarious life. We think with disability arts, that is art created by disabled, mad, sick, and ill people that springs from the experience, politics, and culture of disability (Frazee, 2008) and plays an important role in advancing disability rights and justice. We consider how this form of cultural production animates diverse and intersectional representations and political perspectives in ways that are invitational rather than didactic or prescriptive. By engaging three Canadian disability performance art pieces that activate “crip theory” critical perspectives, we consider how these subcultural productions both indirectly support and extend disability rights endeavours to challenge the implementation of MAiD legislation in Canada. We highlight how each of these works creates space for thinking about the relationship of death and dying in nuanced ways that promote disability life and vitality in a post-MAiD context, without slipping into ableist tropes.
{"title":"Activating the arts in death: What are the cultural implications for MAiD?","authors":"E. Ignagni, Eliza Chandler, K. Collins","doi":"10.32920/ihtp.v1i3.1435","DOIUrl":"https://doi.org/10.32920/ihtp.v1i3.1435","url":null,"abstract":"This discussion paper attends to subcultural production emerging at the intersection of Medical Assistance in Dying (MAiD), death, disability, and other forms of precarious life. We think with disability arts, that is art created by disabled, mad, sick, and ill people that springs from the experience, politics, and culture of disability (Frazee, 2008) and plays an important role in advancing disability rights and justice. We consider how this form of cultural production animates diverse and intersectional representations and political perspectives in ways that are invitational rather than didactic or prescriptive. By engaging three Canadian disability performance art pieces that activate “crip theory” critical perspectives, we consider how these subcultural productions both indirectly support and extend disability rights endeavours to challenge the implementation of MAiD legislation in Canada. We highlight how each of these works creates space for thinking about the relationship of death and dying in nuanced ways that promote disability life and vitality in a post-MAiD context, without slipping into ableist tropes.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126703435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The experience of children with special healthcare needs (CSHCN) who hold multiply marginalized identities is underrepresented in healthcare research literature. Even less research investigates the impact of multiple systems of oppression on CSHCN experiences with healthcare providers, services, and systems. Methods: To identify gaps and areas of future research, in early 2020, a scoping review of current CSHCN healthcare literature that includes an explicit intersectionality framework or analysis was conducted. Findings: Based on the literature search results, there were zero peer reviewed articles within the CSHCN research literature that included a framework or analysis of intersectionality. Implication: CSHCN have diverse lived experiences. An explicitly intersectional approach is best suited to creating programs, treatments, interventions, and service provision that address the truly complex needs of this population within the U.S. dominant culture. Promising frameworks and future research needs are discussed.
{"title":"Intersectionality: A Framework for Children with Special HealthCare Needs Research","authors":"L. Rodríguez","doi":"10.32920/ihtp.v1i3.1443","DOIUrl":"https://doi.org/10.32920/ihtp.v1i3.1443","url":null,"abstract":"Introduction: The experience of children with special healthcare needs (CSHCN) who hold multiply marginalized identities is underrepresented in healthcare research literature. Even less research investigates the impact of multiple systems of oppression on CSHCN experiences with healthcare providers, services, and systems. Methods: To identify gaps and areas of future research, in early 2020, a scoping review of current CSHCN healthcare literature that includes an explicit intersectionality framework or analysis was conducted. Findings: Based on the literature search results, there were zero peer reviewed articles within the CSHCN research literature that included a framework or analysis of intersectionality. Implication: CSHCN have diverse lived experiences. An explicitly intersectional approach is best suited to creating programs, treatments, interventions, and service provision that address the truly complex needs of this population within the U.S. dominant culture. Promising frameworks and future research needs are discussed.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122783915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Guillaume, S. R. Ramos, Gamji M'Rabiu Abubakari, DeAnne Turner, Wale Ajiboye, Abban Yusuf, P. Djiadeu, Apondi J Odhiambo, Cheryl Pedersen, Aisha Lofters, Geoffrey Williams, LaRon E Nelson
Introduction: Healthcare settings can build towards a specific social environment, in which Black patients can make informed health decisions, including those about whether or not to use PrEP. We utilize self-determination theory for guidance to identify the extent to which current HIV pre-exposure prophylaxis (PrEP) decision support practices from healthcare professionals (HCP) are autonomy supportive. This identifies future developments and implementations of interventions for HCP capacity building to enhance the autonomy of Black patients who are considering using PrEP. Methods: Using a cross-sectional design for examining HCPs' perspectives on delivering quality PrEP usage-related decision support. Through a cross-sectional online survey of 24 HCP from 10 community-based health centers serving in Toronto, Canada, descriptive statistics were characterized in close-ended survey data and sample. Open-ended survey responses were analyzed using Q- sorting methodology. Results: Of the HCP, 40% were willing to provide PrEP decision support to Black-identified patients. HCP reported barriers of needing education about PrEP and available resources (96%) There’s a need for more education and resources to facilitate decision support for Black patients to improve decision support and reduce PrEP uptake disparities. Conclusion: It is imperative that cultural humility in healthcare is upheld to provide informed decision support since not only health conditions vary from patient to patient, but life experiences and background are equally crucial to the health status of that individual. Competence development among HCP can take the forms of providing training to increase cultural humility awareness, knowledge, and skills that can build towards an environment in which Black patients are informed about and for their health decisions.
{"title":"Barriers and facilitators to providing human immunodeficiency virus pre-exposure prophylaxis decision support to black patients in Canada: a cross-sectional study","authors":"G. Guillaume, S. R. Ramos, Gamji M'Rabiu Abubakari, DeAnne Turner, Wale Ajiboye, Abban Yusuf, P. Djiadeu, Apondi J Odhiambo, Cheryl Pedersen, Aisha Lofters, Geoffrey Williams, LaRon E Nelson","doi":"10.32920/ihtp.v1i3.1457","DOIUrl":"https://doi.org/10.32920/ihtp.v1i3.1457","url":null,"abstract":"Introduction: Healthcare settings can build towards a specific social environment, in which Black patients can make informed health decisions, including those about whether or not to use PrEP. We utilize self-determination theory for guidance to identify the extent to which current HIV pre-exposure prophylaxis (PrEP) decision support practices from healthcare professionals (HCP) are autonomy supportive. This identifies future developments and implementations of interventions for HCP capacity building to enhance the autonomy of Black patients who are considering using PrEP. Methods: Using a cross-sectional design for examining HCPs' perspectives on delivering quality PrEP usage-related decision support. Through a cross-sectional online survey of 24 HCP from 10 community-based health centers serving in Toronto, Canada, descriptive statistics were characterized in close-ended survey data and sample. Open-ended survey responses were analyzed using Q- sorting methodology. Results: Of the HCP, 40% were willing to provide PrEP decision support to Black-identified patients. HCP reported barriers of needing education about PrEP and available resources (96%) There’s a need for more education and resources to facilitate decision support for Black patients to improve decision support and reduce PrEP uptake disparities. Conclusion: It is imperative that cultural humility in healthcare is upheld to provide informed decision support since not only health conditions vary from patient to patient, but life experiences and background are equally crucial to the health status of that individual. Competence development among HCP can take the forms of providing training to increase cultural humility awareness, knowledge, and skills that can build towards an environment in which Black patients are informed about and for their health decisions.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132638235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is increasing concern regarding the risk to develop chronic pain after cardiac surgery with potential detrimental effects on recovery and quality of life. With shortened hospital stays after cardiac surgery, there needs to be more emphasis placed on self-management skills and the support provided to patients and their informal caregivers during the subacute phase. A paradigm shift needs to occur on multiple levels to prevent chronic pain and opioid misuse after surgery. Initiating this change means redefining the timing, recipients, and content and format of interventions. Several avenues can be examined and translated in practice to promote a successful transition after cardiac surgery.
{"title":"Tackling pain after cardiac surgery: It takes a village!","authors":"G. Martorella","doi":"10.32920/ihtp.v1i2.1449","DOIUrl":"https://doi.org/10.32920/ihtp.v1i2.1449","url":null,"abstract":"There is increasing concern regarding the risk to develop chronic pain after cardiac surgery with potential detrimental effects on recovery and quality of life. With shortened hospital stays after cardiac surgery, there needs to be more emphasis placed on self-management skills and the support provided to patients and their informal caregivers during the subacute phase. A paradigm shift needs to occur on multiple levels to prevent chronic pain and opioid misuse after surgery. Initiating this change means redefining the timing, recipients, and content and format of interventions. Several avenues can be examined and translated in practice to promote a successful transition after cardiac surgery.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132968803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Self-care is about taking care of yourself. It is a proactive action involving steps to develop, protect, maintain and improve health, wellbeing or wellness. Self-care can be seen as a repertoire of practices – different things you do that help you care for you, no matter how small. It is an act of treating yourself like you would a close friend. The importance of valuing self-care has not changed in light of the COVID-19 pandemic, in fact more awareness and appreciation for what one can do to empower yourself may indeed be valued more. Methods: In this paper, I draw on data from 53 participants aged over 18 years who responded to an online qualitative questionnaire between the months of May to June in 2020. Poetry derived from all the participants has been generated to both represent their voice and to provide a provocation that ignites our heart and mind to consider what is good in life. Results: To further conceptualise self-care, five possible dimensions of self-care (mindfulness, self-compassion, habits, time and agency) are suggested and the aspects within these dimensions are described juxtaposed with poetic representation that illuminates practices and mindsets engaged with during a pandemic. Conclusions: When thinking about self-care across five possible dimensions, this framework becomes useful for capturing a holistic and authentic view of both proactive actions and the variety of practices that can be engaged with. Empowerment is possible in partnership with self-compassion and awareness, where a self-kindness supports proactive decisions to be made on a daily basis that support wellbeing. Central is that no matter one’s situation, difficulty and suffering during a pandemic, gratitude and awareness for oneself is possible.
{"title":"Illuminating five possible dimensions of self-care during the COVID-19 pandemic","authors":"N. Lemon","doi":"10.32920/ihtp.v1i2.1426","DOIUrl":"https://doi.org/10.32920/ihtp.v1i2.1426","url":null,"abstract":"Introduction: Self-care is about taking care of yourself. It is a proactive action involving steps to develop, protect, maintain and improve health, wellbeing or wellness. Self-care can be seen as a repertoire of practices – different things you do that help you care for you, no matter how small. It is an act of treating yourself like you would a close friend. The importance of valuing self-care has not changed in light of the COVID-19 pandemic, in fact more awareness and appreciation for what one can do to empower yourself may indeed be valued more. \u0000 \u0000Methods: In this paper, I draw on data from 53 participants aged over 18 years who responded to an online qualitative questionnaire between the months of May to June in 2020. Poetry derived from all the participants has been generated to both represent their voice and to provide a provocation that ignites our heart and mind to consider what is good in life. \u0000 \u0000Results: To further conceptualise self-care, five possible dimensions of self-care (mindfulness, self-compassion, habits, time and agency) are suggested and the aspects within these dimensions are described juxtaposed with poetic representation that illuminates practices and mindsets engaged with during a pandemic. \u0000 \u0000Conclusions: When thinking about self-care across five possible dimensions, this framework becomes useful for capturing a holistic and authentic view of both proactive actions and the variety of practices that can be engaged with. Empowerment is possible in partnership with self-compassion and awareness, where a self-kindness supports proactive decisions to be made on a daily basis that support wellbeing. Central is that no matter one’s situation, difficulty and suffering during a pandemic, gratitude and awareness for oneself is possible. ","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123339572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kymberly Kvasnak, G. Brunton, M. Lemonde, Barbara Chyzzy, Jennifer Abbass-Dick
Objectives: This systematic review of the literature was conducted to determine the best way to design mindfulness interventions for perinatal adolescent mothers to support mental health during the transition to parenthood and beyond. Perinatal adolescents face unique challenges compared to adults due to their developmental stage and difficulties accessing social determinants of health. Mindfulness educational interventions may be an ideal addition to perinatal supports to foster resilience and teach skills to reduce stress, anxiety, and depression. Methods: A search strategy was developed to identify articles from 6 electronic databases including PsycInfo, ProQuest, PubMed, Cochrane Library, Ovid, and CINAHL. Qualitative analysis was done to identify mindfulness interventions which significantly decrease anxiety, depression or stress and to determine the components and designs of these interventions. Participants’ satisfaction with the interventions were analyzed, when available. Best practices for designing interventions for adolescents were used to recommend adaptations to the mindfulness interventions to tailor them to the perinatal adolescent population. Results: Of the 561 studies retrieved from the search, 16 met the inclusion criteria. All included studies found at last one significant decrease in mental health outcomes (stress 9 of 13, anxiety 9 of 9; depression 9 of 14). The majority of the interventions began in the perinatal period, were delivered face-to-face, included homework, multiple sessions and by a trained professional. Conclusion: Mindfulness interventions are feasible, acceptable and effective in adult perinatal populations. Components and design of these interventions could be adapted for perinatal adolescents to increase resilience to cope with unique parenthood challenges.
{"title":"Considerations for the design of a perinatal mindfulness intervention for adolescents based on a systematic review of the literature","authors":"Kymberly Kvasnak, G. Brunton, M. Lemonde, Barbara Chyzzy, Jennifer Abbass-Dick","doi":"10.32920/ihtp.v1i2.1438","DOIUrl":"https://doi.org/10.32920/ihtp.v1i2.1438","url":null,"abstract":"Objectives: This systematic review of the literature was conducted to determine the best way to design mindfulness interventions for perinatal adolescent mothers to support mental health during the transition to parenthood and beyond. Perinatal adolescents face unique challenges compared to adults due to their developmental stage and difficulties accessing social determinants of health. Mindfulness educational interventions may be an ideal addition to perinatal supports to foster resilience and teach skills to reduce stress, anxiety, and depression. \u0000Methods: A search strategy was developed to identify articles from 6 electronic databases including PsycInfo, ProQuest, PubMed, Cochrane Library, Ovid, and CINAHL. Qualitative analysis was done to identify mindfulness interventions which significantly decrease anxiety, depression or stress and to determine the components and designs of these interventions. Participants’ satisfaction with the interventions were analyzed, when available. Best practices for designing interventions for adolescents were used to recommend adaptations to the mindfulness interventions to tailor them to the perinatal adolescent population. \u0000Results: Of the 561 studies retrieved from the search, 16 met the inclusion criteria. All included studies found at last one significant decrease in mental health outcomes (stress 9 of 13, anxiety 9 of 9; depression 9 of 14). The majority of the interventions began in the perinatal period, were delivered face-to-face, included homework, multiple sessions and by a trained professional. \u0000Conclusion: Mindfulness interventions are feasible, acceptable and effective in adult perinatal populations. Components and design of these interventions could be adapted for perinatal adolescents to increase resilience to cope with unique parenthood challenges. \u0000 \u0000 ","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127700538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract: Mental illness includes a wide range of disorders that affect mood, thinking, behaviour and overall wellbeing. One in five Canadians has mental health care needs, many of which are unmet. Within the City of Toronto, the provision of specialized mental health care is delivered by over 100 public and private community service organisations and over 700 physicians with a psychiatric specialization - each providing community-based general or specialised care to residents in need. Research has shown that travel distance is an enabling factor of health service utilisation, thus equitable spatial access to services remains a key priority. Using spatial quantitative methods, this study examines potential spatial accessibility to both general and specialized mental health services within the City of Toronto, and levels of statistical association between access to care and prevalence of mental health crisis events. The main datasets analyzed including geo-referenced Census data and occurrence data on mental health crisis (represented by apprehensions under the Mental Health Act undertaken by the Toronto Police Service). The enhanced two-step floating catchment area (E2SFCA) method is used to model spatial accessibility to mental health services based four modes of transportation: driving, walking, cycling and public transit. Areas that are underserved by mental health specialists and mental health community services are identified and shown to have different socioeconomic characteristics. The study reveals spatially explicit patterns of access to various mental health services in Toronto, providing detailed data to inform the planning of and policy on mental health care delivery concerning severe mental health crisis.
{"title":"Mental health crisis and spatial accessibility to mental health services in the city of Toronto: A geographic study","authors":"Lu Wang, Joseph Ariwi","doi":"10.32920/ihtp.v1i2.1427","DOIUrl":"https://doi.org/10.32920/ihtp.v1i2.1427","url":null,"abstract":"Abstract: Mental illness includes a wide range of disorders that affect mood, thinking, behaviour and overall wellbeing. One in five Canadians has mental health care needs, many of which are unmet. Within the City of Toronto, the provision of specialized mental health care is delivered by over 100 public and private community service organisations and over 700 physicians with a psychiatric specialization - each providing community-based general or specialised care to residents in need. Research has shown that travel distance is an enabling factor of health service utilisation, thus equitable spatial access to services remains a key priority. Using spatial quantitative methods, this study examines potential spatial accessibility to both general and specialized mental health services within the City of Toronto, and levels of statistical association between access to care and prevalence of mental health crisis events. The main datasets analyzed including geo-referenced Census data and occurrence data on mental health crisis (represented by apprehensions under the Mental Health Act undertaken by the Toronto Police Service). The enhanced two-step floating catchment area (E2SFCA) method is used to model spatial accessibility to mental health services based four modes of transportation: driving, walking, cycling and public transit. Areas that are underserved by mental health specialists and mental health community services are identified and shown to have different socioeconomic characteristics. The study reveals spatially explicit patterns of access to various mental health services in Toronto, providing detailed data to inform the planning of and policy on mental health care delivery concerning severe mental health crisis.","PeriodicalId":231465,"journal":{"name":"International Health Trends and Perspectives","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124418426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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