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Racial, ethnic differences in complementary and integrative health use among adults with mental illness: Results from the 2017 National Health Interview Survey 精神疾病成人补充和综合健康使用的种族、民族差异:来自2017年全国健康访谈调查的结果
IF 0.7 Q3 Medicine Pub Date : 2021-07-01 DOI: 10.1017/JRC.2021.3
Lee Za Ong, K. Callender, Kacie M. Blalock, Jerome J. Holzbauer
The purpose of this study was to examine the patterns of complementary and integrative health (CIH) use among adults with a racial/ethnic minority background and a mental illness. A secondary data analysis of 2017 National Health Interview Survey (N = 793) was conducted using chi-square, multivariate logistic regression, and multinomial logistic regression. Overall, Black/African Americans and Hispanic/Latinx groups remained the least proportional of CIH therapies utilization. Being a male, Black/African American or Latinx/Hispanic and had work experience were predictors of the least use of the CIH therapies. Research is needed to bridge the gaps on the CIH use among a racial/ethnic minority with mental illness and to enhance the equitable and collaborative mental health care in the community.
本研究的目的是检查具有种族/少数民族背景和精神疾病的成年人的补充和综合健康(CIH)使用模式。使用卡方、多元逻辑回归和多项逻辑回归对2017年全国健康访谈调查(N=793)进行二次数据分析。总体而言,黑人/非裔美国人和西班牙裔/拉丁裔群体仍然是CIH疗法使用率最低的群体。男性、黑人/非裔美国人或拉丁裔/西班牙裔且有工作经验是CIH疗法使用最少的预测因素。需要进行研究,以弥补患有精神疾病的少数种族/族裔在使用CIH方面的差距,并加强社区中公平和协作的精神卫生保健。
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引用次数: 0
A systematic review of systematic reviews of secondary health conditions, health promotion, and employment of people with intellectual disabilities 对智力残疾者二级健康状况、健康促进和就业的系统评价进行系统评价
IF 0.7 Q3 Medicine Pub Date : 2021-05-14 DOI: 10.1017/JRC.2021.2
Kanako Iwanaga, Jia Rung Wu, Fong Chan, P. Rumrill, P. Wehman, Valerie Brooke, Lauren Avellone, Joshua P. Taylor
This is a systematic review of systematic reviews of secondary health conditions, health promotion interventions, and employment in people with intellectual disabilities. Articles were included if they reported a systematic review of health and employment, secondary health conditions, and health promotion interventions for people with intellectual disabilities. The methodological quality of the included reviews was reviewed using the A MeaSurement Tool to Assess systematic Reviews quality rating system, a measurement tool to assess systematic reviews. Twenty-five systematic reviews were included. There was evidence that people with intellectual disabilities (ID) were at elevated risk for secondary health conditions, health promotion interventions can improve physical and mental health conditions, and employment is associated with better health-related quality of life. Health promotion intervention to help people with ID engage in health promoting behaviors can improve health and their ability to find and maintain employment.
这是对智力残疾者二级健康状况、健康促进干预措施和就业的系统综述的系统综述。如果文章报道了对智力残疾者的健康和就业、二级健康状况和健康促进干预措施的系统评价,则纳入文章。使用A测量工具来评估系统评价的质量评级系统,这是一个评估系统评价的测量工具,对纳入的评价的方法学质量进行了评价。纳入了25项系统评价。有证据表明,智力残疾者患二级健康状况的风险较高,健康促进干预措施可以改善身心健康状况,就业与更好的健康相关生活质量有关。通过健康促进干预,帮助ID人群从事健康促进行为,可以改善他们的健康状况,提高他们找到和维持就业的能力。
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引用次数: 7
A landscape of disadvantage: The impact of disability on earning and learning in Australia 劣势格局:残疾对澳大利亚收入和学习的影响
IF 0.7 Q3 Medicine Pub Date : 2021-05-06 DOI: 10.1017/JRC.2021.4
J. Athanasou
This paper describes the impact of disability in Australia on earning and learning. The report is based on the official statistics on Disability Ageing and Carers by the Australian Bureau of Statistics. Whilst 67.9% of those aged 15–64 years without a reported disability complete Year 12 only 43.6% of those with a disability complete the highest level of secondary schooling. In the labor market, the participation rate is lower for persons with a disability (53.4%) compared to 84.1% for those without a disability. Even when people with disabilities are ready to work it is accompanied by a higher rate of unemployment (10.3%) compared with 4.6% for those without a disability. Whilst general labor force participation has increased from 2003 to 2018 the labor force participation of persons with a disability has remained stubbornly constant. Furthermore, the unemployment rate for person with a disability has increased markedly from 2009 while that for persons without a disability has decreased. When the influence of all these factors is combined there is an overwhelming landscape of disadvantage within which a person with a disability has to navigate an educational and vocational pathway.
本文介绍了澳大利亚残疾对收入和学习的影响。该报告基于澳大利亚统计局关于残疾老龄化和护理的官方统计数据。虽然67.9%的15-64岁无残疾者完成了12年级的学业,但只有43.6%的残疾人完成了最高水平的中学教育。在劳动力市场上,残疾人的参与率(53.4%)低于非残疾人的84.1%。即使残疾人准备好工作,失业率也会更高(10.3%),而非残疾人的失业率为4.6%。虽然从2003年到2018年,普通劳动力的参与度有所提高,但残疾人的劳动力参与度一直保持不变。此外,自2009年以来,残疾人的失业率显著上升,而非残疾人的失业人数则有所下降。当所有这些因素的影响结合在一起时,就会出现一种压倒性的不利局面,残疾人必须在其中走上教育和职业道路。
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引用次数: 0
Musculoskeletal system disorders and kinesiophobia in type 2 diabetes: A case–control study 2型糖尿病患者的肌肉骨骼系统疾病和运动恐惧症:一项病例对照研究
IF 0.7 Q3 Medicine Pub Date : 2021-05-05 DOI: 10.1017/JRC.2021.1
Ismail Okur, B. Taspinar, T. Kilit, E. O. Okur, F. Taspi̇nar
This study was designed to investigate the relationship between Type 2 diabetes mellitus (T2DM) and musculoskeletal system disorders and kinesiophobia levels. Eighty-four participants (41 diabetics and 43 nondiabetic individuals) self-reported their musculoskeletal problems and levels of kinesiophobia. Data were analyzed using descriptive statistics, nonparametric Pearson’s Chi-Square testing, and Mann–Whitney U test. Results indicated the total Cornell Musculoskeletal Discomfort Questionnaire score was 190.55 ± 261.56 for the patients with T2DM and 98.11 ± 167.31 for the control group (p < 0.05). Moreover, Tampa Kinesiophobia Scale scores were higher for the T2DM group (p < 0.05). We conclude from these findings that T2DM is associated with a higher frequency of musculoskeletal system disorders and higher levels of kinesiophobia.
本研究旨在探讨2型糖尿病(T2DM)与肌肉骨骼系统疾病和运动恐惧症水平之间的关系。84名参与者(41名糖尿病患者和43名非糖尿病患者)自我报告了他们的肌肉骨骼问题和运动恐惧症水平。使用描述性统计、非参数Pearson卡方检验和Mann-Whitney U检验对数据进行分析。结果表明,2型糖尿病患者Cornell肌肉骨骼不适问卷总分为190.55±261.56分,对照组为98.11±167.31分(p<0.05),T2DM组的坦帕运动恐惧症量表得分较高(p<0.05)。我们从这些发现中得出结论,T2DM与更高频率的肌肉骨骼系统疾病和更高水平的运动恐惧症有关。
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引用次数: 2
Work-Related Communication Barriers for Individuals with Autism: A Pilot Qualitative Study 自闭症患者工作相关沟通障碍的初步定性研究
IF 0.7 Q3 Medicine Pub Date : 2018-07-01 DOI: 10.1017/JRC.2018.4
Michelle McKnight-Lizotte
This study identified situations where communication was a barrier to employment for adults with autism spectrum disorders (ASD). Informant interviewees were six college graduates with ASD who have been employed for one year. Following the qualitative inductive analysis, five communication-related themes emerged: (1) job interviewing success, (2) negotiating co-worker interactions, (3) supervisory interactions, instruction, and feedback, (4) handling customer intercommunication, and (5) communication-oriented coping strategies. Participants were relatively more successful in communication coping strategies and supervisory interaction compared to difficulties with job interviewing and co-worker interactions. Vocational rehabilitation counsellors assisting clients with ASD should prioritize job interview communication skills and social skill education specific to appropriate interactions with co-workers and supervisors utilizing role play, social skill training, and job coaching.
这项研究确定了沟通是自闭症谱系障碍(ASD)成年人就业障碍的情况。知情的受访者是六名ASD大学毕业生,他们已就业一年。经过定性归纳分析,出现了五个与沟通相关的主题:(1)工作面试的成功,(2)协商同事互动,(3)监督互动、指导和反馈,(4)处理客户互动,以及(5)以沟通为导向的应对策略。与工作面试和同事互动的困难相比,参与者在沟通应对策略和监督互动方面相对更成功。协助ASD患者的职业康复顾问应优先考虑工作面试沟通技能和社交技能教育,特别是利用角色扮演、社交技能培训和工作指导与同事和主管进行适当互动。
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引用次数: 12
Navigating Employment Pathways and Supports Following Brain Injury in Australia: Client Perspectives 导航就业途径和支持后脑损伤在澳大利亚:客户的观点
IF 0.7 Q3 Medicine Pub Date : 2016-12-01 DOI: 10.1017/JRC.2016.14
Phil McRae, Lisa Hallab, G. Simpson
This study investigated the vocational rehabilitation experiences of 29 clients, up to 14 years post brain injury. Data obtained from participant interviews were thematically analysed by employment pathway (‘return to pre-injury employment’, ‘job seeking’ and ‘not worked since injury’). A total of nine themes were identified. Across all pathways, participants identified the importance of working, impact of injury and their own determination. The content for the remaining themes (understanding, adjustment, access, support, disclosure of injury, intervention) varied by pathway, reflecting the differing perspectives arising from integrating back into a familiar workplace versus seeking new employment. In conclusion, programme approaches to vocational rehabilitation need to be tailored to the individual circumstances, opportunities and support needs of people with brain injury pursuing these different pathways.
本研究调查了29名脑损伤患者长达14年的职业康复经历。从参与者访谈中获得的数据按就业途径(“回到受伤前的工作”、“求职”和“受伤后没有工作”)进行主题分析。共确定了九个主题。在所有途径中,参与者确定了工作的重要性、受伤的影响和他们自己的决心。其余主题(理解、调整、获取、支持、披露伤害、干预)的内容因途径而异,反映了重新融入熟悉的工作场所和寻找新工作所产生的不同观点。总之,职业康复的方案办法需要根据脑损伤者追求这些不同途径的个人情况、机会和支助需要加以调整。
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引用次数: 17
Effectiveness of Social Support Group Interventions for Psychosocial Outcomes: A Meta-analytic Review 社会支持团体干预对心理社会结局的有效性:一项荟萃分析综述
IF 0.7 Q3 Medicine Pub Date : 2016-12-01 DOI: 10.1017/JRC.2016.9
A. Brunelli, G. Murphy, J. Athanasou
This study investigated the effectiveness of support groups for people living with chronic ill-health conditions. Searches of the published literature were undertaken for the period 1993–2013. Papers were included if participants were between 18 and 65 years old, and study designs were either pre-test post-test one group descriptive, non-randomised group comparison, or randomised controlled trial, with reported data appropriate for meta-analysis and sufficient for estimating effect size(s). Total 19 studies were eligible in the meta-analysis, and 2,986 participants were examined. Six general outcome categories emerged from the data: (1) psychosocial functioning, (2) self-efficacy, (3) quality of life, (4) health status, (5) health behaviours and (6) health care use. In total, 155 effect sizes were calculated from the outcome measures with 15.5% resulting in a large effect size, 6% moderate effects, 39% small effects, and 39.5% producing trivial effects. The majority of the effect sizes (92%) were in the hypothesised direction. Overall, results demonstrate that self-help and support group interventions can positively influence management of chronic ill-health conditions and contribute to the desired outcome of successful adaptation.
本研究调查了支持团体对慢性疾病患者的有效性。检索了1993-2013年期间的已发表文献。如果受试者年龄在18岁至65岁之间,研究设计为前测后测一组描述性、非随机组比较或随机对照试验,报告的数据适合荟萃分析并足以估计效应大小,则纳入论文。总共有19项研究符合meta分析的条件,2,986名参与者接受了检查。从数据中得出六个一般结果类别:(1)社会心理功能,(2)自我效能,(3)生活质量,(4)健康状况,(5)健康行为和(6)医疗保健使用。结果测量一共计算出155个效应量,其中15.5%产生大效应量,6%产生中等效应,39%产生小效应,39.5%产生轻微效应。大多数效应量(92%)与假设的方向一致。总体而言,结果表明,自助和支持团体干预可以积极影响慢性疾病的管理,并有助于成功适应的预期结果。
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引用次数: 17
Factorial validity of the perceived empathic and social self-efficacy scale for adults with serious mental illness: A brief report 成人严重精神疾病患者共情与社会自我效能感量表的析因效度研究
IF 0.7 Q3 Medicine Pub Date : 2016-12-01 DOI: 10.1017/JRC.2016.10
Jennifer Sánchez, Joseph S. Pfaller, Kanako Iwanaga, Fong Chan, Connie Sung, J. Bezyak, Shu Mei Chen
The objectives of this study were (1) to evaluate the measurement structure of the Perceived Empathic and Social Self-Efficacy Scale amongst 194 individuals with serious mental illness (SMI) and (2) to establish construct validity for the Perceived Empathic and Social Self-Efficacy Scale . Confirmatory factor analysis yielded a two-factor measurement structure of the Perceived Empathic and Social Self-Efficacy Scale , which was positively associated with insight, social support, and life satisfaction. The Perceived Empathic and Social Self-Efficacy Scale is a useful measure to assess social skills amongst individuals with SMI in rehabilitation counselling.
本研究的目的是(1)评价194名严重精神疾病患者共情与社会自我效能感量表的测量结构;(2)建立共情与社会自我效能感量表的结构效度。验证性因子分析得出共情与社会自我效能量表的双因子测量结构,其与洞察力、社会支持和生活满意度呈正相关。感知共情与社会自我效能量表是一种评估重度精神障碍患者社会技能的有效方法。
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引用次数: 4
Service Use and Barriers with Post-Acute-Care Rehabilitation Following Acquired Brain Injury: Family Caregiver Perspectives 获得性脑损伤急性护理后康复的服务使用和障碍:家庭照顾者的观点
IF 0.7 Q3 Medicine Pub Date : 2016-12-01 DOI: 10.1017/JRC.2016.11
C. E. Degeneffe, Richard Green, C. Jones
The study aimed to understand the use and barriers to use of post-acute-care services by persons with acquired brain injury (ABI). A total of 21 primary family caregivers of persons recently discharged from an ABI acute-care facility in a large southwestern city in the United States participated. Service use in 14 domains appeared consistent with post-discharge needs. In five service areas, participants were not aware the service was available. Professionals in acute ABI rehabilitation units need to be fully aware of the range of available potential supports and diligent in informing injured persons and their families about available post-discharge services.
本研究旨在了解获得性脑损伤(ABI)患者使用急性后护理服务的情况和障碍。在美国西南部一个大城市的ABI急性护理机构中,共有21名最近出院的患者的主要家庭护理人员参加了这项研究。14个领域的服务使用与出院后需求一致。在五个服务领域中,参与者不知道该服务可用。急性ABI康复单位的专业人员需要充分了解现有的潜在支持范围,并努力告知受伤人员及其家属可获得的出院后服务。
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引用次数: 4
Creating Culturally Safe Vocational Rehabilitation Services for Indigenous Australians: A Brief Review of the Literature 为澳洲原住民创造文化安全的职业康复服务:简要回顾文献
IF 0.7 Q3 Medicine Pub Date : 2016-12-01 DOI: 10.1017/JRC.2016.8
V. McLennan, N. Taylor, Amanda Rachow, G. South, Kelsey Chapman
This article reviews the research evidence on vocational rehabilitation services and rehabilitation counselling practice with Indigenous Australians. It applied a context sensitive, cultural safety and reflexivity approach to construct salient themes from the research evidence. Findings suggest Indigenous Australians with disabilities experience significant ‘double-disadvantage’, and that vocational rehabilitation service providers lack the knowledge and skills in culturally safe practice in order to enhance the opportunities for social and economic inclusion of Indigenous Australians. A whole-of-profession approach, incorporating and ensuring Indigenous client equity and cultural safety in vocational rehabilitation, is critically and urgently needed.
本文回顾了澳大利亚原住民职业康复服务和康复咨询实践的研究证据。它采用了上下文敏感、文化安全和反身性的方法,从研究证据中构建突出的主题。研究结果表明,澳大利亚土著残疾人经历了严重的“双重不利”,职业康复服务提供者缺乏文化安全实践的知识和技能,以增加澳大利亚土著社会和经济融入的机会。迫切需要采取一种全专业的办法,在职业康复中纳入并确保土著客户的平等和文化安全。
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引用次数: 2
期刊
Australian Journal of Rehabilitation Counselling
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