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Rapid response pathway united to reduce self-harm (RUSH): a case study of a pilot pathway for children and young people 联合快速反应途径减少自残(RUSH):儿童和年轻人试点途径的案例研究
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-01-05 DOI: 10.1108/jpmh-09-2021-0112
Molly K. Cross, Tim Clarke
PurposeIn response to elevated local self-harm and suicide rates, and the lack of a dedicated pathway for children and young people (CYP) who self-harm, a rapid response pathway united to reduce self-harm (RUSH) was developed and implemented within Norwich (Norfolk, England). This public health case study aims to describe the pathway model and share its outcomes, learnings, and reflections over the pilot year.Design/methodology/approachRUSH was a community-based pilot pathway aiming to support CYP, 11–18 years old, engaging in or at risk of engaging in repeated self-harm and subsequently at risk of repeated attendance at local emergency departments. From May 2020 to April 2021, RUSH supported 61 CYP using funding from NHS England and Improvement.FindingsThis case study shares the pathway’s outcomes, through a mixed-method evaluation. Results indicate statistically significant reductions in self-harm frequency (p = 0.01) and anxiety and depression symptomatology (p < 0.001); a statistically significant increase in progress towards goals (p < 0.001); and a general downward trend in re-attendance at local emergency departments following RUSH. Findings also illustrate high service user satisfaction. Framework analysis of focus group data highlights positive experiences with hope for recommissioning from a staff perspective.Originality/valueThis study will be valuable for services looking to develop and implement a similar service provision, in response to the need to tackle self-harm rates as a broader approach to suicide prevention. In light of the NHS long-term plan (2019), it also serves as an example of how to develop and use a strategic co-production group, and work collaboratively with the voluntary, community and social enterprise sectors.
目的为了应对当地自残率和自杀率的上升,以及缺乏针对自残儿童和年轻人(CYP)的专门途径,在诺里奇(英国诺福克)开发并实施了一种联合减少自残的快速反应途径(RUSH)。本公共卫生案例研究旨在描述路径模型,并分享其在试点年的成果、经验教训和反思。设计/方法/途径RUSH是一种基于社区的试点途径,旨在支持CYP,11-18 岁,从事或有重复自残的风险,随后有重复到当地急诊部门就诊的风险。从2020年5月到2021年4月,RUSH利用英国国家医疗服务体系(NHS England)和Improvement的资金支持了61个CYP。本案例研究通过混合方法评估分享了该途径的结果。结果表明,自残频率在统计学上显著降低(p= 0.01)和焦虑抑郁症状(p<0.001);实现目标的进展在统计学上显著增加(p<0.001);RUSH之后,当地急诊部门的复诊率普遍呈下降趋势。调查结果还表明,服务用户满意度很高。对重点小组数据的框架分析突出了积极的经验,希望从工作人员的角度重新投入工作。独创性/价值这项研究将对寻求制定和实施类似服务的服务机构有价值,以应对将自残率作为更广泛的自杀预防方法的需要。根据英国国家医疗服务体系(NHS)的长期计划(2019年),它还作为一个例子,说明如何开发和使用一个战略合作小组,并与志愿、社区和社会企业部门合作。
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引用次数: 1
Editorial 社论
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-11-26 DOI: 10.1108/jpmh-12-2021-154
N. Quinn
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引用次数: 0
The impact of mental health information overload on community education programs to enhance mental health-care seeking 心理健康信息超载对社区教育计划的影响,以提高心理保健寻求
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-11-19 DOI: 10.1108/jpmh-06-2021-0077
Andrea B. Bink, P. Corrigan
PurposeEducation programs seek to increase the public’s mental health literacy so they are better able to, among other things, help others engage in care when in need. This task may be diminished when such programs overwhelm participants with too much information. In addition, participants might arrive to the program with information overload related to the covered health topic. Information overload about health topics has been shown to influence attitudes and behavioral intentions. The overall purpose of the current study was to examine the relationship between mental health information overload, topic interest, and care seeking recommendations.Design/methodology/approachThe current study tested a path suggesting high mental health information overload diminishes interest in learning about mental health, which in turn reduces recommendations to others to seek appropriate help when in need. Participants completed online measures of mental health information overload, topic interest and recommendations for care seeking. The data set analyzed represents valid responses from 221 participants. Structural equation modeling was completed to confirm the path model hypothesized for this study.FindingsStructural equation modeling showed satisfactory fit and significant betas for the hypothesized path.Originality/valueThis study adds to the emerging literature on the impact of health information overload and is the first to the best of the authors’ knowledge to measure mental health information overload. Program developers should consider information overload in the ongoing development of public mental health education programs.
目的:教育项目旨在提高公众的心理健康素养,使他们能够更好地在有需要的时候帮助他人。当这类节目用太多的信息淹没参与者时,这项任务可能会减少。此外,参与者可能会带着与所涵盖的健康主题相关的信息过载来到该计划。有关健康主题的信息过载已被证明会影响态度和行为意图。本研究的总体目的是研究心理健康信息超载、主题兴趣和求医建议之间的关系。设计/方法/方法当前的研究测试了一条路径,表明高度的心理健康信息过载降低了学习心理健康的兴趣,这反过来又减少了在需要时向他人寻求适当帮助的建议。参与者完成了心理健康信息超载、话题兴趣和寻求护理建议的在线测量。所分析的数据集代表了221名参与者的有效回答。通过结构方程建模来验证本研究假设的路径模型。结果:结构方程模型显示了令人满意的拟合和显著的贝塔假设路径。原创性/价值本研究增加了关于健康信息过载影响的新兴文献,并且是作者所知的第一个衡量心理健康信息过载的研究。在公共心理健康教育项目的持续发展中,项目开发者应该考虑信息超载。
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引用次数: 0
Evaluating the effectiveness of interventions to reducing screen time in children: meta-analysis of randomized controlled trials 评估减少儿童屏幕时间的干预措施的有效性:随机对照试验的荟萃分析
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-11 DOI: 10.1108/jpmh-03-2021-0039
D. Akçay, Nuray Barış
PurposeThe purpose of this paper is to evaluate the impact of interventions focused on reducing screen time in children.Design/methodology/approachStudies that aim to investigate the effects of interventions aimed at reducing the time spent in front of the screen (i.e. screen time). A Random-effects model was used to calculate the pooled standard mean differences. The outcome was to evaluate the screen time in children in the 0–18 age range. A subgroup analysis was performed to reveal the extent to which the overall effect size varied by subgroups (participant age, duration of intervention and follow).FindingsFor the outcome, the meta-analysis included 21 studies, and the standard difference in mean change in screen time in the intervention group compared with the control group was −0.16 (95% confidence interval [CI], −0.21 to −0.12) (p < 0.001). The effect size was found to be higher in long-term (=7 months) interventions and follow-ups (p < 0.05).Originality/valueSubgroup analysis showed that a significant effect of screen time reduction was observed in studies in which the duration of intervention and follow-up was =7 months. As the evidence base grows, future researchers can contribute to these findings by conducting a more comprehensive analysis of effect modifiers and optimizing interventions to reduce screen time.
目的本研究的目的是评估减少儿童屏幕时间的干预措施的影响。设计/方法/方法旨在调查旨在减少在屏幕前花费时间(即屏幕时间)的干预措施的效果的研究。采用随机效应模型计算合并标准均值差。结果是评估0-18岁儿童的屏幕时间。进行亚组分析以揭示亚组(参与者年龄、干预持续时间和随访)的总体效应大小变化程度。结果:meta分析包括21项研究,干预组与对照组相比,屏幕时间平均变化的标准差异为- 0.16(95%可信区间[CI], - 0.21至- 0.12)(p < 0.001)。长期(=7个月)干预和随访的效应量更高(p < 0.05)。独创性/价值亚组分析显示,在干预和随访时间为7个月的研究中,减少屏幕时间有显著的效果。随着证据基础的增加,未来的研究人员可以通过更全面地分析效果调节剂和优化干预措施来减少屏幕时间,从而为这些发现做出贡献。
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引用次数: 0
Three good things in nature: a nature-based positive psychological intervention to improve mood and well-being for depression and anxiety 自然中有三件好事:基于自然的积极心理干预,改善情绪和健康,治疗抑郁和焦虑
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-10-08 DOI: 10.1108/JPMH-02-2021-0029
Rosaline Keenan, R. Lumber, M. Richardson, D. Sheffield
PurposeVisiting and connecting with nature through psychological interventions improves well-being within the general population. However, few such interventions have been conducted in clinically relevant populations. This paper aims to address this gap by investigating the effectiveness of a nature-based psychological intervention within a clinically relevant sample.Design/methodology/approachAn experimental design using a noticing Three Good Things in Nature (TGTiN) task during a nature based or urban (control) walk was conducted with nature connectedness, well-being, positive and negative affect measured at baseline, post and six-week follow-up. Individuals living with depression and/or anxiety (n = 50; 39 having a diagnosis) were randomly allocated to 30 min walking in nature or urban environments for five consecutive days.FindingsAn ANCOVA, with age as co-variate, showed a significant effect of time by condition on all variables: nature connectedness ηp2 = 0.34; positive affect ηp2 = 0.42; negative affect ηp2 = 0.66; well-being ηp2 = 0.29. Post-hoc tests indicated a significant increase in nature connectedness and positive affect in the nature versus an urban walk at post and follow-up. Negative affect decreased in the nature walk at post intervention, while well-being was significantly greater in the nature walk at follow-up.Originality/valueThe TGTiN intervention effectively improves positive affect, and well-being in clinically relevant populations, although replication with a larger sample is warranted.
目的:通过心理干预来参观和亲近自然,可以提高普通人群的幸福感。然而,很少在临床相关人群中进行此类干预。本文旨在通过在临床相关样本中调查基于自然的心理干预的有效性来解决这一差距。设计/方法/方法在自然或城市(对照)散步期间使用注意自然三好事物(TGTiN)任务进行实验设计,并在基线,后和六周随访期间测量自然连通性,幸福感,积极和消极影响。患有抑郁症和/或焦虑症的个体(n = 50;39名确诊患者)被随机分配连续5天在自然或城市环境中散步30分钟。以年龄为协变量的san ANCOVA显示,时间受条件影响对所有变量均有显著影响:自然连通性ηp = 0.34;积极影响ηp2 = 0.42;负面影响ηp2 = 0.66;幸福感ηp = 0.29。事后测试表明,在事后和随访中,与城市步行相比,自然联系和自然中的积极影响显着增加。在干预后的自然散步中,消极情绪有所减少,而在后续的自然散步中,幸福感显著增加。独创性/价值TGTiN干预有效地改善了临床相关人群的积极影响和幸福感,尽管需要更大样本的复制。
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引用次数: 18
Evaluating the benefits of inclusive community singing towards well-being: narratives of diverse community members attending an inclusive singing group 评估包容性社区歌唱对幸福的好处:不同社区成员参加包容性歌唱团体的故事
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-09-29 DOI: 10.1108/jpmh-05-2021-0061
M. Nyashanu, Farai Pfende, J. Osborne
PurposeThe purpose of this paper is to evaluate the benefits of an inclusive community singing group towards well-being.Design/methodology/approachThis study used an exploratory qualitative study (EQS) approach. Semi-structured questions were devised and used to elicit participants’ experiences on the impact of an inclusive community singing group towards well-being. A thematic approach underpinned by the four phases of The Silences Framework was used to analyse the data.FindingsThis study found the following benefits of an inclusive community singing group towards well-being Connecting with others, Physical improvement, Learning new skills, Giving to others and Mindfulness.Originality/valueThis study concluded that inclusive community singing plays a pivotal role in enhancing the health and well-being of communities.
目的本文的目的是评估包容性社区歌唱团体对幸福生活的益处。设计/方法/方法本研究采用了探索性定性研究(EQS)方法。设计并使用半结构化问题来引出参与者对包容性社区歌唱团体对幸福感影响的体验。采用以《沉默框架》四个阶段为基础的专题方法来分析数据。发现这项研究发现,包容性社区歌唱团体对幸福感有以下好处与他人联系、身体改善、学习新技能、给予他人和心灵。独创性/价值这项研究得出结论,包容性社区唱歌在增强社区健康和幸福感方面发挥着关键作用。
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引用次数: 1
Black and ethnic minority carers perceptions on mental health services and support in the United Kingdom: a systematic review 英国黑人和少数民族照护者对精神卫生服务和支持的看法:一项系统审查
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-08-30 DOI: 10.1108/JPMH-12-2020-0152
E. Miller, Stella Foluke Bosun-Arjie, M. Ekpenyong
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引用次数: 1
Using complex systems mapping to build a strategic public health response to mental health in England 利用复杂的系统映射建立英格兰心理健康的战略公共卫生对策
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-08-17 DOI: 10.1108/JPMH-10-2020-0140
J. Stansfield, N. Cavill, L. Marshall, Claire Robson, H. Rutter
This paper aims to use systems mapping as a tool to develop an organisation-wide approach to public mental health to inform strategic direction within a national public health agency.,Two workshops were facilitated with internal staff from a wide range of public health policy teams working in small groups to produce paper-based maps. These were collated and refined by the project team and digitised.,The approach engaged a range of teams in forming a shared understanding and producing a complex system map of the influences on population mental health and well-being, where current policy initiatives were addressing them and what the gaps and priorities were. Participants valued the approach which led to further study and organisational commitment to the whole system working as part of national public mental health strategy.,The approach was limited to internal stakeholders and wider engagement with other sectors and community members would help further the application of complex system approaches to public mental health.,It was a valuable process for developing a whole-organisation approach and stimulating thinking and practice in complex system approaches. The paper provides a practical example of how to apply systems mapping and its benefits for organising public mental health practice.
本文旨在利用系统映射作为一种工具,开发一种全组织的公共心理健康方法,为国家公共卫生机构的战略方向提供信息。,为举办两次讲习班提供了便利,来自广泛的公共卫生政策小组的内部工作人员以小组形式制作纸质地图。项目团队对这些内容进行了整理和提炼,并将其数字化。,该方法让一系列团队形成了共同的理解,并绘制了一个复杂的系统图,说明对人口心理健康和福祉的影响,目前的政策举措在哪里解决这些问题,以及差距和优先事项是什么。参与者重视这种方法,这种方法导致了对整个系统的进一步研究和组织承诺,作为国家公共心理健康战略的一部分。,该方法仅限于内部利益相关者,与其他部门和社区成员的更广泛接触将有助于进一步将复杂系统方法应用于公共心理健康。,这是一个有价值的过程,可以发展一个完整的组织方法,并在复杂系统方法中激发思维和实践。本文提供了一个实际的例子,说明如何应用系统映射及其对组织公共心理健康实践的好处。
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引用次数: 5
Decomposition and changes in socio-economic inequalities in mental health in Barcelona between 2006 and 2016 2006年至2016年巴塞罗那心理健康方面社会经济不平等的分解和变化
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-08-04 DOI: 10.1108/jpmh-01-2021-0013
Xavier Bartoll-Roca, M. Gotsens, L. Palència
PurposeThis study aims, firstly, to analyse the contribution of socio-economic determinants to mental health (MH) inequalities before the economic crisis, in 2006, and again in a year during recovery, 2016, and secondly, to analyse the changes in these contributions between the two points in time in Barcelona city.Design/methodology/approachThe concentration index (CI) was calculated for MH inequalities for the population aged 16 or older using the Barcelona Health Surveys for 2006 and 2016. MH was measured with the 12-item General Health Questionnaire. The CI was broken down for each year and gender based on a set of socio-economic determinants plus social support and the presence of chronic diseases. The contribution of each factor to variation in MH inequality between the two points in time was analysed with Oaxaca decomposition.FindingsIncome inequalities in MH increased for men and women (a CI from −0.06 in 2006 to around −0.16 in 2016). Employment status and social class are the main contributors to MH inequalities (more than 50%), except for women in 2006 that is chronic disease. The main contribution to increases in MH inequality between 2006 and 2016 was due to unemployment (26.5% men, 23.8% women), being a student (22.8% men, 20.7% women), homemaker in women (30.7%) and men in the manual class (31.6%).Originality/valueMH inequalities have been amplified between the two years among the economically vulnerable population or for those who are out of the labour market with unexpected changes for women.
目的本研究旨在,首先,分析2006年经济危机前和2016年复苏期间,社会经济决定因素对心理健康(MH)不平等的贡献,其次,分析巴塞罗那市这两个时间点之间这些贡献的变化。设计/方法/方法使用2006年和2016年巴塞罗那健康调查计算16岁或以上人群MH不平等的浓度指数(CI)。MH采用12项一般健康问卷进行测量。CI根据一系列社会经济决定因素加上社会支持和慢性病的存在,按每年和性别进行细分。利用瓦哈卡分解分析了每个因素对两个时间点之间MH不等式变化的贡献。发现MH中男性和女性的收入不平等现象有所增加(CI从2006年的−0.06上升到2016年的−0.16左右)。就业状况和社会阶层是造成MH不平等的主要原因(超过50%),2006年的妇女除外,这是一种慢性病。2006年至2016年间,MH不平等加剧的主要原因是失业(男性26.5%,女性23.8%)、学生(男性22.8%,女性20.7%)、,在这两年中,在经济弱势群体或那些因女性的意外变化而退出劳动力市场的人中,原创/价值MH的不平等现象加剧了。
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引用次数: 0
Public mental health and nature: a paradigm shift 公共心理健康与自然:范式转变
IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-08-04 DOI: 10.1108/jpmh-03-2021-0040
A. Burls, J. Ashton
PurposeDrawing on experience of working in the area of mental health and the environment, key issues are examined, and the theoretical framework is explained, including the benefits to communities and to the local environment of working with nature.Design/methodology/approachThe interview gave an opportunity for development of ideas underlying concepts including the natural health service, green health literacy and changes in behaviour during the pandemic.FindingsThe ways in which people and the environment benefit from interaction with nature are becoming well understood; in a sustainable model, the value of the local environment is appreciated and will benefit from the care of those involved in relevant activities. There is a need for targeted training for health professionals, environment agencies’ staff and the voluntary sectors.Research limitations/implicationsThe economic value of nature as a contributing factor in to mental health is an area for research which could have major influence in policymaking. A meeting of a number of disciplines could further bring together social capital, health economics and ecology.Practical implicationsProjects that are sustainable in every sense are those which are long term, whose value can be measured in environmental and economic terms.Social implicationsWorking models have been developed that involve people on the fringes of society and people with disabilities; they often become the movers in local organisations.Originality/valueThis is an extremely wide-ranging assessment of developments in the relationship between mental health and nature.
目的借鉴心理健康和环境领域的工作经验,研究了关键问题,并解释了理论框架,包括与自然合作对社区和当地环境的好处。设计/方法/方法这次采访提供了一个机会,让我们有机会发展基本概念,包括自然卫生服务、绿色卫生知识和疫情期间行为的变化。发现人们和环境从与自然的互动中受益的方式正在得到很好的理解;在一个可持续的模式中,当地环境的价值会得到重视,并将受益于参与相关活动的人的关心。需要对卫生专业人员、环境机构工作人员和志愿部门进行有针对性的培训。研究局限性/含义自然作为心理健康的一个促成因素的经济价值是一个可能对政策制定产生重大影响的研究领域。多个学科的会议可以进一步将社会资本、健康经济学和生态学结合起来。实际意义上可持续的项目是指那些长期的项目,其价值可以从环境和经济角度来衡量。社会影响已经制定了涉及社会边缘人群和残疾人的工作模式;他们经常成为当地组织的推动者。独创性/价值这是对心理健康与自然关系发展的一项极其广泛的评估。
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引用次数: 2
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Journal of Public Mental Health
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