Health & Social Care in the Community最新文献

Engagement in the arts has been shown to benefit health by supporting both prevention and treatment, leading to the concept of creative health. The social prescribing agenda has spurred the development of dedicated arts on prescription programmes; however, the creative health agenda is mostly delivered by community arts organisations which lack a specific brief for health and whose contribution to social prescribing is under-researched. Supported by Creative Wick, an independent nonprofit, community interest company based in East London, we investigated the practice, viability, and challenges of social prescribing of the arts within the two London boroughs of Tower Hamlets and Hackney. Qualitative, in-depth semistructured interviews were conducted with 13 community artists and four primary care link workers, and the findings were thematically analysed. We found that both artists and link workers lacked reciprocal knowledge, with link workers mostly unaware of the rich local offer, and artists either unaware of the social prescribing model or only indirectly informed through the influx of referred participants. We also found that a lack of standards in quality assurance for community arts organisations was perceived as a barrier to consistent referral by link workers. Moreover, the shortage and instability of funding for community arts organisations makes the model extremely precarious. On the positive side, both artists and link workers supported the idea of integrating community arts engagement into healthcare. Drawing from our findings, we propose that supporting community arts organisations to deliver creative health requires at least three key elements: stable funding, possibly through statutory provision within healthcare; a system of quality assurance and evaluation which accounts for a context-specific, nonmedicalised approach; and the implementation of virtuous referral pathways grounded in reciprocal knowledge. As the creative health agenda is considered vital for public health, integrating the contribution of community arts organisations becomes essential.

Background: Household compositions can impact health-related outcomes. However, the definition of multigenerational living and its associations with mental health outcomes in adults and children are unclear.

Method: A systematic review was conducted according to PRISMA guidelines. Searches were conducted in Embase, PsycInfo and Medline via OVID, PubMed and the Cochrane Library. Two raters identified 112 reports for full paper reviews and 62 papers for data extraction. Quality ratings and certainty of evidence were assessed, and data were narratively synthesised.

Results: There were 289,071 participants across studies. Ten studies recruited samples of children/young people. The average quality rating was 7.8 (out of 10) and the certainty of evidence was low. Definitions of multigenerational living and associations with mental health outcomes were heterogeneous, indicating the role of moderating factors, and a need for better operationalisation in future research.

Conclusions: Findings have implications for clinical practice when conducting assessments and formulating psychological difficulties. There are further implications for researchers and policymakers responsible for housing and healthcare provision. The broad search strategy and specification of only anxiety and depression in the search strategy are limitations of the review, despite the scoping aims. A consensus definition of multigenerational living could benefit future research.

With the increasing popularity of remote video online meetings, video conference fatigue has become a new issue of concern. This study aimed to explore the moderating effect of mindfulness intervention on the relationship between camera use and video conference fatigue mediated by appearance dissatisfaction through two experiments. Experiment I recruited 112 undergraduate students using a 2 (camera use: on vs. off) × 2 (mindfulness intervention: mindfulness vs. mind-wandering) between-subjects design. Results showed that turning on the camera significantly increased video conference fatigue, whereas mindfulness meditation significantly reduced it; furthermore, the interaction between mindfulness intervention and camera use on appearance dissatisfaction was significant, and appearance dissatisfaction was positively correlated with video conference fatigue. Experiment II recruited 100 undergraduate students using a 2 (appearance dissatisfaction: appearance satisfaction vs. appearance dissatisfaction) × 2 (mindfulness intervention: mindfulness vs. mind-wandering) between-subjects design. We found a significant interaction between appearance dissatisfaction and mindfulness intervention on video conference fatigue. In conclusion, camera use directly influenced video conference fatigue, whereas the moderating effect of mindfulness intervention was mediated by appearance dissatisfaction.

China is experiencing rapid population aging alongside large-scale internal migration. In this context, the health literacy (HL) of late-life migrants is a crucial yet understudied issue of healthy aging. Drawing on the data from 814 late-life migrants aged 50 or above from the 2016 China Migrants Dynamic Survey, this study employed multiple linear regression models to examine how migration characteristics—at the individual, community, and city levels—relate to HL and its specific dimensions. The results showed a modest overall HL in the sample, with health-related skills scoring the lowest. Higher levels of HL were observed in those who migrated shorter distances, with family members, for employment or caregiving purposes, and had better access to community health services. Living in larger cities with more abundant healthcare resources was associated with better HL outcomes. The impact of migration characteristics varied across different HL dimensions. This study fills a key research gap by focusing on a large but often overlooked population in China’s aging society. These findings suggest the need to improve multilevel health service provision to support HL, thereby promoting health equity in the context of aging and mobility.

Prostate cancer significantly impacts the lives of those diagnosed, causing emotional and psychological distress, including fear, uncertainty, and anxiety. While formal peer support has been suggested as a beneficial way for men to share their experiences, little is known about the perspectives of those who choose not to participate in such activities. This study aims to explore how those men with prostate cancer who have not engaged in formal peer support perceive and describe peer support before and after participating in a supervised exercise group. This study is part of an exercise intervention research project involving men diagnosed with prostate cancer. The data consists of the individual interviews of 15 men in an intervention group who participated in supervised gym sessions with peers. The intervention did not include formal, institutionally organised peer support. Semistructured interviews were conducted three times: before, immediately after and 3 months after the group exercises. The interviews were analysed using frame analysis. The participants described peer support through five distinct frames: taking distance and highlighting individuality, existing social networks, daily activities, extended peer support, and fellowship and voluntary sharing. Before exercising in the group, the participants had often distanced themselves from formal peer support, emphasised their ability to cope independently and relied on existing social networks. After the group exercises, they still viewed formal peer support negatively but nonetheless perceived the exercise group as a low-threshold meeting place where informal peer support occurred naturally through shared activities. The study suggests that while formal peer support may not appeal to all men with prostate cancer, alternative models that incorporate shared activities and informal interactions can provide meaningful support. These findings highlight the importance of tailoring peer support options to accommodate diverse needs and preferences, potentially improving the well-being of men with prostate cancer.