Pub Date : 2021-12-28DOI: 10.1080/18387357.2021.2020141
Renana Stanger Elran, Lila Hefer
ABSTRACT Objective This article presents the emerging field of peer-supported Open Dialogue and its implementation in Israeli mental health services. We review the literature on peer support and OD, and conceptualise shared core principles between the two practices. Then we report on the results of a preliminary research exploring the benefits and challenges of integrating lived experience in OD. Method Questionnaires exploring lived experience in OD, as perceived by OD team members, were filled by 11 international participants, and 7 Israeli participants that graduated from the first OD training. These were followed by three in-depth interviews with Israeli lived experience practitioners that graduated from OD training. Results Based on a reflexive thematic analysis of the questionnaires and interviews we portray the benefits and challenges of working with a lived experience perspective within the OD approach. We explore the newly emerging field of OD in Israel, which is greatly influenced by the contribution of lived experience practitioners – both peer specialists and mental health professionals. Discussion We conclude with our own reflections – as a social worker and a psychologist, both with lived experience – and suggest that the meeting point between lived experience and OD holds an exciting potential for developing more inclusive and progressive mental health services that value the role of lived experience, and benefit from peer perspectives.
{"title":"Opening a dialogue: lived experience meets Open Dialogue in Israeli mental health services","authors":"Renana Stanger Elran, Lila Hefer","doi":"10.1080/18387357.2021.2020141","DOIUrl":"https://doi.org/10.1080/18387357.2021.2020141","url":null,"abstract":"ABSTRACT Objective This article presents the emerging field of peer-supported Open Dialogue and its implementation in Israeli mental health services. We review the literature on peer support and OD, and conceptualise shared core principles between the two practices. Then we report on the results of a preliminary research exploring the benefits and challenges of integrating lived experience in OD. Method Questionnaires exploring lived experience in OD, as perceived by OD team members, were filled by 11 international participants, and 7 Israeli participants that graduated from the first OD training. These were followed by three in-depth interviews with Israeli lived experience practitioners that graduated from OD training. Results Based on a reflexive thematic analysis of the questionnaires and interviews we portray the benefits and challenges of working with a lived experience perspective within the OD approach. We explore the newly emerging field of OD in Israel, which is greatly influenced by the contribution of lived experience practitioners – both peer specialists and mental health professionals. Discussion We conclude with our own reflections – as a social worker and a psychologist, both with lived experience – and suggest that the meeting point between lived experience and OD holds an exciting potential for developing more inclusive and progressive mental health services that value the role of lived experience, and benefit from peer perspectives.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"18 1","pages":"146 - 156"},"PeriodicalIF":1.4,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83522589","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}
Pub Date : 2021-12-28DOI: 10.1080/18387357.2021.2020143
J. Bell, A. Lim, Rachel A. Williams, S. Girdler, B. Milbourn, Melissa H. Black
ABSTRACT Objective Co-production involves researchers and people with mental health lived experience working together, addressing questions of community relevance. While co-production is underpinned by the tenet that stakeholders with lived experience have expertise and knowledge invaluable in designing research and service, there is a need to advance understanding of the role of stakeholders in co-producing mental health interventions. Method This study employed an inductive interpretative qualitative research methodology in investigating the ingredients for facilitating co-production between researchers and consumers within the context of developing an online mental health training program. Five stakeholders with lived experience or interest in mental health participated in a steering group, informing the development of the ‘Talk to Me’ Massive Open Online Course (MOOC). This program aimed to enable university students to improve their mental health literacy and communication skills. Steering group meetings were audio-recorded, and stakeholders engaged in an interview at the completion of their engagement exploring their experiences of co-production. Data were thematically analysed exploring themes relating to the co-production process and their experience. Results Themes relating to co-production and designing the MOOC were identified, including the need to develop a safe space, consideration of group dynamics, and ways of developing partnerships with stakeholders. Discussion Stakeholder feedback informed the language, content, and purpose of the MOOC prior to its release. Effective co-production in mental health research requires consideration, power-sharing, and planning to ensure that stakeholder involvement is productive and valuable.
{"title":"‘Nothing about us without us': co-production ingredients for working alongside stakeholders to develop mental health interventions","authors":"J. Bell, A. Lim, Rachel A. Williams, S. Girdler, B. Milbourn, Melissa H. Black","doi":"10.1080/18387357.2021.2020143","DOIUrl":"https://doi.org/10.1080/18387357.2021.2020143","url":null,"abstract":"ABSTRACT Objective Co-production involves researchers and people with mental health lived experience working together, addressing questions of community relevance. While co-production is underpinned by the tenet that stakeholders with lived experience have expertise and knowledge invaluable in designing research and service, there is a need to advance understanding of the role of stakeholders in co-producing mental health interventions. Method This study employed an inductive interpretative qualitative research methodology in investigating the ingredients for facilitating co-production between researchers and consumers within the context of developing an online mental health training program. Five stakeholders with lived experience or interest in mental health participated in a steering group, informing the development of the ‘Talk to Me’ Massive Open Online Course (MOOC). This program aimed to enable university students to improve their mental health literacy and communication skills. Steering group meetings were audio-recorded, and stakeholders engaged in an interview at the completion of their engagement exploring their experiences of co-production. Data were thematically analysed exploring themes relating to the co-production process and their experience. Results Themes relating to co-production and designing the MOOC were identified, including the need to develop a safe space, consideration of group dynamics, and ways of developing partnerships with stakeholders. Discussion Stakeholder feedback informed the language, content, and purpose of the MOOC prior to its release. Effective co-production in mental health research requires consideration, power-sharing, and planning to ensure that stakeholder involvement is productive and valuable.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"120 1","pages":"4 - 16"},"PeriodicalIF":1.4,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82364015","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}
Pub Date : 2021-12-12DOI: 10.1080/18387357.2021.2012089
A. Valentine, R. Walker, J. Nicholson
ABSTRACT Objective Peer supports are increasingly common in behavioural health services. The principles of peer support have been elaborated, as have potential outcomes for persons served, peer service providers, and the health care system. Organizational characteristics supporting the implementation of peer supports are less frequently described. The objective of this study was to specify key organizational factors in implementing peer supports for parents with mental illness, filling a gap in existing peer supports and addressing the unmet needs of parents. Method A developmental design and qualitative methods were employed for this exploratory study. Data were obtained in key informant interviews (n = 22) and in Implementation Team meetings (n = 12 participants), conducted between September 2017 and April 2018, regarding organizational considerations for implementing parent peer supports. Conceptual models from implementation science guided study activities and provided a framework for data analysis. Results Emerging themes regarding the organizational context for implementing parent peer supports included: engaging stakeholders to ensure shared understanding of the model; encouraging leadership support; integrating peer supports in the agency context; defining peer characteristics, role, and responsibilities; elaborating nuances of training and supervision; developing relevant agency policies and procedures; and addressing funding and sustainability. Discussion Findings confirm the importance of organizational level assessment in implementing peer supports for parents with mental illness and provide recommendations to build organizational capacity and sustain implementation efforts.
{"title":"Key considerations in building the organizational capacity to implement peer supports for parents with mental illness","authors":"A. Valentine, R. Walker, J. Nicholson","doi":"10.1080/18387357.2021.2012089","DOIUrl":"https://doi.org/10.1080/18387357.2021.2012089","url":null,"abstract":"ABSTRACT Objective Peer supports are increasingly common in behavioural health services. The principles of peer support have been elaborated, as have potential outcomes for persons served, peer service providers, and the health care system. Organizational characteristics supporting the implementation of peer supports are less frequently described. The objective of this study was to specify key organizational factors in implementing peer supports for parents with mental illness, filling a gap in existing peer supports and addressing the unmet needs of parents. Method A developmental design and qualitative methods were employed for this exploratory study. Data were obtained in key informant interviews (n = 22) and in Implementation Team meetings (n = 12 participants), conducted between September 2017 and April 2018, regarding organizational considerations for implementing parent peer supports. Conceptual models from implementation science guided study activities and provided a framework for data analysis. Results Emerging themes regarding the organizational context for implementing parent peer supports included: engaging stakeholders to ensure shared understanding of the model; encouraging leadership support; integrating peer supports in the agency context; defining peer characteristics, role, and responsibilities; elaborating nuances of training and supervision; developing relevant agency policies and procedures; and addressing funding and sustainability. Discussion Findings confirm the importance of organizational level assessment in implementing peer supports for parents with mental illness and provide recommendations to build organizational capacity and sustain implementation efforts.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"43 1","pages":"26 - 37"},"PeriodicalIF":1.4,"publicationDate":"2021-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84630425","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}
Pub Date : 2021-11-09DOI: 10.1080/18387357.2021.2000337
Jasna Russo, S. von Peter
ABSTRACT Objective In distinction to research on ‘peer work’ within mental health systems, crisis support in grass-roots organisations of people with psychiatric experience has been researched to a far lesser extent. The topic of our study was the work of a German self-advocacy and crisis respite project that has been operating for 25 years. The purpose was to (a) understand the project’s core principles within its particular history and development context, and (b) to assess the value of this approach against its own criteria of what constitute good quality responses to psychosocial crises. Method This was a qualitative exploration with a collaborative-participatory approach. The inquiry was divided into exploratory, evaluation and developmental phases. The methods included in-depth interviews with project workers and former residents (26) and seven focus groups as a means of validation and joint interpretation of the findings. Findings The work of Bochum respite de-professionalises crisis support, approaching it as integral to collective efforts aimed at social justice. The main features of crisis support include a fluid and changeable division of roles, individual definition of goals and achievements, accessibility and adaptability of support, as well as a focus on both personal and collective responsibility. Discussion The findings expand the understanding of human crisis beyond mental health and demonstrate community potential to work against psychocentrism and put forward a wide range of responses. We reflect on how the research approach itself can strengthen the transformative potential of grassroots initiatives rather than ready them for co-option within mental health care systems.
{"title":"Politicising crisis support: learning from autonomous self-organising in Bochum, Germany","authors":"Jasna Russo, S. von Peter","doi":"10.1080/18387357.2021.2000337","DOIUrl":"https://doi.org/10.1080/18387357.2021.2000337","url":null,"abstract":"ABSTRACT Objective In distinction to research on ‘peer work’ within mental health systems, crisis support in grass-roots organisations of people with psychiatric experience has been researched to a far lesser extent. The topic of our study was the work of a German self-advocacy and crisis respite project that has been operating for 25 years. The purpose was to (a) understand the project’s core principles within its particular history and development context, and (b) to assess the value of this approach against its own criteria of what constitute good quality responses to psychosocial crises. Method This was a qualitative exploration with a collaborative-participatory approach. The inquiry was divided into exploratory, evaluation and developmental phases. The methods included in-depth interviews with project workers and former residents (26) and seven focus groups as a means of validation and joint interpretation of the findings. Findings The work of Bochum respite de-professionalises crisis support, approaching it as integral to collective efforts aimed at social justice. The main features of crisis support include a fluid and changeable division of roles, individual definition of goals and achievements, accessibility and adaptability of support, as well as a focus on both personal and collective responsibility. Discussion The findings expand the understanding of human crisis beyond mental health and demonstrate community potential to work against psychocentrism and put forward a wide range of responses. We reflect on how the research approach itself can strengthen the transformative potential of grassroots initiatives rather than ready them for co-option within mental health care systems.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"45 1","pages":"64 - 73"},"PeriodicalIF":1.4,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81319040","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}
Pub Date : 2021-11-09DOI: 10.1080/18387357.2021.2000578
R. Eres, D. Reddihough, D. Coghill
ABSTRACT Background: The prevalence of mental illness in people with cerebral palsy is higher than that of the general population. In Australia there are few mental health services that are adequately prepared to address the unique mental health concerns of people with cerebral palsy. Aim: Our aim is to raise awareness that specialist mental health services are lacking in Australia, and to urge healthcare workers to address this. Method: A brief perspective piece describing the current lack of specialist mental health services available in Australia for people with cerebral palsy. Conclusion: Our commentary emphasises the importance of addressing mental health problems in Australians with cerebral palsy. It provides actions that need to be implemented to improve the recognition and treatment of mental illness in people with cerebral palsy.
{"title":"Addressing mental health problems in Australians with cerebral palsy: a need for specialist mental health services","authors":"R. Eres, D. Reddihough, D. Coghill","doi":"10.1080/18387357.2021.2000578","DOIUrl":"https://doi.org/10.1080/18387357.2021.2000578","url":null,"abstract":"ABSTRACT Background: The prevalence of mental illness in people with cerebral palsy is higher than that of the general population. In Australia there are few mental health services that are adequately prepared to address the unique mental health concerns of people with cerebral palsy. Aim: Our aim is to raise awareness that specialist mental health services are lacking in Australia, and to urge healthcare workers to address this. Method: A brief perspective piece describing the current lack of specialist mental health services available in Australia for people with cerebral palsy. Conclusion: Our commentary emphasises the importance of addressing mental health problems in Australians with cerebral palsy. It provides actions that need to be implemented to improve the recognition and treatment of mental illness in people with cerebral palsy.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"16 1","pages":"281 - 284"},"PeriodicalIF":1.4,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89779899","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}
Pub Date : 2021-11-02DOI: 10.1080/18387357.2021.1997097
Karlen R. Barr, M. Townsend, B. Grenyer
ABSTRACT Objective Peer support may be a valuable way to support recovery in borderline personality disorder (BPD). This study investigates the role of peer workers in services supporting consumers with BPD. Method We studied peer work delivered in five different types of mental health services, including outpatient mental health and independent peer-run services. Surveys were conducted with peer workers (n = 5), consumers of the peer work (n = 14) and clinicians in the same service (n = 4). Qualitative responses were analysed using interpretative thematic analysis. Results Consumers with BPD receiving peer support benefitted by feeling understood, hopeful and less isolated. Peer workers were described as role modelling a meaningful life, understanding the unique experiences associated with BPD, and providing skills in the context of their own personal experiences. Peer workers providing peer support benefitted by being reminded to practise their own wellbeing skills, and experienced challenges when responding to consumer risk and trauma experiences. Clinicians increased their understanding of BPD through discussions with peer workers. Discussion Findings show evidence regarding the unique contributions of peer support for consumers with BPD. Challenges were experienced by peer workers, and they recommended peer supervision being more accessible and available. Future research is required to evaluate mechanisms in peer support that contribute to recovery in consumers with BPD.
{"title":"Peer support for consumers with borderline personality disorder: A qualitative study","authors":"Karlen R. Barr, M. Townsend, B. Grenyer","doi":"10.1080/18387357.2021.1997097","DOIUrl":"https://doi.org/10.1080/18387357.2021.1997097","url":null,"abstract":"ABSTRACT Objective Peer support may be a valuable way to support recovery in borderline personality disorder (BPD). This study investigates the role of peer workers in services supporting consumers with BPD. Method We studied peer work delivered in five different types of mental health services, including outpatient mental health and independent peer-run services. Surveys were conducted with peer workers (n = 5), consumers of the peer work (n = 14) and clinicians in the same service (n = 4). Qualitative responses were analysed using interpretative thematic analysis. Results Consumers with BPD receiving peer support benefitted by feeling understood, hopeful and less isolated. Peer workers were described as role modelling a meaningful life, understanding the unique experiences associated with BPD, and providing skills in the context of their own personal experiences. Peer workers providing peer support benefitted by being reminded to practise their own wellbeing skills, and experienced challenges when responding to consumer risk and trauma experiences. Clinicians increased their understanding of BPD through discussions with peer workers. Discussion Findings show evidence regarding the unique contributions of peer support for consumers with BPD. Challenges were experienced by peer workers, and they recommended peer supervision being more accessible and available. Future research is required to evaluate mechanisms in peer support that contribute to recovery in consumers with BPD.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"52 1","pages":"74 - 85"},"PeriodicalIF":1.4,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88317966","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}
Pub Date : 2021-10-23DOI: 10.1080/18387357.2021.1995452
Christian Scannell Williams
ABSTRACT Objectives Peer support is built upon the premise that shared life experiences benefits both the helper and the receiver. This relationship has been linked to an increase in practical knowledge of addiction and recovery, empowerment, hope, and community connectedness. Much research on peer support is geared toward the effectiveness of the intervention for the consumer. Less is known about the role of this relationship in the recovery of the workers themselves. Method This qualitative study explored the experience of recovery in substance use peer support workers using in-depth semi-structured interviews of 10 individuals who were employed as peer support workers in community-based roles. Thematic analysis was used to investigate the peer workers experience in the dual role of helper and consumer of recovery support. Results While none of the peers interviewed expected to benefit from helping, all reported this experience to be not only meaningful but also to have a positive impact on their recovery. Providing peer support to others strengthened the workers' ability to maintain personal recovery by keeping them connected to communities of support, providing opportunities to be of service, allowing them to pay forward what had been given to them, and a sense of accomplishment in being a part of the recovery of another individual. Discussion This study highlighted that helping others is a benefit to both the recovery of peer support workers and their personal lives, while recognising the need to separate personal recovery efforts from helping.
{"title":"By helping others we help ourselves: insights from peer support workers in substance use recovery","authors":"Christian Scannell Williams","doi":"10.1080/18387357.2021.1995452","DOIUrl":"https://doi.org/10.1080/18387357.2021.1995452","url":null,"abstract":"ABSTRACT Objectives Peer support is built upon the premise that shared life experiences benefits both the helper and the receiver. This relationship has been linked to an increase in practical knowledge of addiction and recovery, empowerment, hope, and community connectedness. Much research on peer support is geared toward the effectiveness of the intervention for the consumer. Less is known about the role of this relationship in the recovery of the workers themselves. Method This qualitative study explored the experience of recovery in substance use peer support workers using in-depth semi-structured interviews of 10 individuals who were employed as peer support workers in community-based roles. Thematic analysis was used to investigate the peer workers experience in the dual role of helper and consumer of recovery support. Results While none of the peers interviewed expected to benefit from helping, all reported this experience to be not only meaningful but also to have a positive impact on their recovery. Providing peer support to others strengthened the workers' ability to maintain personal recovery by keeping them connected to communities of support, providing opportunities to be of service, allowing them to pay forward what had been given to them, and a sense of accomplishment in being a part of the recovery of another individual. Discussion This study highlighted that helping others is a benefit to both the recovery of peer support workers and their personal lives, while recognising the need to separate personal recovery efforts from helping.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"5 1 1","pages":"232 - 241"},"PeriodicalIF":1.4,"publicationDate":"2021-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90300871","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}
Pub Date : 2021-10-20DOI: 10.1080/18387357.2021.1991821
M. Misbah, Anisah Setyaningrum
Since the development of Islamic culture and for more than four centuries, Muslims have left a rich intellectual heritage on human psychology which was written in a variety of languages (Awaad & Al...
{"title":"Applying Islamic principles to clinical mental health care: introducing traditional Islamically integrated psychotherapy","authors":"M. Misbah, Anisah Setyaningrum","doi":"10.1080/18387357.2021.1991821","DOIUrl":"https://doi.org/10.1080/18387357.2021.1991821","url":null,"abstract":"Since the development of Islamic culture and for more than four centuries, Muslims have left a rich intellectual heritage on human psychology which was written in a variety of languages (Awaad & Al...","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"25 1","pages":"285 - 286"},"PeriodicalIF":1.4,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90384631","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}
Pub Date : 2021-09-28DOI: 10.1080/18387357.2021.1981142
M. Nweke, Mshunqane Nombeko, N. Govender, Aderonke O. Akineplu
ABSTRACT Objective: Strong healthcare systems require rich rehabilitation protocols for improving the outcomes of disabling ailments such as HIV-associated neurocognitive disorder (HAND). Currently, the rehabilitative interventions for HAND are unknown. We thus reviewed the putative rehabilitative interventions for HAND and evaluated their post-treatment outcomes. Methods: This is a systematic scoping review of articles published in English, between 2009 and 2019. The review was guided by the PRISMA extension for scoping reviews. We searched for articles in PubMed, MEDLINE, Cochrane Library, CINAHL, Academic Search Complete and PsycINFO. Data were selected and extracted according to predesigned eligibility criteria using a standardised data extraction table. We appraised the methodological quality of the included studies using the Mixed Method Appraisal Tool. Results: We identified 423 records, which were screened for eligibility. Twenty two articles were identified, representing a sample of 2795 PLWHIV, who were on average 47 ± 8 years old, with 13 ± 3 years of education. From the reviewed literature, we identified two putative rehabilitative intervention options for HAND, namely cognitive training otherwise known as psycho-cognitive training, and physical activity interventions. All articles reporting on cognitive training for HAND showed improved post-treatment performance, while two of the six interventional physical activity studies recorded improved post-treatment cognitive performance. Discussion: There are limited rehabilitative options available for HAND. Psycho-cognitive training appears to be an effective intervention for HAND, however, the conditions of far-transfer effects need to be set forth. There is insufficient evidence available to support the use of physical activity for HAND thus warranting further research. Registration: The review protocol was registered with Open Science Framework (OSF) registry. The registration DOI:10.17605/OSF.IO/RWQCF.
{"title":"Rehabilitation of HIV-associated neurocognitive disorder: a systematic scoping review of available interventions","authors":"M. Nweke, Mshunqane Nombeko, N. Govender, Aderonke O. Akineplu","doi":"10.1080/18387357.2021.1981142","DOIUrl":"https://doi.org/10.1080/18387357.2021.1981142","url":null,"abstract":"ABSTRACT Objective: Strong healthcare systems require rich rehabilitation protocols for improving the outcomes of disabling ailments such as HIV-associated neurocognitive disorder (HAND). Currently, the rehabilitative interventions for HAND are unknown. We thus reviewed the putative rehabilitative interventions for HAND and evaluated their post-treatment outcomes. Methods: This is a systematic scoping review of articles published in English, between 2009 and 2019. The review was guided by the PRISMA extension for scoping reviews. We searched for articles in PubMed, MEDLINE, Cochrane Library, CINAHL, Academic Search Complete and PsycINFO. Data were selected and extracted according to predesigned eligibility criteria using a standardised data extraction table. We appraised the methodological quality of the included studies using the Mixed Method Appraisal Tool. Results: We identified 423 records, which were screened for eligibility. Twenty two articles were identified, representing a sample of 2795 PLWHIV, who were on average 47 ± 8 years old, with 13 ± 3 years of education. From the reviewed literature, we identified two putative rehabilitative intervention options for HAND, namely cognitive training otherwise known as psycho-cognitive training, and physical activity interventions. All articles reporting on cognitive training for HAND showed improved post-treatment performance, while two of the six interventional physical activity studies recorded improved post-treatment cognitive performance. Discussion: There are limited rehabilitative options available for HAND. Psycho-cognitive training appears to be an effective intervention for HAND, however, the conditions of far-transfer effects need to be set forth. There is insufficient evidence available to support the use of physical activity for HAND thus warranting further research. Registration: The review protocol was registered with Open Science Framework (OSF) registry. The registration DOI:10.17605/OSF.IO/RWQCF.","PeriodicalId":51720,"journal":{"name":"Advances in Mental Health","volume":"226 1","pages":"200 - 217"},"PeriodicalIF":1.4,"publicationDate":"2021-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77481303","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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