Development of a suicidal ideation detection tool for primary Healthcare settings : Using open access online psychosocial data
- Authors: Meyer, Denny , Abbott, Jo-Anne , Rehm, Imogen , Bhar, Sunil , Barak, Azy , Deng, Gary , Wallace, Klaire , Ogden, Edward , Klein, Britt
- Date: 2017
- Type: Text , Journal article
- Relation: Telemedicine and e-Health Vol. 23, no. 4 (2017), p. 273-281
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- Description: Background: Suicidal patients often visit healthcare professionals in their last month before suicide, but medical practitioners are unlikely to raise the issue of suicide with patients because of time constraints and uncertainty regarding an appropriate approach. Introduction: A brief tool called the e-PASS Suicidal Ideation Detector (eSID) was developed for medical practitioners to help detect the presence of suicidal ideation (SI) in their clients. If SI is detected, the system alerts medical practitioners to address this issue with a client. The eSID tool was developed due to the absence of an easy-to-use, evidence-based SI detection tool for general practice. Material and Methods: The tool was developed using binary logistic regression analyses of data provided by clients accessing an online psychological assessment function. Ten primary healthcare professionals provided advice regarding the use of the tool. Results: The analysis identified eleven factors in addition to the Kessler-6 for inclusion in the model used to predict the probability of recent SI. The model performed well across gender and age groups 18-64 (AUR 0.834, 95% CI 0.828-0.841, N = 16,703). Healthcare professionals were interviewed; they recommended that the tool be incorporated into existing medical software systems and that additional resources be supplied, tailored to the level of risk identified. Conclusion: The eSID is expected to trigger risk assessments by healthcare professionals when this is necessary. Initial reactions of healthcare professionals to the tool were favorable, but further testing and in situ development are required. © 2017, Mary Ann Liebert, Inc.
An online psychological intervention can improve the sexual satisfaction of men following treatment for localized prostate cancer : Outcomes of a randomised controlled trial evaluating my road ahead
- Authors: Wootten, Addie C , Meyer, Denny , Abbott, Jo-Anne , Chisholm, Katherine , Austin, David , Klein, Britt , McCabe, Marita , Murphy, Declan G , Costello, Anthony
- Date: 2016
- Type: Text , Journal article
- Relation: Psycho-Oncology Vol. 26, no. 7 (2016), p. 975-981
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- Description: BACKGROUND: Prostate cancer treatment often results in significant psycho-sexual challenges for men following treatment; however, many men report difficulty in accessing appropriate care. METHODS: A randomized controlled trial was undertaken to assess the efficacy of a 10-week self-guided online psychological intervention called My Road Ahead (MRA) for men with localized prostate cancer in improving sexual satisfaction. Participants were randomized to 1 of 3 conditions MRA alone or MRA plus online forum, or forum access alone. Pre, post, and follow-up assessments of overall sexual satisfaction were conducted. Mixed models and structural equation modeling were used to analyze the data. RESULTS: One hundred forty-two men (mean age 61 y; SD = 7) participated. The majority of participants had undergone radical prostatectomy (88%) and all men had received treatment for localized prostate cancer. Significant differences were obtained for the 3 groups (P = .026) and a significant improvement in total sexual satisfaction was observed only for participants who were allocated to MRA + forum with a large effect size (P = .004, partial eta2 = 0.256). Structural equation modeling indicated that increases in sexual function, masculine self-esteem, and sexual confidence contributed significantly to overall sexual satisfaction for the MRA + forum plus forum condition. CONCLUSIONS: This study is the first, to our knowledge, that has evaluated a self-guided online psychological intervention tailored to the specific needs of men with prostate cancer. The findings indicate the potential for MRA to deliver support that men may not otherwise receive and also highlight the importance of psychological intervention to facilitate improved sexual outcomes.
Predictors of whistle-blowing intentions : An analysis of multi-level variables
- Authors: Pillay, Soma , Ramphul, Needesh , Dorasamy, Nirmala , Meyer, Denny
- Date: 2015
- Type: Text , Journal article
- Relation: Administration & Society Vol. 50, no. 2 (2015), p. 186-216
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- Description: The purpose of this study was to examine the variables impacting on whistleblowing intentions in the public services of two developing countries, South Africa and Mauritius. In particular, this study considers the barriers to whistle-blowing and the effect of demographic and cultural values on the perceptions of these barriers. The study finds major differences between South Africa and Mauritius with minor differences in regard to gender and education.
Preliminary results of a randomised controlled trial of an online psychological intervention to reduce distress in men treated for localised prostate cancer
- Authors: Wootten, Addie , Abbott, Jo-Anne , Meyer, Denny , Chisholm, Katherine , Austin, David , Klein, Britt , McCabe, Marita , Murphy, Declan , Costello, Anthony
- Date: 2015
- Type: Text , Journal article
- Relation: European Urology Vol. 68, no. 3 (2015), p. 471-479
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- Description: Background Prostate cancer (PCa) poses many emotional and physical challenges for men following treatment. The unmet support needs of these men are well documented, and access to psychosocial support remains problematic. Objectives To assess the efficacy of an online psychological intervention for men who have localised PCa. Design, setting, and participants We undertook a randomised controlled trial to evaluate the intervention. Participants were randomly allocated to one of three conditions: My Road Ahead (MRA) alone (MRA Only), MRA plus access to an online forum (MRA + Forum), and access to the forum alone (Forum). Intervention The intervention was a 10-week self-guided online psychological intervention called My Road Ahead that consisted of six themed modules designed to facilitate improved emotional well-being in the context of PCa as well as a moderated peer forum. Outcome measurements and statistical analysis Pre- and postintervention assessments of psychological distress (the 21-question Depression, Anxiety and Stress Scale) [1] and the Prostate Cancer-related Quality of Life scale [2] were conducted. Multivariate analysis of variance, regression, and structural equation modelling were used to analyse the data. Results and limitations In total, 142 participants were randomly allocated to one of the three intervention arms. The mean age of participants was 61 yr of age (standard deviation: 7), and 88% had undergone radical prostatectomy. A significant improvement in psychological distress was observed for participants who had access to the combined condition (MRA + Forum) with a moderate effect size (p = 0.02; partial η2 = 0.07). In particular, the decline in the mean level of psychological distress was 8.8 units larger for the MRA + Forum group than the Forum group (95% confidence interval [CI], 0.9-16.7). Although the decline in the mean level of psychological distress was 7.0 units larger for the MRA + Forum group than for the MRA Only group, this difference was not significant (95% CI, 1.1-15.1). Structural equation modelling indicated that reductions in health worry and regret contributed significantly to the reductions in psychological distress for the MRA + Forum condition. Conclusions This study is the first, to our knowledge, that has evaluated a self-guided online psychological intervention tailored to the specific needs of men who have PCa. The findings of this study indicate the potential for this programme to deliver support that men may not otherwise receive. Patient summary This study found that men who have localised prostate cancer who received access to the online psychological intervention called My Road Ahead combined with the online peer discussion forum had significantly improved reductions in distress compared with those who received access to the online intervention alone or the forum alone. © 2014 European Association of Urology.
Everyday discrimination in the workplace, job satisfaction and psychological wellbeing: age differences and moderating variables
- Authors: Taylor, Philip , McLoughlin, Christopher , Meyer, Denny , Brooke, Elizabeth
- Date: 2013
- Type: Text , Journal article
- Relation: Ageing & Society Vol. 33, no. 7 (2013), p. 1105-1138
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- Description: In this article we explore the importance of ‘everyday discrimination’ and other psycho-social variables for psychological wellbeing, considering differences according to age, gender and socio-economic position. Using employee survey data collected within Australian organisations we explore a statistically reliable model of the relationship between aspects of the psycho-social work environment, psychological wellbeing and job satisfaction. The employee survey was carried out in two phases during mid-2007 and mid-2008 in a national university, two international freight terminals of a large international airline, a national manufacturing company and the roadside assistance division of a motoring organisation. Structural Equation Modelling was used to configure a model including psycho-social factors: respect, support, training, job insecurity and personally meaningful work. Everyday discrimination and consultation with supervisor were considered in terms of their direct effect on psychological wellbeing and job satisfaction and their indirect effect via the psycho-social factors enumerated above. Importantly, this generalised model attempts to describe the interrelations of these factors effectively for various age groups, gender and socio-economic position. We identify age, gender and socio-economic differences in the strength and relative importance of these relationships. A further validation study with an independent sample will be required to verify the model proposed in this article. The implications for the design of workplace interventions concerned with age discrimination are discussed.
Exploring barriers, organisational support and demographics as predictors of whistle blowing intentions - an analysis of multi level variables
- Authors: Pillay, Soma , Ramphul, Needesh , Dorasamy, Nirmala , Meyer, Denny
- Date: 2012
- Type: Text , Conference paper
- Relation: 5th Biennal Conference of the Academy of World Business, Marketing and Management Development p. 590-615
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The first two years of Anxiety Online, an international e-mental health service for the anxiety disorders.
- Authors: Klein, Britt , Austin, David , Nguyen, David , Smith, Andrew , Donelan, Patrick , Abbott, Jo-Anne , Kyrios, Michael , Mitchell, Joanna , Lauder, Sue , Shandley, Kerrie , Moulding, Richard , Nedeljkovic, Maja , Meyer, Denny , Ciechomski, Lisa , Shields, David , Baulch, Josephine , Williams, Ben
- Date: 2010
- Type: Text , Book chapter
- Relation: Anxiety disorders : current understandings, novel treatments 14 p. 187-203
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