Showing items 1 - 2 of 2

Your selections:

Optimising social conditions to improve autonomy in communication and care for ethnic minority residents in nursing homes: A meta‐synthesis of qualitative research

- Xiao, Lily, Chen, Li, Han, Weifeng, Meyer, Claudia, Müller, Amanda, Low, Lee‐Fay, Brijnath, Bianca, Mohammadi, Leila

  • Authors: Xiao, Lily , Chen, Li , Han, Weifeng , Meyer, Claudia , Müller, Amanda , Low, Lee‐Fay , Brijnath, Bianca , Mohammadi, Leila
  • Date: 2022
  • Type: Text , Journal article
  • Relation: Nursing Inquiry Vol. 29, no. 3 (2022), p. e12469-n/a
  • Full Text: false
  • Reviewed:
  • Description: A large proportion of nursing home residents in developed countries come from ethnic minority groups. Unmet care needs and poor quality of care for this resident population have been widely reported. This systematic review aimed to explore social conditions affecting ethnic minority residents' ability to exercise their autonomy in communication and care while in nursing homes. In total, 19 studies were included in the review. Findings revealed that ethno‐specific nursing homes create the ideal social condition for residents to express their care needs and preferences in a language of choice. In nonethno‐specific nursing homes, staff cultural competence and nursing home commitment to culturally safe care are crucial social conditions that enable this group of residents to fulfil their autonomy in communicating and in participating in their care. In contrast, social conditions that undermine residents' ability to express their care needs and preferences include low levels of staff cultural awareness and cultural desire, negative attitudes towards residents and limited organisational support for staff to improve culturally responsive and culturally safe care. In conclusion, it is important to optimise the social conditions to support ethnic minority residents to communicate their care needs and preferences.

Efficacy of a transdiagnostic cognitive-behavioral intervention for eating disorder psychopathology delivered through a smartphone app: a randomized controlled trial

- Linardon, Jake, Shatte, Adrian, Rosato, John, Fuller-Tyszkiewicz, Matthew

  • Authors: Linardon, Jake , Shatte, Adrian , Rosato, John , Fuller-Tyszkiewicz, Matthew
  • Date: 2022
  • Type: Text , Journal article
  • Relation: Psychological Medicine Vol. 52, no. 9 (2022), p. 1679-1690
  • Full Text: false
  • Reviewed:
  • Description: Abstract Background Although effective treatments exist for diagnostic and subthreshold-level eating disorders (EDs), a significant proportion of affected individuals do not receive help. Interventions translated for delivery through smartphone apps may be one solution towards reducing this treatment gap. However, evidence for the efficacy of smartphones apps for EDs is lacking. We developed a smartphone app based on the principles and techniques of transdiagnostic cognitive-behavioral therapy for EDs and evaluated it through a pre-registered randomized controlled trial. Methods Symptomatic individuals (those who reported the presence of binge eating) were randomly assigned to the app ( n = 197) or waiting list ( n = 195). Of the total sample, 42 and 31% exhibited diagnostic-level bulimia nervosa and binge-eating disorder symptoms, respectively. Assessments took place at baseline, 4 weeks, and 8 weeks post-randomization. Analyses were intention-to-treat. The primary outcome was global levels of ED psychopathology. Secondary outcomes were other ED symptoms, impairment, and distress. Results Intervention participants reported greater reductions in global ED psychopathology than the control group at post-test ( d = −0.80). Significant effects were also observed for secondary outcomes ( d 's = −0.30 to −0.74), except compensatory behavior frequency. Symptom levels remained stable at follow-up. Participants were largely satisfied with the app, although the overall post-test attrition rate was 35%. Conclusion Findings highlight the potential for this app to serve as a cost-effective and easily accessible intervention for those who cannot receive standard treatment. The capacity for apps to be flexibly integrated within current models of mental health care delivery may prove vital for addressing the unmet needs of people with EDs.
  • 1