Academic literature on the topic 'Mental health; rural; mixed methods'

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Journal articles on the topic "Mental health; rural; mixed methods"

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Groh, Carla J., and Mitzi M. Saunders. "The Transition From Spousal Caregiver to Widowhood: Quantitative Findings of a Mixed-Methods Study." Journal of the American Psychiatric Nurses Association 26, no. 6 (May 4, 2020): 527–41. http://dx.doi.org/10.1177/1078390320917751.

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BACKGROUND: The number of persons diagnosed with dementia is projected to triple to 14 million by 2050. The significance of these projections is particularly relevant to older women (>65 years), who are more likely to provide dementia caregiving for a husband than vice versa. Research has identified consistent themes around the impact of caregiving during the caregiving experience, yet there is limited research exploring the ongoing impact during the transition to widowhood. Moreover, there is a paucity of research examining differences between rural and urban spousal dementia caregivers. AIMS: The aims were to compare differences between older rural and urban spousal caregivers on physical and mental health factors affecting the transition from caregiver to widow and to identify resources the women used during this transition over 12 months. METHOD: This mixed-methods longitudinal study recruited 13 urban and nine rural female spousal caregivers. Participants were interviewed three times over 12 months. The dependent variables were depression (measured using Center for Epidemiologic Studies Depression Scale), physical and mental functioning (measured using the 12-item Medical Outcomes Study–Short Form Health Survey Version 2). RESULTS: No statistically significant differences were detected between rural and urban female caregivers on the dependent variables. However, rural caregivers scored higher on depression and lower on both physical and mental functioning compared to their urban counterparts. CONCLUSIONS: The findings have clinical and research implications. Psychiatric nurses are well positioned to provide education related to dementia information deficits; implement interventions that facilitate bereavement, resilience, self-care, and identity; advocate for additional services; and conduct larger scale studies with a more diverse sample of female spousal caregivers.
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Heath, Olga, Elizabeth Church, Vernon Curran, Ann Hollett, Peter Cornish, Terrence Callanan, Cheri Bethune, and Lynda Younghusband. "Interprofessional mental health training in rural primary care: findings from a mixed methods study." Journal of Interprofessional Care 29, no. 3 (October 7, 2014): 195–201. http://dx.doi.org/10.3109/13561820.2014.966808.

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Rimal, Pragya, Nandini Choudhury, Pawan Agrawal, Madhur Basnet, Bhavendra Bohara, David Citrin, Santosh Kumar Dhungana, et al. "Collaborative care model for depression in rural Nepal: a mixed-methods implementation research study." BMJ Open 11, no. 8 (August 2021): e048481. http://dx.doi.org/10.1136/bmjopen-2020-048481.

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IntroductionDespite carrying a disproportionately high burden of depression, patients in low-income countries lack access to effective care. The collaborative care model (CoCM) has robust evidence for clinical effectiveness in improving mental health outcomes. However, evidence from real-world implementation of CoCM is necessary to inform its expansion in low-resource settings.MethodsWe conducted a 2-year mixed-methods study to assess the implementation and clinical impact of CoCM using the WHO Mental Health Gap Action Programme protocols in a primary care clinic in rural Nepal. We used the Capability Opportunity Motivation-Behaviour (COM-B) implementation research framework to adapt and study the intervention. To assess implementation factors, we qualitatively studied the impact on providers’ behaviour to screen, diagnose and treat mental illness. To assess clinical impact, we followed a cohort of 201 patients with moderate to severe depression and determined the proportion of patients who had a substantial clinical response (defined as ≥50% decrease from baseline scores of Patient Health Questionnaire (PHQ) to measure depression) by the end of the study period.ResultsProviders experienced improved capability (enhanced self-efficacy and knowledge), greater opportunity (via access to counsellors, psychiatrist, medications and diagnostic tests) and increased motivation (developing positive attitudes towards people with mental illness and seeing patients improve) to provide mental healthcare. We observed substantial clinical response in 99 (49%; 95% CI: 42% to 56%) of the 201 cohort patients, with a median seven point (Q1:−9, Q3:−2) decrease in PHQ-9 scores (p<0.0001).ConclusionUsing the COM-B framework, we successfully adapted and implemented CoCM in rural Nepal, and found that it enhanced providers’ positive perceptions of and engagement in delivering mental healthcare. We observed clinical improvement of depression comparable to controlled trials in high-resource settings. We recommend using implementation research to adapt and evaluate CoCM in other resource-constrained settings to help expand access to high-quality mental healthcare.
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McKenzie, John W., Jo M. Longman, Ross Bailie, Maddy Braddon, Geoffrey G. Morgan, Edward Jegasothy, and James Bennett-Levy. "Insurance Issues as Secondary Stressors Following Flooding in Rural Australia—A Mixed Methods Study." International Journal of Environmental Research and Public Health 19, no. 11 (May 24, 2022): 6383. http://dx.doi.org/10.3390/ijerph19116383.

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Flood events can be dramatic and traumatic. People exposed to floods are liable to suffer from a variety of adverse mental health outcomes. The adverse effects of stressors during the recovery process (secondary stressors) can sometimes be just as severe as the initial trauma. Six months after extensive flooding in rural Australia, a survey of 2530 locals was conducted focusing on their flood experiences and mental health status. This mixed methods study analysed (a) quantitative data from 521 respondents (21% of total survey respondents) who had insurance coverage and whose household was inundated, 96 (18%) of whom reported an insurance dispute or denial; and (b) qualitative data on insurance-related topics in the survey’s open comments sections. The mental health outcomes were all significantly associated with the degree of flood inundation. The association was strong for probable PTSD and ongoing distress (Adjusted Odds Ratios (AORs) with 95% confidence intervals 2.67 (1.8–4.0) and 2.30 (1.6–3.3), respectively). The associations were less strong but still significant for anxiety and depression (AORs 1.79 (1.2–2.7) and 1.84 (1.2–2.9)). The secondary stressor of insurance dispute had stronger associations with ongoing distress and depression than the initial flood exposure (AORs 2.43 (1.5–3.9) and 2.34 (1.4–3.9), respectively). Insurance was frequently mentioned in the open comment sections of the survey. Most comments (78% of comments from all survey respondents) were negative, with common adverse trends including dispute/denial, large premium increases after a claim, inconsistencies in companies’ responses and delayed assessments preventing timely remediation.
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Ingram, Lucy Annang, Chiwoneso B. Tinago, Bo Cai, Louisiana Wright Sanders, Tina Bevington, Sacoby Wilson, Kathryn M. Magruder, and Erik Svendsen. "Examining Long-Term Mental Health in a Rural Community Post-Disaster: A Mixed Methods Approach." Journal of Health Care for the Poor and Underserved 29, no. 1 (2018): 284–302. http://dx.doi.org/10.1353/hpu.2018.0020.

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Shi, Yaojiang, Linxiu Zhang, Yue Ma, Hongmei Yi, Chengfang Liu, Natalie Johnson, James Chu, Prashant Loyalka, and Scott Rozelle. "Dropping Out of Rural China's Secondary Schools: A Mixed-methods Analysis." China Quarterly 224 (December 2015): 1048–69. http://dx.doi.org/10.1017/s0305741015001277.

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AbstractStudents in rural China are dropping out of secondary school at troubling rates. While there is considerable quantitative research on this issue, no systematic effort has been made to assess the deeper reasons behind student decision making through a mixed-methods approach. This article seeks to explore the prevalence, correlates and potential reasons for rural dropout throughout the secondary education process. It brings together results from eight large-scale survey studies covering 24,931 rural secondary students across four provinces, as well as analysis of extensive interviews with 52 students from these same study sites. The results show that the cumulative dropout rate across all windows of secondary education may be as high as 63 per cent. Dropping out is significantly correlated with low academic performance, high opportunity cost, low socio-economic status and poor mental health. A model is developed to suggest that rural dropout is primarily driven by two mechanisms: rational cost-benefit analysis or impulsive, stress-induced decision making.
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Garwood, Justin D., Margaret G. Werts, Cheryl Varghese, and Leanne Gosey. "Mixed-Methods Analysis of Rural Special Educators’ Role Stressors, Behavior Management, and Burnout." Rural Special Education Quarterly 37, no. 1 (November 29, 2017): 30–43. http://dx.doi.org/10.1177/8756870517745270.

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The researchers of this study used a mixed-methods approach to understand issues of rural special education teacher burnout. Results of survey responses ( n = 64) and follow-up focus group interviews ( n = 12) from rural special education teachers indicated several factors contributing to stress and burnout. Teachers noted that lack of clarity in their roles, too many facets to the roles, emotional exhaustion, and lack of accomplishment contributed to their perceptions. Good working relationships with colleagues and administrators, building relationships with students, and a high level of self-advocacy were noted as helping to maintain mental health and a work–life balance. Possible steps to alleviate risk factors of rural special education teacher burnout are discussed.
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O’Malley, Meagan, Staci J. Wendt, and Christina Pate. "A View From the Top: Superintendents’ Perceptions of Mental Health Supports in Rural School Districts." Educational Administration Quarterly 54, no. 5 (June 27, 2018): 781–821. http://dx.doi.org/10.1177/0013161x18785871.

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Purpose: A chasm exists between the expanding mental health needs of school-aged youth and the school resources available to address them. Education agencies must efficiently allocate their limited resources by adopting innovative public health models. The need for these effective approaches is acute in rural regions, where resources tend to be scarce. This mixed-methods study of school superintendents illuminates key opportunities to optimize access to care for students struggling with mental health needs in rural communities. Method: Superintendents serving rural California school districts were targeted for a web-based, mixed response–type, 53-item survey designed to examine their perceptions across three school mental health–related categories: (a) strengths and gaps in community ethos and district infrastructure, (b) school personnel groups’ knowledge and skills, and (c) predominant barriers. Of the targeted respondents, 16.7% completed the survey ( N = 62). Quantitative data were analyzed using a series of descriptive analyses and paired-sample t tests. Qualitative data were analyzed using a constant comparative method with an open-coding approach. Findings and Implications: Budget constraints and access to trained school-based and community-based mental health personnel are the most frequently cited barriers to addressing mental health in schools. Knowledge and skills related to mental health are perceived to be more pronounced in district and school leadership than in other personnel groups, including staff typically responsible for providing mental health services, such as school psychologists. Our findings suggest a need to improve superintendent knowledge of innovative public health models for delivering mental health services within the constraints of rural school district settings.
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Maulik, P. K., S. Devarapalli, S. Kallakuri, A. Tewari, S. Chilappagari, M. Koschorke, and G. Thornicroft. "Evaluation of an anti-stigma campaign related to common mental disorders in rural India: a mixed methods approach." Psychological Medicine 47, no. 3 (November 2, 2016): 565–75. http://dx.doi.org/10.1017/s0033291716002804.

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BackgroundStigma related to mental health is a major barrier to help-seeking resulting in a large treatment gap in low- and middle-income countries (LMIC). This study assessed changes in knowledge, attitude and behaviour, and stigma related to help-seeking among participants exposed to an anti-stigma campaign.MethodThe campaign, using multi-media interventions, was part of the SMART Mental Health Project, conducted for 3 months, across 42 villages in rural Andhra Pradesh, in South India. Mixed-methods evaluation was conducted in two villages using a pre-post design.ResultsA total of 1576 and 2100 participants were interviewed, at pre- and post-intervention phases of the campaign. Knowledge was not increased. Attitudes and behaviours improved significantly (p < 0.01). Stigma related to help-seeking reduced significantly (p < 0.05). Social contact and drama were the most beneficial interventions identified during qualitative interviews.ConclusionThe results showed that the campaign was beneficial and led to improvement of attitude and behaviours related to mental health and reduction in stigma related to help-seeking. Social contact was the most effective intervention. The study had implications for future research in LMIC.
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Evans, Emily C., Nancy L. Deutsch, Emily Drake, and Linda Bullock. "Nurse–Patient Interaction as a Treatment for Antepartum Depression: A Mixed-Methods Analysis." Journal of the American Psychiatric Nurses Association 23, no. 5 (April 29, 2017): 347–59. http://dx.doi.org/10.1177/1078390317705449.

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BACKGROUND: The U.S. Preventative Services Task Force guidelines recommend pregnant women be screened for depression and adequate systems be in place to treat this condition. OBJECTIVE: This study examines a nurse-delivered telephone support intervention provided to low-income, pregnant women living in rural settings. DESIGN: This study had a complementary mixed-methods design, using secondary data. Peplau’s theory of interpersonal relations was used as a framework to guide the study. RESULTS: The phases of Peplau’s theory of interpersonal relations were evident in the interactions. Underserved women at high risk for depression appreciated this type of support, with the women at highest risk for depression utilizing more of the nursing support provided. On average, Mental Health Index–5 scores improved from 45 to 66. CONCLUSION: A nurse-delivered telephone support intervention, modeled around Peplau’s theory of interpersonal relations, may be an effective way of providing support to underserved women and has the potential to treat or offset antepartum depression.
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Dissertations / Theses on the topic "Mental health; rural; mixed methods"

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Cochrane, Carrissa. "A mixed-methods study of mindfulness in LGBTQ+ youth." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10260407.

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LGBTQ+ youth are at increased risk of experiencing stress, sadness, and dissatisfaction with life. A mixed-methods study was designed to examine the effects of mindfulness training on perceived stress and life satisfaction in LGBTQ+ youth. Quantitative pre- and post-test data were collected using the Mindful Attention Awareness Scale-Adolescents and Goal Attainment Scaling. Qualitative data were collected via focus group at the conclusion of the mindfulness training. Results indicate that mindfulness training may be effective in reducing stress, increasing life satisfaction, and increasing coping skills in LGBTQ+ youth. School-based mental health service providers may find the group format of mindfulness training an effective use of time and resources.

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Wang, Chia Wen. "Cyberbullying and mental health among Taiwanese high school students: a mixed methods study." Kyoto University, 2020. http://hdl.handle.net/2433/253211.

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Ndayizigiye, Melino. "Assessment of Barriers of Contraceptive Use in Rural Burundi: A Mixed Methods Study." Thesis, Harvard University, 2014. http://nrs.harvard.edu/urn-3:HUL.InstRepos:13041361.

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Burundi’s high maternal and child mortality is caused in part by the high fertility rate, prompted by low rate of contraceptive use. Available sources report a contraceptive use of 18% among married women, but this excludes unmarried sexually active women. This study employed mixed methods to understand rates of contraceptive use in rural Burundi. We first assessed availability and uptake of contraceptives in 39 health clinics in the rural districts of Rumonge and Bururi. We selected sites with different utilization rates and conducted individual interviews and focus group discussions. 56 individuals participated including women, men, facility managers and community leaders. Uptake of family planning averaged 2.96%. Greater uptake was positively associated with the number of health professionals engaged and trained in family planning service provision as well as the number of different types of contraceptives available. Uptake was inversely associated with duration of stockouts and number of contraceptives stocked out. Qualitative data pointed to scarce resources, sociocultural factors, fear of disclosure and side effects, partner’s disapproval, and lack of information on modern contraceptives as explanations of low uptake. Interventions would need to take into account one or more of these factors in order to improve uptake of family planning
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Nash, Michael. "A mixed methods approach to exploring mental health nurses' diabetes education and skills needs." Thesis, Middlesex University, 2014. http://eprints.mdx.ac.uk/13468/.

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Diabetes is emerging as a clinical practice and educational concern in mental healthcare. However, there is little research into the diabetes education and skills needs of practitioners such as Mental Health Nurses. Furthermore, there is very little research into Mental Health Service Users experiences of diabetes or diabetes care and how these could be used to enhance the education and training of Mental Health Nurses in this area. This research project used a mixed methods research approach to explore Mental Health Nurses diabetes education and skills needs from the view of both Mental Health Nurses and Mental Health Service Users. A quantitative Training Needs Analysis survey was undertaken in 2008 with a sample of 220 Mental Health Nurses regarding their diabetes care education and skills needs. 146 responded giving a response rate of 66%. The results of this survey where used to develop a qualitative interview schedule to explore the experiences of diabetes care of a purposive sample of seven Mental Health Service Users in 2011 and how these experiences could be used to inform Mental Health Nurses diabetes education and training. This study found that diabetes care is becoming a frequent care activity for Mental Health Nurses. While the sample reported prior training in diabetes care, this was predominantly in the period of student nurse training. This has an implication for the currency of clinical skills and knowledge. Mental Health Nurses reported varying levels of general and specific knowledge of diabetes. They also reported varying levels of confidence in aspects of diabetes care such as recognising symptoms of diabetes, knowledge of local diabetes services and liaison with local diabetes services. There was a recognition that further training was required and the sample reported high levels of motivation to attend training and retain diabetes care as an area of Mental Health Nursing practice. Mental Health Service Users reported negative experiences of diabetes care. This consisted of stigma, diagnostic overshadowing, a splitting of mental and physical health and low levels of confidence in Mental Health Nurses ability to provide diabetes care. Service Users broadly agreed with Mental Health Nurses expressed training needs but felt that education and training on stigma and how this can be a barrier to diabetes care is a priority area for education. This study recommends that Mental Health Service Users experiences of physical illness, in this instance diabetes, should be a foundation part of any training and education of Mental Health Nurses in this area. This is because these experiences can promote critical reflection on practice and encourage professionals to reflect on negative attitudes that may be an unwitting barrier to care. It also recommends that service users are more involved in identifying education and training needs so that education is responsive not only to the needs of nurses and Higher Education Institutions, but service users also.
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Burdock, Matthew. "Burnout in secure forensic mental health services for young people : a mixed methods approach." Thesis, University of Southampton, 2016. https://eprints.soton.ac.uk/402565/.

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Occupational burnout is highly prevalent in mental health services and has a deleterious effect upon the psychological wellbeing of staff. Few studies have explored burnout in inpatient settings; those that have do not address the possible systemic impact. This study aimed to explore burnout and emotional reactions to behaviour that challenges in a secure forensic mental health service for young people; a specialised environment in which severe and frequent incidences of aggression and violence occur. Following a systematic review of burnout literature pertaining to inpatient mental health services, an empirical study was conducted using a convergent parallel mixed method design. Forty three staff members were recruited to the quantitative strand and ten were recruited to the qualitative strand. Emotional Reactions to Challenging Behaviour Scale (ERCBS) and Maslach Burnout Inventory (MBI) instruments were used. A significant moderate positive correlation was found between emotional exhaustion and negative emotional reactions to behaviour that challenges. This relationship was mediated by general self-efficacy, which buffered the effect of emotional exhaustion on negative responses to behaviour that challenges; responses found to be detrimental to the relational environment. ‘Young People Blame Themselves’ was explored as a relational barrier and maintaining factor in occupational burnout. In ‘You Want Someone You Recognise’ and ‘We Lack That Consistency’ a high ratio of agency staff and a lack of operational consistency were identified as occupational stressors. Emotional exhaustion is associated with negative emotional reaction to challenging behaviour. Interventions should be targeted towards developing staff self-efficacy, through the use of reflective practice and ecological changes that enhance team-working and feelings of safety on the ward. When on the ward, staff should be mindful of young people’s predisposition towards attribution bias. Future studies need to give greater consideration to systemic outcomes associated with burnout.
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Sanderson, Victoria. "Post-Secondary Students with Symptoms of Psychosis: A Mixed-Methods Systematic Review." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39788.

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The purpose of this thesis was to synthesize evidence on symptoms of psychosis in post-secondary students, including participant characteristics, prevalence, risk factors, interventions, and reported experiences. The design was a mixed-methods systematic review, modeled on the Joanna Briggs Institute and PRISMA guidelines, with all standard systematic review procedures followed. A search in nine databases yielded 26 (published between 2006 and 2018) articles for inclusion. Data were analyzed according to objectives and reported using synthesis tables and narrative summaries. Average age of participants was 21 years and most identified as female and Caucasian. Prevalence of psychosis across the included studies was inconclusive. Risk factors associated with symptoms of psychosis included substance use, depression, and younger age. There were five interventions with mixed results and three studies about experiences. While five promising interventions exist, inadequate testing and replication limits confidence in their effectiveness. There is a notable deficit in qualitative evidence exploring the experiences of students with symptoms of psychosis.
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Bishop, James. "The Potential of Misdiagnosis of High IQ Youth by Practicing Mental Health Professionals: A Mixed Methods Study." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc1062851/.

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The difficulty of distinguishing between genuine disorder and characteristics that can be attributed to high IQ increases the likelihood of diagnostic error by mental health practitioners. This mixed methods study explores the possibility of misdiagnosis of high IQ youth by mental health professionals. Participants were private practice mental health professionals who read case study vignettes illustrating high IQ youth exhibiting characteristics associated with their population. Participants then completed a survey and provided an assessment of the hypothetical client. In the study, 59% of participants were unable to recognize behavioral characteristics associated with high IQ youth unless suggested to them, and 95% of participants were unable to recognize emotional characteristics associated with high IQ youth unless suggested. The results of this study provide much-needed empirical exploration of the concern for misdiagnosis of high IQ youth and inform clinical practice and education.
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Rajo, Erika. "A Mixed Methods Study Examining Parent Impressions of a Psychoeducational Program on Common Issues During Childhood." Thesis, Pepperdine University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10601119.

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The rate of youth suffering from untreated emotional and behavioral problems has risen in recent years. Various barriers to treatment utilization of youth and their families have been identified in the literature, including logistical factors (i.e. transportation, lack of child care), financial barriers, as well as system barriers (i.e. limited knowledge of mental health difficulties among parents of young children). Parents/caregivers are often the primary gatekeepers to treatment for children suffering from mental health problems. Additionally, psychoeducational programs have increasingly gained support as an effective evidence-based practice that may bolster treatment utilization among youth. A psychoeducational program for parents of school-aged children was developed to teach empirically-based strategies for managing common childhood problems and to help parents understand when and how to refer to professional services. A mixed methods study was conducted as a means to gain teacher impressions of the program’s effectiveness in disseminating evidence-based home strategies that can be used by parents to manage common childhood problems. Qualitative data analysis procedures based on grounded theory were undertaken to code collected data from narrative interviews. Major themes that emerged included importance of parent psychoeducation, need for social skills training, need for effective discipline techniques, preference for modular training, and scheduling with consideration for parental time constraints. Quantitative data analysis revealed that usefulness of behavioral interventions received the highest average rating between very much and extremely (M = 4.67, SD = 0.52) from participants, while knowledge increase post program overview had a medium level impact between somewhat and very much (M = 3.83, SD = 0.98). Limitations, strengths, and recommendations for future directions are discussed.

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Lewis, Eliza Grug. "A mixed methods study of mental health and wellbeing in different UK undergraduate student populations." Thesis, Royal Veterinary College (University of London), 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.701656.

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Austin, Jason Paul. "Getting Them In: An Exploratory Mixed-Methods Study with Implications towards Marketing Marriage and Family Therapy." Diss., Virginia Tech, 2015. http://hdl.handle.net/10919/79484.

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The purpose of this sequential exploratory mixed methods study was to develop and test a theory of planned behavior questionnaire that includes both direct and belief-based measures for seeking professional help from a MFT for participants and their spouses during times of relationship distress. To complete this goal, three focus groups (N = 24) were conducted to elicit the salient behavioral, normative, and control beliefs associated with seeking professional help from a MFT for participants and their spouses during times of relationship distress. The data was member checked and then analyzed using thematic analysis. Next, two quantitative measures were constructed, one using the salient beliefs elicited during the focus groups and the second using general questions that assessed participants' overall attitude, perceived norm, and perceived behavioral control. Both measures were placed online pilot tested (N = 102) using Qualtrics panels. The results suggest that the measures were accurate predictors of behavioral intention. The main stage then used both measures to assess the predictive ability of the elicited beliefs. The results also suggest that the beliefs accurately predicted participants' behavioral intentions for seeking professional help from a MFT for them and their spouses during times of relationship distress. The results also indicate that an intervention could be used to encourage troubled individuals, couples, and families to seek professional help from a MFT when experiencing relational issues.
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Books on the topic "Mental health; rural; mixed methods"

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Collins, Kathleen M. Toward a broader understanding of stress and coping: Mixed methods approaches. Charlotte, NC: Information Age Pub., 2010.

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M, Collins Kathleen, Onwuegbuzie Anthony J. 1962-, and Jiao Qun G, eds. Toward a broader understanding of stress and coping mixed methods approaches. Charlotte, NC: Information Age Pub., 2009.

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Office, General Accounting. Medicare: HCFA can improve methods for revising physician practice expense payments : report to Congressional committees. Washington, D.C. (P.O. Box 37050, Washington, D.C. 20013): The Office, 1998.

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M, Collins Kathleen, Onwuegbuzie Anthony J. 1962-, and Jiao Qun G, eds. Toward a broader understanding of stress and coping mixed methods approaches. Charlotte, NC: Information Age Pub., 2009.

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Discovering Successful Pathways in Children's Development: Mixed Methods in the Study of Childhood and Family Life (The John D. and Catherine T. MacArthur Foundation Series on Mental Health and De). University Of Chicago Press, 2005.

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Rothblum, Esther D., ed. The Oxford Handbook of Sexual and Gender Minority Mental Health. Oxford University Press, 2020. http://dx.doi.org/10.1093/oxfordhb/9780190067991.001.0001.

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The Oxford Handbook of Sexual and Gender Minority Mental Health provides an overview of the current research on the mental health of sexual and gender minority (SGM) populations. It is aimed at researchers conducting studies on the mental health of SGM populations, clinicians and researchers interested in psychiatric disorders that affect SGM populations, clinicians using evidence-based practice in the treatment of SGM patients/clients, students in mental health programs (clinical psychology, psychiatry, clinical social work, and psychiatric nursing), and policy makers. The twenty-first century has seen improvements in sampling, use of longitudinal research, mixed methods research, statistical methods for research, and funding opportunities for research with SGM populations. Nevertheless, the purpose of this Handbook is to point out the gaps in the research as well as the advances, in order to motivate future researchers to expand knowledge about SGM mental health. As this volume goes to press, the current socio-political context in many nations includes both progress and backlash, with laws and policies including protections for SGM individuals in some countries, and laws and policies denying protections in others. All of these changes will impact SGM individuals, mental health researchers, and especially young people coming of age in this era.
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Financial management: Analysis of selected VA and FHA housing program accounting methods : report to the Chairman, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C: The Office, 1991.

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Das-Munshi, Jayati, Tamsin Ford, Matthew Hotopf, Martin Prince, and Robert Stewart, eds. Practical Psychiatric Epidemiology. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198735564.001.0001.

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This long-awaited second edition of Practical Psychiatric Epidemiology covers all of the considerable new developments in psychiatric epidemiology that have occurred since the first edition was published in 2003. It includes new content on key topics such as life course epidemiology, gene–environment interactions, bioethics, patient and public involvement in research, mixed methods research, new statistical methods, case registers, policy, and implementation. Looking to the future of this rapidly evolving scientific discipline and how it will respond to the emerging opportunities and challenges posed by ‘big data’, new technologies, open science, and globalization, this new edition will serve as an invaluable reference for clinicians in practice and in training. It will also be of interest to researchers in mental health and people studying or teaching psychiatric epidemiology at undergraduate or postgraduate level.
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Lewis, Deborah, Marie O’Boyle-Duggan, and Susan Poultney. Communication skills education and training in pre-registration BSc Nursing. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198736134.003.0023.

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Nursing and Midwifery Council educational standards in BSc (Hons) Nursing require students to gain key communication competences to deliver compassionate care in adult, mental health, learning disabilities, and children’s nursing. Competences include using a range of verbal and non-verbal skills to build therapeutic relationships, being respectful of confidential information, addressing diversity issues, and promoting well-being and personal safety. Nurses also need to make reasonable adjustment for patients with disabilities to ensure effective communication. High fidelity simulations using actors and clinical practice scenarios have been evaluated positively with statistically significant results, suggesting the benefits apply to all students in the classroom—although students who participate in a simulation benefit to a greater extent. Other faculty mixed-methods research led to the development of recommendations for communication skills in learning disabilities nursing. Challenges include realistic simulation in children’s nursing and developing adequate numbers of actors and facilitators, partially offset by offering in-house training.
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Brand, Caroline A., and Ilana N. Ackerman. Delivery (organization and outcome). Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199668847.003.0036.

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This chapter considers the organization and delivery of care for osteoarthritis (OA) within the broader context of chronic condition management, and with a specific focus on the current OA literature. It describes factors that have influenced healthcare reforms for people with chronic conditions such as OA, and the development and characteristics of chronic condition models of care. The chapter also examines existing models of care for OA, which are commonly multidisciplinary in nature and situated within primary care, community care, or secondary/tertiary care settings. It summarizes current evidence for the effectiveness and cost-effectiveness of OA models of care, acknowledging that limited data are available regarding access and efficiency outcomes. Barriers to the successful development, implementation, and sustainability of OA models of care are discussed, as well as enablers that could facilitate the success of models of care. The chapter also presents points to consider when planning the implementation and evaluation of models of care, such as the development of a program logic, use of theoretical models or frameworks, and careful selection of appropriate research designs (including mixed-methods approaches). Finally, it considers future challenges for OA models of care, particularly the rise of multi-morbidity among patient populations that will necessitate integrated chronic condition management rather than stand-alone OA services. Future models of care may require the design of specific OA modules that can be integrated with generic chronic condition models that address risk behaviour modification and optimize self-management and mental health outcomes.
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Book chapters on the topic "Mental health; rural; mixed methods"

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Varambally, Shivarama, and B. N. Gangadhar. "Yoga and Traditional Healing Methods in Mental Health." In Mental Health and Illness in the Rural World, 297–326. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-10-2345-3_20.

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Brear, Michelle R. "Community-participatory investigation of the health-environment-wellbeing nexus of WaSH in rural Eswatini." In Mixed-Methods Research in Wellbeing and Health, 133–55. London: Routledge, 2021. http://dx.doi.org/10.4324/9780429263484-7.

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Solomon, Natalie Leah, and Vlad Manea. "Quantifying Energy and Fatigue: Classification and Assessment of Energy and Fatigue Using Subjective, Objective, and Mixed Methods towards Health and Quality of Life." In Quantifying Quality of Life, 79–117. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94212-0_4.

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AbstractEnergy and fatigue carry important implications for vitality and overall quality of life. Lacking energy and experiencing fatigue can be both burdensome as well as adaptive. This chapter first classifies energy and fatigue and then reviews their measurement. This chapter closes with opportunities for future directions.Energy and fatigue are present under varying conditions including in daily performance, during and after acute physical or mental strain (capacity), and in the context of chronic conditions. Energy and fatigue have been measured both subjectively and objectively. Subjective outcomes can be derived from self-reported scales and prompts; objective outcomes may be derived from performance and capacity tasks and technology-reported physiological, biological, and behavioural markers. The scales and tasks employed to measure energy have been traditionally validated but may lack daily life context and ecological validity. Prompts and behavioural monitoring methods are emerging as promising alternatives.Energy and fatigue have also been routinely monitored for specific diseases and occupations. However, fewer studies monitor healthy individuals through consumer technology in daily life contexts. More research is needed for an objective, unobtrusive, longitudinal, and contextual measurement of energy and fatigue in the healthy general population, in service of improving health, wellbeing, and quality of life.
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Townsend, Mardie, Claire Henderson-Wilson, Haywantee Ramkissoon, and Rona Weerasuriya. "Therapeutic landscapes, restorative environments, place attachment, and well-being." In Oxford Textbook of Nature and Public Health, edited by Matilda van den Bosch and William Bird, 57–62. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198725916.003.0036.

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Evidence of declining well-being and increasing rates of depression and other mental illnesses has been linked with modern humans’ separation from nature. Landscapes become therapeutic when physical and built environments, social conditions, and human perceptions combine. Highlighting the contextual factors underpinning this separation from nature, this chapter outlines three Australian case studies to illustrate the links between therapeutic landscapes, restorative environments, place attachment, and well-being. Case study 1, a quantitative study of 452 park users near Melbourne, Victoria, focuses on place attachment and explored the links between pro-environmental behaviour and psychological well-being. Case study 2, a small pilot mixed-methods study in a rural area of Victoria, explores the restorative potential of hands-on nature-based activities for people suffering depression, anxiety, and social isolation. Case study 3, a qualitative study of users’ experiences of accessing hospital gardens in Melbourne, highlights improved emotional states and social connections.
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Casseus, Alain, Kenia Vissieres, Tracy L. McClair, Chery Maurice Jr, Charlotte Warren, and Pooja Sripad. "Lessons Learned from Implementing a Community Health Worker-initiated Referral Strengthening Intervention in Haiti: A Mixed-Methods Program Case Study." In Rural Health - Investment, Research and Implications [Working Title]. IntechOpen, 2023. http://dx.doi.org/10.5772/intechopen.109687.

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Referral processes linking communities to facilities are under-appreciated and lack evaluation, particularly in humanitarian settings. Community health workers or agents de santé communautaire polyvalent (ASCPs) in Haiti refer communities to health facilities for a range of services. This program case study assessed implementation of a public-private referral strengthening intervention within on-going community health programming, including a triplicate referral form, supportive training, and follow-up structures. We applied mixed methods to describe referral trends using routine programmatic data, factors affecting implementation and referral completion through a pre-intervention referred patient survey (n = 525), meeting observations, and interviews with ASCPs, supervisors, and key stakeholders (n = 88). We found that the intervention demonstrates little influence on referral trends, but qualitatively enhances the referral process for ASCPs and supervisory stakeholders in Haiti. It improves supervision relationships and shows promise for enhanced community-integrated patient monitoring systems – when supported by financial support and non-governmental and governmental partners, but is vulnerable to sociopolitical, geographic, and insecurity challenges preventing referral completion. Integrating intervention activities within existing programming and scaling the triplicate referral form in Haiti can strengthen the national ASCP curricula. Globally, we suggest adapting the triplicate referral form as a promising job-aid and data-reporting tool within community health worker programs.
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"Methodological and Conceptual Approach." In Advances in Psychology, Mental Health, and Behavioral Studies, 35–45. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-7452-1.ch002.

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This chapter presents the methodological and conceptual approach, which informed the research design for the study. It is pertinent to reiterate here that the design of this study sought to discern the positive psychological forces that shape subjective wellbeing of informal caregivers. This desire prompted the adoption of a mixed methods research. The rationale for this methodological preference is presented. In addition, advantages of mixed methods approach are elaborated upon. Furthermore, other issues are addressed, including sample size, instrumentation, and research procedures. This chapter also explains, with much detail, the parameters and boundary conditions that constituted the guiding assumptions, limitations, as well as delimitations of the study. It should be noted that the chapter also explains the essential approach to data analysis.
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Wickremesooriya, Shalini Felicity. "Mothers as Advocates of Social Inclusion for Children With Communication Disorders." In Advances in Psychology, Mental Health, and Behavioral Studies, 110–40. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-4955-0.ch007.

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Social inclusion is based on acceptance and belonging irrespective of any status, disability, or disadvantage. The ability to communicate empowers humans in their quest for social inclusion. However, children challenged by communication disorders struggle to form friendships and make inroads into social groups. Mothers, the primary caregivers in most instances, with their intimate knowledge of their children, are considered the best advocates. This study set out to identify strategies that mothers engage in to pave the way for successful social inclusion of children with communication disorders. An online survey was conducted in different geographical locations. Mothers with children aged 6-13 years who had received speech therapy or are currently receiving speech therapy were invited to participate. Data were analyzed using a mixed methods approach. Outcomes suggest that all mothers believe in social inclusion despite facing a range of inclusion and exclusionary practices. Undeterred by these responses, mothers advocate for social inclusion by engaging in a range of strategies.
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Ünnü, Nazlı Ayşe Ayyıldız, and Burcu Şentürk. "All-in-One Academics." In Advances in Psychology, Mental Health, and Behavioral Studies, 69–87. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-1052-0.ch004.

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The changing nature of higher education systems and academic work all around the world generally and in Turkey specifically highlight the need for academics to use, analyze, and process so much information simultaneously, and deliver results at a specific period of time, which cause them mental workload. Thus, this chapter addresses the problem of understanding and exploring the dynamics of mental workload in Turkish academic setting. The main data for the analysis comes from a wide field research, including 505 questionnaires and 45 in-depth interviews with academics in various universities of Turkey. The mixed methods research revealed that growing publication pressures, administrative work, teaching and supervision hours, the unpredictability of academic positions, the curse of flexibility, and the bureaucratic nature of universities are some of the factors, leading to mental workload in Turkish academia. The other dynamics, such as academic incentive system, demanding nomination/promotion criteria, lack of family-work life balance, were also explored.
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Rohr, Dirk. "A Plea for Mixed Methods Research in the Field of Counseling." In Counseling and Therapy - Recent Developments in Theories and Concepts [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.104781.

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We need more research in counseling if we want to strengthen counseling as a profession and if we want to implement counseling in mental health systems. Thus, the research should be multiple dimensional. This chapter is a plea for mixed-methods research (MMR) designs in the field of counseling. Even if MMR is very elaborate, it is worth doing. By way of example, I would like to briefly outline three of my projects, using MMR. The first one is a mixed methods research study on the video-based counseling method Marte Meo. The second project is one concerning genograms. Genograms are an integral part of therapy and counseling. The third MMR project is an elaborate research project which we carry out on behalf of the “Deutsche Gesellschaft für Beratung”, the German National Association for Counseling (Member of the European Association for Counseling, EAC, and the International Association for Counseling, IAC) to develop a German qualifications framework for Counseling—in the context of the European Qualifications Framework (EQF). Finally, I refer to Guetterman et al. who provide some empirical evidence for researchers who wish to take full advantage of mixed methods to address pressing clinical and public health issues.
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Przysucha, Mareike, Lara Peters, Andreas Büscher, Martin Schnellhammer, and Ursula Hübner. "What Went Wrong in eMedCare? Formative Evaluation of an IT Project in Primary Care in Two Rural Districts." In Studies in Health Technology and Informatics. IOS Press, 2022. http://dx.doi.org/10.3233/shti220807.

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Introduction: The interaction between nurses and physicians in the primary care setting is challenging with regard to structural, process and technical barriers. In order to overcome these barriers, the eMedCare project was launched and a commercial system was implemented. Objective: This study aimed at a formative evaluation of the project. The findings should be used retrospectively to understand the failure of the project. Methods: To this end, two rounds of qualitative interviews with 10 respectively 8 healthcare providers were performed. Results: The interviews revealed a mixed benefit. Difficulties arose because the initial aim to monitor patients shifted towards improving the communication between the providers, partly due to the poor usability of the monitoring system. Additional workload was imposed because the system was not interoperable with the institutional IT systems. Conclusion: Projects with an unclear or shifting vision and focus seem to be susceptible to failure. The secure communication applications could have been realised on the intended scale if the national Telematikinfrastruktur had been in place.
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Conference papers on the topic "Mental health; rural; mixed methods"

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Penman, Joy, and Kerre A Willsher. "New Horizons for Immigrant Nurses Through a Mental Health Self-Management Program: A Pre- and Post-Test Mixed-Method Approach." In InSITE 2021: Informing Science + IT Education Conferences. Informing Science Institute, 2021. http://dx.doi.org/10.28945/4759.

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Aim/Purpose: This research paper reports on the evaluation of a mental health self-management program provided to immigrant nurses working at various rural South Australian aged care services. Background: The residential aged care staffing crisis is severe in rural areas. To improve immigrant nurses’ employment experiences, a mental health self-management program was developed and conducted in rural and regional health care services in South Australia. Methodology: A mixed approach of pre- and post-surveys and post workshop focus groups was utilized with the objectives of exploring the experiences of 25 immigrant nurses and the impact of the mental health program. Feminist standpoint theory was used to interpret the qualitative data. Contribution: A new learning environment was created for immigrant nurses to learn about the theory and practice of maintaining and promoting mental health. Findings: Statistical tests showed a marked difference in responses before and after the intervention, especially regarding knowledge of mental health. The results of this study indicated that a change in thinking was triggered, followed by a change in behaviour enabling participants to undertake self-management strategies. Recommendations for Practitioners: Include expanding the workshops to cover more health care practitioners. Recommendations for Researchers: Feminist researchers must actively listen and examine their own beliefs and those of others to create knowledge. Extending the program to metropolitan areas and examining differences in data. E technology such as zoom, skype or virtual classrooms could be used. Impact on Society: The new awareness and knowledge would be beneficial in the family and community because issues at work can impact on the ability to care for the family, and there are often problems around family separation. Future Research: Extending the research to include men and staff of metropolitan aged care facilities.
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D'Couto, H., J. Mugerwa, M. Tayebwa, E. Nuwagira, D. Muyanja, B. Kakuhikire, N. Lam, et al. "Impact of a Solar Lighting Interventional Trial on Non-Health Outcomes in Rural Uganda: A Mixed Methods Study." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a3649.

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Pretorius, Claudette, Darragh McCashin, Naoise Kavanagh, and David Coyle. "Searching for Mental Health: A Mixed-Methods Study of Young People's Online Help-seeking." In CHI '20: CHI Conference on Human Factors in Computing Systems. New York, NY, USA: ACM, 2020. http://dx.doi.org/10.1145/3313831.3376328.

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Brown, Naomi. "Supporting Student Mental Health and Wellness: A Mixed-Methods Analysis on Teacher Competency and Well-Being." In 2022 AERA Annual Meeting. Washington DC: AERA, 2022. http://dx.doi.org/10.3102/1885179.

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Johnson, Nathan G., and Kenneth M. Bryden. "Establishing Consumer Need and Preference for Design of Village Cooking Stoves." In ASME 2013 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/detc2013-13629.

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In some villages the use of wood cooking stoves accounts for more than three-quarters of total village energy use. Because of this the design of clean, affordable, and desirable cooking stoves can have a dramatic impact on human health and the local economy. Unfortunately, too often development projects fail. For example, an estimated 30% of water projects in sub-Saharan Africa have failed prematurely in the last 20 years, and only 10% of cooking stove programs started in the 1980s were operational two years after startup. Similar anecdotal evidence suggests a mixed record of success for other energy, infrastructure, health, and sanitation projects in the developing world. In part, these failures occur because of a lack of design questions and design methods to identify consumer need and preference during the problem definition phase of the product design. Because isolated rural villages are generally far from the design engineers’ previous experiences it is even more important to gather in-depth primary data in isolated rural villages. Based on data collected during in-depth field visits to villages in rural West Africa during a village energy study this paper proposes a structured process for collecting the data necessary to design cookstoves that meet local needs, fit within local contexts, and create an aspirational experience that fosters a sustainable solution.
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Woodhead, C., M. Khondoker, and R. Raine. "PL01 The impact of co-located welfare advice in primary healthcare settings on mental health and health service use: a mixed methods evaluation." In Society for Social Medicine, 61st Annual Scientific Meeting, University of Manchester, 5–8 September 2017. BMJ Publishing Group Ltd, 2017. http://dx.doi.org/10.1136/jech-2017-ssmabstracts.100.

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Al Shamari, Badriya, and Lily OHara. "Depression in patients with spinal injury in Qatar: a mixed-methods study." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2021. http://dx.doi.org/10.29117/quarfe.2021.0107.

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Background: There is a high prevalence of depression in people with spinal injury. It has a major negative influence on health and performance of daily living activities following the injury. Social support plays an important role in the recovery process of patients. Objectives: The objectives of the study were to determine the prevalence of depression; identify the association between the level of depression and the cause and site of spinal injury, sociodemographic factors, and social support; and explore the experiences of depression in patients with spinal injury in Qatar. Methods: A cross-sectional mixed-methods study was conducted. All patients admitted to Hamad Medical Corporation in 2020 with spinal injury were surveyed using an interviewer-administered questionnaire in Arabic, English or Hindi. Depression was assessed using the Patient Health Questionnaire-9 (PHQ-9). The Social Support Survey was used to assess overall social support and four specific aspects of social support. Demographic data were collected. The cause and site of injury were obtained from patient records. Semi-structured interviews were conducted with purposively selected participants. Results: A total of 106 participants participated in the survey. In-depth interviews were conducted with 12 participants. For the survey component, the average age of participants was 35.82±10.00 years, the majority were males (94.3%), and 69% had some level of depression (mild: 28%, minimal: 25.5%, and moderate to severe: 15%). Depression was not associated with socio-demographic factors or the cause or site of spinal injury. Emotional/informational support and positive social interaction were inversely correlated with depression scores. The interviews revealed that spinal injury had a negative impact on participants’ daily lives and their physical, mental, social, and spiritual wellbeing. Emotional/informational support and positive social interaction were both inversely correlated with depression. This was consistent with the findings of the interviews, which highlighted the important role of social support in improving participants’ ability to cope with their new situation. Conclusion: Depression is prevalent among patients with spinal injury. Early detection, referral, and treatment of depression are recommended. Strategies to enhance emotional/informational support and positive social interaction should be developed and tested in patients with spinal injury.
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Sulaiman, Ruba, Sara Ismail, Maguy ElHajj, Mujahed Shraim, Tanya Kane, and Alla El-Awaisi. "Exploring QU Health Students' Experiences of Burnout, Anxiety, and Empathy during the COVID-19 Pandemic: A Mixed Method Study." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2021. http://dx.doi.org/10.29117/quarfe.2021.0131.

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Background Students' mental health is a growing concern. COVID-19 pandemic resulted in academic and non-academic challenges which caused students' burnout, anxiety, and reduced empathy. Objectives The study objectives were to assess burnout amongst QU Health students, determine the relationship between burnout and anxiety, and burnout and empathy, and to determine the students coping strategies. Methods A convergent mixed-methods design was used: (1) a cross-sectional survey using validated instruments. Maslach Burnout Inventory-General Students Survey (MBI-GS(S)) to measure burnout, Generalized Anxiety Disorder 7-item Scale (GAD-7) to measure anxiety, and Interpersonal Reactivity Index (IRI) to measure empathy; (2) focus groups to get a deeper insight of the students' experiences and coping strategies. Descriptive and multivariate statistical analyses were used for the survey while the focus groups were analysed using deductive thematic analysis following the coping reserve model. Results 21.45% of students responded to the survey. Burnout was reported according to the subscales. MBI-Exhaustion (MBI-EX) subscale (mean= 4.07, SD= 1.56), MBI-Cynicism (MBI-CY) subscale (mean= 2.63, SD= 1.53), and MBI-Professional Efficacy (MBI-PE) subscale (mean= 3.97, SD= 1.22). MBI-EX and MBI-CY were associated with GAD-7 scores. MBI-EX and MBI-CY were associated with IRI-Empathic Concern (IRI-EC) and IRI-Personal Distress (IRI-PD) while MBI-PE was associated with IRI-Perspective Talking (IRI-PT) and IRI-EC. The students used many coping strategies to build resilience. Conclusion QU Health students experienced burnout during the spring 2020 semester. Many burnout causes and coping strategies were identified. It is suggested for QU to start mentorship programs and mental health initiatives to promote students' resilience.
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Liu, Xuhui, Yifan Yu, and Xin Sui. "Neighborhood Environment and the Elderly’s Subject Well-being." In 55th ISOCARP World Planning Congress, Beyond Metropolis, Jakarta-Bogor, Indonesia. ISOCARP, 2019. http://dx.doi.org/10.47472/evqy6355.

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Background: In the context of an aging society, the physical and mental health and quality of life of the elderly have received more and more attention. Among them, in the field of mental health of the elderly, subject well-being is an important concern. Many studies have shown that the environment has a certain impact on people's mental health. In the field of landscape, public health and architecture, most of the studies focus on the natural environment, including the number and proportion of green space, the distance to green space, the characteristics of green space, as well as the building density, building form, road network density and layout in the built environment. However, in China, the specific environment elements that are more comprehensive and more closely linked with urban planning and management need to be studied. Objectives: Relevant research shows that more than 80% of the activities of the elderly are completed within 1 km of the neighborhood. This study takes neighborhood environment as the main research area and research object. The objectives include: 1, to find the status of the elderly’s subject well-being in Shanghai; 2, to find the impact of the neighborhood environmental factors on the subject well-being of the elderly; and therefore, 3, to put forward some suggestions for neighborhood planning to promote the subject well-being of the elderly. Methods: Based on the data of the Fourth Survey on the Living Conditions of the Elderly in Urban and Rural Areas of China, 3431 urban residential samples in Shanghai were selected and analyzed in this study. The subject well-being comes from the question, "General speaking, do you feel happy?" Options include five levels, ranging from very happy to very unhappy. According to the existing literature and the specific requirements of Shanghai urban planning compilation and management, the environmental factors are summarized as 20 indicators in four aspects: natural environment, housing conditions, urban form and facility environment. According to the sample address, the environmental factors indicators are calculated in GIS. The data are analyzed by the method of path analysis in Mplus7.4. Results: 70.9% of the respondents felt very happy or happy, while only 2.2% of the respondents said they were unhappy or very unhappy. Non-agricultural household registration, higher education, better self-rated economic status of the elderly, the better of the subject well-being of the elderly. Under the control of the basic characteristics and socio-economic attributes of the elderly, the per capita green space area, housing construction area, road network density and location conditions have a significant impact on the well-being of the elderly. Conclusion: Under the control of socio-economic variables, community environment can significantly affect the subjective well-being of the elderly. In the planning of community life circle, improving the level of green space per capita in the community, improving the housing conditions of the elderly, and building a high-density road network system are effective measures to promote the subject well-being of the elderly.
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Brenneke, Savannah, Courtney Nordeck, Kira Riehm, Ian Schmid, Kayla Tormohlen, Emily Smail, Renee Johnson, Luther Kalb, Elizabeth Stuart, and Johannes Thrul. "Trends in cannabis use among US adults amid the COVID-19 pandemic." In 2021 Virtual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2022. http://dx.doi.org/10.26828/cannabis.2022.01.000.23.

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Background: The COVID-19 pandemic has had an impact on mental health and alcohol use in the US, however there is little research on its impacts on cannabis use. Considering the role of cannabis as a coping strategy or self-medicating behavior, there is a need to understand how individuals who use cannabis have adapted their use amid the pandemic. Therefore, this study examined changes in self-reported cannabis use among US adults in the context of COVID-19 pandemic by (1) describing trends of use during the first 8 months of the pandemic among adults who used cannabis in this period; and (2) characterizing trajectories of use within sociodemographic subgroups and by state cannabis policy status. Methods and Findings: The sample consisted of 1,761 US adults who used cannabis at least once during the 8 month study period from the nationally representative Understanding America Study. Linear mixed-effect models were used to model changes in the number of days of past-week cannabis use across 16 waves from March 10, 2020, to November 11, 2020. Compared to early March, the number of days cannabis was used per week was significantly higher at the start of April (β=0.11, 95% CI=0.03, 0.18) and May (β=0.21,95% CI=0.05, 0.36). In subsequent months (June - November), the number of days of cannabis use returned to levels comparable to early March. Trajectories of cannabis use across the study period generally did not differ across sociodemographic groups. Conclusions: In the US, adults who used cannabis reported statistically significant increases in cannabis use days at the start of the pandemic (April - May 2020), compared to March 2020, in the overall sample and among several sociodemographic groups. In Summer and Fall 2020, cannabis use days attenuated to levels comparable to March. Though increases in use were marginal among many groups, the evolving pandemic and the growing concern for the mental health of segments of the U.S. population warrant close monitoring of coping behaviors, including substance use.
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Reports on the topic "Mental health; rural; mixed methods"

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Ellins, Jo, Lucy Hockings, Mustafa Al-Haboubi, Jenny Newbould, Sarah-Jane Fenton, Kelly Daniel, Stephanie Stockwell, et al. Early evaluation of the Children and Young People’s Mental Health Trailblazer programme: a rapid mixed-methods study. NIHR, December 2022. http://dx.doi.org/10.3310/hsdr-tr-130818.

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Hatef, Elham, Renee F. Wilson, Susan M. Hannum, Allen Zhang, Hadi Kharrazi, Jonathan P. Weiner, Stacey A. Davis, and Karen A. Robinson. Use of Telehealth During the COVID-19 Era. Agency for Healthcare Research and Quality (AHRQ), January 2023. http://dx.doi.org/10.23970/ahrqepcsrcovidtelehealth.

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Objectives. To assess how to provide telehealth care by identifying characteristics of telehealth delivery, patient populations, settings, benefits and harms, and implementation strategies during the COVID-19 era. Data sources. PubMed®, CINAHL®, PsycINFO®, and the Cochrane Central Register of Controlled Trials were searched from March 2020 to May 2022. Additional studies were identified from reference lists and experts. Review methods. We included studies that reported characteristics of telehealth use; benefits and harms of telehealth; factors impacting the success of telehealth, including satisfaction/dissatisfaction and barriers/facilitators; and implementation outcomes. We conducted a mixed-methods review, synthesizing quantitative and qualitative studies. Two reviewers independently screened search results for eligibility, serially extracted data, and independently assessed risk of bias of included studies. Results. We included 764 studies; 310 studies were included in our syntheses. Patients using telehealth were more likely to be people who are young to middle-aged, female, White, of higher socioeconomic status, and living in urban settings. Visits for mental and behavioral health conditions were more frequent than visits for other conditions, and mental or behavioral care was also more likely to be delivered via telehealth than care for other conditions. Across a variety of conditions, telehealth produced similar clinical outcomes as compared with in-person care. Telehealth care is appropriate for some patients, but more information is necessary to determine the suitability of telehealth for specific patient populations; patients and providers felt that telehealth may be less suitable and less desirable for patients with complex clinical conditions; and some patients perceive telehealth as a barrier to improved health outcomes owing to the absence of a physical exam and challenges in developing rapport and communicating with their care team. There was a lack of evidence addressing implementation cost, penetration, and sustainability of telehealth, and about telehealth implementation at the health system level. Conclusions. Whereas telehealth use spiked after the beginning of the pandemic, the characteristics of patients using telehealth follow a pattern similar to that for other healthcare and digital health services. We found that the use of telehealth may be comparable to in-person care across different clinical and process outcomes. Telehealth implementation has addressed the needs of both patients and providers to some extent, even as clinical conditions, patient and provider characteristics, and type of assessment varied. Telehealth has provided a viable alternative mode of care delivery during the pandemic and holds promise for the future.
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