47 research outputs found

    Specific aspects of social anxiety related to children\u27s peer sociometric status

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    The present study examined the association between specific aspects of social anxiety and sociometric status. Participants included 268 children in grades 4, 5, and 6. The children completed the Social Anxiety Scale for Children-Revised (SASC-R) and the Social Phobia and Anxiety Inventory for Children (SPAI-C). A sociometric nomination procedure was used to categorize participants into sociometric status groups (i.e., neglected, rejected, controversial, popular, and average). Results replicated and extended previous literature. Neglected children scored the highest on both measures of social anxiety, followed by rejected children. This was one of the first investigations to associate socometric status with SPAI-C factor scores, with neglected children scoring the highest on Cognitive and Physiological Symptoms, Avoidance, and Public Performance factors. Based on these findings, implications for social anxiety prevention and intervention are discussed

    Determinants of Reproductive Freedom Among Israeli Women ages 18-50: A mixed methods study

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    Introduction: Reproductive freedom is a social determinant of health (SDOH) that reduces health disparities and increases health equity. Through the National Health Insurance Plan, Israeli women can access a range of contraceptive methods. Scant data on Israeli women limits development of policies and interventions to meet international benchmarks for reproductive freedom. The purpose of this dissertation study is to synthesize current international multidisciplinary literature using the capability approach for reproductive freedom, explore determinants of reproductive freedom among Israeli women ages 18-50 using Nussbaum\u27s capability approach, and make recommendations for nursing research, practice, and theory. Methodology: Using Whittemore and Knafl’s framework, and integrative literature was conducted in December 2019. A subsequent convergent social justice mixed-methods study was conducted in 2020-2021. Results: The integrative review resulted in 14 Studies originating from 5 disciplines. No nursing or biomedical articles were found. Extracted themes included: history of capability approach, methodologies, operationalization, and application in different economic environments. Results of the quantitative analysis confirmed the qualitative results. Overall, participants reported high capability for women’s health. Significant determinants of reproductive freedom included geographical location, language, educational level, and religion. Discussion: Until now, lack of data presented a major barrier to understanding social, cultural, political, and economic determinants of reproductive freedom. The results of these studies suggest that more research is needed in rural areas of Israel and among vulnerable populations. Identifying gaps and barriers to accessing services may help create policies that increase women’s freedom to make sexual and reproductive health choices

    Communication-specific Coping Following Severe Traumatic Brain Injury

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    Impaired communication is a well-established and enduring consequence of severe traumatic brain injury (TBI). As a result, people with severe TBI spend a lot of time attempting to cope with communication breakdown. Coping responses are the cognitive and behavioural efforts we make to moderate the impact of stressful situations. Dispositional coping responses reflect an individual general style of coping and can be used across different types of stressful situations. In contrast, situational coping responses are context-specific strategies that are used in a particular type of stressful situation. Dispositional coping has increasingly been the focus of research in the TBI population and has been found to play a significant role in shaping long-term outcome. While the importance of situation-specific coping has been raised in the literature, communication-specific coping has not been investigated in any depth. This study was undertaken as a preliminary investigation into the relationship between communication-specific coping and social participation. The first aim was to make a comparison between the communication-specific coping strategies used by adults with severe TBI and healthy adults. The second aim was to evaluate the association between coping strategies used and social participation

    A Randomized Clinical Trial of Vapocoolant for Pediatric Immunization Pain Relief

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    OBJECTIVES: The purpose of the current study was to evaluate the effectiveness of vapocoolant for preschoolers’ immunization injection pain relief. STUDY DESIGN: 57 4- to 6-year-old children were randomized to vapocoolant alone or typical care conditions. Pain was measured at baseline and at injection via self-report, caregiver-report, nurse-report, and an observational scale. RESULTS: Self-report suggested that children in the vapocoolant alone condition demonstrated stronger increases in pain from baseline to injection than typical care. All other measures showed significant increases in pain from baseline to injection, but none indicted treatment effects. CONCLUSIONS: Consistent with prior studies, vapocoolant might not be an effective pain-management intervention for children’s intramuscular injections

    Randomized Clinical Trial of Distraction for Infant Immunization Pain

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    Distraction has been shown to be an effective technique for managing pain in children; however, few investigations have examined the utility of this technique with infants. The goal of the current study was to investigate the effectiveness of movie distraction in reducing infants’ immunization distress. Participants were 136 infants (range = 1 to 21 months; M = 7.6 months, SD = 5.0 months) and their parents, all of whom were recruited when presenting for routine vaccinations. The parent-child dyads were randomly assigned to either a Distraction or Typical Care control condition. Infant and adult behaviors were assessed using a visual analog scale and a behavioral observation rating scale. Results indicated parents in the Distraction group engaged in higher rates of distraction than those in the Typical Care group, whereas there was no difference in the behavior of nurses in the Distraction and Typical Care groups. In addition, infants in the Distraction group displayed fewer distress behaviors than infants in the Typical Care group both prior to and during recovery from the injection. Findings suggest that a simple and practical distraction intervention can provide some distress relief to infants during routine injections

    Determining who responds better to a computer vs. human-delivered physical activity intervention: Results from the community health advice by telephone (CHAT) trial

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    Background Little research has explored who responds better to an automated vs. human advisor for health behaviors in general, and for physical activity (PA) promotion in particular. The purpose of this study was to explore baseline factors (i.e., demographics, motivation, interpersonal style, and external resources) that moderate intervention efficacy delivered by either a human or automated advisor. Methods Data were from the CHAT Trial, a 12-month randomized controlled trial to increase PA among underactive older adults (full trial N = 218) via a human advisor or automated interactive voice response advisor. Trial results indicated significant increases in PA in both interventions by 12 months that were maintained at 18-months. Regression was used to explore moderation of the two interventions. Results Results indicated amotivation (i.e., lack of intent in PA) moderated 12-month PA (d = 0.55, p \u3c 0.01) and private self-consciousness (i.e., tendency to attune to one’s own inner thoughts and emotions) moderated 18-month PA (d = 0.34, p \u3c 0.05) but a variety of other factors (e.g., demographics) did not (p \u3e 0.12). Conclusions Results provide preliminary evidence for generating hypotheses about pathways for supporting later clinical decision-making with regard to the use of either human- vs. computer-delivered interventions for PA promotion

    A global perspective of advanced practice nursing research:a review of systematic reviews protocol

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    INTRODUCTION: In 2020, the World Health Organization called for the expansion and greater recognition of all nursing roles, including advanced practice nurses (APNs), to better meet patient care needs. As defined by the International Council of Nurses (ICN), the two most common APN roles include nurse practitioners (NPs) and clinical nurse specialists (CNSs). They help ensure care to communities as well as patients and families with acute, chronic or complex conditions. Moreover, APNs support providers to deliver high quality care and improve access to services. Currently, there is much variability in the use of advanced practice nursing roles globally. A clearer understanding of the roles that are in place across the globe, and how they are being used will support greater role harmonization, and inform global priorities for advanced practice nursing education, research, and policy reform. OBJECTIVE: To identify current gaps in advanced practice nursing research globally. MATERIALS AND METHODS: This review of systematic reviews will provide a description of the current state of the research, including gaps, on advanced practice nursing globally. We will include reviews that examine APNs, NPs or CNSs using recognized role definitions. We will search the CINAHL, EMBASE, Global Health, HealthStar, PubMed, Medline, Cochrane Library Database of Systematic Reviews and Controlled Trials Register, Database of Abstracts of Reviews of Effects, Joanna Briggs Institute, and Web of Science electronic databases for reviews published from January 2011 onwards, with no restrictions on jurisdiction or language. We will search the grey literature and hand search the reference lists of all relevant reviews to identify additional studies. We will extract country, patient, provider, health system, educational, and policy/scope of practice data. We will assess the quality of each included review using the CASP criteria, and summarize their findings. This review of systematic reviews protocol was developed following the PRISMA-P recommendations. PROSPERO REGISTRATION NUMBER: CRD42021278532

    Does Respondent Driven Sampling Alter the Social Network Composition and Health-Seeking Behaviors of Illicit Drug Users Followed Prospectively?

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    Respondent driven sampling (RDS) was originally developed to sample and provide peer education to injection drug users at risk for HIV. Based on the premise that drug users' social networks were maintained through sharing rituals, this peer-driven approach to disseminate educational information and reduce risk behaviors capitalizes and expands upon the norms that sustain these relationships. Compared with traditional outreach interventions, peer-driven interventions produce greater reductions in HIV risk behaviors and adoption of safer behaviors over time, however, control and intervention groups are not similarly recruited. As peer-recruitment may alter risk networks and individual risk behaviors over time, such comparison studies are unable to isolate the effect of a peer-delivered intervention. This analysis examines whether RDS recruitment (without an intervention) is associated with changes in health-seeking behaviors and network composition over 6 months. New York City drug users (N = 618) were recruited using targeted street outreach (TSO) and RDS (2006–2009). 329 non-injectors (RDS = 237; TSO = 92) completed baseline and 6-month surveys ascertaining demographic, drug use, and network characteristics. Chi-square and t-tests compared RDS- and TSO-recruited participants on changes in HIV testing and drug treatment utilization and in the proportion of drug using, sex, incarcerated and social support networks over the follow-up period. The sample was 66% male, 24% Hispanic, 69% black, 62% homeless, and the median age was 35. At baseline, the median network size was 3, 86% used crack, 70% used cocaine, 40% used heroin, and in the past 6 months 72% were tested for HIV and 46% were enrolled in drug treatment. There were no significant differences by recruitment strategy with respect to changes in health-seeking behaviors or network composition over 6 months. These findings suggest no association between RDS recruitment and changes in network composition or HIV risk, which supports prior findings from prospective HIV behavioral surveillance and intervention studies
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