Call for papers: case studies of applied health psychology practice, implementation and knowledge translation experiences

Since our Spring 2019 call for papers (Cross & Sheffield, 2019) for the new Health Psychology Practice, Consultancy and Training section of Health Psychology Update (HPU) we have been fortunate to receive articles highlighting the value and impact of health psychology in practice within varied settings and contexts. We have featured practice articles on working as a health psychologist in community settings for adults with learning disabilities (Bains & Turnbull, 2019), public health (Lawes-Wickwar & Begum, 2020), the NHS (Anderson 2019) and the development of a student-delivered University health coaching service (Cooper, Allan, Dunsmore, Johnston & Leighton-Beck, 2020). To build on our progress in raising the profile of applied health psychology practice, we would like to invite articles on the following themes: (1) knowledge translation, featuring experiences of translating research into practice; (2) implementation, experiences of designing and delivering applied health psychology practice or interventions. We invite a range of flexible formats for presenting your work such as reflective accounts, case study reports or protocols of works in progress and lessons learned to date. HPU aims to provide an opportunity for anyone working in applied health psychology to share their work and projects in order to raise the profile of health psychology. If you would like to share your work with the health psychology community, please email your expression of interest to: [email protected] and [email protected]/

Forget cancer, let's MOVE: a behaviour change support model for physical activity for young people during and after cancer

Abstract: This paper describes a model of behaviour change support for a referral physical activity cancer service for young people. The service is underpinned by the self-determination (Deci & Ryan, 2008) principles of autonomy, competence, and relatedness. A range of tailored physical activity programmes are provided in community, in-patient and online settings. Each young person receives behaviour change support from motivational interviewing, which incorporates mental contrasting and implementation intentions. This paper seeks to share practice on how health psychology theory and techniques have been applied in order to support young people to be more physically active, both during and after their cancer treatment. Additionally, we share our experiences of providing consultancy to shape service development and planning.N/

Mindfulness for pain, depression, anxiety, and quality of life in people with spinal cord injury: a systematic review

Background: Populations with reduced sensory and motor function, such as spinal cord injury (SCI) are at increased risk of depression, anxiety, pain, and poorer quality of life (QoL). Mindfulness-Based Interventions (MBIs) have been developed with the aim of improving outcomes for people with SCI. To understand the value of MBIs, a systematic review was conducted pertaining to the use of MBIs, and interventions including elements of mindfulness, with people with SCI. Methods: Databases were reviewed from 1996 to October 2018 (updated January 2020). Eligibility criteria included the assessment of at least one of the common secondary consequences of SCI (i.e. risk of depression, anxiety, pain, and QoL), describe the use of mindfulness training as a component part of an intervention, or as the whole intervention. The Cochrane Collaboration Risk of Bias and The Effective Public Health Practice Project Quality Assessment Tools were utilised for quality appraisals. Two assessors appraised the studies and demonstrated good agreement (Cohen’s k = .848, p < .001). Results: Five papers met the inclusion criteria, and demonstrated a range of results of interventions delivered individually, in a group format, in person, and online. Only one study reported significant reductions in pain-related outcomes (with moderate effect sizes), with the remaining studies (n = 4) demonstrating no change. Four studies described reductions in depressive symptoms and three reported reductions in anxiety. Despite the importance of good QoL as a goal for people with SCI, few studies (n = 2) assessed this as an outcome with no improvements reported. Study quality ranged from high to low/weak. Conclusions: The findings in this review provide mixed support for the use of mindfulness to improve outcomes after SCI. In particular, findings indicate that mindfulness may be particularly effective for improving symptoms of depression and anxiety. This review highlights the requirement for more rigorous, high-quality research, particularly larger randomised-controlled trials with long-term follow-up, in this area. The small number of studies included in the present review mean that conclusions drawn are preliminary and thus reflects the paucity of the research in the area to date

Setting up and initiating patient public involvement (PPI) as a collaborative process benefits research in its early stages

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Raising the profile of health psychology training, consultancy and practice issues through the new Health Psychology Update sub-section.

A call for papers that share experiences or learning at any stage of a consultancy project, such as the negotiating, pitching and carrying out needs assessment for consultancy, as well as reflections on the outcomes or implementation of applied health psychology work. We are also looking for ‘works in progress’ describing treatment models, the development of applied practice roles for health psychologists or trainees, as well as self-reflections of the experiences of consultancy and applied practice. Contributions are welcomed to provide vital learning for trainee Health Psychologists (HPs) or established HPs looking to upskill in a different area.N/

What is the role of stress cardiovascular reactivity in health behaviour change? A systematic review, meta-analysis and research agenda

OBJECTIVE: The stress reactivity hypothesis posits that the extremes of exaggerated and low or blunted cardiovascular reactivity (CVR) to stress may lead to adverse health outcomes via psychophysiological pathways. A potential indirect pathway between CVR and disease outcomes is through health-related behaviour and behaviour change. However, this is a less well understood pathway. Design: A registered systematic review was undertaken to determine the association between cardiovascular reactivity (CVR) and health behaviour change, as well as identify mediators and moderators. Eight papers that met the inclusion criteria, focused on smoking cessation and weight loss, were identified. Results: Pooling data from studies exploring the prospective relationship between CVR (as systolic blood pressure) and smoking cessation found that exaggerated CVR was associated with smoking relapse (Hedges' g = 0.39, SE = 0.00, 95% CI 0.38 - 0.40, p < .001; I2 = 0%; N = 257) but did not find evidence that CVR responses were associated with changes in weight. In order to advance our understanding of reactivity as a modifiable determinant of health behaviour change, our review recommends exploring the association between CVR and other health behaviours, to determine the influence of blunted reactivity versus low motivational effort identify mediators and moderators and determine the focus of interventions

The impact of patient participation direct enhanced service on patient reference groups in primary care: a qualitative study.

NHS policy documents continue to make a wide-ranging commitment to patient involvement. The Patient Participation Direct Enhanced Service (PP-DES), launched in 2011, aimed to ensure patients are involved in decisions about the range and quality of services provided and commissioned by their practice through patient reference groups (PRGs). The aim of this exploratory study is to review the impact of the PP-DES (2011-13) on a sample of PRGs and assess how far it has facilitated their involvement in decisions about the services of their general practices.The National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Leicestershire, Northamptonshire and Rutland (LNR)

An integrative systematic review of creative arts interventions for older informal caregivers of people with neurological conditions.

We aimed to assess and synthesise the current state of quantitative and qualitative research concerning creative arts interventions for older informal caregivers of people with neurological conditions. A systematic search was employed to identify studies that examined creative arts interventions for older informal caregivers, which were synthesised in this integrative review. We searched the following databases: MEDLINE, PubMed, EBSCO, CINAHL, EMBASE, PsycINFO, Cochrane Library, Scopus, Web of Science, and Google Scholar. We also backwards searched references of all relevant studies and inspected trials registers. Of the 516 studies identified, 17 were included: one was quantitative, nine were qualitative and seven used mixed methods. All included quantitative studies were pilot or feasibility studies employing pre- and post-test design with small sample sizes. Studies varied in relation to the type of creative intervention and evaluation methods, which precluded meta-analysis. Large effect sizes were detected in wellbeing measures following singing and art interventions. The qualitative synthesis highlighted that interventions created space for caregivers to make sense of, accept and adapt to their identity as a caregiver. Personal developments, such as learning new skills, were viewed positively by caregivers as well as welcoming the opportunity to gain cognitive and behavioural skills, and having opportunities to unload emotions in a safe space were important to caregivers. Group creative interventions were particularly helpful in creating social connections with their care-recipients and other caregivers. The current review revealed all creative interventions focused on caregivers of people living with dementia; subsequently, this identified gaps in the evidence of creative interventions for informal caregivers of other neurological conditions. There are encouraging preliminary data on music and art interventions, however, little data exists on other art forms, e.g., drama, dance. Creative interventions may appeal to many caregivers, offering a range of psycho-social benefits. The findings of the current review open the way for future research to develop appropriate and creative arts programmes and to test their efficacy with robust tools.N/

‘People don't get cancer, families do’: Co-development of a social physical activity intervention for people recently affected by a cancer diagnosis

Objective: This research took a co-design approach to develop a social intervention to support people affected by a cancer diagnosis to be physically active. Methods: We conducted semi-structured interviews with five key stakeholder groups: (1) adults with a recent breast or prostate cancer diagnosis; (2) family and friends of cancer patients; (3) healthcare professionals; (4) physical activity providers; and (5) cancer charity representatives. Inductive content analysis was used to identify themes in the data. We then worked with a subset of participants to co-develop the intervention. Results: Participants welcomed the idea of a social approach to a physical activity intervention. Input was received on the timing and format of delivery, how to communicate about physical activity to cancer patients and their family and friends and the types of physical activity that would be appropriate. Our findings suggest that interventions need to be flexible in terms of timing and delivery and offer a wide range of physical activity options. These findings directly informed the co-development of ‘All Together Active’. Conclusion: All Together Active is designed to support cancer patients and their family and friends to be active throughout treatment and beyond, benefiting their physical and mental health

Mental contrasting for health behaviour change: a systematic review and meta-analysis of effects and moderator variables

Mental contrasting is a self-regulation imagery strategy that involves imagining a desired future and mentally contrasting it with the present reality, which is assumed to prompt the individual to realise that action is required to achieve the desired future. Research has combined mental contrasting with implementation intentions (MCII) (‘if-then’ plans), which is hypothesised to strengthen the effects. A systematic review was conducted to evaluate the effectiveness of mental contrasting for improving health-related behaviours. A meta-analysis (N = 1528) using random effects modelling found a main effect of mental contrasting on health outcomes, adjusted Hedges’ g = 0.28 (SE = .07), 95% CI [0.13–0.43], p < .001 at up to four weeks, and an increased effect at up to three months (k = 5), g = 0.38 (SE = 0.6), CI [0.20–0.55], p < .001. The combination of mental contrasting with implementation intentions (MCII; k = 7) showed a similar effect, g = 0.28, CI [0.14–0.42], p < .001. Mental contrasting shows promise as a brief behaviour change strategy with a significant small to moderate-sized effect on changing health behaviour in the short-term. Analysis on a small subset of studies suggested that the addition of implementation intentions (MCII) did not further strengthen the effects of mental contrasting on health behaviours, although additional studies are needed.N/