Working from home, health and wellbeing consequences of a pandemic

Drawing from a survey of 1,165 Sydney (Australia) workers conducted in late 2020, when restrictions from the first COVID-19 wave were easing across Australia, we explore the impact of the pandemic on perceived changes to working from home (WfH) and other travel behaviours. Based on this analysis, we identify three distinct segments of the population with differing physical activity (PA) and quality of life (QoL) outcomes: (1) ‘Active but Anxious’ (22%) – younger, higher income, largest increase in WfH, sitting most of the day, sufficient PA; (2) ‘Less Change, Less Worries’ (38%) – older and male, least change in WfH, sitting relatively less, largely sufficient PA; (3) ‘Stressed and Sedentary’ (40%) – average age, lower income, largest loss of paid work, highest levels of sedentary behaviour, lowest PA and QoL. In a probable future of greater opportunities for WfH, understanding these heterogenous outcomes has implications for individuals, employers and policy-makers

Staying well after depression: trial design and protocol.

BACKGROUND: Depression is often a chronic relapsing condition, with relapse rates of 50-80% in those who have been depressed before. This is particularly problematic for those who become suicidal when depressed since habitual recurrence of suicidal thoughts increases likelihood of further acute suicidal episodes. Therefore the question how to prevent relapse is of particular urgency in this group. METHODS/DESIGN: This trial compares Mindfulness-Based Cognitive Therapy (MBCT), a novel form of treatment combining mindfulness meditation and cognitive therapy for depression, with both Cognitive Psycho-Education (CPE), an equally plausible cognitive treatment but without meditation, and treatment as usual (TAU). It will test whether MBCT reduces the risk of relapse in recurrently depressed patients and the incidence of suicidal symptoms in those with a history of suicidality who do relapse. It recruits participants, screens them by telephone for main inclusion and exclusion criteria and, if they are eligible, invites them to a pre-treatment session to assess eligibility in more detail. This trial allocates eligible participants at random between MBCT and TAU, CPE and TAU, and TAU alone in a ratio of 2:2:1, stratified by presence of suicidal ideation or behaviour and current anti-depressant use. We aim to recruit sufficient participants to allow for retention of 300 following attrition. We deliver both active treatments in groups meeting for two hours every week for eight weeks. We shall estimate effects on rates of relapse and suicidal symptoms over 12 months following treatment and assess clinical status immediately after treatment, and three, six, nine and twelve months thereafter. DISCUSSION: This will be the first trial of MBCT to investigate whether MCBT is effective in preventing relapse to depression when compared with a control psychological treatment of equal plausibility; and to explore the use of MBCT for the most severe recurrent depression--that in people who become suicidal when depressed

Reporting community involvement in autism research:Findings from the journal Autism

Participatory methods are having sweeping effects on research across the globe. To facilitate transparency around these methods, Autism introduced mandatory reporting of community involvement in January 2021. Here, we sought to determine the impact of this policy. To do so, we—a team of Autistic and non-autistic researchers—searched for articles published in Autism in 2019, two years before policy implementation, and in 2022, one year after. We read 283 eligible articles and double coded each article for general information and details of community involvement. We found a fivefold increase (10.3% pre-implementation vs. 54.5% post-implementation) in the reporting of community involvement. Most articles reported involving community members distally, in consulting roles, with researchers retaining full decision-making power. Furthermore, most community involvement was reported in more applied than basic research. A significant minority of papers (17%), however, could not be coded, owing to insufficient or vague information. While this increase in the reporting of community involvement is encouraging, more efforts need to be directed towards (i) improving the transparency in the reporting of community involvement and (ii) increasing the frequency with which community members, especially Autistic people, share decision-making power equally with researchers—or even assume control of the research process

Koinonia

Conference SpotlightA Life Calling Conceptual and Developmental Model, Bill Millard Community ConsiderationsThinking Theologically: Considering Community, Todd Ream Women\u27s IssuesWomen, Work, and Family, Cara Copeland & Melanie Hulbert Calling and CareerVocational Realization Through the Discovery of Human Assets, Tony Marchese Human SexualityCreating an Effective Human Sexuality Statement, Canaan Crane Book ReviewBono: In Conversation with Michka Assayas, reviewed by David Johnstone FeaturesThe President\u27s Corner; Editor\u27s Diskhttps://pillars.taylor.edu/acsd_koinonia/1003/thumbnail.jp

Development of an online diary for longitudinal travel / activity surveys

Motivated by the continued search for methods to reduce participant burden and non-response, and improve the quality of travel data, this paper details the development of a new online travel/activity diary to support a major longitudinal investigation of travel in Sydney, Australia. The diary employs several innovative features designed to simplify the process of data entry, and improve participant recall and completeness of travel, including auto-fills, prompts, trip editing capabilities, favourite trips and a dragand- drop technique for capturing travel mode. An additional innovation is the ability to view a GPS-based Google map of daily travel while completing the diary to assist with recall. The diary is tested on 37 participants, with a range of diagnostics provided to assess their comprehension and interaction with the diary, reaction and burden, and completeness of data provided. Overall, 89% of participants complete all seven days of the diary with 75% indicating no issues once they become accustomed to how it works. Trip entry times average around two minutes/trip with three-quarters of trips entered within 24 hours of being made and 96% of trips provided with complete details. In terms of the GPS component, while the data itself is of variable quality and the optional viewing of trips is lower than anticipated, those carrying a GPS report more trips/day and segments/day, fewer missing days, and provide more complete trip data

Mindfulness-based cognitive therapy (MBCT) reduces the association between depressive symptoms and suicidal cognitions in patients with a history of suicidal depression.

Objective: In patients with a history of suicidal depression, recurrence of depressive symptoms can easily reactivate suicidal thinking. In this study, we investigated whether training in mindfulness, which is aimed at helping patients “decenter” from negative thinking, could help weaken the link between depressive symptoms and suicidal cognitions. Method: Analyses were based on data from a recent randomized controlled trial, in which previously suicidal patients were allocated to mindfulness-based cognitive therapy (MBCT), an active control treatment, cognitive psychoeducation (CPE), which did not include any meditation practice, or treatment as usual (TAU). After the end of the treatment phase, we compared the associations between depressive symptoms, as assessed through self-reports on the Beck Depression Inventory–II (Beck, Steer, & Brown, 1996), and suicidal thinking, as assessed through the Suicidal Cognitions Scale (Rudd et al., 2001). Results: In patients with minimal to moderate symptoms at the time of assessment, comparisons of the correlations between depressive symptoms and suicidal cognitions showed significant differences between the groups. Although suicidal cognitions were significantly related to levels of symptoms in the 2 control groups, there was no such relation in the MBCT group. Conclusion: The findings suggest that, in patients with a history of suicidal depression, training in mindfulness can help to weaken the association between depressive symptoms and suicidal thinking, and thus reduce an important vulnerability for relapse to suicidal depression

A multi-scalar perspective on health and urban housing: an umbrella review

With more than half the world’s population living in cities, understanding how the built environment impacts human health at different urban scales is crucial. To be able to shape cities for health, an understanding is needed of planetary health impacts, which encompass the human health impacts of human-caused disruptions on the Earth’s natural ecosystems. This umbrella review maps health evidence across the spatial scales of the built environment (building; neighbourhood; and wider system, including city, regional and planetary levels), with a specific focus on urban housing. Systematic reviews published in English between January 2011 and December 2020 were searched across 20 databases, with 1176 articles identified and 124 articles screened for inclusion. Findings suggests that most evidence reports on health determinants at the neighbourhood level, such as greenspace, physical and socio-economic conditions, transport infrastructure and access to local services. Physical health outcomes are also primarily reported, with an emerging interest in mental health outcomes. There is little evidence on planetary health outcomes and significant gaps in the research literature are identified. Based on these findings, three potential directions are identified for future research

School-level factors associated with the sustainment of weekly physical activity scheduled in Australian elementary schools: an observational study

Background We aimed to: (1) identify school-level factors associated with the sustainment of weekly physical activity (PA) scheduled in elementary schools following withdrawal of effective implementation support; and (2) determine teacher’s perceived usefulness of suggested strategies for sustaining the scheduling of weekly PA. Methods A secondary exploratory analysis was employed of data from the intervention arm (n = 31 schools) of a randomised controlled trial. Self-report survey data from 134 classroom teachers in New South Wales, Australia, collected following withdrawal of initial implementation support (follow-up T1) and six-months following completion of support (follow-up T2) were used. The outcomes of sustainment of weekly overall PA and energisers (short classroom PA breaks) scheduled were measured via teachers’ completion of a daily activity logbook, with results presented as the difference in mean minutes of PA and energisers scheduled at T1 and T2. An adapted version of the Program Sustainability Assessment Tool (PSAT) was used to measure capacity for program sustainability across seven key domains at follow-up T2. Linear mixed regressions were conducted to evaluate associations between school-level sociodemographic characteristics (e.g., school size, remoteness, and type), teacher-reported school factors (i.e., seven adapted PSAT domains) and the sustainment of PA and energisers scheduled across the school week. Perceived usefulness of 14 proposed sustainability strategies was measured via the teacher survey at follow-up T2 and reported descriptively. Results No school-level factor was statistically associated with the sustainment of overall weekly PA or energisers scheduled. Teacher-reported factors in two PSAT domains – ‘strategic planning’ and ‘program evaluation’ were statistically negatively associated with the sustainment of weekly energisers scheduled (− 6.74, 95% CI: − 13.02; − 0.47, p = 0.036 and − 6.65, 95% CI: − 12.17; − 1.12, p = 0.019 respectively). The proposed support sustainability strategy – ‘provision of PA equipment packs that enable energisers or integrated lessons’ was perceived useful by the most teachers (85%). Conclusions Further research is required to explore additional contextual-specific, and end-user appropriate factors associated with schools’ sustainment of weekly PA scheduled. This will help accurately inform the development of strategies to address these determinants and support the sustainment and long-term benefits of school-based health interventions more broadly

Search strategies for: "Climate action for health and wellbeing in cities: a protocol for the systematic development of a database of peer-reviewed studies using machine learning methods"

The search strategies were constructed for the development of a database of peer-reviewed studies on climate change mitigation and adaptation actions implemented in cities for human health and wellbeing. The development of the database followed a systematic process assisted by the use of machine learning methods for article classification to allow capturing a broad landscape of relevant literature across many disciplines and sectors. The search strategies are tailored to this purpose, and therefore, cover both explicit and implicit terms of relevance to climate change mitigation and adaptation. There are two separate sets of search terms, one capturing climate change mitigation actions and one climate change adaptation actions. Each set is comprised of three blocks of search terms. For mitigation the blocks of terms are: (climate terms OR energy terms) AND (explicit mitigation and mitigation policy terms OR sector-specific mitigation terms) AND (health terms OR wellbeing terms). For adaptation the terms are: (climate terms) AND (explicit adaptation terms including resilience OR action-specific adaptation terms) AND (health terms OR wellbeing terms). Here we present the search strategies for Medline (accessed via Web of Science). These was also translated for the Web of Science Core Collections (consisting of SCI-EXPANDED, SSCI, A&HCI, CPCI-S, CPCI-SSH, and ESCI) and Scopus. The bibliographic databases were searched in January/February 2021. Further details on the development of the search strategy are available in the study protocol (see the associated papers)