Psychometric evaluation of the “Jefferson Scale of Empathy” in a sample of nursing students in the United Kingdom

Aim: To examine the psychometric properties of the ‘Jefferson Scale of Empathy’. Design: A methodological study was conducted. Methods: A sample of 230 nursing students was used to analyse the psychometric properties of the ‘Jefferson Scale of Empathy’. Exploratory and confirmatory factor analysis was used to test construct validity. Cronbach's alpha and item‐total correlations were carried out to test internal consistency reliability. Results: The mean score of the empathy SUM was 112.0 (SD: 12.6). A three‐factor model was explored. This factor structure does not replicate the original ‘Jefferson Scale of Empathy’ when it was validated with medical students, but it is in line with later research with nursing students. The Cronbach's alpha coefficient was 0.80 for the SUM and 0.80–0.84 for individual items. Item‐total correlation coefficients were 0.01–0.63. No Patient or Public Contribution: Because this study focused on nursing students. No patients or the public were involved

Reasons to be cheerful, Part I, II, III: dispositional optimism, positive reappraisal coping and positive (re)appraisals of the situation : effects on emotional well-being and physical outcomes.

Three lines of research focus on the influence of positive psychological factors and processes on psychological and physical well-being. In Part I, the unique and shared predictive power of dispositional optimism on women's biological (ovarian) response to fertility treatment was examined. The results suggested that rather than dispositional optimism having direct benefits on ovarian response, this construct shared variance with a broader psychological dimension, and that this dimension compromised biological response. In Part II, a self-administered positive reappraisal coping intervention (PRCI) was developed, and then used by women waiting for an IVF pregnancy test. The effects of the PRCI on psychological well-being and pregnancy rates, compared to controls were examined. The results suggested that the PRCI helped to sustain positive reappraisal coping efforts and other coping efforts, but had no effect on mood or impact on pregnancy rates compared to routine care. In Part III, an experimental paradigm emulating an unresolved period of persistent stress in a medical context was developed (the USP). Reactions became, and remained, persistently negative in response to the USP. The USP was then employed in a test of the "goodness-of-fit" hypothesis, where the influence of dispositional and situational factors on situational coping was examined. The results showed that a manipulation of situational factors had a transient influence on escapism coping and emotional well-being whereas dispositional factors had a more pervasive influence. Overall, this thesis demonstrates that both dispositional and situational influences have important effects on emotional well-being and physical outcomes and that it is important that neither should be completely overlooked in favour of the other

Evaluating the Effects of Symptom Monitoring on Menopausal Health Outcomes: A Systematic Review and Meta-Analysis

Evidence suggests that monitoring and appraising symptoms can result in increased engagement in medical help-seeking, improved patient-doctor communication, and reductions in symptom prevalence and severity. To date, no systematic reviews have investigated whether symptom monitoring could be a useful intervention for menopausal women. This review explored whether symptom monitoring could improve menopausal symptoms and facilitate health-related behaviours. Results suggested that symptom monitoring was related to improvements in menopausal symptoms, patient-doctor communication and medical decision-making, heightened health awareness, and stronger engagement in setting treatment goals. Meta-analyses indicated large effects for the prolonged use of symptom diaries on hot flush frequencies. Between April 2019 and April 2021, PsychInfo, EMBASE, MEDLINE, CINAHL, Cochrane, ProQuest, PsychArticles, Scopus, and Web of Science were searched. Eighteen studies met the eligibility criteria and contributed data from 1,718 participants. Included studies quantitatively or qualitatively measured the impact of symptom monitoring on menopausal populations and symptoms. Research was narratively synthesised using thematic methods, 3 studies were examined via meta-analysis. Key themes suggest that symptom monitoring is related to improvements in menopausal symptoms, improved patient-doctor communication and medical decision-making, increased health awareness, and stronger engagement in goal-setting behaviours. Meta-analysis results indicated large effects for the prolonged use of symptom diaries on hot flush frequency: 0.73 [0.57, 0.90]. This review is limited due to the low number of studies eligible for inclusion, many of which lacked methodological quality. These results indicate that symptom monitoring has potential as an effective health intervention for women with menopausal symptoms. This intervention may be beneficial within healthcare settings, in order to improve patient-doctor relations and adherence to treatment regimes. However, findings are preliminary and quality assessments suggest high risk of bias. Thus, further research is needed to support these promising outcomes. Systematic Review Registration Number: https://www.crd.york.ac.uk/prospero/display_record.php?, PROSPERO, identifier: CRD42019146270

“The stress can be unbearable, but the good times are like finding gold”: A phase one modelling survey to inform the development of a self-help positive reappraisal coping intervention for caregivers of those with autism spectrum disorder

Caregivers of individuals with ASD can experience various practical, psychological, and social demands and need effective ways of coping to ameliorate the negative effects of caregiving. Numerous coping strategies are available, but the literature shows that caregivers can still struggle to cope, suggesting that interventions to support coping efforts could be beneficial. The MRC framework advocates the systematic development and evaluation of interventions, and this study was conducted to inform the future development of a self-help Positive Reappraisal Coping Intervention (PRCI) for these caregivers. The aim was to establish whether positive reappraisal coping strategies were used and associated with greater psychological wellbeing, prior to developing such an intervention. Method. Caregivers of individuals with ASD (N = 112) responded to items from an existing PRCI (Lancastle, 2006; Lancastle & Boivin, 2008), by writing about aspects of caregiving that reflected the meaning of each item. They also completed questionnaires assessing resilience, caregiving burden, and positive and negative emotions. Results. Participants provided significantly more positive responses than negative responses to PRCI items, demonstrating their use of positive reappraisal coping. Thematic analyses showed that positive responses focused on factors such as their loved one’s personality and achievements, the contributions caregivers had made to this person’s progress, the support received, and their own personal development. Positive reappraisal coping was associated with greater resilience, more positive and less negative emotions, and a lesser sense of caregiver burden. Conclusion. This modelling study suggests that positive reappraisal strategies were used by caregivers and associated with greater psychological wellbeing. The findings will inform the development of a self-help PRCI for the caregivers of those with ASD. Future studies will systematically evaluate that PRCI to determine the nature of intervention effects and mediators and moderators of effects

Models of health behaviour predict intention to use long-acting reversible contraception

The aim of this study was to investigate women’s intention to use long-acting reversible contraception using two established models of health behaviour: the theory of planned behaviour and the health belief model. A questionnaire was completed by a convenience sample of 128 women attending a community sexual health clinic. The independent variables were constructs of theory of planned behaviour (attitude, subjective norm and perceived behavioural control) and health belief model (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, health motivation and cues to action). The dependent variable was intention to use long-acting reversible contraception. The theory of planned behaviour and the health belief model accounted for 75% of the variance in intention to use. Perceived behavioural control, perceived barriers and health motivation predict the use of long-acting reversible contraception. Public health information for women considering using long-acting reversible contraception should be based around addressing the perceived barriers and promoting long-acting reversible contraception as a reliable contraceptive method

‘Walking in Their Shoes’: The effects of an immersive digital story intervention on empathy in nursing students:The effects of an immersive digital story intervention on empathy in nursing students

Abstract Aim To evaluate the effects of a novel, immersive digital story intervention on empathy. Design A randomized trial with three phases. Results A total of 238 2nd year nursing students were recruited between May 2018 and December 2019. At baseline, no significant differences in empathy between the groups were found (p = .760). However, at post‐test, empathy was significantly higher in the intervention group (M: 118.76, SD: 10.65) than it was in the control group (M: 114.60, SD: 15.40) (p = .012). At follow‐up, there were no significant differences in empathy between the groups (p = .364). Conclusion The intervention resulted in an immediate increase in empathy in nursing students. However, further development of effective intervention delivery modes and fundamental redesign of the intervention itself would be needed to sustain this improvement over the long term

Does Health & Her app use improve menopausal symptoms? A longitudinal cohort study

Objectives: The Health & Her app provides menopausal women with a means of monitoring their symptoms, symptom triggers and menstrual periods, and enables them to engage in a variety of digital activities designed to promote well-being. This study aimed to examine whether sustained weekly engagement with the app is associated with improvements in menopausal symptoms. Design: A pre–post longitudinal cohort study. Setting: Analysed data collected from Health & Her app users. Participants: 1900 women who provided symptom data via the app across a 2-month period. Primary and secondary outcome measures: Symptom changes from baseline to 2 months was the outcome measure. A linear mixed effects model explored whether levels of weekly app engagement influenced symptom changes. Secondary analyses explored whether app-usage factors such as total number of days spent logging symptoms, reporting triggers, reporting menstrual periods and using in-app activities were independently predictive of symptom changes from baseline. Covariates included hormone replacement therapy use, hormonal contraceptive use, present comorbidities, age and dietary supplement use. Results: Findings demonstrated that greater engagement with the Health & Her app for 2 months was associated with greater reductions in symptoms over time. Daily use of in-app activities and logging symptoms and menstrual periods were each independently associated with symptom reductions. Conclusions: This study demonstrated that greater weekly engagement with the app was associated with greater reductions in symptoms. It is recommended that women be made aware of menopause-specific apps, such as that provided by Health & Her, to support them to manage their symptoms