Non-pharmacological interventions to reduce psychological distress in patients undergoing diagnostic cardiac catheterization: a rapid review

Abstract Background: Cardiac catheterization is the standard procedure for the diagnosis of coronary heart disease. The threat physically and emotionally from this procedure can effect the patient’s perception of their health. The heightened psychological distress associated with this diagnostic procedure can cause adverse patient outcomes. Non-pharmacologic interventions have been implemented to reduce psychological distress associated with cardiac catheterization. Aims: The objective of this rapid review is to assess the efficacy of non-pharmacologic interventions (procedural education, relaxation techniques, psychological preparation) on psychological distress experienced by patients as they undergo a cardiac catheterization. Methods: Published, peer-reviewed, English-language intervention studies from 1981 to 2014 were identified in a search of CINAHL, Medline, and Cochrane Library. Eligible studies included adults undergoing cardiac catheterization. Studies included in this review used experimental and quasi-experimental designs and assessed at least one primary outcome: anxiety, depression, and pain to test non-pharmacologic interventions pre and post-cardiac catheterization. Researchers independently extracted data from included studies and completed a quality assessment using a published tool. Data was synthesised as a narrative. Results: There were 29 eligible experimental and quasi-experimental studies that tested the 3 interventions (n=2504). Findings suggest that non-pharmacologic interventions were able to effectively reduce psychological distress in some patients undergoing cardiac catheterization. Conclusion: Evidence is stronger in recent studies that non-pharmacologic interventions of procedural education and psychological preparation can reduce psychological distress in patients undergoing cardiac catheterization. Further research is needed to define the various relaxation techniques that can be effectively implemented for patients undergoing cardiac catheterization

‘Growing your own’: a multi-level modelling approach to understanding personal food growing trends and motivations in Europe

Growing food for personal and family consumption is a significant global activity, but one that has received insufficient academic attention, particularly in developed countries. This paper uses data from the European Quality of Life Survey (EQLS) to address three areas of particular concern: the prevalence of growing your own food and how this has changed over time; the individual and household context in which growing takes place; and whether those who grow their own food are happier than those who do not. Results showed that there was a marked increase in growing your own food in Europe, in the period 2003–2007. This increase is largely associated with poorer households and thus, possibly, economic hardship. In the UK however the increase in growing your own food is predominantly associated with older middle class households. Across Europe, whether causal or not, those who grew their own were happier than those who did not. The paper therefore concludes that claims about the gentrification of growing your own may be premature. Despite contrary evidence from the UK, the dominant motive across Europe appears to be primarily economic — to reduce household expenditure whilst ensuring a supply of fresh food

Ecosystem services of collectively managed urban gardens : exploring factors affecting synergies and trade-offs at the site level

Collective management of urban green space is being acknowledged and promoted. The need to understand productivity and potential trade-offs between co-occurring ecosystem services arising from collectively managed pockets of green space is pivotal to the design and promotion of both productive urban areas and effective stakeholder participation in their management. Quantitative assessments of ecosystem service production were obtained from detailed site surveys at ten examples of collectively managed urban gardens in Greater Manchester, UK. Correlation analyses demonstrated high levels of synergy between ecological (biodiversity) and social (learning and well-being) benefits related to such spaces. Trade-offs were highly mediated by site size and design, resulting in a tension between increasing site area and the co-management of ecosystem services. By highlighting synergies, trade-offs and the significance of site area, the results offer insight into the spatially sensitive nature of ecosystem services arising from multi-functional collectively managed urban gardens

User participation in urban green commons : exploring the links between access, voluntarism, biodiversity and well being

Polycentric governance and stakeholder participation in natural resource management have potential benefits for both human and environmental well-being. Researchers and decision-makers have attempted to conceptualise the ecological, social and political potential of such semi-formal approaches to urban green space management. However, few studies have quantified the actual benefits in terms of biodiversity and associated ecosystem service provision, or the factors that mediate levels of participation. The links between biodiversity potential, site access and user participation were explored in a case study comprising ten established examples of organised social-ecological initiatives in the inner-city area of Greater Manchester. At the micro-scale, the case study quantified the levels of community involvement (measured in volunteer hours month¯¹) in local green commons and the biodiversity potential (assessed using floristic and structural diversity as a surrogate) of the ten sites. Descriptive analysis identified that site spatial and design characteristics affected all three measures and subsequent correlational analyses revealed a high degree of synergy between site use and biodiversity. The study thereby provides quantitative evidence of the synergistic relationship between green space use and urban biodiversity and, importantly, the positive feedbacks which should result between volunteer input and the local generation of ecosystem services. The study provides support for the promotion of a highly decentralised, stakeholder-led stewardship of green space as a valid consideration in the management of urban ecosystem services

A review of the rural-digital policy agenda from a community resilience perspective

© 2016 The Authors This paper utilises a community resilience framework to critically examine the digital-rural policy agenda. Rural areas are sometimes seen as passive and static, set in contrast to the mobility of urban, technological and globalisation processes (Bell et al., 2010). In response to notions of rural decline (McManus et al., 2012) rural resilience literature posits rural communities as ‘active,’ and ‘proactive’ about their future (Skerratt, 2013), developing processes for building capacity and resources. We bring together rural development and digital policy-related literature, using resilience motifs developed from recent academic literature, including community resilience, digital divides, digital inclusion, and rural information and communication technologies (ICTs). Whilst community broadband initiatives have been linked to resilience (Plunkett-Carnegie, 2012; Heesen et al., 2013) digital inclusion, and engagement with new digital technologies more broadly, have not. We explore this through three resilience motifs: resilience as multi-scalar; as entailing normative assumptions; and as integrated and place-sensitive. We point to normative claims about the capacity of digital technology to aid rural development, to offer solutions to rural service provision and the challenges of implementing localism. Taking the UK as a focus, we explore the various scales at which this is evident, from European to UK country-level