The management of subjective quality of life by short-stay hospital patients: An exploratory study

BACKGROUND: This study tested the homeostatic model of subjective quality of life in a group of 47 short stay patients as they progressed through the stages of hospitalization for surgery. METHOD: Participants completed a questionnaire measuring subjective quality of life, positive and negative affect, self-esteem, optimism and cognitive flexibility, the day prior to admission (T1), two days post-operation (T2) and one week after discharge (T3). Neuroticism and Extroversion were measured at Time 1. RESULTS: All variables remained stable across the three times, apart from positive affect, which dropped significantly post-operation but returned to its previous level post discharge. CONCLUSION: Although the homeostatic model of subjective quality of life was supported at Time 1, the analyses raise doubts about the stability of personality. This finding is consistent with recent discussions of personality

Intervention for depression among palliative care patients and their families: A study protocol for evaluation of a training program for professional care staff

Background: Clinical depression is highly prevalent yet under-detected and under-treated in palliative care settings and is associated with a number of adverse medical and psychological outcomes for patients and their family members. This article presents a study protocol to evaluate a training intervention for non-physician palliative care staff to improve the recognition of depression and provide support for depressed patients and their family members. Details of the hypotheses and expected outcomes, study design, training program development and evaluation measures are described.Methods and Design: A randomised controlled trial will be implemented across two palliative care services to evaluate the &ldquo;Training program for professional carers to recognise and manage depression in palliative care settings&rdquo;. Pre-, post- and three-month follow-up data will be collected to assess: the impact of the training on the knowledge, attitudes, self-efficacy and perceived barriers of palliative care staff when working with depression; referral rates for depression; and changes to staff practices. Quantitative and qualitative methods, in the form of self-report questionnaires and interviews with staff and family members, will be used to evaluate the effectiveness of the intervention.Discussion: This study will determine the effectiveness of an intervention that aims to respond to the urgent need for innovative programs to target depression in the palliative care setting. The expected outcome of this study is the validation of an evidence-based training program to improve staff recognition and appropriate referrals for depression, as well as improve psychosocial support for depressed patients and their family members.<br /

Accessible tourism and sustainability: a discussion and case study

This paper explores the concept of accessible tourism and its links with triple-bottom-line (TBL) sustainability. Accessible tourism is reviewed through some of its central features including dimensions of access, universal design and the nexus between ageing and disability. The TBL is then examined to better understand the financial, environmental and social considerations that arise from accessible tourism. The research design used in this explorative research incorporated a case study approach, where a business case study instrument was developed. Methods included a Delphi group, review of management information systems, in-depth interviews with key informants, observation and participant observation. The study results revealed that rather than accessible tourism being a single construct, it forms one critical dimension of a series of interrelated, overlapping and interdependent business arrangements that extend beyond the business entity through a series of social networks within the destination region. It is argued that to properly satisfy the accessible tourism market, a more sophisticated understanding of accessible destination experiences is needed by tourism operators. The case study illustrates the considerable size and multi-niche markets served by accessible tourism destinations, the good fit between accessible tourism and TBL sustainable tourism, and the need for further research