A primary care Symptoms Clinic for patients with medically unexplained symptoms : pilot randomised trial

Peer reviewedPublisher PD

Form in Therapeutic Songwriting Interventions

Music Therapy is the use of music by a board certified music therapist to achieve non-musical goals. Songwriting is an effective intervention for inviting expression and healing. The predictable form of a song can help facilitate the songwriting process and invite greater participation. Form is the general organization of a song. For example, most pop songs on the radio consist of a verse/chorus pattern that allows listeners to easily sing along. This presentation explores how a repetitious and simple form in a songwriting intervention empowers victims of trauma. The predictable form enables the clients to safely participate in the songwriting process and facilitates their success in achieving clinical goals. Presentation Time: Wednesday, 2-3 p.m. Zoom link: https://usu-edu.zoom.us/j/82395470053?pwd=MkFrWWNvSjhvWWwvQ2RRb3ltYitjZz0

Accelerometer-measured physical activity in mid-age Australian adults

BACKGROUND: Raw data from accelerometers can provide valuable insights into specific attributes of physical activity, such as time spent in intensity-specific activity. The aim of this study was to describe physical activity assessed with raw data from triaxial wrist-worn accelerometers in mid-age Australian adults. METHODS: Data were from 700 mid-age adults living in Brisbane, Australia (mean age: 60.4; SD:7.1 years). Data from a non-dominant wrist worn triaxial accelerometer (Actigraph wGT3X-BT), expressed as acceleration in gravitational equivalent units (1 mg = 0.001 g), were used to estimate time spent in moderate-vigorous intensity physical activity (MVPA; >100 mg) using different bout criteria (non-bouted, 1-, 5-, and 10-min bouts), and the proportion of participants who spent an average of at least one minute per day in vigorous physical activity. RESULTS: Mean acceleration was 23.2 mg (SD: 7.5) and did not vary by gender (men: 22.4; women: 23.7; p-value: 0.073) or education (p-value: 0.375). On average, mean acceleration was 10% (2.5 mg) lower per decade of age from age 55y. The median durations in non-bouted, 1-min, 5-min and 10-min MVPA bouts were, respectively, 68 (25th -75th : 45–99), 26 (25th -75th : 12–46), 10 (25th -75th : 3–24) and 8 (25th -75th : 0–19) min/day. Around one third of the sample did at least one minute per day in vigorous intensity activities. CONCLUSION: This population-based cohort provided a detailed description of physical activity based on raw data from accelerometers in mid-age adults in Australia. Such data can be used to investigate how different patterns and intensities of physical activity vary across the day/week and influence health outcomes

The association between sedentary leisure and physical activity in middle-aged adults

Aim The aim of this study was to examine the association between time spent in sedentary leisure and physical activity level in mid-aged men and women

Exploring the Factors Preventing Older Adults From Reporting Cybercrime and Seeking Help: A Qualitative, Semistructured Interview Study

Background: Older adults under-report cybercrime, despite being more likely than younger people to experience repeat victimisation, financial loss and more severe emotional consequences. Considering vulnerabilities more common in old age, we sought to identify, and consider ways to address, barriers that older people experience when reporting cybercrime to statutory agencies with a role in reporting.// Methods: From community groups, police and victim support, and health and social care organisations, we purposively invited people aged 60+ who had experienced cybercrime (n = 16), their supporting family members (n = 2) and professional stakeholders (n = 15) to participate in semistructured in-person or virtual interviews and conducted a reflexive thematic analysis.// Results: Across 33 interviews, we identified four themes: (1) Shame and fear of repercussion; (2) Reporting unhelpful to emotional and financial recovery; (3) Lack of knowledge of scams and sources of support; and (4) Social support makes a difference.// Conclusions: Digital ageism, evidenced by structural barriers, stigma and disempowerment experienced by older adults deciding whether to report cybercrime, warrants attention from the FJN and authorities. Independent “advocates” such as health, social care and third sector professionals can support older victims of cybercrime to navigate such reporting challenges

Participation in Sports/Recreational Activities and the Occurrence of Psychological Distress in Mid-Aged Adults: Findings From the HABITAT Cohort Study

Objectives: The aim of this study was to investigate prospective associations between participation in sports/recreational activities and the occurrence of moderate-to-severe psychological distress over 2 years in a sample of mid-aged Australians. Methods: This prospective study used data from 6699 adults aged 40+ years, living in Brisbane in 2007, and surveyed in 2009, 2011 and 2013. Participants provided self-reported data on frequency of participation in each of 11 sports/recreational activities in past 12 months and completed the Kessler Psychological Distress 6-item Scale (K6). Generalized estimating equation (GEE) models with a 2-year lag were used to assess the associations of participation in sports/recreational activities in 2009 and 2011 with new cases of moderate-to-severe psychological distress (K6 score ≥ 5) in 2011 and 2013. Results: From 2009 to 2013, 22.4% of participants without moderate-to-severe psychological distress at baseline (N = 4943) developed this outcome in at least one survey. Overall, there were no clear patterns of association between frequency of participation in sports and recreational activities and occurrence of moderate-to-severe psychological distress. In unadjusted models, weekly participation in some activities (e.g., tennis, golf, and exercise classes) was associated with reduced odds of moderate-to-severe psychological distress over the next 2 years, but these associations were attenuated in most adjusted models with sociodemographic, lifestyle, and health covariates. Participation in home-based exercise and running/jogging were associated with higher odds of psychological distress. Conclusion: Our findings do not provide strong evidence of beneficial associations of frequency of sport/recreational activities with psychological distress but show surprising negative associations of home-based exercise and running/jogging with occurrence of moderate-to-severe psychological distress over 2 years.</p

A Comparison between Lynch Syndrome and Sporadic Colorectal Cancer Survivors’ Satisfaction with their Healthcare Providers

This study evaluated provider satisfaction in a sample of colorectal cancer (CRC) survivors with and without Lynch syndrome (LS). Participants were case–case-matched CRC survivors with (n=75) or without (n=75) LS (mean age of 55; range: 27–93). Participants completed a mailed questionnaire assessing demographics, clinical characteristics, healthcare utilization, psychosocial variables, and provider satisfaction. LS CRC survivors reported lower provider satisfaction scores on three subscales of the Primary Care Assessment Survey: communication (78.14 vs. 83.96; P\u3c0.05), interpersonal treatment (78.58 vs. 85.30; P\u3c0.05), and knowledge of the patient (60.34 vs. 69.86; P\u3c0.01). Among LS CRC survivors, predictors for mean communication and trust subscale scores were location of treatment and socioeconomic status. Higher mean depression scores also were associated with trust, while social support predicted higher satisfaction with communication. Sporadic CRC survivor satisfaction is driven largely by age (communication, interpersonal treatment) and patient anxiety (communication), while seeing a provider more often was associated with increased satisfaction with knowledge of the patient. LS CRC survivors reported lower levels of provider satisfaction than sporadic CRC survivors. LS survivors who received care at The University of Texas MD Anderson Cancer Center, a comprehensive cancer center (CCC), reported higher satisfaction than those receiving care at other institutions. Depressive symptoms and socioeconomic status may impact provider satisfaction ratings. Exploration of other potential predictors of provider satisfaction should be examined in this population. Additionally, further research is needed to examine the potential impact of provider satisfaction on adherence to medical recommendations in LS CRC survivors, particularly those being treated outside of CCCs