Abstract:
BACKGROUND:Trials of complex interventions should be preceded by in-depth piloting of the treatment in order to ensure clear definition of critical components and establish feasibility and acceptability. OBJECTIVES:This study aimed to elicit views of extending behavioural activation, an evidence-based treatment for depression, to the negative symptoms observed in psychosis from the perspectives of carers of people with mental health problems and mental health professionals. DESIGN:Qualitative study. SETTING:School of Nursing, Midwifery and Social Work and carer support organisation, North West of England, United Kingdom. PARTICIPANTS:Fifteen participants were recruited from a local carer support group. Nineteen mental health professionals were recruited from post-registration university based programmes. METHODS:We used focus groups and semi-structured interviews. Thematic analysis using a constant comparative approach was employed to capture key concepts and themes. RESULTS:There was support for behavioural activation for negative symptoms in psychosis from some mental health workers and many of the carers; however both groups identified barriers to its implementation. Professionals highlighted internal factors, the difficulty in engaging people with negative symptoms in psychosocial treatments and services more broadly while carers identified a number of external, practical barriers. For those who saw some utility in the treatment approach, the benefit of expanding the treatment to include community based sessions as well as formal behavioural activation meetings were recognised. However, a number of mental health professionals remained sceptical as to its potential to reduce negative symptoms. Professional and carer views generally concurred in relation to family involvement, indicating that restricted engagement could be helpful, but that further participation might actually be counterproductive. CONCLUSIONS:Acceptability for many carers and some professionals was evident and support further evaluation of behavioural activation for negative symptoms. Significant issues to be addressed include the balance of formal talking based sessions and community based sessions to support activation for people with negative symptoms and mental health professional pessimism in relation to this symptom cluster. The current study supports the phased development and careful piloting of complex healthcare interventions before progression to large scale evaluation.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Mairs H,Lovell K,Keeley Pdoi
10.1016/j.ijnurstu.2012.04.006subject
Has Abstractpub_date
2012-10-01 00:00:00pages
1191-9issue
10eissn
0020-7489issn
1873-491Xpii
S0020-7489(12)00144-7journal_volume
49pub_type
杂志文章abstract:BACKGROUND:Descriptive literature exists on the effects of HIV-related stigma on the lives of people living with HIV infection but few empirical studies have measured perceived HIV stigma nor explored its potential relationship to quality of life (QoL) over time in people living with HIV infection. AIM:A cohort study ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.09.008
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Aging is a normal degenerative process that results in a decline in the gait and balance performance of older adults. Interactive cognitive motor training is an intervention that integrates cognitive and motor tasks to promote individuals' physical and cognitive fall risk factors. However, the additive effec...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2018.03.015
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Nutritional status is associated with physical functioning in older people. Protein-energy malnutrition can limit functional performance. OBJECTIVES:This study examined the effectiveness of a "need-based intervention" on improving the physical functioning of older adults living in nursing homes. DESIGN:A 2...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2015.01.008
更新日期:2015-05-01 00:00:00
abstract::This paper represents some of the findings from a study of expatriate nurses working in developing countries. The aim of the study was to identify the value orientations of Western nurses and to suggest to what extent those values influenced practice. A values clarification exercise was carried out and classified with...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(94)90054-x
更新日期:1994-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Clinically, there is an increasing trend in using motivational interviewing as a counseling method to help clients with cardiovascular diseases to modify their unhealthy lifestyle in order to decrease the risk of disease occurrence. As motivational interviewing has gained increased attention, r...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2015.09.010
更新日期:2016-01-01 00:00:00
abstract::The aim of the study was to produce data about health behaviour among men born in Northern Finland in 1966. A particular concern was to find out how well health behaviour in adolescence predicts health behaviour in adulthood. The family questionnaire on health and development was submitted in 1980 when the subjects we...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(94)e0013-9
更新日期:1995-06-01 00:00:00
abstract:BACKGROUND:The handover and transport of critically ill pediatric patients requires communication amongst multiple disciplines. Poor communication is a leading cause of sentinel events and human factors affect handover and transport. OBJECTIVES:To synthesize published data on pediatric handover and transport and ident...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Antiretroviral treatment for HIV is gradually being made available across sub-Saharan Africa. With antiretroviral treatment, HIV can be approached as a chronic, manageable condition rather than a shorter-term issue of palliative care. This treatment involves repeated interaction between health staff and pati...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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abstract:BACKGROUND:The H1N1 Influenza A pandemic arrived in Australia in early May 2009. In Queensland, the highest number of H1N1 cases were admitted to the intensive care unit when compared with the other Australian states. While many recent studies examining the H1N1 pandemic have focussed on service delivery and disease ep...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.11.015
更新日期:2010-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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更新日期:1999-12-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.02.002
更新日期:2009-08-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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更新日期:2017-07-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.11.007
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Italian Nursing Faculties use a range of tutorial strategies (laboratory sessions, intensive clinical tutoring, weekly tutoring) aimed to enhance nursing students' diagnostic reasoning: these strategies have different impacts on promoting student critical thinking. By using critical thinking methods, student...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.02.013
更新日期:2013-11-01 00:00:00
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.09.004
更新日期:2012-03-01 00:00:00
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journal_title:International journal of nursing studies
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更新日期:2016-10-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.06.001
更新日期:2012-11-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:1977-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2020-06-30 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2007-07-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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更新日期:2021-01-01 00:00:00