Although graphical modalities have emerged as a potential medium to communicate health information, few studies have examined measurement instruments used to evaluate such modalities. This study examined the use of a Comic Book Rating Scale (CoBoRs) adapted from an existing Mobile Application Rating Scale (MARS) for assessing the quality of a comic book that delivers health information.
Treatment adherence among individuals with mental illness remains a pressing public health issue. Tele-mental health care (TMH) can improve care access and continuity. This study applied the theory of planned behavior (TPB) to examine how intrinsic motivations influence intentions and use of TMH among Medicaid beneficiaries and providers.
BACKGROUND: Test anxiety can be a significant challenge for nursing students, potentially impacting academic performance and mental well-being. Timely intervention is crucial to address the underlying factors contributing to test anxiety and prevent adverse outcomes.
Test anxiety is a common issue among students, potentially leading to adverse academic consequences. Students with psychological distress are more susceptible to test anxiety. Adverse childhood experiences (ACEs) have been linked to psychological distress. However, there is a lack of studies on the associations between ACEs, psychological distress, and test anxiety in college students.
Hua Kang MSN, RN a, Chizimuzo Okoli PhD, MPH, MSN, FAAN b, Shuyao Wang BSN, RN a, Xiaoli Wang MSN, RN c, Aijuan Cheng MSN, RN d, Dongmei Wu PhD, RN e, Qingyuan Wang BSN, RN a, Dan Wang BSN, RN a, Zijiang Yang BSN, RN a, Lizi Hu MSN, RN a
Telehealth offers a flexible and effective alternative to in-person behavioral health services, with users generally reporting high satisfaction. However, several barriers can limit equitable access among Medicaid beneficiaries.
The use of seclusion and restraint is common in hospitals, particularly in adult psychiatric settings. This pilot evaluation project assessed the impact of a web-based educational intervention on the knowledge, practices, and attitudes of front-line nurses concerning seclusion and restraints and on the actual use of restraints and seclusion in an inpatient psychiatric hospital setting.
People living with schizophrenia and other serious mental illnesses (SMI) face a disproportionate burden of tobacco-related prevalence and, consequently, tobacco-induced morbidity, in comparison to those without SMI.
Quit & Win contests are a community-based tobacco cessation strategy that has demonstrated success in supporting tobacco cessation efforts in the general population. However, such contests have not been implemented and evaluated among people living with mental illnesses (MIs). This pilot study aimed to evaluate the feasibility of implementing Quit & Win contests in terms of program delivery, engagement, and cessation outcomes among people with MIs.
Individuals with substance use disorders (SUD) are increasingly admitted in emergency departments (EDs) nationwide. However, ED providers often have limited knowledge about and lack confidence in treating SUDs. This limited knowledge often results in poor treatment outcomes among patients with SUD in the ED setting.
The aims of this pilot study were to (a) assess the desirability, applicability, and acceptability of a computer-based Screening, Brief Intervention, and Referral to Treatment (SBIRT) education scenario and (b) examine changes in SUD knowledge scores among ED providers before and after engaging in the computer-based SBIRT education scenario.
A tailored computer-based education scenario was developed based on the SBIRT framework for ED providers in an academic medical center. Participants (N = 15) evaluated the desirability, applicability, and acceptability of the education tool. Also, a single-group pre-/post-design was used to examine changes in participants’ SUD knowledge and proficiency scores.
Participants rated the computer-based SBIRT education scenario as desirable, applicable, and acceptable based on 4.0/5.0 or greater evaluation scores for each component. Overall knowledge scores increased from 3.5 to 3.8, albeit non-significantly. Proficiency score percentages increased by 25%.
Computer-based SBIRT education scenario training may be acceptable by ED providers and may improve proficiency in addressing SUD for patients. Future studies should evaluate this training method with a larger sample size.
Background: Depressive symptoms (DS) are highly prevalent in patients with cardiovascular diseases (CVD). Sedentary behavior is associated with DS, and together they worsen CVD health outcomes. Rural patients exhibit greater incidence of DS and physical inactivity than their urban counterparts. While females and younger adults are more likely to experience DS in general, how sedentary time (ST) interacts with age and sex on DS in rural patients with CVD has not been elucidated.
Hypothesis: Age and sex multiplicatively moderate the association of daily ST with DS in rural patients with CVD.
Methods: A total of 226 (58±12 [range 23-80] years old, 49% female) rural patients with CVD were included. The Patient Health Questionnaire-9 was used to measure DS. Patients wore the ActiGraph GT9X Link for 4 to 7 days to measure ST (minutes/day on average). We used PROCESS to test the moderated moderation model. The pick-a-point approach was used for probing a three-way interaction.
Results: We found a significant three-way interaction among daily ST (X), age (Z), and sex (W) [B=-.0016, t(218)=-3.631, p=.0004], which indicates the magnitude of the moderation by sex on the effect of daily ST on DS depended on age. Moderated moderation explained 10.1% of the variance in DS (p=.002). The pick-a-point approach indicated significant conditional interactions between ST and sex at the youngest and oldest ages (Figure). Among younger adults, there was a significantly positive association of ST with DS in females compared to males [θXW→Y|(Z=30)=.034; F(1;218)=8.363; p=.004], while a significantly positive association of ST with DS was found in males compared to females among older adults [θXW→Y|(Z=70)=-.028; F(1;218)=11.431; p=.001]. However, among middle-aged adults, the association of sedentary time with DS was not significantly moderated by sex (p=.59).
Conclusions: The findings of the study indicate a complex interaction of age and sex in the relationship of ST with DS and suggest an age- and sex-stratified intervention to improve depressive symptoms. Future research is warranted to examine factors that influence sex differences in the association of ST with DS in different age groups.