Social and environmental factors during the smoking cessation process: The experiences of adults with serious mental illnessesPeople 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. Document Category
Dimensions of Wellbeing
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A Pilot Feasibility Study of Delivering a Quit & Win Tobacco-Free Contest in Community Mental Health ProgramsQuit & 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. Document Category
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A Novel Training Modality for Providers in the Emergency Department Using a Computer-Based Scenario: A Pilot StudyIndividuals 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.
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Age and Sex Multiplicatively Moderate the Association of Daily Sedentary Time with Depressive Symptoms in Rural Patients with Cardiovascular DiseasesBackground: 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.
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Clinical, Quality of Life, and Health Care Utilization Outcomes of Switching the Administration Route of Antipsychotic Medications Among People With Schizophrenia Spectrum Disorder: A Systematic Review and Meta-AnalysisAbstractBackground:Using long-acting injectable (LAI) antipsychotic medications can improve the outcomes of patients with schizophrenia, such as reducing symptom severity and hospitalization risk. However, the outcomes of switching from oral to LAI antipsychotic medications are unclear.
Aims:The purpose of this review is to provide a summary of the clinical, quality of life, and health care utilization outcomes of switching from oral to LAI antipsychotics among patients with Schizophrenia Spectrum Disorder.
Methods:We thoroughly searched the PubMed, Scopus, PsycInfo, and CINAHL databases. To conduct the meta-analysis, we used the Comprehensive Meta-Analysis Program.
Results:Forty-one articles met our inclusion criteria. After switching to LAIs, symptom severity, the number of rehospitalizations, emergency department visits, and overall health care costs were reduced. Also, social functioning significantly improved. However, no differences were observed in the frequency of outpatient visits. Pharmacy costs were increased between pre- and post-LAI initiation.
Conclusion:Our findings support evidence that changing the route of administration of antipsychotic medications from oral to long-acting intramuscular injections can improve the clinical, quality of life, and health care utilization outcomes in people with schizophrenia. Health care practitioners might consider encouraging LAI use earlier during treatment for schizophrenia for better clinical outcomes and to reduce health care utilization associated with treatment.
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The effect of Baduanjin on the insomnia of older adults: A systematic review and meta-analysisObjective: Baduanjin is a traditional Chinese regimen involving flowing movements, breath control, and strengthening to benefit health and well-being. We investigated the effectiveness of Baduanjin for older adults with insomnia. Document Category
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Factors Associated With Staff Engagement in Patients’ Tobacco Treatment in a State Psychiatric FacilityBACKGROUND: Persons with mental illnesses (MI) who use tobacco are likely to experience poorer physical health and worsened psychiatric symptomology as compared to their non–tobacco-using counterparts. Therefore, engaging them in treatment is an important aspect of evidence-based care. File
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Dimensions of Wellbeing
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Changing the Culture of a Nursing Organization: A Case for Executive CoachingCoaching as a practice has been used to facilitate personal and professional growth. However, many of the basic concepts of coaching can also be used to positively influence the culture of an organization. File
changing-culture-marc-woods.pdf
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Dimensions of Wellbeing
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Pilot Study Focused on Knowledge, Attitudes, and Health Access Behaviors of Psychiatric-Mental Health Nurses Regarding Suicide PreventionOBJECTIVE: The purpose of this pilot study was to evaluate the effect of a web-based education module on the knowledge, attitudes, and ratings of willingness to access help related to suicide prevention in psychiatric- mental health nurses. File
Document Category
Dimensions of Wellbeing
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Nursing leadership in tobacco dependence treatment to advance health equity: An American Academy of Nursing policy manuscriptTobacco use remains the leading cause of preventable disease, disability, and death in the United States and is a significant cause of health disparities. Document Category
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