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1دورية أكاديمية
المؤلفون: Rebecca Gudka, Charlotte Kelman, Eleanor Bryant, Bushra Farooq, Vashti Berry, Gretchen Bjornstad, Faith Martin, Sarah-Lou Glover, Abigail Russell
المصدر: BMC Public Health, Vol 23, Iss 1, Pp 1-14 (2023)
مصطلحات موضوعية: Holistic care, Wellbeing, Behaviour change intervention, Peer support, Parents, Carers, Public aspects of medicine, RA1-1270
الوصف: Abstract Introduction Parent-carers of children and young people (CYP) with mental health problems are at greater risk of poor outcomes, such as poor physical and mental health. Peer interventions for parent-carers of CYP with disabilities may improve parent-carer outcomes. This qualitative study investigates parent-carer experiences of using Parental Minds (PM), a multi-component peer support service for parent-carers of CYP with disabilities. Methods Twelve current service-users and four staff/volunteers at PM participated in one-to-one semi-structured interviews. All participants were white females, except for one service-user who was male. All interviews were recorded and transcribed verbatim. Thematic analysis of results was used to explore perceived benefits and disadvantages of PM and possible behaviour change mechanisms. Results Three themes and eight subthemes were identified. Participants identified that internal and external factors influence their self-concept. The identification of themselves as a priority, and empowerment by reassurance and affirmation lead to improved parent-carer self-efficacy and agency to better care for their CYP. Participants described the difficulty of speaking honestly with friends and family about what they experience because it is perceived as different to what “normal” parents experience. From participant accounts, PM enables the construction of a support network and links external services to help manage family circumstances rather than offer curative treatment/intervention. Proactive and immediate advice which is constantly and consistently available was valued by participants. Participants expressed the need for a flexible range of service components which provide holistic support that encompasses both health and social care. Conclusions PM was perceived to be beneficial as a multi-component peer support service which increases parenting self-efficacy and empowerment, reduces isolation, improves access to services, and is tailored to individual needs. Parent-carers reported benefits in parenting and wellbeing practices. The development of a refined logic model will inform a future study of the effectiveness of PM on parent-carer outcomes.
وصف الملف: electronic resource
العلاقة: https://doaj.org/toc/1471-2458Test
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2دورية أكاديمية
المؤلفون: Rebecca Gudka, Iveren Winifred Nyinoh
المصدر: Frontiers in Microbiomes, Vol 2 (2023)
مصطلحات موضوعية: fecal microbial transplantation, gut microbiome, gut microbiota, microbiomegut-brain axis, autism spectrum disorder, Microbial ecology, QR100-130
الوصف: BackgroundAutism spectrum disorders (ASDs) are complex neurobiological conditions with poor long-term outcomes and limited treatment options. The microbiota–gut–brain axis indicates a pathway by which the gut microbiota links to ASDs. Fecal microbial transplantation (FMT), whereby the gut microbiota is replaced with that of a healthy individual, shows promise for the treatment of neurobiological conditions. This review examines the current evidence for the use of FMT as a therapeutic for ASD.DiscussionASDs and their associated gastrointestinal symptoms are improved with FMT, potentially due to the engraftment of features of a healthy gut. Longer treatment regimens that include daily maintenance doses appear to be the most effective long-term therapeutic option, with benefits persisting 2 years post-intervention. Evidence is mixed regarding the use of preparatory treatments. Considering the sex bias in ASD research, small sample sizes and the lack of placebo control arms, randomized controlled trials would be of benefit to the evidence base regarding the use of FMT as a therapeutic option for ASD.ConclusionFMT is a promising new therapeutic for ASD, but the evidence base is in its infancy.
وصف الملف: electronic resource
العلاقة: https://www.frontiersin.org/articles/10.3389/frmbi.2023.1222089/fullTest; https://doaj.org/toc/2813-4338Test
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3دورية أكاديمية
المؤلفون: Rebecca Gudka, Charlotte Kelman, Eleanor Bryant, Bushra Farooq, Vashti Berry, Gretchen Bjornstad, Faith Martin, Sarah-Lou Glover, Abigail Russell
مصطلحات موضوعية: Medicine, Sociology, Cancer, Science Policy, Mental Health, Biological Sciences not elsewhere classified, Holistic care, Wellbeing, Behaviour change intervention, Peer support, Parents, Carers, Qualitative, Mechanisms
الوصف: Additional file 1. Initial logic model.
الإتاحة: https://doi.org/10.6084/m9.figshare.24597917.v1Test
https://figshare.com/articles/journal_contribution/Additional_file_1_of_Parent-carer_experiences_using_a_peer_support_network_a_qualitative_study/24597917Test -
4دورية أكاديمية
المؤلفون: Rebecca Gudka, Charlotte Kelman, Eleanor Bryant, Bushra Farooq, Vashti Berry, Gretchen Bjornstad, Faith Martin, Sarah-Lou Glover, Abigail Russell
مصطلحات موضوعية: Medicine, Sociology, Cancer, Science Policy, Mental Health, Biological Sciences not elsewhere classified, Holistic care, Wellbeing, Behaviour change intervention, Peer support, Parents, Carers, Qualitative, Mechanisms
الوصف: Additional file 2. Topic guides.
الإتاحة: https://doi.org/10.6084/m9.figshare.24597920.v1Test
https://figshare.com/articles/journal_contribution/Additional_file_2_of_Parent-carer_experiences_using_a_peer_support_network_a_qualitative_study/24597920Test -
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المؤلفون: Tamsin Newlove‐Delgado, Abigail Emma Russell, Frances Mathews, Lauren Cross, Eleanor Bryant, Rebecca Gudka, Obioha C. Ukoumunne, Tamsin J. Ford
المساهمون: Newlove-Delgado, Tamsin [0000-0002-5192-3724], Russell, Abigail Emma [0000-0002-2903-6264], Ford, Tamsin J [0000-0001-5295-4904], Apollo - University of Cambridge Repository
مصطلحات موضوعية: Psychiatry and Mental health, Mental Health, children, Adolescent, pandemic, Mental Disorders, Pediatrics, Perinatology and Child Health, Developmental and Educational Psychology, Humans, COVID-19, Child, Pandemics, young people
الوصف: BACKGROUND: The high volume and pace of research has posed challenges to researchers, policymakers and practitioners wanting to understand the overall impact of the pandemic on children and young people's mental health. We aimed to search for and review the evidence from epidemiological studies to answer the question: how has mental health changed in the general population of children and young people? METHODS: Four databases (Medline, CINAHL, EMBASE and PsychINFO) were searched in October 2021, with searches updated in February 2022. We aimed to identify studies of children or adolescents with a mean age of 18 years or younger at baseline, that reported change on a validated mental health measure from prepandemic to during the pandemic. Abstracts and full texts were double-screened against inclusion criteria and quality assessed using a risk of bias tool. Studies were narratively synthesised, and meta-analyses were performed where studies were sufficiently similar. RESULTS: 6917 records were identified, and 51 studies included in the review. Only four studies had a rating of high quality. Studies were highly diverse in terms of design, setting, timing in relation to the pandemic, population, length of follow-up and choice of measure. Methodological heterogeneity limited the potential to conduct meta-analyses across studies. Whilst the evidence suggested a slight deterioration on some measures, overall, the findings were mixed, with no clear pattern emerging. CONCLUSIONS: Our findings highlight the need for a more harmonised approach to research in this field. Despite the sometimes-inconsistent results of our included studies, the evidence supports existing concerns about the impact of Covid-19 on children's mental health and on services for this group, given that even small changes can have a significant impact on provision at population level. Children and young people must be prioritised in pandemic recovery, and explicitly considered in planning for any future pandemic response.
وصف الملف: text/xml; application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7433efa747899a96317648be8e19a6dfTest
https://www.repository.cam.ac.uk/handle/1810/343643Test
النص الكامل