journal
https://read.qxmd.com/read/38514999/clinical-context-and-communication-in-shared-decision-making-about-major-surgery-findings-from-a-qualitative-study-with-colorectal-orthopaedic-and-cardiac-patients
#1
JOURNAL ARTICLE
Gemma Hughes, Timothy J Stephens, Lucas M Seuren, Rupert M Pearse, Sara E Shaw
Increasing numbers of older people undergo major surgery in the United Kingdom (UK), with many at high risk of complications due to age, co-morbidities or frailty. This article reports on a study of such patients and their clinicians engaged in shared decision-making. Shared decision-making is a collaborative approach that seeks to value and centre patients' preferences, potentially addressing asymmetries of knowledge and power between clinicians and patients by countering medical authority with greater patient empowerment...
March 21, 2024: Health (London)
https://read.qxmd.com/read/38501283/bright-siding-stigma-older-adults-experiences-at-a-higher-weight-in-atlantic-canada
#2
JOURNAL ARTICLE
Andrea E Bombak, Norma Chinho, Lisa Thomson, Courtney Burk, Sumaiya Akhter, Kathleen O'Keefe, Lee Turner
The lived experiences of higher-weight people vary; homogenous samples may fail to capture this diversity. This study develops an in-depth understanding of the lived experiences of higher-weight (Body Mass Index ⩾ 30) older adults (⩾60 years of age) in a Canadian Atlantic province. Participants ( n  = 11) were interviewed face-to-face using a semi-structured interview guide twice at 2-to-3-month intervals regarding their perceived treatment in social and health situations; how positive and negative healthcare experiences affected their health, lifestyles and healthcare seeking-behaviour; and recommendations in terms of patient experiences, access and inclusion...
March 19, 2024: Health (London)
https://read.qxmd.com/read/38497599/beyond-the-neoliberal-label-a-historical-perspective-on-sexual-actors-and-responsibility-in-hiv-prevention-in-england-1986-2023
#3
JOURNAL ARTICLE
Alvaro Martinez-Lacabe
Framed across three distinct periods of the history of neoliberalism and the HIV epidemic in England, this article conducts a detailed examination of the concept of personal responsibility and its contested uses within HIV prevention. The article questions the theoretical potential of neoliberal subjectivities to comprehend behaviours related to the pharmaceuticalised governance (or lack thereof) of gay men's sexual health, exploring the gap between theories emphasising individual responsibility and the practical experiences of gay men...
March 18, 2024: Health (London)
https://read.qxmd.com/read/38407179/rethinking-the-logic-of-early-diagnosis-in-cancer
#4
JOURNAL ARTICLE
Christina Sadolin Damhus, Mette Bech Risør, John Brandt Brodersen, Alexandra Brandt Ryborg Jønsson
To reduce morbidity and mortality of cancer, more countries have implemented strategies to detect cancer, based on the logic of 'the sooner the better'. Time is thereby an essential component in how cancer research, policies, and prevention are practiced today. Where the logic of early diagnosis benefits some, the logic also produces harms. In this article, we use a cross-disciplinary case-study design to discuss how different notions of time and linearity are essential in today's research ontology of cancer, describe the individual and societal consequences of such ontology, and invite a rethinking of time in cancer...
February 26, 2024: Health (London)
https://read.qxmd.com/read/38407159/-too-soft-for-real-psychiatry-gendered-boundary-making-between-coercion-and-dialog-in-italian-wards
#5
JOURNAL ARTICLE
Eleonora Rossero, Raffaella Ferrero Camoletto
Psychiatric practice has always entailed a coercive dimension, visible not only in its formal expressions (e.g. compulsory treatment) but in many informal and implicit forms. In fact, contemporary psychiatric practices are characterized by an interplay of coercion and dialog to be interpreted not as binary categories but as extremes of a spectrum. Within this perspective, it becomes crucial to draw boundaries attributing meaning to professional identities and practices in psychiatric work. This is particularly relevant in acute wards: to explore this issue, we selected two cases according to a most-different-cases design, one ward with a mechanical-restraint approach compared to one with no-mechanical-restraint...
February 26, 2024: Health (London)
https://read.qxmd.com/read/38407104/vibrant-screens-remote-therapy-and-counselling-through-the-lens-of-digital-materiality
#6
JOURNAL ARTICLE
Marjo Kolehmainen
This article analyses the digital screen as a health technology. In particular, the article asks how screens as a part of therapy settings or counselling practices materialise - or fail to materialise - care. The empirical data comprise interviews with therapy and counselling professionals, whose experiences with technology during the COVID-19 pandemic were my original interest. Adopting a sociomaterial approach to technology use, it scrutinises not only how screens are used, but also how screens themselves act and operate...
February 26, 2024: Health (London)
https://read.qxmd.com/read/38351634/-hearts-and-minds-illustrating-identity-tensions-of-people-living-and-working-through-marketising-policy-change-of-allied-health-disability-services-in-australia
#7
JOURNAL ARTICLE
Kristen Foley, Stacie Attrill, Chris Brebner
Service-based caring sectors like disability are increasingly being operated via market logic, including shifts towards personalised funding. These shifts must be brought to life in/through people already located in relation to ideas and values that underpin historical policies. Our manuscript examines how identities are re/shaped in relation to marketised policy change and explores how identity change unfolds (or not) during periods of transition: situated within the transition to the National Disability Insurance Scheme executed in Australia as a major disability funding reform...
February 13, 2024: Health (London)
https://read.qxmd.com/read/38311913/mind-stuff-and-withdrawal-of-the-senses-toward-an-interpretation-of-pratyahara-in-contemporary-postural-yoga
#8
JOURNAL ARTICLE
Elizabeth McKibben
Yoga has become a popular health and wellbeing practice that draws on ancient philosophy. Pratyahara is a core tenet of yoga practice and is often translated to mean withdrawal of the senses. Withdrawing from the senses plays a key role in aiding yoga practitioners to find spiritual enlightenment by transcending the worldly. Withdrawing from the material world, however, does not neatly fit within the parameters of the contemporary postural yoga industry. This paper looks at the conceptual origins of pratyahara through stances relevant to health research...
February 4, 2024: Health (London)
https://read.qxmd.com/read/38234164/composing-adult-lives-with-a-ventilator-at-the-intersection-of-developmental-and-neoliberal-discourses-of-time
#9
JOURNAL ARTICLE
Elizabeth J Straus, Helen Brown, A Fuchsia Howard, Gail Teachman
This paper explores temporalities and experiences of time drawn from an analysis of interview data from a critical narrative inquiry of the experiences of young adults living with home mechanical ventilation (HMV). The analysis centers the ideological effects of dominant discourses that shape understandings of time in the Euro-Western world and the ways in which young adults' stories prompt a rethinking of time in health research and praxis. Data generation involved interviews and photo-elicitation with five young adults (ages 18-40)...
January 17, 2024: Health (London)
https://read.qxmd.com/read/38095184/narratives-about-distributed-health-literacy-during-the-covid-19-pandemic
#10
JOURNAL ARTICLE
Susana Silva, Helena Machado, Ilaria Galasso, Bettina M Zimmermann, Carlo Botrugno
The promotion of health literacy was a key public health strategy during the COVID-19 pandemic. However, the role of social networks and relationships for support with health literacy-related tasks in the context of the COVID-19 pandemic is scarcely understood. Moving beyond traditional notions of health literacy, which focus on individual skills and knowledge, this study uses the concept of distributed health literacy to explore how individuals make meaning of and respond to health literacy and make their literacy skills available to others through their relational and socially situated and lived experiences of the COVID-19 pandemic...
December 14, 2023: Health (London)
https://read.qxmd.com/read/38095166/-you-kind-of-blame-it-on-the-alcohol-but-a-discourse-analysis-of-alcohol-use-and-sexual-consent-among-young-men-in-vancouver-canada
#11
JOURNAL ARTICLE
Trevor Goodyear, John L Oliffe, Hannah Kia, Emily K Jenkins, Rod Knight
There is growing awareness about issues of sexual consent, especially in autonomy-compromising or "non-ideal" contexts, including sex involving alcohol. Understanding the conditions needed for consensual sex to occur in this emergent milieu is critically important, especially for young men (ages 18-30 years) who normatively combine drinking alcohol with sex and are most often perpetrators of sexual violence. This study offers a discourse analysis of young men's alcohol use and sexual consent. Data are drawn from qualitative interviews with 76 young men (including gay, bisexual, queer, and straight men) in Vancouver, Canada, from 2018 to 2021...
December 14, 2023: Health (London)
https://read.qxmd.com/read/38069586/biographical-disruption-redefinition-and-recovery-illness-identities-of-women-with-depression-and-diabetes
#12
JOURNAL ARTICLE
Deborah A Potter
The rich conceptual literature on illness experiences has been based largely on singular diseases/conditions. However, over the last few decades, more complex disease patterns and increased longevity have complicated our understanding of how people experience illness. This study builds upon existing theoretical constructs (e.g. biographical disruption) to more robustly capture the illness experiences of those living with multi-morbid conditions. In-depth interviews, examining the post-diagnostic experiences of women living simultaneously with common somatic (diabetes) and psychiatric (clinical depression) conditions, revealed participants' evolving socially embedded illness identity, as they engaged in (re-)constructing new biographies...
December 9, 2023: Health (London)
https://read.qxmd.com/read/38050928/medication-literacy-and-its-social-contextuality
#13
JOURNAL ARTICLE
Noémia Lopes, Carla Rodrigues, Elsa Pegado
This article aims to contribute to the discussion about medication literacy, by focussing on the social contextuality of the information mobilised in the use of medicines. We aim to explore the social construction processes of medication literacy, as an essential dimension for a more layperson-centred approach in the promotion of literacy in this field. This approach is justified by the growing social and cultural dissemination of medication use, the diversification of its uses beyond health and illness, and the increasing degree of lay autonomy in managing its use...
December 5, 2023: Health (London)
https://read.qxmd.com/read/38049994/sensing-pain-embodied-knowledge-in-endometriosis
#14
JOURNAL ARTICLE
Elina Helosvuori, Venla Oikkonen
The article explores how sensations of pain are turned into embodied knowledge in endometriosis, a chronic gynaecological illness characterized by persistent, possibly paralysing pain. While previous studies have shown how people with endometriosis struggle to achieve accurate diagnosis and effective treatment, we examine the ways in which some of these difficulties are rooted in the complexities of embodied experiences of endometriosis pain and the challenges of translating the sensed patterns and shifts in pain into a language acknowledged within a clinical setting...
December 4, 2023: Health (London)
https://read.qxmd.com/read/38049974/-through-a-kaleidoscope-a-foucauldian-discourse-analysis-of-belgian-policy-regarding-patients-with-a-migration-background-and-depression-in-general-practices
#15
JOURNAL ARTICLE
Camille Wets, Piet Bracke, Katrijn Delaruelle, Melissa Ceuterick
A higher prevalence of depression is found among patients with a migration background within the Belgian population. Nevertheless, this group is underrepresented in ambulant and residential mental health care services. Since general practitioners (GPs) have a crucial gatekeeping role, this led some researchers to investigate the possibility of a provider bias influencing GPs' assessment and referral of depressed patients with a migration background. However, GPs' accounts may be influenced by wider professional discourses present at the policy level, which are inevitably linked to institutions regulating the conduct of GPs...
December 4, 2023: Health (London)
https://read.qxmd.com/read/38031251/visualising-navigating-and-making-time-the-use-of-a-digital-solution-in-treatment-and-rehabilitation-from-low-back-pain
#16
JOURNAL ARTICLE
Charlotte Ettrup Christiansen, Mette Terp Høybye, Ronja Rosenberg Grøn, Camilla Blach Rossen
Illness trajectories are particularly characterised by the temporal dimension of human existence. In the area of low back pain, patients often have challenging temporal experiences such as unproductive waiting time and fragmented, repetitive consultations over many years. This study seeks to investigate relationships between digital technologies, temporal agency, and illness, through describing how users experienced a new digital solution, BackTrace, targeting patients with low back pain. The study builds on six months of ethnographic fieldwork, including semi-structured interviews, participant observation and a workshop...
November 29, 2023: Health (London)
https://read.qxmd.com/read/37968946/is-covid-19-vaccine-uptake-in-postsecondary-education-a-problem-a-critical-policy-inquiry
#17
JOURNAL ARTICLE
Claudia Chaufan
Since the launch of the Covid-19 global vaccination campaign, postsecondary institutions have strongly promoted vaccination, often through mandates, and the academic literature has identified "vaccine uptake" among postsecondary students as a problem deserving monitoring, research, and intervention. However, with the admission that vaccines do not stop viral spread, that older-age and co-morbidities are major determinants of poor outcomes, and that many vaccine side effects disproportionately affect the young, it cannot be assumed that a risk-benefit analysis favors vaccinating postsecondary students...
November 15, 2023: Health (London)
https://read.qxmd.com/read/37947360/un-tracking-menopause-how-not-using-self-tracking-technologies-mediates-women-s-self-experiences-in-menopause
#18
JOURNAL ARTICLE
Marjolein de Boer, Marieke Hendriks, Emiel Krahmer, Jenny Slatman, Nadine Bol
Self-tracking in general, and by women in particular is increasingly researched. In the literature, however, women's interactions with selftracking technologies in menopause-a change that (almost) every woman will go through-is largely taken for granted. This paper addresses this lacuna by asking whether and how menopausal women use self-tracking technologies, and how this (non-) usage mediates their self-experiences. In doing so, it elaborates on another understudied phenomenon: the constitutive significance of "un-tracking"-that is, of various shades and levels of not using self-tracking technologies-in menopause...
November 10, 2023: Health (London)
https://read.qxmd.com/read/37855125/disparities-in-the-prevalence-of-adhd-diagnoses-suspicion-and-medication-use-between-flanders-and-qu%C3%A3-bec-from-the-lens-of-the-medicalization-process
#19
JOURNAL ARTICLE
Marie-Christine Brault, Emma Degroote, Mieke Van Houtte
The prevalence of Attention-Deficit/Hyperactivity Disorder (ADHD) diagnoses and medication use has increased over time around the world, but significant regional differences remain. This paper aims to determine and explain disparities in ADHD prevalence and medication use among school-aged children in two distinct school systems, in Flanders (Belgium) and Québec (Canada). We present detailed descriptive and comparative analyses of data from 35 schools, 114 teachers, and 1046 parents (children) that were collected as part of a comparative international project...
November 2023: Health (London)
https://read.qxmd.com/read/35608173/-is-it-in-your-basic-personality-negotiations-about-traits-and-context-in-diagnostic-interviews-for-personality-disorders
#20
JOURNAL ARTICLE
Maarit Lehtinen, Liisa Voutilainen, Anssi Peräkylä
What does it mean to claim that somebody's personality is disordered? The aim in this paper is to examine how the process of diagnosing personality disorders (PD) unfolds on a practical level. We take an in-depth look at PD interviews, paying close attention to the occasional discrepancies in the clinicians' and the patients' approaches to generalising the behaviour of patients to describe their personality. Clinicians are guided by the medical model and structured interviews in their approach. We regard the interview situation as interplay between the institution, the clinician and the patient - and the final diagnosis as an interactional construction between them...
November 2023: Health (London)
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