keyword
https://read.qxmd.com/read/38547214/from-opt-out-to-opt-in-consent-for-secondary-use-of-medical-data-and-residual-biomaterial-an-evaluation-using-the-re-aim-framework
#1
JOURNAL ARTICLE
Jennifer E Lutomski, Peggy Manders
BACKGROUND: Patient records, imaging, and residual biomaterial from clinical procedures are crucial resources for medical research. In the Netherlands, consent for secondary research has historically relied on opt-out consent. For ethical-legal experts who purport passive consent undermines patient autonomy, opt-in consent (wherein affirmative action is required) is seen as the preferred standard. To date, there is little empirical research exploring patient feasibility, organizational consequences, and the potential risks for research based on secondary data...
2024: PloS One
https://read.qxmd.com/read/38541975/a-matter-of-trust-confidentiality-in-therapeutic-relationships-during-psychological-and-medical-treatment-in-children-and-adolescents-with-mental-disorders
#2
JOURNAL ARTICLE
Johanna Xenia Kafka, Oswald David Kothgassner, Anna Felnhofer
Background: Confidentiality is a crucial ethical principle in therapy, particularly for children and adolescents, yet their perception of it remains understudied. We aimed to explore minors' perspectives and attributions on confidentiality in psychological and medical treatment. Methods: We interviewed 11 pediatric patients aged 7 to 15 and used reflexive thematic analysis to analyze their responses. Results: Four main themes were extracted from the data: (1) confidentiality and uncertainty regarding what information will be shared with clinicians and parents; (2) consequences of breaching confidentiality, encompassing breaches of confidentiality in the past and their negative effects on interactions with parents and health professionals; (3) exceptions to confidentiality, including understanding the limits of confidentiality; and (4) autonomy and self-determination, reflecting the desire for involvement in medical decisions...
March 18, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38540647/future-of-adhd-care-evaluating-the-efficacy-of-chatgpt-in-therapy-enhancement
#3
JOURNAL ARTICLE
Santiago Berrezueta-Guzman, Mohanad Kandil, María-Luisa Martín-Ruiz, Iván Pau de la Cruz, Stephan Krusche
This study explores the integration of large language models (LLMs), like ChatGPT, to improve attention deficit hyperactivity disorder (ADHD) treatments. Utilizing the Delphi method for its systematic forecasting capabilities, we gathered a panel of child ADHD therapy experts. These experts interacted with our custom ChatGPT through a specialized interface, thus engaging in simulated therapy scenarios with behavioral prompts and commands. Using empirical tests and expert feedback, we aimed to rigorously evaluate ChatGPT's effectiveness in therapy settings to integrate AI into healthcare responsibly...
March 19, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38531589/impact-of-clinical-supervision-on-the-mental-health-nursing-workforce-a-scoping-review-protocol
#4
JOURNAL ARTICLE
Joshua Henry McDonough, Kate Rhodes, Nicholas Procter
INTRODUCTION: Mental health nurses work in potentially unpredictable, stressful and complex environments that can lead to burn-out and high staff turnover. Clinical supervision is a formal and professional agreement between two or more people that aims to strengthen individuals' competencies and organisational strengths. Effective clinical supervision has been noted as a method of reducing workplace issues within mental health nursing, but there is not currently a synthesis of evidence in this area...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38531562/clinical-practice-guideline-recommendations-to-improve-the-mental-health-of-adult-trauma-patients-protocol-for-a-systematic-review
#5
JOURNAL ARTICLE
Mélanie Bérubé, Nori Bradley, Meaghan O'Donnell, Henry Thomas Stelfox, Naisan Garraway, Helen-Maria Vasiliadis, Valerie Turcotte, Michel Perreault, Matthew Menear, Léonie Archambault, Juanita Haagsma, Hélène Provencher, Christine Genest, Marc-Aurèle Gagnon, Laurence Bourque, Alexandra Lapierre, Amal Khalfi, William Panenka
INTRODUCTION: Mental disorders are common in adult patients with traumatic injuries. To limit the burden of poor psychological well-being in this population, recognised authorities have issued recommendations through clinical practice guidelines (CPGs). However, the uptake of evidence-based recommendations to improve the mental health of trauma patients has been low until recently. This may be explained by the complexity of optimising mental health practices and interpretating CGPs scope and quality...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38528607/acceptance-and-utilization-of-web-based-self-help-for-caregivers-of-children-with-externalizing-disorders
#6
JOURNAL ARTICLE
Laura Wähnke, Julia Plück, Mikel Bodden, Angela Ernst, Marie-Theres Klemp, Judith Mühlenmeister, Manfred Döpfner
BACKGROUND: Web-based self-help interventions for parents of children with ADHD and other externalizing disorders have been proven to be effective. In order to recommend individualized and optimized interventions, a better understanding of the acceptance and utilization of this innovative treatment approach is needed. Previous research has frequently employed subjective reports of utilization, but the validity of these studies may be limited. METHODS: Data from the German WASH study were used...
March 25, 2024: Child and Adolescent Psychiatry and Mental Health
https://read.qxmd.com/read/38526549/investigating-father-or-partner-involvement-in-family-integrated-care-in-neonatal-units-with-target-fathers-and-partners-in-family-integrated-care-protocol-for-a-prospective-multicenter-multiphase-study
#7
JOURNAL ARTICLE
Rupa Rubinstein, Katie Gallagher, John Ho, Julian Bose, Minesh Khashu, Narendra Aladangady
BACKGROUND: Neonatal unit (NU) admissions for premature babies can last for months, which can significantly impact parental mental health (MH) with symptoms of depression, stress, and anxiety. Literature suggests fathers experience comparable MH symptoms to mothers. Family integrated care (FICare) is a culture where parents are collaborators and partners in caring for their hospitalized newborns. FICare improves infant outcomes and maternal MH. Similar reports on fathers are limited. OBJECTIVE: The primary aim of this study is to investigate the impact of supporting father or partner engagement in FICare of preterm infants on their MH up to 6 weeks postdischarge...
March 25, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38523668/effectiveness-of-multi-component-modular-intervention-on-screen-based-and-non-screen-based-sedentary-time-among-adolescents-in-an-urban-area-of-mangalore-a-school-based-cluster-randomised-controlled-trial-protocol
#8
JOURNAL ARTICLE
Soundarya Janani S, Nithin Kumar, Mithun Rao, Rekha T, Prasanna Mithra, Bhaskaran Unnikrishnan, Ramesh Holla, Saraswathy M Vikraman, Himani Kotian
BACKGROUND: Behavioural risk factors may often present during adolescence and account for 70% of premature deaths during adulthood. Excessive sedentary behaviour and screen time have become significant concerns, especially among adolescents, due to their potential negative impact on physical and mental health. Adolescents with a high screen-based sedentary time are more likely to be physically inactive, have unhealthy body structure and poor academic performance. The objective of our study is to assess the effect of multi-component modular educational intervention on screen-based sedentary time (SST) and non-screen-based Sedentary time (NSST) among adolescents...
2024: F1000Research
https://read.qxmd.com/read/38508686/tracing-tomorrow-young-people-s-preferences-and-values-related-to-use-of-personal-sensing-to-predict-mental-health-using-a-digital-game-methodology
#9
JOURNAL ARTICLE
Gabriela Pavarini, David M Lyreskog, Danielle Newby, Jessica Lorimer, Vanessa Bennett, Edward Jacobs, Laura Winchester, Alejo Nevado-Holgado, Ilina Singh
BACKGROUND: Use of personal sensing to predict mental health risk has sparked interest in adolescent psychiatry, offering a potential tool for targeted early intervention. OBJECTIVES: We investigated the preferences and values of UK adolescents with regard to use of digital sensing information, including social media and internet searching behaviour. We also investigated the impact of risk information on adolescents' self-understanding. METHODS: Following a Design Bioethics approach, we created and disseminated a purpose-built digital game (www...
March 20, 2024: BMJ Ment Health
https://read.qxmd.com/read/38508623/improving-psychosocial-adjustment-to-traumatic-brain-injury-from-acute-to-chronic-injury-through-development-and-evaluation-of-the-mytbi-online-psychoeducation-platform-protocol-for-a-mixed-methods-study
#10
JOURNAL ARTICLE
Lakkhina Troeung, Thilaga L Sarunga Raja, Georgina Mann, Janet Wagland, Colin MacLeod, Angelita Martini
INTRODUCTION: This protocol describes the myTBI study which aims to: (1) develop an online psychoeducation platform for people with traumatic brain injury (TBI), their family members/caregivers, and healthcare staff to improve psychosocial adjustment to TBI across different phases of injury (acute, postacute, and chronic), and (2) undertake an evaluation of efficacy, acceptability, and feasibility. METHODS AND ANALYSIS: A three-stage mixed-methods research design will be used...
March 19, 2024: BMJ Open
https://read.qxmd.com/read/38506921/using-a-rapid-learning-health-system-for-stratified-care-in-emerging-adult-mental-health-services-protocol-for-the-implementation-of-patient-reported-outcome-measures
#11
JOURNAL ARTICLE
Gina Dimitropoulos, David Lindenbach, Melissa Potestio, Tom Mogan, Amanda Richardson, Alida Anderson, Madison Heintz, Karen Moskovic, Jason Gondziola, Jessica Bradley, Haley M LaMonica, Frank Iorfino, Ian Hickie, Scott B Patten, Paul D Arnold
BACKGROUND: Mental illness among emerging adults is often difficult to ameliorate due to fluctuating symptoms and heterogeneity. Recently, innovative approaches have been developed to improve mental health care for emerging adults, including (1) implementing patient-reported outcome measures (PROMs) to assess illness severity and inform stratified care to assign emerging adults to a treatment modality commensurate with their level of impairment and (2) implementing a rapid learning health system in which data are continuously collected and analyzed to generate new insights, which are then translated to clinical practice, including collaboration among clients, health care providers, and researchers to co-design and coevaluate assessment and treatment strategies...
March 20, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38504652/lovescompany-evaluating-the-safety-and-feasibility-of-a-mental-health-focused-online-community-for-adolescents
#12
JOURNAL ARTICLE
Anna Van Meter, Neha Agrawal
Background : Adolescents are at risk for mental health (MH) disorders but are unlikely to seek services and may be reluctant to talk about their MH. An anonymous, online MH-focused community could help reduce suffering. However, online forums can also promote negative behaviours such as cyberbullying. This study aimed to evaluate the safety and feasibility of an online community - LovesCompany - to improve MH outcomes for adolescents. Methods : American adolescents (14-17 years) were recruited through social media...
March 20, 2024: Journal of Child and Adolescent Mental Health
https://read.qxmd.com/read/38504558/risk-management-and-decision-making-in-dementia-care
#13
JOURNAL ARTICLE
Zena Aldridge, Karen Harrison Dening
What constitutes a risk for a person living with dementia may be perceived and prioritised differently by nurses from varying clinical backgrounds. Furthermore, risk may be perceived differently according to the context. This article outlines some of the social, psychological and physical risk factors relevant to people living with dementia across the life course of the condition. It is important that nurses understand their role in identifying, assessing and managing risk and are aware of the resources, policies, legislation and processes designed to support decision-making and minimise the risk of harm to people living with dementia, their families and carers...
March 20, 2024: Nursing Older People
https://read.qxmd.com/read/38504453/the-gender-affirming-model-of-care-is-incompatible-with-competent-ethical-medical-practice
#14
JOURNAL ARTICLE
Andrew Amos
OBJECTIVE: To examine the compatibility of gender-affirming care with the principles and practices of psychiatry. CONCLUSIONS: The assumption that there is no pathology involved in the development of gender diversity is a necessary precondition for the unquestioning affirmation of self-reported gender identity. Cases where psychosis is the undeniable cause of gender diversity demonstrate this assumption is categorically false. To protect this false assumption, gender-affirming guidelines forbid the application of the core psychiatric competencies of phenomenology and psychopathology to the assessment of gender diversity...
March 19, 2024: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/38503415/home-based-intervention-with-semaglutide-treatment-of-neuroleptic-related-prediabetes-histori-protocol-describing-a-prospective-randomised-placebo-controlled-and-double-blinded-multicentre-trial
#15
JOURNAL ARTICLE
Ashok Ainkaran Ganeshalingam, Nicolai Gundtoft Uhrenholt, Sidse Arnfred, Peter Haulund Gæde, Niels Bilenberg, Jan Frystyk
INTRODUCTION: Subjects with schizophrenia have a 2-3 fold higher mortality rate than the general population and a reduced life expectancy of 10-20 years. Approximately one-third of this excess mortality has been attributed to obesity-related type 2 diabetes (T2D) and to cardiovascular disease. Glucagon-like peptide-1 (GLP-1) analogues increase satiety and delay gastric emptying, thereby reducing food intake and weight. GLP-1 analogues also exert beneficial effects on cardiovascular outcomes in high-risk patients with T2D...
March 18, 2024: BMJ Open
https://read.qxmd.com/read/38502016/-the-role-of-artificial-intelligence-in-psychiatry
#16
JOURNAL ARTICLE
Róbert Wernigg, Bálint Hajduska-Dér
In recent decades a global problem in mental health has been the increase in the relative proportion of patients who do not receive care, which is associated with loss of life years and deterioration in quality of life. The practical application of artificial intelligence (AI) can help in the fields of data analysis, diagnosis, therapy planning, among others in psychiatric care, thus reducing the human resource input. Today's artificial narrow intelligence (ANI), also known as weak AI, can recognise patterns and correlations in large data sets with the help of machine learning procedures and to make autonomous decisions while making its own refinements...
2024: Psychiatria Hungarica: A Magyar Pszichiátriai Társaság Tudományos Folyóirata
https://read.qxmd.com/read/38501082/the-effect-of-the-cultural-formulation-interview-on-therapeutic-working-alliance-a-study-protocol
#17
JOURNAL ARTICLE
Alma M Brand, Simon P N Groen, Nathalie Destoop, Hannah E Jongsma, Samrad Ghane, Bernard G C Sabbe, Harry van Velsen, Kurt van Houten, Özlem Becan, Dhiya Al Alyan, Mario H Braakman
BACKGROUND: The Cultural Formulation Interview (CFI) is designed to improve understanding of patients' mental health care needs. The lack of empirical evidence on the impact and effectiveness of CFI use in clarifying people's perspectives, experiences, context, and identity, and in preventing cultural misunderstandings between migrant patients and clinicians, inspired this study. The objective is to examine the effect of the CFI on the strength of therapeutic working alliances, and the potential mediating or moderating role of perceived empathy...
2024: Frontiers in Psychiatry
https://read.qxmd.com/read/38495910/workplace-trauma-and-professional-quality-of-life-in-clinical-and-forensic-psychiatry-the-critic-study
#18
JOURNAL ARTICLE
Anthony F T Bloemendaal, Astrid M Kamperman, Annette E Bonebakker, N Kool, M Olff, C L Mulder
BACKGROUND: Frontline staff in psychiatry need to perform at a very high professional level in order to ensure patient and community safety. At the same time they are exposed to high levels of stress and workplace trauma. This may have severe consequences for their professional quality of life. In addition, health care workers in general have higher incidence levels of childhood adversity than the general population. The CRITIC (CRITical Incidents and aggression in Caregivers) Study aims to improve increased understanding of the interaction between personal life history (childhood adversity and benevolence), individual capabilities, exposure to trauma and violence at work and Professional Quality of Life (ProQOL)...
2024: Frontiers in Psychiatry
https://read.qxmd.com/read/38493732/persons-with-mental-disorders-and-assisted-dying-practices-in-spain-in-response-to-ramos-et-al
#19
JOURNAL ARTICLE
Josep Pifarre, Montse Esquerda, Francesc Torralba, Jacinto Bátiz, Margarita Bofarull
Ramos et al. paper offers a narrative review of Spanish Organic Law 3/2021, which regulates euthanasia, focusing on its application to individuals with mental disorders. Ramos et al. examine the application of legal prerequisites from an ethical-legal perspective to ascertain the conditions under which psychiatric euthanasia might be considered legitimate and compliant with legal stipulations. Nevertheless, it is apparent that the core ethical inquiries linked to this matter have not been exhaustively investigated...
March 16, 2024: International Journal of Law and Psychiatry
https://read.qxmd.com/read/38492150/eating-disorders-and-covid-19-different-or-just-more
#20
JOURNAL ARTICLE
Cathal Rafferty, Angela O'Donnell, Sally Campbell, Bohan Sun, Jenny King, Zeinab Ali, Diarmuid Lynch, Elizabeth Barrett, Sarah Richardson, Michelle Clifford, Fiona McNicholas
BACKGROUND: COVID-19 saw an increase in child mental health presentations internationally. Clinicians analogised the exponential increase in anorexia nervosa to a 'tsunami' or 'outbreak', raising parallel concerns regarding medical and psychological risks (Marsh in The Guardian, 2021; Leask in NZ Herald, 2021; Monteleone et al. in Eat Weight Disord 26(8):2443-2452, 2021) . It is unclear whether Ireland emulated this picture of increased referrals with increased medical compromise...
March 16, 2024: Irish Journal of Medical Science
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