Effect of the use of a national information brochure about fetal movements on patient delay

Background

Perinatal audits in the Netherlands showed that stillbirth was nearly always preceded by a period of reduced fetal movements. Patient or caregiver delay was identified as a substandard care factor.

Recall of Nonverbal Cues: Exploring a New Definition of Interpersonal Sensitivity

Interpersonal sensitivity, defined as the accurate recall of another person’s nonverbal behavior, was measured in two studies. In Study 1, nonverbal recall accuracy (NRA) was based on recall of cues expressed by a man and/or woman being interviewed on videotape. Retest reliability after 2 weeks was satisfactory and the male and female tests demonstrated sufficient convergence. Participants could assess their own recall accuracy at better than chance levels; ability to decode the meanings of visual nonverbal cues was positively related to NRA; discriminant validity of NRA was demonstrated with regard to general cognitive ability; and women had higher NRA than men. In Study 2, NRA was based on recall of a live interaction partner. Women again had higher NRA than men; NRA was significantly better than chance; and higher NRA was associated with more smiling and self-reported positive affect during the interaction. Nonverbal recall accuracy is a promising new definition of interpersonal sensitivity.

Validation of the Strengths and Stressors Tracking Device with a child welfare population

The Strengths and Stressors Tracking Device (SSTD) is a rapid assessment measure of family well-being that assesses the particular strengths and needs of families at intake to help guide case planning and evaluate the effectiveness of treatment. The device assesses families from an ecological perspective in the domains of environmental conditions, social support, caregiver skills, and child well-being, and may be used at multiple points during treatment to assess change. SSTD has high internal consistency in all domains, distinguishes between physical abuse and neglect, and is sensitive to specific changes made by families across the duration of treatment.     

Posture mirroring and interactional involvement: Sex and sex typing effects

This study investigated the effects of sex (male-male vs. female-female) and sex typing (sex typed-sex typed, sex typed-androgynous, and androgynous-androgynous) on dyadic posture mirroring between strangers in a “waiting room” context. Results revealed a significant interaction between sex composition and sex-typing composition such that among sex-typed pairs, females displayed more posture mirroring than males but among androgynous pairs, the effect was reversed with male dyads showing more posture sharing than female dyads. Results also showed a surprising negative relation between mirroring and rapport as well as a negative correlation between mirroring and verbalization. The suggestion made is that individual action in the form of talk and communal engagement in the form of mirroring may represent different modes of being involved in an interaction.     

Variational Inference for Heteroscedastic Semiparametric Regression

We develop fast mean field variational methodology for Bayesian heteroscedastic semiparametric regression, in which both the mean and variance are smooth, but otherwise arbitrary, functions of the predictors. Our resulting algorithms are purely algebraic, devoid of numerical integration and Monte Carlo sampling. The locality property of mean field variational Bayes implies that the methodology also applies to larger models possessing variance function components. Simulation studies indicate good to excellent accuracy, and considerable time savings compared with Markov chain Monte Carlo. We also provide some illustrations from applications.     

Multi-professional vocational rehabilitation group meetings with female clients: a qualitative study

Many women require vocational rehabilitation before they can return to work. The objective with the present study was to describe female clients' situation during the rehabilitation process, as it became apparent during the rehabilitation meetings with the various actors involved. The clients' diagnoses varied, but the majority was affected with musculoskeletal disorders. The meetings were audio-taped and transcribed verbatim, after which they were analysed by qualitative content analysis. The following themes emerged: Adaptation to the rehabilitation group; client's health status; the workplace's significance for rehabilitation; and the client's decision-point. Conflict between health and work was immensely important for rehabilitation. Differences in attitude were apparent during the rehabilitation meetings, as some clients were passive and exercised less influence on the planning, than the other more active clients did.     

The Family Experience of the Crisis of Involuntary Treatment in Mental Health

While policy and practice standards emphasise the importance of engaging and supporting families of people with mental health problems, many families have reported feeling unsupported and distanced from treatment and care planning in acute inpatient units. There has been little systematic interest in the changing role and experiences of families throughout the emergence of illness, crisis, seeking of treatment, and subsequent recovery. Nineteen in-depth interviews were conducted with the next of kin of 17 people who had been admitted under an Involuntary Treatment Order in a large metropolitan hospital in the Brisbane region. A general inductive approach was used to analyse the data. While hospital admission was described as a time where, ideally, families were able to let go of being responsible for their relative's behaviour and let the health care professionals take over, for many this did not occur. We suggest four critical elements for providing recovery-oriented support to families. These include: (a) ensuring that families feel that their relative is safe and receiving the care needed; (b) keeping the family informed about their relative's progress; (c) ensuring families have access to information about the mental health system, and (d) working in partnership with the families.

IMPLICATIONS

• Family wellbeing is improved when they feel part of a supportive team.

• Instituting an open policy where families can contact ward staff easily and access information about the person they care for may alleviate families’ anxieties and minimise stress.

• Family work is enhanced when health professionals acknowledge families’ relationships, expertise, and understanding of their family member.