Urinary problems are common among aging men, but there is a paucity of research efforts to understand the psychosocial aspects of the illness. This study aims to understand how common and distressing ...urinary problems are for newly retired men in Hong Kong and to test the associations between mental health, self-stigma of seeking help, fatigue, self-efficacy, self-esteem, and distress due to urinary problems. To assess this, 139 out of 200 members of a retired men's social club (mean age 63.5) were successfully interviewed. Two-fifths of the participants felt distressed due to their urinary problems and one-third of the participants had been troubled by urinary incontinence or nocturia in the past six months. Yet the majority of the participants (55%) did not seek help from any medical profession. The group who were distressed by urinary problems showed significantly poorer mental health, reported more fatigue symptoms, were less satisfied with their sexual relationships and overall self-esteem, and were less able to stop unpleasant thoughts or to get social support than the non-distressed group. Cultural perceptions of masculinity and decreased sexual vigor might have affected participants' willingness to seek help at an early stage. Targeted health education, mutual support groups, and sensitively designed services at the community level are suggested to address these physical and mental health issues.
Primary healthcare plays a pivotal role in enhancing health conditions. In Singapore, such services are predominantly manifested through the implementation of the Community Health Assistance Scheme ...(CHAS). CHAS is an initiative aimed at providing fundamental preventive and therapeutic services, especially for those seniors and low‐income adults with chronic diseases. In spite of considerable efforts in policy and research in this domain, there is a dearth of studies focusing on the spatial optimization of these primary healthcare services. In this study, an innovative multi‐objective medical service facility siting model has been developed based on coarse‐grained parallel genetic algorithm to address the intricate challenges associated with the optimization of locations for CHAS clinics. The proposed optimization model aims to simultaneously maximize accessibility, minimize inequity, and minimize the number of clinics. The successful application of this model in the siting of CHAS clinics in Singapore demonstrates its effectiveness in enhancing residents' access to healthcare services. Apart from its novel academic contributions to the field of spatial optimization of primary healthcare facilities in general, we have also discussed the inherent limitations and identified certain aspects as the future directions of this research.
The accessibility to healthcare facilities is closely linked to people's health and quality of life, which is especially evident in densely populated metropolises, such as Shanghai, China. Access to ...healthcare facilities is determined by various spatial and nonspatial factors, such as population, transportation modes, travel time, and the reputation of hospitals. In this research, with the consideration of all these factors mentioned above, a new approach based on the two‐step floating catchment area method and multi‐source datasets was proposed to measure the accessibility to these hierarchical healthcare facilities in Shanghai, China, including secondary hospitals and tertiary hospitals. In addition, a web mapping Application Programming Interface (API) was employed in this research to retrieve the traffic cost for different transportation modes and the analytic hierarchy process approach was also employed to help calculate the comprehensive accessibility in Shanghai considering both different types of hospitals and different modes of transportation. The results show that depending on modes of transportation, significant differences can be seen in accessibilities to different types of healthcare facilities. The calculated comprehensive accessibility reflects that the central regions in the research area have higher accessibility compared to the surrounding areas in Shanghai in general and more detailed spatial patterns could also been seen from the accessibility map. The research findings can also be utilized to support the better allocation of healthcare facilities at various levels.
Most family carer support programs focus on supporting carers with caregiving-related knowledge and skills to help their family members who suffer from schizophrenia in their recovery process while ...carers' inner resources and preferred identities are less emphasized in the existing studies.
The present study uses collective narrative therapy groups (CNTG) to promote the inner strengths and agency of family carers and help them to explore their preferred identities while caring for family members with schizophrenia.
To ensure an evidence-based intervention, 89 Chinese family carers of people with schizophrenia took part in this three-wave longitudinal program evaluation study using a randomized controlled trial design.
Compared with the control group, family carers in CNTG reported better family relationships, a lesser caregiving burden, and more perceived inner resources. Repeated one-way ANOVA revealed that CNTG improved family relationships, the caregiving burden, the level of hope and inner resources in the posttest, and a statistically significantly better mental health condition in the follow-up.
This study shows that collective narrative psychotherapy is effective in supporting family carers of people with schizophrenia in Hong Kong. Based on the research findings, we discuss the strengths of the program and its implications for practitioners.
In Chinese societies, violence among adolescent dating partners remains a largely ignored and invisible phenomenon. The goal of this study is to examine the relationships among gender-role beliefs, ...attitudes justifying dating violence, and the experiences of dating-violence perpetration and victimization among Chinese adolescents. This study has used self-reporting measures to collect data from a probability sample of 976 adolescents (mean age = 15.9) in three Chinese societies: Taiwan, Hong Kong, and Shanghai. Research results reveal a high prevalence of dating violence (including physical violence, sexual violence, and controlling behavior) among Chinese adolescents with dating experience: the perpetration rate is 27.3% and the victimization rate is 39%. Study results demonstrate that adolescents who endorse traditional gender-role beliefs tend to view dating violence as acceptable behavior. Boys’ endorsement of traditional gender roles, boys’ attitudes justifying boy-on-girl violence, and boys’ attitudes against girl-on-boy violence predict boys’ actual sexual-violence behavior. Moreover, boys’ attitudes justifying boy-on-girl dating violence is the strongest predictor of boys’ perpetration of physical and sexual dating violence. This study also shows that boys’ hostility is a significant predictor of boys’ controlling behavior. Programs for preventing dating violence should include components designed to challenge traditional gender-role beliefs and attitudes justifying dating violence.
Little is known about how social work supervisors can be equipped and supported. A qualitative evaluation of a supervision of supervisory practice (SOSp) training programme with nine supervisors with ...2 years of experience was done. Benefits for the supervisors were the application of knowledge and skills that improved the supervisory practice, and the opportunity to receive feedback. However, lack of time was a major obstacle for quality supervision. Supervisees reported experiencing a more collaborative supervision and an increase in confidence and perception of competence in case management. This exploratory study highlights the importance of developing competencies in the education and support functions of supervision.
Training-based intervention such as psychoeducational groups has become increasingly popular to empower family caregivers of people with schizophrenia, yet existing supportive programs for caregivers ...tend to focus more on the needs of the patients rather than the development of the caregivers. This study aimed to compare the outcomes of a skill-based empowerment psychoeducational group and an inner-resource enhancing empowerment narrative therapy group for family caregivers of people with schizophrenia. We conducted a randomized controlled trial with a longitudinal design. The sample consisted of 132 family caregivers who were randomly assigned to eight sessions of the two groups (i.e. a narrative-based group, or a psychoeducational group), or a control group with delayed treatment. Psychometric scales were administrated throughout the project. Both the psychoeducational group and the narrative group showed significant improvements in family relationships, caregiving burden, and coping skills compared with the control group across the three time points (pretest, posttest, and 2-month follow-up). A statistically significant advancement in coping skills was found in the psychoeducational group. The narrative group outperformed the psychoeducational group and the control group in the enhancement of inner resources, perceived control, and level of hope. The findings call for the need of an integrative empowerment approach that both values the inner strength and unique experiences of the caregivers and at the same time provides them with necessary skills and knowledge in taking care of their family members with schizophrenia.
Accessible primary healthcare is important to national healthcare in general and for older persons in particular, in societies where the population is ageing rapidly, as in Singapore. However, ...although much policy and research efforts have been put into this area, we hardly find any spatial perspective to assess the accessibility of these primary healthcare services. This paper analyzes the geographical accessibility of one major healthcare service in Singapore, namely, General Practitioners (GPs) services under the Community Health Assist Scheme (CHAS) for older persons. A Python script was developed to filter the website data of the Housing Development Board (HDB) of Singapore. The data derived was comprehensively analyzed by an Enhanced 2-Step Floating Catchment Area (E2SFCA) method based on a Gaussian distance-decay function and the GIS technique. This enabled the identification of areas with relatively weak geographical accessibility of CHAS-GPs. The findings are discussed along with suggestions for health practitioners, service planners and policy makers. Despite its initial nature, this study has demonstrated the value of innovative approaches in data collection and processing for the elderly-related studies, and contributed to the field of healthcare services optimization and possibly to other human services.
Flourishing is a growing topic in positive psychology, and the positive influences of flourishing have been well documented. Although recent literature has shown that religion has an impact on one's ...physical and psychological well-being in positive ways, the relationship between religiosity and flourishing has surprisingly not been studied. The present study aimed to explore the relationship of religious faith with flourishing and psychological distress. An online survey has successfully recruited 267 participants from UK and Taiwan. The survey used standardised inventories including the PERMA Profiler, the Santa Clara Strength of Religious Faith Questionnaire, and the Clinical Outcome in Routine Evaluation to measure flourishing, religious faith and psychological distress respectively. Results show that participants with strong religious faith do have higher levels of flourishing. Yet Path Analysis shows that participants who have stronger religious faith is indirectly related to lower psychological distress through the mediating effect of flourishing. Suggestions for future research and implications of the findings are discussed.
The aim of this study was to explore the self and identity perspectives among Chinese adolescents with severe mental illness (SMI), with a focus on their illness experience and subjective meaning of ...a formal diagnosis. Thirty-one Chinese adolescents were interviewed and the interview data were analysed strictly according to principles suggested by the constructivist grounded theory approach. Five theoretical codes emerged in this study, including changes of personal values and beliefs, accumulated persistent developmental challenges and personal stresses, ineffective coping strategies and development, symptoms and development of mental illness, and changed perceptions and understandings of self. A proposed model of “The dynamic interactions of Chinese adolescents’ identity and mental illness”, was constructed and visualized. The results revealed that adolescents’ identity formation is a fluctuating and non-linear process, but tends to be predominantly negative. The negative self, as informed by long-term ineffective coping with accumulated persistent developmental challenges and stressful events, develops towards a more serious status of negative identity and contributes to relapse symptoms, although this impact occurs variably with perceived personal characteristics. Besides, some participants who had achieved a state of “Buddha-like numbness” made a conscious decision to live a seemingly normal life while coexisting with their illness. The study also highlighted the positive aspects of identity formation that can arise from the experience of illness, including an enhanced sense of realism and increased empathy. Our findings will imply much the need for person-centred treatment plan and services that take into account of individual situations.
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