Medicine and Health Sciences Commons^™

The Impact Of Covid-19 On Collaboration And Turnover Among State Health Leadership, Kaylee Gouge

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background/Objectives: State Health Officials (SHOs), the physician-leaders of state public health departments in the US, have long been indicated as potential peacemakers between the fields of medicine and public health. However, the average term length of SHOs has declined in recent years. Meanwhile, the COVID-19 pandemic has increased public visibility of state public health departments and their leadership. Some have hypothesized that the political strain of the pandemic has further accelerated SHO turnover, compromising their leadership efficacy. Contrarily, others have suggested that the pandemic would force public health and organized medicine into closer collaborative alignment through a common enemy. …

Fully Automated Life Support Training Effects On Inpatient, Cardiac Arrest Survival Rates, Adessa D. Goss

Walden Dissertations and Doctoral Studies

In the United States, more than 200,000 adult patients die annually from inpatient cardiac arrest with survival rates stagnated at 22%–25% nationally. Recently, the adoption of fully automated life support training modalities by health care organizations has become widespread with limited literature available showing the effects on inpatient, cardiac arrest survival. The purpose of this quantitative study was to investigate the effects of fully automated life support training on inpatient, cardiac arrest survival. Applying Bloom’s mastery learning theory, the impact of the Resuscitation Quality Improvement (RQI) quarterly training and hospital unit compliance on inpatient cardiac arrest return of spontaneous circulation …

The Efficacy Of Barcoded Medication Administration In The Emergency Department, Aleksandr Vasserman

Walden Dissertations and Doctoral Studies

The practice problem addressed in this Doctor of Nursing Practice project was safe medication administration in the emergency department (ED). Paper-based delivery of medication administration is prone to errors and multiple points of failure affecting patients’ safety. The gap in nursing practice was the lack of analysis regarding the efficacy of the barcoded medication administration (BCMA) process in the ED. The practice-focused question for this project addressed whether the implementation of BCMA in the ED effectively reduced medication administration errors as compared to the previously used paper-based, non-BCMA process. The aim of this doctoral project was to review the efficacy …

Social Distance Compliance And Perceived Importance Of Online Youtube Diabetes Prevention Programs, Bettyann Rogers

Walden Dissertations and Doctoral Studies

This quantitative, nonexperimental survey was designed using a five-point Likert scale to measure the differences in the perceived importance scores for enrollment practices into nationally accredited YouTube diabetes prevention programs, or YouTube DPP, among online U.S. adult participants during the COVID-19 pandemic based on the social cognitive framework and was validated with Cronbach’s alpha. G* Power analysis for alpha level = 0.05, standard power = 0.08, and the effect size = 0.25 was calculated for a target population of over 100,000. Responses (i.e., N = 258) from the COVID-19 Blood Sugar Wellness Survey were uploaded from SurveyMonkey. The perceived important …

Effect Of Compassion Fatigue And Burn Out Education In The Nurse, Pamela Spendiff

Walden Dissertations and Doctoral Studies

Evolving changes in healthcare have caused increased levels of pressure on registered nurses (RNs) which increases compassion fatigue (CF), secondary traumatic stress (STS) and burnout (BO) and negatively affect compassion satisfaction (CS) which may affect a nurse’s abilities and skills to provide quality care for patients and cause the RN to leave the profession. The mindfulness technique is one method which may help reduce CF, STS and BO in RNs. The purpose of this quasi-experimental study, guided by the compassion satisfaction and compassion fatigue model (CS-CF), was to determine what effect a mindfulness-based intervention (MBI) has on CF, BO and …

Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox

Walden Dissertations and Doctoral Studies

Opioid misuse is a rapidly evolving health epidemic in the United States, leading to opioid use disorders, overdose deaths, and disparities in treatment. The rural population may be more susceptible given socioeconomic status, less educational attainment, and lower income. The impact on specific populations is not well understood. The purpose of this study was to identify the association of nonmedical prescription opioid use (NPOU), prescription opioid misuse (POM), and treatment-seeking with race, age, sex, education, and insurance status among rural Americans. The social-ecological model (SEM) served as the theoretical framework. The SEM described the interplay between individual, relationship, community, and …

Wholistic Healing: The Physician Perspective Of The Tibetan Medical Philosophy, Emma J. Brooks

Walden Dissertations and Doctoral Studies

In Western medicine, anatomy is divided into multiple disciplines with specialists focused on their specialization, thereby limiting the whole system medical approach within the diagnosis, practice, and treatment of illness. The purpose of this qualitative study with an emergent design was to explore how physicians of Tibetan medicine viewed treating the whole person through the lens of Sowa Rigpa. Inquiry and analytical thinking were viewed through the lens of Otto and Knight’s principles of wholistic healing, Wilber’s integral model, and the philosophy of Merleau-Ponty. Phase I consisted of key informant interviews with four participants that were recent graduates of Tibetan …

Staff Hypertension Education Program For Vulnerable Populations In A Primary Care Setting, Brando Jobity

Walden Dissertations and Doctoral Studies

For health care practitioners to effectively manage hypertension (HTN) patients and their related long- and short-term consequences, they must first identify the underlying cause of the disease. When patient interventions are not regularly implemented by clinicians, the likelihood of complications from HTN increases. A gap in staff knowledge on managing patients with HTN was identified in an outpatient clinic in the midwestern United States. A staff education program for health care providers to close the knowledge gap was developed based on the most recent Veterans Affairs/Department of Defense Clinical Practice Guidelines for the management of HTN. The aim of this …

Factors Influencing Nurses’ Willingness To Recommend Reiki For Their Oncology Patients’ Pain, Amy Nezzer

Walden Dissertations and Doctoral Studies

Hospitalized, adult, oncology patients experience intractable pain that does not always respond to pharmacological therapies. Reiki is a complementary and alternative method used to reduce pain and increase the effectiveness of pharmacological treatments, but nurses may not possess knowledge about Reiki or have the self-efficacy to educate patients about Reiki. The purpose of this study, guided by Bandura’s social cognitive theory, was to identify the relationship between nurses’ knowledge, level of self-efficacy in educating their patients, beliefs about Reiki’s effectiveness, years practicing as a nurse, and willingness to recommend Reiki for their oncology patients’ pain. The Knowledge of Nurses’ Questionnaire …

Five-Year Cervical Cancer Survival Rates By Stage At Diagnosis, Race, And Place Of Residence In Georgia, Usa, Layal Mansour

Walden Dissertations and Doctoral Studies

Despite breakthroughs and improvement in cervical cancer (cercancer) management strategies over the years, racial and geographical disparities on 5-year relative survival rates (RSRs) persist. Studies showed black women have higher mortality rates than white women with the majority of deaths occurring among women above age 45. The aim of this cross-sectional study was to investigate the predicting abilities of race and residence on 5-year RSRs by stage at diagnosis and the potential effect on survival probability in the early stage of cercancer for women above 45 years living in Georgia. Anderson's behavioral model for inequalities in healthcare was the theoretical …

Meaningful Work And Remote Employee Engagement During The Covid-19 Pandemic, Monique Foster

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic accelerated the remote working trend, causing workplace leaders to be challenged and remote employees to feel meaninglessness and lose interest in their work. The subjective nature of meaningful work and enforced remote work is a relatively recent socioeconomic phenomenon, creating a gap in the literature regarding how middle managers foster meaningful work for employees in a remote work environment. The purpose of this qualitative narrative inquiry study was to understand how middle managers fostered meaningful work for employees in a remote work environment during the COVID-19 pandemic. Data were collected from semistructured interviews with 10 middle managers …

Tools For Addressing Intimate Partner Violence And Suicide Risk: Lessons Learned From Oha’S Covid-19 Emergency Response For Suicide Prevention Grant, Karen Cellarius, Aliza Tuttle, Lea Sevey

Regional Research Institute for Human Services

In August 2020, the Oregon Coalition Against Domestic and Sexual Violence (OCADSV), the Oregon Health Authority (OHA), and Portland State University’s Regional Research Institute for Human Services (PSU RRI) began an 18-month collaboration to strengthen support for domestic violence and mental health agencies during COVID-19. As part of this grant, six domestic violence advocacy organizations around Oregon were able to place co-located advocates with their mental health partner agencies for services and cross-training. The content of this booklet is another product of this collaboration.

Jiann-Ping Hsu College Of Public Health Magazine, Georgia Southern University

College of Public Health: News & Publications

• Message from the Dean: Stuart H. Tedders, PhD
• One-On-One: Marshall in Conversation with Aslan
• Alumni Feature: Improving the Body Art Industry
• Truth is Better than Fiction
• An Invisible Danger
• New Development Council
• The Period Equity Movement
• Averitt Award Winner and Together United
• Our Students Around the World
• Justice, Equity, Diversity & Inclusion
• Center for Addiction Recovery Making an impact: Scholarship recipient named
• Karl E. Peace Center for Biostatistics and Survey Research Working together: Biostatistics collaborations
• Center for Public Health Practice and Research Improving Health Outcomes
• Faculty and Students
• Office of Practice and Research
• College
• Photos

Digest Of The Philadelphia College Of Osteopathic Medicine (2022 No. 1), Philadelphia College Of Osteopathic Medicine

PCOM Digest 2020s

The 2022 Vol 1 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• Updates
• Advancing Alumni
• PCOM Board of Trustees Elects New Chairman Thomas J. Gravina
• Past PCOM Chairman John P. Kearney’s Legacy
• 125 Years Through 125 Stories: Six Reflections of Legendary PCOM Professors
• Edna K. Williams DO 1926: The Diminutive Osteopath with Mighty Hands and Spirit
• A Humble Genius: David A. Festinger, PhD
• Class Notes

A Preliminary Descriptive Examination Of Divorce And Grief Resolution Portrayed In Children’S Literature, Tricia Martin

2022 Celebration of Scholarly Works

Books expose children to language and introduce issues that help children cope with trauma (Heath & Young, 2017). About 33% of children in the U.S. live with divorced parents (U.S. Census Bureau, 2021). The effects of parental divorce have been categorized in multiple ways. Wallerstein (1983) conceptualized 6 coping tasks for children while Kubler and Ross (2009) describe a 5-stage grief process.

PURPOSE: We sought to examine the language in children’s books about divorce to determine whether (1) the grief resolution process is accurately portrayed and (2) male vs. female characters experience realistically different grief stages in the divorce process. …

From Bedside To The Bench—A Call For Novel Approaches To Prognostic Evaluation And Treatment Of Empyema, Sophia Karandashova, Galina Florova, Steven Idell, Andrey A. Komissarov

School of Medical and Biological Sciences Faculty Publications and Presentations

Empyema, a severe complication of pneumonia, trauma, and surgery is characterized by fibrinopurulent effusions and loculations that can result in lung restriction and resistance to drainage. For decades, efforts have been focused on finding a universal treatment that could be applied to all patients with practice recommendations varying between intrapleural fibrinolytic therapy (IPFT) and surgical drainage. However, despite medical advances, the incidence of empyema has increased, suggesting a gap in our understanding of the pathophysiology of this disease and insufficient crosstalk between clinical practice and preclinical research, which slows the development of innovative, personalized therapies. The recent trend towards less …

Self- Vs Provider-Referral Differences For Coronary Artery Calcium Testing, Rebekah Lantz, Steve Young, Janet Lubov, Anas Ahmed, Ronald J. Markert, Srikanth Sadhu

Internal Medicine Faculty Publications

Study objectives: The objectives of this study were to identify independent predictors for moderate/accentuated coronary artery calcium (CAC) score and compare patients who self-referred for CAC Computed Tomography (CT) testing to those who were provider-referred. Design: Patients underwent CAC between January to July 2019. The analysis was divided into self-referred patients influenced by a CAC community campaign who identified themselves as having cardiovascular risk factors compared to provider-referred intermediate-risk patients who were asymptomatic. SAS version 9.4 (SAS Institute, Inc., Cary, NC) was used for all analyses. Setting: Seven southwest Ohio hospitals from a single network. Participants: 2124 adult patients who …

The Effects Of Covid-19 On Staying Alive Nbme Performance And Exam Testing Conditions, Anh Phuong Nguyen

Scholarship in Medicine - All Papers

Objective: This study will study the impact of COVID-19 on Wright State University BSOM class of 2023’s performance on the SA NBME exam and whether there was a difference in the scores between the group who took the test at school compared to at home. Methods: independent samples t-test was used to analyze SA NBME exam scores from BSOM class of 2022 and class of 2023 (n = 231) and also from students in the class of 2023 who took the SA NBME from home and at school. Results: The class of 2023’s performance on the SA NBME exam …

Maternal Occupational Exposure To Organic Solvents And Noise: Maternal Effects And Infant Outcomes, Kristen Van Buren

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Introduction: Several maternal occupational exposures have not yet been studied for potential reproductive harm or have inconsistent findings in the literature. Despite the challenges, identification of potential risk factors, specifically reproductive toxicants, is necessary to mitigate and prevent adverse health outcomes for working mothers and their infants. The purpose of this study was to examine maternal occupational exposure to organic solvents and noise to small-for-gestational age (SGA) and preterm birth (PTB) among infants. Additionally, the study sought to examine maternal occupational exposure to noise and presence of gestational diabetes (GDM) and pregnancy-related hypertension among participant mothers.

Methods: The study population …

Potential Impact Of Socioeconomic Status On Complications Associated With Obesity In Adult Women In The United States., Cassidy Taylor

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Abstract

The purpose of this project is to determine whether there is an association between socioeconomic factors and complications of obesity in adult women in the United States based on the national 2020 Behavioral Risk Factor Surveillance System (BRFSS) data.

Dependent variables were categorized as complications associated with obesity in adult, obese women. BRFSS items that referenced objective measures regarding chronic obesity-related complications included items such as diabetes, heart disease, arthritis, and breast cancer diagnosis. Two measures relating to participants’ socioeconomic status were also used as independent variables. BRFSS items that referenced objective measures regarding socioeconomic status are educational attainment, …

Attitudes Towards Fentanyl Test Strips Among A Cohort Of People Who Use Drugs In Rural Kentucky, Alaina Murphy

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background and aims Fentanyl-related overdoses have largely contributed to the nearly 500,000 opioid overdose deaths in the United States since 1999. Fentanyl test strips (FTS) are a new technology that is designed to help prevent these overdoses. People who use drugs (PWUD) can test their drug supply for fentanyl by placing the strip in a sample of the drug. However, access to FTS varies across the country. This variance is largely due to rural PWUD not having the same access to harm reduction programs, compared to urban settings. This study uses data on PWUD in rural Kentucky to evaluate attitudes …

Local Public Health System Comprehensiveness And Opioid Overdose Mortality, 2012-2018, Stephanie Courtney

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background: Deaths due to opioid overdose are a significant public health burden in the United States. Studies suggest that local public health systems that perform a high number of essential activities where local health departments contribute to the delivery of the activities and promote increased partnership may positively influence population health outcomes such as overdose mortality. Studies have shown that comprehensive public health systems are associated with improved health outcomes, but this association has not been addressed in the context of opioid overdose deaths. Study Aim: The purpose of this study is to evaluate the associations between local public health …

Self-Care: An Occupational Therapy Student Perspective, Isabelle Laposha, Stacy Smallfield

Journal of Occupational Therapy Education

Health professional students, including occupational therapy students, report increasing rates of stress, anxiety, depression, and burnout while completing their academic programs of study. Self-care is one potential solution to this crisis, as engagement in evidence-based self-care practices has been found to improve the health and well-being of various student populations; however, the self-care practices of occupational therapy students have not been well studied. Therefore, this study explored how occupational therapy students understand and practice self-care, and how self-care correlates to perceived stress. Twenty participants engaged in a focus group and completed a 72-hour time diary. Focus group results indicated that …

Impact Of An Interprofessional Student-Led Concussion Clinic, Anne W. Hunt, Kathryn Parker, Nick Reed

Journal of Occupational Therapy Education

This article describes the impact on the learners and health care institution of the OnTRACK-Concussion program, an innovative student-led clinic at a children’s rehabilitation hospital. The clinic, developed and operated by occupational therapists, serves the community full-time year-round. Interprofessional health care learners work together to provide education and intervention for youth with concussion and their families and to support research and community outreach initiatives. To determine the program’s impact on student learning, a post-placement questionnaire was used to capture feedback about their clinical education experience. To determine the program impact more broadly, the most significant change method was used to …

Can Environmental Law Solve The "Forever Chemical" Problem?, Mark P. Nevitt, Robert V. Percival

Faculty Articles

Although federal environmental law purports to provide the public with comprehensive protection against chemical risks, the U.S. chemical industry is characterized by self­ regulation. This self-regulation is exemplified by the dangers posed by per- and polyfluoroalkyl substances (''PFAS'')­ broad classes of persistent toxic substances that have now entered nearly every American's bloodstream and hundreds of public drinking water systems. Despite data linking exposure to these "forever chemicals" to cancer, infertility, and a host of other public health harms, environmental law has failed to safeguard the American people from PFAS' toxic legacy. How did this occur? And what should be done …

Intensive Outpatient Acceptance And Commitment Therapy With Exposure And Response Prevention For Adolescents, Julie M. Petersen, Patricia Zurita Ona, Moorea Blythe, Clara M. Möller, Michael P. Twohig

Psychology Student Research

Intensive treatments for youth obsessive-compulsive disorder (OCD) are important and underresearched. This study used three adolescent cases to assess the preliminary efficacy of an intensive treatment combining acceptance and commitment therapy (ACT) with exposure and response prevention (ERP) for OCD. Participants received intensive treatment for 15 hours per week for three weeks. Assessments were collected at pre-treatment, weekly during treatment, and at posttreatment. All participants ended treatment in the mild range of OCD severity with 32-60% reductions in symptoms. Participants also reported notable improvements in psychological flexibility and ended treatment in the non-clinical range of depression, anxiety, and stress. These …

Bacteriophage Nanocarrier As A Crispr-Cas System Delivery Vector For Re-Sensitization Of Blactx-M-M Extended-Spectrum Β-Lactamase-Producing Escherichia Coli From Companion Animals, Naiyaphat Nittayasut

Chulalongkorn University Theses and Dissertations (Chula ETD)

Increased prevalence of blaCTX-M third-generation cephalosporin (3GC)-resistant uropathogenic Escherichia coli (UPEC) in small animals indicates a crisis of an antimicrobial resistance (AMR) situation in veterinary medicine and public health. CRISPR-Cas9 system delivered by bacteriophage is an alternative tool for re-sensitization of AMR bacteria. This study aimed to characterize canine and feline 3GC-resistant UPEC in term of the genetic features and to find predominant blaCTX-M variants to be targets of CRISPR-Cas9 delivered by a bacteriophage nanocarrier in a re-sensitization model. Seven blaCTX-M variants, including group 1 (blaCTX-M-55, -15 and -173) and group 9 (blaCTX-M-14, -27, -65 and -90), were detected in …

Functional Analysis Of Laminin Subunit Beta-3 (Lamb3) In Hpv16 Positive Cervical Cancer Cell Lines, Warattaya Wattanathavorn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Nearly 100% cervical cancer cases are infected with high-risk (HR) HPV types, in which HR-HPV16 is found in >50%. The mechanism of cervical cell transformation is related to the powerful activity of viral E6 and E7 oncoproteins. The aim of this study is to identify key genes and their associated pathways through comprehensive bioinformatics analysis as well as to explore the effects of a significant gene in cervical cancer carcinogenesis. In this study, the transcriptome sequencing (RNA-seq) of HPV16 positive cervical cancer cell lines (SiHa and CaSki) was compared to HPV negative cervical cancer cell lines (C33A) to identify significant …

ผลของการบริบาลทางเภสัชกรรมโดยใช้แบบสอบถาม Prompt ในผู้ป่วยโรคไตเรื้อรัง, ปภาวี วันเพ็ญ

Chulalongkorn University Theses and Dissertations (Chula ETD)

วัตถุประสงค์: ประเมินผลคุณภาพชีวิตด้านการใช้ยา คุณภาพชีวิตด้านสุขภาพ จำนวนปัญหาจากการใช้ยาและผลลัพธ์ทางคลินิกของการแก้ไขปัญหาจากการใช้ยา รวมถึงสัดส่วนผู้ป่วยที่ได้รับการแก้ไขปัญหาจากการใช้ยาในผู้ป่วยโรคไตเรื้อรังที่ไม่ได้บำบัดทดแทนไตที่ได้รับการบริบาลทางเภสัชกรรมโดยใช้แบบสอบถาม PROMPT เปรียบเทียบกับกลุ่มที่ได้รับการบริการตามมาตรฐานปกติของโรงพยาบาล วิธีการวิจัย: การวิจัยเชิงทดลองหลายศูนย์แบบสุ่มชนิดมีกลุ่มควบคุมแบบปกปิดทางเดียว ศึกษาในผู้ป่วยโรคไตเรื้อรังที่ไม่ได้บำบัดทดแทนไตที่เข้ารับบริการในโรงพยาบาลสองพี่น้องและโรงพยาบาลท่าใหม่ จังหวัดจันทบุรี ระหว่างเดือนพฤศจิกายน 2564 ถึงเดือนสิงหาคม 2565 จำนวนทั้งสิ้น 292 คน โดยจัดสรรผู้ป่วยเป็น 2 กลุ่ม คือ กลุ่มศึกษา (กลุ่มที่ได้รับการบริบาลทางเภสัชกรรมโดยใช้แบบสอบถาม PROMPT และกลุ่มควบคุม (กลุ่มที่ได้รับการบริการตามมาตรฐานปกติของโรงพยาบาล) ประเมินผลคุณภาพชีวิตด้านการใช้ยาและคุณภาพชีวิตด้านสุขภาพของผู้ป่วยด้วยแบบสอบถาม PROMPT และแบบสอบถาม KDQOL ตามลำดับ ผลการวิจัย: กลุ่มศึกษามีผลคะแนนคุณภาพชีวิตด้านการใช้ยาดีขึ้นอย่างมีนัยสำคัญทางสถิติจำนวน 3 มิติจาก 8 มิติเมื่อเทียบกับกลุ่มควบคุม ได้แก่ มิติการได้รับข้อมูลยาและโรคจากบุคลากรทางการแพทย์ (p < 0.001) มิติความพึงพอใจต่อผลการใช้ยา (p = 0.003) และมิติคุณภาพชีวิตโดยรวมของการใช้ยา (p = 0.018) รวมถึงผลคะแนนรวมของแบบสอบถามคุณภาพชีวิตด้านการใช้ยา (p < 0.001) สำหรับผลคุณภาพชีวิตด้านสุขภาพระหว่างผู้ป่วยทั้งสองกลุ่มพบความแตกต่างอย่างมีนัยสำคัญทางสถิติจำนวน 2 มิติจาก 10 มิติ ได้แก่ มิติความยากลำบากจากโรคไต (p = 0.045) และการให้คะแนนสุขภาพโดยรวม (p = 0.011) นอกจากนี้กลุ่มศึกษาค้นพบปัญหาจากการใช้ยามากกว่าและมีผลลัพธ์ทางคลินิกโดยรวมของการแก้ไขปัญหาจากการใช้ยาที่มีผลดีขึ้นมากกว่ากลุ่มควบคุมอย่างมีนัยสำคัญทางสถิติ (p < 0.001 และ p = 0.013 ตามลำดับ) แต่สัดส่วนผู้ป่วยที่ได้รับการแก้ไขปัญหาจากการใช้ยาและมีผลดีขึ้นไม่พบความแตกต่างอย่างมีนัยสำคัญทางสถิติระหว่างผู้ป่วยทั้งสองกลุ่ม (p = 0.329) สรุปผลการวิจัย: การบริบาลทางเภสัชกรรมโดยใช้แบบสอบถาม PROMPT ส่งผลให้ผู้ป่วยมีคุณภาพชีวิตด้านการใช้ยาดีขึ้น ค้นพบปัญหาจากการใช้ยาได้เพิ่มมากขึ้น และผลลัพธ์ทางคลินิกโดยรวมของปัญหาจากการใช้ยาที่ได้รับการแก้ไขและมีผลดีขึ้นในผู้ป่วยโรคไตเรื้อรังที่ไม่ได้บำบัดทดแทนไตเพิ่มมากขึ้น แม้ว่าผลคุณภาพชีวิตด้านสุขภาพและสัดส่วนผู้ป่วยที่ได้รับการแก้ไขปัญหาจากการใช้ยาและมีผลดีขึ้นจะมีผลลัพธ์ที่ยังไม่ชัดเจน

Coping, Affirmation, Resilience, And Empowerment (Care) Program And Its Impact On Depression And Quality Of Life Among Youth Living With Depression In Banjarmasin City, Indonesia : A Mixed-Method Study, Lafi Munira

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The national prevalence of depression among young adults in Indonesia was 29.3% for moderate and 8.0% for severe depression. There are few intervention studies on coping skills training and group cognitive therapy through internet-based intervention for youth living with depression in Indonesia. Objectives: 1) To explore participants’ perception, experience, and cope with depression before and after CARE Program; 2) To investigate effects CARE Program on depression and quality of life among youth living with depression in Banjarmasin City, Indonesia. Method: This study used a convergent parallel mixed method. A qualitative and quasi experimental with two groups pre-post tests among …