Evaluating the VaLiANT (Valued Living After Neurological Trauma) group intervention for improving adjustment to life with acquired brain injury: A pilot randomized controlled trial
Neuropsychological Rehabilitation,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 29
Published: March 18, 2025
There
is
a
need
for
accessible
rehabilitation
that
promotes
meaningful
participation,
wellbeing,
and
adjustment
to
life
with
acquired
brain
injury
(ABI).
VaLiANT
(Valued
Living
After
Neurological
Trauma)
an
8-week
holistic
group
intervention
integrates
Acceptance
Commitment
Therapy
(ACT)
cognitive
techniques
support
reengagement
in
life.
This
Phase
II
pilot
randomized
controlled
trial
explored
feasibility
preliminary
efficacy
signals
determine
the
viability
of
larger
trial.
Adults
(>3
months
post-ABI)
were
randomly
allocated
plus
treatment-as-usual
(TAU),
or
TAU
waitlist-control,
assessments
at
baseline,
post-intervention
(8
weeks),
follow-up
(16
weeks).
Feasibility
criteria
included
recruitment,
dropout,
outcome
assessment
completion,
adherence,
delivery
fidelity.
Preliminary
treatment
effects
assessed
on
range
adjustment-related
outcomes
using
mixed
linear
models,
proportions
reliable
change,
minimal
clinically
important
differences.
54
participants
recruited
(Mage
=
50.6,
Myears-post-injury
5.4)
predominately
stroke
(52%)
traumatic
(22%).
All
met.
Treatment
identified
measures
psychological
distress,
experiential
avoidance,
valued
living,
self-identity,
but
not
quality-of-life,
wellbeing.
A
viable
will
benefit
from
refinement
first
improve
its
impact
all
intended
outcomes.
Language: Английский
What accounts for turnover intention in the Australian public mental health workforce?
International Journal of Mental Health Nursing,
Journal Year:
2023,
Volume and Issue:
33(2), P. 359 - 368
Published: Oct. 5, 2023
Abstract
High
staff
turnover
is
common
within
the
Australian
public
mental
health
workforce,
contributing
to
workforce
shortages
and
ultimately
impacting
ability
provide
stable
efficient,
effective,
ongoing
optimal
care
community.
In
this
study,
we
aimed
(a)
establish
most
pertinent
factors
associated
with
increased
intention
in
Australia,
(b)
whether
such
differ
between
metropolitan
rural
services.
We
used
a
cross‐sectional,
correlational
design
using
an
online
survey
method.
total,
235
service
of
various
disciplines
levels,
from
four
hospitals
Victoria,
Australia
participated
study.
three
feed‐forward
multiple
regression
analyses
assess
study
aims.
found
that
job
satisfaction,
occupational
burnout,
understaffing
may
be
consider
regarding
intention.
Job
satisfaction
burnout
were
endorsed
across
entire
sample,
as
well
specifically
both
services,
while
was
factor
sample
for
but
not
Our
findings
pertinence
key
information
inform
interventional
targets
at
reducing
attrition
Australia.
Language: Английский
Impact of the COVID-19 pandemic on access to healthcare, physical and mental health among patients with chronic kidney disease in Victoria, Australia
International Urology and Nephrology,
Journal Year:
2023,
Volume and Issue:
55(6), P. 1635 - 1640
Published: Feb. 2, 2023
Language: Английский
Research Directions for Leveraging and Supporting the Lived Experience of Mental Illness within Psychology
Healthcare,
Journal Year:
2023,
Volume and Issue:
11(16), P. 2318 - 2318
Published: Aug. 17, 2023
This
paper
explores
the
lived
experience
of
mental
illness
within
field
psychology
across
higher
education
and
health
workforce.
There
is
a
high
prevalence
issues
among
students
practitioners,
it
critical
not
only
to
provide
support
for
these
populations,
but
also
acknowledge
value
leveraging
their
practice.
has
been
increased
interest
in
advocacy
involvement
those
with
healthcare
service
provision
improve
patient
experiences
outcomes.
However,
there
have
limited
acknowledgement
research
regarding
role
psychologists
personal
illness,
how
leverage
this
experience.
Further,
are
challenges
faced
by
both
practising
that
act
as
barriers
unique
skills
experiences.
Psychology
face
stigma,
inadequate
support,
incongruence
between
course
material
Similarly,
encounter
stigma
isolation,
indicating
need
culture
change
promotes
transparency
understanding.
The
calls
five
key
directions
evidence
can
be
used
psychology.
Language: Английский
Informing the management of the post-COVID condition: insights from the Western Australian experience comparing those who tested positive and negative to early COVID-19 strains
Australian Health Review,
Journal Year:
2024,
Volume and Issue:
48(5), P. 601 - 611
Published: Aug. 8, 2024
Objective
This
study
aimed
to
compare
the
relative
physical
recovery
and
symptoms
after
SARS-CoV-2
infection
between
groups
confirmed
positive
or
negative
early
strains
of
COVID-19.
Methods
A
prospective,
longitudinal
cohort
compared
outcomes
metropolitan
adults
polymerase
chain
reaction-tested
for
COVID-19
March
November
2020
in
Western
Australia.
Control
matching
was
attempted:
inpatients
(gender,
age)
ambulatory
clinic
age,
asthma,
chronic
pulmonary
disease).
One-year
follow-up
involved
three
repeated
measures:
function
(grip
strength
1-min
sit-to-stand)
patient-reported
(Fatigue
Severity
Scale,
modified
Medical
Research
Council
dyspnoea
scale
Euroqol-5D-5L).
Results
Three
hundred
forty-four
participants
were
recruited
(154
COVID+,
age
54
±
18
years,
75
females
[49%]);
190
COVID−,
52
16
67
[35%])
prior
national
vaccination
roll-out.
No
between-group
differences
measures
evident
at
any
time
point.
Fatigue
(OR
6.62,
95%
CI
2.74–15.97)
2.21,
1.14–4.30)
higher
COVID+
group
second
assessment
(T2).
On
Euroqol-5D-5L,
no
domains
self-care,
mobility
usual
activities
However,
less
likely
report
an
absence
anxiety
depression
T2
0.41,
0.19–0.89).
Conclusions
Neither
statistical
nor
clinically
meaningful
COVID−
12-months
acute
illness.
Symptoms
fatigue,
dyspnoea,
more
prevalent
til
~8
months
illness
with
longer
1
year.
Language: Английский
The impact of COVID-19 on community mental health: lessons learned from Tasmania, Australia
Australian Journal of Primary Health,
Journal Year:
2023,
Volume and Issue:
30(1)
Published: Sept. 21, 2023
Background
The
COVID-19
pandemic
had
a
significant
impact
on
community
mental
health
globally
and
widened
pre-existing
social
inequities.
Tasmania,
Australia
has
one
of
the
highest
rates
ill
socioeconomic
disadvantage
in
country.
Whilst
Tasmania
experienced
delayed
reduced
physical
presence
compared
to
other
states
territories,
impacts
remain.
It
is
necessary
understand
such
inform
policy,
practice,
recommendations
enhance
service
sector
prevent
future
burden.
This
qualitative
study
aimed
explore
expert
stakeholders’
perspectives
on:
(1)
people
living
(2)
services.
Method
Semi-structured
interviews
with
12
stakeholders
across
were
conducted.
sample
was
well-positioned
comment
provide
sector.
Interviews
thematically
analysed.
Results
Three
subthemes
exploring
included:
anxiety,
distress,
isolation;
varying
presentations
age
groups;
(3)
increased
complexity.
Four
key
themes
capturing
services
identified:
transition
telehealth;
demand;
spotlight
gaps;
(4)
local
workforce
shortages.
Conclusions
highlighted
existing
gaps
sector,
exacerbated
psychosocial/structural
stressors
resulting
complexity
illness
among
community,
particularly
for
youth.
Existing
treatment
inequities
access,
engagement,
outcomes
will
persist
if
not
addressed.
Recommendations
have
been
provided
planning,
design,
provision,
improve
wellbeing.
Language: Английский