Understanding trauma informed support for people affected by dementia: an analysis of telephone helpline call-logs (Preprint)

Опубликована: Янв. 25, 2025

People with dementia and their caregivers experience significant psychological distress may be at risk of trauma when coping mechanisms are overwhelmed. Specialist helplines play a vital role by offering immediate support information, however, little is known about how call handlers account for potential in responses. This study explored the extent to which trauma-informed principles evident responses provided on UK’s only 24-hour helpline. To explore type nature calls UK helpline within staff carers people dementia. A retrospective analysis was conducted 200 anonymised call-logs from Alzheimer Scotland’s Data were analysed using framework informed (safety, trustworthiness & transparency, choice, collaboration, empowerment). also reported theme frequency strength: captured often each appeared across dataset (expressed as percentage), while strength represented researcher’s subjective assessment theme’s intensity call-log, measured Likert scale. Most (86%) made during daytime hours ‘carer/family member/friend,’ 'emotional support' 'carer stress' being primary reasons contact. Call-log aligned several principles, ‘collaboration’ most frequent response (69.5%) 'safety' night-time (79.4%). Across all responses, 'empowerment' emerged strongest theme, characterised empathetic, non-judgmental that acknowledged caller strengths. Overall, 'collaboration' (27%) frequently observed reflecting efforts share knowledge engage callers relevant resources. Call tailored approach based caller’s identity, ‘carers/family/friends’ displaying collaboration (70.4%). Analysis individuals seeking information themselves revealed empowerment themes (73.7%). The findings highlight helpline's critical resource emotional experiencing stress. They contribute understanding can effectively applied such interactions. Implications developing guide particularly high-risk groups family carers, explored. N/A

Язык: Английский

Multimorbidity, health service use, and health insurance by socioeconomic groups in 31 countries: a multi-cohort study

Research Square (Research Square), Год журнала: 2025, Номер unknown

Опубликована: Апрель 10, 2025

The prevalence of physical, psychological, and cognitive multimorbidity is marked by socioeconomic status (SES) inequalities. However, the relationship between patterns—particularly those involving conditions—and healthcare utilization, as well role health insurance, remains poorly understood. This first study to explore healthcare-seeking behaviour among individuals with assess whether these vary SES insurance coverage. multicohort analyzed data from six longitudinal studies across 31 countries, including participants aged 50 years older. Multimorbidity was defined coexistence two or more disorders disorders. Outpatient inpatient utilization were measured. Random-effects logistic regression models employed associations random-effects Poisson visit frequencies. Country-specific analyses aggregated via multinational meta-analyses using generate overall effect sizes. We included a total 1450209 individuals. Compared without any conditions, most complex pattern had higher outpatient care (OR 3.13, 95% CI [2.21–4.05]) but not high physical-psychological 7.83, [6.59–9.07]). Additionally, association varied groups, lower experiencing pronounced disparities in use. In contrast, less pronounced. Health coverage weakened use, especially for physical-psychological-cognitive multimorbidity. Those stronger likelihood utilizing 6.14, [5.26, 7.16]) compared 2.98, [2.65, 3.36]). Cognitive further complicate multimorbidity, indicating unmet needs, SES. Our highlights potential mitigating related

Язык: Английский

Multimorbidity and risk of dementia: A systematic review and meta-analysis of longitudinal cohort studies

The Journal of Prevention of Alzheimer s Disease, Год журнала: 2025, Номер unknown, С. 100164 - 100164

Опубликована: Апрель 1, 2025

Язык: Английский