Social and Behavioral Sciences Commons^™

The Impact Of A 4-Domain Wellness-Initiative Curriculum On Internal Medicine Resident Physicians, Esha Vallabhaneni, Luigi Cubeddu, Ryan Petit, Fernando Poli, Premal Patel, Cynthia Rivera

HCA Healthcare Journal of Medicine

Background

There is a trend toward fostering well-being, or the state of being happy and healthy, within the medical community. Historically, resident physicians have faced high rates of distress during training. A structured well-being curriculum in residency programs may shift residents' mindsets from survival and resilience to one centered on purpose, engagement, and joy.

Methods

An original well-being curriculum was administered to residents in person at a single institution every 5 weeks for approximately 10 well-being workshops, totaling around 20 hours of curriculum exposure during every academic year. The well-being curriculum was divided into 4 domains: cognitive distortions and problematic …

A Multi-Wave Study Of Factors Associated With Resident Engagement, Depression, Burnout, And Stay Intent, Anne M. Brafford, Brendon Ellis, Greg Guldner, Gabrielle Riazi, Xitao Liu, Jessica C. Wells, Jason T. Siegel

HCA Healthcare Journal of Medicine

Background

Many studies have documented the epidemic of mental ill-being among resident physicians, but fewer have focused on mental well-being or on guiding intervention design to make progress toward positive change in residency programs to support resident thriving. Informed by the job demands-resources model (JD-R) and positive psychology, the current study examines 4 potential predictors of residents’ ill-being (burnout, depression) and well-being (engagement, stay intent) that are malleable and thus capable of change through intervention: psychological capital (PsyCap), supervising physicians’ autonomy-supportive leadership style (ASL), social support, and meaningful work.

Methods

Three waves of data were collected between November 2017 and …

A Qualitative Follow-Up To A Survey Of Program Directors On Wellness Programming At A Large Healthcare Organization: Interviews Of High- And Low-Exemplar Programs, Sabrina Menezes, Kelsey M. Carpenter, Alexander W. Marshburn, Stephanie Ramirez, Gregory Guldner, Jessica C. Wells, Jason T. Siegel

HCA Healthcare Journal of Medicine

Background

The current research used a qualitative approach to understand which factors facilitate and hinder wellness programming in residency programs.

Methods

Program directors identified from a previous quantitative study as having residency programs with notably more or less resident wellness programming than others (ie, high- and low-exemplars, respectively) were contacted. In total, semi-structured interviews were conducted over Zoom with 7 low-exemplars and 9 high-exemplars.

Results

The results of this qualitative examination suggest common themes across the 2 exemplar groups, such as wanting more resources for resident wellness with fewer barriers to implementation, viewing wellness as purpose-driven, and seeing wellness as …

A Nation-Wide Survey Of Program Directors At A Large Health Care Organization: Prevalence And Perceptions Of Resident Wellness Activities, Alexander W. Marshburn, Gabrielle Riazi, Sabrina Menezes, Stephanie Ramirez, Gregory Guldner, Jessica C. Wells, Jason T. Siegel

HCA Healthcare Journal of Medicine

Background

This study evaluated wellness programs in a large hospital network to determine residency program directors’ (PDs) perspectives on their wellness programs' state, including wellness prioritization, frequency of wellness activities, and wellness’ influence on decision-making across organizational levels.

Methods

In 2021, 211 PDs were sent surveys on program policies, program implementation frequency, perceptions of the administration’s ability to prioritize wellness, funding sources, and perceptions of resident wellness’ impact on decision-making.

Results

Among 211 contacted programs, 148 surveys were completed (70.1%). The majority reported having wellness programs, committees, and funding. Fewer than 25% reported having a chief wellness officer. PDs perceived …

Autonomy Versus Independence: Implications For Resident And Faculty Engagement, Performance, And Well-Being, Adam P. Neufeld, C. Scott Rigby

HCA Healthcare Journal of Medicine

Research shows that when educational leaders support their learners’ autonomy, it positively impacts both parties. This is particularly important in graduate medical education (GME), given that there is a strong emphasis on resident performance, evaluation, and development. Unfortunately, GME faculty often misunderstand autonomy as the resident’s desire for independence or “freedom,” when in fact it refers to the core psychological need to feel volitional and agentic. The distinction is important because volition is not synonymous with independence, and providing freedom can be at odds with strategies that provide true autonomy support. This, in turn, can contribute to the stress, maladjustment, …

The Moderating Role Of Perseverance And Determination In Action In The Context Of Self-Efficacy And Life Satisfaction Of Sportspeople With Mobility Impairment, Natalia Segiet, Krzysztof Gerc

Baltic Journal of Health and Physical Activity

Introduction: The article assumes the biopsychosocial model of disability and refers, inter alia, to the assumptions of the concept of empowerment, which recognizes the fact that practicing sports by people with disabilities creates favorable conditions for strengthening resources and developing skills. An attempt was made to develop a model that verifies the moderating importance of mental resilience in the aspect of experiencing a sense of effectiveness and life satisfaction in sportspeople with mobility impairment. Material and method: The research conducted in an encrypted online manner involved 58 people (31 able-bodied sportspeople and 27 sportspeople with physical disabilities). The following tools …

Why The Structure Of The Mlb Season Is Causing High Injury Rates, Cole Mitchell

Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal

Major League Baseball is one of America’s most honored organizations in the world. It was founded in 1869 making it one of the oldest sports organizations created. While for decades, the game of baseball, under the direction of the MLB has been highly praised, an injury epidemic began to diminish athletes' time playing the game. Injury in any sport is inevitable due to the unpredictable nature sports bring, however over the course of the last 40+ years, injury rates continue to skyrocket year in and year out in the sport of baseball. Where it shows its greatest effects is at …

Poland Syndrome And The Sensorimotor Cortex: An Untapped Possibility For Research, Ace Laikind

Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal

Poland syndrome is a rare disorder that unilaterally affects the chest, arms, and hands. Despite being a limb disorder, there has not been research done on how Poland syndrome interacts with the sensorimotor cortex. Other limb disorders have documented connections to the sensorimotor cortex, and can be used to infer how Poland syndrome affects the sensorimotor cortex. Limb disorders with extensive research on the sensorimotor cortex are phantom limb syndrome, focal hand dystonia, and congenital one-handedness. Additionally, to accommodate for the confound created by the differences between congenital and acquired conditions, blindness and its effects on plasticity can be examined. …

Predictive Processing And Chronic Pain, Lydia Hurst

Scholarly Horizons: University of Minnesota, Morris Undergraduate Journal

Chronic pain is a common condition in which sufferers experience pain for over 3 months. The causes of chronic pain are often difficult to discern, as many cases are not associated with physical damage. A predictive processing (PP) perspective proposes that chronic pain results from the brain’s erroneous predictions derived from strong emotional and/or fearful reactions to pain. Individuals with anxiety disorders are more likely to react with fear to general stimuli, and therefore may be more likely to develop chronic pain under this model. The current healthcare model for this condition, which focuses on treating symptoms with pain-killers, displays …

Effects Of Physical Activity On Self-Efficacy Of Patients With Bronchial Asthma, Carolin Schulze

Baltic Journal of Health and Physical Activity

Introduction: Due to higher exposures to fine dust, increased smoking and prevalence of obesity and stress, an increase in the diagnosis of bronchial asthma can be expected, which requires adequate, scientifically tested, alternative therapy methods. The current study investigated the effects of regular physical training on general and disease-specific self-efficacy. Materials and Methods: Overall 82 participants with mild to moderate medicated asthma (63% female, mean age = 41.88 ± 10.43 years) took part in the study. They were randomly divided into three groups: (1) no intervention, (2) progressive muscle relaxation and (3) physical activity intervention. Intervention lasted ten weeks with …

Relative Age Effect At Men’S Volleyball World Championships Over Time, Marcin Śliwa, Mariusz Buszta, Jerzy Sadowski

Baltic Journal of Health and Physical Activity

Introduction: Relative age effect (RAE) in sport is extensively described in the literature. However, there is scarcity of data on how to avoid problems in the talent identification process and, consequently, how to avoid dropping out or losing a potential volleyball talent. The aim of the study was to carry out a retrospective analysis of RAE at Men’s U-19 and U-21 World Championships as well as Men’s World Championships over the last 12 years and to investigate possible differences in quarterly age distribution depending on anthropometric features, geographical regions the teams under study came from as well as their performance …

Interval Training Using A Slide Board Is Superior To Cycloergometer Regarding Aerobic Capacity And Specific Fitness In Elite Ice Hockey Players, Robert Roczniok, Artur Terbalyan, Daria Manilewska, Grzegorz Mikrut, Tomas Mika, Petr Stastny

Baltic Journal of Health and Physical Activity

Introduction: Ice hockey is a physically demanding sport that requires a combination of aerobic and anaerobic capacities, as well as specific on-ice skills. This study aimed to compare the effectiveness of individualized interval training on a slide board with training on a cyclo-ergometer, focusing on aerobic capacity and specific fitness in elite ice hockey players. Materials and Methods: Thirty players were randomly divided into an experimental (slide board) and a control (cyclo-ergometer) group. Both groups underwent a 6-week training program with the same intensity and volume. Results: The results showed that both forms of training led to significant improvements in …

The Confluence, Volume3, Issue 2, Full Issue

The Confluence

No abstract provided.

A Comprehensive Analysis Of How Pet Ownership Impacts The Experiences And Well-Being Of Homeless Individuals, Alexandra G. Watson, Nancy A. Dreschel

People and Animals: The International Journal of Research and Practice

This paper conducts a thorough examination of the relationship between pet ownership and homelessness. In a context where homelessness in the United States is a growing concern, we delve into an aspect that has received little attention: how homeless individuals and their pets interact. Through an extensive review of existing research, this paper aims to uncover the demographic characteristics of homeless pet owners and understand the significant effects of this bond. Our findings reveal that homeless individuals with pets come from diverse backgrounds, including various ages, genders, and racial backgrounds. Their pets provide not only companionship but also emotional support, …

Assessment Of Postural Stability Of 14-Year-Old Girls Training Volleyball, Robert Walaszek, Wiesław Chwała, Katarzyna Burdacka, Marcin Burdacki, Paweł Kurowski

Baltic Journal of Health and Physical Activity

Introduction: Measurements of postural stability are carried out for the prevention of injuries and for rehabilitation of athletes who have sustained traumatic injuries. The aim of the study was to assess postural stability measured in static and dynamic conditions in 14-year-old girls, of whom some were training volleyball, and some were not. Materials and Methods: The study involved a group of 30 girls aged 14, attending volleyball classes. This group was compared with the control group (n = 30) of girls of the same age who regularly participated only in regular physical education (PE) classes. The tests were conducted twice. …

The Transgenerational Transmission Of Physical Attractiveness Perceptions: Role Of Parents' Physical Activity And Nutrition Habits In Modelling Body-Focused Health Attitudes And Body Shape Perception In Five-Year-Old Offspring, Agata Kamionka, Mariusz Lipowski, Sebastian Lizińczyk, Urszula Sajewicz-Radtke, Bartosz Radtke, Ariadna Łada-Maśko, Dariusz Olszewski-Strzyżowski, Małgorzata Lipowska

Baltic Journal of Health and Physical Activity

Introduction: Observing parents’ body-focused behaviours during middle childhood is one of the initial ways in which children model their perceptions of pro-health attitudes and their connection to physical attractiveness. This study aimed to investigate the relationship between parents' health behaviours, their appearance, and the perceptions of adult body types (skinny, medium, obese) by their five-year-old children. Moreover, the role of gender in the above relationship for both children and parents was also examined. Materials and methods: This study participants were 680 families with five-year-old children (330 girls). Participation was limited to the moth-er-father-child triad. The Beauty and Health Scale, Healthy …

Benefits Of Acceptance And Commitment Therapy (Act) For Chronic Pain, Maria Kleinstaeuber, Ashley Yaugher, Emily Roundy, Michael Levin

All Current Publications

Chronic pain is a common experience for people and can be difficult to manage. However, there are many evidence-based and effective psychological treatments for chronic pain to help people improve their lives. One of these is acceptance and commitment therapy, or ACT. ACT teaches how to accept pain and live a life full of meaning and quality, with pain. It helps individuals increase their quality of life through mindfulness-based methods, experiential processing, and a focus on values, goals, and actions. ACT has been shown to be effective in reducing pain and improving pain management and personal well-being. Consult the resources …

Frontline Nursing Staff’S Perceptions Of Intravenous Medication Administration: The First Step Toward Safer Infusion Processes-A Qualitative Study, Masashi Uramatsu, Naoko Kimura, Takako Kojima, Yoshikazu Fujisawa, Tomoko Oto, Paul Barach

College of Population Health Faculty Papers

OBJECTIVES: Intravenous medication errors continue to significantly impact patient safety and outcomes. This study sought to clarify the complexity and risks of the intravenous administration process.

DESIGN: A qualitative focus group interview study.

SETTING: Focused interviews were conducted using process mapping with frontline nurses responsible for medication administration in September 2020.

PARTICIPANTS: Front line experiened nurses from a Japanese tertiary teaching hospital.

PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measure was to identify the mental models frontline nurses used during intravenous medication administration, which influence their interactions with patients, and secondarily, to examine the medication process gaps between the …

A Comparison Of Menstrual Health And Well-Being Among Adolescent Girls In Urban And Rural Areas Of The Belegavi District: A Crossectional Study, Arati Mahishale, Nagma Khan

Internet Journal of Allied Health Sciences and Practice

Background: Due to their relationship with several health hazards, menstrual hygiene management (MHM) and awareness are major public health concerns in both urban and rural settings. This study examined the awareness of MHM among adolescent girls in Belagavi and assessed their knowledge and understanding of menstruation and related taboos.

Methods: In the Belagavi District of Karnataka, India, a cross-sectional, community-based observational study was carried out. About 380 (as 8 were excluded) menstruating adolescent girls between the ages of 12 and 18 who attended different convent and government schools were included in the study. IBM SPSS version 20 was used to …

Perception Of Disordered Eating Among Different Ncaa Divisions Of Collegiate Athletes, Kearsten Powers, Luis Torres, Fredrick A. Gardin

Internet Journal of Allied Health Sciences and Practice

Purpose: Disordered eating is an unhealthy pattern of eating that may develop into an eating disorder. It can include the use of excessive exercise, caloric restriction, binging, or inappropriate use of diet pills/laxatives. It commonly affects collegiate athletes due to the pressure they face to continue to perform well, maintain a specific body composition or appearance, and be influenced by their teammates' eating and exercise habits. This study was conducted to gain qualitative knowledge on how college athletes perceived and experienced disordered eating risk factors during their participation in an NCAA sport. This information can be used to further understand …

Stakeholder Involvement And Systematic Review Of Elements That Determine A Successful Return To Work For Injured Workers: A Scoping Review, Sundip Kaur Khosa, Wilma Jelley Professor

Internet Journal of Allied Health Sciences and Practice

Introduction: A healthy and sustainable return to work (RTW) for a worker after injury or illness has benefits for the worker, their family, the employer, and society.¹ For this research we used the following definition of RTW success; return to positive and meaningful work in a position or occupation not necessarily including all the aspects of the worker’s pre-injury or pre-illness functions or tasks. Purpose: The question behind this survey-based research was, What elements are perceived as essential, to ensure return to employment of injured or ill workers, by stakeholders with experience in the RTW process? Methods: A 32 …

Can Self-Talk Improve Athletic Performance? A Critically Appraised Topic, Allison Brombach, Mikaela Dawn Boham, Ronald L. Snarr, Erica M. Filep

Internet Journal of Allied Health Sciences and Practice

Clinical Scenario: Athletes are constantly searching for alternative mechanisms to improve performance in sport. In addition to modifying physical training, psychological training tools (e.g., self-talk) have been used to elevate athletes from the average competitor. Athletes can use self-talk to navigate challenges in competition and improve self-confidence in tasks leading to potential increases in performance. However, literature relaying performance benefits for adolescent and adult athletes using self-talk is unclear. Clinical Question: In athletic populations, does the implementation of motivational or goal-setting self-talk increase athletic performance? Summary of Key Findings: Four studies were identified exploring self-talk on athletic performance outcomes. Methodology …

The Acute Effect Of Releasing The Thoracolumbar Facia By Osteopatic Technique On Lower Extremity Functional Performance On Lumbar Extensor Endurance And Mobility In Soccer Players, Erkan Özyılmaz, Ömer Şenel, Hasan Aka, Zait Burak Aktuğ

Baltic Journal of Health and Physical Activity

Introduction: The aim of this study is to examine the acute effect of osteopathic release of the thoracolumbar fascia on lower extremity functional performance, lumbar extensor endurance and mobility in professional soccer players. Materials and Methods: 30 volunteer male athletes who professionally play soccer participated in the study, and the participants were randomly divided into experimental and control groups. The functional performance of the lower extremities, lumbar extensor endurance and mobility of the subjects were measured twice – before and immediately after the Still Technique and placebo applications. Subjects' lower extremity functional performance was determined by the Single Leg Hop …

How Did Cognitive Status Impact Health Care Use Among Older Adults During The Covid-19 Pandemic?, Katarina Sako, Janet Wilmoth

Population Health Research Brief Series

Physical distancing measures during the COVID-19 pandemic disrupted the lives of older adults. Older adults experiencing dementia and other forms of cognitive decline have impaired executive functioning that made it even more difficult to contend with these disruptions. This brief presents findings from research that used data from the 2021 Health and Retirement Study to examine differences in health care delays and health outcomes during the COVID-19 pandemic among a nationally representative sample of U.S. older adults (ages 50+) with versus without cognitive decline. Results show that most older adults did not delay getting health care and did not experience …

06-24--2024 Orsp Newsletter, Liz Williamson

ORSP Newsletter

Research Networking Lunch (LINC), NIH podcast, CREW (Community First Research Center for Wellbeing and Creative Achievement) Premier Physics Experiment

Understanding Organ Donation Messaging: A Qualitative Inquiry, Rebecca K. Britt, Amy A. Ritchart

The Qualitative Report

Promoting health communication about organ donation remains a crucial objective within Native American communities. The goals of the current study were to communicate with young adult Native Americans about the Organ Donation Willingness Model (ODWM; Horton & Horton, 1991) to gain their responses to materials from campaigns about donation strategies tailored to Native American communities. Six focus groups were conducted with a total of 31 participants. Data were analyzed using thematic analysis (Braun & Clarke, 2019, 2022) and following Smith’s guidelines (2008), which include showing deep respect for the group participants, conducting the study in a face-to-face setting, and being …

The Impact Of Childhood Adversity On Life Course Alcohol Use Patterns And Health Status Among People Living With Hiv, Rayna E. Gasik, Aubrey Spriggs Madkour, Simone J. Skeen, Gretchen Clum, Tishawn Francis, Erica Felker-Kantor, Tekeda Ferguson, David A. Welsh, Patricia E. Molina, Katherine P. Theall

School of Public Health Faculty Publications

Adverse childhood experiences (ACEs) and financial hardship are associated with increased likelihood of heavier alcohol use and health challenges in adulthood among persons living with HIV (PWH). We examined whether retrospectively captured lifetime drinking trajectories are a pathway through which childhood hardships affect current health in a sample of 365 adult PWH. Childhood economic hardship and ACEs were used as main predictors. Measures of alcohol use included age at first drink and lifetime drinking trajectories. Health indicators included health-related quality of life, frailty, number of comorbidities, and symptoms of anxiety, depression, and post-traumatic stress disorder (PTSD). Structural equation modeling (SEM) …

Doctor Who?: Norms, Care, And Autonomy In The Attitudes Of Medical Students Towards Ai Pre And Post Chatgpt, Andrew Prahl, Kevin Tong Weng Jin

Human-Machine Communication

This study adopts the combined TAM-TPB model to investigate attitudes and expectations of machines at a pre-career stage. We study how future doctors (medical students) expect to interact with future AI machinery, what AI usage norms will develop, and beliefs about human and machine autonomy. Semi-structured interviews were conducted. Wave one occurred six-months prior to the public release of ChatGPT; wave two occurred in the 6 months following. Three themes emerged: AI is tomorrow, wishing for the AI ouvrier, and human contrasts. Two differences were noted pre- versus post-ChatGPT: (1) participants began to view machinery instead of themselves as the …

Rethinking Medical Quality Training During Residency, Salih Selek

Teaching in Clinics

A brief editorial on medical quality training

2024 Uthealth & Memorial Hermann Quality Symposium Abstracts, Salih Selek

Teaching in Clinics

Every year, the UTHealth McGovern Medical School and Memorial Hermann-Texas Medical Center jointly organize a Quality Symposium, where oral and poster presentations spotlight the outstanding efforts in quality improvement initiatives ongoing at both institutions. Sixty-three teams dedicated to Quality Improvement were chosen to present their projects during the afternoon Poster Session. The abstracts included in this compilation offer a glimpse into the remarkable Quality Improvement endeavors showcased at the 2024 Quality Symposium.