ORCID Profile
0000-0002-0667-8088
Current Organisations
Edith Cowan University
,
McGill University
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Publisher: Springer Science and Business Media LLC
Date: 30-08-2019
Publisher: Springer Science and Business Media LLC
Date: 09-08-2022
DOI: 10.1186/S13643-022-02034-Y
Abstract: Despite evidence-based efficacy, mental health services are underutilized due to low rates of help-seeking, leaving unmet mental health needs a global concern. The Theory of Planned Behavior (TPB) has been applied to understand the help-seeking process and in the development of behavior change interventions. The aim of this scoping review was to map the literature on the TPB as applied to mental health help-seeking in adults aged years. This scoping review was conducted based on the methodology presented by Arksey and O’Malley (2005). Six databases (CINAHL, PsycINFO, MEDLINE, ProQuest Health and Medicine, ProQuest Dissertations and Theses, Web of Science) and two grey literature sources (OpenGrey, Google Scholar) were systematically searched in February 2018 and updated in March 2020. Studies that explicitly discussed the TPB in the context of mental health help-seeking were initially selected only studies that explored formal help-seeking for mental health problems and were published in English were retained. Data were extracted using Microsoft Excel. Initially, 8898 records were identified. Of these, 49 met the selection criteria and were included: 32 were journal articles and 17 were theses. Forty-three papers reported on non-intervention studies and seven articles reported on TPB-based interventions. Most studies ( n = 39) identified predictors of help-seeking intentions. Attitudes and perceived behavioral control were significant predictors of intentions in 35 and 34 studies, respectively. Subjective norms were a significant predictor of intentions in 23 studies. Few studies aimed to predict help-seeking behavior ( n = 8). Intentions and perceived behavioral control were significant predictors of behavior in seven and six studies, respectively. Only six TPB-based interventions were identified, all used digital technology to influence help-seeking, with mixed results. The present scoping review identified a considerable evidence base on the TPB for predicting mental health help-seeking intentions. Attitudes and perceived behavioral control were frequently found to be significant predictors of help-seeking intentions. Knowledge on the TPB for predicting mental health help-seeking behavior, and on TPB-based interventions, is limited. Thus, the role of the TPB in developing help-seeking interventions remains unclear. Recommendations are presented to address such research gaps and inform policy and practice.
Publisher: Informa UK Limited
Date: 17-11-2022
Publisher: Elsevier BV
Date: 08-2022
Publisher: Informa UK Limited
Date: 19-07-2021
Publisher: Wiley
Date: 28-12-2022
DOI: 10.1111/AJAG.13030
Abstract: As governments grapple with ageing populations, there is a need to understand more about the aged care workforce and how it is managed. We undertook a scoping review according to the Preferred Reporting Items for Systematic reviews and Meta‐Analyses extension for Scoping Reviews (PRISMA‐ScR) guidelines. Scopus and PubMed were used to identify papers published between 2010 and 2020. We mapped the breadth and scale of the evidence base according to the QuInnE indicators of job quality. Out of 642 titles and abstracts that were screened, 122 were selected. Outcomes were measured across a range of domains, including wages, employment quality, education and training, working conditions, work/life balance and consultative participation and collective representation. These were distributed unevenly, revealing evidence gaps. We identified significant knowledge gaps regarding Australia's aged care workforce at a time when the sector is coming under fresh scrutiny and projections indicate that it will face critical labour shortfalls going forward.
Publisher: Wiley
Date: 14-03-2023
DOI: 10.1111/AJAG.13185
Abstract: Rates of help‐seeking for mental health problems among older adults are low and initiatives to increase help‐seeking in older populations are limited. To our knowledge, no interventions have aimed to promote help‐seeking among older adults by tapping internal motivations to seek help. In this paper, we describe the development of a theory‐based intervention designed to promote mental health help‐seeking among older adults in Australia, using an internal motivation paradigm. The intervention was co‐designed through a consultative process with nine key stakeholders who represented five main groups: primary health‐care providers, mental health professionals, health‐care executives, community organisations and consumers. Development was an iterative process, based on best practice guidelines. Nineteen older adults (≥65 years) provided feedback on the acceptability of the intervention. The intervention consisted of a help‐seeking brochure with behaviour change messages based on the Theory of Planned Behaviour (TPB). Messages targeted older adults' attitudes towards help‐seeking, subjective norms, perceived behavioural control and barriers to seeking help. Most participants (74%) responded with agree/strongly agree to 10 items measuring the acceptability of the intervention, indicating the intervention is relevant, clear, appropriate and appealing. The present intervention appears to be an acceptable way to promote help‐seeking for mental health problems among older adults. A larger, robust trial is warranted to determine the effectiveness of the intervention in improving help‐seeking attitudes, intentions and behaviour. The intervention has the potential to increase older adults' engagement with mental health support and improve health outcomes in this population.
Publisher: Wiley
Date: 13-02-2023
DOI: 10.1111/AJAG.13174
Abstract: To investigate how small, local organisations were impacted by and responded to COVID‐19 in their delivery of social care services to older adults (70 years and older). Lessons learnt and future implications are discussed. Six representatives from four social care services (five females and one male) participated in in idual semistructured interviews. Responses were analysed thematically. The key themes identified were service providers' experience, perceived needs of older adults and adapting services. Service providers positioned themselves as front‐line essential workers for their older adult clients, resulting in some emotional toll and distress for the service providers. They provided information, wellness checks and at‐home assistance to keep their older adult clients connected. Service providers feel more prepared for future restrictions but flag the potential of training and supporting older adults to use technology to stay connected, as well as the need for more readily available funding to allow services to adapt quickly during times of crisis.
Publisher: Elsevier BV
Date: 10-2019
DOI: 10.1016/J.WOMBI.2019.06.012
Abstract: Culturally secure care is considered foundational for good perinatal outcomes for Indigenous women. It is unknown what literature reports on whether Indigenous women giving birth in urban areas receives appropriate cultural care. The aim of this scoping review was to examine and summarise relevant evidence which reports on culturally secure care for Indigenous women using urban maternity services at any time during the perinatal period. Ten journal databases plus grey literature and theses databases were searched for relevant material dated 1986-2018. Articles were included if they were about Indigenous women from Australia, New Zealand, Canada or the USA care was provided anytime during the perinatal period, in an urban area and cultural security (or variations of this term) were used. 6856 titles and abstracts were screened, of these: 25 studies, 15 grey literature documents and 9 theses matched the search criteria. Studies were mostly qualitative (13/25) and from Australia (18/25). Studies showed women's access to and experiences of culturally secure maternity care in urban areas as variable. The grey literature originated from Australia (8/15) New Zealand (4/15) and Canada (3/15) while theses were from Canada (7/9) and Australia (2/9). The scoping review results showed substantial qualitative evidence on Indigenous women's experience during the perinatal period in urban areas. In-depth analysis of these studies is required to inform future practice and policy on what works and what needs improvement. Culturally secure midwifery care shows promising results.
Publisher: SAGE Publications
Date: 23-06-2016
Abstract: The objective of this study was to investigate the discriminant validity of commonly used depression and anxiety screening tools in order to determine the most suitable tool for patients with chronic obstructive pulmonary disease (COPD). COPD patients ( n = 56) completed the Hospital Anxiety and Depression Scale (HADS), Beck Depression Inventory (BDI-II) and Beck Anxiety Inventory (BAI). These scores were compared to confirmed clinical diagnoses of depression and anxiety using the Mini Neuropsychiatric Interview. HADS depression subscale (HADS-D) sensitivity/specificity was 78/81% BDI-II 89/77% HADS anxiety subscale (HADS-A) 71/81% and BAI 89/62%. HADS-D sensitivity/specificity was improved (100/83%) with the removal of Q4 ‘I feel as if I am slowed down’ and adjusted cut-off (≥5). Removal of BDI-II Q21 ‘Loss of interest in sex’ with adjusted cut-off ≥12 resulted in similar improvement (100/79%). No problematic items were identified for HADS-A or BAI. Previously reported low sensitivity/specificity of the HADS for COPD patients was not replicated. Furthermore, simple modifications of the HADS-D markedly improved sensitivity/specificity for depression. BDI-II, HADS-A and BAI produced acceptable sensitivity/specificity unmodified. Pending further research for COPD patients we recommend continued use of the HADS-A with standard cut-off (≥8) and removal of Q4 of the HADS-D with lower cut-off ≥5.
Publisher: Informa UK Limited
Date: 03-11-2022
Publisher: SAGE Publications
Date: 14-04-2022
DOI: 10.1177/00302228221090066
Abstract: Interest in voluntary assisted death (VAD) has been growing among researchers, policy makers and the public. This study aimed to explore older adults’ perspectives on VAD in Australia. Using purposive s ling, 15 adults ≥65 years participated in in-depth semi-structured interviews. Interpretative phenomenological analysis identified four themes: cultural reflections beliefs and worldviews health aspects and fabric of life. Participants expressed a desire to have control over end-of-life options, challenged by religious beliefs. Participants expressed concern that VAD legislation could leave people vulnerable to coercion and saw a need for safeguards. Reasons for and against supporting and utilising VAD were discussed. Physical illness was seen a more compelling reason for VAD than mental ill-health. Finally, connections to life and other were discussed, and being able to do the things one loved were named aspects of what it meant to live a good life. Implications are discussed along with future research directions.
Publisher: Informa UK Limited
Date: 11-11-2023
DOI: 10.1080/08959420.2022.2136918
Abstract: Amid ongoing global economic uncertainty and long-standing efforts to tackle age discrimination and increase older workers' labor force engagement, it is pertinent to consider age differences in the in idual effects of joblessness. This is paramount for informing support services, policy formulation, and research. This article is based on a literature review of international peer reviewed quantitative research that has examined the relationship between age, psychological wellbeing and unemployment. Two hundred and twenty-six studies were screened and 36 were included. No relevant qualitative studies were identified. Among the studies, there was a broad consensus that there are age differences in terms of the psychological consequences of unemployment. However, they showed mixed evidence, and critical conceptual and methodological deficiencies were identified. We conclude that the body of evidence is weak and that drawing from it for the development of practice and policy in support of jobless in iduals is to be cautioned against.
Publisher: Elsevier BV
Date: 11-2021
No related grants have been discovered for Claire Adams.