Arts In Counseling Research Articles

Implementing a male-specific ART counselling curriculum: a quality assessment with healthcare workers in Malawi.

There is little HIV counselling that directly meets the needs of men in Eastern and Southern Africa, limiting men's knowledge about the benefits of HIV treatment and how to overcome barriers to engagement, contributing to poorer HIV-related outcomes than women. Male-specific approaches are needed to improve men's outcomes but may be difficult for healthcare workers (HCWs) to implement with fidelity and quality in low-resource settings. We developed a male-specific counselling curriculum which was implemented by male HCWs and then conducted a mixed-methods quality assessment. We audio-recorded counselling sessions to assess the quality of implementation (n = 50) by male HCWs from two cadres (nurse, n = 10 and lay cadre, n = 10) and conducted focus group discussions (FGDs) with HCWs at 6 and 9 months after rollout to understand barriers and facilitators to implementation. Counselling sessions and FGDs were translated, transcribed and analysed using thematic analysis adapted from WHO Quality Counselling Guidelines. We assessed if sessions were respectful, informative, interactive, motivating and included tailored action plans for overcoming barriers to care. All data were collected September 2021-June 2022. All sessions used respectful, non-judgemental language. Sessions were highly interactive with most HCWs frequently asking open-ended questions (n = 46, 92%) and often incorporating motivational explanations of how antiretroviral therapy contributes to life goals (n = 42, 84%). Few sessions included individually tailored action plans for clients to overcome barriers to care (n = 9, 18%). New counselling themes were well covered; however, occasionally themes of self-compassion and safe sex were not covered during sessions (n = 16 and n = 11). HCWs believed that having male HCWs conduct counselling, ongoing professional development and keeping detailed counselling notes facilitated quality implementation. Perceived barriers included curriculum length and client hesitancy to participate in action plan development. Findings were similar across cadres. Implementing high-quality male-specific counselling using male nurses and/or lay cadre is feasible. Efforts to utilize lay cadres should be prioritized, particularly in low-resource settings. Programmes should provide comprehensive job aids to support HCWs. Ongoing training and professional development are needed to (1) improve HCWs' skills in tailored action plans, and (2) sensitize HCWs to the need for self-compassion within male clients to promote holistic sexual health.

A RETROSPECTIVE STUDY OF FETOMATERNAL OUTCOME IN HIV POSITIVE PREGNANT WOMEN

Background: In present scenario Acquired immunodeficiency syndrome is one of the worst global health concerns. HIV has a dramatic impact on the health of mother and children. Parent to child transmission of HIV is a major route of new infection in children Methods: A retrospective study was conducted in Jklon hospital, kota from May 2021 to April 2022. All HIV positive pregnant women who were on ART or not and delivered in our hospital were selected. Maternal and fetal outcome variables were analysed. Results: Total deliveries during the study period were 9046. Out Of these HIV positive pregnant women were 36, prevalence being 0.3%. Primigravida were found to be 41.66% during the study period from may 2021 to April 2022. 47.22% were diagnosed HIV positive during pregnancy, vaginal deliveries were 77.77%% and caesarean section was 22.22%. birth weight <2kg in 8.3% and IUFD were 8.3%. Nevirapine prophylaxis were given to 91.66% of neonate Conclusions: our result suggest that Early diagnosis and initiation of therapy will prevent transmission to their children and better fetomaternal outcome. In patients who are on ART education and counselling can alter maternal and neonatal outcome. Awareness and information is important to increase access to PPTCT services. Team approach involving an experienced obstetrician, neonatologist and physician gives hope of having a healthy uninfected baby for HIV infected mothers.

Semen cryopreservation for an oncological reason: a retrospective study

Research questionHow do cancer type and treatment affect semen quality before and after treatment, and what effect does it have in their clinical management of infertility? Also, what is the rate of patients using cryopreserved semen samples after treatment? DesignPatients who cryopreserved spermatozoa for oncological reasons between 2000 and 2022 in IVI clinics in Spain were retrospectively reviewed. Semen parameters were analysed before and after treatment, and utilization and destruction rates were calculated. Total motile sperm count (TMSC) was used for assisted reproductive technology (ART) counselling. ResultsA total of 724 patients cryopreserved their semen during the study period. The semen parameters of the cancer patients' semen before and after treatment were heterogeneous, with significant differences between cancer type and semen parameters. The utilization rate was relatively low (0.4%), whereas the destruction rate was 23.1%. ConclusionCancer and antineoplastic treatment affect everyone differently. Therefore, sperm cryopreservation should be offered to all patients before starting treatment to ensure their reproductive future. Furthermore, in addition to considering the semen parameters defined by the World Health Organization, it is important to use TMSC in the diagnosis of men to choose appropriate ART according to type of cancer.

선택적 함묵증 청소년의 자기표현 및 관계 향상을 위한 미술치료 단일사례연구

Objectives The purpose of this study is to investigate the effect of art therapy in the improvement of self-ex-pression and interpersonal relationships in adolescents with selective mutism. Methods The research subject is a third-year middle school male student with selective mutism who meets all five criteria of DSM-5 diagnosis. The art therapy of this study was conducted from November 2019 to February 2020, totaling 19 sessions. The research subject received one session per week, each lasting 45 minutes. However, sessions that were conducted in parallel with test and counseling, and the interview counseling of father were ex-tended to 90 minutes each. The parents, who were going through divorce, received individual counseling, family counseling session was conducted once, the father, mother, and a homeroom teacher were provided counseling as needed after the sessions with the subject. The study used HTP for examining changes in self-expression of the research subject with selective mutism, and KSD for exploring changes in relationships. HTP and KSD were evaluated by comparative analysis of pre- and post-test results. The process of change was qualitatively analyzed based on the artwork created during art activities, session transcripts, and counseling journals for each session. Results Firstly, in the post-test of the HTP, the size of the drawings increased by approximately three times, the positioning and composition became more stable, the shading in the human figures disappeared and the depiction of a smiling expression indicated an improvement in self-expression. Secondly, in the post-test of the KSD, the size of the drawings increased by approximately four times, and the positioning, pen pressure, use of an eraser being more stable and the inner aspect of the face being apparent indicated an improvement in interpersonal relationships. Thirdly, throughout the progression across sessions, the subject exhibited emotional stability and genuine self-expression, leading to positive changes in both self-expression and interpersonal relationships. Conclusions considering the combined results, art therapy had demonstrated significant effects on self-ex-pression and interpersonal relationships in adolescents with selective mutism.

The contribution of art therapy to literacy in diverse and stressed communities in inner city Johannesburg: Case vignettes from the Uhambo literacy programme

This article is about the Uhambo literacy programme and the application of multimodal pedagogies in an art therapy ‘open studio’ after-school programme. Low literacy levels were identified by Lefika La Phodiso Community Art Counselling and Training (Lefika) – an arts therapy organisation serving at-risk children from Johannesburg’s inner city, as well as other communities through the application of community art counsellors after their training. A literacy programme, Uhambo, was developed to support the aim of improving literacy among the children attending Lefika’s after-school programme. Lefika’s open studio provides a therapeutic and safe space for children from Johannesburg’s inner city. The Uhambo programme incorporates elements of the open studio, offering a focused integration of visual and verbal literacy. The two presented case vignettes from the programme explore how the groups were both therapeutic and educational, addressing emotional growth and improved literacy and learning using attachment theories and storytelling as frameworks. Drawing on attachment theories in psychodynamic literature, the article shows how adaptive art therapy programmes can give children agency to make meaning, increase confidence and pleasure in their artmaking and storytelling as well as improving learning outcomes, building resilience and creativity.

Factors associated with isoniazid preventive treatment interruption and completion among PLHIV in Gombe Hospital, Uganda, 2017–2019

BackgroundTuberculosis (TB) is the leading cause of death in persons living with HIV (PLHIV). PLHIV carry a disproportionate burden of TB infection with risks 20–37 times greater than HIV-negative populations. While isoniazid preventive treatment (IPT) is regarded as a crucial component of HIV care to prevent active TB, the uptake among PLHIV remains very poor. Studies on the factors associated withIPT interruption and completion among PLHIV in Uganda are scarce. Thus, in Gombe Hospital in Uganda, this study assessed the factors associated withIPT interruption and completion among PLHIV. MethodsThis was a hospital-based cross-sectional study that used both quantitative and qualitative methods of data collection from January 3rd, 2020 to February 28th, 2020. We reviewed the medical records of 686 PLHIV who received IPT at Gombe Hospital from January 1st, 2017 to December 31st, 2019. Binary logistic and modified Poisson regression were used to analyze factors associated with IPT completion and interruption. We conducted 7 key informant interviews and 14 in-depth interviews. ResultsSecond-line antiretroviral therapy (AOR = 46, p < 0.001) and age ≥ 45 years (AOR = 0.2, p = 0.040) were significantly associated with IPT interruption, while attending routine ART counseling sessions (APR = 1.5, p < 0.001) and prescription for ≥ 2 months at the start of IPT (APR = 1.1, p = 0.010) were associated with IPT completion. Barriers to IPT completion included pill burden, forgetfulness, poor integration of IPT in HIV healthcare services, and lack of awareness of IPT, while facilitators were easy accessibility of IPT and support from implementing partners. ConclusionsSide effects and pill burden were the major barriers to the long-term completion of IPT. Supplying ≥ 2 months IPT drugs, using IPT drugs with fewer side effects, and counseling during IPT could improve IPT completion and reduce IPT interruption.

The mismatch in supply and demand: reproductive endocrinology and infertility workforce challenges and controversies

Infertility affects a significant proportion of the population. When including people interested in fertility preservation or family building services as part of the LGBTQ+ community, the number needing fertility care far exceeds the current supply of providers and clinics. The field of reproductive endocrinology and infertlity needs to comprehensively address this mismatch in supply and demand with both short and long term solutions. In the short term, networking with primary Ob/Gyns to provide initial fertility care and integrating advanced practice providers into our practice can help to reduce some of the current needs. Ultimately, making meaninful changes to the current REI fellowship training program is critical to improving the number of trained reproductive endocrinologists available. Expanding fellowship positions may necessitate building a closer relationship with private practices and potentially private equity funded practices. Ensuring that these relationships would train independent REIs is of the utmost importance and could potentially be addressed through a comprehensive national curriculm as well as some protections on post-training obligations. Furthermore, although some have proposed the utilization of primary gynecologists for ART counseling or procedures, also known as "upskilling," such quick solutions may not provide the depth and breadth of care that many infertile patients require. The field of REI is at a criticial juncture. With many competing interests to address this mismatch, as REIs, now is the time to develop solutions that will maintain the integrity and quality of our field.

The Art of Counseling in the Treatment of Head and Neck Cancer: Exploratory Investigation among Perceptions of Health Professionals in Southern Italy.

(1) Background: Recurrent and/or metastatic patients with head and neck squamous cell carcinoma show a poor prognosis, which has not changed significantly in 30 years. Preserving quality of life is a primary goal for this subset of patients; (2) Methods: A group of 19 physicians working in South Italy and daily involved in head and neck cancer care took an anonymous online survey aimed at revealing the level of knowledge and the application of communication techniques in daily patient care; (3) Results: Several specialists, 18 out 19 (95%), considered that patient participation in therapeutic choices is mandatory. The main obstacles to complete and reciprocate communication still consist of lack of time and staff, but also in the need for greater organization, which goes beyond the multidisciplinary strategy already used; (4) Conclusions: A greater impulse to training and updating on issues related to counseling can improve communication between the different clinicians involved in the treatment plan.

Understanding the role of incentives for achieving and sustaining viral suppression: A qualitative sub-study of a financial incentives trial in Uganda.

BackgroundViral suppression among people living with HIV (PLHIV) is essential for protecting health and preventing HIV transmission, yet globally, rates of viral suppression are sub-optimal. Interventions to improve HIV prevention and care cascade outcomes remain vital. Financial incentives hold promise for improving these outcomes, yet to date, clinical trial results have been mixed.MethodsThis qualitative sub-study, embedded in a trial (NCT02890459) in Uganda to test whether incentives are effective for achieving viral suppression in PLHIV, sought to enhance our understanding of the factors that influence this outcome. Forty-nine (n = 49) PLHIV, purposely sampled to balance across gender, study arm, and viral suppression status, were interviewed to explore barriers and motivations for care engagement, adherence, and viral suppression, and attributions for decision-making, including perceived influence of incentives on behaviors.ResultsWhile many participants with undetectable viral load (VL) who received incentives said the incentives motivated their ART adherence, others expressed intrinsic motivation for adherence. All felt that incentives reduced burdens of transport costs, lost income due to time spent away from work, and food insecurity. Incentives may have activated attention and memory for some, as excitement about anticipating incentives helped them adhere to medication schedules. In comparison, participants who were randomized to receive incentives but had detectable VL faced a wider range, complexity and severity of challenges to care engagement. Notably, their narratives included more accounts of poor treatment in clinics, food insecurity, and severe forms of stigma. With or without incentives, adherence was reinforced through experiencing restored health due to ART, social support (especially from partners), and good quality counseling and clinical care.ConclusionsIn considering why incentives sometimes fail to achieve behavior change, it may be helpful to attend to the full set of factors- psychological, interpersonal, social and structural- that militate against the behavior change required to achieve behavioral outcomes. To be effective, incentives may need to be combined with other interventions to address the spectrum of barriers to care engagement.

APPLICATION OF VISUAL ARTS IN COUNSELING

Visual art is a separate process along with an artistic environment that focuses on presenting symbols of reality or other things. Through artistic experience, individuals are often united in exploration and in living a meaningful life. Visual arts can be applied to children, teenagers, adults, families, and the elderly. This is proven by the application of single mothers aged 32 years who were divided into 4 out of 8 groups (2 groups) tended to create new perceptions through visual arts through post-test results on cognitive emotion regulation and anxiety and by France and Allen who used the Gestalt approach to adolescents. bully to help increase awareness of feelings and reintegrate the conflicting within to feel healthier, and the approach used is to warm up and use one of the visual arts, namely drawing.

The Implementation of Visual Art in Counseling to Help Client Revealing the Internal Condition

The counseling process needs to involve the disclosure of information from the client as an individual who needs help. Some clients find it very difficult to disclose information regarding their experiences, thoughts, and feelings about the issues. A counselor needs to have a creative way of supporting clients to achieve good self-disclosure. The use of visual arts in counseling is very useful as a tool for clients to express their thoughts, feelings, and experiences which are then reflected on both personally by the client or with the help from the counselor. The purpose of this article is to examine the basic knowledge of visual arts in the counseling process. The literature review used several databases such as Google Scholar and Google Books as well as well as other supporting sources. The results of the study show that visual arts are useful in helping clients reveal the information that is needed for the counseling process.

Art Counseling: Dance Therapy in Counseling

Art Counseling: Dance Therapy in Counseling

Implementation of prostate cancer treatment decision aid in Michigan: a qualitative study

BackgroundThe American Urological Association White Paper on Implementation of Shared Decision Making (SDM) into Urological Practice suggested SDM represents the state of the art in counseling for patients who are faced with difficult or uncertain medical decisions. The Michigan Urological Surgery Improvement Collaborative (MUSIC) implemented a decision aid, Personal Patient Profile-Prostate (P3P), in 2018 to help newly diagnosed prostate cancer patients make shared decisions with their clinicians. We conducted a qualitative study to assess statewide implementation of P3P throughout MUSIC.MethodsWe recruited urologists and staff from 17 MUSIC practices (8 implementation and 9 comparator practices) to understand how practices engaged patients on treatment discussions and to assess facilitators and barriers to implementing P3P. Interview guides were developed based on the Tailored Interventions for Chronic Disease (TICD) Framework. Interviews were transcribed for analysis and coded independently by two investigators in NVivo, PRO 12. Additionally, quantitative program data were integrated into thematic analyses.ResultsWe interviewed 15 urologists and 11 staff from 16 practices. Thematic analysis of interview transcripts indicated three key themes including the following: (i) P3P is compatible as a SDM tool as over 80% of implementation urologists asked patients to complete the P3P questionnaire routinely and used P3P reports during treatment discussions; (ii) patient receptivity was demonstrated by 370 (50%) of newly diagnosed patients (n = 737) from 8 practices enrolled in P3P with 78% completion rate, which accounts for 39% of all newly diagnosed patients in these practices; and (iii) urologists’ attitudes towards SDM varied. Over a third of urologists stated they did not rely on a decision aid. Comparator practices indicated habit, inertia, or concerns about clinic flow as reasons for not adopting P3P and some were unconvinced a decision aid is needed in their practice.ConclusionUrologists and staff affiliated with MUSIC implementation sites indicated that P3P focuses the treatment discussion on items that are important to patients. Experiences of implementation practices indicate that once initiated, there were no negative effects on clinic flow and urologists indicated P3P saves time during patient counseling, as patients were better prepared for focused discussions. Lack of awareness, personal habits, and inertia are reasons for not implementing P3P among the comparator practices.

Art Counseling: Music in Counseling or Music Therapy

In this era that continues to develop, everything will indirectly change, including the counseling process itself. It is possible that individuals who attend counseling services feel bored. Therefore, counselors and prospective counselors should be equipped with art counseling, especially music therapy, in order to provide attractive counseling services. With principles and techniques that are quite easy to understand, it can help counselors in providing effective counseling services.

Visual Art in Counseling: Drawing Can Express Your Feelings

Visual Art in Counseling: Drawing Can Express Your Feelings

Application Visual Art in Counseling

Drawing activities are things that are used in world counseling. Through pictures, you can see and build reports for each counselee when doing counseling. Every picture given by the counselee can be interpreted subjectively. Drawing, which is usually only judged as a matter of course, can actually show something unexpected. Images made for each age have their own differences. Images also give special meanings through the colors used, the number of objects in the image and the placement of the image objects.

Art Counseling: Visual Art in Counseling

Visual Art is one of the creative techniques that can be used in the counseling process. This technique can help counselors and counselees in expediting the counseling process. The counselor is able to get the information needed during counseling and the counselee is able to express his feelings through the pictures made. In Indonesia alone, discussion of Visual Art there is very little in counseling. It is hoped that the writing of this article can help counselors in learning or deepening Visual Art techniques.

Art Counseling: Visual Art in Counseling

Art Counseling: Visual Art in Counseling

Art Counseling: Play &amp;amp; Humor in Counseling

Art Counseling: Play &amp;amp; Humor in Counseling

The Implementation Of Dance Movement Therapy Into Counseling

Talking about art counseling, there are many approaches that can be done by counselors for their counselees. This depends on the situation and condition of the counselee it self, and the credibility of the counselor in using the approach. One of them is a counseling approach using techniques dance movement therapy. This technique is very suitable for use at all ages, from children, adults, to the elderly. This counseling can also be referred to as modern counseling, where the counselee and counselor can together show their originality in saying and acting.