Content Of Counseling Research Articles

Analisis Kenakalan Remaja: Studi Kasus pada MAN 2 Padangsidimpuan

This study aims to analyze juvenile delinquency at MAN 2 Padangsidimpuan. It consists of the types of delinquency, the causal factors, and the efforts of the counseling teacher in alleviating juvenile delinquency. The research method used is descriptive qualitative. The research subjects were students, counseling teachers, subject teachers, homeroom teachers, and parents of students taken using the snowball sampling technique. Research instruments used observation, interviews, and documentation. Data analysis techniques used data reduction, data presentation, and drawing conclusions. The results of the study found: 1) Types of delinquency that occurred; smoking, skipping school, not doing homework, leaving the house without saying goodbye to parents, coming home late at night, fighting, bullying; 2) The factor of delinquency; environmental factors, wrong perceptions of subject teachers and learning activities, often delaying and neglecting assignments, lack of parental attention, abused solidarity, having wrong perceptions of others; 2) The efforts of the counseling teacher in alleviating juvenile delinquency are; providing information, supervising student activities through collaboration with subject teachers and parents, providing individual counseling services, group guidance, and content mastery services to improve student skills in certain fields.
 Keywords: Juvenile delinquency, the efforts of the counseling teacher

Pelatihan Pembuatan Lemang dengan Menggunakan Daun Pandan untuk Memperpanjang Umur Simpan Lemang Sebagai Oleh-oleh Desa Tanjung Sirih Kabupaten Lahat

The problem of Lemang Tanjung Sirih Lahat Regency producers to sell Lemang as souvenirs was the shelf life of Lemang that just one day in room temperatrue. Therefore, the objective of this research was to train Lemang producers for produce Lemang using pandan leave to get Lemang in longer shelf life, so it can be souvenir of Lahat district. The training used three methods such as counseling, technical guidance, and evaluation. The counseling was conducted for one day in The Grands of Lahat District hotel, while techincal guidance and evaluation in Tanjung Sirih village hall for three days. The counseling was followed 70 peoples of Lemang producers, while technical guidance was followed 35 peoples of Lemang producers. The content of counseling include the characteristics of Lemang and product development for increase the added value and competitivenes of Lemang. The content of technical guidance include the characteristic of pandan leaves and Lemang production. The conclution from evalution between participants, organizers, and sources was necessity of periodic training.

Parents’ expectations regarding media use among children up to 6 years of age

AimTo describe parents’ expectations concerning information sources and counseling related to media use by children up to six years of age. DesignQualitative descriptive design. MethodsData were collected by interviewing the parents (n=20) between January and March 2020. A qualitative content analysis was used. ResultsThree main themes emerged: family media use, parents’ expectations of information and counseling sources, and parents’ expectations of the content of information and counseling. Parents reported that their children’s screen time varied from one to 2 ​h per weekday. Child health clinics and Early Parenthood Education and Care Centers were the most used information and counseling sources related to children’s media use. Parents expected conversations, brochures, and advice for appropriate websites at child health clinics and parents’ evenings. They considered it important to have trustworthy websites where they could search for reliable, current, and empirical information related to children’s media use. Parents expected that the information provided would include children’s media-use recommendations, information regarding the advantages and disadvantages of children’s media use, parents’ responsibility in children’s media use, and parent-child media co-use.

Identity as a target of psychological counselling at clinic

The paper deals with the content of psychological counselling at clinic. It includes reasons of an insufficient demand for a clinical psychologist and his/her insufficient performance. Psychological counselling at clinic, unlike clinical and psychological interventions or psychotherapy, does not have an unambiguous definition and does not depend on regulatory documents. There are no specific indications and contraindications for psychological counselling, as well as application rates and standards. As a main direction of psychological counselling, the author does not only refer to coping in the social reality, but also to a patients adjustment to own personality and counselling to overcome a personality disorder caused by an illness. The new identity, albeit under new conditions changed by the illness, develops as far as the patient follows a trajectory of his/her life and achieves goals relevant for him/her based on significant values.

An implementation evaluation of the physical activity counseling for in-patients with major depressive disorder (PACINPAT) intervention: a randomized controlled trial

BackgroundThe physical activity counseling for in-patients with major depression (PACINPAT) randomized controlled trial was launched to tackle physical inactivity for in-patients with major depressive disorder. Evidence shows that despite potential treatment effects, physical inactivity is prevalent in this population. To contribute to the assessment of how this in-person and remote, theory-based, individually tailored intervention was designed, received and effected behavior, the aim of this study was to evaluate its implementation.MethodsThis implementation evaluation was conducted within a multi-center randomized controlled trial according to the Process Evaluation Framework by the Medical Research Council including the analysis of reach, dose, fidelity and adaptation. Data were collected from the implementers and the participants randomized to the intervention group of the trial.ResultsThe study sample comprised 95 physically inactive in-patients (mean age: 42 years, 53% women) with diagnosed major depressive disorder. The intervention reached the intended population (N = 95 in-patients enrolled in the study). The intervention dose varied between early dropouts (counseling sessions, M = 1.67) and study completers with some participants receiving a low dose (counseling sessions, M = 10.05) and high dose (counseling sessions, M = 25.37). Differences in the attendance groups were recognizable in the first two counseling sessions (duration of counseling session about 45 min in early dropouts versus 60 min for study completers). Fidelity of the in-person counseling content was partly achieved and adapted, whereas that of the remote counseling content was well achieved. Participants (86% at follow up) reported satisfaction with the implementers of the intervention. Adaptations were made to content, delivery mode and dose.ConclusionThe PACINPAT trial was implemented in the intended population, in varying doses and with adaptations made to in-person counseling content and remote counseling dose. These findings are key to understanding outcome analyses within the PACINPAT trial, further developing interventions and contributing to implementation research among in-patients with depressive disorders.Trial registrationISRCTN, ISRCTN10469580, registered on 3rd September 2018.

Literature Review and Analysis of Workplace Counseling and Mental health in Taiwan

<p>諮商心理理論與實務在企業中實踐員工諮商與心理健康。本研究旨在回顧台灣地區企業員工諮商與心理健康文獻，有助於了解台灣企業員工諮商與心理健康研究的發展背景。本研究採用文獻回顧分析了解台灣地區有關企業員工諮商與心理健康迄今的研究成果，探討重要研究變項。研究資料來源為「台灣期刊論文索引系統」、「華藝資料庫」，以企業諮商、員工協助方案、職場心理健康等關鍵字進行資料搜尋，迄2022年4月止，符合本研究目的的論文共51筆。研究結果顯示：(一) 研究類別依序為諮商輔導與教育心理類 (73％)、管理與勞工安全類 (20%)、醫療與健康類（8%）。(二) 研究方法依序為文獻回顧（35%）、實務應用 (27%)、質性 (22%)、量化 (12%)、質量混合 (4%)，研究內容包含企業員工諮商對員工工作效率影響、職場心理健康等。(三) 論文發表以2016-2021年期間發表量占總論文數量之42%為最高。(四) 51篇論文中僅有8篇量化研究，且多著重在壓力來源的探討與員工諮商使用意願調查，未將員工諮商與員工請假或生產力變化做連結；13篇質性研究中有5篇均提及企業諮商師的倫理觀點由單一案主轉移至雙重案主，最大的挑戰在於如何兼顧個案守密倫理原則與提供企業主諮商效益的數據化分析。(五) 在台灣，企業員工諮商與心理健康實證研究多以質性訪談為主，較少量化分析，且分析結果多與員工主觀滿意感受相關，未與員工請假時數或生產力等客觀數字作關聯分析。本研究除了將51筆企業員工諮商與心理健康文獻做描述性統計之分析外，同時整理了其中8篇量化研究（包含2篇質量混合研究）之量化研究方法及研究結果提供未來研究之參考。</p> <p> </p><p>Applying the theories and methods of counseling psychology in an enterprise is the core of workplace counseling and mental health. Reviewing related research on workplace counseling and mental health can facilitate understanding the development of workplace counseling and mental health research in Taiwan. This study adopted the literature review to understand the research results of workplace counseling and mental health in Taiwan. The key words of workplace counseling, employee assistance programs, and workplace mental health were used to conduct the search in the " Index to Taiwan Periodical Literature System" and "Airiti Library". Up until April 2022, there were 51 papers that matched the purpose of the study and were thus selected and analyzed. The results indicated that: (1) The research categories are counseling and education (73%), management and labor safety (20%), medical care and health (8%). (2) The research methods are literature review (35%), practical application (27%), qualitative research (22%), quantitative research (12%), and mixed methods research (4%). The contents of workplace counseling involved employee work efficiency, mental health, etc. (3) The papers on workplace counseling and mental health with the period of 2016 to 2021 accounting for 42% of all 51 papers. (4) Among the 51 papers, there are only 8 quantitative studies, and most of them focus on the discussion of the source of stress and the survey of employees’ willingness to use counseling. They do not link employee counseling with employees’ leave or productivity changes, 5 of the 13 qualitative studies mentioned that the ethical viewpoint of business counselors has shifted from a single client to dual client. The biggest challenge for workplace counselors were how to balance the ethical principles of client confidentiality and the benefits of counseling for business owners. (5) In Taiwan, most of the empirical researches on workplace counseling and mental health were based more on qualitative interviews than on quantitative analysis, the analysis results were based on personal feelings of employees’ satisfaction, and no analysis was conducted concerning objective factors such as employee absent hours or productivity. In addition to the descriptive statistical analysis of 51 corporate consultation documents, this study also sorted out the quantitative research methods and research results of 8 quantitative studies (including 2 qualitative mixed studies) to provide reference for future research. According to these findings, detailed results and suggestions for further research were discussed.</p> <p> </p>

Counseling regarding the care of people with dementia with a focus on §7a SGB XI in Germany: a "gray-shaded" scoping review

BackgroundCare counseling is an important psychosocial intervention for people with care needs and their relatives and can contribute to maintaining and/or improving a patient’s quality of life and reducing the burden of caregivers. This is especially the case for people with dementia and their relatives, in which the methods of care counseling need to be different than those for individuals with non-dementia related care needs. Furthermore, the counseling content needs to be adjusted to the specific form and stage of dementia. In Germany, every person who receives support per the German Social Law Book XI (SBG XI) can take advantage of care counseling according to §7a SGB XI. To date, there is no systematic overview of counseling services for people with dementia and their relatives related to this specific provision in Germany.MethodsWe conducted a gray-shaded scoping review with a focus on the evaluation of care counseling according to §7a SGB XI for people with dementia and their relatives. For this purpose, we applied five search strategies. We researched (1) national electronic databases, (2) Google, (3) targeted websites, (4) experts, and (5) academic electronic databases. Additionally, for the included gray literature, we conducted backward citation tracking via reference lists and forward citation tracking via Google Scholar for scientific articles. Screening of the identified potentially relevant records was performed independently by two reviewers.ResultsWe identified 985 records and included 6 studies in our review. We divided the identified studies into three themes: understanding conceptual dimensions, digitalization of counseling, and understanding the perspective of those being counseled. No studies investigated the perspective and experience of people with dementia and their relatives regarding the counseling service according to §7a SGB XI.ConclusionsOur results show that further research is needed, especially regarding the experience of people with dementia and their relatives who participated in counseling according to §7a SGB XI. It seems essential to understand the perspective of people with dementia and their relatives to improve and tailor counseling services in Germany.RegistrationThe review protocol was prospectively published (BMJ Open 12:e059771, 2022).

Caregiver and Clinician Perspectives on Discharge Medication Counseling: A Qualitative Study.

Children are at increased risk for medication errors and the transition from hospital-to-home is a vulnerable time for errors to occur. This study aimed to explore the perspectives of multidisciplinary clinicians and caregivers regarding discharge medication counseling and to develop a conceptual model to inform intervention efforts to reduce discharge medication dosing errors. We conducted semistructured interviews with clinicians and caregivers of children <4 years old discharged from the hospital on a liquid medication. A hierarchical coding system was developed using the interview guide and several transcripts. Qualitative analysis employed an iterative inductive-deductive approach to identify domains and subthemes and inform a conceptual framework. We conducted focus groups and individual interviews with 17 caregivers and 16 clinicians. Using the Donabedian structure-process-outcomes model of quality evaluation, domains and subthemes included: (1) infrastructure of healthcare delivery, including supplies for counseling, content and organization of discharge instructions, clinician training and education, roles and responsibilities of team members, and hospital pharmacy delivery and counseling program; (2) processes of healthcare delivery, including medication reconciliation, counseling content, counseling techniques, and language barriers and health literacy; and (3) measurable outcomes, including medication dosing accuracy and caregiver understanding and adherence to discharge instructions. The conceptual model resulting from this analysis can be applied to the development and evaluation of interventions to reduce discharge medication dosing errors following a hospitalization. Interventions should use a health literacy universal precautions approach-written materials with plain language and pictures and verbal counseling with teach-back and show-back.

A machine learning approach to identifying suicide risk among text-based crisis counseling encounters.

With the increasing utilization of text-based suicide crisis counseling, new means of identifying at risk clients must be explored. Natural language processing (NLP) holds promise for evaluating the content of crisis counseling; here we use a data-driven approach to evaluate NLP methods in identifying client suicide risk. De-identified crisis counseling data from a regional text-based crisis encounter and mobile tipline application were used to evaluate two modeling approaches in classifying client suicide risk levels. A manual evaluation of model errors and system behavior was conducted. The neural model outperformed a term frequency-inverse document frequency (tf-idf) model in the false-negative rate. While 75% of the neural model's false negative encounters had some discussion of suicidality, 62.5% saw a resolution of the client's initial concerns. Similarly, the neural model detected signals of suicidality in 60.6% of false-positive encounters. The neural model demonstrated greater sensitivity in the detection of client suicide risk. A manual assessment of errors and model performance reflected these same findings, detecting higher levels of risk in many of the false-positive encounters and lower levels of risk in many of the false negatives. NLP-based models can detect the suicide risk of text-based crisis encounters from the encounter's content.

Medical interpreter-mediated genetic counseling for Spanish preferring adults at risk for a hereditary cancer syndrome.

The objective of this study was to identify interpretation challenges specific to exome sequencing and errors of potential clinical significance in the context of genetic counseling for adults at risk for a hereditary cancer syndrome. Thirty transcripts of interpreter-mediated telephone results disclosure genetic counseling appointments were coded for errors by bilingual researchers, and the coders applied an overall rating to denote the degree to which the errors interfered with communication overall. Genetic counselors reviewed a subset of errors flagged for potential clinical significance to identify those likely to have clinical impact. Qualitative interviews with 19 interpreters were analyzed to elucidate the challenges they face in interpreting for genetic counseling appointments. Our analysis identified common interpretation errors such as raising the register, omissions, and additions. Further, we found errors specific to genetic counseling concepts and content that appeared to impact the ability of the genetic counselor to accurately assess risk. These errors also may have impacted the patient's ability to understand their results, access appropriate follow-up care, and communicate with family members. Among interpreters' strengths was the use of requests for clarification; in fact, even more use of clarification would have been beneficial in these encounters. Qualitative interviews surfaced challenges stemming from the structure of interpreter work, such as switching from medical and nonmedical interpretations without substantial breaks. Importantly, while errors were frequent, most did not impede communication overall, and most were not likely to impact clinical care. Nevertheless, potentially clinically impactful errors in communication of genetics concepts may contribute to inequitable care for limited English proficient patients and suggest that additional training in genetics and specialization in healthcare may be warranted. In addition, training for genetic counselors and guidance for patients in working effectively with interpreters could enhance interpreters' transmission of complex genetic concepts.

Patient Perspectives on a Pilot Virtual Follow-up Program After Hypertensive Disorders of Pregnancy: A Qualitative Study

BackgroundHypertensive disorders of pregnancy (HDPs) are a risk factor for future cardiovascular disease; therefore, follow-up and implementation of early interventions is recommended. We performed a qualitative study to assess the feasibility and user response to a mobile-health tool and virtual consultation aimed at educating people with an HDP on future cardiovascular risk, and at better understanding patients’ priorities for postpartum care. MethodsParticipants with a history of an HDP in the past 5 years had access to an online educational tool and participated in a virtual consultation to discuss their cardiovascular risks after experiencing an HDP. Participants were invited to a focus group to obtain feedback on their postpartum experience and the Her-HEART program. ResultsA total of 20 female participants were enrolled in the study between January 2020 and February 2021. Of these, 16 participants took part in 1 of 5 focus groups. Participants reported a lack of awareness of future cardiovascular disease risks prior to participating in the program, and identified barriers to counselling, including traumatic birth experiences, inappropriate timing, and competing priorities. Participants reported that the virtual Her-HEART program was an effective avenue to provide counselling on long-term cardiovascular risks. They highlighted the importance of coordinated care pathways and mental health support in postpartum follow-up programs. ConclusionWe have shown the feasibility of providing an educational website and virtual consultation to facilitate counselling in people affected by HDPs. Our results shed light on patient-reported priorities related to the content and delivery of postpartum counselling after an HDP.

Psycho-Emotional Burnout of the Personality in the Conditions of War

A common cause of health disorders in war is psychotraumatic situations that lead to psycho-emotional burnout of military personnel.&#x0D; The purpose of the article is to conduct an empirical study of the psycho-emotional burnout of military personnel. Tasks are set: to determine the emotional reactions and states of military personnel; to assess the level of manifestation of emotional burnout of military personnel.&#x0D; Research Methods: The study used valid methods, "Diagnosis of the level of emotional burnout", "Determination of mental "burnout", and «Burnout Syndrome» in the professions of the «man-man» system, for the non-parametric data correlation variables, the Spearman coefficient.&#x0D; Results: The study revealed the military personnel's inability to manage their emotions, which leads to depersonalization, personal alienation, and distance. The inadequate selective emotional response has 94.0%, which is an indisputable "sign of burnout". The peculiarities of emotion management of military personnel and their role in the genesis of emotional response in professional activity are revealed. It is established that the "economic manifestation of emotions" of military personnel can be manifested both in an excessively cheerful mood and aggression, which is frustrating behavior.&#x0D; Conclusion: In order to prevent psycho-emotional burnout, it is necessary to develop anti-stress skills, skills of controlling the manifestation of emotions based on critical analysis of the situation, and the ability not to throw out negative emotions on other people. To work with the military, it is necessary to substantiate the content of psychosocial counseling within the framework of a comprehensive system of psychological rehabilitation of servicemen.

Student Cheating Behavior and The Role of The BK Teacher in Handling It (Study at SMA N 1 Ampek Angkek)

In following the learning process at school, a student does not always get good learning results, sometimes the results obtained are not in accordance with the expected results. In the implementation of the learning process, two student characters will appear, namely positive student characters who are actively involved in learning activities and negative student characters who are passive and commit fraudulent acts in learning activities such as cheating or imitating assignments and peer tests. Cheating is copying answers, trading in exam answers, viewing exams illegally, turning in someone else's work, soliciting other students' answers and changing record grades.This study aims to describe students' cheating behavior and the teacher's role in handling it. The population of this study included 974 students of SMA N 1 Ampek Angkek, the sample size was 252 people, obtained by random sampling technique. This research is a descriptive research with quantitative research methods. Data was collected by administering a questionnaire, and analyzed using percentages. The results of the study revealed: 1) The findings of the study regarding cheating behavior at SMA N 1 Ampek Angkek were generally in the moderate category with a frequency of 184 and a percentage of 73.02%. This means that more than half of the students who are the sample of the study still practice cheating behavior, either independently planned, individually opportunistic, socially active or socially passive. 2) The role of the counseling teacher in handling cheating behavior is provided with guidance and counseling services such as information services, educational services individual counseling, group counseling services, group counseling services and content mastery services.Keywords: Cheating behavior, the role of the BK teacher

Comparison of genetic testing documentation between genetic counselors and non-genetic counselors.

Implementation of genetic testing in healthcare increases, but access to, and number of, genetics providers remain scarce. This study analyzed the impact of genetic counselor (GC) involvement on frequency of documentation of pre- and post-test counseling of genetic testing between GCs and genetics providers (GPs), and GCs and non-genetics providers (NGPs). A retrospective chart review of 467 charts from patients who had genetic testing ordered between July 2016 and June 2018 at a primarily pediatric institution was conducted. GCs were involved for 223 charts (GC group), and not involved for 244 (non-GC group). The non-GC group was further stratified into patient charts with Genetics Providers (GP group) (n=100) involved and those with Non-Genetics Providers (NGP group) (n=144) involved. Categorical, binomial, pre-test variables (counseling, test description, results possibilities, insurance coverage, and cost) and categorical, binomial, post-test variables (results disclosure, family testing recommendations, recurrence risk, and provided resources) were collected and compared using Fisher's exact test (p < 0.005). With the exception of test description, documentation for all variables occurred more frequently in the GC group compared to the NGP group (all p < 0.001). Documentation for the majority of variables also occurred more frequently in the GC group compared to the GP group (p < 0.005), with the exceptions of overall pre-test counseling and family testing recommendations. GC involvement was associated with increased documentation of most pre- and post-test genetic counseling variables. With increased emphasis placed on transparency, accurateness, and access for patients of the EMR, in part due to the passage of the CARES Act, documentation should reflect the content of counseling provided. The cause of the documentation discrepancy identified may have differing effects on patient care and provider education.

Perception and Counseling for Cardiac Health in Breast Cancer Survivors.

Context: Breast cancer survivors have increased cardiovascular disease (CVD) risk compared to those without cancer history. CVD is the leading cause of death for breast cancer survivors. Objective: To assess current CVD risk counseling practices and risk perception in breast cancer survivors. Study design and analysis: Interviews conducted with breast cancer survivors. Analysis of categorical data by frequency and quantitative variables by mean and standard deviation. Inductive qualitative analysis performed using NVIVO. Setting: Academic Family Medicine Outpatient Practices Population studied: Breast cancer survivors with an identified primary care provider. Intervention/instrument: Interviews on CVD risk behaviors, risk perception, challenges with risk reduction, and previous history of risk counseling. Outcome measures: Self-reported history of CVD, risk perception, and risk behaviors. Results: The average age of participants (n=19) was 57 with 57% being white and 32% African American. Of interviewed women, 89.5% reported a personal history and 89.5% reported a family history of CVD. Only 52.6% had previously reported receipt of CVD counseling. Primary care providers most commonly provided the counseling (72.7%), however it was additionally provided by oncology (27.3%). Among breast cancer survivors, 31.6% perceived they were at increased CVD risk and 47.5% were unsure of their relative CVD risk compared to women their age. Factors affecting perceived CVD risk included family history, cancer treatments, cardiovascular diagnoses, and lifestyle factors. Video (78.9%) and text messaging (68.4%) were the most highly reported mechanisms through which breast cancer survivors requested to receive additional information and counseling on CVD risk and risk reduction. Commonly reported barriers to adopting risk reduction strategies (such as increasing physical activity) included time, resources, physical limitations, and competing responsibilities. Barriers specific to survivorship status include concerns for immune status during COVID, physical limitations associated with cancer treatment, and psychosocial aspects of cancer survivorship. Conclusions: These data suggest improving the frequency and content of CVD risk reduction counseling is needed. Strategies should identify the best methods for providing CVD counseling, and should address general barriers as well as unique challenges faced by cancer survivors.

Construction of a Psychological Counseling System for Ideological and Political Education in Universities

Against the backdrop of the cultural explosion, high-quality development in the new era requires significant challenges and opportunities for ideological and political education in universities, and also brings opportunities for innovation in ideological and political education in universities. Establishing a sound psychological counseling system in universities is an innovation in ideological and political education methods with Chinese characteristics. However, the current psychological counseling system in the process of ideological and political education in universities faces problems such as insufficient understanding of psychological counseling by educational subjects, rejection of psychological counseling by educational objects, incomplete content of educational psychological counseling, and inadequate mechanisms for educational psychological counseling. In response to the above issues, with the principles of unity of commonality and individuality, unity of prevention and supervision, unity of understanding and respect, and unity of self-help and assistance as the focus, it is proposed to improve the responsibility mechanism of psychological counseling subjects, strengthen the propaganda mechanism of psychological counseling theory, optimize the innovative mechanism of psychological counseling content, and establish a long-term mechanism of psychological counseling to create a good training environment for the integration of psychological counseling in ideological and political education, Improve the effectiveness of psychological counseling in ideological and political education, and propose specific operational strategies to achieve the higher goals of ideological and political education in universities in the new era.

Perspectives toward contraceptive counseling among women with complex medical co-morbidities: A Mixed-Methods Study

This study was undertaken to examine contraceptive counseling practices among pregnant women with complex medical co-morbidities, and to elucidate patient attitudes and perceptions about contraceptive counseling using a mixed methods approach. We conducted 28 semi-structured interviews with pregnant women with pre-existing medical co-morbidities to examine factors influencing contraceptive counseling. Interview questions focused on patient attitudes about contraception in the setting of medical co-morbidities, contraceptive access, preferred approach to counseling, and their ideal contraceptive. Development of the interview guide and coding were guided by the Theory of Planned Behavior. Interview transcripts were coded and analyzed using Dedoose® software with deductive and inductive content analysis. Data pertaining to maternal demographics, medical history, contraceptive use, and pregnancy outcomes were obtained through participant surveys and from electronic health records. Out of 33 eligible women approached over a 7-month duration, 30 were recruited and 28 completed interviews. The majority of participants were Black, between the ages of 16 – 45 years, and had several complex medical co-morbidities. Overarching themes included: 1) Contraceptive misinformation 2) Counseling content material 3) Delivering counseling 4) Failure of birth control and 5) Perceptions about the ideal contraceptive. Notably, patients voiced the desire for counseling to be goal oriented and patient centered rather than provider driven. Participants provided valuable insights into the sources of contraceptive information, misinformation, and the preferred approach for delivering counseling - including the timing, style and clinical setting. Our research has identified several opportunities for enhancing the contraceptive counseling experience for pregnant women with complex medical co-morbidities. Insights from patient perspectives lay the groundwork for designing interventions that promote effective contraception in a cohort at high risk for adverse perinatal outcomes.View Large Image Figure ViewerDownload Hi-res image Download (PPT)

Design and Implementation of a Culturally-Tailored Randomized Pilot Trial: Puerto Rican Optimized Mediterranean-Like Diet

BackgroundAdhering to a Mediterranean Diet (MedDiet) is associated with a healthier cardiometabolic profile. However, there are limited studies on the MedDiet benefits for non-Mediterranean racial/ethnic minorities, for whom this diet may be unfamiliar and inaccessible and who have a high risk of chronic diseases. ObjectivesTo describe the study design of a pilot trial testing the efficacy of a MedDiet-like tailored to adults in Puerto Rico (PR). MethodsThe Puerto Rican Optimized Mediterranean-like Diet (PROMED) was a single-site 4-mo parallel two-arm randomized pilot trial among a projected 50 free-living adults (25–65 y) living in PR with at least two cardiometabolic risk factors (clinicaltrials.gov registration #NCT03975556). The intervention group received 1 individual nutritional counseling session on a portion-control culturally-tailored MedDiet. Daily text messages reinforced the counseling content for 2 mo, and we supplied legumes and vegetable oils. Participants in the control group received cooking utensils and one standard portion-control nutritional counseling session that was reinforced with daily texts for 2 mo. Text messages for each group were repeated for two more months. Outcome measures were assessed at baseline, 2 and 4 m. The primary outcome was a composite cardiometabolic improvement score; secondary outcomes included individual cardiometabolic factors; dietary intake, behaviors, and satisfaction; psychosocial factors; and the gut microbiome. ResultsPROMED was designed to be culturally appropriate, acceptable, accessible, and feasible for adults in PR. Strengths of the study include applying deep-structure cultural components, easing structural barriers, and representing a real-life setting. Limitations include difficulty with blinding and with monitoring adherence, and reduced timing and sample size. The COVID-19 pandemic influenced implementation, warranting replication. ConclusionsIf PROMED is proven efficacious in improving cardiometabolic health and diet quality, the findings would strengthen the evidence on the healthfulness of a culturally-appropriate MedDiet and support its wider implementation in clinical and population-wide disease-prevention programs.

Perspectives of Rare Disease Social Media Group Participants on Engaging With Genetic Counselors: Mixed Methods Study.

Social media provides a potential avenue for genetic counselors to address gaps in access to reliable genetics information for rare disease communities. However, only limited research has examined patient and family attitudes toward engaging with genetic counselors through social media. Our study assessed the attitudes of members of rare disease social media groups toward engaging with genetic counselors through social media, characteristics associated with greater interest, and the benefits and potential pitfalls of various approaches to such engagement. We conducted a mixed methods survey of patients and family members recruited from a systematic sample of rare disease Facebook groups. Patient characteristics and their associations with interest in engagement with genetic counselors were evaluated using univariate and bivariate statistics. Responses to open-ended questions were analyzed using thematic content analysis. In total, 1053 individuals from 103 rare disease groups participated. The median overall interest in engaging with genetic counselors on social media was moderately high at 7.0 (IQR 4.0-9.0, range 0-10). No past experience with a genetic counselor was associated with greater interest in engaging with one through social media (µ=6.5 vs 6.0, P=.04). Participants expressed greatest interest (median 9.0, IQR 5.0-10.0) in engagement models allowing direct communication with genetic counselors, which was corroborated by the majority (n=399, 61.3%) of individuals who responded to open-ended questions explicitly stating their interest in 1-on-1 interactions. When asked what forms of support they would request from genetic counselors through social media, participants desired individualized support and information about how to access services. However, participants also expressed concerns regarding privacy and confidentiality. Patients and family members in rare disease social media groups appear interested in engaging with genetic counselors through social media, particularly for individualized support. This form of engagement on social media is not meant to replace the current structure and content of genetic counseling (GC) services, but genetic counselors could more actively use social media as a communication tool to address gaps in knowledge and awareness about genetics services and gaps in accessible patient information. Although encouraging, concerns regarding privacy and feasibility require further consideration, pointing to the need for professional guidelines in this area.

MENAKAR EFEKTIVITAS PENYULUH INFORMASI PUBLIK DI WILAYAH 3T

This study seeks to describe the significance of public information extension officers in remote, underprivileged, and frontier areas. Counseling's competency, method, means, content, and outcomes will be discussed in light of Laswell's communication theory. Through surveys of 399 respondents and conversations with 180 selected opinion leaders, information was gathered. The analysis was conducted using a combination of techniques. Results indicated that public information extension workers performed effectively, and the program's efficacy indicated that it was effective as well. Key words: extension officer; competences; communication; information disclosure