Health Mentors Research Articles

Service Quality Affects BPJS Patient Satisfaction at the Pematang Health Center, Serang Regency, Banten in 2024

Health service providers must strive to improve the quality of services for the realization of the highest degree of public health. The purpose of this study is to find out and analyze the quality of service affecting BPJS patient satisfaction at the Pematang Health Center, Serang Regency, Banten in 2024. The research design uses an analytical survey with a cross sectional design. The population in this study is all patients who are treated using BPJS as many as 4,210 people with an accidental sampling technique with a sample of 98 people. The data analysis used used was univariate analysis, bivariate using chi-square and multivariate using logistic regression. The results of the logistic regression analysis that affected were the variables of immediate service p = 0.003, politeness p = 0.005 and effective communication p = 0.000 and the most influential variable was effective communication with an Exp B value of 13.922. The conclusion of the variables that do not affect is the use of information technology, physical facilities, quick response, skills and attitudes and the variables that affect are prompt service, politeness and effective communication and the most influential is effective communication. It is recommended to the Puskesmas to make a budget for Communication Skills training for all health workers, mentoring, and implementation by making the motto of the Pematang Health Center to be (smile, greeting, polite fast and precise). Providing services in a timely, polite, friendly manner and can maintain patient privacy in order to increase patient satisfaction and provide physical facilities such as (chairs, air conditioners, loudspeakers and machines to take no queue) as well as provide information on the use of mobile JKN.

An invited commentary on mentoring in infant mental health: A symposium commemorating Robert N. Emde.

This paper is based on a symposium on mentoring in infant mental health that took place at the 18th World Association for Infant Mental Health (WAIMH) conference. The symposium commemorated Robert N. Emde who was one of the founders of the field of Infant Mental Health, and devoted much of his career to mentorship. From an IMH perspective, mentoring experiences are best thought of as relationships, significant for both mentor and mentee, with positive mentoring experiences crucial for the development of IMH clinicians and researchers. The symposium participants, two pairs of mentor-mentee dyads, first gave an opening statement about what mentoring meant for them generally and personally, and then addressed three issues: the goodness of fit between mentor and mentee, "light and shadow" in mentoring relationships, and balancing old wisdom with new trends in mentoring. The paper brings the participants' views and personal experiences regarding these issues in their own words, highlighting key personal and professional issues related to mentorship from the perspectives of both mentor and mentee.

The need and acceptability of a youth mental health mentoring model to supplement adolescent outpatient mental health services

Youth mental health challenges in the United States continue to escalate at an alarming rate. To address this crisis, there is an urgent need to develop innovative strategies for delivering effective mental health care to youth. The aim of this study was to assess the need and acceptability of a youth mental health mentoring model for adolescents engaged in outpatient mental health services. Participants included adolescents currently engaged in outpatient mental health services (n = 3, 14–17 years old; 66 % Black; 100 % cisgender boys), parents/guardians of adolescents currently engaged in mental health services (n = 4; 50 % Black; 100 % cisgender women), clinicians who provide adolescent mental health services in an outpatient setting (n = 5; 100 % White cisgender women), and potential paraprofessional mental health mentors recruited from a large land-grant University (n = 5; 40 % White; 60 % cisgender women). All participants were recruited from an urban setting in the midwestern United States. Data collection occurred remotely. Following protocols that were approved by an Institutional Review Board, participant groups were provided an overview of the proposed model and asked a series of open-ended questions in four separate focus groups to gauge the perceived need and acceptability of this type of program model. Thematic data analysis was used to analyze data. Across participant groups, results indicated a clear need for supplemental mental health services and high acceptability of the proposed youth mental health mentoring model. Participants offered specific recommendations for model development, especially related to mentor selection, training and supervision.

Prefrontal-Amygdala Pathways for Object and Social Value Representation.

This special focus article was prepared to honor the memory of our National Institutes of Health colleague, friend, and mentor Leslie G. Ungerleider, who passed away in December 2020, and is based on a presentation given at a symposium held in her honor at the National Institutes of Health in September 2022. In this article, we describe an extension of Leslie Ungerleider's influential work on the object analyzer pathway in which the inferior temporal visual cortex interacts with the amygdala, and then discuss a broader role for the amygdala in stimulus-outcome associative learning in humans and nonhuman primates. We summarize extant data from our and others' laboratories regarding two distinct frontal-amygdala circuits that subserve nonsocial and social valuation processes. Both neuropsychological and neurophysiological data suggest a role for the OFC in nonsocial valuation and the ACC in social valuation. More recent evidence supports the possibility that the amygdala functions in conjunction with these frontal regions to subserve these distinct, complex valuation processes. We emphasize the dynamic nature of valuation processes and advocate for additional research on amygdala-frontal interactions in these domains.

Development of a mentor training curriculum to support LGBTQIA+ health professionals.

While mentors can learn general strategies for effective mentoring, existing mentorship curricula do not comprehensively address how to support marginalized mentees, including LGBTQIA+ mentees. After identifying best mentoring practices and existing evidence-based curricula, we adapted these to create the Harvard Sexual and Gender Minority Health Mentoring Program. The primary goal was to address the needs of underrepresented health professionals in two overlapping groups: (1) LGBTQIA+ mentees and (2) any mentees focused on LGBTQIA+ health. An inaugural cohort (N = 12) of early-, mid-, and late-career faculty piloted this curriculum in spring 2022 during six 90-minute sessions. We evaluated the program using confidential surveys after each session and at the program's conclusion as well as with focus groups. Faculty were highly satisfied with the program and reported skill gains and behavioral changes. Our findings suggest this novel curriculum can effectively prepare mentors to support mentees with identities different from their own; the whole curriculum, or parts, could be integrated into other trainings to enhance inclusive mentoring. Our adaptations are also a model for how mentorship curricula can be tailored to a particular focus (i.e., LGBTQIA+ health). Ideally, such mentor trainings can help create more inclusive environments throughout academic medicine.

The Appa Health App for Youth Mental Health: Development and Usability Study.

Demand for adolescent mental health services has surged in the aftermath of the COVID-19 pandemic, and traditional models of care entailing in-person services with licensed mental health providers are inadequate to meet demand. However, research has shown that with proper training and supervision mentors can work with youth with mental health challenges like depression and anxiety and can even support the use of evidence-based strategies like cognitive behavioral therapy (CBT). In our increasingly connected world, youth mentors can meet with young people on a web-based platform at their convenience, reducing barriers to care. Moreover, the internet has made evidence-based CBT skills for addressing depression and anxiety more accessible than ever. As such, when trained and supervised by licensed clinicians, mentors are an untapped resource to support youth with mental health challenges. The objective of this study was to develop and assess the feasibility and acceptability of Appa Health (Appa), an evidence-based mental health mentoring program for youth experiencing symptoms of depression and anxiety. This paper describes the development, pilot testing process, and preliminary quantitative and qualitative outcomes of Appa's 12-week smartphone app program which combines web-based near-peer mentorship with short-form TikTok-style videos teaching CBT skills created by licensed mental health professionals who are also social media influencers. The development and testing processes were executed through collaboration with key stakeholders, including young people and clinical and research advisory boards. In the pilot study, young people were assessed for symptoms of depression or anxiety using standard self-report clinical measures: the Patient Health Questionnaire-8 and the Generalized Anxiety Disorder-7 scales. Teenagers endorsing symptoms of depression or anxiety (n=14) were paired with a mentor (n=10) based on preferred characteristics such as gender, race or ethnicity, and lesbian, gay, bisexual, transgender, queer (LGBTQ) status. Quantitative survey data about the teenagers' characteristics, mental health, and feasibility and acceptability were combined with qualitative data assessing youth perspectives on the program, their mentors, and the CBT content. Participants reported finding Appa helpful, with 100% (n=14) of teenagers expressing that they felt better after the 12-week program. Over 85% (n=12) said they would strongly recommend the program to a friend. The teenagers were engaged, video chatting with mentors consistently over the 12 weeks. Metrics of anxiety and depressive symptoms reduced consistently from week 1 to week 12, supporting qualitative data suggesting that mentoring combined with CBT strategies has the potential to positively impact youth mental health and warrants further study. Appa Health is a novel smartphone app aiming to improve the well-being of youth and reduce anxiety and depressive symptoms through web-based mentoring and engaging CBT video content. This formative research sets the stage for a large-scale randomized controlled trial recently funded by the National Institutes of Health Small Business Innovation Research program.

O37 - The Meaningful Magic of Mentoring: Evaluation Findings from NSW Health Mentoring in Midwifery Program

O37 - The Meaningful Magic of Mentoring: Evaluation Findings from NSW Health Mentoring in Midwifery Program

Introduction to the Special Issue: Advancing Racial Justice in Clinical Child and Adolescent Psychology

ABSTRACT Relative to White youth, racially and ethnically marginalized youth in the U.S. are less likely to initiate treatment, stay in treatment, and receive adequate care. This special issue attends to racial injustice in clinical child and adolescent psychology. While numerous factors drive these racial disparities, this special issue focuses specifically on opportunities and responsibilities we have as mental health providers, teachers, mentors, researchers, and gatekeepers to make our field more racially just. In this introduction to the special issue, we review barriers and solutions across multiple contexts including structural, institutional, and practice-based. We also discuss challenges and opportunities to diversify our field and increase the representation of racially and ethnically marginalized practitioners and scholars in clinical child and adolescent psychology. We then briefly review the special issue articles and make final recommendations for how to move the field forward.

Determinants of Adherence to Option B+ Antiretroviral Therapy among HIV Positive Pregnant Women Attending Antenatal Clinics at Tertiary Health Institutions in Anambra State

Purpose: The study ascertained determinants of adherence to option B+ antiretroviral therapy (ART) among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state.
 Methodology: A cross-sectional descriptive design was adopted in conducting the study among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state. A sample size of one hundred and forty six (146) HIV positive pregnant women was selected by purposive and convenience sampling techniques. Adult AIDS Clinical Trial Group (AACTG) standardized questionnaire was used in data collection which were analyzed with IBM SPSS software database (version 25). Chi square was used for test of hypotheses at p < 0.05 level of significance.
 Findings: Results revealed that the women with parity less than 4 (105(89%) were more adherent to ART; the women with primary education as highest level of education (13(92.9%) were more adherent to ART; the women within the age range 15-25 years (32(97%) were adherent; the women working in the informal sector (31 (96.9%) were more adherent to ART. The study also showed that there is no significant relationship between the women’s level of education, parity, age and adherence to ART but there is significant relationship between the women’s occupation and adherence to ART. From the study, it was ascertained that the HIV positive pregnant woman’s parity, level of education and age are not determinants of adherence to Option B+ ART but occupation of the women is.
 Recommendations: Health care providers or mentor mothers in the health care facilities should give more attention to the HIV positive pregnant women working in the informal sector and unemployed than the women working in the formal sector in regards to their adherence to ART.

Determinants of Adherence to Option B+ Antiretroviral Therapy among HIV Positive Pregnant Women Attending Antenatal Clinics at Tertiary Health Institutions in Anambra State

Purpose: The study ascertained determinants of adherence to option B+ antiretroviral therapy (ART) among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state.
 Methodology: A cross-sectional descriptive design was adopted in conducting the study among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state. A sample size of one hundred and forty six (146) HIV positive pregnant women was selected by purposive and convenience sampling techniques. Adult AIDS Clinical Trial Group (AACTG) standardized questionnaire was used in data collection which were analyzed with IBM SPSS software database (version 25). Chi square was used for test of hypotheses at p < 0.05 level of significance.
 Findings: Results revealed that the women with parity less than 4 (105(89%) were more adherent to ART; the women with primary education as highest level of education (13(92.9%) were more adherent to ART; the women within the age range 15-25 years (32(97%) were adherent; the women working in the informal sector (31 (96.9%) were more adherent to ART. The study also showed that there is no significant relationship between the women’s level of education, parity, age and adherence to ART but there is significant relationship between the women’s occupation and adherence to ART. From the study, it was ascertained that the HIV positive pregnant woman’s parity, level of education and age are not determinants of adherence to Option B+ ART but occupation of the women is.
 Recommendations: Health care providers or mentor mothers in the health care facilities should give more attention to the HIV positive pregnant women working in the informal sector and unemployed than the women working in the formal sector in regards to their adherence to ART.

Predictors of burnout for immigrant mental health professionals in the United States

AbstractMental health professionals who identify as immigrants encounter personal and professional barriers that can impact overall wellbeing. The current study conducted a survey of 108 licensed mental health professionals who identify as immigrants practicing in the United States. The survey included demographics as well as assessments of burnout, social support, and migratory grief and loss. The results of this study highlighted that a combination of higher migratory grief and lower perceived social support significantly predicted higher levels of burnout in mental health professionals. Implications for mental health programs, supervisors, and mentors and suggestions for future research are provided.

La docencia sobre cronicidad en las facultades de Medicina: una revisión de la situación actual

In recent decades, progressive population aging in developed countries has led to a significant increase in the number of people with at least one chronic medical condition. As a result, acquiring knowledge about chronicity in medical school is key for physicians to be able to provide proper management for these patients. However, the presence of chronicity in educational curricula is scarce and highly variable.On the one hand, this work consisted of a review of the educational programs of the main medical schools on each continent with the aim of identifying whether they included chronicity and, on the other, a literature review focused on identifying educational projects in the field of chronicity.The presence of chronicity in most medical schools’ curricula is marginal and only a few universities include specific skills or competences linked to chronicity. In most cases, this topic appears as a global, cross-curricular competence that students are supposed to acquire over the course of their entire education. The literature review retrieved 21 articles on innovative teaching projects on chronicity. Direct contact with chronic patients, most times as “health mentors,” the role of the student as a teacher, and continuous evaluation and feedback from all participants are the main characteristics of the projects analyzed. Some previously published experiences support the usefulness of innovative methodologies for better approaching this capital field in current medical practice.Despite the current situation in which chronic patients consume most healthcare resources, the presence of chronicity in medical schools is marginal. However, a literature review did identify some useful experiences for improving education on chronicity in medical schools. Medical schools should change their academic curricula and redirect them towards providing students all the necessary tools for improving their knowledge on chronicity.

PREVENTION AND INTERVENTION OF STUNTING IN INDONESIA: A SCOPING REVIEW

Introduction. Stunting manifests chronic nutritional deficiency that can begin in the baby in the womb and after birth. This study identifies and describes various stunting prevention and management efforts reported in the literature in Indonesia. This study was to obtain an overview of the prevention and efforts to treat stunting; it is hoped that it will produce the best efficacy information and can be scientifically accounted for so that it can be applied as a national policy in Indonesia. Methods. We reviewed Indonesian and English articles published between 2018 and 2022 through ProQuest, PubMed, and Google Scholar search data engines. The search generated 2,454 articles. All selected studies were systematically evaluated and screened based on title, open access, and full text related to the research objectives. Finally, 10 articles were included in the learning. Stunting prevention and intervention efforts are identified from the selected articles and presented in the extraction table. The final conclusion is made based on the types of intervention from the articles obtained. Results. The results showed that there were 2 types of interventions to overcome stunting in toddlers, namely preventive and curative. Preventive intervention is carried out by conducting health education, mentoring and counselling for families, mothers, and caregivers of stunting toddlers, while curative interventions are provided by improving food intake and adding nutrients. Conclusion. This study describes a variety of stunting prevention and interventions that have been reported in the literature. Further research on the management of stunting with comorbidities is needed because stunting children are a population at risk for complications.

Teaching about chronicity in medical schools — A review of the current situation

In recent decades, progressive population aging in developed countries has led to a significant increase in the number of people with at least one chronic medical condition. As a result, acquiring knowledge about chronicity in medical school is key for physicians to be able to provide proper management for these patients. However, the presence of chronicity in educational curricula is scarce and highly variable.On the one hand, this work consisted of a review of the educational programs of the main medical schools on each continent with the aim of identifying whether they included chronicity and, on the other, a literature review focused on identifying educational projects in the field of chronicity.The presence of chronicity in most medical schools’ curricula is marginal and only a few universities include specific skills or competences linked to chronicity. In most cases, this topic appears as a global, cross-curricular competence that students are supposed to acquire over the course of their entire education. The literature review retrieved 21 articles on innovative teaching projects on chronicity. Direct contact with chronic patients, most times as “health mentors,” the role of the student as a teacher, and continuous evaluation and feedback from all participants are the main characteristics of the projects analyzed. Some previously published experiences support the usefulness of innovative methodologies for better approaching this capital field in current medical practice.Despite the current situation in which chronic patients consume most healthcare resources, the presence of chronicity in medical schools is marginal. However, a literature review did identify some useful experiences for improving education on chronicity in medical schools. Medical schools should change their academic curricula and redirect them towards providing students all the necessary tools for improving their knowledge on chronicity.

Basic life support training for ambulance drivers in pre-hospitalization transport

The limited means of transportation becomes a problem in conducting pre-hospitalization, especially in Gunungkidul Regency, Yogyakarta. The mileage that reaches 39 km from the center of Yogyakarta can increase the patient's risk of experiencing multiple trauma. The ambulance driver is the officer responsible for operating the ambulance and providing basic life support in handling cases of cardiac arrest during the transportation process. The purpose of this program is to improve pre-hospitalization transportation skills in handling first aid in an effort to prevent death. The methods of this community service include health counseling, mentoring, and training. Basic life support training has been proven to improve the knowledge and skills of village ambulance drivers so that it can be used as a provision for pre-hospitalization in providing health services to prevent death and unwanted complications.

Community empowerment in using virgin coconut oil (LALAAN) as pruritus therapy

Virgin coconut oil (VCO) or lalaan oil is suspected to have non-pharmacological therapeutic benefits in pruritus. Community service activities in Sungai Tuan Ilir Village, Astambul District, Banjar Regency, South Kalimantan are carried out to empower the community to take advantage of the abundant coconut in the surrounding environment and to process it independently at home. The community service method is carried out by socializing health counseling, demonstrations and mentoring. This community service is able to improve the understanding and skills of the community in utilizing coconut as a non-pharmacological drug for the treatment of pruritus or itching. These skills can also be used as business opportunities for cadres and village communities by naming unique products, such as lalaan (lakas malawan gatalan).

W3 - To-Get-There, Together: Creative Approaches to Mentoring Conversations

The workshop is designed to enable participants to experience some of the Appreciative Inquiry (AI) tools used within the NSW Health Mentoring in Midwifery (MiM) Program. The MiM Program aims to develop a reciprocal learning relationship that expands opportunities for connection, learning, growth and support for midwifery students and midwives working in NSW Health. The workshop will commence with an overview of the NSW Health MiM program as informed by relationship-centred practice and utilising an Appreciative Inquiry approach. Facilitators will work with participants in small groups to explore Appreciative Inquiry tools used within the MiM Program. In closing the workshop, participants will have an opportunity to reflect on the use of these tools and the variety of ways in which they can be integrated within practice. The workshop showcases the NSW Mentoring in Midwifery (MiM) Program and demonstrates how traditional hierarchical relationships can be opened up through the conversations that flow from the use of Appreciative Inquiry tools. Participants will gain insight into how these tools can facilitate conversations to quickly build relationships, uncover new learning, and support people to move forward, together. The Appreciative Inquiry tools practised at this workshop were included when developing a structured Mentoring in Midwifery Program in NSW to promote conversations about midwifery practice between the mentor and mentee. These tools are readily transferable and can be used in day-to-day practice to enhance conversations, engagement, reflection and learning in the moment with other staff, women, and their families.

O73 - Us, together- Co-creating a Mentoring in Midwifery Program in NSW

This presentation outlines the approach taken by NSW Health, Nursing and Midwifery Office to lead the co-creation and design of a new mentoring program for midwives. The NSW Health Mentoring in Midwifery Program (MiM) aims to develop a reciprocal learning relationship that expands opportunities for connection, learning, growth and support for midwifery students and midwives working in NSW Health. This presentation will outline how a co-creative process was used to collaborate with a range of midwifery leaders, midwives, and academics to envisage the MiM Program. The International Confederation of Midwives (ICM) Mentoring Guidelines and Principles of Appreciative Inquiry informed our approach. This presentation will describe the Senses Framework as the underpinning ingredient to promote learning in the workplace, and how this was enhanced using Appreciative Inquirer, Belinda Dewar’s Caring Conversations. The tools used to promote generative conversations about midwifery practice between the mentor and the mentee will be described. The NSW Health Midwifery Strategy aims to support midwifery leaders to respond to the needs of the profession now and into the future. MiM builds on previous work sponsored by the Nursing and Midwifery Office that revealed successful relationships between students and midwives was key to a sense of belonging and positive learning environments. Midwives valued the opportunity to provide a learning environment to students and recognised the importance of supporting our future workforce. A structured mentoring program was identified by midwives as an opportunity to strengthen the midwifery profession together. The intention of this work is to develop and implement an innovative and sustainable mentoring program that is transferable across all midwifery training and clinical facilities to become a normal part of midwifery culture in NSW. This program will support the midwifery profession, develop leadership at all levels and help in the retention of a strong, confident, and skilled midwifery workforce.

A new path to mentorship for emerging global health leaders in low-income and middle-income countries

A new path to mentorship for emerging global health leaders in low-income and middle-income countries

Cervical cancer prevention program in Nepal: A comprehensive "train the trainer" approach.

5530 Background: Cervical cancer is the leading cause of cancer and cancer-related deaths among women in Nepal, due in part to a lack of access to screening and limited medical providers trained to diagnose and treat women with preinvasive cervical disease. Cancer Care Nepal has partnered with The University of Texas MD Anderson Cancer Center (MD Anderson) and the American Society of Clinical Oncology (ASCO) to implement a ‘train the trainer’ (TOT) program to teach visual inspection with acetic acid (VIA), colposcopy, cervical biopsy, cryotherapy, thermal ablation, and loop electrosurgical excision procedure (LEEP). Methods: An initial cervical cancer prevention course was held in Kathmandu, Nepal in November 2019, supported by ASCO and with faculty from Civil Service Hospital, Bhaktapur Cancer Hospital, and National Academy of Medical Sciences and MD Anderson. As a continuation of this program, a TOT course was implemented for local specialists from five participating institutions throughout Nepal to learn how to deliver these trainings. Each participating institution then holds their own local course for nurses and doctors in their region. The training is complemented with monthly Project ECHO (Extension for Community Healthcare Outcomes) telementoring videoconferences. Results: The program was launched in November 2021. To date, two TOT training courses (2-day duration) have been held for clinicians from the 5 participating regions. Due to COVID-19 pandemic travel restrictions, didactic lectures were held virtually with MD Anderson and ASCO staff and included epidemiology of cervical cancer, screening guidelines, colposcopy, and treatment of cervical dysplasia. This was followed by hands-on training using simulation models to teach VIA, colposcopy, ablation and LEEP, led by the Nepalese faculty who had participated in the 2019 course. There were 41 participants in total (23 in the first course and 18 in the second course), including 21 gynecologists, 4 gynecologic oncologists, 1 medical oncologist, 1 general practitioner, and 14 nurses. 39 participants (73%) completed both the pre- and post- survey results. 86% of respondents from the first course and 100% of respondents from the second course reported that they intended to change their practice as a result of knowledge gained from the course. In addition, Cancer Care Nepal became a new hub for Project ECHO and held its first session in January 2022, with 20 participants representing two regions. The specialists from each of the 5 participating sites will be holding local courses for doctors and nurses in their respective regions throughout 2022. Conclusions: Our work shows that the TOT strategy can widen the reach of training in cervical cancer prevention in Nepal. Despite travel restrictions during the COVID-19 pandemic, global health training and mentoring can continue, though they require adaptions and use of virtual platforms.