Influence Of Social Support Research Articles

Adherence to Self - Care Practice Among Type 2 Diabetes Mellitus Patients Using the Theory of Planned Behavior and Health Belief Model at Comprehensive Specialized Hospitals of Amhara Region, Ethiopia: Mixed Method.

Diabetes mellitus is one of the major public health problems that requires appropriate self-care practices to reduce complications. The current study assessed adherence to self-care practices and associated factors using the theory of planned behavior and the health belief model among type 2 diabetes mellitus patients. A facility-based, sequential explanatory mixed-method was undertaken at comprehensive specialized hospitals in the Amhara region of Ethiopia. A single population proportion formula was used to calculate sample size. Proportional allocation to the three study settings and systematic random sampling techniques were used to select 846 study participants. Logistic regression analysis was used to identify associated factors. Variables with a P-value less than 0.05 were declared statistically significant. For the qualitative study, purposive sampling was used to select sixteen key informants, and thematic analysis was performed. About 42.4% of the study participants had good adherence to self-care practices. Being a member of a diabetes association (AOR = 2.57, 95% CI: 1.51, 4.38), having a home glucometer (AOR = 2.52, 95% CI: 1.59, 4.02), having good glycemic control (AOR = 4.07, 95% CI: 2.53, 6.53), having low perceived barriers (AOR = 8.65, 95% CI: 4.65, 16.07), and having middle perceived barriers (AOR = 3.26, 95% CI: 1.88, 5.66) were significantly associated with good adherence to self-care practice. On the other hand, poor wealth index (AOR = 0.27, 95% CI: 0.16, 0.46), poor behavioral control (AOR = 0.59, 95% CI: 0.36, 0.97), poor behavioral intention (AOR = 0.36, 95% CI: 0.21, 0.64), low perceived benefits (AOR = 0.20, 95% CI: 0.08, 0.51), and middle perceived benefits (AOR = 0.57, 95% CI: 0.31, 0.83) were significantly associated with poor adherence to self-care practice. The key informants explored the influence of patients' beliefs, self-efficacy, social support, and barriers on their self-care practices. Less than half of type 2 diabetes mellitus patients had good adherence to self-care practices. This was more evident for patients who are members of a diabetes association, having a high wealth index, having a home glucometer, good behavioral control, good behavioral intentions, high perceived benefit, and poor perceived barriers. Appropriate intervention should be designed based on the aforementioned factors.

The impact of social support and basic psychological needs on well-being: a systematic analysis of literature review

Research in the field of psychology is constantly evolving, and one of the important areas of study is the influence of social support and basic psychological needs on well-being. Social support encompasses emotional exchange, practical assistance, and the sharing of information to help individuals cope with life's challenges. Basic psychological needs refer to fulfilling an individual's requirements for self-determination, self-satisfaction, and a sense of ownership. These factors significantly impact personal well-being.This article aims to provide a comprehensive review of the studies of these two factors and offer insights into future research and development.

The Influence of Personal Evaluation and Social Support on Career Expectations of College Students.

This study aimed to investigate the factors influencing career expectations, determine the influence of college students' personal ability on personal evaluation in the process of gaining employment, and further explore the impact of personal evaluation and social support on career expectations. This study used a random sampling method to administer questionnaires to final-year undergraduates majoring in the liberal arts, science, art, and sports at two Chinese universities. Career expectations were positively correlated with satisfaction. The preferred employer for graduates is a school. In selecting a career, college students believed that exerting their talents was most important. Personal evaluations had a significant effect on self-development in career expectations. The level of social support had a significant effect on prestige and welfare stability in career expectations.

THE RELATIONSHIP BETWEEN COLLEGE STUDENTS' SOCIAL SUPPORT AND NETWORK DEPENDENCY RESEARCH

In the information age, the penetration rate of the network is deepening day by day, and college students are becoming one of the groups with high usage rates of the network. College students use the Internet to search for information, browse information, send and receive emails, chat and make friends, play games, and watch live broadcasts. The network has become an important part of college students' studies. However, while the Internet brings a lot of convenience to college students, it also causes many college students to rely on or even become addicted to the Internet. This problem not only has a negative impact on the physical and mental growth of college students but also becomes a practical management problem faced by universities and even the whole education field. Based on summarizing relevant research at home and abroad, this study uses a questionnaire survey and statistical analysis to carry out empirical research. Taking college students in H university as the research object, 502 valid questionnaires were collected. Through regression and mediating analysis, the theoretical hypothesis that college students' social support has a negative effect on Internet dependence and that college students' social efficacy plays a mediating role in the process of social support's influence on Internet dependence was verified. The mediating model of college students' social support, social efficacy, and network dependence was constructed. From the perspectives of family, school, society, and individual students, the research also puts forward some suggestions to reduce college students' Internet dependence and cultivate the correct concept of the Internet.

Anteseden Nilai Merek Berbasis Kreasi Bersama dalam Perdagangan pada Media Sosial

The use of social media has evolved and adapted through the emergence of the phenomenon of online transactions based on social media, giving rise to commerce on social media. Commerce on social media has also become a new form of e-commerce business model that integrates web and social technologies into commercial features that form an interactive environment for online shopping. This research aims to analyze the influence of consumer interactivity (which consists of consumer-consumer interaction, and consumer-producer interaction), social support and relationship quality in commerce on social media. The research method used is a quantitative research strategy with a survey method and uses a sample of 200 respondents. The sampling method used in this research was nonprobability sampling with purposive type. Data was collected using a questionnaire distributed online. The data analysis method used is simple and multiple regression analysis. The next implication for companies is to develop a strategy to involve consumer interaction (co-creation) so that it can trigger consumers to participate continuously in developing brand value and is in accordance with the main objective of this research. This research can provide an understanding of how customers engage in brand value creation activities in commerce on social media.

Compromising, Avoiding, or Bullying? A Mixed Method Approach to Understanding Conflict Resolution and Bullying Among Undergraduate Roommates

While living with roommates in residence presents a unique set of challenges for emerging adults who are just beginning to navigate a world of adult responsibilities and are adjusting to living with an often-unfamiliar companion, conflicts become inevitable. Common sources of conflict, such as disputes over cleaning duties or noise levels, combine with still-developing conflict resolution skills to create an escalating environment of hostility that can develop into bullying if not properly addressed. However, what remains relatively understudied is how emerging adults navigate conflict management and how conflict resolution styles mitigate such household conflicts. Employing a multi-methods approach, this study utilized quantitative (i.e., questionnaires) and qualitative (i.e., short answer questions) methods to investigate the relative influence of conflict management styles and social support on roommate victimization and bullying among 804 undergraduate students aged 18–21 years old (79% female; M = 19). Multiple hierarchal linear regressions and thematic analyses were employed to analyze the data. The findings revealed that roommate compromise predicted an increase in roommate victimization and bullying, and an inverse relationship between resolving conflict with self-interest, where increased self-interest predicted lower roommate victimization and bullying. Social support was significantly inversely related to roommate bullying and victimization, such that increased social support tended to mitigate bullying and victimization. Taken in unison, these findings convey while students may believe they are compromising, whether they are requires further investigation. This work highlights the need to teach students how to manage conflict in healthy ways while verifying the continued importance of social support.

How Resources Combining Expertise and Social Support Help Breastfeeding Women Address Self-Doubt and Increase Breastfeeding Self-Efficacy: A Mixed-Methods Study

ABSTRACT Existing research on parental information literacy focuses on parents’ ability to evaluate information. This approach does not account for conflicting or unwanted information and obscures the emotional impact of unsought information. We aimed to (1) document the sources women use most frequently for accessing breastfeeding information, (2) explore the reasons women choose some sources over others, (3) test the relationship between source characteristics and breastfeeding self-efficacy, and (4) determine the extent to which four source characteristics – competence, trustworthiness, goodwill, and social support – predict breastfeeding self-efficacy. This study was conducted in two phases. The first phase consisted of interviews and focus groups, which we analyzed inductively using a grounded theory approach. In phase two, we conducted a cross-sectional survey of women who were currently breastfeeding, collecting data on the source credibility and social support associated with the source they use most frequently and the participants’ breastfeeding self-efficacy. We used multiple regression to analyze our survey data. The frequency with which our participants encountered conflicting and unsought prompted them to view sources that combine expertise and social support as ideal. However, these sources are often difficult to access, leading to a reliance on online sources. This compromise has implications for breastfeeding tenure, as both competence and social support predicted breastfeeding self-efficacy. This study demonstrates how emotional aspects of information seeking shape women’s preferred sources, how accessibility limits the use of preferred sources, and how source competence and social support influence breastfeeding self-efficacy.

A moderated mediation analysis on the influence of social support and cognitive flexibility in predicting mental wellbeing in elite sport

The purpose of this study was to examine the mechanism by which social support influences mental wellbeing. Using the thriving through relationships model to provide a theoretical underpinning, cognitive flexibility was hypothesised as a mediator. Additionally, the research examined the consistency of this pathway between elite athletes, retired athletes, and non-athletes. Survey responses from a sample of 247 participants (n = 49 elite athletes, n = 61 retired athletes, n = 137 convenience sample; of which 127 (51.4%) were males were included in the analysis. Initial mediation analysis revealed a significant indirect pathway from social support to mental wellbeing through cognitive flexibility. Moderated mediation analysis revealed this pathway was significant for retired athletes and the convenience sample, but not for elite athletes. Results provide additional insight into the mechanisms by which social support influences wellbeing. Cognitive flexibility interventions may not be as effective for elite athletes.

Pathway analysis of the impact of health literacy, social support and self-efficacy on self-management behaviors in pregnant women with gestational diabetes mellitus.

The purpose of this study was to investigate the pathways by which health literacy (HL), social support, and self-efficacy influence self-management behaviors of pregnant women with Gestational diabetes mellitus (GDM) and the interrelationships between the variables. A total of 565 pregnant women with GDM was recruited. The Demographic Characteristics Form, Health Literacy Scale, Perceived Social Support Scale, General Self-efficacy Scale and GDM Self-management Behavior Scale were used for data collection. Descriptive statistics, zero-ordered correlation analysis, and multiple linear regression analysis were performed on the variables; Structural Equation Model (SEM) were constructed for pathway analysis. A positive correlation was found between health literacy, social support, self-efficacy, and self-management behaviors among pregnant women with GDM after adjusting for age, education level, income level, work status, parity, and family history of diabetes (r ranging from 0.203 to 0.533). A further multiple linear regression analysis showed that functional HL, communicative HL, critical HL, social support, and self-efficacy were all independent influences on self-management behaviors and accounted for 36.3% of the variance. Communicative HL and critical HL explained the strongest self-management behaviors (β = 0.316 and 0.255, respectively, p < 0.001). The SEM model was suitable for χ2/DF = 2.860, RMSEA = 0.060, IFI = 0.953, TLI = 0.943, and CFI = 0.952. The results showed direct positive effects of health literacy on self-management behaviors and self-efficacy, direct positive effects of social support on health literacy and self-efficacy. Social support and self-efficacy have had no significant direct impact on self-management behaviors, but social support may indirectly influence self-management behaviors through the health literacy mediation role. Healthcare providers should pay attention to the positive impacts of health literacy and social support on self-management behaviors of pregnant women with GDM. Improving the health literacy level of pregnant women with GDM should be the key point of intervention in practice, and the social support system should be fully mobilized to enhance emotional support and life support to promote the improvement of self-management behaviors.

Influence of Social Support and Self-Compassion on Student Happiness in the Pandemic Period

This study aimed to analyze the impact of social support and self-compassion on students' happiness during a pandemic. This study used a quantitative approach with multiple regression analysis. The sample was taken using the non-probability sampling method (purposive sampling), consisting of 213 students living in JABODETABEK. The scales used to measure the variables in this study are the Orientation to Happiness Scale, the Personal Support Evaluation List (ISEL), and the Indonesian version of the Self-Empathy Scale (SWD). Based on the results of this study, social support, and self-compassion influence happiness by 27.4%. In addition, based on the results of this study of seven variables, four significantly impact happiness, namely evaluation of support, concrete support, self-kindness, and common humanity. This research contributed to the Positive Psychology field and gave parents and teachers feedback on supporting student happiness.

The influence of social support on low-income adolescents’ prosocial behavior: The mediating role of social goals

The current research aimed at deepening our understanding of how multiple sources of perceived social support (i.e., parent, teacher, friend, peer) predicted low-income adolescents’ multiple types of prosocial behavior (i.e., emotional, dire, compliant, anonymous, public, and altruistic) and if these relations were mediated by agentic and communal social goals across a 1-semester time span. Participants of the current research were adolescents in middle schools whose annul family income is less than 10,000 RMB (1,567.40 dollars) with ages ranging from 12 to 15 years old (Mean = 14.07, SD = 1.24, N = 689). The results showed that perceived social support from teachers, friends, and classmates positively predicted later prosocial behavior, and this relation was mediated by communal but not agentic social goal. Agentic social goal negatively predicted compliant prosocial behavior, anonymous prosocial behavior, and altruistic prosocial behavior. Perceived social support from parents, teachers, classmates, and friends did not significantly predict later agency. The present findings extended our understanding of the processes underlying the influence of social support on low-income adolescents’ prosocial development. Implications for practices to promote low-income adolescents’ prosocial development were discussed.

Grief reactions in veterans: Influence of diagnostic comorbidity, social support, and functional impairment

Loss and subsequent complicated grief reactions are common in military and veteran populations. Despite the high occurrence, limited work exists examining complicated grief in veterans. To address this gap in the literature, the present study investigated diagnostic comorbidity, domains of symptomatology, functional impairment, and social support in 166 veterans with clinically significant symptoms of complicated grief. Participants completed a diagnostic interview and various symptoms measures as part of a larger intervention study for veterans with complicated grief. Consistent with prior research, there was significant diagnostic comorbidity with posttraumatic stress disorder (PTSD) and major depressive disorder, and participants with comorbidity evidenced the most severe symptoms and impairment. Comorbid depressive symptoms were associated with impairments in emotional functioning and reduced social support. Findings highlight the significance of comorbidity and potential symptom overlap between complicated grief, PTSD, and depression, and have direct treatment implications, including use of transdiagnostic psychotherapies targeting common etiological mechanisms, opposed to singular diagnostic categories.

Analysis of Factors and the Role of Posyandu Elderly in Influencing the Elderly to Come to Health Services

The increase in the elderly population presents many challenges in the field of health services. The elderly population influences so many aspects of people's lives, one of which is the need for acute and long-term health care. Posyandu for the elderly is a forum for activities from the community and for the community which is supported by cross-sectoral collaboration, and the community health center provides technical support and guidance. Activities at the posyandu include preventive, promotive, curative, and rehabilitative activities. The success of health services for the elderly in the form of promotive, preventive, and curative efforts through means and facilities such as posyandu for the elderly and community health centers is determined to a large extent by the behavior and perspective of the elderly themselves which shape their attitudes and actions in selecting services. So there will be many factors that influence elderly people coming to health services. This research aims to obtain information about the factors and role of elderly posyandu in influencing elderly visits to health service centers. This article method uses a literature review design, namely the researcher reviews, summarizes, and writes down thoughts on several pieces of literature such as articles. The results of this literature review show that factors such as elderly posyandu, finances, social support, knowledge, and physical accessibility influence elderly visits to health services. Understanding these factors can help in designing interventions aimed at improving older adults' access to necessary health services.

A Scoping Review of Factors Associated With the Mental Health of Young People Who Have "Aged Out" of the Child Welfare System.

Young people who grow up in care and then exit care around the age of 18 (care-leavers) are a particularly vulnerable group, at increased risk for mental health problems even relative to other care-experienced groups. Yet, little is understood about the factors underpinning this association. We used scoping review methods to synthesize the quantitative and qualitative literature on factors that are associated with mental health problems for care-leavers. Following rigorous methods, we systematically searched three scientific databases spanning psychology and social care and identified 23 peer-reviewed studies for inclusion. This review highlights the heterogeneity of this research, in terms of methodology and topics investigated. Topics included are as follows: pre-care maltreatment, care-related experiences, psychological factors (emotion regulation), social support, education, and adult functioning (e.g., housing, finances, employment). We found mixed and inconsistent findings across research studies. The strongest evidence-base is around the influence of social support upon the mental health of recent care-leavers, though methodological problems are discussed. The field benefits from several large-scale observational and longitudinal research studies. However, there is an over-reliance upon retrospective reporting, and the use of unvalidated measures is common. It is apparent that there are significant gaps in our current understanding of the mental health of care-leavers, in particular around modifiable factors. We discuss potential directions for future empirical research, both in terms of methodology and factors investigated.

Pengaruh Trait Big Five Personality dan Dukungan Sosial Terhadap Flourishing Mahasiswa Menjalani Perkuliahan Selama Masa Pandemi

Empirically, this study aims to look at the Effect of Big Five Personality Traits and Social Support on Flourishing Students Undergoing Lectures During the Pandemic Period. The population in this study were 150 students and 150 students were the sample where the sample was taken using random sampling. Data collection techniques, namely questionnaires and documentation, data analysis was carried out by multiple regression, hypothesis testing t test, F test, and determination test. The results showed that the main effect of each of the Big Five dimensions of Personality and Social Support p: (1) a. There is a significant positive effect between Extraversion and Flourishing personality types as seen from the significance value where the coefficient tx2ay = 9.529 with p = 0.000, means p &lt;0.05, (2) b. There is no significant positive effect on Agreeableness Fluorishing, where the coefficient tx2by 1.165 with p=0.282, means p&gt; 0.05, (3) c. There is a significant positive influence between Counsicientiousness and flourishing personality types where the coefficient tx2cy = 10.099 with p = 0.000, means p &lt;0.05, (4) d. There is no significant positive effect between Nerotic and Fluorishing personality types, where the coefficient of tx2dy is 0.896 with p = 0.372, meaning p&gt;0.05, (5) e. There is no significant positive effect between Openness to experience and Fluorishing personality types, where the tx2ey coefficient is 0.098 with p = 0.922, meaning p&gt; 0.05. Social support has a significant positive effect on Floursihing where the value of the coefficient tx1y = 8.161 with p = 0.000 means p &lt;0.05. For the Interaction effect, (1).a there is a significant influence of social support and personality type a (Extraversion) simultaneously on Fluorishing where the coefficient F = 45.410; with p = 0.000 means p &lt; 0.050. (2) b. There is significant effect of social support and personality type b (Agreebleness) simultaneously on Fluorishing where the coefficient F = 34.853; with p = 0.000 means p &lt; 0.050. (3) c. There is a significant influence of social support and personality type c (Counscientiousness) simultaneously on Fluorishing where the coefficient F = 78.855; with p = 0.000 means p &lt; 0.050. (4) d. There is a significant effect of social support and personality type d (Nerotic) simultaneously on Fluorishing where the coefficient F = 33,497; with p = 0.000 means p &lt; 0.050. (5) e. There is a significant effect of social support and personality type e (Opennes to experience) simultaneously on Fluorishing where the coefficient F = 33.080; with p = 0.000 means p &lt; 0.050.Of the Big Five Personality and Social Support variables, only the Counsicientiousness and Extraversion dimensions have the most significant determination coefficient values, where Counsicientiousness (R2) = 0.518 or 51.80%, while Extraversion (R2) = 0.382 or 38, 20% (2) Thus it can be concluded that of the five dimensions of Big Five Personality there are two dimensions that have a significant influence, namely Counsicientiousness and Extraversion between Big Five Personality and Social support with Flourishing in third semester students of the law faculty of North Sumatra University in undergoing college during their tenure pandemic.

의료서비스 종사자의 일터에서의 행복감에 회복탄력성 이 미치는 영향

This study explored the intricate interplay between healthcare workers' resilience and their overall workplace happiness. Additionally, it delved into the mediating role of work-life balance in this relationship and the moderating influence of social support. Data from 275 healthcare worker respondents were collected through an online survey conducted between September 5 and November 30, 2022, and analyzed using SPSS/WIN 27.0 and Process Macro v3.5. The key findings are as follows: First, significant positive correlations existed among workplace happiness, resilience, work-life balance, and social support. Second, Work-life balance played a vital mediating role, significantly enhancing the connection between resilience and workplace happiness. Resilient individuals exhibited improved work-life balance, positively affecting their happiness at work. Third, the mediation was influenced by social support levels; as support decreased, work-life balance's impact on happiness strengthened, while resilience maintained a substantial indirect effect. These findings provide valuable insights into the well-being of healthcare workers and underscore the critical roles played by both resilience and social support in enhancing workplace happiness.

The Influence of Justice Perception on Tax Compliance Behavior by the Mediating Influence of Social Support: An Empirical Investigation in Pakistan

Governments modify their financial commitments and levy taxes to fund public services. Every person's tax behavior is unique. Tax compliance is a cooperative relationship between active taxpayers and the government. Additionally, taxpayers hide certain assets to claim deductions and lower their tax liability. Rules often include tax audits and penalties to collect tax amounts. The behavior of tax compliance is the primary objective of the research. Using a quantitative technique, we seek the respondent's view of the fairness of tax legislation. Only 325 practitioners filled out the 400 surveys submitted to bar councils. Pakistan has to improve its tax collecting system, which is why there are a lot of issues with tax collection. Lack of knowledge is a significant problem for individuals about tax collection. Policies and rules adopted by the Pakistan government need to be revised, and there is a need to conduct programs and seminars on tax collection for both government and individuals. The legal system is more effective in recovering tax penalties, whereas procedural justice investigates people's tax compliance. Furthermore, taxpayers hide part of their assets to lower their taxable income and file deductions. To evaluate and quantify tax collecting system fraud, tax auditing is an important area of study. There is a favorable and statistically significant correlation between tax compliance behavior and impression of justice, according to the results. This proves that the null hypothesis is false and that there is a significant connection. The framework of Pakistan's tax system may continue to function and contribute to the country's economy if people work together with the government and do their jobs effectively. The tax justice system provides a more effective means of identifying issues and suggesting solutions.

The moderating effect of self-efficacy between social constraints, social isolation, family environment, and depressive symptoms among breast cancer patients in China: a cross-sectional study.

For female breast cancer patients, the psychological status after surgery, especially the social and family psychological-related factors, deserves more attention. This study analyzed the influence of social constraints, social support, social isolation, family conflict, and family emotion expression on depression. At the same time, this study conducted the relationship between the variables and the mechanism of action. We conducted a cross-sectional study and 522 breast cancer patients finished questionnaires consisting of Self-Rating Depression Scale (SDS), General Self-Efficacy Scale (GSES), Multi-Dimensional Scale of Perceived Social Support (MSPSS), Social Constraints Scale-5 (SCS-5), Family Environment Scale (FES), and Lubben Social Network Scale (LSNS-6). Multivariable logical regression was used to explore influencing factors. Pearson's correlation, hierarchical regression, and simple slope analysis were conducted to verify the role of self-efficacy. 71.6% of patients had depressive symptoms. Family contradiction (OR = 10.086), social constraints (OR = 2.522), social isolation (OR = 2.507), and high blood glucose (OR = 2.156) were risk factors of depressive symptoms. Family emotional expression (OR = 0.480), family intimacy (OR = 0.235), and self-efficacy (OR = 0.246) were protective factors against depressive symptoms. The interactive items interpretation quantity were as follows: Contradiction*Self-efficacy (ΔR2 = 2.3%, P < 0.001), Emotional expression*Self-efficacy (ΔR2 = 2.6%, P < 0.001), Intimacy*Self-efficacy (ΔR2 = 1.0%, P = 0.018), Social constraints*Self-efficacy (ΔR2 = 1.0%, P = 0.008), Social networks*Self-efficacy (ΔR2 = 1.0%, P = 0.010), Blood Glucose*Self-efficacy (ΔR2 = 0.6%, P = 0.023). The influence of independent variables on depressive symptoms was gradually decreased in the low, mean, and high groups of self-efficacy. Postoperative Chinese breast cancer survivors reported higher depressive symptoms. Social, family, and physiological factors could affect depressive symptoms, in which self-factor played moderator roles.

The lived experience of major and treatment-resistant depression in England: a mixed-methods study

IntroductionMajor depressive disorder (MDD) is a common, frequently recurrent condition associated with decreased well-being and increased healthcare-related costs. Mixed-methods research provides multiple ways of illustrating the phenomenon to better understand patient experience, including where treatment is not working, referred to here as treatment-resistant depression (TRD). MethodsA mixed-methods study investigated the experiences of people with symptomatic MDD, symptomatic TRD or TRD in remission, surveying 148 adults recruited from English clinical sites to measure symptom severity (Patient Health Questionnaire-9 [PHQ-9]), HRQoL (EQ-5D-5L/World Health Organisation Brief Assessment of QoL [WHOQOL-BREF]) and work productivity/activity impairment (WPAI:D). Interviews with 26 survey respondents were analysed thematically. Integrated datasets explored areas of convergence and divergence, with concepts mapped against the EQ-5D-5L. ResultsQualitative data explained low WHOQOL-BREF domain scores and the interrelation of psychological, emotional, cognitive and physical difficulties. Tiredness, lack of energy and motivation impacted daily activities, socialising and career goals. Low work performance scores were explained by poor concentration, decision-making and motivation. Participants also described the influence of social support and housing insecurity. Only 19 % of HRQoL qualitative codes mapped to the EQ-5D-5L. Themes dominant in patients with TRD were inability to cope, self-care challenges, dissatisfaction with mental health services and treatment pessimism. LimitationsLimited data collected on people with TRD in remission. ConclusionsThe EQ-5D-5L and WPAI:D likely underestimate how depression impacts the HRQoL and work of people with MDD or TRD. Qualitative data suggest increased distress for people with TRD compared to those with MDD. Clinical management and treatment access decisions should consider the broader impacts of depression and environmental factors affecting the patient's experience.

Social support experiences of hispanic/latino parents of childhood cancer survivors in a safety-net hospital: a qualitative study

Purpose To describe the social support experiences of Hispanic/Latino parents while caregiving for childhood cancer survivors. Research approach Semi-structured one-on-one interviews were conducted among 15 caregivers from a safety-net hospital in Los Angeles. A thematic analysis approach was used to analyze data. Findings The positive influence of social support throughout their caregiving experience included (1) sharing information-enhanced knowledge, (2) receiving comfort and encouragement, (3) receiving tangible assistance reducing the caregiving burden, and (4) enhancing caregiving empowerment/self-efficacy. Sub-themes regarding the lack of social support included (1) being a single parent and (2) family and friends withdrawing after the child’s cancer diagnosis. Conclusion We found Hispanic/Latino parents strongly value social support as it enables them to have essential resources that support caregiving for their child and themselves. Efforts should ensure that caregivers are routinely screened to identify their supportive needs so that support services for caregivers can be optimized and tailored, as those with a lack of social support may experience excessive caregiver burden.