Information Pack Research Articles

"I Thought It Was Better to Be Safe Than Sorry": Factors Influencing Parental Decisions on HPV and Other Adolescent Vaccinations for Students with Intellectual Disability and/or Autism in New South Wales, Australia.

The uptake of human papilloma virus (HPV) and other adolescent vaccinations in special schools for young people with disability is significantly lower than in mainstream settings. This study explored the factors believed to influence parental decision making regarding vaccine uptake for students with intellectual disability and/or on the autism spectrum attending special schools in New South Wales, Australia, from the perspective of all stakeholders involved in the program. Focus groups and interviews were conducted with 40 participants, including parents, school staff, and immunisation providers. The thematic analysis identified two themes: (1) appreciating diverse parental attitudes towards vaccination and (2) educating parents and managing vaccination questions and concerns. While most parents were described as pro-vaccination, others were anti-vaccination or vaccination-hesitant, articulating a marked protectiveness regarding their child's health. Reasons for vaccine hesitancy included beliefs that vaccines cause autism, concerns that the vaccination may be traumatic for the child, vaccination fatigue following COVID-19, and assumptions that children with disability will not be sexually active. Special school staff regarded the vaccination information pack as inadequate for families, and nurses described limited educational impact resulting from minimal direct communication with parents. More effective communication strategies are needed to address vaccine hesitancy among parents with children with disability.

Clinical preparedness programme as perceived by first-year diagnostic radiography students in South Africa.

There is an increasing emphasis on exploring ways to improve students' transition from the classroom into the clinical environment. Diagnostic radiography (DR) students undergo rigorous theoretical and practical training before they are exposed to the clinical environment. It has been found that when DR students commence clinical learning in the workplace for the very first time, they experience difficulties in this transition. At the site of investigation, a newly integrated and dedicated clinical preparedness (CP) programme was offered; however, little is known about the DR students' perceptions of this programme. A qualitative approach coupled with a self-developed, cross-sectional research tool was employed. First-year DR students were purposefully sampled against the inclusion and exclusion criteria. The principle of voluntary participation was upheld throughout the data collection process. The data were analysed using Braun and Clarke's six steps of thematic analysis. Forty-two responses were collected. Following a thematic analysis, two overarching themes were developed, namely: (1) reflections on the CP programme and (2) suggestions for future CP programmes. This study demonstrated the need for effective CP programmes as an approach to ease the transition of first-year DR students from the classroom into the clinical environment. Several suggestions, for example, an extended CP programme and a clinical information pack were made for the offering of similar programmes in the future.

A Potential Paradigm for the Robust and Systematic Prioritisation of Assets in Academic-Led, Multi-Industry Collaborative Trials in Rare Populations (Glo-BNHL)

Overview Given the rarity of children and adolescents with relapsed and refractory (r/r) B-cell Non-Hodgkin Lymphoma (B-NHL) and the large number of potential agents in development for adult mature B-cell malignancies, there is urgent need for prioritisation of agents as proposed by the ACCELERATE Paediatric Strategy Forum for medicinal development in paediatric B-NHL (Pearson 2019). The process developed for the global platform study Glo-BNHL (published separately) is described here. Prioritisation process Assets submitted for review by industry collaborators are prioritised under Confidentiality Disclosure Agreements by the Glo-BNHL Trial Steering Committee (TSC) comprising expert clinicians, statisticians and patient representatives. The assessment includes a quantitative element addressing each of the following areas, with greater weighting given to more relevant criteria such as paediatric-specific and clinical data. Target and scientific rationaleAsset position within current prioritisation strategy*Pre-clinical data evaluating in vitro sensitivity, including the number, heterogeneity and relevance of cell lines tested and quality of the submitted elements of evidencePre-clinical data evaluating in vivo activity of the asset including the number, type and relevance of models and quality of the elements of evidence submittedClinical data regarding monotherapy efficacy in single arm and randomised trials, including the disease-type and therapeutic regimen studiedClinical data regarding combination efficacy (if studied)Clinical data regarding safety of the agent with regard to frequency, severity and modifiability of adverse events, including applicability to the paediatric populationFeasibility of delivery in paediatrics, including formulation and dose-confirmation processes *Classes of novel agents prioritised for inclusion at the initiation of the trial were: (1) Bispecific antibodies (2) antibody-drug conjugates (3) chimeric antigen receptor T-cell products. The TSC has committed to updating this list as the field evolves. The assessment also includes a qualitative element incorporating expert opinion regarding relevance of the target, mechanism of action, and overall impression of the asset. These elements are combined to inform the final discussion before a decision is made. A formal written response from the Sponsor and TSC Chair outlining the TSC decision on whether the asset has been prioritised for evaluation within Glo-BNHL, and associated rationale, is issued to the relevant industry partner (now also copied to the European Medicines Agency (EMA)) within 28 days of receipt of the asset information pack. A follow-up clarification meeting is offered. For prioritised assets, following agreement from the relevant industry partner, the process of formal inclusion in Glo-BNHL then begins. Scope of assets reviewed Between September 2020 and June 2023, information packs for 7 assets were submitted for review from 6 pharmaceutical companies. The assets spanned 5 classes of drugs: 3 bispecific antibodies, 1 antibody-drug conjugate, 1 chimeric antigen receptor T-cell product, 1 small molecule inhibitor and 1 immunomodulator. Formal responses were issued within a median of 20 days (mean 21.3 days) followed by a clarification meeting on 5 occasions. Prioritised assets Four of the 7 reviewed assets were prioritised for inclusion within Glo-BNHL. At time of planned opening only 2 of these assets are included. The other 2 assets are being investigated in industry-led competitive trials. A further asset was deemed to be of potential interest but insufficient data were available due to the early stage of development to reach a final conclusion (further review pending). Non-prioritised assets The rationale for non-prioritisation of assets included irrelevant target in paediatric B-NHL, insufficiently convincing mechanism of action, and lack of superiority over other agents within a non-prioritised class. The EMA has subsequently waived the obligation to submit the results of paediatric B-NHL studies for both non-prioritised assets reasoning they do not represent potential for significant therapeutic benefit. Summary The Glo-BNHL international platform trial prioritisation process represents a model for handling the challenge of development of multiple potential agents in very rare populations in the global arena.

Use of an Information Pack to Improve Relative’', Friend’' and Carer’' Satisfaction With the Admission Process in an Older Adult Inpatient Service: A Quality Improvement Project

AimsWe performed a Quality Improvement Project in an inpatient Old Age Adult ward to increase patients’ relatives, friends and carers’ (RFCs’) knowledge about important aspects of hospital admission, through the provision of an information pack. By increasing this knowledge, we aimed to improve RFC satisfaction surrounding the admission process. Previously published evidence has shown that increasing the perception of involvement of RFCs in a patient's admission promotes greater satisfaction within this group. Adequate information provision is regarded as an important part of promoting perceived involvement; conversely, a lack of information provision and communication has been associated with dissatisfaction with hospital admissions among RFCs.MethodsUsing a survey directed towards members (n=9) of the ward MDT, we identified several topics relating to hospital admission that were regarded as high priority for inclusion in an information pack. MDT members were also asked about their perception of RFC satisfaction in the admission process. RFCs (n=8) were asked how well-informed they felt about these topics with a separate survey, and their level of satisfaction with the admission process. An information pack was created based on the results of these surveys and distributed to RFCs. The RFC survey was then repeated to assess improvements in RFC knowledge and satisfaction.ResultsPerceived RFC satisfaction among staff members prior to the publication of the information pack was lower than actual RFC satisfaction. RFC satisfaction with and knowledge about the admission process increased following the distribution of the care pack.ConclusionAdmission information packs can be used on inpatient old age wards to improve patient family, friend and carer knowledge and satisfaction.

Further development and feasibility randomised controlled trial of a digital programme for adolescent depression, MoodHwb: study protocol

IntroductionA digital programme, MoodHwb, was codesigned with young people experiencing or at high risk of depression, parents/carers and professionals, to provide support for young people with their mood and well-being....

Experiences of UK-based adult transition services for interstitial lung disease in childhood: "There's a lot less cushioning".

Interstitial lung disease in childhood (chILD) is rare and no longer purely a childhood issue as many survive into adulthood, and so have to transition from pediatric to adult healthcare services. Transition is a significant life event that has the potential to impact on physical and mental health outcomes. The European Respiratory Society (ERS) statement on chILD transition highlighted the lack of standardised transition services for chILD transition resulting in a haphazard process. This qualitative study explores how young people and parents in the United Kingdom experienced transition from paediatric to adult healthcare services for chILD. Participants (n = 7) were recruited from chILD patient organisations and online communities. We focused on the experience of transition exploring if there were any information packs or support provided for the transition. Such support may be generic, such as "Ready Steady Go" which provides a systematic approach to transition and disease-specific literature. These latter have not been developed for ILD. Data were analysed by constructivist grounded theory. We present a lived experience of transition with themes of lack of transition preparation and planning, challenges of adapting to adult services, and a changing healthcare scene. Due to the complexity of chILD, parents discussed their need to remain, in part, as an advocate for the young person. Respondents provided recommendations for how transition could be improved along with tips for young people who are new to the transition process, which include educating oneself about the condition, learning medical terminology, and reaching out for support.

Evaluation of an Innovative Colon Capsule Endoscopy Service in Scotland From the Perspective of Patients: Mixed Methods Study.

Colonoscopy is the gold standard for lower gastrointestinal diagnostics. The procedure is invasive, and its demand is high, resulting in long waiting times. Colon capsule endoscopy (CCE) is a procedure that uses a video capsule to investigate the colon, meaning that it can be carried out in a person's own home. This type of "hospital-at-home" service could potentially reduce costs and waiting times, and increase patient satisfaction. Little is currently understood, however, about how CCE is actually experienced and accepted by patients. The aim of this study was to capture and report patient experiences of the CCE technology (the capsule and associated belt and recorder) and of the new clinical pathway for the CCE service being rolled out as part of routine service in Scotland. This was a mixed methods service evaluation of patient experiences of a real-world, deployed, managed service for CCE in Scotland. Two hundred and nine patients provided feedback via a survey about their experiences of the CCE service. Eighteen of these patients took part in a further telephone interview to capture more in-depth lived experiences to understand the barriers and opportunities for the further adoption and scaling up of the CCE service in a way that supports the patient experience and journey. Patients overall perceived the CCE service to be of significant value (eg, mentioning reduced travel times, reduced waiting times, and freedom to complete the procedure at home as perceived benefits). Our findings also highlighted the importance of clear and accessible information (eg, what to expect and how to undertake the bowel preparation) and the need for managing expectations of patients (eg, being clear about when results will be received and what happens if a further colonoscopy is required). The findings led to recommendations for future implementations of managed CCE services in National Health Service (NHS) Scotland that could also apply more widely (United Kingdom and beyond) and at a greater scale (with more patients in more contexts). These include promoting CCE with, for, and among clinical teams to ensure adoption and success; capturing and understanding reasons why patients do and do not opt for CCE; providing clear information in a variety of appropriate ways to patients (eg, around the importance of bowel preparation instructions); improving the bowel preparation (this is not specific to CCE alone); providing flexible options for issuing and returning the kit (eg, dropping off at a pharmacy); and embedding formative evaluation within the service itself (eg, capturing patient-reported experiences via surveys in the information pack when the equipment is returned).

An evaluation of the implementation of an intraventricular haemorrhage care bundle from a nursing perspective

The aim of this study is to explore the implementation and evaluation of a neonatal nursing intraventricular haemorrhage (IVH) care bundle, to determine areas for improvement in clinical practice. Overall, nurses felt confident in their knowledge about the implementation of the intraventricular haemorrhage care bundle and felt their nursing practice had changed as a result. An increase in nursing workload was reported by some which is exacerbated by shortages of neonatal nurses in the United Kingdom and should be considered during implementation. A cohesive teaching package with areas of ongoing learning is vital to avoid any confusion in the clinical setting, with guidelines and information packs available to staff. Nursing staff had an overall positive experience with the implementation of the intraventricular haemorrhage prevention care bundle and felt it significantly benefits neonates at risk of intraventricular haemorrhage and brings change in practice.

Operation clean up: A model for eco-leadership and sustainability implementation.

Healthcare contributes to environmental harm. Trainee-led Research and Audit in Anaesthesia for Sustainable Healthcare (TRA2SH) is an Australasian network focused on sustainable anaesthesia practice. TRA2SH hypothesised that trainee-led audits alongside education presented on a scheduled national day, called Operation Clean Up, can improve engagement with sustainability initiatives. This paper aims to describe the first two years of Operation Clean Up in terms of goals, achievements and data collected so far. Environmental themes for Operation Clean Up were chosen based on available evidence (life cycle analyses and observational studies). The first Operation Clean Up (OCU 2020) focused on reducing the unnecessary use of single-use disposable absorbent pads (known as 'blueys' in Australia, 'greenies' in New Zealand). OCU 2021 included: refuse desflurane, reduce bluey use, reuse drug trays, and recycle paper and cardboard. TRA2SH provided an information pack to trainees who presented educational material to their department and fed back procurement figures to quantify each item. Descriptive statistics were used to analyse de-identified pooled data submitted to a centralised database.Eight departments submitted data for OCU 2020 and six provided follow-up data. Bluey use was reduced from a median of 37 to 34 blueys per ten surgical encounters. Fifteen departments submitted pre-campaign data for OCU 2021 with follow-up data to be collected during OCU 2022. Baseline data showed a median bluey use of 31 per ten surgical encounters. Volatile-related emissions were calculated; desflurane's proportion was 70% of these emissions yet was 11% of volatile procurement. Two participating departments removed desflurane from their formulary following OCU 2021. Operation Clean Up is a practical model for implementing sustainability initiatives using trainees as eco-leaders.

Improve QoS for multi-body sensor analytics in smart healthcare system using machine learning algorithm

Embracing significant learning methods for human lead affirmation has shown suitable in taking out discriminants from the coarse information packs obtained from body-mounted sensors. But human headway is ideal coded in a movement of moderate models, the standard AI strategy is to finished certification obligations without taking advantage of the normal relationship between analysis information tests. This paper proposes the use of (DRNN) to manufacture a psychological model that can get critical distance conditions with factor-length input position. We present unidirectional, bidirectional, and comfortable models concerning DRNNs with LSTM and finding parameters using sporadic benchmark datasets. Exploratory results show that the proposed model is superior to a standard AI-based system. SVM and Nearest Neighbour Method (KNN). Moreover, In this Paper implementation smart system runs in tendency to other significant learning techniques like Deep Trust Organization (DBN) and CNN. Human Action Acknowledgment (HAR) assignments were consistently made using arranged highlights got by heuristic cycles.

The Complexity of Reasoning about and with Chemical Representations.

External visual representations of chemical entities and processes (chemical representations) play a critical role in chemical thinking and practice. They support reasoning by serving as bridges between the macroscopic world and the chemical models that help us make sense of the properties and behaviors of substances in our surroundings. Consequently, many chemistry education research studies have been carried out to explore and foster students' representational competency in our discipline. Nevertheless, in this Perspective I argue that investigations in this area would benefit from a more in-depth analysis of how the distinctive characteristics of chemical representations affect student reasoning. I identify four dimensions of variation in these representations (iconicity, quantitativeness, granularity, dimensionality) that affect students' ability to interpret, connect, generate, and use chemical representations. I discuss how these features influence the unpacking or packing of information during different types of tasks, affecting sense-making and perceptual competency. Implications for chemistry education research and practice are considered.

ODP234 Proposal for an Inclusive Diabetes Education Program in Regional Schools

Abstract Diabetes is increasing in children and adolescents. Kids have great challenges in schools. We proposed one routine Diabetes Education Program in Regional Schools. Diabetes Education Program in Regional Schools was approved to be applied in Schools of Brasília, Capital of Brazil, using KIDS Information Pack of International Diabetes Federation (IDF), translated to Brazilian Portuguese, and tests: Diabetes Attitudes Questionnaire modified (ATT-19) and Diabetes Knowledge Scale (DKN-A). These questionnaires were translated to Portuguese and validated in Brazil. The Program includes accessible language with easy presentation of KIDS Pack of IDF for students, parents, teachers and other school professionals. To study the diabetes attitude of the diabetic students the ATT-19 should be enlarged to better understanding: questions 2, 5, 9, 11, 17 expanded, asking about feelings at school. To increase social support DKN-A should be applied for all involved. KIDS Guide is accessible and free: https://kids.idf.org/resource/. ATT-19 measures psychological adjustment to diabetes. Scores higher than 70 indicate a positive diabetes attitude. The main application of ATT-19 is associated with the assessment of educative interventions, so asking about feelings at school can better quantify psychological and emotional aspects of diabetes in the students and maximise the quality of care and teaching in schools. Diabetic students should have the opportunity to express themselves about their attitudes towards diabetes in the school and this should be worked for a more inclusive environment and quality learning. In this Diabetes Program is suggested five complementary issues in ATT 19 that will not interfere in the final analysis and can promote a better understanding of diabetic students attitude in schools: 2 A: "I don't like that calling me diabetic at school. "5 A: "I often feel embarrassed at school for having diabetes. "9 A: "I try to let people at school not know that I'm diabetic. "11A: "My diabetes diet doesn't interfere in the way of my life at school. "17A: "There's no one at school I can talk to openly about my diabetes. "DKN-A is about general knowledge of Diabetes. Score equal to or greater than eight indicates sufficient knowledge about diabetes. The use of DKN-A for all involved in schools brings advantages. High knowledge combined with positive attitudes towards diabetes are factors that help metabolic control and treatment adherence of diabetics students and facilitate social support. A big deal for schools is to understand their diabetic students, promoting a safe place where they are well cared for and educated with equal rights and without prejudice. The creation of a Diabetes Education Program regularly in schools is simple and inexpensive and favors a more inclusive environment. The use of free IDF material and questionnaires adapted from diabetes for school use should be routinely implemented in schools. Presentation: No date and time listed

256 THE DEVELOPMENT OF A PATIENT AND CARER INFORMATION LEAFLET FOR PATIENTS FOLLOWING HIP FRACTURE

Abstract Background Consistent delivery of high-quality information to family and caregivers can significantly improve patient experience and care during and after hospital admission. This became especially important with limited visiting hours during the COVID pandemic and our unit noted the need for appropriate written information. We aimed to complete a search of available resources nationally and internationally and develop our own information pack for distribution to our patients. Methods Literature search was conducted for available patient and carer information resources nationally and internationally including grey literature search. Key areas and patient priorities were identified. We then began developing a patient information booklet for distribution in our unit. Results We identified several key areas to be included in our information pack including what to expect during the hospital admission. This included pre-operative care, operative management, post-operative care especially delirium, pain, nutrition and continence promotion. Information regarding post-discharge care including off-site rehabilitation, rehabilitation at home and future actions including bone health and falls prevention interventions with home modification advice was also included. We developed a patient and caregiver information leaflet for our unit using data from the Irish Hip Fracture Database and our local unit practices and pathways to ensure information was relevant to our patients. Conclusion We completed the design of a patient and caregiver information leaflet highlighting important aspects of care post hip fracture in our unit.

Evaluation of the Nystagmus Information Pack.

Introduction:In response to the need for easily accessible, high-quality information about nystagmus, the Nystagmus Information Pack was created and made freely available online in 2017. This study was undertaken to evaluate the content and accessibility of the Nystagmus Information Pack.Methods:Clinicians, eye clinic liaison officers (ECLOs), teachers, patients, families, and any person with an interest in nystagmus were invited to complete an online questionnaire about the content and accessibility of the Nystagmus Information Pack.Results:One hundred and sixty respondents completed the questionnaire. Respondents who had previously accessed the Nystagmus Information Pack (n = 49, 30.6%) reported the content was appropriate (86%), of sufficient detail (94%), and easy to understand (88%). Minor suggestions were made to improve the content. Respondents who had not accessed the Nystagmus Information Pack (n = 111, 69.4%) reported not being aware of the resource (90%) but had already accessed nystagmus information from a wide range of sources. Poor vision was a barrier to accessing the resource for a small number of respondents (4.5%).Conclusion:Some improvements to the content and accessibility of the Nystagmus Information Pack should be considered, in particular the format options in which it is available, to enable access in preferred formats and with poor vision. The availability of the Nystagmus Information Pack should be promoted and shared more widely, as the majority of respondents were unaware of the resource despite having an association with or interest in nystagmus.

Collaborating with patient and public members in developing the COVID - Curated and open analysis and research platform (CO-CONNECT).

ObjectivesWe aimed to support the work of CO-CONNECT by meaningfully involving patient and public members across all project work packages. In addition, we aimed to ensure that the team members and outputs are connected to public perspectives and that public voices are adequately represented and embedded throughout CO-CONNECT. ApproachWe have two public members on our leadership team who co-lead our Patient and Public Involvement and Engagement (PPIE) work stream with support from academics. They convened a “Public User Group” (PUG) of five public members from across the United Kingdom who regularly contribute to all aspects of CO-CONNECT. Our PPIE work was co-produced with our public members and a PPIE strategy was developed to ensure meaningful involvement throughout CO-CONNECT. At the beginning of the project, we developed an information pack for our public members to provide insight into CO-CONNECT and the importance of their role. ResultsTo ensure complete transparency with the public, our PUG members attend and actively contribute to all team meetings within CO-CONNECT. This provides opportunities for public voices to be heard and acted upon in relation to questions about the use of, and access to, healthcare data in healthcare research. PUG members have contributed to the development of the CO-CONNECT website including providing information for biographies to increase public awareness of the involvement of public members in CO-CONNECT. They have written blogs and been interviewed for newsletter articles on the important of public involvement in research. Together we have created videos discussing their experience of being involved with CO-CONNECT and created a set of “Frequently Asked Questions” to provide more information about CO-CONNECT for the public-facing website. ConclusionThe PPIE work within CO-CONNECT has created an innovative approach to ensuring public voices are heard and acted upon within data linkage networks. This model has the potential to be used in future projects to ensure inclusive and meaningful involvement of patient and public members in healthcare research.

Understanding beliefs, preferences and actions amongst potential body donors.

Body donation is a prosocial act providing a unique learning experience to students, ultimately impacting on patient care and science. With an increasing number of training professionals, there is an increasing need for body donors, yet little is understood about donors' beliefs and preferences. A four-center study aimed to understand donors' perceptions, 843 responses highlighted a significant relationship between completing a body donor consent form and being both an organ donor and having ever donated blood (p< 0.01). In exploring donor intentions, 69% had been considering donation for fewer than five years, 40% knew another body donor, and 27% had a family member or friend currently registered. Of those who had requested donor information packs, 97% had completed body donation consent forms. Of these, 92% had not selected any time restriction for their donation and 96% had consented to images being taken. Almost all (98%) were aware that their donation might not be accepted. Donors' motives highlighted a wish to: improve education, improve health care, advance science, and contribute to the greater good. A bimodal response was observed with body donation being used to save relatives money and inconvenience. Donors felt comfortable with their bodies being used by medical, dental, and allied health professionals; however, donors were less comfortable with their bodies being used by other groups. Only 57% were comfortable with artists, beauticians and yoga teachers using their remains. Understanding donors' motivations and decision-making process is vital to ensure resources for future and to meet any changing requirements of both donors and those studying them.

Prevalence and Type of Unmet Needs Experienced by People Living with Dementia.

Accurately identifying the unmet needs of community-dwelling people with dementia allows targeted support to be provided to assist these individuals to stay at home. We developed a self-report instrument to identify the unmet needs of community-dwelling people with dementia and used this to explore the prevalence and type of unmet needs present in this population. This was a cross-sectional survey of people with dementia living in the community in Australia. Participants were recruited from geriatric clinics, respite centers, aged care providers, and carers attending support groups. Eligible people with dementia were provided with a study information pack and survey which included the self-report Unmet Needs Instrument for Dementia (UNI-D), sociodemographic characteristics and survey acceptability. The UNI-D contained 26 items across 5 domains and demonstrated acceptable internal consistency, face and construct validity, and acceptability. Ninety-five eligible participants completed the survey (response rate 35%) with 85% identifying at least one unmet need (median = 4; IQR = 1-9). The items most frequently endorsed included needing more help with remembering things (64%), finding possible treatments for dementia (44%), understanding who to contact regarding a problem or concern related to dementia (36%), and to see friends and family more often (33%). The UNI-D is a promising tool to identify the self-reported needs of people with dementia. The development and rigorous testing of interventions targeting unmet needs related to health and wellbeing, dementia support, and meaningful activities appears warranted.

Integration of alcohol and drug nurses into a mental health unit.

Test whether extra time with alcohol and drug nurses for inpatients at a Mental Health Unit (MHU) reduces post-discharge mental and co-occurring alcohol and drug problems and increases engagement in alcohol and drug treatment more than a Brief Information Pack (BIP). Single blind randomised control trial in block design compared two alcohol and drug nurse delivered interventions over 6 months post-discharge using the Alcohol Use Disorders Identification Test (AUDIT) and Brief Symptom Inventory index of overall psychological distress Global Severity Index (GSI). Alcohol and drug nurse delivered BIP was associated with a statistically significant reduction in AUDIT measured alcohol use for the highest follow-up score across the 6-month post-discharge period, n = 20, t = 2.24, p = 0.037, d = 0.50 and for the extra time intervention, n = 11, t = 2.51, p = 0.031, d = 0.76. MHUs may benefit from the integration of alcohol and drug nurses with community alcohol and drug treatment experience.

Needs of patients with parkinsonism and their caregivers: a protocol for the PRIME-UK cross-sectional study

IntroductionPeople with parkinsonism are a highly heterogeneous group and the disease encompasses a spectrum of motor and non-motor symptoms which variably emerge and manifest across the disease course, fluctuate over...

Reducing statistics anxiety for psychology students during the global pandemic: a methodology approach

Statistics anxiety is a significant problem for students’ learning experience in the psychological sciences. This article explores a novel teaching methodological approach during the global pandemic to improve students’ performance by reducing their statistics anxiety. The subject design and teaching methodological approach were developed based on twenty years of experience taking into consideration the student feedback, while its implementation was aligned with the 5-E’s Victorian Teaching and Learning pedagogical Model (VTLM). Moreover, to reduce the statistics anxiety, two sections were embedded in the Learning Management System of the subject: (1) an interactive web-based mindfulness intervention and (2) a head-start ‘Ready, Set, Go’ information pack. The implementation of these approaches resulted in a better understanding of statistical concepts and utilization of the SPSS software by the majority of the students (80% pass-rate). Consequently, a 6% increase in pass rates and an average of 32% increase in satisfaction scores for each item in the university central survey were observed. While the uniqueness of the first year of COVID-period makes comparisons difficult, it is matched by the urgency of the need for effective interventions to support student success.