Support For People Research Articles

The Process of Home-Visiting Nurses Supporting People with Mental Disorders.

The number of people with mental disorders (PMD) living in the community is increasing; however, it is unclear how home-visiting nurses (HVNs) supporting them in the community acquire their support skills. This study aimed to reveal the process of how HVNs learn support skills for PMD. Semi-structured interviews were conducted with 14 HVNs supporting PMD living in the community. The grounded theory approach was used for data analysis. As a result, two stages were present: "Explore the personal recovery of PMD" and "Believe in the potential of PMD and accompanying them". The first stage is further divided into two themes: "Overlapping the worlds of PMD and HVNs", and "Easing difficulty in living for PMD". In the first stage, HVNs gained a better understanding of PMD and obtained insight into the support they needed in their daily lives. In the second stage, HVNs became to provide the support that PMD truly needed. HVNs gained a deeper understanding of the reality of PMD through their support. After HVNs found the support PMD required, they sought to provide it, ultimately resulting in finding ways to facilitate the personal recovery of PMD.

Exploration of the Content and Structure of Preferences for Leisure Activities of People Receiving Adult Day Services Using Concept Mapping.

Providing preferred leisure activities appears to be an important approach to support and empower people receiving adult day services (ADS) allowing them to age in place. To provide the conceptualization for a preference instrument, we actively involved people receiving ADS in exploring the content and structure of their preferences for leisure activities. We chose a concept mapping methodology and involved 16 people receiving ADS. We systematically reviewed the literature and conducted semistructured interviews to generate a set of 80 preferences. Analysis of structuring these preferences resulted in a 3-dimensional cube with 12 clusters. A graphical representation was then interpreted, and the clusters were labeled. Our conceptualization divides preferences for leisure activities into the following: 1. Take a trip, 2. Revel in memories and catch up on the news (most important), 3. Do something for yourself and come to rest, 4. Play intelligence and parlor games, 5. Make/produce and try something alone or in a group, 6. Keep fit and cheer others on in sports (least important), 7. Learn, educate, and share knowledge, 8. Have contact with other people, 9. Attend at entertainment, cultural, and amusement events, 10. Enjoy music, your homeland, or other countries, 11. Engage in outdoor activities, and 12. Get involved, offer support, and provide companionship. Our results may lead to the development of instruments and thus opens the field for further research and theory building on preferences for leisure activities of people receiving ADS.

The Stories We Tell Influence the Support We Receive: Examining the Reception of Support-Seeking Messages on Reddit.

Although social support facilitates coping and recovering from stressful life events, people do not always get the support that they need. Prior research suggests that the way one talks about stressful events to others may influence the support they receive. Given that people are increasingly relying on online communities for social support, this study adopted a person-centered approach (latent profile analysis) to examine how narrative variables related to the motivational themes, emotional content, and organizational structure of randomly sampled support-seeking messages (N = 495) posted on Reddit (r/Anxiety and r/Depression) influenced the quantity (number of comments and post score) and quality (type of support in comments) of support that they received. We identified five distinct narrative profiles of support-seeking posts, which in turn differentially predicted the quality, but not quantity, of social support people received. While commenters provided high levels of emotional support to all forms of posts, we found that coherence was an important determinant of esteem support. A combination of coherence, as well as agency and affective tone, were important determinants of instrumental, informational, and network support. The ways in which one talks about their problems influence the way others support them.

Co-Created Solutions for Perinatal Professionals and Childbearing Needs for People with Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders.

Individuals living with hypermobile Ehlers-Danlos syndrome (hEDS) and Hypermobility Spectrum Disorders (HSD) have reported feeling discredited and unsupported by healthcare professionals. However, the level of knowledge about hEDS/HSD among maternity staff remains unknown. Informed by patient and public involvement, this research aimed to investigate maternity staff's knowledge and confidence in supporting people with hEDS/HSD, examine people with hEDS/HSD's experiences of perinatal care, and co-create tools to help maternity staff support people childbearing with hEDS/HSD. Two online mixed-methods international surveys were completed by childbearing people with hEDS/HSD (N = 955) and maternity staff (N = 307). This was followed by the co-creation of three tools with 17 co-creators and a design team. Two main qualitative themes were identified through thematic analysis: (1) a need for recognition of hEDS/HSD in perinatal care and (2) the delivery of appropriate individualised perinatal care. Quantitatively, people with hEDS/HSD perceived maternity professionals to have a low level of knowledge about the conditions. Respectively, maternity staff reported low levels of confidence in supporting people with hEDS/HSD. The co-created tools provide applicable outputs for both education and practice and include an i-learn module hosted by the Royal College of Midwives, a tool for perinatal records, and infomercials.

Knowledge Is Power: Utilizing Human-Centered Design Principles with People Living with Dementia to Co-Design a Resource and Share Knowledge with Peers.

This paper describes the process used by a group of people living with young-onset dementia to inform the development and delivery of a post-diagnosis peer guide. It draws on the four stages of human-centered design and applies them in a new context of supporting resilience for people following a diagnosis of dementia. (1) Discover: The group discussed in-depth their perspectives on what it takes to be resilient while living with dementia and how this can be maintained. (2) Define: The group decided to collate practical information and knowledge based on their personal experiences into a booklet to support the resilience of others following a diagnosis of dementia. (3) Develop: The booklet was designed and developed together with input from other people living with dementia, facilitated by the authors. (4) Deliver: The group guided the professional production of the booklet 'Knowledge is Power'. Over 8000 copies have been distributed to memory clinics, post-diagnostic support organizations and people living with dementia across Wales. A bilingual English-Scottish Gaelic adaptation and an adaptation for people in England have since been developed. The success of 'Knowledge is Power' highlights the importance of working alongside people with dementia to share knowledge and support their resilience.

Supporting people on the autism spectrum in the study process. Examples of good practices

Obecnie dokonuje się wiele zmian dotyczących osób w spektrum autyzmu (ASD). Do niedawna dominował dyskurs medyczny, w którym autyzm jest ujmowany jako całościowe zaburzenie rozwoju, obecnie coraz częściej jest postrzegany jako odmienny, unikalny model rozwojowy. Wiele osób z autyzmem doświadcza problemów w nauce na różnych etapach edukacyjnych, które wynikają bardzo często z zaburzeń integracji sensorycznej oraz z trudności w koncentracji uwagi. Do tego nakładają się wtórne trudności o podłożu emocjonalnym i psychicznym. Osoba asystenta ucznia/studenta z autyzmem może przyczynić się do zwiększenia szans edukacyjnych takiego ucznia i może zminimalizować sytuacje traumatyzujące w środowisku szkolnym/akademickim. Przykładem takiego rozwiązania na poziomie szkolnictwa wyższego jest projekt „Asystent studenta z ASD”, który z powodzeniem został wdrożony przez polskie uczelnie. Zawiera on cztery główne filary, które odnoszą się do kluczowych postaci: Lidera/Asystenta, Adwokata społecznego (Asystenta) studenta z ASD, Studenta z ASD oraz Eksperta w tematyce neuroróżnorodności. Zaproponowany model wsparcia ma charakter uniwersalny i elastyczny, może więc być wdrażany w odniesieniu do osób o różnych potrzebach rozwojowych i edukacyjnych. Co ważne, uwzględnia on nowy sposób ujmowania spektrum autyzmu, który odnosi się do paradygmatu neuroróżnorodności. Idealnie wpisuje się więc w obecny trend (który jest widoczny na całym świecie) budowania włączającej kultury organizacyjnej z wykorzystaniem zasad uniwersalnego projektowania.

How Do Recreation Therapists Support People Living with Acquired Brain Injuries Across the Continuum of Care?: A Scoping Review and Narrative Synthesis

Acquired Brain Injuries (ABIs) affect a significant number of individuals in Canada each year, leading to various functional challenges and complex care needs. Interdisciplinary teams play a crucial role in addressing these challenges, with Recreation Therapy (RecT) emerging as a valuable addition to such teams. RecT focuses on using leisure, recreation, and play as tools to enhance the independence and quality of life of individuals with ABIs. Despite its potential benefits, there is limited academic literature on the specific role of RecT in ABI care. This scoping review follows the Joanna Briggs Institute methodology and PRISMA-ScR guidelines. Inclusion criteria encompassed a broad range of ABI patients, RecT concepts, care settings, and study designs. A comprehensive search strategy was applied to multiple databases, and data extraction and analysis followed a systematic approach. A total of 71 articles were included in the review, following a rigorous screening process. These articles were diverse in terms of study design, population served, and healthcare context. Data extraction focused on the role of RecT, assessments, interventions, and patient outcomes, categorized by the dimensions of health and well-being (SPECS – Social, Physical, Emotional, Cognitive, Spiritual). A narrative synthesis approach was employed to identify patterns and themes across the included studies. This scoping review provides a comprehensive overview of the existing literature on the role of RecT in the care of individuals with ABIs. It highlights the need for more explicit recognition of RecT contributions within interdisciplinary teams and the importance of further research to establish evidence-based practices. Understanding the impact of RecT on the health and well-being of ABI patients is crucial for optimizing their rehabilitation and quality of life.

User engagement in a randomised controlled trial for a digital health intervention for early psychosis (Actissist 2.0 trial)

Digital Health Interventions (DHIs) can help support people with mental health problems. Achieving satisfactory levels of patient engagement is a crucial, yet often underexplored, pre-requisite for health improvement. Actissist is a co-produced DHI delivered via a smartphone app for people with early psychosis, based on Cognitive Behaviour Therapy principles. This study describes and compares engagement patterns among participants in the two arms of the Actissist 2.0 randomised controlled trial. Engagement frequency and duration were measured among participants using the Actissist app in the intervention arm (n = 87) and the ClinTouch symptom monitoring only app used as the control condition (n = 81). Overall, 47.1 % of Actissist and 45.7 % of ClinTouch users completed at least a third of scheduled alerts while active in the study. The mean frequency (77.1 versus 60.2 total responses) and the median duration (80 versus 75 days until last response) of engagement were not significantly higher among Actissist users compared to ClinTouch users. Older age, White ethnicity, using their own smartphone device and, among Actissist users, an increased sense of therapeutic alliance were significantly associated with increased engagement. Through exploiting detailed usage data, this study identifies possible participant-level and DHI-level predictors of engagement to inform the practical implementation of future DHIs.

Pandemic stressors and vaccine hesitancy among young, pregnant Black people: A qualitative study of health disparities during a global pandemic.

The novel coronavirus 2019 (COVID-19) pandemic exacerbated existing health inequities in the United States, but no studies have focused on the lived experiences of younger Black birthing people. The goal of this qualitative study was to center the experiences of younger pregnant and birthing Black and Biracial people during the pandemic. We recruited 25 Black and Biracial pregnant and birthing people ages 16-23 for individual semi-structured interviews. Participants were asked about experiences with the healthcare system during the pandemic, and interviews were transcribed verbatim and coded for qualitative analysis using nVivo. We adhered to the Consolidated Criteria for Reporting Qualitative Research guidelines. Participants identified pandemic-related stressors such as fears about infection, lack of support, and pressure to get vaccinated. Reasons for vaccine hesitancy included mistrust in the government and racism experienced during reproductive healthcare. Provider appeals highlighting patient autonomy and science were more effective in encouraging vaccine uptake than emotional appeals that made participants feel guilty about potentially infecting loved ones. Restrictions on children and support people created barriers to timely prenatal care and reduced tangible support for young Black and Biracial birthing people during the pandemic. Their vaccine hesitancy was related to mistrust, concerns that the vaccines had not been tested enough prior to roll-out, and possible side effects of the vaccine including infection with the virus and pregnancy loss. Obstetric providers need to understand and recognize the ongoing impact of obstetric and scientific racism on health communication with younger Black and Biracial patients.

Aide active à mourir et maladie mentale : le concept d’incurabilité est-il scientifiquement acceptable et éthiquement recevable ?

Laws granting the right to obtain active assistance in dying initially concern people suffering from incurable illnesses that cause unbearable suffering and are life-threatening in the short to medium term. But these laws are always followed by proposals and debates aimed at extending the indications for euthanasia or assisted suicide to incurable conditions, even if they are not life-threatening, as soon as they cause unbearable suffering. And so it is that some countries accept psychiatric illnesses that are declared incurable as indications for access to active assistance in dying. In Belgium and the Netherlands, for example, the press has reported on cases of people suffering from depression or post-traumatic stress disorder who have been euthanized at the end of an authorization process that involves two psychiatric opinions declaring their condition incurable, without any collegial reflection on the diagnosis or the therapeutic programs implemented. Depression and post-traumatic stress disorder, however, account for less than half of all indications for euthanasia for psychiatric illness in Belgium. That leaves us with patients labelled psychotic and with ill-defined personality and behaviour disorders. Psychiatric indications for euthanasia raise their own specific ethical issues. How can we fail to underline the uncertainty and complexity of the diagnosis, which cannot, as a rule, be supported by imaging or biology? How can we understand that indications for euthanasia are accepted for patients with several psychiatric diagnoses? From one end of the procedure to the other, the problem is to obtain the opinions of two psychiatrists declaring that the disorders are incurable, that the suffering is intolerable and that the patient's capacity for discernment is intact. The decision thus stems from a libertarian paternalism convinced of the humanist dimension of active aid in dying, and which results in an incentive (nudge) whose aim, set by the law, is only to know whether the suffering is incurable, without calling into question the diagnosis and therapeutic programs. How can we say that a mental illness is incurable? How can we distinguish between a depressed person's disgust with life and so-called existential suffering? How can we reconcile preventing suicide in cases of depression and social isolation, while at the same time encouraging assisted suicide or euthanasia for the same people? What are the criteria for verifying that the capacity for discernment has been preserved? Is there not a danger, in the name of autonomic relentlessness, of declaring that a person is autonomous when in fact he or she is subject to the heteronomy of depression, delirium or obsessive disorders? The world of psychiatry cannot avoid such questions. The American Psychiatric Association, for example, has adopted the position on medical euthanasia holding that “a psychiatrist should not prescribe or administer any intervention to a non-terminally ill person for the purpose of causing death”. Other psychiatric associations have hesitant positions. The debate must be opened. It must involve all those who treat, care for and support people of all ages whose mental health is suffering. It must also concern every citizen.

Supporting people with learning disabilities

A new NHS eye examination service was launched in south-east London last month for people with learning disabilities and people who are autistic. Emma White reports

Supporting people to live well: A multimethod study of Shared Lives (adult placement)

AbstractBackgroundShared Lives (adult placement) is a model of community‐based support where an adult who needs support and/or accommodation moves into or regularly visits the home of an approved Shared Lives carer. It is an established but small‐scale service used mainly by adults with learning disabilities. However, little research has been conducted about whether and in what ways this model can support people to live well.MethodThis article presents findings from outcome measures focused on well‐being for a sample of 39 people supported by Shared Lives in England. Fifteen semistructured interviews were also conducted by peer/coresearchers to supplement the quantitative data. Data collection took place between June 2017 and September 2018.FindingsFindings indicated that people using Shared Lives generally had good outcomes across all of the measures. All of those interviewed identified areas of their life where Shared Lives had made a positive difference, particularly with relationships and activities.ConclusionsLimitations to the research mean that more work is needed to fully understand the role Shared Lives plays in supporting people to live well and in comparison to other forms of community support.

Strategi Sultan Thaha Syaifuddin dalam Melawan Penetrasi Belanda di Kesultanan Jambi (1855-1904)

This research discusses the resistance strategy of Sultan Thaha against the Dutch in 1855-1904 through guerrilla efforts so that it became one of the people's resistances which took quite a long time before Jambi was successfully conquered by the Dutch in 1906. Since the political direction of Dutch imperialism changed in the archipelago after the signing of the Treaty of London in 1824, British intervention resulted in the Dutch having to review local authority contracts to guarantee their sovereignty. Sultan Thaha as the Sultan of the Jambi Kingdom tried to break the contractual ties with the Dutch by physically and diplomatically resisting the hegemony of the Dutch power which increasingly urged Jambi to remain submissive. This became the topic of the writer's problem about the efforts and strategies launched by Sultan Thaha in defending Jambi amid the pressure that the Dutch continued to make. The author tries to reconstruct using historical methods to reveal how the steps taken by Sultan Thaha in seeking people's support and the strategies used to defend Jambi from Dutch penetration.

Community Pharmacists' Attitude, Practice and Confidence in Supporting People with Diabetes in Japan and Ireland: A Cross-sectional Survey.

Diabetes is a chronic disease requiring long-term management. Poorly controlled diabetes is associated with reduced quality of life and micro- and macro-vascular complications. Community pharmacists have a role in supporting people with diabetes to better address their condition and reduce their risk of diabetes-related illness. The purpose of this study was to examine and compare the attitudes, practices, and confidence of community pharmacists in Japan and Ireland on the care of people with diabetes. A cross-sectional survey of community pharmacists in Ireland (388 respondents) and Japan (144 respondents) was conducted to assess their attitudes, practices, confidence, and other characteristics linked to diabetes management. A Likert scale was utilized, with a range of strongly agree to strongly disagree. The study reported that Japanese pharmacists have lower levels of practice (p<0.004), confidence, trust by patients, job satisfaction, concern with patients, and knowledge (all p<0.001) regarding diabetes management than Irish pharmacists. Although there was no significant difference in the attitude of pharmacists in both countries, the results show almost similar attitudes toward diabetes management, indicating their willingness to support people with diabetes. These results demonstrated less confidence in diabetes management and less practice of diabetes management care among Japanese pharmacists than Irish pharmacists. The results can be used to identify pharmacist education needs and develop training programs in diabetes management for pharmacists in Japan and Ireland.

Ideological Mate-guarding: Sexual Jealousy and Mating Strategy Predict Support for Female Honor.

Feminine honor dictates that women should cultivate a reputation for sexual purity via behaviors such as dressing modestly and maintaining virginity before marriage. The dominant explanation for people's support for feminine honor is that female infidelity threatens male partners' honor. Beyond this, the literature affords little understanding of the evolutionary and psychological origins of feminine honor. We propose that feminine honor functions as an ideological form of mate guarding that is shaped by sexual jealousy and mating strategy. Two correlational studies (N = 892) revealed support for predictions derived from this ideological mate-guarding account. In Study 1, dispositional jealousy and mating strategy (more monogamous orientation) predicted male participants' support for a mate's (especially a long-term mate's) feminine honor. Moving beyond mate preferences, in Study 2 male and female participants' dispositional jealousy and mating strategy predicted support for feminine honor of women in general. Results applied beyond masculine honor norms, religiosity, political conservativism, and age. These findings enhance the understanding of the origins and maintenance of feminine honor and related norms and ideologies that enable control over women's socio-sexual behavior.

Emotional Mechanisms of Behavior Change: Existing Techniques, Best Practices, and a New Approach

Traditional models of behavior change emphasize knowledge, beliefs, and injunctive norms as targets of intervention. Emotion—a potent force guiding human behavior—is strikingly absent from most models and most behavioral interventions. This article reviews evidence that emotion is not only consequential for common targets of behavioral intervention, but can be activated strategically to facilitate behavior change. This article presents a new framework for classifying behavior change targets, along with specific emotion-leveraging intervention techniques matched to each category of behavior. Policy recommendations emphasize combining emotional tools with other evidence-based behavior-change techniques. Although more research is needed, emotion shows promise for helping to support people's behavioral goals.

Exploring the prevalence of loneliness and social isolation in an analysis of Safeguarding Adults Reviews in South Yorkshire

PurposeThis paper aims to explore the links between being lonely and isolated, and increased risks of abuse for adults with care and support needs.Design/methodology/approachThematic analysis was used to explore features of loneliness and social isolation present in South Yorkshire Safeguarding Adults Reviews (SARs) published since 2014.FindingsTen out of fifteen SARs indicated there had been issues of loneliness and/or social isolation for the person who was the subject of the SAR.Research limitations/implicationsThe limitations of this paper are that it only included SARs from the South Yorkshire area. Future research should explore national and international perspectives on these issues.Practical implicationsSafeguarding Boards should include actions to address loneliness and social isolation as part of prevention strategies and services to develop approaches that can minimise or prevent abuse before it occurs. Practitioners should routinely explore whether the people they work with feel lonely and/or isolated and support people to take appropriate action to mitigate these risks.Originality/valueThis paper uses the existing body of literature about loneliness and social isolation to explore the risks of abuse and neglect for adults with care and support needs.

Mobile Phone Text Messages to Support People to Stop Smoking by Switching to Vaping: Codevelopment, Coproduction, and Initial Testing Study.

SMS text messages are affordable, scalable, and effective smoking cessation interventions. However, there is little research on SMS text message interventions specifically designed to support people who smoke to quit by switching to vaping. Over 3 phases, with vapers and smokers, we codeveloped and coproduced a mobile phone SMS text message program. The coproduction paradigm allowed us to collaborate with researchers and the community to develop a more relevant, acceptable, and equitable SMS text message program. In phase 1, we engaged people who vape via Twitter and received 167 responses to our request to write SMS text messages for people who wish to quit smoking by switching to vaping. We screened, adjusted, refined, and themed the messages, resulting in a set of 95 that were mapped against the Capability, Opportunity, and Motivation-Behavior constructs. In phase 2, we evaluated the 95 messages from phase 1 via a web survey where participants (66/202, 32.7% woman) rated up to 20 messages on 7-point Likert scales on 9 constructs: being understandable, clear, believable, helpful, interesting, inoffensive, positive, and enthusiastic and how happy they would be to receive the messages. In phase 3, we implemented the final set of SMS text messages as part of a larger randomized optimization trial, in which 603 participants (mean age 38.33, SD 12.88 years; n=369, 61.2% woman) received SMS text message support and then rated their usefulness and frequency and provided free-text comments at the 12-week follow-up. For phase 2, means and SDs were calculated for each message across the 9 constructs. Those with means below the neutral anchor of 4 or with unfavorable comments were discussed with vapers and further refined or removed. This resulted in a final set of 78 that were mapped against early, mid-, or late stages of quitting to create an order for the messages. For phase 3, a total of 38.5% (232/603) of the participants provided ratings at the 12-week follow-up. In total, 69.8% (162/232) reported that the SMS text messages had been useful, and a significant association between quit rates and usefulness ratings was found (χ21=9.6; P=.002). A content analysis of free-text comments revealed that the 2 most common positive themes were helpful (13/47, 28%) and encouraging (6/47, 13%) and the 2 most common negative themes were too frequent (9/47, 19%) and annoying (4/47, 9%). In this paper, we describe the initial coproduction and codevelopment of a set of SMS text messages to help smokers stop smoking by transitioning to vaping. We encourage researchers to use, further develop, and evaluate the set of SMS text messages and adapt it to target populations and relevant contexts.

Health related quality of life during dialysis modality transitions: a qualitative study

BackgroundModality transitions represent a period of significant change that can impact health related quality of life (HRQoL). We explored the HRQoL of adults transitioning to new or different dialysis modalities.MethodsWe recruited eligible adults (≥ 18) transitioning to dialysis from pre-dialysis or undertaking a dialysis modality change between July and September 2017. Nineteen participants (9 incident and 10 prevalent dialysis patients) completed the KDQOL-36 survey at time of transition and three months later. Fifteen participants undertook a semi-structured interview at three months. Qualitative data were thematically analyzed.ResultsFour themes and five sub-themes were identified: adapting to new circumstances (tackling change, accepting change), adjusting together, trading off, and challenges of chronicity (the impact of dialysis, living with a complex disease, planning with uncertainty). From the first day of dialysis treatment to the third month on a new dialysis therapy, all five HRQoL domains from the KDQOL-36 (symptoms, effects, burden, overall PCS, and overall MCS) improved in our sample (i.e., those who remained on the modality).ConclusionsDialysis transitions negatively impact the HRQoL of people with kidney disease in various ways. Future work should focus on how to best support people during this time.

Emotional, informational, and decision-making support needs among people seeking abortion in the US: perspectives from All-Options Talkline callers

People seeking abortion may need or want emotional or informational support before, during, and after their abortion. Feeling supported and affirmed contributes to perceptions of quality care. The All-Options Talkline offers free, telephone-based, peer counselling to callers anywhere in the United States. This study aimed to explore the types of support received through the Talkline and the ways it supplemented other forms of support received by people who obtained an abortion. Between May 2021 and February 2022, we conducted 30 interviews via telephone or Zoom with callers recruited through the Talkline. We coded the interviews and conducted thematic analysis, focusing on themes related to gaps of support from family, friends, and healthcare professionals, as well as types of support received through the Talkline. We identified four key motivations for calling the Talkline, including the need for (1) decision-making support and validation, (2) a neutral perspective, (3) emotional support to discuss negative or complex feelings, and (4) information about the abortion process. Participants indicated that interactions with family, friends, and healthcare professionals ranged from unsupportive and negative, to substantially supportive. Access to the Talkline was particularly useful prior to clinical interactions and in the weeks or months after an abortion. We found that the All-Options Talkline provided person-centred, remote support for callers, filling gaps or supplementing support from one's community or healthcare professionals. Abortion support from non-medically trained support people contributes to high-quality abortion care, especially in a time of increasing abortion restrictions and use of remote abortion services.