24 research outputs found
sj-tif-1-jpc-10.1177_21501327211047782 – Supplemental material for Self-Testing as an Invaluable Tool in Fighting the COVID-19 Pandemic
No full textSupplemental material, sj-tif-1-jpc-10.1177_21501327211047782 for Self-Testing as an Invaluable Tool in Fighting the COVID-19 Pandemic by Paraskevi Goggolidou, Ioannis Hodges-Mameletzis, Satvinder Purewal, Aikaterini Karakoula and Tracy Warr in Journal of Primary Care & Community Health</p
Psychological and cultural determinants of women's intentions to donate oocytes
No full textIn oocyte donation, oocytes from one woman can be transferred to another for fertility treatment or used for medical research. However, there is an acute shortage of women from the general population donating their oocytes and this has adverse consequences for infertile patients and medical researchers. The aims of this thesis were to explore the psychological determinants of oocyte donation intentions and to investigate the link between oocyte donation intentions and parenthood using components of the Theory of Planned Behaviour (TPB) among women from different ethnic backgrounds. In doing so, a triangulation approach was adopted and one systematic review and five empirical investigations consisting of quantitative, qualitative and experimental research methodologies were carried out. Results revealed that oocyte donation is best accounted for by a diverse dimension of factors, which include positive attitudes towards oocyte donation, unconventional perceptions of parenthood and demographic variables. Some theoretical components of the TPB were supported; in particular Structural Equation Modelling found positive attitudes towards oocyte donation and subjective norms demonstrated a direct influence on the decision to donate oocytes. However, the role of perceived behavioural control in intentions to donate remains uncertain. Perceptions of the importance of parenthood and genetic ties between parent and child are key in determining [un]willingness to donate oocytes for fertility treatment. In addition, findings from this thesis suggest that it may be possible to modify intentions towards oocyte donation using the Framing Effect among White women, but not Women from South East Asia. The results of this thesis have some important implications for research and clinical practice, particularly in its potential to tailor clinical service provision regarding the recruitment of oocyte donors.EThOS - Electronic Theses Online ServiceGBUnited Kingdo
Subject positions of British South Asian women with inflammatory bowel disease: a Foucauldian discourse analysis
No full textA Thesis submitted for the Degree of Doctor of Counselling Psychology, University of Wolverhampton, UK.The prevalence of inflammatory bowel disease (IBD) among British South Asians (BSA) is increasing. Evidence suggests that people of BSA background are more likely to develop IBD than white Europeans. Research on women with IBD is primarily focused on reproduction, which limits our understanding of their IBD experience and its consequences. This study aimed to investigate how BSA women discursively construct their experience of IBD, how this links to overarching sociocultural and medical discourses, and what the disciplines of counselling psychology (CP) and health can do to improve it.
The data were collected through semi-structured interviews with eight BSA women with IBD and analysed using Foucauldian Discourse Analysis (FDA). The analysis revealed subject positions sourced in sociocultural and medical discourses. These were the Seeker Woman, the Private Woman, the Flawed Woman, and the Empowered Woman. These subject positions illustrate how sociocultural factors and medical practices influence BSA women’s subjectivity and actions. The study indicated that BSA gender stereotypes and attitudes towards women impact their experience and highlighted the societal dynamics that medical professionals, mental health providers, and politicians must address to deliver care customised to the specific needs of BSA women with IBD. Suggestions and recommendations for future research and policy are made
The lived experiences of family planning for women with inflammatory bowel disease (IBD)
No full textA thesis submitted in partial fulfilment of the requirements of the University of Wolverhampton for the degree of Doctor of Philosophy.Inflammatory Bowel Disease (IBD) affects 1 in 400 people in the UK, with a prevalence of 397 per 100,000 among women, many of whom are of childbearing age. Women with IBD report heightened pregnancy-related anxieties, and their family planning decisions are complex and influenced by both medical and psychosocial factors. Existing research lacks a comprehensive understanding of these lived experiences.
This thesis addresses that gap through three mixed-method empirical studies. Study 1 used qualitative interviews (n = 23) to explore women's family planning experiences with IBD, revealing the interplay between disease status, emotional factors, and the importance of support from healthcare professionals. Interpretative Phenomenological Analysis (IPA) was used to analyse the data, with participants grouped by reproductive stage: Group A (actively planning, n = 3), Group B (currently pregnant, n = 9), Group C (postpartum, n = 8), and Group D (voluntarily childless, n = 3). To disseminate findings, three artists created artwork based on participants’ narratives.
Study 2 (n = 218) assessed responses to the artwork using questionnaires. Results showed that those familiar with IBD better understood the artwork, and patients, particularly women and younger participants, found it a valuable tool for medical communication. Study 3 (n = 29) employed eye-tracking to compare engagement with the artwork versus a traditional information leaflet. Participants spent more time viewing the artwork, suggesting it captured attention more effectively.
Overall, the findings highlight the need for a biopsychosocial approach to family planning in IBD care. Visual art emerged as a promising medium for conveying complex medical information in an accessible and relatable way, especially for younger female patients
Understanding the motivation of voluntary joining and engaging in treatment programmes for intimate partner violence: an interpretative phenomenological analysis
No full textA thesis submitted in partial fulfilment of the requirements of the University of Wolverhampton for the Professional Doctorate in Counselling Psychology.The present study explored the factors which influenced motivation on joining and engaging in voluntary treatment programmes for intimate partner violence (IPV). The aim was to understand the motivation of why men attend voluntary
treatment programmes. The nature of most UK based IPV programmes have court-mandated attendance. The researcher wanted to understand why men would voluntarily undertake such programmes with the assumption that this attendance could then facilitate better outcomes in IPV programmes. Seven male attendees of a charity run IPV perpetrator programme were
interviewed post completion of the intervention programme. An Interpretative Phenomenological Analysis (IPA) was completed with the data collected in the interviews. Four superordinate themes were found; ‘Getting Results’, ‘The Process of Change’, ‘Men as the Victim’ and ‘Can You See Me for Who I Am?’.
The first superordinate theme highlights the need for the men to gain some result by attending the programme, such as having access to their children and or as a pre-emptive measure against any future court mandated need to attend IPV programmes. The second superordinate theme, ‘The Process of Change’
looks at the self-perceptions of the men prior to and during the programme. Specially, the men suggest wanting to develop themselves and become better fathers as poignant in this theme. However, a conflict in their perception of themselves as IPV perpetrators is also found within this superordinate theme. Thirdly, the theme of ‘Men as Victims’ gives an account of the male experiences
of IPV being a ‘male issue’ and their interpretations of services and others stigmatising them. Lastly, the theme of ‘Can You See Me for Who I Am?’ describes acceptance and understanding from peers and facilitators as a
motivator to meaningfully engage in the interventions of the programme. The findings help broaden the limited understanding of why men join and engage in IPV perpetrator programmes. Implications include adding to the
already limited early intervention IPV research as well as contributing to the current knowledge of male experiences of IPV prevention intervention. The study also aims to highlight the importance of personal motivation in help seeking and readiness to change. The knowledge presented in the current study can support future IPV prevention and treatment interventions. Further
recommendations of future research are also included
A systematic review of the traits and cognitions associated with use of and belief in complementary and alternative medicine (CAM).
No full textComplementary and alternative medicine (CAM) use is widespread despite the controversy over its effectiveness. Although previous reviews have examined the demographics and attitudes of CAM users, there is no existing review on the traits or cognitions which characterise either CAM users or those who believe in CAM effectiveness. The current systematic review set out to address these gaps in the literature by applying a narrative synthesis. A bibliographic search and manual searches were undertaken and key authors were contacted. Twenty-three papers were selected. The trait openness to experience was positively associated with CAM use but not CAM belief. Absorption and various types of coping were also positively associated with CAM use and belief. No other trait was reliably associated with CAM use or belief. Intuitive thinking and ontological confusions were positively associated with belief in CAM effectiveness; intuitive thinking was also positively associated with CAM use. Studies researching cognitions in CAM use/belief were mostly on non-clinical samples, whilst studies on traits and CAM use/belief were mostly on patients. The quality of studies varied but unrepresentative samples, untested outcome measures and simplistic statistical analyses were the most common flaws. Traits and cognition might be important correlates of CAM use and also of faith in CAM
Posttraumatic Stress and Posttraumatic Stress Disorder after Termination of Pregnancy and Reproductive Loss: A Systematic Review
No full textObjective. The aims of this systematic review were to integrate the research on posttraumatic stress (PTS) and posttraumatic stress disorder (PTSD) after termination of pregnancy (TOP), miscarriage, perinatal death, stillbirth, neonatal death, and failed in vitro fertilisation (IVF). Methods. Electronic databases (AMED, British Nursing Index, CINAHL, MEDLINE, SPORTDiscus, PsycINFO, PubMEd, ScienceDirect) were searched for articles using PRISMA guidelines. Results. Data from 48 studies were included. Quality of the research was generally good. PTS/PTSD has been investigated in TOP and miscarriage more than perinatal loss, stillbirth, and neonatal death. In all reproductive losses and TOPs, the prevalence of PTS was greater than PTSD, both decreased over time, and longer gestational age is associated with higher levels of PTS/PTSD. Women have generally reported more PTS or PTSD than men. Sociodemographic characteristics (e.g., younger age, lower education, and history of previous traumas or mental health problems) and psychsocial factors influence PTS and PTSD after TOP and reproductive loss. Conclusions. This systematic review is the first to investigate PTS/PTSD after reproductive loss. Patients with advanced pregnancies, a history of previous traumas, mental health problems, and adverse psychosocial profiles should be considered as high risk for developing PTS or PTSD following reproductive loss
The effectiveness of persuasive health communication techniques
No full textObjective: This study tests the effectiveness of Framing and Fear conditionsto change attitudes towards elective single embryo transfer (eSET) in a large, non-clinical population. Method:A repeated measures randomised control trial design was used with 632 male and female partici- pants allocated to one of two intervention groups (Framing or Fear condition) or a control group. There were two conditions in the Framing group(gain or loss frame), three conditions in the Fear group (high, medium or low fear) and two control conditions (education and non-education). Questionnaires were completed before exposure to the message (time 1) and immediately afterwards (time 2). Results: High fear (β = .637, P<0.008) and gain frame (β = .718, P<0.005) were the only significant conditions predicting hypothetical intentions towards eSET at Time 2 for the total sample. No other conditions were predictive of hypothetical intentions. Education only improved knowledge and non-education showed no changes in scores. Conclusion: These results highlight the benefits of multidisciplinary expertise in designing health promotion to reduce multiple pregnancies. Practice Implications: Findings suggest that educational material needs to be presented along- side persuasive communication techniques incorporating high fear and gain frames to help promote eSET in clinical practice.Middlesex Universit
Attitudes and Intention to Donate Oocytes for Research
No full textOBJECTIVE: In 2007, the Human Fertilization and Embryology Authority permitted oocyte donation for research through voluntary donation or within an oocyte share model. The aims of this study were to investigate volunteer (nonpatient) women's attitudes and intentions to donate using components of the Theory of Planned Behavior and their attitudes toward parenthood through structural equation modeling. DESIGN: Questionnaires. SETTING: Online. PATIENT(S): A total of 253 nonpatient women. MAIN OUTCOME MEASURE(S): Attitudes towards oocyte donation for research and reasons for parenthood scale. RESULT(S): Of the 253 respondents, 94 were potential donors, 98 were possible donors, and 61 were non-donors. Most potential donors (68%) reported no preference towards donating their oocytes for research or an infertile couple. Structural equation modeling revealed that age (beta = -.03) and components of the TPB (beta = .16) had a statistically significant direct effect on intentions to donate for research. Attitudes toward parenthood was not linked to intentions to donate for research. CONCLUSION(S): There appears to be a strong altruistic motive along with the theoretical underpinnings of positive attitudes, feeling supported, and accepting the consequences of oocyte donation for research, suggesting these have the potential to inform recruitment practices and tailor clinical services
