Patients' acceptance of video consultations in the mental health services: A systematic review and synthesis of qualitative research.

BACKGROUND: Clinical effectiveness of video consultations in the mental health services is comparable with in-person consultations. Acceptance has typically been rated in surveys that do not give a deeper understanding behind the phenomenon. The aim of this synthesis is to explore mental health patients' perceptions of factors that influence their acceptance of video consultations viewed from the perspective of the patient. METHODS: A literature search in scientific databases was conducted. Peer-reviewed reports of qualitative research exploring patients' experiences with video consultations from the patients' perspectives were included. Then a meta-summary and a taxonomic analysis were conducted. RESULTS: A total of 11 reports met the inclusion criteria. Through the analysis, a model was generated with five factors that precede each other and interact with each other. Patients thought video consultations were acceptable when (1) they experienced barriers and inconvenience to accessing the location of services, (2) they had already established a trustful relationship with their therapist, (3) technical interferences were minor and problems were resolved quickly, (4) patients expected a less personal meeting, and (5) the degree of the patients' issues were less complex. DISCUSSION: This model is intended to help clinicians identify circumstances where offering video consultations make best sense to patients and help sustain meaningful use prospectively. When patients encounter barriers to in-person services, clinicians should consider offering video consultations when the technology is adequately integrated in practice, and it is perceived not to intervene with treatment or the therapeutic process.

Self-rated health, ethnicity and social position in a deprived neighbourhood in Denmark.

BACKGROUND: In recent years the close connection between SES and differences in health between ethnic groups have been subject to growing interest among researchers, and some studies have found an association between ethnicity and long term illness and poor health. However, there is limited research-based knowledge about health and illness in ethnic groups in Denmark and about ethnic Danes living in deprived neighbourhoods. The purpose of this study is to investigate associations between self-rated health and ethnicity and social position in a deprived neighbourhood in Denmark in which a relatively largely proportion of the residents are immigrants. METHODS: This study investigates the association between self-rated health used as dependent variable and ethnicity and social position (defined as index for life resources) as the independent variables. The analyses are based on data collected in a survey in a geographically bounded and social deprived neighbourhood, Korskaerparken, located in the municipality of Fredericia in Denmark. The sample consisted of 31% of the residents in Korskaerparken and of these 29% have an ethnic background other than Danish.The analyses were conducted using logistic regression adjusting for confounding variables. RESULTS: This study indicates no significant association between ethnicity and having poor/very poor self-rated health.On the other hand the study confirms that a strong and significant association between the number of residents' life resources and their self-rated health does indeed exist. The results clearly suggest that the more life resources an individual has, the lower is the risk of that individual reporting poor health. CONCLUSION: The results show a strong association between the residents' number of life resources and their self-rated health. In this study, we were not able to identify any association between ethnicity and self-rated health, i.e. our results suggest that ethnicity does not constitute an explanation to differences in self- rated health.

Program Reach and Implementation Feasibility of a Physical Activity School Health Program: A Qualitative Study of Teachers' Perception.

BACKGROUND: The reasons for the mixed evidence of the effectiveness of school-based physical activity programs can be many, including implementation challenges. Studying program implementation can potentially contribute to enhancing effectiveness, the design of future interventions, improved implementation, and the interpretation of outcomes. METHODS: For this process evaluation, individual interviews were conducted with 16 teachers who had implemented the program "Active All Year Round" in a fifth-grade school class (students aged 9-11 y) in 2017. Through systematic text condensation feasibility and barriers of program implementation, perceived program reach and the programs' influence on social cohesion were identified and discussed. RESULTS: Teachers described the program as very feasible to implement and identified very few implementation barriers, the most prominent being time constrains. Perceived program reach was very high, and teachers reported that those students who are less confident when it comes to physical activity did not have differential participation than those feeling more confident about physical activity. Finally, the program was perceived to positively affect social cohesion in class. CONCLUSIONS: Active All Year Round is a standardized, flexible, and easily implemented program in Danish schools. Future studies are needed to study implementation from a student's perspective and/or students' role in and experiences with competition-based health programs.

[Use of multiple intervention progammes in community health projects]. / Anvendelse af flerstrengede interventionsprogrammer i sundhedsfremmeprojekter.

An organising framework for multiple interventions in community health is described. The framework provides a foundation for programmatic research on multiple interventions. Multiple intervention programmes are characterised by the use of multiple strategies targeted at multiple levels of the socio-ecological system. A short description is given of the framework and an identification of gaps and challenges based on the international literature and critical questions are posed that need to be considered if this framework should be implemented in Danish communities.