14 results
Search Results
2. A Balancing Act When Children Are Young: Women's Experiences in Shared Parenting Arrangements as Survivors of Domestic Violence.
- Author
-
Archer-Kuhn, Beth, Hughes, Judith, Saini, Michael, Tam, Dora, Beltrano, Natalie, and Still, Marni
- Subjects
- *
CHILD care , *RESEARCH methodology , *DOMESTIC violence , *INTERVIEWING , *EXPERIENCE , *PARENTING , *HEALTH literacy , *QUALITATIVE research , *DESCRIPTIVE statistics , *PARENT-child relationships , *THEMATIC analysis , *EMOTIONS , *SOCIAL services , *DIVORCE - Abstract
Purpose: The purpose of this paper is to add to the research literature and begin to fill the gap in knowledge about shared parenting arrangements for women with young children and who have experienced domestic violence (DV), in three Canadian provinces; Alberta, Manitoba and Ontario. Method: This paper reports on the qualitative findings from a mixed methods study on shared parenting from women with children ages 4 and under. Twenty women participated in one-on-one individual interviews through electronic platform utilizing Zoom. Thematic analysis is used to analyze the data. Results: Despite efforts to not exclusively recruit women who had experienced domestic violence (DV) from their former partner, all participants identified as survivors of DV and ongoing survivors of DV, specifically, coercive controlling behaviours. Five themes describe the women's experiences of shared parenting with young children: 1) walking a tight-rope; 2) navigating post-separation relationships; 3) emotional realities of shared parenting; 4) shared parenting outcomes; and, 5) structural challenges. Conclusions: This paper not only adds to the significant and longstanding gap in knowledge directly from women with children ages 4 and under in shared parenting relationships, and who have experienced DV, and also helps to inform social service and legal actors. It is timely with the amendments to the Divorce Act in Canada which now includes DV as a factor in determining the best interests of the child. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. Mental Health of Canadian Military-Connected Children: A Qualitative Study Exploring the Perspectives of Service Providers.
- Author
-
Hill, Shannon, Williams, Ashley, Khalid-Khan, Sarosh, Reddy, Pappu, Groll, Dianne, Rühland, Lucia, and Cramm, Heidi
- Subjects
- *
LIFESTYLES , *HEALTH services accessibility , *MILITARY medicine , *ATTITUDES of medical personnel , *PHYSICIAN-patient relations , *RESEARCH methodology , *MENTAL health , *INTERVIEWING , *FAMILIES of military personnel , *QUALITATIVE research , *RESEARCH funding , *PARENT-child relationships , *CONTENT analysis , *PSYCHOLOGICAL stress , *MENTAL health services - Abstract
The military lifestyle can be defined by a triad of unique stressors: frequent relocation, parental absence, and risk of injury, illness and/or death of a serving member. Research has suggested that this unique triad of stressors can impact the mental health of children and youth living in military families. However, research focusing on the mental health of children and youth living in military families overwhelmingly focuses on the American context. Due to key contextual differences, it is unclear to what extent the American findings are representative of military-connected children and youth living in other geographical contexts, such as Canada. A large qualitative study was conducted to explore the mental health of military-connected children in Canada from three perspectives: child, parent, and service provider. This paper reports on the service provider findings. Using individual semi-structured interviews, data were collected from 11 service providers. Data analysis was guided by qualitative content analysis. Two main themes emerged: (1) the mental health of children living in military families may be impacted by the military lifestyle stressors, and (2) the mental health of children living in military families can be impacted by the accessibility and availability of mental health services. While this qualitative study builds upon recent Canadian work that has considered the service provider perspective, additional research is needed to better understand the experiences of service providers who support military-connected children and youth. Highlights: American research shows that the military lifestyle factors can impact the mental health of military-connected children. The mental health of military-connected children has yet to be extensively explored in Canada. The mental health of children living in Canadian military families may be impacted by the military lifestyle stressors. The mental health of Canadian military-connected children can be impacted by the accessibility and availability of mental health services. Our findings can help build capacity and knowledge for service providers who support Canadian military-connected children. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
4. Fracture definitions in observational osteoporosis drug effects studies that leverage healthcare administrative (claims) data: a scoping review.
- Author
-
Konstantelos, N., Rzepka, A. M., Burden, A. M., Cheung, A. M., Kim, S., Grootendorst, P., and Cadarette, S. M.
- Subjects
- *
EVALUATION of medical care , *CINAHL database , *DIPHOSPHONATES , *MEDICAL information storage & retrieval systems , *SYSTEMATIC reviews , *HIP fractures , *ULNA injuries , *HEALTH insurance reimbursement , *OSTEOPOROSIS , *HUMERUS , *LITERATURE reviews , *MEDLINE , *BONE fractures , *RADIUS fractures , *VERTEBRAL fractures , *FEMORAL fractures - Abstract
Summary: Healthcare administrative (claims) data are commonly utilized to estimate drug effects. We identified considerable heterogeneity in fracture outcome definitions in a scoping review of 57 studies that estimated osteoporosis drug effects on fracture risk. Better understanding of the impact of different fracture definitions on study results is needed. Purpose: Healthcare administrative (claims) data are frequently used to estimate the real-world effects of drugs. Fracture incidence is a common outcome of osteoporosis drug studies. We aimed to describe how fractures are defined in studies that use claims data. Methods: We searched MEDLINE (Ovid), Embase (Ovid), CINAHL (EBSCO), and gray literature for studies published in English between 2000 and 2020 that estimated fracture effectiveness (hip, humerus, radius/ulna, vertebra) or safety (atypical fracture of the femur, AFF) of osteoporosis drugs using claims data in Canada and the USA. Literature searches, screening and data abstraction were completed independently by two reviewers. Results: We identified 57 eligible studies (52 effectiveness, 3 safety, 2 both). Hip fracture was the most common fracture site studied (93%), followed by humerus (66%), radius/ulna (59%), vertebra (61%), and AFF (9%). Half (n = 29) of the studies did not indicate specific data sources, codes, or cite a validation paper. Of the papers with sufficient detail, heterogeneity in fracture definitions was common. The most common definition within each fracture site was used by less than half of the studies that examined effectiveness (12 definitions in 29 hip fracture papers, 8 definitions in 17 humerus papers, 8 definitions in 13 radius/ulna papers, 9 definitions in 15 vertebra papers), and 3 definitions among 4 AFF papers. Conclusion: There is ambiguity and heterogeneity in fracture outcome definitions in studies that leverage claims data. Better transparency in outcome reporting is needed. Future exploration of how fracture definitions impact study results is warranted. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
5. Who's Going to Keep Us Safe? Surviving Domestic Violence and Shared Parenting During Covid-19.
- Author
-
Archer-Kuhn, Beth, Hughes, Judith, Saini, Michael, Still, Marni, Beltrano, Natalie, and Tam, Dora
- Subjects
- *
SAFETY , *ATTITUDES of mothers , *CO-parents , *RESEARCH methodology , *DOMESTIC violence , *INTERVIEWING , *SOCIAL isolation , *RESEARCH funding , *THEMATIC analysis , *COVID-19 pandemic , *PSYCHOLOGICAL stress , *DIVORCE , *CONTROL (Psychology) - Abstract
This paper discusses the experiences during COVID-19 of mothers who have young children, are survivors of domestic violence and who share parenting to highlight the further unsafe situations survivors of violence and their children were placed in during the pandemic. Part of a larger mixed methods study, these participants (n = 19) from three Canadian provinces, Alberta, Manitoba and Ontario, engaged in virtual individual one-on-one interviews via zoom. Using thematic analysis, four themes emerged from the data: 1) increased use of coercive controlling behaviors; 2) fear of the unknown; 3) lack of supports; and, 4) finding balance. Direct quotes are used to highlight the meaning of each theme. We outline the challenges these women have that are in addition to those experienced by many during COVID-19 times (increased stress, isolation, disconnect from supports, financial challenges). These include managing the shared parenting arrangements with a former abusive partner who used the pandemic as a further opportunity for coercive controlling behaviors under the guise of the public health order. The mothers were left to manage the difficult exchanges with a former abusive partner and unknown circumstances of the pandemic without guidance and support from legal actors. There will need to be a prioritization of the safety of mothers and their children in post-divorce parenting arrangements both during times of a community lockdown such as during the pandemic and also during non-pandemic times. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
6. Childhood Adversity and Psychosocial Health Outcomes in Later Life Among Immigrants in Canada.
- Author
-
Kuuire, Vincent Z.
- Subjects
- *
CHI-squared test , *CHILD abuse , *STATISTICAL correlation , *PSYCHOLOGY of immigrants , *RESEARCH methodology , *MENTAL health , *MULTIVARIATE analysis , *STATISTICS , *LOGISTIC regression analysis , *SOCIOECONOMIC factors , *WELL-being , *CROSS-sectional method , *DATA analysis software , *INFERENTIAL statistics , *ADVERSE childhood experiences - Abstract
Childhood adversity is known to have an enduring effect on health outcomes of victims. The objective of the study was to examine the association between childhood adversity and psychosocial health outcomes among immigrants in Canada. Using descriptive and inferential statistics and fitting negative loglog regression models to the 2014 General Social Survey, the paper examined the relationship between experience of childhood adversity (i.e. physical and sexual abuse before age 15) and its association with psychosocial health outcomes (i.e. psychological-mental condition and self-rated mental health) among immigrants in Canada. After accounting for relevant socioeconomic and demographic factors, the results show that physical abuse during childhood resulted in 29% and 31% increased likelihood of having a psychological mental condition and poor self-rated mental health, respectively. Also, sexual abuse during childhood was associated with 28% increased likelihood of poor self-rated mental health. In conclusion, the findings show that experience of physical and sexual abuse during childhood is associated with negative mental health outcomes in later life. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
7. Sandwich Generation Caregiving: A Complex and Dynamic Role.
- Author
-
Steiner, Allison and Fletcher, Paula
- Subjects
- *
PSYCHOLOGY of caregivers , *INTERVIEWING , *PHENOMENOLOGY , *RESEARCH methodology , *MOTHERS , *QUESTIONNAIRES , *SOCIAL role , *QUALITATIVE research , *THEMATIC analysis - Abstract
The overall purpose of this study was to explore the lived experiences of sandwich generation (SG) women and the influence multigenerational caregiving had on their health behaviors. The specific purpose of this paper was to examine the roles of SG women, whom are individuals providing care to both their aging parents/in-laws and children (Sinha, Spotlight on Canadians: Results from the General Social Survey: Portrait of caregivers, 2012. Statistics Canada catalogue no. 89-652-X - No. 001, Social and Aboriginal Statistics Division, Ottawa, Ontario, 2013). This study was qualitative in nature and utilized the theoretical orientation of phenomenology. Nine SG women completed a background questionnaire and a semi-structured one-on-one interview. After critically analyzing the data, four salient themes emerged, however, this paper only focused on the theme the role of the caregiver. Five subthemes were developed from this theme: (1) Physical care; (2) 'Sounding board': Emotional aspects of caregiving; (3) Never enough time in the day; (4) Am I a caregiver to my children?; and (5) Transitions and variations in caregiving. These findings provide an in-depth understanding of the role of SG women and the complexities that occur when faced with caregiving. This study hopes to provide more knowledge to support government legislation, sandwich generation caregivers, and healthcare providers. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
8. 'This is. That was.' Examining a Family's Lived Experiences After a Cancer Diagnosis.
- Author
-
Molinaro, Monica, Fletcher, Paula, and Bryden, Pamela
- Subjects
- *
PSYCHOLOGICAL adaptation , *BEREAVEMENT , *BREAST tumors , *DEATH , *FAMILIES , *FAMILY assessment , *GRIEF , *INTERVIEWING , *LIFE change events , *RESEARCH methodology , *SPIRITUALITY , *SOCIAL support , *FAMILY attitudes - Abstract
In 2015, 231,840 American women were diagnosed with invasive breast cancer. This figure represents mothers, wives, or sisters diagnosed with cancer, a diagnosis which has the potential to affect those closest to them, especially their immediate family. This research aimed to examine the lived experience of a family unit that lost their spouse/mother/sister-in-law to invasive breast cancer. A phenomenological case study was utilized to guide this research. One family unit, consisting of a spouse, daughter, son, and sister-in-law to the deceased were recruited from Southern Ontario, Canada. Background questionnaires and one-on-one semi-structured interviews were conducted. The following themes emerged: (1) negatives, describing struggles with balancing care, faith, and living after a death in the family and (2) silver linings, depicting the strength that Nancy, the deceased, maintained during her illness, and the family's hope and optimism for the future. This paper only addresses the theme 'Negatives,' while the last theme is addressed in Part II of this research. Within the theme 'Negatives,' there were four sub-themes: (1) What About the Kids? (2) The Balancing Act, (3) Why Would He Do This? and (4) Life After Mom. Each will be discussed in turn. This research study provides valuable information regarding the lived experiences of families coping with a parental/spousal cancer diagnosis. It may assist other individuals in similar situations by providing comfort knowing that they are not the only ones encountering this journey. The participants' voices may also allow others to develop strength by understanding the effect of cancer on a family. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
9. 'I Just Miss Her. I Just Need Her Here.' Life After a Mother's Cancer.
- Author
-
Molinaro, Monica, Bryden, Pamela, and Fletcher, Paula
- Subjects
- *
PARENTAL death , *WIDOWHOOD , *HOPE , *INTERVIEWING , *PHENOMENOLOGY , *RESEARCH methodology , *PATIENT-family relations , *QUESTIONNAIRES , *QUALITATIVE research , *THEMATIC analysis , *EXTENDED families , *FAMILY attitudes , *PSYCHOLOGY ,TUMORS & psychology - Abstract
The purpose of this research was to examine the lived experience of a family unit that lost their spouse/mother/sister-in-law to cancer. A phenomenological case study was used to guide this research. Four participants, or one family unit consisting of one spouse, one daughter, one son, and one sister-in-law to the deceased, were recruited from Southern Ontario. Background questionnaires and one-on-one semi-structured interviews were conducted with each family member. The following themes emerged: (1) Negatives and (2) Silver Linings. This paper only addresses the theme 'Silver Linings'; the first theme was addressed in Part I of this research. Within the theme 'Silver Linings,' there were two sub-themes: (1) '...She was remarkable' and (2) Hope for the future. Each will be discussed in turn. Overall, the research study revealed some silver linings that may come from a diagnosis of cancer in a family unit. The family found it difficult to find positives in the loss of their loved one; however, they were able to acknowledge that they have a heightened appreciation for others. This research study provides insight regarding the lived experiences of families coping with the cancer journey of a loved one. It may allow readers to develop a greater sense of appreciation for their health and family members. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
10. Intimate Partner Violence and Depression Among Latin American Women in Toronto.
- Author
-
Godoy-Ruiz, Paula, Toner, Brenda, Mason, Robin, Vidal, Carolina, and McKenzie, Kwame
- Subjects
- *
CONTENT analysis , *MENTAL depression , *PSYCHOLOGY of immigrants , *INTERVIEWING , *RESEARCH methodology , *RESEARCH funding , *STATISTICAL sampling , *WOMEN'S health , *PILOT projects , *INTIMATE partner violence - Abstract
Research from the United States suggests that Latin American immigrant and refugee women are one of the groups most greatly impacted by intimate partner violence (IPV) and associated mental health consequences including higher rates of depression than women from other ethno-racial groups. In Canada, little is known about the experience of IPV and mental health among this population. Even in the broader North American context, how Latin American women themselves perceive the connection between IPV and depression is unknown. This paper presents the findings of a pilot study that examined the perceived relationship between IPV and depression among Spanish-Speaking Latin American Women in Toronto, Canada. The theoretical framework guiding this qualitative study combined an ecological model for understanding gender based violence and mental health with critical intersectionality theory. Using a convenience and snowball sampling method, semi-structured interviews (n = 12) were conducted and thematic content analysis was completed supported by Nvivo9 qualitative data management software. All participants had experienced some form of IPV in their adult lives, with psychological violence being the most common. Women perceived a powerful connection between IPV and depression, a link made stronger by the accumulation of other adverse life experiences including childhood abuse, war traumas and migration. The results suggest that IPV is just one of the challenges experienced by Latin American refugee and immigrant women. IPV is experienced in the context of other traumatic experiences and social hardships that may work to intensify the association of IPV and depression in this population. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
11. What Influences Perceptions of Procedural Justice Among People with Mental Illness Regarding their Interactions with the Police?
- Author
-
Livingston, James, Desmarais, Sarah, Greaves, Caroline, Parent, Richard, Verdun-Jones, Simon, and Brink, Johann
- Subjects
- *
ACTION research , *STATISTICAL correlation , *INTERVIEWING , *RESEARCH methodology , *MENTAL illness , *SENSORY perception , *POLICE , *REGRESSION analysis , *RESEARCH funding , *SELF-evaluation , *SOCIAL justice , *SAMPLE size (Statistics) , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
According to procedural justice theory, a central factor shaping perceptions about authority figures and dispute resolution processes is whether an individual believes they were treated justly and fairly during personal encounters with agents of authority. This paper describes findings from a community-based participatory research study examining perceptions of procedural justice among sixty people with mental illness regarding their interactions with police. The degree to which these perceptions were associated with selected individual (e.g., socio-demographic characteristics), contextual (e.g., neighborhood, past experiences), and interactional (e.g., actions of the officer) factors was explored. The results of regression analyses indicate that the behavior of police officers during the interactions appears to be the key to whether or not these interactions are perceived by people with mental illness as being procedurally just. Implications of these findings for improving interactions between the police and people with mental illness are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
12. Discomfort, Judgment, and Health Care for Queers.
- Author
-
Harbin, Ami, Beagan, Brenda, and Goldberg, Lisa
- Subjects
- *
PSYCHOLOGICAL adaptation , *FEMINIST criticism , *HOMOPHOBIA , *HUMAN comfort , *INTERVIEWING , *PHENOMENOLOGY , *RESEARCH methodology , *MEDICAL ethics , *PHYSICIAN-patient relations , *RESEARCH funding , *SELF-perception , *QUALITATIVE research , *LGBTQ+ people , *CULTURAL competence , *PATIENTS' attitudes , *PHYSICIANS' attitudes - Abstract
This paper draws on findings from qualitative interviews with queer and trans patients and with physicians providing care to queer and trans patients in Halifax, Nova Scotia, Canada, to explore how routine practices of health care can perpetuate or challenge the marginalization of queers. One of the most common 'measures' of improved cultural competence in health care practice is self-reported increases in confidence and comfort, though it seems unlikely that an increase in physician comfort levels with queer and trans patients will necessarily mean better health care for queers. More attention to current felt discomfort in patient-provider encounters is required. Policies and practices that avoid discomfort at all costs are not always helpful for care, and experiences of shared discomfort in queer health contexts are not always harmful. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
13. Endoscopic hemostasis in nonvariceal upper gastrointestinal bleeding: comparison of physician practice in the East and the West.
- Author
-
Shou-jiang Tang, Sun-Young Lee, Linda Hynan, Jingsheng Yan, Riley, Fransell, Armstrong, Luis, Rodriguez-Frias, Edmundo, Lin Xu, Pruna, Ernesto, Lara, Luis, Sreenarasimhaiah, Jayaprakash, Kyoo Choi, Rockey, Don, Tang, Shou-Jiang, Lee, Sun-Young, Hynan, Linda S, Yan, Jingsheng, Riley, Fransell C, Xu, Lin, and Lara, Luis F
- Subjects
- *
ENDOSCOPY , *HEMOSTASIS , *GASTROINTESTINAL hemorrhage , *PHYSICIAN practice patterns , *COMPARATIVE studies , *DECISION making , *RESEARCH methodology , *MEDICAL cooperation , *RESEARCH , *PROFESSIONAL practice , *EVALUATION research , *ENDOSCOPIC hemostasis - Abstract
Background: Endoscopic hemostasis is commonly practiced during GI endoscopy practice. We hypothesized that, because the choice of endoscopic intervention is influenced by many factors, for example personal experience, prior training, guidelines, etc., there would be differences in practice patterns among different groups of endoscopists.Objective: To explore the potentially different practices for endoscopic hemostasis between the "East" (eight Asian countries) and the "West" (USA and Canada).Design: Cross-sectional descriptive study (internet-based survey).Study Subjects: We administered a questionnaire survey to American Society of Gastrointestinal Endoscopy (ASGE) and Korean Society of Gastroenterology (KSGE) members (see: http://www4.utsouthwestern.edu/inetdemo/endoscopy/hemostasis.html , or supplementary paper for review online).Results: Eastern ASGE members (n = 112) were more likely to complete this survey than ASGE members in the West (n = 180): 15.1 vs. 5.0%, P < 0.001. Choice of hemostatic method, regardless of primary or recurrent bleeding, varied significantly among Eastern and Western endoscopists. For example, for treatment of a gastric ulcer with a visible vessel, a vast majority (70%) of Western endoscopists preferred pre-injection followed by thermocoagulation whereas responses from the East were more diverse, with endoclip application +/- pre-injection being the top choice (29%) (P < 0.001). Personal EGD volume and hospital bed numbers did not seem to be associated with hemostatic choices in either the East or the West.Conclusions: Endoscopic hemostasis practice patterns for upper GI tract bleeding differed among Eastern and Western endoscopists, suggesting fundamental differences in practice habit determinants. [ABSTRACT FROM AUTHOR]- Published
- 2009
- Full Text
- View/download PDF
14. A new self-report scale for assessment of adolescent psychopathology: factor structure, reliability, validity, and diagnostic sensitivity.
- Author
-
Conners, C. Keith, Wells, Karen C., Parker, James D. A., Sitarenios, Gill, Diamond, John M., Powell, Judy W., Conners, C K, Wells, K C, Parker, J D, Sitarenios, G, Diamond, J M, and Powell, J W
- Subjects
- *
PATHOLOGICAL psychology , *TEENAGERS , *ATTENTION-deficit hyperactivity disorder , *PSYCHIATRIC diagnosis , *ANALYSIS of variance , *COMPARATIVE studies , *FACTOR analysis , *RESEARCH methodology , *MEDICAL cooperation , *PSYCHOLOGICAL tests , *PSYCHOMETRICS , *RESEARCH , *EVALUATION research , *PSYCHOLOGY ,RESEARCH evaluation - Abstract
This paper describes four studies on self-reported problems in 2,243 adolescent males and females, 12 to 17 years of age. In Study 1, principal-axis factoring of 102 items covering 11 problem domains revealed six factors comprising 49.5% of the variance. Study 2 used confirmatory factor analysis of a 64-item reduced set on a new sample of 408 adolescents. Goodness-of-fit indicators suggested that the six-factor model had excellent fit to the data. Study 3 used data from the 2,157 adolescents used in the first two studies. Coefficient alphas ranged from .83 to .92. Median test-retest reliability for the six factors was .86. There was a consistent structure of the correlation matrix across age and gender. Study 4 was a study of criterion validity, using an additional sample of 86 children with attention-deficit hyperactivity disorder (ADHD). Sensitivity and specificity were high, with an overall diagnostic efficiency of 83%. This new self-report scale, the Conners/Wells Adolescent Self-Report of Symptoms (CASS), may provide a useful component of a multimodal assessment of adolescent psychopathology. [ABSTRACT FROM AUTHOR]
- Published
- 1997
- Full Text
- View/download PDF
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.