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Individuals with SEMH difficulties often perform negative health behaviours, yet little qualitative research aiming to understand why exists. The present study aimed to uncover reasons for poor health behaviours in individuals at an SEMH college. Eight students attending a specialist SEMH college were interviewed about their health behaviours and health beliefs. IPA was utilised to analyse the datasets. Participants seemed aware of the potential severity of ill-health following negative health behaviours, yet this only appeared to influence behaviour when they believed themselves as susceptible to the illness. Coping with adversity and social influence were key barriers in reducing unhealthy behaviours, with perceived barriers outweighing any potential health benefits. Participants expressed good mental wellbeing as key in being physically healthy, both directly and as mediated through health behaviours. Finally, participants engaging in unhealthy behaviours appeared to minimise the potential risks associated with each behaviour. Students with SEMH difficulties perform negative health behaviours for various reasons including social influence, enjoyment and coping with adversity. Addressing these factors may help to improve the health behaviours of this cohort.

This paper aims to articulate the multi-regulatory and complex territory that programme developers of professional doctorates are required to navigate, and, using examples from Health Psychology and Sport and Exercise Psychology, discusses the impact of this territory on programme development. 'Practitioner Psychologist' is a legally protected title for use by those listed on the UK's Health and Care Professions Council (HCPC) register of practitioner psychologists. Achieving registration involves undergoing training to meet the HCPC prescribed standards, with the professional practitioner doctorate representing a viable training vehicle. The paper makes critical comparison between the HCPC standard-driven research "and" practice competences required of psychology professionals in a professional doctorate framework, versus traditional professional doctorates that provide a platform for qualified 'in situ' professionals to undertake research that problem solves and generates real-world application. For programme developers, the paper outlines a number of key considerations, including the importance of considering the territorial compatibility between the professional body requirements and the associated university framework to develop a viable product. The paper also provides some useful and informative suggestions for programme developers who may encounter similar territorial challenges, and is of relevance to an international audience interested in programme design for certified professional practitioners.

Readability is a systematic measure of ease, with which written information can be read and understood. It can affect the reader's ability to access, comprehend, and utilize health information. This study assessed the readability of online COVID-19 information readily available to the public to engage with. At a time when organisations and institutions were rapidly providing advice and reacting to a developing pandemic, it was hypothesised that some of that haste would be associated with a lack of clarity, as measured by readability indices. N = 65 website sources containing information relating to COVID-19 were accessed and assessed for inclusion in the study. Eight readability indices, including Flesch Reading Ease and Flesch-Kincaid Grade Level, were calculated to determine readability scores for each source of information. Readability scores varied greatly between individual sources of COVID-19 information. Despite the recommendation that information be presented to the general public at a sixth-grade reading level, most websites we assessed addressing COVID-19 information and advice presented content at greater than the recommended reading level. Based on these results, a significant amount of information available on the Internet about COVID-19 will not be easily readable for many individuals attempting to use the Internet to help inform their decisions about their health and behavior. [ABSTRACT FROM AUTHOR]

Background and Aims: The impacts of the COVID‐19 pandemic have not been equal, with a disproportionate impact among ethnic minority communities. Structural inequalities in social determinants of health such as housing and employment have contributed to COVID‐19's impact on deprived communities, including many ethnic minority communities. To compare (1) how the UK government's "social distancing" restrictions and guidance were perceived and implemented by ethnic minority populations compared to white populations, (2) the impact of restrictions and guidance upon these groups. Methods: An explanatory sequential mixed methods study incorporated a quantitative survey and qualitative semi‐structured interviews to explore individual perceptions and experiences of COVID‐19 and the national restrictions. Survey participants (n = 1587) were recruited from North West England; 60 (4%) participants were from ethnic minority communities. Forty‐nine interviews were conducted; 19 (39%) participants were from ethnic minority communities. Interviews were transcribed verbatim and analysed using a thematic approach. Data collection was between April and August 2020. Results: Significant differences in demographics and household overcrowding were observed between white vs ethnic minority survey respondents, who were also significantly less confident in their knowledge of COVID‐19, less likely to be high‐risk drinkers, and marginally more likely to have experienced job loss and/or reduced household income. There were no group differences in wellbeing, perceptions, or nonfinancial impacts. Two inter‐related themes included: (1) government guidance, incorporating people's knowledge and understanding of the guidance and their confusion/frustration over messaging; (2) the impacts of restrictions on keyworkers, home‐schooling, working from home and changes in lifestyle/wellbeing. Conclusions: Further research is needed on the long‐term impacts of COVID‐19 on ethnic minority communities. If policy responses to COVID‐19 are to benefit ethnic minority communities, there is a need for future studies to consider fundamental societal issues, such as the role of housing and economic disadvantage. Highlights: What is known about this topic? The COVID‐19 pandemic has impacted the entire world, however it has had disproportionate impacts on ethnic minority communities.'Social distancing' is a public health intervention that has been utilised in previous pandemics where measures are put in place to encourage individuals to undertake a number of changes to their social behaviours to increase physical distance from others and to reduce number of contacts with other people.Living conditions such as overcrowding are a risk factor for ill health, including from COVID‐19. What this paper add? Ethnic minority respondents were significantly more concerned about the educational impacts on their children.Living in overcrowded homes significantly affected the ethnic minority respondents with regard to increased risk within their home environment, less space for privacy for working from home and education/welfare needs of children.More practical and relevant government guidance is needed for ethnic minority communities and future policy should consider the economic and societal impacts for ethnic minority workers. [ABSTRACT FROM AUTHOR]

An estimated 46% of the worldwide adult population live with an active headache disorder, and it is thought that there is a proportion of headache and migraine sufferers who do not attend for medical care, instead choosing to manage their symptoms at home. The internet continues to act as a source of online health information for self-management, however, it is important that this information can be understood by the user. Research indicates that most health information online is written at a level too difficult for much of the UK population to understand. The aim of this study was to investigate the readability of online health information pertaining to headache and migraine for a UK-based internet user accessing the top four search engines. Searches for 'headache' and 'migraine' were performed on each search engine and results from the first page were selected for analysis. Five validated readability tests were used to analyse readability; Flesch-Kincaid Grade Level, Flesch Reading Ease, Gunning Fog Index, Coleman-Liau Index and Simple Measure of Gobbledygook Index. We found that the majority of online health information about migraine and headache is too difficult for the UK adult population to read. Findings highlight work is required to ensure that information from a wider variety of sources is easier to comprehend for much of the population in order for individuals to make informed decisions about health seeking and self-management of headache and migraine. Health information providers should weave readability analysis into their content design process, incorporating shorter sentences and simpler words in their description of conditions and treatment. [ABSTRACT FROM AUTHOR]

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Background: An estimated 27% of ambulance personnel experience general psychological distress. The relationship between work and mental health is complex. Aims: This study aimed to explore whether and to what extent individual factors affect the mental health of ambulance personnel. Methods: Four UK NHS ambulance trusts facilitated recruitment of ambulance personnel (n=160). Well-validated measures were used to collect data on the predictor variables: the Perceived Stress Scale; the Satisfaction with Life Scale; and the Brief Resilience Scale. Mental health, assessed according to response to trauma measured by the Impact of Events Scale Revised (IES-r), and anxiety and depression, measured by the Hospital Anxiety and Depression Scale (HADS), were the outcome measures. Findings: Regression models demonstrated that all predictor variables accounted for nearly half of the variance in each outcome (P<0.01). Conclusions: A significant proportion of variance was accounted for by individual factors. This assists in understanding the impact and role of individual factors in the mental health of this occupational group. Future research could inform intervention development. [ABSTRACT FROM AUTHOR]

This paper reviewed mediators of psychological well-being among healthcare workers responding to pandemics. After registration on PROSPERO, a systematic review was performed in four databases and 39 studies were included. Worse mental health outcomes, such as stress, depressive symptoms, anxiety and burnout were related to demographic characteristics, contact with infected patients and poor perceived support. Self-efficacy, coping ability, altruism and organisational support were protective factors. Despite limitations in the quality of available evidence, this review highlights the prevalence of poor mental health in healthcare workers and proposes target mediators for future interventions. [ABSTRACT FROM AUTHOR]