Health prospect最新文献

{"title":"Digital health interventions for suicide prevention among LGBTQ: A narrative review","authors":"Kiran Paudel, Kamal Gautam, Prashamsa Bhandari, Sangam Shah, Jeffrey A Wickersham, Bibhav Acharya, S. Sapkota, Samir Kumar Adhikari, P. Baral, Archana Shrestha, Roman Shrestha","doi":"10.3126/hprospect.v23i1.62795","DOIUrl":"https://doi.org/10.3126/hprospect.v23i1.62795","url":null,"abstract":"Background: Suicidal thoughts and behaviors (STBs) are prevalent within the LGBTQ community, often exacerbated by challenges in accessing care and the perceived stigma and discrimination tied to disclosing one's identity. Digital health interventions that offer psychosocial self-help present a promising platform to reach individuals at risk of STB, especially those who may not engage with conventional health services. This review aimed to assess the role of digital-based intervention in reducing STBs among LGBTQ individuals.\u0000Methods: We conducted a systematic literature search from three databases, PsycINFO, PubMed, and CINHAL, from 1st Jan 1990 to 31st December 2023. The review encompassed studies investigating the feasibility, acceptability, and impact of digital interventions on STBs, employing randomized control trials (RCTs), pseudo-RCTs, observational pre-posttest designs, and qualitative studies. Potential bias was evaluated using the McGill Mixed Methods Appraisal Tool (MMAT).\u0000Results: Five non-overlapping studies were included, reporting data from 777 participants. The studies featured diverse types of digital interventions, including videos, online writing, and mobile applications. The studies included three RCTs, and two qualitative studies. Across most of these studies, notable enhancements or reductions in the proportion of participants reporting STBs were observed post-intervention, alongside improvements in help-seeking intentions. The findings underscored that the applications used in the studies were engaging, acceptable, and deemed feasible in effectively addressing suicide prevention among the LGBTQ community.\u0000Conclusion: Overall, digital interventions were found to be feasible and acceptable in suicide prevention among LGBTQ communities, demonstrating preliminary efficacy in increasing help-seeking behavior when experiencing suicidal thoughts and in reducing STBs. Therefore, advocating for widespread promotion and dissemination of digital health interventions is crucial, particularly in low- and middle-income countries (LMICs) with limited access to health services and heightened barriers to obtaining such services.  Further research using fully powered RCT is imperative to assess the efficacy of these interventions.","PeriodicalId":488418,"journal":{"name":"Health prospect","volume":"73 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140251700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Researching Dalits and health care: Considering positionality","authors":"Raksha Thapa, Pramod Regmi, Edwin Van Teijlingen, Vanessa Heaslip","doi":"10.3126/hprospect.v22i1.49826","DOIUrl":"https://doi.org/10.3126/hprospect.v22i1.49826","url":null,"abstract":"This methods paper explores the issue of the researcher’s positionality and its potential impact on the overall qualitative research process. After defining positionality this paper outlines its potential influences on the research process and findings. In order to illustrate the concept of positionality in a real-world example a case study approach is used based on the first author’s PhD research among Dalits in Nepal. The paper finishes by outlining some of the ways of addressing the issues arising from positionality of the researcher.","PeriodicalId":488418,"journal":{"name":"Health prospect","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135935853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}