Kit Knier, Taylor Harrison, Michelle Grady, Andrew Brock, Gauri Sood, Debbie Fuehrer, Amit Sood, Chris Pierret
{"title":"Social-emotional learning program: a community-based case-controlled study.","authors":"Kit Knier, Taylor Harrison, Michelle Grady, Andrew Brock, Gauri Sood, Debbie Fuehrer, Amit Sood, Chris Pierret","doi":"10.20935/mhealthwellb7308","DOIUrl":"https://doi.org/10.20935/mhealthwellb7308","url":null,"abstract":"<p><p>HappiGenius is a mindfulness-based social-emotional learning (SEL) program developed and initially deployed in the context of COVID-19. Novel features of the HappiGenius program include the use of behavioral practice and activities to enhance traditional classroom-based learning, the capability to teach in a remote setting, and a focus on internalizing behaviors in addition to traditionally targeted externalizing behaviors. A pilot study of four third-grade classrooms completed in the previous academic year showed promising results for improvements in students' experience of positive affect, self-compassion, total difficulties, and prosocial behaviors. This quasi-experimental case-control study was conducted in 14 third-grade classrooms across four schools in a midsize Midwestern US city. We hypothesized that HappiGenius would lead to improvements in positive affect, self-compassion, and mindfulness, in addition to other social behaviors measured by quantitative standardized scales. We used qualitative methodology to determine whether HappiGenius was feasible and acceptable to teachers for use in the classroom. While there was no statistically significant change in positive affect, self-compassion, or mindfulness, there was meaningful improvement in student internalizing problems and peer problems. Analysis of qualitative data showed the importance of timing during the year to maximize classroom benefits like establishing behavioral expectations early and reducing problem behaviors. The study represents a step in the direction of evaluating the implementation and outcomes of a new social-emotional learning program developed with deliberate attention to internalizing problems alongside traditionally studied externalizing problems.</p>","PeriodicalId":520214,"journal":{"name":"Academia mental health & well-being","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dennis Rogers Buwembo, Joy Louise Gumikiriza-Onoria, Lwere Kamada, Mark Kaddu-Mukasa, Joseph Kagaayi, Juliet Kiguli, Martha Sajatovic, Noeline Nakasujja, Fredrick Makumbi
{"title":"Measuring the quality of self-care of elderly patients with dementia in a developing country.","authors":"Dennis Rogers Buwembo, Joy Louise Gumikiriza-Onoria, Lwere Kamada, Mark Kaddu-Mukasa, Joseph Kagaayi, Juliet Kiguli, Martha Sajatovic, Noeline Nakasujja, Fredrick Makumbi","doi":"10.20935/mhealthwellb7300","DOIUrl":"https://doi.org/10.20935/mhealthwellb7300","url":null,"abstract":"<p><p>In developing countries like Uganda, people with dementia are cared for by non-medically trained family members with minimal support from the formal healthcare system. The quality of care in this setting is largely unknown but significantly affects the well-being of those with dementia. A tool designed to measure the quality of informal care for old frail adults with or without dementia was translated into Luganda. A committee of experts reviewed and finalized the translation, which was pilot-tested and then used to measure the quality of dementia self-care. We consecutively enrolled 105 caregivers of elderly people with dementia; the median age was 35 years (Interquartile Range 26-47 years), and 67% were females, taking care of a grandparent (44%) or a parent (34%). We used confirmatory factor analysis to assess for structural validity and computed correlation coefficients and Cronbach's alpha to assess for discriminant validity and internal reliability, respectively. The three-factor model applied to the 20 items, adequately fit the data (Comparative Fit Index = 0.88, Tucker-Lewis Index = 0.87, Root Mean Square Error of Approximation = 0.08; 90% Confidence Interval (0.06-0.09), Standardized Root Mean Square Residual = 0.089). There was good discriminant validity, and correlation coefficients between dimensions/scales and the Dementia Knowledge Assessment Scale scores were low. There was good internal reliability with all items Cronbach's alpha ranging from 0.69 to 0.89. Our findings demonstrated that this culturally adapted, shorter measurement tool is valid and reliable. The tool can be used by researchers, health workers, and agencies to assess the quality of self-care for elderly people with dementia in Uganda.</p>","PeriodicalId":520214,"journal":{"name":"Academia mental health & well-being","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11381492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142306172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joy Louise Gumikiriza-Onoria, Roy William Mayega, Janet Nakigudde, Bruno Giordani, Martha Sajatovic, Mark Kaddu Mukasa, Dennis Buwembo, Kamada Lwere, Noeline Nakasujja
{"title":"Feasibility and acceptability of the World Health Organization's iSUPPORT program for dementia caregivers in Uganda.","authors":"Joy Louise Gumikiriza-Onoria, Roy William Mayega, Janet Nakigudde, Bruno Giordani, Martha Sajatovic, Mark Kaddu Mukasa, Dennis Buwembo, Kamada Lwere, Noeline Nakasujja","doi":"10.20935/mhealthwellb7292","DOIUrl":"https://doi.org/10.20935/mhealthwellb7292","url":null,"abstract":"<p><p>This study aims to address Alzheimer's disease and related dementias (ADRD) in low- and middle-income countries (LMICs). It involves adaptation of the World Health Organization's iSUPPORT (WHO-iSUPPORT) psychosocial intervention for Uganda, assessing its feasibility and acceptability, and its effects on caregivers' psychological distress, quality of life (QoL), and depression levels. The adapted iSUPPORT (UGA-iSUPPORT) program was translated into Luganda, a local language, validated by experts, divided into four modules, and later piloted for four weeks in Wakiso, Uganda. The caregivers were randomly assigned to receive weekly UGA-iSUPPORT sessions or modified standard care via weekly phone consultations. Baseline and endpoint changes were assessed using the Kessler Psychological Distress Scale (K-10), the Centre for Epidemiological Studies Depression Scale (CES-D), and the Measure of Quality of Life for Dementia Caregivers (C-DEMQOL). The intervention group (<i>n</i> = 33, 87.9% females, mean age 32.5 years) showed significant improvements in psychological distress (decreased from 29.2 to 23.7, <i>p</i> = 0.001), depression (from 33.4 to 25.6, <i>p</i> = 0.001), and QoL (from 81.1 to 89.4, <i>p</i> = 0.001). The control group (<i>n</i> = 32, 50% female, mean age 36.7 years) did not experience similar enhancements. The high retention rate (97%) and positive feedback from the participants underscored the program's feasibility and acceptability. UGA-iSUPPORT effectively boosted the mental health and well-being of dementia caregivers in LMICs. This study highlights the necessity of enduring and expandable interventions within healthcare systems. Further studies are warranted to examine these interventions' prolonged impacts.</p>","PeriodicalId":520214,"journal":{"name":"Academia mental health & well-being","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}