AIM To investigate factors predicting treatment completion and treatment outcome of the Reasoning and Rehabilitation Mental Health Programme(R&R2MHP)cognitive skills programme for mentally disordered offenders.MET...AIM To investigate factors predicting treatment completion and treatment outcome of the Reasoning and Rehabilitation Mental Health Programme(R&R2MHP)cognitive skills programme for mentally disordered offenders.METHODS Secondary analysis of data previously obtained from 97 male patients who were sectioned and detained under the United Kingdom Mental Health Act in low,medium and high security hospitals and who had completed R&R2MHP.Predictors of treatment completion included background variables and five outcome measures:Four self-reported measures of violent attitudes,social problem-solving skills,reactive anger and locus of control and an objective measure of behaviour on theward that was completed by staff.Completion of the 16 session programme,which was delivered on a weekly basis,was classified as≥12 sessions.RESULTS It was found that the R&R2MHP is appropriate for delivery to participants of different ages,ethnic background,and at different levels of security without the completion rate or treatment effectiveness being compromised.Participants taking oral typical psychotropic medication were over seven times more likely to complete the programme than other participants.Behavioural disturbance on the ward prior to commencing the programme predicted non-completion(medium effect size).As far as treatment completion was concerned,none of the background factors predicted treatment effectiveness(age,ethnic background,level of security,number of previous convictions and number of previous hospital admissions).The best predictor of treatment effectiveness was attitude towards violence suggesting that this should be the primary outcome measure in future research evaluating outcomes of the R&R2MHP cognitive skills program.CONCLUSION The findings suggest that a stable mental state is a key factor that predicts treatment completion.展开更多
Background Pelvic floor dysfunction(PFD)affects women's health and quality of life seriously.Postpartum is a crucial stage and ideal opportunity for the prevention and treatment of PFD diseases.Therefore,it is ess...Background Pelvic floor dysfunction(PFD)affects women's health and quality of life seriously.Postpartum is a crucial stage and ideal opportunity for the prevention and treatment of PFD diseases.Therefore,it is essential to promote postpartum physical recoveryandeffectively improve the prevention and treatment effect of PFD through a simple,non-invasive and high-compliance pelvic floor rehabilitation programme during postpartum pelvic floorrehabilitation.Methods A literature review was conducted to develop the initial list of competencies which consisted of 23 items from six models.Two rounds of Delphi Surveys were conducted,inviting experts via email to rate the importance of each item and provide qualitative comments on their ratings.Consensus was predefined as a mean score of 4.0 or above and at least 75%agreement among the participants.Results The postnatal pelvic floor rehabilitation exercise programme developed in this study was guided by the holistic pelvic floor theory'proposed by Petros and Ulmsten.The effective recovery rate of the two rounds of expert consultation questionnaires was 100%.In the first round,some items were changed according to experts'opinions.In the second round,the expert authority coefficient was 0.819.The Kendall coefficient of expert opinion was 0.154(p<0.01).The final plan included 6 modules with 23 items.The postpartum pelvic floor rehabilitation exercise programme was formed,consisting of six exercises(APBKQS-exercise)such as abdominal breathing,pelvic exercise,bridge exercise,kneeling balance,quadrupedal stretching and supine hand-andkneeconfrontation.Conclusion The postnatal pelvic floor rehabilitation exercise programme constructed in this study integrates multiple exercises(APBKQS-exercise).Theexercise programme guided by the"holistic pelvic floor theory"incorporates the use of Women's Active Functional Fitness Equipment(WAFF)exercise air cushions to better achieve the purpose of alleviating joint pain,loosening contracture muscles,repairing pelvic floor muscles,strengthening abdominal core strength,and recovering body shape as soon as possible.展开更多
基金supported by the National Institute for Health Research(NIHR)Imperial Biomedical Research Centre
文摘AIM To investigate factors predicting treatment completion and treatment outcome of the Reasoning and Rehabilitation Mental Health Programme(R&R2MHP)cognitive skills programme for mentally disordered offenders.METHODS Secondary analysis of data previously obtained from 97 male patients who were sectioned and detained under the United Kingdom Mental Health Act in low,medium and high security hospitals and who had completed R&R2MHP.Predictors of treatment completion included background variables and five outcome measures:Four self-reported measures of violent attitudes,social problem-solving skills,reactive anger and locus of control and an objective measure of behaviour on theward that was completed by staff.Completion of the 16 session programme,which was delivered on a weekly basis,was classified as≥12 sessions.RESULTS It was found that the R&R2MHP is appropriate for delivery to participants of different ages,ethnic background,and at different levels of security without the completion rate or treatment effectiveness being compromised.Participants taking oral typical psychotropic medication were over seven times more likely to complete the programme than other participants.Behavioural disturbance on the ward prior to commencing the programme predicted non-completion(medium effect size).As far as treatment completion was concerned,none of the background factors predicted treatment effectiveness(age,ethnic background,level of security,number of previous convictions and number of previous hospital admissions).The best predictor of treatment effectiveness was attitude towards violence suggesting that this should be the primary outcome measure in future research evaluating outcomes of the R&R2MHP cognitive skills program.CONCLUSION The findings suggest that a stable mental state is a key factor that predicts treatment completion.
基金supported by the Chinese Association of Plastics and Aesthetics under Award Number FRPR2020-nxxt-09。
文摘Background Pelvic floor dysfunction(PFD)affects women's health and quality of life seriously.Postpartum is a crucial stage and ideal opportunity for the prevention and treatment of PFD diseases.Therefore,it is essential to promote postpartum physical recoveryandeffectively improve the prevention and treatment effect of PFD through a simple,non-invasive and high-compliance pelvic floor rehabilitation programme during postpartum pelvic floorrehabilitation.Methods A literature review was conducted to develop the initial list of competencies which consisted of 23 items from six models.Two rounds of Delphi Surveys were conducted,inviting experts via email to rate the importance of each item and provide qualitative comments on their ratings.Consensus was predefined as a mean score of 4.0 or above and at least 75%agreement among the participants.Results The postnatal pelvic floor rehabilitation exercise programme developed in this study was guided by the holistic pelvic floor theory'proposed by Petros and Ulmsten.The effective recovery rate of the two rounds of expert consultation questionnaires was 100%.In the first round,some items were changed according to experts'opinions.In the second round,the expert authority coefficient was 0.819.The Kendall coefficient of expert opinion was 0.154(p<0.01).The final plan included 6 modules with 23 items.The postpartum pelvic floor rehabilitation exercise programme was formed,consisting of six exercises(APBKQS-exercise)such as abdominal breathing,pelvic exercise,bridge exercise,kneeling balance,quadrupedal stretching and supine hand-andkneeconfrontation.Conclusion The postnatal pelvic floor rehabilitation exercise programme constructed in this study integrates multiple exercises(APBKQS-exercise).Theexercise programme guided by the"holistic pelvic floor theory"incorporates the use of Women's Active Functional Fitness Equipment(WAFF)exercise air cushions to better achieve the purpose of alleviating joint pain,loosening contracture muscles,repairing pelvic floor muscles,strengthening abdominal core strength,and recovering body shape as soon as possible.
