“Behave like a responsible adult” – Relation between social identity and psychosocial skills at stake in self-management of a chronic disease

We show that the development of psychosocial skills promoting self-management of a chronic disease is associated with the acquisition of a social identity valued in the ideological context of reference. To do this, we focus on a skill that is important for people suffering from a chronic disease to acquire: Assuming responsibility for self-managing one’s own pathology. Because acting responsibly is also a skill socially attributed to the identity of adults in Western liberal societies, we studied the chronically ill’s sense of belonging to the adult social group. In Study 1 (N = 102 diabetics), we suggested that behaving like a “responsible adult” in the self-management of a chronic disease is socially valued. In Study 2 (N = 261 diabetics), we suggested that identification with this group is associated with a feeling of responsibility promoting improved self-management behaviors. The results obtained from the two studies are consistent with our hypotheses. They allow us to conceptualize psychosocial skills through the identity, ideological and normative issues that underpin their development.     

Changes in psychological well-being among older Lithuanian city dwellers: Results from a cohort study

Background/Objective: The purpose of this study is to evaluate changes of psychological well-being (PWB) in older Lithuanian city dwellers during ten years of follow-up, and to establish factors associated with it. Method: 7,115 men and women of age 45-72 years participated in the initial survey in 2006-2008. In 2016 the follow-up survey was performed among all 6,210 participants who survived. 4,266 individuals responded to postal questionnaires. PWB was evaluated by using CASP-12 questionnaire. Depressive symptoms were evaluated by CES-D-10 scale. Quality of life, self-rated health, and social activity were evaluated.Socio-demographic, socio-economic factors were included into standard questionnaire. Results: PWB deteriorated in all age groups during 10-years follow-up. Poor quality of life, poor self-rated health, having depressive symptoms, and not being member of social organization are associated with lower PWB after 10 years in men and women. Employed-retired, retired, and not socially active women have higher possibility to have lower PWB over 10 years. Conclusions: PWB in older Lithuanian city dwellers deteriorates as many other socio-economic and psychosocial indicators during ten-year follow-up. Mostly psychosocial factors, but not the socio-demographic, and socio-economic ones predict PWB over 10 years. It is crucial to understand and promote predictors of PWB in older age.     

“Nothing was lost sailing-wise and lots is gained on a personal level”: Practitioners’ behaviors and athletes’ perceptions of working in online environments

ObjectivesThe purpose of this study was to explore the perceptions of expert practitioners and their British sailing team athletes concerning effective, athlete-centered online delivery during a period of COVID-19 restrictions between March and June 2020. In particular, we explored how psychosocial behaviors of practitioners and inherent attributes of online environments influenced the overall wellbeing of the athletes.MethodsUsing appreciative inquiry (AI), which adopts a social constructionist viewpoint, we interviewed nine expert practitioners, which included technical and strength and conditioning coaches, physiologists, and physiotherapists, and 18 elite athletes.ResultsOur results highlight that when delivering sessions online, practitioners expressed psychosocial behaviors that helped build effective relationships, with expression of care and empathy developing closeness, active participation exhibiting commitment, and psychosocial behaviors such as promoting a holistic mindset supporting an athlete-centered approach. Key to these positive outcomes was the connection that practitioners developed with their athletes in these online sessions. Our results suggest that the online environment provide opportunities for practitioners and athletes to reveal part of their personalities and identities that go beyond focusing on performance due to the change in the contextual setting (i.e., restrictions called for a ‘people first’ approach).ConclusionThe findings offer a novel contribution to the literature in highlighting how online environments provide the opportunity to deliver athlete-centered sessions.     

Self-efficacy beliefs: Experiences of adults who stutter

PurposeChildhood-onset stuttering is a complex and multifaceted disorder. Intervention for adults who stutter has historically addressed speech fluency more so than psychosocial aspects of the disorder, including the nature of the individual’s self-efficacy beliefs concerning their confidence in their capacity to enact change. Self-efficacy is an important construct related to quality of life, resilience, and maintenance of treatment gains for adults who stutter. The purpose of this qualitative study is to explore the nature of the self-efficacy beliefs expressed by adults who stutter in order to inform efficacious and holistic intervention for these individuals.MethodSemi-structured interviews were conducted with 29 adults who stutter to describe their experiences as a person who stutters and elucidate the nature of their self-efficacy beliefs.ResultsThematic analysis identified several major themes that provided novel insight into the complex nature of the self-efficacy beliefs experienced by adults who stutter: speaker experiences shaped communicative confidence, there was a conflict between communication and fluency, stuttering was viewed as more than fluency, and individual perspectives shaped communicative confidence, as did the pervading influence of self. The notion that fluency and confidence are inextricably linked was evident within and across each major theme.ConclusionThese preliminary findings provide further support for a multidimensional approach to the treatment of adults who stutter. Findings will be used to inform a novel integrated fluency and psychosocial intervention for adults who stutter that addresses fluency and self-efficacy concurrently, with a view of engendering durable improvements in speech fluency and communicative confidence.     

La justice organisationnelle comme levier pour promouvoir la qualité de vie au travail

The goal of this study is to show the relevance of organizational justice principles in interventions to prevent psychosocial risks. Following an introduction identifying organizational justice as a predictor of health and quality of work life, we illustrate its application to a diagnosis and an intervention for hospital staff. The responses of 685 employees to a questionnaire identified a lack of support and justice by managers; thus, sensitivity to organizational justice was incorporated into a training program on management and psychosocial risks. A quasi-experiment in which hospital staff participated revealed a beneficial effect of the manager training on justice perceptions of the staff, confirming in part our hypotheses. The illustration in our study of the benefits of using justice principles in manager training offers new perspectives for promoting quality of life at work and reducing psychosocial risks.     

“It's such a vicious cycle”: Narrative accounts of the sportsperson with epilepsy

ObjectivesThere is an abundance of quantitative and medical research promoting the benefits of exercise for people with epilepsy. However, the psychosocial barriers and benefits of exercising for the sportsperson/people with epilepsy (SWE) are absent. This research aims to present the narratives of SWE over time and as a result, develop further understanding of the psychosocial impact of exercising with epilepsy.MethodA holistic-content and structural narrative analysis were used to explore the exercise experiences of three SWE over the course of one year. A creative non-fictional technique was used to present first person narratives, therefore providing the SWE's voice for the reader.ResultsNarratives of ‘vicious cycle’ and ‘roller coaster’ presented complex and multi-thematic storied forms, with time and the hidden nature of epilepsy having a strong impact on narrative formation. Vicious cycle presented the cycle of desiring to exercise, but prevented from exercising because of uncontrolled seizures. This resulted in frustration and feelings of a lack of control, which subsequently increased the desire to exercise and created a cycle with no clear end. Roller coaster presented the constant psychosocial and physical undulations that epilepsy can create for a SWE over time.ConclusionThese narratives reveal that exercising with epilepsy has a constant and on-going positive and negative impact on the life of SWE. However, these narratives also show that it may be through the process of acceptance of their body's limitations that a healthier mental and physical state may result for the SWE.     

Exploring the experience of adhering to a prescribed pre-surgical exercise program for patients with advanced rectal cancer: A phenomenological study

ObjectivesThe aim of this study was to explore the lived experience of patients with advanced rectal cancer as they attempted to adhere to a prescribed, hospital-based pre-surgical exercise program.Design/MethodsTen patients took part in three semi-structured in-depth interviews prior to (week 0), midway (week 3), and at completion (week 6) of the exercise program. Data were analysed using a phenomenological approach.ResultsMain themes that were deemed important for remaining enrolled in the program included: (1) building camaraderie and peer support, (2) experiencing a sense of structure and control, and (3) feeling safe and encouraged. Patients also reported engaging in further exercise outside the program and feeling motivated to continue exercising in the future.ConclusionsThis study shows the potential to integrate exercise prior to surgery as it was viewed as acceptable and feasible by patients with advanced rectal cancer. Moreover, it provides much needed information into the possible mechanisms that underpin patient's continued participation in exercise programs during treatment for advanced rectal cancer. Prescribed, hospital-based program should be implemented to promote opportunities for exercise and provide on-going supportive care options for patients awaiting surgery.