School of Public Health
Permanent URI for this communityhttp://hdl.handle.net/1903/1633
The collections in this community comprise faculty research works, as well as graduate theses and dissertations.
Note: Prior to July 1, 2007, the School of Public Health was named the College of Health & Human Performance.
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Item Strategies to increase happiness and wellbeing among public health students, faculty and staff(2022-07-01) Carter-Pokras, Olivia; Tchangalova, Nedelina; Puett, RobinBACKGROUND: Public health schools equip students with skills to promote and protect health, however, little is known about what is provided to support physical, mental and social wellbeing in academic public health. AIMS: To identify programs, interventions, strategies, and tools in medical and academic settings that could be applicable to supporting mental health and wellbeing of public health professionals, students, staff and faculty. METHOD: In November 2019 (updated in January 2022), 13 databases were searched: PubMed, 10 EBSCO databases(e.g., Academic Search Ultimate, APA PsycINFO, CINAHL Plus, Education Source, ERIC, Health Source: Nursing/Academic Edition, MEDLINE, SocINDEX), ProQuest Dissertations & Theses Global, and Web of Science. Inclusion criteria were randomized controlled trials, group interventions to support mental health curriculum, online tools, strategies, techniques, and programs of mindfulness, anxiety, depression, stress/distress, or burnout. Studies were limited to English and from 1998 to January 3, 2022. Websites for U.S. Schools of Public Health were searched. RESULTS: Out of 19,527 articles, 6,752 duplicates were removed. Following abstract and title screening, full-text articles will be screened for eligibility. The main themes from included studies will be shared. Preliminary findings show examples of activities to support well-being of public health professional students, staff, and faculty (e.g., providing free access to meditation apps, funding a dedicated wellness coordinator within the School). CONCLUSIONS: The literature on strategies to increase happiness and wellbeing among public health students, faculty, and staff is scarce and efforts to support physical mental, and social wellbeing for this community should be evaluated, and findings shared.Item Psychosocial protective interventions for African American/Black female breast cancer survivors: A systematic integrative review.(2021-04-12) Gordon, Talya; Lee, Lena J.; Tchangalova, Nedelina; Brooks, Alyssa T.BACKGROUND: Despite the higher incidence rate of breast cancer among African American women compared to their White counterparts, this populations’ five-year survival rate has increased in recent years. The growing number of African American breast cancer survivors highlights the need for culturally appropriate psychosocial interventions to improve survivors’ quality of life and psychological wellbeing. OBJECTIVE: This systematic integrative review provides an overview of the current research-based psychosocial interventions for African American breast cancer survivors supplemented by an overview of the qualitative studies focusing on psychosocial wellbeing. METHODS: Utilizing the evidence-based PEO framework, a search of five databases was conducted for English-language articles published between 2013–2020: Pubmed, Academic Search Ultimate, CINAHL, PsycINFO, and Web of Science. Studies were excluded if there was a lack of primary data collection or if the population in the study was not identified as African American female breast cancer survivors. The seven interventions and twenty-one qualitative studies included in the final analysis underwent data extraction, critical appraisal using SRQR and STROBE checklists, and thematic analysis. RESULTS: Twenty-eight studies were identified in the search, including seven interventions and twenty-one qualitative studies. Analysis of the interventions revealed the importance of alleviating structural barriers and including peer support for African American breast cancer survivors. Analysis of the qualitative studies revealed five main themes: 1) spirituality and religion as a protective factor, 2) social support as a protective factor, 3) cultural perceptions of breast cancer, 4) negative impacts of treatment, and 5) healthcare system experience. CONCLUSUION: While study designs differed in the interventions, this review showed the critical need for culturally competent psychoeducational interventions for African American breast cancer survivors to improve this population’s psychological wellbeing. The qualitative research highlighted the importance of spirituality and social support as protective factors for African American breast cancer survivors’ psychological wellbeing. Further research using rigorous methodologies and transparent reporting practices is needed to further evaluate how to most effectively alleviate structural barriers that African American breast cancer survivors face.Item Psychosocial protective interventions for African American female breast cancer survivors: A systematic integrative review(Annals of Behavioral Medicine, vol. 55 (Suppl.1), pp. S384-384, 2021) Gordon, Talya; Brooks, Alyssa T.; Lee, Lena J.; Tchangalova, NedelinaBACKGROUND: Despite the higher incidence rate of breast cancer among African American women compared to their White counterparts, this populations’ five-year survival rate has increased in recent years. The growing number of African American breast cancer survivors highlights the need for culturally appropriate psychosocial interventions to improve survivors’ quality of life and psychological wellbeing. OBJECTIVE: This systematic integrative review provides an overview of the current research-based psychosocial interventions for African American breast cancer survivors supplemented by an overview of the qualitative studies focusing on psychosocial wellbeing. METHODS: Utilizing the evidence-based PEO framework, a search of five databases was conducted for English-language articles published between 2013–2020: Pubmed, Academic Search Ultimate, CINAHL, PsycINFO, and Web of Science. Studies were excluded if there was a lack of primary data collection or if the population in the study was not identified as African American female breast cancer survivors. The seven interventions and twenty-one qualitative studies included in the final analysis underwent data extraction, critical appraisal using SRQR and STROBE checklists, and thematic analysis. RESULTS: Twenty-eight studies were identified in the search, including seven interventions and twenty-one qualitative studies. Analysis of the interventions revealed the importance of alleviating structural barriers and including peer support for African American breast cancer survivors. Analysis of the qualitative studies revealed five main themes: 1) spirituality and religion as a protective factor, 2) social support as a protective factor, 3) cultural perceptions of breast cancer, 4) negative impacts of treatment, and 5) healthcare system experience. CONCLUSION: While study designs differed in the interventions, this review showed the critical need for culturally competent psychoeducational interventions for African American breast cancer survivors to improve this population’s psychological wellbeing. The qualitative research highlighted the importance of spirituality and social support as protective factors for African American breast cancer survivors’ psychological wellbeing. Further research using rigorous methodologies and transparent reporting practices is needed to further evaluate how to most effectively alleviate structural barriers that African American breast cancer survivors face.Item Psychosocial protective interventions associated with a better quality of life and psychological wellbeing for African American/Black female breast cancer survivors: An integrative review(Supportive Care in Cancer, 2021-08-21) Gordon, Talya; Lee, Lena J.; Tchangalova, Nedelina; Brooks, Alyssa T.PURPOSE This integrative review provides an overview of current psychosocial interventions and qualitative studies exploring African American Breast Cancer Survivors (AABCS)’ psychosocial wellbeing. METHODS We conducted a search of five databases: PubMed, Academic Search Ultimate, CINAHL, PsycINFO, and Web of Science. Peer-reviewed articles written in English and published from 2011 to May 26, 2021 were included. We critically appraised intervention studies and qualitative studies using established frameworks. RESULTS Of the 633 unique studies identified, seven interventions and twenty-one qualitative studies were included. Analysis of the interventions revealed the importance of alleviating structural barriers and facilitating peer support for AABCS. Analysis of the qualitative studies revealed seven themes: (1) spirituality/religion, (2) social support, (3) cultural perceptions of BC, (4) lack of representation, (5) negative impacts of treatment, (6) healthcare system experience, and (7) barriers to psychosocial care. CONCLUSIONS This review highlights the dearth of psychosocial interventions created specifically for AABCS. The qualitative literature in this review elucidates the unique psychosocial challenges that AABCS experience, providing rich data to inform the creation of future culturally competent interventions in this population. IMPLICATIONS FOR CANCER SURVIVORS This review found spirituality and social support to be protective factors for AABCS’ psychosocial wellbeing. Further research using rigorous methodologies is needed to further evaluate how to most effectively alleviate structural barriers that AABCS face in obtaining long-term support.