Andrea Stidham

Depressive symptoms negatively impact the lives of HIV-infected individuals and are correlated with faster progression to AIDS. Our embedded mixed methods study examined and described the effects of telephone support on depressive symptoms in a sample of HIV-infected pregnant Thai women. HIV-infected pregnant Thai women (n = 40) were randomly assigned to either the control or the intervention group. A registered nurse provided telephone support to the intervention group. Depressive symptoms were measured at three points in both groups. In-depth interviews were conducted at Time 2 and Time 3. Results show that depressive symptoms in the intervention group decreased over time. Qualitative results describe how telephone support can work, but also reveal that telephone support did not work for everyone. We recommend that a larger mixed methods study be conducted to examine the effects of telephone support on depressive symptoms among HIV-infected women, including the costs and benefits of such support.

This convergent mixed methods examined: 1) predictors of IPV; 2) the association between IPV and health outcomes; 3) emotional support as a mediator between IPV and health outcomes; and 4) IPV experiences in the Thai context. Structured questionnaires and open-ended questions were used to collect data in 2010 among female patients at a hospital in Thailand. Quantitative data were analyzed using structural equation modeling with AMOS version 21.0. Qualitative data were analyzed by conventional qualitative data analysis. Results showed that predictors of IPV included family income, spousal drug use, spousal alcohol use, and spousal gambling behavior. IPV was associated with depression, physical symptoms, and the quality of life. Emotional support weakly mediated between IPV and health outcomes. Qualitative results captured antecedents of IPV, reasons for disclosure or nondisclosure of IPV, how emotional support mediated between IPV and health outcomes, recommendations for support need...

This convergent mixed methods examined: 1) predictors of IPV; 2) the association between IPV and health outcomes; 3) emotional support as a mediator between IPV and health outcomes; and 4) IPV experiences in the Thai context. Structured questionnaires and open-ended questions were used to collect data in 2010 among female patients at a hospital in Thailand. Quantitative data were analyzed using structural equation modeling with AMOS version 21.0. Qualitative data were analyzed by conventional qualitative data analysis. Results showed that predictors of IPV included family income, spousal drug use, spousal alcohol use, and spousal gambling behavior. IPV was associated with depression, physical symptoms, and the quality of life. Emotional support weakly mediated between IPV and health outcomes. Qualitative results captured antecedents of IPV, reasons for disclosure or nondisclosure of IPV, how emotional support mediated between IPV and health outcomes, recommendations for support need...

Disaster preparedness is more complex for persons with chronic illness, who may require specific planning to address unique needs. Research suggests that advance preparation and evacuation during a disaster leads to better health outcomes. Individuals access, and rely on, health information via online sources. The purpose of this descriptive qualitative study was to examine information that persons who may have special needs receive from an Internet based free sharing source, YouTube, related to disaster evacuation procedures. A content analysis of 51 clips using the Health Literacy Skills Framework revealed themes related to quality and region. Findings suggested concerns such as errors, minimal information about management of conditions during evacuation, and lack of diversity.

Stress is an inevitable part of life and is especially pervasive in the lives of nursing students. Identifying the predictors of stress as well as coping strategies used can allow for the implementation of appropriate coping interventions to assist in the management of stress in nursing students. Mixed methods research that has been undertaken to gain an understanding about student stress, especially juxtaposing generic versus accelerated nursing students could not be identified. (1) Identify predictors of stress between accelerated and generic Baccalaureate Nursing (BSN) students; and (2) Describe stressors and coping strategies used by accelerated students in comparison with generic students. Embedded mixed methods study. Accelerated and generic BSN third- and fourth-year nursing students at two Midwestern universities. 210 participants: accelerated (n=75) and generic (n=135). A questionnaire packet, including demographics, history of depression, the Perceived Stress Questionnaire, Rosenberg Self-Esteem Scale, Multidimensional Scale of Perceived Social Support, and open-ended questions were administered to students at the end of a class. Simultaneous multiple regression was used to examine predictors of stress. Content analysis was used to analyze qualitative data. Predictors of stress for both the accelerated and generic groups included history of depression, year in the program, emotional support, and self-esteem. Fear of failure and clinical incompetence, problematic relationships, and time management issues were identified as major stressors. Coping strategies used by both groups included positive thinking and social support. Senior students with a history of depression, low self-esteem, and little social support were more likely to experience high levels of stress. This gives educators the potential to identify at risk students and establish stress reduction programs. Encouraging students to use individualized coping strategies will be beneficial.

Depressive symptoms negatively impact the lives of HIV-infected individuals and are correlated with faster progression to AIDS. Our embedded mixed methods study examined and described the effects of telephone support on depressive symptoms in a sample of HIV-infected pregnant Thai women. HIV-infected pregnant Thai women (n = 40) were randomly assigned to either the control or the intervention group. A registered nurse provided telephone support to the intervention group. Depressive symptoms were measured at three points in both groups. In-depth interviews were conducted at Time 2 and Time 3. Results show that depressive symptoms in the intervention group decreased over time. Qualitative results describe how telephone support can work, but also reveal that telephone support did not work for everyone. We recommend that a larger mixed methods study be conducted to examine the effects of telephone support on depressive symptoms among HIV-infected women, including the costs and benefits of such support.