Emerging Issues: : Room 4 / Salle 116

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Digital Storytelling Intervention for Cardiovascular Disease Behavioural Risk Factor Modification: A Narrative Public Patient Involvement Qualitative Study View Digital Media

Paper Presentation in a Themed Session
Adewale S. Akinosun  

Background: Cardiovascular disease (CVD) behavioural risk factors account for repeated surgical intervention sessions. The major problem identified is linked to post-surgery behaviour change challenges experienced by cardio-rehab referrals. Various studies have suggested cardio-rehab improvement and patient-focused strategies on a digital platform. However, fewer studies have applied a public patient involvement (PPI) approach in their behavioural risk factor modification intervention strategies, especially for CVD populations. Objectives: This study sought to 1.) identify major behavioural risk factor modification themes for people living with CVDs, 2.) suggest a user-made intervention model for CVD behavioural risk factor modification, and 3.) compare behaviour change elements in the suggested model with the Digital Narrative Transformative Framework (DNTF) using cardio-rehab patient and professional-derived evidence. Methods: The study used narrative PPI approach, DNTF change elements in case study design, focus group discussion for data collection, narrative analysis approach and Standard for Reporting Qualitative Research in analysis and reporting. Key findings: The study identified activities, belonging, challenges, transitioning, journey experience, starting off, connection approach (safeguarding), and information source as major themes in full alignment with the DNTF change elements except for personal data threat posed by the use of digital space. These present opportunities and threats to digitization within specific population demography. Conclusions: Digital health behaviour change interventions is more effective when accessed in clustered groups especially for people living in rural regions, and more efficient as focus shifts towards the use of intervention population as a feed source for stories and choice of digital space, and not contrariwise.

Rethinking the Process of Defusion from a Visual Perspective: Applications in Patients with Low Situational Self-esteem

Paper Presentation in a Themed Session
María Jesús Cano Martínez  

Acceptance and Commitment Therapy (ACT) has been developed among other therapies that aim to emphasize elements such as acceptance, mindfulness, cognitive deactivation, dialectics, values, spirituality, and relationships (Hayes, 2004). One of the tools proposed in this therapeutic process is cognitive defusion, which consists of weakening the control that thought exercises over our behaviour, with special emphasis on distinguishing thought from "reality" itself. By transferring the concept to a person, we could evaluate how the behaviours that this person elaborates with respect to a part of his/her life, a specific event or the perception of him/herself, will be denoted by beliefs, learning, ideas, and images. Based on this premise, the work carried out aims to assess the visual component associated with thoughts and how working from the images themselves can reinforce the work of cognitive defusion. This possibility of work is especially interesting in a highly visual society with a level of information that is, most of the time, excessive, to be managed consciously and in which there are more and more pathologies and disorders associated with self-concept and self-image. Thus, the work of acceptance from the questioning and design of non-normative images can be an effective tool in the management of low situational self-esteem (as a nursing diagnosis associated with various types of patients).

Religiosity as a Predictor of Wellbeing: New Evidence from an Extensive International Dataset View Digital Media

Paper Presentation in a Themed Session
Lluis Oviedo,  Berenika Seryczyńska  

The hypothetic influence that religion plays on personal and social wellbeing has been at the centre of several discussions, and the gathered evidence until now is still fragmentary and does not allow to settle this issue. Recent tendencies and changes in the religious panorama, especially in Europe, allows for a distinct approach to this question, after most Western societies have become more secular and religion is no longer compulsory or consuetudinary. A recently collected dataset for the project Religiosity and Wellbeing, comprising 10535 cases from 24 countries, offers the possibility to perform new tests which could assist in better discerning which are the current trends and to what extent religion could be related to personal satisfaction. The analysis clearly reveals a moderate correlation between both factors, which is confirmed by alternative tests practiced on this data. The obtained results add some nuances to the existing views and allow for deepening in the current research trying to better assess the role religion still plays in secularized societies regarding physical and psychological health.

Where to with Migrants? The Czechs between Brexit and EU: Theory and Praxis in Brexit Project of Non-profit Organization Romodrom

Paper Presentation in a Themed Session
Lydie Janeckova  

This research considers the issue of the exit of Great Britain from the European Union for the citizens of the Czech Republic. Here we get acquainted with the opportunities that these citizens have if they wish to stay in the UK. What problems do we encounter when proving residence and what are the restrictions for obtaining the status of a resident? We also focus on how the conditions are set for maintaining the status of a resident for the citizens of the Czech Republic. In the research, we also look at the issue of health insurance, which these citizens may encounter when visiting or returning to the Czech Republic. Detailed data documenting the number of Czech citizens staying in the UK was obtained from the Embassy of the Czech Republic in the UK and from the Czech Municipality in the UK. The paper is based on a qualitative method of individual interviews and analysis of texts of international legislative measures.

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