Adolescents and young adults on the acute medical unit: how might we do it better?

Albon, Lorraine; Vaughan, Louella

doi:10.7861/clinmedicine.14-6-618

Cited by 9 publications

(5 citation statements)

References 18 publications

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“…34 Sleep within a hospital environment is challenging for all patients, but AYAs may encounter additional difficulties with their sleep cycle not matching the traditional ward bedtime routine. Early wakening for observations, medicines and ward rounds can contribute to sleep deprivation.…”

Section: Sleep and Illnessmentioning

confidence: 99%

Sleep in adolescents and young adults

Bruce¹,

2017

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Sleep has an important role in maintaining health and wellbeing; this relationship is becoming increasingly recognised for adolescents and young adults. Many physicians will encounter young people who present with complaints or conditions that have some relation to poor sleep. This review article looks at why sleep matters within this population group, how it can impact on longer term health consequences and discusses some tools to help enable the clinician to evaluate and address sleep within clinical practice.

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Section: Sleep and Illnessmentioning

confidence: 99%

Sleep in adolescents and young adults

Bruce¹,

2017

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“…Adolescents present challenges in the delivery of primary care [ 46 ] and our PCPs identified obstacles that include biological, psychosocial, cultural, peer, and familial factors. These are consistent with the published literature [ 47 , 48 ], and help contextualize adolescents’ fear of stigmatization [ 49 ] and concerns about privacy [ 18 , 50 ] that reduce the likelihood of seeking care and adhering to recommendations [ 47 – 52 ].…”

Section: Discussionmentioning

confidence: 99%

Primary care physicians’ perceptions of artificial intelligence systems in the care of adolescents’ mental health

Ghadiri,

Yaffe,

Adams

et al. 2024

BMC Prim. Care

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Background Given that mental health problems in adolescence may have lifelong impacts, the role of primary care physicians (PCPs) in identifying and managing these issues is important. Artificial Intelligence (AI) may offer solutions to the current challenges involved in mental health care. We therefore explored PCPs’ challenges in addressing adolescents’ mental health, along with their attitudes towards using AI to assist them in their tasks. Methods We used purposeful sampling to recruit PCPs for a virtual Focus Group (FG). The virtual FG lasted 75 minutes and was moderated by two facilitators. A life transcription was produced by an online meeting software. Transcribed data was cleaned, followed by a priori and inductive coding and thematic analysis. Results We reached out to 35 potential participants via email. Seven agreed to participate, and ultimately four took part in the FG. PCPs perceived that AI systems have the potential to be cost-effective, credible, and useful in collecting large amounts of patients’ data, and relatively credible. They envisioned AI assisting with tasks such as diagnoses and establishing treatment plans. However, they feared that reliance on AI might result in a loss of clinical competency. PCPs wanted AI systems to be user-friendly, and they were willing to assist in achieving this goal if it was within their scope of practice and they were compensated for their contribution. They stressed a need for regulatory bodies to deal with medicolegal and ethical aspects of AI and clear guidelines to reduce or eliminate the potential of patient harm. Conclusion This study provides the groundwork for assessing PCPs’ perceptions of AI systems’ features and characteristics, potential applications, possible negative aspects, and requirements for using them. A future study of adolescents’ perspectives on integrating AI into mental healthcare might contribute a fuller understanding of the potential of AI for this population.

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“…(2002), younger people (aged 18–45 years) had significantly more unmet needs than older adults after stroke, including that of information provision. Issues for young adults and adolescents in medical care include dissatisfaction with low privacy levels, lack of communal spaces, poor technology access and differing sleep patterns (Albon and Vaughn 2014). Hospital staff need to be aware of the specific needs of younger people with stroke and consider how to accommodate them, for example, facilitate interaction among younger patients in the wider hospital where possible.…”

Section: Discussionmentioning

confidence: 99%

‘Emotion is of the essence. … Number one priority’: A nested qualitative study exploring psychosocial adjustment to stroke and aphasia

Moss

Northcott

Behn

et al. 2021

Intl J Lang & Comm Disor

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Background: Stroke and aphasia can have a profound impact on people's lives, and depression is a common, frequently persistent consequence. Social networks also suffer, with poor social support associated with worse recovery. It is essential to support psychosocial well-being post-stroke, and examine which factors facilitate successful adjustment to living with aphasia. Aims: In the context of a feasibility randomized controlled trial of peer-befriending (SUPERB), this qualitative study explores adjustment for people with aphasia in the post-acute phase of recovery, a phase often neglected in previous research. Methods & Procedures: Semi-structured interviews were conducted with 20 people with aphasia and 10 significant others, who were purposively sampled from the wider group of 56 people with aphasia and 48 significant others. Interviews took place in participants' homes; they were analysed using framework analysis.Outcomes & Results: Participants with aphasia were 10 women and 10 men; their median (interquartile range-IQR) age was 70 (57.5-77.0) years. Twelve participants had mild aphasia, eight moderate-severe aphasia. Significant others were six women and four men with a median (IQR) age of 70.5 (43-79) years. They identified a range of factors that influenced adjustment to aphasia post-stroke. Some were personal resources, including mood and emotions; identity/sense of self; attitude and outlook; faith and spirituality; and moving forward. Significant others also talked about the impact of becoming carers. Other factors were external sources of support, including familial and other relationships; doctors, nurses and hospital communication; life on the ward; therapies and therapists; psychological support, stroke groups; and community and socializing.Conclusions & Implications: To promote adjustment in the acute phase, hospital staff should prioritize the humanizing aspects of care provision. In the post-acute phase, clinicians play an integral role in supporting adjustment and can help by focusing on relationship-centred care, monitoring mental health, promoting quality improvement across the continuum of care and supporting advocacy.

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Adolescents and young adults on the acute medical unit: how might we do it better?

Cited by 9 publications

References 18 publications

Sleep in adolescents and young adults

Sleep in adolescents and young adults

Primary care physicians’ perceptions of artificial intelligence systems in the care of adolescents’ mental health

‘Emotion is of the essence. … Number one priority’: A nested qualitative study exploring psychosocial adjustment to stroke and aphasia

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