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Access to health care for undocumented migrant children and pregnant women: the paradox between values and attitudes of health care professionals.

https://arctichealth.org/en/permalink/ahliterature126329
Source
Matern Child Health J. 2013 Feb;17(2):292-8
Publication Type
Article
Date
Feb-2013
Author
Mónica Ruiz-Casares
Cécile Rousseau
Audrey Laurin-Lamothe
Joanna Anneke Rummens
Phyllis Zelkowitz
François Crépeau
Nicolas Steinmetz
Author Affiliation
Department of Psychiatry, McGill University, Montreal, Canada. monica.ruizcasares@mcgill.ca
Source
Matern Child Health J. 2013 Feb;17(2):292-8
Date
Feb-2013
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Attitude of Health Personnel
Canada
Child
Female
Health Care Surveys
Health Policy
Health Services - utilization
Health Services Accessibility - statistics & numerical data
Healthcare Disparities
Human Rights
Humans
Middle Aged
Pregnancy
Pregnant Women
Questionnaires
Socioeconomic Factors
Transients and Migrants - statistics & numerical data
Young Adult
Abstract
Access to health care for undocumented migrant children and pregnant women confronts human rights and professional values with political and institutional regulations that limit services. In order to understand how health care professionals deal with these diverging mandates, we assessed their attitudes toward providing care to this population. Clinicians, administrators, and support staff (n = 1,048) in hospitals and primary care centers of a large multiethnic city responded to an online survey about attitudes toward access to health care services. Analysis examined the role of personal and institutional correlates of these attitudes. Foreign-born respondents and those in primary care centers were more likely to assess the present access to care as a serious problem, and to endorse broad or full access to services, primarily based on human rights reasons. Clinicians were more likely than support staff to endorse full or broad access to health care services. Respondents who approved of restricted or no access also endorsed health as a basic human right (61.1%) and child development as a priority (68.6%). A wide gap separates attitudes toward entitlement to health care and the endorsement of principles stemming from human rights and the best interest of the child. Case-based discussions with professionals facing value dilemmas and training on children's rights are needed to promote equitable practices and advocacy against regulations limiting services.
PubMed ID
22399247 View in PubMed
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Assessing the feasibility and acceptability of an intervention to reduce anxiety and enhance sensitivity among mothers of very low birth-weight infants.

https://arctichealth.org/en/permalink/ahliterature154928
Source
Adv Neonatal Care. 2008 Oct;8(5):276-84
Publication Type
Article
Date
Oct-2008
Author
Nancy Feeley
Phyllis Zelkowitz
Lyne Charbonneau
Carole Cormier
Annie Lacroix
Chantal Ste Marie
Apostolos Papageorgiou
Author Affiliation
Sir Mortimer B. Davis Jewish General Hospital, Montreal, Quebec, Canada. nancy.feeley@mcgill.ca
Source
Adv Neonatal Care. 2008 Oct;8(5):276-84
Date
Oct-2008
Language
English
Publication Type
Article
Keywords
Adult
Anxiety - prevention & control
Cognitive Therapy
Feasibility Studies
Female
Humans
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal
Intervention Studies
Maternal Behavior
Mother-Child Relations
Mothers - psychology
Pilot Projects
Quebec
Questionnaires
Stress, Psychological - prevention & control
Abstract
A pilot study was conducted to assess the feasibility and acceptability of an intervention program for mothers of very low birth-weight infants in the neonatal intensive care unit (NICU).
Thirty-three mothers of infants born weighing less than 1500 g.
A single-group, pretest-posttest design was used.
Preintervention mothers completed self-report questionnaires and their interaction with their infant was observed. Mothers then received the intervention program. Mothers were assessed twice postintervention, first when the infant was 1/2 months old and again at 6 months. At the postintervention assessments, mothers completed the same questionnaires and interaction was observed.
Mothers completed the State-Trait Anxiety Inventory, the revised Parental Stress Scale: Neonatal Intensive Care Unit, the NICU Parental Beliefs Scale, and the Perinatal PTSD Questionnaire. Interactions between mothers and infants were rated by trained research staff using the Index of Parental Behaviour in the NICU. Postintervention mothers also responded to a questionnaire that assessed their perceptions of the intervention program.
It was feasible to enroll mothers because 62% of eligible mothers agreed to participate. However, 39% of mothers who enrolled withdrew. Most of the mothers who withdrew did so before even beginning the intervention, and many of these women were mothers of multiples. It was also feasible to provide the intervention because more than 80% of mothers who began the intervention received all 6 teaching sessions. Mothers found both the content and the format of the program to be acceptable. There were nonetheless several challenges in conducting an intervention study with mothers early in the NICU hospitalization.
The results of this pilot study are encouraging. It was found to be both feasible and acceptable to provide the intervention program to mothers during the NICU hospitalization. The effectiveness of this program needs to be assessed in a randomized controlled trial.
PubMed ID
18827517 View in PubMed
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Factors associated with depression in pregnant immigrant women.

https://arctichealth.org/en/permalink/ahliterature176188
Source
Transcult Psychiatry. 2004 Dec;41(4):445-64
Publication Type
Article
Date
Dec-2004
Author
Phyllis Zelkowitz
Joy Schinazi
Lilly Katofsky
Jean François Saucier
Marta Valenzuela
Ruta Westreich
Joelle Dayan
Author Affiliation
Department of Psychiatry, McGill University, Canada. phyllis.zelkowitz@mcgill.ca
Source
Transcult Psychiatry. 2004 Dec;41(4):445-64
Date
Dec-2004
Language
English
Publication Type
Article
Keywords
Adult
Canada
Depressive Disorder - ethnology - psychology
Emigration and Immigration
Female
Humans
Marriage
Pregnancy
Pregnancy Complications - ethnology - psychology
Risk factors
Social Support
Stress, Psychological
Abstract
This study examined psychosocial risk factors for depressive symptomatology in a community sample of pregnant immigrant women in Montreal, Canada. One hundred and nineteen participants were recruited through hospitals and responded to questionnaires assessing depression, somatic symptoms, functional status, social support, stressful life events and marital adjustment. Forty-two percent of participants scored above the cut-off for depression. Depressive symptoms were associated with poorer functional status and more somatic symptoms. Depressed women reported a lack of social support, more stressful life events and poorer marital adjustment. Transitions associated with migration may place pregnant immigrant women at high risk for depression.
PubMed ID
15709645 View in PubMed
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Infant, mother, and contextual predictors of mother-very low birth weight infant interaction at 9 months of age.

https://arctichealth.org/en/permalink/ahliterature176112
Source
J Dev Behav Pediatr. 2005 Feb;26(1):24-33
Publication Type
Article
Date
Feb-2005
Author
Nancy Feeley
Laurie Gottlieb
Phyllis Zelkowitz
Author Affiliation
Centre for Nursing Research, S.M.B.D. Jewish General Hospital, 3755 Côte St. Catherine Road, Montreal, Quebec, Canada H3T 1E2. nancy.feeley@mcgill.ca
Source
J Dev Behav Pediatr. 2005 Feb;26(1):24-33
Date
Feb-2005
Language
English
Publication Type
Article
Keywords
Adult
Analysis of Variance
Anxiety - psychology
Canada
Case-Control Studies
Education
Female
Humans
Infant
Infant, Newborn
Infant, Newborn, Diseases - psychology
Infant, Very Low Birth Weight
Male
Middle Aged
Mother-Child Relations
Mothers - psychology
Prospective Studies
Regression Analysis
Social Support
Abstract
This prospective study examined how characteristics of infants (i.e., birth weight and perinatal illness severity), mothers (i.e., anxiety and level of education), and the social context (i.e., maternal received and perceived helpfulness of support) related to mother-very low birth weight (VLBW) infant interaction in 72 dyads. Infant, mother, and contextual factors were assessed at 3 and 9 months of age, and mothers and infants were observed in teaching interactions at 9 months. Dyads whose interaction was more sensitive and responsive included mothers who were better educated and less anxious at 3 months and reported higher perceived support at 3 months. The findings highlight the importance of maternal education and well-being in the parenting of VLBW infants.
PubMed ID
15718880 View in PubMed
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Mothers and fathers of very low-birthweight infants: similarities and differences in the first year after birth.

https://arctichealth.org/en/permalink/ahliterature160524
Source
J Obstet Gynecol Neonatal Nurs. 2007 Nov-Dec;36(6):558-67
Publication Type
Article
Author
Nancy Feeley
Laurie Gottlieb
Phyllis Zelkowitz
Author Affiliation
Department of Nursing, Centre for Nursing Research, Montreal, Quebec, Canada. nancy.feeley@mcgill.ca
Source
J Obstet Gynecol Neonatal Nurs. 2007 Nov-Dec;36(6):558-67
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adult
Age Factors
Anxiety - diagnosis - etiology - psychology
Attitude to Health
Canada
Fathers - education - psychology
Female
Health Knowledge, Attitudes, Practice
Humans
Infant
Infant, Newborn
Infant, Very Low Birth Weight - psychology
Longitudinal Studies
Male
Maternal Behavior
Middle Aged
Mothers - education - psychology
Nursing Methodology Research
Parent-Child Relations
Parenting - psychology
Paternal Behavior
Qualitative Research
Questionnaires
Self Efficacy
Social Support
Abstract
To compare the psychosocial adjustment and the quality of interaction with their infant of mothers and fathers of very low-birthweight infants at two time points in the first year of the infant's life.
Quantitative, longitudinal design.
Neonatal Intensive Care Unit of two Canadian urban hospitals.
Sixty-one couples who had an infant born weighing less than 1,500 g.
State-Trait Anxiety Inventory, Parenting Sense of Competence questionnaire, and the Support in Parenting Questionnaire were completed at 3 and 9 months of age. Parent-infant interaction was observed at 9 months and scored with the Nursing Child Assessment Teaching Scale.
Fathers' reported parenting self-efficacy was significantly lower than mothers' at both 3 and 9 months of age. Fathers reported more received support than mothers, and the amount of support that both mothers and fathers reported increased significantly from the 3-month to the 9-month assessment. Mothers and fathers reported similar levels of anxiety and perceived helpfulness of the support they received and were equally sensitive and responsive in interactions with their infants at 9 months of age.
Similarities and differences between mothers and fathers were observed. It is important for nurses to assess mothers and fathers, how any differences are perceived by the couple, and how any differences might be affecting them during the neonatal intensive care unit hospitalization and in early months after discharge.
PubMed ID
17973699 View in PubMed
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Obstetric and neonatology nurses' attitudes, beliefs, and practices related to the management of symptoms of maternal depression.

https://arctichealth.org/en/permalink/ahliterature129716
Source
Issues Ment Health Nurs. 2011;32(12):735-44
Publication Type
Article
Date
2011
Author
Marianne Sofronas
Nancy Feeley
Phyllis Zelkowitz
Melanie Sabbagh
Author Affiliation
Montreal Neurological Hospital, Montreal, Quebec, Canada.
Source
Issues Ment Health Nurs. 2011;32(12):735-44
Date
2011
Language
English
Publication Type
Article
Keywords
Birthing centers
Canada
Cross-Sectional Studies
Depression, Postpartum - nursing - prevention & control
Depressive Disorder - nursing - prevention & control
Female
Health Care Surveys
Health Knowledge, Attitudes, Practice
Humans
Infant, Newborn
Intensive Care Units, Neonatal
Neonatal Nursing
Nursing Assessment
Obstetric Nursing
Pregnancy
Pregnancy Complications - nursing - prevention & control - psychology
Abstract
Although maternal depression is a common emotional disorder, assessment and intervention rates are low. Using a cross-sectional survey design, we examined attitudes, beliefs, and practices of obstetrical and neonatology nurses toward the management of symptoms of maternal depression (SMD). Nurses believed they were responsible to assess for SMD and intervene with women showing SMD. However, only 50% assessed for SMD at least once monthly. Identified barriers to care were: lack of time, training, language, and patient and family beliefs. NICU nurses reported lower confidence, knowledge, and skills, than other nurses who participated in this study. This study shows there is a need to enhance nurses? confidence in assessing and intervening with SMD, and to clarify the referral process.
PubMed ID
22077746 View in PubMed
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The Reading the Mind in the Eyes test: validation of a French version and exploration of cultural variations in a multi-ethnic city.

https://arctichealth.org/en/permalink/ahliterature108100
Source
Cogn Neuropsychiatry. 2014;19(3):189-204
Publication Type
Article
Date
2014
Author
Marie Prevost
Marie-Eve Carrier
Gabrielle Chowne
Phyllis Zelkowitz
Lawrence Joseph
Ian Gold
Author Affiliation
a Leacock Building, Room 908, Departments of Philosophy and Psychiatry , 855 Sherbrooke West, McGill University , Montreal , Quebec H3A 2T7 , Canada.
Source
Cogn Neuropsychiatry. 2014;19(3):189-204
Date
2014
Language
English
Publication Type
Article
Keywords
Adult
Cross-Cultural Comparison
Culture
Emigrants and Immigrants - psychology
Empathy
Ethnic Groups - psychology
Female
Humans
Language
Male
Ontario
Psychometrics - standards
Reproducibility of Results
Theory of Mind
Vocabulary
Abstract
The first aim of our study was to validate the French version of the Reading the Mind in the Eyes test, a theory of mind test. The second aim was to test whether cultural differences modulate performance on this test.
A total of 109 participants completed the original English version and 97 participants completed the French version. Another group of 30 participants completed the French version twice, one week apart.
We report a similar overall distribution of scores in both versions and no differences in the mean scores between them. However, 2 items in the French version did not collect a majority of responses, which differed from the results of the English version. Test-retest showed good stability of the French version. As expected, participants who do not speak French or English at home, and those born in Asia, performed worse than North American participants, and those who speak English or French at home.
We report a French version with acceptable validity and good stability. The cultural differences observed support the idea that Asian culture does not use theory of mind to explain people's behaviours as much as North American people do.
PubMed ID
23937473 View in PubMed
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Work instability and financial loss in early inflammatory arthritis.

https://arctichealth.org/en/permalink/ahliterature117912
Source
Int J Rheum Dis. 2012 Dec;15(6):546-53
Publication Type
Article
Date
Dec-2012
Author
Karl J Looper
Sally S Mustafa
Phyllis Zelkowitz
Margaret Purden
Murray Baron
Author Affiliation
Psychiatry, McGill University, Montreal, Quebec, Canada. karl.looper@mcgill.ca
Source
Int J Rheum Dis. 2012 Dec;15(6):546-53
Date
Dec-2012
Language
English
Publication Type
Article
Keywords
Absenteeism
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Arthritis - diagnosis - economics - physiopathology
Cost of Illness
Disability Evaluation
Female
Humans
Income
Linear Models
Male
Middle Aged
Multivariate Analysis
Pain Measurement
Quebec
Questionnaires
Registries
Risk factors
Severity of Illness Index
Sick Leave - economics
Time Factors
Young Adult
Abstract
Inflammatory arthritis is associated with a high degree of work instability and financial burden. In this study, we examine the extent of work instability and financial loss as well as their association with disease characteristics during the first 18 months of inflammatory arthritis.
One hundred and four patients in the early phase (more than 6 weeks,
PubMed ID
23253238 View in PubMed
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8 records – page 1 of 1.