Browsing by Author "Oles, Sylwia K."

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    Critical Care Follow-up Clinics: A Scoping Review of Interventions and Outcomes
    (Wolters Kluwer, 2016-07) Lasiter, Sue; Oles, Sylwia K.; Mundell, James; London, Susan; Khan, Babar; School of Nursing
    OBJECTIVE: The purpose of this scoping review is to identify evidence describing benefits of interventions provided in intensive care unit (ICU) survivor follow-up clinics. BACKGROUND: Advances in ICU treatments have increased the number of survivors who require specialized care for ICU-related sequelae. Intensive care unit survivor follow-up clinics exist, yet little is known about the nature and impact of interventions provided in such clinics. A scoping review of publications about in-person post-ICU follow-up care was undertaken. METHOD: Ten databases were searched yielding 111 relevant unique publication titles and abstracts. Sample heterogeneity supported using a scoping review method. After excluding nonrelated publications, 33 reports were fully reviewed. Twenty international publications were included that described ICU follow-up clinic interventions and/or outcomes. RESULTS: Authors discussed very diverse interventions in 15 publications, and 9 reported some level of intervention effectiveness. Evidence was strongest that supported the use of prospective diaries as an intervention to prevent or improve psychological symptoms, whereas evidence to support implementation of other interventions was weak. CONCLUSIONS: Although ICU follow-up clinics exist, evidence for interventions and effectiveness of treatments in these clinics remains underexplored. IMPLICATIONS: Intensive care unit survivor follow-up clinics provide a venue for further interdisciplinary intervention research that could lead to better health outcomes for ICU survivors.
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    Perceptions of Treatment Plan Goals of People in Psychiatric Rehabilitation
    (Springer, 2015-06) McGuire, Alan B.; Oles, Sylwia K.; White, Dominique A.; Salyers, Michelle P.; Department of Psychology, IU School of Science
    Collaborative treatment planning is a process by which providers and consumers work together to set goals for treatment, choose between alternative services, and establish a plan. Research has not examined consumers’ views of their treatment plan goals. The present study examined ways in which consumers react to their treatment plan goals. Twenty-one interviews with Veterans engaged in psychiatric rehabilitation regarding goals listed in their treatment plan were analyzed using inductive content analysis. Reactions to treatment plan goals are reported. Analyses indicate people do not vary in a linear degree regarding agreement with treatment plan goals. Clinicians and researchers should examine the extent to which treatment plan goals are consistent with the consumer’s personal goals and self-concept.
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    The relationship between hope and patient activation in consumers with schizophrenia: Results from longitudinal analyses
    (Elsevier, 2015-08) Oles, Sylwia K.; Fukui, Sadaaki; Rand, Kevin L.; Salyers, Michelle P.; Department of Psychology, School of Science
    Hope (goal-directed thinking) and patient activation (knowledge and skills to manage one’s illness) are both important in managing chronic conditions like schizophrenia. The relationship between hope and patient activation has not been clearly defined. However, hope may be viewed as a foundational, motivating factor that can lead to greater involvement in care and feelings of efficacy. The purpose of the present study was to understand the prospective relationship between hope and patient activation in a sample of adults with schizophrenia (N=118). This study was a secondary data analysis from a study on Illness Management and Recovery (IMR) – a curriculum-based approach to schizophrenia self-management. Data were collected at baseline (prior to any intervention), and at 9 and 18-month follow-up. As predicted, hope and patient activation were significantly related with each other, showing large positive concurrent correlations. Demographics and background characteristics were not significantly related to patient activation or hope. Longitudinal analyses found no specific directional effect, yet suggested that hope and patient activation mutually influence each other over time. Our findings add flexibility in designing recovery-based interventions – fostering hope may not be a pre-requisite for activating consumers to be more involved in their own care.