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This book is divided into two main sections, and covers a broad
range of issues important for health practitioners to be aware of
when caring for people with co-morbid diabetes and depression.
Section One of the book contains the overall ideas and the more
recent developments in measuring psychological morbidity in people
with diabetes. When attempting to identify people with depression
or other psychological problems, it is important for practitioners
to recognize the limitations of screening as well as its utility.
Issues such as the basic principles regarding when and when not to
screen, the cultural applicability of tools, different
questionnaire formats and key concepts such as sensitivity and
specificity of tools, and their positive and negative predictive
value, will be considered. In particular there has been increased
interest in the concept of diabetes-related distress and several
tools have been developed to measure this. There are broad-based
measures of distress such as the Problem Areas in Diabetes (PAID)
scale, the Diabetes Adjustment Scale (DAS), The Diabetes Health
Profile, The Fear of Hypoglycemia Scale, etc. There are also a
range of generic quality of life tools which have been used
effectively in people with diabetes; for example the Medical
Outcomes Survey Short-Forms (SF36, SF12), the World Health
Organisation Well-being questionnaire (WHO-5) and the EQ5-D. These
tools are important because they measure aspects of psychological
well-being that are specifically associated with the experience of
having a long-term conditions and so have important implications
for both self-care and health care practice. The potential overlap
of symptoms of depression and symptoms of diabetes-related distress
are considered in this section and the implications for practice
discussed. Section Two covers the most commonly used tools that
have been used to screen for depression. For each tool considered
some information which is easily referred to by the readeris set
out in a table which includes details of the authors, time of first
use, country where it was first developed, some examples of the
questions used, the languages it is available in, data on
sensitivity/specificity. Each instrument will then be discussed in
terms of its use in research as well as practice, and its
applicability in different patient groups, different cultural
settings and so on. Guidance on the practical use of each tool is
included, and the most popular depression screening tools are
focussed on.
Psychology and Diabetes Care: A Practical Guide is a concise
handbook for the practicing diabetes clinician who is interested in
gaining a better understanding of his patients, and in learning
simple skills and tips to manage patients more effectively. It
identifies and explores key psychological interventions in diabetes
care in order to help healthcare professionals support their
patients effectively. Edited by an expert on the psychology of
diabetes, and with contributions from a group of specialists in
diabetes psychology, this book contains a myriad of insights into
how to understand and treat the type 1 or type 2 diabetes patient.
Some people have always had to find ways of living with long term
conditions such as diabetes or coeliac disease, but as people live
longer, increasing numbers of us now experience long-term poor
health. While some conditions that previously limited the length of
life are manageable a growing number of people live with long-term
conditions. Against this backdrop, Long Term Conditions explores
the complex issues surrounding the experience of long-term illness
and the enormous pressure this puts on individuals, their families
and carers and on health and social care services. The perspectives
of each of these groups are voiced within this book, with chapters
written by people who use health and social care services, carers,
policy-makers and practitioners. Using a variety of research
methods to get to the heart of the matter, the book probes
assumptions about the experience of long-term poor health and what
constitutes good care. Its aim is to challenge readers to think
critically about existing policy and provision and to inspire
change based on sound evidence and a drive towards greater
multi-professional working. Long Term Conditions provides
academics, practitioners and students with a thorough grounding in
the complex issues surrounding the experience and management of
long-term illness. It is an ideal text for courses on policy,
management and practice in health and social care.
Policy and Practice in Promoting Public Health offers an up-to-date
analysis of the key policy and practice issues involved in
promoting public health - from local and community levels, to
international settings. The book equips readers with a sound
understanding of the policy process, and has a critical edge that
encourages readers to reflect on how those involved in
multidisciplinary public health can use and influence policy in
order to inform practice. Key issues discussed in the book include:
" the impact of globalization on health " developments of public
health since New Labour, and the political tensions arising from
the modernization of the NHS " changes in theoretical, conceptual
and ideological perspectives on multidisciplinary public health,
and the shift towards reducing health inequalities " the role of
health workers, local authority workers, the voluntary sector,
individuals, and families in public health practice " participatory
and community approaches to promoting public health " the ethical
dilemmas associated with working at community and local levels.
Each section of the book concludes with a case study, which pulls
together the key themes and issues raised in earlier chapters, and
links theoretical, policy and practical perspectives. Policy and
Practice in Promoting Public Health will be a core resource for
those studying public health and health promotion across a wide
range of health and social care disciplines and for professionals
and training organisations involved in promoting public health.
What, exactly, is promoting public health activity? How should we
promote public health? Whose values are most important? Which
theories can help inform health promoting practice? Theory and
Research in Promoting Public Health is an important text that
addresses these questions, exploring the key concepts, debates and
issues involved in multi-disciplinary public health. The book
considers the complex and diverse nature of public health and helps
readers critically appraise the theories, research and policies
that inform multidisciplinary public health practice. This timely
and comprehensive book: " considers the wide range of settings,
people and methods that are involved in public health activities "
introduces key theoretical perspectives " shows how research and
knowledge directly inform public health interventions " provides an
analysis of how research can be used in the planning and evaluation
of public health initiatives. " encourages critical awareness and
reflection. Theory and Research in Promoting Public Health will be
a core text for those studying public health and health promotion
across a wide range of health and social care disciplines. It will
also be an invaluable resource for professionals and training
organisations involved in promoting public health.
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