Lynette Joubert - Academia.edu (original) (raw)
Papers by Lynette Joubert
Cognitive Research: Principles and Implications, Oct 1, 2022
The objective was to document the influence of face mask use by other people on communication exp... more The objective was to document the influence of face mask use by other people on communication experiences, participation in activities, and quality of life. Australian adults (n = 665) completed an online survey; 90.8% resided in a state with mandatory mask use outside the home and 44.1% self-reported hearing difficulties. Mask use was reported as negatively affecting communication quality in the community (90.2%) and workplace (91.8%), and with household members (59.1%), including an increased requirement for clarification and repetition, increased difficulty communicating, and decreased understanding. Masks influenced feelings when communicating in the community (74.1%) and workplace (76.7%), and with household members (43.6%), including increased fatigue and frustration, and decreased connection to others. Masks influenced the time spent communicating in the community (68.8%) and workplace (67.9%), and with household members (42.3%), including a decrease in the number of individuals communicated with, and the time spent communicating with each individual. Masks influenced participation in activities in the community (50.9%) and workplace (59.7%), and with household members (41.3%), including reduced participation in health-related activities, shopping, and socialising. Influences on quality of life included reduced physical and mental health, including increased loneliness. Female gender and greater self-reported hearing difficulties were significantly associated with increased influence of mask use. The wide-ranging influences of face mask use have implications for physical health and mental health, including social connectedness, and for employers and the economy. As an important measure for combatting disease spread, the negative impacts of mask use must be considered during policy formulation, and appropriate mitigating measures, such as educational campaigns, enacted.
Epidemiology and Psychiatric Sciences, Feb 5, 2016
Aims. Few studies have examined the experiences of carers of people with psychosis using a repres... more Aims. Few studies have examined the experiences of carers of people with psychosis using a representative sample. Aiming to obtain generalisable results concerning carers in the context of increased emphasis on involving carers in Australian mental health service delivery and policy frameworks, this study recruited carers within the second Australian national survey of psychotic disorders (Survey of High Impact Psychosis, SHIP). Given that most SHIP participants had long-term illness and extended relationships with carers, the health and wellbeing of carers as a group were expected to be relatively stable. However, since it is unknown whether carers' health and wellbeing would change, our main aim was to explore change and stability in carers' health and wellbeing and the relationship between any changes experienced by individual carers and corresponding SHIP participants' functioning over time. Methods. Ninety-eight caregivers of SHIP participants were recruited at baseline and completed validated instruments assessing their health and wellbeing. Seventy-eight carers were re-interviewed at 1-year follow-up. Clinical factors were extracted from the SHIP database. Wilcoxon matched-pairs signed-rank test and t-test were used to analyse changes in variables over time. Cross-lagged analyses were conducted to identify possible causative relationships in changes in SHIP participant and carer variables. Results. A substantial percentage of carers experienced social isolation (28.6%), psychological distress (37.7%) and poorer quality of life than population norms. There were no statistically significant changes between baseline and follow-up scores for almost all carers' health and wellbeing variables, other than a poorer perception of their quality of life in relation to their physical health after 1 year. Cross-lagged analyses suggested that poorer functioning of people with psychosis influenced carers' social isolation, grief and psychological distress. Conclusions. Findings show that carers' perception of their health and wellbeing did not improve within current mental health service delivery frameworks over time. Carer's persistently poor health and wellbeing suggests a pressing need to enhance services that improve carers' health and wellbeing especially their physical health and the functioning of people with psychosis whom they support.
The British Journal of Social Work
Social work practice in a global context requires an understanding of the cross-cultural nature o... more Social work practice in a global context requires an understanding of the cross-cultural nature of practice settings in local communities and globally. One step to developing this understanding of the internationalisation of social work education, including the student internship, is to incorporate supervision by local practitioners and educators. A qualitative interview study of fourteen social work students from Australia, New Zealand, Europe and the USA completing internships in the Southwest Indian state of Kerala revealed themes of increased practice knowledge, practice skills, understanding of cross-cultural values and ethics, critical reflection and research skills development as a result of reflexive supervision provided to them by practitioners in their internship agencies and faculty from their host and home institutions. This challenging of views within one’s own culture, promoted by supervision, leads to increased capacity to engage in critical anti-oppressive practice a...
Integrative Cancer Therapies, 2022
Purpose: Endometrial cancer is associated with the highest comorbid disease burden of any cancer.... more Purpose: Endometrial cancer is associated with the highest comorbid disease burden of any cancer. The aim of this trial was to assess the feasibility and safety of an allied health intervention during adjuvant treatment. Methods: A mixed-methods pilot randomized (2:1) controlled trial with concealed allocation and assessor-blinding. Eligibility criteria: adjuvant endometrial cancer treatment scheduled, disease stage I-IIIC1, ECOG 0-2 and able to perform unsupervised physical activity (PA). Participants received usual care and 8 sessions of weekly, individualized, lifestyle education (diet and PA) with behavior change and social support (intervention group), delivered predominantly by telehealth, or usual care alone. Feasibility outcomes: recruitment and consent rates, decline reasons, program acceptability, intervention adherence and retention. Results: 22/44 eligible patients (50%, 95%CI: 36%, 64%) were recruited over 10 months (14 intervention, 8 usual care). The recruitment rate ...
Shaping the Future: Promoting human rights and social perspectives in health and mental health, 2019
Australian Social Work, 2020
For hospitals and other health-care services, identifying older people experiencing abuse remains... more For hospitals and other health-care services, identifying older people experiencing abuse remains a challenge. Social workers at St Vincent's Hospital Melbourne (SVHM) used a clinical data mining approach to retrospectively audit electronic medical records containing 466 episodes of care over a five-year period where elder abuse was identified based on a system of alerts. The findings highlight key characteristics of the vulnerable older persons, the perpetrators, their social contexts, and interventions undertaken, clarifying a range of vulnerability and risk factors in the sample. Half were aged 80 years and over; two thirds lived with the person of concern; two thirds were from culturally and linguistically diverse backgrounds, and a third had cognitive impairment. A high proportion were assessed as being at moderate to high levels of risk, requiring urgent to prompt intervention. Audit findings strengthened knowledge and led to improvements in elder abuse responses by social workers, which included policy development, training, risk management and safety planning processes, resourcing, and research initiatives. This paper describes how social workers engaged in data collection and analysis to inform their practice within a health-care setting and contributed to service evaluation and improvements. IMPLICATIONS. This paper demonstrates how social workers can conceptualise and engage in research to better understand a social problem: in this case, it was responding to elder abuse, within a hospital setting.. This paper highlights how social workers can use evidence from practitioner-driven research to inform practice and improve service outcomes for those they work with.
Additional file 1. Behaviour and lifestyles questionnaire. Questionnaire used to collect data on ... more Additional file 1. Behaviour and lifestyles questionnaire. Questionnaire used to collect data on behaviour and lifestyle.
Social Science Computer Review, 2021
There is a growing body of literature exploring the general population’s use of social media for ... more There is a growing body of literature exploring the general population’s use of social media for assistance in dealing with stigmatized health issues. This study presents novel research examining the relationship between social media use and young adults. It utilizes a therapeutic affordance (TA) framework. Quantitative results from this study are complemented by qualitative data. The relationships between distinct social media and their TA (a–b) are presented to highlight their potential to impact positively on social and emotional well-being outcomes. Evidence includes broad support for “connection,” “narration,” and “collaboration” TAs in this context and the relationship between the use of distinct social media and perceived quality of life (QOL) outcomes (a–c). TA provides an appropriate and valuable theoretical framework which is useful for the development of an evidence-base from the analysis of young adult’s social media usage. An analysis of the association between social m...
The Routledge Handbook of Social Work Practice Research, 2020
Sometimes … I feel like supervision is the place where I can stop and breathe … and really take t... more Sometimes … I feel like supervision is the place where I can stop and breathe … and really take time out to reflect on the demanding nature and responsibility of this role.
Asia-pacific Journal of Clinical Oncology, 2012
The Routledge Handbook of Social Work Practice Research is the first international handbook to fo... more The Routledge Handbook of Social Work Practice Research is the first international handbook to focus on practice research for social work
BACKGROUND: The St. Vincent's Hospital Melbourne (SVHM) Vulnerable Older People Model of Care... more BACKGROUND: The St. Vincent's Hospital Melbourne (SVHM) Vulnerable Older People Model of Care (VOP MOC) is embedded in clinical practice to safeguard and improve the quality of care for vulnerable older people (VOP) where elder abuse (EA) is suspected or detected. There is limited knowledge about predictors of VOP who experience multiple notifications of EA over a prolonged period of time and the hospital system's response to these patients. AIMS: To understand the demographics, characteristics and risk factors of VOP at SVHM with multiple notifications of EA. To examine the SVHM VOP MOC response with patients who have multiple notifications of EA. METHODS: A retrospective audit of SVHM EA notifications and medical records was conducted for patients who had two or more notifications (n=39) between 2013 and 2017. Descriptive analysis (quantitative and qualitative) was conducted. RESULTS: The sample was predominantly 1) female; 2) living with the person of concern (POC), usual...
Proceedings of the Australasian Computer Science Week Multiconference, 2020
Intro: This paper describes the design of an online survey targeting young adults, 18 to 34years,... more Intro: This paper describes the design of an online survey targeting young adults, 18 to 34years, who use social media. Our intention in this survey was to seek the views of young adult social media users about the role that social media plays in their lives. To explore their motivations, and perspectives when engaging social media, and any interaction they perceive between social media use and social and emotional wellbeing. Methods: This was an exploratory and descriptive survey, examining the personal views and experiences of young adults who use social media. We discuss the social media recruitment strategy to support the promotion of the survey via social media platforms Facebook and Twitter. Results: 237 people initially engaged with the survey, following exclusions for age and consent, a final group of n=208 participants undertook the survey. We present the analytics of the promotions, together with the online qualitative feedback received. Conclusion: These findings strengthen the existing evidence supporting the utility of social media recruitment strategies for social research. We reflect on our experience of adopting this methodology. Finally, we provide recommendations for researchers considering an online survey design or social media recruitment. This paper contributes to research methodology literature, ensuring continued future knowledge generation and management within the digital health context from the perspective of young adult social media users.
Health & Social Work, 2021
Patients with incurable end-stage cancer (IESC) who are parenting minor-age children often expe... more Patients with incurable end-stage cancer (IESC) who are parenting minor-age children often experience parenting-related distress. Parenting concerns are not always addressed as part of routine hospital-based psychosocial care. Currently, there is a lack multidisciplinary health professional (HP) perspectives in this area. An exploratory study of hospital-based HP perspectives of adult patients’ and coparents’ parenting experiences, support needs, and parenting supportive care practice was conducted. Twelve multidisciplinary HPs from one Australian tertiary hospital participated in a semistructured focus group and interviews. Data were audio recorded, transcribed, and analyzed using thematic analysis. Results showed HPs were cognizant of patients’ and coparents’ diverse parenting support needs and experiences and other aspects that comprise best practice. However, multilevel organization, HP, and patient/coparent barriers impeded optimal practice. Barriers included a nonsystemized ...
Australasian Emergency Care, 2020
BACKGROUND Family presence in paediatric resuscitation settings is now accepted practice. However... more BACKGROUND Family presence in paediatric resuscitation settings is now accepted practice. However, there is limited evidence to guide psychosocial care of these families. This study aimed to increase the understanding of family demographics and needs for psychosocial care at the Royal Children's Hospital, Melbourne, Australia and to identify the factors that impact on families at this time of emotional and social distress. METHOD A retrospective clinical data-mining methodology was utilised (n = 1123). Descriptive and inferential data analysis was undertaken using STATA software to identify population demographics, patterns in service usage and family experience, and to identify factors associated with parents' emotional responses. FINDINGS Four areas were identified that support evidence-informed psychosocial care for families in paediatric resuscitation contexts: 1) family and parent dynamics 2) families' experiences of distress in relation to patient diagnostic category 3) systemic nature of family response, and 4) the identification and analysis of family emotional support needs, which is central to the psychosocial response.
Cognitive Research: Principles and Implications, Oct 1, 2022
The objective was to document the influence of face mask use by other people on communication exp... more The objective was to document the influence of face mask use by other people on communication experiences, participation in activities, and quality of life. Australian adults (n = 665) completed an online survey; 90.8% resided in a state with mandatory mask use outside the home and 44.1% self-reported hearing difficulties. Mask use was reported as negatively affecting communication quality in the community (90.2%) and workplace (91.8%), and with household members (59.1%), including an increased requirement for clarification and repetition, increased difficulty communicating, and decreased understanding. Masks influenced feelings when communicating in the community (74.1%) and workplace (76.7%), and with household members (43.6%), including increased fatigue and frustration, and decreased connection to others. Masks influenced the time spent communicating in the community (68.8%) and workplace (67.9%), and with household members (42.3%), including a decrease in the number of individuals communicated with, and the time spent communicating with each individual. Masks influenced participation in activities in the community (50.9%) and workplace (59.7%), and with household members (41.3%), including reduced participation in health-related activities, shopping, and socialising. Influences on quality of life included reduced physical and mental health, including increased loneliness. Female gender and greater self-reported hearing difficulties were significantly associated with increased influence of mask use. The wide-ranging influences of face mask use have implications for physical health and mental health, including social connectedness, and for employers and the economy. As an important measure for combatting disease spread, the negative impacts of mask use must be considered during policy formulation, and appropriate mitigating measures, such as educational campaigns, enacted.
Epidemiology and Psychiatric Sciences, Feb 5, 2016
Aims. Few studies have examined the experiences of carers of people with psychosis using a repres... more Aims. Few studies have examined the experiences of carers of people with psychosis using a representative sample. Aiming to obtain generalisable results concerning carers in the context of increased emphasis on involving carers in Australian mental health service delivery and policy frameworks, this study recruited carers within the second Australian national survey of psychotic disorders (Survey of High Impact Psychosis, SHIP). Given that most SHIP participants had long-term illness and extended relationships with carers, the health and wellbeing of carers as a group were expected to be relatively stable. However, since it is unknown whether carers' health and wellbeing would change, our main aim was to explore change and stability in carers' health and wellbeing and the relationship between any changes experienced by individual carers and corresponding SHIP participants' functioning over time. Methods. Ninety-eight caregivers of SHIP participants were recruited at baseline and completed validated instruments assessing their health and wellbeing. Seventy-eight carers were re-interviewed at 1-year follow-up. Clinical factors were extracted from the SHIP database. Wilcoxon matched-pairs signed-rank test and t-test were used to analyse changes in variables over time. Cross-lagged analyses were conducted to identify possible causative relationships in changes in SHIP participant and carer variables. Results. A substantial percentage of carers experienced social isolation (28.6%), psychological distress (37.7%) and poorer quality of life than population norms. There were no statistically significant changes between baseline and follow-up scores for almost all carers' health and wellbeing variables, other than a poorer perception of their quality of life in relation to their physical health after 1 year. Cross-lagged analyses suggested that poorer functioning of people with psychosis influenced carers' social isolation, grief and psychological distress. Conclusions. Findings show that carers' perception of their health and wellbeing did not improve within current mental health service delivery frameworks over time. Carer's persistently poor health and wellbeing suggests a pressing need to enhance services that improve carers' health and wellbeing especially their physical health and the functioning of people with psychosis whom they support.
The British Journal of Social Work
Social work practice in a global context requires an understanding of the cross-cultural nature o... more Social work practice in a global context requires an understanding of the cross-cultural nature of practice settings in local communities and globally. One step to developing this understanding of the internationalisation of social work education, including the student internship, is to incorporate supervision by local practitioners and educators. A qualitative interview study of fourteen social work students from Australia, New Zealand, Europe and the USA completing internships in the Southwest Indian state of Kerala revealed themes of increased practice knowledge, practice skills, understanding of cross-cultural values and ethics, critical reflection and research skills development as a result of reflexive supervision provided to them by practitioners in their internship agencies and faculty from their host and home institutions. This challenging of views within one’s own culture, promoted by supervision, leads to increased capacity to engage in critical anti-oppressive practice a...
Integrative Cancer Therapies, 2022
Purpose: Endometrial cancer is associated with the highest comorbid disease burden of any cancer.... more Purpose: Endometrial cancer is associated with the highest comorbid disease burden of any cancer. The aim of this trial was to assess the feasibility and safety of an allied health intervention during adjuvant treatment. Methods: A mixed-methods pilot randomized (2:1) controlled trial with concealed allocation and assessor-blinding. Eligibility criteria: adjuvant endometrial cancer treatment scheduled, disease stage I-IIIC1, ECOG 0-2 and able to perform unsupervised physical activity (PA). Participants received usual care and 8 sessions of weekly, individualized, lifestyle education (diet and PA) with behavior change and social support (intervention group), delivered predominantly by telehealth, or usual care alone. Feasibility outcomes: recruitment and consent rates, decline reasons, program acceptability, intervention adherence and retention. Results: 22/44 eligible patients (50%, 95%CI: 36%, 64%) were recruited over 10 months (14 intervention, 8 usual care). The recruitment rate ...
Shaping the Future: Promoting human rights and social perspectives in health and mental health, 2019
Australian Social Work, 2020
For hospitals and other health-care services, identifying older people experiencing abuse remains... more For hospitals and other health-care services, identifying older people experiencing abuse remains a challenge. Social workers at St Vincent's Hospital Melbourne (SVHM) used a clinical data mining approach to retrospectively audit electronic medical records containing 466 episodes of care over a five-year period where elder abuse was identified based on a system of alerts. The findings highlight key characteristics of the vulnerable older persons, the perpetrators, their social contexts, and interventions undertaken, clarifying a range of vulnerability and risk factors in the sample. Half were aged 80 years and over; two thirds lived with the person of concern; two thirds were from culturally and linguistically diverse backgrounds, and a third had cognitive impairment. A high proportion were assessed as being at moderate to high levels of risk, requiring urgent to prompt intervention. Audit findings strengthened knowledge and led to improvements in elder abuse responses by social workers, which included policy development, training, risk management and safety planning processes, resourcing, and research initiatives. This paper describes how social workers engaged in data collection and analysis to inform their practice within a health-care setting and contributed to service evaluation and improvements. IMPLICATIONS. This paper demonstrates how social workers can conceptualise and engage in research to better understand a social problem: in this case, it was responding to elder abuse, within a hospital setting.. This paper highlights how social workers can use evidence from practitioner-driven research to inform practice and improve service outcomes for those they work with.
Additional file 1. Behaviour and lifestyles questionnaire. Questionnaire used to collect data on ... more Additional file 1. Behaviour and lifestyles questionnaire. Questionnaire used to collect data on behaviour and lifestyle.
Social Science Computer Review, 2021
There is a growing body of literature exploring the general population’s use of social media for ... more There is a growing body of literature exploring the general population’s use of social media for assistance in dealing with stigmatized health issues. This study presents novel research examining the relationship between social media use and young adults. It utilizes a therapeutic affordance (TA) framework. Quantitative results from this study are complemented by qualitative data. The relationships between distinct social media and their TA (a–b) are presented to highlight their potential to impact positively on social and emotional well-being outcomes. Evidence includes broad support for “connection,” “narration,” and “collaboration” TAs in this context and the relationship between the use of distinct social media and perceived quality of life (QOL) outcomes (a–c). TA provides an appropriate and valuable theoretical framework which is useful for the development of an evidence-base from the analysis of young adult’s social media usage. An analysis of the association between social m...
The Routledge Handbook of Social Work Practice Research, 2020
Sometimes … I feel like supervision is the place where I can stop and breathe … and really take t... more Sometimes … I feel like supervision is the place where I can stop and breathe … and really take time out to reflect on the demanding nature and responsibility of this role.
Asia-pacific Journal of Clinical Oncology, 2012
The Routledge Handbook of Social Work Practice Research is the first international handbook to fo... more The Routledge Handbook of Social Work Practice Research is the first international handbook to focus on practice research for social work
BACKGROUND: The St. Vincent's Hospital Melbourne (SVHM) Vulnerable Older People Model of Care... more BACKGROUND: The St. Vincent's Hospital Melbourne (SVHM) Vulnerable Older People Model of Care (VOP MOC) is embedded in clinical practice to safeguard and improve the quality of care for vulnerable older people (VOP) where elder abuse (EA) is suspected or detected. There is limited knowledge about predictors of VOP who experience multiple notifications of EA over a prolonged period of time and the hospital system's response to these patients. AIMS: To understand the demographics, characteristics and risk factors of VOP at SVHM with multiple notifications of EA. To examine the SVHM VOP MOC response with patients who have multiple notifications of EA. METHODS: A retrospective audit of SVHM EA notifications and medical records was conducted for patients who had two or more notifications (n=39) between 2013 and 2017. Descriptive analysis (quantitative and qualitative) was conducted. RESULTS: The sample was predominantly 1) female; 2) living with the person of concern (POC), usual...
Proceedings of the Australasian Computer Science Week Multiconference, 2020
Intro: This paper describes the design of an online survey targeting young adults, 18 to 34years,... more Intro: This paper describes the design of an online survey targeting young adults, 18 to 34years, who use social media. Our intention in this survey was to seek the views of young adult social media users about the role that social media plays in their lives. To explore their motivations, and perspectives when engaging social media, and any interaction they perceive between social media use and social and emotional wellbeing. Methods: This was an exploratory and descriptive survey, examining the personal views and experiences of young adults who use social media. We discuss the social media recruitment strategy to support the promotion of the survey via social media platforms Facebook and Twitter. Results: 237 people initially engaged with the survey, following exclusions for age and consent, a final group of n=208 participants undertook the survey. We present the analytics of the promotions, together with the online qualitative feedback received. Conclusion: These findings strengthen the existing evidence supporting the utility of social media recruitment strategies for social research. We reflect on our experience of adopting this methodology. Finally, we provide recommendations for researchers considering an online survey design or social media recruitment. This paper contributes to research methodology literature, ensuring continued future knowledge generation and management within the digital health context from the perspective of young adult social media users.
Health & Social Work, 2021
Patients with incurable end-stage cancer (IESC) who are parenting minor-age children often expe... more Patients with incurable end-stage cancer (IESC) who are parenting minor-age children often experience parenting-related distress. Parenting concerns are not always addressed as part of routine hospital-based psychosocial care. Currently, there is a lack multidisciplinary health professional (HP) perspectives in this area. An exploratory study of hospital-based HP perspectives of adult patients’ and coparents’ parenting experiences, support needs, and parenting supportive care practice was conducted. Twelve multidisciplinary HPs from one Australian tertiary hospital participated in a semistructured focus group and interviews. Data were audio recorded, transcribed, and analyzed using thematic analysis. Results showed HPs were cognizant of patients’ and coparents’ diverse parenting support needs and experiences and other aspects that comprise best practice. However, multilevel organization, HP, and patient/coparent barriers impeded optimal practice. Barriers included a nonsystemized ...
Australasian Emergency Care, 2020
BACKGROUND Family presence in paediatric resuscitation settings is now accepted practice. However... more BACKGROUND Family presence in paediatric resuscitation settings is now accepted practice. However, there is limited evidence to guide psychosocial care of these families. This study aimed to increase the understanding of family demographics and needs for psychosocial care at the Royal Children's Hospital, Melbourne, Australia and to identify the factors that impact on families at this time of emotional and social distress. METHOD A retrospective clinical data-mining methodology was utilised (n = 1123). Descriptive and inferential data analysis was undertaken using STATA software to identify population demographics, patterns in service usage and family experience, and to identify factors associated with parents' emotional responses. FINDINGS Four areas were identified that support evidence-informed psychosocial care for families in paediatric resuscitation contexts: 1) family and parent dynamics 2) families' experiences of distress in relation to patient diagnostic category 3) systemic nature of family response, and 4) the identification and analysis of family emotional support needs, which is central to the psychosocial response.