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Papers by eleni hatzidimitriadou

Background: Assistive Technologies (AT) in healthcare can increase independence and quality of li... more Background: Assistive Technologies (AT) in healthcare can increase independence and quality of life for users. Concurrently, new AT devices offer opportunities for individualised care solutions. Nonetheless, AT remains under-utilised and is poorly integrated in practice by healthcare professionals (HCPs). Although occupational therapists (OTs), physiotherapists and speech and language therapists (SLTs) consider that AT solutions can offer problem-solving approaches to personalised care, they have a lesser understanding of application of AT in their practice. In this paper, we report findings of a survey on AT knowledge and experiences of HCPs in UK and France. Training needs also explored in the survey are presented in a separate paper on development of online training for the ADAPT project. Method: A survey of 37 closed/open questions was developed in English and French by a team of healthcare researchers. Content was informed by published surveys and studies. Email invitations wer...

European Journal of Public Health, 2020

A quasi-experimental design evaluation study examines long-term impact of the 12-week DWELL progr... more A quasi-experimental design evaluation study examines long-term impact of the 12-week DWELL programme, a self-management intervention for people with type 2 diabetes (T2D), based on adult learning and person-centred approaches, delivered in 5 community and hospital sites in 4 European countries. Overall target is 780 people with T2D. Staff are trained in motivational interviewing, group facilitation, diabetes education, and programme approach which consists of core and 'pick and mix' sessions on diabetes education, physical activity, healthy eating and wellbeing. Pre-post measures are taken at baseline (T0), end-of-programme (T1), at 6 months (T2) and 12 months (T3). There is a non-equivalent control group of 190 at T2/T3. Biomedical data are collected by staff and psychosocial data are collected via self-completed validated scales. Metabolic measures include: HbA1c, BMI and waist circumference. Demographics capture: age, gender, ethnicity, household composition, education, ...

Diversity & Equality in Health and Care, 2014

What is known on this subject. The UK healthcare workforce is increasingly diverse, with a signif... more What is known on this subject. The UK healthcare workforce is increasingly diverse, with a significant number of staff being migrants who qualified abroad.. Making the best use of the resources of overseas healthcare professionals is complex, as they face difficulties transferring and utilising their knowledge and skills to the UK healthcare sector.. These professionals' post-migration experiences may lead to poor psychosocial well-being outcomes, such as low self-esteem, frustration, depression, demoralisation and disappointment. What this paper adds. Our findings show the important role that migration status plays not only in the participation of overseas nurses and doctors in the UK's labour market, but also in their professional progression. Participants with a temporary migration status experienced barriers and delays as they tried to develop professionally, whereas those with a more permanent status progressed more quickly.. There was discordance between medical doctors and nurses in terms of professional development and psychosocial well-being, with doctors being more negative about their professional prospects and nurses emerging as more psychosocially resilient.. The theoretical framework of cultural health capital is a useful tool for considering the relationship of professional development and psychosocial well-being in participants' narratives and for exposing structural and institutional barriers to career aspirations compounded by social inequalities faced by immigrant groups.

Strong evidence of under-utilisation of health and social care services and poor health outcomes ... more Strong evidence of under-utilisation of health and social care services and poor health outcomes amongst migrant and refugee populations in the UK • Assumption that migrant/refugee health & social care professionals will provide more 'culturally sensitive' services

Background: Victims of intimate partner violence (IPV) are known to refrain from seeking care whe... more Background: Victims of intimate partner violence (IPV) are known to refrain from seeking care when in need. Whether the impact on forgone care differs according to the victim-perpetrator role remains unexplored. We aimed to describe the relation between past-year IPV and forgone healthcare according to victims, perpetrators or both (bidirectional). Methods: Adult men and women (n=3496, aged 18-64), randomly sampled from the general population of Athens, Porto, London, Budapest, Östersund and Stuttgart were assessed using a common questionnaire. IPV was ascertained with the Revised-Conflict-Tactics-Scales. The association between IPV and forgone healthcare (“Have you been in need of a certain care service in the past year, but did not seek any help?”), sociodemographics (sex, age, education, city) and health factors (self-assessed health, public or private healthcare sector use), in victims, perpetrators and both was estimated using adjusted logistic regression odds ratios (AOR, 95% ...

Journal of aging studies, 2014

In this article, the authors explored Cantonese-speaking older Chinese migrants knowledge, attitu... more In this article, the authors explored Cantonese-speaking older Chinese migrants knowledge, attitudes and expectations regarding mental illness. They obtained verbatim data from semi-structured interviews with eight participants recruited from London-based Chinese and church communities in Britain. They analyzed the data using the principles of Grounded Theory and in-depth content analysis. They examined cultural idioms in participants' accounts. Findings suggested that Western diagnostic categories of mental illness were alien to participants. They had a culturally constructed way of defining and characterizing mental illness. Participants used idioms of 'nerve', 'mood', 'behavior', 'personality', 'normal life', 'compassion' and the idiom of 'others' to construct an alternative world for stigma management. They erected an invisible but permeable barrier to limit access to their normal world. The role of traditional Chinese ...

Purpose Little is known on the specific relation between being a perpetrator or both a victim and... more Purpose Little is known on the specific relation between being a perpetrator or both a victim and perpetrator of intimate partner violence (IPV) and health-related quality of life (HRQoL). We assessed the association between HRQoL and abuse, considering men and women as victims, perpetrators or reciprocally. Methods Participants were adult men and women (n = 3,496), randomly selected from the general population of six European cities. The Revised-Conflict-Tactics-Scales and the Medical-Outcomes-Study 36-item Short-Form Health Survey (SF-36) were used to measure IPV and HRQoL. The age-, education-, and city-adjusted mean scores[standard error] of the physical and of the mental SF-36 component summaries were used to compare victimsonly, perpetrators-only, and those involved in both (bidirectional or reciprocal cases) with those not involved in pastyear and lifetime physical assault and/or sexual coercion. Results The physical component summary was significantly lower in women involved in past-year bidirectional physical assault compared with non-abused women. The mental component summary in women not involved in IPV was significantly higher than in those physically abused, regardless of type of involvement. Women victims-only of past-year sexual coercion and victims or involved in bidirectional concomitant physical and sexual IPV also presented lower scores in the mental component summary than women not involved in IPV. In men, significantly lower scores in the mental component summary were found in the past-year bidirectional physically assaulted group and among those involved bidirectionally in both physical and sexual IPV compared with men not involved in IPV.

Journal of Public Mental Health, 2009

the continuing presence of mental health symptoms' (Shepherd et al, 2008; p1). The organisation h... more the continuing presence of mental health symptoms' (Shepherd et al, 2008; p1). The organisation has a record of delivering health and social care services, including guided self-help cognitive behavioural therapy, peer support and mentoring projects, userled gardening, art and writing groups to individuals, within the London Borough of Bexley for over 20 years, and works to promote good mental health and well-being for all. Mind in Bexley actively tackles stigma and discrimination relating to mental distress and works to promote the social inclusion of people with mental health problems. Connecting research and evidence to policy-making is a challenge, however this has been highlighted as a priority by staff, trustees and service users. Our position is a straightforward one: we believe that good research and reliable information and knowledge leads to better policy-making and service provision. 'At first being asked to be involved in the research project, my lack of confidence got in the way, did not know what to expect. ... I thought that I would be useless and could not cope with it. What I got in return for pushing myself ... and others having the confidence in me was awesome. I felt afterwards that I could do more than I give myself credit for. It made me realise that I had the potential to possibly commit to another project or work in general. What better project to have been involved in ... stigma ... can, and has, affected people's lives ... and I am glad to have been a part of this research project.' (Researcher 3) Mind in Bexley supports the recovery model of working with people who are suffering from mental distress and 'values a person's right to build a meaningful life for themselves, with or without RESEARCH

Chevannes, M. (2002). Issues in educating health professionals to meet the diverse needs of patie... more Chevannes, M. (2002). Issues in educating health professionals to meet the diverse needs of patients and other service users from ethnic minority groups.

Post‐migration hardship often affects the integration processes of migrants from non‐English spea... more Post‐migration hardship often affects the integration processes of migrants from non‐English speaking countries and in particular of migrant women who often come as ‘dependents’ of male migrants. Institutional, social and cultural barriers make integration for migrant women slow and difficult to achieve. Involvement in community self‐help and mutual aid is an important strategy for disadvantaged groups in overcoming hardship and building social networks and capital. Community organisations are a bridge for migrants to access welfare rights and benefits, and to communicate with host local communities. This paper discusses the findings of a small‐scale study on the community activism of Turkish‐speaking women in London. Focus group meetings were conducted with self‐help/mutual aid groups run by Turkish‐speaking migrant women, using a typology of group political ideology and focus of change. Analysis showed that group participation was an empowering experience and a crucial strategy for integration in the host society. Depending on the type of the group, women acknowledged personal or social benefits from group participation. Implications for promoting service user empowerment and involvement of migrant communities through mutual aid activities are considered.

Background: Assistive Technologies (AT) in healthcare can increase independence and quality of li... more Background: Assistive Technologies (AT) in healthcare can increase independence and quality of life for users. Concurrently, new AT devices offer opportunities for individualised care solutions. Nonetheless, AT remains under-utilised and is poorly integrated in practice by healthcare professionals (HCPs). Although occupational therapists (OTs), physiotherapists and speech and language therapists (SLTs) consider that AT solutions can offer problem-solving approaches to personalised care, they have a lesser understanding of application of AT in their practice. In this paper, we report findings of a survey on AT knowledge and experiences of HCPs in UK and France. Training needs also explored in the survey are presented in a separate paper on development of online training for the ADAPT project. Method: A survey of 37 closed/open questions was developed in English and French by a team of healthcare researchers. Content was informed by published surveys and studies. Email invitations wer...

European Journal of Public Health, 2020

A quasi-experimental design evaluation study examines long-term impact of the 12-week DWELL progr... more A quasi-experimental design evaluation study examines long-term impact of the 12-week DWELL programme, a self-management intervention for people with type 2 diabetes (T2D), based on adult learning and person-centred approaches, delivered in 5 community and hospital sites in 4 European countries. Overall target is 780 people with T2D. Staff are trained in motivational interviewing, group facilitation, diabetes education, and programme approach which consists of core and 'pick and mix' sessions on diabetes education, physical activity, healthy eating and wellbeing. Pre-post measures are taken at baseline (T0), end-of-programme (T1), at 6 months (T2) and 12 months (T3). There is a non-equivalent control group of 190 at T2/T3. Biomedical data are collected by staff and psychosocial data are collected via self-completed validated scales. Metabolic measures include: HbA1c, BMI and waist circumference. Demographics capture: age, gender, ethnicity, household composition, education, ...

Diversity & Equality in Health and Care, 2014

What is known on this subject. The UK healthcare workforce is increasingly diverse, with a signif... more What is known on this subject. The UK healthcare workforce is increasingly diverse, with a significant number of staff being migrants who qualified abroad.. Making the best use of the resources of overseas healthcare professionals is complex, as they face difficulties transferring and utilising their knowledge and skills to the UK healthcare sector.. These professionals' post-migration experiences may lead to poor psychosocial well-being outcomes, such as low self-esteem, frustration, depression, demoralisation and disappointment. What this paper adds. Our findings show the important role that migration status plays not only in the participation of overseas nurses and doctors in the UK's labour market, but also in their professional progression. Participants with a temporary migration status experienced barriers and delays as they tried to develop professionally, whereas those with a more permanent status progressed more quickly.. There was discordance between medical doctors and nurses in terms of professional development and psychosocial well-being, with doctors being more negative about their professional prospects and nurses emerging as more psychosocially resilient.. The theoretical framework of cultural health capital is a useful tool for considering the relationship of professional development and psychosocial well-being in participants' narratives and for exposing structural and institutional barriers to career aspirations compounded by social inequalities faced by immigrant groups.

Strong evidence of under-utilisation of health and social care services and poor health outcomes ... more Strong evidence of under-utilisation of health and social care services and poor health outcomes amongst migrant and refugee populations in the UK • Assumption that migrant/refugee health & social care professionals will provide more 'culturally sensitive' services

Background: Victims of intimate partner violence (IPV) are known to refrain from seeking care whe... more Background: Victims of intimate partner violence (IPV) are known to refrain from seeking care when in need. Whether the impact on forgone care differs according to the victim-perpetrator role remains unexplored. We aimed to describe the relation between past-year IPV and forgone healthcare according to victims, perpetrators or both (bidirectional). Methods: Adult men and women (n=3496, aged 18-64), randomly sampled from the general population of Athens, Porto, London, Budapest, Östersund and Stuttgart were assessed using a common questionnaire. IPV was ascertained with the Revised-Conflict-Tactics-Scales. The association between IPV and forgone healthcare (“Have you been in need of a certain care service in the past year, but did not seek any help?”), sociodemographics (sex, age, education, city) and health factors (self-assessed health, public or private healthcare sector use), in victims, perpetrators and both was estimated using adjusted logistic regression odds ratios (AOR, 95% ...

Journal of aging studies, 2014

In this article, the authors explored Cantonese-speaking older Chinese migrants knowledge, attitu... more In this article, the authors explored Cantonese-speaking older Chinese migrants knowledge, attitudes and expectations regarding mental illness. They obtained verbatim data from semi-structured interviews with eight participants recruited from London-based Chinese and church communities in Britain. They analyzed the data using the principles of Grounded Theory and in-depth content analysis. They examined cultural idioms in participants' accounts. Findings suggested that Western diagnostic categories of mental illness were alien to participants. They had a culturally constructed way of defining and characterizing mental illness. Participants used idioms of 'nerve', 'mood', 'behavior', 'personality', 'normal life', 'compassion' and the idiom of 'others' to construct an alternative world for stigma management. They erected an invisible but permeable barrier to limit access to their normal world. The role of traditional Chinese ...

Purpose Little is known on the specific relation between being a perpetrator or both a victim and... more Purpose Little is known on the specific relation between being a perpetrator or both a victim and perpetrator of intimate partner violence (IPV) and health-related quality of life (HRQoL). We assessed the association between HRQoL and abuse, considering men and women as victims, perpetrators or reciprocally. Methods Participants were adult men and women (n = 3,496), randomly selected from the general population of six European cities. The Revised-Conflict-Tactics-Scales and the Medical-Outcomes-Study 36-item Short-Form Health Survey (SF-36) were used to measure IPV and HRQoL. The age-, education-, and city-adjusted mean scores[standard error] of the physical and of the mental SF-36 component summaries were used to compare victimsonly, perpetrators-only, and those involved in both (bidirectional or reciprocal cases) with those not involved in pastyear and lifetime physical assault and/or sexual coercion. Results The physical component summary was significantly lower in women involved in past-year bidirectional physical assault compared with non-abused women. The mental component summary in women not involved in IPV was significantly higher than in those physically abused, regardless of type of involvement. Women victims-only of past-year sexual coercion and victims or involved in bidirectional concomitant physical and sexual IPV also presented lower scores in the mental component summary than women not involved in IPV. In men, significantly lower scores in the mental component summary were found in the past-year bidirectional physically assaulted group and among those involved bidirectionally in both physical and sexual IPV compared with men not involved in IPV.

Journal of Public Mental Health, 2009

the continuing presence of mental health symptoms' (Shepherd et al, 2008; p1). The organisation h... more the continuing presence of mental health symptoms' (Shepherd et al, 2008; p1). The organisation has a record of delivering health and social care services, including guided self-help cognitive behavioural therapy, peer support and mentoring projects, userled gardening, art and writing groups to individuals, within the London Borough of Bexley for over 20 years, and works to promote good mental health and well-being for all. Mind in Bexley actively tackles stigma and discrimination relating to mental distress and works to promote the social inclusion of people with mental health problems. Connecting research and evidence to policy-making is a challenge, however this has been highlighted as a priority by staff, trustees and service users. Our position is a straightforward one: we believe that good research and reliable information and knowledge leads to better policy-making and service provision. 'At first being asked to be involved in the research project, my lack of confidence got in the way, did not know what to expect. ... I thought that I would be useless and could not cope with it. What I got in return for pushing myself ... and others having the confidence in me was awesome. I felt afterwards that I could do more than I give myself credit for. It made me realise that I had the potential to possibly commit to another project or work in general. What better project to have been involved in ... stigma ... can, and has, affected people's lives ... and I am glad to have been a part of this research project.' (Researcher 3) Mind in Bexley supports the recovery model of working with people who are suffering from mental distress and 'values a person's right to build a meaningful life for themselves, with or without RESEARCH

Chevannes, M. (2002). Issues in educating health professionals to meet the diverse needs of patie... more Chevannes, M. (2002). Issues in educating health professionals to meet the diverse needs of patients and other service users from ethnic minority groups.

Post‐migration hardship often affects the integration processes of migrants from non‐English spea... more Post‐migration hardship often affects the integration processes of migrants from non‐English speaking countries and in particular of migrant women who often come as ‘dependents’ of male migrants. Institutional, social and cultural barriers make integration for migrant women slow and difficult to achieve. Involvement in community self‐help and mutual aid is an important strategy for disadvantaged groups in overcoming hardship and building social networks and capital. Community organisations are a bridge for migrants to access welfare rights and benefits, and to communicate with host local communities. This paper discusses the findings of a small‐scale study on the community activism of Turkish‐speaking women in London. Focus group meetings were conducted with self‐help/mutual aid groups run by Turkish‐speaking migrant women, using a typology of group political ideology and focus of change. Analysis showed that group participation was an empowering experience and a crucial strategy for integration in the host society. Depending on the type of the group, women acknowledged personal or social benefits from group participation. Implications for promoting service user empowerment and involvement of migrant communities through mutual aid activities are considered.