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How good is your GP or hospital? Listening to patient experience.

"Better together: Scotland's patient experience programme" works to use the public's experience of NHS Scotland to improve health services.  At the end of April they published provisional results for GP Practices throughout Scotland, and pilot results for a few initial hospitals are beginning to come through as well.  I find this fascinating, sobering, helpful stuff. 

New NICE guidance on alcohol misuse

"Alcohol is the third leading cause of disease burden in developed countries".  This month the National Institute for Health and Clinical Excellence (NICE) published the first two parts of a three-part guidance on alcohol-related problems.  The first section is "Alcohol-use disorders: preventing the development of hazardous and harmful drinking" which covers public health guidance on the price, advertising and availability of alcohol, how best to detect alcohol misuse in and outside primary care, and brief interventions to manage it in these settings.  The second part is "Alcohol-use disorders: diagnosis and clinical management of alcohol-related physi

Life skills for stress, health & wellbeing, second session

So it was the second session of the group yesterday.  I blogged about the first session last week.  Sadly a couple of people couldn't get to this second meeting - due to a pre-planned holiday and to an unexpected crisis.  It's quite common for participants to miss one or two evenings across a twelve session course like this, but I want to be careful when people miss such an early meeting.  It's important that they don't lose their way and get left behind.  They will get copies of the handouts and the Autogenic CD, but I also make a note to contact them myself.   

Life skills for stress, health & wellbeing, first session

Yesterday we had the first evening of the Life Skills group.  I've written in the past about the background planning behind this group.  How did this first meeting go?  Well there were nine of us - eight participants and myself.  Rather demandingly I'm both running a new course and trying to get used to new technology at the same time.  For years, when running small group trainings here at our house, I've used an overhead projector to shine transparencies up onto the wall.  For a while I've wanted to upgrade to a laptop and data projector, and this evening I went ahead to put this into practice.

Recent research: six studies on mindfulness, values & meaning

Here are half a dozen recent research studies on mindfulness, values & meaning - fuller details, links and abstracts for all studies are listed further down this page.  Hofmann and colleagues' meta-analysis on "The effect of mindfulness-based therapy on anxiety and depression" found encouraging effect sizes for mindfulness training and concluded "These results suggest that mindfulness-based therapy is a promising intervention for treating anxiety and mood problems in clinical populations".  Meanwhile Barnhofer & Chittka underlined the toxicity of ruminative brooding with their demonstration that the well-demonstrated link between neurotic temperament and depression is mediated by "Tendencies to respond to mild low mood with ruminative thinking".  They conclude that "The results suggest that neuroticism predisposes individuals to depression by generally increasing the likelihood of ruminative responses to low mood&quo