Projects and Grants
Czech Health Research Council: NU22-09-00457 Sleep disturbances in hospitalized patients as a risk factor for delirium
The main goal of the project is to assess the quality of sleep in patients staying in general wards and intensive care units, identify disruptive factors responsible for its reduced quality, evaluate the relationship between sleep quality and delirium and verify the effectiveness of preventive measures (sleep protocol) in clinical practice. Subgoals: 1. To analyze information and compare attitudes and opinions of nurses providing direct care, nurse managers and patients about concerning the need for and assessment of sleep, as well as potential use of sleep-promoting strategies in current practice. 2. To implement and verify diagnostic properties of the FIRST as an instrument suitable for identification of hospitalized persons susceptible to sleep disturbances. 3. To determine differences in perceiving disruptive factors affecting sleep in hospitalized patients with respect to clinical and demographic parameters. 4. To determine the relationship between sleep quality in hospitalized patients and their clinical and demographic parameters. 5. To determine the relationship between sleep quality and delirium in hospitalized patients. 6. To assess the psychometric properties of questionnaires and validate them for use in the Czech socio-cultural environment. 7. To determine the relationship between sleep quality and disruptive factors affecting sleep during patients’ hospitalization. 8. To determine sleep quality and quantity in hospitalized patients (subjectively with questionnaires and objectively with actigraphy). 9. To assess the use of actigraphy as a method for objective detection of delirium and assessing the effectiveness of measures following its detection for objective assessment of sleep quality and quantity in hospitalized patients. 10. To propose a set of interventions to promote sleep in hospitalized patients and to verify its effectiveness in clinical practice. 11. To propose methodological recommendations for promoting sleep quality in hospitals.
INTERSECT International Survey of Childbirth-Related Trauma
The International Survey of Childbirth-Related Trauma (INTERSECT) project aims to determine the prevalence of childbirth-related trauma and posttraumatic stress disorder (PTSD) across countries and cultures, to determine differences in symptoms between countries and cultures, and to identify determinants of childbirth-related PTSD in different countries and cultures. The relevance of addressing this issue stems from the fact that although childbirth is perceived positively in almost all cultures, existing research shows that 20-40% of women find childbirth psychologically traumatic and some may subsequently develop PTSD. The Principal Investigator of the project is Prof Susan Ayers, and the main coordinator of the project is the Centre for Maternal and Child Health Research City University London. In addition, more than 40 institutions (over 40 countries) from around the world are involved in the project.
Czech Health Research Council: NU-21-09-00067 Support of healthy ageing: using educational and psychosocial interventions to maintain mental health, for prevention and timely diagnosis of depression, anxiety, and cognitive disorders of older adults in a community
The main objective of the project is to determine the efficiency of educational programs and psychosocial interventions to maintain mental health, to prevent and timely diagnose any depression, anxieties, and cognitive disorders in older adults living in a community. Furthermore, the aim is to ascertain the incidence of depression, anxiety, and cognitive disorders in these older adults and its correlation to the assessment of life meaningfulness, self-respect, attitudes to old age and ageing, and the level of social support. An intervention study will be carried out. A prevention program will be formulated based on the individual needs of older adults as identified in the focus groups. Selected interventions will be performed in a present form (face to face) as well as distance form (e-Health) and will run at least for 6 months. The assessment of anxiety, depression, cognitive functions, and other psychosocial aspects will be done before the interventions start, when they finish, and 3 months after that. Based on quantitative analysis, there will be evaluated the efficiency of the provided intervention with respect to depression, anxiety, cognitive function, and psychosocial aspects (attitudes to old age, self-esteem, the sense of coherence, quality of life, level of social support). Older adults in the centrum for prevention and support healthy ageing in the community will be included in the research sample. Based on the findings, recommendations will be formulated regarding the selected interventions used in community care.
CA18211 - Perinatal Mental Health and Birth-Related Trauma: Maximising best practice and optimal outcomes
Unlike other sources of trauma, perinatal or birth-related trauma is relatively unrecognised. Evidence suggests up to 30% of women describe their birth experience as traumatic and experience some symptoms of intrusion, avoidance or hyper-arousal. Meta-analyses show post-traumatic stress disorder (PTSD) affects 4% of women after birth and up to 18% of women in high risk groups. Rectification of this situation is essential. Developmental research has firmly established that the quality of infant-parent relationships is a critical factor in early and later childhood development, consequently, a family-centred approach to any investigation of birth-related trauma is critical, as trauma can be transmitted within the family system. Given the enormous economic burden it places on women, health systems, and particularly children, relatively small improvements in services to prevent, detect and treat this problem can benefit society significantly. The main aim of this Action is two-fold. The Action will establish an international multidisciplinary network of researchers, clinicians, NGOs and SMEs to 1) consolidate and disseminate current evidence and coordinate a joint effort to seek ways to prevent, minimise and resolve birth-related trauma, and to optimise emotional and psychological outcomes for parents and families and 2) accelerate the translation of that knowledge into best practices that can be shared across Europe to reduce the societal and economic burden arising from birth-related negative/traumatic experiences.
Team leader: Joan Lalor (Trinity College Dublin)
Research CR: PhDr. Bohdana Dušová, Ph.D.
Research CR: PhDr. Bohdana Dušová, Ph.D.
Updated: 22. 12. 2022