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  • Küçük Resim
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    Self‐Efficacy of General Practitioner Family Physicians in Mental Health Services: A Cross‐Sectional Study inTurkey
    (Wiley, 2025) Güden, Emel; Borlu, Arda; Olguner Eker, Özlem; Özsoy, Saliha; Baykan, Zeynep
    Rationale The role of primary care physicians in mental health services is increasingly significant. However, there is a lack of research on general practitioners' interest and self-efficacy in providing mental health services. Aims and Objectives This study aims to assess the interest and self-efficacy of general practitioners in mental health services and to identify their educational needs in this area. Methods This study employs a cross-sectional design. A total of 461 family physicians are working in primary care health services in Kayseri, Turkey. The study sample included 415 general practitioners who had not received specialist training in family medicine after graduating from medical school. Face-to-face surveys were conducted with 270 general practitioners who agreed to participate in the study. The survey included questions about demographic characteristics, postgraduate training, experiences related to mental health, knowledge of mental health and medication treatment, self-evaluations of self-efficacy in mental health services, and requests for education on the subject. Results General practitioners reported low self-efficacy in the use and dosage of psychiatric medications (11.9%), but felt more competent in relation to drugs with addictive potential (34.4%). However, they generally perceived their competence in the use and monitoring of psychiatric medications to be low. The area where they felt least competent in managing mental illnesses in primary care was “intervention in suicide.” Their awareness and coordination regarding community mental health centers, as mental health service providers, were found to be low. Overall, general practitioners perceived themselves as inadequately competent in tracking and managing mental illnesses. Conclusions General practitioners acknowledge that mental health services are a primary care responsibility. However, there is a need to increase their self-efficacy in providing mental health services at the primary care level. Since all participants in this study were public employees, continuing mandatory postgraduate mental health training is crucial. Additionally, strengthening collaboration and coordination mechanisms, as well as providing more effective referrals to community mental health centers, is essential. These efforts will significantly contribute to improving the community's mental health. Keywords: community health care, competence, general practice, mental health, physicians, primary care, self assessment
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    The effect of mental health literacy training given to primary care family health workers on stigmatization: A randomized controlled trial
    (2025) Güden, Emel; Borlu, Arda; Olguner Eker, Özlem; Özsoy, Saliha; Baykan, Zeynep
    Objective: There is stigma and a lack of information about individuals with mental illness among primary health care providers worldwide. The objective of this study is to evaluate the impact of a brief online training program on the mental health literacy, beliefs, and attitudes of family health workers who provide primary health care services. Method: This study has a two-arm, parallel-group, randomized controlled design. The study involves 252 individuals who were randomly assigned to different groups. By the end of the study, 82 individuals in the intervention group and 89 individuals in the control group participated in the evaluation. Measurements: Evaluations were performed twice for both groups via pre-tests and post-tests after 3 months of follow-up following the training. The assessment utilized the Mental Health Literacy, Beliefs About Mental Illnesses, and Community Attitudes Towards Mental Illness Scales. The intervention tool of the study is mental health literacy training designed for family health workers who provide primary care services and implemented online. Results: Data from 171 family health workers were analyzed. The mental health literacy, belief, and attitude scale scores of the participating family health workers were found to be at a moderate level. The educational intervention significantly improved mental health knowledge (p=0.029) and goodwill scores (p=0.007) in the intervention group, while reducing the perception of danger (p=0.044). Discussion: The level of post-graduation mental health training among family health workers is low, and a significant portion are unsure whether their duties include the provision of mental health services. Primary care family health workers could benefit from a brief online training program focused on mental health literacy. Key Words: Community health nursing, Primary health care, Mental health, Mental Health Literacy, Stigma
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    Öğe
    Üniversite Öğrencilerinde Posa Tüketim Düzeyleri İle Bel Çevresi Ölçümlerine İlişkin Metabolik Risk Durumları
    (2022) Öner, Neslihan; Yaşar Fırat, Yağmur; Küçükkatırcı, Hürmet; Borlu, Arda
    Bu araştırma; üniversite öğrencilerinin posa tüketimleri ile bel çevresi ölçümlerine ilişkin metabolik risk durumlarının hesaplanması amacıyla planlanıp yürütülmüştür. Çalışma 172 lisans öğrencisi ile yü rütülmüştür. Çalışmada veri toplama amacıyla katılımcıların sosyo-demografik özelliklerini sorgulayan soruları ve iki gün hafta içi, bir gün hafta sonu olmak üzere toplamda üç günlük besin tüketim kaydını içeren anket formu kullanılmıştır. Ayrıca araştırmacılar tarafından katılımcıların antropometrik ölçüm leri alınmıştır. Bel çevresi ölçümleri Dünya Sağlık Örgütü referans değerlerine göre sınıflandırılmıştır. Posa tüketim miktarları ise, üç günlük tüketim kayıtları BEBİS’e girilip ortalaması alınarak bulunmuş tur. Çalışmaya alınan öğrencilerin %22.1’i erkek ve %77.9’u kadındır. Öğrencilerin toplam günlük posa tüketim düzeyi ise 15.88±5.02 g olarak hesaplanmıştır. Tüketilen miktar TÜBER’de önerilen miktarın %64’ünü karşılamaktadır. Erkek ve kadınların posa tüketim miktarları arasında anlamlı bir farklılık bu lunmamaktadır. Bel çevresi ölçümleri ile ilişkili olarak metabolik açıdan yüksek riskli olan erkeklerin risksiz ve riskli olan erkeklere göre posa tüketim düzeyleri anlamlı olarak daha yüksek bulunmuştur. Kadınlarda ise bel çevresi ölçümleri ile ilişkili metabolik risk durumlarına göre posa tüketim düzeyleri nin benzer olduğu görülmüştür. Her iki cinsiyette de posa tüketim düzeyleri ile zayıf, pozitif yönlü ve anlamlı istatistiksel ilişki bulunmuştur. Posanın bilinen sağlık yararlarına rağmen üniversite öğrencile rinin posa tüketim miktarlarının yetersiz olduğu belirlenmiştir. Bu dönemdeki beslenme alışkanlıkları yetişkinlik döneminde meydana gelebilecek kronik hastalıklar için risk oluşturmaktadır. Bu nedenle yüksek posalı besinlerin tüketiminin artışını destekleyen mesajların verilmesi ve öğrencilerin sağlıklı beslenme bilinçlerinin artırılması sağlanmalıdır.