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Psychosocial Influences on Patient Presentations: Considerations for Research and Evaluation at Mass-Gathering Events

Published online by Cambridge University Press:  31 January 2020

Alison Hutton ,
Jamie Ranse ,
Katherine Lena Gray Open the ORCID record for Katherine Lena Gray [Opens in a new window] ,
Sheila Turris ,
Adam Lund  and
Matthew Brendan Munn
Alison Hutton
Affiliation:
School of Nursing and Midwifery, University of Newcastle, Newcastle, New South Wales, Australia
Jamie Ranse
Affiliation:
Department of Emergency Medicine, Gold Coast Health, Menzies Health Institute Queensland, Griffith University, Southport, Queensland, Australia
Katherine Lena Gray*
Affiliation:
School of Nursing and Midwifery, University of Newcastle, Newcastle, New South Wales, Australia
Sheila Turris
Affiliation:
Faculty of Medicine Ringgold Standard Institution, Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada School of Nursing, University of Victoria Ringgold Standard Institution, Victoria, British Columbia, Canada Department of Emergency Medicine, Mass Gathering Medicine Interest Group, University of British Columbia, New Westminster, British Columbia, Canada
Adam Lund
Affiliation:
Emergency Department, Royal Columbian Hospital, New Westminster, British Columbia, Canada Emergency Medicine, Kelowna General Hospital, Kelowna, British Columbia, Canada
Matthew Brendan Munn
Affiliation:
Emergency Department, Royal Columbian Hospital, New Westminster, British Columbia, Canada Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada
*
Katherine Lena Gray Nursing and Midwifery University of Newcastle Ringgold Standard Institution University Drive Callaghan, New South Wales 2308, AustraliaE-mail: [email protected]
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Abstract

Aim:

This review discusses the need for consistency in mass-gathering research and evaluation from a psychosocial perspective.

Background:

Mass gatherings occur frequently throughout the world. Having an understanding of the complexities of mass gatherings is important to determine required health resources. Factors within the environmental, psychosocial, and biomedical domains influence the usage of health services at mass gatherings. A standardized approach to data collection is important to identify a consistent reporting standard for the psychosocial domain.

Method:

This research used an integrative literature review design. Manuscripts were collected using keyword searches from databases and journal content pages from 2003 through 2018. Data were analyzed and categorized using the existing minimum data set as a framework.

Results:

In total, 31 manuscripts met the inclusion criteria. The main variables identified were use of alcohol or drugs, crowd behavior, crowd mood, rationale, and length of stay.

Conclusion:

Upon interrogating the literature, the authors have determined that the variables fall under the categories of alcohol or drugs; maladaptive and adaptive behaviors; crowd behavior, crowd culture, and crowd mood; reason for attending event (motivation); duration; and crowd demographics. In collecting psychosocial data from mass gatherings, an agreed-upon set of variables that can be used to collect de-identified psychosocial variables for the purpose of making comparisons across societies for mass-gathering events (MGEs) would be invaluable to researchers and event clinicians.

Keywords

psychosocialmass gatheringminimum data setpatient presentationsresearch
Type
Systematic Review
Information
Prehospital and Disaster Medicine , Volume 35 , Issue 2 , April 2020 , pp. 197 - 205
Copyright
© World Association for Disaster and Emergency Medicine 2020

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References

World Health Organization. What is WHO’s role in mass gatherings? https://www.who.int/features/qa/mass-gatherings/en/. Published 2016. Accessed November 23, 2018.Google Scholar
Arbon, P. The development of conceptual models for mass-gathering health. Prehosp Disaster Med. 2004;19(03):208–212.CrossRefGoogle ScholarPubMed
Ranse, J, Hutton, A. Minimum data set for mass-gathering health research and evaluation: a discussion paper. Prehosp Disaster Med. 2012;27(6):543–550.CrossRefGoogle ScholarPubMed
Arbon, P, Bridgewater, FH, Smith, C. Mass gathering medicine: a predictive model for patient presentation and transport rates. Prehosp Disaster Med. 2001;16(3):150–158.CrossRefGoogle ScholarPubMed
Hutton, A, Zeitz, K, Brown, S, Arbon, P. Assessing the psychosocial elements of crowds at mass gatherings. Prehosp Disaster Med. 2011;26(6):414–421.CrossRefGoogle ScholarPubMed
Hutton, A, Ranse, J, Munn, MB. Developing public health initiatives through understanding motivations of the audience at mass-gathering events. Prehosp Disaster Med. 2018;33(2):191–196.10.1017/S1049023X18000067CrossRefGoogle ScholarPubMed
Zeitz, KM, Tan, HM, Grief, M, Couns, PC, Zeitz, CJ. Crowd behavior at mass gatherings: a literature review. Prehosp Disaster Med. 2009;24(01):32–38.Google ScholarPubMed
Hutton, A, Munt, R, Zeitz, K, Cusack, L, Kako, M, Arbon, P. Piloting a mass gathering conceptual framework at an Adelaide Schoolies Festival. Collegian. 2010;17(4):183–191.10.1016/j.colegn.2010.09.005CrossRefGoogle ScholarPubMed
Whittemore, R, Knafl, K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546–553.CrossRefGoogle ScholarPubMed
Arbon, P, Bottema, M, Zeitz, K, et al. Nonlinear modelling for predicting patient presentation rates for mass gatherings. Prehosp Disaster Med. 2018;33(4):362–367.CrossRefGoogle ScholarPubMed
Anikeeva, O, Arbon, P, Zeitz, K, et al. Patient presentation trends at 15 mass-gathering events in South Australia. Prehosp Disaster Med. 2018;33(4):368–374.CrossRefGoogle ScholarPubMed
Hawkins, ER, Brice, JH. Fire jumpers: description of burns and traumatic injuries from a spontaneous mass gathering and celebratory riot. J Emerg Med. 2010;38(2):182–187.10.1016/j.jemermed.2008.08.028CrossRefGoogle ScholarPubMed
Ahmed, QA, Memish, ZA. From the “madding crowd” to mass gatherings-religion, sport, culture, and public health. Travel Med Infect Dis. 2018;28:91–97.CrossRefGoogle Scholar
Hutton, A, Brown, S, Verdonk, N. Exploring culture: audience predispositions and consequent effects on audience behavior in a mass-gathering setting. Prehosp Disaster Med. 2013;28(3):292–297.CrossRefGoogle Scholar
Hutton, A, Savage, C, Ranse, J, Finnell, D, Kub, J. The use of Haddon’s Matrix to plan for injury and illness prevention at outdoor music festivals. Prehosp Disaster Med. 2015;30(2):175–183.CrossRefGoogle ScholarPubMed
Hopkins, N, Reicher, S. The psychology of health and well-being in mass gatherings: a review and a research agenda. J Epidemiol Glob Health. 2016;6(2):49–57.CrossRefGoogle Scholar
Milsten, AM, Tennyson, J, Weisberg, S. Retrospective analysis of mosh-pit-related injuries. Prehosp Disaster Med. 2017;32(6):636–641.CrossRefGoogle ScholarPubMed
Hartman, N, Williamson, A, Sojka, B, et al. Predicting resource use at mass gatherings using a simplified stratification scoring model. Am J Emerg Med. 2009;27(3):337–343.10.1016/j.ajem.2008.03.042CrossRefGoogle ScholarPubMed
Turris, SA, Lund, A, Hutton, A, et al. Mass-gathering health research foundational theory: part 2 - event modeling for mass gatherings. Prehosp Disaster Med. 2014;29(6):655–663.CrossRefGoogle ScholarPubMed
Friedman, MS, Plocki, A, Likourezos, A, et al. A prospective analysis of patients presenting for medical attention at a large electronic dance music festival. Prehosp Disaster Med. 2017;32(1):78–82.10.1017/S1049023X16001187CrossRefGoogle Scholar
Steffen, R, Bouchama, A, Johansson, A, et al. Non-communicable health risks during mass gatherings. Lancet Infect Dis. 2012;12(2):142–149.10.1016/S1473-3099(11)70293-6CrossRefGoogle ScholarPubMed
Zeitz, K, Haghighi, PD, Burstein, F, Williams, J. Understanding the drivers on medical workloads: an analysis of spectators at the Australian Football League. Aust Health Rev. 2013;37(3):402–406.CrossRefGoogle ScholarPubMed
FitzGibbon, KM, Nable, JV, Ayd, B, et al. Mass-gathering medical care in electronic dance music festivals. Prehosp Disaster Med. 2017;32(5):563–567.10.1017/S1049023X1700663XCrossRefGoogle ScholarPubMed
Lam, T, Liang, W, Chikritzhs, T, Allsop, S. Alcohol and other drug use at school leavers’ celebrations. J Public Health (Oxf). 2014;36(3):408–416.CrossRefGoogle ScholarPubMed
Alquthami, AH, Pines, JM. A systematic review of noncommunicable health issues in mass gatherings. Prehosp Disaster Med. 2014;29(2):167–175.CrossRefGoogle ScholarPubMed
Lund, A, Turris, SA, Amiri, N, Lewis, K, Carson, M. Mass-gathering medicine: creation of an online event and patient registry. Prehosp Disaster Med. 2012;27(6):601–611.10.1017/S1049023X12001367CrossRefGoogle ScholarPubMed
Crabtree, N, Mo, S, Ong, L, et al. Retrospective analysis of patient presentations at the Sydney (Australia) Royal Easter Show from 2012 to 2014. Prehosp Disaster Med. 2017;32(2):187–194.10.1017/S1049023X16001540CrossRefGoogle ScholarPubMed
Alnabulsi, H, Drury, J. Social identification moderates the effect of crowd density on safety at the Hajj. Proc Natl Acad Sci USA. 2014;111(25):9091–9096.10.1073/pnas.1404953111CrossRefGoogle ScholarPubMed
Locoh-Donou, S, Yan, G, Berry, T, et al. Mass gathering medicine: event factors predicting patient presentation rates. Intern Emerg Med. 2016;11(5):745–752.10.1007/s11739-015-1387-1CrossRefGoogle ScholarPubMed
Moore, R, Williamson, K, Sochor, M, Brady, WJ. Large-event medicine--event characteristics impacting medical need. Am J Emerg Med. 2011;29(9):1217–1221.10.1016/j.ajem.2010.07.018CrossRefGoogle ScholarPubMed
Nable, JV, Margolis, AM, Lawner, BJ, et al. Comparison of prediction models for use of medical resources at urban auto-racing events. Prehosp Disaster Med. 2014;29(6):608–613.CrossRefGoogle ScholarPubMed
Schwartz, B, Nafziger, S, Milsten, A, Luk, J, Yancey, A 2nd. Mass gathering medical care: resource document for the National Association of EMS Physicians position statement. Prehosp Emerg Care. 2015;19(4):559–568.Google Scholar
Soomaroo, L, Murray, V. Disasters at mass gatherings: lessons from history. PLoS Curr. 2012;4:RRN1301.CrossRefGoogle ScholarPubMed
Templeton, A, Drury, J, Philippides, A. From mindless masses to small groups: conceptualizing collective behavior in crowd modeling. Rev Gen Psychol. 2015;19(3):215–229.CrossRefGoogle ScholarPubMed
Liberati, A, Altman, DG, Tetzlaff, J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Ann Intern Med. 2009;151(4):W-65–W-94.CrossRefGoogle ScholarPubMed
Sampsel, K, Godbout, J, Leach, T, Taljaard, M, Calder, L. Characteristics associated with sexual assaults at mass gatherings. Emerg Med. 2016;33(2):139–143.Google ScholarPubMed
Pines, A, Maslach, C. Experiencing Social Psychology: Readings and Projects. New York USA: McGraw-Hill; 1993.Google Scholar
Berlonghi, AE. Understanding and planning for different spectator crowds. Saf Sci. 1995;19(4):239–247.CrossRefGoogle Scholar
Manual 2- Safe and Healthy Mass Gatherings. A Health, Medical and Safety Planning Manual for Public Events. Emergency Management Australia, (ed). Dickson, ACT: Commonwealth of Australia; 1999.Google Scholar
Challenger, R, Clegg, CW, Robinson, MA. Understanding Crowd Behaviors. In: Leigh, M, (ed). Supporting Theory and Evidence. United Kingdom: The Stationaery Office; 2010.Google Scholar
Zeitz, KM, Zeitz, CJ, Arbon, P. Forecasting medical work at mass-gathering events: predictive model versus retrospective review. Prehosp Disaster Med. 2005;20(3):164–168.CrossRefGoogle ScholarPubMed
Robertson, M, Hutton, A, Brown, S. Event duration in outdoor music festival audience behavior (a critical transformative research note). Event Mgmt. 2018;22(6):1073–1081.CrossRefGoogle Scholar
Laing, J, Frost, W. How green was my festival: exploring challenges and opportunities associated with staging green events. Int J Hosp Manag. 2010;29(2):261–267.CrossRefGoogle Scholar
Jaensch, J, Whitehead, D, Prichard, I, Hutton, A. Exploring young peoples’ use of alcohol at outdoor music festivals in Australia. Applied Y Stud. 2018;2(3).Google Scholar
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