Behavioural Intervention Procedures II: Cognitive—Behavioural, Self-Management Procedures and Combinations of Procedures

Abstract Background Sleep disturbance is common in gestational parents during pregnancy and postpartum periods. This study evaluated the feasibility and efficacy of a scalable cognitive behavioural therapy (CBT) sleep intervention tailored for these periods. Methods This is a two-arm, parallel-group, single-blind, superiority randomised controlled trial. Nulliparous females without severe medical/psychiatric conditions were randomised 1:1 to CBT or attention- and time-matched control. All participants received a 1 h telephone session and automated multimedia emails from the third trimester until 6 months postpartum. Outcomes were assessed with validated instruments at gestation weeks 30 (baseline) and 35 (pregnancy endpoint), and postpartum months 1.5, 3, 6 (postpartum endpoint), 12 and 24. Results In total, 163 eligible participants (age M ± s.d. = 33.35 ± 3.42) were randomised. The CBT intervention was well accepted, with no reported adverse effect. Intention-to-treat analyses showed that compared to control, receiving CBT was associated with lower insomnia severity and sleep disturbance (two primary outcomes), and lower sleep-related impairment at the pregnancy endpoint (p values ⩽ 0.001), as well as at 24 months postpartum (p ranges 0.012–0.052). Group differences across the first postpartum year were non-significant. Participants with elevated insomnia symptoms at baseline benefitted substantially more from CBT (v. control), including having significantly lower insomnia symptoms throughout the first postpartum year. Group differences in symptoms of depression or anxiety were non-significant. Conclusions A scalable CBT sleep intervention is efficacious in buffering against sleep disturbance during pregnancy and benefitted sleep at 2-year postpartum, especially for individuals with insomnia symptoms during pregnancy. The intervention holds promise for implementation into routine perinatal care.

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Pain Management in Rheumatoid Arthritis: A Cognitive-Behavioural Intervention

South African Journal of Psychology ◽

10.1177/008124639302300101 ◽

1993 ◽

Vol 23 (1) ◽

pp. 1-9 ◽

Cited By ~ 4

Author(s):

Sean Germond ◽

Hein Helgo Schomer ◽

Orlando Llewellyn Meyers ◽

Lindsay Weight

Keyword(s):

Rheumatoid Arthritis ◽

Case Studies ◽

Psychological Adjustment ◽

Psychological Health ◽

Treatment Effects ◽

Disease Status ◽

Complex Nature ◽

Behavioural Intervention ◽

Cognitive Behavioural ◽

Cognitive Behavioural Intervention

Psychological adjustment is thought to play an important role in determining pain experience, disease status, and immune function in rheumatoid arthritis (RA). Fourteen female RA out-patients were tested longitudinally in a matched-random assigned two-groups design with cognitive-behavioural intervention designed to improve pain and stress management skills. Pre-intervention correlational analyses tested the extent to which mood disturbance, self-perceptions of coping efficacy, health locus of control, and stressful life experience were related to pain, disease activity, functional status and lymphocyte proliferation rate variables. Intra- and inter-group analyses were conducted to determine treatment effects, and case studies were conducted. RA was characterized more by poor psychological health status than physical disability, with pain more a function of psychological adjustment than actual disease status. No significant treatment effects were observed. Case studies indicated the complex nature of the individual disease experience. The value of cognitive-behavioural intervention in RA, and implications for future-related research are discussed in terms of such findings.

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Controlled Trial of a Brief Cognitive?Behavioural Intervention in Adolescent Patients with Depressive Disorders

Journal of Child Psychology and Psychiatry ◽

10.1111/j.1469-7610.1996.tb01466.x ◽

1996 ◽

Vol 37 (6) ◽

pp. 737-746 ◽

Cited By ~ 181

Author(s):

Alison Wood ◽

Richard Harrington ◽

Anne Moore

Keyword(s):

Depressive Disorders ◽

Controlled Trial ◽

Behavioural Intervention ◽

Cognitive Behavioural ◽

Adolescent Patients ◽

Cognitive Behavioural Intervention

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Randomised controlled trial of CD–ROM-based cognitive–behavioural self-care for bulimia nervosa

The British Journal of Psychiatry ◽

10.1192/bjp.bp.107.046607 ◽

2008 ◽

Vol 193 (6) ◽

pp. 493-500 ◽

Cited By ~ 39

Author(s):

U. Schmidt ◽

M. Andiappan ◽

M. Grover ◽

S. Robinson ◽

S. Perkins ◽

...

Keyword(s):

Eating Disorder ◽

Bulimia Nervosa ◽

Clinical Symptoms ◽

Controlled Trial ◽

Self Care ◽

Waiting List ◽

Behavioural Intervention ◽

Significant Group ◽

Cd Rom ◽

Cognitive Behavioural

BackgroundCognitive–behavioural self-care is advocated as a first step in the treatment of bulimia nervosa.AimsTo examine the effectiveness of a CD–ROM-based cognitive–behavioural intervention in bulimia nervosa and eating disorder not otherwise specified (NOS) (bulimic type) in a routine setting.MethodNinety-seven people with bulimia nervosa or eating disorder NOS were randomised to either CD–ROM without support for 3 months followed by a flexible number of therapist sessions or to a 3-month waiting list followed by 15 sessions of therapist cognitive–behavioural therapy (CBT) (ISRCTN51564819). Clinical symptoms were assessed at pre-treatment 3 months and 7 months.ResultsOnly two-thirds of participants started treatment. Although there were significant group × time interactions for bingeing and vomiting, favouring the CD–ROM group at 3 months and the waiting-list group at 7 months, post hoc group comparisons at 3 and 7 months found no significant differences for bingeing or vomiting. CD–ROM-based delivery of this intervention, without support from a clinician, may not be the best way of exploiting its benefits.

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A Cognitive–behavioural intervention to increase adherence of adult women exercisers

Advances in Physiotherapy ◽

10.1080/14038190410020115 ◽

2004 ◽

Vol 6 (2) ◽

pp. 84-92 ◽

Cited By ~ 3

Author(s):

Eva Segura Ortí ◽

Marie Donaghy

Keyword(s):

Behavioural Intervention ◽

Adult Women ◽

Cognitive Behavioural ◽

Cognitive Behavioural Intervention

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An integrated motivational interviewing and cognitive-behavioural intervention promoting physical activity maintenance for adults with chronic health conditions: A feasibility study

Chronic Illness ◽

10.1177/1742395318769370 ◽

2018 ◽

Vol 15 (4) ◽

pp. 276-292

Author(s):

Sarah E Scott ◽

Jeff D Breckon ◽

Robert J Copeland

Keyword(s):

Physical Activity ◽

Motivational Interviewing ◽

Chronic Health Conditions ◽

Health Conditions ◽

Behavioural Intervention ◽

Chronic Health ◽

Cognitive Behavioural ◽

Cognitive Behavioural Intervention ◽

Physical Activity Maintenance

Objectives Physical activity is recommended for managing chronic health conditions but is rarely maintained. This feasibility study aimed to evaluate the preliminary efficacy of a motivational interviewing and cognitive-behavioural intervention for long-term physical activity for adults with chronic health conditions. Methods Participants ( N = 37) with stable conditions (e.g. diabetes) were randomized into a three-month motivational interviewing and cognitive-behavioural group ( N = 20) or usual care ( N = 17) after completing a physical activity referral scheme. Participants completed physical activity (e.g. average steps per day and kilocalorie expenditure), psychological (e.g. self-efficacy) and epidemiological (e.g. body mass index) standardized measures at baseline, three- and six-month follow-up. Treatment fidelity and feasibility were assessed. Results Thirty-five participants completed the study (96% retention). The motivational interviewing and cognitive-behavioural group maintained kilocalorie expenditure at three ( p = 0.009) and six months ( p = 0.009). Exercise barrier self-efficacy ( p = 0.03), physical ( p = 0.02) and psychological ( p = 0.01) physical activity experiences were increased at three months only. No difference was found for average steps/day, social support, coping skills and epidemiological factors. Discussion This is the first study to demonstrate the feasibility and preliminary efficacy of motivational interviewing and cognitive-behavioural interventions for promoting physical activity maintenance in a clinical population. A large-scale trial with a longer follow-up (≥6 months) is warranted with treatment fidelity assessment.

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Mobile Health Applications to Support COVID-19 Self-management: Review and Evaluation

Applied Health Information Technology ◽

10.18502/ahit.v2i2.7992 ◽

2021 ◽

Author(s):

Sahar Khenarinezhad ◽

Ehsan Ghazanfari Savadkoohi ◽

Leila Shahmoradi

Keyword(s):

Mobile Health ◽

Mobile Apps ◽

Healthcare Providers ◽

Vital Signs ◽

Complete Information ◽

Self Management ◽

Management Measures ◽

Management Procedures ◽

Mobile Health Applications ◽

Health Applications

Aim: During the epidemic and with an increase in coronavirus (COVID-19) disease prevalence, emergency care is essential to help people stay informed and undertake self-management measures to protect their health. One of these self-management procedures is the use of mobile apps in health. Mobile health (mHealth) applications include mobile devices in collecting clinical health data, sharing healthcare information for practitioners and patients, real-time monitoring of patient vital signs, and the direct provision of care (via mobile telemedicine). Mobile apps are increasing to improve health, but before healthcare providers can recommend these applications to patients, they need to be sure the apps will help change patients' lifestyles. Method: A search was conducted systematically using the keywords "Covid-19," "Coronavirus," "Covid-19, and Self-management" at the "Apple App Store". Then we evaluated the apps according to MARS criteria in May 2020. Results: A total of 145 apps for COVID-19 self-management were identified, but only 32 apps met our inclusion criteria after being assessed. The overall mean MARS score was 2.9 out of 5, and more than half of the apps had a minimum acceptability score (range 2.5-3.9). The "who academy" app received the highest functionality score. Who Academy, Corona-Care and First Responder COVID-19 Guide had the highest scores for behavior change. Conclusion: Our findings showed that few apps meet the quality, content, and functionality criteria for Covid-19 self-management. Therefore, developers should use evidence-based medical guidelines in creating mobile health applications so that, they can provide comprehensive and complete information to both patients and healthcare provider.

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