scholarly journals Effectiveness of Interventions to Enhance the Sense of Coherence in the Life Course

2022 ◽  
pp. 201-219
Author(s):  
Eva Langeland ◽  
Lenneke Vaandrager ◽  
Anne Britt Vika Nilsen ◽  
Marco Schraner ◽  
Claudia Meier Magistretti

AbstractThis chapter provides an overview of the effectiveness of programs and interventions that aim to strengthen the sense of coherence (SOC) throughout the life span. The authors report on more than 40 studies investigating the effectiveness of interventions to strengthen the SOC. They structure and summarize findings for young people, employed and unemployed adults, health professionals, people with disabilities, people with psychosomatic and mental health problems, people with physical problems, hospital patients, and older people. Even though most studies are limited to short-term pre-test and post-test study designs, a few studies have investigated the effects of intervention for longer follow-up periods of up to several months and even more than one year.

2014 ◽  
Vol 19 (5) ◽  
pp. 230-234 ◽  
Author(s):  
Denise Paneduro ◽  
Leah R Pink ◽  
Andrew J Smith ◽  
Anita Chakraborty ◽  
Albert J Kirshen ◽  
...  

BACKGROUND: Despite calls for the development and evaluation of pain education programs during early medical student training, little research has been dedicated to this initiative.OBJECTIVES: To develop a pain management and palliative care seminar for medical students during their surgical clerkship and evaluate its impact on knowledge over time.METHODS: A multidisciplinary team of palliative care and pain experts worked collaboratively and developed the seminar over one year. Teaching methods included didactic and case-based instruction, as well as small and large group discussions. A total of 292 medical students attended a seminar during their third- or fourth-year surgical rotation. A 10-item test on knowledge regarding pain and palliative care topics was administered before the seminar, immediately following the seminar and up to one year following the seminar. Ninety-five percent (n=277) of students completed the post-test and 31% (n=90) completed the follow-up test.RESULTS: The mean pretest, post-test and one-year follow-up test scores were 51%, 75% and 73%, respectively. Mean test scores at post-test and follow-up were significantly higher than pretest scores (all P<0.001). No significant difference was observed in mean test scores between follow-up and post-test (P=0.559), indicating that students retained knowledge gained from the seminar.CONCLUSIONS: A high-quality educational seminar using interactive and case-based instruction can enhance students’ knowledge of pain management and palliative care. These findings highlight the feasibility of developing and implementing pain education material for medical students during their training.


2021 ◽  
pp. 001857872110468
Author(s):  
Bianca Mayzel ◽  
Sarah Muench ◽  
Colleen Lauster

Background and Objectives: To assess the impact that pharmacist education has on proper inhaler technique and adherence in a teaching clinic. Methods: This was prospective, non-randomized, pre-test/post-test study. Patients were 18 years or older, had a diagnosis of asthma or COPD, and prescribed at least 1 inhaled medication. Initial visits consisted of a baseline asthma control test (ACT) or COPD assessment test (CAT), the Test of Adherence to Inhalers (TAI), and a baseline inhaler technique evaluation. The pharmacist then educated the patient. Then inhaler technique was assessed again (post-education inhaler technique evaluation #1). Follow-up visits occurred 4 to 8 weeks later. ACT or CAT and TAI test were administered and inhaler technique was assessed again (post-education inhaler technique #2). The primary outcome was the comparison of the percentage of correct steps performed from baseline to post-education inhaler technique evaluation #1 and from baseline to post-education inhaler technique evaluation #2. Results: Eighteen patients were included, with a mean age of 58 years old. Over half had asthma, were female and African American. There was a significant difference in inhaler technique from baseline to post-education inhaler evaluation #1 and from baseline to post-education inhaler evaluation #2. The most common step missed was no exhalation before inhalation. There was no significant difference when comparing the individual and overall TAI test scores from initial to follow up visit. Conclusions: This study supports pharmacist-led inhaler technique education.


2020 ◽  
Author(s):  
Michael Lee

The decision to retain was explored using semi-structured interviews with 14 students who previously completed a MATH-131 or MATH-137 course with a co-requisite support course enrollment. A follow-up survey was then developed and disseminated to 32 students to determine if interview responses were shared by other students. Responses were coded, categorized, and themed, and results indicated elements of the self-determination theory framework led to increased retention rates in co-requisite students. Triangulation was then achieved using a motivation inventory that was disseminated as a pre-test and then repeated at the end of the course as a post-test to both co-requisite (treatment) and non-co-requisite (control) students. Elements facilitating autonomy and competency within the co-requisite program were shown to significantly influence (at the 0.10 significance level) a student’s decision to maintain enrollment for one year following the successful completion of co-requisite courses (p = .004 and p = .079, respectively).<br>


2020 ◽  
Vol 11 (4) ◽  
pp. 728-734
Author(s):  
Mehdi Rashidi ◽  
Majid Emtiazy ◽  
Mahmood Khodadoost ◽  
Hossien Fallahzadeh ◽  
Ali Mohammad Mirjalili

Introduction: Infertility, which is defined as the inability to conceive after one year of intercourse without the use of contraceptive methods, affects 15% of couples. 30-40% of the causes of male infertility are related to sperm disorders. The most common cause of infertility in men is their inability to produce enough healthy, active and active sperm, so the aim of this study was to determine the effect of ashwagandha powder on men with semen disorders. Materials and Methods: This study is a double-blind, clinical, randomized trial. Subjects were entered the study after obtaining informed consent and having inclusion and exclusion criteria. All subjects were clinically examined by a urologist. Blood and urine tests were also performed to ensure the health status of the individuals. Subjects did not take any PDE-V inhibitors or glucocorticoids, chemical, herbal and hormonal drugs for infertility treatment in the 4 weeks before the start of the study and until the end of the study. Finally, demographic information was obtained from all individuals and statistical calculations were performed using the statistical software SPSS. Results: In general, our results showed that the consumption of ashwagandha powder in the first experimental group was 41.3 ± 16.66% in the pre-test stage, 46.53±13.42% in the post-test stage and 45.5%±11.99% in the follow-up stage. These values were 41.23 ±19.85% in the placebo group of the pre-test stage, 41.0%±19.15 in the post-test stage and  40.37±19.41 % in the follow-up stage. This indicates that ashwagandha increased semen performance scores and sperm motility in different stages of the test compared to the second experimental group. Conclusion: The use of medicinal plants with male fertility enhancement properties can be used as a substitute or supplement for chemical drugs that affect male fertility. On the other hand, it is recommended that chemical drugs with fertility-reducing properties be less used or not used in men with infertility disorders.


PLoS ONE ◽  
2011 ◽  
Vol 6 (2) ◽  
pp. e14706 ◽  
Author(s):  
Mingxin Liu ◽  
Li Wang ◽  
Zhanbiao Shi ◽  
Zhen Zhang ◽  
Kan Zhang ◽  
...  

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