Potential benefits and burdens of National Institutes of Health and National Institute of Mental Health clinical trial policies

Although an expanding body of research demonstrates the potential benefits of telepsychology, little is known about its application with ethnoracial minority populations. Research with ethnoracial minority populations points to various factors that predict positive treatment outcomes; thus, it should be considered in multiculturally sensitive telepsychology practice. In this chapter, the authors discuss the multicultural telepsychology literature and provide recommendations for practice and research. The respective literature in multicultural psychology and telepsychology and their intersection suggest that multicultural telepsychology offers substantial promise for improving the lives of vulnerable and underserved ethnoracial minority populations by increasing access to health information and mental health treatment and reducing mental illness stigma. The chapter ends by discussing potentially fruitful avenues for research.

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Residual gastric volume evaluation with ultrasonography after ingestion of carbohydrate- or carbohydrate plus glutamine-enriched beverages: a randomized, crossover clinical trial with healthy volunteers

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803.2017v54n1-06 ◽

2017 ◽

Vol 54 (1) ◽

pp. 33-36 ◽

Cited By ~ 2

Author(s):

Paulo Cesar GOMES ◽

Cervantes CAPOROSSI ◽

Jose Eduardo AGUILAR-NASCIMENTO ◽

Ageo Mario Candido da SILVA ◽

Viviane Maeve Tavares de ARAUJO

Keyword(s):

Clinical Trial ◽

Healthy Volunteers ◽

Postoperative Recovery ◽

Gastric Volume ◽

Safe Procedure ◽

Abdominal Ultrasonography ◽

Residual Gastric Volume ◽

Potential Benefits ◽

The Mean ◽

To Receive

ABSTRACT BACKGROUND Abbreviation of preoperative fasting to 2 hours with maltodextrin (CHO)-enriched beverage is a safe procedure and may enhance postoperative recovery. Addition of glutamine (GLN) to CHO beverages may include potential benefits to the metabolism. However, by adding a nitrogenous source to CHO beverages, gastric emptying may be delayed and increase the risk of bronchoaspiration during anesthesia. OBJECTIVE In this study of safety, we aimed at investigating the residual gastric volume (RGV) 2 hours after the intake of either CHO beverage alone or CHO beverage combined with GLN. METHODS We performed a randomized, crossover clinical trial. We assessed RGV by means of abdominal ultrasonography (US) in 20 healthy volunteers (10 males and 10 females) after an overnight fast of 8 hours. Then, they were randomized to receive 600 mL (400 mL immediately after US followed by another 200 mL 2 hours afterwards) of either CHO (12.5% maltodextrin) or CHO-GLN (12.5% maltodextrin plus 15 g GLN). Two sequential US evaluations were done at 120 and 180 minutes after ingestion of the second dose. The interval of time between ingestion of the two types of beverages was 2 weeks. RESULTS The mean (SD) RGV observed after 8 hours fasting (13.56±13.25 mL) did not statistically differ (P>0.05) from the RGV observed after ingesting CHO beverage at both 120 (16.32±11.78 mL) and 180 minutes (14.60±10.39 mL). The RGV obtained at 120 (15.63±18.83 mL) and 180 (13.65±10.27 mL) minutes after CHO-GLN beverage also was not significantly different from the fasting condition. CONCLUSION The RGV at 120 and 180 minutes after ingestion of CHO beverage combined with GLN is similar to that observed after an overnight fast.

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50. The Effectiveness of the Mindful Awareness and Resilience Skills for Adolescents (MARS-A) Intervention on Adolescent Mental Health: A Pilot Clinical Trial

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2014.10.054 ◽

2015 ◽

Vol 56 (2) ◽

pp. S27 ◽

Cited By ~ 4

Author(s):

Dzung X. Vo ◽

Jake J. Locke ◽

Andrea Johnson ◽

Sheila K. Marshall

Keyword(s):

Mental Health ◽

Clinical Trial ◽

Adolescent Mental Health ◽

Mindful Awareness

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A randomized controlled clinical trial of the effect of supportive counseling on mental health in Iranian mothers of premature infants

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03502-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Leila Seiiedi-Biarag ◽

Mojgan Mirghafourvand ◽

Khalil Esmaeilpour ◽

Shirin Hasanpour

Keyword(s):

Mental Health ◽

Clinical Trial ◽

Premature Infants ◽

Control Group ◽

Controlled Clinical Trial ◽

Randomized Controlled Clinical Trial ◽

Randomized Controlled ◽

Significant Difference ◽

Postpartum Bonding ◽

Supportive Counseling

Abstract Background Premature birth can affect maternal mental health. Considering that the mental health disorder in mothers may play a vital role in the growth and development of their children, therefore, this study was conducted to determine the effect of supportive counseling on mental health (primary outcome), mother-child bonding and infant anthropometric indices (secondary outcomes) in mothers of premature infants. Methods This randomized controlled clinical trial was carried out on 66 mothers with hospitalized neonates in the NICU of Alzahra hospital in Tabriz- Iran. Participants were randomly allocated into two groups of intervention (n = 34) and control (n = 32) through a block randomization method. The intervention group received 6 sessions of supportive counseling (45–60 minutes each session) by the researcher, and the control group received routine care. Questionnaires of Goldberg General Health and the postpartum bonding were completed before the intervention (first 72 hours postpartum) and 8 weeks postpartum. Also, the anthropometric index of newborns were measured at the same time. Results There was no statistically significant difference between the two groups in terms of socio-demographic characteristics. After the intervention, based on ANCOVA with adjusting the baseline score, mean score of mental health (AMD: -9.8; 95% Confident Interval (95% CI): -12.5 to -7.1; P < 0.001) and postpartum bonding (AMD: -10.0; 95% CI: -0.6 to 13.9; P < 0.001) in the counseling group was significantly lower than those of the control group; however, in terms of weight (P = 0.536), height (P = 0.429) and head circumference (P = 0.129), there was no significant difference between the two groups. Conclusions Supportive counseling may improve mental health and postpartum bonding in mothers of premature infants. Thus, it may be recommendable for health care providers to offer it to mothers. Trial registration Iranian Registry of Clinical Trials (IRCT): IRCT20120718010324N45. Date of registration: October 29, 2018.

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A Cluster-Randomized Clinical Trial Testing the Effectiveness of the Addressing Tobacco Through Organizational Change Model for Improving the Treatment of Tobacco Use in Community Mental Health Care: Preliminary Study Feasibility and Baseline Findings

Nicotine & Tobacco Research ◽

10.1093/ntr/nty239 ◽

2018 ◽

Vol 21 (5) ◽

pp. 559-567 ◽

Cited By ~ 4

Author(s):

Alex S Flitter ◽

Su Fen Lubitz ◽

Douglas Ziedonis ◽

Nathaniel Stevens ◽

Frank T Leone ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Clinical Trial ◽

Community Mental Health ◽

Tobacco Use ◽

Change Model ◽

Community Mental Health Care ◽

Trial Testing ◽

Preliminary Study ◽

Cluster Randomized

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Responsible conduct of scientific research: a one-semester course for graduate students.

AJP Advances in Physiology Education ◽

10.1152/advances.1993.264.6.s8 ◽

1993 ◽

Vol 264 (6) ◽

pp. S8

Author(s):

T Hoshiko

Keyword(s):

Mental Health ◽

Graduate Students ◽

Scientific Misconduct ◽

National Institutes Of Health ◽

Scientific Integrity ◽

Health Administration ◽

National Academy Of Sciences ◽

Policy Issues ◽

Responsible Conduct ◽

Academy Of Sciences

This course was developed to satisfy in part the requirement that "a program in the principles of scientific integrity" be a part of any training program funded by the National Institutes of Health (NIH) or the Alcohol, Drug Abuse, and Mental Health Administration (NIH "Guide for Grants and Contracts," vol. 18, no. 45, 1989). The booklet On Being A Scientist (National Academy of Sciences, 1989) was chosen as required reading. The issues were presented in 15 1-h sessions. Public policy issues were not addressed. A danger was to be overly critical of scientific misconduct and stimulate a cynical skepticism of the integrity of the working scientist. One problem is that there are only general procedures a student can follow when encountering misconduct. Numerous guest speakers provided depth, objectivity, and authenticity to the discussion.

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