Caregiver psychoeducation for schizophrenia: Is gender important?

2007 ◽  
Vol 22 (5) ◽  
pp. 323-327 ◽  
Author(s):  
Stephen McWilliams ◽  
Shane Hill ◽  
Nora Mannion ◽  
Anthony Kinsella ◽  
Eadbhard O'Callaghan
Keyword(s):  
Gender Differences ◽  
Knowledge Acquisition ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Signs And Symptoms ◽  
Self Report ◽  
Caregiver Support ◽  
Before And After ◽  
Male Caregivers

AbstractIntroductionFemales care for individuals with chronic illness more commonly than males and have different attitudes to illness. Additionally, they experience greater burden and reduced quality of life, when compared to their male counterparts. Since knowledge has been shown to be related to burden, we sought to determine whether there were gender differences in knowledge acquisition during a six-week caregiver psychoeducation programme (CPP).MethodsCaregivers of people with schizophrenia completed a 23-item adapted version of the self-report Family Questionnaire (FQ) before and after the six-week CPP. Using a Generalized Linear Mixed Model, we studied the differences in proportions of correct answers before and after the programme by gender.ResultsOver a 46-month study period, 115 caregivers (58% female) participated in the programme. There was an overall improvement in knowledge with an effect size of 1.12. The improvement was statistically significant (P < 0.001) within each of six specific areas of knowledge. However, female caregivers gained more knowledge overall and specifically regarding signs and symptoms, recovery and especially caregiver support. Knowledge gains regarding medication were roughly equal, while male caregivers gained more knowledge about risk factors.DiscussionOur findings indicate that there are gender differences in the amount and type of knowledge gained during a CPP, with female caregivers showing greater knowledge acquisition than their male counterparts in most areas. Interventions designed to assist caregivers may be improved by targeting areas of knowledge specific to each gender. Such an approach might further reduce burden and improve the outcome for their relatives affected by schizophrenia.

A comparison of the Remote Food Photography Method and the Automated Self-Administered 24-hour Dietary Assessment Tool for measuring full day dietary intake among school-aged children

2021 ◽  
pp. 1-26
Author(s):  
Traci A. Bekelman ◽  
Corby K. Martin ◽  
Susan L. Johnson ◽  
Deborah H. Glueck ◽  
Katherine A. Sauder ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Energy Intake ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Ease Of Use ◽  
Self Report ◽  
Food Photography ◽  
Photography Method

Abstract The limitations of self-report measures of dietary intake are well known. Novel, technology-based measures of dietary intake may provide a more accurate, less burdensome alternative to existing tools. The first objective of this study was to compare participant burden for two technology-based measures of dietary intake among school-age children: the Automated-Self Administered 24-hour Dietary Assessment Tool-2018 (ASA24-2018) and the Remote Food Photography Method (RFPM). The second objective was to compare reported energy intake for each method to the Estimated Energy Requirement for each child, as a benchmark for actual intake. Forty parent-child dyads participated in 2, 3-day dietary assessments: a parent proxy-reported version of the ASA24 and the RFPM. A parent survey was subsequently administered to compare satisfaction, ease of use and burden with each method. A linear mixed model examined differences in total daily energy intake (TDEI) between assessments, and between each assessment method and the EER. Reported energy intake was 379 kcal higher with the ASA24 than the RFPM (p=0.0002). Reported energy intake with the ASA24 was 231 kcal higher than the EER (p = 0.008). Reported energy intake with the RFPM did not differ significantly from the EER (difference in predicted means = −148 kcal, p = 0.09). Median satisfaction and ease of use scores were 5 out of 6 for both methods. A higher proportion of parents reported that the ASA24 was more time consuming than the RFPM (74.4% vs. 25.6%, p = 0.002). Utilization of both methods is warranted given their high satisfaction among parents.

scholarly journals A Fumonisin Prevention Tool for Targeting and Ranking Agroclimatic Conditions Favoring Exposure in French Maize-Growing Areas

Toxins ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 214
Author(s):  
Agathe Roucou ◽  
Christophe Bergez ◽  
Benoît Méléard ◽  
Béatrice Orlando
Keyword(s):  
Mixed Model ◽  
Linear Mixed Model ◽  
Fusarium Verticillioides ◽  
Agricultural Practices ◽  
Climatic Conditions ◽  
Agricultural Cooperatives ◽  
Mixed Model Approach ◽  
Food And Feed ◽  
Model Approach

The levels of fumonisins (FUMO)—mycotoxins produced by Fusarium verticillioides—in maize for food and feed are subject to European Union regulations. Compliance with the regulations requires the targeting of, among others, the agroclimatic factors influencing fungal contamination and FUMO production. Arvalis-Institut du végétal has created a national, multiyear database for maize, based on field survey data collected since 2003. This database contains information about agricultural practices, climatic conditions and FUMO concentrations at harvest for 738 maize fields distributed throughout French maize-growing regions. A linear mixed model approach highlights the presence of borers and the use of a late variety, high temperatures in July and October, and a water deficit during the maize cycle as creating conditions favoring maize contamination with Fusarium verticillioides. It is thus possible to target a combination of risk factors, consisting of this climatic sequence associated with agricultural practices of interest. The effects of the various possible agroclimatic combinations can be compared, grouped and classified as promoting very low to high FUMO concentrations, possibly exceeding the regulatory threshold. These findings should facilitate the creation of a national, informative and easy-to-use prevention tool for producers and agricultural cooperatives to manage the sanitary quality of their harvest.

scholarly journals Quality of life in patients related to gender differences before and after coronary artery bypass surgery☆

2010 ◽  
Vol 10 (2) ◽  
pp. 232-238 ◽  
Author(s):  
Vladan Peric ◽  
Milorad Borzanovic ◽  
Radojica Stolic ◽  
Aleksandar Jovanovic ◽  
Sasa Sovtic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gender Differences ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Before And After

Size-related boldness is not altered by stomach flushing in a terrestrial salamander

2021 ◽  
pp. 1-6
Author(s):  
Sebastiano Salvidio ◽  
Andrea Costa ◽  
Fabrizio Oneto
Keyword(s):  
Body Condition ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Animal Personality ◽  
Model Analysis ◽  
Mixed Model Analysis ◽  
Linear Mixed Model Analysis ◽  
Before And After ◽  
Trophic Strategy ◽  
The Relationship

Abstract Animal personality is a relatively neglected field in amphibian research. In this study we assessed the influence of stomach flushing, a non-lethal technique used in amphibian dietary studies, on the boldness behaviour of the cave salamander Speleomantes strinatii. The time of emergence from a shelter located in an unfamiliar environment (a proxy for individual boldness) was measured in 26 cave salamanders before and after stomach flushing, while 14 non-flushed salamanders were tested as controls. Boldness was a repeatable behaviour for salamanders and larger individuals emerged from their shelter more rapidly than smaller ones. Linear mixed model analysis showed that flushing, sex and body condition had no effect on this behaviour. These findings are promising in the framework of the study of salamander personality. In particular, our results will be useful when exploring the relationship between individual trophic strategy and boldness, aggression or exploration behaviours in terrestrial salamanders.

scholarly journals O003 The impact of wind farm noise in a laboratory setting on objective and subjective sleep efficiency

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A1-A2
Author(s):  
T Liebich ◽  
L Lack ◽  
G Micic ◽  
K Hansen ◽  
B Zajamsek ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
Wind Farm ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Sleep Efficiency ◽  
Self Report ◽  
Sleep Diary ◽  
Noise Condition ◽  
Subjective Sleep ◽  
The Impact

Abstract Introduction Well-controlled studies of wind farm noise (WFN) on sleep are lacking despite complaints and known effects of other noise types on sleep. This laboratory-based study investigated the impact of continuous full-night WFN exposure replicated from field recordings on polysomnography-measured (objective) and sleep diary-determined (subjective) sleep efficiency compared to a quiet control night. Methods Based on residential location and self-report data, 50 participants were categorised into three groups (14 living &lt;10km from a wind farm and self-reporting sleep disturbance; 19 living &lt;10km from a wind farm and self-reporting no sleep disturbance and 18 controls living in a quiet rural area). Participants underwent full in-laboratory polysomnography during exposure to continuous WFN (25 dB(A)) throughout the night and a quiet control night (background noise 19 dB(A)) in random order. Group and noise condition effects were examined via linear mixed model analysis. Results Participants (30 females) were aged (mean±SD) 54.9±17.6 range: 18–80 years. Sleep efficiency in the control condition was (median [interquartile range]) objective: 85.5 [77.4 to 91.2]%; subjective: 85.7 [69.2 to 92.7]%) versus the WFN condition (objective: 86.1 [78.6 to 91.7]% subjective: 85.8 [66.2 to 93.8]%) with no significant main or interaction effects of group or noise condition (all p’s &gt;0.05). Conclusion These results do not support that WFN at 25 dB(A) significantly impacts objective or subjective sleep efficiency in participants with or without prior WFN exposure or self-reported WFN-related sleep disturbance. Further analyses to investigate potential sleep micro-structural changes remain warranted.

scholarly journals THE IMPACT OF HOSPITAL BASED INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS TRAINING ON PEDIATRIC NURSE COMPETENCY

2018 ◽  
Vol 4 (1) ◽  
pp. 16-23
Author(s):  
Fitri Haryanti ◽  
Mohammad Hakimi ◽  
Yati Sunarto ◽  
Yayi S Prabandari
Keyword(s):  
Mixed Model ◽  
Linear Mixed Model ◽  
Integrated Management ◽  
Well Being ◽  
Childhood Illness ◽  
Internal Conflict ◽  
Child Health Services ◽  
Management Support ◽  
The Impact

Background: Although the WHO strategy integrated management of childhood illness (IMCI) for primary care has been implemented in over 100 countries, there is less global experience with hospital-based IMCI training. Until recently, no training had been done in Indonesia, and globally there has been limited experience of the role of IMCI in rebuilding health systems after complex emergencies.Objective: We aimed to examine the effect of hospital-based IMCI training on pedicatric nurse competency and explore the perception of Indonesian doctors, nurse managers and paediatricians about IMCI training and its development in West Aceh, a region that was severely affected by the South-Asian tsunami in December 2004.Methods: This study used stepped wedge design. Training was conducted for 39 nurses staff, 13 midwifes, 6 Head nurses, 5 manager of nurses, 5 doctors, 1 paediatricians, and 3 support facilities  (nutritionist, pharmacist, laboratory) in Cut Nyak Dien (CND) Hospital in Meulaboh, West Aceh, Indonesia. The IMCI training was developed based on the WHO Pocketbook of Hospital Care for Children. A nurses competency questionnaire was used based on the guideline of assessment of the quality of child health services at the first level reference hospitals in districts / municipalities issued by the Ministry of Health in 2007. A linear mixed model was used for data analysis.Results: The hospital based IMCI training improved the competences of nurses paediatric in assessing emergency signs of the sick children, management of cough and difficulty breathing, diarrhoea, fever, nutritional problems, supportive care, monitoring, discharge planning and follow up.  The assessment highlighted several problems in adaptation process of material training, training process and implementation in an environment soon after a major disaster.Conclusion: Hospital based IMCI training can be implemented in a setting after major disasters or internal conflict as part of a rebuilding process.  The program requires strong management support and the emergency phase to be subsided.  Other pre-requisites include the existence of standard operating procedures, adequate physical facilities and support for staff morale and well-being.  Improving the quality of paediatric care requires more than just training and clinical guidelines; internal motivation and health worker support are essential.

Abstract 14666: Association Between Right Ventricular Systolic Pressure and Health Status Following Transcatheter Aortic Valve Replacement

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Rahul Myadam ◽  
Ali O Malik ◽  
Matthew Pflederer ◽  
Kensey Gosch ◽  
Suzanne V Arnold ◽  
...  
Keyword(s):  
Health Status ◽  
Transcatheter Aortic Valve Replacement ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Systolic Pressure ◽  
Right Ventricular Systolic Pressure ◽  
Ventricular Systolic Pressure ◽  
Transcatheter Aortic Valve ◽  
Increased Risk ◽  
Before And After

Introduction: Pulmonary hypertension (PH) was shown in multiple studies to be associated with an increased risk of mortality after transcatheter aortic valve replacement (TAVR). However, it is unclear if echocardiogram derived right ventricular systolic pressure (RVSP) is associated with health status outcomes in surviving patients after TAVR. We explored for an association between baseline RVSP and quality of life in patients before and after undergoing TAVR. Methods: We estimated RVSP by echocardiography using the modified Bernoulli equation in a single-center cohort of patients undergoing TAVR from 2012-2017 . Disease-specific health status was assessed at baseline and 1-month and 12-months after TAVR with the Kansas City Cardiomyopathy Questionnaire-Overall Summary Score (KCCQ-OS). We then explored the association between baseline RVSP and KCCQ-OS before and after TAVR using a linear mixed model with an interaction for time and baseline RVSP and adjusted for baseline mitral valve regurgitation and systolic blood pressure. Results: Among 485 patients who underwent TAVR (mean age 81.7±7.9 years, 54.8% men), baseline RVSP was 42±15 mmHg, and 73% had RVSP >34 mmHg. After TAVR, mean RVSP decreased to 37±13 mmHg at 1 month and 36±14 mmHg at 12 months. Baseline KCCQ-OS was 46±25 and improved to 66.9±23.6 at 1 month and 69.5± 22.6 at 12 months. In the linear mixed model, there was a significant cross-sectional association between baseline RVSP and baseline KCCQ-OS, with higher RVSP associated with worse health status. However, baseline RVSP was not significantly associated with KCCQ-OS at 1 month or 12 months (Figure). Conclusions: RVSP is not associated with worse health status after TAVR. This suggests that while patients with high RVSP are at an increased risk for mortality after TAVR, surviving patients appear to have similar health status as those with normal RVSP.

Impact of Physician Navigators on productivity indicators in the ED

2017 ◽  
Vol 35 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Alexander K Leung ◽  
Gaurav Puri ◽  
Bingshu E Chen ◽  
Zhenxian Gong ◽  
Eddie Chan ◽  
...  
Keyword(s):  
Mixed Model ◽  
Linear Mixed Model ◽  
Patient Volume ◽  
Autoregressive Modelling ◽  
Volume Increase ◽  
Left Without Being Seen ◽  
Before And After ◽  
Physician Time ◽  
The Mean ◽  
Productivity Indicators

ObjectivesWe created Physician Navigators in our ED to help improve emergency physician (EP) productivity. We aimed to quantify the effect of Physician Navigators on measures of EP productivity: patient seen per hour (Pt/hr), and turn-around time (TAT) to discharge. Secondary objectives included examining their impact on measures of ED throughput for non-resuscitative patients: ED length of stay (LOS), door-to-physician time and left-without-being-seen rates (LWBS).MethodsIn this retrospective study, 6845 clinical shifts worked by 20 EPs at a community ED in Newmarket, Canada from 1 January 2012 to 31 March 2015 were evaluated. Using a clustered design, we compared productivity measures between shifts with and without Physician Navigators, by physician. We used a linear mixed model to examine mean changes in Pt/hr and TAT to discharge for EPs who employed Physician Navigators. For secondary objectives, autoregressive modelling was performed to compare ED throughput metrics before and after the implementation of Physician Navigators for non-resuscitative patients.ResultsPatient volumes increased by 20 patients per day (p<0.001). Mean Pt/hr increased by 1.07 patients per hour (0.98 to 1.16, p<0.001). The mean TAT to discharge decreased by 10.6 min (−13.2 to −8.0, p<0.001). After implementation of the Physician Navigator programme, overall mean LOS for non-resuscitative patients decreased by 2.6 min (p=0.007), and mean door-to-physician time decreased by 7.4 min (p<0.001). LBWS rates decreased from 1.13% to 0.63% of daily patient volume (p<0.001).ConclusionDespite an ED volume increase, the use of a Physician Navigator was associated with significant improvements in EP productivity, and significant reductions in ED throughput times.

A threshold linear mixed model for identification of treatment-sensitive subsets in a clinical trial based on longitudinal outcomes and a continuous covariate

2020 ◽  
Vol 29 (10) ◽  
pp. 2919-2931
Author(s):  
Xinyi Ge ◽  
Yingwei Peng ◽  
Dongsheng Tu
Keyword(s):  
Clinical Trial ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Likelihood Function ◽  
Specific Treatment ◽  
Likelihood Method ◽  
Simulation Studies ◽  
Longitudinal Outcomes ◽  
Continuous Covariate

Identification of a subset of patients who may be sensitive to a specific treatment is an important problem in clinical trials. In this paper, we consider the case where the treatment effect is measured by longitudinal outcomes, such as quality of life scores assessed over the duration of a clinical trial, and the subset is determined by a continuous baseline covariate, such as age and expression level of a biomarker. A threshold linear mixed model is introduced, and a smoothing maximum likelihood method is proposed to obtain the estimation of the parameters in the model. Broyden-Fletcher-Goldfarb-Shanno algorithm is employed to maximize the proposed smoothing likelihood function. The proposed procedure is evaluated through simulation studies and application to the analysis of data from a randomized clinical trial on patients with advanced colorectal cancer.

Latent Growth Curve Model of Perceived Family Relationship Quality and Depressive Symptoms During Middle Adolescence in Spain

2017 ◽  
Vol 39 (7) ◽  
pp. 2037-2060 ◽  
Author(s):  
Diego Gomez-Baya ◽  
Ramon Mendoza ◽  
Ines Camacho ◽  
Margarida Gaspar de Matos
Keyword(s):  
Gender Differences ◽  
Depressive Symptoms ◽  
Family Relationships ◽  
Family Relationship ◽  
Self Report ◽  
Adolescent Mother ◽  
Middle Adolescence ◽  
Adolescent Father

This study aimed to examine longitudinal associations between the perceived quality of family relationships and self-reported depressive symptoms during middle adolescence. A 2-year follow-up study, with three assessments at 1-year intervals, was conducted. A total of 525 Spanish adolescents completed paper-based self-report assessments, which included the 10-item Child Depression Inventory and a brief Likert-type scale to measure the quality of the relationships with their father and their mother separately. The results indicated that a decline in the quality of both adolescent–father and adolescent–mother relationships were related to an increase in depressive symptoms during middle adolescence. Furthermore, adolescent–father relationships were found to be worse for girls than for boys and were observed to be associated with gender differences in depressive symptoms after the follow-up. The results provide longitudinal evidence on the importance of parent–adolescent relationships and gender differences in depressive symptoms during adolescence.

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