31.1 The Impact of a Harry Potter–Based CBT Skills Curriculum on Suicidality and Well-Being in Middle Schoolers: A Randomized Controlled Trial

BACKGROUND The COVID-19 Pandemic led to drastic increases in the prevalence and severity of insomnia symptoms. These increases in insomnia complaints have been paralleled by significant decreases in well-being, including increased symptoms of depression, anxiety, and suicidality and decreased quality of life. However, the efficacy and impact of early treatment of insomnia symptoms on future sleep and well-being remains unknown. OBJECTIVE Here, we present the framework and protocol for a novel study that aims to investigate whether a brief telehealth insomnia intervention targeting new insomnia that developed during the pandemic prevents deterioration of well-being, including symptoms of insomnia, depression, anxiety, suicidality, and quality of life. METHODS The protocol details a two-arm randomized controlled trial to investigate the efficacy of a brief, telehealth-delivered, early treatment of insomnia and evaluate its potential to prevent a deterioration of well-being. Participants with clinically significant insomnia symptoms that began during the pandemic are randomized to either a treatment group or a 28-week waitlist control group. Treatment consists of 4 telehealth sessions of Cognitive Behavioral Therapy for Insomnia (CBT-I) delivered over 5 weeks. All participants will complete assessments of insomnia symptom severity, well-being, and daily habits checklist at baseline (week 0), and at weeks 1-6, 12, 28, and 56. RESULTS The trial began enrollment June 3, 2020 and closed enrollment June 17, 2021. As of October 2021, 49 participants have been randomized to either immediate treatment or a 28-week waitlist. 23 participants are still active in the protocol. CONCLUSIONS To our knowledge, this protocol would be represent the first study to test an early sleep intervention for improving insomnia that emerged during the COVID-19 Pandemic. The findings of this study could provide information about the utility of CBT-I for symptoms that emerge in the context of other stressors before they develop a chronic course and deepen understanding of the relationship between sleep and well-being. CLINICALTRIAL NCT04409743

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O4-03-06: A RANDOMIZED CONTROLLED TRIAL EVALUATING THE IMPACT OF AN E-LEARNING INTERVENTION BASED ON THE IMPROVING WELL-BEING AND HEALTH FOR PEOPLE WITH DEMENTIA (WHELD) PERSON-CENTRED CARE TRAINING PROGRAMME

Alzheimer s & Dementia ◽

10.1016/j.jalz.2018.06.2926 ◽

2006 ◽

Vol 14 (7S_Part_26) ◽

pp. P1406-P1406 ◽

Cited By ~ 1

Author(s):

Joanne McDermid ◽

Jane Fossey ◽

Miguel Vasconcelos Da Silva ◽

Clive Ballard

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Well Being ◽

Training Programme ◽

Randomized Controlled ◽

Learning Intervention ◽

People With Dementia ◽

E Learning ◽

Care Training ◽

The Impact

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A Brief Mindfulness-Based Intervention for Primary Care Physicians: A Pilot Randomized Controlled Trial

American Journal of Lifestyle Medicine ◽

10.1177/1559827616629121 ◽

2016 ◽

Vol 12 (1) ◽

pp. 83-91 ◽

Cited By ~ 29

Author(s):

David A. Schroeder ◽

Elizabeth Stephens ◽

Dharmakaya Colgan ◽

Matthew Hunsinger ◽

Dan Rubin ◽

...

Keyword(s):

Primary Care ◽

Randomized Controlled Trial ◽

Primary Care Physicians ◽

Controlled Trial ◽

Well Being ◽

Control Group ◽

Randomized Controlled ◽

Patient Reported ◽

The Impact

Primary care physicians experience high rates of burnout, which results in diminished quality of life, poorer quality of care, and workforce attrition. In this randomized controlled trial, our primary aim was to examine the impact of a brief mindfulness-based intervention (MBI) on burnout, stress, mindfulness, compassion, and resilience among physicians. A total of 33 physicians completed the baseline assessment and were randomized to the Mindful Medicine Curriculum (MMC; n = 17) or waitlist control group (n = 16). Participants completed self-report measures at baseline, post-MBI, and 3-month follow-up. We also analyzed satisfaction with doctor communication (DCC) and overall doctor rating (ODR) data from patients of the physicians in our sample. Participants in the MMC group reported significant improvements in stress (P < .001), mindfulness (P = .05), emotional exhaustion (P = .004), and depersonalization (P = .01) whereas in the control group, there were no improvements on these outcomes. Although the MMC had no impact on patient-reported DCC or ODR, among the entire sample at baseline, DCC and ODR were significantly correlated with several physician outcomes, including resilience and personal achievement. Overall, these findings suggest that a brief MBI can have a positive impact on physician well-being and potentially enhance patient care.

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Home ovulation test use and stress during subfertility evaluation: Subarm of a randomized controlled trial

Women s Health ◽

10.1177/1745506519838363 ◽

2019 ◽

Vol 15 ◽

pp. 174550651983836

Author(s):

Sarah Weddell ◽

Georgina L Jones ◽

Sheila Duffy ◽

Cameron Hogg ◽

Sarah Johnson ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Confidence Interval ◽

Average Length ◽

Controlled Trial ◽

Test Group ◽

Well Being ◽

Control Group ◽

Psychological Well Being ◽

Randomized Controlled ◽

The Impact

Objectives: A prospective, randomized controlled trial in women seeking to conceive examined the impact of using ovulation tests on self-reported levels of stress, psychological well-being, and quality of life in women with unexplained infertility. Method: The test group used a home ovulation test to detect the day of ovulation, whereas the control group were provided with a predicted day of ovulation based on the average length of menstrual cycle reported during study recruitment. Volunteers collected their first morning urine samples to evaluate biochemical levels of stress (urinary cortisol and estrone-3-glucouronide) and completed questionnaires over two complete menstrual cycles. Results: Overall, the use of digital ovulation tests by sub-fertile women under medical care had negligible negative effects and no detectable positive benefit on psychological well-being, according to multiple measurements of stress by questionnaire and biochemical markers. No significant differences were found between groups for all stress measures at the various study time points, except in relation to “couple concordance” where the test group scored much higher than the control group (mean difference at end of study was 21.25 (95% confidence interval: 9.25, 33.25; P = 0.0015)). The maximum difference in log cortisol: creatinine ratio between the test and control groups was −0.28 (95% confidence interval: −0.69, 0.13). Conclusions: These results do not support propositions that using digital ovulation tests can cause stress in women trying to conceive.

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Randomized Controlled Trial Study of the Impact of a Spiritual Intervention on Hope and Spiritual Well-Being of Persons with Cancer

Investigación y Educación en Enfermería ◽

10.17533/udea.iee.v39n3e08 ◽

2021 ◽

Vol 39 (3) ◽

Author(s):

Ardashir Afrasiabifar ◽

Asadollah Mosavi ◽

Abolfazl Taghipour Jahromi ◽

Nazafarin Hosseini

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Well Being ◽

Control Group ◽

Randomized Controlled ◽

Before And After ◽

Spiritual Well Being ◽

Spiritual Intervention ◽

And Control ◽

The Impact

Objective. To determine the impact of spiritual intervention on hope and spiritual well-being of persons with cancer Methods. Randomized controlled trial in which 74 patients with cancer referring to a chemotherapy ward of Shahid Rajaie Hospital in Yasuj city, Iran, were participated. The eligible patients were randomly assigned to either intervention or control group. Spiritual-based intervention was performed based on the protocol in four main fields namely; religious, existence, emotional and social over 5 sessions before chemotherapy.The participants in the control group had received usual cares .Data were collected using Snyder's Hope Scale and Ellison's Scale Spiritual Well-Being Scale on a week before and after intervention. Results. The total mean scores of the scales of hope and spiritual well-being in both groups did not present statistical differences in the pre-intervention assessment. In contrast, at the post assessment, significant differences (p<0.001) were found in the mean scores between the intervention and control groups on the hope scale (60.9 versus 39.8) and on the spiritual well-being scale (94.3 versus 71.6). Conclusion. Spiritual intervention could promote hope and spiritual well-being of persons with cancer.

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