An internet-based program to enhance motivation to change in females with symptoms of an eating disorder: a randomized controlled trial

2013 ◽  
Vol 44 (9) ◽  
pp. 1947-1963 ◽  
Author(s):  
K. Hötzel ◽  
R. von Brachel ◽  
U. Schmidt ◽  
E. Rieger ◽  
J. Kosfelder ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Treatment Outcome ◽  
Eating Disorder ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Esteem ◽  
Post Treatment ◽  
Control Group ◽  
Motivational Enhancement Therapy ◽  
Motivation To Change

BackgroundPrevious research has demonstrated an association between low motivation to change and an unfavorable treatment outcome in patients with an eating disorder. Consequently, various studies have examined the effects of motivational enhancement therapy (MET) on motivation to change and treatment outcome in eating disorders. In each of these studies, MET was administered in a face-to-face setting. However, because of its anonymity and ease of access, the internet provides several advantages as the format for such an intervention. Therefore, the current study investigated the effects of an internet-based program (‘ESS-KIMO’) to enhance motivation to change in eating disorders.MethodIn total, 212 females were accepted for participation and assigned randomly to the intervention condition (n = 103) or waiting-list control condition (n = 109). The intervention consisted of six online MET sessions. Before and after the intervention or waiting period respectively, participants completed the Eating Disorder Examination Questionnaire (EDE-Q), the Stages of Change Questionnaire for Eating Disorders (SOCQ-ED), the Pros and Cons of Eating Disorders Scale (P-CED), the Self-Efficacy Scale (SES), and the Rosenberg Self-Esteem Scale (RSES). A total of 125 participants completed the assessment post-treatment. Completer analyses and intent-to-treat analyses were performed.ResultsSignificant time × group interactions were found, indicating a stronger increase in motivational aspects and self-esteem, in addition to a stronger symptom reduction on some measures from pre- to post-treatment in the intervention group compared to the control group.ConclusionsInternet-based approaches can be considered as useful for enhancing motivation to change in eating disorders and for yielding initial symptomatic improvement.

scholarly journals Effects of Dog-Assisted Therapy in Adolescents with Eating Disorders: A Study Protocol for a Pilot Controlled Trial

Animals ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 2784
Author(s):  
Ana Myriam Lavín-Pérez ◽  
Cristina Martín-Sánchez ◽  
Beatriz Martínez-Núñez ◽  
Luis Lucio Lobato-Rincón ◽  
Santos Villafaina ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Eating Disorders ◽  
Pilot Study ◽  
Handgrip Strength ◽  
Controlled Trial ◽  
Self Esteem ◽  
Control Group ◽  
Physical And Mental Health ◽  
Anxiety Depression

Background: Eating disorders are characterized by a persistent disturbance that alters food intake and it is often accompanied by anxiety, depression, low self-esteem, or reduced functional capacity and quality of life. Animal-assisted therapies (AAT) have shown benefits in these variables in children and adult populations. Thus, the present pilot study will aim to evaluate the effects of a dog-assisted therapy on the eating disorders symptoms, mental, psychosocial, and physical health, quality of life, and handgrip strength of adolescents suffering from eating disorders. Methods: The current pilot study will involve 32 patients, who will be assigned to a control or an experimental group. Intervention will be conducted once a week for seven weeks. Neither the experimental nor the control group will discontinue their usual care. The main outcome measures will be the eating disorder symptoms and the health-related quality of life measured with standardized questionnaires, while the secondary variables will be anxiety, depression, character, behavior, strength, and body mass. Conclusions: This pilot-controlled trial will be the first to evaluate the effects of dog-assisted therapy on the physical and mental health of adolescents with eating disorders. Significant improvements, in the primary and secondary outcomes, may be expected based on the known benefits of AAT on self-esteem, stress, and self-control in different populations. Finally, although the program is focused on the improvement of adolescents’ health, animal welfare will be a priority in this study.

scholarly journals Comparison of Shoplifting Behaviours in Patients with Eating Disorders, Psychiatric Control Subjects, and Undergraduate Control Subjects

2000 ◽  
Vol 45 (5) ◽  
pp. 471-475 ◽  
Author(s):  
Elliot M Goldner ◽  
Josie Geller ◽  
C Laird Birmingham ◽  
Ronald A Remick
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Self Esteem ◽  
Control Group ◽  
Control Subjects ◽  
The Past ◽  
History Of ◽  
Eating Disorder Symptomatology ◽  
The Relationship

Shoplifting behaviours were examined in an eating disorder group (EDG, n = 48), a psychiatric control group (PCG, n = 46), and an undergraduate control group (UCG, n = 82). They were examined in relation to self-esteem, depression, and eating disorder symptomatology. The 3 groups did not differ in overall history of shoplifting, but EDG women were more likely to have shoplifted in the past 6 months (current shoplifting) and to have shoplifted often than were women from the PCG or UCG. Across all 3 groups, current shoplifting was associated with low self-esteem, elevated depression, and purging behaviours at the time of the assessment. The implications of these findings with regard to the relationship between shoplifting and eating disorder symptomatology will be addressed.

scholarly journals Effect of Continues Midwifery Support in Labor on the Childbirth Experience and Self-Esteem of Primipara Women: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Nasrin Soleimani ◽  
Mansoureh Refaei ◽  
Farideh Kazemi
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Esteem ◽  
Control Group ◽  
Randomized Controlled ◽  
Childbirth Experience ◽  
Cohen’S D ◽  
The Mean ◽  
Cohen's D

Abstract Background: The World Health Organization states that mothers during labor and delivery should be supported by people with whom they feel comfortable, because one of the non-pharmacological methods of relieving labor pain is the continued support of midwives in labor. The primary objectives of this study were to determine the effect of continuous midwifery support in labor on delivery experience and self-esteem of nulliparous women 6 weeks after delivery.Methods: This randomized controlled trial was performed in 2021 on 70 pregnant women admitted to the delivery ward who met the inclusion criteria. Participants were randomly allocated to two groups through balanced block randomization with a block size of 4. Participants completed a demographic and midwifery information questionnaire before entering the study. In the intervention group, in addition to routine labor care, the researcher was present at the mother's bedside and was present with the mother continuously throughout the labor and up to 2 hours after delivery and provided the necessary support. The control group received only routine labor and postpartum care. Six weeks after delivery, participants in both groups were contacted to complete the CEQ and Rosenberg self-esteem questionnaires. Finally, data were collected and analyzed. Significance level was considered 0.05.Results: By controlling the effect of duration of the first and second stages of labor as potential confounders, the mean (sd) of childbirth experience 6 weeks after delivery was 70.92 (7.07) in the intervention group and 59.69 (7.08) in the control group, and this difference was statistically significant (p <0.001). The amount of effect size indicates a very strong effect of the intervention on improving the childbirth experience (Cohen’s d = 1.69; 95% CI: 1.12, 2.26). Comparison of the mean of maternal self-esteem showed that this rate in the intervention group was 2 scores higher than the control group and this difference was statistically significant (p = 0.05). Cohen's d indicates the average effect of intervention on mothers' self-esteem score (Cohen's d = 0.56; 95% CI: 0.06, 1.05).Conclusions: Continuous support of the midwife in labor and up to 2 hours after delivery can lead to a better childbirth experience and increase the mother's self-esteem up to 6 weeks after delivery.Trial registration: IRCT ID: IRCT20201102049233N1, First Registration date: 2021-06-04

scholarly journals A computerised tailored intervention for increasing intakes of fruit, vegetables, brown bread and wholegrain cereals in adolescent girls

2010 ◽  
Vol 13 (8) ◽  
pp. 1271-1278 ◽  
Author(s):  
Gail Rees ◽  
Savita Bakhshi ◽  
Alecia Surujlal-Harry ◽  
Mikis Stasinopoulos ◽  
Anna Baker
Keyword(s):  
Dietary Intake ◽  
Adolescent Girls ◽  
Low Income ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Tailored Intervention ◽  
Motivation To Change ◽  
Brown Bread

AbstractObjectiveTo evaluate the effectiveness of a computer-generated tailored intervention leaflet compared with a generic leaflet aimed at increasing brown bread, wholegrain cereal, fruit and vegetable intakes in adolescent girls.DesignClustered randomised controlled trial. Dietary intake was assessed via three 24 h dietary recalls.SettingEight secondary schools in areas of low income and/or high ethnic diversity, five in London and three in the West Midlands, UK.SubjectsGirls aged 12–16 years participated (n 823) and were randomised by school class to receive either the tailored intervention (n 406) or a generic leaflet (n 417).ResultsAt follow-up 637 (77 %) participants completed both baseline and follow-up dietary recalls. The tailored intervention leaflet had a statistically significant effect on brown bread intake (increasing from 0·39 to 0·51 servings/d) with a smaller but significant increase in the control group also (increasing from 0·28 to 0·35 servings/d). The intervention group achieved 0·05 more servings of brown bread daily than the control group (P < 0·05), which is equivalent to 0·35 servings/week. For the other foods there were no significant effects of the tailored intervention.ConclusionsThe intervention group consumed approximately 0·35 more servings of brown bread weekly than the control group from baseline. Although this change between groups was statistically significant the magnitude was small. Evaluation of the intervention was disappointing but the tailored leaflet was received more positively in some respects than the control leaflet. More needs to be done to increase motivation to change dietary intake in adolescent girls.

Efficacy of a Smartphone App Intervention for Reducing Caregiver Stress: Randomized Controlled Trial (Preprint)

2019 ◽  
Author(s):  
Matthew Fuller-Tyszkiewicz ◽  
Ben Richardson ◽  
Keriann Little ◽  
Samantha Teague ◽  
Linda Hartley-Clark ◽  
...  
Keyword(s):  
Active Control ◽  
Psychological Intervention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Well Being ◽  
Self Esteem ◽  
Mobile App ◽  
Control Group ◽  
Self Monitoring

BACKGROUND Caregivers play a pivotal role in maintaining an economically viable health care system, yet they are characterized by low levels of psychological well-being and consistently report unmet needs for psychological support. Mobile app–based (mobile health [mHealth]) interventions present a novel approach to both reducing stress and improving well-being. OBJECTIVE This study aims to evaluate the effectiveness of a self-guided mobile app–based psychological intervention for people providing care to family or friends with a physical or mental disability. METHODS In a randomized, single-blind, controlled trial, 183 caregivers recruited through the web were randomly allocated to either an intervention (n=73) or active control (n=110) condition. The intervention app contained treatment modules combining daily self-monitoring with third-wave (mindfulness-based) cognitive-behavioral therapies, whereas the active control app contained only self-monitoring features. Both programs were completed over a 5-week period. It was hypothesized that intervention app exposure would be associated with decreases in depression, anxiety, and stress, and increases in well-being, self-esteem, optimism, primary and secondary control, and social support. Outcomes were assessed at baseline, postintervention, and 3-4 months postintervention. App quality was also assessed. RESULTS In total, 25% (18/73) of the intervention participants were lost to follow-up at 3 months, and 30.9% (34/110) of the participants from the wait-list control group dropped out before the postintervention survey. The intervention group experienced reductions in stress (<i>b</i>=−2.07; <i>P</i>=.04) and depressive symptoms (<i>b</i>=−1.36; <i>P</i>=.05) from baseline to postintervention. These changes were further enhanced from postintervention to follow-up, with the intervention group continuing to report lower levels of depression (<i>b</i>=−1.82; <i>P</i>=.03) and higher levels of emotional well-being (<i>b</i>=6.13; <i>P</i>&lt;.001), optimism (<i>b</i>=0.78; <i>P</i>=.007), self-esteem (<i>b</i>=−0.84; <i>P</i>=.005), support from family (<i>b</i>=2.15; <i>P</i>=.001), support from significant others (<i>b</i>=2.66; <i>P</i>&lt;.001), and subjective well-being (<i>b</i>=4.82; <i>P</i>&lt;.001). On average, participants completed 2.5 (SD 1.05) out of 5 treatment modules. The overall quality of the app was also rated highly, with a mean score of 3.94 out of a maximum score of 5 (SD 0.58). CONCLUSIONS This study demonstrates that mHealth psychological interventions are an effective treatment option for caregivers experiencing high levels of stress. Recommendations for improving mHealth interventions for caregivers include offering flexibility and customization in the treatment design. CLINICALTRIAL Australian New Zealand Clinical Trial Registry ACTRN12616000996460; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=371170

scholarly journals Efficacy of a Smartphone App Intervention for Reducing Caregiver Stress: Randomized Controlled Trial

10.2196/17541 ◽  
2020 ◽  
Vol 7 (7) ◽  
pp. e17541
Author(s):  
Matthew Fuller-Tyszkiewicz ◽  
Ben Richardson ◽  
Keriann Little ◽  
Samantha Teague ◽  
Linda Hartley-Clark ◽  
...  
Keyword(s):  
Active Control ◽  
Controlled Trial ◽  
Intervention Group ◽  
Well Being ◽  
Self Esteem ◽  
Mobile App ◽  
Trial Registration ◽  
Control Group ◽  
Self Monitoring

Background Caregivers play a pivotal role in maintaining an economically viable health care system, yet they are characterized by low levels of psychological well-being and consistently report unmet needs for psychological support. Mobile app–based (mobile health [mHealth]) interventions present a novel approach to both reducing stress and improving well-being. Objective This study aims to evaluate the effectiveness of a self-guided mobile app–based psychological intervention for people providing care to family or friends with a physical or mental disability. Methods In a randomized, single-blind, controlled trial, 183 caregivers recruited through the web were randomly allocated to either an intervention (n=73) or active control (n=110) condition. The intervention app contained treatment modules combining daily self-monitoring with third-wave (mindfulness-based) cognitive-behavioral therapies, whereas the active control app contained only self-monitoring features. Both programs were completed over a 5-week period. It was hypothesized that intervention app exposure would be associated with decreases in depression, anxiety, and stress, and increases in well-being, self-esteem, optimism, primary and secondary control, and social support. Outcomes were assessed at baseline, postintervention, and 3-4 months postintervention. App quality was also assessed. Results In total, 25% (18/73) of the intervention participants were lost to follow-up at 3 months, and 30.9% (34/110) of the participants from the wait-list control group dropped out before the postintervention survey. The intervention group experienced reductions in stress (b=−2.07; P=.04) and depressive symptoms (b=−1.36; P=.05) from baseline to postintervention. These changes were further enhanced from postintervention to follow-up, with the intervention group continuing to report lower levels of depression (b=−1.82; P=.03) and higher levels of emotional well-being (b=6.13; P<.001), optimism (b=0.78; P=.007), self-esteem (b=−0.84; P=.005), support from family (b=2.15; P=.001), support from significant others (b=2.66; P<.001), and subjective well-being (b=4.82; P<.001). On average, participants completed 2.5 (SD 1.05) out of 5 treatment modules. The overall quality of the app was also rated highly, with a mean score of 3.94 out of a maximum score of 5 (SD 0.58). Conclusions This study demonstrates that mHealth psychological interventions are an effective treatment option for caregivers experiencing high levels of stress. Recommendations for improving mHealth interventions for caregivers include offering flexibility and customization in the treatment design. Trial Registration Australian New Zealand Clinical Trial Registry ACTRN12616000996460; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=371170

The Prevalence of Eating Disorders Among University Students and the Relationship with Some Individual Characteristics

2006 ◽  
Vol 40 (2) ◽  
pp. 129-135 ◽  
Author(s):  
Nesim Kugu ◽  
Gamze Akyuz ◽  
Orhan Dogan ◽  
Erdal Ersan ◽  
Ferda Izgic
Keyword(s):  
Eating Disorders ◽  
Child Abuse ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
University Students ◽  
Child Abuse And Neglect ◽  
Self Esteem ◽  
Control Group ◽  
Study Group ◽  
Abuse And Neglect

Objective: The purpose of this study was to determine the prevalence of eating disorders (EDs) among university students in a rural area of Turkey and to compare groups based on the sociodemographic data, history of child abuse and neglect, family roles and selfesteem with a normal control group regarding EDs. Method: Subjects who were chosen by simple random sampling method were consisted of 980 Cumhuriyet University students who agreed to participate out of the 1003 total students and were given a sociodemographic information form and an Eating Attitudes Test (EAT). Students who scored above a cutoff level on the EAT were interviewed using the Structured Clinical Interview for DSM-IV axis I Disorders (SCID-I), Clinical Version. The Rosenberg Self-Esteem Scale, Family Assessment Device (FAD) and Childhood Abuse and Neglect Questionnaire Form were given to subjects in the control and study groups. Results: Seventy-one of the 951 students (492 female, 459 male) who correctly filled out the EAT had a score above the cutoff level of 30 or higher. Of these 71 students, 21 (2.20%) were found to have an eating disorder based on the SCID-I. No subjects were found to have anorexia nervosa. Eighteen of the 21 subjects were female. Of these 18 female students, 15 (1.57%) were found to have bulimia nervosa and three (0.31%) were found to have binge eating disorder (BED). All of the three male subjects were diagnosed with BED (0.31%). The self-esteem of those in the study group was lower than those in the control group (p < 0.001). Subjects in the study group had more frequent histories of sexual and emotional abuse in childhood (p < 0.05). Also, in the study group scores showing communication in FAD families, unity and emotional attachment were statistically significantly lower than the control group (p < 0.001). Conclusions: It has been observed from the results of this research that the frequency of bulimia nervosa and BED in this sample is so similar to Western samples. Besides that, self-esteem, child abuse and neglect, and family functions must be examined in detail because they are risk factors for EDs and affect the course of treatment.

scholarly journals Taking the LEAP: study protocol for a randomized, multicentre, naturalistic, efficacy trial of the compuLsive Exercise Activity theraPy (LEAP) - a cognitive behavioral program specifically targeting compulsive exercise in patients with eating disorders

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elin Monell ◽  
Caroline Meyer ◽  
Agnieszka Szwajda ◽  
Emma Forsén Mantilla
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Group Treatment ◽  
Intervention Group ◽  
Control Group ◽  
Specialist Care ◽  
Treatment As Usual ◽  
Compulsive Exercise ◽  
Exercise Activity ◽  
Activity Therapy

Abstract Background About half of Swedish eating disorder patients report exercising compulsively and compulsive exercise (CE) is prevalent in all diagnoses and both genders. Yet there are no systematic treatments targeting CE in specialist care. This study aims to evaluate the effects of The CompuLsive Exercise Activity TheraPy (LEAP) - a promising group treatment targeting compulsive exercise, in Swedish eating disorder patients. Method One hundred twenty-eight adult females and males suffering from anorexia nervosa, bulimia nervosa or other specified feeding and eating disorders (type 1, 2, or 4) with CE will be recruited via four specialist eating disorder treatment units. Participants will be randomized to receive treatment as usual (control group) or treatment as usual plus LEAP (intervention group). The groups will be assessed on key variables (e.g., BMI, eating disorder symptoms, exercise cognitions and behaviors) at three occasions: initially, after 3 months and after 6 months. Discussion The project takes place in a clinical setting, including both male and female patients with different eating disorder diagnoses with CE, enabling a good indication of the efficacy of LEAP. If our results are positive, LEAP has the potential of benefiting about half of the eating disorder population, with remission and recovery hopefully improving as a result. Trial registration The trial is registered with the ISRCTN registry (registration date 2020-03-25), trial ID: ISRCTN80711391.

scholarly journals The effects of psycho-educational interventions on anxiety and self-esteem of women with breast cancer using mobile application and mobile-based online group discussions: a randomized controlled trial (Preprint)

2020 ◽  
Author(s):  
Shahrzad Yektatalab ◽  
Elaheh Ghanbari ◽  
Manoosh Mehrabi
Keyword(s):  
Breast Cancer ◽  
Mobile Application ◽  
Controlled Trial ◽  
Intervention Group ◽  
Educational Interventions ◽  
Self Esteem ◽  
Control Group ◽  
Post Intervention ◽  
Randomized Controlled ◽  
Paired T Test

BACKGROUND Psycho-education has turned into an effective tool in taking care of cancer patients and improving their psycho-physical symptoms and quality of life. Despite the growing utilization of mobile phone applications in medical settings for improving health, evidence supporting their effectiveness in the psycho-education of breast cancer patients is rarely available. OBJECTIVE The present study was conducted to investigate the effect of psycho-educational interventions on anxiety and self-esteem in women with breast cancer using a mobile application and an online support group. METHODS An unblinded randomized controlled trial based on mobile phones was conducted in Shiraz, Iran. Eighty-two women with non-metastatic breast cancer aged 20-60 years were recruited offline and randomly assigned to an intervention group (N=41) and a wait-list control group (N=41) through blocked randomization. The intervention group received psycho-educational interventions through a mobile phone application and participated in nurse-assisted online mobile support sessions for a total four weeks, whereas the control group was put on a waiting list. The state-trait anxiety inventory (STAI) developed by Spielberger and the Rosenberg self-esteem scale (RSES) were respectively used to measure the levels of anxiety and self-esteem as the main outcomes in the two groups at baseline and one week after the intervention. The data were analyzed in IBM SPSS Statistics for Windows, version 22 (IBM Corp., Armonk, N.Y., USA). RESULTS Comparing the post-intervention mean scores of anxiety and its two subscales using the independent-test showed statistically-significant differences between the mobile psycho-education group and the controls (P<.001). The paired t-test used to compare the post-intervention mean scores of anxiety with its pre-intervention scores in the intervention group showed significant reductions in the scores of anxiety and its two subscales (P<.001). Comparing the post-intervention mean scores of self-esteem showed statistically-insignificant differences between the control and intervention groups (P=.24). In contrast to in the controls, using the paired t-test showed that the increase in the post-intervention mean scores of self-esteem were statistically significant in the intervention group compared to the pre-intervention scores (P<.001). No statistically-significant differences were observed in anxiety and self-esteem scores in the control group between before and after the intervention (P>.05). CONCLUSIONS The present study demonstrated the key role of mobile applications in decreasing anxiety and improving self-esteem in breast cancer women through psycho-educational interventions. Similar studies with longer follow-ups are recommended that be conducted in this context. CLINICALTRIAL Iranian Registry of Clinical Trials IRCT20150721232279N2; https://en.irct.ir/trial/19882

scholarly journals Group Music Intervention Reduces Aggression and Improves Self-Esteem in Children with Highly Aggressive Behavior: A Pilot Controlled Trial

2010 ◽  
Vol 7 (2) ◽  
pp. 213-217 ◽  
Author(s):  
Ae-Na Choi ◽  
Myeong Soo Lee ◽  
Jung-Sook Lee
Keyword(s):  
Aggressive Behavior ◽  
Outcome Measures ◽  
Child Behavior Checklist ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Esteem ◽  
Control Group ◽  
Music Intervention ◽  
Child Aggression ◽  
Comparable Control

We investigated the effects of group music intervention on aggression and self-esteem in children with highly aggressive behavior. Forty-eight children were allocated to either a music intervention group or an untreated control group. The music intervention group received 50 min of music intervention twice weekly for 15 consecutive weeks. The outcome measures were Child Behavior Checklist Aggression Problems Scale (Parents), Child Aggression Assessment Inventory (Teachers) and Rosenberg Self-esteem Scale. After 15 weeks, the music intervention group showed significant reduction of aggression and improvement of self-esteem compared with the control group. All outcome measures were significantly lower in the music intervention group than prior to treatment, while there was no change in the control group. These findings suggest that music can reduce aggressive behavior and improve self-esteem in children with highly aggressive behavior. Music intervention is an easily accessible therapy for children and as such may be an effective intervention for aggressive behavior. Further more, objective and replicable measures are required from a randomized controlled trial with a larger sample size and active comparable control.

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