scholarly journals Influence of Adjunctive Classical Homeopathy on Global Health Status and Subjective Well-Being in Cancer Patients: A Pragmatic Randomized Controlled Trial

Homeopathy ◽  
2018 ◽  
Vol 107 (S 01) ◽  
pp. 55-78
Author(s):  
Michael Frass
Keyword(s):  
Randomized Controlled Trial ◽  
Health Status ◽  
Global Health ◽  
Cancer Patients ◽  
Controlled Trial ◽  
Well Being ◽  
Global Health Status ◽  
Subjective Well Being ◽  
Pragmatic Randomized Controlled Trial ◽  
Randomized Controlled

scholarly journals Effects of Hatha Yoga on caregivers of children and adolescents with cancer: a randomized controlled trial

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Marina Lima Daleprane Bernardi ◽  
Maria Helena Costa Amorim ◽  
Luciane Bresciane Salaroli ◽  
Eliana Zandonade
Keyword(s):  
Randomized Controlled Trial ◽  
Children And Adolescents ◽  
Controlled Trial ◽  
Well Being ◽  
Hatha Yoga ◽  
Control Group ◽  
Anxiety State ◽  
Clinical Group ◽  
Subjective Well Being ◽  
Randomized Controlled

Abstract Objective: To assess the effects of a Hatha Yoga intervention on anxiety, subjective well-being, and attention levels of caregivers of children and adolescents with cancer, admitted to a public hospital in the city of Vitória, state of Espírito Santo, Brazil. Methods: A randomized controlled trial was performed. Thirty-six volunteers were allocated to clinical (participated in 4 to 6 Hatha Yoga practices) or control groups and answered the questionnaires State-Trait Anxiety Inventory, Subjective Well-Being Scale, and Mindfulness Attention Awareness Scale before and after the intervention period. Mann-Whitney and Wilcoxon nonparametric analyses were performed to compare the groups to each other and at different moments. Results: The individuals' moderate anxiety state decreased in the clinical (p = 0.001) and control (p = 0.014) groups so that while the control group continued to present moderate anxiety, the clinical group presented low anxiety after the intervention. Positive affects increased, and adverse effects decreased in the clinical group (p <0.05). There were no relevant changes in satisfaction with life and attention levels in the two groups (p> 0.05). Conclusion and implications for practice: Hatha Yoga is a useful tool for healthcare professionals and caregivers in short-term hospital care to reduce anxiety and improve subjective well-being.

An Exploration of the Effectiveness of the Fun For Wellness Online Intervention to Promote Health in Adults With Obesity: A Randomized Controlled Trial

2020 ◽  
pp. 263207702096873
Author(s):  
Isaac Prilleltensky ◽  
Adam McMahon ◽  
Nicholas D. Myers ◽  
Ora Prilleltensky ◽  
Samantha Dietz ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Health Status ◽  
Self Efficacy ◽  
Large Scale ◽  
Controlled Trial ◽  
Well Being ◽  
The United States ◽  
Double Blind ◽  
Randomized Controlled ◽  
Positive Direct

Fun For Wellness (FFW) is an online behavioral intervention developed to promote well-being by enhancing the self-efficacy of participants. The objective of this study was to evaluate the effectiveness of FFW to promote health in adults with obesity in the United States in a relatively uncontrolled setting. The study design was a large-scale, prospective, double-blind, parallel group randomized controlled trial. Data collection occurred at three time points: baseline, 30 days, and 60 days after baseline. There was evidence for a positive direct effect of FFW on physical health status ([Formula: see text] = 1.33, p = .005, d = 0.24) at 60 days after baseline. In addition, there was evidence of a positive indirect effect of FFW on mental health status at 60 days after baseline through psychological well-being self-efficacy ([Formula: see text] = 0.44, [0.05, 0.94]).

scholarly journals Weight loss before total joint arthroplasty using a remote dietitian and mobile app: study protocol for a multicenter randomized, controlled trial

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Michael W. Seward ◽  
Brielle J. Antonelli ◽  
Nancy Giunta ◽  
Richard Iorio ◽  
Wolfgang Fitz ◽  
...  
Keyword(s):  
Weight Loss ◽  
Randomized Controlled Trial ◽  
Health Status ◽  
Global Health ◽  
Severe Obesity ◽  
Controlled Trial ◽  
Joint Arthroplasty ◽  
Mobile App ◽  
Randomized Controlled ◽  
Multicenter Randomized Controlled Trial

Abstract Background The months prior to elective surgery may present an opportunity for patients to initiate behavior changes that will simultaneously ready them for surgery and improve their overall health status. An upcoming elective total joint arthroplasty (TJA) may serve as motivation for patients with severe obesity (body mass index [BMI]> 40 kg/m2) to lose weight, as it may optimize clinical outcomes following TJA and help them become eligible for TJA since some surgeons use a BMI of 40 kg/m2 as a cut-off for offering surgery in an effort to optimize outcomes. Methods The purpose of this multicenter randomized, controlled trial is to assess the feasibility and efficacy of a 12-week remote dietitian (RD) supervised dietary and physical activity weight loss intervention and mobile app for 60 patients with severe obesity prior to undergoing TJA. Intervention participants will receive access to a smartphone app and connect with an RD who will contact these participants weekly or bi-weekly via video calls for up to nine video calls. Together, participants and RDs will set goals for lifestyle modifications, and RDs will check on progress towards achieving these goals using in-app tools such as food logs and text messages between video calls. All patients will be encouraged to lose at least 20 pounds with a goal BMI < 40 kg/m2 after 12 weeks. Individuals randomized to the control group will receive clinical standard of care, such as nutritionist and/or physical therapy referrals. Outcome and demographic data will be collected from blood serology, chart review, mobile app user data, pre- and postintervention surveys, and phone interviews. The primary outcome measure will be weight change from baseline. Secondary outcome measures will include percentage of patients eligible to undergo TJA, number of sessions completed with dietitians, self-reported global health status (PROMIS Global Health scale), self-reported joint-specific pain and function (Knee injury and Osteoarthritis Outcome Score (KOOS) or Hip disability and Osteoarthritis Outcome Score (HOOS)), and serologies such as hemoglobin A1c, total lymphocyte count, albumin, and transferrin. Qualitative responses transcribed from phone interviews about the intervention will also be analyzed. Discussion This will be the first study to assess pre-operative weight loss in patients with severe obesity anticipating orthopaedic surgery using an RD and mobile app intervention aimed at helping patients become eligible for TJA. Trial registration Registered on 1 April 2020 at Clincialtrials.gov. Trial number is NCT04330391.

scholarly journals Randomized Controlled Trial of Paper-Based at a Hospital versus Continual Electronic Patient-Reported Outcomes at Home for Metastatic Cancer Patients: Does Electronic Measurement at Home Detect Patients’ Health Status in Greater Detail?

2021 ◽  
pp. 0272989X2110101
Author(s):  
Takeru Shiroiwa ◽  
Yasuhiro Hagiwara ◽  
Naruto Taira ◽  
Takuya Kawahara ◽  
Keiko Konomura ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Health Status ◽  
Cancer Patients ◽  
Metastatic Cancer ◽  
Controlled Trial ◽  
Mean Difference ◽  
Randomized Controlled ◽  
Patient Reported ◽  
The Mean ◽  
At Home

Purpose This study aimed to determine whether continual electronic patient-reported outcome (ePRO) measurements at home can capture the fluctuations in health-related quality of life (HRQOL) scores between visits. Methods We performed a randomized controlled trial to compare the scores obtained by standard practice (paper-based measurements in the hospital) to scores by continuous measurement of ePRO at home. Metastatic cancer patients were randomly assigned to either the paper-based ( n = 50) or the ePRO group ( n = 52). EQ-5D-5L and EORTC QLQ C-30 scores were obtained on 3 different chemotherapy days in the paper-based group. Meanwhile, scores were obtained on the chemotherapy day and on days 3, 7, 10, and 14 in the ePRO group during 2 cycles. The first hypothesis of our study was that both scores at the same time points would be equivalent despite different measurement frequency, place, or mode of measurement. The second hypothesis was that PRO score–adjusted time would be different between the groups. For equivalence, the endpoint was the mean EQ-5D-5L index value on the chemotherapy day before the outpatient treatment. Only if equivalence was shown, quality-adjusted life-days (QALDs) were considered using all the data. Results The adjusted mean difference in the EQ-5D-5L index was determined to be −0.013 (95% confidence interval [CI]: −0.049 to 0.022); the 95% CI did not exceed the equivalence margin. Similarly, the mean difference in global health status (2.28 [95% CI: −2.55 to 7.11]) also showed equivalence. However, the QALD by EQ-5D-5L was significantly lower in the ePRO group by 1.36 per 30 d (95% CI: −2.22 to −0.51; P = 0.0021). Conclusions Continual measurements of the HRQOL at home by ePRO may yield more detailed profiles of the HRQOL.

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