How do ACT core processes underlie loneliness and psychological health? A study among people with and without physical chronic disease

BACKGROUND: The COVID-19 pandemic has resulted in increased sedentary behaviour and poorer health among office workers. Exergaming is a technology-driven mode of exercise that can improve health while physically distancing. OBJECTIVE: The purpose of this commentary was to explain the benefits of exergaming on physical function, psychological health, and cognition among office workers. RESULTS: Exergaming improves these health outcomes, reduces pain, and decreases the risk for chronic disease. It is easily accessible on smart devices and can be performed both indoors and outdoors. CONCLUSIONS: Twenty-one minutes of exergaming per day can improve health outcomes and reduce the risk of pain and disease. Employers and policy-makers should consider promoting exergaming among office workers.

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A Systematic Review of Effects of Physical Activity of Family Caregivers of Older Adults With Chronic Disease

Innovation in Aging ◽

10.1093/geroni/igab046.1528 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 395-395

Author(s):

Dawon Baik ◽

Jiyoun Song ◽

Aluem Tark ◽

Heather Coats ◽

Catherine Jankowski

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Older Adults ◽

Chronic Disease ◽

Physical Health ◽

Family Caregivers ◽

Psychological Health ◽

Randomized Clinical Trials ◽

Cochrane Collaboration ◽

Cochrane Library

Abstract More than 17 million family caregivers (FCGs) provide care for older adults with chronic illness in the US. Caregiving for older adults with chronic disease places a considerable burden on FCGs and they tend to neglect their personal health. Generally, physical activity (PA) programs benefit the physical and psychological health of FCGs. However, no review of PA randomized clinical trials (RCTs) focused on FCGs of older adults with chronic disease. In this systematic review, we analyzed the most recent trends (2010-2020) in RCTs identifying the effects of PA in this population. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Electronic databases (PubMed, CINAHL, Embase, PsycInfo, Cochrane Library) were searched for publications dated from 2010 to 2020. All studies included were appraised for quality using the Cochrane Collaboration Risk of Bias Tool. Of the resulting 16 studies, most studies (n=11) targeted FCGs of older adults with dementia or cancer. Most FCGs were non-Hispanic white. PA interventions with mixed modes (e.g., aerobic and resistance exercise), mixed delivery methods (e.g., in-person and telephone) and mixed settings (e.g., supervised gym- and unsupervised home sessions) were used most frequently. PA interventions significantly improved psychological health but had inconsistent effects on physical health. Tailored PA programs, designed based on FCGs’ goals, preferences and limitations, may improve upon physical health outcomes. Future PA studies should include samples of racially and ethnically diverse FCGs of older adults representing a broader range of chronic diseases.

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Links of communal coping to relationship and psychological health in type 2 diabetes: actor–partner interdependence models involving role, sex, and race

Annals of Behavioral Medicine ◽

10.1093/abm/kaz052 ◽

2019 ◽

Vol 54 (5) ◽

pp. 346-359 ◽

Cited By ~ 1

Author(s):

Vicki S Helgeson ◽

Jeanean B Naqvi ◽

Howard Seltman ◽

Abigail Kunz Vaughn ◽

Mary Korytkowski ◽

...

Keyword(s):

Type 2 Diabetes ◽

Chronic Disease ◽

Psychological Health ◽

Psychological Functioning ◽

Self Report ◽

Communal Coping ◽

Good Relationship ◽

Black Patients ◽

White Patients

Abstract Background Communal coping is one person’s appraisal of a stressor as shared and collaboration with a partner to manage the problem. There is a burgeoning literature demonstrating the link of communal coping to good relationships and health among persons with chronic disease. Purpose We examined links of communal coping to relationship and psychological functioning among couples in which one person was recently diagnosed with type 2 diabetes. We distinguished effects of own communal coping from partner communal coping on both patient and spouse relationship and psychological functioning, as well as whether communal coping effects were moderated by role (patient, spouse), sex (male, female), and race (White, Black). Methods Participants were 200 couples in which one person had been diagnosed with type 2 diabetes (46% Black, 45% female) within the last 5 years. Couples completed an in-person interview, participated in a discussion to address diabetes-related problems, and completed a postdiscussion questionnaire. Results Own communal coping and partner communal coping were related to good relationship and psychological functioning. Interactions with role, sex, and race suggested: (i) partner communal coping is more beneficial for patients than spouses; (ii) own communal coping is more beneficial for men, whereas partner communal coping is more beneficial for women; and (iii) White patients and Black spouses benefit more from own communal coping than Black patients and White spouses. Conclusion These findings demonstrate the benefits of communal coping across an array of self-report and observed indices, but suggest there are differential benefits across role, sex, and race.

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Chronic illness and quality of life

South African Journal of Physiotherapy ◽

10.4102/sajp.v56i4.527 ◽

2000 ◽

Vol 56 (4) ◽

pp. 10-16 ◽

Cited By ~ 2

Author(s):

C. J. Eales ◽

A. V. Stewart ◽

T. D. Noakes

Keyword(s):

Quality Of Life ◽

Chronic Disease ◽

Chronic Illness ◽

Chronic Diseases ◽

Psychological Health ◽

Major Objective ◽

Acceptable Quality ◽

Successful Rehabilitation ◽

Life Evaluations

The major objective of medical care is to preserve life. If patients cannot be cured and are left with residual chronic diseases then the aim is to provide them with the means to lead a life of quality within the confines of their disease. Rehabilitation in chronic disease means restoring or creating a life of acceptable quality. This is achieved by restoring the patient to optimal physiological and psychological health compatible with the extent of the disease and in doing so improve the quality of life. Improved quality of life is the best indicator of successful rehabilitation. Patients with chronic diseases are increasingly expected to become partners when decisions are made regarding their therapy and therefor their evaluation of the outcome is of great importance. There are a number of shortcomings with quality of life evaluations and the most important one is that it does not seem to be adequately defined. Another major problem is that this evaluation usually focuses on aspects of physical function and few studies include subjective indicators. It is generally felt that the opinion of the spouse or caregiver should be included.

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The effect of participating in MedEx Wellness, a community-based chronic disease exercise rehabilitation programme, on physical, clinical and psychological health: A study protocol for a cohort trial

Contemporary Clinical Trials Communications ◽

10.1016/j.conctc.2020.100591 ◽

2020 ◽

Vol 19 ◽

pp. 100591

Author(s):

Bróna Kehoe ◽

Fiona Skelly ◽

Niall Moyna ◽

Mairéad Cantwell ◽

Lorraine Boran ◽

...

Keyword(s):

Chronic Disease ◽

Study Protocol ◽

Psychological Health ◽

Rehabilitation Programme ◽

Community Based ◽

Exercise Rehabilitation

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Preconception care: screening and management of chronic disease and promoting psychological health

Reproductive Health ◽

10.1186/1742-4755-11-s3-s5 ◽

2014 ◽

Vol 11 (Suppl 3) ◽

pp. S5 ◽

Cited By ~ 24

Author(s):

Zohra S Lassi ◽

Ayesha M Imam ◽

Sohni V Dean ◽

Zulfiqar A Bhutta

Keyword(s):

Chronic Disease ◽

Psychological Health ◽

Preconception Care

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Do Program Implementation Factors or Fidelity Affect Chronic Disease Self-Management Education Programs’ Outcomes?

American Journal of Health Promotion ◽

10.1177/0890117116664704 ◽

2016 ◽

Vol 31 (5) ◽

pp. 422-425 ◽

Cited By ~ 1

Author(s):

Teresa J. Brady ◽

Louise B. Murphy ◽

Benita J. O’Colmain ◽

Reeti Desai Hobson

Keyword(s):

Chronic Disease ◽

Health Status ◽

Psychological Health ◽

Management Education ◽

Meta Analysis ◽

Management Program ◽

Self Management ◽

Care Utilization ◽

Program Outcomes ◽

Implementation Factors

Purpose: To evaluate whether implementation factors or fidelity moderate chronic disease self-management education program outcomes. Design: Meta-analysis of 34 Arthritis Self-Management Program and Chronic Disease Self-Management Program studies. Setting: Community. Participants: N = 10 792. Measures: Twelve implementation factors: program delivery fidelity and setting and leader and participant characteristics. Eighteen program outcomes: self-reported health behaviors, physical health status, psychological health status, and health-care utilization. Analysis: Meta-analysis using pooled effect sizes. Results: Modest to moderate statistically significant differences for 4 of 6 implementation factors; these findings were counterintuitive with better outcomes when leaders and participants were unpaid, leaders had less than minimum training, and implementation did not meet fidelity requirements. Conclusion: Exploratory study findings suggest that these interventions tolerate some variability in implementation factors. Further work is needed to identify key elements where fidelity is essential for intervention effectiveness.

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Assessment of Cognitive-Communicative Disorders of Mild Traumatic Brain Injury Sustained in Combat

Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders ◽

10.1044/nnsld19.2.47 ◽

2009 ◽

Vol 19 (2) ◽

pp. 47-57 ◽

Cited By ~ 10

Author(s):

Christine Parrish ◽

Carole Roth ◽

Brooke Roberts ◽

Gail Davie

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Mild Traumatic Brain Injury ◽

Psychological Health ◽

Communication Disorders ◽

Service Members ◽

Patient Questionnaire ◽

Speech Language Pathologists ◽

Test Protocol ◽

Communication Deficits

Abstract Background: Mild traumatic brain injury (mTBI) is recognized as the signature injury of the current conflicts in Iraq and Afghanistan, yet there remains limited understanding of the persisting cognitive deficits of mTBI sustained in combat. Speech-language pathologists (SLPs) have traditionally been responsible for evaluating and treating the cognitive-communication disorders following severe brain injuries. The evaluation instruments historically used are insensitive to the subtle deficits found in individuals with mTBI. Objectives: Based on the limited literature and clinical evidence describing traditional and current tests for measuring cognitive-communication deficits (CCD) of TBI, the strengths and weaknesses of the instruments are discussed relative to their use with mTBI. It is necessary to understand the nature and severity of CCD associated with mTBI for treatment planning and goal setting. Yet, the complexity of mTBI sustained in combat, which often co-occurs with PTSD and other psychological health and physiological issues, creates a clinical challenge for speech-language pathologists worldwide. The purpose of the paper is to explore methods for substantiating the nature and severity of CCD described by service members returning from combat. Methods: To better understand the nature of the functional cognitive-communication deficits described by service members returning from combat, a patient questionnaire and a test protocol were designed and administered to over 200 patients. Preliminary impressions are described addressing the nature of the deficits and the challenges faced in differentiating the etiologies of the CCD. Conclusions: Speech-language pathologists are challenged with evaluating, diagnosing, and treating the cognitive-communication deficits of mTBI resulting from combat-related injuries. Assessments that are sensitive to the functional deficits of mTBI are recommended. An interdisciplinary rehabilitation model is essential for differentially diagnosing the consequences of mTBI, PTSD, and other psychological and physical health concerns.

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