A-135 Telehealth Motivationally Enhanced Compensatory Cognitive Training for Older Veterans with Cognitive Complaints: A Pilot Study

2021 ◽  
Vol 36 (6) ◽  
pp. 1186-1186
Author(s):  
Irina Zilberfayn ◽  
Janice C Marceaux ◽  
Jesse A McPherron
Keyword(s):  
Cognitive Training ◽  
Memory Performance ◽  
Cognitive Disorder ◽  
Strategy Use ◽  
Self Report ◽  
Rank Test ◽  
Semantic Fluency ◽  
Cognitive Complaints ◽  
Neuropsychological Screening ◽  
Signed Rank Test

Abstract Objective This study evaluated the effectiveness of Motivationally Enhanced Compensatory Cognitive Training (ME-CCT), conducted via telehealth. Cognitive performance, self-reported functioning, and activity engagement were expected to improve following participation. Compensatory strategy use was projected to predict posttest memory performance. Method Data from VA electronic medical records was obtained for five veterans (80% male; ages 68–84) who completed an 8-week ME-CCT protocol via telehealth. All completed pre/post neuropsychological screening (RBANS subtests, Oral TMT-B [O-TMT-B]) and self-report measures (PHQ-9, GAD-7, WHODAS, Multifactorial Memory Questionnaire [MMQ]). All had cognitive complaints but no cognitive disorder. Wilcoxon signed-rank test compared pretest-posttest scores. Hierarchical linear regression examined whether strategy use was predictive of posttest memory scores, controlling for age and pretest scores. Results O-TMT-B time (Z = -1.75, p = 0.040, r = −0.78) and errors (Z = -1.73; p = 0.042, r = −0.77) improved significantly, but not semantic fluency (p = 0.358). Immediate (p = 0.055) and Delayed Memory (p = 0.447) did not change. MMQ-Strategy increased (Z = -1.826; p = 0.034, r = −0.82). MMQ-Abilities (p = 0.055, r = −0.82) and MMQ-Satisfaction (p = 0.143 r = −0.48,) did not differ but showed a moderate to large effect. PHQ-9 was lower (Z = -1.841, p = 0.033, r = −0.82); there was a non-significant but large effect on GAD-7 (Z = -1.414, p = 0.079, r = −0.63). WHODAS-Total did not differ (p = 0.231). Use of strategies did not predict Immediate (p = 0.669) or Delayed (p = 0.631) Memory scores. Conclusions Preliminary findings support the use of the ME-CCT protocol with older adults via telehealth, as results suggest possible improvement in aspects of cognition, greater use of strategies, and reductions in mood-related symptoms. Further research with a larger sample is needed to replicate the results and further explore possible outcomes following ME-CCT.

scholarly journals PENGARUH TERAPI KELOMPOK BERBASIS MINDFUL PARENTING TERHADAP BEBAN PSIKOLOGIS IBU YANG MEMILIKI ANAK CEREBRAL PALSY

2020 ◽  
Vol 4 (3) ◽  
pp. 210
Author(s):  
I Rai Hardika ◽  
Diah Widiawati
Keyword(s):  
Cerebral Palsy ◽  
Mindful Parenting ◽  
Self Report ◽  
Rank Test ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Convenience Sampling

Penelitian ini adalah upaya untuk memberikan keterampilan bagi ibu yang memiliki anak dengan cerebral palsy dalam mengatasi kondisi stres pengasuhan yang dialaminya. Stres pengasuhan menyebabkan munculnya beban psikologis yang pada dasarnya berdampak langsung pada kehidupan ibu sebagai pengasuh utama. Penelitian ini menyasar pengaruh yang diberikan oleh program keterampilan mindful parenting terhadap beban psikologis ibu yang memiliki anak dengan cerebral palsy. Penelitian ini menggunakan pendekan eksperimen dengan desain one-group pretest-posttest design with double pretest. Variabel bebas penelitian yaitu program mindful parenting dan variabel tergantung penelitian yaitu beban psikologis. Adapun cek manipulasi dilakukan menggunakan skala mindful parenting. Latar belakang kelompok dipilih sebagai bagian dari pengumpulan subjek penelitian. Pilihan ini didasarkan pada pengamatan bahwa proses terapi yang melibatkan anak dengan cerebral palsymembutuhkan waktu yang panjang sehingga proses tersebut membentuk ikatan secara tidak langsung antara orang tua yang mengupayakan terapi. Penelitian dilakukan di salah satu kelompok terapi cerebral palsy di B dengan jumlah 6 orang partisipan dengan tenik convenience sampling. Intervensi dilakukan dalam bentuk kelompok terapi dalam pelaksanaan program keterampilan mindful parenting dalam 8 sesi selama 2 minggu. Pengujian hipotesis menggunakan Wilcoxon signed rank test dengan disertai data kualitatif menggunakan observasi, wawancara, dan self-report. Uji hipotesis menunjukkan bahwa program keterampilan mindful parenting secara signifikan menurunkan beban psikologis partisipan dengan nilai z = -2,201 (p = 0,028; p < 0,05). Program mindful parenting memiliki pengaruh terhadap penurunan beban psikologis sebesar 63% (r = -0,63). Berdasarkan analisis tiap aspek beban psikologis disimpulkan bahwa beban psikologis partisipan mengalami perubahan dalam semua aspek. Hal ini didukung oleh peningkatan praktik keterampilan mindfulness yang signifikan dari partisipan. Dapat disimpulkan bahwa orang tua yang mempraktikkan keterampilan mindful parenting dapat membantu mereka dalam menurunkan beban psikologis yang dialami dalam pengasuhan dengan cerebral palsy.

“Cleanse” detoxification diet program in Appalachia: Participant characteristics and perceived health effects

2019 ◽  
Vol 17 (2) ◽  
Author(s):  
Laura Davisson ◽  
Sarah Sofka
Keyword(s):  
Sleep Quality ◽  
Health Effects ◽  
Family Income ◽  
Energy Levels ◽  
The Body ◽  
Self Report ◽  
Rank Test ◽  
Weight Satisfaction ◽  
Signed Rank Test ◽  
Improve Health

AbstractIntroductionNumerous detoxification or “detox” diets purport to eliminate toxins from the body, help with weight loss, and improve health. Despite the claims of proponents, few of these programs have evidence of effectiveness. They often have significant associated costs and may have potential for harm, but they seem to be quite popular. Members of a community in Appalachia were invited to participate as a group in one such diet (called a “cleanse”). We conducted a study to explore characteristics of people who chose to complete the program, including their motivations and their perceptions of the health effects related to participation.MethodsThose who volunteered to participate were educated on this program’s definition of a “clean” diet through an information session and were given written guidelines. The diet was to last 21 days, and instructions were outlined as to which foods were allowed and which were to be eliminated. This study evaluated participants in two cohorts (June 2014 and January 2015). Individuals who registered for the study were asked to complete three anonymous surveys: one pretest before beginning the program (PRE), one roughly 1 week after completion (1wPOST), and one follow-up 8 weeks after the end of the diet period (8wPOST). Descriptive statistics, Skillings–Mack test, and Wilcoxon signed rank test were used to analyze results.ResultsThirty-four individuals completed the PRE surveys, 15 individuals completed the 1wPOST surveys (44% of those completing the PRE surveys), and 8 individuals completed the 8wPOST surveys (24% of those completing the PRE surveys). Comparing results from the PRE, 1wPOST, and 8wPOST surveys, there were significant overall differences seen in the following health characteristics: cravings for sweet/salty foods (p=0.03), “giving in” to cravings (p=0.04), energy levels (p=0.001), and sleep quality (p=0.0001). These differences seen were between the PRE and 1wPOST surveys. Weight satisfaction and overall health did not show any overall significant differences.ConclusionsWhile participants in Appalachia could benefit from a program that could improve health, this program’s participants did not share socioeconomic characteristics reflective of most people from that area. Most were college-educated females with a reported family income and level of education that were higher than the average population. Self-reported health characteristics related to cravings, energy levels, and sleep quality demonstrated overall significant improvements from the PRE to the 1wPOST surveys. This exploratory study provides insight into the popularity of such programs. While measurement rather than self-report of clinical outcomes would be needed to more definitively determine the effects of this program, it would be worthwhile to explore further in an experimental study the outcomes identified in this study as being affected (cravings, energy, sleep, and weight).

A comparative study of Klimakt-Heel® and Femolene Ultra in the management of typical climacteric symptoms

2009 ◽  
Vol 14 (1) ◽  
Author(s):  
Bronwyn L. Penny ◽  
Radmila Razlog ◽  
Marilena Deroukakis ◽  
Gavin Johnston
Keyword(s):  
Ovarian Function ◽  
Self Report ◽  
Rank Test ◽  
Average Score ◽  
Base Line ◽  
Climacteric Symptoms ◽  
Patient Profile ◽  
Sleeping Problems ◽  
Before And After ◽  
Signed Rank Test

The climacteric is described as the physiological cessation of menses due to a decrease in ovarian function. Typically, women between the ages of 44 and 57 years old are symptomatically affected by it. During this stage of life, a woman may experience what is referred to as ‘typical climacteric symptoms’ of varying intensity, including vasomotor reactions, increased perspiration, sleeping problems, mood changes, headaches, joint pains and urogenital problems.The aim of this study was to determine the effectiveness of Femolene Ultra (phytotherapeutic preparation) and Klimakt-Heel® (homeopathic preparation) in the treatment of typical climacteric symptoms.Thirty female volunteers between the ages of 44 and 57 years suffering from climacteric symptoms were recruited and asked to complete the Patient Profile and Case History Form and to sign a Patient Information and Consent Form. These participants were randomly placed in two groups of fifteen. One group received Femolene Ultra and the other received Klimakt-Heel® for a period of 12 weeks. The trial was blinded as neither the researcher nor the participant was aware of which treatment was being administered. Blood samples were taken to ascertain the 17ß oestradiol levels before and after the 12-week period. The Kupperman Menopause Index (KMI) was used as a self-report measure and completed at four-weekly intervals. For statistical purposes, the Wilcoxon Signed Rank Test, from the class of non-parametric distribution-free tests, was used.Both products served to decrease the typical climacteric symptoms significantly within the 12-week period. Femolene Ultra decreased the average Kupperman Menopause Index (KMI) score by 63% (26.2 to 16.4) and Klimakt-Heel® decreased the average score by 54% (28.4 to 15.28), although more participants in the Klimakt-Heel® group experienced amelioration of climacteric symptoms. The results are not conclusive, but they do provide an interesting base-line on which further research can be built.OpsommingDie oorgangsleeftyd word beskryf as die fisiologiese einde van menstruasie weens verminderde eierstokfunksie. Oor die algemeen gesproke sal alle vroulike persone tussen die ouderdomme van 44 en 57 daardeur geraak word. Gedurende hierdie tydperk mag hulle ervaar waarna verwys word as ‘tipiese simptome van die oorgangsleeftyd’ insluitend vasomotoriese reaksies, vermeerderde sweet, slaapprobleme, gemoedsveranderinge, hoofpyne, gewrigspyne en urogenitale probleme.Die doel van die studie was om vas te stel hoe doeltreffend Femolene Ultra (phytotherapeutiese preparaat) and Klimakt-Heel® (homeopathiese preparaat) is vir die behandeling van tipiese oorgangsimptome.Dertig vroulike vrywilligers tussen die ouderdomme 44 en 57 jaar wat aan die simptome van die oorgangsleeftyd gely het het die pasiëntprofiel en -gevallegeskiedenis voltooi en het 'n pasiëntinligtings- en toestemmingsvorm geteken. Hierdie deelnemers is lukraak in twee verskillende groepe van vyftien geplaas. Een groep het Femolene Ultra vir 'n tydperk van 12 weke ontvang en die ander groep het Klimakt-Heel® vir dieselfde tydperk ontvang. Bloedmonsters is geneem om die 17 ß oestradiolvlakke voor en na die 12-weekperiode vas te stel. Die Kupperman Menopouse Indeks is as 'n selfrapportmaatreël gebruik en met vier-weeklikse intervalle voltooi. Statisties is die Wilcoxon rangsomtoets van die klas van nie-parametriese verspreidingsvrye toetse gebruik.Albei produkte het bewys dat dit die tipiese simptome van die oorgangsleeftyd betekenisvol tydens die 12-weekperiode verminder het. Femolene Ultra het die gemiddelde Kupperman Menopouse Indekstelling met 63% verminder en Klimakt-Heel® het die gemiddelde telling met 54% verminder, alhoewel meer deelnemers in die Klimakt-Heel®-groep 'n verbetering in die simptome van die oorgangsleeftyd ervaar het. Die resultate is nie afdoende nie maar dit verskaf tog 'n interessante basis waarop verdere navorsing gegrond kan word.

scholarly journals Effect of Mindful Parenting Program in Reducing Psychological Burden on Mother with Cerebral Palsy Children

2020 ◽  
Vol 5 ◽  
pp. 00005
Author(s):  
I Rai Hardika ◽  
Sofia Retnowati
Keyword(s):  
Cerebral Palsy ◽  
Sleep Disturbances ◽  
Mindful Parenting ◽  
Self Report ◽  
Parenting Program ◽  
Rank Test ◽  
Psychological Burden ◽  
Children With Cerebral Palsy ◽  
Post Test ◽  
Signed Rank Test

Caring children with cerebral palsy might rise the potential of having physical, emotional, and psychological burdens for the mother. Mindfulness-based interventions can help to decrease psychological distress, sleep disturbances, and physical fatigue by improving the growth of quality of life and spirituality. The purpose of this study is to discover the effect of a mindful parenting program in reducing the psychological burden of the mother’s children with cerebral palsy. This research uses the one-group pre-test post-test design using a double pre-test. Measurement of psychological burden using psychological burden scale. The participants are 6 mothers of the cerebral palsy children who followed 8 sessions mindful parenting program. Hypothesis testing using the Wilcoxon-signed-rank test along with qualitative data analysis using observation and self-report. The results showed that mindful parenting program significantly decreased psychological burden on mothers with cerebral palsy children with z = -2.201 (p = 0,028; p &lt;0,05). The effect of a mindful parenting program on psychological burden reduction was 63% (r = -0.63).

Prevention of Stunting Through Health Education in Parents of Pre-School Children

2020 ◽  
Vol 9 (1) ◽  
pp. 70-77
Author(s):  
Kili Astarani ◽  
Desi Natalia Trijayanti Idris ◽  
Aurelia Rizky Oktavia
Keyword(s):  
Health Education ◽  
School Children ◽  
Parental Knowledge ◽  
Rank Test ◽  
Visual Aids ◽  
Test Statistic ◽  
Knowledge Measurement ◽  
Analysis Technique ◽  
Post Test ◽  
Signed Rank Test

This study aims to analyze the effect of pre-school age children's health education on stunting in the Setia Bakti Kediri Kindergarten. The design of this study used a pre-experimental pre-post test. Subjects were parents who had pre-school children with 49 respondents in the Setia Bakti Kediri Kindergarten. Retrieval of data from 29 - 31 May 2019. Randomization technique with purposive sampling. The variable of this study is parental knowledge. Measurement of knowledge with a questionnaire. Health education is carried out for 60 minutes using lecture methods, audio media, visual aids, and booklets. Research analysis technique with the Wilcoxon Signed Rank Test statistic test. The results of this study indicate that there is an influence of health education about stunting on the knowledge of parents of pre-school children in Setia Bakti Kediri Kindergarten. Health education about stunting increases parental knowledge

Mindfulness Training as Cognitive Training in High-Demand Cohorts: An Initial Study in Elite Military Servicemembers

2018 ◽  
Author(s):  
Anthony Paul Zanesco ◽  
Ekaterina Denkova ◽  
Scott L. Rogers ◽  
William K. MacNulty ◽  
Amishi P. Jha
Keyword(s):  
Working Memory ◽  
Cognitive Training ◽  
Short Form ◽  
Memory Performance ◽  
Memory Task ◽  
Selection Criterion ◽  
Initial Study ◽  
Mindfulness Training ◽  
Training Tool ◽  
Cognitive Failures

Cognitive ability is a key selection criterion for entry into many elite professions. Herein, we investigate whether mindfulness training (MT) can enhance cognitive performance in elite military forces. The cognitive effects of a short-form 8-hour MT program contextualized for military cohorts, referred to as Mindfulness-Based Attention Training (MBAT), were assessed. Servicemembers received either a 2-week (n = 40) or 4-week (n = 36) version of MBAT, or no training (NTC, n = 44). Sustained attention and working memory task performance along with self-reported cognitive failures were assessed at study onset (T1) and 8-weeks later (T2). In contrast to both the NTC and 2-week MT groups, the 4-week MT group significantly improved over time on attention and working memory outcome measures. Among the 4-week more so than the 2-week MBAT participants, working memory performance improvements were correlated with their amount of out-of-class MT practice. In addition to these group-wise effects, all participants receiving MBAT decreased in their self-reported cognitive failures from T1 to T2. Importantly, none of these improvements were related to self-reported task motivation. Together, these results suggest that short-form MT, when delivered over a 4-week delivery schedule, may be an effective cognitive training tool in elite military cohorts.

PERBEDAAN FINANCIAL PERFORMANCE PASCA SECONDARY OFFERINGS

Wahana ◽  
2019 ◽  
Vol 22 (1) ◽  
pp. 41-49
Author(s):  
Djaja Perdana ◽  
Herbowo Herbowo
Keyword(s):  
Financial Performance ◽  
Stock Exchange ◽  
Hypothesis Test ◽  
Poor Performance ◽  
Rank Test ◽  
Growth Ratio ◽  
Significant Difference ◽  
Before And After ◽  
Signed Rank Test ◽  
Asset Turnover

This study aims to examine the differences in corporate financial performance before and after secondary offerings. The financial performance is proxied by WCR, DER, Solvency, ROA, ROE, Asset Turnover (ATO) and Growth ratio which representing the value of liquidity, financing, activity, performance and growth of the firm. The study involved 67 samples of the companies listed on the Indonesia Stock Exchange conducting secondary offerings during 2008-2013 period and selected through purposive random sampling method and using Financial Statement data from 2005-2016 period. Hypothesis test is performed using Wilcoxon Signed Rank test. The results of this study indicate that there is no significant difference in the ratio of Solvency, ROA and ROE between before and after secondary offerings, but there are significant differences in the ratio of WCR, DER, Asset Turnover and Growth. WCR ratio after secondary offerings increased, while DER ratio after secondary offerings decreased, the condition of both ratios showed better performance. While the indication of poor performance seen in decreasing asset turnover ratio and growth ratio.Keywords : agency theory, financial performance, secondary offerings

PENGARUH TIRAH BARING TERHADAP PENURUNAN RASA MUAL PADA KLIEN GASTRITIS DI PELAYANAN KESEHATAN

2019 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Dewi Nurhanifah ◽  
Desy Noor Latifah Sari ◽  
Rahmawati Rahmawati
Keyword(s):  
Rank Test ◽  
Purposive Sampling ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test

Salah satu masalah kesehatan yang sering dialami adalah penyakit gastritis. Gejala yang sering dikeluhkan oleh penderita gastritis adalah mual. Salah satu penatalaksanaan keperawatan yang dapat mengurangi rasa mual adalah tirah baring. Penelitian ini bertujuan untuk mengetahui pengaruh tirah baring terhadap penurunan rasa mual pada klien gastritis di Pelayanan Kesehatan. Metode penelitian menggunakan eksperimental dengan bentuk penelitian one group pretest-posttest design. Populasi dan sampel adalah klien yang mengalami mual di Wilayah Kerja Puskesmas  yang berjumlah 15 orang. Sampel diambil dengan teknik purposive sampling. Alat pengumpul data menggunakan observasi. Analisa data melalui uji Wilcoxon Signed Rank Test. Hasil penelitian menujukkan klien gastritis sebelum tirah baring mengalami mual ringan sebanyak 7 orang (46,7%), sesudah tirah baring mengalami tidak mual sebanyak 7 orang (46,7%). Ada pengaruh tirah baring terhadap penurunan rasa mual pada klien gastritis di Pelayanan Kesehatan (ρ value = 0,001).

Efektifitas Kompres Jahe Merah Hangat Dan Kompres Serai Terhadap Penurunan Intensitas Nyeri Arthritis Remathoid Pada Lanjut Usia Di Desa Mojoranu Kecamatan Dander Kabupaten Bojonegoro

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Ferawato Ferawati
Keyword(s):  
Pain Intensity ◽  
Therapy Group ◽  
The Elderly ◽  
Rank Test ◽  
Test Design ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Post Test ◽  
Signed Rank Test ◽  
Red Ginger

ABSTRAKReumatoid Artritis (RA) merupakan penyakit muscoloskelektal yang sering terjadi pada usia lanjut. Gangguan pada system muscoloskelektal yang ditandai dengan munculnya nyeri sendi dan kekakuan yang mengakibatkan penurunan kemampuan fisiologis atau kualitas hidup lansia. Dampak dari Reumatoid Artritis dapat menimbulkan beberapa keluhan dan dapat menyebabkan kelumpuhan. Untuk menganalisis efektifitas kompres jahe merah hangat dan kompres serai hangat terhadap penurunan intensitas nyeri artitris remauthoid pada lanjut usia.Metode Penelitian: Jenis penelitian adalah quasy experimental dengan two group pre – post test design. Subjek adalah sebagian lansia yang penderita Arthritis Remathoid di Desa Sumberagung Kecamatan Dander Kabupaten Bojonegoro. Subjek dibagi menjadi dua kelompok yaitu kelompok I (n=15) diberi perlakuan kompres jahe hangat dan II (n=15) diberi perlakuan kompres serai hangat. Analisis yang digunakan uji Mann Whitney U Test dan Wilcoxon Signed Ranks Test dengan ingkat kemaknaan α = 0,05.Hasil uji Wilcoxon Signed Rank Test, didapat keduanya mempunyai nilai kemaknaan yaitu ρ value = 0,000. Nilai ρ = 0,031 pada kelompok kompres serai hangat dan kelompok kompres jahe merah ρ value = 0,165. Hasil uji Mann Withney U Test pada Post perlakuan kedua terapi diperoleh selisih nilai nyeri pada kompres jahe ρ= 0,003 dan selisih nilai nyeri kompres serai ρ value = 0,001.Penggunaan kompres jahe merah lebih efektif dibandingkan dengan kompres serai terhadap penurunan intensitas nyeri arthritis remathoid. Kata Kunci: usia lanjut, Reumatoid Artritis (RA), jahe merah, serai, perbedaan efektifitas.    ABSTRACTReumatoid Artritis (RA) is a musculoskeletal which frequently occurs in the elderly. The disorders in the musculoskeletal system are noted by the occurrence of pain in the joints and stiffness which reduces the physiological abilities or life quality of the elderly. The disease causes many such complaints and  consequences of the disease rheumatoid arthritis may experience paralysis. The aims of this study is to analyze the effect of warm red ginger compress therapy and warm lemongrass compress therapy against of  Decreased pain intensity in  the elderly  with  artitris remauthoid. The study was Queasy experimental with two group pre – post test design. Subjects were some elderly people with Arthritis Remathoid in Sumberagung Village, Dander Sub District, Bojonegoro District. Subjects were divided into two groups: group I (n-15) with warm ginger compress therapy, and II (n=15) with warm lemongrass compress therapy. The analyses used in this study were the Mann Whitney U Test and Wilcoxon Signed Ranks Test with α of 0.05. Results of Wilcoxon Signed Rank Test obtained Both have meaning p value of  0.000. ρ value = 0,031 in a warm lemongrass compress therapy group and obtained of warm ginger compress therapy group ρ value = 0,165. The results of Mann Withney U Test on Post treatment second therapy, obtained difference of warm ginger compress therapy with ρ value= 0,003 and difference of warm lemongrass compress therapy with ρ value = 0,001.The use of warm ginger compresses therapy are more effective than a warm lemongrass compress therapy against decreased pain intensity in  the elderly  with  artitris remauthoid.  Keywords: elderly, artitris remauthoid, red ginger, lemongrass, differences in effectiveness

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