Brief Video-Delivered Interventions to Reduce Anxiety in Older Veterans: A Pilot RCT

Abstract Older Veterans with anxiety disorders encounter barriers to receiving mental health services that may be overcome by using brief technology-delivered interventions. To address this, we conducted a pilot randomized controlled trial (RCT) comparing the effects of a guided self-management intervention called BREATHE, a 4-week video-delivered (DVD/internet) intervention and a psychoeducation control (Healthy Living; HL) on anxiety symptom severity. Older Veterans with anxiety disorders (N = 48; 87.5% men; Mean age = 71.77 ± 6.2 years) were randomized to BREATHE or HL. Regarding intervention delivery modality, 67% used DVDs, 23% used the internet, 4% used both to access their assigned intervention. Both groups experienced significant declines in affective anxiety from baseline to 8 weeks followed by an increase in symptoms (i.e., quadratic pattern). HL had significant declines in somatic anxiety, whereas BREATHE did not experience such declines. The longitudinal effects and Veteran satisfaction will be further described in the presentation.

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Feasibility of a Hybrid Web-Based and In-Person Self-management Intervention Aimed at Preventing Acute to Chronic Pain Transition After Major Lower Extremity Trauma (iPACT-E-Trauma): A Pilot Randomized Controlled Trial

Pain Medicine ◽

10.1093/pm/pnz008 ◽

2019 ◽

Vol 20 (10) ◽

pp. 2018-2032 ◽

Cited By ~ 2

Author(s):

M Bérubé ◽

C Gélinas ◽

N Feeley ◽

G Martorella ◽

J Côté ◽

...

Keyword(s):

Chronic Pain ◽

Pain Catastrophizing ◽

Controlled Trial ◽

Self Management ◽

Anxiety And Depression ◽

Management Intervention ◽

Randomized Controlled ◽

Extremity Trauma ◽

Experimental Group ◽

Pilot Randomized Controlled Trial

Abstract Objective 1) To assess the feasibility of research methods to test a self-management intervention aimed at preventing acute to chronic pain transition in patients with major lower extremity trauma (iPACT-E-Trauma) and 2) to evaluate its potential effects at three and six months postinjury. Design A pilot randomized controlled trial (RCT) with two parallel groups. Setting A supraregional level 1 trauma center. Methods Fifty-six adult patients were randomized. Participants received the intervention or an educational pamphlet. Several parameters were evaluated to determine the feasibility of the research methods. The potential efficacy of iPACT-E-Trauma was evaluated with measures of pain intensity and pain interference with activities. Results More than 80% of eligible patients agreed to participate, and an attrition rate of ≤18% was found. Less than 40% of screened patients were eligible, and obtaining baseline data took 48 hours postadmission on average. Mean scores of mild pain intensity and pain interference with daily activities (<4/10) on average were obtained in both groups at three and six months postinjury. Between 20% and 30% of participants reported moderate to high mean scores (≥4/10) on these outcomes at the two follow-up time measures. The experimental group perceived greater considerable improvement in pain (60% in the experimental group vs 46% in the control group) at three months postinjury. Low mean scores of pain catastrophizing (Pain Catastrophizing Scale score < 30) and anxiety and depression (Hospital Anxiety and Depression Scale scores ≤ 10) were obtained through the end of the study. Conclusions Some challenges that need to be addressed in a future RCT include the small proportion of screened patients who were eligible and the selection of appropriate tools to measure the development of chronic pain. Studies will need to be conducted with patients presenting more serious injuries and psychological vulnerability or using a stepped screening approach.

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Feasibility of a Sleep Self-Management Intervention in Pregnancy Using a Personalized Health Monitoring Device: Protocol for a Pilot Randomized Controlled Trial

JMIR Research Protocols ◽

10.2196/12455 ◽

2019 ◽

Vol 8 (5) ◽

pp. e12455 ◽

Cited By ~ 2

Author(s):

Marquis Hawkins ◽

Favorite Iradukunda ◽

Mary Paterno

Keyword(s):

Randomized Controlled Trial ◽

Health Monitoring ◽

Controlled Trial ◽

Self Management ◽

Monitoring Device ◽

Management Intervention ◽

Randomized Controlled ◽

Personalized Health ◽

Pilot Randomized Controlled Trial ◽

In Pregnancy

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A Self-Management Intervention for African Americans With Comorbid Diabetes and Hypertension: A Pilot Randomized Controlled Trial

Preventing Chronic Disease ◽

10.5888/pcd11.130349 ◽

2014 ◽

Vol 11 ◽

Cited By ~ 31

Author(s):

Elizabeth B. Lynch ◽

Rebecca Liebman ◽

Jennifer Ventrelle ◽

Elizabeth F. Avery ◽

DeJuran Richardson

Keyword(s):

Randomized Controlled Trial ◽

African Americans ◽

Controlled Trial ◽

Self Management ◽

Management Intervention ◽

Randomized Controlled ◽

Pilot Randomized Controlled Trial

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The effectiveness of nurse-led self-management support program for people with chronic kidney disease stage 3-4 (CKD-NLSM): Study protocol for a randomized controlled trial

Science Progress ◽

10.1177/00368504211026159 ◽

2021 ◽

Vol 104 (2) ◽

pp. 003685042110261

Author(s):

Al Sawad Ayat Ali ◽

Soo Kun Lim ◽

Li Yoong Tang ◽

Aneesa Abdul Rashid ◽

Boon-How Chew

Keyword(s):

Kidney Disease ◽

Controlled Trial ◽

Self Management ◽

Control Group ◽

Management Support ◽

Disease Knowledge ◽

Management Intervention ◽

Randomized Controlled ◽

Ckd Stage ◽

Management Behaviors

The complexity of chronic kidney disease (CKD) and its treatments have made self-management behaviors inevitably challenging. However, supplementing education with self-management skills may improve numerous health outcomes in people with nondialysis CKD. This study protocol describes a randomized controlled trial (RCT) aimed to evaluate the effects of a nurse-led self-management support program as an intervention for kidney disease knowledge and CKD self-management behaviors among people with pre-dialysis CKD. In Phase 1, people with CKD stage 3–4 and their family members are involved in co-designing, development and pilot testing of a theory-based self-management intervention. In Phase 2, we perform a cross-cultural adaptation of the Kidney Disease Knowledge Survey, CKD Self-Management and Self-efficacy for Managing Chronic Disease questionnaires. In Phase 3, a parallel RCT will be conducted to evaluate the intervention where 154 participants with CKD stage 3–4 will be randomly assigned to either the intervention ( n = 77) or control group ( n = 77). The intervention group will receive 6-week self-management program from a nurse-coach in addition to standard usual care, while the control group will receive only standard usual care. Outcome measures include kidney disease knowledge, CKD self-management behavior, self-efficacy, quality of life, blood pressure control and adherence to CKD diet as indicated by 24-h urine urea nitrogen, 24-h urine sodium and net endogenous acid production. Data will be collected at baseline and 12-week post-baseline. The between- and within-group intervention effects will be estimated using the Generalized Estimating Equations. The self-management intervention offers strategies to delay CKD progression and to encourage motivation to better self-manage at home. This study integrates self-management education and psychosocial support with culturally relevant scenarios, and evaluates important self-reported and objective outcomes. Clinical Trials Registration: www.ClinicalTrials.gov , identifier: NCT03974646.

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