“THE LAST THING I HAVE TIME FOR IS HEALTHY LIVING!” DEBRIEFING ATTENTION CONTROL GROUP PARTICIPANTS

Abstract Empathy enhancement programs and mindfulness-based practices may reduce care practitioners’ burnout and stress while increasing satisfaction, caring efficacy, and well-being. No study has been conducted to measure the effectiveness of a simulation-based empathy enhancement program combined with mindfulness practice on professionals working with older adults living alone. This study, therefore, assessed the effectiveness of a simulation-based empathy enhancement program with a brief mindfulness practice session on social workers working with older adults living alone. This study was a quasi-experimental study involving 105 social workers in South Korea. The experimental group received a simulation-based empathy enhancement program with mindfulness practice, and the attention control group watched a 30-minute-long educational video about empathy. Data were collected prior to the intervention and at two weeks after the intervention using self-reported questionnaires measuring empathy, caring efficacy, psychosocial stress, compassion satisfaction, burnout, and secondary traumatic stress. The experimental group had significantly lower levels of psychosocial stress compared to the attention control group. Both groups showed significant improvements in empathy but in different empathy measures. Also, the experimental group only showed significantly lower levels of burnout and secondary traumatic stress after the intervention while the attention control group only showed significant improvements in compassion satisfaction and caring efficacy. Although between-group differences were found in psychosocial stress only, pre-and post-test differences in different outcome measures from experimental and attention control groups indicate limited but possible effectiveness of each of the empathy enhancement programs on people in caring professionals.

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A randomised safety promotion intervention trial among low-income families with toddlers

Injury Prevention ◽

10.1136/injuryprev-2016-042178 ◽

2017 ◽

Vol 24 (1) ◽

pp. 41-47 ◽

Cited By ~ 5

Author(s):

Yan Wang ◽

Andrea C Gielen ◽

Laurence S Magder ◽

Erin R Hager ◽

Maureen M Black

Keyword(s):

Low Income ◽

Intervention Group ◽

Attention Control ◽

Control Group ◽

Home Safety ◽

Safety Promotion ◽

Low Income Families ◽

Attention Control Group ◽

Over Time

BackgroundToddler-aged children are vulnerable to unintentional injuries, especially those in low-income families.ObjectiveTo examine the effectiveness of an intervention grounded in social cognitive theory (SCT) on the reduction of home safety problems among low-income families with toddlers.Methods277 low-income mother–toddler dyads were randomised into a safety promotion intervention (n=91) or an attention-control group (n=186). Mothers in the safety promotion intervention group received an eight-session, group-delivered safety intervention targeting fire prevention, fall prevention, poison control and car seat use, through health education, goal-setting and social support. Data collectors observed participants' homes and completed a nine-item checklist of home safety problems at study enrolment (baseline), 6 and 12 months after baseline. A total score was summed, with high scores indicating more problems. Linear mixed models compared the changes over time in home safety problems between intervention and control groups.ResultsThe intent-to-treat analysis indicated that the safety promotion intervention group significantly reduced safety problems to a greater degree than the attention-control group at the 12-month follow-up (between-group difference in change over time β=−0.54, 95% CI −0.05 to −1.03, p=0.035), with no significant differences at the 6-month follow-up.ConclusionsA safety promotion intervention built on principles of SCT has the potential to promote toddlers' home safety environment. Future studies should examine additional strategies to determine whether better penetration/compliance can produce more clinically important improvement in home safety practices.Trial registration numberNCT02615158; post-results.

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A cognitive behavioral therapy intervention to reduce fear of hypoglycemia in young adults with type 1 diabetes (FREE): study protocol for a randomized controlled trial

Trials ◽

10.1186/s13063-019-3876-4 ◽

2019 ◽

Vol 20 (1) ◽

Author(s):

Pamela Martyn-Nemeth ◽

Jennifer Duffecy ◽

Laurie Quinn ◽

Chang Park ◽

Dan Mihailescu ◽

...

Keyword(s):

Type 1 Diabetes ◽

Young Adults ◽

Glycemic Control ◽

Behavioral Therapy ◽

Attention Control ◽

Self Management ◽

Control Group ◽

Fear Of Hypoglycemia ◽

Attention Control Group

Abstract Background In persons with type 1 diabetes (T1D), hypoglycemia is the major limiting factor in achieving optimal glycemic control. All persons with T1D are at risk for hypoglycemia (blood glucose level < 70 mg/dl), which is life-threatening and accompanied by serious physical and psychological symptoms, resulting in profound fear of hypoglycemia (FOH) and reduced quality of life. Young adults with T1D are at risk for FOH and have worse glycemic control and self-management behavior than other age groups with T1D. FOH also results in increased glycemic variability (GV). A major gap exists in how to manage FOH. Our overall objective is to reduce FOH and improve diabetes self-management, glycemic control, and GV in young adults with T1D to reduce or delay diabetes complications and improve quality of life. We aim to (1) determine the feasibility and acceptability of an eight-week cognitive behavioral therapy (CBT)-based Fear Reduction Efficacy Evaluation (FREE) intervention in young adults with T1D who experience FOH; and (2) determine the impact of the FREE intervention, compared to an attention control group, on the outcomes FOH, self-management, glycemic control (A1C), and glycemic variability (continuous glucose monitoring recordings). Methods/design A randomized controlled trial in 50 young adults aged 18 to 35 years with T1D will be used. Eligible subjects will be randomized to the intervention program (Fear Reduction Efficacy Evaluation [FREE]) or attention control group. A one-week run-in phase is planned, with baseline measures of FOH, self-management behavior, A1C, and real-time continuous glucose monitoring recordings (RT-CGM) to calculate GV for both groups. The intervention group will participate in eight weekly individual one-hour sessions using CBT and exposure treatment for specific fears. RT-CGM and a daily FOH diary will be used as feedback cues as part of the FREE program. The attention control group will participate in eight weekly individual one-hour diabetes self-management education (DSME) sessions and wear a RT-CGM device (to measure GV only) over 8 weeks. At completion, FOH will be measured, and RT-CGM recordings will be analyzed to determine differences between the FREE and control groups. Discussion Findings from this proposed pilot study will serve as the foundation for a larger trial to reduce FOH and improve self-management, glycemic control, and GV. Trial registration ClinicalTrials.gov: A cognitive behavioral therapy (CBT) intervention to reduce fear of hypoglycemia in type 1 diabetes, NCT03549104. Registered June 7, 2018

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PRAGMATIC AND ETHICAL ISSUES IN ATTENTION CONTROL GROUP DESIGN

Innovation in Aging ◽

10.1093/geroni/igy023.826 ◽

2018 ◽

Vol 2 (suppl_1) ◽

pp. 223-223

Author(s):

K Hepburn ◽

J R Nocera ◽

F Epps ◽

M Kovaleva ◽

P C Griffiths

Keyword(s):

Ethical Issues ◽

Attention Control ◽

Control Group ◽

Control Group Design ◽

Group Design ◽

Attention Control Group

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Physical Activity Adherence Rates in Older Kidney Transplant Recipients: A Pilot Randomized Controlled Trial

Innovation in Aging ◽

10.1093/geroni/igaa057.3263 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 884-884

Author(s):

Tara O’Brien ◽

Karen Rose ◽

Alai Tan

Keyword(s):

Kidney Transplant ◽

Controlled Trial ◽

Intervention Group ◽

Attention Control ◽

Control Group ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Activity Tracker ◽

Walking Activity ◽

Attention Control Group

Abstract Daily walking activities are associated with improving cardiovascular and well-being in older kidney transplant recipients. Multicomponent interventions using technology and goal setting holds promise for sustaining daily walking activity among this population. The purpose of this randomized controlled trial pilot study was to evaluate the feasibility of a multicomponent intervention called SystemCHANGE™ + activity tracker for daily walking activity in older (age 60 and over) kidney recipients from baseline to 12 months. The intervention group implement a personal-system solution and wore a mobile activity tracker daily for 12 months. The attention-control group received educational information on healthy living as a transplant recipient and was asked to wear a mobile activity tracker daily for 12 months. Participants were randomized 1:1 to the intervention or control group. The sample consisted of 53 participants (n = 27 intervention, and n = 26 control). At the 12-month follow-up visit, the total study attrition rate was 23%. The adherence rates at 12 months were 96.5% in the intervention group and 80.8% in the attention- control group. The intervention group increased their steps from baseline to 12 months by 334 steps per day. The attention-control group demonstrated a decrease in steps by 563 steps per day. We found a mean difference of 1041± 2440 (Cohen’s d = 0.43) in daily steps between the groups from baseline to 12 months. The data suggests SystemCHANGE™ in combination with activity trackers may be feasible for older kidney transplant recipients to enhance and sustain physical activity with daily walking.

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Home-based Intervention Among Non-Hispanic Black Families Finds No Significant Difference in Growth at 15 Months: Results from the ‘Mothers & Others’ Randomized Trial (P04-187-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz051.p04-187-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Heather Wasser ◽

Amanda Thompson ◽

Margaret Bentley

Keyword(s):

Treatment Group ◽

Obesity Prevention ◽

Intervention Group ◽

Attention Control ◽

Control Group ◽

Primary Efficacy ◽

Home Based ◽

Significant Difference ◽

Home Based Intervention ◽

Attention Control Group

Abstract Objectives Mothers and Others (M&O) was an efficacy trial of a home-based intervention designed to prevent obesity in the first year of life. The primary outcome was infant growth, as assessed by differences in weight-for-age z-scores (WAZ) between the obesity prevention group and an attention-control group on infant safety. Methods The study design was a two-group randomized control trial among 428 non-Hispanic black (NHB) women recruited at 28 weeks’ pregnancy. The primary delivery channel for both groups was 6 home visits by a peer educator (PE). Mothers in the intervention group received anticipatory guidance (AG) on infant feeding and care behaviors related to obesity prevention. Mothers in the attention-control group received AG on child safety. Mothers in both groups identified a study partner, with partners in the control group only completing study assessments. Infant weight was assessed at birth by maternal self-report and at 3, 6, 9, 12 and 15 months of age by direct measurement. Infant WAZ scores were created using the World Health Organization 2006 international growth standards. The primary efficacy analysis was a linear mixed model (LMM) on an intention-to-treat (ITT) dataset with WAZ score at birth, 3, 6, 9, 12 and 15 months as the dependent variable and treatment group, age and their interaction term as the independent variables. Results Enrolled women were 25.76 ± 5.3 years at baseline and the majority were single (72.3%), receiving Medicaid (74.4%), and expecting their first child (56.1%). Baseline characteristics and visit completion rates did not differ by treatment group. At all time points, infants in the intervention group were smaller than those in the control group (e.g., mean WAZ at 15 months was 0.39 ± 1.04 among intervention infants and 0.53 ± 1.07 among control infants), but these differences were not significant. Results of the primary efficacy model yielded no difference in WAZ between infants in the two groups (beta for intervention = −.07, P = 0.659). Conclusions M&O was designed to fill several gaps in early life obesity prevention trials at the time of its inception, including a focus on infant temperament and inclusion of support partners. Despite rich preliminary data and a strong conceptual model, the intervention did not produce a significant difference in infant growth. Funding Sources National Institute of Diabetes and Digestive and Kidney Diseases.

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Assessing the Immediate and Maintained Effects of Hypnosis on Self-Efficacy and Soccer Wall-Volley Performance

Journal of Sport and Exercise Psychology ◽

10.1123/jsep.32.2.243 ◽

2010 ◽

Vol 32 (2) ◽

pp. 243-252 ◽

Cited By ~ 20

Author(s):

Jamie Barker ◽

Marc Jones ◽

Iain Greenlees

Keyword(s):

Self Efficacy ◽

Attention Control ◽

Soccer Players ◽

Control Group ◽

Specific Questionnaire ◽

Professional Soccer ◽

Attention Control Group ◽

Better Than

This study evaluated the effects of hypnosis on self-efficacy and soccer performance. Fifty-nine collegiate soccer players were randomly allocated to either a hypnosis (n = 30) or video attention-control group (n = 29). A pretest–posttest design with an additional 4-week follow-up was used. Self-efficacy was measured via a task-specific questionnaire comprising 10 items relating to good performance on a soccer wall-volley task. The hypnotic intervention comprised three sessions using ego-strengthening suggestions. The control group watched edited videos of professional soccer games. Results indicated that, following the intervention, the hypnosis group were more efficacious and performed better than the control group. These differences were also seen at the 4-week follow-up stage. Although changes in self-efficacy were associated with changes in performance, the effect of hypnosis on performance was not mediated by changes in self-efficacy. The study demonstrates that hypnosis can be used to enhance and maintain self-efficacy and soccer wall-volley performance.

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