Telehealth Therapy Effects of Nurses and Mental Health Professionals From 2 Randomized Controlled Trials for Chronic Back Pain

2019 ◽  
Vol 35 (4) ◽  
pp. 295-303 ◽  
Author(s):  
Jamie Gannon ◽  
Joseph H. Atkinson ◽  
Tatiana Chircop-Rollick ◽  
John D’Andrea ◽  
Steven Garfin ◽  
...  
Keyword(s):  
Mental Health ◽  
Back Pain ◽  
Randomized Controlled Trials ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Chronic Back Pain ◽  
Controlled Trials ◽  
Randomized Controlled

scholarly journals Impact Evaluation of VKN–NIMHANS–ECHO Model of Capacity Building for Mental Health and Addiction: Methodology of Two Randomized Controlled Trials

2020 ◽  
Vol 42 (6_suppl) ◽  
pp. S80-S86
Author(s):  
Channaveerachari Naveen Kumar ◽  
Prabhat Kumar Chand ◽  
Narayana Manjunatha ◽  
Suresh Bada Math ◽  
Harihara Nagabhushana Shashidhara ◽  
...  
Keyword(s):  
Mental Health ◽  
Randomized Controlled Trials ◽  
Capacity Building ◽  
Mental Health Professionals ◽  
Knowledge Network ◽  
Controlled Trials ◽  
Treatment Gap ◽  
Randomized Controlled ◽  
Set Up ◽  
The Impact

Background: Bridging the alarming treatment gap for mental disorders in India requires a monumental effort from all stakeholders. Harnessing digital technology is one of the potential ways to leapfrog many known barriers for capacity building. Aim and Context: The ongoing Virtual Knowledge Network (VKN)–National Institute of Mental Health and Neurosciences (NIMHANS)–Extension of Community Health Outcomes (ECHO) (VKN–NIMHANS–ECHO: hub and spokes model) model for skilled capacity building is a collaborative effort between NIMHANS and the University of New Mexico Health Sciences Centre, USA. This article aims to summarize the methodology of two randomized controlled trials funded by the Indian Council of Medical Research (ICMR) designed to evaluate the effectiveness of the VKN–NIMHANS–ECHO model of training as compared to training as usual (TAU). Methods: Both RCTs were conducted in Karnataka, a southern Indian state in which the DMHP operates in all districts. We compared the impact of the following two models of capacity building for the DMHP workforce (a) the VKN–NIMHANS–ECHO model and (b) the traditional method. We use the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) statement to describe the methods of these two trials. Trial 1 is to evaluate the “Effectiveness of addition of Virtual-NIMHANS–ECHO tele-mentoring model for skilled capacity building in providing quality care in alcohol use disorders by the existing staff of DMHP districts of Karnataka.” Hub for trial 1 was set up at NIMHANS and the spokes were psychiatrists and other mental health professionals headquartered in the district level office. Trial 2 assesses the implementation and evaluation of the NIMHANS–ECHO blended training program for the DMHP workforce in a rural south-Indian district of Karnataka state. The hub for trial 2 was set up in the district headquarter of Ramanagaram. Hub specialists are DMHP psychiatrists, whereas spokes are the non-doctor workforce (including auxiliary nurse midwives [ANMs] and accredited social health activists [ASHA] workers) medical officers of primary health centers. The location of the HubHub differs in these two studies. Both trials are funded by the ICMR, Government of India Discussion: Both these trials, though conceptually similar, have some operational differences which have been highlighted. If demonstrated to be effective, this model of telementoring can be generalized and widely merged into the Indian health care system, thus aiding in reducing the treatment gap for patients unable to access care.

scholarly journals The efficacy of app‐supported smartphone interventions for mental health problems: a meta‐analysis of randomized controlled trials

2019 ◽  
Vol 18 (3) ◽  
pp. 325-336 ◽  
Author(s):  
Jake Linardon ◽  
Pim Cuijpers ◽  
Per Carlbring ◽  
Mariel Messer ◽  
Matthew Fuller‐Tyszkiewicz
Keyword(s):  
Mental Health ◽  
Randomized Controlled Trials ◽  
Mental Health Problems ◽  
Meta Analysis ◽  
Health Problems ◽  
Controlled Trials ◽  
Randomized Controlled

scholarly journals Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials

2006 ◽  
Vol 20 (7) ◽  
pp. 553-567 ◽  
Author(s):  
Berid Rackwitz ◽  
Rob de Bie ◽  
Heribert Limm ◽  
Katharina von Garnier ◽  
Thomas Ewert ◽  
...  
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Randomized Controlled Trials ◽  
Controlled Trials ◽  
Low Back ◽  
Randomized Controlled

scholarly journals Immunological and Psychological Efficacy of Meditation/Yoga Intervention Among People Living With HIV (PLWH): A Systematic Review and Meta-analyses of 19 Randomized Controlled Trials

2020 ◽  
Author(s):  
Taiyi Jiang ◽  
Jianhua Hou ◽  
Runsong Sun ◽  
Lili Dai ◽  
Wen Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
T Cell ◽  
Randomized Controlled Trials ◽  
Meta Analysis ◽  
Cd4 T Cell ◽  
Controlled Trials ◽  
People Living With Hiv ◽  
Yoga Intervention ◽  
Randomized Controlled ◽  
Cell Counts

Abstract Background An expanding number of mind–body therapies are being used to reduce the psychological burden of peoples living with human immunodeficiency virus (HIV). However, the effects on the immune system and mental health varied among studies. Purpose This meta-analysis was conducted to summarize the randomized controlled trials to draw comprehensive conclusions regarding the psycho-immunological efficacy. Methods Random-effects models were used to assess the outcome of interest. Egger’s tests were used to identify publication bias. Subgroup and meta-regression were used to explore potential moderators. This review was registered on the PROSPERO database (CRD42019148118). Results Nineteen randomized controlled trials with a total sample size of 1,300 were included in this meta-analysis. Regarding immune system outcome, mind–body therapy significantly improved CD4 T-cell counts (Cohen’s d = 0.214, p = .027) and maintained (0.427, p = .049). In addition, baseline CD4 T-cell counts and years since HIV diagnosis significantly moderated the efficacy of mind–body practices on CD4 improvement (all ps < .001). Regarding mental health outcome, mind–body therapy significantly reduced stress, depression, and anxiety symptoms (0.422, p < .001; 0.506, p < .001, and 0.709, p < .001, respectively) while improving quality of life (0.67, p < .001). Conclusions Meditation/yoga intervention could result in potential benefits with regard to improved CD4 T-cell counts immediately after the intervention and at long-term follow-up, while also improving their mental health. The cost-effective meditation/yoga intervention should be integrated into routine care for people living with HIV, especially for those with lower CD4 baseline and fewer years since diagnosis.

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