scholarly journals Effects on Metabolic Health after a 1-Year-Lifestyle Intervention in Overweight and Obese Children: A Randomized Controlled Trial

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Maria Waling ◽  
Catharina Bäcklund ◽  
Torbjörn Lind ◽  
Christel Larsson
Keyword(s):  
Controlled Trial ◽  
Venous Blood ◽  
Intervention Group ◽  
Overweight And Obesity ◽  
Lifestyle Changes ◽  
Control Group ◽  
Obese Children ◽  
Metabolic Markers ◽  
Significant Difference ◽  
And Control

Objective.To evaluate the effect of a family-based intervention on anthropometric and metabolic markers in overweight and obese children.Methods.Overweight or obese 8–12 years olds (n= 93) were randomized into intervention or control groups. The intervention group participated in a program aiming for lifestyle changes regarding food habits and physical activity. Anthropometric measures and venous blood samples were collected from all children at baseline and after 1 year.Results.BMI z-scores decreased in both groups, 0.22 (P= 0.002) and 0.23 (P= 0.003) in intervention and control group, respectively, during the 1-year study, but there was no difference in BMI between the groups at 1-year measurement (P= 0.338). After 1 year, there was a significant difference in waist circumference, waist/hip ratio, and apolipoprotein B/A1 ratio between intervention and control group.Conclusions.The intervention had limited effects on anthropometrics and metabolic markers, which emphasizes the need of preventing childhood overweight and obesity.

scholarly journals Facebook as a Novel Tool for Continuous Professional Education on Dementia: Pilot Randomized Controlled Trial

10.2196/16772 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e16772 ◽  
Author(s):  
Windy SY Chan ◽  
Angela YM Leung
Keyword(s):  
Professional Education ◽  
Retention Rate ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Multiple Choice Questions ◽  
Participant Engagement ◽  
Significant Difference ◽  
The Mean ◽  
And Control

Background Social network sites (SNSs) are widely exploited in health education and communication by the general public, including patients with various conditions. Nevertheless, there is an absence of evidence evaluating SNSs in connecting health professionals for professional purposes. Objective This pilot randomized controlled trial was designed to evaluate the feasibility of an intervention aiming to investigate the effects of a continuous professional education program utilizing Facebook to obtain knowledge on dementia and care for patients with dementia. Methods Eighty health professionals from Hong Kong were recruited for participation in the study and randomized at a 1:1 ratio by a block randomization method to the intervention group (n=40) and control group (n=40). The intervention was an 8-week educational program developed to deliver updated knowledge on dementia care from a multidisciplinary perspective, either by Facebook (intervention group) or by email (control group) from October 2018 to January 2019. The primary outcomes were the effects of the intervention, measured by differences in the means of changes in pre- and postintervention scores of knowledge assessments from the 25-item Dementia Knowledge Assessment Scale (DKAS) and formative evaluation of 20 multiple choice questions. Other outcome measurements included participant compliance, participant engagement in Facebook, satisfaction, and self-perceived uses of Facebook for continuing professional education programs. Results Significantly more intervention group participants (n=35) completed the study than the control group (n=25) (P<.001). The overall retention rate was 75% (60/80). The mean of changes in scores in the intervention group were significant in all assessments (P<.001). A significant difference in the mean of changes in scores between the two groups was identified in the DKAS subscale Communication and Behavior (95% CI 0.4-3.3, P=.02). There was no significant difference in the total DKAS scores, scores of other DKAS subscales, and multiple choice questions. Participant compliance was significantly higher in the intervention group than in the control group (P<.001). The mean numbers of participants accessing the learning materials were 31.5 (SD 3.9) and 17.6 (SD 5.2) in the intervention and control group, respectively. Polls attracted the highest level of participant engagement, followed by videos. Intervention group participants scored significantly higher in favoring the use of Facebook for the continuing education program (P=.03). Overall, participants were satisfied with the interventions (mean score 4 of a total of 5, SD 0.6). Conclusions The significantly higher retention rate, together with the high levels of participant compliance and engagement, demonstrate that Facebook is a promising tool for professional education. Education delivered through Facebook was significantly more effective at improving participants’ knowledge of how people with dementia communicate and behave. Participants demonstrated positive attitudes toward utilizing Facebook for professional learning. These findings provide evidence for the feasibility of using Facebook as an intervention delivery tool in a manner that can be rolled out into practical settings.

scholarly journals Facebook as a Novel Tool for Continuous Professional Education on Dementia: Pilot Randomized Controlled Trial (Preprint)

2019 ◽  
Author(s):  
Windy SY Chan ◽  
Angela YM Leung
Keyword(s):  
Professional Education ◽  
Retention Rate ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Multiple Choice Questions ◽  
Participant Engagement ◽  
Significant Difference ◽  
The Mean ◽  
And Control

BACKGROUND Social network sites (SNSs) are widely exploited in health education and communication by the general public, including patients with various conditions. Nevertheless, there is an absence of evidence evaluating SNSs in connecting health professionals for professional purposes. OBJECTIVE This pilot randomized controlled trial was designed to evaluate the feasibility of an intervention aiming to investigate the effects of a continuous professional education program utilizing Facebook to obtain knowledge on dementia and care for patients with dementia. METHODS Eighty health professionals from Hong Kong were recruited for participation in the study and randomized at a 1:1 ratio by a block randomization method to the intervention group (n=40) and control group (n=40). The intervention was an 8-week educational program developed to deliver updated knowledge on dementia care from a multidisciplinary perspective, either by Facebook (intervention group) or by email (control group) from October 2018 to January 2019. The primary outcomes were the effects of the intervention, measured by differences in the means of changes in pre- and postintervention scores of knowledge assessments from the 25-item Dementia Knowledge Assessment Scale (DKAS) and formative evaluation of 20 multiple choice questions. Other outcome measurements included participant compliance, participant engagement in Facebook, satisfaction, and self-perceived uses of Facebook for continuing professional education programs. RESULTS Significantly more intervention group participants (n=35) completed the study than the control group (n=25) (<i>P</i>&lt;.001). The overall retention rate was 75% (60/80). The mean of changes in scores in the intervention group were significant in all assessments (<i>P</i>&lt;.001). A significant difference in the mean of changes in scores between the two groups was identified in the DKAS subscale Communication and Behavior (95% CI 0.4-3.3, <i>P</i>=.02). There was no significant difference in the total DKAS scores, scores of other DKAS subscales, and multiple choice questions. Participant compliance was significantly higher in the intervention group than in the control group (<i>P</i>&lt;.001). The mean numbers of participants accessing the learning materials were 31.5 (SD 3.9) and 17.6 (SD 5.2) in the intervention and control group, respectively. Polls attracted the highest level of participant engagement, followed by videos. Intervention group participants scored significantly higher in favoring the use of Facebook for the continuing education program (<i>P</i>=.03). Overall, participants were satisfied with the interventions (mean score 4 of a total of 5, SD 0.6). CONCLUSIONS The significantly higher retention rate, together with the high levels of participant compliance and engagement, demonstrate that Facebook is a promising tool for professional education. Education delivered through Facebook was significantly more effective at improving participants’ knowledge of how people with dementia communicate and behave. Participants demonstrated positive attitudes toward utilizing Facebook for professional learning. These findings provide evidence for the feasibility of using Facebook as an intervention delivery tool in a manner that can be rolled out into practical settings.

Transtheoretical model for change in obese adolescents: MERC randomized clinical trial

2018 ◽  
Vol 25 (13-14) ◽  
pp. 2272-2285 ◽  
Author(s):  
Raquel de Melo Boff ◽  
Marina Alves Dornelles ◽  
Ana Maria Pandolfo Feoli ◽  
Andreia da Silva Gustavo ◽  
Margareth da Silva Oliveira
Keyword(s):  
Transtheoretical Model ◽  
Readiness To Change ◽  
Controlled Trial ◽  
Intervention Group ◽  
Transtheoretical Model Of Change ◽  
Control Group ◽  
Obese Adolescents ◽  
Randomized Controlled ◽  
Significant Difference ◽  
And Control

The randomized controlled trial evaluated the effectiveness of an intervention based on the Transtheoretical Model of Change on anthropometric, metabolic and motivational outcomes in obese adolescents. A total of 135 male and female adolescents were randomized to two groups: intervention group ( n = 65) and control group ( n = 70). The adolescents were evaluated 1 week before the interventions began and at the end of 12 weeks. There was no statistically significant difference between groups in the outcome variables. Intervention group reported magnitude of effect more expressive on body mass index percentile, waist circumference, waist-to-hip ratio, readiness to change diet and readiness to start exercise.

scholarly journals Methylprednisolone or Dexamethasone, Which One Is the Superior Corticosteroid in the Treatment of Hospitalized COVID-19 Patients: A Triple-Blinded Randomized Controlled Trial

2021 ◽  
Author(s):  
Keivan Ranjbar ◽  
Reza Shahriarirad ◽  
Amirhossein Erfani ◽  
Zohre Khodamoradi ◽  
Mohammad Hasan Gholampoor Saadi ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Clinical Status ◽  
Intervention Group ◽  
Length Of Hospital Stay ◽  
Ordinal Scale ◽  
Control Group ◽  
Randomized Controlled ◽  
Significant Difference ◽  
And Control

Abstract BackgroundAlthough almost a year has passed since the Coronavirus disease 2019 (COVID-19) outbreak and promising reports of vaccines have been presented, we still have a long way until these measures are available for all. Furthermore, unsolved issues remained to choose appropriate corticosteroids treatment for COVID-19. We conducted a study to assess the effectiveness of methylprednisolone treatment versus dexamethasone for hospitalized COVID-19 patients.MethodIn this prospective triple-blinded randomized controlled trial, we enrolled 86 hospitalized COVID-19 patients from August to November 2020, in Shiraz, Iran. Patients were randomly allocated into two groups to receive either methylprednisolone (2mg/kg/day) or dexamethasone (6mg/kg/day). Data was assessed based on a 9-point WHO ordinal scale extending from uninfected (point 0) to death (point 8).ResultsThere was no significant variation among the groups on the admission. However, the intervention group demonstrated significantly better clinical status compared to the control group at day 5 (4.02 vs. 5.21, P = 0.002) and day 10 (2.90 vs. 4.71, P = 0.001) of admission. There was also a significant difference in the overall mean score between the intervention group, and the control group, (3.909 vs. 4.873 respectively, P = 0.004). The mean length of hospital stay was 7.43 ± 3.64 and 10.52 ± 5.47 days in the intervention and control groups, respectively (P = 0.015). The need for a ventilator was significantly lower in the intervention group than in the control group (18.2% vs 38.1% P = 0.040).ConclusionIn the context of treating hospitalized hypoxic COVID-19 patients, methylprednisolone demonstrated better results compared to dexamethasone.Trial Registration:The trial was registered with IRCT.IR (08/04/2020-No. IRCT20200204046369N1).

scholarly journals The Effect of Preoperative Electronic Education on Anxiety of Patients Undergoing General Surgery

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mohammad Rostami ◽  
Yahiya Salimi ◽  
Fereshteh Jalalvandi
Keyword(s):  
General Surgery ◽  
Controlled Trial ◽  
Intervention Group ◽  
Preoperative Anxiety ◽  
Surgical Patients ◽  
Control Group ◽  
Control Groups ◽  
Significant Difference ◽  
And Control ◽  
Electronic Education

Background: Preoperative anxiety is a common problem of surgical patients because it causes a range of emotional, psychological and physical problems. Numerous pharmacological and non-pharmacological methods have been used to reduce the level of anxiety in patients undergoing general surgery. Objectives: The aim of this study was to evaluate the effect of electronic education on preoperative anxiety in patients undergoing laparoscopic cholecystectomy (LC). Methods: The present study was a randomized controlled trial on 88 patients who were candidates for LC in two intervention and control groups in one of the Kermanshah hospitals. Patients in the intervention group received electronic education before surgery. The Visual Analog Scale Anxiety (VAS-A) questionnaire was used to measure anxiety before surgery in the study. Data analysis was performed using SPSS statistical software. Results: The results showed that there was no significant difference in the level of basic anxiety between the intervention and control groups. In second VAS-A evaluation, a significant mean difference was observed between the two groups so that the anxiety of the intervention group was calculated as 26.1 ± (SD = 16) vs. the control group as 45 ± (SD = 21). The mean of post-intervention anxiety compared to pre-intervention anxiety significantly decreased in the intervention group. Conclusions: Our findings highlight that electronic-based education can reduce the preoperative anxiety level in LC patients. Therefore, it's recommended to medical staff for delivering pre-surgery electronic educational interventions for LC surgical patients in order to reduce the level of preoperative anxiety.

scholarly journals Effect of group problem-solving skills training on the severity of aggression in patients with bipolar I disorder

2021 ◽  
Author(s):  
Saeed Vaghee ◽  
Maliheh Eshaghzadeh ◽  
Hamidreza Behnam Vashani ◽  
Negar Asgharipour ◽  
Seyed Mohammd Eshaghzadeh Namaghi
Keyword(s):  
Problem Solving ◽  
Controlled Trial ◽  
Intervention Group ◽  
Skills Training ◽  
Pharmacological Therapy ◽  
Control Group ◽  
Problem Solving Skills ◽  
Bipolar I Disorder ◽  
Significant Difference ◽  
And Control

Introduction: Psychological interventions can help prevent patients’ problems by increasing insight. Aim: This study was aimed to determine the effect of problem-solving skills training on the severity of aggression in patients with bipolar I disorder. Material and methods: In this randomized controlled trial, we enrolled 60 patients with bipolar I disorder admitted to Ibn Sina Psychiatric Hospital in Mashhad during 2018. The patients were assigned to the two groups of intervention (n = 30) and control (n = 30). In addition to pharmacological therapy, the intervention group attended six 45-minute problem-solving group training sessions, while the control group received medication alone. The data collection instrument was the Buss and Perry aggression questionnaire (BPAQ), which was filled out before and a month after the intervention. Results and discussion: In the pre-intervention phase, there was no significant difference in the mean score of aggression between the problem-solving skills training and control groups (119 ± 5.6 vs. 120.5 ± 8.5; P = 0.222); while, the total score of aggression after the intervention was significantly different between two groups (86.9 ± 5.5 vs. 120.2 ± 5.8; P <0.001). Conclusions: Problem-solving skills training can reduce the severity of aggression in patients with bipolar disorder. It is recommended that these skills used in individual and family care for patients with bipolar I disorder.

scholarly journals Thermal and cardiorespiratory newborn adaptations during hot tub bath

10.3823/2355 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Gentil Gomes da Fonseca Filho ◽  
João Octávio Sales Passos ◽  
Valéria Azevedo de Almeida ◽  
Carla Monique De Aquino Ribeiro ◽  
Jane Carla De Souza ◽  
...  
Keyword(s):  
Heart Rate ◽  
Birth Weight ◽  
Respiratory Rate ◽  
Opposite Effect ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Life Study ◽  
Significant Difference ◽  
And Control

Objective: To evaluate thermal and cardiorespiratory adaptation during hot tub bath and shower in healthy newborns in the first hours of life. Study design: This is a randomized blind controlled trial, registered in ReBEC (No. RBR-4z26f3) with 184 newborns divided into hot tub group (n=84) and shower (n=100). Newborns from intervention group were immersed in a hot tub with warm water up to the neck, without exposure to air flow, and control group received traditional shower. Heart rate, respiratory rate and temperature were measured before and immediately after bath by an investigator blinded to the type of bath. Results: Groups were similar in gender, gestational age, birth weight, Apgar score at 5th minute and hours of life, p => 0.05. To analyze thermal and cardiorespiratory adjustments, difference between post-bath variables and pre-bath was calculated. In this analysis, it was found statistically significant difference between two types of bath regarding heart rate, respiratory rate and temperature. Hot tub bath decreases heart and respiratory rates and increases temperature, whereas shower provides the opposite effect (0.0001). Conclusion: This study demonstrates that hot tub baths and shower, in healthy newborns, promote thermal and cardiorespiratory adaptations, reflecting thermal, cardiac and respiratory positive reactions after hot tub bath.

scholarly journals The effect of counseling on fathers’ stress and anxiety during pregnancy: a randomized controlled clinical trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maryam Mohammadpour ◽  
Sakineh Mohammad-Alizadeh Charandabi ◽  
Jamileh Malakouti ◽  
Mehriar Nadar Mohammadi ◽  
Mojgan Mirghafourvand
Keyword(s):  
Perceived Stress ◽  
State Anxiety ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Expectant Fathers ◽  
And Control

Abstract Background Pregnancy is a challenging period for mothers and fathers. This study aimed to investigate the effect of counseling on stress and anxiety levels of fathers. Methods This randomized controlled trial was conducted on 102 spouses of pregnant women in Ardabil, Iran. The participants were randomly assigned to intervention and control groups. The intervention group attended four 60-min counseling sessions at weekly intervals. The perceived stress and anxiety questionnaires were completed before and 4 weeks after the intervention. Results The mean scores of state anxiety in the intervention group decreased significantly 4 weeks after the intervention compared with the control group (MD: -2.4; 95%CI: − 4.7 to − 0.2; p = 0.030). Four weeks after the intervention, no significant difference was found between the two groups in terms of trait anxiety (p = 0.472) and perceived stress (p = 0.635). Conclusions The findings indicate that counseling reduced state anxiety in expectant fathers; therefore, this intervention is recommended to be used to reduce fathers’ anxiety. Trial registration IRCT2017042910324N38. Registered 25 June 2017

scholarly journals Improved dietary intake among overweight and obese children followed from 8 to 12 years of age in a randomised controlled trial

2012 ◽  
Vol 1 ◽  
Author(s):  
Maria Waling ◽  
Christel Larsson
Keyword(s):  
Dietary Intake ◽  
Food Habits ◽  
Controlled Trial ◽  
Intervention Group ◽  
Overweight And Obesity ◽  
Control Group ◽  
Obese Children ◽  
Childhood Overweight And Obesity ◽  
Preventive Actions ◽  
Randomised Controlled

AbstractMore knowledge about improving dietary intake in secondary preventive actions against childhood overweight and obesity is needed. The objective was to evaluate the impact of a 2-year intervention on energy, macronutrient and food intake of overweight and obese children participating in a randomised controlled trial. Children (8–12 years old) living in Sweden were recruited to participate for 2 years between 2006 and 2009. The children were randomised into either an intervention group (n 58), participating in an intervention concerning food habits, physical activity and behavioural change, or a control group (n 47). Dietary intake at baseline and the 2-year measurement were assessed with a diet history interview covering 14 d. Energy intake (EI) of the intervention and control groups was underestimated by 28 and 21 %, respectively, after 2 years, but with no difference between the groups (P = 0·51). After 2 years of intervention, the intervention group, compared with the control group, had a lower intake of sugar-sweetened beverages (P = 0·015) as well as a higher intake of foods high in fibre, low in saturated fat, sugar and salt (P = 0·031). Further, a lower EI in relation to BMR, lower total fat, MUFA and cholesterol was seen in the intervention group compared with the control group. In conclusion, the food and nutrient intake of overweight and obese children was improved after participating in a 2-year intervention programme. Dietary counselling should be included in secondary preventive actions against childhood overweight and obesity to promote healthy food habits.

Breastfeeding Training through Role-Play and Effects on Mother-infant Attachment Behaviours: A Randomised Controlled Trial

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Farokh Saljughi ◽  
Mitra Savabi-Esfahani ◽  
Shahnaz Kohan ◽  
Soheila Ehsanpour
Keyword(s):  
Pregnant Women ◽  
Maternal Employment ◽  
Controlled Trial ◽  
Role Play ◽  
Intervention Group ◽  
Control Group ◽  
Maternal Behaviour ◽  
Infant Attachment ◽  
Significant Difference ◽  
History Of

Mother-infant attachment is an intimate, lasting and satisfying relationship that leads to better cognitive, emotional and social growth of the infant. The aim of this study was to determine the effects of breastfeeding training by role-play on mother-infant attachment behaviours. This research was a randomised clinical trial (parallel design). Inclusion criteria were: no history of mental disorders; ability to read and write the Persian language to complete the questionnaire; no history of drug and tobacco intake in primigravida women. The sample comprised 100 pregnant women (in 2 groups), selected through simple random sampling at healthcare centres. The researcher reviewed prenatal care registries of selected healthcare centres and extracted the names of pregnant women in their early third trimester. The data were imported into randomisation software. The control group received routine breastfeeding training, while the intervention group received routine training together with training through role-play. The data collection tool was the Maternal Behaviour Inventory Questionnaire. Consequently 75 samples were analysed in SPSS16. Independent t-tests and chi-square tests were used to examine the difference between the two groups. Results showed that the mean score of mother-infant attachment one week after delivery was significantly higher in the intervention group in comparison to that in the control group (p<0.001). No significant difference was observed between the two groups in maternal age, age of marriage, neonatal gender, maternal employment and education, number of parity, and number of abortions (P>0.05). Since breastfeeding training through role-play could affect mother-infant attachment, it is suggested that this type of training should be provided for pregnant women to promote mother-infant attachment and exclusive breastfeeding.

Sign in / Sign up

Export Citation Format

Share Document