Abstract 1822: Impact on Anxiety of an Education and Counseling Intervention Designed to Decrease Treatment Seeking Delay in Response to Acute Coronary Syndrome (ACS) Symptoms

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Debra K Moser ◽  
Sharon McKinley ◽  
Barbara Riegel ◽  
Lynn V Doering ◽  
Hendrika Meischke ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Intervention Group ◽  
Patient Delay ◽  
Treatment Seeking ◽  
Control Group ◽  
Time Points ◽  
Counseling Intervention ◽  
Coronary Syndrome ◽  
The Impact ◽  
Delay In Seeking Treatment

Background: Patient delay in seeking treatment for ACS symptoms remains a substantial problem with most people delaying more than 2 hours before they seek treatment. Thus, it is vital to test interventions to improve this behavior, but at the same time it is essential that such interventions not increase anxiety. Given that these interventions seek to decrease patient denial of the seriousness of symptoms, it is possible that they may increase anxiety. Purpose: To determine the impact on anxiety of an individual face-to-face education and counseling intervention designed to decrease patient delay in seeking treatment for ACS symptoms. Methods: This was a multicenter randomized (intervention vs. usual care) controlled trial of the intervention in which anxiety data were collected (using the Multiple Affect Adjective Checklist) at baseline, 3-months and 12-months after the intervention. A total of 3522 patients with confirmed coronary artery disease (CAD) who were at risk for ACS were enrolled; data from 2597 patients with complete anxiety data at all three time points are included here. There were no differences in patients completing all three time points and those who did not. The intervention consisted of a 45 minute education and counseling session, reinforced by a phone call one month later in which the social, cognitive and emotional responses to ACS symptoms were discussed as were barriers to early treatment seeking. Repeated measures ANCOVA was used to compare anxiety levels across time between the groups controlling for age and gender. Results: There were significant differences in anxiety by group (p = 0.014). Anxiety level was stable in patients in the control group, but decreased by 10% at 3 months in the intervention group and remained at this reduced level at 12 months. Conclusion: An intervention designed to reduce patient delay in seeking treatment for ACS symptoms did not increase anxiety, but rather was associated with a reduction in anxiety. Interventions in which CAD patients directly confront the possibility of an acute cardiac event do not cause anxiety if they provide patients with appropriate strategies for managing symptoms.

Abstract 1823: A Nursing Intervention Increases Knowledge, Attitudes and Beliefs About Response to Acute Coronary Syndrome in People with Coronary Heart Disease

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Sharon McKinley ◽  
Lynn V Doering ◽  
Hendrika Meischke ◽  
Debra K K Moser ◽  
Brabara Riegel ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Acute Coronary Syndrome ◽  
Heart Disease ◽  
Intervention Group ◽  
Patient Delay ◽  
Control Group ◽  
Attitudes And Beliefs ◽  
Counseling Intervention ◽  
Coronary Syndrome ◽  
Over Time

Background: The largest contributor to delayed receipt of reperfusion therapy for acute coronary syndrome (ACS) is patient delay in recognizing symptoms and seeking treatment. Objectives: We tested the effect of an education and counseling intervention designed to reduce patient delay on knowledge, attitudes and beliefs about ACS symptoms and the response to symptoms. Methods: We conducted a 2-group randomized controlled trial in 3,522 people with coronary heart disease (CHD). The intervention group (n=1777) received a one-on-one education and counseling session from a cardiovascular nurse that addressed informational, emotional, and social responses associated with onset of ACS symptoms, followed by a telephone call at one month. The control group (n=1745) received usual care. Knowledge, attitudes and beliefs were measured at baseline and 3 and 12 months using the ACS Response Index. Repeated measures ANOVA was used to assess differences in outcomes over time. Results: Patients were 67±11 years old; 67% were male and 45% had history of AMI. Knowledge, attitudes and beliefs scores increased significantly from baseline in the intervention group compared to the control group at 3 months and remained higher at 12 months (Table ). C onclusion: A relatively short one-on-one education and counseling intervention significantly increased knowledge, attitudes and beliefs about ACS and response to ACS symptoms, sustained to 12 months following the intervention. The results of the study suggest that individualized education for those at high risk of ACS is effective in increasing the knowledge, attitudes and beliefs required to make an appropriate decision about seeking care for ACS. Table. Mean scores for knowledge, attitudes and beliefs by group over time

A Randomized Study to Assess the Impact of Pharmacist Counseling of Employer-Based Health Plan Beneficiaries With Diabetes

2011 ◽  
Vol 25 (2) ◽  
pp. 169-179 ◽  
Author(s):  
Dale F. Kraemer ◽  
Wayne A. Kradjan ◽  
Theresa M. Bianco ◽  
Judi A. Low
Keyword(s):  
Diabetes Management ◽  
Statistical Significance ◽  
Glycosylated Hemoglobin ◽  
Randomized Study ◽  
Intervention Group ◽  
Control Group ◽  
Counseling Intervention ◽  
Care Plans ◽  
Pharmacist Counseling ◽  
The Impact

Objective: To assess the impact of pharmacist counseling on empowering people with diabetes to better self-care. Introduction: Community-based pharmacists can play a key role in educating and empowering people in such programs. Methods: A randomized trial compared the effects of pharmacist counseling (intervention group) with printed materials (control group) in diabetic beneficiaries of several employer-based health care plans. All participants also received waiver of out-of-pocket expenses for diabetic-related medications and supplies. Clinical, humanistic, and claim outcomes were evaluated at baseline and at 1 year follow-up. Results: Sixty-seven beneficiaries participated in this study. The 0.50% decrease from baseline in glycosylated hemoglobin (A1c) was statistically significant ( P = .0008) in the intervention group and the difference between the groups approached statistical significance ( P = .076). Beneficiaries in both groups had greater claim costs for diabetic-related medications and supplies during the study year. Both groups also improved in ability to manage their diabetes with the counseling group showing a significantly better understanding of diabetes ( P = .0024). Conclusion: There was a trend toward improvement in A1c in patients counseled by pharmacist with an increased utilization of diabetes-related medications and supplies. Counseling also improved diabetes knowledge and empowered patients to better diabetes management.

scholarly journals U-EXCEL’S “@ HOME” PROGRAM: STAFF SUPPORTED BALANCE EXERCISE INTERVENTION AND ADHERENCE FOR LIFE CARE RESIDENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S975-S975
Author(s):  
Marilyn R Gugliucci ◽  
Erica Robertson ◽  
Ashley Cronkright ◽  
Sujaay Jagannathan
Keyword(s):  
Social Support ◽  
Repeated Measures ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Living Environment ◽  
Falls Prevention ◽  
Control Group ◽  
Life Care ◽  
Select Group ◽  
The Impact

Abstract Introduction: The University of New England College of Osteopathic Medicine U-ExCEL Program was established in 2006 and specializes in older adult fitness and balance programming. Falls account for $54 billion costs in direct and Indirect costs. Methods: This randomized control single blinded pilot project included an 8 week intervention to measure the impact of supported consistent individual balance programming in individuals’ apartments for a select group of older adults residing in a life care living environment. Twenty residents (75-92 y/o) were recruited, however 12 participants (6 intervention/6 control group) participated in the study. The remaining 8 participants were pulled from the wait list as attrition occurred. Demographic data collection and 6 validated assessments were conducted at baseline and at study completion. The intervention group conducted the Balancing Act (Falls Prevention) Program 3 times/week with social support. The control group only received social support. Data analysis included descriptive statistics, SAS 5.1 was used for non-parametric Mann-Whitney U Test (Wilcoxon Rank Sum Test); a repeated measures ANOVA was also conducted. Results: The effects of the intervention (Balancing Act Program) on Oxygen Saturation (p=0.009), Wong Baker Score (p=0.008), and the Rapid Assessment of Physical Activity (RAPA) 2 (p=0.008) test were statistically significant. The effect of the intervention on all other variables was not statistically significant including validated balance measures. Conclusion: Quantitative measures failed so show significant improvement in balance from the start to the end of the intervention; however improvements were experienced and expressed by the intervention group. Social Support is necessary for adherence.

scholarly journals The impact of COVID-19 on anxiety and wellbeing for families of individuals with Special Education Needs and Disabilities in the UK

2021 ◽  
Author(s):  
Vasileios Sideropoulos ◽  
Daniel Dukes ◽  
Mary Hanley ◽  
Olympia Palikara ◽  
Sinead Rhodes ◽  
...  
Keyword(s):  
Special Education ◽  
Repeated Measures ◽  
Control Group ◽  
Typically Developing ◽  
School Closures ◽  
Time Points ◽  
Special Education Needs ◽  
Education Needs ◽  
The Uk ◽  
The Impact

COVID-19 has affected people across the world. However, it has been suggested that individuals with Special Education Needs and Disabilities (SEND) and their families might have been particularly impacted by the first national lockdown in the UK. In contrast to previous studies, the current study examined wellbeing and anxiety at different time points and included a control group matched for family situation. Parents of 402 individuals with SEND reported on their own anxiety and wellbeing as well as that of their son/daughter at three time points (before COVID-19, when COVID-19 pandemic started, and during the national lockdown). In addition, data from 186 typically developing (TD) siblings was obtained. Repeated measures ANOVAs and regression analyses showed that, although both individuals with SEND and their TD siblings showed increased anxiety across the three time points, levels of anxiety were not predicted by age, gender or health. Instead, levels of anxiety in the SEND group, but not the TD siblings, were predicted by awareness about COVID-19, diagnosis of an existing anxiety disorder as well as parental anxiety. In addition, whilst TD individuals were reported to increasingly worry about social related issues as well as family related issues, those with SEND were reported to worry about issues related to school closures. These findings show that COVID-19 impacts the wellbeing of those with SEND differently to that of their TD siblings and that school closures have a particular effect on this group. Further implications for policy impact and interventions are discussed.

scholarly journals Enhancing the Communication of Suddenly Speechless Critical Care Patients

2016 ◽  
Vol 25 (3) ◽  
pp. e40-e47 ◽  
Author(s):  
Carmen S. Rodriguez ◽  
Meredeth Rowe ◽  
Loris Thomas ◽  
Jonathan Shuster ◽  
Brent Koeppel ◽  
...  
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Repeated Measures ◽  
Intervention Group ◽  
Communication Intervention ◽  
Control Group ◽  
Repeated Measures Design ◽  
Quasi Experimental ◽  
The Impact

Background Sudden speechlessness is common in critically ill patients who are intubated or have had surgery for head and neck cancer. Sudden inability to speak poses challenges for hospitalized patients because strategies to facilitate communication are often limited and unreliable. Objective To determine the impact of a technology-based communication intervention on patients’ perception of communication difficulty, satisfaction with communication methods, and frustration with communication. Methods A quasi-experimental, 4-cohort (control and intervention) repeated-measures design was used. Data were collected daily for up to 10 days. Patients in adult critical care units were followed up as they were transferred to other units within the institutions selected for the study. The impact of a technology-based communication system (intervention) was compared with usual care (control). Patients’ communication outcomes pertinent to communication with nursing staff that were evaluated included perception of communication ease, satisfaction with methods used for communication, and frustration with communication. Results Compared with participants in the control group, participants in the intervention group reported lower mean frustration levels (−2.68; SE, 0.17; 95% CI, −3.02 to −2.34; P < .001) and higher mean satisfaction levels (0.59; SE, 0.16; 95% CI, 0.27 to 0.91; P < .001) with use of the communication intervention. Participants in the intervention group reported a consistent increase in perception of communication ease during the hospital stay. Conclusions The results facilitated evaluation of a bedside technology-based communication intervention tailored to the needs of suddenly speechless critically ill patients.

scholarly journals The effect of daily walking exercise on sleep quality in healthy young adults

2020 ◽  
Author(s):  
Feifei Wang ◽  
Szilvia Boros
Keyword(s):  
Young Adults ◽  
Sleep Quality ◽  
Repeated Measures ◽  
Intervention Group ◽  
Control Group ◽  
Beneficial Effects ◽  
Walking Intervention ◽  
Walking Exercise ◽  
Group B ◽  
The Impact

Abstract Purpose Walking has beneficial effects on sleep quality in elderly population and patients in clinical settings. However, less is known whether walking improves sleep quality among healthy young adults. This study examined the effectiveness of a 12-week walking intervention on sleep quality among sedentary young adults. Methods Fifty-four healthy adults aged 19 to 36-years old participated a pedometer based aerobic walking intervention, a cross-over randomized control trial. Participants were assigned into two groups (group A and group B) randomly. The 12-week intervention was divided into three sessions equally. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI) before and after session 1 and session 3. Omron HJ-112 pedometer and daily walking diary facilitated the intervention process. Within group and between group comparisons were made for statistical analysis. Results Within group comparison by repeated measures showed that sleep duration (p < 0.01, F-test 22.79), sleep medication (p < 0.05, F-test 5.22), subjective sleep (p < 0.05, F-test 5.51) and global sleep quality (p < 0.01, F-test 12.19) were significantly improved. The comparison between intervention group and control group showed that sleep disturbance was significantly improved (p < 0.05). Conclusion Daily walking exercise has a significant effect on facilitating sleep quality and sleep components among young adults. Further studies are suggested to examine the impact of walking intensity on sleep quality.

scholarly journals Positive Effects of Workplace Meditation Training and Practice

2019 ◽  
Vol 11 (1) ◽  
pp. 15
Author(s):  
Leila Karimi ◽  
Stephen P Kent ◽  
Sandra G. Leggat ◽  
Jiri Rada ◽  
Alison Angleton
Keyword(s):  
Job Satisfaction ◽  
Emotional Intelligence ◽  
Thematic Analysis ◽  
Repeated Measures ◽  
Intervention Group ◽  
Experimental Studies ◽  
Control Group ◽  
Physical And Mental Health ◽  
Positive Effects ◽  
The Impact

There is evidence that meditation is a powerful organisational tool for enhancing employee effectiveness, wellbeing, and job satisfaction; however, experimental studies on the effects of meditation on other organisational factors such as presenteeism and emotional intelligence are limited. This study investigated the impact of meditation on mindfulness, emotional intelligence, job satisfaction, and job stress-related presenteeism in an Australian workplace. Participants learned and practised an &#39;Auto Transcending Meditation Technique&rsquo; (ATMT) at their workplace. The study used the switching replications experimental design, comparing an intervention group with a control group. Quantitative data analysis used descriptive statistics and repeated measures to compare the mean pre-post intervention differences. Thematic analysis was completed on qualitative data gathered in focus groups and from the training evaluation. As a consequence of ATMT, participants showed significant improvements in their levels of mindfulness and emotional intelligence. Thematic analysis indicated that participants felt the meditation training and practice led to positive personal changes. In addition, the results showed that higher mindfulness buffers the effect of stress-related presenteeism on participants&rsquo; mental and physical health. Our results demonstrate that meditation training and practice enhances mindfulness and emotional intelligence, with benefits for employees&rsquo; physical and mental health.&nbsp; Workplace meditation should be considered in health promoting work settings. &nbsp;

scholarly journals The Impact of Involvement of Father's with Preterm Newborns on their Paternal-Infant Bonding and Self-Efficacy: non-randomized clinical trial

2020 ◽  
Author(s):  
Jila Mirlashari ◽  
Liisa Holsti ◽  
Hadi Ranjbar ◽  
Mahnaz Sanjari ◽  
Fatemeh Morovati ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Developmental Care ◽  
Premature Newborns ◽  
The Impact

Abstract Background: Premature birth and postpartum hospitalization can hurt the father-newborn bonding and fathers’ self-efficacy in the care of the newborn. This study was conducted to investigate the effect of the involvement of fathers with premature newborns on paternal-infant bonding and self-efficacy based on developmental care principles.Methods: This was a non-randomized clinical trial. Eighty fathers of hospitalized newborns in the neonatal intensive care unit were selected by convenience sampling method and divided into two groups ( 1 ). The intervention comprised training developmental care to fathers through simulations and then at the bedside of the newborn and the active involvement of fathers in the care of premature newborns admitted to the NICU. Pre-and post-intervention outcomes (after four weeks) were collected using Mother to Infant Bonding Scale and Perceived Maternal Parenting Self-Efficacy tool. Differences between groups were analyzed using independent t-test, paired t-test, repeated measures ANOVA.Results: The mean bonding score reduced by 2.3 ± 2.17 in the control group and 5.27 ± 2. 57 in the intervention group. A lower score represents a better bonding (f (1.78) = 9.19, p = 0.003). The self-efficacy score increased in both groups however, it was significantly higher in intervention group. In the intervention group increased by 8.85 ± 5.046, and in the control group, it increased by 1.27± 3.31, (f (1.78) = 21.88, p <0.001).Conclusions: Developmental care by fathers training and involvement in care can improve the father -infant bonding and increase the paternal self-efficacy for the care of the high risk newborn.Trial registration: Iranian Registry of Clinical Trials: IRCT20171010036690N1, 2018-01-31.

scholarly journals The Impact of Couple Therapy Based on Relationship Enrichment Approach on Couples’ Intimacy and Sexual Function

Health Scope ◽  
2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Somayye Khazaeian ◽  
Ali Navidian ◽  
Abolfazl Payandeh ◽  
Nayereh Niatmoghadam
Keyword(s):  
Sexual Function ◽  
Repeated Measures ◽  
Couple Therapy ◽  
Intervention Group ◽  
Psychological Needs ◽  
Control Group ◽  
Significant Difference ◽  
Time Periods ◽  
Relationship Enrichment ◽  
The Impact

Background: Intimacy is one of the basic and psychological needs of couples and is a motivating factor in their sexual participation. Objectives: To determine the impact of couple therapy based on the relationship enrichment approach on the intimacy and sexual function of the couples consulting healthcare centers. Methods: This research was a quasi-experimental study and was performed on 60 couples referring to Comprehensive Health Centers in the southeast of Iran in 2020. The research instruments included a demographic information questionnaire, three standard questionnaires of intimacy and sexual function of men and women. The educational content was implemented only for the intervention group. Data were collected at baseline, 8th week, and 12th week after the intervention. Data were analyzed using descriptive statistics and two-factor repeated measures ANOVA using SPSS (ver. 21) software. Results: The results showed that the intervention had a significant effect on sexual function and intimacy in the intervention group in three time periods (P < 0.001), whereas in the control group, no significant difference was observed in the three time periods (P > 0.05). Conclusions: The results showed that relationship enrichment counseling can increase intimacy and sexual function of couples.

scholarly journals Impact of a randomized school-based intervention program on blood pressure levels

2020 ◽  
Vol 20 (4) ◽  
pp. 965-974
Author(s):  
Raiani Spalenza Matos ◽  
Jordana Herzog Siqueira ◽  
Diana Barbosa Cunha ◽  
Maria del Carmen Bisi Molina
Keyword(s):  
Blood Pressure ◽  
Public Schools ◽  
Repeated Measures ◽  
Intervention Group ◽  
Categorical Variables ◽  
Control School ◽  
Control Group ◽  
Significant Difference ◽  
The Impact

Abstract Objectives: to evaluate the impact of a health program performed in a school setting on the blood pressure levels of schoolchildren in the public school system in Vitória/ES-Brazil. Methods: a randomized community trial was performed with 237 schoolchildren (6 to 12 years) from two public schools, randomly defined as the intervention and control school. Participants of the intervention group attended 11 education sessions over 4 months (July to October 2014). To test for differences between groups, the chi-square (categorical variables), and the paired t test or Wilcoxon (continuous variables) was used. The rate of variation of systolic blood pressure (SBP) and diastolic blood pressure (DBP) throughout the follow-up, according to allocation group, was evaluated using linear generalized models for time-repeated measures. Results: there was a reduction in the means of SBP (0.5 mmHg) and DBP (0.6 mmHg) in the intervention group and an increase in the control group, with a significant difference in the BP variation between groups over the follow-up period (p<0.05). Conclusion: a low-cost and easily implemented intervention may be one of the factors associated with the lowest blood pressure levels in the group studied, and reproduction in a school environment is feasible.

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