Examining child mealtime behavior as parents are coached to implement the Mealtime PREP intervention in the home: Findings from a pilot study

2020 ◽  
Vol 83 (10) ◽  
pp. 631-637
Author(s):  
Angela R Caldwell ◽  
Elizabeth R Skidmore ◽  
Roxanna M Bendixen ◽  
Lauren Terhorst
Keyword(s):  
Pilot Study ◽  
Child Behavior ◽  
Repeated Measures ◽  
Strategy Use ◽  
Evidence Based ◽  
Post Intervention ◽  
Parental Identification ◽  
Mealtime Behavior ◽  
Mealtime Problems ◽  
Over Time

Introduction The purpose of this study was to examine parental use of evidence-based mealtime strategies, child mealtime behavior, and parental identification of mealtime problems over time as parents were coached to implement the Promoting Routines of Exploration and Play during Mealtime intervention as part of a pilot study. Method This repeated measures study included data collection during three phases: (a) pre-intervention; (b) intervention; (c) post-intervention. Primary outcome measures included a parental strategy use checklist (parental strategy use) and the Behavioral Pediatric Feeding Assessment (problematic child behavior and parental identification of mealtime problems). Linear mixed models were fitted to assess change over time. Results We observed significant improvements in parental strategy use ( p < .001), child mealtime behavior ( p < .001), and parental perception of mealtime problems ( p = .002) over time. Conclusions The results of these analyses signal that empowering parents to integrate evidence-based strategies into child mealtimes is a promising approach to managing child mealtime behavior. More research is needed to determine the true relationship between parental strategy use and child behavior over time.

scholarly journals EMBRacing Racial Stress and Trauma: Preliminary Feasibility and Coping Responses of a Racial Socialization Intervention

2017 ◽  
Vol 44 (1) ◽  
pp. 25-46 ◽  
Author(s):  
Riana Elyse Anderson ◽  
Monique McKenny ◽  
Amari Mitchell ◽  
Lydia Koku ◽  
Howard C. Stevenson
Keyword(s):  
Pilot Study ◽  
Racial Socialization ◽  
Repeated Measures ◽  
Black Families ◽  
Coping Response ◽  
Post Intervention ◽  
Program Satisfaction ◽  
Coping Responses ◽  
Response Data ◽  
And Coping

The goal of this article is to report initial feasibility and coping response data from a pilot study of a new five-session intervention (Engaging, Managing, and Bonding through Race [EMBRace]) for Black families utilizing racial socialization to address stress and trauma from racial encounters. Ten caregiver and youth dyads were enrolled and completed the EMBRace intervention. Feasibility was based on a closed-option survey for therapists as well as open-ended participant responses to program satisfaction post-intervention. Responses to stress management were assessed via repeated measures of self-reported coping strategies throughout the sessions. EMBRace was deemed to be acceptable by the majority of therapists and participants with regard to discussing racial encounters. Participant responses were categorized into five primary codes, including advice, clinician approach, program changes, likes, and dislikes. Participants’ coping data throughout the intervention indicates changes in the hypothesized direction (e.g., increased attention to and identification of stressor and decreased stress). The pilot data indicate the desirability of the intervention as well as useful participant feedback for future iterations of EMBRace.

scholarly journals Effects of School-Based Exergaming on Urban Children’s Physical Activity and Cardiorespiratory Fitness: A Quasi-Experimental Study

2019 ◽  
Vol 16 (21) ◽  
pp. 4080 ◽  
Author(s):  
Ye ◽  
Pope ◽  
Lee ◽  
Gao
Keyword(s):  
Physical Activity ◽  
Cardiorespiratory Fitness ◽  
Repeated Measures ◽  
Intervention Group ◽  
Control School ◽  
Control Group ◽  
Post Intervention ◽  
School Based ◽  
Quasi Experimental ◽  
Over Time

Background: Modern-day technology is appealing to children. Few studies, however, have conducted longitudinal analyses of a school-based exergaming program’s effect on physical activity (PA) behaviors and fitness in children. Therefore, this study examined the longitudinal effect of an 8-month school-based exergaming intervention on children’s objectively-measured PA and cardiorespiratory fitness (CRF). Materials and Methods: Eighty-one fourth grade students (X̅age = 9.23 ± 0.62; 39 girls; 54.3% African American, 30.9% Non-Hispanic White, 14.8% other) participated in this study from 2014–2015. The intervention school’s children participated in a once-weekly 50-minute exergaming intervention during recess throughout the school year, while the control school continued regular recess. Children’s in-school PA and sedentary behavior (SB) were measured with ActiGraphGT3X+ accelerometers, with CRF assessed via the half-mile run. All measurements were taken at baseline, mid-intervention (four months) and post-intervention (eight months). Repeated-measures two-way ANCOVAs using age and race as covariates were conducted to examine between-school differences over time for SB, light PA (LPA), moderate-to-vigorous PA (MVPA), and CRF. Results: Significant time by group interactions were observed for LPA, F(1, 79) = 7.82, η2 = 0.09, p < 0.01, and MVPA, F(1, 79) = 4.58, η2 = 0.06, p < 0.05, as LPA increased among the control group, while MVPA increased among intervention group. Children in both groups experienced decreased SB during the intervention (intervention: −7.63 minutes; control: −17.59 minutes), but demonstrated lower CRF over time (intervention: +46.73 seconds; control: +61.60 seconds). Conclusions: Observations suggested that school-based exergaming implementation may be effective in increasing children’s MVPA and decreasing their SB over the course an academic year (i.e., ~eight months). More research is needed, however, to discern how modifications to school-based exergaming might also promote improved CRF in children.

A Pilot Study: Perceptual Effects of the Voodoo Floss Band on Glenohumeral Flexibility

2017 ◽  
Vol 22 (4) ◽  
pp. 29-33 ◽  
Author(s):  
Brittany N. Kiefer ◽  
Kyle E. Lemarr ◽  
Christopher C. Enriquez ◽  
Kristin A. Tivener ◽  
Todd Daniel
Keyword(s):  
Pilot Study ◽  
Soft Tissue ◽  
Range Of Motion ◽  
Repeated Measures ◽  
Evidence Based ◽  
Repeated Measures Anova ◽  
Significant Difference ◽  
Post Test ◽  
Band Group ◽  
Observational Design

Even though adaption of the Voodoo Floss Band is gaining momentum, evidence-based literature on its effectiveness remains sparse. The purpose of this quantitative observational design study was to investigate the effects of the Voodoo Floss Band on soft-tissue flexibility and perception of movement. A repeated-measures ANOVA with between-subjects factor demonstrated both groups significantly improved GH flexion range of motion from pretest to post-test but there was not a statistically significant difference between the groups. Perceptions of flexibility increased more for the Voodoo Floss Band group, demonstrating a psychological increase in GH flexion, but not a physical increase.

Stretch-induced hypoalgesia: a pilot study

2020 ◽  
Vol 20 (4) ◽  
pp. 837-845
Author(s):  
Marie-Claude Larouche ◽  
Samuel Camiré Bernier ◽  
Rosalie Racine ◽  
Olivier Collin ◽  
Mikaël Desmons ◽  
...  
Keyword(s):  
Pilot Study ◽  
Repeated Measures ◽  
Pain Sensitivity ◽  
Low Back ◽  
Post Intervention ◽  
Local Site ◽  
Clinical Pain ◽  
Repeated Measures Analysis ◽  
Remote Sites ◽  
Randomised Controlled

AbstractObjectivesStretching is an intervention often used in various kinds of rehabilitation protocols and the effects on pain sensitivity has sparsely been investigated, especially when addressing potential effects on pain. The objective is to investigate the immediate effects of an axial and peripheral prolonged stretch on pressure pain sensitivity (PPT) and temporal summation (TS) on local and distal sites in healthy subjects.MethodsTwenty-two healthy volunteers were recruited to participate in this pilot study. Two prolonged stretching protocols were performed: low back and wrist extensors stretches. PPT and pinprick TS were measured pre- and post-intervention at local and remote sites. Repeated measures analysis of variance (ANOVA) was used to examine the effects and significance of the interventions.ResultsThe low back stretch induced an increase in PPT for both local and remote sites, and the wrist stretch produced a PPT increase only at the local site. TS did not change.ConclusionsLow back stretching induced an increase in PPT at both local and remote sites whereas the wrist stretch only increased PPT locally, suggesting hypoalgesia at these sites. Further studies are needed to confirm the effect and mechanisms using randomised, controlled and parallel study design. Considering that pain sensitivity is different than clinical pain, results are difficult to extrapolate to clinical practice. Future studies testing clinical pain are needed to better understand the clinical implication of these results.

From Feasibility to Outcomes: the Case of a Postpartum Depression Prevention Intervention in Shelter

2021 ◽  
Author(s):  
Bonnie D. Kerker ◽  
Dara Weiss ◽  
Kristen Lewis ◽  
Erica Willheim ◽  
Melissa R. Clark ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Repeated Measures ◽  
Underserved Populations ◽  
Interpersonal Trauma ◽  
Evidence Based ◽  
Post Intervention ◽  
Prevention Intervention ◽  
Depression Prevention ◽  
Intervention Adaptation ◽  
Feasibility Testing

Abstract BackgroundEvidence-based interventions (EBIs) are often seen as the gold standard but it is unclear if they are effective in different settings or populations. We developed a model to adapt and test the implementation of a postpartum depression prevention intervention (Reach Out and Stay Strong, Essentials for new Mothers -- ROSE) in shelter. Our model entailed: (1) Intervention Adaptation and Planning (2) Feasibility Testing, (3) Monitoring Outcomes. The adapted intervention was called Strong in Shelter (SIS).MethodsIntervention adaptation and planning entailed provider engagement, shelter resident input, and responsive adaptations. Feasibility testing began in pilot sites, and we made modifications based on feedback. Fidelity to the model was tracked through session checklists, audio recordings and weekly consultations. Additional modifications were made due to COVID-19. Outcome measures were collected pre- and post-intervention, and included measures of depression (PHQ-9), perceived social support (MSPSS) and perceived stress (PSS). We also collected data on trauma exposure. Paired Samples T-Test analyses were conducted to examine changes in PHQ-9, MSPSS and PSS scores over time. These repeated measures were stratified by interpersonal trauma, mode, and number of sessions completed using general linear model analyses. ResultsInvolving the community being served and the intervention facilitators early on was an important factor in the success of SIS. Barriers to participant engagement were seen across each phase of SIS, but once residents did engage 70% (40 of 57 women who were consented) attended at least half the sessions. Satisfaction was high, with nearly 100% of women participating in SIS and receiving a consistent questionnaire reporting the group was helpful (N=22). The PHQ-9 decreased by 2.68 points after SIS (p=0.002); this change was stronger for those who experienced interpersonal trauma, and findings were consistent in the virtual implementation during COVID-19 (N=46).ConclusionsProviding evidence-based preventive interventions to underserved populations is essential to ensure that effective programs reach those in need. Our data suggest that by engaging staff and the population early and continually, and utilizing an iterative and flexible process, EBIs such as SIS can effectively be implemented in institutional settings, and may reduce depressive symptoms among women in shelter.

A pilot study with adaptations to the Maudsley Method approach on workshops for carers of people with eating disorders

2016 ◽  
Vol 21 (4) ◽  
pp. 295-307 ◽  
Author(s):  
Stephen Linacre ◽  
Jessica Green ◽  
Vishal Sharma
Keyword(s):  
Eating Disorders ◽  
Pilot Study ◽  
Thematic Analysis ◽  
Expressed Emotion ◽  
Cognitive Remediation ◽  
Evidence Based ◽  
Self Awareness ◽  
Post Intervention ◽  
Content Type ◽  
Method Approach

Purpose Carers of people with eating disorders (EDs) experience high levels of burden which can lead to clinical levels of depression and anxiety, high levels of expressed emotion and can lead to a non-conducive environment to support recovery. The Maudsley Method skills-based workshops can empower carers to support people with ED to move towards recovery, reduce carer burden and high levels of distress. The paper aims to discuss these issues. Design/methodology/approach Adaptations have been made to the Maudsley Method skills based workshops to include evidence based approaches from cognitive remediation therapy; mindfulness and acceptance commitment therapy. The adapted workshops were assessed via a pilot study with ten carers of people with ED using a mixed method design. The Experience of Caregiving Inventory and SF-36 were used to assess aspects of caregiving and carer wellbeing, respectively pre and post intervention. Thematic analysis was used to evaluate carers’ views on the intervention. Findings Results indicated that carers reduced their level of burden particularly in their experience of stigma, dependency and loss. Furthermore, positive aspects of the relationship with the person with the ED improved. Thematic analysis was used to obtain feedback from carers of the workshops. Qualitative data identified that carers improved their self-awareness, understanding of ED and the techniques they could use, and increased their social support. Research limitations/implications Further research is required to compare the original workshops with this adapted intervention. Originality/value Although this is a pilot study, the results suggest that further evidence based interventions could be added to the Maudsley Method approach to support carers.

scholarly journals The Duke Employee Weight Loss Program: Report of a Duke Diet and Fitness Center Pilot Study

2016 ◽  
Vol 4 (2) ◽  
pp. 44-50
Author(s):  
Leonor Corsino ◽  
A. Garrett Hazelton ◽  
Howard Eisenson ◽  
Crystal Tyson ◽  
Laura P. Svetkey ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Loss ◽  
Pilot Study ◽  
Body Mass ◽  
Body Fat ◽  
Repeated Measures ◽  
Occupational Safety ◽  
Post Intervention ◽  
Baseline Weight ◽  
The Impact

Background: Obesity is increasingly prevalent in the industrialized world. Obese workers have two times the number of workers’ compensation claims as those of non-obese workers. Worksite interventions may be especially effective because employees spend a large part of their day in the work environment, and both employee and employer have incentives to improve the employees’ health.Objective: To assess the impact of a 4 week employee intervention in participant’s weight, body fat and blood pressure.Methods: This was a pilot study. We assessed feasibility and impact compared to baseline at 4 weeks, 6 months, and 12 months post-program. The primary outcomes were weight and body mass index. Secondary outcomes included percent body fat and blood pressure. Results: Forty participants consented to be part of the study. Baseline weight was 97.8 kg [SD ± 17.05]. Twelve months post-intervention weight loss averaged 2.7 kg [SD ± 6.35]. One-way repeated measures ANOVA showed a significant effect of participation on weight, body mass index, and percent body fat.Conclusion: Significant improvements in the primary outcomes were observed in participants completing our worksite pilot study, indicating that a worksite weight loss intervention is potentially effective.International Journal of Occupational Safety and Health, Vol 4 No 2 (2014) 44– 50

Internalization of Behavior Management Skills among Teachers in a Specialized School Serving Students with Neurodevelopmental Disorders

2021 ◽  
pp. 014544552110107
Author(s):  
Kathleen L. Ramsey ◽  
Stephanie D. Smith ◽  
Laura K. Hansen ◽  
Richard S. Mohn ◽  
Fayth C. Walbridge ◽  
...  
Keyword(s):  
Pilot Study ◽  
Neurodevelopmental Disorders ◽  
Behavior Management ◽  
Positive Reinforcement ◽  
Management Practices ◽  
Evidence Based ◽  
Management Skills ◽  
Future Studies ◽  
Specialized School ◽  
Over Time

Prior studies suggest that the fidelity of teachers’ implementation of behavior management practices in the classroom diminish over time. Establishing how long it takes teachers to fully learn and sustain their independent use of these skills may aid in addressing implementation drift. The primary goals of this pilot study were twofold: (1) determine how long it takes teachers employed at a school serving students with Neurodevelopmental Disorders to internalize evidence-based behavior management practices (i.e., positive reinforcement, direct commands), and (2) establish whether some skills take longer than others for teachers to internalize. We also had the opportunity to evaluate whether a pre-determined threshold of skill internalization (e.g., 50% increase in skill use for three consecutive weeks) as defined in the extant literature translates into sustained skill implementation. Our results suggest that the length of standard teacher trainings may not be adequate given upwards of 2 months is required for the internalization of one skill and the time needed to reach internalization is dependent upon the skill taught and may deviate by at least 2 weeks across skills. However, given the variability observed in teachers’ implementation of skills following internalization, this pre-determined threshold of skill internalization may be insufficient and requires further examination in future studies.

Habit-based workplace physical activity intervention: a pilot study

2019 ◽  
Vol 69 (7) ◽  
pp. 471-474 ◽  
Author(s):  
K Hamilton ◽  
E Fraser ◽  
T Hannan
Keyword(s):  
Physical Activity ◽  
Pilot Study ◽  
Repeated Measures ◽  
Physical Activity Intervention ◽  
Well Being ◽  
Office Workers ◽  
Post Intervention ◽  
Step Counts ◽  
Within Subjects ◽  
Health And Well Being

Abstract Background Increasing workplace physical activity has important implications for workers’ health and well-being. However, few interventions targeting physical activity in the workplace are grounded in behavioural theory. Aims The aim of this study was to develop and pilot a 6-week habit-based intervention designed to promote the development of workplace physical activity habits and increase average weekly step counts. Changes in the strength of workplace physical activity habit and weekly step counts were assessed at 1 and 6 weeks following the intervention. Methods The study was a prospective three-wave within-subjects single-arm intervention study that ran for 12 weeks (baseline, 7 weeks, 12 weeks). During the 6-week intervention, participants received information regarding 10 top tips (10TT) to increase and promote habit formation and wore a pedometer during work hours. Differences in workplace physical activity habit and weekly step counts were compared across baseline (T1), 1 (T2) and 6 weeks (T3) post-intervention using repeated measures analyses of variance. Results Data from 20 sedentary office workers at a large Australian University were included. The average strength of workplace physical activity habits significantly increased from baseline (M = 3.90) to 1 week post-intervention (M = 4.45), and these effects were maintained 6 weeks later (M = 4.72). No significant increase in step counts were observed across any of the time points (all P &gt; 0.05). Conclusions The results of this pilot study reveal that workplace physical activity habits can be strengthened via a habit-based intervention. Further research is needed to replicate these findings in larger cohorts of office workers.

scholarly journals Pilot study to evaluate school safety zone built environment interventions

2021 ◽  
pp. injuryprev-2021-044299
Author(s):  
Linda Rothman ◽  
Rebecca Ling ◽  
Brent E Hagel ◽  
Colin Macarthur ◽  
Alison K Macpherson ◽  
...  
Keyword(s):  
Pilot Study ◽  
Built Environment ◽  
School Safety ◽  
Repeated Measures ◽  
Speed Limit ◽  
Post Intervention ◽  
Speed Limits ◽  
Arrival Times ◽  
Dangerous Driving ◽  
The City

BackgroundSchool safety zones were created in 2017 under the City of Toronto’s Vision Zero Road Safety Plan. This pilot study examined the effect of built environment interventions on driver speeds, active school transportation (AST) and dangerous driving.MethodsInterventions were implemented at 34 schools and 45 matched controls (2017–2019). Drivers travelling over the speed limit of >30 km/hour and 85th percentile speeds were measured using pneumatic speed tubes at school frontages. Observers examined AST and dangerous driving at school arrival times. Repeated measures beta and multiple regression analyses were used to study the intervention effects.ResultsMost schools had posted speed limits of 40 km/hour (58%) or ≥50 km/hour (23%). A decrease in drivers travelling over the speed limit was observed at intervention schools post-intervention (from 44% to 40%; OR 0.79, 95% CI 0.66 to 0.96). Seventy-one per cent of drivers travelled >30 km/hour and the 85th percentile speed was 47 km/hour at intervention schools, with no change in either postintervention. There were no changes in speed metrics in the controls. AST increased by 5% (OR 1.22, 95% CI 0.97 to 1.54) at intervention schools. Reductions in dangerous driving were observed at all schools.ConclusionsPosted speed limits were >30 km/hour at most schools and high proportions of drivers were travelling above the speed limits. There were reductions in drivers exceeding the speed limit and in dangerous driving, and modest increased AST post intervention. Bolder interventions to slow traffic are required to effectively reduce speeding around schools, which may increase safe AST.

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