Psychosocial Depression Interventions for Dialysis Patients, With Attention to Latinos: A Scoping Review

2019 ◽  
Vol 29 (8) ◽  
pp. 910-923 ◽  
Author(s):  
John E. Sullivan ◽  
Namkee G. Choi ◽  
Christian E. Vazquez ◽  
Margaret A. Neaves
Keyword(s):  
Scoping Review ◽  
Expressive Writing ◽  
Behavioral Therapy ◽  
Grey Literature ◽  
Behavioral Problem ◽  
Experimental Studies ◽  
The United States ◽  
Cognitive Behavioral ◽  
Dialysis Patients ◽  
Quasi Experimental

Purpose: Depression is a common and debilitating condition that often goes undetected and untreated among people with end-stage renal disease (ESRD). We conducted a scoping review to identify psychosocial depression interventions for adult dialysis patients and gaps in depression care, with particular attention to Latinos, a group disproportionately affected by ESRD in the United States. Methods: We searched electronic databases and grey literature sources for studies in English and Spanish. Results: We found 36 studies including cognitive behavioral, problem-solving, hope, psychoeducation, expressive writing, and physical activity interventions. Twelve studies (33%) were U.S.-based, while the rest were conducted elsewhere. U.S.-based studies involved mostly individual-format cognitive behavioral therapy (CBT) interventions carried out during dialysis. CBTs showed the most promising effect on depression in both randomized clinical and quasi-experimental studies. Among 22 randomized trials reviewed, 1 reported participants with Latino/Hispanic ethnicity. Conclusions: More intervention research is needed for depression treatment with ESRD patients, especially Latinos.

scholarly journals Study of the Effectiveness of the Cognitive Behavioral Therapy on Self Efficacy and Pain among Children Suffering from Cancer

2016 ◽  
Vol 9 (5) ◽  
pp. 33
Author(s):  
Kosar Bardideh ◽  
Fatemeh Bardideh ◽  
Keivan Kakabaraee
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Self Efficacy ◽  
Behavioral Therapy ◽  
Pain Scale ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Children With Cancer ◽  
Research Population ◽  
Quasi Experimental ◽  
Experimental Group

<p><strong>OBJECTIVE: </strong>The aim of the present study is to investigate the effectiveness of the cognitive behavioral therapy on pain reduction and the elevation of self efficacy among children who suffer from cancer.</p><p><strong>METHOD:</strong> The present study adopts a quasi experimental pretest-posttest two group design .The research population consists of all 9-11 year old children with cancer who admitted to Tehran specialized cancer treatment centers in 2015. From those eligible in this study 40 were selected at hand and were randomly divided to two experimental and control groups (20 for experimental group and 20 for control group). Kuris self-efficacy questionnaire and Oucher pain scale were employed for data collection and multivariate and single-variant analyses of covariance have been used for data analysis.</p><p><strong>RESULTS:</strong> The results showed that the cognitive behavioral therapy has resulted in ease of pain and rise of efficacy among the experimental group (P˂ 0.01).</p><p><strong>CONCLUSION:</strong> Based on findings it can be deduced that cognitive behavioral therapy has a significant impact on this group of patients and this treatment can be employed as an appropriate solution in order to reduce the symptoms of children with cancer and ultimately to treat cancer.</p>

scholarly journals Pilot Cohorts for Development of Concurrent Mobile Treatment for Alcohol and Tobacco Use Disorders

2021 ◽  
Vol 15 ◽  
pp. 117822182110305
Author(s):  
Alyssa M Medenblik ◽  
Patrick S Calhoun ◽  
Stephen A Maisto ◽  
Daniel R Kivlahan ◽  
Scott D Moore ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Heavy Drinking ◽  
The United States ◽  
Telephone Counseling ◽  
Low Risk ◽  
Cognitive Behavioral ◽  
Total N ◽  
Polysubstance Use

Alcohol and tobacco are the 2 most frequently used drugs in the United States and represent the highest co-occurrence of polysubstance use. The objective of this study was to refine an intervention combining mobile contingency management with cognitive-behavioral telephone counseling for concurrent treatment of alcohol and tobacco use disorders. Two cohorts (n = 13 total, n = 5 women) of participants were enrolled, with 10/13 completing treatment and 7/13 completing the 6-month follow-up. At enrollment, participants were drinking a mean of 28.9 drinks per week (SD = 14.1), with a mean of 14.7 heavy drinking days in the past month (SD = 9.9), and a mean of 18.1 cigarettes per day (SD = 11.7). Treatment included a mobile application that participants used to record carbon monoxide and breath alcohol content readings to bioverify abstinence. Participants received up to 4 sessions of phone cognitive-behavioral therapy and monetary reinforcement contingent on abstinence. In cohort 1, 4/6 participants reported abstinent or low-risk drinking post-monitoring. Six weeks post quit-date, 2/6 participants were CO-bioverified abstinent from tobacco use, with 2/6 in dual remission. These results were maintained at 6-months. In cohort 2, 6/7 reported abstinent or low-risk drinking post-monitoring, 5 weeks post quit-date. At the post-monitoring visit, 5/7 were CO-bioverified abstinent from smoking, with 5/7 in dual remission. At 6-months, 3/7 reporting abstinent or low-risk drinking, 1/7 had bioverified abstinence from smoking, with 1/7 in dual remission. Observations suggest that it is possible to develop a concurrent mobile treatment for alcohol and tobacco use disorders.

scholarly journals Trauma informed interventions: A systematic review

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252747
Author(s):  
Hae-Ra Han ◽  
Hailey N. Miller ◽  
Manka Nkimbeng ◽  
Chakra Budhathoki ◽  
Tanya Mikhael ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Health Inequities ◽  
The United States ◽  
Psychological Outcomes ◽  
Cognitive Behavioral ◽  
Health Concern ◽  
Ptsd Symptoms ◽  
Wide Range ◽  
Trauma Informed

Background Health inequities remain a public health concern. Chronic adversity such as discrimination or racism as trauma may perpetuate health inequities in marginalized populations. There is a growing body of the literature on trauma informed and culturally competent care as essential elements of promoting health equity, yet no prior review has systematically addressed trauma informed interventions. The purpose of this study was to appraise the types, setting, scope, and delivery of trauma informed interventions and associated outcomes. Methods We performed database searches— PubMed, Embase, CINAHL, SCOPUS and PsycINFO—to identify quantitative studies published in English before June 2019. Thirty-two unique studies with one companion article met the eligibility criteria. Results More than half of the 32 studies were randomized controlled trials (n = 19). Thirteen studies were conducted in the United States. Child abuse, domestic violence, or sexual assault were the most common types of trauma addressed (n = 16). While the interventions were largely focused on reducing symptoms of post-traumatic stress disorder (PTSD) (n = 23), depression (n = 16), or anxiety (n = 10), trauma informed interventions were mostly delivered in an outpatient setting (n = 20) by medical professionals (n = 21). Two most frequently used interventions were eye movement desensitization and reprocessing (n = 6) and cognitive behavioral therapy (n = 5). Intervention fidelity was addressed in 16 studies. Trauma informed interventions significantly reduced PTSD symptoms in 11 of 23 studies. Fifteen studies found improvements in three main psychological outcomes including PTSD symptoms (11 of 23), depression (9 of 16), and anxiety (5 of 10). Cognitive behavioral therapy consistently improved a wide range of outcomes including depression, anxiety, emotional dysregulation, interpersonal problems, and risky behaviors (n = 5). Conclusions There is inconsistent evidence to support trauma informed interventions as an effective approach for psychological outcomes. Future trauma informed intervention should be expanded in scope to address a wide range of trauma types such as racism and discrimination. Additionally, a wider range of trauma outcomes should be studied.

Cost-effectiveness of digital cognitive behavioral therapy (Sleepio) for insomnia: a Markov simulation model in the United States

SLEEP ◽  
2020 ◽  
Author(s):  
Michael Darden ◽  
Colin A Espie ◽  
Jenna R Carl ◽  
Alasdair L Henry ◽  
Jennifer C Kanady ◽  
...  
Keyword(s):  
United States ◽  
Cost Effectiveness ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cost Effective ◽  
The United States ◽  
Cognitive Behavioral ◽  
Life Years ◽  
Insomnia Treatment ◽  
Group Cbt

Abstract Study Objectives To examine the cost-effectiveness and potential net monetary benefit (NMB) of a fully automated digital cognitive behavioral therapy (CBT) intervention for insomnia compared with no insomnia treatment in the United States (US). Similar relative comparisons were made for pharmacotherapy and clinician-delivered CBT (individual and group). Methods We simulated a Markov model of 100,000 individuals using parameters calibrated from the literature including direct (treatment) and indirect costs (e.g. insomnia-related healthcare expenditure and lost workplace productivity). Health utility estimates were converted into quality-adjusted life years (QALYs) and one QALY was worth $50,000. Simulated individuals were randomized equally to one of five arms (digital CBT, pharmacotherapy, individual CBT, group CBT, or no insomnia treatment). Sensitivity was assessed by bootstrapping the calibrated parameters. Cost estimates were expressed in 2019 US dollars. Results Digital CBT was cost beneficial when compared with no insomnia treatment and had a positive NMB of $681.06 (per individual over 6 months). Bootstrap sensitivity analysis demonstrated that the NMB was positive in 94.7% of simulations. Relative to other insomnia treatments, digital CBT was the most cost-effective treatment because it generated the smallest incremental cost-effectiveness ratio (−$3,124.73). Conclusions Digital CBT was the most cost-effective insomnia treatment followed by group CBT, pharmacotherapy, and individual CBT. It is financially prudent and beneficial from a societal perspective to utilize automated digital CBT to treat insomnia at a population scale.

scholarly journals The influence of cognitive-behavioral therapy on depression in dialysis patients – meta-analysis

2020 ◽  
Vol 16 (6) ◽  
pp. 1271-1278
Author(s):  
Pawel Zegarow ◽  
Malgorzata Manczak ◽  
Jacek Rysz ◽  
Robert Olszewski
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Cognitive Behavioral ◽  
Dialysis Patients

scholarly journals Features, Functionality, and Acceptability of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States

2020 ◽  
Vol 29 (3) ◽  
pp. 476-490
Author(s):  
Vinaya Manchaiah ◽  
George Vlaescu ◽  
Srinivas Varadaraj ◽  
Elizabeth Parks Aronson ◽  
Marc A. Fagelson ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Cognitive Behavioral Therapy ◽  
Health Care Professionals ◽  
Behavioral Therapy ◽  
The United States ◽  
Cognitive Behavioral ◽  
Software Safety ◽  
Regulatory Aspects ◽  
The United Kingdom

Objective Although tinnitus is one of the most commonly reported symptoms in the general population, patients with bothersome tinnitus are challenged by issues related to accessibility of care and intervention options that lack strong evidence to support their use. Therefore, creative ways of delivering evidence-based interventions are necessary. Internet-based cognitive behavioral therapy (ICBT) demonstrates potential as a means of delivering this support but is not currently available in the United States. This article discusses the adaptation of an ICBT intervention, originally used in Sweden, Germany, and the United Kingdom, for delivery in the United States. The aim of this study was to (a) modify the web platform's features to suit a U.S. population, (b) adapt its functionality to comply with regulatory aspects, and (c) evaluate the credibility and acceptability of the ICBT intervention from the perspective of health care professionals and patients with bothersome tinnitus. Materials/Method Initially, the iTerapi ePlatform developed in Sweden was adopted for use in the United States. Functional adaptations followed to ensure that the platform's functional and security features complied with both institutional and governmental regulations and that it was suitable for a U.S. population. Following these adaptations, credibility and acceptance of the materials were evaluated by both health care professionals ( n = 11) and patients with bothersome tinnitus ( n = 8). Results Software safety and compliance regulatory assessments were met. Health care professionals and patients reported favorable acceptance and satisfaction ratings regarding the content, suitability, presentation, usability, and exercises provided in the ICBT platform. Modifications to the features and functionality of the platform were made according to user feedback. Conclusions Ensuring that the ePlatform employed the appropriate features and functionalities for the intended population was essential to developing the Internet-based interventions. The favorable user evaluations indicated that the intervention materials were appropriate for the tinnitus population in the United States.

scholarly journals Lower-Body Positive Pressure Treadmill Training for Pediatric Gait Disorders: A Scoping Review

2021 ◽  
Vol 12 (1) ◽  
pp. 323
Author(s):  
Yosra Cherni ◽  
Léandre Gagné-Pelletier ◽  
Laurent Bouyer ◽  
Catherine Mercier
Keyword(s):  
Children And Adolescents ◽  
Scoping Review ◽  
Lower Limb ◽  
Experimental Studies ◽  
Relevant Information ◽  
Treadmill Training ◽  
Positive Pressure ◽  
Lower Body Positive Pressure ◽  
Gait Parameters ◽  
Quasi Experimental

The purpose of this scoping review was to examine the literature on the use of anti-gravity treadmills and its effects on lower-limb motor functions in children and adolescents with locomotor impairments. Method: Four databases (MEDLINE, CINAHL, Embase, Web of Science) were searched for articles from inception to August 2021. Inclusion criteria were: (1) experimental or quasi-experimental studies using anti-gravity training as the primary intervention; (2) studies conducted in pediatric participants; (3) articles reporting outcomes related to lower-limb functions; and (4) studies published in French or English. Results: Fifteen articles were included in the review. Studies included children and adolescents aged 4–18 years with locomotor impairments. Intervention duration ranged from 2 to 12 weeks, with 2–5 sessions per week. Included studies reported that anti-gravity training induces improvements in muscle strength, balance, spatiotemporal gait parameters, and walking endurance in children with locomotor impairments. Conclusion: This review provides relevant information about interventions, outcomes and limits associated with anti-gravity training in pediatrics. Overall, anti-gravity treadmill training could be viewed as a valuable training modality, specifically for children with cerebral palsy. However, a more precise and comprehensive description of anti-gravity training protocols would be useful.

scholarly journals PENGARUH KONSELING KELOMPOK DENGAN PENDEKATAN BODY IMAGE COGNITIVE BEHAVIORAL THERAPY TERHADAP SISWI SMK YANG MEMILIKI CITRA TUBUH NEGATIF

2017 ◽  
Vol 6 (2) ◽  
pp. 197-213
Author(s):  
Nurul Fazriah ◽  
Susi Fitri ◽  
Aip Badrudjaman
Keyword(s):  
Body Image ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Rank Test ◽  
Control Group ◽  
Control Group Design ◽  
Quasi Experimental ◽  
Equivalent Control ◽  
Wilcoxon Sign Rank

Penelitian Quasi eksperimen ini bertujuan untuk mengetahui pengaruh layanan konseling kelompok dengan pendekatan Body Image Cognitive Behavioral Therapy (BI-CBT) terhadap Siswi kelas XI di SMK Negeri 1 Babelan yang Memiliki Citra Tubuh Negatif. Sampel dalam penelitian ini adalah siswa kelas XI SMK Negeri 1 Babelan sebanyak 6 orang pada kelompok tretment dan 6 orang pada kelompok kontrol. Pengambilan sampel menggunaakan teknik purposive sampling. Metode yang digunakan adalah metode eksperimen, dengan desain Quasi experimental design dan bentuk desain Non-equivalent Control Group Design. Pengumpulan data dilakukan dengan menggunakan kuesioner MBSRQ dan dianalisis menggunakan  Wilcoxon Sign Rank Test. Hasil analisis menunjukkan nilai sig.=  0.028  pada  kelompok  treatment  yang  berarti  nilai  probabilitas lebih kecil dari nilai signifikansi α =  0.05, dengan demikian dapat  disimpulkan bahwa H0 ditolak dan H1 diterima.  Hasil  analisis dapat  diartikan  bahwa  Konseling kelompok pendekatan Body Image Cognitive Behavioral Therapy (BI-CBT)  berpengaruh  terhadap body image siswi kelas XI di SMK Negeri 1 Babelan. Siswi  yang  telah mengikuti Konseling kelompok dengan pendekatan Body Image Cognitive Behavioral Therapy (BI-CBT) dapat memahami dirinya dan mengendalikan pola pikir serta perasaannya terhadap caranya memandang dirinya dan tanggapan dari orang lain. Hal tersebut membuat siswi menjadi lebih mampu untuk menerima diri dan tampil lebih percaya diri.

scholarly journals Digital Gamification to Enhance Vaccine Knowledge and Uptake: Scoping Review (Preprint)

2019 ◽  
Author(s):  
Ilaria Montagni ◽  
Inass Mabchour ◽  
Christophe Tzourio
Keyword(s):  
Scoping Review ◽  
Synthesis Method ◽  
Experimental Studies ◽  
Vaccine Uptake ◽  
Digital Tools ◽  
Vaccine Hesitancy ◽  
Public Health Issue ◽  
Relative Paucity ◽  
Effective Interventions ◽  
Quasi Experimental

BACKGROUND Vaccine hesitancy is a growing threat to population health, and effective interventions are needed to reduce its frequency. Digital gamification is a promising new approach to tackle this public health issue. OBJECTIVE The purpose of this scoping review was to assess the amount and quality of outcomes in studies evaluating gamified digital tools created to increase vaccine knowledge and uptake. METHODS We searched for peer-reviewed articles published between July 2009 and August 2019 in PubMed, Google Scholar, Journal of Medical Internet Research, PsycINFO, PsycARTICLES, Psychology and Behavioral Sciences Collection, and SocINDEX. Studies were coded by author, year of publication, country, journal, research design, sample size and characteristics, type of vaccine, theory used, game content, game modality, gamification element(s), data analysis, type of outcomes, and mean quality score. Outcomes were synthesized through the textual narrative synthesis method. RESULTS A total of 7 articles met the inclusion criteria and were critically reviewed. Game modalities and gamification elements were diverse, but role play and a reward system were present in all studies. These articles included a mixture of randomized controlled trials, quasi-experimental studies, and studies comprising quantitative and qualitative measures. The majority of the studies were theory-driven. All the identified gamified digital tools were highly appreciated for their usability and were effective in increasing awareness of vaccine benefits and motivation for vaccine uptake. CONCLUSIONS Despite the relative paucity of studies on this topic, this scoping review suggests that digital gamification has strong potential for increasing vaccination knowledge and, eventually, vaccination coverage.

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