Sustained Effects From a School-Based Intervention Pilot Study for Children With Asthma and Anxiety

2020 ◽  
pp. 105984052093417 ◽  
Author(s):  
Colleen McGovern ◽  
Kimberly Arcoleo ◽  
Bernadette Melnyk
Keyword(s):  
Mental Health ◽  
Behavioral Interventions ◽  
Instructional Time ◽  
Behavioral Skills ◽  
Asthma Education ◽  
Sustained Effects ◽  
Children With Asthma ◽  
Mental Health Interventions ◽  
Building Program ◽  
Controller Medications

Children with chronic conditions (i.e., asthma) are more likely to have anxiety or depressive symptoms. Comorbid asthma and anxiety in children leads to increased morbidity, causing children to miss instructional time and parent/caregiver (CG) work absences. Asthma educational programs and mental health interventions have been developed, though no scalable programs integrate asthma education and mental health behavioral interventions for school-aged children. This study evaluated the sustained preliminary effects of an integrated asthma education and cognitive behavioral skills-building program, Creating Opportunities for Personal Empowerment for Asthma. Thirty-two children ages 8–12 years with asthma and symptoms of anxiety received the intervention. At 6-weeks postintervention, anxiety and CG-reported behavioral symptoms were significantly reduced, there were fewer missed doses of asthma controller medications, and asthma-related self-efficacy, personal beliefs, and the children’s understanding of asthma significantly increased. Most children ( n = 29, 91%) reported continued use of coping skills.

scholarly journals Brief behavioral interventions at free medical fairs

2018 ◽  
Vol 53 (5-6) ◽  
pp. 371-383
Author(s):  
Claudia W Allen ◽  
Theodore Siedlecki ◽  
Alison G Nagel ◽  
Joseph S Tan ◽  
Pooja Datta ◽  
...  
Keyword(s):  
Mental Health ◽  
Rural Areas ◽  
Behavioral Interventions ◽  
Positive Impact ◽  
Muscle Relaxation ◽  
The United States ◽  
Health Interventions ◽  
Progressive Muscle Relaxation ◽  
Single Session ◽  
Mental Health Interventions

Free medical fairs have emerged to compensate for the lack of access to affordable health care in rural areas of the United States. Mental health services are offered less frequently than other medical services, despite a documented need, perhaps due to a belief that mental health interventions could not be effective in a single session. We examined the types of problems presented at three rural medical fairs, and whether single session mental health interventions affected participants’ health confidence, distress, or progress toward health-related goals. Problems presented included mental health, legal, financial, tobacco cessation, and relationship problems. Findings indicated that, on average, participants gained health confidence and reduced distress and found the service very helpful. The majority of those reached for phone follow-up reported progress on one or more health goals. Goals that involved manageable steps within the participants’ own control, such as gratitude practices or progressive muscle relaxation, were the most likely to be completed. Implementation lessons included the importance of learning about the fairs’ cultures, advertising the services, location of services, being proactive in connecting with patients, and preparing resources for community referrals. Overall, findings suggest that mental health interventions can have a positive impact on some people at free medical fairs. Given that tens of thousands of people attend each year, the fairs offer a fruitful opportunity to reach some of our most underserved citizens.

A Systematic Review of the Effectiveness, Content, and Usage Patterns of Mobile Mental Health Interventions on Smartphone Platforms for Anxiety Symptoms

2021 ◽  
Vol 21 (2) ◽  
pp. 61-80
Author(s):  
Numan Turan ◽  
Şeyda Çetintaş
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Behavioral Interventions ◽  
Anxiety Symptoms ◽  
Health Interventions ◽  
Control Group ◽  
Usage Patterns ◽  
Waitlist Control Group ◽  
Mental Health Interventions ◽  
Mobile Mental Health

"This systematic review aims to examine the content, usage pattern and efficacy of mobile mental health interventions in reducing anxiety symptoms. A search of 10 electronic databases returned 44 408 studies in total and 27 studies met the inclusion criteria, including 4460 participants in total. The rate of attrition was 27% (SD = 22) among the participants who initiated the app use. The rate of significant reductions in measures of anxiety symptoms was 87% from within-subjects pretest to posttest assessments, yet this rate dropped to 46% when compared to a waitlist/control group. A vast majority of the studies used cognitive and/or behavioral interventions (N = 26, 96%), a few studies included professional support (N = 11, 41%), a structured form of delivering the interventions (N = 8, 30%) or tailored it to users’ needs (N = 6, 22%). Few studies reported the actual time spent on the app per week (N = 4, M = 63.76, SD = 62.17). The mobile mental health interventions were effective in reducing anxiety symptoms, yet this effectiveness eroded compared to control groups. There is a need to develop consistent ways of reporting the usage patterns and testing evidence-based interventions other than cognitive behavioral treatments."

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