A Comparative Effectiveness Study of a Shortened Trauma Recovery Empowerment Model and an Attachment-Informed Adaptation

2019 ◽  
Vol 26 (5) ◽  
pp. 482-504
Author(s):  
Melanie Masin-Moyer ◽  
Malitta Engstrom ◽  
Phyllis Solomon
Keyword(s):  
Clinical Outcomes ◽  
Interpersonal Trauma ◽  
Trauma Recovery ◽  
Attachment Avoidance ◽  
Comparative Effectiveness Study ◽  
Quasi Experimental ◽  
Empowerment Model ◽  
Group Attachment ◽  
Group Facilitators ◽  
Insight Into

Relational challenges often associated with interpersonal trauma may hinder survivors’ abilities to fully benefit from group therapy. This quasi-experimental study compared clinical outcomes of a 16-week version of the Trauma Recovery and Empowerment Model (TREM) for women and an attachment-informed adaptation (ATREM). Prior findings of TREM are extended by demonstrating that both group conditions can facilitate comparable clinical outcomes, creating options for group facilitators. Only ATREM resulted in statistically significant improvement in individual attachment avoidance, and it trended toward a slightly higher completion rate. This study provides insight into the emerging concept of group attachment.

The Trauma Recovery and Empowerment Model: A Quasi-Experimental Effectiveness Study

2011 ◽  
Vol 7 (1-2) ◽  
pp. 74-89 ◽  
Author(s):  
Roger D. Fallot ◽  
Gregory J. McHugo ◽  
Maxine Harris ◽  
Haiyi Xie
Keyword(s):  
Effectiveness Study ◽  
Trauma Recovery ◽  
Quasi Experimental ◽  
Empowerment Model

scholarly journals SYMPERHEART: an intervention to support symptom perception in persons with heart failure and their informal caregiver: a feasibility quasi-experimental study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e052208
Author(s):  
Gabrielle Cécile Santos ◽  
Maria Liljeroos ◽  
Roger Hullin ◽  
Kris Denhaerynck ◽  
Justine Wicht ◽  
...  
Keyword(s):  
Heart Failure ◽  
Clinical Outcomes ◽  
Informal Caregiver ◽  
Informal Caregivers ◽  
Self Care ◽  
Symptom Perception ◽  
Convenience Sample ◽  
Failure Index ◽  
Patient Reported ◽  
Quasi Experimental

IntroductionSymptom perception in heart failure (HF) has been identified as crucial for effective self-care, and is related to patient and health system outcomes. There is uncertainty regarding the feasibility and acceptability of symptom perception support and doubts regarding how to include informal caregivers. This study aims to test the feasibility, acceptability and outcome responsiveness of an intervention supporting symptom perception in persons with HF and their informal caregiver.Methods and analysisA feasibility study with a quasi-experimental pretest and post-test single group design is conducted. The convenience sample consists of 30 persons with HF, their informal caregivers and six nurses. SYMPERHEART is an evidence-informed intervention that targets symptom perception by educational and support components. Feasibility is measured by time-to-recruit; time-to-deliver; eligibility rate; intervention delivery fidelity rate. Acceptability is measured by rate of consent, retention rate, treatment acceptability and the engagement in the intervention components. Outcome responsiveness includes: HF self-care (via the Self-care of Heart Failure Index V.7.2); perception of HF symptom burden (via the Heart Failure Somatic Perception Scale V.3); health status (via the Kansas City Cardiomyopathy Questionnaire-12); caregivers’ contribution to HF self-care (via the Caregiver Contribution to Self-Care of Heart Failure Index 2); caregivers’ burden (via the Zarit Burden Interview). Clinical outcomes include HF events, hospitalisation reason and length of hospital stay. Descriptive statistics will be used to report feasibility, acceptability, patient-reported outcomes (PRO) and clinical outcomes. PRO and caregiver-reported outcome responsiveness will be reported with mean absolute change and effect sizes.Ethics and disseminationThe study is conducted according to the Declaration of Helsinki. The Human Research Ethics Committee of the Canton of Vaud, Switzerland, has approved the study. Written informed consent from persons with HF and informal caregivers are obtained. Results will be published via peer reviewed and professional journals, and further disseminated via congresses.Trial registration numberISRCTN18151041.

scholarly journals The Turn the Tables Technique (T3): A Program Activity to Provide Group Facilitators Insight into Teen Sexual Behaviors and Beliefs

2012 ◽  
Vol 7 (1) ◽  
pp. 78-88
Author(s):  
Jamie Heather Sclafane ◽  
Marni Loiacono Merves ◽  
Angelic Rivera ◽  
Laura Long ◽  
Ken Wilson ◽  
...  
Keyword(s):  
Sexual Behaviors ◽  
Program Activity ◽  
Group Facilitators ◽  
Insight Into

Relationship between post-IVIG IgG levels and clinical outcomes in Kawasaki disease patients: new insight into the mechanism of action of IVIG

2020 ◽  
Vol 39 (12) ◽  
pp. 3747-3755
Author(s):  
Ryunosuke Goto ◽  
Ryo Inuzuka ◽  
Takahiro Shindo ◽  
Yoshiyuki Namai ◽  
Yoichiro Oda ◽  
...  
Keyword(s):  
Kawasaki Disease ◽  
Clinical Outcomes ◽  
Mechanism Of Action ◽  
Insight Into

scholarly journals The Effect of Stroke Subtypes on Baroreceptor Sensitivity, a Predict for Acute Stroke Outcome

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Wan-Chen Tsai ◽  
Hui-Chen Lin ◽  
Yun-Ru Lai ◽  
Che-Wei Hsu ◽  
Chih-Cheng Huang ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Baroreflex Sensitivity ◽  
Heart Rate Response ◽  
Control Group ◽  
Stepwise Logistic Regression ◽  
Deep Breathing ◽  
Baroreceptor Sensitivity ◽  
Brainstem Infarction ◽  
Potential Prognostic Factor ◽  
Insight Into

Background. Reduced baroreflex sensitivity (BRS) has been reported in patients with acute cardiovascular events. We tested the hypothesis that BRS varies in different subtypes of acute ischemic stroke (AIS) and that BRS is a predictor of clinical outcomes. Methods. We examined autonomic parameters in 34 patients with AIS, including the small deep hemisphere infarction, the large hemisphere infarction, and the brainstem infarction groups on Day 1, Day 7, and Day 30 after AIS. Autonomic parameters were also evaluated in 18 age- and sex-matched healthy volunteers as a control group. The clinical outcomes were analyzed using the modified Rankin scale at 30 days after stroke. Results. The BRS, Valsalva ratio, and heart rate response to deep breathing (HR-DB) were significantly lower in patients after AIS on admission than in controls (p<0.01). The frequency domain of HRV (LF/HF ratio) was significantly increased in patients after AIS compared to controls (p<0.05). BRS was significantly reduced in patients with large hemisphere infarction or brainstem infarction compared to patients with small deep hemisphere infarction on Day 1 after AIS (p<0.01). Stepwise logistic regression showed that the levels of BRS and NIHSS are prognostic factors of 1-month outcomes in patients with AIS. Conclusion. Beside NIHSS score on admission, BRS is a potential prognostic factor of 1-month outcomes in patients with AIS. Patients with large hemisphere infarction or brainstem infarction have more blunting BRS than do those with lacunar infarction, which provides some insight into which patients may be expected to have a poor outcome.

scholarly journals Strengths, Pitfalls, and Lessons from Longitudinal Childhood Asthma Cohorts of Children Followed Up into Adult Life

2016 ◽  
Vol 2016 ◽  
pp. 1-8
Author(s):  
Andrew Tai
Keyword(s):  
Lung Function ◽  
Cohort Studies ◽  
Longitudinal Studies ◽  
Clinical Outcomes ◽  
Childhood Asthma ◽  
Adult Life ◽  
Future Directions ◽  
Insight Into

Asthma is a common problem worldwide and longitudinal studies of children followed up into adult life enable the assessment of clinical outcomes, examine the pattern of lung function outcomes, and importantly provide insight into aetiology and prognosis for patients with asthma. The aim of this review is to examine the major childhood asthma cohort studies which have continued into adult life, describing the strengths and weaknesses and the lessons that can be learnt regarding pathophysiology and potential future directions for research.

scholarly journals IMPACT OF IDENTITY-ORIENTED LITERATURE EDUCATION ON ADOLESCENTS' INSIGHT INTO THE SELF AND THE OTHER

2021 ◽  
Author(s):  
Peter Grandits ◽  
Keyword(s):  
High School Students ◽  
The Self ◽  
The Other ◽  
Literary Texts ◽  
School Students ◽  
Pedagogical Intervention ◽  
Upper Secondary ◽  
Quasi Experimental ◽  
Literature Education ◽  
Insight Into

A mixed-methods quasi-experimental study evaluated the effects of a pedagogical intervention in literature education on Austrian upper secondary high school students’ insight into the self and the other. The intervention is based on the newly developed NDR-model, the letters in the abbreviation representing the basic practices of narration, dialogue and response underlying the model. Two cycles of NDR interventions on the identity issues of “happiness” and “relations” were implemented. An IPA study was conducted to explore how the implementation of the NDR-model of literature education affected participants’ learning outcomes (self-understanding and understanding of the other). Qualitative analysis of interview and artefact data suggested that NDR students experienced insight into the self and the other because they were stimulated to engage with literary texts in the context of their personal identities.

scholarly journals Moving Evidence into Practice by Advanced Practice Nurses in Hospitalization Wards. Protocol for a Multicentre Quasi-Experimental Study in Three Hospitals in Spain

2020 ◽  
Vol 17 (10) ◽  
pp. 3473
Author(s):  
Sandra Pol-Castañeda ◽  
Miguel Ángel Rodríguez-Calero ◽  
Concepción Zaforteza-Lallemand ◽  
Carlos Javier Villafáfila-Gomila ◽  
Ian Blanco-Mavillard ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Evidence Based Practice ◽  
Phase 1 ◽  
Health Science ◽  
Assessment Instrument ◽  
Competency Assessment ◽  
Evidence Based ◽  
Advanced Practice ◽  
Quasi Experimental ◽  
The Impact

Evidence-based practice (EBP) combined with quality of care improves patient outcomes. However, there are still difficulties for its implementation in daily clinical practice. This project aims to evaluate the impact of the incorporation of the Advanced Practice Nurse (APN) role on the implementation of EBP at three levels: context, nurses’ perceptions, and clinical outcomes. Mixed-methods study in two phases is proposed. Phase 1: a quasi-experimental design where five APNs are included in five hospitalization wards that are compared with another five similar wards without APNs. Variables from Practice-Environment-Scale-Nursing-Work-Index, Health-Science-Evidence-Based-Practice-Questionnaire, and Advanced-Practice-Nursing-Competency-Assessment-Instrument are used. Clinical outcomes are followed-up with monthly. A descriptive and exploratory analysis is performed. Phase 2: an exploratory qualitative design through focus groups at the intervention wards after one year of APNs implementation. Explicative data are gathered to explain the progression of change and how actors perceive and attribute triggers, barriers, and facilitators for change. An inductive thematic analysis is performed. The inclusion of APN in hospitalization context is insufficiently studied. It is hoped that these figures provide solutions to the multiple barriers in the development of EBP in these sceneries and contribute to resolve the gap between research results and healthcare practice.

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