scholarly journals Feasibility of “Sit Less, Move More”: An intervention for reducing sedentary behavior Among African Americans with MS

2020 ◽  
Vol 6 (2) ◽  
pp. 205521732093234 ◽  
Author(s):  
Jessica F. Baird ◽  
Jeffer E. Sasaki ◽  
Brian M. Sandroff ◽  
Gary R. Cutter ◽  
Robert W. Motl
Keyword(s):  
Multiple Sclerosis ◽  
African Americans ◽  
Sedentary Behavior ◽  
Physical Disability ◽  
Text Messaging ◽  
Low Cost ◽  
Feasibility Trial ◽  
Behavioral Coaching ◽  
Consent Document ◽  
Informed Consent Document

Background Sedentary behavior is a major concern in multiple sclerosis, as it may accelerate disease progression and physical disability. This is especially concerning in African Americans, who present with greater neurological disability than Caucasians. Objective We conducted a feasibility trial on an intervention targeting sedentary behavior in African Americans with multiple sclerosis. Methods We examined the feasibility of the Sit Less, Move More program, a 12-week behavioral intervention that used text messaging along with theory-driven newsletters and behavioral coaching for managing sedentary behavior. We recruited ambulatory, inactive, African Americans with multiple sclerosis, and assessed feasibility on process, resource, management, and scientific outcomes. Results Of the 64 people initially contacted, 45 were assessed for eligibility, 31 were sent the informed consent document, and 30 returned a signed document and were included in the study. Study costs were US$7242.38. Personnel time to complete the study was 130 h. There was a small effect on both device-measured ( d = −0.19) and self-reported ( d = −0.39) sedentary behavior. Conclusions The Sit Less, Move More intervention is safe and feasible for African Americans with multiple sclerosis, and yielded a small reduction in sedentary behavior. The intervention was low cost and well received. Our results suggest the Sit Less, Move More program should progress towards a Phase II trial to determine its efficacy.

scholarly journals An Intervention for Changing Sedentary Behavior Among African Americans With Multiple Sclerosis: Protocol (Preprint)

2018 ◽  
Author(s):  
Jessica F Baird ◽  
Jeffer Eidi Sasaki ◽  
Brian M Sandroff ◽  
Gary Cutter ◽  
Robert W Motl
Keyword(s):  
Multiple Sclerosis ◽  
Pilot Study ◽  
African Americans ◽  
Sedentary Behavior ◽  
Physical Disability ◽  
Text Messaging ◽  
Future Studies ◽  
Study Results ◽  
Behavioral Coaching ◽  
Pilot Intervention

BACKGROUND Sedentary behavior is a major concern among patients with multiple sclerosis (MS), as it may accelerate disease progression and exacerbate physical disability. This is especially concerning among African Americans, a segment of the MS population who present with greater neurological disability and higher odds of physical comorbidities than their Caucasian counterparts. OBJECTIVE To date, researchers have not proposed interventions that focus on changing sedentary behavior in African Americans with MS. METHODS This paper describes a pilot study that examines the feasibility and efficacy of using text messaging along with theory-driven newsletters and behavioral coaching for changing sedentary behavior in African Americans with MS. We herein present the methods, procedures, and outcomes for our ongoing study. RESULTS Enrollment began in February 2018 and is expected to conclude in April 2019. Study results will be reported in the fall of 2019. CONCLUSIONS After completion of this pilot intervention, we will summarize our study results in manuscripts for publication in peer-reviewed journals that will provide critical information on the feasibility and efficacy of our strategy. These results will inform future studies and, potentially, larger interventions for remotely reducing sedentary behavior in African Americans with MS. CLINICALTRIAL ClinicalTrials.gov NCT03671499; https://clinicaltrials.gov/ct2/show/NCT03671499 (Archived by WebCite at http://www.webcitation.org/77MZnxyNy)

scholarly journals An Intervention for Changing Sedentary Behavior Among African Americans With Multiple Sclerosis: Protocol

10.2196/12973 ◽  
2019 ◽  
Vol 8 (5) ◽  
pp. e12973
Author(s):  
Jessica F Baird ◽  
Jeffer Eidi Sasaki ◽  
Brian M Sandroff ◽  
Gary Cutter ◽  
Robert W Motl
Keyword(s):  
Multiple Sclerosis ◽  
African Americans ◽  
Sedentary Behavior

Text Messaging as a Mental Health Treatment Intervention: A Corpus-Based Study

2019 ◽  
Author(s):  
Megan Partch ◽  
Cass Dykeman
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Text Messaging ◽  
Low Cost ◽  
Statistical Significance ◽  
Text Message ◽  
Treatment Session ◽  
Text Messages ◽  
Health Treatment ◽  
Emotional Tone

Mental health treatment providers seek high-impact and low-cost means of engaging clients in care. As such, text messaging is becoming more frequently utilized as a means of communication between provider and client. Research demonstrates that text message interventions increase treatment session attendance, decrease symptomology, and improve overall functioning. However, research is lacking related to the linguistic make up of provider communications. Text messages were collected from previously published articles related to the treatment of mental health disorders. A corpus of 39 mental health treatment text message interventions was composed totaling 286 words. Using Linguistic Inquiry and Word Count (LIWC) software, messages were analyzed for prevalence of terminology thought to enhance client engagement. Clout, demonstrating the writer’s confidence and expertise, and positive Emotional Tone were found to be at a high level within the corpus. Results demonstrated statistical significance for five linguistic variables. When compared with national blog norms derived from Twitter, Clout, Emotional Tone, and use of Biological terminology were found to be at higher rates than expected. Authenticity and Informal terminology were found at significantly lesser rates.

Voxelwise analysis of conventional magnetic resonance imaging to predict future disability in early relapsing–remitting multiple sclerosis

2012 ◽  
Vol 18 (11) ◽  
pp. 1585-1591 ◽  
Author(s):  
Delphine Wybrecht ◽  
Françoise Reuter ◽  
Wafaa Zaaraoui ◽  
Anthony Faivre ◽  
Lydie Crespy ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Multiple Sclerosis ◽  
Magnetic Resonance ◽  
Physical Disability ◽  
Conventional Magnetic Resonance Imaging ◽  
Global Approach ◽  
Resonance Imaging ◽  
Conventional Magnetic Resonance ◽  
Magnetic Resonance Imaging Mri ◽  
Mri Changes

Background: The ability of conventional magnetic resonance imaging (MRI) to predict subsequent physical disability and cognitive deterioration after a clinically isolated syndrome (CIS) is weak. Objectives: We aimed to investigate whether conventional MRI changes over 1 year could predict cognitive and physical disability 5 years later in CIS. We performed analyses using a global approach (T2 lesion load, number of T2 lesions), but also a topographic approach. Methods: This study included 38 patients with a CIS. At inclusion, 10 out of 38 patients fulfilled the 2010 revised McDonald’s criteria for the diagnosis of multiple sclerosis. Expanded Disability Status Scale (EDSS) evaluation was performed at baseline, year 1 and year 5, and cognitive evaluation at baseline and year 5. T2-weighted MRI was performed at baseline and year 1. We used voxelwise analysis to analyse the predictive value of lesions location for subsequent disability. Results: Using the global approach, no correlation was found between MRI and clinical data. The occurrence or growth of new lesions in the brainstem was correlated with EDSS changes over the 5 years of follow-up. The occurrence or growth of new lesions in cerebellum, thalami, corpus callosum and frontal lobes over 1 year was correlated with cognitive impairment at 5 years. Conclusion: The assessment of lesion location at the first stage of multiple sclerosis may be of value to predict future clinical disability.

Automated text messaging follow-up for patients who receive peripheral nerve blocks

2021 ◽  
pp. rapm-2021-102472
Author(s):  
Daniel Gessner ◽  
Oluwatobi O Hunter ◽  
Alex Kou ◽  
Edward R Mariano
Keyword(s):  
Regional Anesthesia ◽  
Nerve Block ◽  
Text Messaging ◽  
Low Cost ◽  
Automated System ◽  
Phone Call ◽  
Nerve Blocks ◽  
Patient Response ◽  
Patient Reported

BackgroundRoutine follow-up of patients who receive a nerve block for ambulatory surgery typically consists of a phone call from a regional anesthesia clinician. This process can be burdensome for both patients and clinicians but is necessary to assess the efficacy and complication rate of nerve blocks.MethodsWe present our experience developing an automated system for completing follow-up via short message service text messaging and our preliminary results using it at three clinical sites. The system is built on REDCap, a secure online research data capture platform developed by Vanderbilt University and currently available worldwide.ResultsOur automated system queried patients who received a variety of nerve block techniques, assessed patient-reported nerve block duration, and surveyed patients for potential complications. Patient response rate to text messaging averaged 91% (higher than our rates of daily phone contact reported previously) for patients aged 18 to 90 years.ConclusionsGiven the wide availability of REDCap, we believe this automated text messaging system can be implemented in a variety of health systems at low cost with minimal technical expertise and will improve both the consistency of patient follow-up and the service efficiency of regional anesthesia practices.

Stress, Job Satisfaction, Coping, and Psychological Distress Among Emergency Medical Technicians

1997 ◽  
Vol 12 (4) ◽  
pp. 9-16 ◽  
Author(s):  
Edwin Boudreaux ◽  
Cris Mandry ◽  
Phillip J. Brantley
Keyword(s):  
Job Satisfaction ◽  
Nervous System ◽  
Psychological Distress ◽  
Autonomic Nervous System ◽  
Coping Styles ◽  
Emergency Medical Technicians ◽  
Consent Document ◽  
Informed Consent Document ◽  
Related Stress ◽  
Job Related Stress

AbstractIntroduction:Although several studies link job-related stressors with adverse reactions among emergency medical technicians (EMTs), more standardized research is needed, since much remains unknown about stress responses, coping styles and their consequences for EMTs. This paper presents the results of two studies. Study I investigated the relation between job-related stressors, job satisfaction, and psychological distress, while Study II investigated how coping is related to occupational burnout, job-related stress, and physiological arousal.Hypothesis:Study I: Those EMTs experiencing greater job-related stressors are less satisfied with their jobs and more psychologically distressed.Objective, Study II:To obtain preliminary information about which coping strategies are associated with greater feelings of stress and burnout and more intense autonomic nervous system reactivity.Methods:For both studies, EMTs from a large, urban, public EMS organization in the southern United States were asked to participate. Study I: Subjects completed an informed consent document, a demographics questionnaire, a measure of job stress (the Stress Diagnosis Inventory), a measure of job satisfaction (Job-in-General), and a measure of psychological symptomatology (Symptom Checklist-90, Revised). Pearson product-moment correlations were computed between the measures. Study II: Subjects completed an informed consent document, a demographics/information sheet, the Maslach Burnout Inventory (MBI), and the Ways of Coping Scale (WOCS). They then completed 30 days of monitoring using the Daily Stress Inventory (DSI) and the Daily Autonomic Nervous System Response Inventory (DANSRI). Pearson product-moment correlations were computed between the measures.Results:Study I: Those EMTs who experienced greater job-related stress also were significantly more dissatisfied with their jobs, more depressed, anxious, hostile, and endorsed greater global psychological distress. Study IT. The Depersonalization subscale on the MBI correlated significantly with the following WOCS subscales: Accepting Responsibility, Confrontive Coping, Distancing, and Escape/Avoidance. Emotional Exhaustion on the MBI correlated significantly with Confrontive Coping, Escape/Avoidance, and Social Support, while data obtained on the 40 subjects who completed the daily monitoring revealed that DSI-Impact, DANSRI-Number, and DANSRI-Impact scores each correlated significantly with Accepting Responsibility, Confrontive Coping, and Escape/Avoidance.Conclusion:A significant portion of an EMT's job satisfaction and psychological well-being is associated with the degree to which they are experiencing job-related stress, and, furthermore, this distress level appears to be clinically elevated. This implies that in-service programs and psychological support services designed to help EMTs manage their job-related stress may improve job satisfaction and decrease psychological distress. The coping styles most consistently associated with maladaptive outcomes were: Accepting Responsibility, Confrontive Coping, and Escape/Avoidance. Thus, subjects who were more likely to handle stress with self-blame, aggression, hostility, and risk taking or with wishful thinking, escape tendencies, and avoidance were more likely to endorse more negative outcomes.

scholarly journals Relationship between Physical Disability and Black Holes in Multiple Sclerosis: Upper Extremity Functions - an Important Parameter

2021 ◽  
Vol 1 (1) ◽  
pp. 17-21
Author(s):  
Bilge Piri Cinar ◽  
Gülcan Kalaycı ◽  
Mustafa Acikgoz ◽  
Serkan Ozakbas
Keyword(s):  
Multiple Sclerosis ◽  
Black Holes ◽  
Upper Extremity ◽  
Physical Disability

scholarly journals Text Messaging Interventions for Improvement in Physical Activity and Sedentary Behavior in Youth: Systematic Review

10.2196/10799 ◽  
2018 ◽  
Vol 6 (9) ◽  
pp. e10799 ◽  
Author(s):  
Kim Ludwig ◽  
Rosie Arthur ◽  
Nicholas Sculthorpe ◽  
Hollie Fountain ◽  
Duncan S Buchan
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Sedentary Behavior ◽  
Text Messaging

scholarly journals The Use of Text Messaging to Improve Clinical Engagement for Individuals With Psychosis: Systematic Review (Preprint)

2019 ◽  
Author(s):  
Jessica D'Arcey ◽  
Joanna Collaton ◽  
Nicole Kozloff ◽  
Aristotle N Voineskos ◽  
Sean A Kidd ◽  
...  
Keyword(s):  
Text Messaging ◽  
English Language ◽  
Low Cost ◽  
Personal Characteristics ◽  
Practical Method ◽  
Positive Effects ◽  
Clinical Engagement ◽  
Safety Considerations ◽  
Year 2000 ◽  
Sms Text Messaging

BACKGROUND Individuals experiencing psychosis are at a disproportionate risk for premature disengagement from clinical treatment. Barriers to clinical engagement typically result from funding constraints causing limited access to and flexibility in services. Digital strategies, such as SMS text messaging, offer a low-cost alternative to potentially improve engagement. However, little is known about the efficacy of SMS text messaging in psychosis. OBJECTIVE This review aimed to address this gap, providing insights into the relationship between SMS text messaging and clinical engagement in the treatment of psychosis. METHODS Studies examining SMS text messaging as an engagement strategy in the treatment of psychosis were reviewed. Included studies were published from the year 2000 onward in the English language, with no methodological restrictions, and were identified using 3 core databases and gray literature sources. RESULTS Of the 233 studies extracted, 15 were eligible for inclusion. Most studies demonstrated the positive effects of SMS text messaging on dimensions of engagement such as medication adherence, clinic attendance, and therapeutic alliance. Studies examining the feasibility of SMS text messaging interventions found that they are safe, easy to use, and positively received. CONCLUSIONS Overall, SMS text messaging is a low-cost, practical method of improving engagement in the treatment of psychosis, although efficacy may vary by symptomology and personal characteristics. Cost-effectiveness and safety considerations were not adequately examined in the studies included. Future studies should consider personalizing SMS text messaging interventions and include cost and safety analyses to appraise readiness for implementation. CLINICALTRIAL

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