scholarly journals Effects of prenatal mindfulness-based childbirth education on child-bearers’ trajectories of distress: a randomized control trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Marissa D. Sbrilli ◽  
Larissa G. Duncan ◽  
Heidemarie K. Laurent
Keyword(s):  
Mental Health ◽  
Randomized Control Trial ◽  
Perinatal Period ◽  
Preliminary Evidence ◽  
Mindfulness Training ◽  
Long Term Effects ◽  
Dispositional Mindfulness ◽  
Post Intervention ◽  
Treatment As Usual ◽  
Randomized Control

Abstract Background The perinatal period is a time of immense change, which can be a period of stress and vulnerability for mental health difficulties. Mindfulness-based interventions have shown promise for reducing distress, but further research is needed to identify long-term effects and moderators of mindfulness training in the perinatal period. Methods The current study used data from a pilot randomized control trial (RCT) comparing a condensed mindfulness-based childbirth preparation program—the Mind in Labor (MIL)—to treatment as usual (TAU) to examine whether prenatal mindfulness training results in lower distress across the perinatal period, and whether the degree of benefit depends on child-bearers’ initial levels of risk (i.e., depression and anxiety symptoms) and protective (i.e., mindfulness) characteristics. Child-bearers (N = 30) in their third trimester were randomized to MIL or TAU and completed assessments of distress—perceived stress, anxiety, and depressive symptoms—at pre-intervention, post-intervention, six-weeks post-birth, and one-year postpartum. Results Multilevel modeling of distress trajectories revealed greater decreases from pre-intervention to 12-months postpartum for those in MIL compared to TAU, especially among child-bearers who were higher in anxiety and/or lower in dispositional mindfulness at baseline. Conclusions The current study offers preliminary evidence for durable perinatal mental health benefits following a brief mindfulness-based program and suggests further investigation of these effects in larger samples is warranted. Trial registration The ClinicalTrials.gov identifier for the study is: NCT02327559. The study was retrospectively registered on June 23, 2014.

scholarly journals Effects of Prenatal Mindfulness-Based Childbirth Education on Child-Bearers’ Trajectories of Distress: A Randomized Control Trial

2020 ◽  
Author(s):  
Marissa Danielle Sbrilli ◽  
Larissa G. Duncan ◽  
Nancy Bardacke ◽  
Heidemarie K. Laurent
Keyword(s):  
Mental Health ◽  
Randomized Control Trial ◽  
Perinatal Period ◽  
Preliminary Evidence ◽  
Mindfulness Training ◽  
Long Term Effects ◽  
Dispositional Mindfulness ◽  
Post Intervention ◽  
Treatment As Usual ◽  
Randomized Control

Abstract Background. The perinatal period is a time of immense change, which can be a period of stress and vulnerability for mental health difficulties. Mindfulness-based interventions have shown promise for reducing distress, but further research is needed to identify long-term effects and moderators of mindfulness training in the perinatal period. Methods. The current study used data from a pilot randomized control trial (RCT) comparing a condensed mindfulness-based childbirth preparation program—the Mind in Labor (MIL)—to treatment as usual (TAU) to examine whether prenatal mindfulness training results in lower distress across the perinatal period, and whether the degree of benefit depends on child-bearers’ initial levels of risk (i.e., depression and anxiety symptoms) and protective (i.e., mindfulness) characteristics. Child-bearers (N=30) in their third trimester were randomized to MIL or TAU and completed assessments of distress—perceived stress, anxiety, and depressive symptoms—at pre-intervention, post-intervention, six-weeks post-birth, and one-year postpartum. Results. Multilevel modeling of distress trajectories revealed greater decreases from pre-intervention to 12 months postpartum for those in MIL compared to TAU, especially among child-bearers who were higher in anxiety and/or lower in dispositional mindfulness at baseline. Conclusions. The current study offers preliminary evidence for durable perinatal mental health benefits following a brief mindfulness-based program and suggests further investigation of these effects in larger samples is warranted.Trial registration: The ClinicalTrials.gov identifier for the study is: NCT02327559. The study was retrospectively registered on June 23, 2014. https://clinicaltrials.gov/ct2/show/NCT02327559

scholarly journals Effects of Prenatal Mindfulness-Based Childbirth Education on Child-Bearers’ Trajectories of Distress: A Randomized Control Trial

2020 ◽  
Author(s):  
Marissa Danielle Sbrilli ◽  
Larissa G. Duncan ◽  
Nancy Bardacke ◽  
Heidemarie K. Laurent
Keyword(s):  
Mental Health ◽  
Randomized Control Trial ◽  
Perinatal Period ◽  
Preliminary Evidence ◽  
Mindfulness Training ◽  
Long Term Effects ◽  
Dispositional Mindfulness ◽  
Post Intervention ◽  
Treatment As Usual ◽  
Randomized Control

Abstract The perinatal period is a time of immense change, which can be a period of stress and vulnerability for mental health difficulties. Mindfulness-based interventions have shown promise for reducing distress, but further research is needed to identify long-term effects and moderators of mindfulness training in the perinatal period. The current study used data from a pilot randomized control trial (RCT) comparing a condensed mindfulness-based childbirth preparation program—the Mind in Labor (MIL)—to treatment as usual (TAU) to examine whether prenatal mindfulness training results in lower distress across the perinatal period, and whether the degree of benefit depends on child-bearers’ initial levels of risk (i.e., depression and anxiety symptoms) and protective (i.e., mindfulness) characteristics. Child-bearers (N=30) in their third trimester were randomized to MIL or TAU and completed assessments of distress—perceived stress, anxiety, and depressive symptoms—at pre-intervention, post-intervention, six-weeks post-birth, and one-year postpartum. Multilevel modeling of distress trajectories revealed greater decreases from pre-intervention to 12 months postpartum for those in MIL compared to TAU, especially among child-bearers who were higher in anxiety and/or lower in dispositional mindfulness at baseline. The current study offers preliminary evidence for durable perinatal mental health benefits following a brief mindfulness-based program and suggests further investigation of these effects in larger samples is warranted.Trial registration: The ClinicalTrials.gov identifier for the study is: NCT02327559. The study was retrospectively registered on June 23, 2014. https://clinicaltrials.gov/ct2/show/NCT02327559

scholarly journals Effects of Prenatal Mindfulness-Based Childbirth Education on Child-Bearers’ Trajectories of Distress: A Randomized Control Trial

2020 ◽  
Author(s):  
Marissa Danielle Sbrilli ◽  
Larissa G. Duncan ◽  
Heidemarie K. Laurent
Keyword(s):  
Mental Health ◽  
Randomized Control Trial ◽  
Perinatal Period ◽  
Preliminary Evidence ◽  
Mindfulness Training ◽  
Long Term Effects ◽  
Dispositional Mindfulness ◽  
Post Intervention ◽  
Treatment As Usual ◽  
Randomized Control

Abstract Background. The perinatal period is a time of immense change, which can be a period of stress and vulnerability for mental health difficulties. Mindfulness-based interventions have shown promise for reducing distress, but further research is needed to identify long-term effects and moderators of mindfulness training in the perinatal period. Methods. The current study used data from a pilot randomized control trial (RCT) comparing a condensed mindfulness-based childbirth preparation program—the Mind in Labor (MIL)—to treatment as usual (TAU) to examine whether prenatal mindfulness training results in lower distress across the perinatal period, and whether the degree of benefit depends on child-bearers’ initial levels of risk (i.e., depression and anxiety symptoms) and protective (i.e., mindfulness) characteristics. Child-bearers (N=30) in their third trimester were randomized to MIL or TAU and completed assessments of distress—perceived stress, anxiety, and depressive symptoms—at pre-intervention, post-intervention, six-weeks post-birth, and one-year postpartum. Results. Multilevel modeling of distress trajectories revealed greater decreases from pre-intervention to 12 months postpartum for those in MIL compared to TAU, especially among child-bearers who were higher in anxiety and/or lower in dispositional mindfulness at baseline. Conclusions. The current study offers preliminary evidence for durable perinatal mental health benefits following a brief mindfulness-based program and suggests further investigation of these effects in larger samples is warranted.Trial registration: The ClinicalTrials.gov identifier for the study is: NCT02327559. The study was retrospectively registered on June 23, 2014. https://clinicaltrials.gov/ct2/show/NCT02327559

scholarly journals A feasibility trial of Power Up: A smartphone app to support patient activation and shared decision making for mental health in young people (Preprint)

2018 ◽  
Author(s):  
Julian Edbrooke-Childs ◽  
Chloe Edridge ◽  
Phoebe Averill ◽  
Louise Delane ◽  
Michael P Craven ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Young People ◽  
Shared Decision Making ◽  
Randomized Control Trial ◽  
Patient Activation ◽  
Shared Decision ◽  
Cluster Randomized Control Trial ◽  
Randomized Control ◽  
Cluster Randomized

BACKGROUND Digital tools have the potential to support patient activation and shared decision making in the face of increasing levels of mental health problems in young people. There is a need for feasibility trials of digital interventions to determine the usage and acceptability of interventions. In addition, there is a need to determine the ability to recruit and retain research participants to plan rigorous effectiveness trials and therefore, develop evidence-based recommendations for practice. OBJECTIVE To determine the feasibility of undertaking a cluster randomized control trial to test the effectiveness of a smartphone app, Power Up, co-designed with young people to support patient activation and shared decision making for mental health. METHODS Overall, 270 young people were screened for participation and 53% (N = 142) were recruited and completed baseline measures across eight specialist child mental health services (n = 62, mean (SD) age = 14.66 (1.99) years, 52% female) and two mainstream secondary schools (n = 80; mean (SD) age = 16.88 (0.68) years, 46% female). Young people received Power Up in addition to management as usual or received management as usual only. Post-trial interviews were conducted with 11 young people from the intervention arms (specialist services n = 6; schools n = 5). RESULTS Usage data showed that there were an estimated 50 (out of 64) users of Power Up in the intervention arms. Findings from the interviews indicated that young people found Power Up to be acceptable. Young people reported: 1) their motivation for use of Power Up, 2) the impact of use, and 3) barriers to use. Out of the 142 recruited participants, 45% (64/142) completed follow up measures, and the approaches to increase retention agreed by the steering group are discussed. CONCLUSIONS The findings of the present research indicate that the app is acceptable and it is feasible to examine the effectiveness of Power Up in a prospective cluster randomized control trial. CLINICALTRIAL ISRCTN: ISRCTN77194423, ClinicalTrials.gov NCT02552797

scholarly journals The effect of a 12-week combinational exercise program on CD4 count and mental health among HIV infected women: A randomized control trial

2018 ◽  
Vol 16 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Mostafa Dianatinasab ◽  
Mohammad Fararouei ◽  
Valiollah Padehban ◽  
Aria Dianatinasab ◽  
Yousef Alimohamadi ◽  
...  
Keyword(s):  
Mental Health ◽  
Randomized Control Trial ◽  
Exercise Program ◽  
Cd4 Count ◽  
Randomized Control

scholarly journals Face-to-Face Exercises Performed by Instructors to Improve the Mental Health of Japanese in the Community—A Randomized Control Trial

Medicina ◽  
2020 ◽  
Vol 56 (8) ◽  
pp. 404
Author(s):  
Akihiko Katayama ◽  
Kanae Kanda ◽  
Ayako Hase ◽  
Nobuyuki Miyatake
Keyword(s):  
Mental Health ◽  
Physical Fitness ◽  
Self Efficacy ◽  
Randomized Control Trial ◽  
General Health Questionnaire ◽  
Physical Fitness Test ◽  
Face To Face ◽  
Exercise Class ◽  
Randomized Control ◽  
Primary Evaluation

Background and objectives: The purpose of this study is to clarify the effects on the mental health of face-to-face exercise performed by an instructor (lesson-style Group: Group L) and exercise using machines (program-style Group: Group P) by randomized control trial. Materials and Methods: Among 120 subjects, 117 subjects were allocated to two groups with stratified randomization by sex (Group P: 58 subjects; Group L: 59 subjects). A 60-min health exercise class was held once per week for 12 consecutive weeks. The measurement items were mental health as a primary evaluation item and self-efficacy as a secondary evaluation item. Physical fitness was also measured using a new physical fitness test used in Japan. The 12-item general health questionnaire (GHQ-12) was used to measure mental health and the general self-efficacy scale (GSES) was used to measure self-efficacy. Results: After the intervention, 102 subjects were analyzed. The changes in mental health evaluated by GHQ-12 scores were significantly lower in Group L −0.7 (95% CI, −1.2 to −0.3) than Group P −0.1 (95% CI, −0.4 to 0.2) (p = 0.03). The changes in self-efficacy evaluated by GSES scores were significantly higher in Group P 5.3 (95% CI, 3.1 to 7.5) than Group L 1.3 (95% CI, −0.4 to 3.1) (p < 0.01). Conclusions: Compared with program exercises mainly using machines, face-to-face exercises performed by instructors improved mental health.

Randomized Control Trial Findings of a Wraparound Program for Dually Involved Youth

2019 ◽  
Vol 27 (4) ◽  
pp. 195-208 ◽  
Author(s):  
Jennifer Schurer Coldiron ◽  
Spencer W. Hensley ◽  
Ryan M. Parigoris ◽  
Eric J. Bruns
Keyword(s):  
Randomized Control Trial ◽  
Juvenile Justice System ◽  
Small Sample ◽  
Community Treatment ◽  
Treatment As Usual ◽  
Behavioral Challenges ◽  
Improved Outcomes ◽  
Randomized Control ◽  
Small Sample Sizes ◽  
Effectiveness Studies

Wraparound care coordination for youth with serious emotional and behavioral challenges has been implemented in every state and in many child-serving contexts, but evidence from rigorous effectiveness studies is scarce. We conducted a 20-month longitudinal randomized control trial of a pilot Wraparound program for youth in foster care and involved in the juvenile justice system ( n = 24), comparing outcomes with youth receiving community “treatment as usual” (TAU; n = 23). Youth in both groups experienced significantly improved outcomes, including fewer arrests and greater residential stability. Wraparound youth were less likely to be rearrested (odds ratio [OR] = 0.59, 95% confidence interval [CI] = [0.17, 2.04]), and survival analysis found they went longer before doing so than TAU youth. Wraparound youth were also more likely to be educationally on track than TAU youth by the end of the study (OR = 4.09, 95% CI = [1.89, 18.72]). Although these findings were nonsignificant at p < .05 due to small sample sizes, effect sizes were medium to large, and no such trends were found for the TAU group. Implications for Wraparound’s implementation and effectiveness, as well as the strengths and limitations of conducting a randomized control trial in “real-world” systems, are discussed.

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