scholarly journals The impact of Tai Chi and mind-body breathing in COPD: Insights from a qualitative sub-study of a randomized controlled trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249263
Author(s):  
Elizabeth A. Gilliam ◽  
Tina Cheung ◽  
Kristen Kraemer ◽  
Daniel Litrownik ◽  
Peter M. Wayne ◽  
...  
Keyword(s):  
Social Support ◽  
Physical Function ◽  
Self Efficacy ◽  
Tai Chi ◽  
Self Care ◽  
Well Being ◽  
Behavioral Changes ◽  
Psychological Well Being ◽  
Breathing Techniques ◽  
The Impact

Purpose Chronic obstructive pulmonary disease (COPD) is associated with multiple psychosocial and behavioral factors. Prior research suggests that mind-body interventions may support the development and maintenance of healthy behaviors and improve health-related quality-of-life in such patients. We sought to qualitatively explore cognitive, psychosocial, and behavioral changes in patients with COPD who participated in two different mind-body interventions compared to an education control. Methods We analyzed semi-structured qualitative exit interviews from a prospective, randomized pilot trial (N = 123) investigating 12-weeks of Tai Chi (TC) vs. mind-body breathing (MBB) vs. education (EDU) control in patients with moderate-severe COPD. TC involved traditional movements, that integrate meditative breathing, while MBB focused mainly on meditative breathing techniques alone. Interviews were audio-recorded and transcribed verbatim. Qualitative analysis of randomly selected transcripts was performed by two independent reviewers using an iterative process to identify emergent themes informed by grounded theory methods until thematic saturation was reached. Results A total of 66 transcripts were reviewed (N = 22 TC, N = 22 MBB, N = 22 EDU). Participants were mean age = 68.1 years, GOLD Stage = 2.3, baseline FEV11 percent predicted mean (SD): 58% (13.4), 42.4% female. We identified six frequently mentioned themes: 1) overall awareness and understanding, 2) self-care knowledge, skills and behaviors, 3) behavior-related neurocognitive concepts, 4) physical function, 5) psychological well-being, and 6) social support/social function. Compared to EDU, more participants in TC and MBB noted improvements in awareness of self and the mind-body connection (e.g., body and breath awareness), knowledge of breathing techniques and integration of self-care skills with daily activities, self-efficacy for symptom management (particularly managing anxiety and dyspnea), acceptance of disease, physical function improvements (e.g., endurance, dyspnea, fatigue), and psychological well-being (particularly relaxation, emotion regulation and decreased reactivity). Compared to MBB, those in TC shared more intention to continue with self-care behaviors, physical activity self-efficacy, and improved flexibility. All three groups, including EDU, noted increased social support and knowledge of disease. Those in EDU, however, had fewer mentions of processes related to behavior change, and less concrete changes in neurocognitive, psychological, and physical function domains. Conclusions Mind-body interventions including meditative breathing may impact behavior-related neurocognitive and emotional factors that improve self-care management and support positive behavioral changes in patients with COPD. Trial registration This trial is registered in Clinical Trials.gov, ID number NCT01551953.

scholarly journals Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e048469
Author(s):  
Elkin Luis ◽  
Elena Bermejo-Martins ◽  
Martín Martinez ◽  
Ainize Sarrionandia ◽  
Cristian Cortes ◽  
...  
Keyword(s):  
General Population ◽  
Online Survey ◽  
Self Care ◽  
Well Being ◽  
Active Role ◽  
Total Sample ◽  
Cross Sectional ◽  
Psychological Well Being ◽  
Sociodemographic Variables ◽  
The Impact

ObjectivesTo examine the mediation role of self-care between stress and psychological well-being in the general population of four countries and to assess the impact of sociodemographic variables on this relationship.DesignCross-sectional, online survey.ParticipantsA stratified sample of confined general population (N=1082) from four Ibero-American countries—Chile (n=261), Colombia (n=268), Ecuador (n=282) and Spain (n=271)—balanced by age and gender.Primary outcomes measuresSociodemographic information (age, gender, country, education and income level), information related to COVID-19 lockdown (number of days in quarantine, number of people with whom the individuals live, absence/presence of adults and minors in charge and attitude towards the search of information related to COVID-19), Perceived Stress Scale-10, Ryff’s Psychological Well-Being Scale-29 and Self-Care Activities Screening Scale-14.ResultsSelf-care partially mediates the relationship between stress and well-being during COVID-19 confinement in the general population in the total sample (F (3,1078)=370.01, p<0.001, R2=0.507) and in each country. On the other hand, among the evaluated sociodemographic variables, only age affects this relationship.ConclusionThe results have broad implications for public health, highlighting the importance of promoting people’s active role in their own care and health behaviour to improve psychological well-being if stress management and social determinants of health are jointly addressed first. The present study provides the first transnational evidence from the earlier stages of the COVID-19 lockdown, showing that the higher perception of stress, the less self-care activities are adopted, and in turn the lower the beneficial effects on well-being.

scholarly journals Are Coping Strategies with Well-Being in Deaf and Blind Parents Related?

2021 ◽  
Vol 11 (4) ◽  
pp. 1422-1439
Author(s):  
Maria Luisa Indiana ◽  
Elisabetta Sagone ◽  
Salvatore Luciano Orazio Fichera
Keyword(s):  
Social Support ◽  
Life Satisfaction ◽  
Coping Strategies ◽  
Self Efficacy ◽  
Satisfaction With Life ◽  
Well Being ◽  
Sensory Loss ◽  
Future Research ◽  
Psychological Well Being ◽  
Deaf Parents

The main purpose of this cross-sectional study, carried out with deaf parents and blind parents, is to analyze the association of coping strategies, life satisfaction, well-being, and generalized self-efficacy, compared to a group of parents without a sensory loss. The Coping Orientation to Problems Experienced, Satisfaction with Life, Generalized Self-efficacy, and Psychological Well-Being scales were applied. Results indicate that: (1) deaf parents and blind parents search for social support, use avoidance, and turn to religion more than those without a sensory loss; (2) deaf parents are more satisfied with life than blind parents and those without a sensory loss; (3) deaf parents and blind parents perceive themselves as less efficacious than those without a sensory loss; (4) deaf parents and blind parents report lower psychological well-being (autonomy and personal growth) than those without a sensory loss, except for self-acceptance. Searching for social support and turning to religion are negatively associated with life satisfaction in deaf parents and those without a sensory loss; further, these coping strategies (together with avoidance) affect the psychological well-being of deaf parents and parents without a sensory loss. Future research could investigate deeper into the effects of these dimensions on well-being and the styles of parenting in these families.

scholarly journals The Impact of an Internet-Based Self-Management Intervention (HeLP-Diabetes) on the Psychological Well-Being of Adults with Type 2 Diabetes: A Mixed-Method Cohort Study

2016 ◽  
Vol 2016 ◽  
pp. 1-13 ◽  
Author(s):  
Megan Hofmann ◽  
Charlotte Dack ◽  
Chris Barker ◽  
Elizabeth Murray
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Method ◽  
Self Efficacy ◽  
Qualitative Data ◽  
Well Being ◽  
Self Management ◽  
Psychological Well Being ◽  
Management Intervention ◽  
The Impact

This mixed-method study assessed the impact of an internet-based, self-management intervention (“HeLP-Diabetes”) on the psychological well-being of adults with type 2 diabetes. Nineteen participants were recruited from 3 general practices. Data were collected at baseline and at 6 weeks follow-up. Access to HeLP-Diabetes was associated with a significant decrease in participants’ diabetes-related distress (Z=2.04,p=0.04, andd=0.28). No significant differences were found in emotional distress or self-efficacy. The qualitative data found that participants reported improvements including increased self-efficacy and support, better management of low mood, greater diabetes awareness, and taking the condition more seriously. Participants also reported making improvements to their eating habits, exercise routine, and medical management. Some negative experiences associated with using the intervention were mentioned including feelings of guilt for not using the intervention as suggested or not making any behavioral changes, as well as technical and navigational frustrations with the intervention. Internet-based self-management interventions may have the potential to decrease diabetes-related distress in people with type 2 diabetes. The qualitative data also suggests internet interventions can positively impact both psychological and behavioural outcomes of adults with type 2 diabetes.

scholarly journals Perceived Social Support and Psychological Well-being among Visually Impaired Individuals: A Qualitative Study

2021 ◽  
Keyword(s):  
Social Support ◽  
Visually Impaired ◽  
Phenomenological Study ◽  
Perceived Social Support ◽  
Well Being ◽  
Structured Interview ◽  
Main Theme ◽  
Psychological Well Being ◽  
Positive Social Support ◽  
The Impact

Social support is an important resource which facilitates coping and raises the quality of life. This study examines how different forms of social support are perceived by the visually impaired individuals living in Turkey (positive or negative), and the impact on these individuals’ psychological well-being. This qualitative phenomenological study is conducted by semi-structured interview techniques and 21 visually impaired and volunteer (11 female, 10 male) adults over 18 years (M = 28, SD = 6,34) who live in Ankara participated in the study. Data were analysed using thematic content analysis. There were 4 main themes: Centrality of the sighted world, negative social support, positive social support, and accessibility. The most frequently repeated sub themes were gathered under the main themes of negative social support and centrality of the sighted world; the majority of the participants mentioned the effect of living independently. Moreover, the lack of information in society and the negative effects of interference under the will to help are frequently mentioned. On the other hand, the sub themes of mutual support, perceiving blindness as a difference, not a deficiency were presented under the main theme of positive social support. Keywords: Visually impaired, perceived social support, psychological well-being

scholarly journals Relationships Among Character Strengths, Self-efficacy, Social Support, Depression, and Psychological Well-being of Hospital Nurses

2020 ◽  
Vol 14 (3) ◽  
pp. 150-157 ◽  
Author(s):  
Jianfei Xie ◽  
Min Liu ◽  
Zhuqing Zhong ◽  
Qiuxiang Zhang ◽  
Jianda Zhou ◽  
...  
Keyword(s):  
Social Support ◽  
Self Efficacy ◽  
Character Strengths ◽  
Well Being ◽  
Hospital Nurses ◽  
Psychological Well Being

A Comparative Study of Life-Closing Spirituality in Home Hospice Patients

2005 ◽  
Vol 19 (3) ◽  
pp. 243-256 ◽  
Author(s):  
Marjorie C. Dobratz
Keyword(s):  
Social Support ◽  
Physical Function ◽  
Secondary Analysis ◽  
Well Being ◽  
Demographic Variables ◽  
Psychological Well Being ◽  
Hospice Patients ◽  
Pain Reports ◽  
Spirituality Group ◽  
Pain Rating Index

This secondary analysis compared two groups of home hospice patients (expressed spirituality,N= 44, and nonexpressed spirituality,N= 53) on psychological well-being and adaptation, social support, physical function, pain, and demographic variables. Independent-samplesttests found no significant differences atp< .05 for age, psychological well-being and adaptation, social support, and physical function. Three components of the McGill-Melzack Pain Questionnaire were significantly higher for the nonexpressed spirituality group: Affective Dimension, Pain Rating Index, and Number of Words Chosen. A comparative analysis of two groups of home hospice patients supported higher pain reports as significant indicators of nonexpressed spirituality in a home hospice population.

scholarly journals Predictors of Resilience among Indonesian Students in Malaysian Universities

2020 ◽  
Vol 16 (3) ◽  
pp. 169
Author(s):  
Khairina Khairina ◽  
Samsilah Roslan ◽  
Noorlila Ahmad ◽  
Zeinab Zaremohzzabieh ◽  
Nurazidawati Mohamad Arsad
Keyword(s):  
Higher Education ◽  
Social Support ◽  
International Students ◽  
Self Efficacy ◽  
Well Being ◽  
Postgraduate Students ◽  
Studying Abroad ◽  
Internationalization In Higher Education ◽  
Adjustment Issues ◽  
The Impact

The benefits of internationalization in higher education are indisputable. However, students studying abroad may face difficulties such as adjustment issues since they are away from home and go through a new stage in their lives. Seeing that an essential predictor of psychological adjustment is resilience, the current study aims to assess the role of a range of factors (optimism, social support, self-efficacy, psychological well-being, and demographic) in predicting the resilience of Indonesian students in Malaysia. Two hierarchical multiple regression analyses were used to test the influencing factors on resilience. Based on the literature, this study is quantitative in nature where a total of 229 Indonesian postgraduate students in Malaysian public universities were chosen as participants. Results showed that resilience is affected by optimism, social support, and self-efficacy. Essentially, this study provides practical insights into how international students can make adjustments to reduce the impact of stress faced in challenging situations.  Keywords: adjustment, higher education, international students, Malaysia, resilience

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