ANALISIS DAMPAK PERLAKUAN TERAPI YUMEIHO UNTUK PENURUNAN SIMPTOM PSIKOLOGIK DAN FISIOLOGIK SKIZOFRENIA

Penelitian ini bertujuan untuk mengetahui dampak perlakuan terapi Yumeiho untuk penurunan simptom psikologik dan fisiologik pada pengidap skizofrenia. Subjek dalam penelitian ini berjumlah empat orang pengidap skizofrenia di Panti Sosial Bina Laras Budi Luhur Banjarbaru, Kalimantan Selatan. Penelitian ini merupakan penelitian eksperimen desain kasus tunggal dengan tipe reversal (A-B-A-B). Metode pengumpulan data yang digunakan yaitu, observasi, wawancara, dokumentasi, kuesioner, chek list, perekam suara, dan video. Pelaksanaan penelitian selama 12 sesi dengan enam sesi pemberian terapi Yumeiho menurunkan simptom psikologik dan fisiologik pada keempat subjek. Berdasarkan hasil penelitian tersebut, maka dapat disimpulkan dari 42 simptom psikologik dan fisiologik, masing-masing penurunan pada subjek IR 23,80% dan 11,90%; subjek H 14,28% dan 19,85%; subjek NM 38,09% dan 21,04%; subjek NJ 30,95% dan 9,52%. Kata Kunci : Skizofrenia, Terapi Yumeiho, Panti Sosial Bina Laras Budi Luhur. The objective of this study was to find out the impacts of Yumeiho therapy treatment in decreasing psychological and physiological symptoms on people with schizophrenia. The subjects in this study were four people with schizophrenia living at Mental Social Institution of Budi Luhur Banjarbaru, South Kalimantan. This study was a single case experimental design with reversal type (A-B-A-B). The data collection methods were observations, interviews, documentation, questionnaire, check list, voice recorder, and video. The study was conducted in 12 sessions with six sessions of Yumeiho therapy for the four subjects. Based on these results, it can be concluded that subject IR, H, NM, and NJ experienced some decreases in 42 psychological and physiological symptoms of 23.80% and 11.90%; 14.28% and 19.85%; 38.09% and 21.04%; and 30.95% and 9.52%, respectively.Keywords: Schizophrenia, Yumeiho Therapy, Mental Social Institution of Budi Luhur

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Evaluating the Impact of Physical Activity Apps and Wearables: Interdisciplinary Review (Preprint)

10.2196/preprints.9054 ◽

2017 ◽

Author(s):

Claire McCallum ◽

John Rooksby ◽

Cindy M Gray

Keyword(s):

Physical Activity ◽

Data Collection ◽

Repeated Measures ◽

Single Case ◽

Optimization Strategy ◽

Health Technologies ◽

Data Collection Methods ◽

Research Designs ◽

The Impact ◽

Collection Methods

BACKGROUND Although many smartphone apps and wearables have been designed to improve physical activity, their rapidly evolving nature and complexity present challenges for evaluating their impact. Traditional methodologies, such as randomized controlled trials (RCTs), can be slow. To keep pace with rapid technological development, evaluations of mobile health technologies must be efficient. Rapid alternative research designs have been proposed, and efficient in-app data collection methods, including in-device sensors and device-generated logs, are available. Along with effectiveness, it is important to measure engagement (ie, users’ interaction and usage behavior) and acceptability (ie, users’ subjective perceptions and experiences) to help explain how and why apps and wearables work. OBJECTIVES This study aimed to (1) explore the extent to which evaluations of physical activity apps and wearables: employ rapid research designs; assess engagement, acceptability, as well as effectiveness; use efficient data collection methods; and (2) describe which dimensions of engagement and acceptability are assessed. METHOD An interdisciplinary scoping review using 8 databases from health and computing sciences. Included studies measured physical activity, and evaluated physical activity apps or wearables that provided sensor-based feedback. Results were analyzed using descriptive numerical summaries, chi-square testing, and qualitative thematic analysis. RESULTS A total of 1829 abstracts were screened, and 858 articles read in full. Of 111 included studies, 61 (55.0%) were published between 2015 and 2017. Most (55.0%, 61/111) were RCTs, and only 2 studies (1.8%) used rapid research designs: 1 single-case design and 1 multiphase optimization strategy. Other research designs included 23 (22.5%) repeated measures designs, 11 (9.9%) nonrandomized group designs, 10 (9.0%) case studies, and 4 (3.6%) observational studies. Less than one-third of the studies (32.0%, 35/111) investigated effectiveness, engagement, and acceptability together. To measure physical activity, most studies (90.1%, 101/111) employed sensors (either in-device [67.6%, 75/111] or external [23.4%, 26/111]). RCTs were more likely to employ external sensors (accelerometers: P=.005). Studies that assessed engagement (52.3%, 58/111) mostly used device-generated logs (91%, 53/58) to measure the frequency, depth, and length of engagement. Studies that assessed acceptability (57.7%, 64/111) most often used questionnaires (64%, 42/64) and/or qualitative methods (53%, 34/64) to explore appreciation, perceived effectiveness and usefulness, satisfaction, intention to continue use, and social acceptability. Some studies (14.4%, 16/111) assessed dimensions more closely related to usability (ie, burden of sensor wear and use, interface complexity, and perceived technical performance). CONCLUSIONS The rapid increase of research into the impact of physical activity apps and wearables means that evaluation guidelines are urgently needed to promote efficiency through the use of rapid research designs, in-device sensors and user-logs to assess effectiveness, engagement, and acceptability. Screening articles was time-consuming because reporting across health and computing sciences lacked standardization. Reporting guidelines are therefore needed to facilitate the synthesis of evidence across disciplines.

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