scholarly journals Selective Taste Management: A Promising and Patient Centered Intervention for Cancer Outpatients suffering Chemotherapy Induced Taste Alterations.

2021 ◽  
Author(s):  
Marleen Corremans ◽  
Andy Verroeye ◽  
Lobke Van den Wijngaert ◽  
Edwig Goossens ◽  
Geertrui Vlaemynck ◽  
...  
Keyword(s):  
Control Group ◽  
Effective Management ◽  
Limited Evidence ◽  
Daily Consumption ◽  
Patient Centered ◽  
The Family ◽  
Evidence Based Guidelines ◽  
Taste Thresholds ◽  
At Home

Abstract PURPOSE Currently, limited evidence-based guidelines exist for the effective management of chemotherapy induced dysgeusia in cancer outpatients. In this pilot study, we used innovative insights from gastrological sciences such as selective taste management to improve the taste of bread for cancer outpatients. We investigated whether it is feasible for cancer outpatients and family caregivers to bake personalized bread themselves at home, whether such bread is considered tasty and if daily consumption of it has any effect on anthropometric measurements. METHODS Included patients (N=112) are randomly divided in a bread-baking group (BBG) (N=54) and a control group (N=58). Their individual taste thresholds profile is assessed using the innovative O-Box. Anthropometrics and structured questionnaires are used to compare the effects of personalized bread after one month follow-up. RESULTS Only 17% of the BBG required some telephone or online assistance to correctly apply the prescribed recipe. In 60% of the cases, the bread was prepared by the family caregiver. Compliance was high and no side effects were observed. Over 80% of the BBG perceived personalized bread as equally or more tasteful despite their stressful taste alterations. Compared to the control group loss of bodyweight and Body Mass Index in the BBG was not significant (p .968 and p .956 respectively). CONCLUSIONS Baking personalized bread at home appeared to be feasible. Selective taste management based on individual taste thresholds profiles should be studied more in depth using whole meals in a larger cancer outpatients population.

Prevention of Progression to Severe Obesity in a Group of Obese Schoolchildren Treated With Family Therapy

PEDIATRICS ◽  
1993 ◽  
Vol 91 (5) ◽  
pp. 880-884
Author(s):  
Carl-Erik Flodmark ◽  
Torsten Ohlsson ◽  
Olof Rydén ◽  
Tomas Sveger
Keyword(s):  
Family Therapy ◽  
Conventional Treatment ◽  
Severe Obesity ◽  
Therapy Group ◽  
Control Group ◽  
Obese Children ◽  
Treatment Groups ◽  
Conventional Treatment Group ◽  
The Family

Study objective. To evaluate the effect of family therapy on childhood obesity. Design. Clinical trial. One year follow-up. Setting. Referral from school after screening. Participants. Of 1774 children (aged 10 to 11), screened for obesity, 44 obese children were divided into two treatment groups. In an untreated control group of 50 obese children, screened in the same manner, body mass index (BMI) values were recorded twice, at 10 to 11 and at 14 years of age. Intervention. Both treatment groups received comparable dietary counseling and medical checkups for a period of 14 to 18 months, while one of the groups also received family therapy. Results. At the 1-year follow-up, when the children were 14 years of age, intention-to-treat analyses were made of the weight and height data for 39 of 44 children in the two treatment groups and for 48 of the 50 control children. The increase of BMI in the family therapy group was less than in the conventional treatment group at the end of treatment, and less than in the control group (P = .04 and P = .02, respectively). Moreover, mean BMI was significantly lower in the family therapy group than in the control group (P < .05), and the family therapy group also had fewer children with BMI > 30 than the control group (P = .02). The reduction of triceps, subscapular, and suprailiac skinfold thicknesses, expressed as percentages of the initial values, was significantly greater in the family therapy group than in the conventional treatment group (P = .03, P = .005 and P = .002, respectively), and their physical fitness was significantly better (P < .05). Conclusions. Family therapy seems to be effective in preventing progression to severe obesity during adolescence if the treatment starts at 10 to 11 years of age.

Gezinsprofielen, Voor- en Vroegschoolse Stimulerings-Activiteiten en Schoolsucces

2002 ◽  
Vol 68 ◽  
pp. 65-76
Author(s):  
Roel van Steensel
Keyword(s):  
Early Intervention ◽  
Primary Education ◽  
Family Characteristics ◽  
Intervention Programs ◽  
Control Group ◽  
Research Project ◽  
Educational Achievements ◽  
The Family ◽  
Family Based ◽  
At Home

In order to prepare children from disadvantaged backgrounds for primary education, early intervention programs are used. Generally, a distinction is made between two types of intervention activities: those which are conducted at home (family-based activities) and those which are conducted in, for example, preschools (center-based activities). This research project tries to establish whether there is a relation between participation in early intervention activities and the educational achievements of 119 pupils from the cities of Tilburg and Waalwijk. A comparison is made between four groups of children: a group that took part in the family-based program Opstap Opnieuw, a group that went to preschool, a group that did both, and a control group. The performances of these four groups are followed during the first years of primary education. In addition, an estimate is made of the influence of family characteristics on the effectiveness of both types of intervention activities.

scholarly journals The Impact of Study-at-Home During the COVID-19 Pandemic on Myopia Progression in Chinese Children

2022 ◽  
Vol 9 ◽  
Author(s):  
Dandan Ma ◽  
Shifei Wei ◽  
Shi-Ming Li ◽  
Xiaohui Yang ◽  
Kai Cao ◽  
...  
Keyword(s):  
Baseline Period ◽  
Exposed Group ◽  
Control Group ◽  
Myopia Progression ◽  
Historical Cohort ◽  
Difference Analysis ◽  
Uncorrected Visual Acuity ◽  
The Impact ◽  
At Home

Background: To assess the impact of study-at-home during the COVID-19 pandemic on myopia development in Chinese schoolchildren.Methods: This historical cohort involved two groups with a total of 154 children. The exposed group was formed from 77 children aged 8 to 10 years who studied at home in the 7-month period during the COVID-19 pandemic (follow-up period: January – August 2020) and did not study at home in the 7-month period before the COVID-19 outbreak (baseline period: July 2019 – January 2020). Seventy-seven children who did not undergo study-at-home (baseline period: 7 months in 2015, follow-up period: 7 months in 2016) were included in the control group. Cycloplegic refraction, axial length and uncorrected visual acuity were measured 3 times. The questionnaire mainly focused on collecting visual habits.Results: Myopia progression was similar between the two groups in the baseline period. However, in the follow-up period the exposed group had a greater change in refraction toward myopia (−0.83 ± 0.56 D) than the control group (−0.28 ± 0.54 D; p < 0.001). In addition, the exposed group exhibited a significantly greater change in refraction toward myopia in the follow-up period (−0.83 ± 0.56 D) than in the baseline period (−0.33 ± 0.46 D; p < 0.001). Difference-in-difference analysis indicated that study-at-home accelerated the change in refraction toward myopia (t = −0.567; p < 0.001).Conclusions: During the COVID-19 pandemic study-at-home accelerated the change of refraction toward myopia in children.

scholarly journals The Effectiveness of the Discrimination Model-Based Counseling Supervisory Program in Improving Crisis Counseling Skills among Family Reform Counselors in Jordan

2020 ◽  
Vol 14 (3) ◽  
pp. 481
Author(s):  
Rami A. Tashtoush
Keyword(s):  
Control Group ◽  
Counseling Skills ◽  
Crisis Counseling ◽  
Family Crisis ◽  
Discrimination Model ◽  
The Family ◽  
Group 15 ◽  
The Impact ◽  
Experimental Group

This study aimed to explore the effectiveness of a counseling supervisory program based on the discrimination model in improving crisis counseling skills for family reform counselors in Jordan. The sample of the study consisted of 30 female and male counselors, who were randomly assigned to two groups: the experimental group (15) male and female counselors received the supervisory program according to the discrimination model with 90-minute 18 weekly sessions over 9 weeks, whereas  the control group (15) female and male counselors did not receive the supervisory program. The  Family Crisis Skills  Scale which  consists  of 59 items was divided into three subscales: Family Crisis Counseling, Counseling Relation Skills, and Procedures of Intervention & Response to Crisis. It  was  used with the total sample in the pre-post-test, and in the follow-up test only with experimental group. The results of the study showed that there are statistically significant differences in the overall mean scores of  the  posttest and all sub-scales of the Family Crisis Skills Scale between the two study group, in favor of the experimental group. Also, the results showed that although the differences between the two groups  in the overall mean scores of the post-follow-up test and all sub-scales of the Family Crisis Skills Scale were not statistically significant, there was a positive gain of improvement for the experimental group. These findings suggest that the counselors in the experimental group retained the impact of the program, and provided  evidence that the impact of the program was efficient and sustainable.

scholarly journals Efficacy of nano-carbonate apatite dentifrice in relief from dentin hypersensitivity following non-surgical periodontal therapy: A randomized controlled trial

2019 ◽  
Author(s):  
Pei-Hui Ding ◽  
Anna Dai ◽  
Hua-Jiao Hu ◽  
Jia-Ping Huang ◽  
Jia-Mei Liu ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Test Group ◽  
Periodontal Therapy ◽  
Control Group ◽  
Carbonate Apatite ◽  
Dentine Hypersensitivity ◽  
Randomized Controlled ◽  
At Home

Abstract Background: Dentine hypersensitivity (DH) could occur or intensify after non-surgical periodontal therapy because of the exposure of dentine tubules. It has been demonstrated that nano-sized particles could seal these the dentine tubules. This randomized controlled trial aimed to investigate the efficacy of dentifrice containing nano-carbonate apatite (n-CAP) in reducing dentine hypersensitivity (DH) after non-surgical periodontal therapy. Methods: 48 periodontitis patients with DH were included in this clinical trial. After non-surgical periodontal therapy, patients included were randomized to test and control group and the respective dentifrices were applied at chairside, after which they were instructed to brush teeth with the allocated dentifrices twice a day at home. Periodontal parameters were recorded at baseline and the last follow-up. DH was measured by air-blast test and recorded by visual analogue scale (VAS) and Schiff sensitivity scale at baseline, after polishing (0 week) and 2/4/6 weeks. Results: 45 participants completed the follow-up. Periodontal parameters were improved and comparable between groups. Significant reduction in DH was observed in both groups at all time-points compared to baseline in terms of VAS and Schiff score. The test group achieved significantly greater relief from hypersensitivity compared with the control group after 4-week at-home use (for VAS, test group: 0.66 ± 0.68 versus control group: 0.84 ± 0.78, p = 0.005; for Schiff score, test group: 0.69 ± 0.71 versus control group: 0.97 ± 0.77, p < 0.001). Conclusions: Home-use of n-CAP based dentifrice provided a significantly better alleviation of DH following non-surgical periodontal therapy after 4 weeks compared to the control product. Trail registration: Chinese Clinical Trials Registry (No. ChiCTR-IPR-17011678, http://www.chictr.org.cn/, registered 16 June, 2017)

Longitudinal Effects of Early Literacy Concepts on Reading Achievement: A Kindergarten Intervention and Five-Year Follow-up

1996 ◽  
Vol 28 (1) ◽  
pp. 173-195 ◽  
Author(s):  
Linda M. Phillips ◽  
Stephen P. Norris ◽  
Jana M. Mason
Keyword(s):  
Reading Achievement ◽  
Early Literacy ◽  
Literacy Intervention ◽  
Control Group ◽  
Control Group Design ◽  
Language Program ◽  
Treatment Groups ◽  
Longitudinal Effects ◽  
At Home

The effects of a literacy intervention in kindergarten were measured using a control-group design. Three treatment groups were taught using beginning-reading booklets to complement the authorized language program. One group used the booklets at home; the second, both in school and at home; and the third, in school only. Data were gathered at the beginning of kindergarten and at the end of kindergarten, first, second, third, and fourth grades. Results indicated that children's knowledge of early literacy concepts increased during kindergarten, and that this improved students' reading achievement for the next 4 years. Effects were strongest and longest lasting for the in-school group.

scholarly journals Evaluation of Clinical Follow-Up of The Patients Monitored at Home Due To COVID-19 Pandemic

2021 ◽  
Vol 10 (4) ◽  
pp. 163-170
Author(s):  
Ayse Didem Esen ◽  
Secil Arica ◽  
Mikail Ozdemir
Keyword(s):  
Family Health ◽  
Definitive Diagnosis ◽  
Hospitalized Patients ◽  
Health Centers ◽  
The Novel ◽  
Cross Sectional ◽  
The Family ◽  
The Mean ◽  
At Home

Aim: The most valuable approach to prevent the spread of the novel COVID-19, which is a pandemic today, is to detect, isolate, and treat patients. The majority of patients are mild or asymptomatic cases. These cases are followed up and isolated at home in many countries. With a governmental decision issued in Turkey, it has been deemed appropriate to follow up the suspected, contact or definitive diagnosis patients who do not indicate inpatient treatment, have a mild clinical course, or do not have a risk factor that may lead to a severe course of COVID-19, at home by the family practice units. In this study, we aimed to investigate the characteristics of the patients with COVID-19 who were being monitored at home. Methods: The study was designed as a retrospective cross-sectional observational study. In this study, 321 people who were registered at the Education and Family Health Centers of our hospital and followed up as COVID-19 suspects, contacts, or definitive cases were identified. Home follow-up data of these patients between April 1-30 were obtained retrospectively from the records of family health centers. Data, such as the presence and course of symptoms of people followed at home, their isolation status, medicine usage status, and test results were recorded electronically for further analysis. Results: In this study, 321 patients, 163 (50.28%) males, and 158 (49.22%) females were included. Among 321 patients, 287 (89.41%) were contact patients, 54 (16.82%) were suspected patients, and 28 (8.72%) had a definitive diagnosis. The mean age of the patients was 40.00±20.68. Among the patients included in this study, 27 (8.41%) were hospitalized, symptoms worsened in 8 (2.49%), 5 (1.56%) were re-applied to the hospital, 5 (1.56%) were re-hospitalized, and 28 people (8.72%) were administered medication. Conclusion: The mean age of patients who complied with the measures of isolation was higher than patients who did not. The mean age of hospitalized patients was higher than in non-hospitalized patients. The frequency of observed symptoms was consistent with the previous studies in the literature. Keywords: cough, fever, pandemics, quarantine, SARS-CoV-2

scholarly journals Dissemination and Effectiveness of the Peer Marketing and Messaging of a Web-Assisted Tobacco Intervention: Protocol for a Hybrid Effectiveness Trial (Preprint)

2019 ◽  
Author(s):  
Jamie M Faro ◽  
Elizabeth A Orvek ◽  
Amanda C Blok ◽  
Catherine S Nagawa ◽  
Annalise J McDonald ◽  
...  
Keyword(s):  
Health Communication ◽  
Risk Reduction ◽  
Recommender System ◽  
Recruitment Rate ◽  
Control Group ◽  
Patient Centered ◽  
Intervention Protocol ◽  
Patient Reported ◽  
The Impact

BACKGROUND Smoking continues to be the leading preventable cause of death. Digital Interventions for Smoking Cessation (DISCs) are health communication programs accessible via the internet and smartphones and allow for greater reach and effectiveness of tobacco cessation programs. DISCs have led to increased 6-month cessation rates while also reaching vulnerable populations. Despite this, the impact of DISCs has been limited and new ways to increase access and effectiveness are needed. OBJECTIVE We are conducting a hybrid effectiveness-dissemination study. We aim to evaluate the effectiveness of a machine learning–based approach (recommender system) for computer-tailored health communication (CTHC) over a standard CTHC system based on quit rates and risk reduction. In addition, this study will assess the dissemination of providing access to a peer recruitment toolset on recruitment rate and variability of the sample. METHODS The Smoker-to-Smoker (S2S) study is a 6-month hybrid effectiveness dissemination trial conducted nationally among English-speaking, current smokers aged ≥18 years. All eligible participants will register for the DISC (Decide2quit) and be randomized to the recommender system CTHC or the standard CTHC, followed by allocation to a peer recruitment toolset group or control group. Primary outcomes will be 7-day point prevalence and risk reduction at the 6-month follow-up. Secondary outcomes include recruitment rate, website engagement, and patient-reported outcomes collected via the 6-month follow-up questionnaire. All primary analyses will be conducted on an intent-to-treat basis. RESULTS The project is funded from 2017 to 2020 by the Patient Centered Outcomes Research Institute. Enrollment was completed in early 2019, and 6-month follow-ups will be completed by late 2019. Preliminary data analysis is currently underway. CONCLUSIONS Conducting a hybrid study with both effectiveness and dissemination hypotheses raises some unique challenges in the study design and analysis. Our study addresses these challenges to test new innovations and increase the effectiveness and reach of DISCs. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/14814

IV. Follow-up Survey

PEDIATRICS ◽  
1960 ◽  
Vol 25 (5) ◽  
pp. 923-925
Keyword(s):  
Health Department ◽  
Skin Lesions ◽  
Vancouver General Hospital ◽  
Skin Infections ◽  
Health Area ◽  
The Family ◽  
Rebound Increase ◽  
Discharge From Hospital ◽  
At Home

PLAN OF SURVEY A follow-up survey was done of all babies born between October, 1953, and August, 1954, in the Greater Vancouver Metropolitan Health Area. Public health nurses of the Metropolitan Health Department and the Victorian Order of Nurses were sent into the home sometime before the infant reached the age of 6 weeks. They recorded the mother's report of all skin lesions and infections in the baby or members of the family. The questionnaire, which was completed by the nurse, is provided as an Appendix. RESULTS Table XX shows the number of visits to infants born in the Greater Vancouver hospitals. The figures of the final row show the incidence of reported "disease" in infants. Out of 9,346 mothers 2,790 (29.8%) reported some "disease" which had affected their baby in the first 6 weeks of life. Table XXI gives an analysis of the data derived from the survey that pertains to "disease" in the infant and family. We were specially interested in the number of skin infections developing in the infants at home. This is shown in Table XXII. It had been suggested that the effect of hexachlorophene on the incidence of skin infection was only temporary, and that a rebound increase in infection might occur after the babies' discharge from hospital. At the time of the survey only hospital A [See Table XX and XXI in Source PDF] [See Table XXII in Source PDF] (Vancouver General Hospital) was using hexachlorophene on the skin of the newborn. It will be seen in Table XXII that the reported rate of skin infections developing in the infants at home after discharge from this hospital compared favourably with the majority of other hospitals.

Postal self-exposure treatment of recurrent nightmares

1998 ◽  
Vol 172 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Mary Burgess ◽  
Isaac M. Marks ◽  
Michael Gill
Keyword(s):  
Treatment Method ◽  
The Self ◽  
Waiting List ◽  
Drop Out ◽  
Control Group ◽  
Drop Out Rate ◽  
Intent To Treat ◽  
Treatment Manuals ◽  
At Home

BackgroundMarry nightmare sufferers do not consult a health care professional. Though behaviour and cognitive therapy can help, they have not been tested as a self-treatment method at home using a manual.MethodOne hundred and seventy adults with primary nightmares were randomised to four weeks' self-exposure or self-relaxation at home using manuals posted to them, or to a waiting-list as a control group for four weeks. Individuals recorded nightmare frequency and intensity in four-week diaries.ResultsAt one- and six-month follow-up, the self-rated nightmare frequency felt more significantly in exposure subjects than relaxation or waiting-list subjects. The self-exposure group had the most drop-outs but remained superior in an over-cautious intent-to-treat analysis. The individuals' partners confirmed the superiority of self-exposure to self-relaxation at one- and six-month follow-up.ConclusionsRecurrent nightmare sufferers improved more with self-exposure manuals than with self-relaxation manuals or by being on a waiting-list. Self-exposure may be needed for longer than four weeks in order to reduce nightmare intensity as well as frequency. Despite a high drop-out rate, some sufferers of other conditions may benefit from self-treatment manuals.

Sign in / Sign up

Export Citation Format

Share Document