scholarly journals Improve Management of Mental Well-being and Empathy in Chinese Medical Students: A Randomized Controlled Study

2021 ◽  
Author(s):  
Rong Rong ◽  
Wei Chen ◽  
Zihao Dai ◽  
Jingli Gu ◽  
Weiying Chen ◽  
...  
Keyword(s):  
Medical Students ◽  
Self Efficacy ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Chi Square ◽  
Chinese Medical Students ◽  
Chi Square Test ◽  
Interventional Group ◽  
Mental Well Being

Abstract Background: The Chinese medical students suffer from high prevalent mental health-related issues and low empathy. Effective strategies to improve the situations are lacking. This study aims to investigate the efficacy of the well-designed interventional courses to enhance the mental health and empathy of the senior Chinese medical students. Methods: A total of 146 3rd and 4th year medical students were randomized to intervention group (n=74) and control group (n=72). A pilot study including 5 pre-clinical students and 5 interns was first carried out to determine the themes and contents of the interventional courses. The designed courses were delivered in the intervention group once a month for three times, while the control group had no specific intervention. Five self-assessment questionnaires including the General Self-Efficacy (GSE), Medical Outcomes Study Short Form 8 (SF-8), Patient Health Questionnaire-9 (PHQ-9), Maslach Burnout Inventory (MBI), and Jefferson Scale of Empathy-Health Care Provider Student version (JSE-HPS) that separately evaluated the level of self-efficacy (SE), quality of life (QoL), depression, burnout, and empathy were completed by the students before and one month after the courses. Qualitative data were collected via e-mails two year after the intervention.Results: Compared to the control group, the interventional group showed significantly higher scores of the empathy (111.0 [IQR 102.0, 118.0] vs 106.0 [IQR 93.0, 111.5]; P = .01) and QoL (32.0 [IQR 28.0, 35.0] vs 29.5 [IQR 26.0, 34.0]; P = .04). The rate of depression was significantly decreased in the interventional group compared to that in the control group (13.5% vs 29.2%; Chi-square test, P = .02). However, no significant differences of self-efficacy (25.6 ± 4.8 vs 24.3 ± 6.3; P = .16) and burnout (27.0% vs 34.7%; Chi-square test, P = .31) were observed between the two groups.Conclusions: The well-designed interventional courses had a positive impact on the mental well-being and empathy in senior Chinese medical students, which may help provide novel information for incorporation into the medical school curriculum.

scholarly journals Improvement of the management of mental well-being and empathy in Chinese medical students: a randomized controlled study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rong Rong ◽  
Wei Chen ◽  
Zihao Dai ◽  
Jingli Gu ◽  
Weiying Chen ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Self Efficacy ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Chi Square ◽  
Chinese Medical Students ◽  
Chi Square Test ◽  
Mental Well Being

Abstract Background Among Chinese medical students, there is a high prevalence of mental health-related issues and low empathy. Effective strategies to improve this situation are lacking. This study aims to investigate the efficacy of the intervention courses designed to enhance the mental health and empathy of senior Chinese medical students. Methods A total of 146 3rd - and 4th -year medical students were randomized to an intervention group (n = 74) and a control group (n = 72). A pilot study including 5 pre-clinical students and 5 interns was first carried out to determine the themes and content of the intervention courses. The designed courses were delivered in the intervention group once a month three times, while the control group had no specific intervention. Five self-assessment questionnaires, including the General Self-Efficacy (GSE) scale, Medical Outcomes Study Short Form 8 (SF-8), Patient Health Questionnaire-9 (PHQ-9), Maslach Burnout Inventory (MBI), and Jefferson Scale of Empathy-Health Care Provider Student version (JSE-HPS), were completed by the students before and one month after the courses to evaluate their levels of self-efficacy (SE), quality of life (QoL), depression, burnout, and empathy, respectively. Qualitative data were collected via e-mail two years after the intervention. Results Compared to the control group, the intervention group showed significantly higher scores for empathy (111.0 [IQR 102.0, 118.0] vs. 106.0 [IQR 93.0, 111.5]; P = .01) and QoL (32.0 [IQR 28.0, 35.0] vs. 29.5 [IQR 26.0, 34.0]; P = .04). The rate of depression was significantly lower in the intervention group than in the control group (13.5 % vs. 29.2 %; chi-square test, P = .02). However, no significant differences in self-efficacy (25.6 ± 4.8 vs. 24.3 ± 6.3; P = .16) or burnout (27.0 % vs. 34.7 %; Chi-square test, P = .31) were observed between the two groups. Conclusions The intervention courses had a positive impact on mental well-being and empathy in senior Chinese medical students, which might help provide novel information for their incorporation into the medical school curriculum. Trial registration ClinicalTrials.gov Identifier: NCT02645643; Date of registration: 05/01/2016.

scholarly journals Improve Management of Stress-related Mental Disorders in Chinese Medical Students: A Randomized Controlled Study

2020 ◽  
Author(s):  
Rong Rong ◽  
Wei Chen ◽  
Zihao Dai ◽  
Jingli Gu ◽  
Weiying Chen ◽  
...  
Keyword(s):  
Medical Students ◽  
Mental Disorders ◽  
Self Efficacy ◽  
Positive Impact ◽  
Controlled Study ◽  
Control Group ◽  
Before And After ◽  
Chinese Medical Students ◽  
Group 5 ◽  
Interventional Group

Abstract Background Depression, burnout and reduced clinical empathy are the most prevalent mental disorders in medical students. Effective strategies to improving the situations are lacking. This study aimed to investigate the efficacy of teaching an interventional course tailored to the needs of senior Chinese medical students. Methods Our study enrolled a total of 146 senior medical students from Zhongshan School of Medicine, Sun Yat-sen University between March 2016 and June 2016 for analysis. The study designed an interventional course based on the preliminary data revealed by a pilot study group (5 pre-clinical students and 5 interns), and the control group got the traditional courses. Before and after the courses, our study required all students to complete five self-assessment questionnaires to evaluate the score of depression, burnout, empathy, self-efficacy (SE), and quality of life (QoL). Results After the courses, the interventional group had significantly higher empathy and QoL scores, compared to the control group (111.0 vs 106.0, P = .012, and 32 vs 29.5, P = .04, respectively). While depression scores in the interventional group were significantly lower than those in control group (P = .02). However, there were no significant differences in burnout and self-efficacy scores between both groups. Conclusions Our interventional course had a positive impact on the stress-related mental disorders of Chinese medical students, which may help provide novel information for incorporation into the “wellness curricula” of medical schools.

Efficacy of ‘Foundations’, a Digital Mental Health App to Improve Mental Well-Being, during COVID-19: A Proof-of-Principle Randomised Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Silvina Catuara-Solarz ◽  
Bartlomiej Skorulski ◽  
Inaki Estella ◽  
Claudia Avella-Garcia ◽  
Sarah Shepherd ◽  
...  
Keyword(s):  
Mental Health ◽  
Perceived Stress ◽  
Intervention Group ◽  
Well Being ◽  
Self Report ◽  
World Health ◽  
Randomised Control Trial ◽  
Control Group ◽  
Mental Well Being ◽  
Proof Of Principle

BACKGROUND Against a long-term trend of increasing demand, the COVID-19 pandemic has led to a global rise in common mental disorders. Now more than ever, there is an urgent need for scalable, evidence-based interventions to support mental well-being. OBJECTIVE The aim of this proof-of-principle study was to evaluate the efficacy of a mobile-based app in adults with self-reported symptoms of anxiety and stress in a randomised control trial that took place during the first wave of the COVID-19 pandemic in the UK. METHODS Adults with mild to severe anxiety and moderate to high levels of perceived stress were randomised to either the intervention or control arm. Participants in the intervention arm were given access to the app, Foundations, for the duration of the 4-week study. All participants were required to self-report a range of validated measures of mental well-being (10-item Connor-Davidson Resilience scale [CD-RISC-10]; 7-item Generalised Anxiety Disorder scale [GAD-7]; Office of National Statistics Four Subjective Well-being Questions [ONS-4]; World Health Organisation-5 Well-Being Index [WHO-5]) and sleep (Minimal Insomnia Scale [MISS]) at baseline and weeks 2 and 4; and, in addition, on perceived stress weekly (10-item Perceived Stress Score [PSS]). RESULTS 136 participants completed the study and were included in the final analysis. The intervention group (n=62) showed significant improvements compared to the control group (n=74) on measures of anxiety (GAD-7 score, delta from baseline to week 2 in the intervention group: -1.35 [SD 4.43]; control group: -0.23 [SD 3.24]; t134= 1.71 , P=.04), resilience (CD-RISC score, delta from baseline to week 2 in the intervention group: 1.79 [± SD 4.08]; control group: -0.31 [± SD 3.16]; t134 -3.37, P<.001), sleep (MISS score, delta from baseline to week 2 in the intervention group: -1.16 [± SD 2.67]; control group: -0.26 [± SD 2.29]; t134= 2.13, P=.01), and mental well-being (WHO-5 score, delta from baseline to week 2 in the intervention group: 1.53 [5.30]; control group: -0.23 [± SD 4.20]; t134= -2.16, P=.02) within 2 weeks of using Foundations, with further improvements emerging at week 4. Perceived stress was also reduced within the intervention group, although the results did not reach statistical significance relative to the control group (PSS score, delta from baseline to week 2 in the intervention group: -2.94 [± SD 6.84]; control group: -2.05 [± SD 5.34]; t134= 0.84, P=.20). CONCLUSIONS This study provides proof-of-principle that the digital mental health app, Foundations, can improve measures of mental well-being, anxiety, resilience, and sleep within 2 weeks of use, with greater effects after 4 weeks. It therefore offers potential as a scalable, cost-effective, and accessible solution to enhance mental well-being, even during times of crisis such as the COVID-19 pandemic.

scholarly journals Channa striata (Ikan Gabus) Extract and the Acceleration of Tuberculosis Treatment: A True Experimental Study

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Isa Ma’rufi ◽  
Khaidar Ali ◽  
Ign Arya Sedemen ◽  
P. Purwanto ◽  
Abu Khoiri
Keyword(s):  
Experimental Study ◽  
Intervention Group ◽  
International Health ◽  
Tuberculosis Treatment ◽  
Control Group ◽  
P Value ◽  
Chi Square ◽  
Chi Square Test ◽  
Channa Striata ◽  
True Experiment

Tuberculosis is international health problem, which is classified in Global Emergency disease since 1992. The objective of the study is to determine the effect of Channa striata extract toward the acceleration of tuberculosis treatment. The study used true experiment, in which the intervention of the study was Channa striata supplementation to respondent. In addition, Chi-square was used to analyze the data with SPSS version 22. The result is the proportion of respondent classified in negative category in intervention group within week 0, week 1, week 2, week 3, and week 4 being 10.7%, 35.9%, 56.3%, 70.9%, and 90.3%, respectively. Besides, the proportion of respondent classified in negative category in control group within week 0, week 1, week 2, week 3, and week 4 was 13.4%, 23.7%, 37.1%, 49.5%, and 68%, respectively. Based on Chi-square test, the P value of Channa striata supplementation toward the acceleration of tuberculosis treatment week 1, week 3, and week 4 is 0.045, 0.019, and 0.005 (P< α; α=0.05), respectively. It means that there were differences between Channa striata supplementation and acceleration of tuberculosis treatment among respondent. Therefore, Channa striata treatment was significantly related to the acceleration of tuberculosis recovery.

scholarly journals the THE CORRELATION BETWEEN SELF-EFFICACY OF POOR MOTHER WITH NUTRITIONAL PATTERN TO UNDER-FIVE CHILDREN

2018 ◽  
Vol 2 (02) ◽  
pp. 169-177
Author(s):  
Tri Ratna Ningsih ◽  
Moh Ali Mansur ◽  
Arif Efendi
Keyword(s):  
Self Efficacy ◽  
Research Result ◽  
Nutrition Status ◽  
Control Group ◽  
Case Group ◽  
Validity And Reliability ◽  
Chi Square ◽  
Under Five ◽  
Chi Square Test ◽  
Parenting Pattern

Nutrition fulfill was an important thing to be considered in increasing the nutrition status of under-fives, because under five years old children had rapid growth phase. Therefore, the intake of nutrition need to get more attention. The purpose of this research was to analyze the correlation between self-efficacy of mother from poor families with nutritional parenting pattern of under-fives in the area of Mojokerto Regency East Java. The research design used case control with case population which was poor mother with healthy under-fives and control population was poor mother with under-fives who had nutritional problems. The number of sample was 79 people for case group and 41 people for control group. The sampling technique used multi stage sampling. The data collection used questionnaire which had beed tested the validity and reliability to 30 people. The data analysis used statistic chi square test. The research result showed that the correlation of self-efficacy with good parenting pattern as many as 68 people (81,0%) the analysis result with chi square obtained uji p = 0,000, self-efficacy  with good love pattern as many as 52 people (61,9 %) the result analysis with chi square test obtained p = 0,000, self-efficacy with sharpening pattern as many as 57 people (67,9%) the analysis result of chi square test obtained p = 0,000, self-efficacy with nutritional parenting pattern as many as 44 people (52,4%) the result of analysis with chi square test obtained p = 0.001,  value of α = 0,05, meant there was correlation between self-efficacy with nutritional parenting pattern of under-fives. The nutritional parenting of under-fives was important to be considered because it had huge impact and prolonged impact on health status, physic and mental development, and also the productivity of children when they grew up, so self-efficacy was needed to give nutrition to their under-fives.

scholarly journals Effectiveness of a Snoezelen Room on Fear, Anxiety, and Satisfaction of Nulliparous Women: A Randomized Controlled Trial

2020 ◽  
Vol 14 (2) ◽  
Author(s):  
Mariyam Momeni ◽  
Mansoureh Jamshidimanesh ◽  
Hadi Ranjbar
Keyword(s):  
Repeated Measures ◽  
Rating Scale ◽  
Controlled Trial ◽  
Intervention Group ◽  
Active Phase ◽  
Control Group ◽  
Chi Square ◽  
Nulliparous Women ◽  
Significant Difference ◽  
Interventional Group

Background: Pregnancy and childbirth are natural phenomena in a women’s life, associated with stress and anxiety, leading to adverse effects in the mother and fetus. Using complementary medicine, such as aromatherapy, music, light radiation, and aquariums in an environment that engage a person’s multiple senses can make mothers relax through mental deviations. Objectives: The aim of this study was to evaluate the effects of a Snoezelen room on fear, anxiety, and satisfaction of childbirth’s nulliparous women. Methods: This randomized clinical trial was carried out on 130 eligible women in a selected hospital affiliated to the Iran University of Medical Sciences in Tehran. One hundred thirty women were randomly assigned to the intervention (n = 65) and control (n = 65) groups using six modes blocks using the convenient sampling method. The delivery room was designed to distract women’s minds in the intervention group. Data were collected using a demographic characteristics form, Harman’s Childbirth Attitude questionnaire (CAQ), Visual Analogue scale (VAS) to measure childbirth anxiety, and the Mackey Childbirth Satisfaction Rating scale. Data were analyzed by SPSS version 16 using independent t-test, repeated measures analysis of variance, and Bonferroni and chi-square tests. Results: The results showed a significant reduction in fear in the active phase and postpartum in the intervention group compared with the control group (P < 0.001 and P < 0.001, respectively). Anxiety showed a significant difference and was lower at dilatation of 6 to 7 and 7 to 8 cm, and after childbirth in the interventional group. The satisfaction of childbirth significantly increased in the interventional group (P < 0.001). Conclusions: These results confirmed the importance of a Snoezelen room in the childbirth of nulliparous women, which can promote vaginal childbirth.

scholarly journals Pengaruh Mobilisasi Dini terhadap Penyembuhan Luka dan Peningkatan Aktivitas Pasien Postoperasi Laparatomi

2021 ◽  
Vol 10 (1) ◽  
pp. 238
Author(s):  
Yuliana Yuliana ◽  
Andrew Johan ◽  
Nana Rochana
Keyword(s):  
Wound Healing ◽  
Physical Function ◽  
Intervention Group ◽  
Early Mobilization ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Control Group ◽  
Chi Square ◽  
Chi Square Test ◽  
Increased Activity

Laparatomy is surgery of the abdomen to open the lining of the abdomen. The treatment reduces complications due to surgery, accelerates healing and restores the patient's function to the maximum extent possible before surgery. Returns physical function immediately after surgery with early mobilization. The purpose of this study was to look at the effect of early mobilization on wound healing and increased patient activity postoperatively in laparotomy. This type of research is quantitative with quasy eksperiment with control gruop designs. The number of samples was 88 Laparatomi patients, taken using purposive sampling technique. Tool of data using observation sheets. Data were analyzed using chi-square test and Wilcoxon test. The results of the study stated that there were significant differences between the control group and the intervention group on wound healing (p= 0.047) and on increased activity (p= 0.005). The results of the study it can be concluded that there is an influence of early mobilization on wound healing and increased patient activity. The results of this study recommend early mobilization using progressive mobility procedures in accordance with client activity intolerance

scholarly journals Pengaruh Teknik Penyuluhan Terhadap Keikutsertaan Pemeriksaan IVA Pada WUS Di Kelurahan Dasan Agung Kota Mataram Nusa Tenggara Barat

2019 ◽  
Vol 1 (1) ◽  
pp. 20
Author(s):  
Mutiara Rachmawati Suseno ◽  
Rosita Wati ◽  
Yunita Marliana
Keyword(s):  
Intervention Group ◽  
Sampling Technique ◽  
Control Group ◽  
P Value ◽  
Childbearing Age ◽  
Chi Square ◽  
Detection Program ◽  
Chi Square Test ◽  
Counseling Technique ◽  
Chi Square Analysis

Background and purpose: nationally the implementation of early detection program with IVA examination method simultaneously in all regions in Indonesia conducted on 21 April 2015 with efforts to reduce the incidence of ca cervical in Indonesia. In Puskesmas Dasan Agung, IVA examination program started in 2016 with the lowest presentation among all health centers in Mataram city that is much as (1,39%) with the number of WUS 4153 soul and who come check as many as 58 people. This study aims to determine the influence of extension techniques on the participation of IVA examination in WUS in Kelurahan Dasan Agung. Methods: This research uses Quasi Experiment research design. The population in this study were all women of childbearing age in Kelurahan Dasan Agung as many as 2462 peoples. Samples in research using purposive sampling technique counted 60 peoples. The analysis used chi-square test. Results: From 60 respondents, who participated in IVA examination in the intervention group with 17 lectures (56,7%) interactive lecture and control group with lecture counseling technique as many as 4 people (13,3%). Chi-square analysis results obtained there is influence of extension technique to IVA examination involvement with obtained value p value = 0,001 atau p < α=0,05. Conclusion: extension techniques have an effect on the participation of IVA examination in WUS in Kelurahan Dasan Agung.

scholarly journals OPTIMALISASI POSISI JANIN MELALUI PRENATAL YOGA TERHADAP OUTPUT PERSALINAN DI PUSKESMAS WILAYAH KOTA CIREBON

2020 ◽  
Vol 8 (3) ◽  
pp. 396
Author(s):  
Nurasih Nurasih ◽  
Endang Nurrochmi
Keyword(s):  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Chi Square ◽  
Control Group Design ◽  
Before And After ◽  
Chi Square Test ◽  
And Control

In Indonesia, Yoga is currently one of the most popular sports, not only for the general public but also for pregnant women. Many benefits can be obtained from prenatal yoga including the mother feeling comfortable and relaxed throughout pregnancy and during childbirth, training the pelvic floor muscles and perineum, keeping the body's muscles relaxed, balanced during childbirth, reducing stress, increasing and improving oxygen circulation to the body and fetus. . This study aims to determine the effect of prenatal yoga on optimizing fetal position on third trimester Primigravida maternal delivery output at Puskesmas Cirebon City. This research is a quasi-experimental research pre post control group design and only post control group design with T test and Chi Square test. Paired T Test results of the intervention group (mean difference = 3.111, P value = 0.000, control group (mean difference = 0.833, P value = 0.318). Independent T Test results obtained (average difference = -1.944, P value = 0.024), Chi Square test obtained a value of P = 0.73. There is a difference in the average anxiety before and after the intervention in the intervention group, there is no difference in average anxiety before and after the intervention in the control group. There is a difference in the average anxiety between the intervention and control groups. There is a difference in mean Long I stage between the intervention and control groups There was no effect of prenatal yoga on the type of labor.

scholarly journals Impact of Pre-Transplantation Psychological Counseling in Improving the Mental Well-Being of Patients on Hemodialysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Qianyun Zhao ◽  
Sen Zhang ◽  
Ran Yu
Keyword(s):  
Kidney Transplantation ◽  
Nursing Care ◽  
Negative Emotions ◽  
Intervention Group ◽  
Well Being ◽  
Psychological Status ◽  
Control Group ◽  
Psychological Counseling ◽  
Significant Difference ◽  
Mental Well Being

Background: Patients who are on hemodialysis (HD) and are waiting for kidney transplantation encounter various psychological issues.Objective: The current research aimed to compare the effectiveness of regular nursing care with that of nursing care coupled with dedicated psychological counseling in patients who were on HD before they underwent kidney transplantation.Methods: Baseline data were collected 1 month before kidney transplantation in patients of both the control (patients who received general nursing care between August 2011 and June 2015) and intervention (patients who received nursing care and psychological counseling between June 2015 and July 2018) groups. The Mental Status Scale in Non-Psychiatric Settings (MSSNS) was administered to assess and record the psychological status. Clinicodemographic and end-stage renal disease (ESRD)-related details, including duration of dialysis, causes for ESRD, the number of dialysis sessions performed before transplantation, and MSSNS scores, were recorded and compared between the groups.Results: A total of 37 patients were enrolled, including 19 in the control group and 18 in the intervention group. The number of dialysis sessions performed before transplantation was 143 (26, 564) and 227.5 (39, 767), and dialysis duration was 20.4 ± 14.5 and 14.4 ± 12.1 months in the intervention and control groups, respectively. There was no significant difference in baseline negative emotions between the two groups (P &gt; 0.05). The psychological intervention group reported significantly lower anxiety, depression, anger, and loneliness scores than the control group (P &lt; 0.05).Conclusion: Psychological counseling before kidney transplantation in patients on HD could reduce their negative emotions and enhance mental well-being.

Sign in / Sign up

Export Citation Format

Share Document