SMART: Stress Management and Resilience Training for emergency physicians. Protocol for a pilot study with intervention. (Preprint)

UNSTRUCTURED Background In recent years, the factors of stress, anxiety and work-life balance received more attention. More specifically, the determinants of professional well-being, impact of occupational risks and traumatic events, stress and type D personality, and work stress related problems in physicians in COVID-19 Times were addressed in physicians and more specifically in emergency physicians. The primary aim of this study is to evaluate the effectiveness of a Stress Management and Resiliency Training (SMART) program on stress, anxiety and resilience as well as the professional quality of life of hospital physicians and in particular emergency physicians. Methods This is a pre-post intervention study, pilot study with intervention. Setup / Participants: The participants (hospital physicians/emergency physicians) are recruited through internal and external networks such as the specialist medicine trainees and social media of the own professional group of physicians and physician specialists in training. A combination of several validated interventional and coping strategies will be used to achieve an improvement of personal factors such as stress reduction, anxiety reduction, resilience, quality of professional life of the hospital physicians/emergency physicians. This study also measures additional data such as heart rate variability and physical activity based on the number of daily steps. Discussion Some aspects of this intervention study have already been initiated in previous studies, whereby we aim to achieve even more efficient and structural improvement with a combination of various validated methodologies and coping strategies to address these factors (stress reduction, anxiety reduction, resilience increase, quality of life increase) of hospital/emergency physicians. The abovementioned study will also include process measures such as heart rate variability and physical activity based on the number of daily steps. With this she responds to new trends in chronic stress research. Further studies should be undertaken to confirm the results of this study to identify determinants that can be the object of adequate interventions to improve professional well-being in these physicians.

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Inquiry Based Stress Reduction (IBSR) Improves Overall Stuttering Experience among Adults Who Stutter: A Randomized Controlled Trial

Journal of Clinical Medicine ◽

10.3390/jcm10102187 ◽

2021 ◽

Vol 10 (10) ◽

pp. 2187

Author(s):

Omrit Feldman ◽

Eran Goldstien ◽

Benjamin Rolnik ◽

Ariel B. Ganz ◽

Shahar Lev-Ari

Keyword(s):

Quality Of Life ◽

Stress Reduction ◽

Satisfaction With Life ◽

Psychological Flexibility ◽

Well Being ◽

The United States ◽

Control Group ◽

Randomized Controlled ◽

Adults Who Stutter

Stuttering is a speech disorder that can cause disturbances in the timing and flow of speech. In addition to being a communication disorder, stuttering is often accompanied by a reduction in the quality of life and has impacts on social status, mental well-being, self-acceptance, and the chances of integration into the labor market. The Inquiry Based Stress Reduction (IBSR) program, developed in the United States by Byron Katie in 1986, is the clinical application of “The Work” method (Thework.com) and represents an emerging mindfulness and cognitive-reframing method. IBSR has been demonstrated to improve mental health and well-being in adults and may alleviate psychological and psychosocial symptoms of stuttering. The purpose of this trial was to examine the effect of a 12-week IBSR intervention on the overall stuttering experience and indicators of anxiety, psychological flexibility, and well-being among adults who stutter (AWS). This study was a randomized controlled clinical trial. Participants were randomized to IBSR (n = 28) and control (n = 28) groups. Validated questionnaires of overall stuttering experience (OASES-A), anxiety (STAI), psychological flexibility (PFQ), and satisfaction with life (SWLS) were completed before, after, and one month after the intervention. An intention-to-treat approach was implemented for analysis. Our results show that participants in the IBSR intervention group exhibited a greater improvement in their overall stuttering experience as compared to the control group, as well as in general information on stuttering awareness and perception, reactions to stuttering, communication in daily situations, and quality of life. In addition, we found a greater reduction in anxiety levels and an increase in satisfaction-with-life scores in the IBSR group. These results indicate that IBSR can improve the overall stuttering experience.

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Virtual reality-based relaxation for enhancement of perioperative well-being and quality of life: protocol for a randomised pilot trial

BMJ Open ◽

10.1136/bmjopen-2020-044193 ◽

2021 ◽

Vol 11 (4) ◽

pp. e044193

Author(s):

Matthias Christian Schrempf ◽

Julian Quirin Petzold ◽

Hugo Vachon ◽

Morten Aagaard Petersen ◽

Johanna Gutschon ◽

...

Keyword(s):

Quality Of Life ◽

Virtual Reality ◽

Sample Size ◽

Stress Reduction ◽

Pilot Trial ◽

Well Being ◽

Coping Resources ◽

Patients With Cancer ◽

Sample Size Calculations

IntroductionPatients with cancer undergoing surgery often suffer from reduced quality of life and various forms of distress. Untreated distress can negatively affect coping resources as well as surgical and oncological outcomes. A virtual reality-based stress reduction intervention may increase quality of life and well-being and reduce distress in the perioperative phase for patients with cancer. This pilot trial aims to explore the feasibility of the proposed intervention, assess patient acceptability and obtain estimates of effect to provide data for sample size calculations.Methods and analysisPatients with colorectal cancer and liver metastasis undergoing elective surgery will be recruited for this single-centre, randomised pilot trial with a three-arm design. A total of 54 participants will be randomised at 1:1:1 ratio to one of two intervention groups or a control receiving standard treatment. Those randomised to an intervention group will either receive perioperative virtual reality-based stress reduction exercises twice daily or listen to classical music twice daily. Primary feasibility outcomes are number and proportions of participants recruited, screened, consented and randomised. Furthermore, adherence to the intervention, compliance with the completion of the quality of life questionnaires and feasibility of implementing the trial procedures will be assessed. Secondary clinical outcomes are measurements of the effectiveness of the interventions to inform sample size calculations.Ethics and disseminationThe study protocol, the patient information and the informed consent form have been approved by the ethics committee of the Ludwigs-Maximilians-University, Munich, Germany (Reference Number: 19–915). Study findings will be submitted for publication in peer-reviewed journals.Trial registration numberDRKS00020909.

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Relationship between Sedentary Time, Physical Activity, and Health-Related Quality of Life in Spanish Children

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052702 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2702

Author(s):

Manuel Ávila-García ◽

María Esojo-Rivas ◽

Emilio Villa-González ◽

Pablo Tercedor ◽

Francisco Javier Huertas-Delgado

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Sedentary Time ◽

Vigorous Physical Activity ◽

Well Being ◽

Self Esteem ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Higher sedentary time and lower physical activity (PA) are associated with a poor health-related quality of life (HRQoL) in children. The aims of this study were: (1) to analyze the sedentary time, objectively measured PA levels (light, moderate, vigorous, and moderate-to-vigorous physical activity (MVPA)), and HRQoL dimensions (physical well-being, emotional well-being, self-esteem, family, friends, school, and total score) in children; and (2) to examine the association between sedentary time, PA levels, and HRQoL in children separately by sex. A total of 459 children (8.4 ± 0.4 years old, 50.54% males) from 15 schools in Granada (Spain) participated in the study. A tri-axial accelerometer was used to measure PA levels in the children for 7 consecutive days. The Revidierter KINDer Lebensqualitätsfragebogen (KINDL-R) questionnaire was used to determine the children’s HRQoL dimensions. The results showed that males presented more minutes engaged in MVPA than females. Both sedentary time and PA levels were associated with self-esteem and total score (all p < 0.05). In males, moderate and vigorous PA levels were associated with higher HRQoL, whereas light PA was associated with higher HRQoL in females. Future studies should take into account the use of activities with difference intensities in order to increase HRQoL in males and females.

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Mindfulness-based stress reduction for people with chronic diseases

Australian Journal of Primary Health ◽

10.1071/py09063 ◽

2010 ◽

Vol 16 (3) ◽

pp. 200 ◽

Cited By ~ 59

Author(s):

Monika Merkes

Keyword(s):

Quality Of Life ◽

Chronic Diseases ◽

Stress Reduction ◽

Well Being ◽

Multiple Chemical Sensitivity ◽

Self Report ◽

Original Research ◽

Mindfulness Based Stress Reduction ◽

The Impact

Mindfulness-based stress reduction (MBSR) is a structured group program that uses mindfulness meditation to improve well-being and alleviate suffering. This article reviews the impact of MBSR for people with chronic diseases. The review includes original research that was published in English and peer-reviewed and reported outcomes for adults with chronic diseases who had participated in an MBSR program. Fifteen studies were identified. Outcomes related to mental and physical health, well-being, and quality of life. The studies included different research designs, and used self-report and physiological outcome measures. Participants’ clinical diagnoses included fibromyalgia, chronic pain, rheumatoid arthritis, type 2 diabetes, chronic fatigue syndrome, multiple chemical sensitivity, and cardiovascular diagnoses. All 15 studies found that participation in an MBSR program resulted in improvements. No negative change was reported between baseline and follow up. Outcomes in regard to specific variables were difficult to compare and equivocal. Overall, positive change predominated. Chronic diseases are associated with a range of unwelcome psychological and physical consequences. Participation in an MBSR program is likely to result in coping better with symptoms, improved overall well-being and quality of life, and enhanced health outcomes. As an adjunct to standard care, MBSR has potential for much wider application in Australian primary care settings.

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The relationship of self-reported and device-based measures of physical activity and health-related quality of life in adolescents

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01682-3 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Kathrin Wunsch ◽

Claudio R. Nigg ◽

Susanne Weyland ◽

Darko Jekauc ◽

Claudia Niessner ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

School Environment ◽

Protective Factor ◽

Well Being ◽

Health Related Quality ◽

Psychological Well Being ◽

Related Quality ◽

Health Related

Abstract Background Physical activity (PA) has beneficial effects on health and health-related quality of life (HRQoL), which is a protective factor of illness and mortality. The purpose of this examination was to investigate if self-reported and device-based measures of PA were related to HRQoL in adolescents. Methods Participants (N = 1565; 54.3% female; Mage = 14.37 years, SDage = 1.99) were recruited from 167 sample points across Germany. Adolescents self-reported their PA, supplemented by a 1-week examination of device-based PA using accelerometry. Additionally, they completed the multidimensional KIDSCREEN-27 to assess HRQoL. Results Results showed that self-reported PA was correlated with overall HRQoL, Physical Well-Being, Psychological Well-Being, Social Support & Peers, and School Environment, whereas device-based PA was only correlated with Physical as well as Psychological Well-Being. Further, self-reported PA significantly predicted all facets of HRQoL except for Autonomy and Parent Relations, whereas device-based PA solely heightened the amount of explained variance in the Physical Well-Being subscale. Conclusions Findings demonstrate the importance of self-reported PA as it is related to almost all facets of HRQoL. Both measures of PA are not congruent in their relationship with HRQoL and thus implications have to be carefully considered. Future studies should investigate the direct effect of PA on HRQoL and health in a longitudinal approach to account for the causality of effects.

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Physical Activity and Sedentary Behavior in Adults With Cystic Fibrosis: Association With Aerobic Capacity, Lung Function, Sleep, Well-Being, and Quality of Life

Respiratory Care ◽

10.4187/respcare.09270 ◽

2021 ◽

pp. respcare.09270

Author(s):

Máire Curran ◽

Audrey C Tierney ◽

Brenda Button ◽

Louise Collins ◽

Lauren Kennedy ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Cystic Fibrosis ◽

Lung Function ◽

Sedentary Behavior ◽

Aerobic Capacity ◽

Well Being

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Quality of life of patients living with psoriasis: a qualitative study

10.21203/rs.3.rs-42042/v4 ◽

2020 ◽

Author(s):

silmara Meneguin ◽

Natalia Godoy ◽

Camila Fernandes Pollo ◽

Helio Amante Miot ◽

Cesar Oliveira

Keyword(s):

Quality Of Life ◽

Stress Reduction ◽

Financial Stability ◽

Social Stigma ◽

Public Awareness ◽

Disease Process ◽

Multidisciplinary Care ◽

Well Being ◽

Professional Activities

Abstract Background: Psoriasis is a multifactorial inflammatory disease prevalent in dermatology. We aimed to understand the perceptions of patients living with psoriasis in relation to their quality of life and to identify aspects to improve it. Methods: This is qualitative research carried out in a dermatology outpatient clinic of the São Paulo State University (UNESP) medical school, Botucatu, Brazil, with 81 psoriasis patients. The interviews were transcribed and analysed using the Discourse of the Collective Subject method (DCS). Results: Quality of life was linked to well-being, happiness, leisure, good food and financial stability. However, disease symptoms, social and clothing restrictions, impairment of professional activities and the absence of a cure, negatively influenced their perceptions. Suggestions for improvements included an increase of public awareness, stress reduction, disease acceptance and multidisciplinary care. Conclusion: The meanings of quality of life revealed by the participants are subjective, multidimensional, linked to moments experienced by them and to the health-disease process. Public health policies promoting reduction in social stigma and stress as well as multidisciplinary approaches towards care can contribute to improvements of QoL in psoriasis.

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Quality of life of patients living with psoriasis: a qualitative study

BMC Dermatology ◽

10.1186/s12895-020-00116-9 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Silmara Meneguin ◽

Natália Aparecida de Godoy ◽

Camila Fernandes Pollo ◽

Hélio Amante Miot ◽

Cesar de Oliveira

Keyword(s):

Quality Of Life ◽

Stress Reduction ◽

Financial Stability ◽

Social Stigma ◽

Public Awareness ◽

Disease Process ◽

Multidisciplinary Care ◽

Well Being ◽

Professional Activities

Abstract Background Psoriasis is a multifactorial inflammatory disease prevalent in dermatology. We aimed to understand the perceptions of patients living with psoriasis in relation to their quality of life and to identify aspects to improve it. Methods This is qualitative research carried out in a dermatology outpatient clinic of the São Paulo State University (UNESP) medical school, Botucatu, Brazil, with 81 psoriasis patients. The interviews were transcribed and analysed using the Discourse of the Collective Subject method (DCS). Results Quality of life was linked to well-being, happiness, leisure, good food and financial stability. However, disease symptoms, social and clothing restrictions, impairment of professional activities and the absence of a cure, negatively influenced their perceptions. Suggestions for improvements included an increase of public awareness, stress reduction, disease acceptance and multidisciplinary care. Conclusion The meanings of quality of life revealed by the participants are subjective, multidimensional, linked to moments experienced by them and to the health-disease process. Public health policies promoting reduction in social stigma and stress as well as multidisciplinary approaches towards care can contribute to improvements of QoL in psoriasis.

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