scholarly journals Effectiveness of a Web-Based Intervention on Parental Psychological Flexibility and Emotion Regulation: A Pilot Open Trial

2021 ◽  
Vol 18 (6) ◽  
pp. 2958
Author(s):  
Juan M. Flujas-Contreras ◽  
Azucena García-Palacios ◽  
Inmaculada Gómez
Keyword(s):  
Emotion Regulation ◽  
Parental Stress ◽  
Intervention Program ◽  
Satisfaction With Life ◽  
Psychological Flexibility ◽  
Open Trial ◽  
Post Intervention ◽  
Web Based ◽  
Positive Effects ◽  
The Web

“Parenting Forest” is an informed contextual therapy parenting program for improving parental emotion regulation strategies and psychological flexibility. The aim of this study was to evaluate the preliminary effectiveness of a self-guided web-based intervention of the Parenting Forest program. The intervention program consists of six self-applied sequential modules that use strategies from contextual therapies for providing a parenting style open to experience, mindful and committed to its actions. A pilot controlled open trial was conducted. Eligible parents (n = 12) enrolled in the web-based intervention completed baseline (T1) and post-intervention (T2) assessment instruments. Parental psychological flexibility, avoidance, emotional regulation, parental stress, satisfaction with life, children’s psychological adjustment and client satisfaction were measured to assess the effects of the intervention. Mood, coping, and value-related actions were assessed as measures of progress. The results showed positive effects on the parents’ psychological flexibility and emotion regulation. Parents’ mood and coping skills improved throughout the intervention program. These results provide preliminary evidence of the web-based Parenting Forest’s efficacy, although further research is needed to assess its effectiveness for prevention and in clinical populations.

scholarly journals Finding Web-Based Anxiety Interventions on the World Wide Web: A Scoping Review

2016 ◽  
Vol 3 (2) ◽  
pp. e14 ◽  
Author(s):  
Miriam Thiel Ashford ◽  
Ellinor K Olander ◽  
Susan Ayers
Keyword(s):  
Empirical Evidence ◽  
Intervention Program ◽  
Research Evidence ◽  
Treatment Plan ◽  
Intervention Programs ◽  
Web Based ◽  
Presentation Modes ◽  
Published Evidence ◽  
Program Characteristics ◽  
The Web

Background One relatively new and increasingly popular approach of increasing access to treatment is Web-based intervention programs. The advantage of Web-based approaches is the accessibility, affordability, and anonymity of potentially evidence-based treatment. Despite much research evidence on the effectiveness of Web-based interventions for anxiety found in the literature, little is known about what is publically available for potential consumers on the Web. Objective Our aim was to explore what a consumer searching the Web for Web-based intervention options for anxiety-related issues might find. The objectives were to identify currently publically available Web-based intervention programs for anxiety and to synthesize and review these in terms of (1) website characteristics such as credibility and accessibility; (2) intervention program characteristics such as intervention focus, design, and presentation modes; (3) therapeutic elements employed; and (4) published evidence of efficacy. Methods Web keyword searches were carried out on three major search engines (Google, Bing, and Yahoo—UK platforms). For each search, the first 25 hyperlinks were screened for eligible programs. Included were programs that were designed for anxiety symptoms, currently publically accessible on the Web, had an online component, a structured treatment plan, and were available in English. Data were extracted for website characteristics, program characteristics, therapeutic characteristics, as well as empirical evidence. Programs were also evaluated using a 16-point rating tool. Results The search resulted in 34 programs that were eligible for review. A wide variety of programs for anxiety, including specific anxiety disorders, and anxiety in combination with stress, depression, or anger were identified and based predominantly on cognitive behavioral therapy techniques. The majority of websites were rated as credible, secure, and free of advertisement. The majority required users to register and/or to pay a program access fee. Half of the programs offered some form of paid therapist or professional support. Programs varied in treatment length and number of modules and employed a variety of presentation modes. Relatively few programs had published research evidence of the intervention’s efficacy. Conclusions This review represents a snapshot of available Web-based intervention programs for anxiety that could be found by consumers in March 2015. The consumer is confronted with a diversity of programs, which makes it difficult to identify an appropriate program. Limited reports and existence of empirical evidence for efficacy make it even more challenging to identify credible and reliable programs. This highlights the need for consistent guidelines and standards on developing, providing, and evaluating Web-based interventions and platforms with reliable up-to-date information for professionals and consumers about the characteristics, quality, and accessibility of Web-based interventions.

scholarly journals Virtual Reality and Web-Based Growth Mindset Interventions for Adolescent Depression: Protocol for a Three-Arm Randomized Trial (Preprint)

2019 ◽  
Author(s):  
Jessica Lee Schleider ◽  
Michael C Mullarkey ◽  
John R Weisz
Keyword(s):  
Virtual Reality ◽  
Depressive Symptoms ◽  
Perceived Control ◽  
Adolescent Depression ◽  
Growth Mindset ◽  
Depression Symptoms ◽  
Single Session ◽  
Post Intervention ◽  
Web Based ◽  
The Web

BACKGROUND Depression is the leading cause of disability in youth, with a global economic burden of US >$210 billion annually. However, up to 70% of youth with depression do not receive services. Even among those who do access treatment, 30% to 65% fail to respond and many dropout prematurely, demonstrating a need for more potent, accessible interventions. In a previous trial, a single-session Web-based growth mindset (GM) intervention significantly reduced depressive symptoms in high-symptom adolescents; however, this intervention did not benefit adolescents uniformly. For instance, the intervention reduced depression in adolescents who reported post intervention increases in perceived control, but it did not lead to significant depression reductions in adolescents who reported no significant post intervention increases in perceived control. OBJECTIVE The goal of this project is to test the acceptability and efficacy of a novel, single-session, virtual reality (VR) depression intervention—the VR Personality Project—teaching GM, the belief that personal attributes are malleable rather than fixed. The VR Personality Project was designed to systematically target and increase adolescents’ perceived control by offering a more immersive, engaging, user-directed intervention experience than the Web-based intervention can provide. By targeting an identified predictor of intervention response, the VR Personality Project may lead to larger reductions in depressive symptoms than existing Web-based mindset interventions. METHODS Adolescents with elevated depressive symptoms or a recent history of depression (N=159; ages 12 to 16 years) will be randomized to one of 3 intervention conditions: the VR Personality Project; the Web-based GM intervention tested previously; or an active, Web-based control. Adolescents and their parents will report on the adolescents’ depression symptoms, perceived control, and related domains of functioning at preintervention, postintervention, and at 3- and 9-month follow-up assessments. RESULTS We predict that the VR and Web-based mindset interventions will both lead to larger reductions in adolescent symptoms than the control intervention. Additionally, we predict that the VR-based single session intervention will lead to larger reductions in depression than the online mindset intervention and that these symptom reductions will be mediated by increases in adolescents’ perceived control from pre- to postintervention. CONCLUSIONS The results may suggest an efficient strategy for reducing adolescent depressive symptoms: One that is mechanism-targeted, relatively affordable (less than US $200 for a commercially available VR headset, a fraction of the cost of long-term psychotherapy) and potentially engaging to adolescents experiencing mood-related distress. CLINICALTRIAL ClinicalTrials.gov NCT0385881; https://clinicaltrials.gov/ct2/show/NCT03858881 (Archived by WebCite at http://www.webcitation.org/78C3roDgA). INTERNATIONAL REGISTERED REPOR DERR1-10.2196/13368

scholarly journals Go Play Outside! A web-based and in-person risk reframing intervention to influence mothers’ tolerance for, and parenting practices associated with, children’s outdoor risky play: Results of a randomized controlled trial (Preprint)

2020 ◽  
Author(s):  
Mariana Brussoni ◽  
Christina S Han ◽  
Yingyi Lin ◽  
John Jacob ◽  
Ian Pike ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Social Cognitive Theory ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Controlled Trial ◽  
Post Intervention ◽  
Web Based ◽  
Randomized Controlled ◽  
Risky Play ◽  
The Web

BACKGROUND Outdoor risky play, such as climbing, racing and independent exploration, is an important part of childhood and is associated with various positive physical, mental and developmental outcomes for children. Parental attitudes and fears, particularly mothers’, are a major deterrent to children’s opportunities for outdoor risky play. OBJECTIVE To evaluate the efficacy of two versions of an intervention to reframe mothers’ perceptions of risk and change parenting behaviours: web-based intervention or an in-person workshop, compared to the control condition. METHODS The Go Play Outside! randomized controlled trial was conducted in Canada in 2017 to 2018. Participants were recruited through social media, snowball sampling, and community notices. Mothers of children aged 6-12 years were self-assessed through eligibility questions, and those eligible and consented to participate in the study were randomized into a fully automated web-based intervention, the in-person workshop or the control condition. The intervention was underpinned by social cognitive theory, incorporating behaviour change techniques. Participants progressed through a series of self-reflection exercises and developed a goal for change. Control participants received the Position Statement on Active Outdoor Play. The primary outcome was increase in tolerance of risky play and the secondary outcome was goal attainment. Data were collected online via REDCap at baseline, 1-week and 3-months post-intervention. Randomization was conducted using sealedenvelope.com. Allocations were concealed to researchers at assignment and data analysis. We conducted mediation analyses to examine whether the intervention influenced elements of social cognitive theory, as hypothesized. RESULTS A total of 451 mothers were randomized and completed baseline socio-demographic assessments: 150 in the web-based intervention, 153 in the in-person workshop, and 148 in the control condition; of which a total of 351 mothers completed the intervention. At 1-week post-intervention, 121, 85, and 135 mothers completed assessments for each condition, respectively, and at 3-months post-intervention, 105, 84 and 123 completed the assessments, respectively. Compared to mothers in the control condition, mothers in the web-based intervention had significantly higher tolerance of risky play at 1-week, and 3-months post-intervention; and mothers in the in-person workshop had significantly higher tolerance of risky play at 1-week post-intervention. No other significant outcomes were found. None of the potential mediators were found to significantly mediate the outcomes. CONCLUSIONS The trial demonstrates that the web-based intervention was effective in increasing mothers’ tolerance for risk in play. CLINICALTRIAL ClinicalTrials.gov, NCT03374683. Retrospectively registered on December 15, 2017. INTERNATIONAL REGISTERED REPORT RR2-10.1186/s13063-018-2552-4

15-Month Follow-Up Data on the Web-Based Autonomy-Supportive Intervention Program for PE Teachers

2019 ◽  
Vol 127 (1) ◽  
pp. 5-7 ◽  
Author(s):  
Henri Tilga ◽  
Hanna Kalajas-Tilga ◽  
Vello Hein ◽  
Lennart Raudsepp ◽  
Andre Koka
Keyword(s):  
Intervention Program ◽  
Web Based ◽  
The Web ◽  
Supportive Intervention

scholarly journals The efficacy of a resilience-enhancement program for mothers in Japan based on emotion regulation: study protocol for a randomized controlled trial

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Hiromi Tobe ◽  
Mariko Sakka ◽  
Kiyoko Kamibeppu
Keyword(s):  
Emotion Regulation ◽  
Child Maltreatment ◽  
Parental Stress ◽  
Controlled Trial ◽  
Intervention Group ◽  
Well Being ◽  
Self Report ◽  
Baseline Survey ◽  
Control Group ◽  
Post Intervention

Abstract Background The demands of daily life often cause mothers high levels of distress and other negative emotions. Anger, including harsh verbal discipline, has been linked to child maltreatment, with long-term adverse effects on a child’s well-being. It is critically important to teach mothers stress management and emotion regulation in addition to parenting skills, but this is yet to be conducted in a formalized manner. Strengthening the multiple protective factors that constitute resilience helps reduce distress. The aim of this study is to evaluate the efficacy of a resilience-enhancement program for mothers. Methods We designed a two-arm, parallel, randomized trial with an active control. Mothers and their partners with children between three and six years old will be recruited. Following an online baseline survey, 140 mothers will be randomly allocated to either an intervention or control group. Self-report assessment will be conducted online post-intervention and at a two-month follow-up. The control group will participate in a serious of group discussions. The intervention group will participate in four bi-weekly 120-min sessions of a Cognitive Behavior Therapy-based program designed to enhance resilience, focusing on emotion regulation through cognitive reappraisal. Participants will be encouraged to apply and share the skills they acquire with their partner and children at home. Partners will also be assessed to explore their indirect influence from the mothers. Intention-to-treat analysis will be conducted and the two groups will be compared, applying covariate analysis. The primary outcome of the intervention is improved resilience. Secondary outcomes include improved anger control, self-esteem, cognition of children’s misbehavior, and reduced parental stress. Discussion To the best of our knowledge, this study will evaluate the first resilience-enhancement program focused on emotion regulation for mothers in Japan. It will contribute to the existing body of knowledge on building emotional resilience. If the program is found to be effective, it will provide an alternative means to enhance mothers’ resilience against stress and improve their ability to regulate emotion. In so doing, it will offer a way to prevent child maltreatment and protect the mental health of children and families. Trial registration UMIN000027232, May 3, 2017.

Outcomes in a Group of 7–8-Year-Old Children in a Developmental-Based Intervention in Autism Spectrum Disorder

2017 ◽  
Vol 41 (S1) ◽  
pp. s304-s304
Author(s):  
M.T. Sindelar ◽  
N. Furland
Keyword(s):  
Interpersonal Relationships ◽  
Intervention Program ◽  
Rating Scale ◽  
Strong Support ◽  
Autism Spectrum ◽  
Rehabilitation Program ◽  
Social Responsiveness ◽  
Aggressive Behaviors ◽  
Post Intervention ◽  
Positive Effects

Healthy parent-child interaction is essential for child development. Parents play a central role in the acquisition of social and communicative skills, both in typical and atypical children. Increased support for parent-mediated intervention in autism has been demonstrated. Developmental approaches for ASD are based in establishing strong interpersonal relationships through natural play to foster developmental capacities. This work reports outcomes from an intensive approach based on a developmental, individual difference, home-based intervention program with children with severe ASD. Parents were trained with DIR approach by a specialist. An individual intensive rehabilitation program was set up for each child and implemented at school, home and rehabilitation center. The intervention program also focused on semi-structured activities to promote problem solving, and meliorate sensory dysfunction. Standardized scales were administered pre– and post-intervention, with ABC). The Childhood Autism Rating Scale (CARS), the Social Communication Questionnaire (SCQ) and Vineland Adaptive Behaviours Scales.ResultsBefore initiating the intervention all children presented severe difficulties in communication, social interaction, lack of language, and gestures of communication, auto– and hetero-aggressive behaviors. After 6 months, children showed significant changes in mean scores for emotional functioning, communication, and daily living skills and diminution of aggressive behaviors. The present results provide strong support for the effectiveness of a developmental-based intervention, specifically in the domains of social skills behavior, social responsiveness, in a group of children with severe autism. These results highlight the positive effects of a rehabilitative approach that works in harmony with the family, school and professional team.Disclosure of interestThe authors have not supplied their declaration of competing interest.

A secondary exploratory analysis of Physical Activity in COPD Patients Comparing Conventional and Web Based Pulmonary Rehabilitation: Is the Level of Supervision Important? (Preprint)

2021 ◽  
Author(s):  
Emma Chaplin
Keyword(s):  
Physical Activity ◽  
Pulmonary Rehabilitation ◽  
World Health Organisation ◽  
World Health ◽  
Moderate Intensity ◽  
Moderate Activity ◽  
Post Intervention ◽  
Web Based ◽  
Significant Difference ◽  
The Web

BACKGROUND Pulmonary Rehabilitation (PR) increases exercise capacity, with less clear evidence for Physical Activity (PA).The World Health Organisation (WHO) recommends at least 150-300 minutes of moderate intensity or 75-150 of vigorous intensity aerobic physical activity per week to reduce the risks of chronic disease. OBJECTIVE The objective of this study was to assess the effectiveness of conventional PR versus web-based PR with respect to changes in PA. METHODS Patients with COPD were randomised to either conventional PR classes (n=51) or a web-based PR programme (n=52) for 7 weeks in a feasibility study. Accelerometers (Sensewear®) were worn pre and post intervention, PA was measured as steps/day and mean bouts of moderate activity for ≥2, ≥5, ≥10 and ≥20 mins. Measures were derived for patients with ≥8 hrs of data/day for ≥4 days using R language statistical software. Variables were explored to examine relationships with bouts of activity. RESULTS Baseline characteristics did not differ significantly between groups. Complete PA data was available for web (n=20) and conventional (n=34) groups. The web group demonstrated a non-significant increase in steps/24hr which comprised mainly of short bouts of MVPA when compared with conventional PR (P=.2). The conventional group increased 20 min bouts of PA by 49.1% although this was not statistically significant (P=.07). At baseline, age (r =-0.21, P=.043), BMI (r=-0.311, P=.004) and FEV1% predicted (r=-0.248, P=.048) were significantly correlated with 10 min bouts of PA, however post intervention this was not observed. CONCLUSIONS The analysis detected a non-statistically significant difference in the pattern of PA between conventional and web-based PR groups, conventional PR being associated with an increase in 20 min bouts whilst the web group demonstrated an increase in steps/24hr. There appears to be a differing response emerging between the two interventions. CLINICALTRIAL ISRCTN03142263

Reported Eating Behavior and Attitudes Improvement after a Nutrition Intervention Program in a Group of Young Female Dancers

2002 ◽  
Vol 12 (1) ◽  
pp. 24-32 ◽  
Author(s):  
Mary Yannakoulia ◽  
Marietta Sitara ◽  
Antonia-Leda Matalas
Keyword(s):  
Nutrition Education ◽  
Eating Behavior ◽  
Intervention Program ◽  
Nutrition Knowledge ◽  
Young Female ◽  
Nutrition Intervention ◽  
Post Intervention ◽  
Positive Effects ◽  
Abnormal Eating ◽  
Abnormal Eating Behavior

The aim of the study was to evaluate the effectiveness of an intervention program that combined nutrition education and prevention of disordered eating in a group of female professional dance students. Thirty-two dancers, aged 19-25 years, took part in the program. Evaluation was done by a series of questionnaires that participants were asked to complete on 3 occasions. Assessments of body composition and dietary intake were also performed. Significant improvements in nutrition knowledge as well as a decrease in abnormal eating behavior and dietary restraint were observed at post intervention. At 6-month follow-up, the positive effects were maintained and further benefits were recorded; only nutrition knowledge showed a minor decline. Participants who were at higher risk for adopting abnormal eating behavior benefited the most from the program. These findings encourage the implementation of intervention programs in groups of young women that experience particular pressures for controlling body weight.

scholarly journals Efficacy of a Web-Based, Tailored, Alcohol Prevention/Intervention Program for College Students: 3-Month Follow-up

2011 ◽  
Vol 41 (4) ◽  
pp. 405-430 ◽  
Author(s):  
C. Raymond Bingham ◽  
Andrea Ippel Barretto ◽  
Maureen A. Walton ◽  
Christopher M. Bryant ◽  
Jean T. Shope ◽  
...  
Keyword(s):  
College Students ◽  
Risk Reduction ◽  
Intervention Program ◽  
Drinking Behavior ◽  
Alcohol Prevention ◽  
Efficacy Evaluation ◽  
Web Based ◽  
Prevention Intervention ◽  
Positive Effects

This study presents the results of an efficacy evaluation of a web-based brief motivational alcohol prevention/intervention program called Michigan Prevention and Alcohol Safety for Students (M-PASS). Four on-line sessions providing individually-tailored feedback were delivered to first-year college students over 9 weeks. Non- and low-risk drinking participants received risk prevention, while high-risk drinking participants received a risk-reduction intervention. Both intervention and control groups were surveyed at baseline and at a 3-month follow-up. Analysis showed positive effects for both men and women on stage of change, drinking behavior, drinking motivation and attitudes, and use of risk-reduction strategies. These results provided evidence of efficacy and found that M-PASS had both intervention and prevention effects, making it unique among currently developed brief alcohol interventions for college students.

Sign in / Sign up

Export Citation Format

Share Document