scholarly journals Telematic Intervention based on the Play Specialist Approach in the Covid-19 Era: Benefits for Parents of Children with Clinical Conditions

2020 ◽  
Vol 1 (1) ◽  
pp. 1-7

Covid-19 pandemic has changed the routines of families all over the world. From March 2020 up to today, Italian families are still struggling for adaptation. Parents of children and adolescents with a clinical diagnosis are more at risk for parental burnout, depression, and anxiety, and they are now experiencing restrictions in many services families relied on. Home-based and hospital-based interventions based on the Play Specialist’s approach have been limited due to anti-covid norms. Internationally, Play Specialist intervention has been empirically demonstrated effective in diminishing children’s negative emotions in relation to medical procedures and in increasing adaptation and compliance towards medical settings. Plus, Play Specialist’s intervention indirect effect on parental wellbeing is still unexplored. In Italy, differently from UK and USA, the Play Specialist intervention is not certified in the health-care system yet. The present study tests the effects on parental psychosocial health of a telematic adaptation of the Play Specialist approach (TPS), conducted in the post-lockdown months in Italy. Two groups of parents (N=33, Mean age=43.36, SD=9.81, Female= 66% receiving the TPS intervention, and N=33 Mean age=41.84, SD=6.15, Female=78% controls) of children in clinical conditions are compared. Parental burnout, anxiety, stress, depression, social support, and parental perception of children’s emotional problems have been measured via self-report questionnaires. Analysis of covariance reveals that the TPS group is less stressed, perceives higher social support, lower parental burnout (i.e., emotional distancing, contrast with other/previous Self, fed-up feeling), lower emotional and behavioural child’s problems than the control group. These findings are addressed at encouraging both research and practice around the Play Specialist’s intervention beyond the hospital-context.

Author(s):  
Giulia Perasso ◽  
◽  
Alice Maggiore ◽  
Allegri Chiara ◽  
Gloria Camurati ◽  
...  

Covid-19 pandemic has changed the routines of families all over the world. From March 2020 up to today, Italian families are still struggling for adaptation. Parents of children and adolescents with a clinical diagnosis are more at risk for parental burnout, depression, and anxiety, and they are now experiencing restrictions in many services families relied on. Home-based and hospital-based interventions based on the Play Specialist’s approach have been limited due to anti-covid norms. Internationally, Play Specialist intervention has been empirically demonstrated effective in diminishing children’s negative emotions in relation to medical procedures and in increasing adaptation and compliance towards medical settings. Plus, Play Specialist’s intervention indirect effect on parental wellbeing is still unexplored. In Italy, differently from UK and USA, the Play Specialist intervention is not certified in the health-care system yet. The present study tests the effects on parental psychosocial health of a telematic adaptation of the Play Specialist approach (TPS), conducted in the post-lockdown months in Italy. Two groups of parents (N=33, Mean age=43.36, SD=9.81, Female= 66% receiving the TPS intervention, and N=33 Mean age=41.84, SD=6.15, Female=78% controls) of children in clinical conditions are compared. Parental burnout, anxiety, stress, depression, social support, and parental perception of children’s emotional problems have been measured via self-report questionnaires. Analysis of covariance reveals that the TPS group is less stressed, perceives higher social support, lower parental burnout (i.e., emotional distancing, contrast with other/previous Self, fed-up feeling), lower emotional and behavioural child’s problems than the control group. These findings are addressed at encouraging both research and practice around the Play Specialist’s intervention beyond the hospital-context.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S920-S921
Author(s):  
Sangmi Park ◽  
Tae Hui Kim ◽  
Tae Rim Um ◽  
Kyuwon Lee ◽  
Jisoo Jung ◽  
...  

Abstract Empathy of the caregiver can influence both the caregiver’s performance and the receiver’s enhanced life. The aim of this study is to examine whether Simulation-based Empathy Enhancement program for the Carer of the Elderly (SEE-C) is effective in increasing care receivers’ session satisfaction and positive emotional change. We developed SEE-C by modifying the Dementia Live(TM) program and adding with a brief mindfulness. The effect on counselling was assessed using the Session Evaluation Questionnaire (SEQ), which is self-report tool asking the client about their experience with the session just ended. A total of 100 older adults living alone were interviewed by caregivers who experienced SEE-C (n=12) and by non-experienced (n=12). Participants in this study were randomly assigned to each of the two caregiver groups, and were interviewed about demographics, health and emotional status, and lifestyle using the same protocols. Analysis of covariance was conducted, controlling variables of age of subjects and caregivers’ months of career, which were found to differ significantly between the two groups. Among the four subcategories of SEQ, the experimental group reported significantly higher scores than the control group in three subcategories of session-depth (F(1, 96)=9.647, P=.002), session-smoothness (F(1, 96)=13.699, p<.001), emotion-positive (F(1, 96)=18.056, p<.001), with the exception of emotion-alertness (F(1, 96)=0.366, p=.546). These results suggest that SEE-C could have a positive impact on interviewing the elderly in terms of improving the capacity of the interviewer and raising the satisfaction of the interviewee.


2019 ◽  
Vol 123 (3) ◽  
pp. 806-824 ◽  
Author(s):  
Alyson F. Shapiro ◽  
John M. Gottman ◽  
Brandi C. Fink

The goal of the present research was to test the efficacy of the Bringing Baby Home couple-focused psychoeducational program for promoting father involvement and related satisfaction. A randomized clinical trial design was used to randomly assign 136 pregnant couples to either an intervention or control group. Father involvement post-intervention was assessed through self-report of engagement in parenting tasks. Intent-to-treat analysis of covariance analyses indicated that fathers who participated in the Bringing Baby Home program reported significantly more involvement in parenting tasks, satisfaction with the division of parenting labor, and feeling appreciated by their wives. Both husbands and wives were also more satisfied with the division of labor when fathers were more involved in parenting. Results suggest that couple-focused psychoeducational programs can be successful for promoting father involvement.


2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Aileen W. K. Chan ◽  
Albert Lee ◽  
Diana T. F. Lee ◽  
Janet W. H. Sit ◽  
S. Y. Chair

Objectives. To evaluate the sustaining effects of Tai Chi Qigong (TCQ) in improving the psychosocial health in chronic obstructive pulmonary disease (COPD) patients in the sixth month.Background. COPD affects both physical and emotional aspects of life. Measures to minimize patients' suffering need to be implemented.Methods. 206 COPD patients were randomly assigned into three groups: TCQ group, exercise group, and control group. The TCQ group completed a three-month TCQ program, the exercise group practiced breathing and walking exercise, and the control group received usual care.Results. Significant group-by-time interactions in quality of life (QOL) using St. George's respiratory questionnaire (P= 0.002) and the perceived social support from friends using multidimensional scale of perceived social support (P= 0.04) were noted. Improvements were observed in the TCQ group only.Conclusions. TCQ has sustaining effects in improving psychosocial health; it is also a useful and appropriate exercise for COPD patients.


2014 ◽  
Vol 32 (3) ◽  
pp. 199-205 ◽  
Author(s):  
Donna L. Berry ◽  
Fangxin Hong ◽  
Barbara Halpenny ◽  
Ann H. Partridge ◽  
Jesse R. Fann ◽  
...  

Purpose The purpose of this trial was to evaluate the effect of a Web-based, self-report assessment and educational intervention on symptom distress during cancer therapy. Patients and Methods A total of 752 ambulatory adult participants were randomly assigned to symptom/quality-of-life (SxQOL) screening at four time points (control) versus screening, targeted education, communication coaching, and the opportunity to track/graph SxQOL over time (intervention). A summary of the participant-reported data was delivered to clinicians at each time point in both groups. All participants used the assessment before a new therapeutic regimen, at 3 to 6 weeks and 6 to 8 weeks later, completing the final assessment at the end of therapy. Change in Symptom Distress Scale–15 (SDS-15) score from pretreatment to end of study was compared using analysis of covariance and regression analysis adjusting for selected variables. Results We detected a significant difference between study groups in mean SDS-15 score change from baseline to end of study: 1.27 (standard deviation [SD], 6.7) in the control group (higher distress) versus −0.04 (SD, 5.8) in the intervention group (lower distress). SDS-15 score was reduced by an estimated 1.21 (95% CI, 0.23 to 2.20; P = .02) in the intervention group. Baseline SDS-15 score (P < .001) and clinical service (P = .01) were predictive. Multivariable analyses suggested an interaction between age and study group (P = .06); in subset analysis, the benefit of intervention was strongest in those age > 50 years (P = .002). Conclusion Web-based self-care support and communication coaching added to SxQOL screening reduced symptom distress in a multicenter sample of participants with various diagnoses during and after active cancer treatment. Participants age > 50 years, in particular, may have benefited from the intervention.


2017 ◽  
Vol 6 (4) ◽  
pp. 276
Author(s):  
Maryam Safara ◽  
Pejman Ghasemi

The aim of this study was to evaluate the efficacy of yoga on spiritual intelligence in air traffic controllers in Tehran flight control center. This was a quasi-experimental research and the study population includes all air traffic controllers in Tehran flight control center. The sample consisted of 40 people of the study population that were selected through convenience sampling method and were randomly divided into experimental group (20) and control group (n=20). This research was conducted through training yoga on the air traffic controllers to experimental group compared with the control group. The data were evaluated as the changes resulted after the intervention (post-test) compared to the previous condition (pre-test). King’s (2008) Spiritual Intelligence Self-Report Inventory (SISRI) was used to measure the variables. The data were analyzed by analysis of covariance. The results showed that yoga exercises had a significant effect on spiritual intelligence and its components (critical thinking, personal meaning production, expanded state of consciousness, transcendental consciousness) in the subjects.


Author(s):  
Lingling Huang ◽  
Qu Shen ◽  
Qiyu Fang ◽  
Xujuan Zheng

(1) Background: Some primiparous women are usually confronted with many parenting problems after childbirth, which can negatively influence the wellbeing of some mothers and infants. Evidence identified that internet interventions can include more tailored information, reach a larger research group, and supply more anonymity than face-to-face traditional interventions. Therefore, the internet-based support program (ISP) was designed to improve the parenting outcomes for Chinese first-time mothers. (2) Methods: A multicenter, single-blinded, pilot randomized controlled trial was conducted. From May to October 2020, a total of 44 participants were recruited in the obstetrical wards of two tertiary hospitals in China. Eighteen women in the control group received routine postnatal care; while eighteen women in the intervention group accessed to the ISP and routine postnatal care. The duration of intervention was not less than three months. Intervention outcomes were assessed through questionnaires before randomization (T0), immediately after intervention (T1), and three months after intervention (T2). The Self-efficacy in Infant Care Scale (SICS), Edinburgh Postnatal Depression Scale (EPDS), and Postpartum Social Support Scale (PSSS) were included to measure MSE, postpartum depression (PPD), and social support, respectively. (3) Results: No significant difference between the two groups were found in terms of the baseline social-demographic characteristics; and the scores of SICS, EPDS and PSSS at T0 (p > 0.05). Repeated measures multivariate analysis of covariance found that women in the intervention group had a higher MSE score at T1 (6.63, p = 0.007), and T2 (5.75, p = 0.020); a lower EPDS score at T1 (3.11, p = 0.003), and T2 (2.50, p = 0.005); and a higher PSSS score at T1 (4.30, p = 0.001); and no significant difference at T2 (0.35, p = 0.743), compared with women in the control group. (4) Conclusion: The effect of ISP was evaluated to significantly increase primiparous women’s MSE, social support, and to alleviate their PPD symptoms. However, the small sample in pilot study restricted the research results. Therefore, the ISP should be further investigated with a larger, diverse sample to confirm whether it should be adopted as routine postnatal care to support primiparous women on parenting outcomes and mental wellbeing in the early stage of motherhood.


Author(s):  
Suzannah K. Creech ◽  
Carey S. Pulverman ◽  
Christopher W. Kahler ◽  
Lindsay M. Orchowski ◽  
M. Tracie Shea ◽  
...  

Abstract Importance Sexual assault is a public health concern for women and is associated with subsequent psychosocial health risks of posttraumatic stress disorder (PTSD), hazardous drinking, and intimate partner violence (IPV). Sexual assault is associated with social stigma and other barriers shown to inhibit one from seeking mental health care. Digital health technologies may overcome these barriers. Objective To test the impact of a brief computerized intervention delivered in primary care to reduce health risks and increase mental health treatment utilization among women with histories of sexual assault and current health risks. Design, Setting, and Participants The Safe and Healthy Experiences (SHE) program was tested in a randomized controlled trial with N = 153 women veterans at a Veterans Health Administration (VHA) medical center, and they completed assessments at baseline, 2 months, and 4 months. Intervention SHE is a brief motivational interviewing and psychoeducation-based computerized intervention. SHE was compared to a screen and referral-only control condition. Main Measures Health risks were measured via validated self-report instruments. Treatment initiation and utilization were measured via self-report and chart review. Results SHE did not impact women’s number of health risks (all p’s > .05). However, women randomized to SHE showed significantly greater increases in treatment use compared to women in the control group, as measured by chart review (χ2 (1, n = 153) = 4.38, p = .036, rs = .16), and self-report (χ2 (1, n = 130) = 5.89, p = .015, rs = .21). SHE was found to be an acceptable intervention. Conclusions SHE was effective in improving mental health treatment initiation and utilization compared to a control group. Computer-based interventions to address sexual trauma and its consequences are acceptable, are highly scalable, and can add value to primary care with little cost or increase in provider time. Trial Registration Clinicaltrials.gov identifier NCT02957747.


2020 ◽  
Vol 42 (01) ◽  
pp. 33-40
Author(s):  
Anasua Pal ◽  
Philipp Zimmer ◽  
Dorothea Clauss ◽  
Martina E. Schmidt ◽  
Cornelia M. Ulrich ◽  
...  

AbstractThe aim of this study was to investigate the impact of Supervised and Home-based resistance exercise on the Kynurenine pathway in patients with pancreatic cancer who underwent surgery and chemotherapy. In the SUPPORT study, adult pancreatic cancer patients were randomized to intervention programs of 6-month (1) a Supervised moderate-to-high-intensity progressive resistance training or (2) unsupervised Home-based resistance training, or (3) to a standard care patient Control group. Serum levels of kynurenine, tryptophan and IL-6 were assessed for 32 participants before, after 3 months and after 6 months of exercise intervention. Group differences were investigated using analysis-of-covariance. Patients in the Supervised training group showed decreased levels of serum kynurenine and kynurenine/tryptophan ratio (p = 0.07; p = 0.01 respectively) as well as increased Tryptophan levels (p = 0.05) in comparison to Home-based and Control group over time. The Home-based exercise group had significant increased kynurenine and kynurenine/tryptophan ratio levels. IL-6 levels decreased over the first three months for both intervention groups as well as the Control group (Supervised: p < 0.01, Home-based: p < 0.010, Control group: p < 0.01). Supervised resistance exercise might positively regulate the Kynurenine pathway and downregulate the kynurenine/tryptophan (indicative of IDO/TDO enzyme) levels, hence modulating the immune system.


2014 ◽  
Vol 49 (5) ◽  
pp. 684-695 ◽  
Author(s):  
Shawn C. Sorenson ◽  
Russell Romano ◽  
Robin M. Scholefield ◽  
Brandon E. Martin ◽  
James E. Gordon ◽  
...  

Context: Competitive sports are recognized as having unique health benefits and risks, and the effect of sports on life-span health among elite athletes has received increasing attention. However, supporting scientific data are sparse and do not represent modern athletes. Objective: To assess holistic life-span health and health-related quality-of-life (HRQL) among current and former National Collegiate Athletic Association student–athletes (SAs). Design: Cross-sectional study. Setting: A large Division I university. Patients or Other Participants: Population-based sample of 496 university students and alumni (age 17–84 years), including SAs and an age-matched and sex-matched nonathlete (NA) control group. Main Outcome Measure(s): Participants completed anonymous, self-report questionnaires. We measured the Short-Form 12 (SF-12) physical and mental component HRQL scores and cumulative lifetime experience and relative risk of treatment for joint, cardiopulmonary, and psychosocial health concerns. Results: Older alumni (age 43+ years) SAs reported greater joint health concerns than NAs (larger joint summary scores; P = .04; Cohen d = 0.69; probability of clinically important difference [pCID] = 77%; treatment odds ratio [OR] = 14.0, 95% confidence interval [CI] = 1.6, 126). Joint health for current and younger alumni SAs was similar to that for NAs. Older alumni reported greater cardiopulmonary health concerns than younger alumni (summary score P &lt; .001; d = 1.05; pCID = 85%; OR = 5.8, 95% CI = 2.0, 16) and current students (P &lt; .001; d = 2.25; pCID &gt;99.5%; OR = 7.1, 95% CI = 3.3, 15), but the risk was similar for SAs and NAs. Current SAs demonstrated evidence of better psychosocial health (summary score P = .006; d = −0.52; pCID = 40%) and mental component HRQL (P = .008; d = 0.50; pCID = 48%) versus NAs but similar psychosocial treatment odds (OR = 0.87, 95% CI = 0.39, 1.9). Psychosocial health and mental component HRQL were similar between alumni SAs and NAs. No differences were observed between SAs and NAs in physical component HRQL. Conclusions: The SAs demonstrated significant, clinically meaningful evidence of greater joint health concerns later in life, comparable cardiopulmonary health, and differences in life-span psychosocial health and HRQL profiles compared with NAs. These data provide timely evidence regarding a compelling public issue and highlight the need for further study of life-span health among modern athletes.


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