scholarly journals Factors prolonging the period of sobriety in young patients with alcohol use

2020 ◽  
pp. 57-70
Author(s):  
Svitlana Polshkova ◽  
Oleg Chaban
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Emerging Adults ◽  
Brief Intervention ◽  
Intervention Group ◽  
Young Patients ◽  
Control Group ◽  
Risky Drinking ◽  
Quality Of Life Scale

Alcohol beverages became a regular part of the everyday life of society. This is particularly true for those in social environments when alcohol is using for socializing. Due to this fact, it is easy to fail to notice the health and social damage caused by alcohol drinking. In the pilot study we examined the feasibility and initial efficacy of a brief intervention on reducing risky drinking among emerging adults in Ukraine. Patients were evaluated in 3 months after the brief motivational intervention (BMI). We included patients who successfully completed the pilot study (all of them had an opportunity to visit our clinic after completing the study for free if necessary). We had 2 groups of participants: (1-st group - young patients of Railway Clinical Hospital, with risky drinking (AUDIT-C> 5); and, 2-nd group - students of the National Medical University OO Bogomolets, with risky drinking (AUDIT-C> 5). All participants were evaluated using set of tests (Structured Interview (personal data, substance use, substance use treatment history, medical history), AUDIT-C, RAPI, DMQ, Quality of Life Scale (O. Chaban, 2009), BSSS, PHQ-9, GAD-7, BPAQ-SF) in 4 years after taking part in a pilot study when they obtained BMI. We also evaluated many factors including the frequency of participants’ visits to our clinic after completing the pilot study. Participants from the university setting were significantly younger, and single (as opposed to married), with fewer children comparing to participants in the hospital setting. Regression analyses were conducted, separately for each setting, predicting alcohol outcomes (consumption and consequences). In both settings, the brief intervention group (BI group) showed significantly less alcohol consumption and consequences after 4 years period compare to the control group (p<0.001). However university group showed more cases of sobriety disruption during this period. Among the BMI sample showed lower level of depressive and anxiety symptoms according to PHQ-9 and GAD-7 scales, relative to the control group. Also, the brief intervention group showed a higher level of quality of life relative to the control group. Also the aggression level was different in BMI and control groups (control group showed higher level of aggression). However, there are some differences between patients and students samples with BMI in the results of quality of life scale. This result can be related to the quality of sobriety period in these groups and to the presence of higher level of aggression (including indirect aggression - guilty feelings, according to BPAQ-SF) in students sample. The data obtained indicate that BMI are promising for reducing risky drinking among emerging adults in the Ukraine in both settings (patient hospital and university).

scholarly journals Prevention of alcohol and other drug use using motivational interviewing among young adults in the Ukraine

2016 ◽  
Vol 1 (1) ◽  
pp. 010111 ◽  
Author(s):  
Svitlana Polshkova ◽  
Diana Voloshina ◽  
Rebecca Cunningham ◽  
Robert Zucker ◽  
Maureen Walton
Keyword(s):  
Alcohol Consumption ◽  
Drug Use ◽  
Emerging Adults ◽  
Brief Intervention ◽  
Intervention Group ◽  
Hospital Setting ◽  
World Health ◽  
Control Group ◽  
Risky Drinking ◽  
National Medical

Background World Health Organization data shows alarming rates of alcohol consumption among those ages 15 and older in the Ukraine. This study examined the feasibility and initial efficacy of a brief intervention to reduce risky drinking among emerging adults (ages 18-25) in the Ukraine. Methods Emerging adults presenting to two settings were screened for risky drinking (Railway Clinical Hospital and Kiev National Medical University), with those screening positive on the AUDIT-C (>5) enrolled in the study: 59 participants from the hospital setting (mean age = 22.6 (2.1), 55.9% male) and 61 participants from the university setting (mean age = 20.1(2.3), 55.7% male). After self-administering a computerized baseline assessment, participants were randomized to receive an in-person brief intervention with telephone booster or to a control condition; participants self-administered a computerized follow-up at 3 months. Results Regression analyses were conducted, separately for each setting, predicting alcohol outcomes (alcohol consumption and consequences); models controlled for baseline alcohol levels and condition assignment (brief intervention or control). In both settings, the brief intervention group showed significantly less alcohol consumption and consequences at 3-months as compared to the control group (p<.001); however, the groups did not significantly differ on other drug use (DAST-10 score). Conclusion Findings suggest that brief motivational interventions are promising for reducing risky drinking among emerging adults in the Ukraine in both inpatient hospital and university settings. Future studies are needed to replicate these findings and extend these effects to reduce other drug use among young people in the Ukraine.

scholarly journals The Application of Crisis Intervention in Middle-Aged and Young Patients with Acute Myocardial Infarction after PCI

2021 ◽  
Vol 24 (3) ◽  
pp. E437-E441
Author(s):  
Caiyun Weng ◽  
Chunmei Gao ◽  
Jianjing Chen
Keyword(s):  
Quality Of Life ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Crisis Intervention ◽  
Mental State ◽  
Intervention Group ◽  
Young Patients ◽  
Control Group ◽  
Middle Aged

Objective: To investigate the effect of crisis intervention in middle-aged and young patients with acute myocardial infarction after percutaneous coronary stent implantation (PCI). Methods: A total of 108 middle-aged and young patients with acute myocardial infarction undergoing PCI were selected from July 2018 to July 2019 in the Department of Cardiology, Hai'an County People's Hospital. They were divided into two groups, according to a random number table, with 54 cases in each group. The control group implemented routine postoperative intervention, and the intervention group implemented postoperative crisis intervention. The changes in the two groups' sense of crisis, mental state, quality of life and hope level before and after the intervention were compared. Results: The emotional, behavioral, and cognitive scores of the intervention group were lower than those of the control group after 4 weeks of intervention (P < .05). The mental state scores of the intervention group were lower than those of the control group (P < .05). Also, the various quality of life scores were higher than those of the control group (P < .05). The intervention group’s hope level scores were higher than the control group (P < .05) after 4 weeks of intervention. Conclusion: The application of crisis intervention to middle-aged and young patients with acute myocardial infarction after PCI can reduce the sense of crisis, improve their mental state and quality of life, and raise the level of hope.

Acupuncture Intervention in Ischemic Stroke: A Randomized Controlled Prospective Study

2012 ◽  
Vol 40 (04) ◽  
pp. 685-693 ◽  
Author(s):  
Peng-Fei Shen ◽  
Li Kong ◽  
Li-Wei Ni ◽  
Hai-Long Guo ◽  
Sha Yang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Intervention Group ◽  
Control Group ◽  
Mean Values ◽  
Acupuncture Intervention ◽  
Significant Difference ◽  
Quality Of Life Scale ◽  
First Onset

Stroke is one of the most common causes of death and few pharmacological therapies show benefits in ischemic stroke. In this study, 290 patients aged 40–75 years old with first onset of acute ischemic stroke (more than 24 hours but within 14 days) were treated with standard treatments, and then were randomly allocated into an intervention group (treated with resuscitating acupuncture) and a control group (treated using sham-acupoints). Primary outcome measures included Barthel Index (BI), relapse and death up to six months. For the 290 patients in both groups, one case in the intervention group died, and two cases in the control group died from the disease (p = 0.558). Six patients of the 144 cases in the intervention group had relapse, whereas 34 of 143 patients had relapse in the control group (p < 0.001). The mean values for BI at six months were 70.25 ± 20.37 and 57.43 ± 19.61 for the two groups, respectively (p < 0.01). Acupuncture resulted in a significant difference between the two groups for the National Institute of Health Stroke Scale (NIHSS), not at two weeks (7.03 ± 3.201 vs. 8.13 ± 3.634; p = 0.067), but at four weeks (4.15 ± 2.032 vs. 6.35 ± 3.131, p < 0.01). The Chinese Stroke Scale (CSS) at four weeks showed more improvement in the intervention group than that in the control group (9.40 ± 4.51 vs. 13.09 ± 5.80, p < 0.001). Stroke Specific Quality of Life Scale (SS-QOL) at six months was higher in the intervention group (166.63 ± 45.70) than the control group (143.60 ± 50.24; p < 0.01). The results of this clinical trial showed a clinically relevant decrease of relapse in patients treated with resuscitating acupuncture intervention by the end of six months, compared with needling at the sham-acupoints. The resuscitating acupuncture intervention could also improve self-care ability and quality of life, evaluated with BI, NIHSS, CSS, Oxford Handicap Scale (OHS), and SS-QOL.

scholarly journals Using Robots at Home to Support Patients With Chronic Obstructive Pulmonary Disease: Pilot Randomized Controlled Trial (Preprint)

2017 ◽  
Author(s):  
Elizabeth Broadbent ◽  
Jeff Garrett ◽  
Nicola Jepsen ◽  
Vickie Li Ogilvie ◽  
Ho Seok Ahn ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pilot Study ◽  
Intervention Group ◽  
Control Group ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Adherence To Medication ◽  
Rehabilitation Exercise

BACKGROUND Socially assistive robots are being developed for patients to help manage chronic health conditions such as chronic obstructive pulmonary disease (COPD). Adherence to medication and availability of rehabilitation are suboptimal in this patient group, which increases the risk of hospitalization. OBJECTIVE This pilot study aimed to investigate the effectiveness of a robot delivering telehealth care to increase adherence to medication and home rehabilitation, improve quality of life, and reduce hospital readmission compared with a standard care control group. METHODS At discharge from hospital for a COPD admission, 60 patients were randomized to receive a robot at home for 4 months or to a control group. Number of hospitalization days for respiratory admissions over the 4-month study period was the primary outcome. Medication adherence, frequency of rehabilitation exercise, and quality of life were also assessed. Implementation interviews as well as benefit-cost analysis were conducted. RESULTS Intention-to-treat and per protocol analyses showed no significant differences in the number of respiratory-related hospitalizations between groups. The intervention group was more adherent to their long-acting inhalers (mean number of prescribed puffs taken per day=48.5%) than the control group (mean 29.5%, P=.03, d=0.68) assessed via electronic recording. Self-reported adherence was also higher in the intervention group after controlling for covariates (P=.04). The intervention group increased their rehabilitation exercise frequency compared with the control group (mean difference −4.53, 95% CI −7.16 to −1.92). There were no significant differences in quality of life. Of the 25 patients who had the robot, 19 had favorable attitudes. CONCLUSIONS This pilot study suggests that a homecare robot can improve adherence to medication and increase exercise. Further research is needed with a larger sample size to further investigate effects on hospitalizations after improvements are made to the robots. The robots could be especially useful for patients struggling with adherence. CLINICALTRIAL Australian New Zealand Clinical Trials Registry ACTRN12615000259549; http://www.anzctr.org.au (Archived by WebCite at  http://www.webcitation.org/6whIjptLS)

scholarly journals “Where-There-Is-No-Psychiatrist Integrated Personal Therapy” among Community-Dwelling Older Adults: A Randomized Pilot Study

2021 ◽  
Vol 18 (18) ◽  
pp. 9514
Author(s):  
Shefaly Shorey ◽  
Ee Heok Kua ◽  
Wilson Tam ◽  
Valerie Chan ◽  
Yong Shian Goh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Pilot Study ◽  
Intervention Group ◽  
Well Being ◽  
Small Sample ◽  
Community Dwelling ◽  
Control Group ◽  
Community Dwelling Older Adults

In Singapore, many older adults suffer from subsyndromal depression and/or subsyndromal anxiety, which can negatively impact their physical and mental well-being if left untreated. Due to the general public’s reluctance to seek psychological help and the low psychiatrist-to-population ratio in Singapore, this study aims to examine the preliminary efficacy, perceptions, and acceptability of a trained volunteer-led community-based intervention on community-dwelling older adults. Twenty-one participants (control: n = 11; intervention: n = 10) completed the randomized pilot study. A mixed-methods approach (questionnaires, semistructured interviews, examining blood samples, intervention fidelity) was adopted. No significant differences were found between the intervention and the control groups in depression, anxiety, life satisfaction, friendship, and quality of life. However, there was a positive change in quality-of-life scores from baseline to 6 months in the intervention group. The control group had significantly higher cortisol levels and lower annexin-A1 levels at 6 months, while the intervention group did not. Three themes emerged from the interviews: (1) impact of the intervention on older adults’ well-being, (2) attitudes toward intervention, and (3) a way forward. However, intervention efficacy could not be established due to small sample size caused by the coronavirus pandemic. Future randomized controlled trials should evaluate volunteer-led, technology-based psychosocial interventions to support these older adults.

Effect of structured training program on arm dysfunction, lymphedema and quality of life after breast cancer surgery

2021 ◽  
pp. 1-16
Author(s):  
Havva Bozdemir ◽  
Dilek Aygin
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Intervention Group ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Control Group ◽  
Sf 36 ◽  
Significant Difference ◽  
Quality Of Life Scale

Abstract Objective: The aim of this study the effect of the education given according to daily living activities (DLA) model on arm dysfunction, lymphedema and quality of life in patients undergoing breast cancer surgery. Interventions/Methods: In the design of the research, a randomized controlled experimental model with recurrent measurement was used. The data were collected from 60 patients (control group: 30, Intervention Group: 30) at a teriary hospital. In Research ,Patient Information Form, SPOFIA, KATZ-DLA indeks, arm, shoulder and hand injuries scale (DASH) and quality of life scale short form (SF-36) were used. Three interviews (1st week, 1st and 3rd month) were performed after surgery with patients. Analysis of data; independent T-Test, Chi-squared and Repeated Measures ANOVA were utilized. Results: SPOFIA, DASH and KATZ, GYA scale averages decreased by the time, SF-36 were found to increase the average score. In the intervention group, the measurements of the upper arm circumference are significantly better than the control group and In terms of SPOFIA3, DASH2 and DASH3 scale averages, there is a statistically significant difference between the groups (P < 0.05). Conclusions: KATZ, SPOFIA, SF-36, DASH scale score averages were recovered as the time elapsed after the operation increased. Intervention group was found to recover more early. Implications for Practice: The education programme is effective in the prevention of arm dysfunction and lymphedema and in improving quality of life. Keywords: Breast cancer, lymphedema, daily life activity model, quality of life, Continuous...

scholarly journals Effect of classic massage in quality of life of university students

2015 ◽  
Vol 28 (4) ◽  
pp. 793-802
Author(s):  
Nuno Miguel Lopes de Oliveira ◽  
Martha Franco Diniz Hueb ◽  
Shamyr Sulyvan de Castro
Keyword(s):  
Quality Of Life ◽  
Blood Pressure ◽  
University Students ◽  
Respiratory Rate ◽  
Intervention Group ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Control Group ◽  
Quality Of Life Scale

Abstract Introduction : Due to often excessive academic activities, some university students are affected by stress, anxiety and depression, which can negatively influence quality of life. The classical massage was tested as a strategy for improving quality of life, since it presents psychogenic effects that contribute to this. Objective : To evaluate the effects of classical massage on quality of life, in stress, anxiety, depression and cardiorespiratory variables of university students. Methods : The sample consisted of an intervention group and a control group. While the intervention group (n = 10) received ten massage sessions, twice a week, for 30 minutes in the region of the cervical and thoracic spine, the control group (n = 12) received no intervention. For evaluating psychological variables, the Quality of Life Scale, the Lipp Inventory of Stress Symptoms for Adults, and the Hospital Anxiety and Depression Scale were used. To assess cardiorespiratory variables, blood pressure, heart and respiratory rate were measured. Results : There was a significant improvement in quality of life and significant decrease in cardiorespiratory variables. Conclusion : The classic massage can be a strategy for the improvement of quality of life in university students who present symptoms of stress, anxiety, elevation of blood pressure, heart and respiratory rate.

scholarly journals The Influence of Comprehensive Nursing Intervention on the Negative Emotion and Quality of Life of Patients with Pulmonary Tuberculosis

2013 ◽  
Vol 2 ◽  
pp. 14
Author(s):  
Wenfang Fei
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Health Education ◽  
Pulmonary Tuberculosis ◽  
Negative Emotion ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Control Group ◽  
Quality Of Life Scale

<p><strong>Objective:</strong> The study discussed the influence of comprehensive nursing intervention on the negative emotion and quality of life of patients with pulmonary tuberculosis. <strong>Method:</strong> 118 patients with pulmonary tuberculosis were collected in our department, who were randomly allocated to the two groups. In the intervention group (59 cases), in addition to conventional nursing, the patients also received the comprehensive nursing intervention based on health education, psychological guidance, cognitive-behavioral change and encouragement of social support. The control group (59 cases) received conventional nursing. The differences of negative emotion and quality of life between two groups were analyzed by the negative emotion subscale and quality of life scale (WHONQOL-BREF) in the Positive and Negative Affect Scale (PANAS). <strong>Results:</strong> The quality of life in the intervention group was significantly higher than the control group after intervention, and the negative emotion was significant lower than the control group. <strong>Conclusion: </strong>The comprehensive nursing intervention, based on health education, psychological guidance and encouragement of social support, could significantly reduce the negative emotion of patients with pulmonary tuberculosis, improved the quality of life.</p>

scholarly journals The Effect of Aerobic Exercise on the Quality of Life of Male Patients Who Suffer from Chronic Schizophrenia: Double-Blind, Randomized Control Trial

2020 ◽  
Vol 14 (4) ◽  
Author(s):  
Hossein Namdar Areshtanab ◽  
Hossein Ebrahimi ◽  
Mohammad Abdi ◽  
Robab Mohammadian ◽  
Asghar Mohammadpoor Asl ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Aerobic Exercise ◽  
Intervention Group ◽  
Chronic Schizophrenia ◽  
Control Group ◽  
Significant Difference ◽  
Quality Of Life Scale ◽  
Male Patients

Background: Chronic schizophrenia is a long-term and severe mental disorder. Aerobic exercises can reduce the symptoms of mental disorders, particularly schizophrenia, through improving the patient's quality of life (QoL). Objectives: The current study aimed to investigate the effect of aerobic exercise on the QoL of male schizophrenics hospitalized at the Razi Psychiatric Center in Tabriz from 2015 to 2016. Methods: In this randomized controlled trial, 68 patients who met the inclusion criteria were randomly allocated into groups of intervention (n = 34) and control (n = 34). The intervention group has benefited from the aerobic exercise 24 sessions for 8 weeks, 12 hours in total. The control group simultaneously enjoyed the fresh air. The Schizophrenic Quality of Life Scale (SQLS) was completed before and after intervention in both groups. The data were analyzed in SPSS20 using the t-test and chi-squared test. Results: The mean age of participants was 37.82 ± 7.14 years. No significant differences were found between the demographic characteristics of the two groups. This study showed that no significant difference was found in the quality of life in both groups before intervention (P ≤ 0.37), but there was a significant difference after the intervention (P = 0.001). Aerobic exercises reduce patient's mental disorders and promote their QoL (P < 0.05). Conclusions: Regular aerobic exercise can reduce the symptoms of male patients with schizophrenics, which in turn improves all dimensions of QoL

Medical Qigong for Cancer Patients: Pilot Study of Impact on Quality of Life, Side Effects of Treatment and Inflammation

2008 ◽  
Vol 36 (03) ◽  
pp. 459-472 ◽  
Author(s):  
Byeongsang Oh ◽  
Phyllis Butow ◽  
Barbara Mullan ◽  
Stephen Clarke
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Side Effects ◽  
Cancer Treatment ◽  
Medical Care ◽  
Sample Size ◽  
Cancer Patients ◽  
Intervention Group ◽  
Control Group

Quality of life (QOL) of cancer patients is often diminished due to the side effects of treatment and symptoms of the disease itself. Medical Qigong (coordination of gentle exercise and relaxation through meditation and breathing exercise based on Chinese medicine theory of energy channels) may be an effective therapy for improving QOL, symptoms and side effects, and longevity of cancer patients. In this pilot study, the feasibility, acceptability, and impact of Medical Qigong (MQ) were evaluated on outcomes in cancer patients. Thirty patients diagnosed with heterogeneous cancers, were randomly assigned to two groups: a control group that received usual medical care and an intervention group who participated in a MQ program for 8 weeks in addition to receiving usual medical care. Randomization was stratified by completion of cancer treatment ( n = 14) or under chemotherapy ( n = 16). Patients completed measures before and after the program. Quality of life and symptoms were measured by the EORTC QLQ-C 30 and progress of disease by the inflammation biomarker (CRP: c-reactive protein) via a blood test was assessed. The MQ intervention group reported clinically significant improved global QOL scores pre- and post-intervention. The MQ intervention also reduced the symptoms of side effects of cancer treatment and inflammation biomarker (CRP) compare to the control group. Due to the small sample size, however, the results were not statistically significant between treatment and the control groups. Data from the pilot study suggest that MQ with usual medical treatment can enhance the QOL of cancer patients and reduce inflammation. This study needs a further investigation with a larger sample size.

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