Effectiveness of Family Therapy on Poor Communication and Family Relationship: An Intervention Study

2020 ◽  
Vol 21 (1) ◽  
pp. 27
Author(s):  
Epsita Gupta ◽  
Oindrila Ganguly

Background: A structured way of communication can bring clarity of expression between family members which help to maintain the homeostasis in the family. Like communication, there are various other aspects in the family that affects the entire familial relationship, such as cohesion between the members, their way of handling conflict situation and level of expressiveness amongst them. Aim: To evaluate and intervene poor communication and familial relationship through providing family therapy. Methods and Materials: This was an intervention study with a pre-post experimental design. Fifteen families those who had attended the OPD of the Institute of Psychiatry, Kolkata were selected in this study following clear inclusion and exclusion criteria and through purposive sampling technique. After assessing with FCS and BFRS, eclectic family therapy as provided, followed by post-assessment in the same parameters. Descriptive statistics and Wilcoxon signed-rank test were used for statistical analysis. Results: The findings reveal that an eclectic family therapeutic approach significantly improved communication level and overall family relationship among the members of the families. Conclusion: The study highlights the impact of communication in a familial relationship in the form of cohesion, expressiveness and conflict resolution through a practical implication of family therapy, which demonstrated to be highly effective.

2018 ◽  
Vol 1 (1) ◽  
pp. 21-28
Author(s):  
Khusnul Laely ◽  
Dede Yudi

This research aims to understand the impact of traditional game hopscotch towards the growth of kinesthetic intelligence on children enrolled at PAUD ALIF Kalinegoro, Kecamatan Mertoyudan, Kabupaten Magelang. The research employs experimental research design with One Group Pre-Postest Design. The experiment is conducted to one group without comparison group by using initial and final measurement. The variables in this research include children within 3-4 age group, amounting to 15 children enrolled at PAUD ALIF Kecamatan Mertoyudan Kabupaten Magelang. The samples are acquired using Total Sampling technique. The method for data collection is by using observation sheet and work method. The data analysis technique used is Wilcoxon Signed Rank Test with the help of computer program SPSS for Windows version 19.00.The results find asymp.sig. column (2-tailed)/asymptotic significance for two-tailed test is 0,001. Since the studied case is one-tailed test, the acquired probability is 0.001 / 2 = 0.0005. Based on this data, the probability is that 0.05 (0.0005<0.05), in which Ho is rejected, or in other words, there is a difference of kinesthetic intelligence on the initial and final measurement after the implementation of learning activity through traditional game hopscotch.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
AH Yusuf ◽  
Iqlima Dwi Kurnia ◽  
Manis Aero Dwi Noerviana

Loneliness is a feelings of isolation where people felling lonely. All the elderly certainly desire to prosper in his old age but the fact isn’t all the elderly can reach it due to various reasons such as poverty, currently didn’t have offspring or family who can care for the elderly and the inability of the family in providing care to the elderly, so many elderly people become homeless. In This results used pre-experimental one-group pre-post test design. The population in this research is elderly with amount 76 people. Sample was 12 people taken by purposive sampling technique. Collected data conducted by using a questionnaire and analyzed used the Wilcoxon Signed Rank Test with significance α = 0.05. The results of research concluded that millieu therapy methods the creation of art made bracelet could be decreased loneliness of life of the elderly it can stimulate the cognitive, affective, psychomotor, sosio-emotional and self-esteem. Further research is expected to use control groups and researching other factors that influence loneliness the elderly. Researcher can use millieu therapy in supporting and helping the elderly yo live a best quality.


2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Pipit Festi Wiliyanarti ◽  
Kusuma Wijaya Ridi Putra ◽  
Faida Annisa

ABSTRACT Introduction: The high prevalence caused by pulmonary TB disease results in an increased risk of transmission to the family. Health education at the Medoan Ayu puskesmas was  carried out in an integrated manner with various programs but the results are less than optimal. Objective: the research objective is to find out the effect of health education with the TB Card media on the prevention of pulmonary TB transmission behavior in families at the Medoan Ayu Puskesmas Surabaya. Method: Pre-experimental one group pre-post test design. The population was  34 and the sample is 30 TB patients with non probability purposive sampling technique. The research variables consisted of independent variables, health education with TB Card media and the dependent variable, behavioral prevention of pulmonary TB transmission. The instrument used was a questionnaire sheet, analysis used the Wilcoxon Signed Rank Test statistical test. Result: The results of the study before getting the intervention obtained less behavior of 12 respondents (40%), enough behavior of 12 respondents (40%), the results of the study after getting the intervention obtained good prevention behavior 26 (87%) and the results of the statistical test the influence of TB media on prevention practices p = 0,000 <a = 0.05, there is an effect of health education with TB Card Media on the prevention of pulmonary TB transmission behavior in families in the Medoan Ayu Puskesmas area of Surabaya. Discussion: Behavior to prevent TB transmission in the family needs to be increased so as to reduce the morbidity caused by pulmonary TB disease.


2021 ◽  
pp. 089719002110282
Author(s):  
Karan Raja ◽  
Nicole Daniel ◽  
Susan Morrison ◽  
Ruben Patel ◽  
Jessica Gerges ◽  
...  

Background: Tocilizumab is an interleukin-6 receptor antagonist hypothesized to blunt the uncontrolled immune response, cytokine release syndrome, in severe COVID-19 and prevent attributable morbidity and mortality. Objective: The objective of this study was to assess the impact of tocilizumab on clinical outcomes in COVID-19-associated cytokine release syndrome. Methods: Single-center, retrospective cohort study assessing sixty-nine adult patients receiving tocilizumab for suspected COVID-19 cytokine release syndrome. The primary outcome was change in WHO clinical status scale on day seven post-dose analyzed using the Wilcoxon signed rank test. Secondary outcomes assessed impact of timing of administration on clinical outcome. Safety analyses included development of neutropenia, thrombocytopenia, transaminitis, and sepsis within 7 days post-dose. Statistical analyses were conducted using Microsoft Excel. Results: No aggregate clinical change was found between day 0 and day 7. Eleven patients improved, twenty-seven worsened, and thirty-one showed no change. Clinical outcomes were weakly correlated with time from symptom onset (rs = 0.21; p = 0.08) or hospital admission (rs = -0.08; p = 0.49) to dose. In-hospital mortality was 63%. Sepsis was diagnosed in 21 patients, five of which were post-dose. Transaminitis, neutropenia, and thrombocytopenia occurred in seven, one, and six patients, respectively. Conclusion: Tocilizumab did not appear to influence clinical outcomes in our study population, irrespective of timing of administration. Adverse events were not considered drug-related.


Author(s):  
Ismi Puji Astuti

Background: The first labor anxiety is an unpleasant psychological condition due to physiological changes that cause psychological instability. The condition of excessive anxiety, worry, fear without cause, and stress, causes the muscles of the body to tense up, especially the muscles in the birth path to become stiff and hard, making it difficult to expand. This study analyzed the effect of pregnancy exercise on third trimester primigravida anxiety in dealing with childbirth. Methods: Quasi experimental design with nonrandomized pretest-postest control group. The sampling technique used was purposive sampling with 34 research subjects. 17 people for the treatment group were given pregnancy exercise 8 times, and 17 people for the control group were given health education about preparation for childbirth. Results: The results of data analysis using the Wilcoxon signed rank test showed that the average reduction in the treatment group was 8.00 and the control group was 3.00. The effect of pregnancy exercise on third trimester primigravida anxiety in the treatment group with a p-value (0.000) <(0.05), while the control group with a p-value (0.180)> (0.05). Conclusion: There is an effect of pregnancy exercise on third trimester primigravida anxiety in dealing with childbirth in the Wuryantoro Health Center work area. 


2021 ◽  
Vol 2 (2) ◽  
pp. 83-88
Author(s):  
Inayatur Rosyidah ◽  
Iva Milia Hani Rahmawati

Introduction: Toothbrushing practice is a common problem encountered in maintaining children's dental and oral hygiene. The Bass Technique introduces to improve the practice of toothbrushing and promotes dental/oral hygiene among school-aged students. This study aimed to know the effect of the toothbrushing simulation method with bass technique on the dental and oral hygiene practice in Pulo Lor III Elementary School. Methods: This was a pre-experimental study with one group pretest-posttest design. The study population was 49 students aged between 7 to 10 years old in Pulo Lor III Elementary School. Thirty students selected for the study by the purposive sampling technique. The independent variable was the toothbrushing method with the bass technique, while the dependent variable was dental and oral hygiene. An observation sheet and OHI-S questionnaire were employed to collect the study data. The Wilcoxon signed-rank test used to analyze the study data collected. Results: The result revealed after the implementation of the bass technique, the number of participants with poor practice of dental and oral hygiene was increasing by a total of 0 (0%), followed by good and moderate practice of oral hygiene with a percentage of 13 (43.3%) and 17 (56.7%), respectively (p=0.000). The dental and oral hygiene observed after and before the implementation of the bass technique was also significant, with the value of p of 0.000. Conclusion: Toothbrushing with bass technique significantly affected the dental and oral hygiene among students aged between 7 to 10 years old in Pulo Lor III Elementary School, Jombang District.


2020 ◽  
Vol 3 (1) ◽  
pp. 64
Author(s):  
Diantifani Harlianda ◽  
Prayitno Prayitno ◽  
Mudjiran Mudjiran

The phenomenon of bullying in Indonesia is very worrying for the development of teenagers’ life. This study used a quantitative approach with an experimental method. The design used was a pre-experimental one group pretest-posttest design. The data were collected from 33 students as the sample of this study taken by using a purposive sampling technique. The experimental group was divided into 3 groups, namely group A, group B and group C. Each group consisted of 11 members. The data were collected by using a questionnaire students’ BMB3 conditions about bullying (55 valid items = 0.889). Data were analyzed by using the Wilcoxon signed rank test with the help of SPSS version 20.00 to measure the differences between two paired groups on ordinal data. The findings of the study showed that intelligent character education-group format was effective for improving the conditions about thinking, feeling, behaving, acting, and being responsible for the students against bullying so it can prevent bullying behavior.


2019 ◽  
Vol 9 (4) ◽  
pp. 191-195
Author(s):  
S. C. Meribe ◽  
E. Harausz ◽  
I. Lawal ◽  
A. Ogundeji ◽  
C. Mbanefo ◽  
...  

Background: To improve rates of human immunodeficiency virus (HIV) case detection and treatment, the Nigerian Ministry of Defense Health Implementation Program and the US Army Medical Research Directorate-Africa/Nigeria introduced a HIV standard of care (SOC) package. Given the integration of tuberculosis (TB) and HIV programs and evolving policies, we evaluated the impact of this strategy on TB program indicators.Methods: Routine, de-identified program data from 27 Nigerian military hospitals were analyzed. Using Wilcoxon signed-rank test, bivariate analyses were performed to compare data from 12 months before and after implementation of the SOC package.Results: Our data showed improvements post-implementation as follows: the number of individuals receiving antiretroviral therapy (ART) screened for TB increased from 14 530 to 29 467 (P < 0.001); the number of individuals with presumptive TB identified increased from 803 to 1800 (P < 0.001); the number of ART clients bacteriologically tested for TB increased from 746 to 1717 (P < 0.001); and the number of ART clients treated for TB increased from 152 to 282 (P < 0.001). Newly registered or relapsed TB cases increased from 436 to 906 (P < 0.001), the number of TB cases with known HIV status increased from 437 to 837 (P < 0.001), the number of TB-HIV co-infected cases increased from 182 to 301 (P = 0.006), and the number of TB-HIV co-infected clients who started ART increased from 101 to 176 (P = 0.003).Conclusion: The implementation of the updated HIV SOC package led to the improvement in key TB diagnosis and treatment indicators. When emulated, this could help improve the performance of other TB programs in countries other than Nigeria.


2020 ◽  
Vol 5 (04) ◽  
pp. 68-72
Author(s):  
Vijayakumar PS ◽  
Sahana AU ◽  
Anusha Rajanna

Background: Special educators face unprecedented work conditions and expectations that affect their psychological wellbeing and professional outcome as well. This study examines the growing evidence that even a short-term Integrated yoga practice enhance psychological wellbeing among special educators by reducing their stress, anxiety and depression levels. Materials and Methods: Special educators were recruited based on inclusion and exclusion criteria (n=20) age ranging between 25-50 years (Mean35±6.3) for a single group interventional pre-post study design: Integrated yoga module (included postures, breathing practices, relaxation and mediation) was given for a period of 8 weeks. The subjects were assessed on day 1 pre and post intervention on day 60 on perceived stress scale (PSS), Beck’s depression inventory (BDI-II) and Beck’s Anxiety Inventory (BAI). Results: After 8 weeks of Integrated yoga practice there was asignificant reduction in anxiety scores (P less than 0.000), depression scores (P less than 0.000) and perceived stress levels (P less than 0.000) respectively compared to baseline by wilcoxon signed rank test. Conclusions: The results of this study suggest that even a short-term integrated yoga intervention that can enhance psychological wellbeing of the special educators.


Author(s):  
Einat Shneor ◽  
Ravid Doron ◽  
Jonathan Levine ◽  
Deena Rachel Zimmerman ◽  
Julia S. Benoit ◽  
...  

Studies using questionnaires report that COVID-19 restrictions resulted in children spending significantly less time outdoors. This study used objective measures to assess the impact of pandemic-related restrictions on children’s behavior. A total of 19 healthy 8–12-year-old boys were observed before and during social restriction periods. Of these, 11 boys were reassessed after restrictions were lifted. For each session, Actiwatches were dispensed for measures of time outdoors, activity, and sleep. Changes overall and by school status were assessed using signed-rank test and Wilcoxon rank sum tests. During restrictions, children spent significantly less time outdoors (p = 0.001), were less active (p = 0.001), and spent less time engaged in moderate-to-vigorous physical activity (p = 0.004). Sleep duration was not significantly different between sessions (p > 0.99), but bedtime and wake time shifted to a later time during restrictions (p < 0.05 for both). Time outdoors and activity returned close to pre-pandemic levels after restrictions were lifted (p > 0.05 for both). Children’s behaviors significantly changed during the COVID-19 pandemic. The reduction in outdoor light exposure is of importance due to the role of light in the etiology of myopia and vitamin D production. The reduction in physical activity may have negative health effects in terms of obesity and depression, although further research is required to ascertain the long-term effects.


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