scholarly journals A Process Evaluation of the Use of a Training Protocol Integrating Biofeedback and Neurofeedback in a Counseling Setting: Consideration of the Working Alliance and Treatment Satisfaction

Biofeedback ◽  
2020 ◽  
Vol 48 (3) ◽  
pp. 54-61
Author(s):  
Tami M. Fragedakis ◽  
Stephen Leierer ◽  
Paul Toriello ◽  
Carmen Russoniello ◽  
Leslie Sherlin

The purpose of this study was to evaluate clients' experience of engaging in a training protocol integrating biofeedback and neurofeedback in conjunction with counseling. The model constructed proposes that biofeedback applications may be used as a means to enrich the counseling experience as defined through the working alliance and treatment satisfaction.

Biofeedback ◽  
2020 ◽  
Vol 48 (4) ◽  
pp. 85-89
Author(s):  
Tami Maes Fragedakis ◽  
Stephen Leierer ◽  
Paul Toriello ◽  
Carmen Russoniello ◽  
Leslie Sherlin

Counseling has been identified as an effective form of treatment, assisting individuals in dealing with stress, fulfilling their personal goals, and establishing healthy lifestyles. While talk therapy is effective, high noncompliance rates lead to further dysfunction and additional health conditions. Incorporating biofeedback with counseling may enrich the overall counseling experience, particularly when considering process variables, including the working alliance and treatment satisfaction, as a means to further reduce noncompliance rates.


2005 ◽  
Vol 19 (2) ◽  
pp. 199-207 ◽  
Author(s):  
Brooke T. Tetzlaff ◽  
Jeffrey H. Kahn ◽  
Susan H. Godley ◽  
Mark D. Godley ◽  
Guy S. Diamond ◽  
...  

2017 ◽  
Author(s):  
Benjamin Jonas ◽  
Marc-Dennan Tensil ◽  
Peter Tossmann ◽  
Evelin Strüber

BACKGROUND Digital interventions show promise in reducing problematic cannabis use. However, little is known about the effect of moderators in such interventions. The therapist-guided internet intervention Quit the Shit provides 50 days of chat-based (synchronous) and time-lagged (asynchronous) counseling. OBJECTIVE In the study, we examined whether the effectiveness of Quit the Shit is reduced by shortening the program or by removing the chat-based counseling option. METHODS We conducted a purely Web-based randomized experimental trial using a two-factorial design (factor 1: real-time-counseling via text-chat: yes vs no; factor 2: intervention duration: 50 days vs 28 days). Participants were recruited on the Quit the Shit website. Follow-ups were conducted 3, 6, and 12 months after randomization. Primary outcome was cannabis-use days during the past 30 days using a Timeline Followback procedure. Secondary outcomes were cannabis quantity, cannabis-use events, cannabis dependency (Severity of Dependence Scale), treatment satisfaction (Client Satisfaction Questionnaire), and working alliance (Working Alliance Inventory-short revised). RESULTS In total, 534 participants were included in the trial. Follow-up rates were 47.2% (252/534) after 3 months, 38.2% (204/534) after 6 months, and 25.3% (135/534) after 12 months. Provision of real-time counseling (factor 1) was not significantly associated with any cannabis-related outcome but with higher treatment satisfaction (P=.001, d=0.34) and stronger working alliance (P=.008, d=0.22). In factor 2, no significant differences were found in any outcome. The reduction of cannabis use among all study participants was strong (P<.001, d≥1.13). CONCLUSIONS The reduction of program length and the waiver of synchronous communication have no meaningful impact on the effectiveness of Quit the Shit. It therefore seems tenable to abbreviate the program and to offer a self-guided start into Quit the Shit. Due to its positive impact on treatment satisfaction and working alliance, chat-based counseling nevertheless should be provided in Quit the Shit. CLINICALTRIAL International Standard Randomized Controlled Trial Number ISRCTN99818059; http://www.isrctn.com/ISRCTN99818059 (Archived by WebCite at http://www.webcitation.org/6uVDeJjfD)


2021 ◽  
Author(s):  
Heather D. Hadjistavropoulos ◽  
Hugh C. McCall ◽  
David L. Thiessen ◽  
Ziyin Huang ◽  
R. Nicholas Carleton ◽  
...  

BACKGROUND Canadian public safety personnel (PSP) experience high rates of mental health disorders and face many barriers to treatment. Internet-delivered cognitive behavioural therapy (ICBT) overcomes many such barriers and is effective for treating depression, anxiety, and posttraumatic stress disorder (PTSD) symptoms. OBJECTIVE The current study was designed to fill a gap in the literature regarding the use of ICBT tailored specifically for PSP. We examined the effectiveness of a tailored ICBT program for treating depression, anxiety, and PTSD symptoms among PSP in the province of Saskatchewan. METHODS We employed a longitudinal single-group open trial design (n = 83) with outcome measures administered at screening and eight weeks. Data was collected between December 5, 2019 and September 11, 2020. Primary outcomes included changes in depression, anxiety, and PTSD symptoms. Secondary outcomes included changes in functional impairment and symptoms of panic, social anxiety, and anger, as well as treatment satisfaction, working alliance, and program usage patterns. RESULTS Clients reported large symptom reductions on measures of depression and anxiety, as well as moderate reductions on measures of PTSD and secondary symptoms, except for social anxiety. Most clients who reported symptoms above clinical cut-offs on measures of depression, anxiety, and PTSD during screening experienced clinically significant symptom reductions. Results suggested good engagement, treatment satisfaction, and working alliance. CONCLUSIONS Tailored, transdiagnostic ICBT demonstrated promising outcomes as a treatment for depression, anxiety, and PTSD among Saskatchewan PSP and warrants further investigation. CLINICALTRIAL clinicaltrials.gov (NCT04127032).


Author(s):  
Simon Thomas

Trends in the technology development of very large scale integrated circuits (VLSI) have been in the direction of higher density of components with smaller dimensions. The scaling down of device dimensions has been not only laterally but also in depth. Such efforts in miniaturization bring with them new developments in materials and processing. Successful implementation of these efforts is, to a large extent, dependent on the proper understanding of the material properties, process technologies and reliability issues, through adequate analytical studies. The analytical instrumentation technology has, fortunately, kept pace with the basic requirements of devices with lateral dimensions in the micron/ submicron range and depths of the order of nonometers. Often, newer analytical techniques have emerged or the more conventional techniques have been adapted to meet the more stringent requirements. As such, a variety of analytical techniques are available today to aid an analyst in the efforts of VLSI process evaluation. Generally such analytical efforts are divided into the characterization of materials, evaluation of processing steps and the analysis of failures.


2009 ◽  
Vol 19 (2) ◽  
pp. 72-78
Author(s):  
Rebecca L. Nelson Crowell ◽  
Julie Hanenburg ◽  
Amy Gilbertson

Abstract Audiologists have a responsibility to counsel patients with auditory concerns on methods to manage the inherent challenges associated with hearing loss at every point in the process: evaluation, hearing aid fitting, and follow-up visits. Adolescents with hearing loss struggle with the typical developmental challenges along with communicative challenges that can erode one's self-esteem and self-worth. The feeling of “not being connected” to peers can result in feelings of isolation and depression. This article advocates the use of a Narrative Therapy approach to counseling adolescents with hearing loss. Adolescents with hearing loss often have problem-saturated narratives regarding various components of their daily life, friendships, amplification, academics, etc. Audiologists can work with adolescents with hearing loss to deconstruct the problem-saturated narratives and rebuild the narratives into a more empowering message. As the adolescent retells their positive narrative, they are likely to experience increased self-esteem and self-worth.


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