Biofeedback Enriches the Counseling Experience

Biofeedback ◽  
2020 ◽  
Vol 48 (4) ◽  
pp. 85-89
Author(s):  
Tami Maes Fragedakis ◽  
Stephen Leierer ◽  
Paul Toriello ◽  
Carmen Russoniello ◽  
Leslie Sherlin
Keyword(s):  
Working Alliance ◽  
Treatment Satisfaction ◽  
Health Conditions ◽  
Personal Goals ◽  
Healthy Lifestyles ◽  
Process Variables ◽  
Counseling Experience ◽  
Talk Therapy ◽  
Effective Form

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.

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
Keyword(s):  
Working Alliance ◽  
Process Evaluation ◽  
Treatment Satisfaction ◽  
Counseling Experience ◽  
Training Protocol

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.

scholarly journals The Role of Working Alliance in Attainment of Personal Goals and Improvement in Quality of Life During Psychiatric Rehabilitation

2018 ◽  
Vol 69 (8) ◽  
pp. 903-909 ◽  
Author(s):  
Sarita A. Sanches ◽  
Jooske T. van Busschbach ◽  
Harry W. C. Michon ◽  
Jaap van Weeghel ◽  
Wilma E. Swildens
Keyword(s):  
Quality Of Life ◽  
Working Alliance ◽  
Psychiatric Rehabilitation ◽  
Personal Goals

scholarly journals Perceived Treatment Satisfaction and Effectiveness Facilitators Among Patients With Chronic Health Conditions: A Self-Reported Survey

10.2196/13029 ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. e13029
Author(s):  
Kathryn Volpicelli Leonard ◽  
Courtney Robertson ◽  
Amrita Bhowmick ◽  
Leslie Beth Herbert
Keyword(s):  
Treatment Satisfaction ◽  
Survey Design ◽  
Strong Relationship ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Perceived Effectiveness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Chronic Health ◽  
Factors Associated

Background Approximately 50% of patients are nonadherent to prescribed medications. Patient perception regarding medication effectiveness has been linked to improved adherence. However, how patients perceive effectiveness is poorly understood. Objective The aim of this study was to elucidate factors associated with perceived treatment satisfaction and effectiveness among patients with chronic health conditions. Methods We conducted a descriptive study using a cross-sectional survey design. We administered a Web-based survey to participants with migraine, multiple sclerosis (MS), or rheumatoid arthritis (RA). Patients were recruited from established online communities of Health Union. Descriptive statistics, correlations, and comparison tests were used to examine outcomes. Results Data were collected from 1820 patients: 567 with migraine, 717 with MS, and 536 with RA. The majority of participants were female (1644/1820, 90.33%), >40 years old (1462/1820, 80.33%), and diagnosed >5 years ago (1189/1820, 65.33%). Treatment satisfaction and perceived medication effectiveness were highly correlated (r=0.90, P<.01). Overall, three temporal factors were positively correlated with satisfaction or perceived effectiveness: time on current medication (satisfaction rs=0.22, P<.01; effectiveness rs=0.25, P<.01), time since diagnosis (satisfaction rs=0.07, P<.01; effectiveness rs=0.09, P<.01), and time on treatment (effectiveness rs=0.08, P<.01). Conclusions Findings validated the strong relationship between treatment satisfaction and perceived effectiveness. Understanding the (1) positive relationship between time and treatment satisfaction and effectiveness and (2) factors associated with determining medication effectiveness can help clinicians better understand the mindset of patients regarding treatment. Clinicians may be better prepared to elicit patient beliefs, which influence medication adherence, for people diagnosed with chronic health conditions.

scholarly journals Analisis Etnografi Virtual Tentang Proses Komunikasi Kesehatan Ibu Dan Anak Dalam Whatsapp Group “Tentang Anak”

2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Ditha Prasanti ◽  
Sri Seti Indriani
Keyword(s):  
Health Literacy ◽  
Health Communication ◽  
Communication Barriers ◽  
Qualitative Approach ◽  
Communication Process ◽  
Health Conditions ◽  
Time Constraints ◽  
Healthy Lifestyles ◽  
Educational Barriers ◽  
Concept Of Health

It was starting from the author's interest in mothers who are both urban women and put forward the concept of health literacy about care, healing, and health conditions of their children, if their children experience illness. The purpose of this study is to describe the process of health communication that occurs in whatsapp group "Tentang Anak"; the topic of conversation conducted in whatsapp group "Tentang Anak"; and communication barriers that occur during the health communication process. This study uses a qualitative approach with virtual ethnographic methods. The results of the study showed that the ongoing health communication process included the search by the mother for the health information about their children in whatsapp group "Tentang Anak". The topic of discussion is about information of healthy lifestyles for children, child development, child care, and child healing techniques when experiencing any pain. The communication barriers in the health communication process are personal obstacles, educational barriers, and time constraints.

scholarly journals Perceived Treatment Satisfaction and Effectiveness Facilitators Among Patients With Chronic Health Conditions: A Self-Reported Survey (Preprint)

2018 ◽  
Author(s):  
Kathryn Volpicelli Leonard ◽  
Courtney Robertson ◽  
Amrita Bhowmick ◽  
Leslie Beth Herbert
Keyword(s):  
Treatment Satisfaction ◽  
Survey Design ◽  
Strong Relationship ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Perceived Effectiveness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Chronic Health ◽  
Factors Associated

BACKGROUND Approximately 50% of patients are nonadherent to prescribed medications. Patient perception regarding medication effectiveness has been linked to improved adherence. However, how patients perceive effectiveness is poorly understood. OBJECTIVE The aim of this study was to elucidate factors associated with perceived treatment satisfaction and effectiveness among patients with chronic health conditions. METHODS We conducted a descriptive study using a cross-sectional survey design. We administered a Web-based survey to participants with migraine, multiple sclerosis (MS), or rheumatoid arthritis (RA). Patients were recruited from established online communities of Health Union. Descriptive statistics, correlations, and comparison tests were used to examine outcomes. RESULTS Data were collected from 1820 patients: 567 with migraine, 717 with MS, and 536 with RA. The majority of participants were female (1644/1820, 90.33%), &gt;40 years old (1462/1820, 80.33%), and diagnosed &gt;5 years ago (1189/1820, 65.33%). Treatment satisfaction and perceived medication effectiveness were highly correlated (<i>r</i>=0.90, <i>P</i>&lt;.01). Overall, three temporal factors were positively correlated with satisfaction or perceived effectiveness: time on current medication (satisfaction <i>r<sub>s</sub></i>=0.22, <i>P</i>&lt;.01; effectiveness <i>r</i><sub>s</sub>=0.25, <i>P</i>&lt;.01), time since diagnosis (satisfaction <i>r</i><sub>s</sub>=0.07, <i>P</i>&lt;.01; effectiveness <i>r</i><sub>s</sub>=0.09, <i>P</i>&lt;.01), and time on treatment (effectiveness <i>r</i><sub>s</sub>=0.08, <i>P</i>&lt;.01). CONCLUSIONS Findings validated the strong relationship between treatment satisfaction and perceived effectiveness. Understanding the (1) positive relationship between time and treatment satisfaction and effectiveness and (2) factors associated with determining medication effectiveness can help clinicians better understand the mindset of patients regarding treatment. Clinicians may be better prepared to elicit patient beliefs, which influence medication adherence, for people diagnosed with chronic health conditions.

scholarly journals Change Process in Coaching: Interplay of Nonverbal Synchrony, Working Alliance, Self-Regulation, and Goal Attainment

2021 ◽  
Vol 12 ◽  
Author(s):  
Tünde Erdös ◽  
Fabian T. Ramseyer
Keyword(s):  
Working Alliance ◽  
Change Process ◽  
Goal Attainment ◽  
Self Regulation ◽  
Positive Association ◽  
Implementation Intention ◽  
Process Variables ◽  
Network Analyses ◽  
State Dependent ◽  
Nonverbal Synchrony

Background: Psychological literature emphasizes that self-regulation is important as goal intentions, goal setting, or implementation intention does not automatically result in effective results in coaching. The question which coaching strategies to apply to strengthening clients' self-regulatory capacities as prerequisites of effective change outcomes remains a black box in coaching.Method: This quantitative study explored clients' self-regulatory mechanisms by addressing how nonverbal synchrony influences clients' cognitive and emotional self-regulation across sessions. One hundred eighty-four coach–client pairs and their evolving change process were observed over 8 months. Video-recorded sessions were assessed with motion energy analysis to automatically capture coach and client nonverbal behavior and quantify nonverbal synchrony at the level of the dyad.Results: Synchrony was differentially associated with clients' post-session questionnaires on result-oriented problem-reflection and self-reflection, affect balance, and working alliance. Network analyses suggested that the association between synchrony and other process variables did not correspond to the previously found positive association between synchrony and positive aspects of alliance or outcome. Instead, this association depended on the level of perceived outcome.Discussion: Coaching success may be predicted by process variables assessed after each session: goal reflection, alliance, and mood all predict successful coaching. The assessment of nonverbal synchrony suggests a state-dependent effect of embodied processes on a coaching outcome that warrants further inspection.

Working Alliance, Treatment Satisfaction, and Patterns of Posttreatment Use Among Adolescent Substance Users.

2005 ◽  
Vol 19 (2) ◽  
pp. 199-207 ◽  
Author(s):  
Brooke T. Tetzlaff ◽  
Jeffrey H. Kahn ◽  
Susan H. Godley ◽  
Mark D. Godley ◽  
Guy S. Diamond ◽  
...  
Keyword(s):  
Working Alliance ◽  
Treatment Satisfaction ◽  
Substance Users ◽  
Adolescent Substance

scholarly journals Effects of Treatment Length and Chat-Based Counseling in a Web-Based Intervention for Cannabis Users: Randomized Factorial Trial (Preprint)

2017 ◽  
Author(s):  
Benjamin Jonas ◽  
Marc-Dennan Tensil ◽  
Peter Tossmann ◽  
Evelin Strüber
Keyword(s):  
Real Time ◽  
Working Alliance ◽  
Treatment Satisfaction ◽  
Positive Impact ◽  
Controlled Trial ◽  
Cannabis Use ◽  
Synchronous Communication ◽  
Design Factor ◽  
Web Based ◽  
Timeline Followback

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)

Initial Outcomes of Transdiagnostic Internet-Delivered Cognitive Behavioural Therapy Tailored for Public Safety Personnel: A Longitudinal Observational Study (Preprint)

2021 ◽  
Author(s):  
Heather D. Hadjistavropoulos ◽  
Hugh C. McCall ◽  
David L. Thiessen ◽  
Ziyin Huang ◽  
R. Nicholas Carleton ◽  
...  
Keyword(s):  
Social Anxiety ◽  
Working Alliance ◽  
Cognitive Behavioural Therapy ◽  
Treatment Satisfaction ◽  
Public Safety ◽  
Behavioural Therapy ◽  
Ptsd Symptoms ◽  
Public Safety Personnel ◽  
Cognitive Behavioural ◽  
Safety Personnel

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).

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