A randomised controlled trial evaluating the effect of a brief motivational intervention to promote breastfeeding in postpartum depression

Postpartum depression (PPD) is the most frequent psychiatric complication during the postnatal period. According to existing evidence, an association exists between the development of PPD and the maintenance of breastfeeding. A brief motivational intervention (bMI), based on the motivational interview, seems effective in promoting breastfeeding. The objective of this study was to analyse the impact of a bMI aiming to promote breastfeeding on the development of PPD and explore the mediating/moderating roles of breastfeeding and breastfeeding self-efficacy in the effect of the intervention on developing PPD. Eighty-eight women who gave birth by vaginal delivery and started breastfeeding during the immediate postpartum period were randomly assigned to the intervention group (bMI) or control group (breastfeeding education). Randomisation by minimisation was carried out. The breastfeeding duration was longer in the intervention group (11.06 (± 2.94) weeks vs 9.02 (± 4.44), p = 0.013). The bMI was associated with a lower score on the Edinburgh Postnatal Depression Scale, with a regression β coefficient of − 2.12 (95% CI − 3.82; − 0.41). A part of this effect was mediated by the effect of the intervention on the duration of breastfeeding (mediation/moderation index β = − 0.57 (95% CI − 1.30; − 0.04)). These findings suggest that a bMI aiming to promote breastfeeding has a positive impact preventing PPD mainly due to its effectiveness in increasing the duration of breastfeeding.

Temperamental and Personality Traits as Factors Related to Changes in Health Behaviors and Quality of Life in Patients With Metabolic Syndrome in Poland

Lifestyle changes in diet and physical activity are necessary for managing metabolic syndrome. The aim of this longitudinal study was to examine temperamental and personality traits as moderators of lifestyle changes prompted by motivational intervention. The sample consisted of 50 patients aged 22–65years (M=45.26; SD=9.79) who fulfilled the diagnostic criteria for metabolic syndrome and were undergoing treatment at the Military Institute of Medicine in Warsaw. There were two measurements: an initial measurement and a second 15months after motivational counseling. Each patient completed the questionnaires: Formal Characteristics of Behavior – Temperament Inventory, NEO Five Factor Inventory, Inventory of Health Behavior, and Short Form Survey SF-36. Body Mass Index (BMI), Fat Mass, Fat-free Mass, Intracellular Water, and Basal Metabolic Rate (BMR) were also measured. Data were analyzed using dependent samples t-tests to detect the changes in consecutive measurements, the hierarchical regression analysis was used to investigate temperamental and personality traits as predictors of change, the cluster analysis was used to extract the subgroups of patients with distinct profiles of temperamental and personality traits, and the analysis of variance was used to analyze extracted profiles as potential moderators of change. Three subgroups were extracted using k-means clustering: patients with higher Neuroticism, Perseveration, and Emotional Reactivity; patients higher Extraversion, Briskness, Sensory Sensitivity, Endurance, Activity, and Conscientiousness; and patients with lower Perseveration. All patients improved significantly in terms of physical quality of life (QoL), health behaviors, BMI, BMR, and Fat-free Mass (p<0.05). Regression analysis found that higher Sensory Sensitivity, lower Perseveration, and higher Agreeableness fostered positive change (p<0.05). Patients with higher Neuroticism, Perseveration, and Emotional Reactivity also improved in terms of their Emotional Quality of Life and Health Practices, reaching parity with other patients, which was verified on the basis of statistically significant interaction (p<0.05). The temperamental and personality trait profiles moderated the changes in health practices and emotional QoL. Motivational counseling was effective for patients diagnosed with metabolic syndrome in general, but patients with higher Neuroticism, Perseveration, and Emotional Reactivity benefited even more, as they were in poorer psychological condition before the motivational intervention.

Effects of an online-based motivational intervention to reduce problematic internet use and promote treatment motivation in internet gaming disorder and internet use disorder (OMPRIS): study protocol for a randomised controlled trial

IntroductionIn May 2019, the WHO classified internet gaming disorder (IGD) as a mental disorder in the upcoming International Classification of Diseases 11th Revision. However, individuals affected by IGD or internet use disorders (IUDs) are often not provided with adequate therapy due to a lack of motivation or absence of adequate local treatment options. To close the gap between individuals with IUDs and the care system, we conduct an online-based motivational intervention to reduce problematic internet use and promote treatment motivation in internet gaming disorder and internet use disorder (OMPRIS).Methods and analysisWithin the randomised controlled trial, a total of n=162 participants will be allocated by sequential balancing randomisation to the OMPRIS intervention or a waitlist control group. The study includes an extensive diagnostic, followed by a 4-week psychological intervention based on motivational interviewing, (internet-related) addiction therapy, behavioural therapy techniques and additional social counselling. The primary outcome is the reduction of problematic internet use measured by the Assessment of Internet and Computer Game Addiction Scale. Secondary outcomes include time spent on the internet, motivation for change (Stages of Change Readiness and Treatment Eagerness Scale for Internet Use Disorder), comorbid mental symptoms (Patient Health Questionnaire-9, Generalized Anxiety Disorder Screener-7), quality of life (EuroQoL Standardised Measure of Health-related Quality of Life–5 Dimensions, General Life Satisfaction-1), self-efficacy (General Self-Efficacy Scale), personality traits (Big Five Inventory-10), therapeutic alliance (Helping Alliance Questionnaire) and health economic costs. The diagnosis of (comorbid) mental disorders is carried out with standardised clinical interviews. The measurement will be assessed before (T0), at midpoint (T1) and after the OMPRIS intervention (T2), representing the primary endpoint. Two follow-up assessments will be conducted after 6 weeks (T3) and 6 months (T4) after the intervention. The outcomes will be analysed primarily via analysis of covariance. Both intention-to-treat and per-protocol analyses will be conducted.Ethics and disseminationParticipants will provide written informed consent. The trial has been approved by the Ethics Committee of the Faculty of Medicine, Ruhr University Bochum (approval number 19-6779). Findings will be disseminated through presentations, peer-reviewed journals and conferences.Trial registration numberDRKS00019925.

Análisis de la evaluación de programas de educación emocional y motivación en Educación Secundaria

La motivación y las emociones son aspectos clave en el ámbito escolar debido a su clara relación con el rendimiento académico, y los programas de intervención se proponen como un recurso adecuado para contribuir a su mejora y ajuste. Sin embargo, seleccionar el programa adecuado y con garantías de calidad no siempre es una tarea sencilla. Una manera de obtener cierta garantía es partir de aquellos programas de intervención que no solo han sido evaluados, sino de los que además se dispone de evidencias de que dicha evaluación se ha realizado de forma correcta. El presente trabajo tiene como objetivo analizar los procesos y resultados de evaluación de diferentes programas de educación emocional y de motivación dirigidos a estudiantes de Secundaria y/o adolescentes a partir de los resultados de sus evaluaciones. Para ello, se realiza una aproximación teórica a la evaluación y metaevaluación de programas y se lleva a cabo una revisión de la literatura académica de la que se seleccionan y comparan evaluaciones de programas de educación emocional y motivación. Finalmente, se realiza una metaevaluación mediante la aplicación de estándares. Los resultados muestran que las evaluaciones se realizan, generalmente, de forma interna y sumativa, centrándose en los resultados de aplicación y no tanto en el proceso. Motivation is a key aspect in education due to its influence on academic performance, and intervention programs are a useful resource to contribute to its improvement. However, selecting the right programme with quality guarantees is not always a simple task. One way to have a certain guarantee is by choosing those programs that have not only been evaluated, but for which there is also evidence that the evaluation has been performed correctly The present work aims to analyse the evaluation processes and results of different motivational intervention programs addressed to Secondary students from the results of their evaluation results. In order to achieve this goal, a theoretical approach to program evaluation and meta-evaluation is made and a review of the academic literature from which evaluations of motivational intervention programs are selected and compared. Finally, a meta-evaluation is performed through the application of standards. The results show that evaluations are generally conducted internally and in a summative manner, focusing on the results of implementation rather than on the process.

Individual and family motivational intervention for treatment of alcohol abuse

Alcohol abuse is one of four non-communicable diseases that kill 70 % of the world’s population, damaging the individual and his family’s functionality. This project’s objective was to evaluate the effectiveness of family versus individual alcohol abuse intervention using a transtheoretical model and motivational interview. El abuso de alcohol es una de las cuatro enfermedades no transmisibles que matan al 70% de la población mundial y dañan al individuo y la funcionalidad des u familia.