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Pakdeesatitwara N, Clark I, Tamplin J. A mixed-studies systematic review of self-administered music interventions (SAMIs) for psychological wellbeing in people with chronic health conditions: Meta-analysis and narrative summary. PATIENT EDUCATION AND COUNSELING 2024; 118:108006. [PMID: 37857192 DOI: 10.1016/j.pec.2023.108006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 09/29/2023] [Accepted: 10/05/2023] [Indexed: 10/21/2023]
Abstract
OBJECTIVE This mixed-studies systematic review examined how self-administered music interventions (SAMIs) influenced psychological wellbeing for people with chronic health conditions. METHODS We searched 7 databases and performed citation and reference checks to find studies that implemented SAMIs for psychological outcomes in adults with chronic health conditions published between January 1990 and March 2023. Risk of bias was assessed using Downs and Black's quality assessment checklist criteria. Data were synthesised using meta-analysis and narrative summary. RESULTS We included 21 articles (934 participants). Meta-analyses demonstrated significant effects of SAMIs on outcomes measuring post-test (SMD = 0.72) and long-term depression (SMD = 0.51), post-test generic (SMD = 0.55) and disease-specific (SMD = 0.56) psychological quality of life, and post-test mood disturbance (SMD = 0.64). A small effect suggested that SAMIs with multiple in-person sessions guided by a music therapist may reduce anxiety (SMD = 0.37) CONCLUSION: SAMIs may improve psychological wellbeing in people with chronic health conditions. Long-term benefits of SAMIs have been recognised for the depression outcome. PRACTICE IMPLICATIONS Encouraging people with chronic health conditions to self-administer music interventions may provide benefits to their psychological wellbeing.
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Affiliation(s)
- Napak Pakdeesatitwara
- The University of Melbourne, The Creative Arts and Music Therapy Research Unit (CAMTRU), Melbourne, Australia.
| | - Imogen Clark
- The University of Melbourne, The Creative Arts and Music Therapy Research Unit (CAMTRU), Melbourne, Australia
| | - Jeanette Tamplin
- The University of Melbourne, The Creative Arts and Music Therapy Research Unit (CAMTRU), Melbourne, Australia; Austin Health, Melbourne, Australia
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McCusker J, Lambert S, Yaffe M, Schwartz H, Haggerty J, Belzile E, Pelland ME, Minotti SC, de Raad M. Adaptation and outcomes of a lay-guided mental health self-care model: Results of six trials. Gen Hosp Psychiatry 2023; 85:63-70. [PMID: 37820547 DOI: 10.1016/j.genhosppsych.2023.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 09/16/2023] [Accepted: 09/27/2023] [Indexed: 10/13/2023]
Abstract
OBJECTIVE To synthesize results of six controlled trials of self-care interventions for depression and/or anxiety, focusing on five trials in which lay guidance was compared to self-directed use of the same self-care tools. METHODS The trials were conducted in Canada in different target populations. Self-care tools were adapted to each population. Guidance was provided in 3-15 calls over a period of 6-26 weeks. Depression and/or anxiety were assessed at follow-up (6-26 weeks). Pooled analyses used a meta-analytic approach. Engagement with the self-care tools was compared using the standardized difference or Cohen's d effect size. RESULTS In studies with homogeneous outcomes (three for depression, four for anxiety), the pooled effect sizes of guidance vs. self-directed use of the self-care tools were 0.36 (95% CI 0.10, 0.62, N = 235) for depression and 0.21 (95% CI -0.03, 0.44, N = 285) for anxiety. Guidance consistently led to greater engagement with the tools. CONCLUSIONS The intervention model is a potentially sustainable and accessible alternative to professionally guided self-care for people with mild-moderate depression. Factors which may have limited implementation success include: co-interventions, reduced number of guide calls (3 vs 6 or more), and delivery to dyads (patient-caregiver).
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Affiliation(s)
- Jane McCusker
- Department of Epidemiology and Biostatistics, McGill University, 1020 Pine Ave, Montreal, Quebec H3A 1A2, Canada; St. Mary's Research Centre, 3830 Lacombe Ave, Hayes Pavilion, Suite 4720, Montreal, Quebec H3T 1M5, Canada.
| | - Sylvie Lambert
- St. Mary's Research Centre, 3830 Lacombe Ave, Hayes Pavilion, Suite 4720, Montreal, Quebec H3T 1M5, Canada; Ingram School of Nursing, McGill University, 80 Sherbrooke St W, Suite1800, Montreal, Quebec H3A 2M7, Canada.
| | - Mark Yaffe
- St. Mary's Research Centre, 3830 Lacombe Ave, Hayes Pavilion, Suite 4720, Montreal, Quebec H3T 1M5, Canada; Department of Family Medicine, McGill University, 5858 Chem de la Côte des Neiges, Montreal, Quebec H3S 1Z1, Canada; St. Mary's Hospital Department of Family Medicine, 3777 Jean Brillant St, Montreal, Quebec H3T 1M5, Canada.
| | - Hannah Schwartz
- Department of Psychiatry, McGill University, 1033 Pine Ave W, Montreal, Quebec H3A 1A1, Canada; Department of Psychiatry, St. Mary's Hospital Centre, 3830 Lacombe Ave, Montreal, Quebec H3T 1M5, Canada.
| | - Jeannie Haggerty
- St. Mary's Research Centre, 3830 Lacombe Ave, Hayes Pavilion, Suite 4720, Montreal, Quebec H3T 1M5, Canada; Department of Family Medicine, McGill University, 5858 Chem de la Côte des Neiges, Montreal, Quebec H3S 1Z1, Canada.
| | - Eric Belzile
- St. Mary's Research Centre, 3830 Lacombe Ave, Hayes Pavilion, Suite 4720, Montreal, Quebec H3T 1M5, Canada.
| | - Marie-Eve Pelland
- Department of Radiology, Radiation Oncology and Nuclear Medicine, Université de Montréal, Pavillon Roger-Gaudry, S-716, 2900, boul Édouard-Montpetit, Montreal, Quebec H3T 1A4, Canada; Radio-oncology Department, Centre hospitalier de l'Université de Montréal, 1000, rue Saint-Denis, Montreal, Quebec H2X 0C1, Canada.
| | - Simona C Minotti
- St. Mary's Research Centre, 3830 Lacombe Ave, Hayes Pavilion, Suite 4720, Montreal, Quebec H3T 1M5, Canada; Institute for Better Health, Trillium Health Partners, 100 Queensway W, Mississauga, Ontario L58 1B8, Canada; Biostatistics Division, Dalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, Ontario M5T 3M7, Canada.
| | - Manon de Raad
- St. Mary's Research Centre, 3830 Lacombe Ave, Hayes Pavilion, Suite 4720, Montreal, Quebec H3T 1M5, Canada.
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McCusker J, Lambert SD, Ciampi A, Jones JM, Li M, Yaffe MJ, Pelland ME, Belzile E, de Raad M. Trained lay coaches and self-care cognitive-behavioral tools improve depression outcomes. PATIENT EDUCATION AND COUNSELING 2022; 105:2747-2756. [PMID: 35397942 DOI: 10.1016/j.pec.2022.03.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 03/23/2022] [Accepted: 03/26/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVES Identify the key effective components of a depression self-care intervention. METHODS Secondary analysis of data from 3 studies that demonstrated effectiveness of a similar depression self-care intervention (n = 275): 2 studies among patients with chronic physical conditions and 1 among cancer survivors. The studies used similar tools, and telephone-based lay coaching. Depression remission and reduction at 6 months were assessed with either PHQ-9 (chronic condition cohorts) or CES-D (cancer survivor cohort). Multiple logistic regression was used to analyze data when the interaction p-value with cohort was < 0.10. RESULTS The 3 coached cohorts achieved better depression outcomes than usual care. The combination of coaching and joint use of 2 tools based on cognitive-behavioral therapy (CBT) was associated with depression remission and reduction among chronic condition cohorts but not among cancer survivors. Neither the number nor the length of coach calls were associated with outcomes in pooled data. CONCLUSIONS Trained lay coaching and use of CBT-based self-care tools were associated with improved depression outcomes in patients with chronic conditions but not among cancer survivors. PRACTICE IMPLICATIONS Trained lay coaching and CBT tools are key components of depression self-care interventions. Further research is needed on the effective components in cancer survivors.
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Affiliation(s)
- Jane McCusker
- St. Mary's Research Centre, 3830 Lacombe Ave., Hayes Pavilion, Suite 4720, Montreal H3T 1M5, Quebec, Canada; Montreal West Island Integrated University Health and Social Services Centre, 3830 Lacombe Ave., Montreal H3T 1M5, Quebec, Canada; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, 1020 Pine Ave, Montreal, Quebec H3A 1A2, Canada.
| | - Sylvie D Lambert
- St. Mary's Research Centre, 3830 Lacombe Ave., Hayes Pavilion, Suite 4720, Montreal H3T 1M5, Quebec, Canada; Montreal West Island Integrated University Health and Social Services Centre, 3830 Lacombe Ave., Montreal H3T 1M5, Quebec, Canada; Ingram School of Nursing, McGill University, 80 Sherbrooke St W, Suite1800, Montreal, Quebec H3A 2M7, Canada.
| | - Antonio Ciampi
- St. Mary's Research Centre, 3830 Lacombe Ave., Hayes Pavilion, Suite 4720, Montreal H3T 1M5, Quebec, Canada; Montreal West Island Integrated University Health and Social Services Centre, 3830 Lacombe Ave., Montreal H3T 1M5, Quebec, Canada; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, 1020 Pine Ave, Montreal, Quebec H3A 1A2, Canada.
| | - Jennifer M Jones
- Department of Psychiatry, University of Toronto, 250 College Street, 8th Floor, Toronto, Ontario M5T 1R8, Canada; Department of Supportive Care, Princess Margaret Cancer Centre, 610 University Ave, Toronto M5G 2C1, Ontario, Canada.
| | - Madeline Li
- Department of Psychiatry, University of Toronto, 250 College Street, 8th Floor, Toronto, Ontario M5T 1R8, Canada; Department of Supportive Care, Princess Margaret Cancer Centre, 610 University Ave, Toronto M5G 2C1, Ontario, Canada.
| | - Mark J Yaffe
- St. Mary's Research Centre, 3830 Lacombe Ave., Hayes Pavilion, Suite 4720, Montreal H3T 1M5, Quebec, Canada; Montreal West Island Integrated University Health and Social Services Centre, 3830 Lacombe Ave., Montreal H3T 1M5, Quebec, Canada; Department of Family Medicine, McGill University, 5858 Ch. de la Côte-des-Neiges, Montréal, Quebec H3S 1Z1, Canada; Department of Family Medicine, St. Mary's Hospital Center, 3830 Lacombe Ave, Hayes Pavilion, Montreal H3T 1M5, Quebec, Canada.
| | - Marie-Eve Pelland
- Département de radio-oncologie, Centre hospitalier de l'Université de Montréal, 1000, rue Saint-Denis, Montréal, Québec H2X 0C1, Canada.
| | - Eric Belzile
- St. Mary's Research Centre, 3830 Lacombe Ave., Hayes Pavilion, Suite 4720, Montreal H3T 1M5, Quebec, Canada; Montreal West Island Integrated University Health and Social Services Centre, 3830 Lacombe Ave., Montreal H3T 1M5, Quebec, Canada.
| | - Manon de Raad
- St. Mary's Research Centre, 3830 Lacombe Ave., Hayes Pavilion, Suite 4720, Montreal H3T 1M5, Quebec, Canada; Montreal West Island Integrated University Health and Social Services Centre, 3830 Lacombe Ave., Montreal H3T 1M5, Quebec, Canada.
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Ould Brahim L, Lambert SD, Feeley N, Coumoundouros C, Schaffler J, McCusker J, Moodie EEM, Kayser J, Kolne K, Belzile E, Genest C. The effects of self-management interventions on depressive symptoms in adults with chronic physical disease(s) experiencing depressive symptomatology: a systematic review and meta-analysis. BMC Psychiatry 2021; 21:584. [PMID: 34800995 PMCID: PMC8605588 DOI: 10.1186/s12888-021-03504-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 09/28/2021] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Chronic diseases are the leading cause of death worldwide. It is estimated that 20% of adults with chronic physical diseases experience concomitant depression, increasing their risk of morbidity and mortality. Low intensity psychosocial interventions, such as self-management, are part of recommended treatment; however, no systematic review has evaluated the effects of depression self-management interventions for this population. The primary objective was to examine the effect of self-management interventions on reducing depressive symptomatology in adults with chronic disease(s) and co-occurring depressive symptoms. Secondary objectives were to evaluate the effect of these interventions on improving other psychosocial and physiological outcomes (e.g., anxiety, glycemic control) and to assess potential differential effect based on key participant and intervention characteristics (e.g., chronic disease, provider). METHODS Studies comparing depression self-management interventions to a control group were identified through a) systematic searches of databases to June 2018 [MEDLINE (1946 -), EMBASE (1996 -), PsycINFO (1967 -), CINAHL (1984 -)] and b) secondary 'snowball' search strategies. The methodological quality of included studies was critically reviewed. Screening of all titles, abstracts, and full texts for eligibility was assessed independently by two authors. Data were extracted by one author and verified by a second. RESULTS Fifteen studies were retained: 12 for meta-analysis and three for descriptive review. In total, these trials included 2064 participants and most commonly evaluated interventions for people with cancer (n = 7) or diabetes (n = 4). From baseline to < 6-months (T1), the pooled mean effect size was - 0.47 [95% CI -0.73, - 0.21] as compared to control groups for the primary outcome of depression and - 0.53 [95% CI -0.91, - 0.15] at ≥ 6-months (T2). Results were also significant for anxiety (T1) and glycemic control (T2). Self-management skills of decision-making and taking action were significant moderators of depression at T1. CONCLUSION Self-management interventions show promise in improving depression and anxiety in those with concomitant chronic physical disease. The findings may contribute to the development of future Self-management interventions and delivering evidence-based care to this population. Further high-quality RCTs are needed to identify sources of heterogeneity and investigate key intervention components.
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Affiliation(s)
| | - Sylvie D. Lambert
- grid.14709.3b0000 0004 1936 8649Ingram School of Nursing, McGill University, Montreal, Canada ,St. Mary’s Research Centre, Montreal, Canada
| | - Nancy Feeley
- grid.14709.3b0000 0004 1936 8649Ingram School of Nursing, McGill University, Montreal, Canada ,Centre for Nursing Research, Montreal, Canada
| | - Chelsea Coumoundouros
- grid.8993.b0000 0004 1936 9457Healthcare Sciences and e-Health, Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden
| | | | - Jane McCusker
- St. Mary’s Research Centre, Montreal, Canada ,grid.14709.3b0000 0004 1936 8649Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada
| | - Erica E. M. Moodie
- grid.14709.3b0000 0004 1936 8649Department of Epidemiology, Biostatistics, and Occupational Health, McGill University Montreal, Montreal, Canada
| | - John Kayser
- grid.459278.50000 0004 4910 4652CIUSSS du Centre-Sud-de-l’Île-de-Montréa, Montreal, Canada
| | - Kendall Kolne
- Trillium Lakelands District School Board, Lindsay, Canada
| | | | - Christine Genest
- grid.14848.310000 0001 2292 3357Faculty of Nursing Sciences, Université de Montreal, Montreal, Quebec Canada
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Marques A, Santos E, Nikiphorou E, Bosworth A, Carmona L. Effectiveness of self-management interventions in inflammatory arthritis: a systematic review informing the 2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis. RMD Open 2021; 7:rmdopen-2021-001647. [PMID: 34049997 PMCID: PMC8166594 DOI: 10.1136/rmdopen-2021-001647] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 04/10/2021] [Accepted: 04/19/2021] [Indexed: 01/08/2023] Open
Abstract
Objective To perform a systematic review (SR) on the effectiveness of self-management interventions, in order to inform the European League Against Rheumatism Recommendations for its implementation in patients with inflammatory arthritis (IA). Methods The SR was conducted according to the Cochrane Handbook and included adults (≥18 years) with IA. The search strategy was run in Medline through PubMed, Embase, Cochrane Library, CINAHL Plus with Full Text, and PEDro. The assessment of risk of bias, data extraction and synthesis were performed by two reviewers independently. A narrative Summary of Findings was provided according to the Grading of Recommendations, Assessment, Development and Evaluation. Results From a total 1577 references, 57 were selected for a full-text review, and 32 studies fulfilled the inclusion criteria (19 randomised controlled trials (RCTs) and 13 SRs). The most studied self-management components were specific interactive disease education in ten RCTs, problem solving in nine RCTs, cognitive–behavioural therapy in eight RCTs, goal setting in six RCTs, patient education in five RCTs and response training in two RCTs. The most studied interventions were multicomponent or single exercise/physical activity in six SRs, psychosocial interventions in five SRs and education in two SRs. Overall, all these specific components and interventions of self-management have beneficial effects on IAs-related outcomes. Conclusions The findings confirm the beneficial effect of the self-management interventions in IA and the importance of their implementation. Further research should focus on the understanding that self-management is a complex intervention to allow the isolation of the effectiveness of its different components.
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Affiliation(s)
- Andréa Marques
- Rheumatology Department, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal .,Higher School of Nursing of Coimbra, Health Sciences Research Unit: Nursing, Coimbra, Portugal
| | - Eduardo Santos
- Rheumatology Department, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.,Higher School of Nursing of Coimbra, Health Sciences Research Unit: Nursing, Coimbra, Portugal
| | | | - Ailsa Bosworth
- National Rheumatoid Arthritis Society, Littlewick Green, UK
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Muschalla B, Kutzner I. Mental work ability: young professionals with mental health problems perceive lower levels of soft skills. GIO-GRUPPE-INTERAKTION-ORGANISATION-ZEITSCHRIFT FUER ANGEWANDTE ORGANISATIONSPSYCHOLOGIE 2021. [DOI: 10.1007/s11612-021-00552-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
AbstractThis article published in Gruppe Interaktion Organisation (GIO) reports study results on soft skills and mental work ability in young professionals ready to enter the job market. The so-called soft skills (psychological capacities) are nowadays an entrance ticket into the modern working world. Thus, the question is to which degree young professionals who will soon enter the labor market are fit in their soft skills. Are physical or mental health problems related with deficits in soft skills? Which dimensions of soft skills are impaired?365 young professionals in advanced education from a technical college, who will soon enter the labor market, were investigated via online-questionnaire. Participants were asked to rate their self-perceived capacity level according to Mini-ICF-APP, mental and physical health problems, exam and education-related anxiety, self-efficacy and procrastination.Students with mental health problems had higher exam anxiety, and lower study-related self-efficacy as compared to students without health problems at all, or students with physical health problems. But, procrastination behavior was similarly present among students with mental health problems and students with physical health problems. Students with health problems did not report globally weaker capacity levels. Lower levels of capacities depend on the type of health problem: In students with mental health problems, social soft skills were impaired rather than content-related capacities. Physical health problems do not affect the self-perceived psychological capacities.In conclusion, focusing on specific soft skills in training and work adjustment could be fruitful in addition (or as an alternative) to training of profession-specific expertise.
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Bartlett SJ, Lambert SD, McCusker J, Yaffe M, de Raad M, Belzile E, Ciampi A, Di Carlo M, Lyddiatt A. Self-management across chronic diseases: Targeting education and support needs. PATIENT EDUCATION AND COUNSELING 2020; 103:398-404. [PMID: 31575442 DOI: 10.1016/j.pec.2019.08.038] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 07/27/2019] [Accepted: 08/27/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVES Among Canadian adults with chronic disease: 1) to identify groups that differ in self-management task frequency and self-efficacy; 2) to compare group characteristics and preferences for self-management support. METHODS Using data from an online survey, cluster analysis was used to identify groups that differed in self-management task frequency and self-efficacy. Multivariable regression was used to explore relationships with patient characteristics and preferences. RESULTS Cluster analysis (n = 247) revealed three groups:Vulnerable Self-Managers (n = 55), with the highest task frequency and lowest self-efficacy; Confident Self-Managers (n = 73), with the lowest task frequency and highest self-efficacy; and Moderate Needs Self-Managers (n = 119), with intermediate task frequency and self-efficacy. Vulnerable Self-Managers, when compared with the Confident group, were more often: on illness-related employment disability or unemployed; less well educated; diagnosed with emotional problems or hypertension, and had greater multimorbidity. They participated less often in self-management programs, and differed in support preferences. CONCLUSIONS Knowing the characteristics of vulnerable self-managers can help in targeting those in greater need for self-management support that matches their preferences. PRACTICE IMPLICATIONS Different approaches are needed to support self-management in the vulnerable population.
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Affiliation(s)
- Susan J Bartlett
- Divisions of Clinical Epidemiology, Rheumatology and Respiratory Epidemiology and Clinical Trials Unit, McGill University, 5252 de Maisonneauve #3D.57, Montreal, QC, H4A 3S5, Canada; McGill University Health Centre, Centre for Outcomes Research and Evaluation, 5252 de Maisonneauve #3D.57, Montreal, QC, H4A 3S5, Canada.
| | - Sylvie D Lambert
- Ingram School of Nursing, McGill University, 680 Sherbrooke West, Suite 1800 Montreal, QC, H3A 2M7, Canada; St. Mary's Hospital Research Centre, Hayes Pavilion, 3830 Lacombe Ave, Suite 4720, Montreal, QC, H3T 1M5, Canada.
| | - Jane McCusker
- St. Mary's Hospital Research Centre, Hayes Pavilion, 3830 Lacombe Ave, Suite 4720, Montreal, QC, H3T 1M5, Canada; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Purvis Hall, 1020 Pine Ave West, Montreal, QC, H3A 1A2, Canada.
| | - Mark Yaffe
- St. Mary's Hospital Research Centre, Hayes Pavilion, 3830 Lacombe Ave, Suite 4720, Montreal, QC, H3T 1M5, Canada; Department of Family Medicine, McGill University, 5858 Chemin de la Côte-des-Neiges, Montreal, QC, H3S 1Z1, Canada; Family Medicine Centre, St. Mary's Hospital Center, Hayes Pavilion, 3830 Lacombe Ave, Montreal, QC, H3T 1M5, Canada
| | - Manon de Raad
- St. Mary's Hospital Research Centre, Hayes Pavilion, 3830 Lacombe Ave, Suite 4720, Montreal, QC, H3T 1M5, Canada.
| | - Eric Belzile
- St. Mary's Hospital Research Centre, Hayes Pavilion, 3830 Lacombe Ave, Suite 4720, Montreal, QC, H3T 1M5, Canada.
| | - Antonio Ciampi
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Purvis Hall, 1020 Pine Ave West, Montreal, QC, H3A 1A2, Canada.
| | - Mario Di Carlo
- Patient partner, Central Users' Committee, McGill University Health Centre, MUHC Users' Committee, Glen Site, Room D. 04. 7514, 1001 Décarie Blvd, Montreal, QC, H4A 3J1, Canada.
| | - Anne Lyddiatt
- Patient partner, Patient Partners in Arthritis, 393 University Avenue, Suite 1700, Toronto, ON, M5G 1E6, Canada.
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Wang LN, Tao H, Wang M, Yu HW, Su H, Wu B. Efficacy of path-oriented psychological self-help interventions to improve mental health of empty-nest older adults in the Community of China. BMC Psychiatry 2019; 19:365. [PMID: 31752762 PMCID: PMC6868724 DOI: 10.1186/s12888-019-2327-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Accepted: 10/17/2019] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND China has the world's largest aging population and the number of empty-nest older adults is on the rise. In comparison to the aging population in general, empty-nest older adults have a lower level of subjective well-being and poorer mental health status due to a lack of emotional support from their children. The aim of this study is to conduct an empirical study to evaluate the efficacy of the 'Path-oriented Psychological Self-help Intervention' (P-oPSI) led by nurses on the mental health of empty-nest older adults in the community, to provide a scientific foundation for improving their quality of life. METHODS A Quasi-Experimental controlled intervention study was conducted from 2015 to 2017. A total of 76 empty-nest older adults from 2 districts were recruited using a convenience sampling and assigned to 2 groups based on their residential communities in the city of Chifeng in the Inner Mongolia Autonomous Region, China. The wait list control group participated in a mental health lecture to gain knowledge and learn techniques of mental health promotion. The intervention group additionally received 1 month of training in a nurse-led 'P-oPSI' for a month. Both groups were followed-up for 3 months. Mental health status, coping styles, and psychological self-help ability of the participating empty nest older adults were assessed at the baseline, 1 month, and 3-months follow up, respectively. Two-way analysis of variance and a simple effect test were used to analyse the differences of the two groups. RESULTS The P-oPSI yielded a greater benefit for the mental health status, coping styles, and psychological self-help ability of the participants in the intervention group. Combined with a simple effect test, the scores of the mental health status, positive coping style, and psychological self-help ability of those in the intervention group significantly increased at 1 month after the baseline (F mental health status = 7.59, F positive coping style = 7.24, F psychological self-help ability = 7.07); and the sustainable effect of this program lasted for 3 months after the intervention (F mental health status = 13.24, F positive coping style = 10.42, F psychological self-help ability = 10.45), which reached statistical significance (P < 0.01). CONCLUSIONS The P-oPSI program significantly improved the level of mental health of empty-nest older adults in China. This intervention provides a new approach of self-management to improve mental health of older adults in community settings. TRIAL REGISTRATION chictr.org.cn: ChiCTR1900025552. Retrospectively registered 1 September 2019.
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Affiliation(s)
- Li-Na Wang
- School of Medicine, Huzhou University, Huzhou Central Hospital, Huzhou, 313000 Zhejiang China
| | - Hong Tao
- AdventHealth Whole-Person Research, Orlando, FL 32804 USA
| | - Mi Wang
- School of Nursing, Binzhou Polytechnic, Binzhou, 256600 Shandong China
| | - Hong-Wei Yu
- School of Medicine, Huzhou University, Huzhou Central Hospital, Huzhou, 313000 Zhejiang China
| | - Hong Su
- 0000 0001 2204 9268grid.410736.7School of Nursing, Harbin Medical University, DaQing Campus, Daqing, 163319 China
| | - Bei Wu
- Rory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY, 10010, USA.
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Coping with stress: A pilot study of a self-help stress management intervention for patients with epileptic or psychogenic nonepileptic seizures. Epilepsy Behav 2019; 94:169-177. [PMID: 30959274 DOI: 10.1016/j.yebeh.2019.03.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 03/01/2019] [Accepted: 03/03/2019] [Indexed: 02/06/2023]
Abstract
PURPOSE Many patients with epilepsy or psychogenic nonepileptic seizures (PNES) experience high levels of stress. Although psychological interventions have been developed for seizure disorders, few patients can currently access them. We aimed to assess the acceptability and feasibility of a self-help intervention targeting stress in patients with seizures, and to provide preliminary evidence for its effectiveness. METHOD Patients were recruited from outpatient neurology clinics and randomized to an immediate intervention group (n = 39), who received the intervention at baseline, or a delayed intervention group (n = 43), who received the intervention one-month postbaseline. Participants completed self-report questionnaires measuring stress (Smith Stress Symptom Inventory [SSSI]), anxiety (Generalized Anxiety Disorder 7-item Scale [GAD-7]), depression (Neurological Disorders Depression Inventory for Epilepsy [NDDI-E]), quality of life (European Quality of Life - 5 Dimensions [EQ-5D]), and seizure severity and frequency (Liverpool Seizure Severity Scale [LSSS-3]) at baseline, and at one- and two-month follow-up. Participants also provided telephone feedback. The intervention consisted of a self-help stress management workbook based on an integrative stress model framework. RESULTS Although the rate of participants failing to return follow-up information at two months was approximately 50%, those who completed the trial found the intervention acceptable; with the majority rating it as helpful (63.6%) and that they would recommend it to others with seizures (88.1%). A significant reduction in self-reported stress (P = .01) with a medium effect size (dz = 0.51) was observed one-month postintervention. There were no significant changes in any other measures. CONCLUSION The intervention was perceived to be acceptable, safe, and helpful by participants. It could be a useful complementary treatment option for reducing stress experienced by patients living with seizure disorders. Further evaluation in a larger trial is warranted.
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Körner A, Roberts N, Steele RJ, Brosseau DC, Rosberger Z. A randomized controlled trial assessing the efficacy of a self-administered psycho-educational intervention for patients with cancer. PATIENT EDUCATION AND COUNSELING 2019; 102:735-741. [PMID: 30545649 DOI: 10.1016/j.pec.2018.12.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2017] [Revised: 10/25/2018] [Accepted: 12/02/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVE Bibliotherapy refers to psychological self-help interventions that utilize treatment books to improve psychological well-being. Research supports bibliotherapy as an efficacious intervention for a variety of mental health problems. Yet, few studies have investigated bibliotherapy in psychosocial oncology. The objective of this randomized controlled trial was to examine the efficacy of the NuCare intervention, delivered as a self-directed workbook, for enhancing empowerment, coping, and quality of life and reducing distress in patients with cancer. METHODS Eighty-nine adult patients with cancer were randomized to receive the workbook for 6 weeks or the control condition, usual care. Participants completed questionnaires at baseline, 6 weeks post-baseline, and 10 weeks post-baseline. RESULTS The increase of empowerment (main outcome) and quality of life and the decrease of distress in the NuCare group from pre-intervention to follow-up assessment differed significantly from the respective difference scores in the control group. CONCLUSIONS The self-administered NuCare workbook is a potentially cost-effective, minimal intervention addressing psychosocial needs of patients with cancer. PRACTICE IMPLICATIONS Evidence-based bibliotherapy can empower patients and has the promise of reducing the burden on the healthcare system while enhancing the immediacy of psychosocial support.
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Affiliation(s)
- Annett Körner
- Departments of Educational and Counselling Psychology and of Oncology, McGill University, Montreal, Canada; Louise Granofsky Psychosocial Oncology Program, Segal Cancer Center, Jewish General Hospital, Montreal, Canada; Psychosocial Oncology Program, McGill University Health Centre, Montreal, Canada; Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Canada.
| | - Nicole Roberts
- Counselling Services, McGill University, Montreal, Canada
| | - Russell J Steele
- Department of Mathematics and Statistics, McGill University, Montreal, Canada
| | | | - Zeev Rosberger
- Louise Granofsky Psychosocial Oncology Program, Segal Cancer Center, Jewish General Hospital, Montreal, Canada; Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Canada; Departments of Psychology, Oncology and Psychiatry, McGill University, Montreal, Canada
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Finset A. Special Section: Review articles on decision making and patient education interventions. PATIENT EDUCATION AND COUNSELING 2017; 100:2157-2158. [PMID: 29032951 DOI: 10.1016/j.pec.2017.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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