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Mansouri A, Javedani M, Rezazadeh Yazd SA, Nikandish M, Khataei A, Atrian A, Moradi F, Moghbeli N, Seifi Z. The Efficacy of Cognitive-Behavioral Group Therapy on Depression, Anxiety, and Pain-Coping Strategies in Women With Breast Cancer. J Nerv Ment Dis 2023; 211:835-840. [PMID: 37734162 DOI: 10.1097/nmd.0000000000001713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/23/2023]
Abstract
ABSTRACT Cognitive-behavioral group therapy is one of the most effective forms of intervention in therapy for women with breast cancer. The present study aimed to investigate the efficacy of cognitive-behavioral group therapy on depression, anxiety, and pain-coping strategies in women with breast cancer. The present study is a semiexperimental research with a pretest-posttest with the control group. For this purpose, 50 people of women with breast cancer were admitted to the medical university hospitals of Tehran to method purposive sampling and were randomly selected as experimental ( n = 25) and control ( n = 25) groups. The results showed that cognitive-behavioral group therapy significantly reduces depression and anxiety and increases the use of pain-coping strategies in women with breast cancer. Also in the field of pain-coping strategies between the experimental and control groups, there is a significant difference.
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Affiliation(s)
- Aylar Mansouri
- Department of Psychology, Johannes Kepler University Linz, Social and Economic Science, Linz, Austria
| | - Mohammadreza Javedani
- Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
| | | | | | - Alireza Khataei
- Department of Psychology, Faculty of Humanities, Saveh Branch, Islamic Azad University, Saveh, Iran
| | - Alireza Atrian
- Department of Psychology, Isfahan University, Isfahan, Iran
| | - Fateme Moradi
- Department of General, School of Paramedical Sciences Shiraz University of Medical Sciences, Shiraz, Iran
| | - Nina Moghbeli
- Department of Psychology, Payame Noor University, Tehran, Iran
| | - Zahra Seifi
- Department of Psychology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
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Lucy AT, Rakestraw SL, Stringer C, Chu D, Grams J, Stahl R, Mustian MN. Readability of patient education materials for bariatric surgery. Surg Endosc 2023:10.1007/s00464-023-10153-3. [PMID: 37277519 DOI: 10.1007/s00464-023-10153-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2023] [Accepted: 05/20/2023] [Indexed: 06/07/2023]
Abstract
INTRODUCTION Bariatric surgery is a successful treatment for obesity, but barriers to surgery exist, including low health literacy. National organizations recommend patient education materials (PEM) not exceed a sixth-grade reading level. Difficult to comprehend PEM can exacerbate barriers to bariatric surgery, especially in the Deep South where high obesity and low literacy rates exist. This study aimed to assess and compare the readability of webpages and electronic medical record (EMR) bariatric surgery PEM from one institution. METHODS Readability of online bariatric surgery and standardized perioperative EMR PEM were analyzed and compared. Text readability was assessed by validated instruments: Flesch Reading Ease Formula (FRE), Flesch Kincaid Grade Level (FKGL), Gunning Fog (GF), Coleman-Liau Index (CL), Simple Measure of Gobbledygook (SMOG), Automated Readability Index (ARI), and Linsear Write Formula (LWF). Mean readability scores were calculated with standard deviations and compared using unpaired t-tests. RESULTS 32 webpages and seven EMR education documents were analyzed. Webpages were overall "difficult to read" compared to "standard/average" readability EMR materials (mean FRE 50.5 ± 18.3 vs. 67.4 ± 4.2, p = 0.023). All webpages were at or above high school reading level: mean FKGL 11.8 ± 4.4, GF 14.0 ± 3.9, CL 9.5 ± 3.2, SMOG 11.0 ± 3.2, ARI 11.7 ± 5.1, and LWF 14.9 ± 6.6. Webpages with highest reading levels were nutrition information and lowest were patient testimonials. EMR materials were sixth to ninth grade reading level: FKGL 6.2 ± 0.8, GF 9.3 ± 1.4, CL 9.7 ± 0.9, SMOG 7.1 ± 0.8, ARI 6.1 ± 1.0, and LWF 5.9 ± 0.8. CONCLUSION Surgeon curated bariatric surgery webpages have advanced reading levels above recommended thresholds compared to standardized PEM from an EMR. This readability gap may unintentionally contribute to barriers to surgery and affect postoperative outcomes. Streamlined efforts are needed to create materials that are easier to read and comply with recommendations.
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Affiliation(s)
- Adam Timothy Lucy
- Department of Surgery, University of Alabama at Birmingham (UAB) Heersink School of Medicine, 1808 7th Ave South, BDB 505, Birmingham, AL, 35233, USA.
- UAB Department of Surgery, 1808 7th Ave South, Boshell Diabetes Building, Suite 202, Birmingham, AL, 35233, USA.
| | - Stephanie L Rakestraw
- Department of Surgery, University of Alabama at Birmingham (UAB) Heersink School of Medicine, 1808 7th Ave South, BDB 505, Birmingham, AL, 35233, USA
| | - Courtney Stringer
- Department of Surgery, University of Alabama at Birmingham (UAB) Heersink School of Medicine, 1808 7th Ave South, BDB 505, Birmingham, AL, 35233, USA
| | - Daniel Chu
- Department of Surgery, University of Alabama at Birmingham (UAB) Heersink School of Medicine, 1808 7th Ave South, BDB 505, Birmingham, AL, 35233, USA
| | - Jayleen Grams
- Department of Surgery, University of Alabama at Birmingham (UAB) Heersink School of Medicine, 1808 7th Ave South, BDB 505, Birmingham, AL, 35233, USA
- Surgical Services, Birmingham Veterans Affairs Medical Center, 700 19th Street South, Birmingham, AL, 35233, USA
| | - Richard Stahl
- Department of Surgery, University of Alabama at Birmingham (UAB) Heersink School of Medicine, 1808 7th Ave South, BDB 505, Birmingham, AL, 35233, USA
| | - Margaux N Mustian
- Department of Surgery, University of Alabama at Birmingham (UAB) Heersink School of Medicine, 1808 7th Ave South, BDB 505, Birmingham, AL, 35233, USA
- Surgical Services, Birmingham Veterans Affairs Medical Center, 700 19th Street South, Birmingham, AL, 35233, USA
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Rouhi AD, Muhammad HA, Lee B, Eng OS. Improving online resources for cytoreductive surgery and HIPEC by engaging patients. J Surg Oncol 2023. [DOI: 10.1002/jso.27259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 03/18/2023] [Indexed: 03/29/2023]
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Herath M, Reid JL, Ting YY, Bradshaw EL, Edwards S, Bruening M, Maddern GJ. Patient focused interventions and communication in the surgical clinic: a systematic review and meta-analysis. EClinicalMedicine 2023; 57:101893. [PMID: 36942159 PMCID: PMC10024183 DOI: 10.1016/j.eclinm.2023.101893] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 02/08/2023] [Accepted: 02/14/2023] [Indexed: 03/23/2023] Open
Abstract
BACKGROUND Communication is the foundation of a strong doctor-patient relationship. Holistic care of the patient involves good communication and empathy. There are various tools and interventions aimed at increasing the Surgeon's performance, but these have the drawback of heavy cost and time commitments. In contrast, patient focused interventions are often simple and cheap. In surgery this is an evolving field, and little is known about the impact these interventions have on clinical encounters. The aim of this review is to determine how patient focussed interventions impact communication in the Surgical Outpatient Consultation. METHODS In this systematic review and meta-analysis, two reviewers independently searched MEDLINE (incl. PubMed), EMBASE, EMCARE, CINAHL, and the Cochrane Library for the period starting 01 February 1990 to 01 February 2022. Filtration and screening was performed in accordance with PRISMA guidelines. Conflicts were resolved by discussion. Risk of Bias was assessed using the RoB 2 tool. Meta-analyses were conducted by an independent statistician using Stata Statistical Software. This systematic review was prospectively registered with PROSPERO (ID CRD42022311112). FINDINGS After screening, 38 papers were included in the final analysis. These involved 6392 patients consisting of 32 randomised controlled trials (RCT), one crossover RCT, three non-randomised experimental studies, and three cohort studies. All articles were published between 1999 and 2022. Four types of intervention were identified: Patient Decision Aids, Educational Materials, Question Prompt Lists and Patient Reported Outcome Measures. There was much heterogeneity in the reported results but ultimately four recurring domains for assessing quality of communication were identified: Patient knowledge; decisional conflict; satisfaction; and anxiety. Meta-analyses showed that patient focussed interventions increased patient knowledge and reduced decisional conflict. Meta-regression demonstrated significant knowledge increases in females compared with males. Results regarding satisfaction and anxiety were not statistically significant. INTERPRETATION Our study suggested that patient focused interventions demonstrate promising results for increasing patient engagement and improving communication. Further multicentre randomised controlled trials with consistent validated endpoints should be conducted to evaluate this evolving field. FUNDING There was no funding source for this study.
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Affiliation(s)
- Matheesha Herath
- Department of Surgery, The Queen Elizabeth Hospital, The University of Adelaide, 28 Woodville Road, Woodville South, SA, Australia
| | - Jessica L. Reid
- Department of Surgery, The Queen Elizabeth Hospital, The University of Adelaide, 28 Woodville Road, Woodville South, SA, Australia
| | - Ying Yang Ting
- Department of Surgery, The Queen Elizabeth Hospital, The University of Adelaide, 28 Woodville Road, Woodville South, SA, Australia
| | - Emma L. Bradshaw
- Department of Surgery, The Queen Elizabeth Hospital, The University of Adelaide, 28 Woodville Road, Woodville South, SA, Australia
| | - Suzanne Edwards
- Adelaide Health Technology Assessment (AHTA), School of Public Health, The University of Adelaide, Adelaide, SA, Australia
| | - Martin Bruening
- Department of Surgery, The Queen Elizabeth Hospital, The University of Adelaide, 28 Woodville Road, Woodville South, SA, Australia
| | - Guy J. Maddern
- Department of Surgery, The Queen Elizabeth Hospital, The University of Adelaide, 28 Woodville Road, Woodville South, SA, Australia
- Corresponding author. Discipline of Surgery, The Queen Elizabeth Hospital, University of Adelaide, 28 Woodville Road, Woodville, SA 5011, Australia.
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Loureiro F. Reflections on children participation in care during hospitalization. J Pediatr Nurs 2022; 66:e74-e75. [PMID: 35597740 DOI: 10.1016/j.pedn.2022.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 05/10/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Fernanda Loureiro
- Escola Superior de Saúde Egas Moniz Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), 2829-511 Caparica, Escola Superior de Saúde Egas Moniz, Portugal.
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