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Thayabaranathan T, Immink MA, Hillier S, Stolwyk R, Andrew NE, Stevens P, Kilkenny MF, Gee E, Carey L, Brodtmann A, Bernhardt J, Thrift AG, Cadilhac DA. Co-Designing a New Yoga-Based Mindfulness Intervention for Survivors of Stroke: A Formative Evaluation. Neurol Int 2021; 14:1-10. [PMID: 35076591 PMCID: PMC8788460 DOI: 10.3390/neurolint14010001] [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] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 11/19/2021] [Accepted: 11/26/2021] [Indexed: 11/16/2022] Open
Abstract
Movement-based mindfulness interventions (MBI) are complex, multi-component interventions for which the design process is rarely reported. For people with stroke, emerging evidence suggests benefits, but mainstream programs are generally unsuitable. We aimed to describe the processes involved and to conduct a formative evaluation of the development of a novel yoga-based MBI designed for survivors of stroke. We used the Medical Research Council complex interventions framework and principles of co-design. We purposefully approached health professionals and consumers to establish an advisory committee for developing the intervention. Members collaborated and iteratively reviewed the design and content of the program, formatted into a training manual. Four external yoga teachers independently reviewed the program. Formative evaluation included review of multiple data sources and documentation (e.g., formal meeting minutes, focus group discussions, researcher observations). The data were synthesized using inductive thematic analysis. Three broad themes emerged: (a) MBI content and terminology; (b) manual design and readability; and (c) barriers and enablers to deliver the intervention. Various perspectives and feedback on essential components guided finalizing the program. The design phase of a novel yoga-based MBI was strengthened by interdisciplinary, consumer contributions and peer review. The 12-week intervention is ready for testing among survivors of stroke.
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Affiliation(s)
- Tharshanah Thayabaranathan
- School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3168, Australia; (M.F.K.); (A.G.T.); (D.A.C.)
- Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery, Heidelberg, VIC 3084, Australia; (R.S.); (N.E.A.); (L.C.); (A.B.); (J.B.)
- Correspondence: ; Tel.: +61-3-8572-2646; Fax: +61-3-9902-4245
| | - Maarten A. Immink
- College of Nursing and Health Sciences, Flinders University, Adelaide, SA 5042, Australia;
| | - Susan Hillier
- IIMPACT, Allied Health and Human Performance, University of South Australia, Adelaide, SA 5000, Australia;
| | - Rene Stolwyk
- Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery, Heidelberg, VIC 3084, Australia; (R.S.); (N.E.A.); (L.C.); (A.B.); (J.B.)
- Turner Institute for Brain and Mental Health, Monash University, Clayton, VIC 3800, Australia
| | - Nadine E. Andrew
- Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery, Heidelberg, VIC 3084, Australia; (R.S.); (N.E.A.); (L.C.); (A.B.); (J.B.)
- Peninsula Clinical School, Monash University, Frankston, VIC 3199, Australia
| | | | - Monique F. Kilkenny
- School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3168, Australia; (M.F.K.); (A.G.T.); (D.A.C.)
- Stroke Division, The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC 3052, Australia
| | - Emma Gee
- Survivor of Stroke, Inspirational and Motivational Speaker, Cotham, VIC 3101, Australia;
| | - Leeanne Carey
- Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery, Heidelberg, VIC 3084, Australia; (R.S.); (N.E.A.); (L.C.); (A.B.); (J.B.)
- Stroke Division, The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC 3052, Australia
| | - Amy Brodtmann
- Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery, Heidelberg, VIC 3084, Australia; (R.S.); (N.E.A.); (L.C.); (A.B.); (J.B.)
- Stroke Division, The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC 3052, Australia
| | - Julie Bernhardt
- Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery, Heidelberg, VIC 3084, Australia; (R.S.); (N.E.A.); (L.C.); (A.B.); (J.B.)
- Stroke Division, The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC 3052, Australia
| | - Amanda G. Thrift
- School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3168, Australia; (M.F.K.); (A.G.T.); (D.A.C.)
| | - Dominique A. Cadilhac
- School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3168, Australia; (M.F.K.); (A.G.T.); (D.A.C.)
- Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery, Heidelberg, VIC 3084, Australia; (R.S.); (N.E.A.); (L.C.); (A.B.); (J.B.)
- Stroke Division, The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC 3052, Australia
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Malacrida AM, Salci TP, Negri M, Svidzinski TI. Insight into the antifungals used to address human infection due to Trichosporon spp.: a scoping review. Future Microbiol 2021; 16:1277-1288. [PMID: 34689610 PMCID: PMC8544482 DOI: 10.2217/fmb-2021-0048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Trichosporonosis infections have been increasing worldwide. Providing adequate treatment for these infections remains a challenge. This scoping review contains information about potential antifungals to treat this pathology. Using online databases, we found 76 articles published between 2010 and 2020 related to this topic. Classic antifungals, molecules and biomolecules, repositioned drugs and natural products have been tested against species of Trichosporon. Experimental research has lacked depth or was limited to in vitro and in vivo tests, so there are no promising new candidates for the clinical treatment of patients with trichosporonosis. Furthermore, most studies did not present appropriate scientific criteria for drug tests, compromising their quality.
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Affiliation(s)
- Amanda M Malacrida
- Departament of Clinical Analyses and Biomedicine, Universidade Estadual de Maringá, Maringá, Paraná, CEP, 87020-900, Brazil
| | - Tânia P Salci
- Departament of Pharmacy and Science, Faculdade Integrado de Campo Mourão, Campo Mourão, Paraná, CEP, 87300-970, Brazil
| | - Melyssa Negri
- Departament of Clinical Analyses and Biomedicine, Universidade Estadual de Maringá, Maringá, Paraná, CEP, 87020-900, Brazil
| | - Terezinha Ie Svidzinski
- Departament of Clinical Analyses and Biomedicine, Universidade Estadual de Maringá, Maringá, Paraná, CEP, 87020-900, Brazil
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