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Taylor KA, De Vivo M, Mills H, Hurst P, Draper S, Foad A. Embedding Physical Activity Guidance During Pregnancy and in Postpartum Care: 'This Mum Moves' Enhances Professional Practice of Midwives and Health Visitors. J Midwifery Womens Health 2024; 69:101-109. [PMID: 37485766 DOI: 10.1111/jmwh.13547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 05/08/2023] [Indexed: 07/25/2023]
Abstract
INTRODUCTION The benefits of physical activity during pregnancy and after childbirth are well established, yet many health care professionals do not feel well equipped to provide physical activity guidance to these populations. As such, the objectives of this study were to explore the immediate and longer term effects of training on health care professionals' ability to provide physical activity guidance to pregnant women and new mothers (mums). METHODS Midwives and health visitors from 5 locations in the United Kingdom were provided with training on the Chief Medical Officers' physical activity guidelines for pregnancy and after childbirth (n = 393). Midwives and health visitors attended training to become This Mum Moves Ambassadors, then disseminated education to colleagues through a cascade training model. Changes in knowledge, confidence, and professional practice were assessed by survey before and immediately after training (n = 247), and follow-up surveys were completed 3 (n = 35) and 6 (n = 34) months posttraining. RESULTS At all posttraining time points, health care professionals reported a significant increase in their confidence to communicate about physical activity (P < .001). The reported frequency of having conversations about physical activity increased significantly 3 and 6 months following training compared with baseline (pregnant women, P = .017; new mums, P = .005). There were changes in the types of advice and resources offered by health care professionals and an overall increase in health care professionals' own reported physical activity levels. DISCUSSION The This Mum Moves cascade approach to delivering training in physical activity guidelines improved reported knowledge, confidence and professional practice of midwives and health visitors, both immediately following and 3 and 6 months after training.
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Affiliation(s)
- Katrina Ann Taylor
- School of Sport and Exercise Sciences, University of Kent, Canterbury, United Kingdom
| | - Marlize De Vivo
- Sport Exercise and Rehabilitation Sciences, Canterbury Christ Church University, Canterbury, United Kingdom
| | - Hayley Mills
- Sport Exercise and Rehabilitation Sciences, Canterbury Christ Church University, Canterbury, United Kingdom
| | - Phil Hurst
- Sport Exercise and Rehabilitation Sciences, Canterbury Christ Church University, Canterbury, United Kingdom
| | - Stacey Draper
- Centre for Sport Physical Activity and Education Research, Canterbury Christ Church University, Canterbury, United Kingdom
| | - Abby Foad
- Centre for Sport Physical Activity and Education Research, Canterbury Christ Church University, Canterbury, United Kingdom
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Hurst P, Schipof-Godart L, Szabo A, Raglin J, Hettinga F, Roelands B, Lane A, Foad A, Coleman D, Beedie C. The Placebo and Nocebo effect on sports performance: A systematic review. Eur J Sport Sci 2019; 20:279-292. [DOI: 10.1080/17461391.2019.1655098] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- Philip Hurst
- School of Human and Life Sciences, Canterbury Christ Church University, Canterbury, UK
| | - Lieke Schipof-Godart
- Faculty of Health, Nutrition & Sports, The Hague University of Applied Sciences, Hague, Netherlands
| | - Attila Szabo
- Institute of Health Promotion and Sports Sciences, Eötvös Loránd University, Budapest, Hungary
| | - John Raglin
- School of Public Health, Indiana University, Bloomington, IN, USA
| | - Florentina Hettinga
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, UK
| | - Bart Roelands
- Department of Human Physiology, Vrije Universiteit Brussel, Brussels, Belgium
| | - Andrew Lane
- Faculty of Education Health and Wellbeing, Institute of Sport, University of Wolverhampton, Walsall, UK
| | - Abby Foad
- School of Human and Life Sciences, Canterbury Christ Church University, Canterbury, UK
| | - Damian Coleman
- School of Human and Life Sciences, Canterbury Christ Church University, Canterbury, UK
| | - Chris Beedie
- School of Psychology, University of Kent, Canterbury, UK
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Beedie C, Benedetti F, Barbiani D, Camerone E, Cohen E, Coleman D, Davis A, Elsworth-Edelsten C, Flowers E, Foad A, Harvey S, Hettinga F, Hurst P, Lane A, Lindheimer J, Raglin J, Roelands B, Schiphof-Godart L, Szabo A. Consensus statement on placebo effects in sports and exercise: The need for conceptual clarity, methodological rigour, and the elucidation of neurobiological mechanisms. Eur J Sport Sci 2018; 18:1383-1389. [PMID: 30114971 DOI: 10.1080/17461391.2018.1496144] [Citation(s) in RCA: 52] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
In June 2017 a group of experts in anthropology, biology, kinesiology, neuroscience, physiology, and psychology convened in Canterbury, UK, to address questions relating to the placebo effect in sport and exercise. The event was supported exclusively by Quality Related (QR) funding from the Higher Education Funding Council for England (HEFCE). The funder did not influence the content or conclusions of the group. No competing interests were declared by any delegate. During the meeting and in follow-up correspondence, all delegates agreed the need to communicate the outcomes of the meeting via a brief consensus statement. The two specific aims of this statement are to encourage researchers in sport and exercise science to 1. Where possible, adopt research methods that more effectively elucidate the role of the brain in mediating the effects of treatments and interventions. 2. Where possible, adopt methods that factor for and/or quantify placebo effects that could explain a percentage of inter-individual variability in response to treatments and intervention.
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Affiliation(s)
- Christopher Beedie
- a Human & Life Sciences , Canterbury Christ Church University , Canterbury , UK
| | | | - Diletta Barbiani
- b Department of Neuroscience , University of Turin , Turin , Italy
| | | | - Emma Cohen
- d Institute of Cognitive & Evolutionary Anthropology , University of Oxford , Oxford , UK
| | - Damian Coleman
- a Human & Life Sciences , Canterbury Christ Church University , Canterbury , UK
| | - Arran Davis
- d Institute of Cognitive & Evolutionary Anthropology , University of Oxford , Oxford , UK
| | | | - Elliott Flowers
- e School of Sport, Rehabilitation and Exercise Science , University of Essex , Colchester , UK
| | - Abby Foad
- a Human & Life Sciences , Canterbury Christ Church University , Canterbury , UK
| | - Simon Harvey
- a Human & Life Sciences , Canterbury Christ Church University , Canterbury , UK
| | - Florentina Hettinga
- e School of Sport, Rehabilitation and Exercise Science , University of Essex , Colchester , UK
| | - Philip Hurst
- f School of Sport, Exercise and Rehabilitation Sciences , University of Birmingham , Birmingham , UK
| | - Andrew Lane
- g Faculty of Education Health and Wellbeing , University of Wolverhampton , Wolverhampton , UK
| | - Jacob Lindheimer
- h War Related Illness and Injury Study Center , US Department of Veterans Affairs , East Orange , NJ , USA
| | - John Raglin
- i School of Public Health , Indiana University , Bloomington , IN , USA
| | - Bart Roelands
- j Department of Human Physiology , Vrije Universiteit Brussel , Brussels , Belgium
| | - Lieke Schiphof-Godart
- k Faculty of Health, Nutrition & Sports , The Hague University of Applied Sciences , Hague , The Netherlands
| | - Attila Szabo
- l Institute of Health Promotion and Sport Sciences , ELTE Eötvös Loránd University , Budapest , Hungary
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Beedie C, Whyte G, Lane AM, Cohen E, Raglin J, Hurst P, Coleman D, Foad A. 'Caution, this treatment is a placebo. It might work, but it might not': why emerging mechanistic evidence for placebo effects does not legitimise complementary and alternative medicines in sport. Br J Sports Med 2017; 52:817-818. [PMID: 28724709 PMCID: PMC6029636 DOI: 10.1136/bjsports-2017-097747] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2017] [Revised: 04/20/2017] [Accepted: 06/07/2017] [Indexed: 11/12/2022]
Affiliation(s)
- Chris Beedie
- School of Human and Life Sciences, Canterbury Christ Church University, Canterbury, Kent, UK
| | - Greg Whyte
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
| | - Andrew M Lane
- Institute of Sport, University of Wolverhampton, Walsall, UK
| | - Emma Cohen
- Institute of Cognitive and Evolutionary Anthropology, University of Oxford, Oxford, Oxfordshire, UK
| | - John Raglin
- School of Public Health, Indiana University, Bloomington, Indiana, USA
| | - Phil Hurst
- School of Human and Life Sciences, Canterbury Christ Church University, Canterbury, Kent, UK
| | - Damian Coleman
- School of Human and Life Sciences, Canterbury Christ Church University, Canterbury, Kent, UK
| | - Abby Foad
- School of Human and Life Sciences, Canterbury Christ Church University, Canterbury, Kent, UK
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Beedie CJ, Hurst P, Coleman D, Foad A. Placebo And Nocebo Effects Of A Purported Ergogenic Aid On Repeat Sprint Performance. Med Sci Sports Exerc 2016. [DOI: 10.1249/01.mss.0000486003.81303.e2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Abstract
A placebo treatment is traditionally administered in a double-blind randomized controlled trial to control for the "real" effects of the treatment under investigation. In the present article, a broader view of the placebo is proposed, one in which the idea of a potentially "useable" placebo component of a sports or exercise medicine treatment is presented. It is argued that many interventions in sport and exercise psychology might contain a placebo component that could be capitalized upon by practitioners through processes often as simple as communicating positive expectations from a treatment to clients. Research findings relating to factors that might influence an individual's response to a placebo, such as personality, situation, and genetics, are briefly addressed. Ethical considerations for practice and future research are discussed.
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Affiliation(s)
- Chris Beedie
- 1Department of Psychology, Aberystwyth University, Aberystwyth, Wales, United Kingdom; and 2Canterbury Christ Church University, Canterbury, United Kingdom
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Ismail H, Sameh W, Motawae A, Abdel Azeem E, Foad A. MP-03.01: Fallacies of 16-multidetector CT Angiography in the Preoperative Evaluation of Vascular and Ureteral Anatomy of Donor Nephrectomy. Urology 2009. [DOI: 10.1016/j.urology.2009.07.1041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Abdel Wahab M, Fathy O, Elghwalby N, Sultan A, Elebidy E, Abdalla T, Elshobary M, Mostafa M, Foad A, Kandeel T, Abdel Raouf A, Salah T, Abu Zeid M, Abu Elenein A, Gad Elhak N, ElFiky A, Ezzat F. Resectability and prognostic factors after resection of hilar cholangiocarcinoma. Hepatogastroenterology 2006; 53:5-10. [PMID: 16506367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
BACKGROUND/AIMS Hilar cholangiocarcinoma, still a challenging problem for surgeons and resectional surgery, is the treatment of choice for long-term survival. In this study we tried to evaluate different prognostic factors after resection. METHODOLOGY From January 1995 to October 2004, 440 patients with hilar cholangiocarcinoma were admitted to the Gastroenterology Surgical Center, Mansoura University, Egypt. Of these patients 73 underwent potentially curative resection giving respectability rate of 17%, and the remaining 367 patients underwent non-surgical treatment because of advanced disease, advanced cirrhosis and poor general condition. Of the 73 patients, 35 (48%) underwent localized hepatic resection and 38 (52%) patients underwent major hepatic resection. Various prognostic factors for survival were evaluated by univariate and multivariate analysis. RESULTS Hospital mortality occurred in 8 (11%) patients. The most common postoperative complications were: bile leak, liver cell failure and wound infection 23.2%, 17.8% and 9.5% respectively. The survival rates at 1, 2, 3, 4, and 5 years were 79%, 32.6, 18.5, 137% and 13% respectively. The result of univariate analysis revealed that radicality of resection, lymph nodes status, tumor differentiation, modified Bismuth staging, underlying liver pathology, HCV viral infection, blood transfusion, preoperative serum bilirubin <10mg and CA19-9 are dependent prognostic factors. By multivariate Cox analysis radicality of resection, lymph nodes status, serum bilirubin below 10mg/dL level of CA19-9 and hepatitis viral infection were independent predictor factors. CONCLUSIONS From this study we found that aggressive surgical procedure to obtain curative resection with preoperative serum bilirubin below 10mg and HCV infective negative especially in noncirrhotic liver may bring a better prognosis in hilar cholangiocarcinoma.
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Affiliation(s)
- M Abdel Wahab
- Gastroenterology Center, Mansoura University, Egypt.
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Abdel Wahab M, Sultan A, el-Ghawalby N, Fathy O, Abu Zeid M, Abu el-Enin A, Abdallah T, Foad A, Kandeel T, el-Shobari M, el-Fiky A, el-Ebidy G, Gadel Hak N, Ezzat F. Hepatic resection in cirrhotic liver for treatment of hepatocellular carcinoma in Egyptian patients. Experience with 140 cases in a single center. Hepatogastroenterology 2004; 51:559-63. [PMID: 15086202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
BACKGROUND/AIMS In many centers hepatic resection is still the treatment of choice for hepatocellular carcinoma in cirrhotic liver. Several factors affect the prognosis; one of them is the extent of resection. This study retrospectively evaluates outcome after different types of hepatic resection in cirrhotic liver. METHODOLOGY Hepatectomy was performed in 245 patients. From them, 140 patients were subjected to hepatic resection for hepatocellular carcinoma in cirrhotic liver. According to the type of resection the patients were divided into three groups (A, B and C), major resection (group A) in 79 (56.3%), segmental resection (group B) 31 (22.1%) and localized resection (group C) in 30 (21.4%). Early postoperative mortality and morbidity as well as long-term survival and recurrence were assessed. RESULTS The overall hospital mortality rate was (8.6%) with total complications 26%, recurrence rate 32.8% and median survival was 24 months (3-120). Group A showed high incidence rate of hospital mortality, total complications and hepatic cell failure than the other two types (p>0.05). On the other hand, group C patients showed high incidence of wound infection and recurrence rate after hepatic resection than the other two types (p>0.05). At the end of the study, the median survival was 18 months (4-120), 24 months (3-48) and 24 months (3-120) for the three groups respectively without significant difference. The overall 5-year survival rate was 20%, 0% and 15.3% for the three groups respectively (p>0.05). CONCLUSIONS Although major liver resection in cirrhotic liver has high incidence of early mortality and morbidity, it gives low incidence of recurrence and better survival in comparison with segmental and localized resection. However it has to be reserved for large tumor in good liver and early cirrhosis.
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Affiliation(s)
- M Abdel Wahab
- Gastroenterology Center, Mansoura University, Egypt.
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