motivational interviewing

动机面试
  • 文章类型: Journal Article
    从小促进健康是防止儿童不健康体重发展的关键,父母的参与至关重要。基于学校的健康学校开始干预旨在促进家庭环境中的健康饮食和活动习惯,并通过父母的支持预防儿童肥胖。这项研究评估了该计划第三次迭代对儿童饮食和活动行为的有效性,和身体成分通过一项集群随机对照试验。该试验包括瑞典中部贫困地区的17所学校(8所干预措施),其中353个家庭有5至7岁的儿童。主要结果是使用摄影测量的选定健康和不健康食品和饮料的摄入量。次要结果是通过加速度测量法测量的身体活动和久坐时间,测量体重和身高。在基线和干预后(8个月)评估所有结果。线性多水平回归显示了干预对甜味饮料摄入的显着有利效果(b=-0.17,p=0.04),健康食品的摄入量(b=0.11,p=0.04),工作日进行中等至剧烈体育锻炼的时间更长(b=5.68,p=0.02)。对于周末久坐时间受教育程度低的家庭的儿童,发现干预措施具有不利的亚组效应(b=23.04,p=0.05)。结果与该计划的前两项试验一致,这表明,以学校为基础的父母支持是促进贫困地区幼儿健康的有用方法。试用注册:ClinicalTrials.gov:编号NCT03390725,于2018年1月4日回顾性注册,https://clinicaltrials.gov/ct2/show/NCT03390725。
    Health promotion from an early age is key to preventing unhealthy weight development in childhood, and parental involvement is essential. The school-based Healthy School Start intervention aims to promote healthy dietary and activity habits in the home environment and prevent child obesity through parental support. This study evaluated the effectiveness of the third iteration of the programme on children\'s dietary and activity behaviours, and body composition through a cluster-randomised controlled trial. The trial included 17 schools (8 intervention) in disadvantaged areas in mid-Sweden with 353 families with 5- to 7-year-old children. The primary outcomes were intake of selected healthy and unhealthy foods and beverages measured using photography. Secondary outcomes were physical activity and sedentary time measured by accelerometry, and measured weight and height. All outcomes were assessed at baseline and post-intervention (8 months). Linear multi-level regression showed significant favourable effects of the intervention for intake of sweet beverages (b =  - 0.17, p = 0.04), intake of healthy foods (b = 0.11, p = 0.04), and more time in moderate to vigorous physical activity during weekdays (b = 5.68, p = 0.02). An unfavourable sub-group effect of the intervention was found for children from families with low education regarding sedentary time on weekends (b = 23.04, p = 0.05). The results align with the previous two trials of the programme, indicating that school-based parental support is a useful approach for health promotion in young children in disadvantaged areas. Trial registration: ClinicalTrials.gov: No. NCT03390725, retrospectively registered on January 4, 2018, https://clinicaltrials.gov/ct2/show/NCT03390725 .
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:评估行为干预措施的有效性,包括对成年人体力活动结果的动机性访谈。
    方法:系统评价和荟萃分析。
    方法:从开始到2023年3月1日发表的随机对照试验的七个数据库中,比较了包括动机性访谈在内的行为干预与没有动机性访谈的对照者对成年人身体活动结果的比较。感兴趣的结果是总身体活动的定量指标变化的差异,中等至剧烈的体力活动(MVPA),久坐的时间。
    方法:两位评审员提取数据并评估偏倚风险。人口特征,干预组件,比较组,并对研究结果进行了总结。对于整体主要影响,随机效应荟萃分析用于报告标准化平均差(SMD)和95%置信区间(CIs).基于随访持续时间的差异效应,比较器类型,干预持续时间,并对参与者的疾病或健康状况进行了检查。
    结果:129篇论文报告了97项随机对照试验,共27811名参与者和105名比较。在总体力活动的增加(SMD0.45,95%CI0.33至0.65,相当于1323个额外步数/天;低确定性证据)和MVPA(0.45,0.19至0.71,相当于95分钟/周;确定性证据非常低)以及久坐时间的减少(-0.58,-1.03至-0.14,相当于-51分钟/天)方面,干预措施优于比较措施。缺乏与相似强度的比较者相比,任何结果均存在差异的证据。影响的幅度随着时间的推移而减弱,缺乏动机性面试超过一年的效果的证据。大多数干预措施涉及具有特定健康状况的患者,在一般人群样本中,缺乏动机性访谈对增加MVPA或减少久坐时间的影响的证据。
    结论:使用动机性访谈作为促进成人总体力活动的复杂行为干预措施的一部分的证据的确定性较低,对于MVPA和久坐时间很低。全部证据表明,尽管动机性访谈的干预措施增加了身体活动并减少了久坐行为,在可以隔离动机性访谈效果的研究中没有发现差异.效力随着时间的推移而减弱,没有证据表明动机性面试可以增加超过一年的体力活动。
    背景:PROSPEROCRD42020219881.
    OBJECTIVE: To evaluate the effectiveness of behavioural interventions that include motivational interviewing on physical activity outcomes in adults.
    METHODS: Systematic review and meta-analysis.
    METHODS: A search of seven databases for randomised controlled trials published from inception to 1 March 2023 comparing a behavioural intervention including motivational interviewing with a comparator without motivational interviewing on physical activity outcomes in adults. Outcomes of interest were differences in change in quantitative measures of total physical activity, moderate to vigorous physical activity (MVPA), and sedentary time.
    METHODS: Two reviewers extracted data and assessed risk of bias. Population characteristics, intervention components, comparison groups, and outcomes of studies were summarised. For overall main effects, random effects meta-analyses were used to report standardised mean differences (SMDs) and 95% confidence intervals (CIs). Differential effects based on duration of follow-up, comparator type, intervention duration, and disease or health condition of participants were also examined.
    RESULTS: 129 papers reporting 97 randomised controlled trials totalling 27 811 participants and 105 comparisons were included. Interventions including motivational interviewing were superior to comparators for increases in total physical activity (SMD 0.45, 95% CI 0.33 to 0.65, equivalent to 1323 extra steps/day; low certainty evidence) and MVPA (0.45, 0.19 to 0.71, equivalent to 95 extra min/week; very low certainty evidence) and for reductions in sedentary time (-0.58, -1.03 to -0.14, equivalent to -51 min/day; very low certainty evidence). Evidence for a difference in any outcome compared with comparators of similar intensity was lacking. The magnitude of effect diminished over time, and evidence of an effect of motivational interviewing beyond one year was lacking. Most interventions involved patients with a specific health condition, and evidence of an effect of motivational interviewing to increase MVPA or decrease sedentary time was lacking in general population samples.
    CONCLUSIONS: Certainty of the evidence using motivational interviewing as part of complex behavioural interventions for promoting total physical activity in adults was low, and for MVPA and sedentary time was very low. The totality of evidence suggests that although interventions with motivational interviewing increase physical activity and decrease sedentary behaviour, no difference was found in studies where the effect of motivational interviewing could be isolated. Effectiveness waned over time, with no evidence of a benefit of motivational interviewing to increase physical activity beyond one year.
    BACKGROUND: PROSPERO CRD42020219881.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:许多健康科学课程在其计划中整合了行为矫正技术。动机性访谈就是这样一种技术。促进动机面试的教育干预措施取得了有限的成功。在健康科学课程中集成基于模拟的学习可能会提供一个平台,使学生可以在控制良好的环境中进行培训,并提高真实性,提供标准化的经验和向参与者提供即时反馈的能力。使用动机性访谈作为范例,这项研究的目的是评估基于模拟的反思性电子培训计划对知识的影响,态度,以及对来自不同医疗保健学科的医疗保健从业者之间的激励式访谈的信心。次要目的是探索自我反思是否可以促进反思性学习。
    方法:这是一种混合方法研究设计。来自不同健康学科的15名参与者被纳入研究的定量阶段,模拟面试,和反思任务,而五个人参加了焦点小组。前测和后测用于检查培训对知识的影响,态度,以及对激励面试的信心。在基于模拟的情景中使用动机访谈治疗完整性[MITI]评分的评估。焦点小组的定性内容分析提供了对参与者体验的更深入理解。使用转化学习理论概念对反思性作业的摘录进行了分析。
    结果:Wilcoxon测试表明,训练引起了进行动机性访谈的信心变化[Z=-2.766,p=0.006],中位数分数从29分增加到34分.四分之一的技术分数和一半的关系分数表明能力良好。参与者在成功吸引和激励客户时,通过赋权和满足感来反映内容转型。在反思如何提高核心技能,特别是反思性听力方面,流程转型很明显。对激励式面试精神相关价值观的反思表现出前提转换,这可能表明态度的变化。
    结论:基于模拟的动机访谈电子培训计划代表了健康学科培训的重要教育方式。这项研究的结果提供了证据,支持将基于反思性模拟的电子培训整合到MI及其他地区的健康学科教育课程中。
    BACKGROUND: Many health science curricula have integrated behavioral modification techniques in their plans. Motivational Interviewing is one such technique. Educational interventions to promote Motivational Interviewing have had limited success. Integrating simulation-based learning in health science curricula might offer a platform whereby students can train in well controlled environments with increased authenticity, provision of standardized experiences and the capacity for immediate feedback to participants. Using motivational interviewing as an exemplar, the purpose of this study was to assess the impact of a simulation-based reflective e-training program on knowledge, attitudes, and confidence in Motivational Interviewing among healthcare practitioners from diverse healthcare disciplines. A secondary aim was to explore whether self-reflection can promote reflective learning.
    METHODS: This was a mixed-method study design. Fifteen participants from different health disciplines were included in the quantitative phase of the study, the simulated interview, and the reflective assignments while five participated in the focus group. Pre and post tests were used to examine the effect of training on knowledge, attitudes, and confidence in Motivational Interviewing. Assessment of Motivational Interviewing Treatment Integrity [MITI] scores in a simulation-based scenario was used. A qualitative content analysis of a focus group provided a more in-depth understanding of the participants experiences. Excerpts from reflective assignments were analyzed using Transformative Learning Theory concepts.
    RESULTS: A Wilcoxon test showed that the training elicited a change in confidence in performing Motivational Interviewing [Z= -2.766, p = 0.006], median scores increased from 29 to 34. A quarter of technical scores and half of the relational scores indicated good competence. Participants reflected content transformation through feelings of empowerment and satisfaction when they were successful in engaging and motivating clients. Process transformation was evident in reflections on how to improve core skills specifically reflective listening. Reflections on Motivational Interviewing spirit related values showed premise transformation, which may indicate attitude changes.
    CONCLUSIONS: A simulation-based e-training program on Motivational Interviewing represents an important educational modality for training in the health disciplines. Results of this study provide evidence supporting the integration of reflective simulation-based e-training into the education curricula of health disciplines in MI and beyond.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:化疗期间体力活动(PA)是有益的,但难以维持。这项试点RCT探索了MI-Walk干预的可行性-一种为期8周的动机增强疗法-以及在接受化疗的胃肠道(GI)癌症幸存者中基于家庭的快走干预。
    方法:在第二次输注时从5个地点招募了60名II-IV期胃肠道癌症幸存者。参与者被随机分配接受PA教育或MI-Walk干预:动机增强疗法,包括3次动机性访谈和自我效能增强咨询会议,Fitbit收费2,练习日记,电话跟进,脚本化的动机电子邮件,和可选的每周步行组。
    结果:入学率和完成率分别为62%和90%,分别。MI-Walk参与者(n=29;平均年龄=56.79,SD=11.72;97%白人;79%男性)报告基线中等强度PA持续时间为250.93(SD=636.52)分钟/周。平均MI-Walk干预可接受性评分为50.32(SD=12.02),评分为14-70。5分制的平均Fitbit和咨询帮助得分分别为3.67(SD=1.43)和3.44(SD=1.36),分别。参与者Fitbit中等强度PA8周平均值为0至716.88分钟/周;64%的参与者坚持≥127分钟/周。几个特征(例如,年龄,合并症,PA水平,就业状况,BMI,教育水平,性别,症状)与登记有关,自然减员,干预可接受性和依从性(p<0.05)。
    结论:注册和保留是足够的。Fitbit和咨询是最有帮助的。可接受性和依从性因参与者特征而异;因此,需要对基线时身体活动较少、最需要复杂运动干预的癌症幸存者进行干预和进一步研究.
    结果:govNCT03515356。
    OBJECTIVE: Physical activity (PA) is beneficial but difficult to maintain during chemotherapy. This pilot RCT explored the feasibility of the MI-Walk intervention-an 8-week motivational enhancement therapy- and home-based brisk walking intervention-among gastrointestinal (GI) cancer survivors receiving chemotherapy.
    METHODS: Sixty stage II-IV GI cancer survivors were recruited from 5 sites at their second infusion visit. Participants were randomized to receive PA education alone or the MI-Walk intervention: motivational enhancement therapy consisting of 3 motivational interviewing and self-efficacy-enhancing counseling sessions, a Fitbit Charge 2, exercise diaries, telephone follow-up, scripted motivational email messages, and optional weekly walking groups.
    RESULTS: The enrollment and completion rates were 62% and 90%, respectively. The MI-Walk participants (n = 29; mean age = 56.79, SD = 11.72; 97% white; 79% male) reported a baseline moderate-vigorous PA duration of 250.93 (SD = 636.52) min/wk. The mean MI-Walk Intervention acceptability score was 50.32 (SD = 12.02) on a scale of 14-70. Mean Fitbit and counseling helpfulness scores on a 5-point scale were 3.67 (SD = 1.43) and 3.44 (SD = 1.36), respectively. Participants\' Fitbit moderate-vigorous PA 8-week averages ranged from 0 to 716.88 min/wk; 64% of participants adhered to ≥127 min/wk. Several characteristics (e.g., age, comorbidity, PA level, employment status, BMI, education level, gender, symptoms) were associated with enrollment, attrition, and intervention acceptability and adherence (p < 0.05).
    CONCLUSIONS: Enrollment and retention were adequate. The Fitbit and counseling were the most helpful. Acceptability and adherence varied based on participant characteristics; therefore, intervention tailoring and further research among cancer survivors less physically active at baseline and most in need of complex exercise intervention are needed.
    RESULTS: gov NCT03515356.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    为了探讨动机性访谈教育对心理状况的影响,恶性肿瘤合并糖尿病患者的遵医行为及生活质量。
    这是一项回顾性研究。选取2021年1月至2022年6月河北医科大学第四医院收治的恶性肿瘤合并糖尿病患者80例为研究对象,根据干预措施分为观察组和对照组。对照组患者给予常规健康教育干预,观察组在对照组的基础上给予动机性访谈干预。我们比较了预后,认知功能,生活质量,比较两组干预前及干预后3个月癌痛缓解情况。
    干预后三个月,观察组癌痛总缓解率高于对照组(p<0.05),观察组FBG、2hPG水平明显低于对照组(p<0.05)。干预后3个月,两组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均下降,观察组下降程度高于对照组(p<0.05)。观察组总体依从性高于对照组(p<0.05)。
    激励式面试可以缓解负面情绪,改善心理状况,提高恶性肿瘤合并糖尿病患者的遵医行为,提高生活质量。
    UNASSIGNED: To investigate the effects of motivational interview education on psychological status, compliance behavior and quality of life in patients with malignant tumors combined with diabetes mellitus.
    UNASSIGNED: This is a retrospective study. Eighty patients with malignant tumors combined with diabetes mellitus admitted at The Fourth Hospital of Hebei Medical University from January 2021 to June 2022 were included as subjects and divided into observation group and control group according to the intervention measures. Patients in the control group were given routine health education intervention, while those in the observation group were given motivational interviewing intervention on the basis of the control group. We compared the prognosis, cognitive function, quality of life, relief of cancer pain before intervention and three months after the intervention of the two groups were compared.
    UNASSIGNED: At three months after the intervention, the total remission rate of cancer pain in the observation group was higher than that in the control group(p<0.05), while the levels of FBG and 2hPG in the observation group were significantly lower than those in the control group(p<0.05). Self-Rating Anxiety Scale(SAS) and Self-rating depression scale(SDS) scores decreased in both groups three months after the intervention, with the level of reduction in the observation group being higher than that in the control group(p<0.05). The overall compliance was higher in the observation group than in the control group(p<0.05).
    UNASSIGNED: Motivational interviewing leads to alleviate negative emotions, improve the psychological status, enhance compliance behavior and improve quality of life in patients with malignant tumors combined with diabetes mellitus.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:适度的体力活动(PA)可能对亚急性下腰痛(LBP)患者有益,但最初可能对患者来说是痛苦的,对物理治疗师来说是有挑战性的。
    目的:这项研究调查了由理疗师和智能手机应用程序提供的动机性访谈(MI),以增加LBP患者的PA。
    方法:一项混合方法的集群随机对照试验,包括墨尔本46名患有LBP的成年人,澳大利亚。参与者每周参加30分钟的物理治疗咨询,持续6周。实验组物理治疗师被教导将MI嵌入到咨询中,并为患者提供了一个自我指导的应用程序。主要结果是加速度计衍生的中等强度PA。次要结局是LBP残疾(Oswestry残疾指数),功能能力(患者特定功能量表),和自我效能感(疼痛自我效能感问卷)。干预后通过ANCOVA分析组间差异。
    结果:实验组与对照组PA比较差异无统计学意义。LBP残疾的组间差异(MD=19.4单位,95%CI:8.5,30.3),功能容量(主要MD=-4.1单位,95%CI:-6.9,-1.3;平均MD=-3.1,95%CI:-4.9,-1.2)和自我效能感(MD-11.3单位,95CI-20.2,-2.5)以小到中等的效应大小有利于对照组。该应用程序的整体参与度较低。
    结论:对于PA,嵌入式MI干预没有比单独的物理治疗更有益,并且与较差的LBP残疾相关。函数,和自我效能感。不支持将MI和智能手机应用程序嵌入到LBP常规护理中的有效性。
    BACKGROUND: Moderately vigorous physical activity (PA) may be beneficial for people with sub-acute low back pain (LBP), but may initially be painful for patients and challenging for physical therapists to facilitate.
    OBJECTIVE: This study investigated motivational interviewing (MI) delivered by physical therapists and a smartphone app for increasing PA in people with LBP.
    METHODS: A mixed methods cluster randomised controlled trial involving 46 adults with LBP in Melbourne, Australia. Participants attended weekly 30-min physical therapy consultations for 6 weeks. Experimental group physical therapists were taught to embed MI into consultations and patients were provided with a self-directed app. The primary outcome was accelerometer-derived moderately vigorous PA. Secondary outcomes were LBP disability (Oswestry Disability Index), functional capacity (Patient Specific Functional Scale), and self-efficacy (Pain Self-Efficacy Questionnaire). Between-group differences were analysed by ANCOVA post-intervention.
    RESULTS: There was no statistically significant difference between the experimental group and control group for PA. Between-group differences in LBP disability (MD= 19.4 units, 95% CI: 8.5, 30.3), functional capacity (primary MD= -4.1 units, 95% CI: -6.9, -1.3; average MD= -3.1, 95% CI: -4.9, -1.2) and self-efficacy (MD -11.3 units, 95%CI -20.2, -2.5) favoured the control group with small to moderate effect sizes. There were low levels of overall engagement with the app.
    CONCLUSIONS: The embedded MI intervention was no more beneficial than physical therapy alone for PA and was associated with poorer LBP disability, function, and self-efficacy. The effectiveness of embedding MI and a smartphone app into usual care for LBP was not supported.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的和目标:这篇综述旨在分析动机性访谈(MI)在提高成人炎症性肠病(IBD)患者治疗依从性和依从性方面的有效性。特别是考虑到COVID-19大流行造成的干扰。背景:IBD,包括溃疡性结肠炎和克罗恩病,影响全球超过1000万人。它显著影响身体和心理健康,导致治疗依从性方面的挑战。只有25-47%的IBD患者充分遵循处方治疗。设计和方法:采用了定性和定量研究相结合的综合方法,遵循一个7步框架。这个框架包括确定研究问题,设计搜索策略,进行批判性评估,总结调查结果,提取数据,进行分析,并得出结论。结果:IBD患者对治疗的依从性差会加剧疾病进展并导致并发症。MI已被确定为改善依从性和治疗结果的有希望的方法。研究,包括那些早于COVID-19大流行的人,已证明MI在提高IBD患者依从性方面的有效性。结论:MI有望提高成年IBD患者的依从性。尽管初步结果很有希望,需要更多的研究来彻底了解其在各种临床环境中的有效性.与临床实践的相关性:研究结果强调了MI作为IBD治疗策略不可或缺的组成部分的潜力。这表明其实施可以增强患者与提供者的互动,并带来更好的整体健康结果。
    Aims and Objectives: This review aims to analyze the effectiveness of motivational interviewing (MI) in enhancing therapeutic adherence and compliance in adult patients with inflammatory bowel disease (IBD), especially considering the disruptions caused by the COVID-19 pandemic. Background: IBD, which includes conditions such as ulcerative colitis and Crohn\'s disease, affects over 10 million people globally. It significantly impacts both physical and psychological well-being, leading to challenges in therapeutic adherence. Only 25-47% of patients with IBD adequately follow prescribed treatments. Design and Methods: An integrative methodology that combines qualitative and quantitative research was utilized, following a 7-step framework. This framework encompasses identifying the research question, devising a search strategy, performing a critical appraisal, summarizing findings, extracting data, conducting an analysis, and drawing conclusions. Results: Poor adherence to therapy among patients with IBD can exacerbate disease progression and result in complications. MI has been identified as a promising approach to improving both adherence and treatment outcomes. Studies, including those predating the COVID-19 pandemic, have demonstrated MI\'s effectiveness in enhancing adherence among patients with IBD. Conclusions: MI shows promise in enhancing adherence among adult patients with IBD. Although initial results are promising, additional research is needed to thoroughly understand its effectiveness across various clinical contexts. Relevance to Clinical Practice: The findings underscore the potential of MI as an integral component of IBD treatment strategies, suggesting that its implementation could enhance patient-provider interactions and lead to better overall health outcomes.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Clinical Trial
    需要基于临床的干预措施,以促进农村退伍军人中物质使用障碍(SUDs)患者的慢性丙型肝炎病毒(HCV)感染的成功直接抗病毒(DAA)治疗。
    我们实施了一项基于临床的干预措施,该措施使用动机性访谈(MI)技术,在患有慢性HCV和SUD的农村退伍军人中进行12周的DAA治疗,以促进药物依从性和治疗完成。在DAA治疗期间,患者在基线和每两周随访时接受了有执照的心理学家的MI会议。患者每次完成的研究访问获得25美元。患者在治疗完成后12周参加实验室访问以评估持续病毒学应答(SVR)。
    在注册的20名参与者中,75%(n=15)完成了计划的12周疗程。药丸计数的平均依从性为92%(SD=3%)。总体SVR为95%(19/20)。
    我们证明,结合频繁随访和MI技术的基于临床的干预措施对于主要患有慢性HCV和SUD的农村退伍军人样本是可行和可接受的。
    2016年7月1日在ClinicalTrials.gov(NCT02823457)注册。https://clinicaltrials.gov.
    Clinic-based interventions are needed to promote successful direct acting antiviral (DAA) treatment for chronic hepatitis C virus (HCV) infection in patients with substance use disorders (SUDs) among rural Veterans.
    We implemented a clinic-based intervention which used motivational interviewing (MI) techniques to promote medication adherence and treatment completion with 12 weeks of DAA treatment among rural Veterans with chronic HCV and SUDs. Patients received an MI session with a licensed psychologist at baseline and at each two-week follow-up visit during DAA treatment. Patients received $25 per study visit completed. Patients were to attend a laboratory visit 12 weeks after treatment completion to assess for sustained virologic response (SVR).
    Of the 20 participants who enrolled, 75% (n = 15) completed the planned 12-week course of treatment. Average adherence by pill count was 92% (SD = 3%). Overall SVR was 95% (19/20).
    We demonstrated that a clinic-based intervention which incorporated frequent follow up visits and MI techniques was feasible and acceptable to a sample of predominantly rural Veterans with chronic HCV and SUDs.
    Registered at ClinicalTrials.gov (NCT02823457) on July 1, 2016. https://clinicaltrials.gov .
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    大多数有问题赌博或赌博障碍的人由于治疗障碍而得不到治疗。关于替代疗法的研究有限。
    研究对有赌博问题的个人进行基于互联网的自我指导干预的有效性,并确定潜在的结果调节者。
    这项单中心随机临床试验于2021年7月13日至2022年12月31日在汉堡-Eppendorf大学医学中心进行。在德国招募参与者进行2次评估(干预前[t0]和干预后6周[t1])。符合条件的参与者是18至75岁有赌博问题的个人,互联网接入,精通德语,并愿意参加2次在线评估。
    基于互联网的自我指导干预是基于认知行为疗法,元认知训练,接受和承诺疗法,和励志面试。
    主要结果是与赌博相关的思想和行为的变化,这是通过耶鲁-布朗强迫量表的病态赌博适应来衡量的。次要结果是抑郁症状的改变,赌博的严重性,特定于赌博的功能失调的想法,对在线干预的态度,治疗期望,患者满意度。
    共有243名参与者(154[63.4%]男性;平均[SD]年龄,34.73[10.33]年)被随机分配到干预组(n=119),该干预组在6周内获得了自我指导的基于互联网的干预措施,或等待名单的对照组(n=124)。在t1时的完成是高的(191[78.6%])。结果显示,与赌博相关的思想和行为显著减少(平均差,-3.35;95%CI,-4.79至-1.91;P<.001;Cohend=0.59),抑郁症状(平均差,-1.05;95%CI,-1.87至-0.22;P=0.01;科恩d=0.33),和赌博严重性(平均差,-1.46;95%CI,-2.37至-0.54;P=.002;Cohend=0.40),但不是针对赌博的功能失调思维(平均差,-1.62;95%CI,-3.40至0.15;P=.07;Cohend=0.23)有利于干预组。与对照组相比,干预组中具有积极治疗期望和更严重的赌博特异性功能失调思想和赌博症状的个体在主要结局上受益更多。
    在这项随机临床试验中,在干预开始后6周测量时,对自我报告有问题赌博行为的个体进行基于网络的自我指导干预的有效性得到证实.鉴于对解决有问题的赌博的可访问和可扩展解决方案的需求日益增加,该研究的发现尤其相关。
    bfarm。de标识符:DRKS00024840。
    UNASSIGNED: Most individuals with problem gambling or gambling disorder remain untreated due to barriers to treatment. Limited research exists on alternative treatments.
    UNASSIGNED: To investigate the efficacy of a self-guided internet-based intervention for individuals with gambling problems and to identify potential outcome moderators.
    UNASSIGNED: This single-center randomized clinical trial was conducted from July 13, 2021, to December 31, 2022, at the University Medical Center Hamburg-Eppendorf. Participants were recruited across Germany for 2 assessments (before intervention [t0] and 6 weeks after intervention [t1]). Eligible participants were individuals aged 18 to 75 years with gambling problems, internet access, German proficiency, and willingness to participate in 2 online assessments.
    UNASSIGNED: The self-guided internet-based intervention was based on cognitive behavioral therapy, metacognitive training, acceptance and commitment therapy, and motivational interviewing.
    UNASSIGNED: The primary outcome was change in gambling-related thoughts and behavior as measured with the pathological gambling adaption of the Yale-Brown Obsessive-Compulsive Scale. Secondary outcomes were change in depressive symptoms, gambling severity, gambling-specific dysfunctional thoughts, attitudes toward online interventions, treatment expectations, and patient satisfaction.
    UNASSIGNED: A total of 243 participants (154 [63.4%] male; mean [SD] age, 34.73 [10.33] years) were randomized to an intervention group (n = 119) that gained access to a self-guided internet-based intervention during 6 weeks or a wait-listed control group (n = 124). Completion at t1 was high (191 [78.6%]). Results showed a significantly greater reduction in gambling-related thoughts and behavior (mean difference, -3.35; 95% CI, -4.79 to -1.91; P < .001; Cohen d = 0.59), depressive symptoms (mean difference, -1.05; 95% CI, -1.87 to -0.22; P = .01; Cohen d = 0.33), and gambling severity (mean difference, -1.46; 95% CI, -2.37 to -0.54; P = .002; Cohen d = 0.40) but not in gambling-specific dysfunctional thoughts (mean difference, -1.62; 95% CI, -3.40 to 0.15; P = .07; Cohen d = 0.23) favoring the intervention group. Individuals in the intervention group who had a positive treatment expectation and more severe gambling-specific dysfunctional thoughts and gambling symptoms benefited more on the primary outcome relative to the control group.
    UNASSIGNED: In this randomized clinical trial, the effectiveness of a self-guided internet-based intervention for individuals with self-reported problematic gambling behavior was demonstrated when measured 6 weeks after start of the intervention. The study\'s findings are particularly relevant given the increasing need for accessible and scalable solutions to address problematic gambling.
    UNASSIGNED: bfarm.de Identifier: DRKS00024840.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目标:测试低收入家庭的肥胖干预措施。
    方法:共纳入208个家庭(体重指数[BMI]≥30的父母和6-12岁的儿童)。一项为期12个月的随机对照试验,结合了家庭健康指导(动机性访谈)和与社区资源的联系。比较组:基本需求转介,书面教育材料。问卷调查,加速计,和人体测量学。结果变化的意向治疗分析。具有多重插补的双侧t检验。
    结果:父母95%为女性,31%黑色,和27%的西班牙裔。儿童的平均BMI-Z评分为1.15。在12个月时,两组之间的主要结局没有差异。两组在家庭营养和身体活动量表上对与儿童肥胖相关的行为均有显着改善(P<0.05)(平均值±SE:比较,2.8±1.0;干预,2.2±0.9),儿童久坐活动增加(比较,32.5±12.1;干预,39.9±12.4min/d),和减少儿童中等强度的体力活动(比较,-9.6±3.3;干预-7.0±3.0min/d)。父母的BMI没有变化。
    结论:我们成功地将筛查和转诊纳入肥胖干预中,以满足社会需求。教练干预没有提供额外的好处。未来的研究可以探索使这些干预更容易获得的方法,有价值,对家庭有效。
    OBJECTIVE: Test an obesity intervention for families with low incomes.
    METHODS: A total of 208 families were included (a parent with a body mass index [BMI] ≥ 30 and a child aged 6-12 years). A 12-month randomized controlled trial combining family health coaching (motivational interviewing) and connection to community resources. Comparison group: referrals for basic needs, written educational materials. Questionnaires, accelerometry, and anthropometrics. Intention-to-treat analysis of change in outcomes. Two-sided t test with multiple imputation.
    RESULTS: Parents were 95% female, 31% Black, and 27% Hispanic. Children had a mean BMI-Z score of 1.15. Primary outcomes did not differ between groups at 12 months. Both groups significantly (P < 0.05) improved on the Family Nutrition and Physical Activity Scale for behaviors related to childhood obesity (mean ± SE: comparison, 2.8 ± 1.0; intervention, 2.2 ± 0.9), increased child sedentary activity (comparison, 32.5 ± 12.1; intervention, 39.9 ± 12.4 min/d), and decreased child moderate-vigorous physical activity (comparison, -9.6 ± 3.3; intervention -7.0 ± 3.0 min/d). Parents had no change in BMI.
    CONCLUSIONS: We successfully embedded screening and referral to address social needs within an obesity intervention. The coaching intervention did not provide additional benefits. Future research could explore ways to make these interventions more accessible, valuable, and effective for families.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号