scholarly journals Supervised intensive Exercise strengthen Exercise Health Beliefs in Patients with Axial Spondyloarthritis: A Multicentre Randomized Controlled Trial

2021 ◽  
Author(s):  
Annelie Bilberg ◽  
Hanne Dagfinrud ◽  
Silje H Sveaas
Keyword(s):  
Randomized Controlled Trial ◽  
Health Beliefs ◽  
Axial Spondyloarthritis ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Intensive Exercise ◽  
Strengthen Exercise

scholarly journals A Social Media Website (Supporting Our Valued Adolescents) to Support Treatment Uptake for Adolescents With Depression and/or Anxiety and Their Parents: Protocol for a Pilot Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Ana Radovic ◽  
Yaming Li ◽  
Douglas Landsittel ◽  
Bradley D Stein ◽  
Elizabeth Miller
Keyword(s):  
Primary Care ◽  
Randomized Controlled Trial ◽  
Health Beliefs ◽  
Mental Health Treatment ◽  
Controlled Trial ◽  
Health Treatment ◽  
Randomized Controlled ◽  
Primary Care Settings ◽  
Treatment Uptake ◽  
Pilot Randomized Controlled Trial

BACKGROUND Few adolescents who experience depression or anxiety connect to mental health treatment. Supporting Our Valued Adolescents (SOVA) is a stakeholder-informed technology intervention that consists of 2 blog-format websites—one for adolescents and another for parents. SOVA is designed to intervene on targets, which may increase the mental health treatment uptake when adolescents with depression or anxiety are identified in primary care settings. OBJECTIVE This study aims to describe the protocol for a pilot randomized controlled trial designed to refine recruitment and retention strategies, document intervention fidelity and implementation outcomes, and assess changes in health beliefs and knowledge, emotional or informational support, and parent-adolescent communication quality in adolescents and their parents. METHODS Adolescents identified with symptoms of depression or anxiety, for which a health care provider recommends treatment, and their parents will be recruited from clinics where adolescents are seen for primary care. Adolescent-parent dyads will be randomized at 1:1 to both receive the SOVA websites and enhanced usual care or enhanced usual care alone. Baseline measures and 6-week and 3-month outcomes will be collected by Web-based self-report surveys and electronic health record review. The main pilot outcome is the 6-week study retention rate. Analyses will also assess changes in health beliefs and knowledge, emotional support, and parent-adolescent communication in both adolescents and their parents. RESULTS The project was funded in 2017. Recruitment commenced in April 2018 and enrollment is ongoing, with completion anticipated at the end of 2019 with subsequent plans for data analysis and publication submission in early 2020. CONCLUSIONS The findings of this research will inform the design of a multisite hybrid effectiveness-implementation randomized controlled trial examining the effectiveness and optimal implementation strategies for using SOVA in community primary care settings. CLINICALTRIAL ClinicalTrials.gov NCT03318666; https://clinicaltrials.gov/ct2/show/NCT03318666 INTERNATIONAL REGISTERED REPOR PRR1-10.2196/12117

scholarly journals The 24-h Energy Intake of Obese Adolescents Is Spontaneously Reduced after Intensive Exercise: A Randomized Controlled Trial in Calorimetric Chambers

PLoS ONE ◽  
2012 ◽  
Vol 7 (1) ◽  
pp. e29840 ◽  
Author(s):  
David Thivel ◽  
Laurie Isacco ◽  
Christophe Montaurier ◽  
Yves Boirie ◽  
Pascale Duché ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Energy Intake ◽  
Controlled Trial ◽  
Obese Adolescents ◽  
Randomized Controlled ◽  
Intensive Exercise

scholarly journals High-Intensity Exercise Improves Fatigue, Sleep, and Mood in Patients With Axial Spondyloarthritis: Secondary Analysis of a Randomized Controlled Trial

2020 ◽  
Vol 100 (8) ◽  
pp. 1323-1332 ◽  
Author(s):  
Silje Halvorsen Sveaas ◽  
Hanne Dagfinrud ◽  
Inger Jorid Berg ◽  
Sella Arrestad Provan ◽  
Melissa Woll Johansen ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Beneficial Effect ◽  
High Intensity ◽  
General Health ◽  
Axial Spondyloarthritis ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Exercise Group ◽  
Control Group ◽  
Randomized Controlled

Abstract Objective Although exercise is recommended in the treatment of axial spondyloarthritis (axSpa), the focus has been on flexibility, and the effect of high-intensity exercises is unknown. The purpose of this study was to investigate the effect of high-intensity exercises on fatigue, sleep, and mood in patients with axSpA. Methods In this secondary analysis of a randomized controlled trial, participants were recruited from outpatient clinics at 4 hospitals in Scandinavia. A total of 100 patients with axSpA were randomized to either an exercise group (n = 50) or a control group (n = 50). High-intensity exercise was provided 3 times per week for 3 months and supervised by a physical therapist. The controls received no intervention. Measurements were self-reported at baseline, 3 months, and 12 months: fatigue, using the Fatigue Severity Scale (range = 0–7, 7 = worst, ≥5 = severe); vitality, using the RAND 36-item short-form health survey (SF-36, range = 0–100, 100 = best); sleep, using the Pittsburgh Sleep Quality Index (range = 0–21, 21 = worst, >5 = poor quality); mood, using the General Health Questionnaire 12 (range = 0–36, 36 = worst); and general health, using the EUROQoL (range = 0–100, 100 = best). Results A total of 38 participants (76%) in the exercise group followed ≥80% of the exercise protocol. At 3 months, there was a significant beneficial effect on fatigue (mean group differences = −0.4, 95% CI = −0.7 to −0.1), vitality (5.0, 95% CI = 1.1 to 10.5), mood (−2, 95% CI = −3.7 to −0.04), and general health (9.0, 95% CI = 3.3 to 14.7) but no effect on sleep (−1.1, 95% CI = −2.1 to 0.2). Compared with the control group, the exercise group had a reduced rate of severe fatigue and poor sleep. No differences were seen between the groups at 12 months. Conclusions A 3-month exercise program had a beneficial effect on fatigue, sleep, mood, and general health in patients with axSpA at the end of the intervention; however, no long-term effects were seen. Impact High-intensity cardiorespiratory and strength exercises should be considered as important in exercise programs for patients with axSpA.

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