scholarly journals Compassion‐focused therapy for body weight shame: A mixed methods pilot trial

2020 ◽  
Author(s):  
Alicia Carter ◽  
Paul Gilbert ◽  
James N. Kirby
Keyword(s):  
Body Weight ◽  
Mixed Methods ◽  
Pilot Trial ◽  
Compassion Focused Therapy

scholarly journals The effects of the form of sugar (solid vs. beverage) on body weight and fMRI activation: A randomized controlled pilot study

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251700
Author(s):  
John W. Apolzan ◽  
Owen T. Carmichael ◽  
Krystal M. Kirby ◽  
Sreekrishna R. Ramakrishnapillai ◽  
Robbie A. Beyl ◽  
...  
Keyword(s):  
Body Weight ◽  
Energy Homeostasis ◽  
Pilot Trial ◽  
Brain Regions ◽  
Reward Processing ◽  
Daily Consumption ◽  
Fed State ◽  
Randomized Controlled ◽  
The Right ◽  
The Brain

Objective To test if sugar sweetened beverages (SSBs) and sugar sweetened solids (SSSs) have differential effects on body weight and reward processing in the brain. Methods In a single blind randomized controlled pilot trial (RCT), twenty participants with BMI between 20 and 40 kg/m2 were randomized to consume a 20 fluid ounce soda (SSB, 248 kcal) or the equivalent in solid form (SSS; similar to thick gelatin or gummy candy) daily. At baseline and day 28, fasting body weight and fed-state BOLD fMRI of the brain were assessed. Differences in fMRI signals between views of low-fat (LF (<30%)) high sugar (HS (>30%)) food, and non-food images were calculated in brain regions implicated in energy homeostasis, taste, and reward. Results All participants in the SSB (6F 4M; 8 Caucasian; 36±14 y, 28.2±5.5 kg/m2; Mean±SD) and SSS (3F 7M; 6 Caucasian; 39±12; 26.3±4.4) groups completed the study. Weight change was 0.27±0.78 kg between SSB and SSS participants. Changes in the fMRI response to LF/HS foods in reward, homeostatic and taste regions tended to not be different between the groups over the four weeks. However, activation of the right substantia nigra increased following the SSB but decreased activation following the SSS in response to LF/HS foods over 28 days (-0.32±0.12). Ratings of wanting for LF/HS foods were correlated with activation in several brain regions, including the OFC. Conclusions Change in weight was modest between the groups in this study. Daily consumption of a SSB over 28 days led to mixed responses to LF/HS foods in areas of the brain associated with reward. Ratings of wanting are correlated with fMRI activation inside an MRI scanner.

scholarly journals Evaluation of a surgical supervision model in three African countries—protocol for a prospective mixed-methods controlled pilot trial

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Chiara Pittalis ◽  
Ruairi Brugha ◽  
Gloria Crispino ◽  
Leon Bijlmakers ◽  
Gerald Mwapasa ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pilot Trial ◽  
African Countries ◽  
Supervision Model

scholarly journals Applying Human-centered Design to Maximize Acceptability, Feasibility, and Usability of Mobile Technology Supervision in Kenya: A Mixed Methods Pilot Study Protocol

2020 ◽  
Author(s):  
Noah Triplett ◽  
Sean Munson ◽  
Anne Mbwayo ◽  
Teresia Mutavi ◽  
Bryan Weiner ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mobile Technology ◽  
Qualitative Interviews ◽  
Pilot Trial ◽  
Scale Up ◽  
Task Shifting ◽  
Self Report ◽  
Future Research ◽  
Human Centered Design ◽  
Lay Counselors

Abstract Background: Although research continues to support task-shifting as an effective model of delivering evidence-based practices (EBPs), little scholarship has focused how to scale up and sustain task-shifting in low- and middle-income countries, including how to sustainably supervise lay counselors. Ongoing supervision is critical to ensure EBPs are delivered with fidelity; however, the resources and expertise required to provide ongoing supervision may limit the potential to scale up and sustain task shifting. Opportunities may exist to leverage mobile technology to replace or supplement in-person supervision in low-resource contexts, but contextual variables, such as network connectivity and lay counselor preferences surrounding mobile technology, must be examined and considered when designing and implementing mobile technology supervision.Methods: This study builds from an existing randomized trial in Kenya, wherein teachers and community health volunteers have been trained to provide trauma-focused cognitive behavioral therapy as lay counselors. The study will use an iterative and mixed methods approach, with qualitative interviews and a Human-Centered Design (HCD) workshop informing a non-randomized pilot trial. Semi-structured interviews will be conducted with lay counselors and supervisors to understand how mobile technology is currently being used for supervision and determine the barriers and facilitators to mobile technology supervision. Data from these interviews will inform an HCD workshop, where lay counselors and supervisors “re-design” supervision to most effectively leverage mobile technology. Workshop participants will also participate in focus groups to gather perceptions on the use of HCD techniques. The final outcome of the workshop will be a set of refined workflows, which will be tested in a mixed method, nonrandomized pilot with newly trained lay counselors and existing supervisors. The pilot trial will evaluate the acceptability, feasibility, and usability of mobile technology supervision through self-report questionnaires as well as perceptions of effectiveness through qualitative interviews with a subset of lay counselors and all supervisors.Discussion: This study will provide a launching point for future research on supervision and methods to engage stakeholders to design and tailor interventions and implementation supports to fit low-resourced contexts.

scholarly journals Applying human-centered design to maximize acceptability, feasibility, and usability of mobile technology supervision in Kenya: a mixed methods pilot study protocol

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Noah S. Triplett ◽  
Sean Munson ◽  
Anne Mbwayo ◽  
Teresia Mutavi ◽  
Bryan J. Weiner ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mobile Technology ◽  
Qualitative Interviews ◽  
Pilot Trial ◽  
Scale Up ◽  
Task Shifting ◽  
Self Report ◽  
Human Centered Design ◽  
Lay Counselors ◽  
Link Type

Abstract Background Although research continues to support task-shifting as an effective model of delivering evidence-based practices (EBPs), little scholarship has focused how to scale up and sustain task-shifting in low- and middle-income countries, including how to sustainably supervise lay counselors. Ongoing supervision is critical to ensure EBPs are delivered with fidelity; however, the resources and expertise required to provide ongoing supervision may limit the potential to scale up and sustain task shifting. Opportunities may exist to leverage mobile technology to replace or supplement in-person supervision in low-resource contexts, but contextual variables, such as network connectivity and lay counselor preferences surrounding mobile technology, must be examined and considered when designing and implementing mobile technology supervision. Methods This study builds from an existing randomized trial in Kenya, wherein teachers and community health volunteers have been trained to provide trauma-focused cognitive behavioral therapy as lay counselors. The study will use an iterative and mixed methods approach, with qualitative interviews and a Human-Centered Design (HCD) workshop informing a non-randomized pilot trial. Semi-structured interviews will be conducted with lay counselors and supervisors to understand how mobile technology is currently being used for supervision and determine the barriers and facilitators to mobile technology supervision. Data from these interviews will inform an HCD workshop, where lay counselors and supervisors “re-design” supervision to most effectively leverage mobile technology. Workshop participants will also participate in focus groups to gather perceptions on the use of HCD techniques. The final outcome of the workshop will be a set of refined workflows, which will be tested in a mixed method, nonrandomized pilot with newly trained lay counselors and existing supervisors. The pilot trial will evaluate the acceptability, feasibility, and usability of mobile technology supervision through self-report questionnaires as well as perceptions of effectiveness through qualitative interviews with a subset of lay counselors and all supervisors. Discussion This study will provide a launching point for future research on supervision and methods to engage stakeholders to design and tailor interventions and implementation supports to fit low-resourced contexts. Trial registration The parent trial from which this study builds was registered on ClinicalTrials.gov on August 9, 2017 (NCT03243396).

Characteristics and Experiences of Parents of Children with Learning and Attention Disabilities and Autism Spectrum Disorder: A Mixed Methods Study

2021 ◽  
pp. 106648072110523
Author(s):  
Emma Chad-Friedman ◽  
Karen A. Kuhlthau ◽  
Rachel A. Millstein ◽  
Giselle K. Perez ◽  
Christina M. Luberto ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Mixed Methods ◽  
Pilot Trial ◽  
Autism Spectrum ◽  
Stress And Coping ◽  
Spectrum Disorder ◽  
Self Report ◽  
Management Interventions ◽  
Children With Asd ◽  
And Coping

Parents of children with learning and attention disorders (LAD) and autism spectrum disorder (ASD) experience chronic parenting stress due to the challenges in raising a child with special needs. We used a mixed methods design to examine characteristics and experiences of stress and coping among parents of children with LAD and ASD. We conducted 20 semi-structured focus group interviews with parents of children with LAD ( n = 11) and ASD ( n = 9) and administered a battery of self-report measures of stress and coping to parents of LAD ( n = 53) and ASD ( n = 51) enrolled in a pilot trial. Qualitative findings showed that parents of children with LAD and ASD largely experienced similar sources of stress, but with different intensities due to their children's different difficulties. Quantitative findings reflected high levels of distress among parents of children with LAD and ASD, with parents of children with ASD demonstrating higher distress and poorer overall sleep quality. Stressors experienced by parents of children with ASD arose from more overt challenges associated with having a child with more visible challenges. Parents of children with LAD experienced more subtle challenges of having a child who is less overtly impaired. Findings will aid in the development of targeted stress management interventions.

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