Improving Women's Self‐Compassion Through an Online Program: A Randomized Controlled Trial

2020 ◽  
Vol 99 (1) ◽  
pp. 47-59
Author(s):  
Miranda M. Nadeau ◽  
Norian A. Caporale‐Berkowitz ◽  
Aaron B. Rochlen
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Online Program ◽  
Randomized Controlled ◽  
Self Compassion

Reducing Body Image–Related Distress in Women With Breast Cancer Using a Structured Online Writing Exercise: Results From the My Changed Body Randomized Controlled Trial

2018 ◽  
Vol 36 (19) ◽  
pp. 1930-1940 ◽  
Author(s):  
Kerry A. Sherman ◽  
Astrid Przezdziecki ◽  
Jessica Alcorso ◽  
Christopher Jon Kilby ◽  
Elisabeth Elder ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Body Image ◽  
Randomized Controlled Trial ◽  
Psychological Distress ◽  
Expressive Writing ◽  
Controlled Trial ◽  
Mediating Effect ◽  
Body Appreciation ◽  
Randomized Controlled ◽  
Self Compassion

Purpose Breast cancer treatment adverse effects result in one in three survivors experiencing body image–related distress (BID) that negatively impacts on a woman’s ability to recover after cancer and into survivorship. My Changed Body (MyCB) is a Web-based psychological intervention to alleviate BID and improve body appreciation in survivors of breast cancer (BCSs) through a single-session, self-compassion focused writing activity. This randomized controlled trial evaluated the impact of MyCB on BID and body appreciation in BCSs. The moderating effect of lymphedema status (affected or unaffected) and appearance investment (self-importance placed on personal appearance) and the mediating effect of self-compassion were evaluated. Patients and Methods Women (disease-free stage I to III BCSs who had experienced at least one negative event related to bodily changes after breast cancer) were randomly assigned to MyCB (n = 149) or an expressive writing control arm (n = 155). Primary outcomes were reduction in BID and improvement in body appreciation 1 week after intervention. Secondary outcomes included psychological distress (depression and anxiety) and self-compassion. Follow-up assessments occurred 1 week, 1 month, and 3 months after writing. Results Compliance with the MyCB intervention was 88%, and attrition was 9.2%. Intent-to-treat linear mixed models indicated that participants who received MyCB reported significantly less BID ( P = .035) and greater body appreciation ( P = .004) and self-compassion ( P < .001) than expressive writing participants. Intervention effects on BID were moderated by lymphedema status ( P = .007) and appearance investment ( P = .042). Self-compassion mediated effects on both primary outcomes. Therapeutic effects were maintained at 1 month (BID and body appreciation) and 3 months (body appreciation) after intervention. Significant reductions in psychological distress (1-month depression, P = .001; 1-week and 1-month anxiety, P = .007) were evident for MyCB participants with lymphedema. Conclusion This study supports the efficacy of MyCB for reducing BID and enhancing body appreciation among BCSs.

scholarly journals Augmenting an online self-directed intervention for gambling disorder with a single motivational interview: study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Brad W. Brazeau ◽  
David C. Hodgins ◽  
John A. Cunningham ◽  
Kylie Bennett ◽  
Anthony Bennett
Keyword(s):  
Randomized Controlled Trial ◽  
Problem Gambling ◽  
Motivational Interview ◽  
Gambling Disorder ◽  
Intervention Program ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Intervention Research ◽  
Online Program ◽  
Randomized Controlled

Abstract Background Despite the success of gold standard cognitive-behavioral therapy for problem and disordered gambling, the majority of individuals with gambling problems do not seek or receive professional treatment. Thus, the development of less intrusive self-directed interventions has been encouraged. Bibliotherapy for problem gambling has shown promise, both alone and in combination with motivational interviews, but there is still a lack of online self-directed intervention research. The current randomized controlled trial proposes to assess the additive benefit of a single digital motivational interview delivered in conjunction with an online self-directed treatment program for problem gambling and gambling disorder. Methods A two-arm randomized controlled trial will be conducted, wherein eligible participants (N=270) will be recruited across Canada via internet advertisements posted to several platforms. All participants will receive access to an online self-directed gambling intervention program. Participants will be randomly assigned to either complete the online program alone or receive a digital motivational interview, conducted through an online audioconferencing platform (i.e., Microsoft Teams) to supplement the online program. The primary outcomes of gambling severity, frequency, and expenditures will be tracked along with secondary outcomes (i.e., depression, anxiety, general distress, alcohol use, and online program user data) over a 24-month period. It is expected that participants in both groups will experience a reduction in symptoms across the board, but more substantial improvements will be observed in the group that receives a supplemental motivational interview. Discussion The results of this trial will expand upon prior gambling intervention research by informing best practices for the provision of online self-help for problem gambling. Trial registration ISRCTN ISRCTN13009468. Registered on 7 July 2020.

Sign in / Sign up

Export Citation Format

Share Document