Effectiveness of peer-delivered Center for Independent Living supports for individuals with psychiatric disabilities: A randomized, controlled trial.

2016 ◽  
Vol 39 (3) ◽  
pp. 239-247 ◽  
Author(s):  
Mark S. Salzer ◽  
Joseph Rogers ◽  
Nancy Salandra ◽  
Conor O'Callaghan ◽  
Fran Fulton ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Independent Living ◽  
Controlled Trial ◽  
Psychiatric Disabilities ◽  
Randomized Controlled

Internet peer support for individuals with psychiatric disabilities: A randomized controlled trial

2011 ◽  
Vol 72 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Katy Kaplan ◽  
Mark S. Salzer ◽  
Phyllis Solomon ◽  
Eugene Brusilovskiy ◽  
Pamela Cousounis
Keyword(s):  
Randomized Controlled Trial ◽  
Peer Support ◽  
Controlled Trial ◽  
Psychiatric Disabilities ◽  
Randomized Controlled

scholarly journals Improving Prospective Memory in Persons With Parkinson Disease: A Randomized Controlled Trial

2017 ◽  
Vol 31 (5) ◽  
pp. 451-461 ◽  
Author(s):  
Erin R. Foster ◽  
Mark A. McDaniel ◽  
Peter G. Rendell
Keyword(s):  
Quality Of Life ◽  
Randomized Controlled Trial ◽  
Parkinson Disease ◽  
Prospective Memory ◽  
Independent Living ◽  
Controlled Trial ◽  
Clinical Care ◽  
Randomized Controlled ◽  
Encoding Strategy

Background. Prospective memory (PM) is essential for productive and independent living and necessary for compliance with prescribed health behaviors. Parkinson disease (PD) can cause PM deficits that are associated with activity limitations and reduced quality of life. Forming implementation intentions (IIs) is an encoding strategy that may improve PM in this population. Objective. To determine the effect of IIs on PM performance in PD. Methods. This was a laboratory-based randomized controlled trial. Participants with mild to moderate PD without dementia (n = 62) performed a computerized PM test (Virtual Week) under standard instructions. One week later they were randomly allocated to perform it again while using either IIs or a rehearsal (RR) encoding strategy. Results. PM performance was better with the use of both strategies relative to standard instructions. This effect was larger for tasks with event-based compared with time-based cues. In addition, IIs resulted in a larger effect than RR for the nonrepeated tasks. Conclusions. Strategies that support full encoding of PM cues and actions can improve PM performance among people with PD, particularly for tasks with cues that are readily available in the environment. IIs may be more effective than RR for nonrepeated tasks, but this finding warrants verification. Future work should address transfer of strategy use from the laboratory to everyday life. Targeted strategies to manage PM impairment could improve function and quality of life and significantly affect clinical care for people with PD.

scholarly journals Meaningful Activities and Recovery (MA&R): the effect of a novel rehabilitation intervention among persons with psychiatric disabilities on activity engagement—study protocol for a randomized controlled trial

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Siv Therese Bogevik Bjørkedal ◽  
Ulrika Bejerholm ◽  
Lene Falgaard Eplov ◽  
Tom Møller
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Randomized Controlled Trial ◽  
Study Protocol ◽  
Controlled Trial ◽  
Mental Healthcare ◽  
Psychiatric Disabilities ◽  
Activity Engagement ◽  
Randomized Controlled ◽  
Persons With Psychiatric Disabilities

Abstract Background Engagement in activities meaningful to the individual may support the process of recovery in those with mental illness. Persons with psychiatric disabilities may reduce their engagement in meaningful activities to various degrees with possible fluctuations over time. We hypothesized that activity engagement can be altered when opportunities and support are offered at an individual and a group peer-based level. Evidence is lacking regarding mental health interventions that enable engagement in meaningful activities, and powered effect studies are warranted. Methods We propose an 8-month combined individual and group peer-based intervention, Meaningful Activities and Recovery (MA&R), and a study protocol for a multicentre two-armed parallel randomized controlled trial (RCT). The trial investigates the effects of MA&R in community mental health centres in Copenhagen and municipality services in Denmark. The trial will comprise 128 participants with psychiatric disabilities who will be randomized to one of two groups: (1) MA&R in addition to standard mental healthcare or (2) standard mental healthcare alone. The primary outcome is self-reported activity engagement, measured by Profiles of Engagement in People with Severe Mental Illness. Secondary outcomes are recovery, functioning and quality of life. Data will be collected at baseline and at follow-up at the end of the intervention. Discussion This study adds new knowledge to a field with limited evidence, i.e. the clinical effectiveness of rehabilitation interventions among people with psychiatric disabilities, directly targeting activity engagement. The pragmatic design, regarding in- and exclusion criteria and settings, may allow assessment of the intervention’s effect under real-life conditions. The randomization, adequate power and fidelity monitoring allow testing of the intervention’s efficacy. The multicentre study design increases the potential for implementation in various mental health settings if the findings are positive. As the nature of the intervention does not permit blinding of the participants or staff, it may increase the risk of expectancy and performance bias. This must be considered when interpreting the findings. Trial registration ClinicalTrials.gov NCT03963245. Registered on 29 May 2019

Supported socialization for people with psychiatric disabilities: Lessons from a randomized controlled trial

2004 ◽  
Vol 32 (4) ◽  
pp. 453-477 ◽  
Author(s):  
Larry Davidson ◽  
Golan Shahar ◽  
David A. Stayner ◽  
Matthew J. Chinman ◽  
Jaak Rakfeldt ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Psychiatric Disabilities ◽  
Randomized Controlled

Post-surgical physical activity enhancing program for elderly patients after hip fracture: a randomized controlled trial

2014 ◽  
Vol 8 (4) ◽  
pp. 525-532 ◽  
Author(s):  
Sunee Suwanpasu ◽  
Yupin Aungsuroch ◽  
Chanokporn Jitapanya
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Independent Living ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
Post Surgery

AbstractBackground: Hip fracture seriously influences an elderly person’s life and mobility, independent living, and causes earlier mortality. Although surgery is generally successful, many of the elderly suffer from decreased physical ability after surgery for hip fracture.Objectives: To determine the effects of a physical activity enhancing program (PEP) on the level of physical activity of elderly patients after surgical treatment of hip fracture.Methods: A randomized controlled trial of 46 elderly patients was conducted at King Chulalongkorn Memorial Hospital from January 2012 to February 2013 to evaluate the effectiveness of the Resnick self-efficacy model (2009) compared with standard care in improving physical activity. The participants were enrolled on a criteria basis and were block randomized into two groups. The intervention group attended four phases of physical training and efficacy based intervention comprising assessment, preparation, practicing, and evaluation phases with face-to-face contact and five telephone calls during seven weeks post-surgery.Results: Six weeks after discharge, the physical activity of the intervention group increased by significantly more than the control group (F1,43= 9.63, P < 0.01), with an effect size of 0.18 after controlling for preoperative physical activity. The ratio of the effect on physical activity induced by the PEP was higher than that induced by usual care (65.2% vs. 47.8%).Conclusion: PEP is effective at improving physical activity. Efforts to follow up for longer periods and with studies using larger populations are recommended.

Treatment Fidelity Procedures for an Aphasia Intervention Within a Randomized Controlled Trial: Design, Feasibility, and Results

2020 ◽  
Vol 29 (1S) ◽  
pp. 412-424
Author(s):  
Elissa L. Conlon ◽  
Emily J. Braun ◽  
Edna M. Babbitt ◽  
Leora R. Cherney
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Treatment Protocol ◽  
Treatment Fidelity ◽  
Protocol Adherence ◽  
Study Condition ◽  
Randomized Controlled ◽  
Aphasia Therapy ◽  
Percent Accuracy ◽  
Over Time

Purpose This study reports on the treatment fidelity procedures implemented during a 5-year randomized controlled trial comparing intensive and distributed comprehensive aphasia therapy. Specifically, the results of 1 treatment, verb network strengthening treatment (VNeST), are examined. Method Eight participants were recruited for each of 7 consecutive cohorts for a total of 56 participants. Participants completed 60 hr of aphasia therapy, including 15 hr of VNeST. Two experienced speech-language pathologists delivered the treatment. To promote treatment fidelity, the study team developed a detailed manual of procedures and fidelity checklists, completed role plays to standardize treatment administration, and video-recorded all treatment sessions for review. To assess protocol adherence during treatment delivery, trained research assistants not involved in the treatment reviewed video recordings of a subset of randomly selected VNeST treatment sessions and completed the fidelity checklists. This process was completed for 32 participants representing 2 early cohorts and 2 later cohorts, which allowed for measurement of protocol adherence over time. Percent accuracy of protocol adherence was calculated across clinicians, cohorts, and study condition (intensive vs. distributed therapy). Results The fidelity procedures were sufficient to promote and verify a high level of adherence to the treatment protocol across clinicians, cohorts, and study condition. Conclusion Treatment fidelity strategies and monitoring are feasible when incorporated into the study design. Treatment fidelity monitoring should be completed at regular intervals during the course of a study to ensure that high levels of protocol adherence are maintained over time and across conditions.

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