scholarly journals Perception of Purposeful and Recreational Smartphone Use in Physiotherapy: A Randomized Controlled Trial (Preprint)

10.2196/25717 ◽  
2020 ◽  
Author(s):  
Martina Bientzle ◽  
Anne Restle ◽  
Joachim Kimmerle
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Smartphone Use

scholarly journals Effects of a group mindfulness-based cognitive programme on smartphone addictive symptoms and resilience among adolescents: study protocol of a cluster-randomized controlled trial

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Anson Chui Yan Tang ◽  
Regina Lai Tong Lee
Keyword(s):  
Randomized Controlled Trial ◽  
Primary Schools ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Chinese Version ◽  
Smartphone Addiction ◽  
Convenience Sample ◽  
Randomized Controlled ◽  
Smartphone Use ◽  
Cluster Randomized

Abstract Background Smartphone addiction in adolescent is a significant global health issue since the last decade. Evidence has shown that the uncontrolled use of smartphone would lead to undesirable impact on their growth and development. However, evidence-based interventions to manage adolescents’ smartphone addictive behaviors is lacking. The proposed study aims to examine the effect of a group mindfulness-based cognitive programme(MBCP) on resilience, smartphone behavior and addictive symptoms in young adolescents. Methods It is an open-label, parallel-group, cluster-randomized controlled trial with repeated measurement analysis. Four primary schools in Hong Kong will be recruited and randomly allocated in a ratio of 1:1 to the intervention/control group. A convenience sample of 240 class level 5 primary school students, 60 from each school, will be recruited. Participants in the intervention group will receive a 12-week MBCP which comprises 90-minute supervised practice at school and daily home practice. Resilience will be measured by Connor-Davidson Resilience Scale – 25 (Chinese version); smartphone behavior will be represented by time spent/day using the smartphone and types of functions used; addictive symptoms will be measured by Smartphone Addiction Scale-Short Version (Chinese Version). Baseline assessment(T0) will be conducted before the intervention starts. Post-tests will be conducted in weeks 4, 8, 12 of the intervention, and 3 months follow-up. Intention-to-Treat analysis will be applied to the variables. Generalized Estimating Equation model will be used to compare differences in resilience scores, smartphone behavior and addiction scores between and within groups, adjusted for socio-demographic factors. P < 0.05 with two-tailed test will be regarded as significance. Discussion It is expected that adolescents will demonstrate better resilience and lesser smartphone addictive symptoms after joining the MBCP. The study will be the first provided empirical evidence to support the promising application of MBCP to manage smartphone use among adolescents. It introduces community stakeholders including community nurses a non-invasive and simple-to-administer intervention to tackle problematic smartphone use among adolescent clients. Trial registration Chinese Clinical Trial Registry, ChiCTR2000033273, Registered on 26 May 2020.

Effects of an Intervention App on Problematic Smartphone Use: Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Jan Keller ◽  
Christina Roitzheim ◽  
Theda Radtke ◽  
Konstantin Schenkel ◽  
Ralf Schwarzer
Keyword(s):  
Randomized Controlled Trial ◽  
Active Control ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Psychological Resources ◽  
Problematic Smartphone Use ◽  
Randomized Controlled ◽  
Smartphone Use ◽  
Digital Detox

BACKGROUND People spend large parts of their everyday life using their smartphone. Despite various advantages of the smartphone for daily life, problematic forms of smartphone use exist which are related to negative psychological and physiological consequences. To reduce problematic smartphone use, existing interventions are oftentimes app-based and include components, that help users to monitor and restrict their smartphone use by setting timers and blockers. Such digital detox interventions lack to address psychological resources such as promoting a self-efficacious and goal-directed smartphone use. OBJECTIVE Evaluation of the theory-based smartphone app “not less but better” that was developed to make people aware of psychological processes while using the smartphone and to support them in using their smartphone in accordance with their goals and values. METHODS In a randomized controlled trial with 232 participants, effects of a 20-day intervention app consisting of five 4-days training modules to foster a goal-directed smartphone use were evaluated. In the active control condition (treatment-as-usual), participants received a digital detox treatment and planned daily timeouts of at least one hour per day. Up to a 3-weeks follow-up, self-reported problematic smartphone use, objectively measured daily smartphone unlocks, time of smartphone use, self-efficacy, and planning towards goal-directed smartphone use were assessed repeatedly. Linear two-level models tested intervention effects. Mediation models were used to analyse mechanisms of the intervention. RESULTS Both conditions manifested substantial reductions in their problematic smartphone use as well as in the amount of time spent with the smartphone. These reductions were documented at postintervention and remained stable at the 3-weeks follow-up. The number of daily unlocks did not change over time. Further, modelling changes in self-efficacy as a mediator between the intervention and problematic smartphone use at follow-up fitted well to the data and showed an indirect effect (b=-0.09 (CIBC 95% [-0.26, -0.01]), indicating that self-efficacy was an important intervention mechanism. Another mediation model revealed an indirect effect from changes in planning via smartphone unlocks at postintervention on problematic smartphone use at follow-up (b=-0.029, CIBC 95% [-0.078, -0.003]). CONCLUSIONS An innovative, theory-based intervention app on goal-directed smartphone use has been found useful in lowering problematic smartphone use as well as time spent with the smartphone. As the active control condition (planning of daily timeouts) experienced similar reductions in these two outcomes, a combined version of both experimental conditions could be used in future interventions on smartphone behaviours. Moreover, present findings highlight the importance to promote psychological resources such as self-efficacy and planning of goal-directed smartphone use to achieve improvements in problematic smartphone use. CLINICALTRIAL German Clinical Trials Register; https://drks.de/drks_web/setLocale_EN.do; identifier: DRKS00017606

scholarly journals Effects of an Intervention App on Problematic Smartphone Use: Randomized Controlled Trial (Preprint)

10.2196/26397 ◽  
2020 ◽  
Author(s):  
Jan Keller ◽  
Christina Roitzheim ◽  
Theda Radtke ◽  
Konstantin Schenkel ◽  
Ralf Schwarzer
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Problematic Smartphone Use ◽  
Randomized Controlled ◽  
Smartphone Use

scholarly journals Perception of Purposeful and Recreational Smartphone Use in Physiotherapy: A Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Martina Bientzle ◽  
Anne Restle ◽  
Joachim Kimmerle
Keyword(s):  
Randomized Controlled Trial ◽  
Social Competence ◽  
Professional Competence ◽  
Controlled Trial ◽  
Therapeutic Purpose ◽  
Sports Clubs ◽  
Randomized Controlled ◽  
Smartphone Use ◽  
The Impact ◽  
Recreational Use

BACKGROUND Many people constantly use their smartphones in all kinds of situations. Often smartphones are used in a meaningful and targeted way, but frequently they are used as a pastime without any purpose. This also applies to patients and therapists in treatment situations. OBJECTIVE The aim of this study was to investigate how purposeful smartphone use compared to recreational smartphone use (by a physiotherapist or by a patient) influenced the perception of a physiotherapeutic treatment situation. We examined the impact of smartphone use during a physiotherapy session on the perception of the physiotherapist, on the evaluation of attentiveness, and on the evaluation of smartphone use in physiotherapy in general. METHODS Members of various music and sports clubs were invited to participate in an online randomized controlled trial. Participants were randomly assigned to one of four conditions. They watched a video in which a physiotherapeutic treatment was shown and in which a smartphone was used or not used in four different ways: (1) with therapeutically purposeful use, (2) recreational use by the physiotherapist (looking at the phone from time to time with no therapeutic purpose), (3) recreational use by the patient, (4) no smartphone use (control condition). After watching the video, the participants indicated their perception of the physiotherapist’s professional competence, social competence, and empathetic behavior. They also rated the physiotherapist’s and the patient’s attentiveness and evaluated the usage of smartphones generally in physiotherapy. RESULTS One hundred and eighteen participants (63 woman and 55 men) were included in the analysis. When the physiotherapist used the smartphone in a purposeful way she was perceived as more professionally competent (P=.007) and socially competent (P=.03), and more empathetic (P=.04) than if she used it with no therapeutic purpose. These effects occurred because recreational smartphone use by the physiotherapist was evaluated more negatively than the behavior in the control condition (professional competence: P=.001; social competence: P=.03; empathy: P=.04). Moreover, when the physiotherapist used the smartphone in a recreational way she was perceived as being less attentive (P<.001). Likewise, when the patient used the smartphone in a recreational way, she was also perceived as being less attentive (P<.001). Finally, smartphone use in physiotherapy was rated as more positive in general when the smartphone was used in a purposeful way, compared to the conditions in which the physiotherapist or the patient looked at the smartphone with no therapeutic purpose (P<.001). This positive evaluation occurred because a purposeful use led to a more positive rating than no smartphone use (P<.001, R=0.42). CONCLUSIONS We conclude that smartphones are only appropriate for therapists and patients if they are used directly for a therapeutic purpose. Otherwise, it is better not to use smartphones during treatment. CLINICALTRIAL The study was pre-registered on the pre-registration platform AsPredicted (aspredicted.org) before we began data collection (registration number: #24740; https://aspredicted.org/blind.php?x=vv532i)

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.

Phonomotor Versus Semantic Feature Analysis Treatment for Anomia in 58 Persons With Aphasia: A Randomized Controlled Trial

2019 ◽  
Vol 62 (12) ◽  
pp. 4464-4482 ◽  
Author(s):  
Diane L. Kendall ◽  
Megan Oelke Moldestad ◽  
Wesley Allen ◽  
Janaki Torrence ◽  
Stephen E. Nadeau
Keyword(s):  
Randomized Controlled Trial ◽  
Response Latency ◽  
Controlled Trial ◽  
Semantic Knowledge ◽  
Semantic Feature ◽  
Feature Analysis ◽  
Group Differences ◽  
Randomized Controlled ◽  
Confrontation Naming ◽  
Semantic Feature Analysis

Purpose The ultimate goal of anomia treatment should be to achieve gains in exemplars trained in the therapy session, as well as generalization to untrained exemplars and contexts. The purpose of this study was to test the efficacy of phonomotor treatment, a treatment focusing on enhancement of phonological sequence knowledge, against semantic feature analysis (SFA), a lexical-semantic therapy that focuses on enhancement of semantic knowledge and is well known and commonly used to treat anomia in aphasia. Method In a between-groups randomized controlled trial, 58 persons with aphasia characterized by anomia and phonological dysfunction were randomized to receive 56–60 hr of intensively delivered treatment over 6 weeks with testing pretreatment, posttreatment, and 3 months posttreatment termination. Results There was no significant between-groups difference on the primary outcome measure (untrained nouns phonologically and semantically unrelated to each treatment) at 3 months posttreatment. Significant within-group immediately posttreatment acquisition effects for confrontation naming and response latency were observed for both groups. Treatment-specific generalization effects for confrontation naming were observed for both groups immediately and 3 months posttreatment; a significant decrease in response latency was observed at both time points for the SFA group only. Finally, significant within-group differences on the Comprehensive Aphasia Test–Disability Questionnaire ( Swinburn, Porter, & Howard, 2004 ) were observed both immediately and 3 months posttreatment for the SFA group, and significant within-group differences on the Functional Outcome Questionnaire ( Glueckauf et al., 2003 ) were found for both treatment groups 3 months posttreatment. Discussion Our results are consistent with those of prior studies that have shown that SFA treatment and phonomotor treatment generalize to untrained words that share features (semantic or phonological sequence, respectively) with the training set. However, they show that there is no significant generalization to untrained words that do not share semantic features or phonological sequence features.

Baclofen versus clonidine in the treatment of opiates withdrawal, side-effects aspect: a double-blind randomized controlled trial

2001 ◽  
Vol 26 (1) ◽  
pp. 67-71 ◽  
Author(s):  
S. A. Ahmadi-Abhari ◽  
S. Akhondzadeh ◽  
S. M. Assadi ◽  
O. L. Shabestari ◽  
Z. M. Farzanehgan ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Side Effects ◽  
Controlled Trial ◽  
Double Blind ◽  
Randomized Controlled
Sign in / Sign up

Export Citation Format

Share Document