Yoga and self-management for people with chronic stroke: Effect on community reintegration and perceived activity constraints

2018 ◽  
Vol 17 (2) ◽  
pp. 20
Author(s):  
Ruby A. Bolster, MS, OTR ◽  
Marieke Van Puymbroeck, PhD, CTRS, FDRT ◽  
Karen E. Atler, PhD, OTR ◽  
Jennifer Dickman Portz, PhD, MSW ◽  
Katie M. Hinsey, MS, OTR ◽  
...  
Keyword(s):  
Stroke Rehabilitation ◽  
Chronic Stroke ◽  
Self Management ◽  
Community Reintegration ◽  
Rank Tests ◽  
Management Intervention ◽  
Signed Rank ◽  
Percent Improvement ◽  
Post Test ◽  
The Impact

After a stroke, it is common for individuals to experience challenges in both perceived activity constraints and community reintegration. Few interventions have addressed these two important variables that are related to post-stroke life and recovery. The objective was to assess the impact of an 8-week intervention on perceived activity constraints and community reintegration among individuals with chronic stroke. This noncontrolled pilot study with pre- and post-test design included 13 people with chronic stroke who completed group yoga and self-management intervention. Assessments were completed at baseline and at the completion of the 8-week intervention. Data were analyzed using Wilcoxon Signed-Rank tests to compare baseline and 8-week scores. Additionally, the correlation between activity constraints and community reintegration scores among this sample was analyzed. The average age of the 13 participants was 73.23 years, and 77 percent of the participants sustained a stroke >5 years ago. Perceived activity constraint scores improved significantly (76.82 ± 10.97 vs. 87.08 ± 9.5, p = 0.005; 13 percent change), as did community reintegration scores (79.25 ± 15.45 vs. 97.92 ± 11.46, p = 0.004; or a 24 percent improvement). Perceived activity constraint and Reintegration to Normal Living  Index (RNLI) scores demonstrated an excellent and significant correlation (rs = 0.864, p = 0.001). When working with people with chronic stroke, rehabilitation therapists may consider self-management combined with yoga. Due to the correlation between community reintegration and perceived activity constraints, potentially rehabilitation therapists, including recreational therapists, may target perceived activity constraints to improve community reintegration.

Intervention Mediators in a Randomized Controlled Trial to Increase Physical Activity and Fatigue Self-management Behaviors Among Adults With Multiple Sclerosis

2019 ◽  
Author(s):  
Matthew Plow ◽  
Robert W Motl ◽  
Marcia Finlayson ◽  
Francois Bethoux
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Goal Setting ◽  
Self Efficacy ◽  
Outcome Expectations ◽  
Step Count ◽  
Self Management ◽  
Post Test ◽  
The Impact

Abstract Background People with multiple sclerosis (MS) often experience fatigue, which is aggravated by inactivity. Identifying mediators of changes in physical activity (PA) and fatigue self-management (FSM) behaviors could optimize future interventions that reduce the impact of MS fatigue. Purpose To examine the effects of telephone-delivered interventions on Social Cognitive Theory constructs and test whether these constructs mediated secondary outcomes of PA and FSM behaviors. Methods Participants with MS (n = 208; Mean age = 52.1; Female = 84.6%) were randomized into contact–control intervention (CC), PA-only intervention, and PA+FSM intervention. Step count (Actigraphy) and FSM behaviors as well as self-efficacy, outcome expectations, and goal setting for PA and FSM were measured at baseline, post-test (12 weeks), and follow-up (24 weeks). Path analyses using bias-corrected bootstrapped 95% confidence intervals (CI) determined whether constructs at post-test mediated behaviors at follow-up when adjusting for baseline measures. Results Path analysis indicated that PA-only (β = 0.50, p < .001) and PA+FSM interventions (β = 0.42, p < .010) had an effect on goal setting for PA, and that PA + FSM intervention had an effect on self-efficacy for FSM (β = 0.48, p = .011) and outcome expectations for FSM (β = 0.42, p = .029). Goal setting for PA at post-test mediated the effects of PA-only (β = 159.45, CI = 5.399, 371.996) and PA + FSM interventions (β = 133.17, CI = 3.104, 355.349) on step count at follow-up. Outcome expectations for FSM at post-test mediated the effects of PA + FSM intervention on FSM behaviors at follow-up (β = 0.02, CI = 0.001, 0.058). Conclusions Goal setting for PA and outcome expectations for FSM may be important constructs to target in telephone-delivered interventions designed to reduce the impact of MS fatigue. Trial registration Clinicaltrials.gov (NCT01572714)

Changes in Patient Activation in a Self-Management Intervention

2019 ◽  
Vol 42 (3) ◽  
pp. 194-200
Author(s):  
Leeza A. Struwe ◽  
Myra S. Schmaderer ◽  
Lani Zimmerman
Keyword(s):  
Health Care ◽  
Patient Activation ◽  
Self Management ◽  
Outcome Analysis ◽  
Care Utilization ◽  
Individual Change ◽  
Point Change ◽  
Change Scores ◽  
Management Intervention ◽  
The Impact

The purpose of this study was to compare results using individual change in level of patient activation measure (PAM) scores, individual point change scores, and group means in an outcome analysis. We evaluated changes in PAM scores (increase in level or increase of ≥5 points) to mean group PAM scores on patients who completed a self-management intervention compared with usual care on health care utilization and health-related quality of life. The sample was a subset of 91 multimorbid patients with complete data at completion of a self-management intervention. Results indicated that using a change in points allowed for more refined analysis of change compared with level changes; however, both individual measures were more reflective of actual change than group means. When tailoring interventions, we should consider using individual change scores. Further research is needed to evaluate how best to use PAM scores to measure the impact on clinical and health care outcomes.

scholarly journals The Impact of an Internet-Based Self-Management Intervention (HeLP-Diabetes) on the Psychological Well-Being of Adults with Type 2 Diabetes: A Mixed-Method Cohort Study

2016 ◽  
Vol 2016 ◽  
pp. 1-13 ◽  
Author(s):  
Megan Hofmann ◽  
Charlotte Dack ◽  
Chris Barker ◽  
Elizabeth Murray
Keyword(s):  
Type 2 Diabetes ◽  
Mixed Method ◽  
Self Efficacy ◽  
Qualitative Data ◽  
Well Being ◽  
Self Management ◽  
Psychological Well Being ◽  
Management Intervention ◽  
The Impact

This mixed-method study assessed the impact of an internet-based, self-management intervention (“HeLP-Diabetes”) on the psychological well-being of adults with type 2 diabetes. Nineteen participants were recruited from 3 general practices. Data were collected at baseline and at 6 weeks follow-up. Access to HeLP-Diabetes was associated with a significant decrease in participants’ diabetes-related distress (Z=2.04,p=0.04, andd=0.28). No significant differences were found in emotional distress or self-efficacy. The qualitative data found that participants reported improvements including increased self-efficacy and support, better management of low mood, greater diabetes awareness, and taking the condition more seriously. Participants also reported making improvements to their eating habits, exercise routine, and medical management. Some negative experiences associated with using the intervention were mentioned including feelings of guilt for not using the intervention as suggested or not making any behavioral changes, as well as technical and navigational frustrations with the intervention. Internet-based self-management interventions may have the potential to decrease diabetes-related distress in people with type 2 diabetes. The qualitative data also suggests internet interventions can positively impact both psychological and behavioural outcomes of adults with type 2 diabetes.

scholarly journals Enhancing Saudi EFL Learners’ CAF in Narrative Writing Through Native Speaker Kids’ Reading Website

2020 ◽  
Vol 9 (6) ◽  
pp. 67
Author(s):  
Talal Musaed Alghizzi ◽  
Abdul Aziz Mohamed Ali El Deen
Keyword(s):  
Native Speaker ◽  
Narrative Writing ◽  
Signed Rank ◽  
Accuracy Measure ◽  
Study Results ◽  
Post Test ◽  
Quasi Experimental ◽  
Lexical Density ◽  
The Impact ◽  
English Native Speaker

This novel study investigated the impact of English native speaker kids’ reading website on enhancing Saudi EFL university students’ complexity, accuracy and fluency (CAF) in narrative writing. The rationale for this study is the scant literature in the area of estimating narrative writing in terms of CAF. The quasi-experimental method was adopted in this study through a pre-/ post-test in narrative writing. Eleven level three participants were recruited from in this study. Instruments of the study included a pre-post-test in narrative writing, and the CAF measures. A Wilcoxon signed-Rank and Mann Whitney were used in the analysis. The study results found no significant differences at 0.05 level regarding the post administration of syntactic complexity ratios except (CP/T, CP/C, and CN/C) whose results were significant. The sub-constructs of lexical density and lexical variation were enhanced partially, and as a whole, whereas there was no increase/decrease regarding lexical sophistication. For accuracy measure, the results were significant in all ratios at 0.05 level except (EFC/C, and EFTC/S ratios). Concerning fluency measures, the results were insignificant at 0.05 in all ratios except (MLC ratio). The results of the study and their pedagogical implications were discussed.

scholarly journals Animal Shelters’ Response to the COVID-19 Pandemic: A Pilot Survey of 14 Shelters in the Northeastern United States

Animals ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 2669
Author(s):  
Lauren Powell ◽  
Caitlin Houlihan ◽  
Martha Stone ◽  
Ilana Gitlin ◽  
Xuke Ji ◽  
...  
Keyword(s):  
United States ◽  
Foster Care ◽  
Northeastern United States ◽  
Rank Tests ◽  
Animal Shelters ◽  
Paired Sample ◽  
The Public ◽  
Pilot Survey ◽  
Signed Rank ◽  
The Impact

Anecdotal reports indicate that many animal shelters experienced increased adoption and foster care rates during the COVID-19 pandemic, yet peer-reviewed evidence is lacking. In this pilot survey of 14 animal shelters in the Northeastern United States, we aimed to investigate the impact of the COVID-19 pandemic on animal intakes, foster care and five outcome types and describe operational changes reported by shelters in response to COVID-19. Paired sample t-tests and Wilcoxon signed-rank tests were used to compare intake, adoption, euthanasia and foster care rates and numbers between March–June 2019 and 2020. The number of dogs and cats that entered shelters was significantly lower during the COVID-19 pandemic compared with the same months of 2019 (t = 3.41, p = 0.01, t = 2.69, p = 0.02). Although the overall rate of adoption and euthanasia did not differ, the numbers adopted and euthanized decreased significantly for both dogs and cats, reflecting the significantly decreased intake. We also found significant variability between shelters. During the pandemic, several shelters sought to expand their foster care networks through operational changes (n = 6) and statements made to the public (n = 7). However, the proportion of dogs and cats housed in foster care did not differ between March–June 2019 and 2020 in our sample. Our findings offer preliminary insights regarding the impact of a worldwide pandemic on the functioning of animal shelters.

Web-Based Return of Individual Patient-Reported Outcome Results Among Patients With Lymphoma: A Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Lindy Paulina Johanna Arts ◽  
Simone Oerlemans ◽  
Jacobien M Kieffer ◽  
Judith Prins ◽  
Mels Hoogendoorn ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Breast Cancer Survivors ◽  
Controlled Trial ◽  
Patient Reported Outcome ◽  
The Self ◽  
Self Management ◽  
Web Based ◽  
Management Intervention ◽  
Patient Reported ◽  
The Impact

BACKGROUND There has been a cultural shift toward patient engagement in health with a growing demand from patients to access their results. OBJECTIVE The Lymphoma InterVEntion [LIVE] trial was conducted to examine the impact of return of individual patient-reported outcome (PRO) results and a web-based self-management intervention on psychological distress, self-management, and satisfaction with information in a population-based setting. METHODS Return of PRO results included comparison with age- and sex-matched peers and was built into the PROFILES registry. The self-management intervention is an adaptation of an fully-automated evidence-based intervention for breast cancer survivors. Patients with lymphoma who completed the web-based questionnaire were equally randomized to 1) care as usual (CAU), 2) return of PRO results, and 3) return of PRO results plus self-management intervention. Patients completed questionnaires 9 to 18 months after diagnosis (T0; n=227), after 4 months (T1; n=190), and after 12 months (T2; n=170). RESULTS Of all invited patients, 25% (227/892) were randomly assigned to CAU (n=76), return of PRO results (n=74), or return of PRO results and access to Living with lymphoma (n=77). Return of PRO results was viewed by 77% (115/150) of those with access. No significant differences were observed for psychological distress, self-management, satisfaction with information provision, and healthcare use between patients who received their PRO results and those who did not (P>.05). Usage of the self-management intervention was low (3%; 2/76) and an effect could therefore not be determined. CONCLUSIONS Return of individual PRO results seems to meet patients’ wishes, but had no beneficial effects on patient outcome. Also, no negative effects were found when individual PRO results were disclosed, and the return of individual PRO results can be safely implemented in daily clinical practice. CLINICALTRIAL Netherlands Trial Register NTR5953 INTERNATIONAL REGISTERED REPORT RR2-10.1186/s13063-017-1943-2

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