scholarly journals Effectiveness of a self-myofascial conditioning programme on pain, depression, anxiety and sleep quality in people with Fibromyalgia

2019 ◽  
Vol 20 (1) ◽  
pp. 147-165
Author(s):  
Diego Ceca ◽  
Ana Pablos ◽  
Laura Elvira ◽  
Lourdes López-Hernández ◽  
Ana L. Ortega
Keyword(s):  
Repeated Measures ◽  
Intervention Group ◽  
Quality Of Sleep ◽  
Control Groups ◽  
Post Intervention ◽  
Myofascial Release ◽  
Two Factors ◽  
And Control ◽  
Los Grupos

La autoliberación miofascial puede facilitar la disminución o desaparición del dolor intenso percibido por las terminaciones nerviosas localizadas en el tejido miofascial. Según algunos investigadores, la fibromialgia (FM) puede estar directamente relacionado con la teoría de la "sensibilización central". El presente estudio tiene como objetivo determinar la efectividad de la aplicación de un programa de autoacondicionamiento miofascial sobre el dolor, la depresión, la ansiedad y la calidad del sueño en personas diagnosticadas con fibromialgia (FM). La muestra se asignó al azar a los grupos de intervención (n =33) y control (n =33). Los sujetos del grupo intervención participaron en un programa de autoacondicionamiento miofascial compuesto por un total de 40 sesiones de 50 minutos cada una de ellas. Se tomaron medidas pre y post intervención. Los resultados se obtuvieron mediante un ANOVA 2x2 de medidas repetidas con dos factores (tiempo y grupo). Los resultados muestran que, después de completar el programa, los sujetos del grupo intervención obtuvieron una disminución significativa en el dolor general (p <0,01), el nivel de depresión (p <0,05), la ansiedad-estado (p <0,01) y rasgo (p <0,01), así como en tres subescalas relacionadas con la calidad del sueño, como son la "calidad subjetiva del sueño" (p <0,05), la "eficiencia habitual del sueño" (p <0,05) y la "disfunción diaria ”(p <0,001). Estos resultados indican que participar en un programa de autoacondicionamiento miofascial regularmente, bajo el control de un profesional de educación física y deporte, puede afectar positivamente a los pacientes con FM tanto física como psicológicamente. Self-myofascial release can facilitate the diminution or disappearance of the intense pain perceived by the nerve endings located in the myofascial tissue. According to some researchers, fibromyalgia (FM) can be directly related to the "central sensitization" theory. The present study aims to determine the effectiveness of the application of a self-myofascial conditioning programme on pain, depression, anxiety, and quality of sleep in people diagnosed with Fibromyalgia (FM). The sample was randomly assigned to intervention (n = 33) and control groups (n = 33). Subjects in the intervention group took part in a self-myofascial conditioning programme, which consisted of 40 sessions of 50 minutes each. Pre and post-intervention measurements were taken. Results were obtained by a 2x2 ANOVA for repeated measures with two factors (time and group). Results show that, after completing the programme, subjects in the intervention group had seen a significant decrease in general pain (p < 0,01), level of depression (p < 0,05), state (p < 0,01) and trait anxiety (p < 0,01), as well as three subscales related to the quality of sleep, such as “sleep subjective quality” (p < 0,05), “habitual sleep efficiency” (p < 0,05) and “daily dysfunction” (p < 0,001). These results indicate that participating in a self-myofascial conditioning programme regularly and under the control of a physical education and sport professional can affect patients with FM positively both physically and psychologically. A auto-liberação miofascial pode facilitar a diminuição ou o desaparecimento da dor intensa percebida pelas terminações nervosas localizadas no tecido miofascial. Segundo alguns pesquisadores, a fibromialgia (FM) pode estar diretamente relacionada à teoria da "sensibilização central". O presente estudo tem como objetivo determinar a eficácia da aplicação de um programa de auto-condicionamento miofascial na dor, depressão, ansiedade e qualidade do sono em pessoas diagnosticadas com fibromialgia (FM). A amostra foi randomizada para os grupos intervenção (n =33) e controle (n =33). Os sujeitos do grupo de intervenção participaram de um programa de auto- condicionamento miofascial composto por um total de 40 sessões de 50 minutos cada. Medidas de intervenção pré e pós foram tomadas. Os resultados foram obtidos por meio de uma ANOVA 2x2 de medidas repetidas com dois fatores (tempo e grupo). Os resultados mostram que, após o término do programa, os sujeitos do grupo de intervenção obtiveram uma diminuição significativa na dor geral (p <0,01), o nível de depressão (p <0,05), estado de ansiedade (p < 0,01) e traço (p <0,01), assim como em três subescalas relacionadas à qualidade do sono, como a "qualidade subjetiva do sono" (p <0,05), a "eficiência habitual do sono" (p <0,05) e "disfunção diária" (p <0,001). Esses resultados indicam que participar de um programa de auto-condicionamento miofascial regularmente, sob o controle de um profissional de educação física e esportes, pode afetar positivamente os pacientes com FM fisicamente e psicologicamente.

scholarly journals The Effect of Lymphoedema Exercises and Foot Elevation on the Quality of Life of Patients with Elephantiasis

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Emirensiana Watu ◽  
Supargiyono ◽  
Haryani
Keyword(s):  
Quality Of Life ◽  
Intervention Group ◽  
Control Group ◽  
Cluster Sampling ◽  
Control Groups ◽  
Post Intervention ◽  
Before And After ◽  
And Control ◽  
Pitting Edema

Filariasis is a chronic infectious disease caused by filarial worms. Swelling in the legs in patients with filariasis can result in a significantly lower quality of life. The recommended treatments for patients who experience swelling or lymphoedema are lymphoedema exercises and foot elevation. This research is a quantitative study with a quasi-experimental design including pre- and posttreatment tests with a control group. This study used a cluster sampling method, which is a nonprobability sampling technique. The samples in this study were 48 respondents divided into two groups: 24 respondents from the Nebe Village comprising the intervention group and 24 respondents from the Bangkoor Village comprising the control group. The intervention group conducted lymphoedema exercises and foot elevation three times a week for 15–20 min for 1 month and measured their quality of life using the LFSQQ questionnaire. Measurements of pitting edema and ankle diameter were also carried out. Paired t-test revealed an improvement in the quality of life between pretest and posttest in the intervention and control groups (p=0.001). The quality of life in the pre-post intervention group improved from 67.42 to 81.58. In addition, the quality of life in the pre-post control group only improved from 62.50 to 72.58. The level of pitting edema decreased from severe (+++) to moderate (++) and from mild (+) to normal (0), and there was no difference in ankle diameter in each group (p=1.000). The quality of life improved before and after the administration of lymphoedema exercises and foot elevation for each group. Pitting edema decreased before and after lymphoedema exercises and foot elevation for each group. There was no decrease in ankle diameter after lymphoedema exercises and foot elevation in the intervention and control groups.

scholarly journals Effect of Foot Reflexology on Pain, Fatigue, and Quality of Sleep after Kidney Transplantation Surgery: A Parallel Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Atena Samarehfekri ◽  
Mahlagha Dehghan ◽  
Mansoor Arab ◽  
Mohammad Reza Ebadzadeh
Keyword(s):  
Kidney Transplantation ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Quality Of Sleep ◽  
Control Groups ◽  
Transplantation Surgery ◽  
The Mean ◽  
And Control

Background and Purpose. Patients undergoing kidney transplantation surgeries suffer from postoperative pain, fatigue, and sleep disorders. Therefore, it is necessary to use different interventions in addition to modern medicine to reduce their symptoms. The present study aimed to investigate the effect of foot reflexology on pain, fatigue, and quality of sleep after kidney transplantation surgery. Materials and Methods. The study was a parallel randomized controlled trial. Patients admitted to the transplantation ward participated in the study. Fifty-three eligible patients were allocated into the foot reflexology group (n = 26) and the control group (n = 27) by using the stratified randomization method. Finally, 25 participants in each group finished the study. The intervention group received foot reflexology for 30 minutes once a day for three consecutive days, and no reflexology was applied in the control group. The intervention started on the second day after surgery. Pain, fatigue, and quality of sleep were measured on the first, second (before intervention), third, fourth, and eleventh days after surgery. Data were collected using visual analogue scale for measuring pain and fatigue and Verran and Snyder-Halpern sleep scale for measuring quality of sleep. Results. In each group, 25 patients finished the study. The mean pain score in the foot reflexology and control groups decreased from 9.44 ± 0.96 and 9.36 ± 0.91 on the day of surgery to 1.32 ± 0.94 and 4.32 ± 1.68 on the eleventh day after surgery, respectively. The mean fatigue score in the reflexology and control groups decreased from 8.76 ± 1.27 and 8.6 ± 1.26 on the day of surgery to 1.24 ± 1.2 and 3.92 ± 1.63 on the eleventh day after surgery, respectively. The mean sleep score in the foot reflexology and control groups increased from 33.38 ± 11.22 and 39.59 ± 12.8 on the day of surgery to 69.43 ± 12.8 and 56.27 ± 8.03 on the eleventh day after surgery, respectively. While pain, fatigue, and sleep quality scores improved in both groups, those in the intervention group showed significantly greater improvement compared with the control group (P<0.001). No significant difference was found between the two groups in the use of acetaminophen on the first, second, third, fourth, and eleventh days after surgery (P>0.05). Conclusion. Foot reflexology may reduce pain and fatigue and improve sleep quality of patients after kidney transplantation.

scholarly journals Effects of vibration on chronic leg edema in chair-bound older adults: A randomized pilot trial

2020 ◽  
Author(s):  
Sayumi Tsuchiya ◽  
Aya Sato ◽  
Terumi Ueda ◽  
Misako Dai ◽  
Mayumi Okuwa ◽  
...  
Keyword(s):  
Pilot Trial ◽  
Intervention Group ◽  
Nursing Home Residents ◽  
Interquartile Range ◽  
Control Group ◽  
Control Groups ◽  
Post Intervention ◽  
Leg Edema ◽  
Clinical Trials Registry ◽  
And Control

Abstract BackgroundElderly individuals can easily develop leg edema that can become chronic, which may result in various problems. Therefore, appropriate care for the edema should be provided. In some cases, chronic leg edema among elderly individuals cannot be controlled by the standard care such as leg elevation or compression. A previous study reported that vibration benefited upper limb lymphedema; however, its effects on chronic leg edema are not yet clarified. Therefore, this study aimed to clarify the effects of vibration for reducing chronic leg edema among chair-bound elderly individuals.MethodsFor participant allocation, a computer-generated list of random numbers was used. Nursing home residents aged ≥65 years with chronic leg edema who spent more time sitting than standing or lying during the day were randomly assigned to the intervention (n = 7) or control group (n = 7). The intervention group underwent vibration therapy three times a day for 2 weeks at 47 Hz and 1.78 m/s2 frequency and horizontal vibration acceleration, respectively. The pitting test was performed at 22 sites, and participants’ pitting scores were calculated based on the pitting depth. Pitting score changes at pre- and post-intervention were compared between the intervention and control groups. Both participants and investigators were not blinded to group assignment.ResultsThe median age of the intervention and control groups was 86 and 84 years, respectively. Participants’ characteristics and edema severity at baseline were not significantly different. The median total pitting score change in the intervention group was −0.4 (interquartile range: −5.3–1.8), which was significantly lower than that of the control group (2.0 [interquartile range: 1.0－5.3], P = 0.01). The intervention group was more likely to have controlled edema (64.3%) than the control group (21.4%) (χ2 (1) = 5.25, P = 0.02).ConclusionsThe intervention group was more likely to have controlled edema than the control group, suggesting that vibration could prevent the worsening of chronic leg edema in chair-bound elderly individuals.Trial registration: UMIN Clinical Trials Registry, UMIN000017716. Registered 1 July 2015, https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000020522

scholarly journals EFEK PIJAT KAKI TERHADAP KUALITAS TIDUR IBU MENOPAUSE

2020 ◽  
Vol 6 (3) ◽  
pp. 293-297
Author(s):  
Rahmi Nurrasyidah
Keyword(s):  
Sleep Quality ◽  
Intervention Group ◽  
Pharmacological Therapy ◽  
Control Group ◽  
Quality Of Sleep ◽  
Average Quality ◽  
Post Test ◽  
Improve Sleep Quality ◽  
And Control

ABSTRACT  Background : Sleep disturbance is a problem that is often complained of by women who experience a menopause transition. This has an impact on quality of life, moods, productivity, and physical health. Foot massage therapy is a non-pharmacological therapy performed to improve sleep quality. Non-pharmacological therapy is an option because it is cheaper and more effective when compared with medical administration.  Purpose :This study determined an effect of foot massage on the sleep quality of menopausal mothers.  Method : This is an experimental study with a post test only control group design. The sample consisted of 23 respondents aged 45-55 years. The intervention group included 12 respondents and the control group included 11 respondents. The intervention group performed foot massage for 10 minutes on each leg. Sleep quality in the intervention group was measured 24 hours after massage. The control group did not do foot massage. Results :  the average respondent of intervention and control groups were in the best sleep quality (76100). In the control group, poor sleep quality was found in the wakefulness sleep category. There was no difference in the average quality of sleep in mothers who did foot massage and did not do foot massage (p> 0.001) with a difference in average (95% CI) 4.5 (3.6-12.5). Conclusion : There was no difference in the average quality of sleep between intervention and control group.  Sugestion : Based on the results of the study, the authors recommend the need for further research on foot massage with an increase in  duration of the intervention and it is necessary to investigate the variations of foot massage methods with aromatherapy to improve sleep quality. Further research needs to be done with more samples and better RCT methods.  Keywords: Foot massage, sleep quality, Menopause   ABSTRAK  Latar Belakang : Gangguan tidur adalah masalah yang sering dikeluhkan ibu yang mengalami transisi menopause. Hal ini berdampak pada kualitas hidup, suasana hati, produktivitas, dan kesehatan fisik. Terapi pijat kaki merupakan terapi non farmakologi yang dilakukan untuk meningkatkan kualitas tidur. Terapi non-farmakologi menjadi pilihan karena biaya yang lebih murah dan lebih efektif bila dibandingkan dengan pemberian medikamentosa. Tujuan : Untuk mengetahui pengaruh pijat kaki terhadap kualitas tidur ibu menopause.  Metode : Desain Penelitian ini adalah penelitian eksperimental dengan desain post test only control group desain. Sampel terdiri dari 23 responden yang berumur 45-55 tahun dengan rincian kelompok intervensi 12 responden dan kelompok kontrol 11 responden. Kelompok intervensi dilakukan pijat kaki selama 10 menit pada setiap kaki. Kualitas tidur pada kelompok intervensi diukur 24 jam setelah dilakukan pemijatan. Kelompok kontrol tidak dilakukan pijat kaki.  Hasil : Rata-rata responden pada kelompok intervensi maupun kontrol berada pada kualitas tidur terbaik (76-100). Pada kelompok kontrol, didapatkan kualitas tidur yang buruk pada kategori terbangun saat tidur (Awakenings). Tidak terdapat perbedaan rerata kualitas tidur pada ibu yang dilakukan pijat kaki dan tidak dilakukan pijat kaki (p>0,001) dengan perbedaan rerata (IK 95%) 4.5 (3.6-12.5).  Kesimpulan : Tidak terdapat perbedaan rerata kualitas tidur pada kelompok intervensi maupun kontrol. .  Saran  : Penulis merekomendasikan perlunya dilakukan penelitian lebih lanjut mengenai pijat kaki dengan peningkatan durasi intervensi serta perlu diteliti mengenai variasi metoda pijat kaki dengan aromaterapi untuk meningkatkan kualitas tidur. Penelitian selanjutnya perlu dilakukan dengan sampel yang lebih banyak dengan metode uji kilnis yang lebih baik.  Kata Kunci : Pijat kaki, kualitas tidur, Ibu Menopause

scholarly journals Efecto de una intervención estructurada de enfermería en disminución del hábito tabáquico en mujeres fumadoras

2018 ◽  
Vol 18 (1) ◽  
pp. 281-303
Author(s):  
Patricia Cid Henriquez ◽  
Olivia Sanhueza Alvarado ◽  
José Manuel Merino ◽  
Katia Sáez Carrillo
Keyword(s):  
Quality Of Life ◽  
Intervention Group ◽  
Control Group ◽  
Calidad De Vida ◽  
Structured Intervention ◽  
The Difference ◽  
Las Mujeres ◽  
And Control ◽  
Los Grupos

Introducción: El consumo del tabaco está asociado al incremento de la morbilidad y la mortalidad femenina. Este hábito implica además un deterioro en la calidad de vida relacionada con salud. El propósito de esta investigación fue determinar el efecto de una intervención estructurada que motivara a las mujeres a disminuir el consumo diario de cigarrillos y mejorar su calidad de vida. Método: Diseño experimental con preprueba-postprueba y grupo de control con asignación de los grupos al azar. De 120 personas se homologaron los dos grupos con cinco caracteristicas, se homologó nuevamente la muestra porque respondieron la entrevista en domicilio sólo 64 personas. El grupo intervención estuvo constituido por 10 mujeres entre 18 y 65 años de la región del Bio- Bío, y el grupo control por 20 mujeres. Se aplicó un cuestionario semiestructurado de características sociodemográficas, de test, cuestionarios y escalas que midieron las variables asociadas al consumo, y las orientaciones subjetivas y conductuales, previo consentimiento informado. La intervención estructurada estuvo conformada por: métodos activos de aprendizaje, consejería con énfasis en el fortalecimiento de la percepción de autoeficacia. Resultados: La diferencia de medias en el tiempo y la diferencia de medias entre los grupos (grupo tratamiento y grupo control) es de casi 5 cigarrillos (4,8), esta interacción (tiempo-grupo) resulta a un nivel de significación menor al uno por diez mil.Conclusiones: Esta intervención requiere de reforzamiento periódico hasta lograr la deshabituación tabáquica e incidir en la calidad de vida relacionada con salud de las mujeres con hábito tabáquico. Introduction: Tobacco consumption is associated with an increase in female morbidity and mortality. This habit also implies deterioration in the quality of life related to health. The purpose of this research was to determine the effect of a structured intervention that motivated women to reduce their daily consumption of cigarettes and improve their quality of life.Method: Experimental design with pre-test-post-test and control group with allocation of the groups at random. Out of 120 people, the two groups were approved with five characteristics. The sample was homologated again because the home interview was answered by only 64 people. The intervention group consisted of 10 women between 18 and 65 years old from the Bio-Bio region, and the control group by 20 women. A semi-structured questionnaire with sociodemographic characteristics, test, questionnaires and scales that measured the variables associated with consumption, and subjective and behavioral guidelines, with prior informed consent, was applied. The structured intervention consisted of: active learning methods, counseling with emphasis on strengthening the perception of self-efficacy. Results: The difference of means in time and the difference of means between the groups (treatment group and control group) is of almost 5 cigarettes (4,8). This interaction (time-group) results has a level of significance less than one in ten thousand. Conclusions: This intervention requires periodic reinforcement to achieve smoking cessation and affect the quality of life related to health of women with smoking.

scholarly journals Effect of Foot Reflexology on Postoperative Pain in Patients Undergoing Tibia Plating Surgery: A Randomized Clinical Trial

2020 ◽  
Vol 10 (3) ◽  
pp. 258-269
Author(s):  
Fatemeh Imani ◽  
◽  
Ebrahim Nasiri ◽  
Houshang Akbari ◽  
Mohammad Reza Safdari ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Postoperative Pain ◽  
Randomized Clinical Trial ◽  
Repeated Measures ◽  
Intervention Group ◽  
Control Group ◽  
Control Groups ◽  
Chi Square ◽  
Chi Square Test ◽  
And Control

Objective: One of the major problems of patients after orthopedic surgeries is acute pain. The present study aims to evaluate the effect of foot reflexology massage on postoperative pain in patients undergoing plating surgery for tibia fracture. Methods: This study is a randomized clinical trial conducted on 96 patients who were candidates for tibia plating surgery referred to Imam Ali Hospital in Bojnourd, Iran, randomly divided into intervention and control groups. Foot reflexology massage in the intervention group was performed on patients’ healthy feet for 10 minutes, one hour before surgery. In the control group, the foot sole was touched for one minute without any pressure. Pain intensity was measured using the standard Visual Analog Scale before and immediately after the intervention and 2, 4, 6, 12 and 24 hours after surgery. Data were analyzed using chi-square test, t-test, repeated measures ANOVA, Mann-Whitney U and Friedman tests. Results: The baseline pain scores in the intervention and control groups were reported 8.1±0.9 and 8.4±0.9, respectively. After the intervention, the pain score in these groups was reduced to 6.9±1.1 and 8.1±1.0, respectively (P<0.001). At other times, up to 24 hours after surgery, the pain reduction was higher in the intervention group (P<0.05). Conclusion: Foot reflexology massage reduces postoperative pain of patients undergoing tibia plating surgery. Therefore, this method can be used to reduce pain and anxiety in orthopedic surgery patients.

scholarly journals Learning person-centred consultation skills in clinical medicine: A randomised controlled case study

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Jakobus M. Louw ◽  
Johannes F.M. Hugo
Keyword(s):  
Clinical Medicine ◽  
Intervention Group ◽  
Simulated Patients ◽  
Control Groups ◽  
Post Intervention ◽  
Consultation Skills ◽  
Randomised Controlled ◽  
Collaborative Skills ◽  
And Control

Background: Training institutions need to ensure that healthcare students learn the skills to conduct person-centred consultations. We studied changes in person-centred practice over time following a quality improvement (QI) intervention among Bachelor of Clinical Medical Practice undergraduate students.Methods: Students were randomised to intervention and control groups. The intervention group received training and did a QI cycle on their own consultation skills. Consultations with simulated patients were recorded during structured clinical examinations in June (baseline) and November (post-intervention) 2015.Results: Matched consultations for 64 students were analysed. The total SEGUE (Set the stage, Elicit information, Give information, Understand the patient’s perspective and End the encounter scores) were significantly higher in the final assessment compared to baseline for both the whole group and the intervention group (p = 0.005 and 0.015, respectively). The improvement did not differ significantly between intervention and control groups (p = 0.778). Third-year students improved significantly more than second years (p = 0.007).Conclusion: The person-centred practice (including collaboration) of clinical associate students did improve over the period studied. The results show that students’ learning of person-centred practice also happened in ways other than through the QI intervention. There is a need to develop students’ collaborative skills during the medical consultation.

scholarly journals See It – Do It – Learn It: Learning Interprofessional Collaboration in the Clinical Context

2010 ◽  
Vol 1 (2) ◽  
Author(s):  
Ruby Grymonpre ◽  
Cornelia (Kristel) Van Ineveld ◽  
Michelle Nelson ◽  
Fiona Jensen ◽  
Amy De Jaeger ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Interprofessional Education ◽  
Intervention Group ◽  
Future Research ◽  
Control Groups ◽  
Clinical Placements ◽  
Significant Difference ◽  
And Control ◽  
Over Time

Background: The primary goal of the Interprofessional Education in Geriatric Care (IEGC) project was to design, deliver, and evaluate interprofessional (IP) clinical placements for pre-licensure learners in geriatric day hospitals.Methods: Project evaluation was guided by the modified Kirkpatrick's Model of Educational Outcomes. Using a controlled before-after design, the Attitudes Toward Health Care Teams Scale (ATHCTS), Team Skills Scale (TSS), and Knowledge Questionnaire were administered to intervention and control learners pre-, post-, and 6 months post clinical placements. Quantitative data were analyzed using descriptive and multivariate statistics. Qualitative data collected through journals and questionnaires were analyzed using content analysis.Findings: Eleven IP clinical placements occurred at 3 test sites involving 32 intervention and 11 control learner participants. There was no significant change, over time, in the ATHCTS quality of care and physician centrality scores for the combined group (i.e., intervention and control) and between intervention and control groups. Time effects were noted in the quality of care scores for the intervention group after controlling for prior IPE (p = .031). The Knowledge scores were higher for the intervention group compared with controls over time (p = .004). Both intervention and control groups demonstrated significant improvements in their TSS scores over time (p = .000), although there was no significant difference in the magnitude of the change between groups (p = .112). Themes observed through qualitative analysis of learners' journals and post-program reflective questionnaires supported the quantitative findings.Conclusions: The IEGC experience was valuable to senior pre-licensure learners in helping them understand collaborative patient-centred practice and team skills. Future research should strive for larger sample sizes through multi-site projects to allow for comparisons within and between clinical sites.

Effectiveness of a virtual-reality anti-stigma application to reduce the stigma of depression: a randomized controlled trial (Preprint)

2021 ◽  
Author(s):  
Wey Guan Lem ◽  
Ayako Kohyama-Koganeya ◽  
Toki Saito ◽  
Hiroshi Oyama
Keyword(s):  
Virtual Reality ◽  
Medical Information ◽  
Intervention Group ◽  
University Hospital ◽  
Control Group ◽  
Public Stigma ◽  
Control Groups ◽  
Post Intervention ◽  
Significant Difference ◽  
And Control

BACKGROUND Public stigma against depression contributes to low employment rates among individuals with depression and self-stigmatization of people with depression. Contact-based educational (CBE) interventions, either using in-person contact or video-based contact, have been shown to reduce stigma against mental illness effectively. In-person contacts can stimulate empathy in participants but are challenging to arrange, while video-based contact is cost-effective but encounters difficulty stimulating empathy towards the patient. In this paper, we examined the usefulness of the virtual-reality anti-stigma (VRAS) application to reduce public stigma. OBJECTIVE To develop and evaluate a VRAS application that could provide CBE intervention without using real patients. METHODS Sixteen medical students were recruited and randomized 1:1 to intervention and control groups. Participants in the intervention group (VRAS group) used the VRAS application, while those in the control group watched video material on depression. Participants' depression stigma score was assessed using the Depression Stigma Scale (DSS) and Attitudinal Social Distance (ASD), both pre-and post-intervention. The feasibility of both the VRAS application and video, and the utility of the VRAS application was also evaluated post-intervention. RESULTS Feasibility score was significantly higher in the intervention group (mean 5.63, SD 0.74) than in the control group (mean 3.88, SD 1.73; P=.03). This result indicates that the VRAS application promoted an understanding of stigma in participants. However, no significant differences were apparent between the intervention and control groups for DSS (intervention: mean 35.13, SD 5.30; control: mean 35.38, SD 4.50; P=.92) or ASD (intervention: mean 12.25, SD 3.33; control: mean 11.25, SD 1.91; P=.92). Stigma scores tended to decrease, but the stigma-reducing effects of the VRAS application were not statistically significant for either DSS (pre: mean 33.00, SD 4.44; post: mean 35.13, SD 5.30; P=.12) or ASD (pre: mean 13.25, SD 3.92; post: mean 12.25, SD 3.33; P=.12). CONCLUSIONS No significant differences in mean DSS or ASD were seen between VRAS and control groups. However, one item in the feasibility score showed a significant difference, and feedback comments suggested that VRAS was effective in educating about the stigma of depression. CLINICALTRIAL University hospital Medical Information Network Clinical Trials Registry (UMIN-CTR) UMIN000043020; https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000049109

scholarly journals Pengaruh Terapi Murottal Al Qur�an terhadap Kualitas Tidur Lansia di Unit Rehabilitasi Sosial Dewanata Cilacap

2018 ◽  
Vol 11 (3) ◽  
pp. 168
Author(s):  
Sasongko Priyo Dwi Oktora ◽  
Iwan Purnawan
Keyword(s):  
Intervention Group ◽  
Simple Random Sampling ◽  
Control Group ◽  
P Value ◽  
Quality Of Sleep ◽  
Exclusion Criteria ◽  
Significant Difference ◽  
Before And After ◽  
And Control

<em>One of Elderly problems is a bad quality of sleep. Sircadian Rhythme change in elderly is caused by the decreation of serotonin production. The murottal Al Qur’an Therapy use a rhythmical and harmonious melody so that it can stimulates serotonin productions. So it is one of therapy that probably solve elderly bad quality of sleep. The study aim to identify the effect of murottal Al Qur’an therapy on elderly quality of sleep. This study used quasi experiment design. Simple random sampling applied to 40 respondents that divided into two groups, intervention and control group. Quality of sleep was measured with PSQI. Inclusion criteria were good hearing respondent, 60 till 80 years old, and wanted to follow this research. Exclusion criteria were mental health diseae, smooking and used sleep medications.Statistic analysis with paired t test showed that there was a significant difference between before and after gived murottal Al Qur’an therapy in intervention group (p value = 0,000  : α = 5%). But the other side there was no significant difference between before and after observation in control group (p value = 0,083).. It conclouded Murottal Al Qur’an therapy is effective to increase eldery quality of sleep.</em>

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