Effectiveness Of Interventions Research Articles

Effectiveness of an unguided modular online intervention for highly anxious parents in preventing anxiety in their children: a parallel group randomised controlled trial

Children whose parents have anxiety problems are at increased risk of developing anxiety themselves. Parenting behaviors are a contributing factor to intergenerational transmission. Interventions which seek to limit anxiogenic parenting behaviors have shown potential in reducing anxiety in offspring but are not widely accessible. This prevention trial aimed to establish the effectiveness of an unguided modular online intervention for highly anxious parents in preventing anxiety in their children. A parallel group, block-randomised controlled trial of unblinded participants in a 1:1 ratio was conducted to compare efficacy of the online course compared to a no-intervention control. The intervention comprised 8 modules, of approximately 20min each, and participants progressed through the course at their own pace. The study was conducted entirely online with a self-referred UK-based community sample of parents (child 2-11 years) with substantial anxiety. The primary outcome measure was change in parent-reported child anxiety, as measured by the Spence Children's Anxiety Scale-Parent Report (SCAS-P) or Spence Pre-School Anxiety Scale-Parent Report (Preschool SCAS). Secondary outcomes were child internalising, externalising, and attentional symptoms (Pediatric Symptom Checklist), and parent anxiety (SCARED-Adult). Analyses using complete case analysis following intention to treat principles investigated intervention effects at 6 months (primary analysis) and additionally at 9 to 25-months' follow-up. Trial registration: ClinicalTrials.GovNCT04755933, https://clinicaltrials.gov/ct2/show/NCT04755933. 1811 participants (intervention=900; control=911; 92.7% (1677/1810) female; 85.3% (1535/1800) White-British; 66.8% (1201/1799) university educated). Participant retention (based on primary outcome completion) at T2 (6-months post consent) was 67.6% overall (n=1224) and substantially lower in the intervention arm 57.3% ((516/900) control=77.8% (708/910)). Child anxiety was lower in the intervention group compared to control at 6-month follow-up (adjusted effect size estimate-0.15 (95% CI:-0.23 to-0.08, p<0.001). There was very strong evidence that those in the intervention arm had lowered child anxiety (standardised SCAS score) compared to the control arm, with an effect size (Cohen's d) of-0.16 (95% CI:-0.23 to-0.08, p<0.001). The difference in standardised Spence Child Anxiety Scale score between the arms was-0.15 standard deviations. On the original scales for SCAS-P (0-114) and Preschool SCAS (0-112), this corresponds to a reduction of-2.38 (95% CI:-3.59 to-1.16) and-2.68 (95% CI:-4.05 to-1.31), respectively. No reported harms. A clinically unsupported online intervention designed for parents with high levels of anxiety is effective in reducing anxiety and internalising symptoms in their children, and also anxiety in parents. Given the low resource intensity of this intervention, and the positive effects reported here, these findings suggest it has promise in limiting the intergenerational transmission of severe anxiety. This work was supported by Kavli Trust (grant 38/19).

Effects Of An Eight-year Exercise Intervention On Metabolic Syndrome And Medication Use. A Randomized Clinical Trial

Effects Of An Eight-year Exercise Intervention On Metabolic Syndrome And Medication Use. A Randomized Clinical Trial

Effects Of Eccentric Training Intervention On Performance During The Sprint, Drag, Carry Event Of The Army Combat Fitness Test

Effects Of Eccentric Training Intervention On Performance During The Sprint, Drag, Carry Event Of The Army Combat Fitness Test

The Effects Of Nature-based Interventions On Physical Health Conditions: A Systematic Review And Meta-analysis

The Effects Of Nature-based Interventions On Physical Health Conditions: A Systematic Review And Meta-analysis

Effects of non-pharmacologic interventions for the prevention of sarcopenia in older adults: An umbrella review

Effects of non-pharmacologic interventions for the prevention of sarcopenia in older adults: An umbrella review

Effects Of A Real-world Sedentary Break Intervention On Work-related Outcomes: Findings From A Large-scale Pragmatic Trial

Effects Of A Real-world Sedentary Break Intervention On Work-related Outcomes: Findings From A Large-scale Pragmatic Trial

The effects of a high-fiber intervention on the concentration of SCFA and BCFA in the MASLD serum patients

The effects of a high-fiber intervention on the concentration of SCFA and BCFA in the MASLD serum patients

The long term effect of a combined lifestyle intervention on weight, dietary intake and ultra-processed food

The long term effect of a combined lifestyle intervention on weight, dietary intake and ultra-processed food

A network meta-analysis on the effects of nutritional supplements and exercise interventions on sarcopenic obesity in the elderly population

A network meta-analysis on the effects of nutritional supplements and exercise interventions on sarcopenic obesity in the elderly population

Late-life dietary folate restriction reduces biosynthesis without compromising healthspan in mice.

Folate is a vitamin required for cell growth and is present in fortified foods in the form of folic acid to prevent congenital abnormalities. The impact of low-folate status on life-long health is poorly understood. We found that limiting folate levels with the folate antagonist methotrexate increased the lifespan of yeast and worms. We then restricted folate intake in aged mice and measured various health metrics, metabolites, and gene expression signatures. Limiting folate intake decreased anabolic biosynthetic processes in mice and enhanced metabolic plasticity. Despite reduced serum folate levels in mice with limited folic acid intake, these animals maintained their weight and adiposity late in life, and we did not observe adverse health outcomes. These results argue that the effectiveness of folate dietary interventions may vary depending on an individual's age and sex. A higher folate intake is advantageous during the early stages of life to support cell divisions needed for proper development. However, a lower folate intake later in life may result in healthier aging.

Combined effects of exercise and nutritional interventions on sarcopenia and its associated quality of life in transfusion-dependent thalassemia patients: a single-arm, open-label study

Combined effects of exercise and nutritional interventions on sarcopenia and its associated quality of life in transfusion-dependent thalassemia patients: a single-arm, open-label study

Effects Of An Exercise Intervention On Body Fat And Functional Performance In A Low-resourced Community

Effects Of An Exercise Intervention On Body Fat And Functional Performance In A Low-resourced Community

Enhancing physiotherapists' knowledge and perceptions of telerehabilitation: A before-after educational intervention study.

In the evolving landscape of healthcare, telerehabilitation is emerging as a pivotal modality, especially in delivering services to vulnerable populations. With the increasing reliance on digital health solutions, there is a pressing need for physiotherapists to be adequately trained in telerehabilitation. This training is essential for them to adapt to new technologies and methodologies, ensuring effective and efficient patient care. The aim of this study was to evaluate the effect of a telerehabilitation educational intervention on physiotherapists' knowledge and perceptions in Bucaramanga and its metropolitan area. A group of 27 physiotherapists underwent an educational intervention focused on telerehabilitation. Before- and after-intervention assessments were conducted to gauge their perceptions and knowledge. Participants generally held a positive perception of telerehabilitation both before and after the intervention [Before Median (Md) and interquartile range (IQR): Md=2.5 (IQR=2.1-3); after: Md=2.7 (IQR=2.4-3.1), p=0.256]. A significant increase in their knowledge after-intervention was observed [Before: Md=55.5 (IQR=33.3-66.6)]; after: Md=77.7 (IQR=66.6-88.8), p=<0.001, emphasizing the potential benefits of targeted educational interventions. The educational intervention significantly improved physiotherapists' knowledge of telerehabilitation, underscoring the importance of professional training in this domain. While perceptions remained consistently positive, the notable increase in knowledge suggests that such educational programs are crucial for enhancing the adoption and effective use of telerehabilitation in physiotherapy practice.

The Effect Of Exercise Intervention On Psychological Resilience And Mental Ill-being In Children With ADHD

The Effect Of Exercise Intervention On Psychological Resilience And Mental Ill-being In Children With ADHD

Interventions for Remarried Families

Remarried families become widespread as a type of family that differs from first marriages both developmentally and structurally. Due to its developmental and structural differences, both the quality and continuity of this families emerge as areas that need to be studied. To offer effective interventions to remarried families, researchers and practitioners in the field of mental health should have access to knowledge on this subject. The literature on remarried families emphasizes biological, non-biological and co-parenting related issues. The expectations, knowledge and perceptions of both the married couple, the children and the surrounding social environment of the remarried family is another important issue. Communication, problem solving, and conflict management can be an important tool in strengthening relationships and preventing negative experiences for families established through remarriage. It is seen that the interventions that deal with the mentioned characteristics of families formed through remarriage are given in the form of group practices, adopting a preventive approach, supported by practices that point to skill acquisition in addition to providing information. Programs offered for families formed through remarriage share commonalities such as remarried family development, parenting skills, communication and problem-solving skills. The effectiveness of interventions for remarriage has been tested by various studies conducted since the late 1970s. While testing the effectiveness of such interventions, it is seen that different outcome variables such as family integrity, dyadic satisfaction, relationship quality, marital continuity, conflict level, stress level and behavioral disorders experienced by family members are considered. Research findings show that interventions for remarriage are effective.

Integrating drumming, body percussion, sound therapy, and trance therapy into Subconscious Energy Healing Therapy (SEHT) for Peak Performance

This comprehensive concept note delves into the potential of combining drumming, body percussion, sound therapy, and trance therapy within the framework of Subconscious Energy Healing Therapy (SEHT) to enhance peak performance. By leveraging the distinct and synergistic effects of rhythmic and sound-based interventions, along with the deep transformative power of trance states, this approach aims to optimize mental, emotional, and physical well-being. Each component is explored in detail, emphasizing their individual contributions to the mind-body connection, emotional release, and subconscious healing. The note further addresses the current gaps in their application and offers strategic recommendations for the adoption of this integrative therapy by corporations and the general public, highlighting its wide-ranging benefits on both the mind and body.

Effect of psychological nursing intervention on anxiety level and quality of life in patients with gastrointestinal peptic ulcer

BACKGROUND Peptic ulcer is a common gastrointestinal disease, and psychological intervention has an important influence on its occurrence and development. AIM To investigate the effect of psychological nursing intervention on the anxiety level and quality of life of patients with gastrointestinal peptic ulcers. METHODS Two groups of patients with peptic ulcer were selected from January to December 2012, with 60 cases in each group, and psychological nursing intervention and routine treatment were respectively performed. Psychological nursing interventions include cognitive behavioral therapy, psychological support and relaxation training. Self-rating anxiety scale (SAS) and quality of life questionnaire were used to evaluate the anxiety level and quality of life of patients before, during and after treatment. RESULTS The SAS scores of the experimental group significantly decreased over the course of treatment, from 52.3 before treatment to 30.5 after treatment, while SAS scores of the control group did not change significantly. Meanwhile, the experimental group's quality of life score (SF-36) significantly improved over the course of treatment, from 65.2 to 85.2, while the control group remained stable. Further analysis showed that sex and age had no significant influence on the effect of psychotherapy. Both men and women, young and old, showed similar trends in anxiety relief and improved quality of life after treatment. CONCLUSION Psychological nursing-based intervention program has a positive effect on the anxiety level and quality of life of patients with gastrointestinal peptic ulcer.

Consumer perspectives on interventions to combat fraudulent product returns in omnichannel fashion retail

PurposeThe expansion of online shopping aligned with challenging economic conditions has contributed to increasing fraudulent retail product returns. Retailers employ numerous interventions typically determined by embedded perspectives within the company (supply side) rather than consumer-based assessments of their effectiveness (demand side). This study aims to understand how customers evaluate counter-fraud measures on opportunistic returns fraud in the UK. Based on the fraud triangle and the theory of planned behaviour, we develop an empirically informed framework to assist retail practice.Design/methodology/approachWe collected 485 valid survey responses about consumer attitudes regarding which interventions are effective against different types of returns fraud. First, a principal component section evaluates the policies' effectiveness to identify any policy grouping that could help prioritise specific sets of policies. Second, cluster analysis follows a two-stage approach, where cluster size is determined, and then survey respondents are partitioned into subgroups based on how similar their beliefs are regarding the effectiveness of anti-fraud policies.FindingsWe identify policies relating to perceived effectiveness of interventions and create customer profiles to assist retailers in conceptualising potential opportunistic fraudsters. Our product returns fraud framework adopts a consumer perspective to capture the perceived behavioural control of potential fraudsters. Results suggest effectiveness of different types of interventions vary between different types of consumers, which leads to the development of propositions to combat the fraud.Originality/valueThis study is unique in assessing the perceived effectiveness of a range of interventions based on data collection and advanced analytics to combat fraudulent product returns in omnichannel retail.

Toward sustainable energy transition: understanding electricity-use behavior among low-income urban households in Kumasi

ABSTRACT The residential sector is a critical contributor to global energy consumption. In Ghana, it accounts for 47% of the total electricity consumed. However, inadequate knowledge of categories of residential consumers, their profiles, and the implications on their consumption patterns could impede the development of targeted and sustainable interventions. This study examined the behavioral patterns among low-income urban households in Kumasi, using their socio-demographic and housing characteristics, and self-reported values. This is coherent to the current discourse on Ghana’s transition to zero carbon by 2070 given that Kumasi is the fastest-growing city in the country. Using quantitative methods within a transdisciplinary research design, a survey of 285 households was conducted. The findings yielded varied outcomes. Households reported good electricity use behavior (e.g. covering liquids in the refrigerator) and poor behaviors (e.g. not adjusting the power setting of refrigerators to weather conditions). Logistic regression operations showed associations between energy use behavior, the type of housing units and the type of electricity meters. A significant proportion of respondents exhibited pro-environmental behaviors across all nine value domains. The study concludes that low-income households engage in energy-saving practices. We suggest that policy mediation could enhance the effectiveness of behavioral interventions toward electricity use efficiency.

Evaluating the Current Landscape of Epidermolysis Bullosa Treatments: A Systematic Review

Introduction: Epidermolysis bullosa (EB) encompasses a group of rare blistering disorders that affect both the skin and mucous membranes. There is currently no cure for EB, and only supportive treatment is available to manage symptoms of pruritus and wounds. This paper analyzes the current treatment modalities of epidermolysis bullosa and provides a comprehensive review. Methods: A comprehensive literature search was conducted in PubMed using relevant keywords and MeSH terms. Inclusion criteria included manuscripts published in the English language and must include a control group. Two independent reviewers will assess study eligibility based on predetermined criteria. Data extraction will cover study characteristics, participant demographics, treatment outcomes, and relevant findings. Results: 21 articles were identified which examined the effects of various interventions for the treatment of epidermolysis bullosa. Gene therapy studies demonstrated promising results, specifically those transducing the COL7A1 gene into patients showed significant wound healing. Topical therapies with bermagene geperpavec, diacerin, and b-vec showed promising results, while oleogel S-10 and SD-101 had mixed results. Oral therapies, including those with tetracycline, mycophenolate mofetil, serlopitant, and ECG showed limited results in improving patient outcomes. Conclusion: The current literature shows a wide range of investigated therapies for the treatment and management of epidermolysis bullosa. Treatment modalities identified in this literature review were categorized into gene, oral, or topical therapies. While gene therapy stood out as an effective intervention in improving wound healing and patient reported outcomes, challenges were persistent amongst studies including small sample sizes and limited follow-up, warranting cautious optimism.