Prevention Counseling Programs Research Articles

Mediating Role of Smartphone Addiction on the Relationship Between Self-Efficacy and Psychological Escapism Among College Students: Structure Model Test

The present work explores the potential role of smartphone addiction in mediating the correlation between self-efficacy and Psychological Escapism among university students. The paper’s stratified convenience sample comprised 195 students from the World Islamic Sciences and Education University. Validated scales measuring self-efficacy, psychological escapism, and smartphone addiction were utilized for data collection. The findings indicate that smartphone addiction, self-efficacy, and psychological escapism were all found at moderate levels. Moreover, the presence of smartphone addiction as a mediating variable resulted in a significant increase in the proportion of explained variance in the level of psychological escapism attributed to self-efficacy (31%), compared to the absence of this mediating variable (22%). Additionally, while gender and academic year have significant effects on psychological escapism, the demographic elements investigated did not demonstrate any significance with self-efficacy or smartphone addiction among college students. Accordingly, this research points out the importance of developing curative and preventive counseling programs aimed at reducing smartphone addiction and mitigating the level of psychological escapism by enhancing self-efficacy among college students.

The Effectiveness of a Preventive Group Counseling Program for not Being Exposed to Electronic Extortion and Addiction to Electronic Games among Students of the Upper Basic Stage

The current study aimed to verify the effectiveness of a preventive group-counseling program to avoid exposure to electronic blackmail and addiction to electronic games among students of the upper basic stage. A measurement of electronic extortion and addiction to electronic games was defined and a preventive counseling program was built. The sample of the study consisted of (265) students, (24) students were selected as the sample of the counseling program, divided into: an experimental group (12) students, and (12) students in the control group. The results showed that the level of being exposed to electronic extortion and addiction to electronic games was moderate. The results showed as well that the members of the experimental group improved their ability to deal with electronic extortion and decreased their addiction to electronic games compared with the control group. The study recommended using the current counseling program to help students, preventively, sbefore being exposed to electronic extortion or getting addicted to electronic games.

The effectiveness of a preventive counseling program based on cognitive-behavioral therapy in reducing the dropout rate and improving the level of achievement among Syrian refugee students in Jordan.

يُعدّ التسرب المدرسي ليس بالظاهرة الجديدة التي تعاني منها التربية والتعليم والمدارس، ولا يقتصر على جنس دون الآخر، أو على طبقة اجتماعية اقتصادية دون الأخرى أو على دولة معينة من الدول، ولكنها تختلف من مجتمع إلى آخر باختلاف الظروف الإجتماعية والاقتصادية والثقافية لتلك المجتمعات. كما إن التسرب يؤدي إلى تحول اهتمام المجتمع من البناء والأعمار والتطور والازدهار إلى الاهتمام بمراكز الإصلاح والعلاج والإرشاد، وإلى زيادة عدد السجون، والمستشفيات ونفقات العناية الصحية، كما يؤدي تفاقم التسرب إلى استمرار الجهل والتخلف . وأما عن موضوع الدراسة الحالية فهو مرتبط بالقضية السورية وأحداثها التي باتت من أخطر الأزمات السياسية وأصعبها التي شهدها هذا العصر , حيث أدت إلى معانات وتشرد الملايين من الشعب السوري داخل الأراضي السورية وفي البلاد المجاورة كالأردن، وتركيا، ولبنان، ومصر، والعراق. ووفقاً لتقرير المفوضية السامية للأمم المتحدة لشؤون اللاجئين عام (2015) فان هنالك ما يعادل (618500) لاجئا سوريا في الأردن والذي يعادل ما يقارب (15%) من عدد سكان الأردن.

A Systematic Review and Meta-Analysis of Extended High-Frequency Hearing Thresholds in Tinnitus With a Normal Audiogram.

Current evidence supports the growing application of extended high-frequency (EHF: 9 to 20 kHz) audiometry in hearing research, which likely results from the high vulnerability of this frequency region to damage induced by known auditory risk factors. The present systematic review and meta-analysis were performed to investigate whether adults with a normal audiogram and tinnitus show increased EHF hearing thresholds relative to control peers. A comprehensive search was undertaken on electronic databases consisting of PubMed, ScienceDirect, Wiley, and Google Scholar using combined keywords: "tinnitus," "extended high frequency," "normal audiogram," and "hidden hearing loss." From 261 articles found by searching databases, nine studies met the inclusion criteria for the meta-analysis. A significant difference was observed between tinnitus and control groups in the effect size analysis of hearing thresholds at 10, 12.5, 14, 16, and 18 kHz ( p ≤ 0.001), and the I-square heterogeneity analysis was below 50% in all studies ( p ≥ 0.131). Visual inspection by the Funnel plot and Egger's regression test ( p ≥ 0.211) also exhibited no publication bias in the meta-analyses. Our findings are in support of the idea that in most cases, tinnitus is associated with some degree of cochlear mechanical dysfunction, which may not be detected by conventional audiometry alone. This finding underscores the significance of EHF audiometry in clinical practice, which may help both early identification of individuals susceptible to developing tinnitus and reduce the number of new cases through preventive counseling programs.

Social Intelligence Counseling Intervention to Reduce Bullying Behaviors Among Thai Lower Secondary School Students: A Mixed-method Study.

ObjectivesTo develop and investigate the effectiveness of an integrative counseling intervention for enhancing social intelligence and reducing bullying behaviors among lower secondary school students in Bangkok, Thailand.MethodsAn interventional mixed-method design was employed in 2 phases. Phase 1 involved the development of a qualitative method-based integrative counseling program from key informants using the eclecticism technique. In phase 2, a randomized controlled trial with a wait-list control was conducted and qualitative research was performed with students who demonstrated bullying behaviors. Demographic data, Social Intelligence Scale (SIS) scores, and Bullying-Behavior Scale (BBS) scores were collected at baseline. Changes in SIS scores and qualitative findings obtained from in-depth interviews were examined after counseling ended, and BBS scores were collected again 1 month later.ResultsThe developed social intelligence counseling program included eight 1-hour weekly sessions consisting of 3 components: (1) social awareness, (2) social information processing, and (3) social skills. After receiving this intervention, scores for the SIS overall (p<0.001) and all of its components (p<0.05) were significantly enhanced in the experimental group compared to the control group. Moreover, the mean BBS scores in the experimental group significantly decreased 1 month after counseling (p=0.001). With regard to the qualitative research results, the experimental students demonstrated improvements in all components of social intelligence.ConclusionsThe results indicated that a preventive counseling program may enhance social intelligence, decrease bullying behaviors among lower secondary school students, and prevent further incidents of school violence. However, further studies in various population subgroups should also be performed.

The Irrational Beliefs and their Relation to the Level of Aspiration among Orphanage Teenagers in Makkah: الأفكار اللاعقلانية وعلاقتها بمستوى الطموح لدى مراهقات دار الأيتام بمكة المكرمة

The aim of this study was to identify the relationship between irrational beliefs and the level of aspiration among orphan's teenagers in Makkah, The study also aimed to identify the differences between the teenagers average scores on some dimensions of a scale of level of aspiration according to (level- age), the study sample consisted of all teenager girls who were in an orphan house in Makkah called “Dar Alzhour”; they were 29 teenagers. The researchers used descriptive and comparative research design, a scale of irrational ideas; prepared by Motaaz Abdullah and Mohamd Abdulrhman (2002) and developed by the researcher, was used alongside with the scale of level of aspiration; prepared by Amal Bathah (2004) and developed by the researcher. The two scales were tested and validated in both had high level of validity and reliability. The research results showed that the average of the irrational ideas spread among the study sample was (3.38) which was average score, whereas the average of the level of aspiration was (3.48) which was a high score. There was no statistically significant relationship between the irrational beliefs and level of aspiration among the study sample, there was no statistically significant differences in the means at the degree of irrational beliefs according to (level- age), and there was no statistically significant relationship the means at the degree of aspiration level according to (level- age). The important recommendations of the researcher were as follows: to focus on preventive counseling programs aimed at educating rational and logical thinking among orphans as part of the personality education and mental health programs, to adopt modern trends in psychosocial treatment when dealing with orphans' problems, to pay attention to the employment of specialists who are prepared and qualified professionally and ethically, to investigate the surrogate mother before handing over work, and finally, to involve orphans in identifying programs and activities that reflect their needs, and integrate them into society from an early age.

The effects of different preventive counseling programs on physical activity in patients with paroxysmal atrial fibrillation after catheter ablation

Abstract Funding Acknowledgements Type of funding sources: None. Background Physical activity (PA) is associated with lower risk of all-cause death in atrial fibrillation (AF), so interventions to increase PA in AF patients (pts) has a potential to improve their outcomes. Purpose To assess the impact of different preventive counseling programs on PA in pts after catheter ablation (CA) of paroxysmal AF. Methods A prospective randomized controlled study with 3 parallel groups of pts with paroxysmal AF after CA (radiofrequency or cryoablation). Pts were randomized (1:1:1) into 3 groups. Before discharge, pts from all groups received 1 preventive counseling session with focus on their individual risk factors profile. After discharge both intervention groups received 6 sessions of biweekly remote preventive counseling by phone (Group 1) or via email(Group 2) for 3 months after enrollment. Group 3 received usual care. PA was assessed using the International Questionnaire on Physical Activity (IPAQ) at baseline and after 12 months. Results A total of 135 pts aged 35 to 80 years were enrolled (mean age, 57.3 ± 9.1 years, men, 51.8%). The groups were well balanced according to demographic and clinical features and PA level. The baseline proportion of pts with sufficient (moderate or high) PA was high in all 3 groups (86.6%, 88.9% and 91.1%, respectively). At 1 year of follow-up both intervention groups had a significantly higher proportion of pts maintaining high PA levels vs control (table). Conclusions Preventive counseling programs combining in-hospital and remote counseling via phone or e-mailsupport higher physical activity levels in AF pts after CA. Different counseling programs and PA Levels of physical activity 1 group (support via phone) 2 group (support via e-mail) Control group P for Group 1 vs. control at 12 Months P for Group 2 vs. control at 12 Months Baseline After 12 months Baseline After 12 months Baseline After 12 months Low,% 13.3 2.2 11.1 0 8.9 2.2 n/s n/s Moderate,% 62.2 71.1 71.1 82.2 60 93.3 &amp;lt;0.01 n/s High,% 24.4 26.7 17.8 17.8 31.1 4.4 &amp;lt;0.005 &amp;lt;0.05

The impact of different preventive counseling programs on medication adherence in patients with paroxysmal atrial fibrillation after catheter ablation

Abstract Funding Acknowledgements Type of funding sources: None. Background Poor medication adherence is a major contributor to suboptimal health outcomes and increased costs in cardiovascular (CV) diseases including atrial fibrillation (AF). Purpose To assess the impact of different preventive counseling programs on medication adherence in AF patients (pts) after catheter ablation (CA). Methods A prospective randomized controlled study with 3 parallel groups of pts with paroxysmal AF after CA (radiofrequency or cryoablation). Pts were randomized (1:1:1) into 3 groups. Before discharge, pts from all groups received 1 preventive counseling session with focus on their individual risk factors profile. After discharge both intervention groups received 6 sessions of biweekly remote preventive counseling by phone (Group 1) or via email(Group 2) for 3 months after enrollment. Group 3 received usual care. Medication adherence was assessed using the 4-item Morisky-Green scale at baseline and at 12 months. Results A total of 135 pts aged 35 to 80 years were enrolled (mean age, 57.3 ± 9.1 years, men, 51.8%). The groups were well balanced according to demographic and clinical features. Baseline levels of non-adherenсe and partial adherence were high in all groups (53.4%, 71.1% and 73.3% respectively). At 1 year of follow-up pts from both intervention groups demonstrated a significant improvement of medication adherence vs control (table). Conclusions Preventive counseling programs with remote support via phone or e-mail improve medication adherence in AF pts after CA. Мedication adherence 1 group (support via phone) 2 group (support via e-mail) Control group P for Group 1 vs. control at 12 months P for Group 2 vs. control at 12 months Baseline After 12 months Baseline After 12 months Baseline After 12 months Adherence,% 46.7 60 28.9 60 26.7 31.1 &amp;lt;0.01 &amp;lt;0.01 Partial adherence ,% 17.8 20 31.1 20 24.4 33.3 n/s n/s Non-adherence,% 35.6 60 40 20 48.9 35.6 n/s n/s

The effects of different preventive counseling programs on anxiety and depression symptoms in patients with paroxysmal atrial fibrillation after catheter ablation

Abstract Background Depression and anxiety are common in patients (pts) with atrial fibrillation (AF). These psychosocial risk factors add to the symptoms burden and further deteriorate the quality of life. Purpose To assess the effects of different preventive counseling programs on anxiety and depression symptoms in pts after catheter ablation (CA) performed for paroxysmal AF. Methods This is a prospective randomized controlled study with 3 parallel groups of pts with paroxysmal AF after CA (radiofrequency or cryoablation). Pts were randomized into 3 groups in 1:1:1 ratio. During hospitalization for CA pts from all groups received single-session preventive counseling with focus on their individual cardiovascular risk factors profile. After discharge pts from Group 1 received remote preventive counseling by phone and pts from Group 2 – by email every two weeks for the first 3 months after enrollment (a total of 6 sessions). Group 3 received usual care. All pts underwent anxiety and depression assessment using Hospital Anxiety and Depression Scale (HADS) at baseline and at 12 months. Results A total of 135 pts aged 35 to 80 years were enrolled (mean age 57.3±9.1 years, 51.8% men). The groups were well balanced according to demographic and clinical features. At 1 year of follow-up there was a significant decrease in anxiety and depression scores as measured by HADS in both intervention groups vs. control (Table). Conclusions Preventive counseling followed by 3 months of remote support via phone and email reduced anxiety and depression level in AF pts after CA. Funding Acknowledgement Type of funding source: None

The effects of different preventive counseling programs on stress level in patients with paroxysmal atrial fibrillation after catheter ablation

Abstract Background Stressful life events may trigger paroxysmal atrial fibrillation (AF) and chronic stress is known to negatively affect long-term outcomes in cardiovascular diseases. Purpose To assess the impact of different preventive counseling programs on stress level in patients (pts) after catheter ablation (CA) performed for paroxysmal AF. Methods This is a prospective randomized controlled study with 3 parallel groups of pts with paroxysmal AF after CA (radiofrequency or cryoablation). Pts were randomized into 3 groups in 1:1:1 ratio. During hospitalization for CA pts from all groups received single-session preventive counseling with focus on their individual cardiovascular risk factors profile. After discharge pts from Group 1 received remote preventive counseling by phone and pts from Group 2 by email every two weeks for the first 3 months after enrollment (a total of 6 sessions). Group 3 received usual care. All pts underwent stress assessment using a 10-point visual analogue scale (VAS) at baseline and at 12 months after CA. Results A total of 135 pts aged 35 to 80 years were enrolled (mean age 57.3±9.1 years, 51.8% men). The groups were well balanced according to demographic and clinical features. At 1 year of follow-up there was a significant reduction of average stress level in both intervention groups vs. control (Table). Conclusions Preventive counseling followed by 3 months of remote support via phone and email reduced the stress level in AF pts after CA. Funding Acknowledgement Type of funding source: None

Predictors of emergency medical services utilization after different preventive counseling programs in paroxysmal atrial fibrillation patients after catheter ablation

Abstract Background Catheter ablation (CA) is known to reduce atrial fibrillation (AF) burden, but even after CA patients (pts) may remain symptomatic and seek for emergency care. Purpose To identify predictors of emergency medical services (EMS) utilization after different preventive counseling programs in paroxysmal AF pts after CA. Methods This is a secondary analysis of a randomized controlled trial in AF pts after CA (radiofrequency or cryoballoon) assessing the effects of a long-term preventive counseling program encompassing remote support. Pts were randomized into 3 groups in 1:1:1 ratio. During hospitalization for CA pts from all groups received single-session preventive counseling with focus on their individual cardiovascular risk factors profile. After discharge, pts from Group 1 received remote preventive counseling by phone and pts from Group 2 by email every two weeks for the first 3 months after enrollment (a total of 6 sessions). Group 3 received usual care. At baseline and at 12 months of follow-up, pts underwent assessments of their demographic parameters (age, sex, education level, marital status, and socioeconomic status) and psychological status (stress level using a 10-point visual analogue scale [VAS] and anxiety and depression by the Hospital Anxiety and Depression Scale [HADS]; transthoracic echocardiography, ECG and 24-hour ECG monitoring. A multivariate regression analysis of seeking for EMS was performed with patients' baseline parameters as independent variables. Results A total of 135 pts aged 35 to 80 years were enrolled (mean age 57.3±9.1 years, 51.8% men). Over 1 year of follow-up, 53 study participants called the ambulance (which made up for 90 calls) with no significant differences between the study groups. Age (odds ratio [OR] 1.8, 95% confidence interval [CI] 1.1–2.9; P=0.010), stress level ≥7 points (OR 3.2, 95% CI 1.4–7.5; P=0.007), left ventricular (LV) ejection fraction ≤62% (OR 2.6, 95% CI 1.1–6.1; P=0.024); and left atrial (LA) diameter ≥42 mm (OR 3.6, 95% CI 1.5–8.5; P=0.003) were independent predictors of an EMS call. Conclusions Age, perceived stress level, reduced LV function and LA size were independent predictors of EMS utilization after CA regardless of preventive counseling interventions. Funding Acknowledgement Type of funding source: None

Development of a Predictive Model for Suicide Risk Factors and Suicide Predisposition for the Elderly: Application of Suicide Prevention Education and Counseling Program

고령자의 자살문제는 최근 들어 급진한 사회적 이슈화를 거쳐 이제는 정부가 관여하는 정부의제화로 이미 변화되었고, 고령자의 자살 문제에 대한 대중적 인식과 그에 대한 정책대응을 요구하는 치명적인 중요성을 갖는 영역으로까지 확대되어 그 대안의 필요성이 높아지고 있다. 이에 본 연구의 목적은 고령자의 자살 위험요인과 자살전조에 대한 예측을 통해 사회적 문제를 확인하는 것이다. 본 연구의 분석결과에서도 알 수 있듯이 자살위험요인의 네 가지 개인요인, 가정요인, 경제적요인과 사회적 요인의 하위요인 중 우울증과 이 높을수록, 배우자와의 관계에 대한 만족도가 낮을수록 자살전조현상이 많아짐을 알 수 있다. 따라서 우울과 배우자와의 관계에 대한 만족도에 대한 적절한 임상적 개입이 자살전조 현상과 관련해 매우 중요한 변수로 작용할 수 있음을 알 수 있었다.The suicide problem of the elderly has recently changed into a government agenda that the government is involved in through a radical social issue in recent years, and has expanded to areas of critical importance that demand public awareness of the suicide problem of the elderly and policy responses to it. As a result, the need for an alternative is increasing. Therefore, the purpose of this study is to identify social problems through prediction of suicide risk factors and suicide precursors in the elderly. As can be seen from the analysis results of this study, among the four individual factors, family factors, economic factors, and social factors of suicide risk factors, the higher the depression and the lower the satisfaction with the relationship with the spouse, the predisposition to suicide. You can see that there are many. Therefore, it was found that the appropriate clinical intervention on the degree of satisfaction with the relationship between depression and spouse can act as a very important variable in relation to the suicidal phenomenon.

PREVENTIVE COUNSELING: A RELIGIOUS DEVELOPMENT PROGRAM AT BOARDING SCHOOL IN YOGYAKARTA

Purpose of the study: This study aims to explore religious development programs in boarding schools in Yogyakarta and to find out how the implementation of religious development programs, especially preventive counseling programs.&#x0D; Methodology: This study used a qualitative method with a case study approach. Data collection used observation, interviews, and documentation. The subject were religion teachers, counseling teachers, the vice-principal of student affairs, homeroom teachers, students, and parents of the student.&#x0D; Main Findings: The results showed that there are two religious development programs at boarding schools in Yogyakarta. First, the development of faith and piety towards Allah by providing concepts in the form of a school lesson. Second, a program to teach religious morals values by internalizing religious values about morals. At the beginning of the study, these programs were designed by paying attention to many current teenage issues and anticipating their future.&#x0D; Applications of this study: This study can be useful in the field of educational psychology, especially in the personality section. The results of this study can be used by counselors at a school to overcome adolescent problems.&#x0D; Novelty/Originality of this study: This research showed that to make a student well behave in this digital age was not enough if only giving a theoretical study to them but also inviting them to do good things to their teacher. Furthermore, a stay program in the boarding school can be a consideration for parents to form a positive personality for their children.

The efficacy of secondary prevention programs with remote support in coronary heart disease patients with abdominal obesity

To assess the impact of 2 preventive counselling programs with subsequent remote support in CHD patients with concomitant obesity. A prospective randomized parallel-group study in 120 stable CHD patients hospitalized for elective coronary revascularization who were from 40 to 65 years old and had concomitant obesity. Patients were randomized (1:1:1) into 3 groups (n=40 each). Before discharge, Groups 1 and 2 received a single-session comprehensive counselling with focus on diet followed by remote counselling by phone (Group 1) or via text messages (Group 2). Remote counselling was delivered weekly (Months 1-3) and then monthly (Months 4-6). Group 3 received only standard advice from their attending physicians. The patients were followed for 12 months with assessment of adiposity measures, self-reported dietary patterns, physical activity (IPAQ questionnaire), smoking status, blood pressure (BP), fasting blood glucose, lipids and C-reactive protein (CRP) levels, as well as of clinical events. At 1 year of follow-up, the patients from both intervention groups showed a marked improvement of several risk factors including obesity: the body mass index was reduced by 1.48±0.13 kg/m² in Group 1 and by 1.53±0.18 kg/m² in Group 2; the waist circumference went down by 7.62±0.49 and by 7.41±0.74 cm, respectively; the height-normalized fat mass decreased by 4.66±0.40 kg and 5.98±0.63 kg, respectively (all P values are &lt;0.01 vs corresponding changes in the control group). These changes were coupled with more healthy dietary patterns and less sedentary lifestyles in both intervention groups: the proportion of patients with low activity level fell from 87.5% to 2.5% in Group 1 and from 80% to 10% in Group 2 (both p values &lt;0.01 vs control). In Group 1, BP decreased by 18.08±2.20 mmHg (systolic) and 8.56±1.61 mmHg (diastolic); both р values &lt;0.01 vs Group 3. In Group 2 systolic BP dropped by only 11.95±2.50 mmHg (non-significant) and diastolic BP by 6.33±1.52 mmHg (р&lt;0.05 vs control). The proportion of smokers went down from 30% to 5% in Group 1 and from 22.5% to 0% in Group 2 (both p values &lt;0.01 vs control). The fasting glucose levels decreased by 0.21±0.20 mmol/L in Group 1 and by 0.48±0.25 mmol/L in Group 2 (&lt;0.01 vs control, both), but there were no meaningful improvements in blood lipids or CRP. Long-term (6 months) secondary prevention programs incorporating remote support technologies result into sustained improvement of key secondary prevention indicators in obese CHD patients, irrespective of the support modality (by phone or via electronic messaging).

P2512Effects of two different preventive counselling programs with remote support on added sugar and refined carbohydrates intake pattern in coronary patients with abdominal obesity

Abstract Background Restricting added sugar and refined carbohydrates is essential for a healthy diet, especially for overweight or obese patients (pts). Pts education has a potential to improve dietary patterns in coronary artery disease (CHD). Purpose To assess the impact of 2 preventive counselling programs with subsequent remote support resulted after hospitalization on salt intake in pts with CHD and obesity. Methods A prospective randomized parallel-group study in hospitalized nonsurgical pts with confirmed stable CHD and concomitant abdominal obesity. Most hospitalizations were due to elective percutaneous coronary intervention. Pts were randomized (1:1:1) into 3 groups. Before discharge, Groups 1 and 2 received comprehensive counselling with focus on diet followed by remote counselling by phone (Group 1) or via text messages (Group 2). Remote counselling was delivered weekly (Months 1–3) and then monthly (Months 4–6). Group 3 received standard advice only. Self-reported sugar/refined carbohydrates intake was assessed by consumption of added sugar, sugar-sweetened beverages and pastry. Results A total of 120 pts (mean age±SD, 57.75±6.25 years, men, 83.4%) were enrolled. The table presents self-reported dietary habits at baseline and at 12 months. At 1 year, significant improvements of relevant dietary habits vs control were seen in both intervention groups. Group 1 Group 2 Group 3 (control) Group 1 vs 3, Group 2 vs 3, (n=40) (n=40) (n=40) P for change from baseline P for change from baseline Amount of sugar added per cup tea or coffee, teaspoons, mean ± SD Baseline 2.65±0.77 2.45±0.81 2.48±0.72 At 12 months 2.08±0.83** 1.95±0.64** 2.47±0.69 &lt;0.01 &lt;0.01 Pts avoiding sugar-sweetened beverages, % Baseline 37.50 32.50 25.00 At 12 months 92.50** 90.00** 13.16 &lt;0.01 &lt;0.01 Pts restricting pastry to no more than 1–2 times a week, % Baseline 37.5% 47.5% 57.5 At 12 months 70.0%** 72.5%** 39.47 &lt;0.01 &lt;0.05 **p&lt;0.01 vs baseline within group. Conclusion Pre-discharge preventive counselling with subsequent remote support in coronary patients with abdominal obesity resulted in significant improvement of dietary habits in terms of added sugar, sugar-sweetened beverages and pastry intake.

P2511Effects of two different preventive counselling programs with remote support on salt and sodium-reach foods intake patterns in coronary patients with abdominal obesity

Abstract Background Salt restriction is essential for a healthy diet, especially for patients (pts) with cardiovascular diseases. Pts education has a potential to promote healthier dietary patterns. Purpose To assess the impact of 2 preventive counselling programs with subsequent remote support resulted after hospitalization on salt intake in pts with coronary artery disease (CHD). Methods A prospective randomized parallel-group study in hospitalized nonsurgical pts with confirmed stable CHD and concomitant abdominal obesity. Most hospitalizations were due to elective percutaneous coronary intervention. Pts were randomized (1:1:1) into 3 groups. Before discharge, Groups 1 and 2 received comprehensive counselling with focus on diet followed by remote counselling by phone (Group 1) or via text messages (Group 2). Remote counselling was delivered weekly (Months 1–3) and then monthly (Months 4–6). Group 3 received standard advice only. Self-reported salt intake was assessed by consumption of sodium-reach foods such as sausages, pickles and by adding salt to cooked foods. Results A total of 120 pts (mean age±SD, 57,75±6,25 years, men, 83.4%) were enrolled. The Table presents self-reported dietary habits at baseline and at 12 months. At 1 year, significant improvements of relevant dietary habits vs control were seen in both intervention groups. Group 1 Group 2 Group 3 (Control) Group 1 vs 3, Group 2 vs 3, (n=40) (n=40) (n=40) P for change from baseline P for change from baseline Pts adding salt to cooked foods at least sometimes Baseline 87.5% 90.0% 85.0% At 12 months 25.0%** 10.0%** 89.5% &lt;0.01 &lt;0.01 Pts avoiding pickled vegetables Baseline 17.5% 20.0% 15.4% At 12 months 62.5%* 77.5%** 7.9% &lt;0.05 &lt;0.01 Pts avoiding wurst, sausages, smoked meats Baseline 0.0% 10.0% 7.5% At 12 months 77.5%** 87.5%** 2.6% &lt;0.01 &lt;0.01 *p&lt;0.05, **p&lt;0.01 vs baseline within group. Conclusion Pre-discharge preventive counselling with subsequent remote support in coronary patients with abdominal obesity resulted in significant improvement of dietary habits in terms of salt and high-sodium foods intake.

"I Never Saw a Future": Childhood Trauma and Suicidality Among Sexual Minority Women.

While a significant health concern for sexual minority women, there is little qualitative research investigating their experiences of childhood trauma and suicidality. In this study, we used photovoice methods and an intersectionality framework. Drawing on qualitative interviews, we inductively derived three themes (a) Traumatized and discredited, (b) Cascading marginality, estrangement, and suicidality, (c) Reconstruction and reclaiming resilience. In Traumatized and discredited, we describe the sense of abandonment flowing from childhood trauma heightened by a lack of protection and neglect on the part of parents/guardians. The lack of support to deal with childhood trauma and the layering effects of marginality characterizes the theme Cascading marginality, estrangement, and suicidality. In the third theme, we discuss strategies for reconstruction and reclaiming resilience as participants worked to overcome these challenging experiences. Our study findings offer guidance to suicide prevention counseling programs for sexual minority women and affirm actions to address health inequities.

Effect of a Crisis Intervention Team for suicide attempt patients in an emergency department in Korea

Background: South Korea has one of the highest rates of suicide in the world, which poses an immense socioeconomic burden on the healthcare system. Objectives: We hypothesized that the implementation of a Crisis Intervention Team would lead to an improvement in completion rates of suicide prevention counseling programs. Methods: This is a retrospective before-and-after analysis, and was carried out in the emergency department in the city of Ansan, South Korea. The Crisis Intervention Team, funded by the Ministry of Health and Welfare, counsels suicide attempt patients with the ultimate goal of assuring proper administration of mental healthcare from community suicide support programs. Data on suicide attempt patients were collected using medical records. The primary outcome was defined as completion of the 8-week follow-up period for suicide attempt patients with the community suicide support programs. Results: A total of 246 patients from the pre-intervention period and 296 patients from the post-intervention period were included in the study. The completion rates of the 8-week follow-up period increased significantly after the intervention. During the pre-intervention period, 9 patients (3.7%) who were referred to the community suicide support program completed the 8 weeks of follow-up, whereas in the post-intervention period, 56 patients (18.9%) followed up for 8 weeks or more (p &lt; 0.0001). The secondary outcome, overall linkage rates to community suicide support program, did not change significantly, with a minor increase from 46 (18.7%) to 63 (21.3%) (p = 0.45). Conclusion: The implementation of an in-hospital Crisis Intervention Team dedicated to active and assertive counseling that begins in the emergency department was correlated with significantly increased completion rates of the 8-week follow-up counseling program.

MS08.2 The Effects of Different Preventive Counseling Programs On the Quality of Life In Patients With Paroxysmal Atrial Fibrillation After Catheter Ablation

MS08.2 The Effects of Different Preventive Counseling Programs On the Quality of Life In Patients With Paroxysmal Atrial Fibrillation After Catheter Ablation

PO500 Effects of Two Different Preventive Counselling Programs On Awareness of Risk Factor Goals In Coronary Patients With Abdominal Obesity

PO500 Effects of Two Different Preventive Counselling Programs On Awareness of Risk Factor Goals In Coronary Patients With Abdominal Obesity