The Effects of Family-Centered Empowerment Model on Depression, Anxiety, and Stress of the Family Caregivers of Patients with COVID-19: A Randomized Clinical Trial

Abstract Background: Taking care of patients with Covid-19 is regarded as a challenging task for family caregivers. A family-centered empowerment model (FCEM) should help them achieve greater psychological strength in the care process.Methods: Seventy caregivers were randomized to FCEM (n= 35) or control (n= 35). The four-stage of FCEM in four online sessions through WhatsApp was provided to the intervention group from the patient's discharge until 2 weeks later. The demographic information questionnaire and Depression Anxiety Stress Scale-21 were employed both before and five days after the FCEM sessions to gather the necessary data.Results: Caregivers included 55.8% women and 44.2% men, with a mean age of 42.5 years. The results demonstrated a substantial difference in the average score of stress (p=0.023), anxiety (p=0.003), and depression (p=0.012).Conclusions: The combination of a face-to-face orientation session and online methods of FCEM is likely to lower stress, anxiety, and depression among caregivers. It can be contributed to the practicability, simplicity, and effectiveness of the intervention.Clinical Trial Registration code: This study (IRCT20180429039463N2) was registered in Iranian Registry of Clinical Trial on 10/04/2020

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The effects of the family-centered empowerment model on self-efficacy and self-esteem among the family caregivers of patients with prosthetic heart valve: A controlled clinical trial

Nursing and Midwifery Studies ◽

10.4103/nms.nms_45_18 ◽

2020 ◽

Vol 9 (2) ◽

pp. 61

Author(s):

Armin Zareiyan ◽

Fahimeh Abedini ◽

Fatemeh Alhani

Keyword(s):

Clinical Trial ◽

Family Caregivers ◽

Heart Valve ◽

Self Efficacy ◽

Prosthetic Heart Valve ◽

Self Esteem ◽

Controlled Clinical Trial ◽

The Family ◽

Empowerment Model ◽

Family Centered

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The Effect of Emotional Disclosure by Writing on the Depression of Hemodialysis Patients in Iran: A Randomized Clinical Trial

Journal of Caring Sciences ◽

10.34172/jcs.2021.035 ◽

2021 ◽

Vol 10 (4) ◽

pp. 223-229

Author(s):

Fereshteh Khaleghi ◽

Batool Pouraboli ◽

Leila Abadian ◽

Mahlegha Dehghan ◽

Sakineh Miri

Keyword(s):

Clinical Trial ◽

Intervention Group ◽

Psychological Problem ◽

Routine Care ◽

Depression Score ◽

Emotional Disclosure ◽

T Test ◽

Control Group ◽

Depression Anxiety Stress Scale ◽

The Difference

Introduction: Depression is the most common psychological problem in patients with renal failure, and it can lead to mortality in severe cases. Effective interventions are required to promote mental health in patients on hemodialysis with various types of mental disorders. The current study aimed to evaluate the effect of emotional disclosure by writing on depression of patients on hemodialysis in Iran. Methods: This clinical trial study was carried out on 140 patients undergoing hemodialysis in hemodialysis centers of Kerman. Patients were randomly assigned into two groups of intervention and control after signing the written consent forms and completing the Depression Anxiety Stress Scale (DASS 21). The intervention group was requested to write daily the deepest emotions and intrusive thoughts within 15 to 20 minutes in four consecutive days. The control group received routine care. Then, the questionnaire was recompleted two weeks later. Finally, the data were analyzed by SPSS (version 13) using independent t-test and paired t-test. Results: The mean depression score was either moderate or high. While depression scores seemed to decrease in the intervention group after the intervention, the depression scores continued to rise following the intervention in the control group. The difference in depression scores was statistically significant between the two groups before and after the intervention. Conclusion: Emotional disclosure by writing can be effective on the level of depression in patients on hemodialysis.Simus adi omnimodipsa sam fugita dolenistiae inveles est doluptat.

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Engagement of Family in a Goal Setting Strategy: Impact Upon 30-Day Hospital Readmissions

Innovation in Aging ◽

10.1093/geroni/igab046.1447 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 375-375

Author(s):

Marie Boltz ◽

Ashley Kuzmik ◽

Barbara Resnick ◽

Irene Best ◽

Jacqueline Mogle

Keyword(s):

Family Caregivers ◽

Goal Setting ◽

Goal Attainment ◽

Hospital Readmissions ◽

Family Engagement ◽

Intervention Group ◽

Day Hospital ◽

Care Partners ◽

Goal Attainment Scale ◽

Family Centered

Abstract Family-centered Function-focused Care (Fam-FFC) works with family caregivers as care partners in the assessment, function-promoting goal setting, implementation, and evaluation of goal attainment during hospitalization and immediate post-acute period. ANCOVA technique examined the preliminary impact of Fam-FFC upon 30-day hospital readmissions and logistic regression tested the association of goal attainment, measured with the Goal Attainment Scale (GAS) with 30-day hospital readmissions. The majority of the patients were Black (50%), female (62%), had a mean age of 81.6 (SD=8.4), mean Barthel Index of 60.29 (SD=27.7), and mean MoCA of 10.67 (SD=7.0). Goals represented six main categories: mobility, cognition, self-care, toileting, sleep, and pain management. Patients in the intervention group had less 30-day hospitalizations (F= 4.6, p=.033) and goal attainment was significantly associated with less recidivism (B=.179, Wald= 2.8 (1), p= .045). FamFFC shows promise in reducing 30-day hospital readmissions; results support the contribution of family engagement and use of GAS

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Voices 2: Improving Prosodic Recognition in Schizophrenia With an Online Rehabilitation Program

Frontiers in Psychology ◽

10.3389/fpsyg.2021.739252 ◽

2021 ◽

Vol 12 ◽

Author(s):

María Lado-Codesido ◽

Rosa María Rey Varela ◽

Marina Larios Quiñones ◽

Luis Martínez Agulleiro ◽

Julieta Ossa Basanes ◽

...

Keyword(s):

Clinical Trial ◽

Emotion Recognition ◽

Intervention Group ◽

Rehabilitation Program ◽

Clinical State ◽

Control Group ◽

Post Intervention ◽

Clinical Trial Registration ◽

Training Tool ◽

On Line

Introduction: Emotion recognition of voices may play an important role in interpersonal communication and patients with schizophrenia present alterations in this regard. Several on-line rehabilitation tools have been developed for treatment in this area. Voices is an on-line prosodic recognition program consisting of identifying different emotional tones in neutral phrases, in different sessions of gradually increasing difficulty. This training tool has previously reported benefits, and a new version has been created called Voices 2. The main aim of this study is to test the capacity of the Voices 2 program to improve emotion recognition through prosody for adults with schizophrenia. Secondly, it seeks to observe durability effects 1 month after intervention.Method: A randomized, single-blind, multicenter clinical trial was conducted with 44 outpatients diagnosed with schizophrenia or schizoaffective disorder. The intervention group (also called Voices) was treated with Voices 2, whereas the control group was treated with auditory training that was not related to emotions. Sociodemographic and clinical data, clinical state (PANSS), Intelligence Quotient and prosodic recognition (RMV-SV) were measured at baseline. After intervention, RMV-SV and PANSS were assessed. One month later, the RMV-SV measure was repeated.Results: The control group (n = 19) and the Voices group (n = 22) did not differ on χ2, t or U tests in sociodemographic, clinical and psychometric variables at baseline or post-intervention (all p-values > 0.05). In the Voices group, statistically significant differences were observed in the RMV-SV scale applied post-intervention vs. that applied pre-intervention (Z = 2.47, p = 0.013). Similar results were observed in the 1-month follow-up RMV-SV vs. the pre-intervention RMV-SV (Z = 1.97, p = 0.049). PANSS scale was also assessed with no significant differences between pre vs. post measures in both groups. Lastly, Voices 2 was rated relatively higher, based on its ease of understanding, entertainment value, usefulness and the appropriateness of use of its emotional glossary.Discussion: Improvements were observed in prosodic recognition following intervention with Voices 2 in the Voices group. Although these results are similar to other clinical trial rehabilitation programs, specific research on the matter remains scarce. Certain aspects, such as the durability of effects or adherence should be thoroughly studied and clarified.Clinical Trial Registration: [https://doi.org/10.17605/OSF.IO/G95C4].

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The Effect of Vitamin C on Pathological Parameters and Survival Duration of Critically Ill Coronavirus Disease 2019 Patients: A Randomized Clinical Trial

Frontiers in Immunology ◽

10.3389/fimmu.2021.717816 ◽

2021 ◽

Vol 12 ◽

Author(s):

Nazanin Majidi ◽

Faezeh Rabbani ◽

Somayeh Gholami ◽

Maryam Gholamalizadeh ◽

Fatemeh BourBour ◽

...

Keyword(s):

Clinical Trial ◽

Vitamin C ◽

Critically Ill ◽

Critically Ill Patients ◽

Intervention Group ◽

Survival Duration ◽

Control Group ◽

Clinical Trial Registration ◽

Arterial Blood ◽

Vitamin C Supplementation

IntroductionVitamin C has been reported to have beneficial effects on patients with coronavirus disease 2019 (COVID-19). This study aimed to investigate the effect of vitamin C supplementation on pathological parameters and survival duration of critically ill patients with COVID-19.MethodsThis clinical trial was conducted on 120 hospitalized critically ill patients infected with COVID-19. The intervention group (n = 31) received one capsule of 500 mg of vitamin C daily for 14 days. The control group (n = 69) received the same nutrition except for vitamin C supplements. Measurement of pathological and biochemical parameters was performed at baseline and after 2 weeks of the intervention.ResultsFollowing 2 weeks of vitamin C supplementation, the level of serum K was significantly lower in the patients compared with the control group (3.93 vs. 4.21 mEq/L, p < 0.01). Vitamin C supplementation resulted in a higher mean survival duration compared with that of the control group (8 vs. 4 days, p < 0.01). There was a linear association between the number of days of vitamin C intake and survival duration (B = 1.66, p < 0.001). The vitamin C supplementation had no effect on blood glucose, mean arterial pressure, arterial blood gas (ABG) parameters, Glasgow Coma Scale (GCS), kidney function, cell blood count (CBC), hemoglobin (Hb), platelet (Plt), partial thromboplastin time (PTT), albumin, hematocrit (Hct), and other serum electrolytes including sodium (Na), calcium, and phosphorus (P).ConclusionThe present study demonstrated the potential of vitamin C supplementation in enhancing the survival duration of critically ill patients with COVID-19.Clinical Trial Registrationhttps://www.irct.ir/trial/55074, identifier IRCT20151226025699N5

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The Effect of Family Empowerment Model on Self-care in Hemodialysis Patients of Zahedan, Iran

Health Scope ◽

10.5812/jhealthscope.90951 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Alireza Salar ◽

Hoda Taheri

Keyword(s):

Intervention Group ◽

Self Care ◽

Hemodialysis Patients ◽

T Test ◽

The Self ◽

Control Group ◽

Significant Difference ◽

The Family ◽

Empowerment Model ◽

Family Centered

Background: Self-care is one of the important aspects of treatment in hemodialysis patients. This study was done to determine the effect of the family-centered empowerment model on the self-care of hemodialysis patients. Methods: This study was performed on 100 hemodialysis patients referring to the Zahedan hemodialysis department in 2018. For the intervention group, the family-centered empowerment model was executed in four stages, including understanding the threat, problem-solving, educational participation, and evaluation according to the steps of the model, and the control group received the usual care of the department. The data collection tools were the demographic information questionnaire and self-care questionnaire. Data were analyzed using SPSS V.22 by analysis of variance (ANOVA), independent t-test, repeated measures t-test, and Chi-square test. Results: Based on the independent t-test, the mean self-care score of patients in the intervention and control group was significantly different (P < 0.001). There was a significant difference in the "main caregiver relation" variable (P = 0.006). The results of the "time" and "intervention" effects of this test also showed that these two variables had a significant effect on mean self-care scores (P < 0.001). The results of ANOVA showed that self-care score changed in the two groups there was an increase in the self-care score in the intervention group compared with the control group (P < 0.001). Conclusions: Implementing the family-centered empowerment model in hemodialysis patients by strengthening the ability of the patient and their families to care provides a platform for their promotion and maintenance of their self-care.

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The Effect of Family-Centered Interactive Education Using Social Networks on the Lifestyle of Patients with Acute Coronary Syndrome: A Randomized Clinical Trial

10.21203/rs.3.rs-28793/v1 ◽

2020 ◽

Author(s):

Fahimeh Shojaefar ◽

Tania Dahesh ◽

Esmat Nouhi

Keyword(s):

Clinical Trial ◽

Social Networks ◽

Acute Coronary Syndrome ◽

Intervention Group ◽

Control Group ◽

Post Intervention ◽

Coronary Syndrome ◽

Interactive Education ◽

Key Factor ◽

Family Centered

Abstract Background: Patient education is a key factor in promoting the health of people with acute coronary syndrome. Families are crucial to implement educational programs. Therefore, this research aimed at determining the family-centered interactive education efficacy using social networks on the lifestyle of patients with acute coronary syndrome (ACS). Materials andMethods: The present clinical trial was conducted on 96 cases with ACS, who were randomly assigned to control and intervention groups. The former only was provided with routine training before discharge, while the latter, in addition to routine training before discharge, received education on social networking and sending text/visual messages. At baseline and three months after the intervention, the Walker’s Lifestyle Questionnaire was completed. The paired t-test was employed for data analysis.Results: the average lifestyle value of the intervention group was significantly higher compared with the control group after the intervention (P˂0.001). Moreover, the lifestyle score was significantly different pre- and post- intervention in the intervention group (P˂0.001). Conclusion: Interactive education using social networks is useful to promote the lifestyle in cases with ACS, which seems effective in planning the follow-up for these patients.

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A randomized clinical trial of TrialTALK, a communication tool to facilitate treatment-related shared decision making.

Journal of Clinical Oncology ◽

10.1200/jco.2018.36.34_suppl.45 ◽

2018 ◽

Vol 36 (34_suppl) ◽

pp. 45-45

Author(s):

Toby Christopher Campbell ◽

Mallory Jasicki ◽

Kristine L Kwekkeboom ◽

Margaret L Schwarze ◽

Amy Zelenski ◽

...

Keyword(s):

Clinical Trial ◽

Decision Making ◽

Shared Decision Making ◽

Intervention Group ◽

Average Score ◽

Control Group ◽

Trial Participation ◽

Training Methods ◽

Shared Decision ◽

Communication Tool

45 Background: Cancer treatment decision making involves timely, high-risk, life altering shared decision-making conversations between patients, their families, and their oncologists. As such, these conversations are a prime target for a carefully designed, easy to interpret approach to facilitate preference-sensitive decision making. Patients need several important pieces of information delivered in a way that is easy to interpret. The TrialTALK approach has two core elements: a verbal approach and a pen and paper (P&P) diagram. The P&P diagram includes the diagnosis with prognostic implications, all available treatment options including best supportive care alone, estimates for efficacy, and anticipated impact on daily life. The verbal conversation corresponds to the diagram and includes a phrase to encourage deliberation, and empathic responses. Our trial is evaluating the effectiveness of TrialTALK to influence decision making, in particular clinical trial participation. Here, we report the results of the initial oncologist training. Methods: 28 oncologists volunteered to participate and were randomly assigned to control (Group A, n=13) or intervention (Group B, n=15). Oncologists in the intervention group each received two hours of training, including simulated conversations with feedback and optional 1:1 follow up for troubleshooting. At the conclusion of training, oncologists completed a video-recorded simulated encounter with an actor. Trainers reviewed P&P diagrams in real time and provided feedback. Results: We used a fidelity checklist to assess effectiveness of the training. We considered ≥ 14 points out of a possible 20 as an acceptable use of TrialTALK. The average score was 14.8 ± 2. Scores ranged 10-18. 12 of 15 intervention oncologists demonstrated adoption of the tool after 2 hours of training. Conclusions: Oncologist can effectively learn to use TrialTALK. The ongoing study will estimate preliminary efficacy of the TrialTALK intervention in regards to patient decision making and participation in clinical trials.

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