scholarly journals Predictors of Adherence in Three Low-Intensity Intervention Programs Applied by ICTs for Depression in Primary Care

2021 ◽  
Vol 18 (4) ◽  
pp. 1774 ◽  
Author(s):  
Adoración Castro ◽  
Azucena García-Palacios ◽  
Yolanda López-Del-Hoyo ◽  
Fermín Mayoral ◽  
María Ángeles Pérez-Ara ◽  
...  
Keyword(s):  
Primary Care ◽  
Positive Affect ◽  
Information And Communication Technologies ◽  
Healthy Lifestyle ◽  
Short Form ◽  
Predictor Variable ◽  
Promotion Program ◽  
Low Intensity ◽  
Lifestyle Program ◽  
Healthy Lifestyle Program

Depression is one of the most common disorders in psychiatric and primary care settings, and is associated with disability, loss in quality of life, and economic costs. Internet-based psychological interventions have been shown to be effective in depression treatment but present problems with a low degree of adherence. The main aim of this study is to analyze the adherence predictors in three low-intensity interventions programs applied by Information and Communication Technologies (ICTs) for depression. A multi-center, randomized, controlled clinical trial was conducted with 164 participants with depression, who were allocated to: Healthy Lifestyle Program, Positive Affect Promotion Program or Mindfulness Program. Sociodemographic characteristics, Patient Health Questionnaire-9, Visual Analog Scale, Short Form Health Survey, Positive and Negative Affect Schedule, Five Facets Mindfulness Questionnaire, Pemberton Happiness Index and Treatment Expectancy Questionnaire were used to study adherence. Results showed that positive affect resulted in a predictor variable for Healthy Lifestyle Program and Positive Affect Promotion Program. Perceived health was also a negative adherence predictor for the Positive Affect Promotion Program. Our findings demonstrate that there are differences in clinical variables between treatment completers and non-completers and we provide adherence predictors in two intervention groups. Although new additional predictors have been examined, further research is essential in order to improve tailored interventions and increase adherence treatment.

scholarly journals Parental Participation in a Healthy Lifestyle Program for Middle Schoolers Improves Their Family Meal Patterns and Social Support and Self-Regulation for Healthy Eating (P16-041-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Henna Muzaffar ◽  
Cassandra Nikolaus ◽  
Sharon Nickols-Richardson
Keyword(s):  
Social Support ◽  
Healthy Lifestyle ◽  
Self Regulation ◽  
Parental Participation ◽  
Post Intervention ◽  
Meal Patterns ◽  
Family Meal ◽  
Lifestyle Program ◽  
Post Assessment ◽  
Healthy Lifestyle Program

Abstract Objectives The development and dissemination of appropriate integrated curricula for parents represent a critical need and a novel approach in the obesity prevention field. Our objective was to assess if parental participation in a healthy lifestyle program (PAWS [Peer-education About Weight Steadiness] Club) for middle school students would improve parental anthropometrics, social cognitive theory (SCT) mediators of dietary behavior, and family mealtime frequency and environment. Methods A total of 42 parents participated in five weekly 1.5-hour sessions, delivered four times from 2015–2017. The sessions were led by a trained research assistant; focused on family fitness, meal planning, family mealtimes, label reading, energy balance, making healthy choices and simple recipes, self-reflection and goal setting. Data on anthropometrics, blood pressure (BP), SCT mediators (social/family support, self-efficacy, self-regulation, and outcome expectations) of eating, and family meal patterns (frequency and environment) was collected from the parents at pre-and post-intervention. Wilcoxon Signed Rank test was used to determine any changes from baseline to post assessment for SCT mediators of dietary behavior and family meal patterns. Paired t-test was used to determine any changes from pre-to post-intervention for anthropometric and BP measurements. Significance was set at P < 0.05. Results Of the 42 participants, 67% were females (mothers); 33% self-reported White and 33% self-reported African American race/ethnicity. Participants significantly improved in their self-regulation for reducing unhealthy foods (P = 0.011), social support for balancing calories (P = 0.007), and family mealtime patterns (P = 0.003) from pre- to post-assessment. No significant changes were observed for anthropometric and BP measures. Conclusions Parental participation in a healthy lifestyle program can potentially improve family mealtime environment and frequency and increase self-regulation and social support for dietary behaviors of the family. These results have implications for planning future health programs with adolescents in schools. Funding Sources Supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, under award number 2012-68001-22032.

scholarly journals Peer-led healthy lifestyle program in supportive housing: study protocol for a randomized controlled trial

Trials ◽  
2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Leopoldo J. Cabassa ◽  
Ana Stefancic ◽  
Kathleen O’Hara ◽  
Nabila El-Bassel ◽  
Roberto Lewis-Fernández ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Study Protocol ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Supportive Housing ◽  
Randomized Controlled ◽  
Lifestyle Program ◽  
Healthy Lifestyle Program

Abstract MP33: The Deaf Weight Wise Study: A Unique Clinical Trial of Health Behavior Modification with Deaf Adults

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Steven Barnett ◽  
Erika Sutter ◽  
Thomas Pearson ◽  
Keyword(s):  
Public Health ◽  
Repeated Measures ◽  
Lifestyle Modification ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Intervention Group ◽  
Lifestyle Program ◽  
Deaf Adults ◽  
Delayed Group ◽  
Healthy Lifestyle Program

Introduction: Deaf people who use American Sign Language (ASL) comprise linguistic and cultural minority populations without access to language-concordant health information and healthcare. Deaf ASL users are rarely included in health research or public health surveillance. Recent research with Deaf ASL users found a higher prevalence of obesity than in the general population. No randomized trials of lifestyle modification or weight reduction have ever been attempted with Deaf ASL users. Methods: We worked with the Rochester (NY) Deaf community to adapt a 16-week healthy lifestyle program previously shown to be effective with hearing people. We adapted the curriculum and research measures to be culturally and linguistically appropriate. We used a group intervention format recommended by our Deaf partners, and trained group leaders who were Deaf, ASL fluent and had backgrounds in counseling, public health, or healthcare. For this Deaf Weight Wise (DWW) trial, we recruited Deaf adults aged 40-70 with a BMI of 25-45 from community settings, and randomized participants to immediate intervention or intervention delayed 1 year. We will collect data from DWW trial participants over two years. We present analyses of data after 6 months here. Primary outcomes were changes in weight, BMI and scores on two standard measures: Dietary Risk Assessment (DRA) and Physical Activity Assessment (PAA). We used group by time repeated measures ANOVA to examine changes from baseline to 6 months for the immediate group and delayed group (no intervention yet). Hypothesis: The immediate intervention group would have greater reduction in weight and BMI as well as improvement in DRA and PAA scores six months after baseline compared with the delayed intervention group. Results: At baseline, the 104 participants’ mean age was 53.5 years; 68.3% (71 of 104) were female and 91.3% (95/104) were White. Randomization was successful based on baseline data. At 6 months, the immediate group weight changed -3.35kg (1.0 s.e.; p=.002) and BMI changed -1.35 (0.4 s.e.; p≤.0001) compared with the delayed group. Most of the immediate group (58.3%, 28/48) lost ≥ 5% of baseline weight versus 14.3% (8/56) of the delayed group (p≤.0001). Changes in mean DRA (p=.055) and moderate PAA (p=.054) scores numerically favored the immediate group. Conclusions: Deaf Weight Wise is the first randomized controlled trial of a healthy lifestyle program with Deaf ASL users. This culturally appropriate and language accessible behavioral intervention was feasible and highly effective with this underserved and rarely studied population.

GIRTH (get involved, reach top health): A community-based, peer-lead, healthy lifestyle program for men

2011 ◽  
Vol 5 ◽  
pp. 14
Author(s):  
V. Glennon ◽  
M. Noakes ◽  
G. Brinkworth ◽  
J. Lynch ◽  
D. Salon ◽  
...  
Keyword(s):  
Healthy Lifestyle ◽  
Community Based ◽  
Lifestyle Program ◽  
Healthy Lifestyle Program
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