Effectiveness of Digital Health Literacy Interventions in Older Adults: Single-Arm Meta-Analysis

Journal of Medical Internet Research, Год журнала: 2023, Номер 25, С. e48166 - e48166

Опубликована: Июнь 28, 2023

Background In a world of rapid digital technology development, the lack health literacy (DHL) among older people cannot be ignored. DHL is becoming an essential competency that can facilitate status and management adults. interventions are feasible appropriate implemented on large scale through care system for people. Objective The purpose this meta-analysis was to assess effectiveness Methods English publications in PubMed, Web Science, Embase, Cochrane Library were searched from inception November 20, 2022. Two reviewers independently completed data extraction quality assessment. Review Manager (version 5.4; Informatics & Technology Services) software used all meta-analyses. Results A total 7 studies, including 2 randomized controlled trials 5 quasi-experimental involving 710 adults considered eligible. main outcome scores eHealth Literacy Scale, secondary outcomes knowledge, self-efficacy, skills. Quasi-experimental studies compared baseline postintervention outcomes, while pre- intervention group. Of 3 face-to-face instruction, 4 adopted web-based interventions. Among them, conducted using theoretical guidance, not. Intervention duration varied 8 weeks. addition, included developed countries, mainly United States. Pooled analysis presented had positive effects efficacy (standardized mean difference 1.15, 95% CI 0.46 1.84; P=.001). Subgroup revealed chose teaching P=.001), guided by conceptual framework sustained over weeks 1.1, P=.001) more significant effect. Moreover, showed considerable gains knowledge 0.93, 0.54 1.31; P<.001) self-efficacy 0.96, 0.16 1.77; P=.02). No statistically effect found skills 0.77, –0.30 1.85; P=.16). small number variable study quality, heterogeneity some limitations review. Conclusions have Practical effective crucial use modern information managing Trial Registration PROSPERO International Prospective Register Systematic Reviews CRD42023410204; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=410204

Язык: Английский

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Hypnosis in psychotherapy, psychosomatics and medicine. A brief overview

Frontiers in Psychology, Год журнала: 2024, Номер 15

Опубликована: Март 22, 2024

Aspects of hypnosis and its application in psychotherapy, psychosomatics medicine are examined contextualized the 250-year history hypnosis. Imagination as an essential element hypnotic treatments appeared early 1784 argument rejecting theory animal magnetism Franz Anton Mesmer. In somnambulism German romanticism, another proto-form after 1800, concepts mind–body problem were dealt with, which still characterize understanding unconscious mental processes today. Hypnosis was at beginning psychoanalysis, but not pursued further by Sigmund Freud from 1900 onwards. Nevertheless, there some hypnoanalytical approaches 20th century, well attempts to integrate into behavior therapy. Techniques imagination relaxation combine both; particular findings cognitive psychology explain both behavioral The influence social brought a new perspective debate about nature hypnosis, continues this day: is be understood special state consciousness or it completely normal, mundane interaction? experiments that carried out support one side other also dependent on hypnotizability subjects involved, more difficult phenomena such paralysis, hallucinations identity delusions can only demonstrated highly hypnotizable subjects. fact these mere compliance reactions has now been proven many studies using imaging techniques. But even those who moderately benefit rituals. Variables postulated socio-cognitive researchers, motivation expectation, relevant, good “hypnotic rapport.” Practical hypnotherapy today characterized innovative techniques strategies developed Milton H. Erickson. Research effectiveness field psychotherapy leaves much done. situation different medical where considerably with satisfactory design verifiable effects. However, impact practical everyday practice low. Newer developments virtual reality artificial intelligence being looked critical interest.

Язык: Английский

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Transitioning Virtual-Only Group Therapy for Substance Use Disorder Patients to a Hybrid Model

Substance Abuse and Rehabilitation, Год журнала: 2024, Номер Volume 15, С. 73 - 78

Опубликована: Апрель 1, 2024

Purpose: Telehealth is associated with a myriad of benefits; however, little known regarding substance use disorder (SUD) treatment outcomes when participants join group therapy sessions in combination in-person and virtual setting (hybrid model). We sought to determine if completion rates differed. Patients Methods: Policy changes caused by the COVID-19 pandemic created naturalistic, observational cohort study at seven intensive outpatient (IOP) programs rural Minnesota. Virtual-only delivery occurred 6/1/2020-6/30/2021, while hybrid groups 7/1/2021-7/31/2022. Data was evaluated retrospectively for who initiated discharged during period. Participants were IOP members 18 years older had SUD diagnosis that both entered 26-month A consecutive sample 1502 (181– 255 per site) available, 644 removed: 576 after conclusion, 49 missing either enrollment or discharge data, 14 transferred sites treatment, 5 before initiation. Helmert contrasts impact exposure. Results: total 858 individuals included. not from medical chart deidentified preventing specific demographics; overall 2020– 2022, which derived, 29.8% female, 64.1% 18– 40 age. For completed exposure relative virtual-only univariate odds ratio 1.88 (95% CI: 1.50– 2.41, p < 0.001). No significant difference seen across sites. Conclusion: These results describe novel approach care SUDs outcome data previously documented literature. While can increase access, these suggest benefit derived including an option. Further research needed identify how component may change dynamics it be replicated models. Keywords: substance-related disorders, telemedicine, psychotherapy, comparative study, assessment, health

Язык: Английский

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Therapists' perception of the working alliance, real relationship and therapeutic presence in in-person therapy versus tele-therapy

Psychotherapy Research, Год журнала: 2023, Номер 34(5), С. 574 - 588

Опубликована: Апрель 3, 2023

AbstractObjective: Although teletherapy is increasingly common, very little known about its impact on therapeutic relationships. We aimed to examine differences between therapists' experiences of and in-person therapy post-pandemic with regard three variables pertinent the relationship: working alliance, real relationship, presence.Methods: In a sample 826 practicing therapists, we examined these relationship variables, as well potential moderators perceived including professional patient characteristics covid-related variables.Results: Therapists reported feeling significantly less present in their perceptions were somewhat impacted, but there no average effects quality alliance. Perceived did not persist clinical experience controlled. The relative reduction presence was driven by ratings process-oriented therapists conducting mostly individual therapy. Evidence for moderation issues also found, larger alliance who used because it mandated and/or choice.Conclusion: Our findings might have important implications generating awareness around lowered sense compared teletherapy.Keywords: teletherapyworking alliancereal relationshiptherapeutic Disclosure StatementNo conflict interest author(s).Supplemental DataSupplemental data this article can be accessed at https://doi.org/10.1080/10503307.2023.2193299.

Язык: Английский

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Relational Processes in Videoconference and In‐Person Psychotherapy When Wearing Face Masks: A Cross‐Cultural Study

Counselling and Psychotherapy Research, Год журнала: 2025, Номер 25(1)

Опубликована: Янв. 17, 2025

ABSTRACT Aim Prompted by concerns about the quality of therapeutic relationship due to impact COVID‐19's protective measures on communication, we aimed understand how therapists and clients from different cultural backgrounds perceive videoconference (VT) in‐person psychotherapy with face masks (IPTFM) relational processes in psychotherapy. Methods A sample 139 71 participated an online survey. We conducted exploratory analysis using descriptive inferential statistics examine therapists' clients' ratings session quality, relationship, communication expression/perception emotions VT IPTFM. Results Therapists generally rated real working alliance IPTFM as good. However, when asked compare regular therapy, recognised some differences, especially regarding emotional expression or perception. There were also differences between terms post‐session mood VT. The way perceived differed based aspects (e.g. age, disability, religion, ethnic identity gender). Conclusion results study emphasise need for develop competence becoming aware their own personal characteristics inner expectations, values beliefs) exploring expectations process while tailoring approaches distinct environmental dynamics

Язык: Английский

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Coach-Assisted eHealth with Group or Individual Support for Employees with Obesity: A Randomized Controlled Trial on Weight, Body Composition, and Health Metrics (Preprint)

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e60436 - e60436

Опубликована: Янв. 29, 2025

Acceptance and commitment therapy provides a psychobehavioral framework feasible for digital hybrid weight loss interventions. In face-to-face studies, group-based interventions yield more favorable outcomes than individual interventions, but the effect of intervention form has not been studied in combination with eHealth. This study investigated whether minimal, 3-session group or enhancement could provide additional benefits compared to an eHealth-only when assessing weight, body composition, laboratory metrics sample occupational health patients obesity. was randomized controlled trial 12-month intervention, followed by follow-up period without support (March 2021 March 2023). Recruited from care Finnish municipal employees, 111 working-age adults BMI 30-40 kg/m2 were 1 3 treatment arms: eHealth, eHealth+group, eHealth+individual. All arms received web-administrated, coach-assisted eHealth program based on acceptance therapy, additionally, eHealth+group eHealth+individual remotely facilitated meetings their designated coach. The participants assessed blood pressure, measurements at 0-, 6-, 12-, 24-month time points. Applying estimated means decrease bias caused dropouts, generalized estimating equations used differences between groups over time. There no between-group primary change categorical change. Secondary also did show changes attributable arm. Across entire sample, total 1.5% during 18% (20/111) attaining ≥5% loss. Sustained follow-up, waist circumference decreased, high-density lipoprotein cholesterol increased slightly. completed, average, 58.6% program. other somatic variables arm combining minimal enhancement. Despite modest overall loss, shows promise improving composition metabolic health. Moving forward, further research is needed determine if there threshold where Moreover, need explore whom under what conditions models may be most effective. ClinicalTrials.gov NCT04785586; https://clinicaltrials.gov/study/NCT04785586.

Язык: Английский

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ONLINE vs. FACE-TO-FACE group coaching to promote teachers mental health: an exploratory field study in German teachers

Frontiers in Digital Health, Год журнала: 2025, Номер 7

Опубликована: Фев. 5, 2025

Introduction Online formats provide promising and low-threshold options for mental health coaching. However, research on online interventions compared to traditional face-to-face remains scarce. In the present study, established prevention tool “ Teacher Group-coaching Program ” (TGP) was applied in both original setting as well online. TGP focuses promoting teachers by strengthening relational skills using Balint group technique. This technique roots back a psychoanalytic approach explore emotional aspects of (stress inducing) professional relationships. The current study aimed at comparing satisfaction with effectiveness between settings. Method sample consisted 104 who voluntarily chose ( n = 51) 53) setting. pre-posttest design, participants completed questionnaires before after intervention. Additionally participant's program assessed during TGP. Results Intervention effects did not differ significantly terms health, general life distancing face-to-face. line previous research, there improvement distress ability distance oneself groups, which Satisfaction rated high settings, suggesting similar acceptance. Discussion Although, absence an effect is evidence equality highlights potential admissions possible alternatives additions programs, especially when in-person meetings are feasible. Specifically, it shows that can also be successfully trained experts

Язык: Английский

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User Experience and Therapeutic Alliance of Treatment Completers of Clinician‐Supported Versus Self‐Help Online Intervention for Eating Disorders: A Mixed Methods Approach

European Eating Disorders Review, Год журнала: 2025, Номер unknown

Опубликована: Фев. 11, 2025

ABSTRACT Background Poor rates of retention associated with digital interventions necessitate understanding factors influencing engagement. This study presents a secondary analysis three‐arm, randomised controlled trial an online self‐help treatment for bulimia nervosa (clinician‐supported, and waitlist control). Aims The aimed to understand the effect added clinician‐support, or lack support, upon user experience therapeutic alliance. Method At post‐treatment, 61 participants completed battery self‐report questionnaires assessing Data were analysed using mixed methods (regression thematic analyses). Results Quantitative analyses indicated clinician‐supported reported higher levels satisfaction alliance, however differences not significant after controlling covariates. Intervention effectiveness ratings positively post‐treatment reductions in binge episodes eating disorder psychopathology. Qualitative data organised into four themes: (1) human (2) content, structure set up, (3) process change (4) positive feedback. Conclusions Overall, intervention was found have alliance both supported unsupported versions. qualitative revealed strong preference support. findings shed light on complex interactions between elements blended delivery. Trial Registration pre‐registered Australia New Zealand Clinical Trials Registry (ACTRN12619000123145p)

Язык: Английский

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Comparative Analysis of Dental Patients' Perspectives on Teledentistry Methods During the COVID-19 Pandemic in Semarang, Indonesia

Pesquisa Brasileira em Odontopediatria e Clínica Integrada, Год журнала: 2025, Номер 25

Опубликована: Янв. 1, 2025

ABSTRACT Objective: To understand patients' perceptions of using teledentistry through virtual clinics versus telephone consultations during the COVID-19 pandemic. Material and Methods: This is a cross-sectional study with an analytical quantitative approach. The sample consisted 644 dental patients experience services in Semarang, Indonesia. research instrument was questionnaire Likert scale, conducted hybrid manner, both online direct visits to practices. data were analyzed Mann-Whitney test. significance level set at p<0.05. Results: average score for via clinic user group 73.25, while group, it 29.50. A significant difference patient regarding found (p<0.05). Conclusion: Patient pandemic showed significantly greater positive response than telephone.

Язык: Английский

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Technology-assisted cognitive-behavioral therapy for perinatal depression delivered by lived-experience peers: a cluster-randomized noninferiority trial

Nature Medicine, Год журнала: 2025, Номер unknown

Опубликована: Апрель 8, 2025

Язык: Английский

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