10 research outputs found

    Ultra-Brief CBT for Primary Care Visits: Pilot Training and Implementation

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    This study evaluated the feasibility and acceptability of an Ultra-Brief Cognitive-Behavioral Therapy (UB-CBT) intervention for depression and anxiety symptoms in routine primary care visits. The UB-CBT is responsive to the limited access to specialized mental health services, particularly evidence-based interventions, for individuals with depressive and anxiety disorders in the U.S. Most Americans with symptoms of depression and anxiety first report their concerns to their primary care provider (PCP) in routine visits, and the UB-CBT was designed to provide tools for managing these symptoms during these interactions. The UB-CBT training workshop was developed and piloted with 38 providers at three adult primary care and four family medicine sites in Vermont. PCPs completed questionnaires before and after the training. Data were analyzed using mixed qualitative and quantitative methods. Regarding training targets, most providers (79.7%) reported that they learned new information about depression and anxiety treatment and even more providers (88.6%) learned new information about how to address these symptoms in visits. From pre- to post-training, mean scores for provider attitudes toward psychotherapy and perceived competence talking to patients about mental health symptoms and therapy increased, but means scores for perceived comfort in talking to patients about mental health concerns decreased slightly. Data illustrated that most providers found the training and intervention highly feasible and acceptable. Providers especially liked the user friendliness and general feasibility of the intervention. Providers offered ideas about developing online versions of the material and raised some concerns about their ability to administer the intervention in a timely manner. The discussion outlines several steps that will address these concerns and improve the UB-CBT training experience and intervention. The UB-CBT intervention and training program have potential to increase patient access to mental health tools in primary care

    Personality Pathology in Seasonal Affective Disorder

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    Winter seasonal affective disorder (SAD) is a recurrent form of major depressive disorder that occurs in the fall and winter months. Light therapy and cognitive-behavioral therapy are two empirically supported treatments for SAD. However, limited research has examined prescriptive and prognostic factors for treatment outcomes in this population. Some research suggests personality pathology may impact treatment outcomes in depression, although reviews produce differing conclusions. The present study will explore the frequency of personality pathology (i.e., personality disorders and traits) using the Millon Clinical Multiaxial Inventory-III in a sample of individuals with SAD who participated in a randomized clinical trial for light therapy or cognitive-behavioral therapy. We plan to examine if personality pathology predicts treatment outcomes, and if it does, we will explore if treatment type moderates this relationship

    Strategies for Annotating Portfolios: Mapping Designs for New Domains

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    In this paper, we extend the concept of annotated portfolios to include designs for new domains. Although annotated portfolios were intentionally left open to interpretation and appropriation, most of the published research that uses this method to articulate intermediate knowledge focuses on annotation strategies that abstract new knowledge about the qualities of interaction and about the design domain. We suggest that annotations can do more than pull towards concerns regarding abstraction and show that several not so very theoretical, but relevant findings can be achieved using other strategies. Two additional strategies are brought forward to illustrate this: a chronological design trajectory that shows the historical account of new domain explorations, and a design ecosystem strategy that aims to show how artefacts can work together. We apply all four strategies mentioned above and discuss how they contribute to revealing features of the design space for people with Myalgic Encephalomyelitis

    ENLIGHT: A consensus checklist for reporting laboratory-based studies on the non-visual effects of light in humansResearch in context

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    Summary: Background: There is no consensus on reporting light characteristics in studies investigating non-visual responses to light. This project aimed to develop a reporting checklist for laboratory-based investigations on the impact of light on non-visual physiology. Methods: A four-step modified Delphi process (three questionnaire-based feedback rounds and one face-to-face group discussion) involving international experts was conducted to reach consensus on the items to be included in the checklist. Following the consensus process, the resulting checklist was tested in a pilot phase with independent experts. Findings: An initial list of 61 items related to reporting light-based interventions was condensed to a final checklist containing 25 items, based upon consensus among experts (final n = 60). Nine items were deemed necessary to report regardless of research question or context. A description of each item is provided in the accompanying Explanation and Elaboration (E&E) document. The independent pilot testing phase led to minor textual clarifications in the checklist and E&E document. Interpretation: The ENLIGHT Checklist is the first consensus-based checklist for documenting and reporting ocular light-based interventions for human studies. The implementation of the checklist will enhance the impact of light-based research by ensuring comprehensive documentation, enhancing reproducibility, and enabling data aggregation across studies. Funding: Network of European Institutes for Advanced Study (NETIAS) Constructive Advanced Thinking (CAT) programme; Sir Henry Wellcome Postdoctoral Fellowship (Wellcome Trust, 204686/Z/16/Z); Netherlands Organisation for Health Research and Development VENI fellowship (2020–09150161910128); U.S. Department of Defense Grant (W81XWH-16-1-0223); National University of Singapore (NUHSRO/2022/038/Startup/08); and National Research Foundation Singapore (NRF2022-THE004-0002)

    History of sexology:paradigms, themes and debates

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    Child Outcome Measures in the Study of Child Care Quality

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    Mitochondrial form, function and signalling in aging

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