3 research outputs found
Effects and mechanisms of mindfulness training and physical exercise on cognition, emotional wellbeing, and brain outcomes in chronic stroke patients : Study protocol of the MindFit project randomized controlled trial
Post-stroke cognitive and emotional complications are frequent in the chronic stages of stroke and have important implications for the functionality and quality of life of those affected and their caregivers. Strategies such as mindfulness meditation, physical exercise (PE), or computerized cognitive training (CCT) may benefit stroke patients by impacting neuroplasticity and brain health. One hundred and forty-one chronic stroke patients are randomly allocated to receive mindfulness-based stress reduction + CCT (n = 47), multicomponent PE program + CCT (n = 47), or CCT alone (n = 47). Interventions consist of 12-week home-based programs five days per week. Before and after the interventions, we collect data from cognitive, psychological, and physical tests, blood and stool samples, and structural and functional brain scans. The effects of the interventions on cognitive and emotional outcomes will be described in intention-to-treat and per-protocol analyses. We will also explore potential mediators and moderators, such as genetic, molecular, brain, demographic, and clinical factors in our per-protocol sample. The MindFit Project is a randomized clinical trial that aims to assess the impact of mindfulness and PE combined with CCT on chronic stroke patients' cognitive and emotional wellbeing. Furthermore, our design takes a multimodal biopsychosocial approach that will generate new knowledge at multiple levels of evidence, from molecular bases to behavioral changes. , identifier NCT04759950
Effects and mechanisms of mindfulness training and physical exercise on cognition, emotional wellbeing, and brain outcomes in chronic stroke patients: Study protocol of the MindFit project randomized controlled trial
Background: Post-stroke cognitive and emotional complications are frequent in the chronic stages of stroke and have important implications for the functionality and quality of life of those affected and their caregivers. Strategies such as mindfulness meditation, physical exercise (PE), or computerized cognitive training (CCT) may benefit stroke patients by impacting neuroplasticity and brain health. Materials and methods: One hundred and forty-one chronic stroke patients are randomly allocated to receive mindfulness-based stress reduction + CCT (n = 47), multicomponent PE program + CCT (n = 47), or CCT alone (n = 47). Interventions consist of 12-week home-based programs five days per week. Before and after the interventions, we collect data from cognitive, psychological, and physical tests, blood and stool samples, and structural and functional brain scans. Results: The effects of the interventions on cognitive and emotional outcomes will be described in intention-to-treat and per-protocol analyses. We will also explore potential mediators and moderators, such as genetic, molecular, brain, demographic, and clinical factors in our per-protocol sample. Discussion: The MindFit Project is a randomized clinical trial that aims to assess the impact of mindfulness and PE combined with CCT on chronic stroke patients' cognitive and emotional wellbeing. Furthermore, our design takes a multimodal biopsychosocial approach that will generate new knowledge at multiple levels of evidence, from molecular bases to behavioral changes. Clinical trial registration: www.ClinicalTrials.gov, identifier NCT04759950
El hospital como centro promotor de espacios sin humo: Estrategias dirigidas al control del tabaquismo
The objective of this study was to describe the measures
introduced at the Hospital Germans Trias i Pujol,
Barcelona, aimed at achieving a smoke-free environment,
and encouraging research, training, and clinical approaches
with respect to smoking. The experience gained as
a center attached to the Catalan Network of Smokeless
Hospitals since 2002 shows that preventing and controlling
smoking requires a specific agenda developed by a
competent committee comprising workers from all hospital
areas. Likewise, coordination with other centers in
the network is essential as it permits the sharing of experiences.
The involvement of hospital management is critical
for the effective introduction of health protection and
promotion strategies, both in workers and in users. The
raising of awareness and the ongoing training of all health
workers and coordination with other health care providers
in the health network are the main aspects that require
strengthening in the future.El objetivo de este trabajo fue describir las medidas
llevadas a cabo en el Hospital Germans Trias i Pujol de
Barcelona, destinadas a conseguir un entorno libre de
humo, así como al desarrollo de actividades de investigación,
formación y abordaje clínico en relación al tabaquismo.
La experiencia como centro adherido a la Red
Catalana de Hospitales Sin Humo desde 2002 nos revela
que para la prevención y control del tabaquismo es necesaria
una agenda específica desarrollada por un Comité
competente, compuesto por trabajadores de diferentes estamentos
y servicios del centro. Del mismo modo, consideramos
fundamental la coordinación con otros centros
de la Red que permita compartir experiencias, así como
la implicación de la Dirección del Centro para la implementación
efectiva de las estrategias de promoción y protección
de la salud, tanto en los trabajadores como en los
usuarios. La sensibilización y formación continuada de
todo el personal sanitario y la coordinación con otros servicios
proveedores de salud de la red sanitaria se perfilan
como los principales puntos a reforzar en el futuro