97 research outputs found
Are Aspects of a Motivational Interview Related to Subsequent Changes in Physical Activity and Regulatory Style? Examining Relationships among Patients with Rheumatoid Arthritis
Objectives: To determine whether the integrity of motivational interviewing (MI) delivery relates to short-term changes in physical activity (PA) and regulatory style within a sample of patients with rheumatoid arthritis, and to examine whether therapist proficiency in MI improves over time. Methods: During a randomized controlled trial to promote PA, 27 patients received a MI from one of three trained physical therapists, which was coded with the Motivational Interviewing Treatment Integrity scales (MITI). Pearson correlations examined associations between MITI scores and changes in PA and regulatory style. Linear regression examined therapist proficiency over time. Results: MIs with greater reflection-to-question ratios and higher MI proficiency scores were related to increases in PA. MIs higher in global spirit and with a greater percentage of MI-adherent behaviors were associated with decreases in introjected regulation. Therapist proficiency in MI delivery tended to improve over time. Conclusions: Characteristics of motivational interviews are related to favorable shifts in regulatory style and PA behavior. Although MI proficiency increases over time and with feedback, a 15-hour training course seems insufficient for physical therapists to obtain basic MI proficiency. Practice Implications: Providing feedback to therapists new to delivering MI seems to improve MI proficiency and should help therapists to avoid using MI-non-adherent techniques
Cognitive coping, goal self-efficacy and personal growth in HIV-infected men who have sex with men
Cognitive coping, goal self-efficacy and personal growth in HIV-infected men who have sex with men
Cognitive coping, goal self-efficacy and personal growth in HIV-infected men who have sex with men
A cross-cultural perspective on psychological determinants of chronic fatigue syndrome: A comparison between a portuguese and a dutch patient sample
Background Few studies focus on cross-cultural differences
in Chronic fatigue syndrome (CFS).
Purpose This study aimed to (1) compare fatigue severity
and impairment, somatic complaints, psychological distress,
and quality of life (QoL) in a population of Portuguese and
Dutch patients; (2) explore the differential contribution of
behavioral and cognitive determinants of fatigue severity;
and (3) investigate the relation between fatigue severity and
somatic complaints on one hand and QoL on the other in
both populations.
Method Eighty-five female patients from Portugal (Mean age0
47.54) and 167 female CFS patients from The Netherlands
(Mean age044.93) participated in the study. All participants
were surveyed for demographic and clinical characteristics,
fatigue severity, somatic symptoms, psychological distress,
(physical and psychological) QoL, physical activity, behavior
regulation patterns, and illness representations.
Results Cross-cultural differences were found in relation to
working status, duration of fatigue symptoms, psychological
distress, somatic complaints, and psychological QoL. Although
behavioral characteristics and illness representations
were significantly associated with fatigue severity in both
Portuguese and Dutch patients, there were important differences
in the determinants of CFS. Moreover, higher levels
of fatigue and severity of other somatic complaints were
related to poor QoL.
Conclusions These findings show cross-cultural similarities
and differences in clinical characteristics and psychological
determinants of CFS that are important in view of diagnosis
and treatment
Effects of a cognitive behavioral self-help program and a computerized structured writing intervention on depressed mood for HIV-infected people:A pilot randomized controlled trial
Objective: The aim of the present study was to examine whether low-resource, cost-effective intervention programs can be effective in improving depressed mood in people with HIV. The efficacy of a cognitive-behavioral self-help program (CBS) and a computerized structured writing intervention (SWI) were tested in a pilot randomized controlled trial. Methods: Participants were members of a patient organization. They completed a pretest and posttest. The questionnaire included the HADS. Participants were randomly allocated to CBS (n=24), SWI (n=25) or a waiting list condition (WLC, n=24). To evaluate changes in the continuous outcome measure, a 3 × 2 (group × time) repeated measures ANCOVA was performed. Also, an ANCOVA was performed using change scores. Results: Respondents who followed the CBS improved significantly compared to the WLC. However, for people in the SWI condition no significant improvement on depression was found. Conclusion: This pilot study suggests that a low-resource, cost-effective CBS program seems to be effective in reducing depressed mood in people living with HIV. Practice implications: Because self-help programs can be delivered through regular mail or the internet, a high number of people could be reached while overcoming geographical and social barriers to treatment. © 2009 Elsevier Ireland Ltd
Coping, Goal Adjustment, and Psychological Well-Being in HIV-Infected Men Who Have Sex with Men
Protocol for the "four steps to control your fatigue (4-STEPS)" randomised controlled trial: a self-regulation based physical activity intervention for patients with unexplained chronic fatigue
<p>Abstract</p> <p>Background</p> <p>Unexplained Chronic Fatigue is a medical condition characterized by the presence of persistent, severe and debilitating medically unexplained fatigue, leading to impaired functioning and lower quality of life. Research suggests that physical activity can contribute to the reduction of fatigue and other somatic symptoms and can thus significantly improve physical functioning and quality of life in these patients. Based on the self-regulation (SR) theory of behaviour change, we developed a brief physical activity program for patients suffering from unexplained chronic fatigue which focuses on the training of self-regulation skills, the "4-STEPS to control your fatigue" program.</p> <p>Methods/Design</p> <p>This is a multi-centre, randomised controlled trial (RCT) that will be carried out in local primary care centres and at the Portuguese Fibromyalgia and Chronic Fatigue Syndrome Patients Association. Patients aged between 18 and 65 and fulfilling operationalized criteria for Idiopathic Chronic Fatigue (ICF) and Chronic Fatigue Syndrome (CFS) will be recruited and randomly allocated to standard care (SC) or standard care plus a self-regulation based physical activity program (4-STEPS). Patients will be assessed at baseline, after the intervention (3 months) and at 12 months follow-up. The primary outcome is fatigue severity.</p> <p>Discussion</p> <p>The results of the RCT will provide information about the effectiveness of a brief self-regulation intervention for promoting physical activity in patients with unexplained chronic fatigue. If the program proves to be effective, it may be considered as an adjunctive treatment for these patients.</p> <p>Trial Registration</p> <p>ISRCTN: <a href="http://www.anzctr.org.au/ISRCTN70763996.aspx">ISRCTN70763996</a></p
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