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1.
Pediatrics ; 146(4)2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32928988

RESUMO

CONTEXT: Adolescents with problematic substance use (SU) are at risk for far-reaching adverse outcomes. OBJECTIVE: Synthesize the evidence regarding the effects of brief behavioral interventions for adolescents (12-20 years) with problematic SU. DATA SOURCES: We conducted literature searches in Medline, the Cochrane Central Register of Controlled Trials, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycInfo through October 31, 2019. STUDY SELECTION: We screened 33 272 records and citations for interventions in adolescents with at least problematic SU, retrieved 1831 articles, and selected 22 randomized controlled trials of brief interventions meeting eligibility criteria for meta-analysis. DATA EXTRACTION: We followed Agency for Healthcare Research and Quality guidelines. We categorized brief interventions into components, including motivational interviewing (MI), psychoeducation, and treatment as usual. Outcomes included SU (abstinence, days used per month) for alcohol and cannabis, and substance-related problem scales. Strength of evidence (SoE) was assessed. RESULTS: Both pairwise and network meta-analyses were conducted by using random effects models. Compared to treatment as usual, the use of MI reduces heavy alcohol use days by 0.7 days per month (95% credible interval [CrI]: -1.6 to 0.02; low SoE), alcohol use days by 1.1 days per month (95% CrI -2.2 to -0.3; moderate SoE), and overall substance-related problems by a standardized net mean difference of 0.5 (95% CrI -1.0 to 0; low SoE). The use of MI did not reduce cannabis use days, with a net mean difference of -0.05 days per month (95% CrI: -0.26 to 0.14; moderate SoE). LIMITATIONS: There was lack of consistently reported outcomes and limited available comparisons. CONCLUSIONS: The use of MI reduces heavy alcohol use, alcohol use days, and SU-related problems in adolescents but does not reduce cannabis use days.


Assuntos
Entrevista Motivacional , Psicoterapia Breve , Transtornos Relacionados ao Uso de Substâncias/terapia , Adolescente , Humanos
2.
Evid Based Dent ; 21(3): 110-111, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32978546

RESUMO

Aim To investigate the differential preventive effect of motivational interviewing on early childhood caries according to socioeconomic variables in a primary healthcare setting. Trial design Randomised, double-blind trial with two parallel groups, based in a community setting.Study population Selected from an invited subgroup of children born in 2013 and 2014 in the northern area of the city of Porto Alegre, Rio Grande do Sul, BrazilInterventions Primary caregivers of the patients were randomised to receive information about breastfeeding, child nutrition and oral hygiene during an initial dental appointment in the patient's first year of life either by conventional delivery techniques or by motivational interviewing.Outcomes Analysis of dmfs index from clinical examinationResults Nine-hundred and fifteen patients were randomised to the two arms and 414 children were included in the study, with 501 lost to follow up. One-hundred and eighty-six received conventional health education, and 228 received motivational interviewing. The caries rate per 100 surface year was 1.29 for the conventional education group, and 0.46 for the motivational interviewing group. The effect of motivational interviewing was statistically significant in the lower-income category with prevention of 57% of carious lesions. There was no such statistically significant difference in the higher income subjects.Conclusions The outcome showed reduced caries experience by children where their primary caregiver has received preventative advice via a motivational interviewing technique when compared to conventional education methods. This study suggests that motivational interviewing is more effective in more disadvantaged groups.


Assuntos
Cárie Dentária , Entrevista Motivacional , Cuidadores , Criança , Pré-Escolar , Método Duplo-Cego , Humanos , Higiene Bucal
3.
AIDS Educ Prev ; 32(3): 260-270, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32749877

RESUMO

We implemented HPTN 062, an acceptability and feasibility study of a motivational-interviewing (MI) intervention to reduce HIV transmission among individuals with acute HIV infection (AHI) in Lilongwe, Malawi. Participants were randomly assigned to receive either brief education or the MI intervention over 24 weeks; all participants received the same messages about AHI. We used mixed methods to assess participants' understanding of the association between AHI and viral load, and its connection to sexual behavior at 8 weeks. While most participants understood key aspects of AHI, MI-intervention participants gave substantially more detailed descriptions of their understanding. Nearly all participants, regardless of study arm, understood that they were highly infectious and would be very likely to transmit HIV after unprotected sex during AHI. Our findings suggest that messages about AHI delivered during the period of AHI are likely beneficial for ensuring that those with AHI understand their level of infectiousness and its association with forward transmission.


Assuntos
Fármacos Anti-HIV/uso terapêutico , Transmissão de Doença Infecciosa/prevenção & controle , Infecções por HIV/tratamento farmacológico , Infecções por HIV/psicologia , Entrevista Motivacional , Educação de Pacientes como Assunto/métodos , Comportamento Sexual , Doença Aguda , Adulto , Estudos de Viabilidade , Feminino , Infecções por HIV/prevenção & controle , Infecções por HIV/transmissão , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Malaui , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Comportamento Sexual/psicologia , Comportamento Sexual/estatística & dados numéricos , Sexo sem Proteção , Carga Viral , Adulto Jovem
4.
J Am Dent Assoc ; 151(9): 650-659, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32854867

RESUMO

BACKGROUND: The authors aimed to assess the scientific evidence on motivational interviewing for the clinical reduction of early childhood caries compared with traditional dental health education. METHODS: Search terms were selected on the basis of Medical Subject Headings and non-Medical Subject Headings terms. The main key words were motivational interviewing, early childhood caries, and education. Potentially eligible studies involved the clinical assessment of caries rate in children whose parents or caregivers received motivational interviewing as an intervention. The authors assessed the risk of bias using the Cochrane risk-of-bias tool. In March 2019, the authors performed an electronic database search of literature published in English within the following databases: Scopus, Cochrane, PubMed, and Embase. RESULTS: Of 329 articles retrieved initially, 14 were eligible for inclusion in the systematic review and 3 articles contributed to the meta-analysis. For statistical analysis, the mean difference of continuous data was analyzed at a 95% confidence interval using the random-effects model. CONCLUSIONS: Overall, the evidence presented in this review was limited. Although the results of the meta-analysis showed that motivational interviewing is as effective as dental health education in controlling early childhood caries, we need more and better designed and reported interventions to assess its impact on early childhood caries accurately.


Assuntos
Cárie Dentária , Entrevista Motivacional , Cuidadores , Criança , Pré-Escolar , Gerenciamento de Dados , Humanos , Pais
5.
Gerodontology ; 37(3): 279-287, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32643211

RESUMO

OBJECTIVES: We conducted a trial to assess the treatment fidelity of an individual-based oral health education intervention utilising motivational interviewing (MI) techniques and its efficacy when compared to a group-based traditional oral health education intervention (TOHE) and a standard of care group (SC) in a sample from Philadelphia during a 12-month follow-up. BACKGROUND: There is lack of information on how different types of oral health educational interventions affect older adults on non-clinical outcomes including changes in oral health-related quality of life (OHRQoL), oral health self-efficacy (SE) and oral health knowledge (OHK). MATERIALS AND METHODS: One hundred and eighty patients were randomly allocated to TOHE, MI and SC groups. Treatment fidelity was measured in 16 non-study patients. The MI intervention was administered by a public health dental hygienist (PHDH). All interviews were audio-recorded and coded by an expert using the Motivational Interviewing Treatment Integrity (MITI) Code. Multivariable longitudinal regression analyses accounting for baseline demographics and correlated errors due to repeated measures via generalised estimating equation were conducted following an intention to treat approach. RESULTS: Over the 1-year follow-up, SE and OHRQoL scores significantly improved amongst the MI group whereas both outcomes worsened amongst the SC group. During the same period, SE and OHRQoL did not change in the TOHE group. CONCLUSION: Findings from the study support the fidelity of this intervention and the improvement of all non-clinical outcomes after 12 months amongst the MI group.


Assuntos
Entrevista Motivacional , Idoso , Educação em Saúde Bucal , Humanos , Saúde Bucal , Philadelphia , Qualidade de Vida
6.
Psychol Trauma ; 12(S1): S115-S117, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32525386

RESUMO

During the COVID-19 pandemic, trauma-exposed individuals may have heightened risk for substance use. Using substances to cope may contribute to the development of problematic substance use over time. It is imperative to initiate conversations about substance use with clients during this time and motivational interviewing offers an ideal framework for doing so. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Infecções por Coronavirus , Entrevista Motivacional , Pandemias , Pneumonia Viral , Trauma Psicológico/terapia , Estresse Psicológico/terapia , Transtornos Relacionados ao Uso de Substâncias/terapia , Adulto , Humanos
7.
J Evid Based Soc Work (2019) ; 17(4): 469-485, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32500825

RESUMO

PURPOSE: The purpose of this study was to understand the importance of research-supported practice for batterer intervention programs. METHODS: This study applied descriptive statistics and chi-square analyses to a novel dataset from the Domestic Violence Perpetrator Treatment Survey (N = 411). This was a 69-item survey developed by domestic violence providers and researchers to understand the role of research-supported practice in the treatment of intimate partner violence (IPV). RESULTS: This study found statistically significant differences between Duluth oriented programs and Cognitive Behavioral Therapy (CBT) oriented programs with respect to the importance of research-supported practices and motivational interviewing, a strategy found effective in treatment of IPV by extant research. DISCUSSION: There appears to have been an evolution among practitioners toward more eclecticism, and an acknowledgment that programs should be research-supported. CONCLUSION: Implications of this study for education and treatment are discussed.


Assuntos
Pessoal Técnico de Saúde/normas , Terapia Comportamental/métodos , Terapia Cognitivo-Comportamental/métodos , Vítimas de Crime/reabilitação , Violência por Parceiro Íntimo/psicologia , Licenciamento/normas , Competência Profissional/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Vítimas de Crime/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Entrevista Motivacional/normas , Papel Profissional
9.
Psychol Trauma ; 12(S1): S115-S117, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: covidwho-596133

RESUMO

During the COVID-19 pandemic, trauma-exposed individuals may have heightened risk for substance use. Using substances to cope may contribute to the development of problematic substance use over time. It is imperative to initiate conversations about substance use with clients during this time and motivational interviewing offers an ideal framework for doing so. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Infecções por Coronavirus , Entrevista Motivacional , Pandemias , Pneumonia Viral , Trauma Psicológico/terapia , Estresse Psicológico/terapia , Transtornos Relacionados ao Uso de Substâncias/terapia , Adulto , Humanos
10.
Einstein (Sao Paulo) ; 18: eAO5268, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32428066

RESUMO

Objective To evaluate the effect of an interdisciplinary intervention with a motivational approach on exercise capacity and usual physical activity levels in overweight and obese adolescents. Methods This is a randomized, controlled clinical trial with single blinding of subjects. Adolescents aged 15 to 18 years with overweight and obesity (body mass index ≥ 85 percentile) were included. The adolescents were randomized into two groups: interdisciplinary intervention or control - traditional approach aiming at lifestyle modifications. The initial evaluations were carried out, including the cardiopulmonary exercise test and the physical activity level measurement by using the International Physical Activity Questionnaire and a pedometer. The evaluations were performed in two moments: time zero (time of inclusion in the study) and after 3 months (end of intervention). There were 12 sessions with weekly meetings. Results A total of 37 participants were included, 19 in the Intervention Group. There were no significant differences in the baseline demographic, anthropometric and physical activity characteristics between groups, with mean age of 17.3±1.0 years in the Control Group, and 16.8±0.9 years in the Intervention Group (p=0.14). The motivational intervention did not cause significant differences (p>0.05) in the comparison of the variables of exercise capacity and usual physical activity (questionnaire and pedometer) between groups. Conclusion The intervention with a motivational approach did not alter exercise capacity and levels of usual physical activity in overweight and obese adolescents. Clinical Trial Registry: NCT02455973 and REBEC: RBR-234nb5.


Assuntos
Tolerância ao Exercício/fisiologia , Exercício Físico/psicologia , Motivação/fisiologia , Entrevista Motivacional/métodos , Sobrepeso/psicologia , Adolescente , Índice de Massa Corporal , Teste de Esforço/psicologia , Feminino , Humanos , Estilo de Vida , Masculino , Obesidade/psicologia , Obesidade/terapia , Método Simples-Cego , Inquéritos e Questionários
11.
Dent Clin North Am ; 64(3): 559-569, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32448459

RESUMO

Motivational interviewing (MI) is an evidence-based approach to resolving patient ambivalence to change. MI techniques can be effectively used by dentists in assessing and managing substance use risk and may add minimal time to the patient interview. Although MI's greatest utility has been in the area of improving general oral hygiene in order to reduce caries and other preventable conditions, its use in addressing controlled substance risk is well established in other health care disciplines. These techniques do not require special training in mental health assessment and can be effectively used by dentists and dental hygienists.


Assuntos
Cárie Dentária , Entrevista Motivacional , Humanos , Motivação , Higiene Bucal
12.
Pediatrics ; 145(Suppl 2): S165-S174, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32358207

RESUMO

Various states have legalized marijuana for medical purposes and/or decriminalized recreational marijuana use. These changes coincide with a decrease in perceived harmfulness of the drug and an increase in its use among youth. This change is of critical concern because of the potential harmful impact of marijuana exposure on adolescents. Marijuana use has been associated with several adverse mental health outcomes, including increased incidence of addiction and comorbid substance use, suicidality, and new-onset psychosis. Negative impacts on cognition and academic performance have also been observed. As the trend toward legalization continues, the pediatric community will be called on to navigate the subsequent challenges that arise with changing policies. Pediatricians are uniquely positioned to provide innovative care and educate youth and families on the ever-evolving issues pertaining to the impact of marijuana legalization on communities. In this article, we present and analyze the most up-to-date data on the effects of legalization on adolescent marijuana use, the effects of adolescent use on mental health and cognitive outcomes, and the current interventions being recommended for use in pediatric office settings.


Assuntos
Legislação de Medicamentos , Uso da Maconha/legislação & jurisprudência , Adolescente , Comorbidade , Estudos Transversais , Humanos , Uso da Maconha/efeitos adversos , Uso da Maconha/epidemiologia , Uso da Maconha/terapia , Maconha Medicinal/efeitos adversos , Maconha Medicinal/uso terapêutico , Transtornos Mentais/epidemiologia , Entrevista Motivacional , Psicoterapia Breve , Estados Unidos , Adulto Jovem
13.
J Clin Psychiatry ; 81(3)2020 05 12.
Artigo em Inglês | MEDLINE | ID: mdl-32412702

RESUMO

Individuals with schizophrenia can achieve the ultimate goal of treatment-recovery. However, patients are often nonadherent to prescribed medication regimens, leading to relapses and significantly decreasing their chances of ever reaching this goal. By implementing patient-centered assessment and evidence-based pharmacologic and psychosocial interventions, such as LAI antipsychotics, cognitive-behavioral therapy, and motivational interviewing, clinicians can improve medication adherence and enhance the potential for functional recovery.


Assuntos
Antipsicóticos/uso terapêutico , Tomada de Decisão Compartilhada , Assistência Centrada no Paciente , Esquizofrenia/terapia , Antipsicóticos/administração & dosagem , Terapia Cognitivo-Comportamental , Terapia Combinada , Preparações de Ação Retardada , Humanos , Entrevista Motivacional , Medidas de Resultados Relatados pelo Paciente , Assistência Centrada no Paciente/métodos , Esquizofrenia/tratamento farmacológico
14.
BMC Public Health ; 20(1): 696, 2020 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-32414347

RESUMO

BACKGROUND: The PAPHIO study; a randomized controlled trial with 2X2 crossover design will implement a self-directed physical activity program in which participants will engage in self-monitoring and receive motivational interviewing to enhance physical activity adherence. The study aims to determine the effects of 24 weeks self-directed activity combined with motivational interviewing (MI) on (i) psychological health, (ii) quality of life (QoL) and (iii) immune function in female breast cancer survivors. METHODS: The study will recruit 64 female breast cancer survivors within 3 years of diagnosis and at least 6 months post primary treatments at Western Health Sunshine Hospital, Melbourne, Australia. They will be randomly allocated to immediate intervention (IIG group) or delayed intervention groups (DIG group) in a 1:1 ratio. All participants will be given a wearable device (Fitbit Alta HR) and undertake self-directed physical activity for 24 weeks and will receive MI for 12 weeks (IIG; during week 0 to week 12 and DIG; during week 13 to week 24). Participants' daily step count and the changes of immune cell functionality will be assessed at the beginning (week 1: T1), week 12 (T2) and week 24 (T3) of the program. Physical activity adherence will be assessed at T2 and T3. Participants will also complete four questionnaires assessing exercise self-regulation (BREQ2), exercise barrier and task self-efficacy, mental health (DASS-21) and QoL (FACT-B) at three time points (T1 to T3). Linear-mixed models will be used to assess the relationship between physical activity volume by step counting and mental health (DASS-21), QoL (FACT-B), immune biomarkers, self-regulation (BREQ2) and self-efficacy at T1, T2 and T3;between 2 groups. DISCUSSION: We expect this physical activity intervention to be acceptable and beneficial to the participants in terms of psychological and immunological well-being with the potential outcomes to be implemented more widely at relatively low cost to these or other patient populations. TRIAL REGISTRATION: Australian New Zealand Clinical trials Registry- ACTRN12619001271190. Prospectively registered on 13 September 2019.


Assuntos
Neoplasias da Mama/imunologia , Neoplasias da Mama/psicologia , Sobreviventes de Câncer/psicologia , Exercício Físico/psicologia , Saúde Mental , Fatores Etários , Austrália , Estudos Cross-Over , Feminino , Nível de Saúde , Humanos , Entrevista Motivacional/métodos , Qualidade de Vida , Projetos de Pesquisa , Autoeficácia , Inquéritos e Questionários , Sobreviventes , Dispositivos Eletrônicos Vestíveis
15.
BMC Public Health ; 20(1): 420, 2020 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-32228532

RESUMO

BACKGROUND: Depression is a major risk factor for the morbidity and mortality of cardiovascular disease. A transtheoretical model-based intervention and motivational interviewing have been used to change health risk behaviors and have demonstrated positive effects. To our knowledge, no studies of patients with coronary heart disease (CHD) have used a transtheoretical model-based intervention and motivational interviewing as an intervention to provide dynamic education. Therefore, this study aimed to determine the effects of the transtheoretical model-based intervention and motivational interviewing on the management of depression in hospitalized patients with CHD. METHOD: A randomized controlled trial was designed. A total of 110 participants were randomly divided into an intervention group (n = 55) and a control group (n = 55). The Hamilton Rating Scale for Depression and the Depression Prevention & Management Survey items (stages of change, perceived benefits, perceived barriers, process of change and self-efficacy) were used to collect data at all time points. Analysis of covariance, chi-square test and repeated measures analysis of variance were used to analyze the data. RESULTS: After the intervention, there were more positive changes in stages of change, higher scores for the cognitive and behavioral levels, the perceived benefits, and self-efficacy, and lower perceived barriers and depression in the intervention group than in the control group. Finally, there were statistically significant differences in the depression scores at different time points in the intervention group (F = 17.814, p = 0.000 < 0.01). CONCLUSIONS: The study showed that a transtheoretical model-based intervention and motivational interviewing exert positive effects on the management of depression in hospitalized patients with CHD. TRIAL REGISTRATION: Clinicaltrials.gov, NCT03953924 (Date assigned: 16/5/2019). Retrospectively registered.


Assuntos
Terapia Comportamental/métodos , Doença das Coronárias/psicologia , Depressão/terapia , Pacientes Internados/psicologia , Modelos Teóricos , Entrevista Motivacional/métodos , Idoso , Depressão/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Autoeficácia , Resultado do Tratamento
16.
BMC Oral Health ; 20(1): 90, 2020 03 29.
Artigo em Inglês | MEDLINE | ID: mdl-32223762

RESUMO

BACKGROUND: Decades of epidemiological studies have documented high rates of early childhood caries (ECC) among American Indian and Alaska Native (AIAN) children. The aim of this pilot study was to investigate if a motivational interviewing (MI) intervention improved oral self-care behaviors of AIAN caregivers of infants, and determine if the MI intervention promoted positive changes in caregivers' ECC risk-related behaviors. METHODS: Caregivers of infants presenting for well- child visits in a medical clinic were randomized to treatment and control groups. At the first visit, a caries risk test (CRT) for cariogenic bacteria was completed for both groups. The Parental Care of Child's Teeth (PCCT) was administered at the second visit and used to assess ECC risk-related behaviors. Over the course of four well-child visits, caregivers in the treatment group participated in a MI discussion focusing on behavior changes and desired outcomes for their personal oral health and their child's. The duration of the intervention was 1 year. The control group was given oral health information traditionally provided at well-child visits. At the fourth well-child visit, the CRT and PCCT questionnaire were administered again. RESULTS: The mean bacterial load for mutans streptococcus (MS) was similar at both visits. A slight reduction in the mean bacterial levels of lactobacilli was observed in both the test and control groups after the last visit, although not at a level of statistical significance. The treatment group showed minimal improvement in child feeding practices and nighttime bottle habits. CONCLUSIONS: Motivational Interviewing had little effect on oral self-care behaviors as measured by bacterial load, nor did MI reduce parental risk related behavior for early childhood caries. TRIAL REGISTRATION: Clinicaltrials.gov# NCT04286256. Retrospectively registered, February 26, 2020.


Assuntos
Cárie Dentária/prevenção & controle , Entrevista Motivacional , Saúde Bucal , Pais/psicologia , Criança , Pré-Escolar , Comportamentos Relacionados com a Saúde , Humanos , Lactente , Projetos Piloto
17.
BMC Public Health ; 20(1): 482, 2020 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-32293391

RESUMO

BACKGROUND: The first 1000 days after conception are a critical period to encourage lifestyle changes to reduce the risk of childhood obesity and early programming of chronic diseases. A healthy lifestyle during pregnancy is also crucial to avoid high post-partum weight retention. Currently, lifestyle changes are not consistently discussed during routine health services in Germany. The objective of this study is to evaluate a novel computer-assisted lifestyle intervention embedded in prenatal visits and infant check-ups. The intervention seeks to reduce lifestyle-related risk factors for overweight and obesity among expecting mothers and their infants. METHODS: The study is designed as a hybrid effectiveness-implementation trial to simultaneously collect data on the effectiveness and implementation of the lifestyle intervention. The trial will take place in eight regions of the German state Baden-Wuerttemberg. Region were matched using propensity score matching. Expecting mothers (n = 1860) will be recruited before 12 weeks of gestation through gynecological practices and followed for 18 months. During 11 routine prenatal visits and infant check-ups gynecologists, midwives and pediatricians provide lifestyle counseling using Motivational Interviewing techniques. The primary outcome measure is the proportion of expecting mothers with gestational weight gain within the recommended range. To understand the process of implementation (focus group) interviews will be conducted with providers and participants of the lifestyle intervention. Additionally, an analysis of administrative data and documents will be carried out. An economic analysis will provide insights into cost and consequences compared to routine health services. DISCUSSION: Findings of this study will add to the evidence on lifestyle interventions to reduce risk for overweight and obesity commenced during pregnancy. Insights gained will contribute to the prevention of early programming of chronic disease. Study results regarding implementation fidelity, adoption, reach and cost-effectiveness of the lifestyle intervention will inform decisions about scale up and public funding. TRIAL REGISTRATION: German Clinical Trials Register (DRKS00013173). Registered 3rd of January 2019, https://www.drks.de.


Assuntos
Estudos de Avaliação como Assunto , Promoção da Saúde/métodos , Estilo de Vida Saudável , Cuidado do Lactente , Obesidade/prevenção & controle , Complicações na Gravidez/prevenção & controle , Cuidado Pré-Natal , Adolescente , Adulto , Aconselhamento , Feminino , Alemanha , Pessoal de Saúde , Humanos , Lactente , Masculino , Mães , Entrevista Motivacional , Sobrepeso/prevenção & controle , Obesidade Pediátrica/prevenção & controle , Gravidez , Projetos de Pesquisa , Fatores de Risco , Ganho de Peso
18.
J Clin Psychiatry ; 81(3)2020 04 14.
Artigo em Inglês | MEDLINE | ID: mdl-32297720

RESUMO

Syndromal recovery, satisfactory quality of life, and adequate functionality are relevant goals that define successful treatment of schizophrenia. Recovery requires effective symptom control in multiple clinical domains but also sufficient self-care and social and educational/vocational functionality. The finding that residual negative and cognitive symptoms have been related strongly to inadequate levels of functioning in people with schizophrenia is related to the fact that current pharmacologic agents tend to be most effective for the positive symptoms of the disease. Additional challenges include psychiatric comorbidities and adverse events related to medication that can lead to secondary negative and cognitive symptoms and nonadherence, all of which can worsen outcomes. Treatment modalities that target cognition and functional rehabilitation without introducing tolerability issues are needed. In general, pharmacologic interventions should be combined with evidence-based nonpharmacologic treatments, and patient-reported outcomes as well as measurement-based care should be employed, ideally in a coordinated specialty care framework. To facilitate positive treatment decisions, a combined shared decision and motivational interviewing approach should be implemented.


Assuntos
Preferência do Paciente , Assistência Centrada no Paciente/métodos , Esquizofrenia/terapia , Antipsicóticos , Tomada de Decisão Compartilhada , Humanos , Entrevista Motivacional , Medidas de Resultados Relatados pelo Paciente , Indução de Remissão , Esquizofrenia/tratamento farmacológico , Esquizofrenia/reabilitação
19.
BMC Public Health ; 20(1): 276, 2020 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-32111199

RESUMO

BACKGROUND: When returning to work after being on long-term sick leave, individuals may experience varying levels of motivation and self-efficacy. Motivational interviewing (MI) is a counseling style that aims to increase motivation towards change, and it may be useful in the return to work (RTW) process. The aim of this study was to explore sick-listed workers' experiences with MI in the RTW process. METHODS: This qualitative study was part of a randomized controlled trial evaluating the effects of MI on the RTW process, and it was administered by caseworkers at the Norwegian Labor and Welfare Administration. Sixteen sick-listed individuals, aged 33-60, participated in semi-structured interviews. All had a sick leave status of 50-100% for at least 8 weeks when interviewed and all had completed 2 MI sessions. The data was analyzed with systematic text condensation. RESULTS: Participants' experiences of the MI sessions were categorized into three themes: (1) relationship with the MI caseworker, (2) normalizing sick leave, and (3) adjusting RTW strategies. The MI sessions were experienced as a positive encounter due to the supportive relationship that was built between the MI caseworker and the sick-listed worker. Being sick listed led to feelings of guilt and stigmatization, but acceptance and support from the MI caseworkers helped normalize the situation for the sick-listed workers. Furthermore, MI sessions allowed for personalized feedback and discussions on adjustments to their RTW strategies. CONCLUSION: Sick-listed workers experienced MI as positive due to the good relationship that developed with the MI caseworker, how this normalized sick leave, and the help they received with adjusting their RTW strategies. Professionals working with individuals attempting to RTW may benefit from using MI as a method for helping sick-listed workers to RTW. TRIAL REGISTRATION: ClinicalTrials.gov: NCT03212118 (registered July 11, 2017).


Assuntos
Entrevista Motivacional , Retorno ao Trabalho/psicologia , Licença Médica/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Noruega , Pesquisa Qualitativa , Autoeficácia
20.
Rev Infirm ; 69(257): 43-44, 2020 Jan.
Artigo em Francês | MEDLINE | ID: mdl-32146967

RESUMO

In the field of addictology, care integrates activities that reactivate forgotten senses, emotions and postures. A "Photographs" workshop, led by a nurse in the addictology department, was modulated into a "Brief group photo-motivational intervention" to help people quit smoking. From this experience emerged an educational sequence of "Photo-Expression" integrated into the patient's therapeutic education programme "Help to stop smoking".


Assuntos
Abandono do Hábito de Fumar/métodos , Humanos , Entrevista Motivacional , Educação de Pacientes como Assunto , Fotografação , Psicoterapia Breve , Psicoterapia de Grupo
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