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Cho S, Park K, Jung D, Son G, Cho E, Choi KH. Development and validation of the core life activities scale. Front Psychol 2024; 15:1359276. [PMID: 38711750 PMCID: PMC11070542 DOI: 10.3389/fpsyg.2024.1359276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Accepted: 04/04/2024] [Indexed: 05/08/2024] Open
Abstract
Life activities profoundly influence well-being, mental health, and quality of life. The COVID-19 pandemic has heightened the importance of monitoring these activities for psychological and emotional health. However, existing measurement tools are limited, particularly for assessing psychological health. To address this gap, we developed and validated the Core Life Activities (CORE) scale, comprising five key factors (sleep, exercise, learning, diet, and social relationships) identified in neuroscience, cognitive psychology, and gerontology. In Study 1 (n = 1,137), exploratory and confirmatory factor analyses supported a single-factor structure with good model fit (χ2 = 6.377, df = 3, TLI = 0.992, CFI = 0.998, RMSEA = 0.031), demonstrating robust internal consistency (Cronbach's alpha = 0.776) and test-retest reliability (intraclass correlation coefficient = 0.522, p < 0.001). The CORE exhibited significant convergent validity with mental health screening tools for depressive and anxiety disorders and suicidality. Study 2 (n = 684) confirmed a significant correlation between CORE and the World Health Organisation Quality of Life Brief Version, complementing the convergent validity found in Study 1. In addition, discriminant validity was confirmed by a non-significant correlation with the COVID-19 Preventive Behavior Scale. The findings establish the CORE as a reliable and valid tool, offering a simple yet comprehensive measure for assessing core life activities with potential applications in diverse environments.
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Affiliation(s)
- Surin Cho
- School of Psychology, Korea University, Seoul, Republic of Korea
| | - Kiho Park
- School of Psychology, Korea University, Seoul, Republic of Korea
| | - Dawoon Jung
- School of Psychology, Korea University, Seoul, Republic of Korea
| | - Gaeun Son
- School of Psychology, Korea University, Seoul, Republic of Korea
| | - Eunsil Cho
- School of Psychology, Korea University, Seoul, Republic of Korea
- KU Mind Health Institute, Korea University, Seoul, Republic of Korea
- Mindeep CBT Center, Seoul, Republic of Korea
| | - Kee-Hong Choi
- School of Psychology, Korea University, Seoul, Republic of Korea
- KU Mind Health Institute, Korea University, Seoul, Republic of Korea
- Mindeep CBT Center, Seoul, Republic of Korea
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Beatton T, Chan HF, Dulleck U, Ristl A, Schaffner M, Torgler B. Positive affect and heart rate variability: a dynamic analysis. Sci Rep 2024; 14:7004. [PMID: 38523154 PMCID: PMC10961327 DOI: 10.1038/s41598-024-57279-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 03/15/2024] [Indexed: 03/26/2024] Open
Abstract
Traditional survey methods can provide noisy data arising from recall, memory and other biases. Technological advances (particularly in neuroscience) are opening new ways of monitoring physiological processes through non-intrusive means. Such dense continuous data provide new and fruitful avenues for complementing self-reported data with a better understanding of human dynamics and human interactions. In this study, we use a survey to collect positive affect (feelings) data from more than 300 individuals over a period of 24 h, and at the same time, map their core activities (5000 recorded activities in total) with measurements of their heart rate variability (HRV). Our results indicate a robust correlation between the HRV measurements and self-reported affect. By drawing on the neuroscience and wellbeing literature we show that dynamic HRV results are what we expect for positive affect, particularly when performing activities like sleep, travel, work, exercise and eating. This research provides new insights into how to collect HRV data, model and interpret it.
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Affiliation(s)
- Tony Beatton
- School of Economics and Finance, Queensland University of Technology, 2 George St, Brisbane, QLD, 4000, Australia
- Centre for Behavioural Economics, Society and Technology (BEST), 2 George St, Brisbane, QLD, 4000, Australia
- Australian Research Council Training Centre for Behavioural Insights for Technology Adoption (BITA), Queensland, 4000, Brisbane, Australia
| | - Ho Fai Chan
- School of Economics and Finance, Queensland University of Technology, 2 George St, Brisbane, QLD, 4000, Australia
- Centre for Behavioural Economics, Society and Technology (BEST), 2 George St, Brisbane, QLD, 4000, Australia
- Australian Research Council Training Centre for Behavioural Insights for Technology Adoption (BITA), Queensland, 4000, Brisbane, Australia
| | - Uwe Dulleck
- School of Economics and Finance, Queensland University of Technology, 2 George St, Brisbane, QLD, 4000, Australia
- Crawford School of Public Policy, Australian National University, Canberra, Australia
- Center for Economic Studies, CESifo Ludwig-Maximilians-Universität, Munich, Germany
- University of Canberra, Canberra, Australia
| | | | - Markus Schaffner
- Centre for Behavioural Economics, Society and Technology (BEST), 2 George St, Brisbane, QLD, 4000, Australia
| | - Benno Torgler
- School of Economics and Finance, Queensland University of Technology, 2 George St, Brisbane, QLD, 4000, Australia.
- Centre for Behavioural Economics, Society and Technology (BEST), 2 George St, Brisbane, QLD, 4000, Australia.
- CREMA-Center for Research in Economics, Management and the Arts, Südstrasse 11, 8008, Zürich, Switzerland.
- Australian Research Council Training Centre for Behavioural Insights for Technology Adoption (BITA), Queensland, 4000, Brisbane, Australia.
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Montero-Sandiego E, Ruiz-Robledillo N, Ferrer-Cascales R, Clement-Carbonell V, Alcocer-Bruno C, Albaladejo-Blázquez N. Spanish validation of the simple lifestyle indicator questionnaire: validity and reliability analysis. Front Public Health 2024; 11:1146010. [PMID: 38264245 PMCID: PMC10803412 DOI: 10.3389/fpubh.2023.1146010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 12/19/2023] [Indexed: 01/25/2024] Open
Abstract
Introduction It has been shown that lifestyle is a highly modifiable determinant having a direct effect on the health status. Therefore, short and simple questionnaires assessing the lifestyle of the general and clinical population are needed to create interventions on behavioral aspects that can improve the health status. The Simple Lifestyle Indicator Questionnaire (SLIQ) is a validated health scale in English that combines five lifestyle factors: diet, exercise, alcohol consumption, tobacco use, and stress level. The objective of this study was to validate the SLIQ questionnaire in Spanish by analyzing the scale's validity and reliability. Its discriminatory power of the scale was also examined by evaluating the differences in health outcomes according to the levels of adherence to a healthy lifestyle. Methods The sample consisted of 745 participants with an average age of 39.94 (SD: 16.99). A transcultural adaptation process was carried out to validate the SLIQ questionnaire in the Spanish context, to determinate the structural equivalence of the Spanish version as compared to the English version, and to assess the psychometric properties of the scale. PREDIMED and IPAQ scales were used to analyze the convergent validity of the Spanish version of the SLIQ regarding to diet and exercise, and the questionnaires SF-12 and DASS-21 questionnaires were used to assess the capacity of the Spanish version of the SLIQ to discriminate health status related to different levels of reported lifestyles. Results Regarding validity, the results indicate significant correlations between the different dimensions of the SLIQ questionnaire and those used as a reference. As for reliability, the test-retest analyses reveal a high temporal consistency for the scores obtained on the questionnaire. Finally, the differences found in anxiety, depression, and quality of life, with regard to the different levels of adherence in the SLIQ questionnaire, suggest that the questionnaire's Spanish version has adequate discriminatory power. Discussion The obtained correlation coefficients between the SLIQ and the other standardized measures pointed out the adequate convergent validity of the instrument. Moreover, the test-retest results demonstrated the stability of the results obtained through this questionnaire. Finally, the lifestyle categories derived from the SLIQ showed a high ability to discriminate between participants' health profiles. Hence, it can be concluded that the Spanish version of the SLIQ questionnaire is a valid and reliable tool for the quick and effective assessment of lifestyle.
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Affiliation(s)
| | - Nicolás Ruiz-Robledillo
- Department of Health Psychology, Faculty of Health Science, University of Alicante, Alicante, Spain
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Savaş M, Ödek Ö, Zincir H. The Turkish Validity and Reliability Study of the Healthy Lifestyle Screening Scale. J Nurs Meas 2023; 31:546-555. [PMID: 37553162 DOI: 10.1891/jnm-2021-0085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/10/2023]
Abstract
Background and Purpose: A healthy lifestyle is an important condition for the protection and improvement of the health of individuals. The aim of the study is to adapt the psychometric properties of the Turkish version of the Healthy Lifestyle Screening Tool (HLST) in adults and to analyze their healthy lifestyle levels. Methods: It is a methodological type of research. The factor structure of the scale was evaluated by exploratory and confirmatory factor analysis, and the sample of 377 adult individuals was evaluated with Cronbach's alpha value for reliability. Results: The Cronbach alpha value of the scale is 0.825 and it is above the accepted limit. In the seven-factor structure, 48.95% of the total variance was explained. The scale has 34 items and the factor loads of each item vary between 0.24-0.58. Confirmatory factor analysis was compatible with the data obtained with theoretical data. Conclusion: The Turkish version of the HLST scale is a valid and reliable scale that can be used to evaluate healthy lifestyle behaviors in adults.
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Affiliation(s)
- Mümin Savaş
- Department of Public Health Nursing, Faculty of Health Sciences, Adıyaman University, Adıyaman, Turkey
| | - Ömer Ödek
- Ministry of Health, Kayseri City Training and Research Hospital, Kayseri, Turkey
| | - Handan Zincir
- Department of Public Health Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey
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Alhalal E, Hadidi B, Saad AF, Hadidi JA. The Effect of Health Literacy on Health-Related Quality of Life Among Saudi Women With Chronic Diseases. J Nurs Res 2023; 31:e279. [PMID: 37126230 DOI: 10.1097/jnr.0000000000000558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023] Open
Abstract
BACKGROUND Women have unique health concerns in the context of chronic illness. Although health literacy has been linked to health-related quality of life, the pathway by which some factors mediate this relationship has not been well examined among Saudi women with chronic disease. PURPOSE This study was designed to examine the relationship between health literacy and health-related quality of life and determine the mediating roles of healthy lifestyle and patient-centered care in explaining this relationship. METHODS A cross-sectional study was used. A random sample of 20 primary healthcare centers in Saudi Arabia was selected. A convenience sample of 300 women diagnosed with a chronic illness was recruited from these centers. Structural equation modeling was used to test the proposed relationships. RESULTS Controlling for women's age and education, the hypothesized model adequately fit the data. Health literacy and its dimensions were found to positively and directly affect both patient-centered care (β = 0.614, B = 0.189, p < .001) and healthy lifestyle behaviors (β = 0.550, B = 1.211, p < .001). Furthermore, both patient-centered care (β = 0.390, B = 1.301, p < .001) and healthy lifestyle behaviors (β = 0.322, B = 0.150, p < .001) were found to positively and directly affect health-related quality of life, whereas health literacy had significant, direct (β = 0.285, B = 0.292, p < .001) and indirect (β = 0.417, B = 0.428, p < .001) effects on health-related quality of life through patient-centered care and healthy lifestyle behaviors. CONCLUSIONS/IMPLICATIONS FOR PRACTICE Special consideration should be given to health literacy, patient-centered care, and healthy lifestyle behaviors to enhance health-related quality of life in women with chronic illness. Gender-specific health services and interventions are needed to improve women's health literacy.
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Affiliation(s)
- Eman Alhalal
- PhD, Associate Professor, Community and Mental Health Nursing Department, Nursing College, King Saud University, Saudi Arabia
| | - Bayan Hadidi
- MSN, RN, Staff Nurse, General Directorate of Health Affairs in Jizan, Ministry of Health, Saudi Arabia
| | - Abeer Fouad Saad
- MSN, RN, Lecturer, Community and Mental Health Nursing Department, Nursing College, King Saud University, Saudi Arabia
| | - Jahra Ali Hadidi
- MSN, RN, Staff Nurse, Nursing Education Department, Ministry of Health, Saudi Arabia
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Otero E, Gálvez I, Ortega E, Hinchado MD. Influence of Chronic Fatigue Syndrome Codiagnosis on the Relationship between Perceived and Objective Psychoneuro-Immunoendocrine Disorders in Women with Fibromyalgia. Biomedicines 2023; 11:biomedicines11051488. [PMID: 37239159 DOI: 10.3390/biomedicines11051488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 05/12/2023] [Accepted: 05/18/2023] [Indexed: 05/28/2023] Open
Abstract
Although the predominant symptom in fibromyalgia (FM) is muscle pain, and fatigue in chronic fatigue syndrome (CFS), differential diagnosis is very difficult. This research investigates the psychoneuroimmunoendocrine disorders of FM patients and ascertains whether a previous CFS diagnosis affected them. Through accelerometry objective parameters, physical activity/sedentarism levels in relation to fatigue are studied, as well as whether perceived levels of stress, anxiety, and pain correspond to objective biomarkers, all of these with respect to a reference group (RG) of women without FM. FM patients have a worse psychological state and perceived quality of life than those with RG. These perceived outcomes are consistent with impaired objective levels of a sedentary lifestyle, higher systemic levels of cortisol and noradrenaline, and lower levels of serotonin. However, FM patients with a previous CFS diagnosis had lower systemic levels of IL-8, cortisol, oxytocin, and higher levels of adrenaline and serotonin than FM patients without diagnosed CFS. In conclusion, while perceived health parameters do not detect differences, when objective neuroimmunoendocrine parameters related to stress, inflammation, pain, and fatigue are used, people with CFS could be overdiagnosed with FM. This reinforces the need for objective biomarker assessment of these patients for better diagnostic discrimination between both syndromes.
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Affiliation(s)
- Eduardo Otero
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06080 Badajoz, Spain
- Immunophysiology Research Group, Physiology Department, Faculty of Sciences, University of Extremadura, 06071 Badajoz, Spain
| | - Isabel Gálvez
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06080 Badajoz, Spain
- Immunophysiology Research Group, Nursing Department, Faculty of Medicine and Health Sciences, University of Extremadura, 06071 Badajoz, Spain
| | - Eduardo Ortega
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06080 Badajoz, Spain
- Immunophysiology Research Group, Physiology Department, Faculty of Sciences, University of Extremadura, 06071 Badajoz, Spain
| | - María Dolores Hinchado
- Immunophysiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), 06080 Badajoz, Spain
- Immunophysiology Research Group, Physiology Department, Faculty of Sciences, University of Extremadura, 06071 Badajoz, Spain
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Goyal H, Aleem S. Confirmatory Factor Analysis (CFA) and Psychometric Validation of Healthy Lifestyle and Personal Control Questionnaire (HLPCQ) in India. Indian J Community Med 2023; 48:430-435. [PMID: 37469926 PMCID: PMC10353679 DOI: 10.4103/ijcm.ijcm_394_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 03/15/2023] [Indexed: 07/21/2023] Open
Abstract
Background The silent epidemic of chronic illness has become a significant public health challenge worldwide. The prevention and management of these deadliest health conditions primarily require empowering the individual to make healthy choices every day, e.g., healthy eating, physical exercise, etc., The first step in designing an intervention for this comprises measuring the health empowerment-related factor. However, severe scarcity of practical tools is noted. Objective The present study aimed at the evaluation of psychometric properties of a healthy lifestyle and personal control questionnaire (HLPCQ)'s English Version in the Indian population. Method For this, a cross-sectional study was conducted on 618 people enlisted from the Northern state of India with the help of convenience sampling strategy. Data is collected by sharing the google form of HLPCQ through various online platforms. Results The value of Cronbach alpha and MacDonald's Omega, was >.70, suggesting HLPCQ has good reliability in the Indian population. While confirmatory factor analysis result shows that the final model with 24 items has a good fit to the data (RMSEA = 0.04, CFI = 0.97, TLI = 0.96, SRMR = 0.03) which implies that HLPCQ has acceptable structural and cultural validity. While the value of average variance extracted (AVE) and composite reliability (CR) for each factor were found to be more than .50 and .70 respectively, indicating the presence of convergent and discriminant validity for HLPCQ. Conclusion These findings indicate that the HLPCQ has sound psychometric properties and can be used in the Indian population.
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Affiliation(s)
- Himani Goyal
- Department of Psychology, Jamia Millia Islamia, New Delhi, India
| | - Sheema Aleem
- Department of Psychology, Jamia Millia Islamia, New Delhi, India
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Ferrando-Terradez I, Dueñas L, Parčina I, Ćopić N, Petronijević S, Beltrami G, Pezzoni F, San Martín-Valenzuela C, Gijssel M, Moliterni S, Papageorgiou P, Rodríguez-Carrasco Y. Women's Involvement in Steady Exercise (WISE): Study Protocol for a Randomized Controlled Trial. Healthcare (Basel) 2023; 11:1279. [PMID: 37174821 PMCID: PMC10177760 DOI: 10.3390/healthcare11091279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 04/24/2023] [Accepted: 04/27/2023] [Indexed: 05/15/2023] Open
Abstract
BACKGROUND Physical inactivity is a serious public health problem for people of all ages and is currently the fourth highest global risk factor for mortality. The transition period from adolescence to adulthood coincides with a marked reduction in participation in physical activity, with more than 50% (and up to 80%) of young adults stopping physical activity. This decrease in physical activity is more evident in women than in men. Despite efforts, existing programs face challenges in effectively initiating and maintaining physical activity among individuals, particularly women, for extended durations. To address these limitations, the Women's Involvement in Steady Exercise (WISE) randomized controlled trial (RCT) seeks to assess the efficacy of a digital high-intensity training intervention complemented by nutritional plans and other health-related advice. METHODS The study will be a three-center, randomized (1:1), controlled, parallel-group trial with a six-month intervention period. A total of 300 participants will be recruited at three study sites in Spain, Serbia and Italy. The participants will be randomized to one of the two groups and will follow a six-month program. The primary outcome of the study is the daily step count. Self-reported physical activity, the adherence to the exercise program, body composition, physical activity enjoyment, quality of sleep and physical capacities will also be evaluated.
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Affiliation(s)
| | - Lirios Dueñas
- Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
- Physiotherapy in Motion, Multi-Specialty Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
| | - Ivana Parčina
- Faculty of Sport, University “Union—Nikola Tesla”, 11000 Belgrade, Serbia
| | - Nemanja Ćopić
- Faculty of Sport, University “Union—Nikola Tesla”, 11000 Belgrade, Serbia
| | | | | | | | - Constanza San Martín-Valenzuela
- Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
- Unit of Personal Autonomy, Dependency and Mental Disorder Assessment, INCLIVA Biomedical Research Institute, 46010 Valencia, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, 28029 Madrid, Spain
| | - Maarten Gijssel
- Kinetic Analysis, Jheronimus Academy of Data Science, 5211 DA ‘s-Hertogenbosh, The Netherlands
| | | | | | - Yelko Rodríguez-Carrasco
- Department of Food Science and Toxicology, Faculty of Pharmacy, University of Valencia, Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Spain
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Zagkas DG, Chrousos GP, Bacopoulou F, Kanaka-Gantenbein C, Vlachakis D, Tzelepi I, Darviri C. Stress and Well-Being of Greek Primary School Educators: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5390. [PMID: 37048004 PMCID: PMC10093913 DOI: 10.3390/ijerph20075390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 03/08/2023] [Accepted: 03/17/2023] [Indexed: 06/19/2023]
Abstract
The teaching profession has always been challenging, while for various reasons the magnitude of observed stress in teachers has been continually growing over time. This study was conducted to demonstrate the relevance of stress in this professional group and to generate evidence for the benefit of primary school teachers and, indirectly, their pupils. To this end, we examined a large number of school teachers in a descriptive cross-sectional study. The survey comprised 786 primary school instructors aged 21 to 65 years, 646 women (82.2%) and 140 males (17.8%), and was performed from March to October 2022. Participants were asked about their gender, age, marital status, place of domicile, satisfaction with their income, whether their income met their needs, number of children, whether they cared for a person with a disability, work experience, alcohol use, eating patterns, and their height and weight for computation of their Body Mass Index (BMI). The survey included the Teacher Subjective Well-being Questionnaire (TSWQ), the Perceived Stress Scale (PSS), the Healthy Lifestyle and Personal Control Questionnaire (HLPCQ), and the Pittsburgh Sleep Quality Index (PSQI). The results showed that there were significant differences between the two sexes in age, marital status, work experience, smoking, alcohol use, and eating breakfast. Furthermore, there were significant differences between the two sexes in BMI, PSS Total, Dietary Health Choice, Harm Avoidance and Total HLPCQ. The variance of PSS Total was predicted by Sex, Teacher Efficacy, Total PSQI, Dietary Health Choice, organized physical exercise, social support and mental control, and Total HLPCQ. Between teacher efficacy, school connectedness, teacher well-being, organized physical exercise, social support and mental control, Total HLPCQ and PSS Total, the correlation coefficients were negative and significant at the <0.05 level. Between Total PSQI and PSS Total, the correlation coefficient was positive and significant at the <0.05 level. Between teacher efficacy, school connectedness and teacher well-being, organized physical exercise, social support and mental control, Total HLPCQ and Total PSQI, the correlation coefficients were negative and significant at the <0.05 level. In summary, we demonstrated that Greek primary school teachers experience significant stress, which is intertwined with their way of life, and reflected in significant decreases in their sense of well-being, quality of sleep, and overall life satisfaction, as well as in their standards of teaching.
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Affiliation(s)
- Dimitrios G. Zagkas
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece (C.D.)
| | - George P. Chrousos
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece (C.D.)
- Center for Adolescent Medicine and Adolescent Health Care, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece
- University Research Institute of Maternal and Child Health and Precision Medicine, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Flora Bacopoulou
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece (C.D.)
- Center for Adolescent Medicine and Adolescent Health Care, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece
- University Research Institute of Maternal and Child Health and Precision Medicine, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece
- Aghia Sophia Children’s Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Christina Kanaka-Gantenbein
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece (C.D.)
- Center for Adolescent Medicine and Adolescent Health Care, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece
- University Research Institute of Maternal and Child Health and Precision Medicine, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece
- Aghia Sophia Children’s Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Dimitrios Vlachakis
- Laboratory of Genetics, Department of Biotechnology, School of Applied Biology and Biotechnology, Agricultural University of Athens, 11855 Athens, Greece
| | - Ioanna Tzelepi
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece (C.D.)
| | - Christina Darviri
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece (C.D.)
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Wang X, Zhong X, Liu D, Cao H, Chen J, Wang Q, Xia Y, Zhang F. An empowerment-based, healthy dietary behavioral intervention to ameliorate functional constipation. Front Nutr 2023; 10:1043031. [PMID: 37051123 PMCID: PMC10083415 DOI: 10.3389/fnut.2023.1043031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 03/08/2023] [Indexed: 03/29/2023] Open
Abstract
ObjectiveTo explore the boost effect on ameliorating functional constipation in elderly patients through empowerment-based, healthy dietary behavioral intervention.DesignIn this randomized parallel group study, elderly patients with functional constipation were recruited and assigned to the experimental and control groups at a ratio of 1:1. The control group received routine intervention. The experimental group received 3-month empowerment-based intervention. The results were evaluated based on the Healthy Lifestyle and Personal Control Questionnaire (HLPCQ) and Cleveland Clinic Constipation Score (CCS). GraphPad Prism (Version 9) software was used for the statistical analysis.SettingAs the world's population ages, functional constipation in the elderly has attracted widespread attention. The practical behavioral intervention to ameliorate constipation are worth exploring.ParticipantsSixty elderly patients with functional constipation.ResultsThe study results showed no significant difference in the baseline data between the two groups (P > 0.05). After the intervention, the scores of HLPCQ (77.90 ± 14.57 vs. 61.11 ± 13.64) and CCS (7.48 ± 3.73 vs. 9.70 ± 3.07) in the experimental group were significantly higher than those in the control group (P < 0.05).ConclusionThe results showed that empowerment-based intervention can effectively strengthen the healthy dietary behavior of elderly patients. Through patient empowerment, the subjective initiative and willingness to communicate were boosted in the experimental group. Their symptoms of functional constipation improved considerably better than in the control group.
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Affiliation(s)
- Xuesong Wang
- Department of Orthopedics, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China
- Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, China
| | - Xiaohui Zhong
- Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, China
| | - Dongsong Liu
- Department of Orthopedics, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China
| | - Hong Cao
- Department of Endocrinology, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China
| | - Jing Chen
- Department of Orthopedics, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China
- Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, China
| | - Qinyue Wang
- Department of Nutrition, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China
| | - Yanping Xia
- Department of Nutrition, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China
| | - Feng Zhang
- Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, China
- Department of Nutrition, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China
- *Correspondence: Feng Zhang
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Hinchado MD, Quero-Calero CD, Otero E, Gálvez I, Ortega E. Synbiotic Supplementation Improves Quality of Life and Inmunoneuroendocrine Response in Patients with Fibromyalgia: Influence of Codiagnosis with Chronic Fatigue Syndrome. Nutrients 2023; 15:nu15071591. [PMID: 37049432 PMCID: PMC10097287 DOI: 10.3390/nu15071591] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 03/16/2023] [Accepted: 03/23/2023] [Indexed: 03/29/2023] Open
Abstract
Fibromyalgia (FM) and chronic fatigue syndrome (CFS) are two medical conditions in which pain, fatigue, immune/inflammatory dysregulation, as well as various mental health disorders predominate in the diagnosis, without evidence of a clear consensus on the treatment of FM and CFS. The main aim of this research was to analyse the possible effects of a synbiotic (Synbiotic, Gasteel Plus® (Heel España S.A.U.), through the study of pro-inflammatory/anti-inflammatory cytokines (IL-8/IL-10) and neuroendocrine biomarkers (cortisol and DHEA), in order to evaluate the interaction between inflammatory and stress responses mediated by the cytokine-HPA (hypothalamic-pituitary-adrenal) axis, as well as mental and physical health using body composition analysis, accelerometry and previously validated questionnaires. The participants were women diagnosed with FM with or without a diagnostic of CFS. Each participant was evaluated at baseline and after the intervention, which lasted one month. Synbiotic intervention decreased levels of perceived stress, anxiety and depression, as well as improved quality of life during daily activities. In addition, the synbiotic generated an activation of HPA axis (physiological cortisol release) that can compensate the increased inflammatory status (elevated IL-8) observed at baseline in FM patients. There were no detrimental changes in body composition or sleep parameters, as well as in the most of the activity/sedentarism-related parameters studied by accelerometry. It is concluded that synbiotic nutritional supplements can improve the dysregulated immunoneuroendocrine interaction involving inflammatory and stress responses in women diagnosed with FM, particularly in those without a previous CFS diagnostic; as well as their perceived of levels stress, anxiety, depression and quality of life.
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Leung T, Shin S, Kim S, Lee E. The Relation Between eHealth Literacy and Health-Related Behaviors: Systematic Review and Meta-analysis. J Med Internet Res 2023; 25:e40778. [PMID: 36716080 PMCID: PMC9926349 DOI: 10.2196/40778] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 11/09/2022] [Accepted: 12/23/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND With widespread use of the internet and mobile devices, many people have gained improved access to health-related information online for health promotion and disease management. As the health information acquired online can affect health-related behaviors, health care providers need to take into account how each individual's online health literacy (eHealth literacy) can affect health-related behaviors. OBJECTIVE To determine whether an individual's level of eHealth literacy affects actual health-related behaviors, the correlation between eHealth literacy and health-related behaviors was identified in an integrated manner through a systematic literature review and meta-analysis. METHODS The MEDLINE, Embase, Cochrane, KoreaMed, and Research Information Sharing Service databases were systematically searched for studies published up to March 19, 2021, which suggested the relationship between eHealth literacy and health-related behaviors. Studies were eligible if they were conducted with the general population, presented eHealth literacy according to validated tools, used no specific control condition, and measured health-related behaviors as the outcomes. A meta-analysis was performed on the studies that could be quantitatively synthesized using a random effect model. A pooled correlation coefficient was generated by integrating the correlation coefficients, and the risk of bias was assessed using the modified Newcastle-Ottawa Scale. RESULTS Among 1922 eHealth literacy-related papers, 29 studies suggesting an association between eHealth literacy and health-related behaviors were included. All retrieved studies were cross-sectional studies, and most of them used the eHealth Literacy Scale (eHEALS) as a measurement tool for eHealth literacy. Of the 29 studies, 22 presented positive associations between eHealth literacy and health-related behaviors. The meta-analysis was performed on 14 studies that presented the correlation coefficient for the relationship between eHealth literacy and health-related behaviors. When the meta-analysis was conducted by age, morbidity status, and type of health-related behavior, the pooled correlation coefficients were 0.37 (95% CI 0.29-0.44) for older adults (aged ≥65 years), 0.28 (95% CI 0.17-0.39) for individuals with diseases, and 0.36 (95% CI 0.27-0.41) for health-promoting behavior. The overall estimate of the correlation between eHealth literacy and health-related behaviors was 0.31 (95% CI 0.25-0.34), which indicated a moderate correlation between eHealth literacy and health-related behaviors. CONCLUSIONS Our results of a positive correlation between eHealth literacy and health-related behaviors indicate that eHealth literacy can be a mediator in the process by which health-related information leads to changes in health-related behaviors. Larger-scale studies with stronger validity are needed to evaluate the detailed relationship between the proficiency level of eHealth literacy and health-related behaviors for health promotion in the future.
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Affiliation(s)
| | - Sangyoon Shin
- Research Institute of Pharmaceutical Sciences, College of Pharmacy, Seoul National University, Seoul, Republic of Korea
| | - Seungyeon Kim
- College of Pharmacy, Dankook University, Cheonan, Republic of Korea
| | - Euni Lee
- Research Institute of Pharmaceutical Sciences, College of Pharmacy, Seoul National University, Seoul, Republic of Korea
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Hinchado MD, Otero E, Navarro MDC, Martín-Cordero L, Gálvez I, Ortega E. Influence of Codiagnosis of Chronic Fatigue Syndrome and Habitual Physical Exercise on the Psychological Status and Quality of Life of Patients with Fibromyalgia. J Clin Med 2022; 11:jcm11195735. [PMID: 36233602 PMCID: PMC9571904 DOI: 10.3390/jcm11195735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 09/12/2022] [Accepted: 09/24/2022] [Indexed: 11/16/2022] Open
Abstract
Fibromyalgia (FM) and Chronic Fatigue Syndrome (CFS) are two diseases that are frequently codiagnosed and present many similarities, such as poor tolerance to physical exercise. Although exercise is recommended in their daily routine to improve quality of life, little is known about how CFS codiagnosis affects that. Using scientifically validated questionnaires, we evaluated the psychological state and quality of life of patients with FM (n = 70) and how habitual physical exercise (HPE) reported by patients with only FM (FM-only n = 38) or codiagnosed with CFS (FM + CFS, n = 32) influences those aspects. An age-matched reference group of “healthy” women without FM (RG, n = 70) was used. The FM-only group presented a worse psychological state and quality of life compared to RG, with no influence of CFS codiagnosis. The patients of the FM-only and FM + CFS groups who perform HPE presented better levels of stress and state anxiety, but with no differences between them. Depression and trait anxiety improved only in women with just FM. CFS codiagnosis does not worsen the psychological and quality of life impairment of FM patients and does not have a great influence on the positive effect of HPE.
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Affiliation(s)
- María Dolores Hinchado
- Immunophyisiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Av. de Elvas s/n, 06080 Badajoz, Spain
- Immunophysiology Research Group, Physiology Department, Faculty of Sciences, University of Extremadura, 06071 Badajoz, Spain
| | - Eduardo Otero
- Immunophyisiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Av. de Elvas s/n, 06080 Badajoz, Spain
- Immunophysiology Research Group, Physiology Department, Faculty of Sciences, University of Extremadura, 06071 Badajoz, Spain
- Correspondence: (E.O.); (E.O.); Tel.: +34-924-289300 (ext. 86957) (Eduardo Ortega)
| | - María del Carmen Navarro
- Immunophyisiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Av. de Elvas s/n, 06080 Badajoz, Spain
- Immunophysiology Research Group, Physiology Department, Faculty of Sciences, University of Extremadura, 06071 Badajoz, Spain
| | - Leticia Martín-Cordero
- Immunophyisiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Av. de Elvas s/n, 06080 Badajoz, Spain
- Immunophysiology Research Group, Nursing Department, University Center of Plasencia, University of Extremadura, 10600 Plasencia, Spain
| | - Isabel Gálvez
- Immunophyisiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Av. de Elvas s/n, 06080 Badajoz, Spain
- Immunophysiology Research Group, Nursing Department, Faculty of Medicine and Health Sciences, University of Extremadura, 06071 Badajoz, Spain
| | - Eduardo Ortega
- Immunophyisiology Research Group, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), Av. de Elvas s/n, 06080 Badajoz, Spain
- Immunophysiology Research Group, Physiology Department, Faculty of Sciences, University of Extremadura, 06071 Badajoz, Spain
- Correspondence: (E.O.); (E.O.); Tel.: +34-924-289300 (ext. 86957) (Eduardo Ortega)
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Wang RS, Huang SH, Sun CA, Lin IL, Wang BL, Huang YC, Chien WC. Atrial Fibrillation's Influence on Short Sleep Duration Increases the Risk of Fatness in Management Executives. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095438. [PMID: 35564833 PMCID: PMC9103176 DOI: 10.3390/ijerph19095438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 04/27/2022] [Accepted: 04/27/2022] [Indexed: 12/03/2022]
Abstract
This study explored whether atrial fibrillation (AF)’s influence on short sleep duration (SD) increases the subsequent risk of fatness in management executives. This study included 25,953 healthy individuals working as management executives with ages ranging from 35 to 65 years (19,100 men and 6853 women) who participated in a qualifying physical filter program from 2006 to 2017 in Taiwan. Men and women who slept < 4 h had a 4.35-fold and 5.26-fold higher risk of developing AF than those who slept 7−8 h normally. Men and women who slept < 4 h had a 6.44-fold and 9.62-fold higher risk of fatness than those who slept 7−8 h. Men and women with AF had a 4.52-fold and 6.25-fold higher risk of fatness than those without AF. It showed that AF induced by short SD increases the risk of fatness. A short SD can predict an increased risk of fatness among management executives in Taiwan.
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Affiliation(s)
- Richard S. Wang
- Program of Data Analytics and Business Computing, Stern School of Business, New York University, New York, NY 10003, USA;
- School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
| | - Shi-Hao Huang
- Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei 10608, Taiwan;
- Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
| | - Chien-An Sun
- Department of Public Health, College of Medicine, Fu-Jen Catholic University, New Taipei City 242062, Taiwan;
- Big Data Center, College of Medicine, Fu-Jen Catholic University, New Taipei City 242062, Taiwan
| | - I-Long Lin
- Department of Computer Science and Engineering, Tatung University, Taipei 104327, Taiwan;
| | - Bing-Long Wang
- School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
- Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
- Correspondence: (B.-L.W.); (Y.-C.H.); (W.-C.C.)
| | - Yao-Ching Huang
- School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
- Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
- Correspondence: (B.-L.W.); (Y.-C.H.); (W.-C.C.)
| | - Wu-Chien Chien
- School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
- Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
- Taiwanese Injury Prevention and Safety Promotion Association, Taipei 11490, Taiwan
- Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 11490, Taiwan
- Correspondence: (B.-L.W.); (Y.-C.H.); (W.-C.C.)
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Mathews E, Sathish T, Joseph A, Kodapally B, Thulaseedharan JV, Narayan KMV, Oldenburg B, Thankappan KR. Effectiveness and implementation of a lifestyle modification intervention for women with isolated impaired fasting glucose: Study protocol for a hybrid type 2 study in Kerala, India. Wellcome Open Res 2022; 7:62. [PMID: 36865369 PMCID: PMC9971662 DOI: 10.12688/wellcomeopenres.17631.1] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/01/2022] [Indexed: 01/21/2023] Open
Abstract
Background: Isolated impaired fasting glucose (i-IFG) constitutes a major group in the prediabetic spectrum among Indians, and thus it is imperative to identify effective diabetes prevention strategies. This study aims to evaluate the effects of an intensive community-based lifestyle modification program on regression to normoglycemia among women with i-IFG, compared to a control group at 24 months. The study also aims to evaluate the implementation of the intervention, via both process and implementation outcomes. Methods: We will use a hybrid design (Effectiveness-implementation hybrid type 2 trial) to test the effectiveness and implementation of the lifestyle modification intervention. Effectiveness is evaluated using a randomized controlled trial among 950 overweight or obese women, aged 30 to 60 years, with i-IFG on an oral glucose tolerance test in the Indian state of Kerala. The intervention involves an intensive lifestyle modification program through group and individually mentored sessions using behavioural determinants and behavioural change techniques. The intervention group will receive the intervention for a period of 12 months and the control group will receive general health advice through a health education booklet. Data on behavioural, clinical, and biochemical measures will be collected using standard methods at 12 and 24 months. The primary outcome will be regression to normoglycemia at 24 months, as defined by the American Diabetes Association criteria. Discussion: This study will provide the first evidence on the effects of lifestyle interventions on regression to normoglycemia in people with i-IFG among Indians. CTRI registration: CTRI/2021/07/035289 (30/07/2021).
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Affiliation(s)
- Elezebeth Mathews
- Department of Public Health and Community Medicine, Central University of Kerala, Kasaragod, Kerala, 671320, India,
| | | | - Anjaly Joseph
- Department of Public Health and Community Medicine, Central University of Kerala, Kasaragod, Kerala, 671320, India
| | - Bhagieshwari Kodapally
- Department of Public Health and Community Medicine, Central University of Kerala, Kasaragod, Kerala, 671320, India
| | - Jissa Vinoda Thulaseedharan
- Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, 675011, India
| | - KM Venkat Narayan
- Emory Global Diabetes Research Center, Emory University, Atlanta, Georgia, GA 30322, USA
| | - Brian Oldenburg
- Baker Heart and Diabetes Institute, Baker Heart and Diabetes Institute, Melbourne, Victoria, Victoria 3004, Australia
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16
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Czapla M, Juárez-Vela R, Rozensztrauch A, Karniej P, Uchmanowicz I, Santolalla-Arnedo I, Baska A. Psychometric Properties and Cultural Adaptation of the Polish Version of the Healthy Lifestyle and Personal Control Questionnaire (HLPCQ). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:9190. [PMID: 34501778 PMCID: PMC8431541 DOI: 10.3390/ijerph18179190] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 08/29/2021] [Accepted: 08/30/2021] [Indexed: 12/30/2022]
Abstract
BACKGROUND Chronic non-communicable diseases (NCDs), sometimes referred to as lifestyle diseases, are the most common cause of death and disability worldwide. Thus, healthcare professionals should be equipped with tools, knowledge, skills, and competencies in the newly distinguished field of lifestyle medicine. The purpose of this study was to test the psychometric properties of the Polish version of the Healthy Lifestyle and Personal Control Questionnaire (HLPCQ). The Polish version of the HLPCQ would further provide Polish healthcare professionals with a useful and convenient tool for routine lifestyle assessment while giving HLPCQ novel use and potential for further research. METHODS Before testing its psychometric properties, the HLPCQ was translated and adapted from the original Greek version into Polish. Subsequently, we tested the instrument's psychometric properties on a sample of 2433 participants. In addition, we tested the factorial validity of the HLPCQ using confirmatory and exploratory factor analysis. RESULTS There were more female than male participants (91.78%). Most of them were middle-aged (30.40 ± 7.71), single (39.62%), and living with family (70.65%). In terms of residence, 1122 (46.12%) participants lived in cities with a population of over 500,000. In terms of reliability, the internal consistency of the Polish version and its domains is excellent. Cronbach's alpha for each of the domains of the scale ranged between 0.6 and 0.9. CONCLUSIONS The Polish version of the Healthy Lifestyle and Personal Control Questionnaire (HLPCQ) has good characteristics of factorial validity and can be used in clinical practice and research.
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Affiliation(s)
- Michał Czapla
- Department of Public Health, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wroclaw, Poland; (M.C.); (P.K.)
- Institute of Heart Diseases, University Hospital, 50-556 Wroclaw, Poland
| | - Raúl Juárez-Vela
- Biomedical Research Center of La Rioja (CIBIR), Research Group in Care (GRUPAC) and Group of Research in Sustainability of the Health System, Department of Nursing, University of La Rioja, 26004 Logroño, La Rioja, Spain;
| | - Anna Rozensztrauch
- Department of Pediatrics, Division of Neonatology, Faculty of Health Science, Wroclaw Medical University, 51-618 Wroclaw, Poland;
| | - Piotr Karniej
- Department of Public Health, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wroclaw, Poland; (M.C.); (P.K.)
| | - Izabella Uchmanowicz
- Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wroclaw, Poland;
| | - Iván Santolalla-Arnedo
- Biomedical Research Center of La Rioja (CIBIR), Research Group in Care (GRUPAC) and Group of Research in Sustainability of the Health System, Department of Nursing, University of La Rioja, 26004 Logroño, La Rioja, Spain;
| | - Alicja Baska
- Center of Postgraduate Medical Education, Department of Lifestyle Medicine, School of Public Health, 01-813 Warsaw, Poland;
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The effects of Pythagorean Self-Awareness Intervention on patients with major depressive disorder: A pilot randomized controlled trial. J Psychiatr Res 2021; 138:326-334. [PMID: 33894540 DOI: 10.1016/j.jpsychires.2021.03.067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 03/26/2021] [Accepted: 03/31/2021] [Indexed: 11/20/2022]
Abstract
Stress plays an important role in major depressive disorder (MDD). Thus, a variety of stress management programs have been developed for people with this diagnosis. This is a pilot randomized clinical trial which implemented a holistic stress management program, Pythagorean Self-Awareness Intervention (PSAI) in adults with MDD, aiming to evaluate the effectiveness of PSAI compared to standard care for reduction of depressive symptoms (primary aim), improving mental health and quality of life (secondary aims). A total of 69 participants were randomized to an intervention group (N = 34), who received the usual care provided for patients with major depression and attended the PSAI program, and a control group (N = 35), who received the usual care only. Measurements were taken in both groups before and after the intervention and included: 1. Self-report questionnaires for measuring depressive symptoms, healthy lifestyle, perceived stress, anxiety, positive and negative affect and sleep quality, 2 Cognitive function assessment tools, 3. Hair and salivary cortisol. The intervention group demonstrated significantly greater reductions in depressive symptoms, negative affect, perceived stress, sleep quality and significantly greater increase in visual memory and healthy lifestyle compared to the control group. In addition, the intervention group demonstrated a significant reduction in first morning salivary cortisol, indicating a reduction in diurnal stress levels, while no significant change of salivary cortisol was observed in the control group. Finally, none of the study's groups demonstrated a significant change in hair cortisol concentration. In conclusion, PSAI can be applied to adults suffering from MDD with significant benefits for their mental health and quality of life. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT04536714.
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Are actions better than inactions? Positivity, outcome, and intentionality biases in judgments of action and inaction. JOURNAL OF EXPERIMENTAL SOCIAL PSYCHOLOGY 2021. [DOI: 10.1016/j.jesp.2021.104105] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Quero CD, Manonelles P, Fernández M, Abellán-Aynés O, López-Plaza D, Andreu-Caravaca L, Hinchado MD, Gálvez I, Ortega E. Differential Health Effects on Inflammatory, Immunological and Stress Parameters in Professional Soccer Players and Sedentary Individuals after Consuming a Synbiotic. A Triple-Blinded, Randomized, Placebo-Controlled Pilot Study. Nutrients 2021; 13:1321. [PMID: 33923663 PMCID: PMC8073688 DOI: 10.3390/nu13041321] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 04/11/2021] [Accepted: 04/14/2021] [Indexed: 12/27/2022] Open
Abstract
The main objective of this research was to carry out an experimental study, triple-blind, on the possible immunophysiological effects of a nutritional supplement (synbiotic, Gasteel Plus®, Heel España S.A.U.), containing a mixture of probiotic strains, such as Bifidobacterium lactis CBP-001010, Lactobacillus rhamnosus CNCM I-4036, and Bifidobacterium longum ES1, as well as the prebiotic fructooligosaccharides, on both professional athletes and sedentary people. The effects on some inflammatory/immune (IL-1β, IL-10, and immunoglobulin A) and stress (epinephrine, norepinephrine, dopamine, serotonin, corticotropin-releasing hormone (CRH), Adrenocorticotropic hormone (ACTH), and cortisol) biomarkers were evaluated, determined by flow cytometer and ELISA. The effects on metabolic profile and physical activity, as well as on various parameters that could affect physical and mental health, were also evaluated via the use of accelerometry and validated questionnaires. The participants were professional soccer players in the Second Division B of the Spanish League and sedentary students of the same sex and age range. Both study groups were randomly divided into two groups: a control group-administered with placebo, and an experimental group-administered with the synbiotic. Each participant was evaluated at baseline, as well as after the intervention, which lasted one month. Only in the athlete group did the synbiotic intervention clearly improve objective physical activity and sleep quality, as well as perceived general health, stress, and anxiety levels. Furthermore, the synbiotic induced an immunophysiological bioregulatory effect, depending on the basal situation of each experimental group, particularly in the systemic levels of IL-1β (increased significantly only in the sedentary group), CRH (decreased significantly only in the sedentary group), and dopamine (increased significantly only in the athlete group). There were no significant differences between groups in the levels of immunoglobulin A or in the metabolic profile as a result of the intervention. It is concluded that synbiotic nutritional supplements can improve anxiety, stress, and sleep quality, particularly in sportspeople, which appears to be linked to an improved immuno-neuroendocrine response in which IL-1β, CRH, and dopamine are clearly involved.
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Affiliation(s)
- Carmen Daniela Quero
- International Chair of Sport Medicine, Faculty of Medicine, Campus de los Jerónimos, Catholic University of Murcia, 30107 Murcia, Spain; (P.M.); (M.F.); (O.A.-A.); (D.L.-P.); (L.A.-C.)
- Faculty of Sport, Campus de los Jerónimos, Catholic University of Murcia, 30107 Murcia, Spain
| | - Pedro Manonelles
- International Chair of Sport Medicine, Faculty of Medicine, Campus de los Jerónimos, Catholic University of Murcia, 30107 Murcia, Spain; (P.M.); (M.F.); (O.A.-A.); (D.L.-P.); (L.A.-C.)
| | - Marta Fernández
- International Chair of Sport Medicine, Faculty of Medicine, Campus de los Jerónimos, Catholic University of Murcia, 30107 Murcia, Spain; (P.M.); (M.F.); (O.A.-A.); (D.L.-P.); (L.A.-C.)
| | - Oriol Abellán-Aynés
- International Chair of Sport Medicine, Faculty of Medicine, Campus de los Jerónimos, Catholic University of Murcia, 30107 Murcia, Spain; (P.M.); (M.F.); (O.A.-A.); (D.L.-P.); (L.A.-C.)
- Faculty of Sport, Campus de los Jerónimos, Catholic University of Murcia, 30107 Murcia, Spain
| | - Daniel López-Plaza
- International Chair of Sport Medicine, Faculty of Medicine, Campus de los Jerónimos, Catholic University of Murcia, 30107 Murcia, Spain; (P.M.); (M.F.); (O.A.-A.); (D.L.-P.); (L.A.-C.)
- Faculty of Sport, Campus de los Jerónimos, Catholic University of Murcia, 30107 Murcia, Spain
| | - Luis Andreu-Caravaca
- International Chair of Sport Medicine, Faculty of Medicine, Campus de los Jerónimos, Catholic University of Murcia, 30107 Murcia, Spain; (P.M.); (M.F.); (O.A.-A.); (D.L.-P.); (L.A.-C.)
- Faculty of Sport, Campus de los Jerónimos, Catholic University of Murcia, 30107 Murcia, Spain
| | - María Dolores Hinchado
- Grupo de Investigación en Inmunofisiología, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), University of Extremadura, Av. Elvas s/n, 06006 Badajoz, Spain; (M.D.H.); (I.G.); (E.O.)
| | - Isabel Gálvez
- Grupo de Investigación en Inmunofisiología, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), University of Extremadura, Av. Elvas s/n, 06006 Badajoz, Spain; (M.D.H.); (I.G.); (E.O.)
| | - Eduardo Ortega
- Grupo de Investigación en Inmunofisiología, Instituto Universitario de Investigación Biosanitaria de Extremadura (INUBE), University of Extremadura, Av. Elvas s/n, 06006 Badajoz, Spain; (M.D.H.); (I.G.); (E.O.)
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Zigkiri ES, Nicolaides NC, Bacopoulou F, Simos D, Vlachakis D, Chrousos GP, Darviri C. The Effect of the Pythagorean Self-Awareness Intervention on Psychological, Lifestyle and Cognitive Measures of a Community Sample. JOURNAL OF MOLECULAR BIOCHEMISTRY 2020; 9:32-40. [PMID: 33520744 PMCID: PMC7842312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
BACKGROUND The aim of this study was to evaluate the effect of a novel cognitive-behavioral stress management intervention, termed "Pythagorean Self-Awareness Intervention" (PSAI). Materials and Methods: The PSAI was applied to a community sample for eight weeks. Measurements included demographic characteristics, daily habits, sleep quality, fatigue, perceived stress levels and depressive symptoms. Cognitive function was measured by the Symbol Digits Modality Test (SDMT), the California Verbal Learning Test (CVLT) and the Brief Visuospatial Memory Test-Revised (BVMT-R). RESULTS The high-compliance group showed statistically significant differences in healthy lifestyle and personal control choices (HLPCQ; p=0.006), sleep quality (PSQI; p=0.007), self-regulation eating behavior (SREBQ; p=0.009), perceived stress (PSS; p=0.001) and depressive symptoms (p=0.003). Conclusions: Frequent practice of the PSAI had a positive effect on the psychological, lifestyle, and cognitive measures of the community sample. Larger studies are needed to establish the PSAI as an effective stress management method.
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Affiliation(s)
- Eleni S Zigkiri
- Postgraduate Course Stress Science and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
| | - Nicolas C Nicolaides
- Postgraduate Course Stress Science and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
- Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Athens 11527, Greece
- Division of Endocrinology and Metabolism, Biomedical Research Foundation of the Academy of Athens, Athens 11527, Greece
- Clinical and Translational Research Endocrine Unit, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
| | - Flora Bacopoulou
- Postgraduate Course Stress Science and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
- Clinical and Translational Research Endocrine Unit, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
- Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Athens 11527, Greece
| | - Dimitris Simos
- Postgraduate Course Stress Science and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
| | - Dimitrios Vlachakis
- Laboratory of Genetics, Department of Biotechnology, School of Applied Biology and Biotechnology, Agricultural University of Athens, Athens, Greece
| | - George P Chrousos
- Postgraduate Course Stress Science and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
- Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Athens 11527, Greece
- Division of Endocrinology and Metabolism, Biomedical Research Foundation of the Academy of Athens, Athens 11527, Greece
- Clinical and Translational Research Endocrine Unit, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
- Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, “Aghia Sophia” Children’s Hospital, Athens 11527, Greece
| | - Christina Darviri
- Postgraduate Course Stress Science and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
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Sioula EK, Tigani X, Artemiadis AK, Vlachakis D, Chrousos GP, Darviri C, Alexopoulos EC. An 8-week Stress Management Program in Information Technology Professionals and the Role of a New Cognitive Behavioral Method: a Pilot Randomized Controlled Trial. JOURNAL OF MOLECULAR BIOCHEMISTRY 2020; 9:22-31. [PMID: 33520743 PMCID: PMC7842355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
AIM The aim of this study is to compare and evaluate the sort-term benefits of the effects of an 8-week stress management techniques in information technology professionals. METHODS In this parallel randomized controlled trial, participants were randomly assigned to either the stress management group (n=40; relaxation breathing, progressive muscle relaxation, guided imagery) or in the Pythagorean Self awareness group (n=41). Self-reported validated measures were used to evaluate perceived stress, health locus of control, anxiety and depression. RESULTS All groups were found with significantly better cognitive speed and verbal memory at the end of the follow-up. Taking into account the group by time interaction coefficients, PSAT was found significantly superior to standard SM with regards to depression, emotional intelligence, lifestyle and personal control and verbal memory suggesting that verbal memory improvement through time should be mostly attributed to PSAT. On the other hand, the cognitive speed improvement during follow-up should be attributed to both interventions. CONCLUSIONS These findings provide important insight into the role of stress management. Future studies should focus on randomized, controlled trials with larger samples and longer follow-up times.
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Affiliation(s)
- Evangelia K Sioula
- Postgraduate Course Stress Management and Health Promotion, School of Medicine, National and Kapodistrian University of Athens, 4 Soranou Ephessiou Str., 11527, Athens, Greece
| | - Xanthi Tigani
- Postgraduate Course Stress Management and Health Promotion, School of Medicine, National and Kapodistrian University of Athens, 4 Soranou Ephessiou Str., 11527, Athens, Greece
| | - Artemios K Artemiadis
- Postgraduate Course Stress Management and Health Promotion, School of Medicine, National and Kapodistrian University of Athens, 4 Soranou Ephessiou Str., 11527, Athens, Greece
- Medical School, University of Cyprus, Nicosia, 2029, Cyprus
| | - Dimitrios Vlachakis
- Division of Endocrinology and Metabolism, Biomedical Research Foundation of the Academy of Athens, Athens 11527, Greece
- Laboratory of Genetics, Department of Biotechnology, School of Food, Biotechnology and Development, Agricultural University of Athens, 75 Iera Odos, 11855, Athens, Greece
| | - George P. Chrousos
- Postgraduate Course Stress Management and Health Promotion, School of Medicine, National and Kapodistrian University of Athens, 4 Soranou Ephessiou Str., 11527, Athens, Greece
- First Department of Pediatrics, Children’s Hospital Aghia Sofia, School of Medicine, University of Athens, 1 Thivon Str., 11527, Athens, Greece
| | - Christina Darviri
- Postgraduate Course Stress Management and Health Promotion, School of Medicine, National and Kapodistrian University of Athens, 4 Soranou Ephessiou Str., 11527, Athens, Greece
| | - Evangelos C. Alexopoulos
- Postgraduate Course Stress Management and Health Promotion, School of Medicine, National and Kapodistrian University of Athens, 4 Soranou Ephessiou Str., 11527, Athens, Greece
- Occupational Health Department, Metropolitan General Hospital, 15562 Athens, Greece
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Gaiha SM, Gillander Gådin K. 'No time for health:' exploring couples' health promotion in Indian slums. Health Promot Int 2020; 35:70-81. [PMID: 30590523 DOI: 10.1093/heapro/day101] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Joint involvement of couples is an effective strategy to increase contraceptive use and improve reproductive health of women. However, engaging couples to understand how their gender attitudes affect their personal and family health is an idea in search of practice. This mixed-methods study explores opportunities and barriers to couples' participation in health promotion in three slums of Delhi. For each couple, surveys and semi-structured interviews were conducted with husbands and wives individually to contrast self and spousal work, time, interest in health, sources of information related to health and depth of knowledge (n = 62). Urban poverty forces men to work long hours and women to enter part-time work in the informal sector. Paid work induces lack of availability at home, lack of interest in health information and in performing household chores and a self-perception of being healthy among men. These factors inhibit men's' participation in community-based health promotion activities. Women's unpaid work in the household remains unnoticed. Women were expected to be interested in and to make time to attend community-based health-related activities. Men recalled significantly less sources of health information than their spouse. Men and their wives showed similar depth of health-related knowledge, likely due to their spousal communication, with women acting as gatekeepers. Health promotion planners must recognize time constraints, reliance on informal interpersonal communication as a source of health information and the need to portray positive masculinities that address asymmetric gender relations. Innovative, continuous and collaborative approaches may support couples to proactively care about health in low-resource settings.
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Affiliation(s)
- Shivani Mathur Gaiha
- Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.,Health Communication, Public Health Foundation of India, New Delhi, India
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Borillo CJ, Tamanal JM, Kim CH. Determining the Cut Off Score of the Healthy Lifestyle Screening Tool among High School Students. J Lifestyle Med 2020; 10:92-101. [PMID: 32995336 PMCID: PMC7502896 DOI: 10.15280/jlm.2020.10.2.92] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 07/17/2020] [Indexed: 11/27/2022] Open
Abstract
Background Several lifestyle factors such as not smoking, drinking alcohol in moderation, eating healthily, regular exercise, and maintaining a normal weight have been known to play an important role in optimal health. A screening tool that has a standardized score that indicates healthy or risky lifestyle behaviors is needed for health promotion. However, such a tool that focuses on lifestyle behaviors have not incorporated scores to summarize the results. The purpose of this study is to develop the cut-off points of the Healthy Lifestyle Screening tool. Methods Data collection in this study was done from 198 Filipino high school students utilizing the Healthy Lifestyle Screening Tool. Results Receiver Operating Curve (ROC) results indicated cut-off score of 98 to separate into low and high score groups. The mean scores for all subcomponents were significantly different in between two groups. The general population fell in the high score category with a mean total score of 105.61 in which 81.31% were categorized in the high score group and 18.61% in the low score group. Subjects in general obtained low mean scores in specific subscale components such as rest (2.46) water (2.66) and exercise (2.78). Conclusion Increasing the total score by working on low scoring components will be beneficial in achieving a healthy lifestyle. This study reinforced the importance of holistic approach regarding health and well-being among high school students.
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Affiliation(s)
- Carmela Jeanette Borillo
- Department of Addiction Science, College of Health Science and Social Welfare, Sahmyook University Graduate School, Seoul, Korea
| | - Jerre Mae Tamanal
- Department of Addiction Science, College of Health Science and Social Welfare, Sahmyook University Graduate School, Seoul, Korea
| | - Cheong Hoon Kim
- Department of Addiction Science, College of Health Science and Social Welfare, Sahmyook University Graduate School, Seoul, Korea
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25
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Rabenbauer LM, Mevenkamp N. Factors in the Effectiveness of e-Health Interventions for Chronic Back Pain: How Self-Efficacy Mediates e-Health Literacy and Healthy Habits. Telemed J E Health 2020; 27:184-192. [PMID: 32397853 DOI: 10.1089/tmj.2019.0301] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Background: Self-management and healthy habits (long-term health-related behaviors) are life-long requirements for the prevention of chronic back pain. Adherence to health interventions is often low because of the target groups' lack of interest. Electronic health (e-Health) information offers an opportunity to solve this issue, but many e-Health interventions are of poor quality. This study explores factors in the effectiveness of e-Health interventions and health-related behavioral changes and, thus, is among the first to develop a theoretical basis for e-Health programs. Materials and Methods: An online survey was conducted among the target groups of primary and secondary health programs promoting the management of possibly chronic back pain in Germany and Austria (N = 224). Measurements of e-Health literacy (eHL), self-efficacy, organized physical exercise, and the patients' social and mental balance were applied in all cases. Participants were categorized into dichotomous subgroups regarding the severity of their back pain. In addition to several significance tests, a correlation analysis and mediation analysis were both performed using PROCESS version 2.0 for SPSS. Results: It was observed in the nonrisk group that self-efficacy has a mediation effect on the connection between eHL and healthy habits. Significant correlations between eHL and self-efficacy in both groups revealed associations between the major driving forces of healthy habits. Conclusion: In keeping with previous research, the findings suggest that a high level of self-efficacy plays a significant role in correctly performing e-Health interventions. Nevertheless, further research should identify the effects of online social surroundings on eHL and self-efficacy in detail.
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Affiliation(s)
- Lisa M Rabenbauer
- Department of International Health and Social Management, MCI Management Center Innsbruck, Innsbruck, Austria
| | - Nils Mevenkamp
- Department of International Health and Social Management, MCI Management Center Innsbruck, Innsbruck, Austria
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26
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Asril NM, Tabuchi K, Tsunematsu M, Kobayashi T, Kakehashi M. Predicting Healthy Lifestyle Behaviours Among Patients With Type 2 Diabetes in Rural Bali, Indonesia. CLINICAL MEDICINE INSIGHTS-ENDOCRINOLOGY AND DIABETES 2020; 13:1179551420915856. [PMID: 32341670 PMCID: PMC7171987 DOI: 10.1177/1179551420915856] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/21/2019] [Accepted: 03/06/2020] [Indexed: 12/13/2022]
Abstract
Background Type 2 diabetes is a lifelong metabolic disease closely related to unhealthy lifestyle behaviours. This study aimed to identify factors explaining the healthy lifestyle behaviours of patients with type 2 diabetes in rural Indonesia. The extended health belief model, demographic characteristics, clinical lifestyle factors and diabetes knowledge were investigated to provide a complete description of these behaviours. Method A sample of 203 patients with type 2 diabetes representing a cross-section of the population were recruited from community health centres in the rural areas of Bali province. The data were collected through questionnaires. Descriptive statistics and a hierarchical regression test were employed. Results This study showed demographic characteristics, clinical and lifestyle factors, diabetes knowledge and the extended health belief model accounted for 71.8% of the variance in healthy lifestyle behaviours of patients with type 2 diabetes in rural Indonesia. The significant demographic factors were age, education level, employment status and traditional beliefs. The significant clinical and lifestyle factors were alcohol use, diabetic medicine and duration of symptoms. Finally, the significant extended health belief model factors were perceived severity, susceptibility, barriers, family support, bonding social capital and chance locus of control. Conclusions The extended health belief model forms an adequate model for predicting healthy lifestyle behaviours among patients with diabetes in rural Indonesia. The contribution of this model should be strengthened in developing the diabetes management.
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Affiliation(s)
- Nice Maylani Asril
- Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan.,Faculty of Education, Ganesha University of Education, Bali, Indonesia
| | - Keiji Tabuchi
- Department of Health Promotion and Development Science, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan
| | - Miwako Tsunematsu
- Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan
| | - Toshio Kobayashi
- Department of General Internal Medicine, Ishii Memorial Hospital, Yamaguchi, Japan
| | - Masayuki Kakehashi
- Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan
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Charalampopoulou M, Bacopoulou F, Syrigos KN, Filopoulos E, Chrousos GP, Darviri C. The effects of Pythagorean Self-Awareness Intervention on breast cancer patients undergoing adjuvant therapy: A pilot randomized controlled trial. Breast 2019; 49:210-218. [PMID: 31901782 PMCID: PMC7375672 DOI: 10.1016/j.breast.2019.12.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Revised: 12/11/2019] [Accepted: 12/16/2019] [Indexed: 12/24/2022] Open
Abstract
Introduction Breast cancer patients undergo extended treatments that affect their psychological state and quality of life. There is a lack of studies examining the effects of holistic stress management interventions (that combine stress perception, cognitive and lifestyle interventions) on mental health and biological indices (e.g. cortisol concentrations) of breast cancer patients. Materials and methods This pilot randomized controlled trial provided the first assessment of the effects of a novel, cognitive-based intervention, the Pythagorean Self-Awareness Intervention (PSAI), on psychological symptoms, quality of life, sleep quality and lifestyle as well as on stress-related biological measures of breast cancer patients undergoing adjuvant therapy. Standardized questionnaires were administered at baseline and 8-weeksafter the intervention to evaluate quality of life, stress, depression, and anxiety (primary outcomes). Sleep quality, lifestyle and hair cortisol concentrations were also assessed (secondary outcomes). Results Forty-five breast cancer patients undergoing adjuvant therapy were randomly assigned to the PSAI group (n = 25) or the control group (n = 20).Women in the PSAI group reported significant improvements post-intervention in total Quality of Life, specific aspects of Quality of Life [Physical well-being, Social well-being, Emotional well-being, Functional well-being, Breast cancer concerns] as well as Perceived stress, depression, anxiety and stress. Improvements in secondary outcomes included increase in sleep quality, empowerment for healthy lifestyle and reduction of hair cortisol concentrations. Conclusions The PSAI was beneficial as complementary therapy in the women studied. Larger randomized controlled trials with longer follow-up are needed to ascertain these findings. Breast cancer patients face physical and psychological cancer-related stressors. Pythagorean self-awareness is a novel stress-management intervention (PSAI). Breast cancer patients were allocated to PSAI group and control group. Mental health, quality of life and sleep were ameliorated in PSAI group. Hair cortisol concentrations were reduced significantly in the PSAI group.
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Affiliation(s)
- Maria Charalampopoulou
- Postgraduate Course of Stress Management and Health Promotion, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
| | - Flora Bacopoulou
- Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Aghia Sophia Children's Hospital, Athens, Greece; Unit of Clinical and Translational Research in Endocrinology, First Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Konstantinos N Syrigos
- Oncology Unit, 3rd Department of Medicine, School of Medicine, National and Kapodistrian University of Athens, Sotiria General Hospital, Athens, Greece
| | - Evaggelos Filopoulos
- Breast Cancer Department, General Anti-Cancer Hospital Agios Savvas, Athens, Greece
| | - George P Chrousos
- Postgraduate Course of Stress Management and Health Promotion, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece; Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Aghia Sophia Children's Hospital, Athens, Greece; Unit of Clinical and Translational Research in Endocrinology, First Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Christina Darviri
- Postgraduate Course of Stress Management and Health Promotion, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Validation of the Patient Empowerment Strategies Questionnaire (PES-Q) in Greek adult patients with chronic insomnia: a pilot study on basic psychometric values. Prim Health Care Res Dev 2019; 20:e130. [PMID: 31511115 PMCID: PMC6749550 DOI: 10.1017/s1463423619000616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Aim: The objectives of this study were to validate the Patient Empowerment Strategies Questionnaire (PES-Q) in a Greek sample and to study its psychometric properties in a sample of patients diagnosed with chronic insomnia. Background: This is a validation of the PES-Q in Attikon General Hospital, School of Medicine, National and Kapodistrian University of Athens. The questionnaire was administered to 93 subjects aged between 18 and 85 years (mean age ± SD: 54.7 ± 15.2, 28% males). Methods: The criterion validity of the questionnaire was tested with the use of four specific criteria: the Athens Insomnia Scale, the Pittsburg questionnaire (Pittsburg Sleep Quality Index), the Depression, Anxiety and Stress Scale, and the Self-Esteem Scale. Findings: According to factor analysis results, the structure of the original scale was confirmed by the presence of one main factor in the Greek sample, explaining 40.1% of the variance of PES-Q queries. The questionnaire showed satisfactory reliability (Cronbach’s α = 0.887). The results of the current study suggest that the PES-Q may be used as an accurate psychometric instrument for the purposes of chronic insomnia. Future research should examine the psychometric qualities of the PES-Q Greek version in a larger sample.
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Kokka A, Mikelatou M, Fouka G, Varvogli L, Chrousos GP, Darviri C. Stress Management and Health Promotion in a Sample of Women With Intimate Partner Violence: A Randomized Controlled Trial. JOURNAL OF INTERPERSONAL VIOLENCE 2019; 34:2034-2055. [PMID: 27530654 DOI: 10.1177/0886260516658759] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The aim of the present study was to investigate the effectiveness of a stress management program regarding mitigating psychological repercussions in women who experience intimate partner violence (IPV). This randomized controlled trial took place from January 2015 to June 2015, in Attica, Greece. A total of 60 women were randomly assigned into an intervention and control group, with the intervention group ( n = 30) receiving stress management and a lifestyle program. Self-reported measures were used to assess stress, depression and anxiety levels, daily routine, severity of abuse, self-esteem, health locus of control, and self-efficacy. Statistical analysis showed a significant improvement in measures of stress, depression, anxiety, self-esteem, and self-efficacy in the intervention group. Daily routine and physical exercise also improved. Based on these findings, we strongly encourage health professionals to advise women experiencing current and past IPV to adopt stress management techniques to their daily program, as a further means of empowerment.
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Affiliation(s)
- Anastasia Kokka
- 1 Postgraduate Course Science of Stress and Health Promotion, School of Medicine, University of Athens, Athens, Greece
| | - Maria Mikelatou
- 1 Postgraduate Course Science of Stress and Health Promotion, School of Medicine, University of Athens, Athens, Greece
| | - Georgia Fouka
- 2 Technological Educational Institute of Athens, Athens, Greece
| | - Liza Varvogli
- 1 Postgraduate Course Science of Stress and Health Promotion, School of Medicine, University of Athens, Athens, Greece
| | - George P Chrousos
- 1 Postgraduate Course Science of Stress and Health Promotion, School of Medicine, University of Athens, Athens, Greece
- 3 First Department of Pediatrics, Children's Hospital Aghia Sofia, School of Medicine, University of Athens, Athens, Greece
| | - Christina Darviri
- 1 Postgraduate Course Science of Stress and Health Promotion, School of Medicine, University of Athens, Athens, Greece
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Markomanolaki ZS, Tigani X, Siamatras T, Bacopoulou F, Tsartsalis A, Artemiadis A, Megalooikonomou V, Vlachakis D, Chrousos GP, Darviri C. Stress Management in Women with Hashimoto's thyroiditis: A Randomized Controlled Trial. JOURNAL OF MOLECULAR BIOCHEMISTRY 2019; 8:3-12. [PMID: 31404454 PMCID: PMC6688766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
AIM Stress has been implicated in the pathogenesis of Hashimoto's thyroiditis (HT), nevertheless evidence is scarce regarding the effect of stress management on individuals suffering from HT. The purpose of this study was to evaluate the impact of an 8-week stress management intervention on the anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin (anti-TG) antibodies as well as thyroid-stimulating hormone (TSH) levels of women with HT. Secondary endpoints included the effect on the patients' lifestyle, body mass index (BMI), depression, anxiety and stress. METHODS This was a two-arm parallel group (stress management intervention vs. standard care groups) randomized controlled study. Adult women with Hashimoto's thyroiditis, completed questionnaires on stress, anxiety, depression and lifestyle, at the beginning of the programme and 8 weeks later. Laboratory thyroid function tests (anti-TPO, anti-TG antibodies and TSH) were also measured at baseline and at the end of the study. RESULTS A total of 60 women with HT, aged 25-76 years, participated in the study (30 patients in each group). After eight weeks, patients in the intervention group demonstrated statistically significant beneficial decrements in the rate change of anti-TG titers and the levels of stress, depression and anxiety as well as better lifestyle scores, compared to the control group.
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Affiliation(s)
- Zoe S Markomanolaki
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
| | - Xanthi Tigani
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
| | | | - Flora Bacopoulou
- Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, Aghia Sophia Children’s Hospital, Athens 11527, Greece
| | | | - Artemios Artemiadis
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
| | - Vasileios Megalooikonomou
- Computer Engineering and Informatics Department, School of Engineering, University of Patras, Patras 26500, Greece
| | - Dimitrios Vlachakis
- Laboratory of Genetics, Department of Biotechnology, School of Food, Biotechnology and Development, Agricultural University of Athens, 75 Iera Odos, 11855, Athens, Greece
- Lab of Molecular Endocrinology, Center of Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, Athens, Greece
| | - George P Chrousos
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
- Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, Aghia Sophia Children’s Hospital, Athens 11527, Greece
| | - Christina Darviri
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
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Xenaki N, Bacopoulou F, Kokkinos A, Nicolaides NC, Chrousos GP, Darviri C. Impact of a stress management program on weight loss, mental health and lifestyle in adults with obesity: a randomized controlled trial. JOURNAL OF MOLECULAR BIOCHEMISTRY 2018; 7:78-84. [PMID: 30568922 PMCID: PMC6296480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
AIM To evaluate the impact of a stress management program on weight loss, depression, anxiety and stress as well as on the adoption of healthy lifestyle in adults with obesity. METHODS Adults with obesity who sought help for weight loss at a medical obesity clinic were consecutively enrolled in the study and were randomly assigned to the intervention or control group. All participants received standard instructions for a healthy lifestyle. The intervention group attended an 8-week stress management program that comprised diaphragmatic breathing, progressive muscle relaxation, guided visualization and instructions about healthy nutrition/dietary habits. Anthropometric parameters were assessed and several questionnaires were completed by all participants, at the beginning and at the end of the study. RESULTS A total of 45 adults (mean age±SD 45.7±10.55 years) with obesity were enrolled in the study; 22 in the intervention group and 23 in the control group. Participants in the two groups were matched for age and BMI. Participants in the intervention group achieved a significantly larger reduction in BMI compared to the control group (ΔBMI -3.1 vs. -1.74 kg/m2 respectively, P<0.001). In addition, they displayed ameliorated depression and anxiety scores and a reduction in the health locus of control based on chance.
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Affiliation(s)
- Niovi Xenaki
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
| | - Flora Bacopoulou
- Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, Aghia Sophia Children’s Hospital, Athens 11527, Greece
| | - Alexandras Kokkinos
- First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens 11527, Greece
| | - Nicolas C. Nicolaides
- Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, Aghia Sophia Children’s Hospital, Athens 11527, Greece
| | - George P. Chrousos
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
- Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, Aghia Sophia Children’s Hospital, Athens 11527, Greece
| | - Christina Darviri
- Postgraduate Course of Stress Management and Health Promotion, Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
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Patrone V, Puglisi E, Cardinali M, Schnitzler TS, Svegliati S, Festa A, Gabrielli A, Morelli L. Gut microbiota profile in systemic sclerosis patients with and without clinical evidence of gastrointestinal involvement. Sci Rep 2017; 7:14874. [PMID: 29093509 PMCID: PMC5665912 DOI: 10.1038/s41598-017-14889-6] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Accepted: 10/18/2017] [Indexed: 02/08/2023] Open
Abstract
Recent evidence suggests that there is a link between the gut microbial community and immune-mediated disorders. Systemic sclerosis (SSc) is an autoimmune disease characterized by immunonological abnormalities, vascular lesions, and extensive fibrosis. Since the gastrointestinal tract is one of the organs most involved, the goal of this study was to explore the composition of the intestinal microbiota in SSc patients with (SSc/GI+) and without gastrointestinal involvement (SSc/GI-) in comparison to healthy controls (HC). The fecal bacterial composition was investigated by Illumina sequencing of 16 S rRNA gene amplicons. The fecal microbiota of SSc/GI+ subjects was characterized by higher levels of Lactobacillus, Eubacterium and Acinetobacter compared with healthy controls, and lower proportions of Roseburia, Clostridium, and Ruminococcus. The gut microbiota of SSc/GI- subjects was more similar to the microbiota of HC than to that of SSc/GI+ subjects albeit Streptococcus salivarius was over-represented in SSc/GI- fecal samples compared with both SSc/GI+ subjects and controls. Our study reveals microbial signatures of dysbiosis in the gut microbiota of SSc patients that are associated with clinical evidence of gastrointestinal disease. Further studies are needed to elucidate the potential role of these perturbations in the onset and progression of systemic sclerosis, and gastrointestinal involvement in particular.
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Affiliation(s)
- Vania Patrone
- Dipartimento di Scienze e Tecnologie Alimentari per una filiera agroalimentare sostenibile (DiSTAS), Facoltà di Scienze Agrarie, Alimentari ed Ambientali, Università Cattolica del Sacro Cuore, Via Emilia Parmense 84, 29122, Piacenza, Italy
| | - Edoardo Puglisi
- Dipartimento di Scienze e Tecnologie Alimentari per una filiera agroalimentare sostenibile (DiSTAS), Facoltà di Scienze Agrarie, Alimentari ed Ambientali, Università Cattolica del Sacro Cuore, Via Emilia Parmense 84, 29122, Piacenza, Italy.
| | - Marco Cardinali
- Clinica Medica, Dipartimento di Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Via Tronto 10/A, 60126, Ancona, Italy
| | - Tobias S Schnitzler
- Clinica Medica, Dipartimento di Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Via Tronto 10/A, 60126, Ancona, Italy
| | - Silvia Svegliati
- Clinica Medica, Dipartimento di Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Via Tronto 10/A, 60126, Ancona, Italy
| | - Antonella Festa
- Clinica Medica, Dipartimento di Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Via Tronto 10/A, 60126, Ancona, Italy
| | - Armando Gabrielli
- Clinica Medica, Dipartimento di Scienze Cliniche e Molecolari, Università Politecnica delle Marche, Via Tronto 10/A, 60126, Ancona, Italy.
| | - Lorenzo Morelli
- Dipartimento di Scienze e Tecnologie Alimentari per una filiera agroalimentare sostenibile (DiSTAS), Facoltà di Scienze Agrarie, Alimentari ed Ambientali, Università Cattolica del Sacro Cuore, Via Emilia Parmense 84, 29122, Piacenza, Italy
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Health Philosophy of Dietitians and Its Implications for Life Satisfaction: An Exploratory Study. Behav Sci (Basel) 2017; 7:bs7040067. [PMID: 29048357 PMCID: PMC5746676 DOI: 10.3390/bs7040067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Revised: 09/27/2017] [Accepted: 10/12/2017] [Indexed: 11/24/2022] Open
Abstract
Studies of health providers suggest that satisfaction with life is related to their values and sense of purpose which is best achieved when their professional role is in harmony with personal philosophy. Cross-sectional surveys suggest that personal health beliefs and practices of health professionals influence their clinical counseling practices. However, little is known about the influence of health philosophy on the personal satisfaction with life for dietitians. This study recruited a randomly selected, cross-sectional sample to complete a self-administered online survey. An exploratory factor analysis of was conducted for 479 participants resulting in a two-factor solution, clinical (α = 0.914) and wellness (α = 0.894) perceptions of health. An index score for the following valid and reliable scales were calculated: satisfaction with life, health conception, and healthy lifestyle and personal control. Pearson correlation coefficients between scores were analyzed to determine the degree of relationship. Potential mediators were explored with multiple regression. The relationships between variables were tested with structural equation modeling using a multigroup comparison between genders. The male participants were removed from the overall model and were separately evaluated. Health philosophy that is oriented toward wellness, was positively and significantly associated with life satisfaction, r(462) = 0.103, p < 0.05. Participants with higher Healthy Lifestyle and Personal Control scores reported greater life satisfaction, r(462) = 0.27, p = 0.000. Healthy lifestyle alone predicted 8.8% of the variance in life satisfaction (R2 = 0.088, df 1462, p = 0.005). SEM confirmed the model had goodness-of-fit (χ2 = 2.63, p = 0.453). The satisfaction with life of dietitians is directly and positively influenced by a greater wellness orientation and personal healthy lifestyle practices. The effect of practice and lifestyle on life satisfaction appears to be greater for men.
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Grace-Farfaglia P, Pickett-Bernard DL, Gorman AW, Dehpahlavan J. Blurred lines: Emerging practice for registered dietitian-nutritionists in integrative and functional nutrition. Complement Ther Clin Pract 2017; 28:212-219. [PMID: 28779932 DOI: 10.1016/j.ctcp.2017.06.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2017] [Accepted: 06/29/2017] [Indexed: 02/04/2023]
Abstract
BACKGROUND This study explored the health philosophy and practice orientation of RDNs in the United States. METHODS A randomly selected group of RDNs were recruited to take an online survey using a reduced version of Integrative Medicine practice (IM-30). Confirmatory factor analysis, analyses of variance, and non-parametric tests were used to investigate the relationships between dietetic professionals' personal health philosophy, lifestyle, and orientation to Integrative Medicine. RESULTS Overall construct validity of the IM-26 scale was demonstrated by Cronbach's α with reliabilities ranging from 0.766 to 0.89. Results from chi-square test of goodness-of-fit test (N = 477, χ2 = 228.72, p = 0.123) and RMSEA of 0.016 showed good model fit. IM orientation varied significantly by work setting and certification in one or more CAM therapies. CONCLUSIONS The orientation towards Integrative Medicine for a majority of US dietitians is in the awareness and learning phases of adoption.
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Affiliation(s)
- Patricia Grace-Farfaglia
- Health Science, Rocky Mountain University of Health Professions, Provo, UT, United States; Department of Nutritional Sciences, University of Connecticut, Waterbury, CT, United States.
| | - Denise L Pickett-Bernard
- Health Science, Rocky Mountain University of Health Professions, Provo, UT, United States; Department of Nutrition, Life University, Marietta, GA, United States
| | - Andrea White Gorman
- Health Science, Rocky Mountain University of Health Professions, Provo, UT, United States
| | - Jaleh Dehpahlavan
- Department of Nutrition, Life University, Marietta, GA, United States
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Cheng C, Cheung MWL, Lo BCY. Relationship of health locus of control with specific health behaviours and global health appraisal: a meta-analysis and effects of moderators. Health Psychol Rev 2016; 10:460-477. [PMID: 27556686 PMCID: PMC5214986 DOI: 10.1080/17437199.2016.1219672] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Health locus of control (HLOC) refers to beliefs regarding how one’s health is influenced by oneself, others, or fate. This meta-analysis investigated whether three HLOC dimensions (internality/I-HLOC, powerful others/P-HLOC, chance/C-HLOC) were related to both specific health behaviours and global health appraisal, and whether these relationships were moderated by gender and age compositions, individualism, and power distance. Three-level mixed-effects meta-analysis was performed on studies examining the associations of HLOC with specific health behaviour (k = 76, N = 76,580, 57% women, Mage = 43.75) and global health appraisal (k = 95, N = 12,068, 57% women, Mage = 45.44), respectively. For specific health behaviour, the averaged correlations with the HLOC dimensions were generally weak (r’s = −.07 to .10). However, the links between P-HLOC and exercise were moderated by all four demographic moderators, and gender composition and individualism moderated the association between the HLOC dimensions and diet. For global health appraisal, all of the averaged correlations were statistically significant (r’s = −.16 to .21), except that between P-HLOC and mental quality of life. The results further showed individualism and power distance to moderate the links between the HLOC dimensions and both mental and physical quality of life, and gender composition to moderate those between these dimensions and two indicators of emotional problems (depression and anxiety).
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Affiliation(s)
- Cecilia Cheng
- a Department of Psychology , The University of Hong Kong , Pokfulam , Hong Kong SAR
| | - Mike W-L Cheung
- b Department of Psychology , National University of Singapore , Singapore , Singapore
| | - Barbara C Y Lo
- a Department of Psychology , The University of Hong Kong , Pokfulam , Hong Kong SAR
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Turner JB, Kumar A, Koch CA. The effects of indoor and outdoor temperature on metabolic rate and adipose tissue - the Mississippi perspective on the obesity epidemic. Rev Endocr Metab Disord 2016; 17:61-71. [PMID: 27165258 DOI: 10.1007/s11154-016-9358-z] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Global warming, primarily caused by emissions of too much carbon dioxide, and climate change is a reality. This will lead to more extreme weather events with heatwaves and flooding. Some studies propose an association between thermal exposures and the prevalence of obesity with an increasing trend towards time spent in the thermal comfort zone. Longterm exposure to the thermal comfort zone can lead to a reduction of brown adipose tissue activity with an impact on energy expenditure and thermogenesis. Reduced seasonal cold exposure in combination with reduced diet-induced thermogenesis by a highly palatable high-fat and high-sugar diet and reduced physical activity contribute to the prevalence of obesity and the metabolic syndrome.
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Affiliation(s)
- J B Turner
- Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA
| | - A Kumar
- Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA
- Division of Endocrinology, Diabetes, and Metabolism, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS, 39216, USA
| | - C A Koch
- Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
- Division of Endocrinology, Diabetes, and Metabolism, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS, 39216, USA.
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Xenouli G, Xenoulis K, Sarafis P, Niakas D, Alexopoulos EC. Validation of the World Health Organization Disability Assessment Schedule (WHO-DAS II) in Greek and its added value to the Short Form 36 (SF-36) in a sample of people with or without disabilities. Disabil Health J 2016; 9:518-23. [PMID: 26996759 DOI: 10.1016/j.dhjo.2016.01.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2015] [Revised: 01/05/2016] [Accepted: 01/30/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND There is controversy and ongoing interest on the measurement of functionality in the personal and social level. OBJECTIVES (1) to validate the Greek version of the World Health Organization Disability Assessment Schedule (WHO DAS II) and (2) to determine its added value to the physical and psychological health subscales of the Short Form 36 (SF-36). METHODS In a cross-sectional design, data were collected between December 2014 and March 2015 by using three questionnaires (WHO DAS II, SF-36, PSS-14) in a sample of people with disabilities (n = 101) and without disabilities (n = 109) in Athens, Greece. WHO DAS II internal consistency, construct and criterion-related validity were assessed by Cronbach alpha, exploratory factor analysis and correlations; its added value by multivariable linear regression. RESULTS Cronbach Alpha's were satisfactory for the WHO DAS II, PSS-14 and SF-36 (0.85, 0.88 and 0.96 respectively). Exploratory factor analysis confirmed the existence of one or two factors in people with or without disabilities, respectively. WHO DAS II score showed significant negative correlation with the physical and mental health scale of SF-36 score, especially strong for physical health while was positively related to PSS-14 score. In multivariate analysis mental health appraisal was related to perceived stress in both groups. CONCLUSIONS This study support the validity of the Greek version of WHO DAS II and warranted its use in assessment and follow up of people with disabilities, contributing to the development of suitable policies to cover their needs and providing comparable data with other surveys using the same instrument.
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Affiliation(s)
- Georgia Xenouli
- Hellenic Open University, Parodos Aristotelous 18, GR-26 335 Patra, Greece.
| | - Kostis Xenoulis
- Department of Informatics and Telecommunications, National and Kapodistrian University of Athens, Panepistimiopolis, Ilissia, GR- 15784 Athens, Greece
| | - Pavlos Sarafis
- Hellenic Open University, Parodos Aristotelous 18, GR-26 335 Patra, Greece
| | - Dimitris Niakas
- Hellenic Open University, Parodos Aristotelous 18, GR-26 335 Patra, Greece
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Lifestyle and Depression among Hong Kong Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:ijerph13010135. [PMID: 26784216 PMCID: PMC4730526 DOI: 10.3390/ijerph13010135] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Revised: 01/12/2016] [Accepted: 01/13/2016] [Indexed: 01/18/2023]
Abstract
Recent longitudinal data suggest a close association between depression and lifestyle. Little work to date has estimated the prevalence of depression in the nursing workforce in China, nor considered what lifestyle factors might be correlated with it—a gap filled by the present study. The study’s web-based cross-sectional survey solicited data from qualified nurses aged between 21 and 65 registered with the Hong Kong Nursing Council. The Depression, Anxiety and Stress Scale 21 was used to measure 850 nurses for depression, anxiety and symptoms of stress; a generalized linear regression model examined associations between lifestyle factors and depression. Mean depression symptom scores show a downward linear trend for male and female participants. Gender and age, however, did not emerge as significant predictors of depression. Three lifestyles factors (sleep, entertainment and hobbies) showed a significant association with depression. Nurses should make therapeutic lifestyle changes to improve their work-life balance and safeguard their functioning at work and personal well-being.
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Darviri C, Zavitsanou C, Delikou A, Giotaki A, Artemiadis A, Terentiou A, Chrousos GP. A Novel Non-Pharmaceutical Treatment for Patients with Mild Cognitive Impairment. ACTA ACUST UNITED AC 2016. [DOI: 10.4236/psych.2016.75070] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Govender M, Bowen RC, German ML, Bulaj G, Bruggers CS. Clinical and Neurobiological Perspectives of Empowering Pediatric Cancer Patients Using Videogames. Games Health J 2015; 4:362-74. [PMID: 26287927 PMCID: PMC4545566 DOI: 10.1089/g4h.2015.0014] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Pediatric oncology patients often experience fatigue and physical and mental deconditioning during and following chemotherapy treatments, contributing to diminished quality of life. Patient empowerment is a core principle of patient-centered care and reflects one's ability to positively affect his or her own health behavior and health status. Empowerment interventions may enhance patients' internal locus of control, resilience, coping skills, and self-management of symptoms related to disease and therapy. Clinical and technological advancements in therapeutic videogames and mobile medical applications (mobile health) can facilitate delivery of the empowerment interventions for medical purposes. This review summarizes clinical strategies for empowering pediatric cancer patients, as well as their relationship with developing a “fighting spirit” in physical and mental health. To better understand physiological aspects of empowerment and to elucidate videogame-based intervention strategies, brain neuronal circuits and neurotransmitters during stress, fear, and resilience are also discussed. Neuroimaging studies point to the role of the reward system pathways in resilience and empowerment in patients. Taken together, videogames and mobile health applications open translational research opportunities to develop and deliver empowerment interventions to pediatric cancer patients and also to those with other chronic diseases.
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Affiliation(s)
- Meveshni Govender
- 1 Division of Hematology-Oncology, University of Utah School of Medicine , Salt Lake City, Utah
| | - Randy C Bowen
- 2 Department of Pediatrics, University of Utah School of Medicine , Salt Lake City, Utah
| | - Massiell L German
- 2 Department of Pediatrics, University of Utah School of Medicine , Salt Lake City, Utah
| | - Grzegorz Bulaj
- 3 Department of Medicinal Chemistry, College of Pharmacy, University of Utah , Salt Lake City, Utah
| | - Carol S Bruggers
- 1 Division of Hematology-Oncology, University of Utah School of Medicine , Salt Lake City, Utah.,2 Department of Pediatrics, University of Utah School of Medicine , Salt Lake City, Utah.,4 Huntsman Cancer Institute, University of Utah School of Medicine , Salt Lake City, Utah.,5 Primary Children's Hospital , Salt Lake City, Utah
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