A study protocol of a three-group randomized feasibility trial of an online yoga intervention for mothers after stillbirth (The Mindful Health Study)

Huberty, Jennifer; Matthews, Jeni; Leiferman, Jenn A.; Cacciatore, Joanne; Gold, Katherine J.

doi:10.1186/s40814-017-0162-7

Cited by 10 publications

(5 citation statements)

References 77 publications

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“…There is little research suggesting appropriate benchmarks for acceptability and demand [30]. We based our benchmarks on a recently published methods paper for a National Institute of Health–funded study for the feasibility of a Web-based yoga intervention [36]. Patient-reported outcomes were assessed in all study participants via a Qualtrics questionnaire at baseline, Week 5, and Week 9.…”

Section: Methodsmentioning

confidence: 99%

Smartphone-Based Meditation for Myeloproliferative Neoplasm Patients: Feasibility Study to Inform Future Trials

Huberty¹,

Eckert²,

Larkey³

et al. 2019

JMIR Form Res

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Background Myeloproliferative neoplasm (MPN) patients often report high symptom burden that persists despite the best available pharmacologic therapy. Meditation has gained popularity in recent decades as a way to manage cancer patient symptoms. Objective The aim of this study was to examine the feasibility of 2 different consumer-based meditation smartphone apps in MPN patients and to examine the limited efficacy of smartphone-based meditation on symptoms compared with an educational control group. Methods Patients (n=128) were recruited nationally through organizational partners and social media. Eligible and consented patients were enrolled into 1 of 4 groups, 2 of which received varying orders of 2 consumer-based apps (10% Happier and Calm ) and 2 that received one of the apps alone for the second 4 weeks of the 8-week intervention after an educational control condition. Participants were asked to perform 10 min of meditation per day irrespective of the app and the order in which they received the apps. Feasibility outcomes were measured at weeks 5 and 9 with a Web-based survey. Feasibility outcomes were acceptability, demand, and limited efficacy for depression, anxiety, pain intensity, sleep disturbance, sexual function, quality of life, global health, and total symptom burden. Results A total of 128 patients were enrolled across all 4 groups, with 73.4% (94/128) patients completing the intervention. Of the participants who completed the 10% Happier app, 61% (46/76) enjoyed it, 66% (50/76) were satisfied with the content, and 77% (59/76) would recommend to others. Of those who completed the Calm app, 83% (56/68) enjoyed it, 84% (57/68) were satisfied with the content, and 97% (66/68) would recommend to others. Of those who completed the educational control, 91% (56/61) read it, 87% (53/61) enjoyed it, and 71% (43/61) learned something. Participants who completed the 10% Happier app averaged 31 (SD 33) min/week; patients completing the Calm app averaged 71 (SD 74) min/week. 10% Happier app participants saw small effects on anxiety ( P <.001 d =−0.43), depression ( P =.02; d =−0.38), sleep disturbance ( P =.01; d =−0.40), total symptom burden ( P =.13; d =−0.27), and fatigue ( P =.06; d =−0.30), and moderate effects on physical health ( P <.001; d =0.52). Calm app participants saw small effects on anxiety ( P =.29; d =−0.22...

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Section: Methodsmentioning

confidence: 99%

Smartphone-Based Meditation for Myeloproliferative Neoplasm Patients: Feasibility Study to Inform Future Trials

Huberty¹,

Eckert²,

Larkey³

et al. 2019

JMIR Form Res

Self Cite

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“…The items assessed the following: how logical the prompts seemed; how easy it would be to respond to prompts; how appropriate the prompts would be for standing; how helpful prompts would be for standing; how successful they believe the prompts would be for managing standing; how confident they were that they could stand in response to prompts; how likely they were to recommend the prompt intervention; and how important it was to make prompts available to others with a sit-stand workstation. Consistent with previous research ( 36 , 37 ) we established a benchmark of ≥ 70% preference (defined as a rating of “Very” or “Totally”) as a criterion of success.…”

Section: Methodsmentioning

confidence: 88%

Using Point-of-Choice Prompts to Reduce Sedentary Behavior in Sit-Stand Workstation Users

Larouche

Mullane

Toledo

et al. 2018

Front. Public Health

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Introduction: Desk-based office workers are at occupational risk for poor health outcomes from excessive time spent sitting. Sit-stand workstations are used to mitigate sitting, but lack of workstation usage has been observed. Point-of-choice (PoC) prompts offer a complementary strategy for office workers to break up their sitting time.Study purpose: The purpose of this study was to examine the preliminary efficacy, preference, and acceptability of a theory-driven (i.e., 40 unique prompts encompassing social cognitive theory; TD-PoC) and an atheoretical basic reminder PoC prompt intervention (R-PoC) on reducing sedentary behavior in office workers with self-reported low sit-stand workstation usage (≤4 h per day).Methods: In a cross-over design, participants (N = 19, 78.9% female, 39.4 ± 10.7 years of age) completed a 5-days no-prompt control condition followed by a random and counterbalanced assignment to one of the TD-PoC and R-PoC active conditions with a 1-week washout period between. Preliminary efficacy was assessed during work hours with the activPAL micro accelerometer. Preference was assessed prior to each active condition and acceptability was assessed following each active condition via questionnaire.Results: The R-PoC prompt condition significantly decreased sitting time (b[se] = −49.0 [20.8], p = 0.03) and increased standing time (b[se] = 49.8 [19.7], p = 0.02) and displayed a significant increase in sit-stand transitions (b[se] = 2.3 [1.1], p = 0.04), relative to no-prompt control. Both the R-PoC and TD-PoC prompt conditions significantly decreased time spent in prolonged sitting bouts at b[se] = −68.1 [27.8], (p = 0.02), (b[se] = −76.7 [27.1], p = 0.008) relative to no-prompt control. Overall, the TD-PoC prompt condition displayed higher preference and acceptability ratings; however, these differences were not significant (p's > 0.05).Conclusion: While the R-PoC prompt condition was slightly more efficacious than the TD-PoC prompt condition, the TD-PoC prompt condition was rated with higher preference and acceptability scores. Large variations between participants in preference, acceptability, and intervention feedback may indicate need for tailored messaging which may facilitate sustained use in the long-term.

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“…Several studies have found the baseline IES-R score of pregnant women with fetal abnormalities is generally above 19, suggesting that this population needs increasing clinical attention [ 37 , 38 , 42 ]. Compared to women giving birth to a live infant, those with stillbirths were found to have a 12-fold increased risk for PTSD [ 59 ], indicating that stillbirths can be traumatic events. It has also been reported the strong symptoms of sadness, poor coping, hopelessness, worthlessness, isolation, and guilt may persist for up to 10 years after the stillbirth [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological interventions to pregnancy-related complications in patients with post-traumatic stress disorder: a scoping review

Peng,

Liu,

Liu

et al. 2024

BMC Psychiatry

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Objective This scoping review sought to investigate the association between pregnancy-related complications and post-traumatic stress disorder (PTSD) among postpartum women, then summarize effective psychological interventions for pregnancy-related PTSD or sub-PTSD. Method Publications in English and Chinese were searched in PubMed, Embase, Cochrane, ISI Web of Science, China National Knowledge Infrastructure (CNKI), and WanFang databases using the subject headings of “Stress Disorders, Post-Traumatic”, “Pregnant Women”, and “psychotherapy”. To ensure that as many relevant studies are incorporated as possible, free terms such as prenatal, postnatal, perinatal and gestation were also used. Intervention studies and related cases published by July 1st, 2023, were also searched. Results Twenty-one articles (including 3,901 mothers) were included in this review. Evidence showed that typical psychological interventions exhibited great effect, and family support programs, peer support, online yoga, and music therapy were also effective in reducing risk and improving the psychological well-being of the studied population. Conclusion Fetal abnormalities, miscarriage, premature birth, infants with low birth weights, hypertension, pre-eclampsia, HELLP syndrome, and hyperemesis gravidarum are associated with an increased risk of PTSD. Moreover, high-risk pregnant women may benefit from psychological interventions such as cognitive behavioral therapy (CBT). It may also be feasible and well-accepted for music therapy and exposure therapy to lessen the intensity of PTSD in mothers.

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A study protocol of a three-group randomized feasibility trial of an online yoga intervention for mothers after stillbirth (The Mindful Health Study)

Cited by 10 publications

References 77 publications

Smartphone-Based Meditation for Myeloproliferative Neoplasm Patients: Feasibility Study to Inform Future Trials

Smartphone-Based Meditation for Myeloproliferative Neoplasm Patients: Feasibility Study to Inform Future Trials

Using Point-of-Choice Prompts to Reduce Sedentary Behavior in Sit-Stand Workstation Users

Psychological interventions to pregnancy-related complications in patients with post-traumatic stress disorder: a scoping review

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