Well-Being and Self-Assessment of Change: Secondary Analysis of an RCT That Demonstrated Benefit of Inhaled Lavender and Sleep Hygiene in College Students with Sleep Problems

Lillehei, Angela Smith; Halcón, Linda L.; Gross, Cynthia R.; Savik, Kay; Reis, Reilly

doi:10.1016/j.explore.2016.08.004

Cited by 10 publications

(9 citation statements)

References 20 publications

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“…The field of integrative medicine has faced this challenge and developed the Self-Assessment of Change (SAC) scale, a holistic measure of biopsychosocial-spiritual health. The SAC scale is sensitive to changes experienced by people engaged in complex interventions to promote health and wellbeing [54][55][56], thus it could be applicable for assessment of the biopsychosocial-spiritual health outcomes in NBI studies.…”

Section: Measuring Downstream Health and Wellbeingmentioning

confidence: 99%

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Group Outdoor Health Walks Using Activity Trackers: Measurement and Implementation Insight from a Mixed Methods Feasibility Study

Irvine

Marselle

Melrose³

et al. 2020

IJERPH

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Outdoor walking groups are nature-based interventions (NBIs) that promote health and wellbeing by modifying individual behaviour. The challenges of such NBIs include the motivation of inactive adults to participate and measurement issues. This feasibility study investigates a 12-week group outdoor health walk (GOHW) incorporating activity trackers and use of a holistic health and wellbeing measure, the Self-sasessment of Change (SAC) scale. A mixed methods design explored participant recruitment and retention, programme delivery, and measures of physical activity and health and wellbeing. Walker data included: pre-post questionnaires, daily step counts, and interviews. Programme delivery information included: weekly checklists, staff reflections, stakeholder meeting minutes, and a report. Thirteen adults (age 63-81, 76% female) joined and completed the activity tracker GOHW. Activity trackers motivated walkers to join and be more active but complicated programme delivery. Activity trackers allowed the quantification of physical activity and the SAC health and wellbeing measure was easy to use. By week 12, all participants met national physical activity guidelines. Clinically relevant changes on the SAC scale included: sleeping well, experiencing vibrant senses, and feeling energised, focused, joyful, calm and whole. Results illustrate the feasibility of using activity trackers to motivate engagement in and provide a measure of physical activity from GOHWs. The SAC scale offers a promising measure for nature-health research. A conceptual model is provided for the development of future large-scale studies of NBIs, such as group outdoor health walks.

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Section: Measuring Downstream Health and Wellbeingmentioning

confidence: 99%

“…The SAC scale has been administered to more than 600 individuals across six different studies, including RCTs and programme evaluations [55,56]. Participants have used the full 100 mm line and have shown a willingness to indicate that domains were worsening, as well as improving.…”

Section: Holistic Health and Wellbeingmentioning

confidence: 99%

Group Outdoor Health Walks Using Activity Trackers: Measurement and Implementation Insight from a Mixed Methods Feasibility Study

Irvine

Marselle

Melrose³

et al. 2020

IJERPH

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“…Elsewhere applied, 149,150 use of this tool may notably improve WSR studies' reporting of “whole person” patient outcomes 146,147 moving forward. Clinician-reported , paradigm-specific outcome measures 144 —combined with inter-rater reliability strategies—will also likely prove important.…”

Section: Results Overviewmentioning

confidence: 99%

Whole Systems Research Methods in Health Care: A Scoping Review

Ijaz

Rioux²,

Elder

et al. 2019

The Journal of Alternative and Complementary Medicine

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Objectives: This scoping review evaluates two decades of methodological advances made by “whole systems research” (WSR) pioneers in the fields of traditional, complementary, and integrative medicine (TCIM). Rooted in critiques of the classical randomized controlled trial (RCT)'s suitability for evaluating holistic, complex TCIM interventions, WSR centralizes the principle of “model validity,” representing a “fit” between research design and therapeutic paradigm. Design: In consultation with field experts, 41 clinical research exemplars were selected for review from across 13 TCIM disciplines, with the aim of mapping the range and methodological characteristics of WSR studies. Using an analytic charting approach, these studies' primary and secondary features are characterized with reference to three focal areas: research method, intervention design, and outcome assessment. Results: The reviewed WSR exemplars investigate a wide range of multimodal and multicomponent TCIM interventions, typified by wellness-geared, multitarget, and multimorbid therapeutic aims. Most studies include a behavioral focus, at times in multidisciplinary or team-based contexts. Treatments are variously individualized, often with reference to “dual” (biomedical and paradigm-specific) diagnoses. Prospective and retrospective study designs substantially reflect established biomedical research methods. Pragmatic, randomized, open label comparative effectiveness designs with “usual care” comparators are most widely used, at times with factorial treatment arms. Only two studies adopt a double-blind, placebo-controlled RCT format. Some cohort-based controlled trials engage nonrandomized allocation strategies (e.g., matched controls, preference-based assignment, and minimization); other key designs include single-cohort pre–post studies, modified n-of-1 series, case series, case report, and ethnography. Mixed methods designs (i.e., qualitative research and economic evaluations) are evident in about one-third of exemplars. Primary and secondary outcomes are predominantly assessed, at multiple intervals, through patient-reported measures for symptom severity, quality of life/wellness, and/or treatment satisfaction; some studies concurrently evaluate objective outcomes. Conclusions: Aligned with trends emphasizing “fit-for-purpose” research designs to study the “real-world” effectiveness of complex, personalized clinical interventions, WSR has emerged as a maturing scholarly discipline. The field is distinguished by its patient-centered salutogenic focus and engagement with nonbiomedical diagnostic and treatment frameworks. The rigorous pursuit of model validity may be further advanced by emphasizing complex analytic models, paradigm-specific outcome assessment, inter-rater reliability, and ethnographically informed designs. Policy makers and funders seeking to support best practices in TCIM research may refer to this review ...

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“…The study population was made up of 1,471 women aged 45-59 years, registered at a local Family Healthcare Centre. The number of individuals to be included in the sample groups was determined based on the sample sizes used in similar studies [34,38,[43][44][45][46][47]. Therefore, the aim at the beginning of the study was to reach 60 women, 30 for the intervention group and 30 for the placebo group.…”

Section: Sample Sizementioning

confidence: 99%

“…For the intervention group, the 2 oils (L. angustifolia and C. limon) were given to the participants in separate bottles without being mixed. The inhalation was carried out in line with the literature and the expert advice [35,[43][44][45]. Accordingly, 200 mL of boiling water was to be poured into a bowl (a non-plastic mediumsized bowl, which could easily be found in any home in women's homes).…”

Section: Procedures Applied To the Intervention Groupmentioning

confidence: 99%

The Effect of Aromatherapy on Sleep and Quality of Life in Menopausal Women with Sleeping Problems: A Non-Randomized, Placebo-Controlled Trial

2020

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Introduction: Menopause is the termination of menstruation and fertility. Women commonly experience sleeping problems during the menopausal period. Aromatherapy is among the complementary therapies used to remedy sleeping problems. Methods:This study aims to investigate the effects of lavender oil on sleep and quality of life of menopausal women through steam inhalation. This study was quasi-experimental with pre-test/post-test placebo control groups. It was conducted with 57 women, 27 of whom were subject to aromatherapy and 30 to a placebo. Data were collected using the Questionnaire Form, the Pittsburgh Sleep Quality Index (PSQI) and the Menopause-Specific Quality of Life Questionnaire (MENQOL). Results: For the intervention group, the PSQI median scores after the administration of aromatherapy were found to be significantly lower than those before the administration (p < 0.001) and those of the placebo group (p < 0.001). Similarly, for the intervention group, the total median MENQOL scores after the administration of the aromatherapy were found to be significantly lower than the scores prior to the administration (p < 0.001) as well as the scores of the placebo group (p < 0.001). Conclusion: It was found that aromatherapy involving lavender-scented steam inhalation increased sleep quality and quality of life in women with sleep deprivation problems during menopause.

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Well-Being and Self-Assessment of Change: Secondary Analysis of an RCT That Demonstrated Benefit of Inhaled Lavender and Sleep Hygiene in College Students with Sleep Problems

Cited by 10 publications

References 20 publications

Group Outdoor Health Walks Using Activity Trackers: Measurement and Implementation Insight from a Mixed Methods Feasibility Study

Group Outdoor Health Walks Using Activity Trackers: Measurement and Implementation Insight from a Mixed Methods Feasibility Study

Whole Systems Research Methods in Health Care: A Scoping Review

The Effect of Aromatherapy on Sleep and Quality of Life in Menopausal Women with Sleeping Problems: A Non-Randomized, Placebo-Controlled Trial

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