title stringlengths 1 1.19k | keywords stringlengths 0 668 | concept stringlengths 0 909 | paragraph stringlengths 0 61.8k | PMID stringlengths 10 11 |
|---|---|---|---|---|
Field Survey | PMC10755654 | |||
Interitem Correlation Matrix | As shown in | PMC10755654 | ||
Hypothesis-Testing Construct Validity | The correlation coefficient between EDLQ and eHEALS was 0.75 ( | PMC10755654 | ||
Internal Consistency | In the 22-item version of the EDLQ, the overall Cronbach α was .98, and McDonald ω was 0.98. The internal consistency of factor 1, factor 2, and factor 3 was indicated by α value of .96, .91, and .96, respectively ( | PMC10755654 | ||
Floor and Ceiling Effects | In the final version of the EDLQ, participants scored the lowest on item 17 (mean 2.01, SD 1.10) and the highest on item 1 (mean 3.20, SD 1.30), as shown in Scores for each item in the Everyday Digital Literacy Questionnaire.Distribution of scores for each item of the Everyday Digital Literacy Questionnaire. | PMC10755654 | ||
EDLQ Scoring | The EDLQ measures each item on a 5-point Likert-type scale, ranging from 1=“strongly disagree” to 5=“strongly agree.” Calculating a total score involves summing the response scores for all 22 items on the EDLQ. The possible score in total ranges from 22 to 110, with higher scores indicating higher levels of digital lit... | PMC10755654 | ||
Discussion | PMC10755654 | |||
Principal Results | This study developed and validated the EDLQ, an instrument for measuring digital literacy in older adults, based on the DigComp framework [The measurement invariance of the EDLQ was satisfactory across sex, age, and education groups. Thus, the EDLQ measures the same construct regardless of sex, age, and education group... | PMC10755654 | ||
Limitations | This study has a few limitations. First, the EDLQ is a self-report measure; therefore, it is limited in its ability to perfectly capture objective proficiency. Second, although the EDLQ was developed for older adults, interpretation of the results is limited because the DigComp framework referenced in its development i... | PMC10755654 | ||
Conclusions | As digital technology continues to advance rapidly, the concept of digital literacy is constantly evolving with it. We developed a digital literacy measure, the EDLQ, that incorporates the latest definitions of digital literacy and validated its psychometric properties. The EDLQ holds potential for application in both ... | PMC10755654 | ||
Abbreviations | average variance extractedconfirmatory factor analysiscomparative fit indexcomposite reliabilityDigital CompetenceEveryday Digital Literacy Questionnaireexploratory factor analysiseHealth Literacy Scaleitem-level content validity indexKaiser-Meyer-Olkinroot-mean-square error of approximationscale’s content validity ind... | PMC10755654 | ||
Data Availability | The data sets generated and analyzed during this study are available from the corresponding author on reasonable request. | PMC10755654 | ||
Abstract | PMC9891343 | |||
Background | COMPLICATIONS | Biliary-enteric anastomosis (BEA) can be performed using continuous or interrupted suture techniques, but high-quality evidence regarding superiority of either technique is lacking. The aim of this study was to compare the suture techniques for patients undergoing BEA by evaluating the suture time as well as short- and... | PMC9891343 | |
Methods | cholestasis, CSG, BEA-associated postoperative complications, cholangitis | CHOLESTASIS, CHOLANGITIS, BILE LEAKAGE | In this single-centre randomized clinical trial, patients scheduled for elective open procedure with a BEA between 21 January 2016 and 20 September 2017 were randomly allocated in a 1:1 ratio to have the BEA performed with continuous suture (CSG) or interrupted suture technique (ISG). The primary outcome was the time r... | PMC9891343 |
Results | CSG | Altogether, 82 patients were randomized of which 80 patients received the allocated intervention (39 in ISG and 41 in CSG). Suture time was longer in the ISG compared with the CSG (median (interquartile range), 22.4 (15.0–28.0) min | PMC9891343 | |
Conclusion | Continuous suture of BEA is equally safe, but faster compared with interrupted suture. | PMC9891343 | ||
Registration number | COMPLICATIONS | NCT02658643 (A randomized clinical trial comparing the benefits and risks of continuous and interrupted suture techniques for patients undergoing biliary-enteric anastomosis showed no differences for short-term and long-term biliary complications. Suture time for biliary-enteric anastomosis was significantly reduced in... | PMC9891343 | |
Introduction | A biliary-enteric anastomosis (BEA), such as hepaticojejunostomy or choledochojejunostomy is an anastomosis between the common hepatic duct (CHD) or the common bile duct (CBD) and the upper third of the jejunum | PMC9891343 | ||
Methods | PMC9891343 | |||
Trial design and randomization | This study was approved by the ethics committee of the Technical University Dresden (ethics approval number EK419092015) and complied with the Declaration of Helsinki. The randomized clinical study was registered before inclusion of the first patient at | PMC9891343 | ||
Study population | THORACIC | Patients who were scheduled for an operation with a BEA at the Department of Visceral, Thoracic and Vascular Surgery at University Hospital Dresden between 21 January 2016 and 20 September 2017 were screened for inclusion into the trial. Eligible patients were 18 years or older and met the following inclusion criteria:... | PMC9891343 | |
Objectives and outcomes | biliary peritonitis, cholangitis, anastomotic stenosis, jaundice, cholestasis, BEA-associated postoperative complications | BILIARY PERITONITIS, CHOLANGITIS, BILE LEAKAGE, LIVER, SECONDARY, CHOLESTASIS, LEAKAGE, COMPLICATIONS | The study aimed to compare the benefits and risks of the CS technique and the IS technique for patients undergoing BEA. The primary endpoint of this study was the time required to complete the anastomosis. Secondary outcome parameters were BEA-associated postoperative complications with and without operative revision o... | PMC9891343 |
Statistical analysis | Statistical analysis was performed using R version 4.0.1 (R Project for Statistical Computing, Vienna, Austria), while GraphPad Prism version 8 (GraphPad Software, La Jolla, CA, USA) was used for graphical illustrations. Data were analysed using the intention-to-treat population. Assuming a difference of 11 min suture ... | PMC9891343 | ||
Results | PMC9891343 | |||
Patient characteristics | CSG | In total, 82 patients were assessed for eligibility, 41 patients were enrolled and randomized in the CSG and 41 patients in the ISG of which two patients did not receive the allocated intervention (Flow chart of patient enrolment, randomization and follow-upPatient characteristicsValues are | PMC9891343 | |
Operating characteristics and primary outcome | Operating data, including suture time, are outlined in Perioperative detailsValues are | PMC9891343 | ||
Short-term complications after BEA | wound infection | BILE LEAKAGE, WOUND INFECTION, SURGICAL COMPLICATION, PANCREATIC FISTULA, COMPLICATIONS | Surgical complications independent of the BEA were similarly distributed between the two treatment groups. The most common complications in both groups were bile leakage, pancreatic fistula, and wound infection (Short-term complicationsValues are | PMC9891343 |
Long-term complications after BEA | death, CSG, anastomotic stenosis | The median follow-up time of all patients in the study group who did not drop out due to death, was 24.37 months (i.q.r. 24.31–24.49, range 6.1–25.23). The median overall survival was 22.67 (i.q.r. 10.26–24.37, range 0.7–25.23). During follow-up, 19 (46.3 per cent) patients died in the CSG, and 19 (48.7 per cent) in th... | PMC9891343 | |
Discussion | cholangitis, jaundice, cholestasis, CSG, anastomotic leakage, fragile bile ducts where biliary stenosis, stenosis | LIVER ABSCESSES, CHOLANGITIS, POSTOPERATIVE COMPLICATIONS, DISEASE, COMPLICATION, SECONDARY, CHOLESTASIS, LEAKAGE, STENOSIS, COMPLICATIONS | In this prospective, randomized clinical study, a significantly shorter suture time for the continuous compared with the IS technique was found; however, no significant difference in short-term postoperative complications between both groups was observed. Bile leakage, the most common short-term biliary complication af... | PMC9891343 |
Acknowledgements | L.S. and J.v.R. are joint first authors. | PMC9891343 | ||
Funding | The authors have no funding to declare. | PMC9891343 | ||
Disclosure | The authors declare no conflict of interest. | PMC9891343 | ||
Data availability | The authors confirm that the data supporting the results in the paper will be accessible upon request from the corresponding author. | PMC9891343 | ||
References | PMC9891343 | |||
ABSTRACT | CONFLICT OF INTERESTNone declared. | PMC10247237 | ||
Purpose | upper urinary tract calculi, urosepsis | UROSEPSIS | To construct a predicting model for urosepsis risk for patients with upper urinary tract calculi based on ultrasound and urinalysis. | PMC10247237 |
Materials and Methods | upper urinary tract calculi, urosepsis | UROSEPSIS | A retrospective study was conducted in patients with upper urinary tract calculi admitted between January 2016 and January 2020. The patients were randomly grouped into the training and validation sets. The training set was used to identify the urosepsis risk factors and construct a risk prediction model based on ultr... | PMC10247237 |
Results | diabetes | HYDRONEPHROSIS, SENSITIVITY, DIABETES | Ultimately, 1716 patients (10.8% cases and 89.2% control) were included. Eight variables were selected for the model: sex, age, body temperature, diabetes history, urine leukocytes, urine nitrite, urine glucose, and degree of hydronephrosis. The area under the receiver operating curve in the validation and training se... | PMC10247237 |
Conclusions | upper urinary tract calculi, urosepsis | UROSEPSIS | A preliminary screening model for urosepsis based on ultrasound and urinalysis was constructed using ANN. The model could provide risk assessments for urosepsis in patients with upper urinary tract calculi. | PMC10247237 |
INTRODUCTION | fever, renal abscess, upper urinary tract calculi, organ dysfunction, infection, obstruction of urinary calculi, perirenal abscess, Urosepsis, urosepsis | UROSEPSIS, ACUTE PYELONEPHRITIS, DISEASE, INFECTION, EMPHYSEMATOUS PYELONEPHRITIS, DYSREGULATED HOST RESPONSE, UROSEPSIS, COMPLICATIONS | Urosepsis is a life-threatening organ dysfunction caused by the dysregulated host response to infection originating from the urinary tract and/or male genital organs ( Ultrasound is a common emergency imaging technique in patients presenting severe loin pain and fever. It can reveal the size, location, and degree of ob... | PMC10247237 |
MATERIALS AND METHODS | PMC10247237 | |||
Study design and population | malignancy, upper urinary tract calculi, upper urinary calculi, Urosepsis, urosepsis | PRIMARY INFECTION, UROSEPSIS, UROSEPSIS, DISEASES, URETERAL CALCULI | This retrospective study included patients with upper urinary tract calculi admitted to Shantou Central Hospital between January 2016 and January 2020. The inclusion criteria were 1) imaging results, including urinary system ultrasound, excretory urogram, or abdominopelvic computed tomography (CT) indicating a diagnosi... | PMC10247237 |
Data collection | urinary irritation, abdominal pain, calculi, hematuria, diabetes, calculi | HEMATURIA, HYPERTENSION, HYDRONEPHROSIS | Data including sex, age, body temperature, abdominal pain, hematuria, urinary irritation symptoms, hypertension, diabetes, calculi surgery history, urine leukocytes (U-LEU), urine nitrite (U-NIT), urine erythrocytes (U-ERY), urine glucose (U-GLU), laterality of calculi, location of calculi, degree of hydronephrosis, an... | PMC10247237 |
Sample sets for ANN development and validation | For ANN model construction and validation, the patients were randomized into the training (1214 patients; 135 cases and 1079 controls) and validation (502 patients; 51 cases and 451 controls) sets (
| PMC10247237 | ||
Flow diagram of the selection of eligible A | PMC10247237 | |||
Selection of the variables for ANN model development | urosepsis | REGRESSION, UROSEPSIS | Univariable and multivariable logistic regression analyses were performed to evaluate variables associated with urosepsis and generate the ANN model for the training set. Variables with p<0.05 were selected for predictive model establishment. | PMC10247237 |
Development of the ANN model | urosepsis | UROSEPSIS | A standard feed-forward backpropagation neural network (BPNN) was applied, consisting of three layers: an input layer that receives information, a hidden layer that processes information, and an output layer that calculates results. BPNN was run with significant predictors as input variables and urosepsis risk as the o... | PMC10247237 |
Validation of the ANN model | The accuracy, positive (PPR) and negative (NPR) predictive rates, sensitivity, specificity, Youden Index, and area under the receiver operating characteristics (ROC) curve (AUC) were determined in both sets. The Hosmer-Lemeshow goodness-of-fit test was performed for ANN model calibration (p>0.05). | PMC10247237 | ||
Statistical analysis | Normally distributed continuous variables were presented as means ± standard deviation (SD). Categorical were presented as numbers and proportions. Student’s t-test and Pearson chi-square test were used to analyze continuous and categorical variables, respectively. SPSS 25.0 (IBM, USA) was used for data analysis. Two-t... | PMC10247237 | ||
RESULTS | calculi, urosepsis, diabetes | HYPERTENSION, UROSEPSIS, DIABETES | Initially, 2387 patients were screened, and 1716 were included. There were 186 (10.8%) patients with urosepsis (cases) and 1530 (89.2%) without (controls). In both sets, the proportion of males was 56.8%. In the training set, 186 (15.3%) patients had diabetes, 302 (24.9%) had hypertension, and 165 (13.6%) underwent cal... | PMC10247237 |
Baseline characteristics of the patients with upper urinary tract calculi in the training and validation sets. | hydronephrosis, upper urinary calculi, urosepsis, diabetes | HYDRONEPHROSIS, UROSEPSIS, DIABETES | U-LEU = urine leukocytes; U-NIT = urine nitrite; U-ERY = urine erythrocytes; U-GLU = urine glucose.The input variables in the predictive model included sex, age, body temperature, diabetes history, U-LEU, U-NIT, U-GLU, and degree of hydronephrosis. The multivariable analysis showed that old age (OR=1.055, 95%CI: 1.030-... | PMC10247237 |
Univariable and multivariable logistic regression analyses for the development of urosepsis in the training set of patients with upper urinary tract calculi. | urosepsis | UROSEPSIS | U-LEU = urine leukocytes; U-NIT = urine nitrite; U-ERY = urine erythrocytes; U-GLU = urine glucose.An ANN model was built based on the significantly associated variables. The input variables were the eight significant variables mentioned above, and the output variable was dichotomous (urosepsis or not). The ANN model c... | PMC10247237 |
Artificial neural network for predicting urosepsis in patients with upper urinary tract calculi. The gray boxes and circles represent neurons, and the lines between boxes and circles represent modifiable connections. For urosepsis, 0 and 1 present no and yes, respectively; for gender, 0 and 1 present female and male, r... | The ROC AUC was used to validate the ANN model. The AUCs of the training (
| PMC10247237 | ||
ROC curve and calibration of the nomogram for predicting urosepsis for upper urinary tract calculi patients. (a) ROC curve in the training set; (b) ROC curve in the validation set. Calibration curve of the ANN model for the training set (c) and the validation set (d). | The ANN model was calibrated using the Hosmer-Lemeshow goodness-of-fit test and calibration plot. The Hosmer-Lemeshow test revealed high concordance between the predicted and observed probabilities for the training (p=0.093) and validation (p=0.868) sets. The calibration plot also showed good agreement between the pred... | PMC10247237 | ||
DISCUSSION | hydronephrosis, upper urinary tract calculi urosepsis, Hydronephrosis, upper urinary tract calculi, kidney diseases, malignant tumors, upper urinary calculi, urosepsis, diabetes | HYDRONEPHROSIS, IMMUNE SYSTEM DISEASES, URINARY TRACT INFECTIONS, HYDRONEPHROSIS, KIDNEY DISEASES, MALIGNANT TUMORS, URINARY TRACT OBSTRUCTION, UROSEPSIS, DIABETES | The present study developed a prediction model for urosepsis using ANN, involving eight significant predictors, including sex, age, diabetes history, body temperature, U-LEU, U-NIT, U-GLU, and degree of hydronephrosis. The ANN model showed encouraging outcomes regarding its ability in the early identification of urosep... | PMC10247237 |
CONCLUSIONS | urosepsis | UROSEPSIS | Despite the limitations, this is the first study using ANN to estimate the urosepsis risk for upper urinary tract calculi base on ultrasound and urinalysis. This model could help determine the probability of urosepsis and then perform targeted examinations or interventions, which would be more efficient to improve the ... | PMC10247237 |
REFERENCES | PMC10247237 | |||
Key Points | PMC10709771 | |||
Question | PTSD, posttraumatic stress disorder, Trauma, trauma | What is the effectiveness of Trauma Center Trauma-Sensitive Yoga (TCTSY) compared with first-line cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) related to military sexual trauma in women veterans? | PMC10709771 | |
Findings | PTSD | In this randomized clinical trial of 131 women veterans with PTSD who use US Department of Veterans Affairs health care, TCTSY had large within-group effect sizes, equivalent effectiveness to CPT, and a 42.6% higher treatment completion rate than CPT. | PMC10709771 | |
Meaning | depression, posttraumatic stress disorder, PTSD, trauma | The findings demonstrate that TCTSY is a cost-effective means to expand Veterans Affairs PTSD treatment options; increase access to acceptable, patient-driven, and effective PTSD treatment for women veterans; and provide a treatment option that could improve associated symptoms (eg, depression, anxiety).This randomized... | PMC10709771 | |
Importance | posttraumatic stress disorder, PTSD | First-line treatment for posttraumatic stress disorder (PTSD) in the US Department of Veterans Affairs (VA), ie, trauma-focused therapy, while effective, is limited by low treatment initiation, high dropout, and high treatment refraction. | PMC10709771 | |
Objective | PTSD, Trauma, MST, trauma | To evaluate the effectiveness of Trauma Center Trauma-Sensitive Yoga (TCTSY) vs first-line cognitive processing therapy (CPT) in women veterans with PTSD related to military sexual trauma (MST) and the hypothesis that PTSD outcomes would differ between the interventions. | PMC10709771 | |
Design, Setting, and Participants | PTSD | This multisite randomized clinical trial was conducted from December 1, 2015, to April 30, 2022, within 2 VA health care systems located in the southeast and northwest. Women veterans aged 22 to 71 years with MST-related PTSD were enrolled and randomized to TCTSY or CPT. | PMC10709771 | |
Interventions | posttraumatic thoughts | The TCTSY intervention (Hatha-style yoga focusing on interoception and empowerment) consisted of 10 weekly, 60-minute group sessions, and the CPT intervention (cognitive-based therapy targeting modification of negative posttraumatic thoughts) consisted of 12 weekly, 90-minute group sessions. | PMC10709771 | |
Main Outcome and Measures | PTSD | Sociodemographic data were collected via self-report survey. The primary outcome, PTSD symptom severity, was assessed using the Clinician-Administered PTSD Scale for | PMC10709771 | |
Results | Of 200 women veterans who consented to participate, the intent-to-treat sample comprised 131 participants (mean [SD] age, 48.2 [11.2] years), with 72 randomized to TCTSY and 59 randomized to CPT. Treatment was completed by 47 participants (65.3%) in the TCTSY group and 27 (45.8%) in the CPT group, a 42.6% higher treatm... | PMC10709771 | ||
Conclusions and Relevance | PTSD | In this comparative effectiveness randomized clinical trial, TCTSY was equivalent to CPT in reducing PTSD symptom severity, with both groups improving significantly. The higher treatment completion rate for TCTSY indicates its higher acceptability as an effective and acceptable PTSD treatment for women veterans with PT... | PMC10709771 | |
Trial Registration | ClinicalTrials.gov Identifier: | PMC10709771 | ||
Introduction | stress disorder, sexual trauma, TCTSY, PTSD, Trauma | Posttraumatic stress disorder (PTSD) is prevalent and harmful to veterans’ physical and mental health, functioning, and well-being and has tremendous societal costs.First-line, evidence-based treatments (EBTs) for PTSD offered by the VA are trauma-focused psychotherapies, eg, prolonged exposure and cognitive processing... | PMC10709771 | |
Methods | PMC10709771 | |||
Setting, Study Design, and Participants | substance abuse disorder, ideation, MST, traumatic brain injury, cognitive impairment, psychosis, mania, VA PTSD, PTSD, insomnia, trauma | For this RCT, we recruited participants from VA PTSD and other clinics from December 5, 2015, through June 22, 2020. In March 2020, due to the COVID-19 pandemic, we adapted enrollment, data collection, and intervention delivery from in-person to virtual methods.Participants were randomized to TCTSY or CPT using randomi... | PMC10709771 | |
Outcome Measures | PTSD | The primary outcome of PTSD symptom severity was assessed using the Clinician-Administered PTSD Scale for | PMC10709771 | |
Interventions | Each intervention was delivered by 2 interventionists using established manualized protocols. Site 1 conducted sessions in person for 9 cohorts, except for the second half of the ninth cohort, which was conducted virtually, as was the single cohort at site 2. We provided a no-cost intervention crossover option for part... | PMC10709771 | ||
Trauma Center Trauma-Sensitive Yoga | Trauma, trauma | Trauma Center Trauma-Sensitive Yoga consisted of 10 weekly, 60-minute group sessions (10 hours of contact time). The treatment was created for survivors of sexual trauma; its foundations include trauma theory, attachment theory, and neuroscience. | PMC10709771 | |
Cognitive Processing Therapy | posttraumatic cognitions | Cognitive processing therapy consisted of 12 weekly, 90-minute group sessions (18 hours of contact time). The therapy involves modification of negative posttraumatic cognitions | PMC10709771 | |
Treatment Supervision and Fidelity Monitoring | TCTSY | ADVERSE EVENTS | The TCTSY facilitators completed standardized session and fidelity notes immediately after each session. Supervision was provided by a cofounder of TCTSY (D.E.) via weekly meetings with the facilitators. These meetings included fidelity feedback between the co-facilitators’ (D.E. and U.A.K.) review of fidelity notes wi... | PMC10709771 |
Data Plan | The study was proposed to have a final sample size of 104 participants (52 per group) after expected levels of 50% attrition from 208. This sample size was powered at 80% to detect moderate effect sizes for differences between the groups (Cohen | PMC10709771 | ||
Statistical Analysis | PTSD | REMISSION | Prior to analysis, all data were reviewed for completeness, missingness, and normality assumptions. Multilevel linear models with random effects for participants were used to compare the longitudinal outcomes over the 4 time points between the 2 groups for the CAPS-5 severity and PCL-5 scores, where group and time were... | PMC10709771 |
Results | The ITT sample (n = 131) had a mean (SD) age of 48.2 (11.2) years; 95 (72.6%) self-identified as African American or Black; 11 (8.4%) as American Indian or Alaska Native, Asian, multiracial, or other race; and 25 (19.1%) as White. Detailed demographic information and clinical characteristics are provided in | PMC10709771 | ||
Demographic and Clinical Characteristics | Depression, Trauma, Suicidality | WEST, SAID | Abbreviations: BDI, Beck Depression Inventory; CPT, cognitive processing therapy; MINI, Mini International Neuropsychiatric Interview; TCTSY, Trauma Center Trauma-Sensitive Yoga.Four women self-reported as also Hispanic or Latino.For the 2 women who self-reported other, 1 reported as being “African American, Caucasian”... | PMC10709771 |
Posttraumatic Stress Disorder (PTSD) Outcomes Intent-to-Treat and Per-Protocol Group Difference Effect Sizes | PTSD | Abbreviations: CAPS-5, Clinician-Administered PTSD Scale for Group: Group: Group: Group: Subsequent analyses indicated treatment effectiveness equivalence between TCTSY and CPT on the CAPS-5 and PCL-5 (eTable 5 in | PMC10709771 | |
Equivalence Test Limits for Differences Between Groups for Clinician-Administered Posttraumatic Stress Disorder (PTSD) Scale for | Mean difference less than 0 indicates better improvement in 1 intervention over the other. Dots indicate the mean group difference in CAPS-5 change scores; bars, upper and lower bounds of the two one-sided test (TOST) intervals, dashed lines, plus or minus 10 equivalence bounds. | PMC10709771 | ||
Clinical Posttraumatic Stress Disorder (PTSD) Diagnostic Changes | PTSD | CAPS-5 indicates Clinician-Administered PTSD Scale for | PMC10709771 | |
Discussion | MST, sexual abuse, treatment-resistant PTSD, TCTSY, PTSD, trauma | The significant effectiveness of TCTSY for PTSD and the equivalence of TCTSY to CPT in improving PTSD outcomes confirm and extend our earlier findings.The TCTSY within-group effect sizes in this study (CAPS-5 ITT Cohen The TCTSY treatment completion rate was 42.6% higher than the CPT rate and is perhaps the most valuab... | PMC10709771 | |
Limitations | This study has several limitations. First, the study end point of 3 months post intervention precluded determination of even longer-term sustained effects of the interventions. Second, the CAPS-5 assessors were not blinded, introducing a risk of bias. Third, participants may have participated in unreported CIH modaliti... | PMC10709771 | ||
Conclusions | PTSD-related, depression, PTSD, anxiety | The costs of untreated or incompletely treated PTSD to women veterans and their families, the VA, and society are sizable. The VA is facing exponential increases in the number of women enrolled and with PTSD. Given the limitations of first-line EBTs in the VA, new acceptable and effective PTSD treatments could reduce t... | PMC10709771 | |
Background | Although most adolescents have access to smartphones, few of them use mobile health (mHealth) apps for health improvement, highlighting the apparent lack of interest in mHealth apps among adolescents. Adolescent mHealth interventions have been burdened with high attrition rates. Research on these interventions among ad... | PMC10337294 | ||
Objective | The objective was to obtain daily attrition rates among adolescents in an mHealth intervention to gain a deeper understanding of attrition patterns, including the role of motivational support, such as altruistic rewards, through analysis of app usage data. | PMC10337294 | ||
Methods | REGRESSION | A randomized controlled trial was conducted with 304 adolescent participants (152 boys and 152 girls) aged 13-15 years. Based on 3 participating schools, participants were randomly assigned to control, treatment as usual (TAU), and intervention groups. Measures were obtained at baseline, continuously throughout the 42-... | PMC10337294 | |
Results | ATTRITION | Attrition differed significantly between the intervention and TAU groups (44.4% vs 94.3%; χ | PMC10337294 | |
Conclusions | Differences in attrition rates and usage between groups of adolescents were identified. Motivational support is a significant factor for lowering attrition in adolescent mHealth interventions. The results point to sensitivity periods in the completion of diverse health tasks, and emphasis on time-specific attrition, al... | PMC10337294 | ||
Trial Registration | ClinicalTrials.gov NCT05912439; https://clinicaltrials.gov/study/NCT05912439 | PMC10337294 | ||
Introduction | death | Throughout the past decade, ownership of and access to smartphones and mobile devices have grown profoundly among adolescents and youth worldwide [Widespread smartphone usage in adolescent and youth populations has been extensively covered, but a more positive side to mobile usage is that a significant proportion of ad... | PMC10337294 | |
Methods | PMC10337294 | |||
Participants | The study included 304 individuals (152 girls and 152 boys) aged 13 to 15 years attending 1 of 3 public schools for children and adolescents in the greater capital area of Iceland. The mean age at baseline measurement was 13.70 (SD 0.83) years. All children attending the highest 3 classes (8th to 10th classes) in the 3... | PMC10337294 | ||
Ethics Approval | The study was approved by the National Bioethics Committee of Iceland (license number: VSNb2015060065/03-01). | PMC10337294 | ||
Measurements | Anxiety, obsessive-compulsion symptoms, anxiety, depressive, depression, Depression, panic symptoms | SEPARATION | The amount, time, and frequency of daily health activities measured through completion of in-app exercises, quality of sleep and energy levels, self-reported stress levels, and gratitude levels were primary outcome measures. The Cronbach α for the current sample was .920 for all self-reported health tasks within the ap... | PMC10337294 |
mHealth App | The app is called SidekickHealth and has been described in the research group’s previous work [Overview of app functions and categories. | PMC10337294 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.