| 1. |
- Alfonsson, Sven, et al.
(författare)
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Self-Reported Hedonism Predicts 12-Month Weight Loss After Roux-en-Y Gastric Bypass
- 2017
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Ingår i: Obesity Surgery. - : Springer Science and Business Media LLC. - 0960-8923 .- 1708-0428. ; 27:8, s. 2073-2078
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Tidskriftsartikel (refereegranskat)abstract
- Introduction Research regarding psychological risk factors for reduced weight loss after bariatric surgery has yielded mixed results, especially for variables measured prior to surgery. More profound personality factors have shown better promise and one such factor that may be relevant in this context is time perspective, i.e., the tendency to focus on present or future consequences. The aim of this study was to investigate the predictive value of time perspective for 12-month weight loss after Roux-en-Y gastric bypass surgery.Methods A total of 158 patients were included and completed self-report instruments prior to surgery. Weight loss was measured after 12 months by medical staff. Background variables as well as self-reported disordered eating, psychological distress, and time perspective were analyzed with regression analysis to identify significant predictors for 12-month weight loss.Results The mean BMI loss at 12 months was 14 units, from 45 to 30 kg/m(2). Age, sex, and time perspective could significantly predict weight loss but only male sex and self-reported hedonism were independent risk factors for reduced weight loss in the final regression model.Conclusion In this study, self-reported hedonistic time perspective proved to be a better predictor for 12-month weight loss than symptoms of disordered eating and psychological distress. It is possible that a hedonistic tendency of focusing on immediate consequences and rewards is analogous to the impaired delay discounting seen in previous studies of bariatric surgery candidates. Further studies are needed to identify whether these patients may benefit from extended care and support after surgery.
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| 2. |
- Cederberg, J. T., et al.
(författare)
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A preliminary validation of the Swedish version of the Pain Catastrophizing Scale for Children (PCS-C) for children and adolescents with cancer
- 2019
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Ingår i: Journal of Pain Research. - 1178-7090. ; 12, s. 1803-1811
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Pain is reported as one of the most common and difficult symptoms for children and adolescents with cancer to cope with. Pain catastrophizing has been identified as a process clearly related to pain intensity and disability. The Pain Catastrophizing Scale for Children (PCS-C) has been validated in several languages and populations but remains to be validated in pediatric oncology. The aim of the study was to validate a Swedish version of the PCS-C for children and adolescents with cancer. Methods: All children, 7-18 years of age, being treated for cancer in Sweden at the time of the study were invited to participate. Study material was sent out to the registered address. Internal consistency, test-retest reliability and convergent validity were calculated. Factor structure was examined using principal component analysis (PCA). Descriptive statistics were used to investigate background data and norm values. Results: 61 children/adolescents were included in the analyses. The results did not support the original three-factor structure of the PCS-C, but rather suggested that a two-factor structure excluding item 8 best represented the data. The internal consistency of that solution was good (alpha=0.87), the test-rest reliability was excellent (ICC=0.75) and convergent validity was demonstrated (r=0.46). The mean (SD) for the PCS-C in the sample was 19.1 (9.2), without item 8. A statistically significant difference was shown between genders, where girls reported a higher level of pain catastrophizing than boys. No difference was found with regard to age. Discussion: The Swedish version of the PCS-C is now preliminarily validated for children and adolescents with cancer, for whom gender- and age-specific norm values are now available. Questions remain regarding the optimal factor structure of the PCS-C.
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| 3. |
- Cederberg, J. T., et al.
(författare)
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Validation of the Swedish version of the Pain Catastrophizing Scale for Parents (PCS-P) for parents of children with cancer
- 2019
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Ingår i: Journal of Pain Research. - 1178-7090. ; 12, s. 1017-1023
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Pain is reported as one of the most common and burdensome symptoms for children with cancer. Pain catastrophizing is clearly related to pain intensity and disability. Catastrophizing in parents is associated with both child functioning and parent distress. The Pain Catastrophizing Scale for Parents (PCS-P) remains to be validated for parents of children with cancer. The aim of the study was to validate the Swedish version of the PCS-P for parents of children with cancer experiencing pain. Methods: Parents of all children who were being treated for cancer in Sweden at the time of the study were invited to participate. Study material was sent out to the registered address. Internal consistency, test-retest reliability, and convergent validity were calculated, and factor analysis was conducted. Descriptive statistics was used to investigate the background data and norm values. Results: A total of 243 parents participated in the study. The results did not support the original three-factor structure of the PCS-P, but rather suggested that a two-factor structure best represented the data. The results showed excellent internal consistency (alpha=0.93), excellent temporal stability (intraclass correlation coefficient =0.86) and moderate convergent validity (rho=0.57). The mean (SD) for the PCS-P in the sample was 28.3 (10.7). A statistically significant difference was found between mothers and fathers, where mothers reported a higher level of pain catastrophizing than fathers. Conclusion: The psychometric properties of the PCS-P has now been supported in a sample of parents of children with cancer, and norm values are now available. The factor structure does, however, deserve more investigation.
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| 4. |
- Molander, Peter, et al.
(författare)
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Internet-based acceptance and commitment therapy for psychological distress experienced by people with hearing problems: a pilot randomized controlled trial
- 2018
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Ingår i: Cognitive Behaviour Therapy. - : Informa UK Limited. - 1650-6073 .- 1651-2316. ; 47:2, s. 169-184
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Tidskriftsartikel (refereegranskat)abstract
- © 2017 Swedish Association for Behaviour Therapy. Psychological distress is common among people with hearing problems, but treatments that specifically target this aspect have been almost non-existent. In this pilot randomized controlled trial, an eight-week long Internet-based treatment, informed by Acceptance and Commitment Therapy, was administered to explore the feasibility and efficacy of such a treatment. Included participants were randomized to either treatment (n=31) or wait-list control (n=30) condition. All participants were measured prior to randomization and immediately after treatment ended using standardized self-report instruments measuring hearing-related emotional and social adjustment (Hearing Handicap Inventory for the Elderly–S, HHIE-S), quality of life (Quality of Life Inventory, QOLI), and symptoms of depression and anxiety (Patient health Questionnaire, PHQ-9 and Generalized Anxiety Disorder scale, GAD-7). Linear mixed effects regression analysis using the full intention-to-treat sample demonstrated that the treatment had superior outcomes on the main outcome measure as compared with the control group, Cohen’s d=0.93, 95% CI [0.24, 1.63]. The benefits of treatment over control were also evident in scores of depression, Cohen’s d=0.61, 95% CI [0.04, 1.19], and quality of life, Cohen’s d=0.88, 95% CI [0.14, 1.61]. The results provide preliminary support for Internet-delivered acceptance and commitment therapy as a potentially effective treatment of psychological symptoms associated with hearing problems.
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| 5. |
- Molander, Peter, et al.
(författare)
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Internet-Based Acceptance and Commitment Therapy for Psychological Distress Experienced by People With Hearing Problems: Study Protocol for a Randomized Controlled Trial
- 2015
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Ingår i: American Journal of Audiology. - : American Speech-Language-Hearing Association. - 1059-0889 .- 1558-9137. ; 24:3, s. 307-310
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Tidskriftsartikel (refereegranskat)abstract
- © 2015 American Speech-Language-Hearing Association. Purpose: Psychological distress and psychiatric symptoms are prevalent among people with hearing loss or other audiological conditions, but psychological interventions for these groups are rare. This article describes the study protocol for a randomized controlled trial for evaluating the effect of a psychological treatment delivered over the Internet for individuals with hearing problems and concurrent psychological distress. Method: Participants who are significantly distressed will be randomized to either an 8-week Internet-delivered acceptance-based cognitive behavioral therapy (i.e., acceptance and commitment therapy [ACT]), or wait-list control. We aim to include measures of distress associated with hearing difficulties, anxiety, and depression. In addition, we aim to measure acceptance associated with hearing difficulties as well as quality of life. Conclusion: The results of the trial may further our understanding of how to best treat people who present problems with both psychological distress and hearing in using the Internet.
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| 6. |
- Thorsell Cederberg, Jenny, et al.
(författare)
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A preliminary validation of the Swedish short version of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y8) for children and adolescents with cancer
- 2018
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Ingår i: Journal of Contextual Behavioral Science. - : Elsevier BV. - 2212-1447. ; 10, s. 103-107
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Tidskriftsartikel (refereegranskat)abstract
- Psychological inflexibility constitutes a generalized vulnerability for psychopathology. Children and adolescents undergoing cancer treatment are faced with numerous physical and psychological stressors throughout their cancer trajectory. Most of the survivors show resilience but some groups report psychological ill-health and poor quality-of-life long-term. Psychological flexibility has been shown to mediate improvements in psychological health for cancer patients. The Avoidance and Fusion Questionnaire for Youth (AFQ-Y) is the most frequently used measure of psychological inflexibility in children and adolescents. It correlates with a wide range of measures of mental health and long-term functional behavior. The aim of the study was to investigate norm values, psychometric properties and factor structure of the AFQ-Y8 for children and adolescents with cancer. All children and adolescents, aged 7-18 years of age, undergoing cancer treatment in Sweden at the time of the study were invited to participate. Norm values, internal consistency, test-retest reliability and convergent validity were calculated and an exploratory factor analysis was conducted. 62 children participated. The mean of the AFQ-Y8 in the sample was 10.30 (5.75). Internal consistency was acceptable (alpha = 0.76), test-retest reliability was good (ICC = 0.64) and convergent validity was demonstrated (r = 0.42). Norm values are now available, and the psychometric properties supported, for the AFQ-Y8 for children and adolescents with cancer. This provides implications for the prevention and treatment of psychopathology for this population. However, the one-factor structure of the AFQ-Y8 was not unequivocally supported. The results from the PCA rather suggested a two-factor structure. Due to the small sample of the study, the results should be seen as preliminary and further validation is warranted, specifically with regards to factorial validity and sensitivity to change.
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| 7. |
- Thorsell Cederberg, Jenny, et al.
(författare)
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A preliminary validation of the swedish version of the pain catastrophizing scale for children (PCSC) for children and adolescents with cancer
- 2019
-
Ingår i: Journal of Pain Research. - : DOVE MEDICAL PRESS LTD. - 1178-7090. ; 12, s. 1803-1811
-
Tidskriftsartikel (refereegranskat)abstract
- © 2019 Cederberg et al. Objectives: Pain is reported as one of the most common and difficult symptoms for children and adolescents with cancer to cope with. Pain catastrophizing has been identified as a process clearly related to pain intensity and disability. The Pain Catastrophizing Scale for Children (PCS-C) has been validated in several languages and populations but remains to be validated in pediatric oncology. The aim of the study was to validate a Swedish version of the PCS-C for children and adolescents with cancer. Methods: All children, 7–18 years of age, being treated for cancer in Sweden at the time of the study were invited to participate. Study material was sent out to the registered address. Internal consistency, test–retest reliability and convergent validity were calculated. Factor structure was examined using principal component analysis (PCA). Descriptive statistics were used to investigate background data and norm values. Results: 61 children/adolescents were included in the analyses. The results did not support the original three-factor structure of the PCS-C, but rather suggested that a two-factor structure excluding item 8 best represented the data. The internal consistency of that solution was good (α=0.87), the test–rest reliability was excellent (ICC=0.75) and convergent validity was demonstrated (r=0.46). The mean (SD) for the PCS-C in the sample was 19.1 (9.2), without item 8. A statistically significant difference was shown between genders, where girls reported a higher level of pain catastrophizing than boys. No difference was found with regard to age. Discussion: The Swedish version of the PCS-C is now preliminarily validated for children and adolescents with cancer, for whom gender- and age-specific norm values are now available. Questions remain regarding the optimal factor structure of the PCS-C.
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| 8. |
- Thorsell Cederberg, Jenny, et al.
(författare)
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Children’s and adolescents’ relationship to pain during cancer treatment : a preliminary validation of the Pain Flexibility Scale for Children
- 2017
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Ingår i: Journal of Pain Research. - : Dove Medical Press. - 1178-7090. ; 10, s. 1171-1178
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Children with cancer often suffer from pain. Pain is associated with psychological distress, which may amplify the pain experience. In chronic pain, it has been shown that psychological acceptance is helpful for both adults and children. For experimentally induced pain, interventions fostering psychological acceptance have been shown to predict increases in pain tolerance and reductions in pain intensity and discomfort of pain. A single subject study aiming to nurture psychological acceptance for children with cancer experiencing pain has shown promising results. No instruments measuring psychological acceptance in acute pain are yet available. The aim of the current study was to develop and preliminarily evaluate an instrument to measure psychological acceptance in children experiencing pain during cancer treatment.Methods: A test version of the Pain Flexibility Scale for Children was sent to all children aged 7–18 years undergoing cancer treatment in Sweden at the time of the study. Exploratory factor analysis was used. Internal consistency, test–retest reliability, and convergent validity were examined.Results: Sixty-one children participated in the study. A two-factor solution with Promax rotation was found to best represent the data. Internal consistency was good to excellent (a =0.87–0.91). The total scale and the subscales demonstrated temporal stability (Intraclass correlation coefficient =0.56–0.61) and satisfactory convergent validity (r=−0.27 to −0.68).Discussion: The Pain Flexibility Scale for Children measuring psychological acceptance in children with cancer experiencing pain is now available for use. This enables the evaluation of acceptance as a mediator for treatment change in the context of acute pain in children with cancer, which in turn is a step forward in the development of psychological treatments to help children cope with the pain during these difficult circumstances. The scale shows good psychometric properties but needs further validation, particularly considering the small sample size.
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| 9. |
- Thorsell Cederberg, Jenny, et al.
(författare)
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Parents’ relationship to pain during children's cancer treatment – a preliminary validation of the Pain Flexibility Scale for Parents
- 2017
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Ingår i: Journal of Pain Research. - : Dovepress. - 1178-7090. ; 10, s. 507-514
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Pain is one of the most frequent and burdensome symptoms for children with cancer. Psychological acceptance has been shown to be beneficial in chronic pain. Acceptance-based interventions for experimentally induced pain have been shown to predict increased pain tolerance and decreased pain intensity. An acceptance-based pilot study for children with cancer experiencing pain has shown promising results. Further, parental acceptance has been shown to predict decreased child distress. To date, no instruments measuring acceptance in the context of acute pain in children are available. The aim of this study was to develop and evaluate an instrument to measure acceptance in parents of children experiencing pain during cancer treatment. Methods: A test version of the Pain Flexibility Scale for Parents (PFS-P) was sent to parents of all children undergoing cancer treatment in Sweden at the time of the study. Exploratory factor analysis (n=243) examined numerous solutions. Internal consistency, test-retest reliability and convergent validity were calculated. Results: A three-factor Promax solution best represented the data. The subscales were pain resistance, valued action and pain fusion. Internal consistency was good (alpha=0.81-0.93), and the total scale and the subscales demonstrated temporal stability (r=0.76-0.87) and good convergent validity (-0.40 to -0.84). Discussion: The PFS-P measuring acceptance in parents of children experiencing pain during cancer treatment is now available, enabling evaluation of acceptance in the context of acute pain in children. The scale shows good psychometric properties but needs further validation.
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| 10. |
- Thorsell Cederberg, Jenny, et al.
(författare)
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Validation of the Swedish Acceptance and Action Questionnaire (SAAQ) for parents of children with cancer
- 2018
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Ingår i: Journal of Contextual Behavioral Science. - : Elsevier BV. - 2212-1447. ; 10, s. 50-54
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Tidskriftsartikel (refereegranskat)abstract
- Experiential avoidance (EA) has been shown to constitute a generalized vulnerability for psychopathology. It is described as unwillingness to be in contact with aversive private experiences followed by behavioral responses to avoid those experiences. The Acceptance and Action Questionnaire (AAQ-II) is the most frequently used measure of EA and has been shown to correlate with a wide range of measures of mental health and long-term functional behavior. The Swedish version of the scale has previously been evaluated in a non-clinical sample but remains to be evaluated in a clinical one. A subgroup of parents of children with cancer report psychological ill-health long-term. The aim of the study was to investigate factor structure, norm values and psychometric properties of the Swedish Acceptance and Action Questionnaire (SAAQ) for parents of children with cancer. Parents of all children undergoing cancer treatment in Sweden at the time of the study were invited to participate. Factor structure was investigated and norm values, internal consistency, test-retest reliability and convergent validity were calculated. 243 parents participated. The mean of the SAAQ in the sample was 16.69 (SD 8.68; SE 0.56). Internal consistency (alpha = 0.92) and test-retest reliability (ICC = 0.86) were excellent. The SAAQ correlated moderately with the Pain Catastrophizing Scale for parents (PCS-P). Norm values are now available, and the psychometric properties supported, for the SAAQ for parents of children with cancer. This may facilitate prevention and treatment of psychopathology for this population by providing implications for interventions. First, however, sensitivity to change needs to be assessed.
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| 11. |
- Thorsell Cederberg, Jenny, et al.
(författare)
-
Validation of the Swedish version of the Pain Catastrophizing Scale for Parents (PCS-P) for parents of children with cancer
- 2019
-
Ingår i: Journal of Pain Research. - : DOVE MEDICAL PRESS LTD. - 1178-7090. ; 12, s. 1017-1023
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives: Pain is reported as one of the most common and burdensome symptoms for children with cancer. Pain catastrophizing is clearly related to pain intensity and disability. Catastrophizing in parents is associated with both child functioning and parent distress. The Pain Catastrophizing Scale for Parents (PCS-P) remains to be validated for parents of children with cancer. The aim of the study was to validate the Swedish version of the PCS-P for parents of children with cancer experiencing pain.Methods: Parents of all children who were being treated for cancer in Sweden at the time of the study were invited to participate. Study material was sent out to the registered address. Internal consistency, test-retest reliability, and convergent validity were calculated, and factor analysis was conducted. Descriptive statistics was used to investigate the background data and norm values.Results: A total of 243 parents participated in the study. The results did not support the original three-factor structure of the PCS-P, but rather suggested that a two-factor structure best represented the data. The results showed excellent internal consistency (alpha=0.93), excellent temporal stability (intraclass correlation coefficient =0.86) and moderate convergent validity (rho=0.57). The mean (SD) for the PCS-P in the sample was 28.3 (10.7). A statistically significant difference was found between mothers and fathers, where mothers reported a higher level of pain catastrophizing than fathers.Conclusion: The psychometric properties of the PCS-P has now been supported in a sample of parents of children with cancer, and norm values are now available. The factor structure does, however, deserve more investigation.
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| 12. |
- Wallin, Emma, 1981-, et al.
(författare)
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Acceptance and Commitment Therapy to Promote Value Attainment Among Individuals with overweight: A multiple baseline evaluation
- 2018
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Ingår i: Journal of Contextual Behavioral Science. - : Elsevier BV. - 2212-1447. ; 10:October, s. 41-49
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Tidskriftsartikel (refereegranskat)abstract
- Although overweight is typically associated with lower quality of life, weight loss in itself does not necessarily improve quality of life. Therefore, there is an increase of studies investigating the effect of Acceptance and Commitment Therapy (ACT) to promote values-based behavior among people with overweight. However, few have evaluated the use of brief self-help interventions with minimal therapist support. The aim of the present study was to evaluate the impact with regard to value attainment related to health and weight related experiential avoidance as well as the acceptability of a self-help intervention based on ACT with therapist support via telephone. A single subject multiple baseline design with temporal staggering and randomization of treatment onset was used. Participants with overweight or obesity (n = 13, 100% women) with a mean age of 42 (SD = 13.79) were recruited through social media. The intervention consisted of a workbook and weekly telephone support during a 3-week treatment period. Primary and secondary outcome measures were collected daily and before, after and at 3-months follow up. Results indicate that the intervention improved daily ratings of value attainment related to health among seven participants and reduced experiential avoidance among five of the participants. Effect sizes for those who improved were medium to large. Remaining participants did not improve with regard to the primary outcomes. Moreover, results indicate that the intervention was associated with acceptable adherence and treatment satisfaction. Future studies are needed in order to understand more about for what types of clients a brief self-help ACT intervention may be helpful to improve values based behavior.
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| 13. |
- Weineland, Sandra, et al.
(författare)
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A conceptual piece: contextualizing obesity struggles
- 2015
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Ingår i: The International Journal of Behavioral Consultation and Therapy. ; 9:4
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Forskningsöversikt (refereegranskat)abstract
- Though research on behavioral processes involved in obesity surgery is needed, few papers have been published from a contextual behavioral perspective. The purpose of this article is to present theoretical frameworks and a tightly-conceptualized analysis, which may be a guide for the researcher and clinician. In a contextual approach behavior is interpreted as inseparable from its current and historical context. Candidates for bariatric surgery often have a history of self-stigma, body dissatisfaction and eating for emotional relief. Despite losing a large amount of weight post surgery, psychological problems may still be present. Though a multidisciplinary team is recommended for post-surgical care, studies evaluating the psychological treatment of patients undergoing bariatric surgery are missing. Efforts to increase knowledge about psychological post surgery issues as well as designing effective behavioral treatment interventions post surgery seem to be needed. This is a conceptual piece of the literature summing up a contextual behavioral approach for obesity surgery patients.
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| 14. |
- Weineland, Sandra, et al.
(författare)
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Do Experiential Avoidance and Emotional Eating Habits Predict Outcomes of Bariatric Surgery at a 2 years follow-up? A short report
- 2015
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Ingår i: The International Journal of Behavioral Consultation and Therapy. ; 9:4
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Tidskriftsartikel (refereegranskat)abstract
- Bariatric surgery is associated with weight loss and improvements in co-morbid medical conditions. Although surgery is the best-evidenced method for weight loss, patients still report conditioned behavioral patterns of avoidance and inflexibility. For instance there is substantial proportion of patients reporting loss of control over eating and distress concerning body shape, which seem to effect other outcomes including weight loss and quality of life. The purpose of the current study was to examine how well emotional eating and experiential avoidance perform as predictors of surgical outcomes: satisfaction with life, general well-being and weight loss two years post bariatric surgery. Experiential avoidance refers to when an individual avoids unpleasant internal experiences even in those cases where avoidance interferes with living healthy. Results show that higher levels of experiential avoidance and emotional eating at baseline presurgery and at six months postsurgery, predict outcomes in terms of a lower satisfaction with life and more negative stats of mind at 2 years post-surgery. Results validate experiential avoidance in weight-related problems as an important aspect of life quality following bariatric surgery.
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| 15. |
- Weineland, Sandra, et al.
(författare)
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Effects of Tailored and ACT-Influenced Internet-Based CBT for Eating Disorders and the Relation Between Knowledge Acquisition and Outcome: A Randomized Controlled Trial
- 2017
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Ingår i: Behavior Therapy. - : Elsevier BV. - 0005-7894 .- 1878-1888. ; 48:5, s. 624-637
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Tidskriftsartikel (refereegranskat)abstract
- © 2017 This is the first trial to investigate the outcome of tailored and ACT-influenced, cognitive behavioral Internet treatment for eating disorder psychopathology, and the relation between knowledge acquisition and outcome. This study utilized a randomized controlled design, with computer-based allocation to treatment or waiting list control group. Participants were recruited via advertisements in social media and newspapers in Sweden. Participants fulfilling the criteria for bulimia nervosa (BN), or Eating Disorder Not Otherwise Specified (EDNOS), with a BMI above 17.5, were enrolled in the study (N = 92). The treatment group received an Internet-based, ACT-influenced CBT intervention, developed by the authors, for eating disorders. The treatment lasted 8 weeks, and was adapted to the participant's individual needs. A clinician provided support. The main outcome measures were eating disorder symptoms and body shape dissatisfaction. Intent-to-treat analysis showed that the treatment group (n = 46) improved significantly on eating disorder symptoms and body dissatisfaction, compared with the waiting list control group (n = 46), with small to moderate effect sizes (between group effects, d = 0.35–0.64). More than a third of the participants in the treatment group (36.6%), compared to 7.1% in the waiting list control condition, made clinically significant improvements. Results showed a significant increase in knowledge in the treatment group compared to the waiting list control group (between group effect, d = 1.12), but we found no significant correlations between knowledge acquisition and outcome (r = -0.27 to -r = 0.23). The results provide preliminary support for Internet-based, tailored, and ACT-influenced treatment, based on CBT for participants with eating disorder psychopathology.
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| 16. |
- Weineland, Sandra
(författare)
-
Fetma
- 2019
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Ingår i: Somatisk sjukdom - ett biopsykosocialt perspektiv. - : Studentlitteratur AB. - 9789144119601
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Bokkapitel (refereegranskat)
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| 17. |
- Weineland, Sandra Mikaela, et al.
(författare)
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Bridging the Gap Between Hearing Screening and Successful Rehabilitation : Research Protocol of a Randomized Controlled Trial of Motivational Interviewing via Internet
- 2015
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Ingår i: American Journal of Audiology. - : American Speech-Language-Hearing Association. - 1059-0889 .- 1558-9137. ; 24:3, s. 302-306
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Studies point to low help-seeking after a failed hearing screening. This research forum article presents the research protocol for a randomized controlled trial of motivational interviewing via the Internet to promote help-seeking in people who have failed an online hearing screening. Method: Adults who fail a Swedish online hearing screening, including a speech-in-noise recognition test, will be randomized to either an intervention group (participating in motivational interviewing) or an active control group (reading a book on history of hearing aids). Both of the conditions will be delivered via the Internet. The primary outcome is experience with seeking health care and using hearing aids 9 months after the intervention. Secondary outcomes are changes in before and after measures of self-reported hearing difficulties, anxiety, depression, and quality of life. Stages of change and self-efficacy in hearing help-seeking are measured immediately after intervention and at a 9-month follow-up for the purpose of mediation analysis. Results: The results of this randomized controlled trial may help bridge the gap between hearing screening and successful hearing rehabilitation. Conclusion: Although no large instantaneous benefits are expected, a slow change toward healthy behaviors—seeking health care and using hearing aids—would shed light on how to use the Internet to assist people with hearing impairment.
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| 18. |
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