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Acceptance and commitment

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https://www.readbyqxmd.com/read/29669454/palliative-nursing-and-sacred-medicine-a-holistic-stance-on-entheogens-healing-and-spiritual-care
#1
William E Rosa, Stephanie Hope, Marianne Matzo
The fields of palliative and holistic nursing both maintain a commitment to the care of the whole person, including a focus on spiritual care. Advanced serious illness may pose a plethora of challenges to patients seeking to create meaning and purpose in their lives. The purpose of this article is to introduce scholarly dialogue on the integration of entheogens, medicines that engender an experience of the sacred, into the spiritual and holistic care of patients experiencing advanced serious illness. A brief history of the global use of entheogens as well as a case study are provided...
April 1, 2018: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
https://www.readbyqxmd.com/read/29666250/developmentally-inspired-programming-of-adult-human-mesenchymal-stromal-cells-toward-stable-chondrogenesis
#2
Paola Occhetta, Sebastien Pigeot, Marco Rasponi, Boris Dasen, Arne Mehrkens, Thomas Ullrich, Ina Kramer, Sabine Guth-Gundel, Andrea Barbero, Ivan Martin
It is generally accepted that adult human bone marrow-derived mesenchymal stromal cells (hMSCs) are default committed toward osteogenesis. Even when induced to chondrogenesis, hMSCs typically form hypertrophic cartilage that undergoes endochondral ossification. Because embryonic mesenchyme is obviously competent to generate phenotypically stable cartilage, it is questioned whether there is a correspondence between mesenchymal progenitor compartments during development and in adulthood. Here we tested whether forcing specific early events of articular cartilage development can program hMSC fate toward stable chondrogenesis...
April 16, 2018: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/29657693/the-effects-of-acceptance-and-commitment-therapy-on-man-smokers-comorbid-depression-and-anxiety-symptoms-and-smoking-cessation-a-randomized-controlled-trial
#3
Mohammadreza Davoudi, Abdollah Omidi, Mojtaba Sehat, Zahra Sepehrmanesh
Background: Besides physical problems, cigarette smoking is associated with a high prevalence of comorbid depression and anxiety symptoms. One of the reasons behind high post-cessation smoking lapse and relapse rates is inattentiveness to these symptoms during the process of cessation. The aim of this study was to examine the effects of acceptance and commitment therapy (ACT) on male smokers' comorbid depression and anxiety symptoms and smoking cessation. Methods: This two-group pre-test-post-test randomized controlled trial was done on a random sample of seventy male smokers...
July 2017: Addiction & Health
https://www.readbyqxmd.com/read/29650217/effect-of-logo-therapy-acceptance-commitment-therapy-family-psychoeducation-on-self-stigma-and-depression-on-housewives-living-with-hiv-aids
#4
Titi Sri Suyanti, Budi Anna Keliat, Novy Helena Catharina Daulima
OBJECTIVE: Self-stigma in people living with HIV/AIDS is a survival mechanism to protect themselves from external stigma. Stigma and discrimination in people living with HIV/AIDS can lead to inequality in social life. This inequality can cause inferiority complex, preoccupation, and denial of diagnosis, which correlates with the onset of depression. This study aims to determine the effect of logotherapy, commitment acceptance therapy, and family psychoeducation on self-stigma and depression on housewives living with HIV/AIDS...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650216/the-effectiveness-of-acceptance-and-commitment-therapy-on-anxiety-in-clients-with-stroke
#5
Renta Sianturi, Budi Anna Keliat, Ice Yulia Wardani
OBJECTIVE: The purpose of this study was to determine the effects of acceptance and commitment therapy on anxiety in patients with stroke, especially during the first stage of recovery. METHOD: This quantitative study featured a quasi-experimental design without a control group and was conducted in the stroke ward of a public hospital. The 33 respondents were selected via consecutive sampling. The data analysis was completed using the paired t-test. RESULTS: The use of acceptance and commitment therapy significantly the signs and symptoms of anxiety in patients with stroke (p-value = < 0...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650214/acceptance-and-commitment-therapy-and-family-psycho-education-for-clients-with-schizophrenia
#6
Encik Putri Ema Komala, Budi Anna Keliat, Ice Yulia Wardani
OBJECTIVE: This study aims to determine the effectiveness of combining acceptance and commitment therapy with family psycho education on increased insight, diminished symptoms, and the client's improved ability to control violent behavior. METHOD: The design of this study was a quasi-experimental pretest-posttest utilizing intervention and control groups. The intervention group consisted of 33 people, and the control group was composed of 33 people. Data was collected before and after respondents received both acceptance and commitment therapy and family psycho education...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29649249/optimizing-adherence-in-hiv-prevention-product-trials-development-and-psychometric-evaluation-of-simple-tools-for-screening-and-adherence-counseling
#7
Elizabeth E Tolley, Kate Morrow Guthrie, Seth Zissette, Joseph L Fava, Katherine Gill, Cheryl E Louw, Philip Kotze, Krishnaveni Reddy, Kathleen MacQueen
BACKGROUND: Low adherence in recent HIV prevention clinical trials highlights the need to better understand, measure, and support product use within clinical trials. Conventional self-reported adherence instruments within HIV prevention trials, often relying on single-item questions, have proven ineffective. While objective adherence measures are desirable, none currently exist that apply to both active and placebo arms. Scales are composed of multiple items in the form of questions or statements that, when combined, measure a more complex construct that may not be directly observable...
2018: PloS One
https://www.readbyqxmd.com/read/29643277/the-characteristics-of-coaches-that-verbally-or-physically-abuse-young-athletes
#8
Yutaka Yabe, Yoshihiro Hagiwara, Takuya Sekiguchi, Haruki Momma, Masahiro Tsuchiya, Kaoru Kuroki, Kenji Kanazawa, Masashi Koide, Nobuyuki Itaya, Shinichiro Yoshida, Yasuhito Sogi, Toshihisa Yano, Eiji Itoi, Ryoichi Nagatomi
Verbal or physical abuse from coaches has a negative impact on young athletes. To prevent abuse against young athletes, it is important to know the characteristics of abusive coaches. This study aimed to elucidate the characteristics of coaches who commit verbal or physical abuse in youth sports teams. A cross-sectional study was conducted with coaches of youth sport teams in Miyagi prefecture, Japan (n = 1,283), using a self-reported questionnaire (response rate was 24.0%). Multivariate logistic regression models were used for analyses...
April 2018: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/29628450/support-for-voluntary-euthanasia-with-no-logical-slippery-slope-to-non-voluntary-euthanasia
#9
Steven Daskal
This paper demonstrates that acceptance of voluntary euthanasia does not generate commitment to either non-voluntary euthanasia or euthanasia on request. This is accomplished through analysis of John Keown's and David Jones's slippery slope arguments, and rejection of their view that voluntary euthanasia requires physicians to judge patients as better off dead. Instead, voluntary euthanasia merely requires physicians to judge patients as within boundaries of appropriate deference. This paper develops two ways of understanding and defending voluntary euthanasia on this model, one focused on the independent value of patients' autonomy and the other on the evidence of well-being provided by patients' requests...
2018: Kennedy Institute of Ethics Journal
https://www.readbyqxmd.com/read/29625957/development-and-feasibility-testing-of-internet-delivered-acceptance-and-commitment-therapy-for-severe-health-anxiety-pilot-study
#10
Ditte Hoffmann, Charlotte Ulrikka Rask, Erik Hedman-Lagerlöf, Brjánn Ljótsson, Lisbeth Frostholm
BACKGROUND: Severe health anxiety (hypochondriasis), or illness anxiety disorder according to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, is characterized by preoccupation with fear of suffering from a serious illness in spite of medical reassurance. It is a debilitating, prevalent disorder associated with increased health care utilization. Still, there is a lack of easily accessible specialized treatment for severe health anxiety. OBJECTIVE: The aims of this paper were to (1) describe the development and setup of a new internet-delivered acceptance and commitment therapy (iACT) program for patients with severe health anxiety using self-referral and a video-based assessment; and (2) examine the feasibility and potential clinical efficacy of iACT for severe health anxiety...
April 6, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29619140/challenges-and-opportunities-of-clinical-pharmacy-services-in-ethiopia-a-qualitative-study-from-healthcare-practitioners-perspective
#11
Henok G Tegegn, Ousman A Abdela, Abebe B Mekuria, Akshaya S Bhagavathula, Asnakew A Ayele
Background: Currently, clinical pharmacists have in-depth therapeutic knowledge and scientific skills to act as drug therapy experts in healthcare settings. Objective: The aim of this study was to assess the opportunities and challenges of clinical pharmacy services from the health practitioners' perspective in University of Gondar (UOG) hospital Ethiopia. Methods: A qualitative study was performed using face-to-face in-depth interviews with health practitioners who were directly involved in clinical pharmacy services (clinical pharmacists, physicians, and nurses) in UOG hospital...
January 2018: Pharmacy Practice
https://www.readbyqxmd.com/read/29617933/a-qualitative-study-of-female-caregiving-spouses-experiences-of-intimate-relationships-as-cognition-declines-in-parkinson-s-disease
#12
Sabina Vatter, Kathryn R McDonald, Emma Stanmore, Linda Clare, Sheree A McCormick, Iracema Leroi
Background: the complex and progressive nature of Parkinson's disease (PD) and cognitive impairment may necessitate a care provider, a role which is frequently undertaken by a spouse. Providing and receiving care related to dementia impacts on a couple's partnership and may result in decreased intimacy and relationship satisfaction. Objective: to explore the changes in long-term intimate relationships in Parkinson's-related dementia, as perceived by spouses providing care to their partners...
April 3, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29609554/internet-based-self-help-smoking-cessation-and-alcohol-moderation-interventions-for-cancer-survivors-a-study-protocol-of-two-rcts
#13
Ajla Mujcic, Matthijs Blankers, Brigitte Boon, Rutger Engels, Margriet van Laar
BACKGROUND: Brief interventions for smoking cessation and alcohol moderation may contribute considerably to the prevention of cancer among populations at risk, such as cancer survivors, in addition to improving their general wellbeing. There is accumulating evidence for the effectiveness of internet-based brief health behaviour interventions. The objective of this study is to assess the effectiveness, patient-level cost-effectiveness and cost-utility of two new online theory-based self-help interventions among adult cancer survivors in the Netherlands...
April 2, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29605691/a-controlled-pilot-trial-of-paintracker-self-manager-a-web-based-platform-combined-with-patient-coaching-to-support-patients-self-management-of-chronic-pain
#14
Mark Sullivan, Dale J Langford, Pamela Stitzlein Davies, Christine Tran, Roger Vilardaga, Gifford Cheung, Daisy Yoo, Justin McReynolds, William B Lober, David Tauben, Kevin E Vowles
The objective of this study was to develop and pilot test a chronic pain empowerment and self-management platform, derived from Acceptance and Commitment Therapy (ACT) in a pain specialty setting. A controlled, sequential, non-randomized study design was used to accommodate intervention development and to test the efficacy of the PainTracker Self-Manager intervention (web-based educational modules and outcome tracking combined with tailored patient coaching sessions and provider guidance). Generalized estimating equations (GEE) evaluated changes over time (baseline, 3 months, 6 months) in pain self-efficacy (primary outcome), chronic pain acceptance (activity engagement and pain willingness), perceived efficacy in patient-provider interactions, pain intensity and interference, and overall satisfaction with pain treatment (secondary outcomes) between intervention (n=48) and usual care control groups (n=51)...
March 29, 2018: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29596100/determination-of-geolocations-for-anesthesia-specialty-coverage-and-standby-call-allowing-return-to-the-hospital-within-a-specified-amount-of-time
#15
Richard H Epstein, Franklin Dexter, Christian Diez, Paul Potnuru
BACKGROUND: For emergent procedures, in-house teams are required for immediate patient care. However, for many procedures, there is time to bring in a call team from home without increasing patient morbidity. Anesthesia providers taking subspecialty or backup call from home are required to return to the hospital within a designated number of minutes. Driving times to the hospital during the hours of call need to be considered when deciding where to live or to visit during such calls. Distance alone is an insufficient criterion because of variable traffic congestion and differences in highway access...
March 27, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29587807/acceptance-and-commitment-therapy-preceded-by-an-experimental-attention-bias-modification-procedure-in-recurrent-depression-study-protocol-for-a-randomized-controlled-trial
#16
Tom Østergaard, Tobias Lundgren, Robert Zettle, Rune Jonassen, Catherine J Harmer, Tore C Stiles, Nils Inge Landrø, Vegard Øksendal Haaland
BACKGROUND: This project studies the effect of group-based Acceptance and Commitment Therapy (ACT) following Attention Bias Modification (ABM) on residual symptoms in recurrent depression. ACT is a cognitive-behavioral intervention combining acceptance and mindfulness processes with commitment and behavior-change processes. ACT enjoys modest empirical support in treating depression and has also shown promising results in secondary prevention of depression. The experimental cognitive bias modification (ABM) procedure has been shown to reduce surrogate markers of depression vulnerability in patients in remission from depression...
March 27, 2018: Trials
https://www.readbyqxmd.com/read/29578817/a-dyadic-approach-to-pornography-use-and-relationship-satisfaction-among-heterosexual-couples-the-role-of-pornography-acceptance-and-anxious-attachment
#17
Megan K Maas, Sara A Vasilenko, Brian J Willoughby
The majority of research on pornography use within committed relationships has found such use to be associated with negative outcomes. However, given the variability in pornography use among couples, the current study sought to examine moderators in the association between pornography use and relationship satisfaction in a large sample of heterosexual matched-paired couples (N = 6,626). Actor-partner interdependence models (APIMs) revealed that for men who are more anxiously attached, more pornography use is associated with higher relationship satisfaction; whereas for women who are more anxiously attached, more pornography use is associated with lower relationship satisfaction...
March 26, 2018: Journal of Sex Research
https://www.readbyqxmd.com/read/29569768/developing-a-culturally-appropriate-branding-for-a-social-and-emotional-wellbeing-intervention-in-an-aboriginal-community
#18
Robert J Donovan, Lesley Murray, Jolleen Hicks, Amberlee Nicholas, Julia Anwar-McHenry
ISSUE ADDRESSED: An initial consultation process to implement a culturally appropriate social and emotional wellbeing campaign in an Aboriginal community indicated that the fundamental principles of the Act-Belong-Commit mental health promotion campaign were acceptable, but that a cultural adaptation of the branding should be sought. METHODS: A competition was held inviting community members to design a brand logo for the campaign in their community. Local judges selected "winners" in various categories, and six of the submissions were selected for testing in the broader community via street intercept interviews...
February 22, 2018: Health Promotion Journal of Australia
https://www.readbyqxmd.com/read/29569238/factor-analysis-and-mokken-scaling-of-the-organizational-commitment-questionnaire-in-nurses
#19
M Al-Yami, P Galdas, R Watson
AIMS: To generate an Arabic version of the Organizational Commitment Questionnaire that would be easily understood by Arabic speakers and would be sensitive to Arabic culture. BACKGROUND: The nursing workforce in Saudi Arabia is undergoing a process of Saudization but there is a need to understand the factors that will help to retain this workforce. INTRODUCTION: No organizational commitment tools exist in Arabic that are specifically designed for health organizations...
March 22, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29566744/exercise-combined-with-acceptance-and-commitment-therapy-exact-compared-to-a-supervised-exercise-programme-for-adults-with-chronic-pain-study-protocol-for-a-randomised-controlled-trial
#20
Máire-Bríd Casey, Keith Smart, Ricardo Segurado, Conor Hearty, Hari Gopal, Damien Lowry, Dearbhail Flanagan, Lance McCracken, Catherine Doody
BACKGROUND: Acceptance and Commitment Therapy (ACT) is a form of cognitive behavioural therapy, which may be beneficial for people with chronic pain. The approach aims to enhance daily functioning through increased psychological flexibility. Whilst the therapeutic model behind ACT appears well suited to chronic pain, there is a need for further research to test its effectiveness in clinical practice, particularly with regards to combining ACT with physical exercise. METHODS/DESIGN: This prospective, two-armed, parallel-group, single-centre randomised controlled trial (RCT) will assess the effectiveness of a combined Exercise and ACT programme, in comparison to supervised exercise for chronic pain...
March 22, 2018: Trials
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