Background: Although significant health improvements are indicated from weight-loss following bariatric surgery, many individuals are unable to lose weight or maintain their weight-loss. The current study aimed to assess whether post-surgery care comprising Emotional Freedom Techniques (EFT), an emerging energy psychology intervention, combined with a behaviour-based nutrition and portion control eating plan in an online self-guided delivery would aid weight-loss and maintenance in bariatric patients. Methods: A 6-month randomised controlled parallel-group trial. Participants (N ¼ 343; aged 21-69 years; BMI !30 kg/m 2 ) had undergone bariatric surgery (12 þ months prior) and were randomly assigned to one of three treatment groups: Portion Perfection for Bariatric Patients (PPBP; n ¼ 109), PPBP combined with an eight-week online self-paced EFT treatment (n ¼ 107), and a treatment as usual (TAU) control (n ¼ 127). Participants completed measures of BMI, emotional eating, uncontrolled eating, food cravings, and self-esteem at 8-week posttreatment (n ¼ 158) and 6-month follow-up (n ¼ 109). Results: Mixed-design analyses of variances were conducted to examine the effect of the interventions on outcome measures (pre-intervention, 8-week post-intervention, and 6-month follow-up). Emotional eating decreased significantly from pre-intervention to post-intervention for the PPBP and PPBP with EFT groups, and at 6-month follow-up for the TAU group only. There were no statistically significant between-group differences in other outcome variables. However, at 6-months the PPBP with EFT group experienced the greatest improvements in emotional eating (-16.33%), uncontrolled eating (-9.36%), and self-esteem (þ4.43%), compared to PPBP only or TAU.
Conclusion:The effect of EFT combined with the eating plan on psychological variables was largely inconsistent with prior research and discussion of how this may be optimised in future trials is discussed. Clinical trial registration: ACTRN12616001257459.
Outcomes Measures and Analysis: Construct validity was evaluated by Spearman correlation between total scores on the SAHL-S and the NLit-S. Reliability was measured by Cronbach's alpha. Results: Most participants were female (76%), with a mean age of 35 years (range 18-63, SD: 12.85). Mexico was the most prevalent country of origin (74.5%). Approximately half of the participants (51%) had an annual income lower than 20,000 dollars. The primary language of the participants was Spanish, where 74.5% reported to speak only Spanish or more Spanish than English at home. NLit-S construct validity was significant (r¼ .51, p< .01), and reliability was excellent (a¼ .92). Conclusions and Implications: The NLit-S is a potential tool for measuring the nutrition literacy of spanish speaking populations, though testing in a larger sample is needed.
America's aging population needs interprofessional health care providers committed to providing high-quality, patient-centered care. Considering the often negative attitudes held by health care students about older adults and the impact that can have on their care, it is important to explore factors that influence student attitudes and desire to provide geriatric care. Five hundred seventy-two students pursuing nursing, physical therapy, athletic training, dietetics, and social work degrees were surveyed. Students reported demographic factors, amount of contact with older adults, how rewarding that contact had been, and confidence and interest in working with older adults. Higher levels of confidence were associated with gender, studying nursing or physical therapy, and being older. Overall, confidence and interest were positively correlated with (a) positive attitudes toward aging, (b) contact frequency, and (c) quality experiences with older adults. Therefore, confident students with an interest in working with the geriatric population upon graduation have more exposure and more rewarding experiences with older adults before entering their program. [Journal of Gerontological Nursing, 43(3), 13-18.].
Health-care organizations need to develop a strategy to ensure that all hospitalized patients receive appropriate thromboprophylaxis. This review describes an evidence-based model which could improve service delivery, meet national targets, save money and reduce the incidence of hospital-acquired venous thromboembolism.
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