Monthly Archives: May 2017

The role of pain behaviour and family caregiver responses in the link between pain catastrophising and pain intensity: A moderated mediation model.






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The role of pain behaviour and family caregiver responses in the link between pain catastrophising and pain intensity: A moderated mediation model.

Psychol Health. 2017 Apr;32(4):422-438

Authors: Mohammadi S, Dehghani M, Sanderman R, Hagedoorn M

Abstract
OBJECTIVES: This study investigated the mediating role of pain behaviours in the association between pain catastrophising and pain intensity and explored the moderating role of family caregivers’ responses to pain in the link between pain behaviours and pain intensity.
METHODS: The sample consisted of 154 chronic pain patients and their family caregivers. Patients completed questionnaires regarding pain intensity, pain catastrophising, pain behaviours and their caregivers’ responses to their pain. Family caregivers reported their responses to the patients’ pain.
RESULTS: Pain catastrophising was associated with pain intensity (r = 0.37) and pain behaviours partly mediated this association. The positive association between pain behaviours and pain intensity was significant only if patients reported that their family caregivers showed high levels of solicitous (effect = .49) and distracting responses (effect = .58), and if caregivers reported to show high levels of solicitous responses (effect = .51). No support was found for negative responses as a moderator neither based on patients’ perception of negative responses nor based on caregivers’ perception of negative responses.
CONCLUSIONS: The findings are in line with the idea that family caregivers’ solicitous and distracting responses convey to patients that their condition is serious, which may reinforce patients’ pain and pain behaviours, especially in those who catastrophise.

PMID: 28042705 [PubMed – in process]

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Sustaining program effectiveness after implementation: The case of the self-management of well-being group intervention for older adults.






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Sustaining program effectiveness after implementation: The case of the self-management of well-being group intervention for older adults.

Patient Educ Couns. 2017 Jun;100(6):1177-1184

Authors: Goedendorp MM, Kuiper D, Reijneveld SA, Sanderman R, Steverink N

Abstract
OBJECTIVE: The Self-Management of Well-being (SMW) group intervention for older women was implemented in health and social care. Our aim was to assess whether effects of the SMW intervention were comparable with the original randomized controlled trial (RCT). Furthermore, we investigated threats to effectiveness, such as participant adherence, group reached, and program fidelity.
METHODS: In the implementation study (IMP) 287 and RCT 142 women participated. We compared scores on self-management ability and well-being of the IMP and RCT. For adherence, drop-out rates and session attendance were compared. Regarding reach, we compared participants’ baseline characteristics. Professionals completed questions regarding program fidelity.
RESULTS: No significant differences were found on effect outcomes and adherence between IMP and RCT (all p≥0.135). Intervention effect sizes were equal (0.47-0.59). IMP participants were significantly less lonely and more likely to be married, but had lower well-being. Most professionals followed the protocol, with only minimal deviations.
CONCLUSION: The effectiveness of the SMW group intervention was reproduced after implementation, with similar participant adherence, minimal changes in the group reached, and high program fidelity.
PRACTICE IMPLICATIONS: The SMW group intervention can be transferred to health and social care without loss of effectiveness. Implementation at a larger scale is warranted.

PMID: 28089311 [PubMed – in process]

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Delay in diagnosis of testicular cancer.






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Delay in diagnosis of testicular cancer.
J Clin Oncol. 2004 Jul 15;22(14_suppl):4602
Authors: Fleer J, Sleijfer DT, Hoekstra-Weebers JE, Hoekstra HJ
Abstract
4602 Background: Delay in … Continue reading

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