Monthly Archives: November 2013

Response Rates in Studies of Couples Coping With Cancer: A Systematic Review.

Posted on November 29, 2013 by Dagan M, Hagedoorn M






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Response Rates in Studies of Couples Coping With Cancer: A Systematic Review.
Health Psychol. 2013 Nov 25;
Authors: Dagan M, Hagedoorn M
Abstract
Objective: Recruiting couples for psychological … Continue reading →

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Assessing the quality of interdisciplinary rounds in the intensive care unit.

Posted on November 3, 2013 by Ten Have EC, Hagedoorn M, Holman ND, Nap RE, Sanderman R, Tulleken JE






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Assessing the quality of interdisciplinary rounds in the intensive care unit.

J Crit Care. 2013 Aug;28(4):476-82

Authors: Ten Have EC, Hagedoorn M, Holman ND, Nap RE, Sanderman R, Tulleken JE

Abstract
PURPOSE: Interdisciplinary rounds (IDRs) in the intensive care unit (ICU) are increasingly recommended to support quality improvement, but uncertainty exists about assessing the quality of IDRs. We developed, tested, and applied an instrument to assess the quality of IDRs in ICUs.
MATERIALS AND METHODS: Delphi rounds were done to analyze videotaped patient presentations and elaborated together with previous literature search. The IDR Assessment Scale was developed, statistically tested, and applied to 98 videotaped patient presentations during 22 IDRs in 3 ICUs for adults in 2 hospitals in Groningen, The Netherlands.
RESULTS: The IDR Assessment Scale had 19 quality indicators, subdivided in 2 domains: “patient plan of care” and “process.” Indicators were “essential” or “supportive.” The interrater reliability of 9 videotaped patient presentations among at least 3 raters was satisfactory (κ = 0.85). The overall item score correlations between 3 raters were excellent (r = 0.80-0.94). Internal consistency in 98 videotaped patient presentations was acceptable (α = .78). Application to IDRs demonstrated that indicators could be unambiguously rated.
CONCLUSIONS: The quality of IDRs in the ICU can be reliably assessed for patient plan of care and process with the IDR Assessment Scale.

PMID: 23428713 [PubMed – indexed for MEDLINE]

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The effectiveness of cognitive behavioral therapy on the quality of life of patients with inflammatory bowel disease: multi-center design and study protocol (KL!C- study).

Posted on November 1, 2013 by Bennebroek Evertsz' F, Bockting CL, Stokkers PC, Hinnen C, Sanderman R, Sprangers MA






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The effectiveness of cognitive behavioral therapy on the quality of life of patients with inflammatory bowel disease: multi-center design and study protocol (KL!C- study).

BMC Psychiatry. 2012;12:227

Authors: Bennebroek Evertsz’ F, Bockting CL, Stokkers PC, Hinnen C, Sanderman R, Sprangers MA

Abstract
BACKGROUND: Inflammatory Bowel Disease (IBD) patients report poorer quality of life (QoL) and more anxiety and depressive symptoms than controls from the general population. Cognitive behavioral therapy (CBT) is effective for anxiety and depression, but questionable in case of co-morbidity with IBD. Therefore, an adapted new CBT specifically designed for IBD patients was developed. The objective of this study is to evaluate the effectiveness of adapted CBT on QoL.
METHODS/DESIGN: IBD patients with a poor level of mental QoL (score less than or equal to 23 on the mental health scale of SF-36) will be randomly assigned to the experimental (n = 40) or waiting-list control condition (n = 40). The experimental condition will then immediately start CBT. The waiting-list control condition will wait 3,5 months before CBT begins with pre- and post assessments. Both conditions will complete a baseline and follow-up assessment following CBT and a mid-treatment assessment. The primary outcome is IBD-specific QoL (IBDQ). Secondary outcomes are generic QoL (SF-36) and anxiety and depression complaints (HADS, CES-D). Additionally, we will examine the working mechanism of the psychological intervention by investigating the impact of the intervention on illness-related cognitions, attitudes, coping styles and their associations with outcome. Data will be analysed on an intention to treat (ITT) as well as treatment completer basis (greater than or equal to five sessions followed).
DISCUSSION: If found effective, this IBD-specific CBT is a first step to enhance poor QoL in IBD patients and possibly, other gastroenterological diseases. By enhancing IBD patients’ QoL, we may also improve their mental and physical health, and lower unnecessary health care consumption.
TRIAL REGISTRATION NUMBER: NTR (TC = 1869).

PMID: 23237076 [PubMed – indexed for MEDLINE]

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