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Johan W S Vlaeyen - One of the best experts on this subject based on the ideXlab platform.

  • goals matter both achievement and pain avoidance goals are associated with pain severity and disability in patients with low back and upper extremity pain
    Pain, 2011
    Co-Authors: Petra A Karsdorp, Johan W S Vlaeyen
    Abstract:

    It has been proposed that goal pursuit plays a role in the development of chronic pain disorders. On the basis of (affective) motivational theories, it was hypothesized that both long-term achievement goals and short-term hedonic goals would be related to increased levels of pain and disability, particularly in patients with high negative affect. Participants with musculoskeletal pain complaints (N = 299) completed a battery of questionnaires including a novel goal pursuit questionnaire (GPQ) measuring the extent to which participants preferred hedonic goals (Mood-Management or pain-avoidance goals) over achievement goals in various situations. Explorative factor analysis of the GPQ resulted in a reliable painavoidance (a = .88) and Mood-Management subscale (a = .76). A nonlinear, U-shaped relationship was found among the pain-avoidance scale (but not the Mood-Management scale) and pain and disability. This indicated that participants who strongly endorsed either achievement or pain-avoidance goals also reported higher pain and disability levels while controlling for biographical variables and pain catastrophizing. For pain but not disability, these relationships were only found among patients with high negative affect. For disability, goal pursuit and negative affect were independently related to disability. These findings provide support for the validity of an affective-motivational approach to chronic pain, suggesting that the experience of pain and the interference of pain on daily life activities depends on goal pursuit and negative affect. Interventions aimed at improving disability in chronic pain should address both patient’s goal pursuit and negative affect. Crown Copyright 2011 Published by Elsevier B.V. on behalf of International Association for the Study of Pain. All rights reserved.

  • Goals matter: Both achievement and pain-avoidance goals are associated with pain severity and disability in patients with low back and upper extremity pain.
    Pain, 2011
    Co-Authors: Petra A Karsdorp, Johan W S Vlaeyen
    Abstract:

    It has been proposed that goal pursuit plays a role in the development of chronic pain disorders. On the basis of (affective) motivational theories, it was hypothesized that both long-term achievement goals and short-term hedonic goals would be related to increased levels of pain and disability, particularly in patients with high negative affect. Participants with musculoskeletal pain complaints (N = 299) completed a battery of questionnaires including a novel goal pursuit questionnaire (GPQ) measuring the extent to which participants preferred hedonic goals (Mood-Management or pain-avoidance goals) over achievement goals in various situations. Explorative factor analysis of the GPQ resulted in a reliable painavoidance (a = .88) and Mood-Management subscale (a = .76). A nonlinear, U-shaped relationship was found among the pain-avoidance scale (but not the Mood-Management scale) and pain and disability. This indicated that participants who strongly endorsed either achievement or pain-avoidance goals also reported higher pain and disability levels while controlling for biographical variables and pain catastrophizing. For pain but not disability, these relationships were only found among patients with high negative affect. For disability, goal pursuit and negative affect were independently related to disability. These findings provide support for the validity of an affective-motivational approach to chronic pain, suggesting that the experience of pain and the interference of pain on daily life activities depends on goal pursuit and negative affect. Interventions aimed at improving disability in chronic pain should address both patient’s goal pursuit and negative affect. Crown Copyright 2011 Published by Elsevier B.V. on behalf of International Association for the Study of Pain. All rights reserved.

Ricardo F Munoz - One of the best experts on this subject based on the ideXlab platform.

  • Mood Management Effects of a Brief Behavioral Activation Internet Intervention
    2017
    Co-Authors: Eduardo L. Bunge, Yan Leykin, Charlotte L. Beard, Taylor N. Stephens, Ricardo F Munoz
    Abstract:

    This randomized controlled trial investigated the effect of a brief unsupported behavioral activation Internet intervention (BAII) designed to improve Mood. A total of 671 participants were recruited through Amazon’s Mechanical Turk (AMT) (M age = 35.71 years; SD = 12.34, 32.3% male) and 187 (27.9%) individuals completed the 1-week follow-up survey. Participants were randomly assigned to a behavioral activation “Activities” condition or a waitlist control (WLC) and assessed for depression (PHQ-9), anxiety (GAD-7), self-reported Mood, and confidence and motivation to make behavioral changes. Repeated measure ANOVAs showed that individuals in the Activities condition significantly improved their motivation and confidence from baseline to immediate-post intervention. Mixed-effect modeling was used to determine the within-subject effect (time) and between-subject effect (WL vs. Activities condition). Significant main effects for time (but not condition) were found for PHQ-9 depression scores (F (1, 393) = 13.24, p 

  • Mood Management effects of a brief behavioral activation internet intervention
    Journal of Technology in Behavioral Science, 2017
    Co-Authors: Eduardo L. Bunge, Yan Leykin, Charlotte L. Beard, Taylor N. Stephens, Ricardo F Munoz
    Abstract:

    This randomized controlled trial investigated the effect of a brief unsupported behavioral activation Internet intervention (BAII) designed to improve Mood. A total of 671 participants were recruited through Amazon’s Mechanical Turk (AMT) (M age = 35.71 years; SD = 12.34, 32.3% male) and 187 (27.9%) individuals completed the 1-week follow-up survey. Participants were randomly assigned to a behavioral activation “Activities” condition or a waitlist control (WLC) and assessed for depression (PHQ-9), anxiety (GAD-7), self-reported Mood, and confidence and motivation to make behavioral changes. Repeated measure ANOVAs showed that individuals in the Activities condition significantly improved their motivation and confidence from baseline to immediate-post intervention. Mixed-effect modeling was used to determine the within-subject effect (time) and between-subject effect (WL vs. Activities condition). Significant main effects for time (but not condition) were found for PHQ-9 depression scores (F (1, 393) = 13.24, p < 0.001), GAD-7 anxiety scores (F 1, 393) = 8.36, p < 0.01), and for subjective ratings of confidence (F (1, 387) = 4.94, p < 0.05), such that depression and anxiety scores were lower and confidence was higher at the second time-point, regardless of condition. Furthermore, a significant time by condition interaction was found for self-reported Mood (F (1, 387) = 4.24, p < 0.05), where individuals who received the intervention had a more positive rating of subjective Mood at the 1-week follow-up. Individuals in the WL condition did not report significant improvements in subjective Mood at follow-up (p = 0.056). After a brief online behavioral activation intervention, participants who endorsed mild to moderate depression symptoms at baseline experienced an immediate improvement in confidence and motivation. They also exhibited significant improvements in self-reported Mood at 1 week. However, there was no change observed in depression, anxiety, motivation, or confidence at 1-week follow-up. Overall, this study provides partial support for the utilization of a brief online activities-focused intervention and highlights the need to develop more powerful versions of such interventions.

  • Mood Management effects of brief unsupported internet interventions
    Internet interventions, 2016
    Co-Authors: Eduardo L. Bunge, Rachel E. Williamson, Monique Cano, Yan Leykin, Ricardo F Munoz
    Abstract:

    ABSTRACT Background Most users of unsupported Internet interventions visit that site only once, therefore there is a need to create interventions that can be offered as a single brief interaction with the user. Objective The main goal of this study was to compare the effect of a one-session unsupported Internet intervention on participants' clinical symptoms (depressive and anxiety symptoms) and related variables (Mood, confidence and motivation). Method A total of 765 adults residing in the United States took part in a randomized controlled trial. Participants were randomly assigned to one of five brief plain text interventions lasting 5–10min. The interventions designed to address depressive symptoms were: thoughts (increasing helpful thoughts), activities (increasing activity level), sleep hygiene, assertiveness (increasing assertiveness awareness), Own Methods (utilizing methods that were previously successful). They were followed-up one week after consenting. Results A main effect of time was observed for both depression (F(1, 563)=234.70, p p Conclusions Brief unsupported Internet interventions can improve depressive symptoms at one-week follow-up. Further outcome data and research implications will be discussed.

  • A Mood Management Intervention in an Internet Stop Smoking Randomized Controlled Trial Does Not Prevent Depression: A Cautionary Tale.
    Clinical psychological science : a journal of the Association for Psychological Science, 2013
    Co-Authors: Stephen M. Schueller, Eliseo J. Pérez-stable, Ricardo F Munoz
    Abstract:

    Smoking and depression are related, and Mood Management interventions included in smoking cessation interventions can increase smoking abstinence rates. Could a Mood Management intervention embedded in an Internet-based smoking cessation intervention prevent major depressive episodes? Spanish- and English-speaking smokers (N = 17,430) from 191 countries were randomized to one of four online self-help intervention conditions (two with Mood Management). We analyzed preventive effects among those participants without a major depressive episode at baseline. The Mood Management intervention did not reduce the incidence of major depressive episodes in the following 12 months. However, we found a Mood Management by depression risk interaction (OR = 1.77, p = .004), such that high-risk participants who received the Mood Management intervention had an increased occurrence of major depressive episodes (32.8% vs. 26.6%), but not low-risk participants (11.6% vs. 10.8%). Further research on whether Mood Management int...

  • Selection of intervention components in an Internet stop smoking participant preference trial: Beyond randomized controlled trials
    Psychiatry Research-neuroimaging, 2012
    Co-Authors: Stephen M. Schueller, Eliseo J. Pérez-stable, Yan Leykin, Ricardo F Munoz
    Abstract:

    To address health problems that have a major impact on global health requires research designs that go beyond randomized controlled trials. One such design, the participant preference trial, provides additional information in an ecologically valid manner, once intervention efficacy has been demonstrated. The current study presents illustrative data from a participant preference trial of an internet-based smoking cessation intervention. Participants (N=7763) from 124 countries accessed the intervention and were allowed to choose from nine different site components to aid their quit attempt. Of consenting participants, 36.7% completed at least one follow-up assessment. Individuals with depression were more likely to choose a Mood Management module and participants who smoked a higher number of cigarettes were more likely to choose a cigarette counter and a nicotine replacement therapy guide. Furthermore, depressed participants selecting the Mood Management component were more likely to report at least one successful 7 day quit (37.2% vs. 22.2%) in the 12 months following the intervention. Thus, participants with depressive symptoms appear to make choices on the basis of their needs and to benefit from these decisions. This suggests that providing the ability to customize previously validated resources may be a successful way to widely disseminate interventions.

Robin Smith Jacobvitz - One of the best experts on this subject based on the ideXlab platform.

  • Stressful Life Events and Television Viewing
    Communication Research, 1996
    Co-Authors: Daniel R. Anderson, Patricia A. Collins, Kelly L. Schmitt, Robin Smith Jacobvitz
    Abstract:

    Mood Management theory predicts that people experiencing stress use television to block anxious thoughts and to replace dysphoric Moods. In a survey of 491 adults, Study 1 found that stress as measured by life events was unrelated to time spent TV viewing but for women, was positively related to scores on a scale of television addiction. In Study 2, viewing diaries of 329 families were examined with relation to stressful life events. Mood Management theory was confirmed in that stress was associated with increased comedy and decreased news in the viewing diet. Stressed women watched more game and variety programming as well as more overall TV. Stressed men watched more action and violent programming. Study 3 examined time-lapse video recordings of 140 adults' TV viewing at home. In men, there was a positive correlation of stress with amount of looking at the TV.

Nadia Minian - One of the best experts on this subject based on the ideXlab platform.

  • The effectiveness of generic emails versus a remote knowledge broker to integrate Mood Management into a smoking cessation programme in team-based primary care: a cluster randomised trial.
    Implementation science : IS, 2021
    Co-Authors: Nadia Minian, Dolly Baliunas, Laurie Zawertailo, Carol Mulder, Arun Ravindran, Claire De Oliveira, Sheleza Ahad, Anna Ivanova, Scott Veldhuizen, Corneliu Bolbocean
    Abstract:

    Knowledge brokering is a knowledge translation approach that has been gaining popularity in Canada although the effectiveness is unknown. This study evaluated the effectiveness of generalised, exclusively email-based prompts versus a personalised remote knowledge broker for delivering evidence-based Mood Management interventions within an existing smoking cessation programme in primary care settings. The study design is a cluster randomised controlled trial of 123 Ontario Family Health Teams participating in the Smoking Treatment for Ontario Patients programme. They were randomly allocated 1:1 for healthcare providers to receive either: a remote knowledge broker offering tailored support via phone and email (group A), or a generalised monthly email focused on tobacco and depression treatment (group B), to encourage the implementation of an evidence-based Mood Management intervention to smokers presenting depressive symptoms. The primary outcome was participants' acceptance of a self-help Mood Management resource. The secondary outcome was smoking abstinence at 6-month follow-up, measured by self-report of smoking abstinence for at least 7 previous days. The tertiary outcome was the costs of delivering each intervention arm, which, together with the effectiveness outcomes, were used to undertake a cost minimisation analysis. Between February 2018 and January 2019, 7175 smokers were screened for depression and 2765 (39%) reported current/past depression. Among those who reported current/past depression, 29% (437/1486) and 27% (345/1277) of patients accepted the Mood Management resource in group A and group B, respectively. The adjusted generalised estimating equations showed that there was no significant difference between the two treatment groups in patients' odds of accepting the Mood Management resource or in the patients' odds of smoking abstinence at follow-up. The cost minimisation analysis showed that the email strategy was the least costly option. Most participants did not accept the resource regardless of remote knowledge broker strategy. In contexts with an existing KT infrastructure, decision-makers should consider an email strategy when making changes to a programme given its lower cost compared with other strategies. More research is required to improve remote knowledge broker strategies. ClinicalTrials.gov, NCT03130998 . Registered April 18, 2017, (Archived on WebCite at www.webcitation.org/6ylyS6RTe ).

  • the effectiveness of generic emails versus a remote knowledge broker to integrate Mood Management into a smoking cessation programme in team based primary care a cluster randomised trial
    Implementation Science, 2021
    Co-Authors: Nadia Minian, Dolly Baliunas, Laurie Zawertailo, Carol Mulder, Arun Ravindran, Sheleza Ahad, Anna Ivanova, Scott Veldhuizen, De Oliveira C, Corneliu Bolbocean
    Abstract:

    BACKGROUND Knowledge brokering is a knowledge translation approach that has been gaining popularity in Canada although the effectiveness is unknown. This study evaluated the effectiveness of generalised, exclusively email-based prompts versus a personalised remote knowledge broker for delivering evidence-based Mood Management interventions within an existing smoking cessation programme in primary care settings. METHODS The study design is a cluster randomised controlled trial of 123 Ontario Family Health Teams participating in the Smoking Treatment for Ontario Patients programme. They were randomly allocated 1:1 for healthcare providers to receive either: a remote knowledge broker offering tailored support via phone and email (group A), or a generalised monthly email focused on tobacco and depression treatment (group B), to encourage the implementation of an evidence-based Mood Management intervention to smokers presenting depressive symptoms. The primary outcome was participants' acceptance of a self-help Mood Management resource. The secondary outcome was smoking abstinence at 6-month follow-up, measured by self-report of smoking abstinence for at least 7 previous days. The tertiary outcome was the costs of delivering each intervention arm, which, together with the effectiveness outcomes, were used to undertake a cost minimisation analysis. RESULTS Between February 2018 and January 2019, 7175 smokers were screened for depression and 2765 (39%) reported current/past depression. Among those who reported current/past depression, 29% (437/1486) and 27% (345/1277) of patients accepted the Mood Management resource in group A and group B, respectively. The adjusted generalised estimating equations showed that there was no significant difference between the two treatment groups in patients' odds of accepting the Mood Management resource or in the patients' odds of smoking abstinence at follow-up. The cost minimisation analysis showed that the email strategy was the least costly option. CONCLUSIONS Most participants did not accept the resource regardless of remote knowledge broker strategy. In contexts with an existing KT infrastructure, decision-makers should consider an email strategy when making changes to a programme given its lower cost compared with other strategies. More research is required to improve remote knowledge broker strategies. TRIAL REGISTRATION ClinicalTrials.gov, NCT03130998 . Registered April 18, 2017, (Archived on WebCite at www.webcitation.org/6ylyS6RTe ).

  • The role of a remote knowledge broker from an academic setting using an adaptive approach to implement evidence-based practice in primary care settings: A case study of integrating Mood Management interventions for treatment seeking tobacco users.
    2020
    Co-Authors: Nadia Minian, Dolly Baliunas, Laurie Zawertailo, Carol Mulder, Arun Ravindran, Sheleza Ahad, Claire De Oliveira, Peter Selby
    Abstract:

    Abstract Background: Knowledge brokering is an emerging knowledge translation strategy used within healthcare to bridge the gap between evidence and practice. Reported studies indicate that the day-to-day role of a knowledge broker often involves in-person communication with frontline workers and decision makers. However, travelling to primary care sites can be cost- and resource-intensive and thus not feasible. In this paper, we describe the role and experience of a remote knowledge broker (rKB) working in an academic health sciences centre, delivering tailored one-on-one support to end-users using phone and email communications. Methods: A rKB was hired to support (n = 62) English-speaking Family Health Teams (FHTs) across Ontario with implementing Mood Management interventions as part of an existing smoking cessation program, the Smoking Treatment for Ontario Patients (STOP) program. We describe the eight categories of tasks performed by the rKB over a 12-month period, as well as their experience communicating via technology to develop relationships with healthcare providers (HCPs). Results: Sixty-one of the 62 FHTs (n = 73 HCPs) were provided rKB services. The total number of successful phone and email communications with the rKB ranged from 3-98 interactions over 12 months. Common barriers to implementation reported by FHTs were associated with the Inner and Outer Setting domains of the Consolidated Framework for Implementation Research (CFIR) and included lack of time, resources, and patient engagement. Conclusions: The role of the rKB involved building relationships with HCPs, identifying and helping to problem solve barriers, and building capacity in the field. Similar to traditional knowledge brokering, this analysis shows that developing a meaningful relationship between a remotely situated KB and HCPs could take anywhere between 1-6 months. Using implementation frameworks such as CFIR can help the rKB identify barriers and be ready to address them. In addition, hiring a rKB with previous engagements and knowledge of the local context may facilitate clinical practice change. Our future work will evaluate the cost-effectiveness of rKBs to inform its potential to be scaled up.

  • tailored versus generic knowledge brokering to integrate Mood Management into smoking cessation interventions in primary care settings protocol for a cluster randomized controlled trial
    JMIR Research Protocols, 2018
    Co-Authors: Nadia Minian, Aliya Noormohamed, Dolly Baliunas, Laurie Zawertailo, Carol Mulder, Arun V Ravindran, Claire De Oliveira
    Abstract:

    Background: Both tobacco smoking and depression are major public health problems associated with high morbidity and mortality. In addition, individuals with depression are almost twice as likely to smoke and less likely to achieve smoking cessation. In the Smoking Treatment for Ontario Patients program, an established smoking cessation program in Ontario, Canada, 38% of smokers in primary care settings have current or past depression with 6-month quit rates that are significantly lower than those without depression (33% versus 40%, P<.001). Integrating self-help Mood Management (eg, relaxation exercises and Mood monitoring) with smoking cessation treatment increases long-term quit rates by 12%-20%. However, integration in real-world settings has not been reported. It is unclear which knowledge translation strategy would be more effective for motivating clinicians to provide resources on Mood Management to eligible patients. Objective: The objectives of this study are to investigate the following comparisons among depressed smokers enrolled in a smoking cessation program: 1) the effectiveness of generalized, exclusively email-based prompts versus a personalized knowledge broker in implementing Mood Management interventions; 2) the effectiveness of the two knowledge translation strategies on smoking quit rates; and 3) the incremental costs of the two knowledge translation strategies on the implementation of Mood Management interventions. Methods: The study design is a cluster randomized controlled trial of Family Health Teams participating in the Smoking Treatment for Ontario Patients program. Family Health Teams will be randomly allocated 1:1 to receive either generalized messages (related to depression and smoking) exclusively via email (group A) or be assigned a knowledge broker who provides personalized support through phone- and email-based check-ins (group B). The primary outcome, measured at the site level, is the proportion of eligible baseline visits that result in the provision of the Mood Management intervention to eligible patients. Results: Recruitment for the primary outcome of this study will be completed in 2018/2019. Results will be reported in 2019/2020. Conclusions: This study will address the knowledge gap in the implementation strategies (ie, email-based prompts versus a knowledge broker) of Mood Management interventions for smokers with depression in primary care settings. Trial Registration: ClinicalTrials.gov NCT03130998; https://clinicaltrials.gov/ct2/show/NCT03130998 (Archived on WebCite at www.webcitation.org/6ylyS6RTe) [JMIR Res Protoc 2018;7(4):e111]

  • Tailored Versus Generic Knowledge Brokering to Integrate Mood Management Into Smoking Cessation Interventions in Primary Care Settings: Protocol for a Cluster Randomized Controlled Trial (Preprint)
    2017
    Co-Authors: Nadia Minian, Aliya Noormohamed, Dolly Baliunas, Laurie Zawertailo, Carol Mulder, Arun Ravindran, Claire De Oliveira, Peter Selby
    Abstract:

    BACKGROUND Both tobacco smoking and depression are major public health problems associated with high morbidity and mortality. In addition, individuals with depression are almost twice as likely to smoke and less likely to achieve smoking cessation. In the Smoking Treatment for Ontario Patients program, an established smoking cessation program in Ontario, Canada, 38% of smokers in primary care settings have current or past depression with 6-month quit rates that are significantly lower than those without depression (33% versus 40%, P<.001). Integrating self-help Mood Management (eg, relaxation exercises and Mood monitoring) with smoking cessation treatment increases long-term quit rates by 12%-20%. However, integration in real-world settings has not been reported. It is unclear which knowledge translation strategy would be more effective for motivating clinicians to provide resources on Mood Management to eligible patients. OBJECTIVE The objectives of this study are to investigate the following comparisons among depressed smokers enrolled in a smoking cessation program: 1) the effectiveness of generalized, exclusively email-based prompts versus a personalized knowledge broker in implementing Mood Management interventions; 2) the effectiveness of the two knowledge translation strategies on smoking quit rates; and 3) the incremental costs of the two knowledge translation strategies on the implementation of Mood Management interventions. METHODS The study design is a cluster randomized controlled trial of Family Health Teams participating in the Smoking Treatment for Ontario Patients program. Family Health Teams will be randomly allocated 1:1 to receive either generalized messages (related to depression and smoking) exclusively via email (group A) or be assigned a knowledge broker who provides personalized support through phone- and email-based check-ins (group B). The primary outcome, measured at the site level, is the proportion of eligible baseline visits that result in the provision of the Mood Management intervention to eligible patients. RESULTS Recruitment for the primary outcome of this study will be completed in 2018/2019. Results will be reported in 2019/2020. CONCLUSIONS This study will address the knowledge gap in the implementation strategies (ie, email-based prompts versus a knowledge broker) of Mood Management interventions for smokers with depression in primary care settings. CLINICALTRIAL ClinicalTrials.gov NCT03130998; https://clinicaltrials.gov/ct2/show/NCT03130998 (Archived on WebCite at www.webcitation.org/6ylyS6RTe)

Nicholas David Bowman - One of the best experts on this subject based on the ideXlab platform.

  • “In the Mood to Game”: Selective exposure and Mood Management processes in computer game play
    New Media & Society, 2013
    Co-Authors: Nicholas David Bowman, Ron Tamborini
    Abstract:

    Previous research shows that the influence of a computer game’s task demand on the Mood-repair capacity of game play follows a quadratic trend: Mood repair increases as task demand goes from low to moderate levels, after which further increases in demand reduce repair. Applying selective exposure logic to this finding, we reasoned that familiarity with games known to vary in task demand should influence game choice among users experiencing negative Moods. To test this, a 2 × 3 experiment was conducted, varying induced participant Mood (boredom, stress) and computer game task demand (low, moderate, or high). Findings revealed a curvilinear association between task demand and game choice replicating the association between task demand and Mood repair in previous research. Participants preferred moderate task demand over high and low task demand, and this preference was stronger for stressed participants. In addition and in line with Mood Management theory, resultant Mood repair was greatest for stressed individuals choosing moderate demand, and bored individuals choosing high demand.

  • Characterizing Mood Management as Need Satisfaction: The Effects of Intrinsic Needs on Selective Exposure and Mood Repair
    Journal of Communication, 2012
    Co-Authors: Leonard Reinecke, Ron Tamborini, Matthew Grizzard, Robert Joel Lewis, Allison Eden, Nicholas David Bowman
    Abstract:

    This study attempted to (a) extend traditional Mood Management theory research by investigating the influence of the intrinsic needs for competence and autonomy on selective exposure to video games and (b) test the influence of satisfying these needs on resultant Mood repair. An experiment varied satisfaction of competence and autonomy needs using false feedback. Subjects then selected media that varied in level of user demand. Measures of need satisfaction were taken before and after media selection. Results demonstrated that (a) thwarted intrinsic needs significantly predict the choice of video games with different levels of user demand and (b) the satisfaction of these needs predicts enjoyment. Findings indicate that Mood Management can result from Mood repair through need satisfaction.