Browsing by Author "Bauer, Stephanie"
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- ItemContinuous individual support of smoking cessation using text messaging: a pilot experimental study.(2009-07-17) Haug, Severin; Meyer, Christian; Schorr, Gudrun; Bauer, Stephanie; John, UlrichINTRODUCTION The objective of this study was to test the feasibility and acceptance of an intervention using text messaging short message service SMS for continuous individual support of smoking cessation in young adults Additionally the optimal feedback intensity was investigated and short term efficacy of the intervention was explored METHODS In a cafeteria of the University of Greifswald 575 visitors were screened for smoking status and usage of text messaging From these 194 persons who fulfilled the inclusion criteria of daily smoking and weekly usage of SMS were invited for participation in an SMS based intervention From these 174 90 consented to participate The participants were randomly allocated to one of three study groups a control condition without intervention b intervention with one weekly SMS feedback 1SMS or c intervention with three weekly SMS feedbacks 3SMS In study groups b and c individualized SMS feedbacks were sent to the participants weekly based on data from the baseline assessment and a weekly SMS assessment of the stages of change according to the transtheoretical model Program use and acceptance were compared between the two intervention groups differing in support intensity An exploration of the short term efficacy of the program was conducted by comparing the three study groups at the end of the 3 month intervention program on smoking variables RESULTS The median number of replies to the weekly SMS assessments was 12 5 in the 1SMS group and 13 0 in the 3SMS group not significant The acceptance of the program did not differ between the intervention groups At postassessment no significant differences between the three study groups emerged on the examined smoking variables DISCUSSION The high participation and retention rates suggest that SMS based smoking cessation interventions are attractive for young adults Support intensity did not affect the acceptance of the program Longer follow up periods and larger samples are required to obtain conclusive results about the efficacy of this intervention approach
- ItemHarnessing the power of technology for the treatment and prevention of eating disorders.(2013-05-09) Bauer, Stephanie; Moessner, MarkusOBJECTIVE The objective of this article is to review the available literature regarding the development and evaluation of technology enhanced interventions for eating disorders METHOD Literature was reviewed pertaining to interventions that use technology e g Internet mobile phones for prevention guided self help treatment relapse prevention and carer support RESULTS A number of technology enhanced approaches have been developed for each facet of the care spectrum and experiences that are reported with their implementation are overall promising However only few of them have been evaluated in adequately designed and powered trials DISCUSSION This review suggests that technology enhanced interventions offer multiple opportunities to improve care for eating disorders More research is needed on the efficacy effectiveness cost effectiveness and reach of these approaches to ultimately estimate their public health impact It is discussed to what extent innovative models of care integrating technology enhanced interventions and face to face interventions may improve service delivery for eating disorders
- ItemMobile therapy: Use of text-messaging in the treatment of bulimia nervosa.(2010-09-23) Shapiro, Jennifer R; Bauer, Stephanie; Andrews, Ellen; Pisetsky, Emily; Bulik-Sullivan, Brendan; Hamer, Robert M; Bulik, Cynthia MOBJECTIVE To examine a text messaging program for self monitoring symptoms of bulimia nervosa BN within the context of cognitive behavioral therapy CBT METHOD Thirty one women participated in 12 weekly group CBT sessions and a 12 week follow up Participants submitted a text message nightly indicating the number of binge eating and purging episodes and rating their urges to binge and purge Automatic feedback messages were tailored to their self reported symptoms RESULTS Fully 87 of participants adhered to self monitoring and reported good acceptability The number of binge eating and purging episodes as well as symptoms of depression BDI eating disorder EDI and night eating NES decreased significantly from baseline to both post treatment and follow up DISCUSSION Given the frequent use of mobile phones and text messaging globally this proof of principle study suggests their use may enhance self monitoring and treatment for BN leading to improved attendance adherence engagement in treatment and remission from the disorder
- ItemA Remote Collaborative Care Program for Patients with Depression Living in Rural Areas: Open-Label Trial.(0000-00-00) Rojas, Graciela; Guajardo, Viviana; Martínez, Pablo; Castro, Ariel; Fritsch, Rosemarie; Moessner, Markus; Bauer, StephanieBACKGROUND In the treatment of depression primary care teams have an essential role but they are most effective when inserted into a collaborative care model for disease management In rural areas the shortage of specialized mental health resources may hamper management of depressed patients OBJECTIVE The aim was to test the feasibility acceptability and effectiveness of a remote collaborative care program for patients with depression living in rural areas METHODS In a nonrandomized open label blinded outcome assessor two arm clinical trial physicians from 15 rural community hospitals recruited 250 patients aged 18 to 70 years with a major depressive episode DSM IV criteria Patients were assigned to the remote collaborative care program n 111 or to usual care n 139 The remote collaborative care program used Web based shared clinical records between rural primary care teams and a specialized centralized mental health team telephone monitoring of patients and remote supervision by psychiatrists through the Web based shared clinical records and or telephone Depressive symptoms health related quality of life service use and patient satisfaction were measured 3 and 6 months after baseline assessment RESULTS Six month follow up assessments were completed by 84 4 221 250 of patients The remote collaborative care program achieved higher user satisfaction odds ratio OR 1 94 95 CI 1 25 3 00 and better treatment adherence rates OR 1 81 95 CI 1 02 3 19 at 6 months compared to usual care There were no statically significant differences in depressive symptoms between the remote collaborative care program and usual care Significant differences between groups in favor of remote collaborative care program were observed at 3 months for mental health related quality of life beta 3 11 95 CI 0 19 6 02 CONCLUSIONS Higher rates of treatment adherence in the remote collaborative care program suggest that technology assisted interventions may help rural primary care teams in the management of depressive patients Future cost effectiveness studies are needed TRIAL REGISTRATION Clinicaltrials gov NCT02200367 https clinicaltrials gov ct2 show NCT02200367 Archived by WebCite at http www webcitation org 6xtZ7OijZ
- ItemShort message service reduces dropout in childhood obesity treatment: a randomized controlled trial.(2012-11-15) de Niet, Judith; Timman, Reinier; Bauer, Stephanie; van den Akker, Erica; de Klerk, Cora; Kordy, Hans; Passchier, JanOBJECTIVE Lifestyle programs can reduce the level of overweight in children however maintenance results and adherence to treatment are difficult to achieve New technologies such as the Short Message Service SMS might be a promising tool for enhancing interventions The effect of an SMS approach aimed at improving treatment results and reducing dropout rates in a pediatric lifestyle intervention is explored METHOD Overweight and obese children N 141 age 7 12 years participating in a lifestyle program were randomly assigned to an intervention group receiving an SMS Maintenance Treatment SMSMT for 38 weeks n 73 or to a control group receiving no SMSMT n 68 Children were asked to send weekly self monitoring data on exercise eating behavior and emotional well being In return they received tailored feedback messages A differential decrease in BMI was analyzed with repeated measures ANOVA and dropout with logistic regression analysis RESULTS We found no significant difference in BMI decrease between the two groups after 12 months however we showed that the SMSMT group had 3 25 times less probability of dropping out after 1 year p 01 than controls In the first 3 months of SMSMT the SMSMT completers sent 0 80 SMSs per week which reduced to 0 50 SMSs in the final 3 months Younger children sent more SMSs p 03 CONCLUSIONS These results indicate that SMSMT is effective in reducing dropout rates from a pediatric lifestyle intervention Future research should examine the effectiveness of SMSMT on weight management and related psychosocial variables
- ItemTechnology-enhanced maintenance of treatment gains in eating disorders: efficacy of an intervention delivered via text messaging.(2012-07-24) Bauer, Stephanie; Okon, Eberhard; Meermann, Rolf; Kordy, HansOBJECTIVE Given the lack of maintenance interventions for eating disorders a program delivered via the short message service SMS and text messaging was developed to support patients after their discharge from inpatient treatment METHOD The efficacy of the intervention was studied in a randomized controlled trial Additionally its impact on the utilization of outpatient treatment during follow up was investigated One hundred sixty five female patients with bulimia nervosa or a related eating disorder not otherwise specified were randomly assigned to a control group treatment as usual TAU or an intervention group SMS based maintenance intervention SMS After hospital discharge participants in the intervention group submitted a weekly symptom report via text message for 16 weeks and received tailored feedback Primary outcome was the rate of partial remission 8 months after discharge from inpatient treatment RESULTS The difference in remission rates reached significance in the intent to treat analyses SMS 51 2 TAU 36 1 1 3 81 p 05 and approached significance in the completer analysis SMS 59 2 TAU 43 5 1 3 44 p 06 There were no differences in the utilization of outpatient treatment Remission rates between the intervention and control groups were not significantly different among patients who used outpatient treatment 63 2 vs 55 6 1 0 44 p 51 A significant difference was found in those who did not utilize such treatment 54 5 vs 30 3 1 3 97 p 046 CONCLUSION The aftercare intervention was efficacious in enhancing treatment outcome after discharge from inpatient treatment
- ItemUse of text messaging for monitoring sugar-sweetened beverages, physical activity, and screen time in children: a pilot study.(2008-11-05) Shapiro, Jennifer R; Bauer, Stephanie; Hamer, Robert M; Kordy, Hans; Ward, Dianne; Bulik, Cynthia MOBJECTIVE To examine acceptability attrition adherence and preliminary efficacy of mobile phone short message service SMS text messaging for monitoring healthful behaviors in children DESIGN All randomized children received a brief psychoeducational intervention They then either monitored target behaviors via SMS with feedback or via paper diaries PD or participated in a no monitoring control C for 8 weeks SETTING University of North Carolina at Chapel Hill PARTICIPANTS Fifty eight children age 5 13 and parents participated 31 completed SMS 13 18 PD 7 18 C 11 22 INTERVENTION Children and parents participated in a total of 3 group education sessions 1 session weekly for 3 weeks to encourage increasing physical activity and decreasing screen time and sugar sweetened beverage consumption MAIN OUTCOME MEASURES Treatment acceptability attrition and adherence to self monitoring ANALYSIS Descriptive statistics and nonparametric tests were used to analyze differences across time and group RESULTS Children in SMS had somewhat lower attrition 28 than both PD 61 and C 50 and significantly greater adherence to self monitoring than PD 43 vs 19 P Under 02 CONCLUSIONS AND IMPLICATIONS Short message service may be a useful tool for self monitoring healthful behaviors in children although the efficacy of this approach needs further study Implications suggest that novel technologies may play a role in improving health