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Objective:
Acceptance and commitment therapy (ACT) has demonstrated effectiveness in addressing symptoms of anxiety and depression, frequently experienced by patients with systemic lupus erythematosus (SLE). The goal of this pilot study was to develop and assess the feasibility and acceptability of a novel web-based ACT skills training program tai...
Citations
... Table 1 shows the results of reviewing these studies. Most of the studies that used health information technology to manage and control lupus were conducted in the United States (n = 18) [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37]. The oldest study using information technology to monitor lupus was also conducted in this country [38]. ...
... As it is shown in Tables 1 and 2, most of these technologies were conducted in the United States (n = 18) [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37]. UK [38,39], Canada [40], Thailand [41], and Brazil [42] were other countries that focused on technologies related to lupus control and management. ...
... UK [38,39], Canada [40], Thailand [41], and Brazil [42] were other countries that focused on technologies related to lupus control and management. The United States was the largest producer of web-based technologies (n = 9) [22,24,25,28,29,32,33,37,41], telephones (n = 5) [20,26,27,30,31], and mobile-based Apps (n = 3) [21,34,36]. The frequency and percentage of other technologies based on the geographical region are shown in Table 2. ...
Background
Despite the use of health information technology (HIT) for controlling and managing lupus, its effectiveness has not been well studied. The objective of this study was to investigate the role of HIT in controlling and managing lupus.
Methods
We searched Scopus, PubMed, Web of Science, and Embase, using "self-management", "self-care" and "Systemic Lupus Erythematosus" keywords. Two researchers selected relevant papers and extracted data using a data collection form. Disagreements were resolved in consultation with the third and fourth researchers. After extraction, the data were analyzed.
Results
Totally, 23 papers met the inclusion criteria. About 75% of the studies used web and telephone-based technologies. Most services provided with health technologies were ‘Training’ and ‘consulting’. The ‘lifestyle" and ‘Consultation and education’ axes were the most widely used HIT services to control and manage lupus. While, ‘Better management and control of the disease’, ‘Increasing knowledge and awareness of people about lupus’ and ‘Improving behaviors and attitudes toward self-management and self-care’ were also the most important outcomes. ‘Collectiing patient data and information’, 'Providing education and consultation services to patients', 'Measuring patient-reported outcomes', and 'Increasing patients' knowledge and awareness of their disease' were the most important advantages of various technologies. 'Slow internet speed' and 'Challenges and problems related to appearance and usability' and 'Patient concerns about privacy and misuse of their data' were three disadvantages of technologies.
Conclusion
The findings showed that HIT can improve the management and control of lupus and facilitate self-efficacy, self-care, and self-management in patients. The axes and data elements identified in this study can be the basis for developing and implementing efficient HIT-based systems to improve, control, and manage lupus.
... In this programme, the participants were encouraged to participate in all 10 sessions, but could choose to attend some sessions according to their own needs and interested. Mean attendance of the programme sessions was 5.78, which is comparable with other ACT programme (Jin et al., 2022;McCormick et al., 2022), which showed our programme was feasible and well acceptable. During the intervention, the nurses were not required to accept the content of intervener's thoughts, rather to be encouraged to accept their own thoughts as they were. ...
Aim:
To develop and implement of a group-based acceptance and commitment therapy program in helping clinical nurses with mental health problems during the sporadic COVID-19 outbreak period.
Background:
In the face of the continuing COVID-19pandemic, clinical nurses have a high risk of mental health issues.
Methods:
A quasi-experimental design was used. 226 nurses were recruited from four general hospitals to receive 10 sessions of acceptance and commitment therapy program. The symptom checklist-90, perceived stress scale and Connor-Davidson resilience scale were used to assess nurses' mental health symptom, perceived stress and psychological resilience at pre-intervention and 4-week post-intervention.
Results:
The mean attendance sessions was 5.78. The symptom checklist-90 score was significantly lower at post-intervention than pre-intervention (P<0.01), and there were no significant changes of perceived stress and psychological resilience. There were significant correlations among the changed rates of mental health, perceived stress, psychological resilience (P<0.01).
Conclusion:
The acceptance and commitment therapy program was effective in relieving mental health symptoms for clinical nurses, and could protect clinical nurses' perceived stress and psychological resilience. However, a randomized controlled trial is needed to confirm the findings.
Implication for nursing management:
To facilitate clinical nurses' psychological health in crisis situation, nursing management team should provide and allocated appropriate resources to support the health care providers.
We performed a systematic review to explore existing evidence regarding the efficacy of lifestyle interventions for the management of systemic lupus erythematosus (SLE). The search was conducted on the 22nd of June 2021 for publications between 1st of January 2000 and the date of search. Additional articles within the aforementioned timeframe and until December 2023 were added by hand searching. Databases utilized were Medline, Embase, Web of Science, and Cinahl. Lifestyle interventions were defined as any intervention encompassing one or more of the following: physical exercise, diet and nutrition, mental health, harmful exposures, sleep, and social relations. The Joanna Briggs Institute critical appraisal tools were used for risk of bias assessment. The search yielded 11,274 unique records, we assessed the full text of 199 records, and finally included 102 studies. Overall, the quality of the evidence is limited, and there were multiple sources of heterogeneity. The two domains most extensively researched were mental health (40 records) and physical exercise (39 records). Psychological interventions had a positive effect on depressive symptoms, anxiety, and health-related quality of life (HRQoL), whereas physical exercise improved fatigue, depressive symptoms, aerobic capacity, and physical functioning. Studies on diet and nutrition (15 records) support that low fat intake and Mediterranean diet may be beneficial for reducing cardiovascular risk, but large interventional studies are lacking. Studies on harmful exposures (7 records) support photoprotection and use of sunscreen. While studies imply benefits regarding disease burden and drug efficacy in non-smokers and regarding HRQoL in normal-weight patients, more survey is needed on tobacco smoking and alcohol consumption, as well as weight control strategies. Studies on social relations (1 record) and sleep (no records) were sparse or non-existent. In conclusion, psychosocial interventions are viable for managing depressive symptoms, and exercise appears essential for reducing fatigue and improving aerobic capacity and physical function. Photoprotection should be recommended to all patients. Lifestyle interventions should be considered a complement, not a substitute, to pharmacotherapy.
Supplementary Information
The online version contains supplementary material available at 10.1007/s00296-024-05548-x.
