To investigate diabetic patients' perceptions of illness and treatments, explore relationships to adherence blood glucose control.Forty-nine type 1 one hundred eight 2 patients completed questionnaires assessing perceptions, treatment beliefs, medications, diet, exercise. Blood control was assessed from tests.Patients rated medication more important than diet exercise, reported higher medications. Insulin perceived as helpful for diabetes, while antihypertensives cholesterol were preventing...

Background: Many users of Internet interventions do not persist with the full treatment program. As persistence may influence outcomes such interventions, being able to maximize is vital. However, while studies have begun explore predictors dropout in few explored reasons why programs, which just be converse for dropout. Objective: To answer question what influences online interventions. Methods: We interviewed participants Cardiovascular Risk E-couch Depression Outcome (CREDO), a trial...

Background: There is now substantial evidence that Web-based interventions can be effective at changing behavior and successfully treating psychological disorders. However, interest in the impact of usage on intervention outcomes has only been developed recently. To date, persistence with or completion most commonly reported metric use, but this does not adequately describe user online. Analysis alternative measures their relationship to outcome may help understand how much users need obtain...

Mild to moderate depression is common in those with cardiovascular disease and undertreated. We aimed evaluate the effectiveness of internet-delivered Cognitive Behaviour Therapy (iCBT) on depressive symptom severity adherence medical advice lifestyle interventions adults mild high (CVD) risks.Randomised double-blind, 12 week attention-controlled trial comparing an iCBT programme (E-couch) attention control health information package (HealthWatch, n = 282). The primary outcome was level...

<b>Objective</b> To investigate whether providing information about normal findings before a diagnostic test improves patients9 reassurance and reduces anxiety symptoms. <b>Design</b> Randomised controlled trial. <b>Setting</b> Outpatient cardiology clinic. <b>Participants</b> 92 patients with chest pain referred for exercise stress test. <b>Intervention</b> Before undergoing testing were randomised to receive standard (n=28; control group), pamphlet explaining the function of meaning...

An increase in health anxiety was observed during the COVID-19 pandemic. However, due to physical distancing restrictions and a strained mental system, people were unable access support manage anxiety. Chatbots are emerging as an interactive means deliver psychological interventions scalable manner provide opportunity for novel therapy delivery large groups of including those who might struggle traditional therapies.The aim this mixed methods pilot study investigate feasibility,...

For many women, having a baby is one of the most exciting and rewarding experiences; however, not everyone experiences same positivity pleasure when pregnant or new baby. some, ongoing hormonal physical changes, mood swings, personal familial situations can create lonely experience that lead to distress mental health issues. Wāhine Māori (Māori women) greater rates postnatal (PND) are less likely seek help than women European descent. Screening for PND could identify those at risk developing...

Demand for children's mental health services has increased in New Zealand, yet little is known of young experience psychological difficulties and treatment. This study investigated symptoms treatment experiences among primary-aged children.

Many patients are not reassured after receiving normal results following cardiac investigations. While previous studies have shown anxiety to be a contributing factor, little research has investigated the influence of patients' illness perceptions on reassurance. In this study we whether predicted reassurance exercise stress test results. Sixty-two chest pain without prior diagnosed pathology completed questionnaires assessing and testing. Patients questionnaire immediately their appointment...

Internet psychological interventions are efficacious and may reduce traditional access barriers. No studies have evaluated whether any sampling bias exists in these trials that limit the translation of results into real-world application. We identified 7999 potentially eligible trial participants from a community-based health cohort study invited them to participate randomized controlled an online cognitive behavioural therapy programme for people with depression. compared those who...

The pandemic is creating unprecedented demand for mental health support young people. While schools often facilitate their students, the demands online teaching and uncertainty created by make traditional delivery of through challenging. Technology provides a potential way forward. We have developed digital ecosystem, HABITS, that can be integrated into school healthcare systems. This has allowed us to deploy specific evidence‐based interventions directly, schools, students parents in New...

Background Digital interventions deliver healthcare via the internet or smartphone application to support people's well-being and health. Yet uptake is relatively poor. Furthermore, several studies exploring attitudes towards digital have found inconsistent attitudes. In addition this, regional cultural nuances may further influence interventions. Objective This study aimed understand New Zealand adults' their influences. Results A mixed-method design consisting of a cross-sectional survey...

ObjectivesTo investigate ethnic inequities in, and social determinants of, adolescent sleep health in Aotearoa New Zealand.MethodsAnalysis of self-report data from a cross-sectional survey secondary school students (12- to 18-year-olds). Analyses included weighted prevalence estimates good poor stratified by ethnicity, multivariable logistic regression models concurrently adjusted for year, gender, rurality, neighborhood deprivation, decile, housing sleeping elsewhere due lack adequate...

Despite the increasing use of dialectical behaviour therapy (DBT) as a treatment for eating disorders (EDs), there is little published evidence its effectiveness treating restrictive disorders. DBT EDs may be particularly helpful those who live with severe and enduring (SE-EDs) given that it targets whom first-line treatments have not been effective, focus on factors thought to maintain symptoms improving quality life. This study sought evaluate experiences participants in comprehensive...

Self-harm rates are increasing globally and demand for supporting, treating managing young people who engage in self-harm often falls to schools. Yet the approach taken by schools varies. This study aimed explore experience of school staff self-harm, obtain their views on use guidelines work. Twenty-six pastoral care from New Zealand were interviewed. Interviews analyzed coded using thematic analysis. Three themes emerged: The burden role; discrepancies expectations, training, experience;...

Virtual humans (VHs), teletherapy, and self-guided e-manuals may increase the accessibility of psychological interventions. However, there is limited research on how these technologies compare in terms their feasibility acceptability delivering stress management interventions.We conducted a preliminary comparison VH, an e-manual at 1 module cognitive behavioral (CBSM) to evaluate trial methodology preparation for future randomized controlled (RCT).A pilot RCT was with parallel, mixed design....

Background Indigenous communities often have poorer health outcomes and services under traditional models of care. In New Zealand, this holds true for Māori people who are tāngata whenua (the indigenous people). Several barriers exist that decrease the likelihood poor service fit care, including access issues, systemic provider racism, a lack culturally safe responsive services. Web-based interventions (WBIs) been shown to be effective in supporting mental well-being can overcome some these...

Several mobile apps are currently available that purportedly help with managing pornography addiction. However, the utility of these is unclear, given lack literature on effectiveness health solutions for problematic use. Little also known about content, structure, and features apps.This study aims to characterize purpose, popularity claim manage addiction.The phrase "pornography addiction" was entered as a search term in app stores two major phone platforms (Android iOS). App were...

Technology may expand the reach of stress management to broader populations. However, issues with engagement can reduce intervention effectiveness. Technologies highly social interfaces, such as virtual humans (VH), offer advantages in this space. it is unclear how VH compare telehealth and e-manuals at delivering psychological interventions. This experiment compared effects single laboratory session Cognitive Behavioral Stress Management (CBSM) delivered by a (VH-CBSM), human (T-CBSM), an...