@article{clemmensen_study_2023,

title = {Study protocol for virtual leisure investigating the effect of virtual reality-delivered stress reduction, entertainment and distraction on the use of coercion and need-based medication and patient satisfaction at a closed psychiatric intensive care unit - A mixed-methods pilot clinical trial},

author = {L. Clemmensen and G. Jørgensen and K. B. Gundersen and L. C. Smith and J. Midtgaard and S. Bouchard and C. P. Thomsen and L. Turgut and L. B. Glenthoj},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85172425765&doi=10.1136%2fbmjopen-2022-070566&partnerID=40&md5=87f1ee7c5b1f4d9245722d461eb9e6d2},

doi = {10.1136/bmjopen-2022-070566},

issn = {20446055},

year  = {2023},

date = {2023-01-01},

journal = {BMJ Open},

volume = {13},

number = {9},

abstract = {Introduction The environment at a psychiatric inpatient ward can lead to emotional distress and behavioural deviations in vulnerable individuals potentially resulting in conflicts, increased use of need-based medication and coercive actions, along with low satisfaction with treatment. To accommodate these challenges, recreational and entertaining interventions are recommended. The tested interventions have, however, shown varying effects and demand a high degree of planning and staff involvement while being difficult to adapt to individual needs. Virtual reality (VR) may help overcome these challenges. Methods and analysis The study is a mixed-methods clinical trial with a target sample of 124 patients hospitalised at a closed psychiatric ward in the capital region of Denmark. Outcomes (eg, coercion, need-based medication and perceived stress) for a 12-month period where all patients are offered VR-based recreational experiences during their hospitalisation will be compared with outcomes for a 12-month period where VR is not offered. Feasibility and acceptability will be explored with qualitative interviews supplemented with non-participant observations and focus groups. The study began on 1 January 2023, and we expect to complete data collection by 31 December 2024. Ethics and dissemination The study is registered at Danish Data Protection Agency (j.no P-2022-466) and is approved by the Committee on Health Research Ethics of the capital region of Denmark (j.no 22013313). All patients will be required to provide informed consent. Results from this study will be disseminated via peer-reviewed journals and congress/consortium presentations. Trial registration number NCT05654740. © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.},

note = {Publisher: BMJ Publishing Group},

keywords = {Anxiety disorder, article, Behavior Observation Techniques, behavioral observation, borderline state, clinical effectiveness, clinical outcome, clinical protocol, Coercion, cognitive behavioral therapy, comparative study, Denmark, Depression, feasibility study, health care need, hospital patient, human, Humans, intensive care unit, Intensive Care Units, interpersonal communication, leisure, Leisure Activities, major clinical study, neuroleptic agent, non participant observation, Patient Satisfaction, peer review, pilot study, psychiatric intensive care unit, qualitative analysis, quantitative analysis, schizophrenia spectrum disorder, semi structured interview, virtual reality, virtual reality delivered stress reduction},

pubstate = {published},

tppubtype = {article}

}

@article{baillot_factors_2023,

title = {Factors Associated with Excess Skin After Bariatric Surgery: a Mixed-Method Study},

author = {A. Baillot and J. Brunet and L. Lemelin and S. A. Gabriel and M. -F. Langlois and A. Tchernof and L. Biertho and R. Rabasa-Lhoret and P. Y. Garneau and A. Aimé and S. Bouchard and A. J. Romain and P. Bernard},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85163716815&doi=10.1007%2fs11695-023-06698-w&partnerID=40&md5=c86ee43b5f7daf6c350936d38944d013},

doi = {10.1007/s11695-023-06698-w},

issn = {09608923 (ISSN)},

year  = {2023},

date = {2023-01-01},

journal = {Obesity Surgery},

volume = {33},

number = {8},

pages = {2324–2334},

abstract = {Purpose: After metabolic and bariatric surgery (MBS), many patients have excess skin (ES), which can cause inconveniences. Identifying factors related to ES quantity and inconveniences is crucial to inform interventions. The aim of this study was to identify sociodemographic, physical, psychosocial, and behavioral factors associated with ES quantity and inconveniences. Materials and Methods: A mixed-method study with a sequential explanatory design was conducted with 124 adults (92% women, M age 46.5 ± 9.9 years, M time post-MBS 34.2 ± 27.6 months). During phase I, ES quantity (arms, abdomen, thighs) and inconveniences and sociodemographic, anthropometric, clinical, and behavioral outcomes were assessed. In phase II, 7 focus groups were performed with 37 participants from phase I. A triangulation protocol was completed to identify convergences, complementarities, and dissonances from quantitative and qualitative data. Results: Quantitative data indicate only ES quantity on arms was associated with ES inconveniences on arms (r =.36, p <.01). Total ES quantity was associated with maximal body mass index (BMI) reached pre-MBS (r =.48, p <.05) and current BMI (r =.35, p <.05). Greater ES inconvenience was associated with higher social physique anxiety and age (R 2 =.50, p <.01). Qualitative data were summarized into 4 themes: psychosocial experiences living with ES, physical ailments due to ES, essential support and unmet needs, and beliefs of ES quantity causes. Conclusion: Measured ES quantity is related to higher BMI, but not reported inconveniences. Greater self-reported ES quantity and inconveniences were associated with body image concerns. Graphical Abstract: [Figure not available: see fulltext.] © 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.},

note = {Publisher: Springer},

keywords = {adult, Alcohol Use Disorders Identification Test, anthropometry, Anxiety, article, asthma, Bariatric Surgery, body dissatisfaction, body image, body mass, Body Mass Index, controlled study, dermatomycosis, Dyadic Adjustment Scale, employment status, excess skin, female, heart disease, Hospital Anxiety and Depression Scale, household income, human, Humans, hypertension, major clinical study, male, Mental health, Middle Aged, Mixed methods, Morbid, morbid obesity, non insulin dependent diabetes mellitus, obesity, physical activity, procedures, psychology, qualitative analysis, quality of life, quantitative analysis, sedentary time, skin irritation, skin malformation, sleep apnea syndromes, social psychology, Social Support, stria, sun exposure},

pubstate = {published},

tppubtype = {article}

}