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Volunteers: An Effective Medium for Delivering Therapeutic Lifestyle Interventions
Purpose: Lifestyle modification programs have been shown to effectively treat chronic disease. The Coronary Health Improvement Program has been delivered by both paid professional and unpaid volunteer facilitators. This study compared participant outcomes of each mode in the United States.
Design: Pre-/post-analysis of CHIP interventions delivered between 1999 and 2012.
Setting: Professional-delivered programs in Rockford Illinois 1999-2004 and volunteer-delivered programs across North America 2005-2012.
Subjects: Adults ≥21 years (professional programs N = 3158 34.3% men, mean age = 54.0 ± 11.4 years; volunteer programs N = 7115 33.4% men, mean age = 57.4 ± 13.0 years).
Measures: Body mass index, blood pressure (systolic and diastolic), blood lipid profile (total cholesterol, high-density lipoprotein, triglycerides, low-density lipoprotein), and fasting plasma glucose.
Analysis: Analysis of Covariance, with adjustment for age, gender, BMI change and baseline biometric and effect sizes.
Results: The professional-delivered programs achieved significantly greater reductions in BMI (.4%, P \u3c .001) and HDL (1.9%, P \u3c .001) and the volunteer-delivered programs achieved greater reductions in SBP (1.4%, P \u3c .001), DBP (1.1%, P \u3c .001), TC (1.4%, P = .004), LDL (2.3%, P \u3c .001), TG (4.0%, P = .006), and FPG (2.7%, P \u3c .001). However, the effect size differences between the groups were minimal (Cohen’s d .1-.2).
Conclusions: Lifestyle modification programs have been shown to effectively treat chronic disease. The Complete Health Improvement Program (CHIP) lifestyle intervention has been delivered by both paid professional and unpaid volunteer facilitators. This study compared selected chronic disease biometric outcomes of participants in each mode in the United States. It found volunteer-delivered programs do not appear to be any less effective than programs delivered by paid professionals, which is noteworthy as volunteers may provide important social capital in the combat of chronic disease
The Effectiveness of an Online Interdisciplinary Intervention for Mental Health Promotion: A Randomized Controlled Trial
Background
There is an urgent need for efficacious interventions to combat the global mental health crisis, and mental health promotion and primary prevention approaches are paramount. The aim of this study is to examine whether an online interdisciplinary intervention that incorporates evidence-based strategies from the disciplines of Lifestyle Medicine and Positive Psychology improves measures of mental health and emotional wellness. Methods
A randomized controlled trial with a wait-list control (N = 425, aged 46.97 ± 14.5, 69.9% females) was conducted in Australia and New Zealand. The intervention group participated in a 10-week online interdisciplinary intervention. Primary outcome measures of mental health and emotional wellness were taken at baseline (Week 1), post-intervention (Week 12), and 12 weeks post-intervention (Week 24). The wait-list control completed the same assessments. Results
General Linear Modelling analyses indicated that the intervention group experienced significantly greater improvements than the wait-list control group over time in all outcome measures: mental health (F(319) = 7.326, p = 0.007) and vitality (F(319) = 9.445, p = 0.002) subscales of the Short Form Survey (SF-36); depression (F(319) = 7.841, p = 0.005), anxiety (F(319) = 4.440, p = 0.36) and stress (F(319) = 12.494, p \u3c 0.001) scales of the Depression, Anxiety and Stress Scale (DASS-21); and life satisfaction (F(319) = 8.731, p = 0.003) as measured by the Satisfaction With Life Scale. Within the intervention group, significant improvements were observed from Week 1 to 12 in all outcome measures: mental health (10%, t(167) = − 6.423), p \u3c 0.001, dz = 0.50), vitality (22%, t(167) = − 7.043, p \u3c 0.001, dz = 0.54), depression (− 41%, t(167) = 6.189, p \u3c 0.001, dz = 0.48), anxiety (− 38%, t(167) = 5.030, p \u3c 0.001, dz = 0.39), stress (− 31%, t(167) = 6.702, p \u3c 0.001, dz = 0.52) and life satisfaction (8%, t(167) = − 6.199, p \u3c 0.001, dz = 0.48). Improvements in the outcome measures remained significant in the intervention group at 12 weeks post-intervention. Conclusion
The online interdisciplinary intervention improved measures of mental health and emotional wellness suggesting that such interventions may be useful for mental health promotion and prevention
Brown, Robert James (1890–1948) and Blanche Cynthia Baker (1889–1976)
Robert Brown served as secretary and treasurer in the Virginia and District of Columbia conferences prior to overseas mission service in China for six years. He returned to the United States as business manager of the denominational sanitariums in Boulder and Denver, Colorado
Buzzell, Alexander Blackburn (1899–1970) and Arlene Elizabeth Matson (1918–1987)
During the 1920s and 1930s Alexander Buzzell served for 13 years as a director of two local missions in China, the East Kweichow Mission followed by the West Szechwan Mission
Connerly, Brenton Ernest (1869–1937) and Lillian Snyder (1873–1940)
Brenton and Lillian Connerly were pioneer missionaries in Puerto Rico, the American Canal Zone and Colombia
Edwards, Sanford Palmer Stillman (1873–1965)
Dr. Sanford P. S. Edwards was prominent in Adventist medical missionary work during the first decade of the 20th century. Despite debilitating health problems that prevented him from sustaining full-time labor after 1908, he found a variety of ways to continue enhancing the mission of the church and the well-being of society
Morse, George Warren (1847–1929)
George Warren Morse worked in the editorial department of the Review and Herald office at Battle Creek and later pioneered publishing work in Canada
Mitchell, Thomas Alfred (1897–1965)
Thomas Alfred Mitchell was a Publishing Department secretary and Home Missions secretary for Australasian Union Conference, and Signs Publishing Co. manager
Machlan, Benjamin Franklin (1865–1928)
Benjamin Franklin Machlan was a teacher, academy principal, and college president of several institutions
Shannan, Elsie Mary (Fredrickson) (1871–1948) and George Thomas (1872–1902)
Elsie Mary Fredrickson was a nurse and matron in Australian Sanitariums