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- All Subjects: heart-rate variability
- Creators: Larkey, Linda
Description
Objective: To examine the change in caregiver burden, stress, and heart rate variability (HRV) scores when family caregivers (FCG) of patients with Alzheimer’s disease (AD) used heart rate variability biofeedback (HRVB). Additional factors that could potentially moderate the effects of HRVB, such as education and income level, were separately examined.
Methods: An 8-week HRVB intervention was compared to a music listening control (MLC) condition for 30 family caregivers (FCGs) of individuals with Alzheimer’s disease (AD) (and related dementias: ADRD). Analysis per education and income level were separately conducted.
Results: The HRVB intervention with higher education and lower-income individuals showed more favorable HRV outcomes (noted to be slightly decreased in higher-income individuals). Perceived stress was reduced for both intervention groups, and caregiver burden levels decreased for all income groups, particularly in those with lower incomes.
Discussion: Future researchers should increase the sample size, explore stratification based on income and education levels, and consider gender-based divisions, as these factors could yield valuable insights.
ContributorsMathews, Megan (Author) / Vizcaino, Maricarmen (Thesis director) / Larkey, Linda (Committee member) / James, Darith (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2023-12
Description
Background: First-generation college students (FGCS) often experience more stress compared to continuing-generation students (Holden et al., 2021). This stress can stem from familial and cultural obligations, financial challenges, and the experience of being part of a racial or ethnic minority group. Storytelling is a psychosocial process involving sharing personal experiences or fictional stories, usually reflecting the behavior patterns and orientation to events present in the culture of the teller. Limited research has explored storytelling interventions to address self-compassion and stress levels in first-generation college students
Aims: This pilot study aimed to assess the feasibility and preliminary effects of a storytelling intervention for first-generation college students on perceived stress, resilience, and self-compassion, as determined by pre- and post-intervention. In addition, the incorporation of heart rate variability (HRV) measurements during storytelling quantified the physiological stress levels associated with the intervention and its potential correlation with stress reduction. Of additional interest was to obtain a qualitative characterization of the experiences, stresses, and supportive factors described in the stories told by participants.
Methods: FGCS were recruited at Arizona State University. Participants (N=22, M age=21.18 years, SD=3.172) attended a storytelling session for one hour in person. Heart-rate variability assessment was used to measure participant emotions and psychological coherence during in-person storytelling. The outcome measures included the Brief Resilience Scale (BRS), Perceived Stress Scale-10 (PSS-10), Patient Health Questionnaire-4 (PHQ-4), Self-Compassion Scale Short Form (SCS-SF), and HRV coherence was assessed during the intervention. Quantitative analyses were conducted in SPSS Version 27. Using the content of the stories shared in the intervention, qualitative content analyses were conducted with 3 research project members.
Results: A total of 36 participants agreed to be contacted and were emailed. Of these 36, 10 declined to participate and 4 were ineligible due to unwillingness to commit to 2 hours over 2 weeks to complete the study, (including an in-person visit to the lab) yielding 22 consented participants (61% recruitment of those screened). All consented individuals completed data collection, attended a storytelling intervention session, and completed the post-intervention data collection (100% retention). 5 major themes emerged from the data: (1) Barriers within Journey; (2) Immigrant and Immigrant Family Experiences; (3) Facilitators within Journey; (4) Reasoning for Attending University. The direction of change for HRV coherence with self-compassion and depression-anxiety was as expected. T-tests were generated for pre- and post- intervention self-reports: T1-T3 BRS SD= 0.79247, t= -0.673; T1-T3 PSS SD= 5.39540, t= -0.514; T1-T3 PHQ for anxiety SD= 1.91429, t= 0.111; T1-T3 PHQ for depression SD= 1.62302, t= 1.708; T1-T3 SCS SD= 0.46319, t= -1.956.
Conclusions: Participants described telling and sharing their stories as therapeutic and regenerative. Statistical tests of emotional regulation with HRVB demonstrated minimal change in stress response, with an increase in self-compassion. A storytelling intervention demonstrates a promising coping tool as an avenue for retelling distressing events and increasing self-compassion and resilience.
ContributorsKash, Joya (Author) / Kash, Jillian (Co-author) / Kim, Sunny (Thesis director) / Larkey, Linda (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2024-05
Description
Background: First-generation college students (FGCS) often experience more stress compared to continuing-generation students (Holden et al., 2021). This stress can stem from familial and cultural obligations, financial challenges, and the experience of being part of a racial or ethnic minority group. Storytelling is a psychosocial process involving sharing personal experiences or fictional stories, usually reflecting the behavior patterns and orientation to events present in the culture of the teller. Limited research has explored storytelling interventions to address self-compassion and stress levels in first-generation college students
Aims: This pilot study aimed to assess the feasibility and preliminary effects of a storytelling intervention for first-generation college students on perceived stress, resilience, and self-compassion, as determined by pre- and post-intervention. In addition, the incorporation of heart rate variability (HRV) measurements during storytelling quantified the physiological stress levels associated with the intervention and its potential correlation with stress reduction. Of additional interest was to obtain a qualitative characterization of the experiences, stresses, and supportive factors described in the stories told by participants.
Methods: FGCS were recruited at Arizona State University. Participants (N=22, M age=21.18 years, SD=3.172) attended a storytelling session for one hour in person. Heart-rate variability assessment was used to measure participant emotions and psychological coherence during in-person storytelling. The outcome measures included the Brief Resilience Scale (BRS), Perceived Stress Scale-10 (PSS-10), Patient Health Questionnaire-4 (PHQ-4), Self-Compassion Scale Short Form (SCS-SF), and HRV coherence was assessed during the intervention. Quantitative analyses were conducted in SPSS Version 27. Using the content of the stories shared in the intervention, qualitative content analyses were conducted with 3 research project members.
Results: A total of 36 participants agreed to be contacted and were emailed. Of these 36, 10 declined to participate and 4 were ineligible due to unwillingness to commit to 2 hours over 2 weeks to complete the study, (including an in-person visit to the lab) yielding 22 consented participants (61% recruitment of those screened). All consented individuals completed data collection, attended a storytelling intervention session, and completed the post-intervention data collection (100% retention). 5 major themes emerged from the data: (1) Barriers within Journey; (2) Immigrant and Immigrant Family Experiences; (3) Facilitators within Journey; (4) Reasoning for Attending University. The direction of change for HRV coherence with self-compassion and depression-anxiety was as expected. T-tests were generated for pre- and post- intervention self-reports: T1-T3 BRS SD= 0.79247, t= -0.673; T1-T3 PSS SD= 5.39540, t= -0.514; T1-T3 PHQ for anxiety SD= 1.91429, t= 0.111; T1-T3 PHQ for depression SD= 1.62302, t= 1.708; T1-T3 SCS SD= 0.46319, t= -1.956.
Conclusions: Participants described telling and sharing their stories as therapeutic and regenerative. Statistical tests of emotional regulation with HRVB demonstrated minimal change in stress response, with an increase in self-compassion. A storytelling intervention demonstrates a promising coping tool as an avenue for retelling distressing events and increasing self-compassion and resilience.
ContributorsKash, Jillian (Author) / Kash, Joya (Co-author) / Larkey, Linda (Thesis director) / Kim, Sunny (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2024-05
Description
Background: Unmanaged stress is a major contributing factor to the development of disease in both men and women. Middle-aged adults (40-64) have some of the highest stress of all age groups and the use of meditation may provide relief for conditions such as stress. A smartphone application (app) may help limit the magnitude of the perceived challenges of meditation. The purpose of this study is to determine the feasibility of a consumer-based meditation app (i.e., Calm) to reduce stress in middle-aged adults who self-report elevated stress. The preliminary effects of Calm on stress and health outcomes related to stress were explored as well as the preliminary effects of Calm on mindfulness and coping behaviors for stress were explored.
Methods: Adults were recruited to a 4-week app-based health and well-being study. Participants were randomized into either a mindfulness meditation (i.e. Calm) group or a health education (POD) control group. Participants were asked to participate at least 10 minutes per day. Assessments were conducted for stress, anxiety, depression, mindfulness, physical activity, eating habits, and coping behaviors at pre- and post-intervention and voluntary phone interviews were held post-intervention. App usage data were collected subjectively through weekly participation logs and through objective app usage data provided by Calm.
Results: Eighty-three participants were enrolled into the study and 60 completed the intervention and were analyzed. Feasibility and demand benchmarks were met with 96% of participants satisfied with the intervention and 93% found it enjoyable, appropriate, and useful. There was a 70% adherence (minutes/week) to the meditation intervention. Recruitment of men into the intervention group was 38.1% and retention of men was 81.3%. Significant changes were not observed in stress, anxiety, depression, or mindfulness, physical activity, eating habits, and coping behaviors.
Conclusion: The findings of this study support the feasibility of a 4-week, mobile app-based mindfulness meditation intervention (i.e. Calm) in middle-aged adults. These finding do not demonstrate preliminary efficacy of Calm to reduce stress, anxiety, and depression or improvement of mindfulness, physical activity, eating habits, or coping behaviors among middle-aged adults who report elevated stress. These results can be applied for improved design of future studies.
Methods: Adults were recruited to a 4-week app-based health and well-being study. Participants were randomized into either a mindfulness meditation (i.e. Calm) group or a health education (POD) control group. Participants were asked to participate at least 10 minutes per day. Assessments were conducted for stress, anxiety, depression, mindfulness, physical activity, eating habits, and coping behaviors at pre- and post-intervention and voluntary phone interviews were held post-intervention. App usage data were collected subjectively through weekly participation logs and through objective app usage data provided by Calm.
Results: Eighty-three participants were enrolled into the study and 60 completed the intervention and were analyzed. Feasibility and demand benchmarks were met with 96% of participants satisfied with the intervention and 93% found it enjoyable, appropriate, and useful. There was a 70% adherence (minutes/week) to the meditation intervention. Recruitment of men into the intervention group was 38.1% and retention of men was 81.3%. Significant changes were not observed in stress, anxiety, depression, or mindfulness, physical activity, eating habits, and coping behaviors.
Conclusion: The findings of this study support the feasibility of a 4-week, mobile app-based mindfulness meditation intervention (i.e. Calm) in middle-aged adults. These finding do not demonstrate preliminary efficacy of Calm to reduce stress, anxiety, and depression or improvement of mindfulness, physical activity, eating habits, or coping behaviors among middle-aged adults who report elevated stress. These results can be applied for improved design of future studies.
ContributorsLaird, Breanne Michelle (Author) / Huberty, Jennifer (Thesis advisor) / O'Rourke, Holly (Committee member) / Larkey, Linda (Committee member) / Arizona State University (Publisher)
Created2020