Johan Lundgren1, Gerhard Andersson2, Örjan Dahlström3, Tiny Jaarsma4, Anita Kärner Köhler5, Peter Johansson6. 1. Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden. Electronic address: johan.lundgren@liu.se. 2. Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden; Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden. Electronic address: gerhard.andersson@liu.se. 3. Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden. Electronic address: orjan.dahlstrom@liu.se. 4. Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden. Electronic address: tiny.jaarsma@liu.se. 5. Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden. Electronic address: anita.karner@liu.se. 6. Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden; Department of Cardiology, Linköping University, Linköping, Sweden; Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden. Electronic address: peter.johansson@aries.vokby.se.
Abstract
OBJECTIVE: The aim was (1) to describe the development of a guided internet-based CBT (ICBT) program adapted to patients with heart failure (HF) and (2) to evaluate the feasibility of the ICBT program in regard to depressive symptoms, the time used by health care providers to give feedback, and participants' perceptions of the ICBT program. METHOD: A multi-professional team developed the program and seven HF patients with depressive symptoms were recruited to the study. The Patient Health Questionnaire-9 (PHQ-9) and the Montgomery Åsberg Depression Rating-Self-rating scale (MADRS-S) were used to measure depression, and patients were interviewed about their perceptions of the program. RESULTS: Based on research in HF and CBT, a nine-week program was developed. The median depression score decreased from baseline to the end of the study (PHQ-9: 11-8.5; MADRS-S: 25.5-16.5) and none of the depression scores worsened. Feedback from health care providers required approximately 3h per patient. Facilitating perceptions (e.g. freedom of time) and demanding perceptions (e.g. part of the program demanded a lot of work) were described by the patients. CONCLUSION: The program appears feasible and time-efficient. However, the program needs to be evaluated in a larger randomized study.
OBJECTIVE: The aim was (1) to describe the development of a guided internet-based CBT (ICBT) program adapted to patients with heart failure (HF) and (2) to evaluate the feasibility of the ICBT program in regard to depressive symptoms, the time used by health care providers to give feedback, and participants' perceptions of the ICBT program. METHOD: A multi-professional team developed the program and seven HF patients with depressive symptoms were recruited to the study. The Patient Health Questionnaire-9 (PHQ-9) and the Montgomery Åsberg Depression Rating-Self-rating scale (MADRS-S) were used to measure depression, and patients were interviewed about their perceptions of the program. RESULTS: Based on research in HF and CBT, a nine-week program was developed. The median depression score decreased from baseline to the end of the study (PHQ-9: 11-8.5; MADRS-S: 25.5-16.5) and none of the depression scores worsened. Feedback from health care providers required approximately 3h per patient. Facilitating perceptions (e.g. freedom of time) and demanding perceptions (e.g. part of the program demanded a lot of work) were described by the patients. CONCLUSION: The program appears feasible and time-efficient. However, the program needs to be evaluated in a larger randomized study.
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Authors: Johan Lundgren; Peter Johansson; Tiny Jaarsma; Gerhard Andersson; Anita Kärner Köhler Journal: J Med Internet Res Date: 2018-09-05 Impact factor: 5.428
Authors: Peter Johansson; Mats Westas; Gerhard Andersson; Urban Alehagen; Anders Broström; Tiny Jaarsma; Ghassan Mourad; Johan Lundgren Journal: JMIR Ment Health Date: 2019-10-03