Swati Mehta1, Heather Hadjistavropoulos2, Marcie Nugent2, Eyal Karin3, Nick Titov4, Blake F Dear3. 1. Parkwood Institute, Lawson Health Research Institute, 550 Wellington Road, London, ON, N6C 5J1, Canada. swati.mehta@shjc.london.on.ca. 2. Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S 0A2, Canada. 3. eCentreClinic, Department of Psychology, Macquarie University, Sydney, NSW, 2109, Australia. 4. MindSpot Clinic, Department of Psychology, Macquarie University, Sydney, NSW, 2109, Australia.
Abstract
STUDY DESIGN: Observational pre-post study. OBJECTIVE: Guided internet-delivered CBT (ICBT) offers an alternative approach for mental health service delivery in the community for those with spinal cord injury (SCI). The feasibility and acceptability of guided ICBT programme is available for various chronic health conditions; however, the evidence related to SCI is limited. The primary aim of the current study was to examine feasibility and acceptability of a guided transdiagnostic ICBT programme for persons with SCI. SETTING: Community. METHODS: In this single-group pre-post study, persons with SCI (n = 20) living in the community were provided with a guided 8-week transdiagnostic ICBT programme for overall well-being. Study feasibility was examined by the following outcomes: patient recruitment, engagement, and attrition. Acceptability of the programme was evaluated post-treatment. Reductions in symptoms of depression and anxiety were assessed at baseline, post-intervention, and at 3-month follow-up. RESULTS: Approximately 60% of eligible participants were recruited. The study found high rates of programme completion (90%) and outcome data were obtained from 90% of participants. Improvement in symptoms of depression (and anxiety) were seen after treatment. Gains were maintained at 3-month follow-up. CONCLUSIONS: Guided transdiagnostic ICBT programme is a feasible and acceptable treatment option for those with psychological needs following SCI.
STUDY DESIGN: Observational pre-post study. OBJECTIVE: Guided internet-delivered CBT (ICBT) offers an alternative approach for mental health service delivery in the community for those with spinal cord injury (SCI). The feasibility and acceptability of guided ICBT programme is available for various chronic health conditions; however, the evidence related to SCI is limited. The primary aim of the current study was to examine feasibility and acceptability of a guided transdiagnostic ICBT programme for persons with SCI. SETTING: Community. METHODS: In this single-group pre-post study, persons with SCI (n = 20) living in the community were provided with a guided 8-week transdiagnostic ICBT programme for overall well-being. Study feasibility was examined by the following outcomes: patient recruitment, engagement, and attrition. Acceptability of the programme was evaluated post-treatment. Reductions in symptoms of depression and anxiety were assessed at baseline, post-intervention, and at 3-month follow-up. RESULTS: Approximately 60% of eligible participants were recruited. The study found high rates of programme completion (90%) and outcome data were obtained from 90% of participants. Improvement in symptoms of depression (and anxiety) were seen after treatment. Gains were maintained at 3-month follow-up. CONCLUSIONS: Guided transdiagnostic ICBT programme is a feasible and acceptable treatment option for those with psychological needs following SCI.
Authors: Swati Mehta; Steven Orenczuk; Kevin T Hansen; Jo-Anne L Aubut; Sander L Hitzig; Matthew Legassic; Robert W Teasell Journal: Rehabil Psychol Date: 2011-02
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