Joanne Woodford1, Paul Farrand2, Josefin Hagström1, Li Hedenmalm1, Louise von Essen3. 1. Uppsala University, Healthcare Sciences and e-Health, Department of Women's and Children's Health, Uppsala, SE. 2. Clinical Education, Development, and Research (CEDAR), Psychology, College of Life and Environmental Sciences, University of Exeter, Exeter, GB. 3. Uppsala University, Healthcare Sciences and e-Health, Department of Women's and Children's Health, MTC-huset, Dag Hammarskjölds väg 14B, Uppsala, SE.
Abstract
BACKGROUND: Following the end of a child's treatment for cancer, parents may report psychological distress. However, there is lack of evidence-based interventions tailored to the population, with psychological support needs commonly unmet. An internet-administered low-intensity Cognitive Behavioral Therapy (LICBT) based intervention (EJDeR; internetbaserad självhjälp för föräldrar till barn som avslutat en behandling mot cancer) may provide a solution. OBJECTIVE: The first objective is to provide an overview of the multi-method approach informing the development of the EJDeR intervention. The second objective is to provide a detailed description of the EJDeR intervention in accordance with the Template for Intervention Description and Replication (TIDieR) checklist. METHODS: EJDeR was developed through a multi method approach, including the use of existing evidence, conceptualization of distress, participatory action research, cross-sectional survey, and professional and public involvement. Dependent on the main presenting difficulty identified during assessment, LICBT behavioral activation or worry management treatment protocols are adopted for the treatment of depression and/or generalized anxiety disorder respectively. EJDeR is delivered via the U-CARE-portal, an online platform designed to deliver internet-administered LICBT interventions and includes secure videoconferencing. To guide parents in the use of EJDeR, weekly written messages via the Portal are provided by e-therapists, comprising final year psychology program students with training in CBT. RESULTS: An overview of the development process and a description of EJDeR informed by the TIDieR checklist are presented, with adaptations made in response to public involvement highlighted. CONCLUSIONS: EJDeR represents a novel guided internet-administered LICBT intervention to support parents of children treated for cancer. Adopting the TIDieR checklist offers potential to enhance fidelity to the intervention protocol and facilitate later implementation. The intervention is currently being tested in a feasibility study (the ENGAGE study). CLINICALTRIAL: ENGAGE study: ISRCTN 57233429. INTERNATIONAL REGISTERED REPORT: RR2-10.1136/bmjopen-2018-023708.
BACKGROUND: Following the end of a child's treatment for cancer, parents may report psychological distress. However, there is lack of evidence-based interventions tailored to the population, with psychological support needs commonly unmet. An internet-administered low-intensity Cognitive Behavioral Therapy (LICBT) based intervention (EJDeR; internetbaserad självhjälp för föräldrar till barn som avslutat en behandling mot cancer) may provide a solution. OBJECTIVE: The first objective is to provide an overview of the multi-method approach informing the development of the EJDeR intervention. The second objective is to provide a detailed description of the EJDeR intervention in accordance with the Template for Intervention Description and Replication (TIDieR) checklist. METHODS: EJDeR was developed through a multi method approach, including the use of existing evidence, conceptualization of distress, participatory action research, cross-sectional survey, and professional and public involvement. Dependent on the main presenting difficulty identified during assessment, LICBT behavioral activation or worry management treatment protocols are adopted for the treatment of depression and/or generalized anxiety disorder respectively. EJDeR is delivered via the U-CARE-portal, an online platform designed to deliver internet-administered LICBT interventions and includes secure videoconferencing. To guide parents in the use of EJDeR, weekly written messages via the Portal are provided by e-therapists, comprising final year psychology program students with training in CBT. RESULTS: An overview of the development process and a description of EJDeR informed by the TIDieR checklist are presented, with adaptations made in response to public involvement highlighted. CONCLUSIONS: EJDeR represents a novel guided internet-administered LICBT intervention to support parents of children treated for cancer. Adopting the TIDieR checklist offers potential to enhance fidelity to the intervention protocol and facilitate later implementation. The intervention is currently being tested in a feasibility study (the ENGAGE study). CLINICALTRIAL: ENGAGE study: ISRCTN 57233429. INTERNATIONAL REGISTERED REPORT: RR2-10.1136/bmjopen-2018-023708.