Miriam Douma1, Heleen Maurice-Stam2, Bianca Gorter3, Bregje A Houtzager4, Hestien J I Vreugdenhil5, Maaike Waaldijk6, Lianne Wiltink7, Martha A Grootenhuis2, Linde Scholten1. 1. Amsterdam UMC, University of Amsterdam, Emma Children's Hospital, Psychosocial Department, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands. 2. Princess Máxima Center for Pediatric Oncology, Psychosocial Department, Heidelberglaan 25, 3584 CS Utrecht, the Netherlands. 3. DeKinderKliniek, Medical Psychology, Hospitaaldreef 29, 1315 RC Almere, the Netherlands. 4. Deventer Hospital, Medical Psychology, Nico Bolkesteinlaan 75, 7416 SE Deventer, the Netherlands. 5. Amsterdam UMC, University of Amsterdam, location VUmc, Medical Psychology De Boelelaan 1117/1118, 1081 HV Amsterdam, the Netherlands. 6. St. Jansdal Hospital, Medical Psychology, Wethouder Jansenlaan 90, 3844 DG Harderwijk, the Netherlands. 7. Canisius Wilhelmina Hospital, Medical Psychology, Weg Door Jonkerbos 100, 6532 SZ Nijmegen, the Netherlands.
Abstract
OBJECTIVE: The present study aimed to evaluate the efficacy of Op Koers Online, a protocolled online psychosocial group intervention for adolescents with a chronic illness (CI). METHODS: Adolescents (12-18 years) with different types of CI (N = 59; Mean age = 15.1 years, SD = 1.7; 54% female) participated in a parallel multicenter randomized controlled trial comparing Op Koers Online (N = 35) with a waitlist control group (N = 24). Assessments (online questionnaires) took place at baseline (T0), 6-months (T1) and 12-months follow-up (T2). Primary outcomes were internalizing and externalizing behavioral problems and disease-related coping skills. Health-Related Quality of Life was secondary. Efficacy was tested with linear mixed models. RESULTS: Compared to the control group, the intervention had a significant positive effect (p < .05) on disease-related coping skills T1 vs T0 (use of relaxation, β = 0.68; social competence, β = 0.57) and T2 vs T0 (information seeking, β = 0.61), and on HRQoL (social-, school-, psychosocial functioning and total HRQoL) T1 vs T0 (β = 0.52 to β = 0.60). No intervention effects on internalizing and externalizing behavioral problems were found. CONCLUSION: The results of this randomized controlled trial indicate a positive effect of Op Koers Online. The intervention had beneficial effects on disease-related coping skills and HRQoL. PRACTICE IMPLICATIONS: The next step is to implement Op Koers Online for adolescents in clinical practice.
OBJECTIVE: The present study aimed to evaluate the efficacy of Op Koers Online, a protocolled online psychosocial group intervention for adolescents with a chronic illness (CI). METHODS: Adolescents (12-18 years) with different types of CI (N = 59; Mean age = 15.1 years, SD = 1.7; 54% female) participated in a parallel multicenter randomized controlled trial comparing Op Koers Online (N = 35) with a waitlist control group (N = 24). Assessments (online questionnaires) took place at baseline (T0), 6-months (T1) and 12-months follow-up (T2). Primary outcomes were internalizing and externalizing behavioral problems and disease-related coping skills. Health-Related Quality of Life was secondary. Efficacy was tested with linear mixed models. RESULTS: Compared to the control group, the intervention had a significant positive effect (p < .05) on disease-related coping skills T1 vs T0 (use of relaxation, β = 0.68; social competence, β = 0.57) and T2 vs T0 (information seeking, β = 0.61), and on HRQoL (social-, school-, psychosocial functioning and total HRQoL) T1 vs T0 (β = 0.52 to β = 0.60). No intervention effects on internalizing and externalizing behavioral problems were found. CONCLUSION: The results of this randomized controlled trial indicate a positive effect of Op Koers Online. The intervention had beneficial effects on disease-related coping skills and HRQoL. PRACTICE IMPLICATIONS: The next step is to implement Op Koers Online for adolescents in clinical practice.
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