Optimization of Internet-Delivered Cognitive Behavioral Therapy for Canadian Leaders Within Public Safety: Qualitative Study (Preprint)
Published: Feb. 7, 2025
BACKGROUND
Canadian
public
safety
personnel
(PSP)
report
high
rates
of
mental
health
concerns
and
barriers
to
treatment.
PSPNET
is
a
clinical
research
unit
that
offers
internet-delivered
cognitive
behavioral
therapy
(ICBT)
free,
confidential,
developed
with
for
PSP.
Treatment
outcomes
are
promising
clinically
significant
symptom
improvement
(eg,
anxiety,
depression,
posttraumatic
stress)
favorable
treatment
satisfaction.
While
these
results
promising,
has
yet
explore
ways
optimize
therapist-guided
ICBT
leaders
within
safety.
Optimizing
particularly
important
given
their
widespread
organizational
impact.
OBJECTIVE
This
study
aims
investigate
(1)
the
perceived
stressors
safety,
(2)
degree
which
existing
courses
tailored
PSP
(ie,
<i>PSP
Wellbeing
Course</i>
PTSD
Course</i>)
as
suitable
needs,
(3)
further
leaders.
METHODS
included
10
clients
who
self-identified
being
in
supervisory
or
leadership
position
organization
completed
either
Course</i>.
We
used
descriptive
statistics
analyze
demographics,
symptoms,
engagement,
also
reflexive
thematic
analysis
semistructured
interview
transcripts
assess
leaders’
course
perceptions
feedback.
RESULTS
reported
occupational
nonoccupational
enrolled
support
own
colleagues’
health.
Most
Course</i>,
accessed
4
5
lessons
(n=7,
70%),
engaged
therapist
identified
employed
(n=8,
80%),
White
men
70%)
an
average
age
45
years.
At
pretreatment,
80%
endorsed
symptoms
one
more
disorders;
most
often
depression
anger
(n=6,
60%).
Clients
attitudes
toward
reporting
they
were
satisfied
(n=9,
90%).
Feedback
content
development
leader
case
story
60%)
new
resources
help
apply
skills
learned
context
roles
(n=4,
40%).
Leaders
recommended
optimizing
delivery
by
improving
platform
technology
incorporating
multimedia.
CONCLUSIONS
option
needs
its
delivery.
Future
should
impacts
efforts
other
groups
clients.
CLINICALTRIAL
ClinicalTrials.gov
NCT04127032,
https://www.clinicaltrials.gov/study/NCT04127032;
NCT04335487,
https://clinicaltrials.gov/study/NCT04335487
Language: Английский
Optimization of Internet-Delivered Cognitive Behavioral Therapy for Canadian Leaders Within Public Safety: Qualitative Study
Journal of Medical Internet Research,
Journal Year:
2025,
Volume and Issue:
27, P. e72321 - e72321
Published: April 17, 2025
Background
Canadian
public
safety
personnel
(PSP)
report
high
rates
of
mental
health
concerns
and
barriers
to
treatment.
PSPNET
is
a
clinical
research
unit
that
offers
internet-delivered
cognitive
behavioral
therapy
(ICBT)
free,
confidential,
developed
with
for
PSP.
Treatment
outcomes
are
promising
clinically
significant
symptom
improvement
(eg,
anxiety,
depression,
posttraumatic
stress)
favorable
treatment
satisfaction.
While
these
results
promising,
has
yet
explore
ways
optimize
therapist-guided
ICBT
leaders
within
safety.
Optimizing
particularly
important
given
their
widespread
organizational
impact.
Objective
This
study
aims
investigate
(1)
the
perceived
stressors
safety,
(2)
degree
which
existing
courses
tailored
PSP
(ie,
Wellbeing
Course
PTSD
Course)
as
suitable
needs,
(3)
further
leaders.
Methods
included
10
clients
who
self-identified
being
in
supervisory
or
leadership
position
organization
completed
either
Course.
We
used
descriptive
statistics
analyze
demographics,
symptoms,
engagement,
also
reflexive
thematic
analysis
semistructured
interview
transcripts
assess
leaders’
course
perceptions
feedback.
Results
reported
occupational
nonoccupational
enrolled
support
own
colleagues’
health.
Most
Course,
accessed
4
5
lessons
(n=7,
70%),
engaged
therapist
identified
employed
(n=8,
80%),
White
men
70%)
an
average
age
45
years.
At
pretreatment,
80%
endorsed
symptoms
one
more
disorders;
most
often
depression
anger
(n=6,
60%).
Clients
attitudes
toward
reporting
they
were
satisfied
(n=9,
90%).
Feedback
content
development
leader
case
story
60%)
new
resources
help
apply
skills
learned
context
roles
(n=4,
40%).
Leaders
recommended
optimizing
delivery
by
improving
platform
technology
incorporating
multimedia.
Conclusions
option
needs
its
delivery.
Future
should
impacts
efforts
other
groups
clients.
Trial
Registration
ClinicalTrials.gov
NCT04127032,
https://www.clinicaltrials.gov/study/NCT04127032;
NCT04335487,
https://clinicaltrials.gov/study/NCT04335487
Language: Английский