Implementing I-CBT (Moodgym) for African Students with Symptoms of Low Mood During the Covid-19 Pandemic: A Qualitative Feasibilty Study DOI Creative Commons

J. M. Ncheka,

J. Anitha Menon, E Bethan Davies

и другие.

Research Square (Research Square), Год журнала: 2023, Номер unknown

Опубликована: Окт. 9, 2023

Abstract Background Online therapies have been shown to be effective in improving students’ mental health. They are cost-effective and therefore particular advantages low-income countries like Zambia where health resources limited. This study aimed explore the perceived impact of COVID-19 pandemic feasibility implementing an iCBT intervention (‘moodgym’) improve resilience vulnerable Zambian students. Methods The was a qualitative interview study. Participants identifying as having symptoms low mood completing baseline, online survey (n=620) had option volunteer for semi-structured views about their experience acceptability benefits limitations using moodgym. Results A total 50 students (n= 24 female, n=26 male) participated One theme with 4 sub-themes, captured severe emotional social pandemic. second, very strong theme, 5 reflected considerable negative effects on educational experience. included challenges learning. third three subthemes, moodgym, particularly terms understanding relationship between thoughts feelings academic performance. fourth described technical difficulties experienced by attempting use Conclusion caused fear impacted wellbeing severely impaired quality findings suggest that moodgym might valuable support income country.

Язык: Английский

Defining and operationalizing personalized psychological treatment – a systematic literature review DOI Creative Commons

Susan J. Harnas,

Hans Knoop, Mirjam A. G. Sprangers

и другие.

Cognitive Behaviour Therapy, Год журнала: 2024, Номер 53(5), С. 467 - 489

Опубликована: Март 27, 2024

This systematic literature review aimed to propose a definition of personalized psychological treatment and suggest how the can be operationalized. PsycINFO, Cochrane Library, MEDLINE EMBASE were searched up 11 December 2023 for studies in which was included or operationalization described. Based on narrative synthesis collected definitions, summary categories developed that informed proposed definition. Operationalizations described according what aspect treatment, when personalized. The extent operationalizations deviated from assessed. Thirty-four with definitions 200 included. following proposed: aims optimize outcome individual patient by tailoring unique specific needs, preferences other characteristics includes adaptation differentiation between strategies. operationalizations, timing personalization, specification approach elements could added Evidence-based personalization treatments enhanced clear based comprehensive personalization.

Язык: Английский

Процитировано

4
Investigating the Efficacy of the Web-Based Common Elements Toolbox (COMET) Single-Session Interventions in Improving UK University Student Well-Being: Randomized Controlled Trial DOI Creative Commons
Jeffrey Lambert, Maria Loades, N. Marshall

и другие.

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e58164 - e58164

Опубликована: Янв. 31, 2025

Mental health problems in university students are associated with many negative outcomes, yet there is a gap between need and timely access to help. Single-session interventions (SSIs) designed be scalable accessible, delivering core evidence-based intervention components within one-off encounter. COMET (Common Elements Toolbox) an online self-help SSI that includes behavioral activation, cognitive restructuring, gratitude, self-compassion. has previously been evaluated India, Kenya, the United States promising results. This study tests acceptability, appropriateness, perceived utility, efficacy of among UK during peripandemic period. We conducted randomized controlled trial evaluating compared control group, 2- 4-week follow-ups. Outcome variables were subjective well-being, depression severity, anxiety positive affect, stress. also measured satisfaction immediately after completion COMET. All internet eligible participate informed online. The data analyzed using linear mixed models reported accordance CONSORT-EHEALTH (Consolidated Standards Reporting Trials Electronic Mobile Health Applications Online Telehealth) checklist. Of 831 people screened, 468 participants condition, 407 completed postintervention survey, 147 returned 2-week follow-up 118 89 both. 239 randomized, 212 Significant between-group differences favor observed at follow-ups for well-being (Warwick-Edinburgh Well-Being Scale; mean difference [MD] 1.39, 95% CI 0.19-2.61; P=.03), severity (9-item Patient Questionnaire; MD -1.31, -2.51 -0.12; stress (4-item Perceived Stress -1.33, -2.10 -0.57; P<.001). Overall, satisfied COMET, majority endorsing its modules as acceptable, appropriate, exhibiting high utility. self-compassion module was most often participants' favorite activation their least favorite. Qualitative analysis revealed found generally but too long, experienced immediate long-term beneficial effects. demonstrated engagement intervention, along preliminary short-term efficacy. Almost all attrition high. Participant feedback indicated level overall accessibility, benefits, potential impact being notable findings. These findings support value mental highlight important areas further improvement. ClinicalTrials.gov NCT05718141; https://clinicaltrials.gov/ct2/show/NCT05718141.

Язык: Английский

Процитировано

0
Efficacy of internet-based cognitive behavioral and interpersonal treatment for depression in Arabic speaking countries: A randomized controlled trial DOI Creative Commons

Rayan El‐Haj‐Mohamad,

Jana Stein, Nadine Stammel

и другие.

Journal of Affective Disorders, Год журнала: 2024, Номер 368, С. 573 - 583

Опубликована: Сен. 16, 2024

Язык: Английский

Процитировано

2
Implementing internet-based cognitive behavioural therapy (moodgym) for African students with symptoms of low mood during the COVID-19 pandemic: a qualitative feasibilty study DOI Creative Commons

J. M. Ncheka,

J. Anitha Menon, E Bethan Davies

и другие.

BMC Psychiatry, Год журнала: 2024, Номер 24(1)

Опубликована: Фев. 1, 2024

Abstract Background Online therapies have been shown to be effective in improving students’ mental health. They are cost-effective and therefore particular advantages low-income countries like Zambia where health resources limited. This study aimed explore the perceived impact of COVID-19 pandemic feasibility implementing an Internet-Based Cognitive Behavioural Therapy (iCBT) intervention (‘moodgym’) improve resilience vulnerable Zambian students. Methods The was a qualitative interview study. Participants identifying as having symptoms low mood completing baseline, online survey ( n = 620) had option volunteer for semi-structured views about their experience acceptability benefits limitations using moodgym. Results A total 50 students 24 female, 26 male) participated One theme with 4 sub-themes, captured severe emotional social pandemic. second, very strong theme, 5 reflected considerable negative effects on educational experience. included challenges learning. third three subthemes, moodgym, particularly terms understanding relationship between thoughts feelings academic performance. fourth described technical difficulties experienced by attempting use Conclusion caused fear impacted wellbeing severely impaired quality findings suggest that moodgym might valuable support country.

Язык: Английский

Процитировано

0
Efficacy of a Transdiagnostic Internet Prevention Approach in Adolescents (EMPATIA-Study): Study Protocol of a Randomized Controlled Trial DOI Creative Commons
Anja Hirsig, Xenia Anna Häfeli, Stefanie J. Schmidt

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Апрель 29, 2024

Abstract • Background: Most mental disorders have their onset in adolescence. Preventive interventions during this period are important, however, help-seeking behavior is generally poor age group resulting low treatment rates. Internet expected to be an effective, low-threshold, and scalable approach overcome barriers help-seeking, particularly for individuals experiencing subclinical symptoms. Internet-delivered indicated prevention seems promising as it targets with minimal symptoms of who might need care but not yet. Previous prevention-approaches mainly targeted specific risk-syndromes. However, contradicts the increasing recognition emerging psychopathology a complex system characterized by co-occurrence rapid shifts cutting across diagnostic categories. Therefore, study will investigate efficacy, mediators, moderators, core symptomatic changes transdiagnostic internet-delivered program (EMPATIA-program) adolescents. Methods: This Randomized Controlled Trial (RCT) conducted general population sample (planned n=152) adolescents aged 12-18 years without any current or past disorder. Participants randomly assigned EMPATIA-program usual (CAU) control condition. The 8-week guided encompasses 8 modules targeting following mechanisms: repetitive negative thinking, self-perfectionism, emotion regulation, intolerance uncertainty, rejection sensitivity, behavioral avoidance. asked answer online self-report questionnaires at baseline, after weeks, 6-, 9-, 12-month follow-up. Diagnostic telephone interviews baseline Additional, intervention-specific constructs (motivation, alliance, effects, satisfaction, adherence) assessed EMPATIA-program. Level self-reported post-intervention primary outcome. Discussion: Results discussed considering potential internet scalable, low-threshold option introduces novel six mechanisms associated various health outcomes. Thereby, trial pursues very timely important topic because may contribute narrow gap adolescents, prevent problems related consequences, promote long-term. Trial registration: was approved Swissmedic (Registration Number: 10001035, 08/22/2022) Ethics Committee Bern 2022-D0036, 08/22/2022). registered ClinicalTrials.gov NCT05934019 on 07-03-2023.

Язык: Английский

Процитировано

0
Editorial for INVENT special issue of the ISRII 2022 meeting DOI Creative Commons
Philip I. Chow, Claudia Buntrock, Pepijn van de Ven

и другие.

Internet Interventions, Год журнала: 2024, Номер 37, С. 100749 - 100749

Опубликована: Май 11, 2024

Язык: Английский

Процитировано

0
Cerina: cognitive–behavioural therapy-based mobile application for managing GAD symptoms among Ulster University Students in Northern Ireland – a protocol for a pilot feasibility randomised controlled trial DOI Creative Commons
Özlem Eylem,

Siobhan Poulter,

Kurtis Ashcroft

и другие.

BMJ Open, Год журнала: 2024, Номер 14(6), С. e083554 - e083554

Опубликована: Июнь 1, 2024

Introduction University students are one of the most vulnerable populations for anxiety disorders worldwide. In Northern Ireland, appear to be more common among university student population due demographics across region. Despite need, these show less inclination access widely available on-campus well-being services and other external professional services. Digital cognitive–behavioural therapy (CBT) aims bridge this gap between need psychological help it. However, challenges such as limited reach, low adoption, implementation barriers poor long-term maintenance mainstay issues resulting in reduced uptake digital CBT. As a result, potential impact CBT is currently restricted. The proposed intervention ‘Cerina’ scalable CBT-based mobile app with an interactive user interface that can implemented settings if found feasible effective. Methods analysis study single-blind pilot feasibility randomised controlled trial aiming test preliminary effects Cerina reducing Generalised Anxiety Disorder (GAD) symptoms. Participants 90 Ulster aged 18 above self-reported GAD They will allocated two conditions: treatment (ie, 6 weeks) wait-list control group optional weeks). weeks after their randomisation participants both conditions assessed at baseline, 3 (mid-assessment) (postassessment). primary outcome adherence intervention, its usability deliver full future). secondary outcomes include generalised anxiety, depression, worry quality life. Additionally, invited semistructured interviews process evaluation. Ethics dissemination Ethical approval has been granted by Research Committee (ID: FCPSY-22-084). results disseminated through publications scientific articles presentations relevant conferences and/or public events. Trial registration number NCT06146530 .

Язык: Английский

Процитировано

0
Efficacy of a transdiagnostic Internet prevention approach in adolescents (EMPATIA study): study protocol of a randomized controlled trial DOI Creative Commons
Anja Hirsig, Xenia Anna Häfeli, Stefanie J. Schmidt

и другие.

Trials, Год журнала: 2024, Номер 25(1)

Опубликована: Авг. 8, 2024

Most mental disorders have their onset in adolescence. Preventive interventions during this period are important; however, help-seeking behavior is generally poor age group resulting low treatment rates. Internet expected to be an effective, low-threshold, and scalable approach overcome barriers help-seeking, particularly for individuals experiencing subclinical symptoms. Internet-delivered indicated prevention seems promising as it targets with minimal symptoms of who might need care but not yet. Previous prevention-approaches mainly targeted specific risk-syndromes. However, contradicts the increasing recognition emerging psychopathology a complex system characterized by co-occurrence rapid shifts cutting across diagnostic categories. Therefore, study will investigate efficacy, mediators, moderators, core symptomatic changes transdiagnostic program (EMPATIA program) adolescents.

Язык: Английский

Процитировано

0
Skill Enactment Among University Students Using a Brief Video-Based Mental Health Intervention: Mixed Methods Study Within a Randomized Controlled Trial DOI Creative Commons
Hayley M. Jackson, Philip J. Batterham, Alison L. Calear

и другие.

JMIR Mental Health, Год журнала: 2024, Номер 11, С. e53794 - e53794

Опубликована: Авг. 21, 2024

Background Mental health problems are common among university students, yet many students do not seek professional help. Digital mental interventions can increase students’ access to support and have been shown be effective in preventing treating problems. However, little is known about the extent which implement therapeutic skills from these programs everyday life (ie, skill enactment) or impact of enactment on outcomes. Objective This study aims assess effects a low-intensity video-based intervention, Uni Virtual Clinic Lite (UVC-Lite), improving relative an attention-control program (primary aim) examine whether influences symptoms depression anxiety (secondary aim). The also qualitatively explored participants’ experiences of, motivations for, engaging with techniques. Methods We analyzed data randomized controlled trial testing effectiveness UVC-Lite for mild moderate levels psychological distress. Participants were recruited universities across Australia randomly assigned 6 weeks self-guided use (243/487, 49.9%) (244/487, 50.1%). Quantitative enactment, depression, collected through baseline, postintervention, 3- 6-month follow-up surveys. Qualitative obtained 29 intervention-group participants open-ended questions during postintervention surveys (n=17, 59%) semistructured interviews (n=12, 41%) after intervention period concluded. Results Mixed model repeated measures ANOVA demonstrated that did significantly improve (F3,215.36=0.50; P=.68). Skill was found influence change (F3,241.10=1.69; P=.17) (F3,233.71=1.11; P=.35). higher associated lower symptom both control group time points (depression: F1,541.87=134.61; P<.001; anxiety: F1,535.11=73.08; P<.001). Inductive content analysis confirmed low participants. motivated techniques perceived personally relevant, easily integrated into daily life, novel had worked them past. Conclusions Low adherence impacted our ability draw robust conclusions regarding intervention’s Factors influencing differed individuals, suggesting it may necessary tailor engagement strategies individual user. Theoretically informed research involving collaboration end users needed understand processes underlying digital interventions. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12621000375853; https://tinyurl.com/7b9ar54r

Язык: Английский

Процитировано

0
An online grief intervention to improve well-being and reduce clinical symptoms: a randomized controlled trial DOI
Alejandro Domínguez-Rodríguez, Paulina Erika Herdoiza-Arroyo, Sergio Sanz‐Gómez

и другие.

Death Studies, Год журнала: 2024, Номер unknown, С. 1 - 13

Опубликована: Окт. 30, 2024

The COVID-19 pandemic amplified the emotional impact of losing a loved one, deteriorating well-being, and increasing dysphoric symptoms in mourners. This study evaluated efficacy COVID Grief, self-applied online cognitive-behavioral intervention for Mexican adults facing grief during pandemic. We conducted randomized clinical trial, enrolling 1,109 participants, 45 whom completed full intervention, 69 waiting list control (WLC). Between-subject analysis showed that group (IG) participants reported significantly higher satisfaction with life quality reduction depression, anxiety stress levels compared to those WLC. Within-subjects IG presented no significant changes life, whereas was increased, anxiety, were reduced after treatment. For WLC, decreased, depression -but not symptoms- increased waitlist. Completer's opinions treatment highly positive, although they only represent 5% who accessed intervention. High dropout rates should be addressed future studies.

Язык: Английский

Процитировано

0