Optimization of Internet-Delivered Cognitive Behavioral Therapy for Canadian Leaders Within Public Safety: Qualitative Study (Preprint)

Опубликована: Фев. 7, 2025

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. 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. 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. 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. option needs its delivery. Future should impacts efforts other groups clients. ClinicalTrials.gov NCT04127032, https://www.clinicaltrials.gov/study/NCT04127032; NCT04335487, https://clinicaltrials.gov/study/NCT04335487

Язык: Английский

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Optimization of Internet-Delivered Cognitive Behavioral Therapy for Canadian Leaders Within Public Safety: Qualitative Study

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e72321 - e72321

Опубликована: Апрель 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

Язык: Английский

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Case Stories in Internet-Delivered Cognitive Behavioral Therapy for Public Safety Personnel: A Mixed-Methods Study (Preprint)

Опубликована: Июль 18, 2024

Internet-delivered cognitive behavioral therapy (ICBT) is an effective and convenient means of offering to the general population. To increase access ICBT among Canadian public safety personnel (PSP)—a group that experiences elevated rates mental health concerns barriers care—a clinical research unit called PSPNET has tailored PSP, primarily through case stories PSP-specific examples within program. PSPNET’s first most frequently used program, PSP Wellbeing Course, been found reduce symptoms disorders (eg, anxiety, depression, posttraumatic stress) PSP. Little research, however, investigated clients’ perceptions in this course. This study was designed expand literature on use evaluation Specifically, (1) PSP’s using theoretical model provided by Shaffer Zikmund-Fisher (2) feedback Course. included 41 clients who completed Of these, 27 a bespoke questionnaire Stories Questionnaire, 10 whom also participated semistructured interview. Findings show Course were largely positive generally successful achieving 5 purposes (ie, informing, comforting, modeling, engaging, persuading) proposed Zikmund-Fisher. Client identified 3 tangible areas for story improvement: characters, content, delivery. Each area highlights need potential benefits development. Not all engaged with stories, though, so results must be interpreted caution. Overall, adds growing body supporting internet-delivered interventions ClinicalTrials.gov NCT04127032; https://www.clinicaltrials.gov/ct2/show/NCT04127032

Язык: Английский

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Case Stories in Internet-Delivered Cognitive Behavioral Therapy for Public Safety Personnel: A Mixed-Methods Study (Preprint)

JMIR Formative Research, Год журнала: 2024, Номер 8, С. e64454 - e64454

Опубликована: Сен. 20, 2024

Background Internet-delivered cognitive behavioral therapy (ICBT) is an effective and convenient means of offering to the general population. To increase access ICBT among Canadian public safety personnel (PSP)—a group that experiences elevated rates mental health concerns barriers care—a clinical research unit called PSPNET has tailored PSP, primarily through case stories PSP-specific examples within program. PSPNET’s first most frequently used program, PSP Wellbeing Course, been found reduce symptoms disorders (eg, anxiety, depression, posttraumatic stress) PSP. Little research, however, investigated clients’ perceptions in this course. Objective This study was designed expand literature on use evaluation Specifically, (1) PSP’s using theoretical model provided by Shaffer Zikmund-Fisher (2) feedback Course. Methods included 41 clients who completed Of these, 27 a bespoke questionnaire Stories Questionnaire, 10 whom also participated semistructured interview. Results Findings show Course were largely positive generally successful achieving 5 purposes (ie, informing, comforting, modeling, engaging, persuading) proposed Zikmund-Fisher. Client identified 3 tangible areas for story improvement: characters, content, delivery. Each area highlights need potential benefits development. Not all engaged with stories, though, so results must be interpreted caution. Conclusions Overall, adds growing body supporting internet-delivered interventions Trial Registration ClinicalTrials.gov NCT04127032; https://www.clinicaltrials.gov/ct2/show/NCT04127032

Язык: Английский

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