Outcomes of transdiagnostic internet-delivered cognitive behavioural therapy tailored to public safety personnel: A longitudinal observational study

Journal of Anxiety Disorders, Год журнала: 2024, Номер 104, С. 102861 - 102861

Опубликована: Апрель 12, 2024

First responders and other public safety personnel (PSP) experience high rates of mental health problems face barriers to accessing healthcare. Internet-delivered cognitive behavioural therapy (ICBT) is an effective accessible treatment for various concerns. Canadian PSP report favorable attitudes toward ICBT, preliminary outcomes demonstrate that they benefit from it. Expanding on this research, the current study consisted a longitudinal observational 560 who participated in ICBT. It was designed assess longer term effectiveness ICBT moderators by gender, linguistic occupational group, years experience. We evaluated symptom change at 8, 26, 52 weeks post-enrollment, results among had elevated clinical scores, showed large reductions (Hedges' g) symptoms depression (g = 1.3), anxiety =1.48), posttraumatic stress =1.24), panic =1.19), anger =1.07) moderate social =.48-.56). Moderator analyses revealed modest differences pre-treatment certain groups but no group over time. Clients good completion materials reported satisfaction. The suggest further tailored warranted, including evaluating countries.

Язык: Английский

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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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Perceptions of client stories in internet-delivered cognitive behaviour therapy: A mixed-methods evaluation

Internet Interventions, Год журнала: 2023, Номер 34, С. 100692 - 100692

Опубликована: Ноя. 25, 2023

Internet-delivered Cognitive-Behavioural Therapy (ICBT) aims to support people with mental health concerns using online treatment materials. Client stories (either real or a composite based on many clients) are often used in ICBT facilitate learning. However, these remain understudied terms of how they perceived by clients, as well their relationship engagement, satisfaction, and outcomes. Among sample 324 clients enrolled transdiagnostic targeting symptoms depression anxiety, we examined client perceptions through mixed-method qualitative (open-ended) quantitative (closed-ended) data collection. Specifically, 234 (72.22 %) responded questions about at 4 weeks 221 (68.21 8 weeks. Most who endorsed reviewing least some (79.06 % weeks, 71.95 weeks). Moreover, rated positively being relatable, making feel less alone, increasing knowledge, providing ideas for use skills, motivating skills. These remained stable over the course treatment. Stories were more among those lower symptom severity satisfied Story predictive decreased post-treatment anxiety but not while controlling baseline scores, age, education. 26.49 reviewed 33.33 provided suggestions improve stories. In analysis, found 5 categories including variety issues relatability stories, ensuring realistic, refining formatting, shorter. Overall, this study provides insights into could be improved play significant role future programs.

Язык: Английский

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PSPNET Families Wellbeing Hub: A preliminary evaluation of online upstream supports for public safety personnel families

Journal of Military Veteran and Family Health, Год журнала: 2024, Номер 10(2), С. 150 - 158

Опубликована: Апрель 1, 2024

LAY SUMMARY Public safety personnel (PSP) families face unique challenges tied to the job’s occupational risks and requirements. These can often spill over into home life, affecting day-to-day unfolding of schedules, sleep, mood, activities, relationships. The impact this spillover family life has not received much attention in research or practice. What makes PSP is combination logistics, risks, identities associated with job. project team created an online well-being hub tailored those factors for families. website offers information pages, strategy skill-building exercises, a self-directed, Internet-delivered cognitive-behavioural therapy course. was launched December 2022, wanted gauge its impact. This article contains preliminary assessment Google Analytics, social media posts, semi-structured interviews. Findings show site resonates members’ experiences, that there need site, users find connection content. will continue be refined based on feedback, do more about impacts.

Язык: Английский

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Strategies for Coping with Occupational Trauma: A Scoping Review of the Police Officer Context

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(7), С. 921 - 921

Опубликована: Июль 15, 2024

Background: Occupational trauma is heightened among police officers due to their exposure physical, biological, chemical, and psychological hazards. Sustained occupational results in mental illness members of the police, which a public health issue concern. This study aimed report scoping review literature on strategies employed by for coping with around globe. Methods: A search string, formulated from question what known about trauma, was used articles databases. total 588 hits were screened against inclusion criteria, resulting 36 full-text studies between 1983 2022 being included this review. Data extracted using standardised data extraction tool. The multi-step process analyse data, integrating quantitative qualitative approaches. Results: From review, ‘adaptive mechanisms’, involving confrontation; ‘maladaptive such as self-isolation, distancing substance use; ‘resilience’, relating preparation, ‘seeking support systems’ family, colleagues professionals reflected cope trauma. Social stigma related disorders impacts Conclusions: management healthcare practitioners must collaborate towards providing constructive environments that strengthen officers’

Язык: Английский

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Internet-Delivered Cognitive Behavioral Therapy Tailored to Spouses and Significant Others of Public Safety Personnel: Formative Evaluation Study

JMIR Formative Research, Год журнала: 2023, Номер 7, С. e51088 - e51088

Опубликована: Сен. 27, 2023

Background Spouses and significant others (SSOs) of public safety personnel (PSP) are affected by the risks requirements these occupations. Internet-delivered cognitive behavioral therapy (ICBT) provides a convenient accessible treatment format that can be tailored to needs SSOs PSP. Objective This study aimed assess initial use client perceptions (eg, likes, helpfulness, areas for improvement) self-guided, transdiagnostic ICBT course designed Canadian PSP identify opportunities further tailor this group. Methods were invited complete 5-lesson, course. Descriptive statistics used analyze demographic clinical characteristics participants. Content analysis was data from open-ended survey responses interviews understand their experiences with ICBT. Results Clients (N=118) endorsed various mental health concerns depression, anxiety, posttraumatic stress symptoms, relationship concerns) range severity levels. Most clients identified as White (110/116, 94.8%) women (108/116, 91.5%), mean age 42.03 (SD 9.36) years. Of 26 who interviewed, 89% (23/26) reported believing is helpful 92% (24/26) finding at least 1 skill helpful. provided suggestions improvements. On basis feedback quantitative data, changes made such delivery materials, content, case stories, timelines. Overall, results indicated many had positive found several aspects helpful, supporting continued population. However, there remains need promotion outreach diverse groups Conclusions Findings formative evaluation provide insight into unique preliminary evidence support group in Canada.

Язык: Английский

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Examining how organizational leaders perceive internet-delivered cognitive behavioural therapy for public safety personnel using the RE-AIM implementation framework

Internet Interventions, Год журнала: 2024, Номер 35, С. 100718 - 100718

Опубликована: Янв. 26, 2024

Within Canada, internet-delivered cognitive behavioural therapy (ICBT) has recently been tailored by PSPNET to meet the needs of public safety personnel (PSP) help address high rates mental health problems within this population. Perceptions and outcomes ICBT among PSP are promising, but it remains unknown how is perceived organizational leaders. It important assess gap because these leaders have significant potential influence uptake ICBT. In current study, (n = 10) were interviewed examine their perceptions opportunities improve implementation. The RE-AIM evaluation framework was used leaders' in terms reach, effectiveness, adoption, implementation, maintenance. results evidenced that as effective reaching serving organizations. reported perceiving effectively implemented, especially for being freely offered individual improving PSP's access experienced therapists specifically trained work with PSP. Participants indicated organizations promoted will continue promoting longer-term, facilitating adoption Factors successful service delivery included building relationships trust general support leadership initiatives. identified areas implementation (e.g., ensuring data on outcomes, creating promotional videos, expanding availability other provinces, offering additional options receiving therapist support). Overall, study provides insights into ideas optimizing efforts.

Язык: Английский

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Web-Based Mindfulness Meditation as an Adjunct to Internet-Delivered Cognitive Behavioral Therapy for Public Safety Personnel: Mixed Methods Feasibility Evaluation Study

JMIR Formative Research, Год журнала: 2024, Номер 8, С. e54132 - e54132

Опубликована: Янв. 30, 2024

Background Public safety personnel (PSP) are individuals who work to ensure the and security of communities (eg, correctional workers, firefighters, paramedics, police officers). PSP have a high risk developing mental disorders face unique barriers traditional health treatments. The Wellbeing Course is transdiagnostic, internet-delivered cognitive behavioral therapy (iCBT) course tailored assist with symptoms depression, anxiety, posttraumatic stress disorder (PTSD). initial outcomes promising, but some clients report challenges learning skills recommend adding additional resources. Mindfulness meditations, which help people experience world their reactions in open nonjudgmental ways, may complement existing Course. Objective This study aims examine feasibility mindfulness meditations iCBT for PSP. Information was gathered evaluate engagement client experiences symptom change, relationship between meditation use change. Methods A mixed methods conducted on enrolled were offered 5 during program (ie, 1/lesson). Clients completed questionnaires PTSD, anger, insomnia, resilience, at pretreatment 8 weeks; an 8-week treatment satisfaction questionnaire; brief weekly measures engagement. We used paired sample t tests (2-tailed) assess changes over time partial correlations whether predicted posttreatment. total 12 interviewed about perceptions interviews analyzed using directed content analysis. Results Among 40 enrolled, 27 (68%) reported practicing average 4.8 (SD 8.1) minutes each week. Most interviewees described as beneficial also challenges, such discomfort while sitting feelings. provided suggestions better integration into iCBT. Overall, experienced statistically significant improvements anxiety (P=.001), depression PTSD anger (P=.001) not insomnia (P=.02). resilience (P=.01) (P=.001). Self-reported spent meditating associated time. Conclusions provides new insight It demonstrates iCBT, revealing that some, all, engaged benefits. inconsistently meditations. Improvements can be made integrate including offering optional resource, providing more psychoeducation managing shorter

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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