Examining how organizational leaders perceive internet-delivered cognitive behavioural therapy for public safety personnel using the RE-AIM implementation framework DOI Creative Commons
Janine D. Beahm, Hugh C McCall, R. Nicholas Carleton

и другие.

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

Outcomes of transdiagnostic internet-delivered cognitive behavioural therapy tailored to public safety personnel: A longitudinal observational study DOI Creative Commons
Heather D. Hadjistavropoulos, Hugh C McCall, Blake F. Dear

и другие.

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

Процитировано

8
Optimization of Internet-Delivered Cognitive Behavioral Therapy for Canadian Leaders Within Public Safety: Qualitative Study (Preprint) DOI
Jill A. B. Price, Hugh C McCall,

Sam A Demyen

и другие.

Опубликована: Фев. 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

Язык: Английский

Процитировано

0
Optimization of Internet-Delivered Cognitive Behavioral Therapy for Canadian Leaders Within Public Safety: Qualitative Study DOI Creative Commons
Jill A. B. Price, Hugh C McCall,

Sam A Demyen

и другие.

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

Процитировано

0
Examining how organizational leaders perceive internet-delivered cognitive behavioural therapy for public safety personnel using the RE-AIM implementation framework DOI Creative Commons
Janine D. Beahm, Hugh C McCall, R. Nicholas Carleton

и другие.

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

Процитировано

1