A feasibility trial of an internet-delivered psychological intervention to manage mental health and functional outcomes in neurological disorders.
- Publisher:
- Elsevier BV
- Publication Type:
- Journal Article
- Citation:
- Journal of psychosomatic research, 2020, 136
- Issue Date:
- 2020-09
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Gandy, M | |
dc.contributor.author | Karin, E | |
dc.contributor.author |
McDonald, S https://orcid.org/0000-0001-8872-4852 |
|
dc.contributor.author | Meares, S | |
dc.contributor.author | Scott, AJ | |
dc.contributor.author | Titov, N | |
dc.contributor.author | Dear, BF | |
dc.date.accessioned | 2021-05-10T01:39:24Z | |
dc.date.available | 2020-06-08 | |
dc.date.available | 2021-05-10T01:39:24Z | |
dc.date.issued | 2020-09 | |
dc.identifier.citation | Journal of psychosomatic research, 2020, 136 | |
dc.identifier.issn | 0022-3999 | |
dc.identifier.issn | 1879-1360 | |
dc.identifier.uri | http://hdl.handle.net/10453/148794 | |
dc.description.abstract | <h4>Objective</h4>Mental health and cognitive difficulties are highly prevalent across neurological disorders and significantly contribute to poorer patient outcomes. Unfortunately, access to effective psychological services for these comorbidities are limited. To determine whether a novel transdiagnostic internet-delivered psychological intervention, the Wellbeing Neuro Course, was feasible, acceptable and efficacious a single-group feasibility open trial was employed.<h4>Methods</h4>The Wellbeing Neuro Course, targets mental health and cognitive difficulties, across a variety of neurological disorders. It is comprised of six online lessons, based on Cognitive Behavioural Therapy and Compensatory Cognitive Rehabilitation, delivered over 10 weeks and provided with weekly support from a mental health professional via email and telephone. 105 adults with diagnoses of either epilepsy, multiple sclerosis, Parkinson's disease and/or acquired brain injury, underwent the intervention.<h4>Results</h4>The intervention was found to be highly acceptable with high intervention completion and levels of satisfaction (>95%). There was evidence of clinically significant improvements in primary outcomes (within-group Cohen's d; average reductions) of depression (d = 0.93; avg. reduction ≥36%), anxiety (ds = 0.66, avg. reduction ≥36%), and disability (ds ≥ 0.49; avg. reduction ≥23%) at post-intervention, maintained at 3-month follow-up. For secondary outcomes there were significant improvements in fatigue severity and perceived cognitive difficulties of attention, planning and prospective memory. Findings were achieved with minimal clinician time, highlighting its public health potential.<h4>Conclusion</h4>This open trial provides preliminary evidence the Wellbeing Neuro Course is acceptable and reduces symptoms of depression, anxiety and disability in neurological disorders. Future controlled trials of the intervention are now needed.<h4>Trial registration</h4>ACTRN12617000581369. | |
dc.format | Print-Electronic | |
dc.language | eng | |
dc.publisher | Elsevier BV | |
dc.relation.ispartof | Journal of psychosomatic research | |
dc.relation.isbasedon | 10.1016/j.jpsychores.2020.110173 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences | |
dc.subject.classification | Psychiatry | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Cognitive Behavioral Therapy | |
dc.subject.mesh | Comorbidity | |
dc.subject.mesh | Feasibility Studies | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Internet-Based Intervention | |
dc.subject.mesh | Male | |
dc.subject.mesh | Mental Health | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Nervous System Diseases | |
dc.subject.mesh | Psychosocial Intervention | |
dc.subject.mesh | Treatment Outcome | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Nervous System Diseases | |
dc.subject.mesh | Treatment Outcome | |
dc.subject.mesh | Feasibility Studies | |
dc.subject.mesh | Mental Health | |
dc.subject.mesh | Comorbidity | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Cognitive Behavioral Therapy | |
dc.subject.mesh | Internet-Based Intervention | |
dc.subject.mesh | Psychosocial Intervention | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Cognitive Behavioral Therapy | |
dc.subject.mesh | Comorbidity | |
dc.subject.mesh | Feasibility Studies | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Internet-Based Intervention | |
dc.subject.mesh | Male | |
dc.subject.mesh | Mental Health | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Nervous System Diseases | |
dc.subject.mesh | Psychosocial Intervention | |
dc.subject.mesh | Treatment Outcome | |
dc.subject.mesh | Young Adult | |
dc.title | A feasibility trial of an internet-delivered psychological intervention to manage mental health and functional outcomes in neurological disorders. | |
dc.type | Journal Article | |
utslib.citation.volume | 136 | |
utslib.location.activity | England | |
utslib.for | 11 Medical and Health Sciences | |
utslib.for | 17 Psychology and Cognitive Sciences | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/Graduate School of Health | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology | |
utslib.copyright.status | closed_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2021-05-10T01:39:22Z | |
pubs.publication-status | Published | |
pubs.volume | 136 |
Abstract:
Objective
Mental health and cognitive difficulties are highly prevalent across neurological disorders and significantly contribute to poorer patient outcomes. Unfortunately, access to effective psychological services for these comorbidities are limited. To determine whether a novel transdiagnostic internet-delivered psychological intervention, the Wellbeing Neuro Course, was feasible, acceptable and efficacious a single-group feasibility open trial was employed.Methods
The Wellbeing Neuro Course, targets mental health and cognitive difficulties, across a variety of neurological disorders. It is comprised of six online lessons, based on Cognitive Behavioural Therapy and Compensatory Cognitive Rehabilitation, delivered over 10 weeks and provided with weekly support from a mental health professional via email and telephone. 105 adults with diagnoses of either epilepsy, multiple sclerosis, Parkinson's disease and/or acquired brain injury, underwent the intervention.Results
The intervention was found to be highly acceptable with high intervention completion and levels of satisfaction (>95%). There was evidence of clinically significant improvements in primary outcomes (within-group Cohen's d; average reductions) of depression (d = 0.93; avg. reduction ≥36%), anxiety (ds = 0.66, avg. reduction ≥36%), and disability (ds ≥ 0.49; avg. reduction ≥23%) at post-intervention, maintained at 3-month follow-up. For secondary outcomes there were significant improvements in fatigue severity and perceived cognitive difficulties of attention, planning and prospective memory. Findings were achieved with minimal clinician time, highlighting its public health potential.Conclusion
This open trial provides preliminary evidence the Wellbeing Neuro Course is acceptable and reduces symptoms of depression, anxiety and disability in neurological disorders. Future controlled trials of the intervention are now needed.Trial registration
ACTRN12617000581369.Please use this identifier to cite or link to this item:
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