The Chronic Conditions Course: A Randomised Controlled Trial of an Internet-Delivered Transdiagnostic Psychological Intervention for People with Chronic Health Conditions.

Dear, BF; Scott, AJ; Fogliati, R; Gandy, M; Karin, E; Dudeney, J; Nielssen, O; McDonald, S; Heriseanu, AI; Bisby, MA; Sharpe, L; Jones, MP; Ali, S; Titov, N

The Chronic Conditions Course: A Randomised Controlled Trial of an Internet-Delivered Transdiagnostic Psychological Intervention for People with Chronic Health Conditions.

Dear, BF Scott, AJ Fogliati, R Gandy, M Karin, E Dudeney, J Nielssen, O McDonald, S

Heriseanu, AI Bisby, MA Sharpe, L Jones, MP Ali, S Titov, N

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Publisher:: Karger Publishers
Publication Type:: Journal Article
Citation:: Psychotherapy and Psychosomatics, 2022, 91, (4), pp. 265-276
Issue Date:: 2022

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Field	Value	Language
dc.contributor.author	Dear, BF
dc.contributor.author	Scott, AJ
dc.contributor.author	Fogliati, R
dc.contributor.author	Gandy, M
dc.contributor.author	Karin, E
dc.contributor.author	Dudeney, J
dc.contributor.author	Nielssen, O
dc.contributor.author	McDonald, S https://orcid.org/0000-0001-8872-4852
dc.contributor.author	Heriseanu, AI
dc.contributor.author	Bisby, MA
dc.contributor.author	Sharpe, L
dc.contributor.author	Jones, MP
dc.contributor.author	Ali, S
dc.contributor.author	Titov, N
dc.date.accessioned	2022-11-30T04:46:44Z
dc.date.available	2022-02-06
dc.date.available	2022-11-30T04:46:44Z
dc.date.issued	2022
dc.identifier.citation	Psychotherapy and Psychosomatics, 2022, 91, (4), pp. 265-276
dc.identifier.issn	0033-3190
dc.identifier.issn	1423-0348
dc.identifier.uri	http://hdl.handle.net/10453/163929
dc.description.abstract	INTRODUCTION: Psychological adjustment to chronic health conditions is important, as poor adjustment predicts a range of adverse medical and psychosocial outcomes. Psychological treatments demonstrate efficacy for people with chronic health conditions, but existing research takes a disorder-specific approach and they are predominately delivered in face-to-face contexts. The internet and remotely delivered treatments have the potential to overcome barriers to accessing traditional face-to-face treatment. OBJECTIVE: The current study examined the efficacy and acceptability of an internet-delivered transdiagnostic psychological intervention to promote adjustment to illness, based on cognitive behaviour therapy principles. METHODS: In a two-arm randomised controlled trial, participants (n = 676) were randomly allocated to the 8-week intervention or a waitlist control. Treatment included five core lessons, homework tasks, additional resources, and weekly contact with a psychologist. Primary outcomes included depression, anxiety, and disability, assessed at pre-treatment, post-treatment, 3-month follow-up, and 12-month follow-up. RESULTS: The treatment group reported significantly greater improvements in depression (between-groups d = 0.47), anxiety (d = 0.32), and disability (d = 0.17) at post-treatment (all ps <0.001). Improvements were sustained over the 3-month and 12-month follow-ups. High treatment completion rates (69%) and levels of satisfaction (86%) were reported by participants in treatment. The intervention required a mean clinician time of 56.70 min per participant. CONCLUSIONS: The findings provide preliminary and tentative support for the potential of internet-delivered transdiagnostic interventions to promote adjustment to chronic health conditions. Further research using robust control groups, and exploring the generalisability of findings, is needed before firm conclusions can be drawn.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Karger Publishers
dc.relation.ispartof	Psychotherapy and Psychosomatics
dc.relation.isbasedon	10.1159/000522530
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1701 Psychology
dc.subject.classification	Psychiatry
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Depression
dc.subject.mesh	Humans
dc.subject.mesh	Internet
dc.subject.mesh	Internet-Based Intervention
dc.subject.mesh	Psychosocial Intervention
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Depression
dc.subject.mesh	Humans
dc.subject.mesh	Internet
dc.subject.mesh	Internet-Based Intervention
dc.subject.mesh	Psychosocial Intervention
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Humans
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Depression
dc.subject.mesh	Internet
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Internet-Based Intervention
dc.subject.mesh	Psychosocial Intervention
dc.title	The Chronic Conditions Course: A Randomised Controlled Trial of an Internet-Delivered Transdiagnostic Psychological Intervention for People with Chronic Health Conditions.
dc.type	Journal Article
utslib.citation.volume	91
utslib.location.activity	Switzerland
utslib.for	1701 Psychology
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	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-30T04:46:42Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	91
utslib.citation.issue	4

Abstract:

INTRODUCTION: Psychological adjustment to chronic health conditions is important, as poor adjustment predicts a range of adverse medical and psychosocial outcomes. Psychological treatments demonstrate efficacy for people with chronic health conditions, but existing research takes a disorder-specific approach and they are predominately delivered in face-to-face contexts. The internet and remotely delivered treatments have the potential to overcome barriers to accessing traditional face-to-face treatment. OBJECTIVE: The current study examined the efficacy and acceptability of an internet-delivered transdiagnostic psychological intervention to promote adjustment to illness, based on cognitive behaviour therapy principles. METHODS: In a two-arm randomised controlled trial, participants (n = 676) were randomly allocated to the 8-week intervention or a waitlist control. Treatment included five core lessons, homework tasks, additional resources, and weekly contact with a psychologist. Primary outcomes included depression, anxiety, and disability, assessed at pre-treatment, post-treatment, 3-month follow-up, and 12-month follow-up. RESULTS: The treatment group reported significantly greater improvements in depression (between-groups d = 0.47), anxiety (d = 0.32), and disability (d = 0.17) at post-treatment (all ps <0.001). Improvements were sustained over the 3-month and 12-month follow-ups. High treatment completion rates (69%) and levels of satisfaction (86%) were reported by participants in treatment. The intervention required a mean clinician time of 56.70 min per participant. CONCLUSIONS: The findings provide preliminary and tentative support for the potential of internet-delivered transdiagnostic interventions to promote adjustment to chronic health conditions. Further research using robust control groups, and exploring the generalisability of findings, is needed before firm conclusions can be drawn.

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http://hdl.handle.net/10453/163929