ASSESSING THE TAKE UP AND ACCEPTABILITY OF A SELF-HELP ROOM USED BY PATIENTS AWAITING THEIR INITIAL OUTPATIENT APPOINTMENT

2001 ◽  
Vol 29 (3) ◽  
pp. 333-343 ◽  
Author(s):  
Graeme E. Whitfield ◽  
Chris J. Williams ◽  
David A. Shapiro
Keyword(s):  
Psychological Health ◽  
General Health Questionnaire ◽  
The Self ◽  
Waiting List ◽  
Dysfunctional Attitudes ◽  
Control Group ◽  
Low Mood ◽  
Self Help ◽  
Group Data ◽  
Scale Scores

This open study measured the proportion of routine referrals from primary care to a psychiatric sector team with symptoms of anxiety and/or low mood who chose to take up the option of attending a self-help room to use the CBT self-help manual Mind over mood during a 6-week waiting list period. It assessed changes in psychological health, dysfunctional attitudes and degree of hopelessness during the period of use of the self-help manual, as well as patient satisfaction with it. Twenty-two of 42 consecutive referrals attended the room (mean 3.55 sessions – SD 1.71). The Beck Hopelessness Scale (BHS), the General Health Questionnaire (GHQ), and Dysfunctional Attitudes Scale (DAS), as well as measures of patient participation and satisfaction, were completed at the beginning and end of the 6-week period for those patients who attended the room. All three scale scores fell significantly over the study period, and the DAS and BHS scores at 6 weeks were negatively correlated with the number of sessions attended. The patients generally judged that the self-help intervention was acceptable and effective, and that their knowledge in a number of key areas had been improved. Conclusions regarding effectiveness are limited by the absence of control group data; nonetheless, this study does suggest that the provision of a self-help room containing Mind over mood is useful for patients with anxiety and low mood on a waiting list for a psychiatric outpatient assessment.

scholarly journals EFFECT OF COMMUNITY PARTICIPATION ON KNOWLEDGE OF SELECTED VECTOR BORNE DISEASES AMONG THE SELF HELP GROUPS

2014 ◽  
Vol 04 (03) ◽  
pp. 015-018
Author(s):  
Neethu Maria Babu ◽  
Shashidara Y N. ◽  
Keyword(s):  
Community Participation ◽  
The Self ◽  
Control Group ◽  
Research Approach ◽  
Vector Borne Diseases ◽  
Self Help ◽  
Post Test ◽  
Vector Borne ◽  
Self Help Groups ◽  
Health Teaching

AbstractThe study is conducted to assess the effect of community participation on knowledge of selected vector borne diseases among the self help groups. The sample include eight self help groups having 10 members each, with 40 in the experimental and control group each. Research approach was quantitative-evaluative approach and design used was quasi experimental pre test post test control group design. The study was carried out in two phases. In the first phase, the health teaching by the researcher was given to selected members of self help groups with a duration of 45 minutes and in the phase 2, these trained members gave health teaching to the other members of the self help groups. A leaflet was given to the control group. The post test knowledge was assessed over a period of 7 to 9 days after the intervention in both the phases. The community participation has found to be effective with a p value of.001. The study concluded that the community participation was effective in terms of knowledge gain.

scholarly journals Evaluation of a Novel Psychological Intervention Tailored for Patients With Early Cognitive Impairment (PIPCI): Study Protocol of a Randomized Controlled Trial

2020 ◽  
Vol 11 ◽  
Author(s):  
Urban Ekman ◽  
Mike K. Kemani ◽  
John Wallert ◽  
Rikard K. Wicksell ◽  
Linda Holmström ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Active Control ◽  
Psychological Health ◽  
Early Phase ◽  
Psychological Intervention ◽  
Controlled Trial ◽  
Waiting List ◽  
Control Group ◽  
Active Control Group ◽  
Randomized Controlled

BackgroundIndividuals with early phase cognitive impairment are frequently affected by existential distress, social avoidance and associated health issues (including symptoms of stress, anxiety, and depression). The demand for efficient psychological support is crucial from both an individual and a societal perspective. We have developed a novel psychological intervention (Psychological Intervention tailored for Patients with Cognitive Impairment, PIPCI) manual for providing a non-medical path to enhanced psychological health in the cognitively impaired population. The current article provides specific information on the randomized controlled trial (RCT)-design and methods. The main hypothesis is that participants receiving PIPCI will increase their psychological flexibility (the ability to notice and accept interfering thoughts, emotions, and bodily sensations without acting on them, when this serves action in line with personal values) compared to participants in the active control (cognitive training) group and the waiting list control group. The secondary hypotheses are that participants receiving PIPCI will improve psychological health (stress measures, quality of life, depression, and general health) compared to participants in the active control group and the waiting list control group.Materials and MethodsThis three-arm RCT will recruit participants from the cognitive centers at Karolinska University Hospital in Stockholm and randomize approximately 120 individuals in the early phase of cognitive impairment to either an experimental group (psychological intervention once a week for 10 weeks), an active control group (cognitive training once a week for 10 weeks) or a waiting list control group. Intervention outcome will be evaluated with self-report questionnaires on physical and psychological aspects of health, cognitive assessment, biological markers (obtained from blood and saliva) and health care costs. Assessments will be performed at pre- (1 week before the interventions) and post-intervention (1 week after the interventions), as well as at a 6-month follow-up.DiscussionThe development of a potentially feasible and effective psychological intervention tailored for early phase cognitive impairment (PIPCI) has the potential to advance the non-pharmacological intervention field. This is especially important given the extensive burden for many affected individuals and their families and the current lack of effective treatments. If the psychological intervention discussed here shows feasibility and efficacy, there is potential for far-reaching healthcare implications for patients with early cognitive impairment at risk of developing dementia.Clinical Trial RegistrationClinicalTrials.gov: NCT04356924. Date of registration: April 22, 2020. URL: https://clinicaltrials.gov/ct2/show/NCT04356924.

A Brief Report on the Evaluation of a Pain Self-Management Program for Older Adults

2012 ◽  
Vol 26 (2) ◽  
pp. 157-168 ◽  
Author(s):  
Clair Barefoot ◽  
Thomas Hadjistavropoulos ◽  
R. Nicholas Carleton ◽  
James Henry
Keyword(s):  
Older Adults ◽  
Chronic Pain ◽  
Pain Management ◽  
Behavioral Therapy ◽  
Management Program ◽  
The Self ◽  
Self Management ◽  
Control Group ◽  
Self Help ◽  
Professional Intervention

Chronic pain is often resistant to traditional medical management and other types of professional intervention. As such, several investigators have conducted studies of pain self-management programs. These self-management programs, however, were often led by therapists and shared much in common with traditional cognitive behavioral therapy (CBT); the efficacy of which, despite some inconsistencies, is largely supported in the literature. Although, like CBT, many therapist led programs involve a component of self-management in the form of “homework assignments,” it is important to evaluate the effectiveness of pain self-management, which is not therapist led. Within the context of controlled investigation, we evaluated a pain self-management program that involved use of a comprehensive self-help pain management book for older adults. Contrary to expectation, we did not identify any differences in the outcomes observed in the self-help patient group as compared to the control group (i.e., participants who did not receive the pain management book until after the study was completed) despite a great deal of satisfaction with the manualized program that was expressed by the participants. The implications of these findings are discussed.

A transdiagnostic self-help guide for anxiety: two preliminary controlled trials in subclinical student samples

2011 ◽  
Vol 4 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Clare Dixon ◽  
Warren Mansell ◽  
Elizabeth Rawlinson ◽  
Alisha Gibson
Keyword(s):  
Additional Treatment ◽  
Waiting List ◽  
Control Group ◽  
Depression And Anxiety ◽  
Current State ◽  
Self Help ◽  
General Psychological Distress ◽  
And Coping ◽  
Experimental Group ◽  
Modest Effect

AbstractSelf-help therapies, such as bibliotherapy, are becoming increasingly more available to the general population as a treatment for psychological disorders, such as depression and anxiety. However, relatively few of these self-help books are properly evaluated to test their treatment efficacy. Two studies aimed to test a new self-help book to treat fears, phobias and anxiety in order to see if symptoms of anxiety and associated symptoms, such as functioning and coping, were improved compared to baseline scores and a waiting-list control group. Study 1 adopted a minimal guided approach (experimental group: n = 25; waiting-list control group: n = 29) whereas Study 2 adopted a non-guided approach (experimental group: n = 17; waiting-list control group: n = 16). In both studies, functioning and coping were improved and the current state of phobic symptoms was reduced. The main phobia improved only when adopting a guided approach and general psychological distress only reduced when adopting a non-guided approach. These studies provide preliminary support for a modest effect in a subclinical population. The results could have good implications for the treatment of anxiety and the use of self-help methods as an additional treatment aid or as a preventative treatment.

scholarly journals Self-compassion to decrease performance anxiety in climbers: A randomized control trial

2021 ◽  
Vol 6 ◽  
pp. 004
Author(s):  
Philipp Röthlin ◽  
Romaine Leiggener
Keyword(s):  
Randomized Control Trial ◽  
Performance Anxiety ◽  
Intervention Group ◽  
Physical Symptoms ◽  
The Self ◽  
Waiting List ◽  
Control Group ◽  
Self Compassion ◽  
Randomized Control ◽  
Post Assessment

In climbing, anxiety may impair performance. Using an evolutionary approach, we hypothesized that athletes who treat themselves with self-compassion activate their contentment and soothing system and thus reduce their performance anxiety. A two-week randomized control trial was used to investigate the effect of self-compassion on somatic and cognitive anxiety. We compared two groups (intervention and waiting list) on two dates. Sixty climbers (Mage = 27.95, SDage = 8.57) completed the pre- and post-assessment. The intervention consisted of a psychoeducational leaflet and five self-compassionate writing tasks. In the posttest, the self-compassion intervention group showed increased self-compassion (F = 4.33, p = .04, ηp2 = 0.07) and decreased somatic performance anxiety (F = 6.24, p = .02, ηp2 = 0.10) compared to the waiting list control group. We found no changes in cognitive performance anxiety. The results suggest that self-compassion could be considered as a possible intervention to reduce physical symptoms of performance anxiety.

scholarly journals Internet-Based Cognitive Behavioral Therapy for Adults With ADHD in Outpatient Psychiatric Care

2016 ◽  
Vol 21 (6) ◽  
pp. 508-521 ◽  
Author(s):  
Richard Pettersson ◽  
Staffan Söderström ◽  
Kerstin Edlund-Söderström ◽  
Kent W. Nilsson
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Adult Adhd ◽  
Behavioral Therapy ◽  
Waiting List ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Control Group ◽  
Self Help ◽  
Significant Difference

Objective: The purpose of the study was to evaluate an Internet-based cognitive behavioral therapy (iCBT) program targeting difficulties and impairments associated with adult ADHD. Method: Forty-five adults diagnosed with ADHD were randomized to either self-help (iCBT self-help format [iCBT-S]), self-help with weekly group sessions (iCBT group-therapy format [iCBT-G]), or a waiting-list control group. Treatment efficacy was measured at pre- and posttreatment and at 6-month follow-up. Results: Intention-to-treat (ITT) analysis showed a significant reduction in ADHD symptoms for the iCBT-S group in comparison with the waiting-list controls at posttreatment, with a between-group effect size of d = 1.07. The result was maintained at 6-month follow-up. No significant difference was found at posttreatment or 6-month follow-up between the iCBT-S and iCBT-G groups. Conclusion: The findings show that a CBT treatment program administered through the Internet can be a promising treatment for adult ADHD. Limitations of the study design and directions for future research are discussed.

The clinical effectiveness of guided self-help versus waiting-list control in the management of anxiety and depression: a randomized controlled trial

2005 ◽  
Vol 35 (11) ◽  
pp. 1633-1643 ◽  
Author(s):  
NICOLA MEAD ◽  
WENDY MacDONALD ◽  
PETER BOWER ◽  
KARINA LOVELL ◽  
DAVID RICHARDS ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Clinical Effectiveness ◽  
Psychological Therapy ◽  
Waiting List ◽  
Anxiety And Depression ◽  
Control Group ◽  
Depression Symptoms ◽  
Self Help ◽  
The Uk ◽  
Internal And External Validity

Background. There are significant barriers to accessing effective psychological therapy in primary care resulting from a lack of suitably trained therapists to meet current demand. More efficient service delivery using minimal interventions (such as bibliotherapy) provided by paraprofessional therapists may be one method of overcoming these problems, and is the subject of attention in the UK and elsewhere. A randomized trial was conducted to test the clinical effectiveness of this model. Assistant psychologists delivered a guided self-help intervention to patients with anxiety and depression who were currently waiting for psychological therapy.Method. A total of 114 patients were randomized either to guided self-help or a waiting-list control group. All patients were followed up 3 months later, prior to starting conventional psychological therapy. Measures included self-reported adherence to the intervention, anxiety and depressive symptoms, social functioning and patient satisfaction.Results. Adherence to the guided self-help intervention was acceptable and patients reported satisfaction with the intervention. However, there were no statistically significant differences between groups in anxiety and depression symptoms at 3 months.Conclusions. The results demonstrate that this model of guided self-help did not provide additional benefit to patients on a waiting list for psychological therapy. The results are considered in the context of possible internal and external validity threats, and compared with previous trials of minimal interventions. The implications of the results for the design of future minimal interventions are considered.

The health effects of peace-keeping in the UK Armed Forces: Bosnia 1992–1996. Predictors of psychological symptoms

2002 ◽  
Vol 33 (1) ◽  
pp. 155-162 ◽  
Author(s):  
M. HOTOPF ◽  
A. S. DAVID ◽  
L. HULL ◽  
K. ISMAIL ◽  
I. PALMER ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Effects ◽  
Psychological Health ◽  
General Health Questionnaire ◽  
Armed Forces ◽  
Control Group ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Lower Rank ◽  
Stress Symptoms

Background. Peace-keeping duties are associated with unique stresses for military personnel. There have been few reports on the effects of peace-keeping on psychological health.Method. We used data from a cross-sectional study originally established to examine health effects of service in the Gulf War, which included a control group who had been deployed in Bosnia (N=2049). This group was examined to establish which demographic, occupational, and deployment-related risk factors were associated with psychological distress measured on the General Health Questionnaire (GHQ-12) and stress symptoms akin to a post-traumatic stress reactions.Results. The main risk factors for stress symptoms in the Bosnia group were – lower rank, being deployed early in the campaign, having more deployment-related exposures, and serving on staff duties. There was no protective effect of previous deployments to the Falklands or Northern Ireland, and time off following deployment was not protective. For GHQ-12 cases, the main risk factors were: female gender, lower rank, increased deployment-related exposures and serving on staff duties.Conclusions. This study suggests that stress symptoms and GHQ-12 cases, are strongly predicted both by experiences during deployment and demographic factors.

Postal self-exposure treatment of recurrent nightmares

1998 ◽  
Vol 172 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Mary Burgess ◽  
Isaac M. Marks ◽  
Michael Gill
Keyword(s):  
Treatment Method ◽  
The Self ◽  
Waiting List ◽  
Drop Out ◽  
Control Group ◽  
Drop Out Rate ◽  
Intent To Treat ◽  
Treatment Manuals ◽  
At Home

BackgroundMarry nightmare sufferers do not consult a health care professional. Though behaviour and cognitive therapy can help, they have not been tested as a self-treatment method at home using a manual.MethodOne hundred and seventy adults with primary nightmares were randomised to four weeks' self-exposure or self-relaxation at home using manuals posted to them, or to a waiting-list as a control group for four weeks. Individuals recorded nightmare frequency and intensity in four-week diaries.ResultsAt one- and six-month follow-up, the self-rated nightmare frequency felt more significantly in exposure subjects than relaxation or waiting-list subjects. The self-exposure group had the most drop-outs but remained superior in an over-cautious intent-to-treat analysis. The individuals' partners confirmed the superiority of self-exposure to self-relaxation at one- and six-month follow-up.ConclusionsRecurrent nightmare sufferers improved more with self-exposure manuals than with self-relaxation manuals or by being on a waiting-list. Self-exposure may be needed for longer than four weeks in order to reduce nightmare intensity as well as frequency. Despite a high drop-out rate, some sufferers of other conditions may benefit from self-treatment manuals.

scholarly journals The self-esteem booster: A randomized controlled trial investigating a mobile-based intervention in students with depressive symptoms (Preprint)

2020 ◽  
Author(s):  
Alina Bruhns ◽  
Thies Lüdtke ◽  
Steffen Moritz ◽  
Lara Bücker
Keyword(s):  
Depressive Symptoms ◽  
Intervention Group ◽  
Self Esteem ◽  
The Self ◽  
Smartphone App ◽  
Control Group ◽  
Wait List ◽  
Wait List Control Group ◽  
Wait List Control ◽  
Self Help

BACKGROUND Depressive symptoms are one of the most common and ever increasing mental health problems among students worldwide. Conventional treatment options, particularly psychotherapy, do not reach all students in need for help. Internet- and mobile-based interventions are promising alternatives for narrowing the treatment gap. OBJECTIVE In the framework of a randomized controlled trial, we investigated the effectiveness, acceptance and side effects of a self-help smartphone app (MCT & More) based on techniques of cognitive behavioral therapy (CBT), mindfulness, acceptance and commitment therapy, and metacognitive training (MCT) in a sample of students with self-reported depressive symptoms. Furthermore, we were interested in examining the influence of treatment expectations and attitudes towards internet- and mobile-based interventions on treatment adherence and effectiveness. METHODS A total of 400 students were recruited via open access websites and randomized to either the intervention group (n = 200), who received access to the self-help smartphone app "MCT & More" for a period of four weeks, or to a wait list control group (n = 200). The PHQ-9 (depression) served as primary outcome parameter, the RSE (self-esteem) and the global item of the WHOQOL-BREF (quality of life) as secondary outcome parameters. The APOI was used to measure attitudes towards internet- and mobile-based interventions. Outcome expectations were assessed with the PATHEV and side effects with the INEP. RESULTS Per-protocol (PP), complete-case (CC) and intention-to-treat (ITT) analyses showed a significantly higher reduction in depressive symptoms (PP: F(1,222) = 3.98, P = .047, d = .26) and a significantly higher increase in self-esteem (PP: F(1,220) = 8.79, P = .003, d = .77) within the intervention group compared to the wait list control group. Most participants used the self-help smartphone app regularly (76 % at least once a week). The more positive the attitude towards internet- and mobile-based interventions (r = .260, P = .004) and the more positive the outcome expectation (r = .236, P = .009), the more frequently the self-help smartphone app was used. CONCLUSIONS The effectiveness of the self-help smartphone app "MCT & More" was demonstrated among students with depressive symptoms compared to a wait list control group. The app could be offered regularly as a low-threshold intervention to enhance students' health. CLINICALTRIAL German Clinical trials Register (DRKS00020941); https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00020941

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