An Internet-Based Cognitive-Behavioural Training for Acute Tinnitus: Secondary Analysis of Acceptance in Terms of Satisfaction, Trial Attrition and Non-Usage Attrition

2013 ◽  
Vol 42 (2) ◽  
pp. 139-145 ◽  
Author(s):  
Nele Nyenhuis ◽  
Sarah Zastrutzki ◽  
Burkard Jäger ◽  
Birgit Kröner-Herwig
Keyword(s):  
Secondary Analysis ◽  
Cognitive Behavioural ◽  
Acute Tinnitus

scholarly journals Manualised Cognitive Behaviour Therapy for Anorexia Nervosa: Use of Treatment Modules in the ANTOP Study

2018 ◽  
Vol 7 (11) ◽  
pp. 398 ◽  
Author(s):  
Gaby Resmark ◽  
Brigid Kennedy ◽  
Maria Mayer ◽  
Katrin Giel ◽  
Florian Junne ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Secondary Analysis ◽  
Self Esteem ◽  
Behavioural Therapy ◽  
Behaviour Therapy ◽  
Duration Of Illness ◽  
Cognitive Behavioural ◽  
Outpatient Intervention ◽  
Cognitive Behaviour ◽  
Pros And Cons

Standardised treatment manuals facilitate therapy planning and enhance comparability for research purposes. Within the Anorexia Nervosa Treatment of Out Patients (ANTOP) study, the largest multisite outpatient intervention trial in anorexia nervosa (AN) to date, manualised enhanced cognitive-behavioural therapy (CBT-E) was offered as one treatment modality. The manual consisted of 9 modules, of which Motivation, Nutrition, Formulation and Relapse Prevention were compulsory. Homework worksheets were provided, to ensure the transfer of therapeutic improvements to daily life. This study investigated the use of modules and worksheets in order to explore practice styles of trained therapists in the treatment of AN. This secondary analysis was based on log-sheets (n = 2604) CBT-E therapists completed after each session. Frequencies of modules and worksheets used across all sessions were calculated. Relationships, such as that between use of module and duration of illness, were examined. The most commonly used module was Motivation. In patients with longer illness duration, the module Self Esteem seemed to be particularly important. The worksheet Scales, balancing the pros and cons of AN, was prioritised by therapists. The results underline the importance of motivational work in the treatment of AN, including validating the ambivalence experienced by most AN patients. With increasing duration of illness, resource-oriented elements, such as self esteem stabilisation, should be of focus.

Patient-caregiver concordance in symptom assessment and improvement in outcomes for patients undergoing cancer chemotherapy

2010 ◽  
Vol 6 (1) ◽  
pp. 46-56 ◽  
Author(s):  
Maria J. Silveira ◽  
Charles W. Given ◽  
Barbara Given ◽  
Ann Marie Rosland ◽  
John D. Piette
Keyword(s):  
Cancer Patients ◽  
Symptom Severity ◽  
Secondary Analysis ◽  
Symptom Burden ◽  
Symptom Assessment ◽  
Positive Effects ◽  
Cognitive Behavioural ◽  
Symptom Frequency ◽  
Over Time

Objective: To measure the agreement between cancer patients’ and family caregivers’ perceptions of the patients’ symptom severity, and the association between changes in caregiver accuracy and changes in outcomes. Methods: Secondary analysis of baseline and 10-week follow-up data from 142 cancer patient/caregiver dyads. Patient/caregiver agreement about symptom burden was measured for the 8 most prevalent symptoms and overall. Bivariate analyses examined the patient and caregiver characteristics associated with caregivers who were overestimators, underestimators or accurate at baseline. We tested the relationship between change in caregiver accuracy and both caregiver behaviour (e.g. use of information, hours spent caregiving) and patient outcomes (e.g. total symptom severity and frequency). Results: At baseline, caregivers overestimated the severity of 17 out of 18 symptoms; 50% predicted mean symptom severity accurately. Accuracy worsened over time for 51%, stayed the same for 36%, and improved for 13%. While not statistically significant, caregivers whose accuracy improved over time had patients who reported greater declines in: symptom severity, number of symptoms, symptom interference, total symptom frequency and depression. In addition, these caregivers experienced greater reductions in their use of information and hours helping the patient. Discussion: Caregivers typically over-estimate cancer patients’ symptom burden and accuracy does not improve over time. Improving caregiver accuracy may boost the positive effects of cognitive behavioural interventions designed to improve cancer patients’ quality of life.

scholarly journals Healthcare Use in Patients With Cardiovascular Disease and Depressive Symptoms – The Impact of Internet-Delivered Cognitive Behavioural Therapy. A Secondary Analysis of a RCT

2021 ◽  
Author(s):  
Ghassan Mourad ◽  
Johan Lundgren ◽  
Gerhard Andersson ◽  
Mats Westas Klompstra ◽  
Peter Johansson
Keyword(s):  
Cardiovascular Disease ◽  
Depressive Symptoms ◽  
Cognitive Behavioural Therapy ◽  
Hospital Admissions ◽  
Secondary Analysis ◽  
Behavioural Therapy ◽  
Healthcare Use ◽  
Post Intervention ◽  
Cognitive Behavioural ◽  
The Impact

Abstract Background: Depressive symptoms in patients with cardiovascular disease (CVD) can lead to increased healthcare use and cause an economical burden for society. Thus, interventions aiming to decrease depressive symptoms in these patients could reduce the use of healthcare services. In a previous study we reported that a 9-week internet-delivered cognitive behavioural therapy (iCBT) program (n=72) compared to an online discussion forum (ODF) (n=72) had moderate to large effect on depression in CVD outpatients. However, the associations between healthcare use and depressive symptoms were not reported in that study. The aim of this study was to describe and compare the effect of iCBT compared to ODF regarding healthcare use and to identify factors impacting healthcare use in these groups.Methods: Secondary analysis of a RCT. Data on healthcare use (including outpatient clinic/primary care contacts and hospital admissions) were retrieved from care data registries in five hospitals in Southeastern Sweden. Patients were predominantly males in both groups with a mean age of 61±13 and 64±12 years in iCBT and ODF respectively.Results: The year before the intervention, the iCBT group had a mean of 31 outpatient contacts per patient compared with 21 contacts the year after. The corresponding numbers for the ODF group were 37 and 25. The decrease was 32% in both groups and did not differ significantly between the groups.Regarding hospital admissions, the iCBT group had 0.8 admissions per patient the year before and 0.6 the year after the intervention, i.e. a decrease by 25%, whereas the ODF group had 1.1 and 0.6 admissions respectively, i.e. a decrease by 45%. The difference was not significant between the groups.Improvement in depressive symptoms post intervention was significantly associated with a decrease in number of outpatient contacts in the iCBT group. In the ODF group, better mental health-related quality of life post intervention was significantly associated with a decrease in number of hospital admissions.Conclusions: Reduced depressive symptom scores following intervention were associated with lower outpatient service use, but iCBT was not superior compared to ODF in decreasing healthcare use.Trial registration: The study was registered at ClinicalTrials.gov, NCT02778074.

scholarly journals Internet-based cognitive–behavioural therapy for tinnitus: secondary analysis to examine predictors of outcomes

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e049384
Author(s):  
Hansapani Rodrigo ◽  
Eldré W Beukes ◽  
Gerhard Andersson ◽  
Vinaya Manchaiah
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Secondary Analysis ◽  
Behavioural Therapy ◽  
Education Level ◽  
Predictor Variables ◽  
Successful Outcome ◽  
Tinnitus Severity ◽  
Link Type ◽  
Cognitive Behavioural ◽  
Predictors Of Outcomes

ObjectivesThe current study examined predictors of outcomes of internet-based cognitive–behavioural therapy (ICBT) for individuals with tinnitus.DesignSecondary analysis of intervention studies.SettingInternet-based guided tinnitus intervention provided in the UK.Participants228 individuals who underwent ICBT.InterventionsICBT.Primary and secondary outcome measuresThe key predictor variables included demographic, tinnitus, hearing-related and treatment-related variables as well as clinical factors (eg, anxiety, depression, insomnia), which can have an impact on the treatment outcome. A 13-point reduction in Tinnitus Functional Index (TFI) scores has been defined as a successful outcome.ResultsOf the 228 subjects who were included in the study, 65% had a successful ICBT outcome. As per the univariate analysis, participants with a master’s degree or above had the highest odds of having a larger reduction in tinnitus severity (OR 3.47; 95% CI 1.32 to 12.51), compared with the participants who had education only up to high school or less. Additionally, the baseline tinnitus severity was found to be a significant variable (OR 2.65; 95% CI 1.50 to 4.67) contributing to a successful outcome with the intervention. Both linear and logistic regression models have identified education level and baseline tinnitus severity to be significant predictor variables contributing to a reduction in tinnitus severity post-ICBT. As per the linear regression model, participants who had received disability allowance had shown a 25.3-point lower TFI reduction compared with those who did not experience a decrease in their workload due to tinnitus after adjusting for baseline tinnitus severity and their education level.ConclusionsPredictors of intervention outcome can be used as a means of triaging patients to the most suited form of treatment to achieve optimal outcomes and to make healthcare savings. Future studies should consider including a heterogeneous group of participants as well as other predictor variables not included in the current study.ClinicalTrial.gov Registration:NCT02370810 (completed); NCT02665975 (completed)

scholarly journals Factors influencing use of community treatment orders and quality of care that people receive: results of a national survey in England and Wales

2019 ◽  
Vol 43 (5) ◽  
pp. 227-235 ◽  
Author(s):  
Harry Lei ◽  
Kirsten Barnicot ◽  
Emily Maynard ◽  
Angela Etherington ◽  
Krysia Zalewska ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Quality Care ◽  
Secondary Analysis ◽  
Behavioural Therapy ◽  
Community Treatment ◽  
Care Plan ◽  
Community Treatment Orders ◽  
Complex Needs ◽  
Cognitive Behavioural

Aims and methodWe conducted a secondary analysis of data from the National Audit of Psychosis to identify factors associated with use of community treatment orders (CTOs) and assess the quality of care that people on CTOs receive.ResultsBetween 1.1 and 20.2% of patients in each trust were being treated on a CTO. Male gender, younger age, greater use of in-patient services, coexisting substance misuse and problems with cognition predicted use of CTOs. Patients on CTOs were more likely to be screened for physical health, have a current care plan, be given contact details for crisis support, and be offered cognitive–behavioural therapy.Clinical implicationsCTOs appear to be used as a framework for delivering higher-quality care to people with more complex needs. High levels of variation in the use of CTOs indicate a need for better evidence about the effects of this approach to patient care.

Effectiveness of a 24-hour nicotine patch in conjunction with a cognitive behavioural programme: one year outcome transdermal

Addiction ◽  
1997 ◽  
Vol 92 (1) ◽  
pp. 27-31
Author(s):  
Robyn L. Richmond ◽  
Linda Kehoe ◽  
Abilio Cesar De Almeida Neto
Keyword(s):  
Nicotine Patch ◽  
Cognitive Behavioural ◽  
One Year

Morning bright light therapy: a helpful tool for reducing comorbid symptoms of affective and behavioral dysregulation in juvenile depressed inpatients? A pilot trial

2017 ◽  
Vol 45 (1) ◽  
pp. 34-41 ◽  
Author(s):  
Sarah Bogen ◽  
Tanja Legenbauer ◽  
Stephanie Gest ◽  
Martin Holtmann
Keyword(s):  
Pilot Trial ◽  
Secondary Analysis ◽  
Bright Light ◽  
Light Therapy ◽  
Bright Light Therapy ◽  
Circadian Phase ◽  
Behavioral Dysregulation ◽  
Sleep Parameters ◽  
Circadian Effect ◽  
Dysregulation Profile

Abstract. Objective: In recent years, bright light therapy (BLT) has been used to treat depression and to stabilize circadian rhythms. In this study we evaluated whether it is also helpful for comorbid symptoms of affective and behavioral dysregulation in depressive inpatients. Method: This article reports a secondary analysis comparing two subgroups of depressive participants with comorbid affective and behavioral dysregulation, captured with the dysregulation-profile of the Strengths and Difficulties Questionnaire (SDQ-DP; n = 16 vs. n = 11). Participants were randomly allocated to active BLT (10,000 lux) or control BLT (approx. 100 lux), and received 45 minutes of BLT for 2 weeks. SDQ-DP scores, sleep parameters, and circadian preference were assessed at baseline, after the intervention, and 3 weeks later. Results: No direct effects on SDQ-DP scores were observed. Sleep improved in both conditions. Only in the active BLT condition was a circadian phase advance found. Correlation and regression analyses indicated an indirect, circadian effect for improved SDQ-DP scores. Conclusions: The data of this pilot trial should be considered preliminary and merely descriptive. Further research is warranted.


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