scholarly journals Patient Experiences of Web-Based Cognitive Behavioral Therapy for Heart Failure and Depression: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Johan Lundgren ◽  
Peter Johansson ◽  
Tiny Jaarsma ◽  
Gerhard Andersson ◽  
Anita Kärner Köhler
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Depressive Symptoms ◽  
Cognitive Behavioral Therapy ◽  
Real Time ◽  
Behavioral Therapy ◽  
Theory And Practice ◽  
Cognitive Behavioral ◽  
Web Based ◽  
Patients With Heart Failure

BACKGROUND Web-based cognitive behavioral therapy (wCBT) has been proposed as a possible treatment for patients with heart failure and depressive symptoms. Depressive symptoms are common in patients with heart failure and such symptoms are known to significantly worsen their health. Although there are promising results on the effect of wCBT, there is a knowledge gap regarding how persons with chronic heart failure and depressive symptoms experience wCBT. OBJECTIVE The aim of this study was to explore and describe the experiences of participating and receiving health care through a wCBT intervention among persons with heart failure and depressive symptoms. METHODS In this qualitative, inductive, exploratory, and descriptive study, participants with experiences of a wCBT program were interviewed. The participants were included through purposeful sampling among participants previously included in a quantitative study on wCBT. Overall, 13 participants consented to take part in this study and were interviewed via telephone using an interview guide. Verbatim transcripts from the interviews were qualitatively analyzed following the recommendations discussed by Patton in Qualitative Research & Evaluation Methods: Integrating Theory and Practice. After coding each interview, codes were formed into categories. RESULTS Overall, six categories were identified during the analysis process. They were as follows: “Something other than usual health care,” “Relevance and recognition,” “Flexible, understandable, and safe,” “Technical problems,” “Improvements by real-time contact,” and “Managing my life better.” One central and common pattern in the findings was that participants experienced the wCBT program as something they did themselves and many participants described the program as a form of self-care. CONCLUSIONS Persons with heart failure and depressive symptoms described wCBT as challenging. This was due to participants balancing the urge for real-time contact with perceived anonymity and not postponing the work with the program. wCBT appears to be a valuable tool for managing depressive symptoms.

scholarly journals Hoarding to the heart’s content: a case series and detailed case report of hoarding treatment in heart failure

2021 ◽  
Author(s):  
Phillip Tully ◽  
Suzanne Cosh ◽  
Bethany Wootton
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Cognitive Behavioral Therapy ◽  
Cardiovascular Response ◽  
Behavioral Therapy ◽  
Case Series ◽  
Cognitive Behavioral ◽  
Hoarding Disorder ◽  
Patients With Heart Failure ◽  
Detailed Case Report

Hoarding disorder (HD) is characterized by an accumulation of possessions due to excessive acquisition of, or difficulty discarding possessions. Evidence demonstrates an increased cardiovascular response in patients with HD. Cognitive-behavioral therapy modifications are described for HD patients with heart failure to compensate for fatigability, syncope and falls risk.

scholarly journals Engagement and Usability of a Cognitive Behavioral Therapy Mobile App Compared With Web-Based Cognitive Behavioral Therapy Among College Students: Randomized Heuristic Trial

10.2196/14146 ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. e14146 ◽  
Author(s):  
Saptarshi Purkayastha ◽  
Siva Abhishek Addepally ◽  
Sherri Bucher
Keyword(s):  
Health Care ◽  
Cognitive Behavioral Therapy ◽  
Care Delivery ◽  
Behavioral Therapy ◽  
Clinical Effectiveness ◽  
Mobile App ◽  
Cognitive Behavioral ◽  
Self Assessment ◽  
Web Based ◽  
External Assistance

Background Recent evidence in mobile health has demonstrated that, in some cases, apps are an effective way to improve health care delivery. Health care interventions delivered via mobile technology have demonstrated both practicality and affordability. Lately, cognitive behavioral therapy (CBT) interventions delivered over the internet have also shown a meaningful impact on patients with anxiety and depression. Objective Given the growing proliferation of smartphones and the trust in apps to support improved health behaviors and outcomes, we were interested in comparing a mobile app with Web-based methods for the delivery of CBT. This study aimed to compare the usability of a CBT mobile app called MoodTrainer with an evidence-based website called MoodGYM. Methods We used convenience sampling to recruit 30 students from a large Midwestern university and randomly assigned them to either MoodGYM or MoodTrainer user group. The trial period ran for 2 weeks, after which the students completed a self-assessment survey based on Nielsen heuristics. Statistical analysis was performed to compare the survey results from the 2 groups. We also compared the number of modules attempted or completed and the time spent on CBT strategies. Results The results indicate that the MoodTrainer app received a higher usability score when compared with MoodGYM. Overall, 87% (13/15) of the participants felt that it was easy to navigate through the MoodTrainer app compared with 80% (12/15) of the MoodGYM participants. All MoodTrainer participants agreed that the app was easy to use and did not require any external assistance, whereas only 67% (10/15) had the same opinion for MoodGYM. Furthermore, 67% (10/15) of the MoodTrainer participants found that the navigation controls were easy to locate compared with 80% (12/15) of the MoodGYM participants. MoodTrainer users, on an average, completed 2.5 modules compared with 1 module completed by MoodGYM users. Conclusions As among the first studies to directly compare the usability of a mobile app–based CBT with smartphone-specific features against a Web-based CBT, there is an opportunity for app-based CBT as at least in our limited trial, it was more usable and engaging. The study was limited to evaluate usability only and not the clinical effectiveness of the app.

scholarly journals Patient Experiences of Web-Based Cognitive Behavioral Therapy for Heart Failure and Depression: Qualitative Study

10.2196/10302 ◽  
2018 ◽  
Vol 20 (9) ◽  
pp. e10302 ◽  
Author(s):  
Johan Lundgren ◽  
Peter Johansson ◽  
Tiny Jaarsma ◽  
Gerhard Andersson ◽  
Anita Kärner Köhler
Keyword(s):  
Heart Failure ◽  
Qualitative Study ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Patient Experiences ◽  
Cognitive Behavioral ◽  
Web Based

scholarly journals Engagement and Usability of a Cognitive Behavioral Therapy Mobile App Compared With Web-Based Cognitive Behavioral Therapy Among College Students: Randomized Heuristic Trial (Preprint)

2019 ◽  
Author(s):  
Saptarshi Purkayastha ◽  
Siva Abhishek Addepally ◽  
Sherri Bucher
Keyword(s):  
Health Care ◽  
Cognitive Behavioral Therapy ◽  
Care Delivery ◽  
Behavioral Therapy ◽  
Clinical Effectiveness ◽  
Mobile App ◽  
Cognitive Behavioral ◽  
Self Assessment ◽  
Web Based ◽  
External Assistance

BACKGROUND Recent evidence in mobile health has demonstrated that, in some cases, apps are an effective way to improve health care delivery. Health care interventions delivered via mobile technology have demonstrated both practicality and affordability. Lately, cognitive behavioral therapy (CBT) interventions delivered over the internet have also shown a meaningful impact on patients with anxiety and depression. OBJECTIVE Given the growing proliferation of smartphones and the trust in apps to support improved health behaviors and outcomes, we were interested in comparing a mobile app with Web-based methods for the delivery of CBT. This study aimed to compare the usability of a CBT mobile app called MoodTrainer with an evidence-based website called MoodGYM. METHODS We used convenience sampling to recruit 30 students from a large Midwestern university and randomly assigned them to either the MoodGYM or MoodTrainer user group. The trial period ran for 2 weeks, after which the students completed a self-assessment survey based on Nielsen heuristics. Statistical analysis was performed to compare the survey results from the 2 groups. We also compared the number of modules attempted or completed and the time spent on CBT strategies. RESULTS The results indicate that the MoodTrainer app received a higher usability score when compared with MoodGYM. Overall, 87% (13/15) of the participants felt that it was easy to navigate through the MoodTrainer app compared with 80% (12/15) of the MoodGYM participants. All MoodTrainer participants agreed that the app was easy to use and did not require any external assistance, whereas only 67% (10/15) had the same opinion for MoodGYM. Furthermore, 67% (10/15) of the MoodTrainer participants found that the navigation controls were easy to locate compared with 80% (12/15) of the MoodGYM participants. MoodTrainer users, on average, completed 2.5 modules compared with 1 module completed by MoodGYM users. CONCLUSIONS As among the first studies to directly compare the usability of a mobile app–based CBT with smartphone-specific features against a Web-based CBT, there is an opportunity for app-based CBT as, at least in our limited trial, it was more usable and engaging. The study was limited to evaluate usability only and not the clinical effectiveness of the app.

scholarly journals Effectiveness of smartphone-based cognitive behavioral therapy among patients with major depression: A systematic review (Preprint)

2020 ◽  
Author(s):  
Robert Hrynyschyn ◽  
Christoph Dockweiler
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Depressive Symptoms ◽  
Cognitive Behavioral Therapy ◽  
Standard Care ◽  
Behavioral Therapy ◽  
Self Esteem ◽  
Cognitive Behavioral ◽  
Exclusion Criteria

BACKGROUND Depression is often associated with rapid changes in mood and quality of life that persist for a period of two weeks. Despite medical innovations, there are problems in the provision of care. Long waiting times for treatment and high recurrence rates of depression cause enormous costs for the health care systems. At the same time, comprehensive limitations in physical, psychological and social dimensions are observed for patients with depression, which significantly reduce the quality of life. In addition to patient-specific limitations, undersupply and inappropriate health care can be determined. For this reason, new forms of care are discussed. Smartphone-based therapy is considered to have great potential, because of their reach and easy accessibility. Low socioeconomic groups, which are always hard to reach for public health intervention, can now be accessed due to the high dispersion of smartphones. There is still little information about the impact and the mechanisms of smartphone-based therapy on depression. In a systematic literature review, the health implications of smartphone-based therapy were presented in comparison to standard care. OBJECTIVE The objective of this review was: (1) to identify and summarize existing evidence regarding smartphone-based cognitive behavioral therapy for patients with depression and (2) to present health implications of smartphone-based cognitive behavioral therapy of considered endpoints. METHODS A systematic literature review was conducted which identified relevant studies by means of inclusion and exclusion criteria. For this purpose, the databases PubMed and Psyndex were systematically searched using a search syntax. The endpoints depressive symptoms, depression-related anxiety, self-efficacy or self-esteem and quality of life were analyzed. Identified studies were evaluated concerning study quality and risk of bias. After applying the inclusion and exclusion criteria, 8 studies were identified. RESULTS The examined studies reported contradictory results regarding the investigated endpoints. In addition, due to clinical and methodological heterogeneity, it was difficult to derive evident results. All included studies reported effects on depressive symptoms. The other investigated endpoints were only reported by isolated studies. Only 50 % (n=4) of the studies reported effects on depression-related anxiety, self-efficacy or self-esteem and quality of life. In conclusion, no clear implications of the smartphone-based cognitive behavioral therapy could be established. CONCLUSIONS Evidence for the treatment of depression by smartphone-based cognitive behavioral therapy is limited. Additional research projects are needed to demonstrate the effects of smartphone-based cognitive behavioral therapy in the context of evidence-based medicine and to enable its translation into standard care. Participatory technology development might help to address current problems in mHealth intervention studies.

scholarly journals Combined exercise and cognitive behavioral therapy improves outcomes in patients with heart failure

2010 ◽  
Vol 69 (2) ◽  
pp. 119-131 ◽  
Author(s):  
Rebecca A. Gary ◽  
Sandra B. Dunbar ◽  
Melinda K. Higgins ◽  
Dominique L. Musselman ◽  
Andrew L. Smith
Keyword(s):  
Heart Failure ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Combined Exercise ◽  
Patients With Heart Failure
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