scholarly journals Patients� Experiences of Web- and Mobile-Assisted Group Therapy for Depression and Implications of the Group Setting: Qualitative Follow-Up Study (Preprint)

2017 ◽  
Author(s):  
Raphael Schuster ◽  
Sophia Sigl ◽  
Thomas Berger ◽  
Anton-Rupert Laireiter
Keyword(s):  
Group Therapy ◽  
Behavioral Therapy ◽  
Individual Therapy ◽  
Semistructured Interview ◽  
Negative Effects ◽  
Group Setting ◽  
Patient Centered ◽  
Self Disclosure ◽  
Web Based ◽  
Therapist Communication

BACKGROUND Blended group therapy combines group sessions with Web- and mobile-based treatment modules. Consequently, blended group therapy widens the choice within blended interventions at reasonable costs. This is the first qualitative study on blended group therapy. OBJECTIVE The objective of this study was to investigate the patient-centered feasibility of blended group therapy for major depression, with special emphasis on the fit and dynamic interplay between face-to-face and internet-based elements. METHODS A total of 22 patients who had a variety of experiences through participating in one of the two blended group therapy interventions were interviewed following a semistructured interview guide. In-depth interviews were analyzed by three trained psychologists, using thematic analysis and a rule-guided internet-based program (QCAmap). The transcript of the interviews (113,555 words) was reduced to 1081 coded units, with subsequent extraction of 16 themes. RESULTS Web- and mobile-based elements were described as a treatment facilitator and motivator, increasing the salience and consolidation of cognitive behavioral therapy materials, resulting in in- and inter-session alignment to the treatment. Additionally, patients valued the option of intimate Web-based self-disclosure (by lateral patient-therapist communication), and therapists were provided with tools for between-session monitoring and reinforcement of exercising. In this context, group phenomena seemed to back up therapists’ efforts to increase treatment engagement. The dissonance because of noncompliance with Web-based tasks and the constriction of in-session group interaction were considered as possible negative effects. Finally, issues of tailoring and structure seemed to fulfill different preconditions compared with individual therapy. CONCLUSIONS Blended group therapy constitutes a structured and proactive approach to work with depression, and the integration of both modalities initiates a beneficial interplay. Results support the patient-centered value of blended group therapy and provide the first insight into blended group therapy’s role in fostering therapeutic treatment factors. However, potential negative effects should be considered carefully.

scholarly journals Patients’ Experiences of Web- and Mobile-Assisted Group Therapy for Depression and Implications of the Group Setting: Qualitative Follow-Up Study

2018 ◽  
Vol 5 (3) ◽  
pp. e49 ◽  
Author(s):  
Raphael Schuster ◽  
Sophia Sigl ◽  
Thomas Berger ◽  
Anton-Rupert Laireiter
Keyword(s):  
Group Therapy ◽  
Behavioral Therapy ◽  
Individual Therapy ◽  
Semistructured Interview ◽  
Negative Effects ◽  
Group Setting ◽  
Patient Centered ◽  
Self Disclosure ◽  
Web Based ◽  
Therapist Communication

Background Blended group therapy combines group sessions with Web- and mobile-based treatment modules. Consequently, blended group therapy widens the choice within blended interventions at reasonable costs. This is the first qualitative study on blended group therapy. Objective The objective of this study was to investigate the patient-centered feasibility of blended group therapy for major depression, with special emphasis on the fit and dynamic interplay between face-to-face and internet-based elements. Methods A total of 22 patients who had a variety of experiences through participating in one of the two blended group therapy interventions were interviewed following a semistructured interview guide. In-depth interviews were analyzed by three trained psychologists, using thematic analysis and a rule-guided internet-based program (QCAmap). The transcript of the interviews (113,555 words) was reduced to 1081 coded units, with subsequent extraction of 16 themes. Results Web- and mobile-based elements were described as a treatment facilitator and motivator, increasing the salience and consolidation of cognitive behavioral therapy materials, resulting in in- and inter-session alignment to the treatment. Additionally, patients valued the option of intimate Web-based self-disclosure (by lateral patient-therapist communication), and therapists were provided with tools for between-session monitoring and reinforcement of exercising. In this context, group phenomena seemed to back up therapists’ efforts to increase treatment engagement. The dissonance because of noncompliance with Web-based tasks and the constriction of in-session group interaction were considered as possible negative effects. Finally, issues of tailoring and structure seemed to fulfill different preconditions compared with individual therapy. Conclusions Blended group therapy constitutes a structured and proactive approach to work with depression, and the integration of both modalities initiates a beneficial interplay. Results support the patient-centered value of blended group therapy and provide the first insight into blended group therapy’s role in fostering therapeutic treatment factors. However, potential negative effects should be considered carefully.

scholarly journals Patients’ experiences of blended Group Therapy for Depression – Part 1: Fit and Implications for the Group Setting

2017 ◽  
Author(s):  
Raphael Schuster
Keyword(s):  
Group Therapy ◽  
Therapy Group ◽  
Structured Interview ◽  
Individual Therapy ◽  
Negative Effects ◽  
Group Setting ◽  
Self Disclosure ◽  
Internet Interventions ◽  
Interview Guide ◽  
Therapist Communication

Background: Blended group therapy (bGT) combines group sessions with internet- or app-based treatment modules. Consequently, bGT has the potential to be a reasonable alternative to internet interventions or blended individual therapy. To date, no studies have explored patients’ experiences with this novel approach.Objective: This study investigates the user-centred feasibility of bGT, with special emphasis on the fit and dynamic interplay between psychological groups and internet- or app-based components.Methods: A total of 22 patients, with a variety of different experiences from two prior clinical bGT trials, was interviewed following a semi-structured interview guide. In-depth interviews were analysed by three psychologists, using thematic analysis and a rule-guided online program (QCAmap). The transcript (113 555 words) was condensed to 1081 coded units, with subsequent extraction of 16 themes.Results: From patients’ perspective, the blended format yields advantages, such as in- and intersession alignment to the treatment course. Patients value the option of intimate online self-disclosure and lateral patient-to-therapist communication. Therapists are provided with tools for between-session monitoring and reinforcement of exercising. Further, group phenomena seem to back up therapists’ efforts to increase treatment engagement. As a specificity, issues of tailoring and structure seem to meet different preconditions, when compared to blended individual therapy. Lastly, blending might also result in negative effects, such as dissonance due to non-compliance or a possible constriction of in-session group interaction.Conclusion: Results underpin previous findings on the feasibility of blended group therapy. In the synopsis, structured and proactive forms of group therapy seem most suitable for blending and the integration of both modalities initiates a beneficial interplay. However, potential negative effects should be considered carefully from the conceptualization of new rationales to the training of therapists.Key words: Blended Therapy; Group Therapy; Blended Group Therapy; Internet Interventions; Depression; Therapeutic Factors

scholarly journals Psychoeducation as a strategy to improve family support perceived from patient with alcohol dependence and personality disorder

2012 ◽  
Vol 5 (1) ◽  
pp. 18-24
Author(s):  
José Miguel Martínez González ◽  
Natalia Albein Urios ◽  
Pilar Munera ◽  
Antonio Verdejo García
Keyword(s):  
Group Therapy ◽  
Alcohol Dependence ◽  
Personality Disorders ◽  
Relapse Prevention ◽  
Behavioral Therapy ◽  
Individual Therapy ◽  
Psychoeducational Intervention ◽  
Self Report ◽  
Significant Difference ◽  
The Impact

The aim of this study was to prospectively analyze the impact of psychoeducation with relatives of addicted patients with personality disorders. We measured the impact of the psychoeducational intervention using a self-report questionnaire designed to assess perceived familiar support. The sample was composed by 37 patients with alcohol dependence following outpatient treatment. They underwent a cognitive-behavioral therapy relapse prevention program especially tailored for addicted individuals with comorbid personality disorders. 56.8% of patients followed individual therapy, and 43.2% followed group therapy. The relatives of the subgroup patients following group therapy simultaneously received the psychoeducational intervention. The analyses of the familiar support questionnaire across treatment showed a significant difference between groups as a function of treatment modality. Patients whose relatives followed the psychoeducational intervention had greater perception of familiar support throughout the treatment process.

scholarly journals The perspective of people with axial spondyloarthritis regarding physiotherapy: room for the implementation of a more active approach

2019 ◽  
Author(s):  
Anne-Kathrin Rausch Osthoff ◽  
Florus van der Giesen ◽  
André Meichtry ◽  
Beatrice Walker ◽  
Floris A van Gaalen ◽  
...  
Keyword(s):  
Group Therapy ◽  
Axial Spondyloarthritis ◽  
Individual Therapy ◽  
Active Therapy ◽  
Group Setting ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Active Approach ◽  
Water Based ◽  
Cardiovascular Training

Abstract Objectives Physiotherapy is recommended in the management of people with axial Spondyloarthritis (axSpA), with new insights into its preferred content and dosage evolving. This study aimed to describe the use and preferences regarding individual and group physiotherapy among people with axSpA. Methods A cross-sectional survey was conducted among people with axSpA living in the Netherlands (NL) and Switzerland (CH). Results 713 people with axSpA participated (56.7% male, median age 55 years, median ASAS-Hi-score 4.2). Response rates were 45% (n = 206) in NL and 29% in CH (n = 507). 83.3% of participants were or had been using physiotherapy. Individual therapy only was or had been used by 36.7%, a combination of individual plus land- and water-based group therapy was or had been used by 29.1% and group therapy only by 5.3%. Only less than half participants attending individual therapy reported active therapy (like aerobic, muscle strength, flexibility exercises). Although the majority (75.9%) was not aware of the increased cardiovascular risk, participants showed an interest in cardiovascular training, either individually or in a supervised setting. If supervised, a majority, in CH (75.0%) more than in NL (55.7%), prefers supervision by a specialized physiotherapist. Conclusion The majority of people with axSpA uses or used physiotherapy, more often in an individual than in a group setting. The content of individual therapy should be more active; in both therapy settings aerobic exercises should be promoted. Especially, enabling people with axSpA to perform exercises independently would meet their needs and might enhance their daily physical activity.

scholarly journals Holistic Medicine IV: Principles of Existential Holistic Group Therapy and the Holistic Process of Healing in a Group Setting

2003 ◽  
Vol 3 ◽  
pp. 1388-1400 ◽  
Author(s):  
Soren Ventegodt ◽  
Niels Jorgen Andersen ◽  
Joav Merrick
Keyword(s):  
Group Therapy ◽  
Personal Development ◽  
Information Matrix ◽  
Human Condition ◽  
The Body ◽  
Individual Therapy ◽  
Group Setting ◽  
Holistic Process ◽  
The Individual ◽  
Holistic Therapy

In existential holistic group therapy, the whole person heals in accordance with the holistic process theory and the life mission theory. Existential group psychotherapy addresses the emotional aspect of the human mind related to death, freedom, isolation, and meaninglessness, while existential holistic group therapy addresses the state of the person�s wholeness. This includes the body, the person�s philosophy of life, and often also love, purpose of life, and the spiritual dimension, to the same extent as it addresses the emotional psyche and sexuality, and it is thus much broader than traditional psychotherapy.Where existential psychotherapy is rather depressing concerning the fundamental human condition, existential holistic therapy conceives life to be basically good. The fundamentals in existential holistic therapy are that everybody has the potential for healing themselves to become loving, joyful, sexually attractive, strong, and gifted, which is a message that most patients welcome. While the patient is suffering and fighting to get through life, the most important job for the holistic therapist is to keep a positive perspective of life. In accordance with these fundamentals, many participants in holistic group therapy will have positive emotional experiences, often of an unknown intensity, and these experiences appear to transform their lives within only a few days or weeks of therapy.An important idea of the course is Bohm�s concept of �holo-movement� in the group, resulting from intense coherence between the group members. When the group comes together, the individual will be linked to the totality and the great movement forward towards love, consciousness, and happiness will happen collectively � if it happens at all. This gives the individual the feeling that everything that happens is right, important, and valuable for all the participants at the same time. Native Americans and other premodern people refer to this experience as �the spiritual design�. This design is actually an underlying regulation that appears when people, through their feelings and engagement for each other, tie the group together and engage their complex emotional intelligence. Practically, this means that all participants are sunk in the same information matrix, so that everybody learns from each other. Everything that happens in the perception of each trainee has immediate and developing relevance for him.Spontaneous healing happens far more effectively in a group setting, where all the participants stand together and support each other, than it does in the clinic, where the therapist is alone with the patient. A 5-day course in personal development can be compatible to a half year of holistic individual therapy.

Research on Therapist Techniques in Brief Individual Therapy

1992 ◽  
Vol 20 (4) ◽  
pp. 689-711 ◽  
Author(s):  
Clara E. Hill
Keyword(s):  
Individual Differences ◽  
Individual Therapy ◽  
Verbal Response ◽  
Negative Effects ◽  
Self Disclosure ◽  
Response Modes ◽  
Verbal Response Modes ◽  
Client State ◽  
Overall Effectiveness

Research on therapist techniques (defined as verbal response modes) in brief individual therapy is reviewed in terms of its implications for practice Four areas are covered: (a) the overall effectiveness of therapist techniques; (b) the effectiveness of the specific therapist techniques of interpretation and self-disclosure; (c) factors moderating the effects of therapist techniques such as individual differences between clients, individual differences between therapists, and the context within therapy; and (d) the importance of therapist and client covert processes. Several conclusions are drawn: (a) which therapist techniques are used in therapy does make a difference; with interpretation and self-disclosure being particularly helpful; (b) therapists should be aware of their intentions in using different interventions; (c) client type and client state seem to predict the effectiveness of different techniques; (d) clients often hide negative reactions; and (e) when therapists are aware of negative client reactions, there may be negative effects on the therapy.

Cognitive-Behavioral Therapy for Insomnia: Comparison of Individual Therapy, Group Therapy, and Telephone Consultations.

2004 ◽  
Vol 72 (4) ◽  
pp. 653-659 ◽  
Author(s):  
Célyne H. Bastien ◽  
Charles M. Morin ◽  
Marie-Christine Ouellet ◽  
France C. Blais ◽  
Sébastien Bouchard
Keyword(s):  
Group Therapy ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Therapy Group ◽  
Individual Therapy ◽  
Cognitive Behavioral

scholarly journals APLIKASI TERAPI SPESIALIS KEPERAWATAN JIWA PADA PASIEN SKIZOFRENIA DENGAN HARGA DIRI RENDAH KRONIS DI RSMM JAWA BARAT

2017 ◽  
Vol 3 (1) ◽  
pp. 83
Author(s):  
Efri Widianti ◽  
Budi Anna Keliat ◽  
Ice Yulia Wardhani
Keyword(s):  
Group Therapy ◽  
Behavioral Therapy ◽  
Psychiatric Hospitals ◽  
Signs And Symptoms ◽  
Self Esteem ◽  
Primary Diagnosis ◽  
Individual Therapy ◽  
Final Report ◽  
Nursing Diagnosis ◽  
Number Of Patients

ABSTRAKHarga diri rendah kronis merupakan salah satu diagnosis keperawatan yang sering ditemukan di rumah sakit jiwa. Prosentase pasien harga diri rendah kronis di ruang Arimbi periode Februari–April 2012 mencapai 90.4% dari jumlah total pasien. Jumlah pasien dengan diagnosis utama harga diri rendah kronis yang dikelola penulis sebanyak 22 orang. Tujuan penulisan karya ilmiah akhir ini adalah menguraikan aplikasi terapi spesialis keperawatan jiwa terhadap pasien harga diri rendah kronis. Metode yang digunakan dalam penulisan ini adalah studi serial kasus dengan kombinasi tujuh paket terapi. Hasil aplikasi terapi spesialis keperawatan jiwa ini menunjukkan adanya penurunan tanda dan gejala, peningkatan kemampuan pasien, serta peningkatan kemampuan keluarga dalam merawat pasien harga diri rendah kronis. Kombinasi terapi individu (terapi kognitif perilaku dan logoterapi), terapi kelompok (terapi suportif kelompok) dan terapi keluarga (psikoedukasi keluarga) mampu menurunkan gejala, meningkatkan kemampuan pasien dan meningkatkan kemampuan keluarga dalam merawat pasien harga diri rendah kronis. Rekomendasi : kombinasi terapi individu, terapi kelompok dan terapi keluarga sangat tepat diberikan pada pasien gangguan jiwa khususnya pasien harga diri rendah kronis dan diperlukan penelitian lebih lanjut.ABSTRACTChronic low self-esteem is one of the nursing diagnosis that is often found in psychiatric hospitals. Percentages of patients with chronic low self-esteem in the period Februari-April 2012 at Arimbi receached 90.4%. The number of patients with a primary diagnosis of chronic low self-esteem that was managed by writer as many as 22 people. The purpose of this final report is to describe the application of nursing specialist therapies on chronic low self-esteem patients. Methods which used was serial case study with combination of seven therapies packages. The results showed a decrease in the signs and symptoms, improvement of patient's ability and the ability of families in caring for patients of chronic low self-esteem. Effectiveness of therapy showed that the combination of individual therapy (cognitive behavioral therapy and logotherapy), group therapy (supportive group therapy) and family therapy (family psychoeducation) effectively reduce symptoms of chronic low self-esteem, improve the patient's ability and the ability of families in caring for patients of chronic low self-esteem. Recommendation: The combination of individual, group and family therapies is appropriate for the mental disorders patients, especially patients with chronic low self-esteem and this needs further research

scholarly journals Sa1099 Collection of Patient Centered Outcomes in Esophageal Disease: An Open Source Web Based Framework

2013 ◽  
Vol 144 (5) ◽  
pp. S-201-S-202
Author(s):  
Andrew J. Gawron ◽  
Sherri L. LaVela ◽  
David Were ◽  
Meghan Thompson ◽  
Jordan Swiskow ◽  
...  
Keyword(s):  
Open Source ◽  
Esophageal Disease ◽  
Patient Centered ◽  
Web Based

Young, Empowered and Strong: A Web-Based Education and Supportive Care Intervention for Young Women With Breast Cancer Across the Care Continuum

2021 ◽  
pp. 933-943
Author(s):  
Tal Sella ◽  
Craig Snow ◽  
Hannah Freeman ◽  
Philip D. Poorvu ◽  
Shoshana M. Rosenberg ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Young Women ◽  
Breast Cancer Survivors ◽  
Metastatic Breast ◽  
Patient Reported Outcome ◽  
Self Management ◽  
Semistructured Interview ◽  
Web Based ◽  
Care Continuum ◽  
Patient Reported

PURPOSE Patient-centered digital interventions may help empower young women to self-manage symptoms and psychosocial concerns and support informational needs often unaddressed in clinic. METHODS Young, Empowered and Strong (YES) is an interactive web-based intervention designed to engage young women with personalized education and symptom self-management resources on the basis of responses to patient-reported outcome–based questionnaires. We piloted YES among young women (< 45 years) with newly diagnosed early breast cancer (EBC) or metastatic breast cancer (MBC) and breast cancer survivors (BCSs). Assessments were deployed weekly (EBC and MBC) or every 4 weeks (BCSs) over 12 weeks. At study completion, use, feasibility, and acceptability of YES were evaluated via a survey and semistructured interview. RESULTS Thirty women were enrolled between April and June 2019: 10 EBC, 10 BCSs, and 10 MBC. The mean age at diagnosis and enrollment was 36 (range 25-44) and 39 (range 31-44) years, respectively. Most participants were actively treated (96%, 27 of 28) with endocrine therapy (54%, 15 of 28) or chemotherapy (43%, 12 of 28). Overall, 61% (180 of 296) of assessments were completed (EBC: 70%, BCSs: 63%, and MBC: 52%). Of 37 patient-reported outcome and need domains, the most frequently triggered were sexual health (EBC: 90%, BCSs: 90%, and MBC: 90%), anxiety (EBC: 80%, BCSs: 90%, and MBC: 90%), stress and mindfulness (EBC: 80%, BCSs: 90%, and MBC: 90%), and fatigue (EBC: 90%, BCSs: 80%, and MBC: 90%). On postpilot survey, participants reported that YES helped them to learn (50%, 7 of 14), monitor (43%, 6 of 14), and manage (57%, 8 of 14) their symptoms. CONCLUSION YES is a feasible and acceptable digital intervention to support young women across the breast cancer care continuum. The nearly universal triggering of sexual and mental health needs suggests suboptimal management in the clinical setting and the potential for self-management through a digital platform.

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