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 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 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 Digital Overload among College Students: Implications for Mental Health App Use

2021 ◽  
Vol 10 (8) ◽  
pp. 279
Author(s):  
Arielle C. Smith ◽  
Lauren A. Fowler ◽  
Andrea K. Graham ◽  
Beth K. Jaworski ◽  
Marie-Laure Firebaugh ◽  
...  
Keyword(s):  
Mental Health ◽  
College Students ◽  
Management Strategies ◽  
Cost Effective ◽  
Structured Interview ◽  
Negative Effects ◽  
Health Apps ◽  
Organization And Management ◽  
Interview Guide

Mental health phone applications (apps) provide cost-effective, easily accessible support for college students, yet long-term engagement is often low. Digital overload, defined as information burden from technological devices, may contribute to disengagement from mental health apps. This study aimed to explore the influence of digital overload and phone use preferences on mental health app use among college students, with the goal of informing how notifications could be designed to improve engagement in mental health apps for this population. A semi-structured interview guide was developed to collect quantitative data on phone use and notifications as well as qualitative data on digital overload and preferences for notifications and phone use. Interview transcripts from 12 college students were analyzed using thematic analysis. Participants had high daily phone use and received large quantities of notifications. They employed organization and management strategies to filter information and mitigate the negative effects of digital overload. Digital overload was not cited as a primary barrier to mental health app engagement, but participants ignored notifications for other reasons. Findings suggest that adding notifications to mental health apps may not substantially improve engagement unless additional factors are considered, such as users’ motivation and preferences.

Construction of citizenship in hospitalized children, Peru

2019 ◽  
Vol 1 (1) ◽  
pp. 31
Author(s):  
Fernando Ledesma Perez ◽  
Maria Caycho Avalos ◽  
Juana Cruz Montero ◽  
Andrea Ayala Sandoval
Keyword(s):  
Structured Interview ◽  
Health Condition ◽  
Qualitative Approach ◽  
Fundamental Rights ◽  
Hospitalized Children ◽  
Health Institute ◽  
Interview Guide ◽  
Communication Interaction ◽  
The Individual

Citizenship is the exercise of the fundamental rights of people in spaces of participation, opinion and commitments, which can not be violated by any health condition in which the individual is. This research aims to interpret the process of construction of citizenship in hospitalized children, was developed through the qualitative approach, ethnomethodological method, synchronous design, with a sample of three students hospitalized in a health institute specializing in childhood, was used Observation technique and a semi-structured interview guide were obtained as results that hospitalized children carry out their citizenship construction in an incipient way, through the communication interaction they make with other people in the environment where they grow up.

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