A randomised control trial of an Internet-based cognitive behaviour treatment for mood disorder in adults with chronic spinal cord injury

Migliorini, Christine; Sinclair, Andrew J.; Brown, Douglas J.; Tonge, Bruce John; New, Peter W

doi:10.1038/sc.2015.221

Cited by 31 publications

(72 citation statements)

References 27 publications

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“…Figure 1 provides a PRISMA Flow Diagram of the study selection process. The included studies consisted of ICBT interventions in various populations including: pain (n = 7; Buhrman et al, 2011Buhrman et al, , 2004Carpenter et al, 2012; Chi- Dear et al, 2013Dear et al, , 2015Peters et al, 2017); tinnitus (n = 6; Abbott et al, 2009;Andersson et al, 2002;Hesser et al, 2012;Jasper et al, 2014;Kaldo et al, 2008;Weise et al, 2016); fibromyalgia (n = 3; Friesen et al, 2017;Vallejo et al, 2015;Williams et al, 2010); rheumatoid arthritis (RA; n = 3; Ferwerda et al, 2017;Shigaki et al, 2013;Trudeau et al, 2015); cardiovascular disease (n = 2; Glozier et al, 2013;Lundgren et al, 2016); diabetes (n = 1; Newby et al, 2017); cancer (n = 1; Compen et al, 2018); spinal cord injury (SCI; n = 1; Migliorini et al, 2016), and heterogeneous chronic disease population (n = 1; Wilson et al, 2018). The sample size ranged from 27 to 562 with the pooled number of participants being 3450.…”

Section: Study Selection and Backgroundmentioning

confidence: 99%

“…ICBT was provided through a self-directed approach in seven studies (Carpenter et al, 2012;Chiauzzi et al, 2010;Glozier et al, 2013;Migliorini et al, 2016;Trudeau et al, 2015;Williams et al, 2010;Wilson et al, 2018) and therapist-guided approach which involved weekly or biweekly contact in 18 studies (Abbott et al, 2009;Andersson et al, 2002;Buhrman et al, 2004Buhrman et al, , 2011Compen et al, 2018;Dear et al, 2013Dear et al, , 2015Ferwerda et al, 2017;Friesen et al, 2017;Hesser et al, 2012;Jasper et al, 2014;Kaldo et al, 2008;Lundgren et al, 2016;Newby et al, 2017;Peters et al, 2017;Shigaki et al, 2013;Vallejo et al, 2015;Weise et al, 2016). The studies compared ICBT to waiting-list control (n = 13; Andersson et al, 2002;Buhrman et al, 2004Buhrman et al, , 2011Carpenter et al, 2012;Dear et al, 2013Dear et al, , 2015Friesen et al, 2017;Migliorini et al, 2016;Newby et al, 2017;Peters et al, 2017;Shigaki et al, 2013;Trudeau et al, 2015;Vallejo et al, 2015), face-to-face group CBT (n = 4;…”

Section: Study Selection and Backgroundmentioning

confidence: 99%

“…Of the included studies, only one was classified as ''good'' quality as it was the only study that met criteria for blinding of participants and personnel in addition to the other criteria assessed by the Cochrane Risk of Bias Tool (Glozier et al, 2013). Nineteen studies were rated as fair quality (Andersson et al, 2002;Buhrman et al, 2011;Carpenter et al, 2012;Chiauzzi et al 2010;Compen et al, 2018;Dear et al, 2015;Ferwerda et al, 2017;Friesen et al, 2017;Hesser et al, 2012;Lundgren et al, 2016;Jasper et al, 2014;Migliorini et al, 2016;Newby et al, 2017;Peters et al, 2017;Trudeau et al, 2015;Vallejo et al, 2015;Weise et al, 2016;Williams et al, 2010;Wilson et al, 2018), and five studies were rated as being of poor quality (Abbott et al, 2009;Buhrman et al, 2004;Dear et al, 2013;Kaldo et al, 2008;Shigaki et al, 2013).…”

Section: Assessment Of Study Risk Of Biasmentioning

confidence: 99%

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Internet-delivered cognitive behaviour therapy for chronic health conditions: a systematic review and meta-analysis

2018

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This systematic review and meta-analysis aims to evaluate the effectiveness of internet-delivered cognitive behavioural therapy (ICBT) on anxiety and depression among persons with chronic health conditions. A systematic database search was conducted of MEDLINE, CINAHL, PsycInfo, EMBASE, and Cochrane for relevant studies published from 1990 to September 2018. A study was included if the following criteria were met: (1) randomized controlled trial involving an ICBT intervention; (2) participants experienced a chronic health condition; (3) participants C 18 years of age; and (4) effects of ICBT on anxiety and/or depression were reported. The Cochrane Risk of Bias tool was used to assess the risk of bias on the included studies. Pooled analysis was conducted on the primary and condition specific secondary outcomes. Twenty-five studies met inclusion criteria and investigated the following chronic health conditions: tinnitus (n = 6), fibromyalgia (n = 3), pain (n = 7), rheumatoid arthritis (n = 3), cardiovascular disease (n = 2), diabetes (n = 1), cancer (n = 1), heterogeneous chronic disease population (n = 1), and spinal cord injury (n = 1). Pooled analysis demonstrated small effects of ICBT in improving anxiety and depression. Moderate effects of therapist-guided approach were seen for depression and anxiety outcomes; while, self-guided approaches resulted in small effects for depression and moderate effects in anxiety outcomes. ICBT shows promise as an alternative to traditional faceto-face interventions among persons with chronic health conditions. Future research on long-term effects of ICBT for individuals with chronic health conditions is needed.Trial Registration PROSPERO registration number: CRD42018087292.

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Section: Study Selection and Backgroundmentioning

confidence: 99%

Section: Study Selection and Backgroundmentioning

confidence: 99%

Section: Assessment Of Study Risk Of Biasmentioning

confidence: 99%

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Internet-delivered cognitive behaviour therapy for chronic health conditions: a systematic review and meta-analysis

2018

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“…A potential solution to resource and transport barriers may be an internet delivered CBT-PMP. A recently published feasibility trial involving adults with SCI and mood disorders, demonstrated significant improvements in mood profiles following an online CBT programme versus waitlist controls [47]. Acceptability of an internet-delivered programme was explored in qualitative interviews with participants in this current study.…”

Section: Discussionmentioning

confidence: 98%

A Cognitive Behavioural Therapy Pain Management Programme for Neuropathic Pain Post Spinal Cord Injury: A Feasibility Study Including the Clinician and Patient Perspectives

Burke¹

2017

Phys Med Rehabil Int

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Objective: To evaluate the feasibility of a cognitive behavioural therapy pain management programme for managing neuropathic pain post-spinal cord injury.Design: A mixed methods prospective feasibility trial. Setting:A national rehabilitation hospital. Subjects:Adults with neuropathic pain post-spinal cord injury. Methods:Following ethical approval, participants were recruited from a spinal cord injury outpatient service. A multi-disciplinary team delivered the programme twice a week over five weeks. Changes in study outcome measures addressing quality of life, mood and sleep indices over three time periods were analysed using Friedman's test. Differences from baseline to intervention completion and six months follow-up intervals were analysed using Wilcoxon sign-rank test. Significance was set p<0.05. Post-intervention qualitative feedback was obtained from programme participants and the clinicians involved.Results: Eight participants completed the programme. Significant improvements were noted post-intervention in the psychological domain of the World Health Organisation Quality of Life Bref (Z=-2.120; p=0.03) and the depression score (Z=-2.555; p=0.01) of the Hospital Anxiety and Depression Scale, remaining significantly improved at six months follow-up when compared to baseline (Z=-2.533; p=0.01). Transportation was the main barrier to recruitment. Qualitative feedback highlighted the positive impact for participants in coping with pain. Clinicians noted many positive outcomes of the programme, whilst highlighting health-systems difficulties in implementation. Conclusions:A cognitive behavioural therapy pain management programme is perceived as beneficial by individuals with neuropathic pain after spinal cord injury, a finding supported by quantitative data analysis. Recruitment barriers to programme delivery indicate that alternate modes of delivery warrant consideration.

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“…[31][32][33]35]. In a pilot study [31] of a web-based self-management system for people with SCI utilizing intermittent catheterization (IC), 30 persons with SCI were enrolled, and 22 completed the entire program, which included three phone calls with a continence nurse and an online forum.…”

Section: Web-based Treatmentsmentioning

confidence: 99%

Telehealth for people with spinal cord injury: a narrative review

et al. 2018

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Study design Narrative review. Objectives To find and discuss what has been published about the use of telehealth, on people with spinal cord injury (teleSCI). Setting International. Method Cochrane Library, Ovid Medline, EMBASE and CINAHL, from 1996 till June 2017 have been searched. Searches in PsycINFO, from 1996 till September 2017, were included afterwards. Extracted data include studies in English language, containing information about spinal cord injury and disorders, and telehealth. Literature reviews, systematic reviews, and studies containing other types of neurological disorders, were excluded. Studies were grouped based on how and to whom telehealth was offered.Results Twenty nine studies were included in the review. They were categorized according to the way teleSCI was provided, and to what modality was used. Some studies utilized more than one modality. TeleSCI seems to be favorable concerning treatment and follow-up, as well as favorable socioeconomically and environmentally. The studies spanned across several aims and outcomes. There was also heterogeneity in number of participants, the differences in modalities, and in the level of evidence. Thus it was challenging to compare studies and make future recommendations. Conclusions TeleSCI can be used for examination and guiding purposes. Further research is warranted to evaluate optimal utilization, methodology and efficacy. Sponsorship The first author has received funding from the Norwegian Extra Foundation.

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A randomised control trial of an Internet-based cognitive behaviour treatment for mood disorder in adults with chronic spinal cord injury

Abstract: Although Internet-based interventions for mental health issues in SCI not a solution for all, our results indicate that they are a potentially valuable addition to the currently available options.

Cited by 31 publications

References 27 publications

Internet-delivered cognitive behaviour therapy for chronic health conditions: a systematic review and meta-analysis

Internet-delivered cognitive behaviour therapy for chronic health conditions: a systematic review and meta-analysis

A Cognitive Behavioural Therapy Pain Management Programme for Neuropathic Pain Post Spinal Cord Injury: A Feasibility Study Including the Clinician and Patient Perspectives

Telehealth for people with spinal cord injury: a narrative review

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