Efficacy of a Therapist-Assisted Self-Help Internet-Based Intervention Targeting PTSD, Depression, and Insomnia Symptoms After a Disaster: A Randomized Controlled Trial

Belleville, Geneviève; Ouellet, Marie‐Christine; Békés, Vera; Lebel, Jessica; Morin, Charles M.; Bouchard, Stéphane; Guay, Stéphane; Bergeron, Nathalie; Ghosh, Sunita; Campbell, Tavis S.; MacMaster, Frank P.

doi:10.1016/j.beth.2022.08.004

Cited by 7 publications

(17 citation statements)

References 50 publications

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“…Therapists were graduate psychology students, supervised by a clinical psychologist. The main results of the randomized control trial (RCT) showed that the RESILIENT treatment platform was effective to decrease PTS, insomnia, and depression symptoms in evacuees from the 2016 Fort McMurray wildfires (Belleville et al, 2022).…”

Section: Methodsmentioning

confidence: 99%

“…Lack of social support is one of the most robust predictors of posttraumatic stress disorder (PTSD; Dar et al, 2018), major depression disorder (MDD; Dar et al, 2018), and insomnia (Belleville et al, 2022) after a traumatic event. The relationship between social support and psychopathology may be bidirectional, as the presence of PTS symptoms following a natural disaster can also lead to a decrease in social support in victims of natural disasters (Platt et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…TreatmentThe RESILIENT platform(Belleville et al, 2022) is an online self-help treatment that was developed as part of a study to evaluate and support mental health issues in the population of Fort McMurray after the 2016 wildfires and evacuation. The platform consists of 12 sessions of ICBT focusing on PTS, insomnia, and depression symptoms.…”

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confidence: 99%

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The effect of an Internet‐based cognitive behavioral therapy intervention on social support in disaster evacuees

et al. 2023

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Introduction: Both exposure to a natural disaster and psychological symptoms may lead to decreases in social support. Few studies have examined ways to improve social support among victims of natural disasters. Aims: The objective of the study was to assess emotional and tangible support following a 12-session Internet-based cognitive behavioral therapy (ICBT) targeting posttraumatic stress (PTS), insomnia, and depression symptoms and to examine the association between posttreatment symptoms and emotional and tangible support. Materials and Methods: One hundred and seventy-eight wildfire evacuees with significant PTS, depression and/or insomnia symptoms were given access to the ICBT. They completed questionnaires at pre-and posttreatment to measure social support and symptom severity. Results: Results show that completion of the treatment led to an improvement in emotional support. Lower posttreatment PTS and insomnia symptoms were associated with higher posttreatment emotional support.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effect of an Internet‐based cognitive behavioral therapy intervention on social support in disaster evacuees

et al. 2023

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“…The decrease in PTSD symptoms and in posttraumatic cognitions can be explained by the efficacy of the online self-administered treatment offered to some participants. For more details, see Belleville et al (2023).…”

Section: Contribution Of Posttraumatic Cognitions Coping Strategies A...mentioning

confidence: 99%

Posttraumatic growth and its relationship with posttraumatic stress symptoms following wildfires: A longitudinal study.

Gaboury,

Belleville,

Lebel

et al. 2023

Traumatology

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“…A randomized control trial of 136 individuals who participated in the intervention showed that the RESILIENT program was successful and showed large effect sizes of symptom improvement in participants who completed at least half of the treatment. For further details on the RCT, see [ 36 ].…”

Section: Introductionmentioning

confidence: 99%

Trainee Therapists’ Perceptions of a Blended Intervention to Promote Resilience after a Natural Disaster: A Qualitative Case Study

Békés

Belleville

Lebel

et al. 2022

JCM

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Background: Natural disasters happen in an increased frequency, and telemental health interventions could offer easily accessible help to reduce mental health symptoms experienced by survivors. However, there are very few programs offered to natural disaster survivors, and no research exists on therapists’ experiences with providing blended interventions for natural disaster survivors. Aims: Our qualitative case study aims to describe psychologists’ experiences with an online, therapist-assisted blended intervention for survivors of the Fort McMurray wildfires in Alberta, Canada. Method: The RESILIENT intervention was developed in the frames of a randomized controlled trial to promote resilience after the Fort McMurray wildfires by providing survivors free access to a 12-module, therapist-assisted intervention, aiming to improve post-traumatic stress, insomnia, and depression symptoms. A focus group design was used to collect data from the therapists, and emerging common themes were identified by thematic analysis. Results: Therapists felt they could build strong alliances and communicate emotions and empathy effectively, although the lack of nonverbal cues posed some challenges. The intervention, according to participating therapists, was less suitable for participants in high-stress situations and in case of discrepancy between client expectations and the intervention content. Moreover, the therapists perceived specific interventions as easy-to-use or as more challenging based on their complexity and on the therapist support needed for executing them. Client engagement in the program emerged as an underlying theme that had fundamental impact on alliance, communication, and ultimately, treatment efficiency. Therapist training and supervision was perceived as crucial for the success of the program delivery. Conclusions: Our findings provided several implications for the optimalization of blended interventions for natural disaster survivors from our therapists’ perspective.

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Efficacy of a Therapist-Assisted Self-Help Internet-Based Intervention Targeting PTSD, Depression, and Insomnia Symptoms After a Disaster: A Randomized Controlled Trial

Cited by 7 publications

References 50 publications

The effect of an Internet‐based cognitive behavioral therapy intervention on social support in disaster evacuees

The effect of an Internet‐based cognitive behavioral therapy intervention on social support in disaster evacuees

Posttraumatic growth and its relationship with posttraumatic stress symptoms following wildfires: A longitudinal study.

Trainee Therapists’ Perceptions of a Blended Intervention to Promote Resilience after a Natural Disaster: A Qualitative Case Study

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