Feasibility of an online cognitive behavioral therapy program to improve insomnia, mood, and quality of life in bereaved adults ages 55 and older

Godzik, Cassandra; Crawford, Sybil L.; Ryan, Elizabeth G.

doi:10.1016/j.gerinurse.2020.12.006

Cited by 7 publications

(1 citation statement)

References 95 publications

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“…Internet-based grief interventions have been introduced to various populations, such as widow(er)s (Knowles et al, 2017 ), bereaved siblings (Wagner et al, 2022 ), people bereaved by suicide (Treml et al, 2021 ), parents who lost a child to cancer (Sveen et al, 2021 ), perinatal women (Huberty et al, 2020 ), and older adults (aged 55 and older) (Godzik et al, 2021 ). Meta-analyses of RCT demonstrated that Internet-based grief interventions are effective, with moderate to large effect sizes (Wagner et al, 2020 ; Zuelke et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Healing grief – an online self-help intervention programme for bereaved Chinese with prolonged grief: study protocol for a randomised controlled trial

Tang,

Peng,

Qian

et al. 2024

European Journal of Psychotraumatology

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Background: In China, mental health services do not currently meet the needs of bereaved people with symptoms of prolonged grief disorder (PGD). Internet-based grief interventions may help fill this gap, but such programmes have not yet been developed or evaluated in China. The proposed study aims to investigate the effectiveness, acceptability, and feasibility of an online self-help intervention programme named Healing Grief for bereaved Chinese with prolonged grief, and to explore the psychological mechanisms of potential improvements. Methods: We designed a two-arm randomised controlled trial. At least 128 participants will be randomly assigned to either an Internet-based intervention group or a waitlist-control group. The Internet-based intervention will be developed based on the dual process model, integrating techniques of psychoeducation, behavioural activation, cognitive reappraisal, and meaning reconstruction, and will be delivered via expressive writing. The intervention comprises six modules, with two sessions in each module, and requires participants to complete two sessions per week and complete the intervention in 6 weeks. The primary outcomes include effectiveness, acceptability, and feasibility. The effectiveness will be assessed by measures of prolonged grief, posttraumatic stress, anxiety, and depressive symptoms. Acceptability and feasibility will be evaluated using survey and interview on user experience characteristics. Secondary outcomes include moderators and mediators, such as dual process coping, grief rumination, mindfulness, and continuing bond, to explore the psychological mechanisms of potential improvement. Assessments will take place at pre-intervention, post-intervention, and 3-month follow-up. Conclusion: The proposed study will determine the effectiveness, acceptability, and feasibility of the newly developed online self-help intervention for bereaved Chinese with prolonged grief and clarify how the intervention helps with symptom improvements. Such an intervention may play an important role in easing the imbalance between the delivery and receipt of bereavement psychological services in China.

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Section: Introductionmentioning

confidence: 99%

Healing grief – an online self-help intervention programme for bereaved Chinese with prolonged grief: study protocol for a randomised controlled trial

Tang,

Peng,

Qian

et al. 2024

European Journal of Psychotraumatology

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Efficacy of Remote Cognitive Behavioural Therapy for Insomnia in Improving Health Status of Patients with Insomnia Symptoms: A Meta-analysis

Xu,

Li,

Leitner

et al. 2024

Cogn Ther Res

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Background Insomnia is highly prevalent and cognitive behavioural therapy is the first-line treatment for it. This study aimed to assess the efficacy of remote cognitive behavioural therapy for insomnia, specifically, treatment fully delivered through the internet, mobile phones and telephones for sleep and other health outcomes in adults diagnosed with insomnia or reporting insomnia symptoms. This study also aimed to evaluate the effect of various intervention components as subgroup variables to explain the efficacy of remote cognitive behavioural therapy on health outcomes. Methods Randomised controlled trial studies were obtained from five electronic databases. The PEDro scale was used to assess the quality of the studies. A random effect model was used to assess the mean difference, standardised mean difference and standard deviation of the outcome variables. Heterogeneity among the study articles was assessed using I2 and Q tests. Egger regression analysis was used to assess publication bias. Results Remote cognitive behavioural therapy for insomnia had significant and positive effects on improving sleep outcomes, depression, anxiety, fatigue and mental health compared with the control conditions. Its effect on physical health was not significant. The effect of the therapy was enhanced when the total length of intervention was shorter than 6 weeks, delivered via the internet and did not include therapist support. Conclusion Remote cognitive behavioural therapy for insomnia is effective in improving sleep quality, depression, anxiety, fatigue and mental health in insomnia patients.

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Kinship and problem behavior of left-behind children from the perspective of cognitive behavior therapy

Xiang

2022

Curr Psychol

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Feasibility of an online cognitive behavioral therapy program to improve insomnia, mood, and quality of life in bereaved adults ages 55 and older

Cited by 7 publications

References 95 publications

Healing grief – an online self-help intervention programme for bereaved Chinese with prolonged grief: study protocol for a randomised controlled trial

Healing grief – an online self-help intervention programme for bereaved Chinese with prolonged grief: study protocol for a randomised controlled trial

Efficacy of Remote Cognitive Behavioural Therapy for Insomnia in Improving Health Status of Patients with Insomnia Symptoms: A Meta-analysis

Kinship and problem behavior of left-behind children from the perspective of cognitive behavior therapy

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