Intellectual disability and computers in therapy: Views of service users and clinical psychologists

Vereenooghe, Leen; Gega, Lina; Langdon, Peter E.

doi:10.5817/cp2017-1-11

Cited by 34 publications

(33 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tailored treatment is relevant when there is a variation in symptoms or consequences, or when pain is one of comorbid syndromes [4]. Adjusting after learning needs might balance cognitive demands while covering all relevant interventions in IACT [9,43]. Although it is still unclear whether tailoring might improve engagement or outcome [38], a growing knowledge suggests that adjusted treatment might be necessary for self-managing pain over time [21].…”

Section: Introductionmentioning

confidence: 99%

Patients’ experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study

Bendelin

Björkdahl

Risell

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background: Chronic pain is a globally widespread condition with complex clusters of symptoms within a heterogeneous patient group. Internet-delivered Acceptance and Commitment Therapy (IACT) has shown promising results in the treatment of chronic pain. How IACT is experienced by patients is less well known. Qualitative studies of patients' experiences are needed to further understand factors behind both engagement and negative effects. The aim of this study was to explore how IACT was experienced by chronic pain patients who had participated in a controlled trial. Methods:Through an open and exploratory approach this study aimed to investigate how IACT was experienced when delivered as a guided self-help program to persons with chronic pain. Eleven participants were interviewed over telephone after completing IACT.Results: Qualitative analysis based on grounded theory resulted in 2 core categories and 8 subcategories. In treatment: Physical and cognitive restraints, Time and deadline, Therapist contact, and Self-confrontation. After treatment: Attitude to pain, Image of pain, Control or Command, and Acting with pain. Individual differences as well as specific conditions of the treatment may explain variations in how the treatment was approached, experienced and what consequences it led to. Therapist guidance and deadlines for homework play complex roles in relation to autonomy and change.Conclusions: Adjusting treatment content and format based on participants' characteristics, such as expectations, motivation and restraints, might positively affect engagement, autonomy and change. Further research on attrition and negative effects of treatment might clarify what enables chronic pain patients to benefit from IACT.Trial registration: clinicaltrials.gov (NCT01603797). Registered 22 May 2012. Retrospectively registered.

show abstract

Section: Introductionmentioning

confidence: 99%

Patients’ experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study

Bendelin

Björkdahl

Risell

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…Nevertheless, individuals with an ID face many barriers to accessing mental health services, from a lack of appropriate services to issues with communication and diagnosis [8]. For instance, many people with an ID find face-to-face interactions with health care professionals daunting, with some individuals opting to avoid doctors and other allied professionals whenever possible [9]. Digital mental health platforms have the potential to mitigate some of these barriers by providing readily accessible tools for both communication and treatment [9,10].…”

Section: Introductionmentioning

confidence: 99%

“…For instance, many people with an ID find face-to-face interactions with health care professionals daunting, with some individuals opting to avoid doctors and other allied professionals whenever possible [9]. Digital mental health platforms have the potential to mitigate some of these barriers by providing readily accessible tools for both communication and treatment [9,10]. A plethora of such electronic mental health (e-mental health) programs are available for the general population, with substantial evidence to support the clinical effectiveness of many of these programs [11-13].…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of a Mental Health Website for Adults With an Intellectual Disability: Qualitative Evaluation

Watfern¹,

Heck²,

Rule³

et al. 2019

JMIR Ment Health

View full text Add to dashboard Cite

Background Electronic mental health (e-mental health) programs for people with an intellectual disability are currently underexplored but may provide a way of mitigating some of the barriers that this population faces in accessing appropriate mental health services. Objective The aim of this study was to examine the feasibility and acceptability of Healthy Mind, an e-mental health program for adults with an intellectual disability developed by the Black Dog Institute, focusing on the design and implementation of the website. Methods A qualitative research design was used, which involved semistructured interviews and focus groups with people with an intellectual disability, support workers, and allied health professionals. People with an intellectual disability were also observed while using the website. A thematic analysis was used to interrogate the interview transcripts and observational field notes. Results Participants found the content of the website informative and appreciated the many ways that the website had been made accessible to users. Participants voiced some differing requirements regarding the way information should be presented and accessed on the website. Acknowledging different types of support needs was identified as an important issue for website dissemination. Conclusions The Healthy Mind website promises to provide an excellent tool for people with ID and their supporters. This research has pragmatic implications for the future development and implementation of the program, while contributing to knowledge in the broader fields of e-mental health and inclusive design for people with an intellectual disability.

show abstract

“…program breaks down the elements of CBT, specifically cognitive challenging, and attempts to provide children and adolescents with opportunities to practice these skills in a fun and engaging way. A range of benefits have been noted relating to the use of technologies and online programs in therapy which are relevant for people with ID, including increased engagement, facilitation of homework practice and a means of teaching relevant skills and techniques (Bendelin et al, ; Gega, Smith, & Reynolds, ; Hronis et al, ; Vereenooghe, Gega, & Langdon, ).…”

Section: Introductionmentioning

confidence: 99%

Hronis

Roberts

et al. 2019

J Clin Psychol

View full text Add to dashboard Cite

Objective: This study evaluated the feasibility of the Fearless Me! program, an online cognitive behavioral therapy (CBT) program for children with intellectual disability (ID) and anxiety.Method: Twenty-one adolescents with mild to moderate ID participated in ten sessions of the therapist-assisted Fearless Me! program, combining face-to-face group sessions and an online component. A case series design was adopted to assess anxiety symptoms at baseline, throughout intervention, and postintervention. Feasibility of the measures, intervention, and trial design were considered. Results: The measures were appropriate and sensitive to changes in anxiety, whereas the need for attention to factors influencing parent's completion of them was identified. Reliable Change Index and visual analyses of results indicated reductions in anxiety, particularly for older adolescents with heightened levels of anxiety at baseline.Conclusions: This is one of the first CBT programs for adolescents with ID, and provides preliminary evidence of adapted CBT as a feasible treatment. K E Y W O R D S child and adolescent anxiety disorders, child and adolescent mood disorders, cognitive behavioral therapy, intellectual disability, online therapy J. Clin. Psychol. 2019;75:919-932. wileyonlinelibrary.com/journal/jclp Overall, this case series is an important first step in exploring how CBT can be adapted for young people with ID and mental health disorders, and provides an alternate to behavioral interventions. Further group and individual trials of adapted CBT and the Fearless Me! program is warranted, along with treatment component analyses to determine the most important active ingredients of CBT for children and adolescents with ID. ORCIDAnastasia Hronis

show abstract

Intellectual disability and computers in therapy: Views of service users and clinical psychologists

Abstract: Digital media have increased the accessibility of psychological therapies for the general population, but not for people with intellectual disability (ID),

Cited by 34 publications

References 41 publications

Patients’ experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study

Patients’ experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study

Feasibility and Acceptability of a Mental Health Website for Adults With an Intellectual Disability: Qualitative Evaluation

Fearless Me!^©: A feasibility case series of cognitive behavioral therapy for adolescents with intellectual disability

Contact Info

Product

Resources

About

Intellectual disability and computers in therapy: Views of service users and clinical psychologists

Abstract: Digital media have increased the accessibility of psychological therapies for the general population, but not for people with intellectual disability (ID),

Cited by 34 publications

References 41 publications

Patients’ experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study

Patients’ experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study

Feasibility and Acceptability of a Mental Health Website for Adults With an Intellectual Disability: Qualitative Evaluation

Fearless Me!©: A feasibility case series of cognitive behavioral therapy for adolescents with intellectual disability

Contact Info

Product

Resources

About

Fearless Me!^©: A feasibility case series of cognitive behavioral therapy for adolescents with intellectual disability