Patients' perspective on homework assignments in cognitive–behavioural therapy

Fehm, Lydia; Mrose, Jana

doi:10.1002/cpp.592

Cited by 32 publications

(15 citation statements)

References 26 publications

(33 reference statements)

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“…Individualized guidance and feedback on homework is found in many Internet-based or mobile apps that have been shown to be effective in treating conditions such as PTSD [72], OCD [55], chronic pain [59,60], depression and suicide ideation [71], and situational stress [73]. Moreover, providing a rationale for homework, ensuring understanding of homework tasks, reviewing homework, and troubleshooting with a therapist have each individually been identified as predictors of homework compliance in CBT [74,75]. However, despite incorporating a variety of features including self-monitoring, psychoeducation, scheduled reminders, and graphical feedback [52], automated apps with minimal therapist guidance have demonstrated elevated homework non-completion rates of up to 40%, which is less than ideal.…”

Section: A Proposed List Of Essential Features For Mobile Apps That Omentioning

confidence: 99%

“…The effects of technology should not interfere with but rather encourage a patient’s ability to build meaningful connections with others [76]. The therapeutic alliance between the therapist and the client is the strongest predictor of therapeutic outcome [77] and has been suggested to predict level of homework compliance as well [78].…”

Section: A Proposed List Of Essential Features For Mobile Apps That Omentioning

confidence: 99%

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Supporting Homework Compliance in Cognitive Behavioural Therapy: Essential Features of Mobile Apps

Tang

Kreindler

2017

JMIR Ment Health

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Cognitive behavioral therapy (CBT) is one of the most effective psychotherapy modalities used to treat depression and anxiety disorders. Homework is an integral component of CBT, but homework compliance in CBT remains problematic in real-life practice. The popularization of the mobile phone with app capabilities (smartphone) presents a unique opportunity to enhance CBT homework compliance; however, there are no guidelines for designing mobile phone apps created for this purpose. Existing literature suggests 6 essential features of an optimal mobile app for maximizing CBT homework compliance: (1) therapy congruency, (2) fostering learning, (3) guiding therapy, (4) connection building, (5) emphasis on completion, and (6) population specificity. We expect that a well-designed mobile app incorporating these features should result in improved homework compliance and better outcomes for its users.

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Section: A Proposed List Of Essential Features For Mobile Apps That Omentioning

confidence: 99%

Section: A Proposed List Of Essential Features For Mobile Apps That Omentioning

confidence: 99%

Supporting Homework Compliance in Cognitive Behavioural Therapy: Essential Features of Mobile Apps

Tang

Kreindler

2017

JMIR Ment Health

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“…The sessions were conducted at weekly intervals by the first author. At the end of each session, the participant and the researcher agreed a between-session task (Beck, 2011) that aimed to facilitate transfer of the intervention content to everyday life (Fehm & Mrose, 2008). The eight sessions in this phase adhered to the following structured format:…”

Section: Methodsmentioning

confidence: 99%

Effects of a cognitive-behavioral intervention on field hockey players’ appraisals of organizational stressors

Didymus

Fletcher

2017

Psychology of Sport and Exercise

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Objectives: We assessed the effects of a cognitive-behavioral intervention on English field hockey players' appraisals of organizational stressors, emotions, and performance satisfaction. Design: A concurrent, across-participants, multiple-baseline, single-case research design with a three months post-intervention follow-up. Method: Four high-level female field hockey players participated in a four phase intervention that lasted between 24 and 26 weeks: rapport-building and observation (phase I), baseline monitoring (phase II), educating the players and facilitating acquisition of a cognitive restructuring technique (phase III), and encouraging integration of the technique during sport performance (phase IV). Questionnaires and social validation were used to record the participants' appraisals, emotions, and performance satisfaction throughout the intervention. A three months post-intervention follow-up was conducted to assess the participants' retention of the intervention effects. Results: Reduced threat and loss appraisals and elevated challenge appraisals were reported immediately after Phase III had been introduced. Pleasant emotions and performance satisfaction increased while unpleasant emotions decreased throughout the intervention. Social validation immediately post-intervention and at the end of the follow-up period indicated sustained adaptive changes in each of the outcome variables. Conclusions: Cognitive restructuring represents a promising technique for optimizing highlevel hockey players' appraisals. Challenge appraisals and pleasant emotions appear to be linked with increased performance satisfaction and positive intervention effects can be retained for a period of three months post-intervention. Researchers should examine the effectiveness and efficacy of the cognitive restructuring technique with other populations to develop a robust evidence base for appraisal optimization in sport.

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“…The strategies are ordered from highest to lowest feasibility to carry out, based on rankings from the original expert study [10]. This is consistent with clinical advice [39,40] to start homework with simple, feasible tasks and build up with time and success.…”

Section: Methodsmentioning

confidence: 99%

Protocol for a randomised controlled trial investigating self-help email messages for sub-threshold depression: the Mood Memos study

Morgan

Jorm

Mackinnon

2011

Trials

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BackgroundSub-threshold depression is common, impairs functioning, and increases the risk of developing major depression. Although psychological treatments have been investigated for sub-threshold depression, they are costly. A less costly alternative could be an educational health promotion campaign about effective self-help for depression symptoms. The aim of the study is to test the efficacy of a low-cost email-based mental health promotion campaign in changing self-help behaviour and preventing more severe depression in adults with sub-threshold depression.Methods/DesignThe project is a randomised controlled trial of an automated preventive email-intervention aimed at people with sub-threshold depression. Adults aged 18+ with sub-threshold depression (as measured with the Patient Health Questionnaire-9), who are not already receiving professional treatment for depression, are eligible for admission to the study. Internet users will sign up via the study website http://www.moodmemos.com and be randomly allocated to receive emails twice weekly for six weeks containing either self-help coping advice or general information about depression as a control. Outcomes will be assessed at the start, midpoint, and end of the intervention, as well as six months later. Outcomes assessed include symptoms, incidence of major depression, psychological distress, social and occupational functioning, coping strategies, and coping self-efficacy. The primary hypothesis is that the Mood Memo emails containing coping strategies will reduce depression symptoms and be better at preventing major depression than the control emails that contain general information about depression.DiscussionPromotion of actions an individual can take to prevent physical disease is a technique often used in public health. This study applies this approach to mental health, and explores whether a low-cost, easily disseminated email-based campaign can improve self-help coping behaviour and prevent depression in adults with sub-threshold depression.Trial RegistrationAustralia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12609000925246

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Patients' perspective on homework assignments in cognitive–behavioural therapy

Cited by 32 publications

References 26 publications

Supporting Homework Compliance in Cognitive Behavioural Therapy: Essential Features of Mobile Apps

Supporting Homework Compliance in Cognitive Behavioural Therapy: Essential Features of Mobile Apps

Effects of a cognitive-behavioral intervention on field hockey players’ appraisals of organizational stressors

Protocol for a randomised controlled trial investigating self-help email messages for sub-threshold depression: the Mood Memos study

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