Two sides of the same coin? Patient and therapist experiences with a transdiagnostic blended intervention focusing on emotion regulation

Bur, Oliver Thomas; Wälchli, Gwendolyn; Suter, Jeannine Michelle; Walsh, Nathalie; Kley, Marijke Amanda; Krieger, Tobias; Berger, Thomas

doi:10.1016/j.invent.2022.100586

Cited by 5 publications

(6 citation statements)

References 30 publications

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“…There were no significant differences between intervention group and TAU regarding the patient-rated working alliance, descriptively effect sizes were in favor of TAU. Some possible explanations that may help explain this finding are discussed in a previous publication ( Bielinski et al, 2022 ). For example, patient interviews mentioned that patient knowledge gain from the intervention may have been problematic for the therapist and and that therapists had too little knowledge of the internet-based intervention.…”

Section: Discussionmentioning

confidence: 67%

“…Notably, overall time spent with the internet-based program was higher in the study by Berger et al (2018) than in the current study, however the program examined by Berger et al (2018) also included more modules. Suggestions that are potentially relevant to improving intervention usage are provided in a previous publication ( Bielinski et al, 2022 ) and include better integration of internet-based and face-to-face elements and giving therapists access to patient intervention progress.…”

Section: Discussionmentioning

confidence: 99%

“…An overview of measures recorded for the REMOTION + TAU group specifically concerning the internet-based intervention, can be found in Table 1 . Additionally, semi-structured interviews were conducted of which results have been published ( Bielinski et al, 2022 ).…”

Section: Methodsmentioning

confidence: 99%

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Blending an internet-based emotion regulation intervention with face-to-face psychotherapy: Findings from a pilot randomized controlled trial

Krieger

Kley

Moggi

et al. 2023

Internet Interventions

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

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Blending an internet-based emotion regulation intervention with face-to-face psychotherapy: Findings from a pilot randomized controlled trial

Krieger

Kley

Moggi

et al. 2023

Internet Interventions

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“…Interviews were based on previous interview guides from blended treatment studies [39,40] and adapted to insomnia and SLEEPexpert+. The interviews were conducted by the first author of the manuscript.…”

Section: Measures 261 Semi-structured Therapist Interviewsmentioning

confidence: 99%

SLEEPexpert+: Blending Internet-Based Cognitive Behavioral Therapy for Insomnia with In-Person Psychotherapy—A Feasibility Study in Routine Care

Schmid,

Duss,

Hertenstein

et al. 2023

CTN

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Insomnia is characterized by frequent and persistent difficulties initiating and maintaining sleep, along with impaired daytime functioning. Blended treatments are increasingly popular for treating psychological disorders such as depression. Blended treatments combine elements of face-to-face therapy and online interventions. A single-arm pre-post study investigated the feasibility of a blended treatment combining face-to-face cognitive behavioral therapy for insomnia and internet-based cognitive behavioral therapy for insomnia (SLEEPexpert+). The findings show that the therapists have a positive attitude toward blended CBT-I (b-CBT-I) and that they feel supported by the online components of the treatment. Possible barriers to implementing blended treatments are integrating the online materials into the face-to-face sessions and adapting one’s therapeutic style to the blended treatment approach. No definitive statements about the effectiveness of the b-CBT-I treatment can be made. However, of the six presented cases, five patients showed notably higher sleep efficiency and fewer insomnia symptoms at the end of the therapy. Program usage data indicate that participants mainly used the online components at the beginning of their treatment. Future studies should investigate the effectiveness of b-CBT-I with a sufficiently powered randomized controlled trial comparing b-CBT-I with an adequate control group in routine care.

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“…Moreover, blended treatments with a more explicit transdiagnostic focus have also been examined in the outpatient setting. Examples include a treatment for emotional disorders [ 13 ] and transdiagnostic treatments with an emotion regulation focus [ 14 ]. However, only a few studies on blended treatment have been conducted with adult inpatients.…”

Section: Introductionmentioning

confidence: 99%

Does an Internet-Based Emotion Regulation Intervention Provide Added Value for Acute Psychiatric Inpatient Care? Protocol for a Randomized Controlled Pilot Trial

Wälchli¹,

Nissen²,

Berger³

et al. 2023

JMIR Res Protoc

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Background There is a lack of studies on internet-based interventions in inpatient settings. This is especially true for studies of internet-based interventions in acute psychiatric inpatient care. Internet-based interventions in this specific setting may provide benefits such as patient empowerment and overall improved treatment outcomes. However, there may also be specific barriers to their implementation that are unique due to the complexity of acute psychiatric inpatient care. Objective The aim of this study is to examine the feasibility and preliminary evidence for effectiveness of a web-based emotion regulation intervention provided as an add-on to acute psychiatric inpatient care. Methods The goal is to randomly allocate 60 patients with a range of different diagnoses in a 1:1 ratio to either treatment as usual (TAU), which consists of acute psychiatric inpatient treatment, or to the intervention group, which will receive TAU plus access to a web-based intervention that focuses on reduction of emotion regulation difficulties and improvement of emotion regulation skills. The primary outcome is symptom severity, assessed with the short form of the Brief Symptom Inventory at baseline, after 4 weeks, after 8 weeks, and at hospital discharge. Secondary outcomes include 2 emotion regulation parameters, intervention use, usability, patient satisfaction, and reasons for patient loss to follow-up. Results Participant recruitment started in August 2021 and as of March 2023 was ongoing. First publication of study results is expected in 2024. Conclusions This study protocol describes a study that intends to examine a web-based emotion regulation intervention in acute psychiatric inpatient care. The study will provide information on the feasibility of the intervention and possible effects on symptom severity and emotion regulation. The results will provide new insights on blended treatment, in this case the combination of a web-based intervention and face-to-face psychiatric treatment, in an understudied patient group and setting. Trial Registration ClinicalTrials.gov NCT04990674; https://clinicaltrials.gov/ct2/show/NCT04990674 International Registered Report Identifier (IRRID) DERR1-10.2196/47656

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Two sides of the same coin? Patient and therapist experiences with a transdiagnostic blended intervention focusing on emotion regulation

Cited by 5 publications

References 30 publications

Blending an internet-based emotion regulation intervention with face-to-face psychotherapy: Findings from a pilot randomized controlled trial

Blending an internet-based emotion regulation intervention with face-to-face psychotherapy: Findings from a pilot randomized controlled trial

SLEEPexpert+: Blending Internet-Based Cognitive Behavioral Therapy for Insomnia with In-Person Psychotherapy—A Feasibility Study in Routine Care

Does an Internet-Based Emotion Regulation Intervention Provide Added Value for Acute Psychiatric Inpatient Care? Protocol for a Randomized Controlled Pilot Trial

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