Effectiveness of online versus live multi-family psychoeducation group therapy for children and adolescents with mood or anxiety disorders: a pilot study

Sapru, Iman; Khalid‐Khan, Sarosh; Choi, Elaine; Alavi, Nazanin; Patel, Archana; Sutton, Chloe; Odejayi, Gbolahan; Calancie, Olivia G.

doi:10.1515/ijamh-2016-0069

Cited by 31 publications

(39 citation statements)

References 8 publications

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“…Studies on technologies for depression also varied in quality: 10 studies were of excellent quality [ 56 , 57 , 59 , 63 - 67 , 71 , 81 ], 2 were of very good quality [ 60 , 68 ], 4 were of moderate quality [ 58 , 61 , 69 , 72 ], and 2 were of low quality and received a score of 25 [ 62 ] and 0 [ 70 ]. Studies evaluating technologies applicable to both anxiety and depression were of excellent [ 75 , 77 ], very good [ 74 ], and moderate [ 73 , 76 ] quality. The most common factors impacting the quality scores for quantitative studies were the lack of description on how randomization sequences were generated and if/how allocation was concealed (ie, see MMAT items 2.1 and 2.2 in Multimedia Appendix 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…All 5 studies examined the acceptability of technologies aimed at treating anxiety and depression. Of these, 3 (60%) reported high satisfaction [ 73 - 75 ], with children and parents describing that they would not change any aspects of the program, and 2 studies (40%) reported moderate satisfaction [ 76 , 77 ]. Two studies examined adoption and reported low adherence to program sessions [ 75 ] and high website usage rates [ 77 ].…”

Section: Resultsmentioning

confidence: 99%

“…Two studies examined adoption and reported low adherence to program sessions [ 75 ] and high website usage rates [ 77 ]. Of the 2 studies that examined appropriateness, both found positive attitudes and perceived helpfulness of the intervention from children and parents [ 73 ] and healthcare providers [ 74 ]. One study examined penetration of technology, reporting successful integration of the program into a practice of 2000 healthcare providers [ 74 ].…”

Section: Resultsmentioning

confidence: 99%

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eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes

Wozney¹,

McGrath²,

Gehring³

et al. 2018

JMIR Ment Health

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BackgroundAnxiety disorders and depression are frequent conditions in childhood and adolescence. eMental healthcare technologies may improve access to services, but their uptake within health systems is limited.ObjectiveThe objective of this review was to examine and describe how the implementation of eMental healthcare technologies for anxiety disorders and depression in children and adolescents has been studied.MethodsWe conducted a search of 5 electronic databases and gray literature. Eligible studies were those that assessed an eMental healthcare technology for treating or preventing anxiety or depression, included children or adolescents (<18 years), or their parents or healthcare providers and reported findings on technology implementation. The methodological quality of studies was evaluated using the Mixed Methods Appraisal Tool. Outcomes of interest were based on 8 implementation outcomes: acceptability (satisfaction with a technology), adoption (technology uptake and utilization), appropriateness (“fitness for purpose”), cost (financial impact of technology implementation), feasibility (extent to which a technology was successfully used), fidelity (implementation as intended), penetration (“spread” or “reach” of the technology), and sustainability (maintenance or integration of a technology within a healthcare service). For extracted implementation outcome data, we coded favorable ratings on measurement scales as “positive results” and unfavorable ratings on measurement scales as “negative results.” Those studies that reported both positive and negative findings were coded as having “mixed results.”ResultsA total of 46 studies met the inclusion criteria, the majority of which were rated as very good to excellent in methodological quality. These studies investigated eMental healthcare technologies for anxiety (n=23), depression (n=18), or both anxiety and depression (n=5). Studies of technologies for anxiety evaluated the following: (1) acceptability (78%) reported high levels of satisfaction, (2) adoption (43%) commonly reported positive results, and (3) feasibility (43%) reported mixed results. Studies of technologies for depression evaluated the following: (1) appropriateness (56%) reported moderate helpfulness and (2) acceptability (50%) described a mix of both positive and negative findings. Studies of technologies designed to aid anxiety and depression commonly reported mixed experiences with acceptability and adoption and positive findings for appropriateness of the technologies for treatment. Across all studies, cost, fidelity, and penetration and sustainability were the least measured implementation outcomes.ConclusionsAcceptability of eMental healthcare technology is high among users and is the most commonly investigated implementation outcome. Perceptions of the appropriateness and adoption of eMental healthcare technology were varied. Implementation research that identifies, evaluates, and reports on costs, sustainability, and fidelity to clinical guidelines is crucial for making high-quality ...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes

Wozney¹,

McGrath²,

Gehring³

et al. 2018

JMIR Ment Health

View full text Add to dashboard Cite

show abstract

“…A community‐based implementation of this treatment modality confirmed its effectiveness in practice settings (McPherson et al ., ). Finally, a recent pilot study (Sapru et al ., ) showed that online psychoeducational MFT was as efficient, in terms of knowledge acquisition and family EE, as live MFT for children (≤ 12 years) with mood and anxiety disorders, suggesting online MFT is a convenient and accessible alternative for families.…”

Section: Mood Disordersmentioning

confidence: 99%

The evidence base for Multiple Family Therapy in psychiatric disorders: a review (part 1)

Gelin

Cook‐Darzens

Hendrick

2017

Journal of Family Therapy

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This article provides an updated and comprehensive overview of the empirical literature regarding Multiple Family Therapy (MFT)'s applications to major psychiatric disorders. It shows that MFT's strongest evidence base is for schizophrenia and chronic psychoses, making its psychoeducational model one of the best available practices for these disorders. There is also a growing body of evidence regarding the usefulness of MFT for mood disorders (particularly in children), eating disorders and alcohol‐substance abuse, but more controlled research is needed for these conditions. Other disorders such as anxiety disorders, autism and attention deficit hyperactivity disorder have been studied in a more anecdotal fashion and require more rigorous investigations. Future research efforts should focus on: (1) the specific advantage of MFT over other active treatment modalities, (2) the comparative efficacy of various MFT models for a given population, and (3) MFT's change processes. Practitioner points McFarlane's psychoeducational MFT model is considered best practice for schizophrenia and other psychoses (and possibly mood disorders), facilitated by its manual‐based approach The Maudsley model is a valuable treatment for adolescent anorexia nervosa. Family therapists who are less ED‐focused in their interventions can also use more generic MFT models MFT practitioners should attempt to operationalize their MFT model and include an evaluation component in their therapeutic implementation

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“…Anxiety disorders, estimated to affect 10-20% of adolescents, are the most prevalent mental health disorders in youth and often predate depression (Costello, Egger, & Angold, 2005;Essau, Lewinsohn, Olaya, & Seeley, 2014;Merikangas et al, 2010;Sapru et al, 2016;Wittchen, Kessler, Pfister, Höfler, & Lieb, 2000). These disorders are associated with low self-esteem, poor problem solving skills, social inhibition, and a strong desire to be accepted (Anderson, Williams, McGee, & Silva, 1987;Khalid-Khan, Santibanez, McMicken, & Rynn, 2007;McGee et al, 1990;Twenge, 2000).…”

Section: Introductionmentioning

confidence: 99%

Exploring how social networking sites impact youth with anxiety: A qualitative study of Facebook stressors among adolescents with an anxiety disorder diagnosis

Calancie¹,

Ewing²,

Narducci³

et al. 2017

Self Cite

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Effectiveness of online versus live multi-family psychoeducation group therapy for children and adolescents with mood or anxiety disorders: a pilot study

Cited by 31 publications

References 8 publications

eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes

eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes

The evidence base for Multiple Family Therapy in psychiatric disorders: a review (part 1)

Exploring how social networking sites impact youth with anxiety: A qualitative study of Facebook stressors among adolescents with an anxiety disorder diagnosis

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