From classroom to ‘shop floor’: challenges faced as a low intensity practitioner

Telford, Jillian; Wilson, Rea

doi:10.1093/med:psych/9780199590117.003.0050

Cited by 2 publications

(1 citation statement)

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“…Although LICBT clinical protocols have been published [ 68 ], the TIDieR checklist represents a systematic and structured approach to facilitating detailed intervention descriptions. The provision of a systematic and structured clinical protocol may be of particular importance, given that therapeutic drift [ 101 ] in supporting LICBT is commonly reported [ 102 ]. In addition, the content of LICBT interventions differs significantly [ 34 , 103 ] and is poorly described [ 104 ].…”

Section: Discussionmentioning

confidence: 99%

Internet-Administered Cognitive Behavioral Therapy for Common Mental Health Difficulties in Parents of Children Treated for Cancer: Intervention Development and Description Study

Woodford¹,

Farrand²,

Hagström³

et al. 2021

JMIR Form Res

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Background Following the end of a child’s treatment for cancer, parents may report psychological distress. However, there is a lack of evidence-based interventions that are tailored to the population, and psychological support needs are commonly unmet. An internet-administered low-intensity cognitive behavioral therapy (LICBT)–based intervention (EJDeR [internetbaserad självhjälp för föräldrar till barn som avslutat en behandling mot cancer]) may provide a solution. Objective The first objective is to provide an overview of a multimethod approach that was used to inform the development of the EJDeR intervention. The second objective is to provide a detailed description of the EJDeR intervention in accordance with the Template for Intervention Description and Replication (TIDieR) checklist. Methods EJDeR was developed through a multimethod approach, which included the use of existing evidence, the conceptualization of distress, participatory action research, a cross-sectional survey, and professional and public involvement. Depending on the main presenting difficulty identified during assessment, LICBT behavioral activation or worry management treatment protocols are adopted for the treatment of depression or generalized anxiety disorder when experienced individually or when comorbid. EJDeR is delivered via the Uppsala University Psychosocial Care Programme (U-CARE) portal, a web-based platform that is designed to deliver internet-administered LICBT interventions and includes secure videoconferencing. To guide parents in the use of EJDeR, weekly written messages via the portal are provided by e-therapists comprising final year psychology program students with training in cognitive behavioral therapy. Results An overview of the development process and a description of EJDeR, which was informed by the TIDieR checklist, are presented. Adaptations that were made in response to public involvement are highlighted. Conclusions EJDeR represents a novel, guided, internet-administered LICBT intervention for supporting parents of children treated for cancer. Adopting the TIDieR checklist offers the potential to enhance fidelity to the intervention protocol and facilitate later implementation. The intervention is currently being tested in a feasibility study (the ENGAGE study). International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2018-023708

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Section: Discussionmentioning

confidence: 99%

Internet-Administered Cognitive Behavioral Therapy for Common Mental Health Difficulties in Parents of Children Treated for Cancer: Intervention Development and Description Study

Woodford¹,

Farrand²,

Hagström³

et al. 2021

JMIR Form Res

View full text Add to dashboard Cite

show abstract

Internet-Administered Cognitive Behavioral Therapy for Common Mental Health Difficulties in Parents of Children Treated for Cancer: Intervention Development and Description Study (Preprint)

Woodford¹,

Farrand²,

Hagström³

et al. 2020

Preprint

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BACKGROUND Parents of children treated for cancer may report psychological distress following the end of treatment. However, psychological support needs are commonly unmet and there is lack of evidence-based interventions tailored to the population. An internet-administered low-intensity Cognitive Behavioral Therapy (CBT) based self-help intervention (EJDeR; intErnetbaserad sJälvhjälp för förälDrar till barn som avslutat en behandling mot canceR) may provide a solution. OBJECTIVE To describe the development of the EJDeR intervention adopting the Template for Intervention Description and Replication (TIDieR) checklist to detail specific intervention factors. METHODS EJDeR was developed through a multistage approach, including the use of existing evidence, conceptualization of distress, participatory action research, cross- sectional survey, and professional and public involvement. It utilizes low-intensity CBT behavioral activation and worry management treatment protocols for Depression and/or Generalized Anxiety Disorder tailored towards the population. EJDeR is delivered via the U-CARE-portal, an online platform including written, film, audio content and videoconferencing, in-portal e-mail guidance, logging of participant and therapist activity, and automatic reminders. Parents are guided to use EJDeR by e-therapists, comprising psychology program students, in at least their fourth year of study after having completed a term of advanced studies in CBT. RESULTS An overview of the development process and a description of EJDeR informed by the TIDieR checklist are presented. Adaptations to EJDeR made in response to public involvement are highlighted. EJDeR is currently being tested in a feasibility study of an internet-administered intervention for parents of children previously treated for cancer (the ENGAGE study). CONCLUSIONS EJDeR represents a novel approach to support parents of children treated for cancer. Adopting a low-intensity CBT approach, guided by e-therapists, and internet-administered delivery represents a unique approach to improve access to mental health support for parents of children treated for cancer. Adopting TIDieR to report EJDeR offers potential to enhance fidelity to the intervention protocol and facilitate later implementation. CLINICALTRIAL ENGAGE study: ISRCTN 57233429 INTERNATIONAL REGISTERED REPORT RR2-10.1136/bmjopen-2018-023708

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From classroom to ‘shop floor’: challenges faced as a low intensity practitioner

Cited by 2 publications

References 0 publications

Internet-Administered Cognitive Behavioral Therapy for Common Mental Health Difficulties in Parents of Children Treated for Cancer: Intervention Development and Description Study

Internet-Administered Cognitive Behavioral Therapy for Common Mental Health Difficulties in Parents of Children Treated for Cancer: Intervention Development and Description Study

Internet-Administered Cognitive Behavioral Therapy for Common Mental Health Difficulties in Parents of Children Treated for Cancer: Intervention Development and Description Study (Preprint)

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