Internet-delivered cognitive behavior therapy for adolescents with functional gastrointestinal disorders — An open trial

Bonnert, Marianne; Ljótsson, Brjánn; Hedman, Erik; Andersson, Johanna; Arnell, Henrik; Benninga, Marc A.; Simrén, Magnus; Thulin, Helena; Thulin, Ulrika; Vigerland, Sarah; Serlachius, Eva; Olén, Ola

doi:10.1016/j.invent.2014.07.002

Cited by 25 publications

(27 citation statements)

References 58 publications

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“…One studies was excluded as it was conducted as an open trial (Bonnert 2014). A second paper, Long 2009, evaluated the usability of an online study already included in the review (Palermo 2009).…”

Section: Resultsmentioning

confidence: 99%

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Fisher

Law

Palermo

et al. 2015

Cochrane Database of Systematic Reviews

125

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Background Chronic pain is common during childhood and adolescence and is associated with negative outcomes such as increased severity of pain, reduced function (e.g. missing school), and low mood (e.g. high levels of depression and anxiety). Psychological therapies, traditionally delivered face-to-face with a therapist, are efficacious at reducing pain intensity and disability. However, new and innovative technology is being used to deliver these psychological therapies remotely, meaning barriers to access to treatment such as distance and cost can be removed or reduced. Therapies delivered with technological devices, such as the Internet, computer-based programmes, smartphone applications, or via the telephone, can be used to deliver treatment to children and adolescents with chronic pain. Objectives To determine the efficacy of psychological therapies delivered remotely compared to waiting-list, treatment-as-usual, or active control treatments, for the management of chronic pain in children and adolescents. Search methods We searched four databases (CENTRAL, MEDLINE, EMBASE, and PsycINFO) from inception to June 2014 for randomised controlled trials of remotely delivered psychological interventions for children and adolescents (0 to 18 years of age) with chronic pain. We searched for chronic pain conditions including, but not exclusive to, headache, recurrent abdominal pain, musculoskeletal pain, and neuropathic pain. We also searched online trial registries for potential trials. A citation and reference search for all included studies was conducted. Selection criteria All included studies were randomised controlled trials that investigated the efficacy of a psychological therapy delivered remotely via the Internet, smartphone device, computer-based programme, audiotapes, or over the phone in comparison to an active, treatment-as-usual, or waiting-list control. We considered blended treatments, which used a combination of technology and face-to-face interaction. We excluded interventions solely delivered face-to-face between therapist and patient from this review. Children and adolescents (0 to 18 years of age) with a primary chronic pain condition were the target of the interventions. Each comparator arm, at each extraction point had to include 10 or more participants. Data collection and analysis For the analyses, we combined all psychological therapies. We split pain conditions into headache and mixed (non-headache) pain and analysed them separately. Pain, disability, depression, anxiety, and adverse events were extracted as primary outcomes. We also extracted satisfaction with treatment as a secondary outcome. We considered outcomes at two time points: first immediately following the end of treatment (known as ’post-treatment’), and second, any follow-up time point post-treatment between 3 and 12 months (known as ’follow-up’). We assessed all included studies for risk of bias. Main results Eight studies (N = 371) that delivered treatment remotely were identified from our search; five studies inv...

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Section: Resultsmentioning

confidence: 99%

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Fisher

Law

Palermo

et al. 2015

Cochrane Database of Systematic Reviews

125

View full text Add to dashboard Cite

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“…These programs, derived from the Triple P Positive Parenting Program to prevent behavioural and emotional child problems, are based on the social learning theory and are aimed at increasing parental self-efficacy, through training on disease management strategies. An innovative approach uses CBT with adolescents with gastrointestinal functional disorders, emphasizing the use of exposure treatment to practice experiencing symptoms in difficult situations, to reduce avoidance behaviors and fear of symptoms (Bonnert et al, 2014). In this case, the role of the parents in helping and reinforcing the exposure component seems critical to the success of the intervention (Levy et al, 2010).…”

Section: Psychological Methods Involvedmentioning

confidence: 99%

Supporting health-related parenting: A scoping review of programs assisted by the Internet and related technologies

Barros

Greffin

2017

Estud. psicol. (Campinas)

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eHealth interventions have been proposed as a possible solution to overcome major obstacles associated with low adherence rates, low accessibility, and high costs of parenting programs. Due to the number and variety of interventions found in the literature, this study aimed to conduct a scoping review of parenting interventions directed at supporting parents in promoting their child's health and carrying out disease-related tasks. The scoping review identified 119 technology-based programs directed both at universal, preventive objectives and at the management and adaptation to chronic or severe acute health conditions. Several different web-based applications have been creatively used in healthrelated parenting interventions. Most programs use evidence-based psychological methodologies to promote parental self-management, build specific parenting skills, and provide customized feedback and social support. Further studies are needed to assess the contribution of the Internet and mobile applications to enhance the effectiveness of health-related parenting interventions and the dissemination of empirically validated programs.

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“…The exposure-based Internet-CBT was based on a treatment protocol for IBS in adults 18 and has been evaluated for adolescents with IBS in a feasibility study 19 .The treatment spanned over 10 weeks and included 10 weekly modules directed at the adolescents and five modules directed at the parents. The main principle of the treatment was to use exposure exercises to reduce symptom-fear and avoidance, e.g.…”

Section: Exposure-based Internet-cbtmentioning

confidence: 99%

“…Power. To obtain a power of 80% to detect a between group effect size of d=0.6 on the primary outcome measure GSRS-IBS (based on the feasibility study 19 ), we planned to recruit at least 100 participants.…”

Section: Statistical Analysesmentioning

confidence: 99%

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Internet-Delivered Cognitive Behavior Therapy for Adolescents With Irritable Bowel Syndrome: A Randomized Controlled Trial

Bonnert

Olén

Lalouni

et al. 2017

American Journal of Gastroenterology

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107

101

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Internet-delivered cognitive behavior therapy for adolescents with functional gastrointestinal disorders — An open trial

Cited by 25 publications

References 58 publications

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Supporting health-related parenting: A scoping review of programs assisted by the Internet and related technologies

Internet-Delivered Cognitive Behavior Therapy for Adolescents With Irritable Bowel Syndrome: A Randomized Controlled Trial

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