Guided internet-delivered cognitive-behaviour therapy for persons with spinal cord injury: a feasibility trial,Spinal Cord

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Guided internet-delivered cognitive-behaviour therapy for persons with spinal cord injury: a feasibility trial
Spinal Cord ( IF 2.1 ) Pub Date : 2020-01-09 , DOI: 10.1038/s41393-019-0398-6
Swati Mehta ₁ , Heather Hadjistavropoulos ₂ , Marcie Nugent ₂ , Eyal Karin ₃ , Nick Titov ₄ , Blake F Dear ₃

Affiliation

Study design

Observational pre-post study.

Objective

Guided internet-delivered CBT (ICBT) offers an alternative approach for mental health service delivery in the community for those with spinal cord injury (SCI). The feasibility and acceptability of guided ICBT programme is available for various chronic health conditions; however, the evidence related to SCI is limited. The primary aim of the current study was to examine feasibility and acceptability of a guided transdiagnostic ICBT programme for persons with SCI.

Setting

Community.

Methods

In this single-group pre-post study, persons with SCI (n = 20) living in the community were provided with a guided 8-week transdiagnostic ICBT programme for overall well-being. Study feasibility was examined by the following outcomes: patient recruitment, engagement, and attrition. Acceptability of the programme was evaluated post-treatment. Reductions in symptoms of depression and anxiety were assessed at baseline, post-intervention, and at 3-month follow-up.

Results

Approximately 60% of eligible participants were recruited. The study found high rates of programme completion (90%) and outcome data were obtained from 90% of participants. Improvement in symptoms of depression (and anxiety) were seen after treatment. Gains were maintained at 3-month follow-up.