Online psychosocial group intervention for adolescents with a chronic illness: A randomized controlled trial,Internet Interventions

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Online psychosocial group intervention for adolescents with a chronic illness: A randomized controlled trial
Internet Interventions ( IF 5.358 ) Pub Date : 2021-08-20 , DOI: 10.1016/j.invent.2021.100447
Miriam Douma ₁ , Heleen Maurice-Stam ₂ , Bianca Gorter ₃ , Bregje A Houtzager ₄ , Hestien J I Vreugdenhil ₅ , Maaike Waaldijk ₆ , Lianne Wiltink ₇ , Martha A Grootenhuis ₂ , Linde Scholten ₁

Affiliation

Objective

The present study aimed to evaluate the efficacy of Op Koers Online, a protocolled online psychosocial group intervention for adolescents with a chronic illness (CI).

Methods

Adolescents (12–18 years) with different types of CI (N = 59; Mean age = 15.1 years, SD = 1.7; 54% female) participated in a parallel multicenter randomized controlled trial comparing Op Koers Online (N = 35) with a waitlist control group (N = 24). Assessments (online questionnaires) took place at baseline (T0), 6-months (T1) and 12-months follow-up (T2). Primary outcomes were internalizing and externalizing behavioral problems and disease-related coping skills. Health-Related Quality of Life was secondary. Efficacy was tested with linear mixed models.

Results

Compared to the control group, the intervention had a significant positive effect (p < .05) on disease-related coping skills T1 vs T0 (use of relaxation, β = 0.68; social competence, β = 0.57) and T2 vs T0 (information seeking, β = 0.61), and on HRQoL (social-, school-, psychosocial functioning and total HRQoL) T1 vs T0 (β = 0.52 to β = 0.60). No intervention effects on internalizing and externalizing behavioral problems were found.

Conclusion

The results of this randomized controlled trial indicate a positive effect of Op Koers Online. The intervention had beneficial effects on disease-related coping skills and HRQoL.

Practice implications

The next step is to implement Op Koers Online for adolescents in clinical practice.

中文翻译：

对患有慢性病的青少年进行在线社会心理团体干预：一项随机对照试验

客观的

本研究旨在评估Op Koers Online的疗效，Op Koers Online 是一种针对患有慢性疾病 (CI) 的青少年的协议化在线社会心理团体干预措施。

方法

患有不同类型 CI 的青少年（12-18 岁）（N = 59；平均年龄 = 15.1 岁，SD = 1.7；54% 为女性）参加了一项平行多中心随机对照试验，将Op Koers Online（N = 35）与候补名单对照组（N = 24）。在基线 (T0)、6 个月 (T1) 和 12 个月随访 (T2) 时进行评估（在线问卷）。主要结果是内化和外化行为问题以及与疾病相关的应对技巧。与健康相关的生活质量是次要的。使用线性混合模型测试功效。

结果

与对照组相比，干预对疾病相关的应对技能 T1 vs T0（使用放松，β = 0.68；社交能力，β = 0.57）和 T2 vs T0（信息寻求，β = 0.61)，以及 HRQoL（社会、学校、心理社会功能和总 HRQoL）T1 与 T0（β = 0.52 至 β = 0.60）。没有发现对内化和外化行为问题的干预效果。