scholarly journals Smartphone Delivery of Cognitive Behavioral Therapy for Post-intensive Care Syndrome-Family: A Pilot Study (Preprint)

10.2196/30813 ◽  
2021 ◽  
Author(s):  
Amy B. Petrinec ◽  
Joel W. Hughes ◽  
Melissa D. Zullo ◽  
Cindy Wilk ◽  
Richard L. George
Keyword(s):  
Intensive Care ◽  
Pilot Study ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Post Intensive Care Syndrome

Delivering Cognitive Behavioral Therapy for Post–Intensive Care Syndrome–Family via a Mobile Health App

2021 ◽  
Vol 30 (6) ◽  
pp. 451-458
Author(s):  
Amy Petrinec ◽  
Cindy Wilk ◽  
Joel W. Hughes ◽  
Melissa D. Zullo ◽  
Yea-Jyh Chen ◽  
...  
Keyword(s):  
Intensive Care ◽  
Cognitive Behavioral Therapy ◽  
Mobile Health ◽  
Behavioral Therapy ◽  
Family Members ◽  
Intervention Group ◽  
Cognitive Behavioral ◽  
Control Group ◽  
Icu Patients ◽  
Post Intensive Care Syndrome

Background Family members of intensive care unit (ICU) patients are at risk for post–intensive care syndrome– family (PICS-F), including symptoms of anxiety, depression, and posttraumatic stress. Cognitive behavioral therapy is the first-line nonpharmacologic treatment for many psychological symptoms and has been successfully delivered by use of mobile technology for symptom self-management. Objectives To determine the feasibility of delivering cognitive behavioral therapy through a smartphone app to family members of critically ill patients. Methods This was a prospective longitudinal cohort study with a consecutive sample of patients admitted to 2 adult ICUs and their family members. The control group period was followed by the intervention group period. The intervention consisted of a mobile health app preloaded on a smartphone provided to family members. The study time points were enrollment (within 5 days of ICU admission), 30 days after admission, and 60 days after admission. Study measures included demographic data, app use, satisfaction with the app, mental health self-efficacy, and measures of PICS-F symptoms. Results The study sample consisted of 49 predominantly White (92%) and female (82%) family members (24 intervention, 25 control). Smartphone ownership was 88%. Completion rates for study measures were 92% in the control group and 79% in the intervention group. Family members logged in to the app a mean of 18.58 times (range 2-89) and spent a mean of 81.29 minutes (range 4.93-426.63 minutes) using the app. Conclusions The study results confirm the feasibility of implementing app-based delivery of cognitive behavioral therapy to family members of ICU patients.

scholarly journals Smartphone Delivery of Cognitive Behavioral Therapy for Post-intensive Care Syndrome-Family: A Pilot Study (Preprint)

2021 ◽  
Author(s):  
Amy B. Petrinec ◽  
Joel W. Hughes ◽  
Melissa D. Zullo ◽  
Cindy Wilk ◽  
Richard L. George
Keyword(s):  
Intensive Care ◽  
Cognitive Behavioral Therapy ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Behavioral Therapy ◽  
Family Members ◽  
Cognitive Behavioral ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Post Intensive Care Syndrome

BACKGROUND Family members of critically ill patients suffer symptoms of post-intensive care syndrome-family (PICS-F), including anxiety, depression, and post-traumatic stress disorder. Post-intensive care syndrome-family reduces the quality of life of the families of critically ill patients and may impede recovery of the patient. Cognitive behavioral therapy has become a first-line non-pharmacological treatment of psychological symptoms and disorders, including anxiety, depression, and post-traumatic stress. For mild-to-moderate symptoms, mobile technology delivery of cognitive behavioral therapy without input from a clinician has been found to be feasible and well-accepted with efficacy that rivals face-to-face therapy. OBJECTIVE The purpose of this pilot study is to examine the efficacy of smartphone delivery of cognitive behavioral therapy via a mobile health app on the severity and prevalence of PICS-F symptoms in family members of critically ill patients. METHODS For this pilot study, 60 family members of critically ill patients will be recruited. A repeated measures longitudinal design with randomization to two groups (control, intervention) will be employed. The intervention group will receive cognitive behavioral therapy delivered via a smartphone mobile health app. Bandura’s Social Cognition Theory with an emphasis on mental health self-efficacy forms the theoretical framework of the study. RESULTS Recruitment for the study began in August, 2020. Data collection and analysis is expected to be completed by March, 2022. Primary outcome measures will include symptoms of PICS-F (anxiety, depression, post-traumatic stress), health-related quality of life, and mental health self-efficacy measured at enrollment, 30 days after enrollment, and 60 days after enrollment. CONCLUSIONS The proposed study represents a novel approach to the treatment of PICS-F symptoms, is an extension of previous work by the research team, and will be used to plan a fully powered, randomized, controlled trial. CLINICALTRIAL ClinicalTrials.gov NCT04316767; https://clinicaltrials.gov/ct2/show/NCT04316767?cond=Post-Intensive+Care+Syndrome&draw=3&rank=17

A pilot study of functional Cognitive Behavioral Therapy (fCBT) for schizophrenia

2005 ◽  
Vol 74 (2-3) ◽  
pp. 201-209 ◽  
Author(s):  
Corinne Cather ◽  
David Penn ◽  
Michael W. Otto ◽  
Iftah Yovel ◽  
Kim T. Mueser ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

Virtual Reality and Cognitive-Behavioral Therapy for Driving Anxiety and Aggression in Veterans: A Pilot Study

2018 ◽  
Vol 25 (2) ◽  
pp. 296-309 ◽  
Author(s):  
Heidi M. Zinzow ◽  
Johnell O. Brooks ◽  
Patrick J. Rosopa ◽  
Stephanie Jeffirs ◽  
Casey Jenkins ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Pilot Study ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

scholarly journals 0979 Internet-Based Cognitive Behavioral Therapy for Insomnia in Appalachian Women: A Pilot Study

SLEEP ◽  
2019 ◽  
Vol 42 (Supplement_1) ◽  
pp. A394-A394
Author(s):  
Mairead E Moloney ◽  
Ashley I Martinez ◽  
Christal L Badour ◽  
Daniela C Moga
Keyword(s):  
Pilot Study ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Appalachian Women
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