CBT-based App for Women Experiencing Chronic Pelvic Pain: A Pilot Study (Preprint)

2020 ◽  
Author(s):  
Arthur Stabolidis ◽  
Christina Bryant ◽  
Greg Wadley ◽  
Lisa Phillips
Keyword(s):  
Pilot Study ◽  
Pelvic Pain ◽  
Participatory Design ◽  
Chronic Pelvic Pain ◽  
Randomised Control Trial ◽  
Behaviour Therapy ◽  
Post Intervention ◽  
Cognitive Behaviour ◽  
The Mean ◽  
Clinically Significant

BACKGROUND Chronic Pelvic Pain (CPP) is a costly and distressing condition and while psychological interventions are effective, they are often not utilised or available. Cost, stigma and lack of time are often presented as reasons for why some women with CPP do not engage with these therapies. Increasingly, technology-mediated therapies have been adopted in the management of long-term health conditions to help overcome barriers commonly associated with face-to-face interventions. OBJECTIVE The objective of the study was to design and pilot a technology-based intervention for women experiencing CPP. We employed a user-centered approach involving women with CPP and clinicians in the co-design process. METHODS To co-design the intervention we conducted five participatory design workshops at a public hospital for women. The data gathered informed the design of an app-based intervention called appEase. We pilot tested appEase with women (N = 16) who were asked to use the app daily over 28 days. Data collected during the pilot included a series of baseline, mid- and post-intervention measures, and usage data collected from within the app. RESULTS Workshop findings suggested that a smartphone application, appEase, that delivers a course in mindfulness, pain education and Cognitive Behaviour Therapy (CBT) was consistent with the goals and needs of this patient group. Pilot testing indicated that although appEase was designed to be used for a period of 28 days, the mean completion time for the intervention was 64 days. Ten participants (63%) experienced clinically significant reductions in Pain Catastrophising (PC), and nine (56%) experienced clinically significant increases in Pain Self-Efficacy (PSE). When asked how confident they would be in recommending the program to a person with chronic pain, the mean rating was 8.44 (out of 10). CONCLUSIONS Psychological therapy embodied in a smartphone app shows promise for women experiencing CPP. This study highlights the importance of co-design and provides a useful exemplar for designers of technology-mediated health programs for women experiencing CPP. Furthermore, it has produced a sound empirical basis for testing the efficacy of appEase in a randomised control trial. CLINICALTRIAL Not registered as it is a pilot study with no funding from national agencies

Sexual abuse and chronic pelvic pain in a gynecology outpatient clinic. A pilot study

2021 ◽  
Author(s):  
José G. Garza-Leal ◽  
Francisco J. Sosa-Bravo ◽  
José G. Garza-Marichalar ◽  
Griselda Soto-Quintero ◽  
Lorena Castillo-Saenz ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Pilot Study ◽  
Pelvic Pain ◽  
Outpatient Clinic ◽  
Chronic Pelvic Pain

THE TREATMENT OF WHEELCHAIR-BOUND CHRONIC FATIGUE SYNDROME PATIENTS: TWO CASE STUDIES OF A PRAGMATIC REHABILITATION APPROACH

1999 ◽  
Vol 27 (3) ◽  
pp. 249-260 ◽  
Author(s):  
Pauline Powell ◽  
Richard H. T. Edwards ◽  
Richard P. Bentall
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Case Studies ◽  
Chronic Fatigue ◽  
Behaviour Therapy ◽  
Face To Face ◽  
Fatigue Syndrome ◽  
End Of Treatment ◽  
Cognitive Behaviour ◽  
Ambulatory Patients ◽  
Clinically Significant

Chronic fatigue syndrome is a disabling condition characterized by persistent mental and physical fatigue. Its aetiology is controversial, and it has been attributed to both physical and psychological causes. Previous controlled trials with ambulatory patients have shown that a proportion of CFS patients respond to cognitive-behaviour therapy. In this paper, we report two case studies of patients who are wheelchair-bound, who have been treated by a pragmatic intervention designed to increase activity and challenge dysfunctional illness beliefs. The patients received 60 and 55 contacts with the therapist, some of which were face-to-face and some of which were by telephone. At the end of treatment, the patients experienced clinically significant reductions in fatigue, were not using wheelchairs, showed an increase in occupational and social functioning and were leading relatively independent existences.

scholarly journals Effects of the Digital Game “Fit, Food, Fun” on Nutritional Knowledge: A Pilot Study among German Children and Adolescents

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Sophie Laura Holzmann ◽  
Hanna Schaefer ◽  
Georg Groh ◽  
David Alexander Plecher ◽  
Gudrun Klinker ◽  
...  
Keyword(s):  
Pilot Study ◽  
Children And Adolescents ◽  
Digital Health ◽  
Potential Effect ◽  
P Value ◽  
Nutritional Knowledge ◽  
Short Term ◽  
Post Intervention ◽  
Lifestyle Behaviour ◽  
The Mean

AbstractIntroduction:Serious games are a novel and entertaining approach for digital health education in the younger population. Aim of this pilot study was to evaluate the short-term effectiveness of the serious game “Fit, Food, Fun” (FFF) among a subset of children and adolescents in Germany with regard to nutritional knowledge.Materials and Methods:Two Bavarian secondary schools were each allocated to one intervention arm. The gameplay intervention (gameplay group; GG) consisted of a 15-minute gameplay session for each of three days (Tuesday to Thursday), while the teaching intervention (teaching group; TG) was performed as a 15-minute classic lecture for the same number of days. Given nutritional information was based on the recommendations of the “German Nutrition Society e.V.” and was identical for both intervention groups. Nutritional knowledge was evaluated through a standardised questionnaire at baseline (Monday) and post-intervention (Friday). Lifestyle behaviour (diet; physical activity) and anthropometrics (height; weight) were assessed once at baseline. Inclusion criteria were sufficient German language skills and parental consent form. Statistical analyses were performed using the statistical software R (R Core Team, 2018).Results:In total, 47 students (62% male) were assigned to the GG and 47 students (72% male) to the TG. The mean age was 13.5 years in the GG and 12.8 years in the TG. The mean body mass index was in the normal range (GG: 24.4 kg/m2; TG: 22.0 kg/m2). Data at baseline and post-intervention are analysed for 36 participants in the GG and for 40 participants in the TG. Compared to baseline, results revealed significant improvements (p-value < 0.001) in nutritional knowledge in both intervention groups. There was a between-group difference with significantly (p-value = 0.0139) higher increase of nutritional knowledge in the TG.Discussion:This pilot study provides evidence for the short-term efficacy of both game-based and traditional education approaches on the improvement of nutritional knowledge; however, further research in warranted to assess the potential effect of a digital gameplay intervention on nutritional behaviour. Finally, the FFF game might be considered as an appropriate educational tool for imparting nutritional knowledge in an entertaining and effective format among children and adolescents.

GROUP COGNITIVE BEHAVIOUR THERAPY FOR ANGER: A PILOT STUDY

2003 ◽  
Vol 31 (1) ◽  
pp. 69-83 ◽  
Author(s):  
Ronald Siddle ◽  
Freda Jones ◽  
Fairuz Awenat
Keyword(s):  
Randomized Controlled Trial ◽  
Pilot Study ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Behaviour Therapy ◽  
Randomized Controlled ◽  
Cognitive Behaviour ◽  
Initial Appointment ◽  
The Difference ◽  
Group Cbt

Patients referred with anger problems often do not attend for treatment. The aim of this study was to determine if group Cognitive Behaviour Therapy (CBT) was feasible. Patients referred for help with their anger were assessed, given 6 sessions of group CBT and re-assessed. Of 119 patients referred, 49 (41%) did not attend the initial appointment. Patients who attended for interview were invited to participate in the group CBT. Only 11 patients (9%) of those referred for therapy attended for the full course of CBT. Thirty-four patients (29%) were exposed to at least one session of CBT, while 66 patients (56%) did not attend for any therapy. Patients who attended for some or all of the CBT treatment reported reductions in the frequency and intensity of their anger outbursts. There was also a significant reduction in measures of their anger traits. It could be concluded that group CBT is an appropriate way to deliver this therapy to patients with anger problems, but it is clear that many of those referred are ambivalent about therapy and will not attend. Figures are given that will allow the planning of a randomized controlled trial to evaluate the difference between individual and group based CBT for patients with anger problems.

BATTLING BOREDOM: GROUP COGNITIVE BEHAVIOUR THERAPY FOR NEGATIVE SYMPTOMS OF SCHIZOPHRENIA

2002 ◽  
Vol 30 (3) ◽  
pp. 341-346 ◽  
Author(s):  
Louise C. Johns ◽  
William Sellwood ◽  
John McGovern ◽  
Gillian Haddock
Keyword(s):  
Group Intervention ◽  
Negative Symptoms ◽  
Control Design ◽  
Inclusion Criteria ◽  
Behaviour Therapy ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
The Subject ◽  
Clinically Significant ◽  
Group Cbt

We conducted a pilot group intervention for negative symptoms, particularly targeting avolition/apathy. A baseline control design was used. Six patients were recruited, and four completed the group. The main inclusion criteria were clinically significant negative symptoms, plus associated distress and concern. The group involved 16 sessions, which were cognitive behavioural in approach. The main outcome measures were the Scale for the Assessment of Negative Symptoms, and the Subject Experience of Negative Symptoms Scale. Patients showed a reduction in avolition/apathy, and two patients reported reduced distress. These preliminary results suggest that group CBT is a possible intervention for negative symptoms.

scholarly journals Increasing access to CBT for psychosis patients: a feasibility, randomized controlled trial evaluating brief, targeted CBT for distressing voices delivered by Assistant Psychologists (GiVE2)

2020 ◽  
Author(s):  
Mark Hayward ◽  
Clio Berry ◽  
Ben Cameron ◽  
Kate Arnold ◽  
Katherine Berry ◽  
...  
Keyword(s):  
Enhanced Recovery ◽  
Controlled Trial ◽  
Cost Effective ◽  
Service Level ◽  
Preliminary Evidence ◽  
Economic Benefits ◽  
Randomised Control Trial ◽  
Behaviour Therapy ◽  
Treatment As Usual ◽  
Cognitive Behaviour

Abstract Background The National Institute for Health and Care Excellence (NICE) recommends that Cognitive Behaviour Therapy for psychosis (CBTp) is offered to all patients with a psychosis diagnosis. However, only a minority of psychosis patients in England and Wales are offered CBTp. This is attributable, in part, to the resource-intensive nature of CBTp. One response to this problem has been the development of CBTp in brief formats that are targeted at a single symptom and the mechanisms that maintain distress. We have developed a brief form of CBTp for distressing voices and reported preliminary evidence for its effectiveness when delivered by highly trained therapists (Clinical Psychologists). This study will investigate the delivery of this intervention by a cost-effective workforce of Assistant Psychologists following a brief training and evaluate the acceptability and feasibility of conducting a future, definitive, randomised control trial (RCT).Methods This is a feasibility study for a pragmatic three-arm parallel group superiority 1:1:1 RCT comparing a Guided self-help CBT intervention for voices and treatment as usual (GiVE) to Supportive Counselling and treatment as usual (SC) to Treatment as usual alone (TAU), recruiting across two sites, with blinded post-treatment and follow-up assessments. A process evaluation will quantitatively and qualitatively explore stakeholder experience.Discussion Expected outcomes will include an assessment of the feasibility of conducting a definitive RCT and data to inform the calculation of its sample size. If evidence from a subsequent fully powered RCT suggests that GiVE is clinically and cost effective when delivered by briefly trained Assistant Psychologists, CBTp offered in these less resource-intensive forms has the potential to generate benefits for individual patients (reduced distress, enhanced recovery and enhanced quality of life), service-level patient benefit (increased access to evidence-based psychological therapies) and economic benefits to the NHS (in terms of the reduced use of mental health inpatient services).

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