None listed
Conditions
Brief summary
The purpose of the proposed project is to examine the acceptability, efficacy and feasibility of a low-intensity Cognitive Behaviour Therapy (CBT)-based self-management program, the Managing Your Wellbeing Epilepsy Course, in reducing symptoms of anxiety, depression and disability among adults with epilepsy. The Course contains a 5-lesson 8 week CBT program, which can be administered via the internet. Participants will have brief weekly contact with a clinical psychologist as they work through the Course. We expect participants will rate the Course as acceptable and will report that it was worth their time. We also expect that overall sample will make improvements in symptoms of disability, anxiety and depression from pre-treatment to post-treatment, which will be maintained at 3-month.
Interventions
Participants will be assigned to one group, who will receive an internet-delivered Cognitive Behaviour Therapy program, the Managing Your Wellbeing Epilepsy Course. All participants will have a diagnosis of epilepsy. Participants will complete 5 lessons of Internet based treatment about management of symptoms of anxiety and depression in the context of living with a chronic health condition (epilepsy). One lesson will be completed every 7 to 10 days. Each lesson will take about 15 minutes to com
Participants will be assigned to one group, who will receive an internet-delivered Cognitive Behaviour Therapy program, the Managing Your Wellbeing Epilepsy Course. All participants will have a diagnosis of epilepsy. Participants will complete 5 lessons of Internet based treatment about management of symptoms of anxiety and depression in the context of living with a chronic health condition (epilepsy). One lesson will be completed every 7 to 10 days. Each lesson will take about 15 minutes to complete. Participants will also have access to summaries of each lesson, and will read anonymous stories about other people with chronic health conditions, including epilepsy, taking a further 20 minutes per summary. Online monitoring will occur to monitor lessons completed and treatment adherence. When each participant clicks through all the slides of each lesson the computer will log the time spent on the lesson and the time/date when the lesson was completed. Participants will have the option of weekly telephone calls or emails from a trained and supervised Psychologist at the eCentreClinic to provide support, encouragement and to answer questions about the content of the Course. The duration of the program is 8 weeks. Study questionnaires will be administered at application, pre-treatment, posttreatment, and at 3 month follow-up. Some questionnaires will be administered weekly during the Course. The major sets of questionnaires will take about 10 to 15 minutes to complete. The treatment materials are based on previous internet-based programs, which apply cognitive behavioural techniques.
Sponsors
Dr Milena Gandy
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
- 18+ years of age. - Confirmed diagnosis of epilepsy; which is being managed by a GP or specialist. - Living in Australia. - Has had a recent consultation (i.e., in the last 6 months) with a GP or specialist. - Provide informed consent to participate in the study.
Exclusion criteria
- Inability to use a computer. - Severe depression (i.e., indicated by a score > 22 on the PHQ-9). - Significant suicidal ideation (i.e., indicated by a score > 2 to Question 9 of the PHQ-9). - Acutely suicidal or recent history of attempted suicide or self-harm (i.e., last 12 months). - Serious cognitive impairment or dementia (<21 on the Telephone Interview of Cognitive Status; TICS).
Outcome results
None listed