None listed
Conditions
Brief summary
The purpose of the proposed project is to examine the acceptability, efficacy and feasibility of a low-intensity CBT-based self-management program, the Wellbeing Neuro Course to support the emotional and cognitive health of adults with neurological conditions. The proposed trial employs a single-group open-trial design (n = 100) and participants will be given access to a modified version of an established self-management Course for managing depression, anxiety and disability associated with chronic conditions (the Chronic Conditions Course). The Course contains a 6-lesson 10-week internet delivered program. Participants will have brief weekly contact with a clinical psychologist as they work through the Course. A single-group open-trial feasibility design will be employed; all participants are provided full and immediate access to the Wellbeing Neuro Course and are asked to complete standardised questionnaires at 3 main time points: Pre-treatment, post-treatment and 3-month follow-up.
Interventions
The interventions, the Wellbeing Neuro Course, is an internet-delivered self-management program, which consists of'
(a) 6 online lessons provided over 10 weeks. The Lessons will include information about identifying symptoms of poor wellbeing including mental health and cognitive difficulties, and teach practical skills for their self- management including; managing thoughts, low mood and anxiety, problem solving, memory and attention, and activity and fatigue levels.
(b) Worksheets for each l
The interventions, the Wellbeing Neuro Course, is an internet-delivered self-management program, which consists of' (a) 6 online lessons provided over 10 weeks. The Lessons will include information about identifying symptoms of poor wellbeing including mental health and cognitive difficulties, and teach practical skills for their self- management including; managing thoughts, low mood and anxiety, problem solving, memory and attention, and activity and fatigue levels. (b) Worksheets for each lesson. (c) Additional written resources that can be downloaded, which include information about other important skills, such as problem solving common cognitive difficulties, assertiveness and communication skills and techniques for managing sleep difficulties. (d) Case stories based on previous participants, which they can follow throughout the Course. (e) Brief weekly contact with a psychologist via secure email or telephone. Participants will be encouraged to complete a lesson every 10 days and complete some basic homework in the following 10 days. Participants will be contacted by a psychologist each week to monitor their mood and progress through the Course; each eCentreClinic Psychologist receives 1 hour or more of weekly supervision from another eCentreClinic Psychologist in which all of their participants are reviewed; as per best-practice guidelines and eCentreClinic Policy. The Wellbeing Neuro Course is based on cognitive behaviour therapy (CBT) principles and teaches evidence-based skills for managing the impacts of neurological conditions on day-to-day activities and overall mental health. Each lesson takes between 10 and 20 minutes to complete and it is suggested that participants read each lesson at least twice and spend approximately 4 hours, across the week, practicing the skills taught. Telephone calls will be limited to approximately 10 minutes per week; however, more time will be provided where clinically indicated. Adherence (e.g., logins, lesson completion, lesson views, time spent on course) will be monitored via the eCentreClinic software, which is used to provide the Wellbeing Neuro Course.
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
-Confirmed diagnosis of a neurological condition; Multiple Sclerosis, Epilepsy, Parkinson’s Disease, Stroke, Traumatic Brain Injury or Acquired Brain Injury. - Experiencing cognitive difficulties (e.g., difficulties with memory, attention, planning) that are impacting their day-to-day activities and quality of life - Want to learn information and skills to limit the impact of their neurological condition on their emotional and cognitive wellbeing. -Aged 18 years or older. -Living in Australia.
Exclusion criteria
- Inability to use a computer. - Very 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). -Not being under the medical management of a doctor for their neurological condition.
Outcome results
None listed