Anxiety and depression Mental and Behavioural Disorders Anxiety disorder, unspecified
Conditions
Interventions
Arm 1: 20 session cCBT package
Arm 2: 20 session cCBT package with telephone support
Arm 3: 20 session online carer information package (control)
Arm 1: Online cCBT, accessed through the internet (25
Sponsors
Oxford Health NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 11/05/2015: 1. Aged 18 or over. 2. Caring for someone with dementia 3. Depression of mild/moderate severity (Score of 5-15 on PHQ9 rating scale) OR anxiety of mild/moderate severity (Score of 5-15 on GAD7 rating scale) 4. Living in the UK People wishing to participate and meeting the inclusion criteria will be randomized to the three treatment arms. Ineligible participants will be able to access the online information package should they wish to, but no data will be collected. Previous inclusion criteria: 1. Caring for someone with dementia 2. Depression of at least mild severity (Score of 5 of above on PHQ9 rating scale) OR Anxiety of at least mild severity (Score of 5 or more on GAD7 rating scale) 3. Living in the UK People wishing to participate and meeting the inclusion criteria will be randomized to the three treatment arms. Other participants will be able to receive the online cCBT without telephone support or information.
Exclusion criteria
Exclusion criteria: 1. Active suicidal ideation (score of 2 or more on Q9 of PHQ9 rating scale) 2. Currently receiving a psychological therapy 3. Currently receiving treatment for alcohol abuse or abuse of illicit drugs 4. Currently receiving treatment for a psychotic disorder 5. Severe auditory and / or visual impairment that precludes use of the package 6. Physically unable to use a computer or are not sufficiently motivated to commit to the therapy 7. Under 18 years of age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measures as of 11/05/2015: General Health Questionnaire (GHQ12) at 26 weeks Previous primary outcome measures: General Health Questionnaire (GHQ12) which will be rated at baseline, week 12 and 26 | — |
Secondary
| Measure | Time frame |
|---|---|
| Additional key secondary outcome measures undertaken at baseline, weeks 12 and 26 will include: 1. The Hospital Anxiety and Depression Scale (HADS) to measure anxiety and depression 2. The Short Sense of Competency Questionnaire (SSCQ) to measure sense of mastery 3. The Short Form 6D (SF6D) as a short health-related quality of life measure 4. The Relative Stress Scale (RSS) as a measure of stress 5. The Carers of Older People in Europe (COPE) scale as a measure of social support 6. The short Client Services Receipt Inventory (CSRI) to enable health economic analysis Added 11/05/2015: An additional measure, the Credibility and Expectancy Questionnaire (CEQ), will be rated at baseline only to enhance our understanding of possible mediating factors for treatment efficacy and response. | — |
Countries
United Kingdom
Outcome results
None listed