Low-intensity internet-delivered treatment for generalized anxiety symptoms in routine care: protocol for a randomized controlled trial

Hdl Handle:
http://hdl.handle.net/10147/317036
Title:
Low-intensity internet-delivered treatment for generalized anxiety symptoms in routine care: protocol for a randomized controlled trial
Authors:
Richards, Derek; Timulak, Ladislav; Doherty, Gavin; Sharry, John; McLoughlin, Orla; Rashleigh, Chuck; Colla, Amy; Joyce, Ciara
Citation:
Richards D et al. Trials. Low-intensity internet-delivered treatment for generalized anxiety symptoms in routine care: protocol for a randomized controlled trial. Trials 2014 Apr 27;15(1):145
Journal:
Trials
Issue Date:
27-Apr-2014
URI:
http://dx.doi.org/10.1186/1745-6215-15-145; http://hdl.handle.net/10147/317036
Abstract:
Abstract Background Worldwide prevalence of generalized anxiety disorder (GAD) is considered high; in Europe lifetime prevalence has been estimated at 4.3 to 5.9%. High levels of anxiety disorders have been reported in university students, affecting 25 to 30% of the population. Young adults are some of the most vulnerable for the onset of mental health disorders and any stressors may act as a catalyst for their onset. The absence of resources can often mean that many do not seek treatment. Other factors that impede access to resources include such things as a lack of trained professionals, personal stigma, and waiting lists. Anxiety disorders can be treated successfully; indeed brief forms of cognitive-behavior therapy have been recommended. One potential avenue for research and development is that of delivering low-intensity interventions online for students with GAD. Therefore, the current study seeks to investigate the potential effectiveness for a low-intensity online CBT-based treatment for GAD in a service-based setting; implemented as one step in a stepped-care model. Methods/Design The research is a service-based effectiveness study utilizing a randomized waiting-list controlled design. The active intervention consists of six weekly modules of online CBT. Participants are assigned a supporter who provides weekly post-session feedback on progress and exercises. Participants will complete the GAD-7 as the primary outcome measure. Secondary outcomes include pathological worry, depression and measures of well-being. At three-months follow-up data will be collected using the GAD-7, BDI-II, PSWQ, ED-Q5 and WSAS. Post-session data will be collected on significant in-session events in treatment (HAT). A satisfaction with treatment measure will be administered post-treatment (SAT). Discussion The study will be a contribution to the potential for a low-intensity internet-delivered program implemented in a service-based setting; implemented as one step in a stepped-care model. The study will be a contribution to the already established work in online treatments for anxiety worldwide. The study will assess the utility of an innovative digital health solution (SilverCloud) to deliver such interventions. Trial registration Current Controlled Trials ISRCTN16303842.
Item Type:
Article
Language:
en
Keywords:
ANXIETY; INTERNET

Full metadata record

DC FieldValue Language
dc.contributor.authorRichards, Dereken_GB
dc.contributor.authorTimulak, Ladislaven_GB
dc.contributor.authorDoherty, Gavinen_GB
dc.contributor.authorSharry, Johnen_GB
dc.contributor.authorMcLoughlin, Orlaen_GB
dc.contributor.authorRashleigh, Chucken_GB
dc.contributor.authorColla, Amyen_GB
dc.contributor.authorJoyce, Ciaraen_GB
dc.date.accessioned2014-05-15T13:38:19Z-
dc.date.available2014-05-15T13:38:19Z-
dc.date.issued2014-04-27-
dc.identifier.citationRichards D et al. Trials. Low-intensity internet-delivered treatment for generalized anxiety symptoms in routine care: protocol for a randomized controlled trial. Trials 2014 Apr 27;15(1):145en_GB
dc.identifier.urihttp://dx.doi.org/10.1186/1745-6215-15-145-
dc.identifier.urihttp://hdl.handle.net/10147/317036-
dc.description.abstractAbstract Background Worldwide prevalence of generalized anxiety disorder (GAD) is considered high; in Europe lifetime prevalence has been estimated at 4.3 to 5.9%. High levels of anxiety disorders have been reported in university students, affecting 25 to 30% of the population. Young adults are some of the most vulnerable for the onset of mental health disorders and any stressors may act as a catalyst for their onset. The absence of resources can often mean that many do not seek treatment. Other factors that impede access to resources include such things as a lack of trained professionals, personal stigma, and waiting lists. Anxiety disorders can be treated successfully; indeed brief forms of cognitive-behavior therapy have been recommended. One potential avenue for research and development is that of delivering low-intensity interventions online for students with GAD. Therefore, the current study seeks to investigate the potential effectiveness for a low-intensity online CBT-based treatment for GAD in a service-based setting; implemented as one step in a stepped-care model. Methods/Design The research is a service-based effectiveness study utilizing a randomized waiting-list controlled design. The active intervention consists of six weekly modules of online CBT. Participants are assigned a supporter who provides weekly post-session feedback on progress and exercises. Participants will complete the GAD-7 as the primary outcome measure. Secondary outcomes include pathological worry, depression and measures of well-being. At three-months follow-up data will be collected using the GAD-7, BDI-II, PSWQ, ED-Q5 and WSAS. Post-session data will be collected on significant in-session events in treatment (HAT). A satisfaction with treatment measure will be administered post-treatment (SAT). Discussion The study will be a contribution to the potential for a low-intensity internet-delivered program implemented in a service-based setting; implemented as one step in a stepped-care model. The study will be a contribution to the already established work in online treatments for anxiety worldwide. The study will assess the utility of an innovative digital health solution (SilverCloud) to deliver such interventions. Trial registration Current Controlled Trials ISRCTN16303842.-
dc.language.isoenen
dc.subjectANXIETYen_GB
dc.subjectINTERNETen_GB
dc.titleLow-intensity internet-delivered treatment for generalized anxiety symptoms in routine care: protocol for a randomized controlled trialen_GB
dc.typeArticleen
dc.identifier.journalTrialsen_GB
dc.language.rfc3066en-
dc.rights.holderDerek Richards et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2014-05-12T15:15:37Z-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.