1) The intervention (TELLUS) is credible to international humanitarian aid workers, 2) the intervention is significantly reduces symptoms of PTSD from pre- to post-test, and 3) the intervention significantly reduces symptoms of comorbid depression,…
ID
Bron
Aandoening
Post-traumatic stress disorder, PTSD, Cognitive Behavioral Therapy, CBT, Internet-delivered, iCBT, humanitarian aid workers, Cognitieve gedragstherapie, CGT, Posttraumatische-stressstoornis, PTSS, Hulpverleners.
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
1) Credibility/ expectancy, 2) Significant reductions in symptoms of PTSD from pre- to post-test.
Achtergrond van het onderzoek
Introduction: Humanitarian aid workers are likely to be exposed or witness complex emergencies. Posttraumatic stress disorder (PTSD) is one of the most widespread and most commonly studied mental health problems after exposure to adversities and trauma. However, face-to-face treatment has limited utilization in the resource-constrained settings where humanitarian aid workers often operate. Internet-delivered cognitive behavioral therapy (iCBT) is a treatment option with the potential to improve the access to evidence-based care for humanitarian aid workers. Until now, only a few studies have evaluated iCBT in the treatment of PTSD. No studies have yet explored the feasibility of iCBT for humanitarian aid workers with PTSD. The aim of this study is to determine completion rates, self-reported treatment credibility/expectancy, and decrease in symptoms (PTSD, anxiety, depression, and functional disability) of the TELLUS program in humanitarian aid workers with PTSD.
Methods: A pilot feasibility study will be conducted with 20 humanitarian aid workers with a full or subclinical PTSD diagnosis according to DSM-IV criteria. The intervention used is TELLUS, which is a therapist-assisted Internet-delivered treatment program based on trauma-focused CBT components for individuals with PTSD. It contains eight text-based modules, where each module is expected to be completed within one week.
Discussion: This study may set the ground for a large-scale randomized control trial that would test the effectiveness and cost-effectiveness of the program. The study may contribute to the better understanding of PTSD treatment and increase the availability of evidence-based treatments in resource-constrained settings.
Doel van het onderzoek
1) The intervention (TELLUS) is credible to international humanitarian aid workers, 2) the intervention is significantly reduces symptoms of PTSD from pre- to post-test, and 3) the intervention significantly reduces symptoms of comorbid depression, anxiety, suicidality, and functional disability from pre- to pos-test.
Onderzoeksopzet
The treatment is expected to last eight weeks and assessments are done: 1) before beginning of treatment (pre-treatment), 2) after four modules of the treatment (mid-treatment), 3) after completion of all eight modules of the treatment (post-treatment).
Onderzoeksproduct en/of interventie
TELLUS is an Internet-delivered program based on trauma-focused CBT components for PTSD (Ivarsson et al., 2014). The treatment program contains eight text-based modules, where each module is expected to be completed within one week. The modules have homework assignments related to their content, which are communicated online with a supervised psychologist on a weekly basis.
Publiek
Marit Sijbrandij
Van der Boechorststraat 1
Amsterdam 1081 BT
The Netherlands
+31 20 598 8360
e.m.sijbrandij@vu.nl
Wetenschappelijk
Marit Sijbrandij
Van der Boechorststraat 1
Amsterdam 1081 BT
The Netherlands
+31 20 598 8360
e.m.sijbrandij@vu.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1) currently a staff member of an international humanitarian organization, 2) a full diagnosis of PTSD according to DSM-IV (APA, 1994), or subclinical PTSD with one intrusion, one avoidance and one hyperarousal symptom according to DSM-IV (APA, 1994), as established with the Mini International Neuropsychiatric Interview (MINI; Sheehan et al., 1998), 3) fluency in the English language, 4) access to the Internet and telephone/ Skype, 5) being on a current stable dose of psychiatric medication or medication-free.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1) organic or psychotic disorders, substance dependence or imminent suicide risk as established with the MINI, 2) a diagnosis of PTSD as a result of childhood trauma, 3) receiving psychological treatment at the time of inclusion, 4) being under severe current threat.
Opzet
Deelname
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In overige registers
Register | ID |
---|---|
NTR-new | NL6333 |
NTR-old | NTR6525 |
CCMO | NL49966.029.14 |
OMON | NL-OMON44333 |