We want to test the hypothesis that internet based guided self-help is not more expensive and not less effective than usual care for patients with phobias.
ID
Bron
Verkorte titel
Aandoening
Anxiety disorders
Phobias
Angststoornissen
Fobieen
Ondersteuning
Faculteit der Pedagogiek en Psychologie
Afdeling Klinische Psychologie
Head of department: prof. dr. P. Cuijpers
Secretariat: tel. +31-(0)20-598 8757; fax +31-(0)20-598 8758
Secretaries: Mrs. M.H. Ouwehand, tel. +31-(0)20-598 8757, e-mail
MH.Ouwehand@psy.vu.nl
Mrs. S.R. Slijngaard, tel. +31-(0)20-598 8951, e-mail:
SR.Slijngaard@psy.vu.nl
Address: Transitorium, van der Boechorststraat 1, room 2B-81
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
1. Fear Questionnaire (FQ);<br>
2. Beck Anxiety Inventory (BAI);<br>
3. Center for epidemiologic studies- Depression (Ces-D).
Achtergrond van het onderzoek
Although several meta-analyses have shown that internet-based guided self-help is effective in the treatment of anxiety disorders, the cost-effectiveness in mental health care settings has not been studied well. We will conduct a randomized non-inferiority study in which we examine the relative cost-effectiveness of internet-based guided self-help as compared to usual care.
We will test the hypothesis that guided self-help is not less effective than care-as-usual. Based on international studies we expect this intervention to be effective. Care as usual is mostly pharmacotherapy or psychological treatment. A total of 320 clients suffering of a phobia from 4 institutes of mental health care institutions will be randomized to care-as-usual or guided self-help.
The intervention is an internet-based guided self-help course (Fobieën onder controle) which is based on
exposure. The control group receives a selfhelpbook. The primary outcome measure is level of phobic symptoms , anxiety and depression. Secondary outcomes will be panic-symptoms, satisfaction with the intervention and the use of alcohol and or drugs.
Doel van het onderzoek
We want to test the hypothesis that internet based guided self-help is not more expensive and not less effective than usual care for patients with phobias.
Onderzoeksopzet
1. 0 week;
2. 5 weeks;
3. 3 months;
4. 6 months;
5. 9 months.
Onderzoeksproduct en/of interventie
The internet course (Fobieën onder controle) is based on exposure therapy. This intervention is based on
a published self-help book (written by drs. Manja de Neef and prof. Cuijpers), which was used in a series of television programme on self-help for phobias (by broadcasting company Teleac/Not). This treatment is based on exposure therapy in which the patients gradually exposes himself or herself to the feared situation.
The intervention consists of five weekly parts, and includes reading materials and homework assignments for every week. The internet-based intervention is already available and is tested in a pilot project. During the therapy the patient has about five contact moments with the coach (total time per client 50 to 75 minutes). The coaching is aimed at supporting the patients to work through the intervention and assignments, not to develop a therapeutic relationship. The coaching is given by Mthese students from our faculty, who will receive a training from the developers of the intervention. Integrity of the intervention is checked by an independent psychotherapist.
The control group will receive care as usual.
Publiek
Vrije Universiteit Amsterdam
Faculteit Pedagogiek en Psychologie
Afdeling Klinische Psychologie
van der Boechorststraat 1 (Kamer 2E-33)
Amsterdam 1081 BT
The Netherlands
+31 20 5983833/+31 6 19908666
r.n.kok@vu.nl
Wetenschappelijk
Vrije Universiteit Amsterdam
Faculteit Pedagogiek en Psychologie
Afdeling Klinische Psychologie
van der Boechorststraat 1 (Kamer 2E-33)
Amsterdam 1081 BT
The Netherlands
+31 20 5983833/+31 6 19908666
r.n.kok@vu.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Patients who are diagnosed with a social-, agora-, or specific phobia in a mental health care institute are eligible. To confirm the diagnosis a diagnostic interview will be done by an independent research assistant.
Inclusion criteria are:
1. Being 18 years or older;
2. Having access to the internet;
3. Being motivated to work with a guided self-help intervention.
The use of medication is accepted, as long as this was started before the referral to the mental health care institute, the use is stable and the patient has no intention to change it.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. Another severe psychological disorder (psychotic disorder, bipolar disorder);
2. An increased risk for suicide;
3. Co-morbidity is no reason for exclusion, as long as the phobia is the primary disorder.
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL2116 |
| NTR-old | NTR2233 |
| Ander register | CCMO : 30976 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |
Samenvatting resultaten
<br><br>
Kok, R. N., van Straten, A., Beekman, A. T. F., & Cuijpers, P. (2014). Short-Term Effectiveness of Web-Based Guided Self-Help for Phobic Outpatients: Randomized Controlled Trial. Journal of Medical Internet Research, 16(9), e226. doi:10.2196/jmir.3429