Web-based cognitive behavioural therapy (W-CBT) for diabetes patients with co-morbid depression: Design of a randomised controlled trial
| العنوان: | Web-based cognitive behavioural therapy (W-CBT) for diabetes patients with co-morbid depression: Design of a randomised controlled trial |
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| المؤلفون: | Pim Cuijpers, Frank J. Snoek, Jos W. R. Twisk, Kim M P van Bastelaar, Frans Pouwer |
| المساهمون: | Academic Medical Center, Medical and Clinical Psychology, Clinical Psychology, Methodology and Applied Biostatistics, EMGO+ - Lifestyle, Overweight and Diabetes, Medical psychology, Epidemiology and Data Science, EMGO - Lifestyle, overweight and diabetes |
| المصدر: | van Bastelaar, K M P, Pouwer, F, Cuijpers, P, Twisk, J W R & Snoek, F J 2008, ' Web-based cognitive behavioural therapy (W-CBT) for diabetes patients with co-morbid depression: design of a randomised controlled trial. ', BMC Psychiatry, vol. 8, 9 . https://doi.org/10.1186/1471-244X-8-9Test BMC psychiatry, 8. BioMed Central BMC Psychiatry, Vol 8, Iss 1, p 9 (2008) BMC Psychiatry, 19(8):9. BioMed Central BMC Psychiatry, 8:9. BioMed Central BMC Psychiatry |
| بيانات النشر: | Springer Nature |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Personality Inventory, lcsh:RC435-571, Feedback, Psychological, medicine.medical_treatment, MEDLINE, ComputingMilieux_LEGALASPECTSOFCOMPUTING, Comorbidity, law.invention, Study Protocol, Quality of life (healthcare), Patient Education as Topic, Randomized controlled trial, SDG 3 - Good Health and Well-being, Software Design, law, lcsh:Psychiatry, Diabetes mellitus, Humans, Medicine, Psychiatry, Depression (differential diagnoses), Depressive Disorder, Internet, Cognitive Behavioral Therapy, business.industry, medicine.disease, Mental health, Self Care, Psychiatry and Mental health, Diabetes Mellitus, Type 1, Treatment Outcome, Diabetes Mellitus, Type 2, Cognitive therapy, Patient Compliance, Female, business, Follow-Up Studies |
| الوصف: | Background Depression is common among people with diabetes, negatively affecting quality of life, treatment adherence and diabetes outcomes. In routine clinical care, diabetes patients have limited access to mental health services and depression therefore often remains untreated. Web-based therapy could potentially be an effective way to improve the reach of psychological care for diabetes patients, at relatively low costs. This study seeks to test the effectiveness of a web-based self-help depression programme for people with diabetes and co-morbid depression. Methods/Design The effectiveness of a web-based self-help course for adults with diabetes with co-morbid depression will be tested in a randomised trial, using a wait-list controlled design. The intervention consists of an 8-week, moderated self-help course that is tailored to the needs of persons living with diabetes and is offered on an individual basis. Participants receive feedback on their homework assignments by e-mail from their coach. We aim to include 286 patients (143/143), as power analyses showed that this number is needed to detect an effect size of 0.35, with measurements at baseline, directly after completing the web-based intervention and at 1, 3, 4 and 6 months follow-up. Patients in the control condition are placed on a waiting list, and follow the course 12 weeks after randomisation. Primary outcomes are depressive symptoms and diabetes-specific emotional distress. Secondary outcomes are satisfaction with the course, perceived health status, self-care behaviours, glycaemic control, and days in bed/absence from work. Questionnaires are administered via the Internet. Discussion The intervention being trialled is expected to help improve mood and reduce diabetes-specific emotional distress in diabetes patients with depression, with subsequent beneficial effects on diabetes self-care and glycaemic outcomes. When proven efficacious, the intervention could be disseminated to reach large groups of patients with diabetes and concurrent depressive symptoms. Trial registration Current Controlled Trials ISRCTN24874457 |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1471-244X |
| DOI: | 10.1186/1471-244x-8-9 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bb5c3220cfc284e8b93fb410a840dbdcTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....bb5c3220cfc284e8b93fb410a840dbdc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1471244X |
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| DOI: | 10.1186/1471-244x-8-9 |