ICBT Program for Caregivers of Persons With SCI
- Conditions
- AnxietyDepressionCaregiver BurnoutSpinal Cord InjuriesInternet-Delivered Cognitive Behavioural Therapy
- Interventions
- Behavioral: Internet-delivered Cognitive Behavioural Therapy(ICBT)
- Registration Number
- NCT05346913
- Lead Sponsor
- Lawson Health Research Institute
- Brief Summary
Spinal cord injuries have a devastating effect on individuals incurring the life changing event; however, the injury can also affect those who are integrally involved in their care. Assisting individuals after an SCI frequently falls on unpaid, family caregivers. Studies have reported that caregivers experienced significantly greater negative outcomes than positives. The most common negative outcome factors were high levels of burden, poor adjustment to role, decreased QOL, emotional distress, and strain on relationships. Burden of care was also associated with lower levels of functioning of the care recipient, demonstrating the integral relationship between those who provide care and those who receive it. Considering their importance in maintaining their care recipient's wellbeing post-injury, caregivers require ongoing support as a central part of the wider healthcare system. Numerous caregivers are unprepared to handle the responsibilities of their role and lack specialized training to efficiently cope with the burden. Guided internet-delivered CBT (ICBT) offers an accessible and flexible approach for psychosocial service delivery in the community. Evidence for the effectiveness of ICBT has been reported in various populations. The results from our study provide evidence for the potential of guided ICBT to improve psychosocial outcomes among those with SCI. Enhancing the overall wellbeing of the caregiver has previously been shown to improve outcomes of those with SCI. However, evidence for the acceptability and effectiveness of an ICBT approach among caregivers is lacking; as a first step, we plan to conduct a feasibility study of ICBT for SCI caregivers.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 20
- adults ≥ 18 years
- have provided care to a person with SCI in the community for a period of over six months post injury
- report elevated symptoms of anxiety and/or depression
- access to a computer and the internet
- cognitive capacity to read and understand the content of the intervention.
- high risk of suicide
- primary problems with psychosis, alcohol or drug problems, mania
- currently receiving active psychological treatment for anxiety or depression
- concerns about online therapy.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Caregivers of Persons with Spinal Cord Injury (mTBI) Internet-delivered Cognitive Behavioural Therapy(ICBT) -
- Primary Outcome Measures
Name Time Method Change in Caregiver Burden Time Frame: Baseline to 3 months Craig Caregiver Assessment of Reward and Effort. Higher scores indicate greater caregiver. Scores range from 0 to 96.
Change in Depression Time Frame: Baseline to 3 months Patient Health Questionnaire - 9 Item (PHQ-9). Higher total scores indicate greater severity of depression. Scores range from 0 to 27.
- Secondary Outcome Measures
Name Time Method Change in Anxiety Time Frame: Baseline to 3 months Generalize Anxiety Disorder - 7 Item (GAD7). Higher total scores indicate greater severity of anxiety. Scores range from 0 to 21.
Change in quality of life Time Frame: Baseline to 3 months The Visual Analogue Scale of the EuroQol five-dimension (EQ-5D) questionnaire will be used. Higher numbers indicates poorer quality of life. Scores range from 0 to 100