Effectiveness of an Online Psychoeducation Program for Improving Coping in People With a High Level of Dissociative Symptoms: A Pilot Randomized Waitlist-controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 101
- 试验地点
- 1
- 主要终点
- Brief Coping Orientation to Problems Experienced Inventory (Brief-COPE)
研究概览
简要总结
Subject Population Our study's target population is people with pathological dissociation in the community.
Research Design A pilot randomized waitlist-controlled trial will investigate the effects of an online psychoeducation program on coping, symptom management, and self-efficacy of people with pathological dissociation immediately (posttest-1) and 2-month (posttest-2) post-intervention. Supplementary semi-structured interviews will be conducted for process evaluation. The analysis and reporting of the trial will strictly follow the CONSORT guidelines.
Instrument The primary outcome of our study is the coping ability of individuals with pathological dissociation, which will be assessed by the Brief Coping Orientation to Problems Experienced Inventory (Brief-COPE). The secondary outcome measures are dissociative symptoms, emotional regulation, and self-efficacy, which would be assessed by the Dissociative Experiences Scale-Taxon (DES-T), the Emotion Regulation Questionnaire (ERQ), and the General Self-Efficacy Scale (GSES) accordingly.
Procedure The online psychoeducation program is developed based on an integrative theoretical framework that integrates the Stress and Coping model, Cognitive-Behavioural Theory, Bandura's self-efficacy theory, and findings of our previous feasibility studies on this psychoeducational program. Participants will be recruited via posting on social media and online forums. A 16-session online psychoeducation program will be delivered to the participants in eight weeks.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 64 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •agree to give informed consent and participate
- •aged 18 or above
- •self-reported symptoms or experiences of pathological dissociation
- •screened positive on the Chinese version of the DES-T (i.e., DES-T score 20 or above) at a baseline screening
- •able to understand and communicate in Chinese-Cantonese
- •have access to the internet.
排除标准
- •Individuals who have a reading disorder, cognitive impairment, dementia, or intellectual disabilities
- •Individuals who are participating in any research studies
- •Individuals who had participated in our previous feasibility study of the same intervention
研究组 & 干预措施
Online psychoeducational program
The intervention group will receive an online psychoeducational program for 8 weeks. The psychoeducation package consists of 16 different sets of reading materials and post-session writing/reflection exercises, which will be delivered to the participants twice a week. The program is designed to be a brief, trauma-informed, dissociation-focused education package that aims to enable users to better understand and cope with their post-traumatic and dissociative reactions and related life challenges. There are specific psychoeducation elements in each session, such as: (1) safety issues planning, (2) understanding the impacts of trauma and stress, (3) understanding the concept of dissociation and integration of the personality, (4) identifying and coping with the post-traumatic and dissociative symptoms, (5) identifying trauma-related cognitive distortions.
干预措施: Online psychoeducational program (Behavioral)
Waitlist control
The waitlist control group will receive an online psychoeducational program for 8 weeks a week after the completion of the two-month follow-up in the intervention group. The psychoeducation package is identical to the program in the intervention group.
干预措施: Online psychoeducational program (Behavioral)
结局指标
主要结局
Brief Coping Orientation to Problems Experienced Inventory (Brief-COPE)
时间窗: Immediately and two months after completion of the intervention in the experimental group
Change in participants' coping strategies, as assessed using the Brief-COPE. This measure has 28 items and is a commonly used self-report measure of coping strategies. The Chinese version of the Brief-COPE had excellent internal consistency, test-retest reliability and content validity. Higher scores indicate more significant use of that specific coping strategy.
次要结局
- Dissociative Experiences Scale-Taxon (DES-T)(Immediately and two months after completion of the intervention in the experimental group)
研究者
Lam Kam Ki Stanley
Research Assistant Professor
Chinese University of Hong Kong