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Feasibility and utility of telephone-based psychological support for people with brain tumor: a single-case experimental study.

Jones S, Ownsworth T, Shum DH - Front Oncol (2015)

Bottom Line: Of the four participants, two of them demonstrated significant gains in mental health (depression and/or anxiety) and a significant decrease in their levels of helplessness (p < 0.05).The other two participants did not show gains in mental health or change in illness cognitions.Further research examining factors influencing the outcomes of tele-based psychological support is needed.

View Article: PubMed Central - PubMed

Affiliation: School of Applied Psychology and Griffith Health Institute, Griffith University , Brisbane, QLD , Australia.

ABSTRACT
Rates of psychological distress are high following diagnosis and treatment of brain tumor. There can be multiple barriers to accessing psychological support, including physical and cognitive impairments and geographical limitations. Tele-based support could provide an effective and more flexible option for delivering psychological interventions. The present study aimed to investigate the feasibility and utility of a telephone-based psychotherapy intervention for people with brain tumor. A single-case multiple-baseline design was employed with a 4-7-week baseline phase, 10-week treatment phase, and 5-week maintenance phase including a booster session. Four participants with a benign or malignant brain tumor (three males and one female; aged 34-49 years), received 10 sessions of tele-based therapy and a booster session at 4 weeks post-treatment. Levels of depression, anxiety, and illness cognitions were monitored on a weekly basis throughout each phase whilst measures of quality of life, stress, and self-concept were administered at the start and end of each phase. Weekly measures were analyzed using a combination of both visual analysis and Tau-U statistics. Of the four participants, two of them demonstrated significant gains in mental health (depression and/or anxiety) and a significant decrease in their levels of helplessness (p < 0.05). The other two participants did not show gains in mental health or change in illness cognitions. All participants reported improvement in quality of life post-treatment. The results of the study provide preliminary support concerning the feasibility and utility of tele-based therapy for some people with brain tumor. Further research examining factors influencing the outcomes of tele-based psychological support is needed.

No MeSH data available.


Related in: MedlinePlus

Multiple baselines across participants design [A, baseline; B, treatment; and C, maintenance and booster (T11) session].
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Figure 1: Multiple baselines across participants design [A, baseline; B, treatment; and C, maintenance and booster (T11) session].

Mentions: A single-case experimental design (SCED) with multiple baselines across participants (see Figure 1) was used to examine the impact of a telephone-based therapeutic intervention on psychological well-being. Single-case methodology is beneficial when evaluating a new treatment in conditions that are rare, in which it is difficult to obtain large samples with homogenous characteristics. The design entails repeated measurements of functioning over time to evaluate the impact of treatment relative to the baseline period (48).


Feasibility and utility of telephone-based psychological support for people with brain tumor: a single-case experimental study.

Jones S, Ownsworth T, Shum DH - Front Oncol (2015)

Multiple baselines across participants design [A, baseline; B, treatment; and C, maintenance and booster (T11) session].
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374457&req=5

Figure 1: Multiple baselines across participants design [A, baseline; B, treatment; and C, maintenance and booster (T11) session].
Mentions: A single-case experimental design (SCED) with multiple baselines across participants (see Figure 1) was used to examine the impact of a telephone-based therapeutic intervention on psychological well-being. Single-case methodology is beneficial when evaluating a new treatment in conditions that are rare, in which it is difficult to obtain large samples with homogenous characteristics. The design entails repeated measurements of functioning over time to evaluate the impact of treatment relative to the baseline period (48).

Bottom Line: Of the four participants, two of them demonstrated significant gains in mental health (depression and/or anxiety) and a significant decrease in their levels of helplessness (p < 0.05).The other two participants did not show gains in mental health or change in illness cognitions.Further research examining factors influencing the outcomes of tele-based psychological support is needed.

View Article: PubMed Central - PubMed

Affiliation: School of Applied Psychology and Griffith Health Institute, Griffith University , Brisbane, QLD , Australia.

ABSTRACT
Rates of psychological distress are high following diagnosis and treatment of brain tumor. There can be multiple barriers to accessing psychological support, including physical and cognitive impairments and geographical limitations. Tele-based support could provide an effective and more flexible option for delivering psychological interventions. The present study aimed to investigate the feasibility and utility of a telephone-based psychotherapy intervention for people with brain tumor. A single-case multiple-baseline design was employed with a 4-7-week baseline phase, 10-week treatment phase, and 5-week maintenance phase including a booster session. Four participants with a benign or malignant brain tumor (three males and one female; aged 34-49 years), received 10 sessions of tele-based therapy and a booster session at 4 weeks post-treatment. Levels of depression, anxiety, and illness cognitions were monitored on a weekly basis throughout each phase whilst measures of quality of life, stress, and self-concept were administered at the start and end of each phase. Weekly measures were analyzed using a combination of both visual analysis and Tau-U statistics. Of the four participants, two of them demonstrated significant gains in mental health (depression and/or anxiety) and a significant decrease in their levels of helplessness (p < 0.05). The other two participants did not show gains in mental health or change in illness cognitions. All participants reported improvement in quality of life post-treatment. The results of the study provide preliminary support concerning the feasibility and utility of tele-based therapy for some people with brain tumor. Further research examining factors influencing the outcomes of tele-based psychological support is needed.

No MeSH data available.


Related in: MedlinePlus