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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

Anxiety (GAD-7) levels across the three phases, with clinical cut-off for “mild” range (broken lines).
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Figure 4: Anxiety (GAD-7) levels across the three phases, with clinical cut-off for “mild” range (broken lines).

Mentions: Three participants consistently scored within the clinical range for depression during the baseline phase, albeit there was some variability. As shown in Figure 3, Mark and Robyn’s scores varied between “moderate” and “severe” levels whilst John and Samuel’s scores ranged from “normal” to “severe.” There was also variability in anxiety scores for all four participants (see Figure 4). Mark’s scores ranged between the “normal” and “mild” range. John and Samuel’s scores varied between “mild” and “severe” levels of anxiety, whilst Robyn’s scores were in the “moderate” to “severe” range during the baseline phase. Three participants had scores consistently within the clinical range for anxiety during the baseline phase. Visual inspection of the ICQ data in Figure 5 indicated most variability on the helplessness scale for Mark and on the acceptance scale for John and Samuel. Robyn’s scores on the three ICQ scales appeared relatively stable.


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)

Anxiety (GAD-7) levels across the three phases, with clinical cut-off for “mild” range (broken lines).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Anxiety (GAD-7) levels across the three phases, with clinical cut-off for “mild” range (broken lines).
Mentions: Three participants consistently scored within the clinical range for depression during the baseline phase, albeit there was some variability. As shown in Figure 3, Mark and Robyn’s scores varied between “moderate” and “severe” levels whilst John and Samuel’s scores ranged from “normal” to “severe.” There was also variability in anxiety scores for all four participants (see Figure 4). Mark’s scores ranged between the “normal” and “mild” range. John and Samuel’s scores varied between “mild” and “severe” levels of anxiety, whilst Robyn’s scores were in the “moderate” to “severe” range during the baseline phase. Three participants had scores consistently within the clinical range for anxiety during the baseline phase. Visual inspection of the ICQ data in Figure 5 indicated most variability on the helplessness scale for Mark and on the acceptance scale for John and Samuel. Robyn’s scores on the three ICQ scales appeared relatively stable.

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