TY - JOUR
T1 - Online cognitive-behavioral group intervention for adolescents with chronic illness
T2 - A pilot study
AU - Douma, Miriam
AU - Joosten, Mala M.H.
AU - Scholten, Linde
AU - Maurice-Stam, Heleen
AU - Grootenhuis, Martha A.
N1 - Publisher Copyright:
© 2019 American Psychological Association.
PY - 2019/3
Y1 - 2019/3
N2 - Objective: To assess feasibility and explore preliminary effectiveness of an online cognitive-behavioral group intervention (Op Koers Online) to prevent and/or reduce psychosocial problems by teaching use of active coping skills to adolescents (ages 12 to 18) with chronic illness. Method: Adolescents who signed up for the chat intervention were asked to complete online questionnaires at baseline and postintervention (after 8 weeks). Feasibility was evaluated based on attendance (missed sessions, dropout rate and homework completion), technological issues and with an evaluation questionnaire. Preliminary effectiveness was evaluated with standardized questionnaires: Op Koers Online Questionnaire (disease-related coping skills), Youth Self- Report (emotional and behavioral functioning), Pediatric Quality of Life Inventory (Health-Related Quality of Life [HRQoL]). Mean scale scores postintervention were compared with baseline with paired-samples t tests. Effect sizes were calculated. Results: In total, 33 adolescents participated in the intervention, 29 adolescents completed the questionnaires at baseline. Regarding postintervention questionnaires, 25 adolescents completed the evaluation questionnaires and 23 adolescents completed all questionnaires postintervention. Dropout rate was 6%. In 1 session (2%), there were technological issues that caused the session to stop. Participants' overall satisfaction was high. Regarding effectiveness, participants improved significantly in the use of total coping skills and the coping skills "information seeking and giving" and "social competence" after the intervention compared with baseline. Participants also reported significantly fewer withdrawn/depressed behavior and scored significantly better on emotional and psychosocial HRQoL after following the intervention. Conclusions: This pilot study indicates that Op Koers Online is feasible and potentially effective. Further research (a randomized controlled trial) is needed to establish the effects of the intervention.
AB - Objective: To assess feasibility and explore preliminary effectiveness of an online cognitive-behavioral group intervention (Op Koers Online) to prevent and/or reduce psychosocial problems by teaching use of active coping skills to adolescents (ages 12 to 18) with chronic illness. Method: Adolescents who signed up for the chat intervention were asked to complete online questionnaires at baseline and postintervention (after 8 weeks). Feasibility was evaluated based on attendance (missed sessions, dropout rate and homework completion), technological issues and with an evaluation questionnaire. Preliminary effectiveness was evaluated with standardized questionnaires: Op Koers Online Questionnaire (disease-related coping skills), Youth Self- Report (emotional and behavioral functioning), Pediatric Quality of Life Inventory (Health-Related Quality of Life [HRQoL]). Mean scale scores postintervention were compared with baseline with paired-samples t tests. Effect sizes were calculated. Results: In total, 33 adolescents participated in the intervention, 29 adolescents completed the questionnaires at baseline. Regarding postintervention questionnaires, 25 adolescents completed the evaluation questionnaires and 23 adolescents completed all questionnaires postintervention. Dropout rate was 6%. In 1 session (2%), there were technological issues that caused the session to stop. Participants' overall satisfaction was high. Regarding effectiveness, participants improved significantly in the use of total coping skills and the coping skills "information seeking and giving" and "social competence" after the intervention compared with baseline. Participants also reported significantly fewer withdrawn/depressed behavior and scored significantly better on emotional and psychosocial HRQoL after following the intervention. Conclusions: This pilot study indicates that Op Koers Online is feasible and potentially effective. Further research (a randomized controlled trial) is needed to establish the effects of the intervention.
KW - Adolescents
KW - Chronic illness
KW - Cognitive-behavioral therapy
KW - E-health
KW - Psychosocial group intervention
UR - http://www.scopus.com/inward/record.url?scp=85062782837&partnerID=8YFLogxK
U2 - 10.1037/cpp0000274
DO - 10.1037/cpp0000274
M3 - Article
AN - SCOPUS:85062782837
SN - 2169-4826
VL - 7
SP - 79
EP - 92
JO - Clinical Practice in Pediatric Psychology
JF - Clinical Practice in Pediatric Psychology
IS - 1
ER -