Efficacy of a therapist-assisted self-help internet-based intervention targeting PTSD, depression and insomnia symptoms after a disaster: A randomized controlled trial.
Scholarly article This study aimed at evaluating the efficacy of an online CBT intervention with limited therapist contact targeting a range of posttraumatic symptoms among evacuees from the 2016 Fort McMurray wildfires. One hundred and thirty-six residents of Fort McMurray who reported either moder...
Published in: | Behavior Therapy |
---|---|
Main Authors: | , , , , , , , , , , |
Other Authors: | |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Elsevier
2022
|
Subjects: | |
Online Access: | https://hdl.handle.net/20.500.12202/9454 https://ezproxy.yu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,sso&db=edselp&AN=S0005789422001125&site=eds-live&scope=site https://doi.org/10.1016/j.beth.2022.08.004 |
id |
ftyeshivauniv:oai:repository.yu.edu:20.500.12202/9454 |
---|---|
record_format |
openpolar |
spelling |
ftyeshivauniv:oai:repository.yu.edu:20.500.12202/9454 2023-12-10T09:48:40+01:00 Efficacy of a therapist-assisted self-help internet-based intervention targeting PTSD, depression and insomnia symptoms after a disaster: A randomized controlled trial. Belleville, Geneviève Ouellet, Marie-Christine Békés, Vera Lebel, Jessica Morin, Charles M. Bouchard, Stéphane Guay, Stéphane Bergeron, Nicolas Ghosh, Sunita Campbell, Tavis Macmaster, Frank P. 0000-0003-3043-5155 Bekes 2022 https://hdl.handle.net/20.500.12202/9454 https://ezproxy.yu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,sso&db=edselp&AN=S0005789422001125&site=eds-live&scope=site https://doi.org/10.1016/j.beth.2022.08.004 en_US eng Elsevier Behavior Therapy; Belleville, G., Ouellet, M. C., Békés, V., Lebel, J., Morin, C. M., Bouchard, S., Guay, S., Bergeron, N., Ghosh, S., Campbell, T., & MacMaster, F. P. (2022). Efficacy of a therapist-assisted self-help internet-based intervention targeting PTSD, depression and insomnia symptoms after a disaster: A randomized controlled trial. Behavior Therapy. https://doi.org/10.1016/j.beth.2022.08.004 ISSN: 0005-7894, 1878-1888. https://ezproxy.yu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,sso&db=edselp&AN=S0005789422001125&site=eds-live&scope=site https://hdl.handle.net/20.500.12202/9454 https://doi.org/10.1016/j.beth.2022.08.004 Attribution-NonCommercial-NoDerivs 3.0 United States http://creativecommons.org/licenses/by-nc-nd/3.0/us/ online CBT intervention PTSD insomnia symptoms RESILIENT online treatment Article 2022 ftyeshivauniv https://doi.org/20.500.12202/945410.1016/j.beth.2022.08.004 2023-11-11T19:14:50Z Scholarly article This study aimed at evaluating the efficacy of an online CBT intervention with limited therapist contact targeting a range of posttraumatic symptoms among evacuees from the 2016 Fort McMurray wildfires. One hundred and thirty-six residents of Fort McMurray who reported either moderate PTSD symptoms (PCL-5 ≥ 23) or mild PTSD symptoms (PCL-5 ≥ 10) with moderate depression (PHQ-9 ≥ 10) or subthreshold insomnia symptoms (ISI ≥ 8) were randomized either to a treatment (n = 69) or a waitlist condition (n = 67). Participants were on average 45 years old, and mostly identified as White (82%) and as women (76%). Primary outcomes were PTSD, depression, and insomnia symptoms. Secondary outcomes were anxiety symptoms and disability. Significant Assessment Time × Treatment Condition interactions were observed on all outcomes, indicating that access to the treatment led to a decrease in posttraumatic stress (F[1,117.04] = 12.128, p = .001; d = .519, 95% CI = .142–.895), depression (F[1,118.29] = 9.978, p = .002; d = .519, 95% CI = .141–.898) insomnia (F[1,117.60] = 4.574, p = .035; d = .512, 95% CI = .132–.892), and anxiety (F[1,119.64] = 5.465, p = .021; d = .421, 95% CI = .044–.797) symptom severity and disability (F[1,111.55] = 7.015, p = .009; d = .582, 95% CI = .200–.963). Larger effect sizes (d = 0.823–1.075) were observed in participants who completed at least half of the treatment. The RESILIENT online treatment platform was successful to provide access to specialized evidence-based mental health care after a disaster. This study was funded by a grant from the Operating Grant: Health Effects of the Alberta Wildfires program, supported by the Canadian Institutes of Health Research, Alberta Innovates, and the Canadian Red Cross. These agencies had no involvement in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. ClinicalTrials.gov Identifier: NCT04808713. Article in Journal/Newspaper Fort McMurray Yeshiva Academic Institutional Repository (YAIR - Yeshiva University) Fort McMurray Isi ENVELOPE(-38.550,-38.550,65.617,65.617) Behavior Therapy 54 2 230 246 |
institution |
Open Polar |
collection |
Yeshiva Academic Institutional Repository (YAIR - Yeshiva University) |
op_collection_id |
ftyeshivauniv |
language |
English |
topic |
online CBT intervention PTSD insomnia symptoms RESILIENT online treatment |
spellingShingle |
online CBT intervention PTSD insomnia symptoms RESILIENT online treatment Belleville, Geneviève Ouellet, Marie-Christine Békés, Vera Lebel, Jessica Morin, Charles M. Bouchard, Stéphane Guay, Stéphane Bergeron, Nicolas Ghosh, Sunita Campbell, Tavis Macmaster, Frank P. Efficacy of a therapist-assisted self-help internet-based intervention targeting PTSD, depression and insomnia symptoms after a disaster: A randomized controlled trial. |
topic_facet |
online CBT intervention PTSD insomnia symptoms RESILIENT online treatment |
description |
Scholarly article This study aimed at evaluating the efficacy of an online CBT intervention with limited therapist contact targeting a range of posttraumatic symptoms among evacuees from the 2016 Fort McMurray wildfires. One hundred and thirty-six residents of Fort McMurray who reported either moderate PTSD symptoms (PCL-5 ≥ 23) or mild PTSD symptoms (PCL-5 ≥ 10) with moderate depression (PHQ-9 ≥ 10) or subthreshold insomnia symptoms (ISI ≥ 8) were randomized either to a treatment (n = 69) or a waitlist condition (n = 67). Participants were on average 45 years old, and mostly identified as White (82%) and as women (76%). Primary outcomes were PTSD, depression, and insomnia symptoms. Secondary outcomes were anxiety symptoms and disability. Significant Assessment Time × Treatment Condition interactions were observed on all outcomes, indicating that access to the treatment led to a decrease in posttraumatic stress (F[1,117.04] = 12.128, p = .001; d = .519, 95% CI = .142–.895), depression (F[1,118.29] = 9.978, p = .002; d = .519, 95% CI = .141–.898) insomnia (F[1,117.60] = 4.574, p = .035; d = .512, 95% CI = .132–.892), and anxiety (F[1,119.64] = 5.465, p = .021; d = .421, 95% CI = .044–.797) symptom severity and disability (F[1,111.55] = 7.015, p = .009; d = .582, 95% CI = .200–.963). Larger effect sizes (d = 0.823–1.075) were observed in participants who completed at least half of the treatment. The RESILIENT online treatment platform was successful to provide access to specialized evidence-based mental health care after a disaster. This study was funded by a grant from the Operating Grant: Health Effects of the Alberta Wildfires program, supported by the Canadian Institutes of Health Research, Alberta Innovates, and the Canadian Red Cross. These agencies had no involvement in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. ClinicalTrials.gov Identifier: NCT04808713. |
author2 |
0000-0003-3043-5155 Bekes |
format |
Article in Journal/Newspaper |
author |
Belleville, Geneviève Ouellet, Marie-Christine Békés, Vera Lebel, Jessica Morin, Charles M. Bouchard, Stéphane Guay, Stéphane Bergeron, Nicolas Ghosh, Sunita Campbell, Tavis Macmaster, Frank P. |
author_facet |
Belleville, Geneviève Ouellet, Marie-Christine Békés, Vera Lebel, Jessica Morin, Charles M. Bouchard, Stéphane Guay, Stéphane Bergeron, Nicolas Ghosh, Sunita Campbell, Tavis Macmaster, Frank P. |
author_sort |
Belleville, Geneviève |
title |
Efficacy of a therapist-assisted self-help internet-based intervention targeting PTSD, depression and insomnia symptoms after a disaster: A randomized controlled trial. |
title_short |
Efficacy of a therapist-assisted self-help internet-based intervention targeting PTSD, depression and insomnia symptoms after a disaster: A randomized controlled trial. |
title_full |
Efficacy of a therapist-assisted self-help internet-based intervention targeting PTSD, depression and insomnia symptoms after a disaster: A randomized controlled trial. |
title_fullStr |
Efficacy of a therapist-assisted self-help internet-based intervention targeting PTSD, depression and insomnia symptoms after a disaster: A randomized controlled trial. |
title_full_unstemmed |
Efficacy of a therapist-assisted self-help internet-based intervention targeting PTSD, depression and insomnia symptoms after a disaster: A randomized controlled trial. |
title_sort |
efficacy of a therapist-assisted self-help internet-based intervention targeting ptsd, depression and insomnia symptoms after a disaster: a randomized controlled trial. |
publisher |
Elsevier |
publishDate |
2022 |
url |
https://hdl.handle.net/20.500.12202/9454 https://ezproxy.yu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,sso&db=edselp&AN=S0005789422001125&site=eds-live&scope=site https://doi.org/10.1016/j.beth.2022.08.004 |
long_lat |
ENVELOPE(-38.550,-38.550,65.617,65.617) |
geographic |
Fort McMurray Isi |
geographic_facet |
Fort McMurray Isi |
genre |
Fort McMurray |
genre_facet |
Fort McMurray |
op_relation |
Behavior Therapy; Belleville, G., Ouellet, M. C., Békés, V., Lebel, J., Morin, C. M., Bouchard, S., Guay, S., Bergeron, N., Ghosh, S., Campbell, T., & MacMaster, F. P. (2022). Efficacy of a therapist-assisted self-help internet-based intervention targeting PTSD, depression and insomnia symptoms after a disaster: A randomized controlled trial. Behavior Therapy. https://doi.org/10.1016/j.beth.2022.08.004 ISSN: 0005-7894, 1878-1888. https://ezproxy.yu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,sso&db=edselp&AN=S0005789422001125&site=eds-live&scope=site https://hdl.handle.net/20.500.12202/9454 https://doi.org/10.1016/j.beth.2022.08.004 |
op_rights |
Attribution-NonCommercial-NoDerivs 3.0 United States http://creativecommons.org/licenses/by-nc-nd/3.0/us/ |
op_doi |
https://doi.org/20.500.12202/945410.1016/j.beth.2022.08.004 |
container_title |
Behavior Therapy |
container_volume |
54 |
container_issue |
2 |
container_start_page |
230 |
op_container_end_page |
246 |
_version_ |
1784892793014976512 |