Reuther Christina, Lundgren Johan, Gottvall Maria, Ljungberg Johan, Woodford Joanne, von Essen Louise
Healthcare Sciences and e-Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Division of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Norrköping, Sweden.
Digit Health. 2024 Jun 5;10:20552076241260513. doi: 10.1177/20552076241260513. eCollection 2024 Jan-Dec.
Childhood cancer treatment completion can be a period of vulnerability for parents and is associated with mental health difficulties such as depression and anxiety. We developed an internet-administered, guided, low-intensity cognitive behavioural therapy-based self-help intervention (EJDeR) for parents delivered on the U-CARE-portal (Portal). The acceptability and feasibility of EJDeR and study procedures were examined using a single-arm feasibility trial (ENGAGE). Results indicated that EJDeR and ENGAGE study procedures are acceptable and feasible, however, a need for clinical and technical modifications to EJDeR and refinements to ENGAGE study procedures was identified.
This study aimed to explore the acceptability and feasibility of EJDeR and ENGAGE study procedures from the perspective of e-therapists to inform clinical and technical modifications to EJDeR and refinements to study procedures prior to progression to a superiority randomised controlled trial.
We conducted semi-structured interviews with 10 e-therapists. Data were analysed using manifest content analysis.
We identified three categories relating to the acceptability and feasibility of EJDeR: (a) (subcategories: Clinical supervision and Technical difficulties); (b) (subcategories: Support protocols and Synchronous communication); and (c) (subcategories: Relevancy of the intervention and Pacing of the intervention). We identified four categories relating to the acceptability and feasibility of study procedures: (a) (subcategories: Definition of the role and Training program); (b) (subcategories: Parent suitability and screening and Frequency of weekly Portal assessments); (c) (subcategories: Administrative requirements and Communication with the research team); and (d) .
EJDeR and study procedures were considered acceptable and feasible, however, clinical and technical modifications and refinements to study procedures were suggested to enhance acceptability and feasibility. Results may also inform implementation considerations for both EJDeR and other similar digital psychological interventions.
ISRCTN 57233429.
儿童癌症治疗结束后，父母可能会处于脆弱时期，并伴有抑郁和焦虑等心理健康问题。我们在U-CARE门户网站（Portal）上为父母开发了一种基于互联网管理、有指导的、低强度认知行为疗法的自助干预措施（EJDeR）。使用单臂可行性试验（ENGAGE）对EJDeR和研究程序的可接受性及可行性进行了检验。结果表明，EJDeR和ENGAGE研究程序是可接受且可行的，然而，已确定需要对EJDeR进行临床和技术修改，并对ENGAGE研究程序进行完善。
本研究旨在从电子治疗师的角度探讨EJDeR和ENGAGE研究程序的可接受性及可行性，以便在推进到优势随机对照试验之前，为EJDeR的临床和技术修改以及研究程序的完善提供参考。
我们对10名电子治疗师进行了半结构化访谈。使用显性内容分析法对数据进行了分析。
我们确定了与EJDeR的可接受性和可行性相关的三个类别：（a）（子类别：临床监督和技术困难）；（b）（子类别：支持协议和同步通信）；以及（c）（子类别：干预的相关性和干预的节奏）。我们确定了与研究程序的可接受性和可行性相关的四个类别：（a）（子类别：角色定义和培训计划）；（b）（子类别：父母的适宜性和筛查以及每周门户网站评估的频率）；（c）（子类别：行政要求和与研究团队的沟通）；以及（d）。
EJDeR和研究程序被认为是可接受且可行的，然而，建议对研究程序进行临床和技术修改及完善，以提高其可接受性和可行性。研究结果也可为EJDeR和其他类似数字心理干预措施的实施考虑提供参考。
ISRCTN 57233429。
