Delivering cognitive behavioural interventions in an internet-based healthcare delivery environment / Emily Nalder in The British Journal of Occupational Therapy, Vol.81 Issue 10 (Octobre 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 591-600 Titre : Delivering cognitive behavioural interventions in an internet-based healthcare delivery environment Type de document : texte imprimé Auteurs : Emily Nalder ; Elsa Marziali ; Deirde Dawson ; Kelly Murphy Année de publication : 2018 Article en page(s) : p. 591-600 Note générale : doi.org/10.1177/0308022618760786 Langues : Anglais (eng) Mots-clés : Chronic disease  ageing  self-management  telerehabilitation  cognition  cardiovascular disease Résumé : Introduction This exploratory qualitative study assessed the feasibility of transitioning three face-to-face, cognitive behavioural interventions for adults with chronic health conditions to online delivery, by examining clinician and clients' satisfaction with intervention training and delivery. Method The interventions adapted for online delivery were: ‘Managing Chronic Disease’, a programme for individuals who were nonadherent to prescribed rehabilitation regimens; ‘Real-World Strategy Training’, an occupation-based intervention for individuals with subjective cognitive decline; and ‘Learning the Ropes’, a memory programme for persons with mild cognitive impairment. Two occupational therapists and one nurse received training in, and then delivered one of the three interventions. Qualitative feedback interviews with participants, and archived video recordings of intervention sessions were analysed thematically. Results Key features of each manualised intervention were evident in the online sessions and perceived by clients as enhancing engagement (for example, peer support and strategy training). Clinicians felt that meeting individually with intervention experts was helpful to problem-solve technical issues and ensure adherence to protocols. Conclusion Three cognitive behavioural interventions transitioned to online delivery were acceptable to older adults and clinicians. A next step would be to complete randomised controlled trials investigating whether the interventions yield equivalent health benefits, using online and face-to-face delivery. Permalink : ./index.php?lvl=notice_display&id=80272 [article] Delivering cognitive behavioural interventions in an internet-based healthcare delivery environment [texte imprimé] / Emily Nalder ; Elsa Marziali ; Deirde Dawson ; Kelly Murphy . - 2018 . - p. 591-600. doi.org/10.1177/0308022618760786 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 10 (Octobre 2018) . - p. 591-600 Mots-clés : Chronic disease  ageing  self-management  telerehabilitation  cognition  cardiovascular disease Résumé : Introduction This exploratory qualitative study assessed the feasibility of transitioning three face-to-face, cognitive behavioural interventions for adults with chronic health conditions to online delivery, by examining clinician and clients' satisfaction with intervention training and delivery. Method The interventions adapted for online delivery were: ‘Managing Chronic Disease’, a programme for individuals who were nonadherent to prescribed rehabilitation regimens; ‘Real-World Strategy Training’, an occupation-based intervention for individuals with subjective cognitive decline; and ‘Learning the Ropes’, a memory programme for persons with mild cognitive impairment. Two occupational therapists and one nurse received training in, and then delivered one of the three interventions. Qualitative feedback interviews with participants, and archived video recordings of intervention sessions were analysed thematically. Results Key features of each manualised intervention were evident in the online sessions and perceived by clients as enhancing engagement (for example, peer support and strategy training). Clinicians felt that meeting individually with intervention experts was helpful to problem-solve technical issues and ensure adherence to protocols. Conclusion Three cognitive behavioural interventions transitioned to online delivery were acceptable to older adults and clinicians. A next step would be to complete randomised controlled trials investigating whether the interventions yield equivalent health benefits, using online and face-to-face delivery. Permalink : ./index.php?lvl=notice_display&id=80272

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