Therapist-supported online interventions for children and young people with tic disorders : Lessons learned from a randomized controlled trial and considerations for future practice
(2020) In JMIR Mental Health 7(10).- Abstract
In recent years, research into internet-based cognitive behavioral therapy (iCBT) has suggested that therapist-guided digital interventions have greater engagement, adherence, and effectiveness than self-directed digital therapies. While research has focused on the effectiveness of, and adherence to, these interventions, less attention has been paid to their implementation in practice and what aspects of the therapist role support success. An understanding of the key factors related to the therapist role and intervention delivery is required if these iCBTs are to be applied in routine clinical care and outcomes optimized. In light of the coronavirus disease 2019 (COVID-19) pandemic, there is greater emphasis on allowing patients access... (More)
In recent years, research into internet-based cognitive behavioral therapy (iCBT) has suggested that therapist-guided digital interventions have greater engagement, adherence, and effectiveness than self-directed digital therapies. While research has focused on the effectiveness of, and adherence to, these interventions, less attention has been paid to their implementation in practice and what aspects of the therapist role support success. An understanding of the key factors related to the therapist role and intervention delivery is required if these iCBTs are to be applied in routine clinical care and outcomes optimized. In light of the coronavirus disease 2019 (COVID-19) pandemic, there is greater emphasis on allowing patients access to remote therapies. We report the experiences and reflections of 4 therapists and their 2 supervisors in delivering an online, therapist-supported intervention in a randomized controlled trial for children and young people with tic disorders (the Online Remote Behavioural Intervention for Tics [ORBIT] trial). Themes discussed include the importance of training, supervision, creating support documents/manuals, and record keeping. Alongside this are communication strategies used by therapists to encourage patient adherence and treatment effectiveness. These include rapport building, treatment personalization, and suggestions for overcoming non-engagement. These reflections offer important considerations for the delivery of iCBTs as well as implications associated with the implementation of these interventions in existing services and future research studies. We share thoughts on where iCBTs may sit in a stepped care model, how services may deal with comorbid conditions, and the potential role of iCBTs in collecting clinical data.
(Less)
- author
- Chamberlain, Liam R. ; Hall, Charlotte L. ; Andrén, Per LU ; Bethan Davies, E. ; Kilgariff, Joseph ; Kouzoupi, Natalia ; Murphy, Tara and Hollis, Chris
- publishing date
- 2020-10
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Internet-based cognitive behavioral therapy (iCBT), Remote therapy, Therapist support, Tic disorders, Tourette syndrome
- in
- JMIR Mental Health
- volume
- 7
- issue
- 10
- article number
- e19600
- publisher
- JMIR Publications Inc.
- external identifiers
-
- scopus:85096536073
- ISSN
- 2368-7959
- DOI
- 10.2196/19600
- language
- English
- LU publication?
- no
- additional info
- Publisher Copyright: © Liam R Chamberlain, Charlotte L Hall, Per Andrén, E Bethan Davies, Joseph Kilgariff, Natalia Kouzoupi, Tara Murphy, Chris Hollis. Originally published in JMIR Mental Health (http://mental.jmir.org), 23.10.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Mental Health, is properly cited. The complete bibliographic information, a link to the original publication on http://mental.jmir.org/, as well as this copyright and license information must be included.
- id
- 0dd63fa7-fc16-453e-87ed-c5867727425d
- date added to LUP
- 2023-07-14 11:38:16
- date last changed
- 2024-02-19 21:28:46
@article{0dd63fa7-fc16-453e-87ed-c5867727425d,
abstract = {{<p>In recent years, research into internet-based cognitive behavioral therapy (iCBT) has suggested that therapist-guided digital interventions have greater engagement, adherence, and effectiveness than self-directed digital therapies. While research has focused on the effectiveness of, and adherence to, these interventions, less attention has been paid to their implementation in practice and what aspects of the therapist role support success. An understanding of the key factors related to the therapist role and intervention delivery is required if these iCBTs are to be applied in routine clinical care and outcomes optimized. In light of the coronavirus disease 2019 (COVID-19) pandemic, there is greater emphasis on allowing patients access to remote therapies. We report the experiences and reflections of 4 therapists and their 2 supervisors in delivering an online, therapist-supported intervention in a randomized controlled trial for children and young people with tic disorders (the Online Remote Behavioural Intervention for Tics [ORBIT] trial). Themes discussed include the importance of training, supervision, creating support documents/manuals, and record keeping. Alongside this are communication strategies used by therapists to encourage patient adherence and treatment effectiveness. These include rapport building, treatment personalization, and suggestions for overcoming non-engagement. These reflections offer important considerations for the delivery of iCBTs as well as implications associated with the implementation of these interventions in existing services and future research studies. We share thoughts on where iCBTs may sit in a stepped care model, how services may deal with comorbid conditions, and the potential role of iCBTs in collecting clinical data.</p>}},
author = {{Chamberlain, Liam R. and Hall, Charlotte L. and Andrén, Per and Bethan Davies, E. and Kilgariff, Joseph and Kouzoupi, Natalia and Murphy, Tara and Hollis, Chris}},
issn = {{2368-7959}},
keywords = {{Internet-based cognitive behavioral therapy (iCBT); Remote therapy; Therapist support; Tic disorders; Tourette syndrome}},
language = {{eng}},
number = {{10}},
publisher = {{JMIR Publications Inc.}},
series = {{JMIR Mental Health}},
title = {{Therapist-supported online interventions for children and young people with tic disorders : Lessons learned from a randomized controlled trial and considerations for future practice}},
url = {{http://dx.doi.org/10.2196/19600}},
doi = {{10.2196/19600}},
volume = {{7}},
year = {{2020}},
}