Internet-Based Support and Coaching With Complementary Clinic Visits for Young People With Attention-Deficit/Hyperactivity Disorder and Autism : Controlled Feasibility Study
(2020) In Journal of Medical Internet Research 22(12).- Abstract
BACKGROUND: Individuals with attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) can experience obstacles in traditional health care situations due to difficulties associated with their impairment.
OBJECTIVE: This controlled study aims to investigate the feasibility of an internet-based support and coaching intervention (IBSC), including 2 weekly chat sessions and 2 complementary clinic visits with coaches over the course of 8 weeks, for adolescents and young adults with ADHD and/or ASD in 2 naturalistic routine care settings.
METHODS: Individuals with ADHD and/or ASD aged 15-32 years were recruited in 2 clinical settings, where they received either IBSC (n=24) or treatment as usual (TAU;... (More)
BACKGROUND: Individuals with attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) can experience obstacles in traditional health care situations due to difficulties associated with their impairment.
OBJECTIVE: This controlled study aims to investigate the feasibility of an internet-based support and coaching intervention (IBSC), including 2 weekly chat sessions and 2 complementary clinic visits with coaches over the course of 8 weeks, for adolescents and young adults with ADHD and/or ASD in 2 naturalistic routine care settings.
METHODS: Individuals with ADHD and/or ASD aged 15-32 years were recruited in 2 clinical settings, where they received either IBSC (n=24) or treatment as usual (TAU; n=20). Outcome measures included self-report questionnaires assessing quality of life (Manchester Short Assessment for Quality of Life), sense of coherence (Sense Of Coherence 29), self-esteem (Rosenberg Self-Esteem Scale), and anxiety and depressive symptoms (Hospital Anxiety and Depression Scale [HADS] and Montgomery-Åsberg Depression Rating Scale-Self-reported, respectively).
RESULTS: Significant between-group effects were observed in measures of anxiety (HADS) at postintervention (P=.02) as well as at the 6-month follow-up (P=.004). Significant between-group effects were also noted for depressive symptoms (HADS) postintervention (P=.04). The between-group effects were partially explained by a deterioration in the TAU group. A significant increase in self-esteem (P=.04) as well as a decrease in anxiety (P=.003) at the 6-month follow-up was observed in the intervention group following IBSC. Findings from a qualitative study of the intervention are consistent with the results.
CONCLUSIONS: The findings from this study suggest that IBSC holds promise as a feasible complement or alternative to traditional face-to-face health care meetings.
(Less)
- author
- Sehlin, Helena ; Hedman Ahlström, Britt ; Bertilsson, Ingrid LU ; Andersson, Gerhard and Wentz, Elisabet LU
- publishing date
- 2020-12-31
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adolescent, Adult, Ambulatory Care/standards, Attention Deficit Disorder with Hyperactivity/therapy, Autism Spectrum Disorder/therapy, Feasibility Studies, Female, Humans, Internet, Male, Qualitative Research, Quality of Life/psychology, Social Support, Young Adult
- in
- Journal of Medical Internet Research
- volume
- 22
- issue
- 12
- article number
- e19658
- publisher
- JMIR Publications Inc.
- external identifiers
-
- scopus:85099212305
- pmid:33382381
- ISSN
- 1438-8871
- DOI
- 10.2196/19658
- language
- English
- LU publication?
- no
- additional info
- ©Helena Sehlin, Britt Hedman Ahlström, Ingrid Bertilsson, Gerhard Andersson, Elisabet Wentz. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 31.12.2020.
- id
- 8b14d8b4-7e58-4e94-99af-0a0890cb0b56
- date added to LUP
- 2021-12-03 15:07:26
- date last changed
- 2024-08-25 05:01:31
@article{8b14d8b4-7e58-4e94-99af-0a0890cb0b56, abstract = {{<p>BACKGROUND: Individuals with attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) can experience obstacles in traditional health care situations due to difficulties associated with their impairment.</p><p>OBJECTIVE: This controlled study aims to investigate the feasibility of an internet-based support and coaching intervention (IBSC), including 2 weekly chat sessions and 2 complementary clinic visits with coaches over the course of 8 weeks, for adolescents and young adults with ADHD and/or ASD in 2 naturalistic routine care settings.</p><p>METHODS: Individuals with ADHD and/or ASD aged 15-32 years were recruited in 2 clinical settings, where they received either IBSC (n=24) or treatment as usual (TAU; n=20). Outcome measures included self-report questionnaires assessing quality of life (Manchester Short Assessment for Quality of Life), sense of coherence (Sense Of Coherence 29), self-esteem (Rosenberg Self-Esteem Scale), and anxiety and depressive symptoms (Hospital Anxiety and Depression Scale [HADS] and Montgomery-Åsberg Depression Rating Scale-Self-reported, respectively).</p><p>RESULTS: Significant between-group effects were observed in measures of anxiety (HADS) at postintervention (P=.02) as well as at the 6-month follow-up (P=.004). Significant between-group effects were also noted for depressive symptoms (HADS) postintervention (P=.04). The between-group effects were partially explained by a deterioration in the TAU group. A significant increase in self-esteem (P=.04) as well as a decrease in anxiety (P=.003) at the 6-month follow-up was observed in the intervention group following IBSC. Findings from a qualitative study of the intervention are consistent with the results.</p><p>CONCLUSIONS: The findings from this study suggest that IBSC holds promise as a feasible complement or alternative to traditional face-to-face health care meetings.</p>}}, author = {{Sehlin, Helena and Hedman Ahlström, Britt and Bertilsson, Ingrid and Andersson, Gerhard and Wentz, Elisabet}}, issn = {{1438-8871}}, keywords = {{Adolescent; Adult; Ambulatory Care/standards; Attention Deficit Disorder with Hyperactivity/therapy; Autism Spectrum Disorder/therapy; Feasibility Studies; Female; Humans; Internet; Male; Qualitative Research; Quality of Life/psychology; Social Support; Young Adult}}, language = {{eng}}, month = {{12}}, number = {{12}}, publisher = {{JMIR Publications Inc.}}, series = {{Journal of Medical Internet Research}}, title = {{Internet-Based Support and Coaching With Complementary Clinic Visits for Young People With Attention-Deficit/Hyperactivity Disorder and Autism : Controlled Feasibility Study}}, url = {{http://dx.doi.org/10.2196/19658}}, doi = {{10.2196/19658}}, volume = {{22}}, year = {{2020}}, }