• 27Jul

    Trial of web-based self-help for parents of children on cancer treatment

    The Journal of Medical Internet Research has published a study that aimed to evaluate the long-term efficacy of Internet-based guided self-help for parents of children on cancer treatment.

    This study was a parallel randomized controlled trial comparing a 10-week Internet-based guided self-help program, including weekly support from a therapist via encrypted email, with a wait-list control condition.

    The intervention was based on cognitive behaviour therapy (CBT) and focused on psychoeducation and skills to cope with difficult thoughts and feelings. Primary outcome was self-reported PTSS. Secondary outcomes were self-reported symptoms of depression, anxiety, health care consumption, and sick leave during the past month.

    Outcomes were assessed pre- and post- intervention and at 12-month follow-up. Parents of children on cancer treatment were invited by health care personnel at pediatric oncology centers, and parents meeting the modified symptom criteria on the PCL-C were included in the study. Self-report assessments were provided on the Web.

    A total of 58 parents of children on cancer treatment (median months since diagnosis=3) were included in the study (intervention n=31 and control n=27).

    A total of 18 participants completed the intervention, and 16 participants in each group participated in the 12-month follow-up.

    Intention-to-treat analyses revealed significant effects in favour of the intervention on the primary outcome PTSS, with large between-group effect sizes at post-assessment and at 12-month follow-up.

    Significant effects in favour of the intervention on the secondary outcomes depression and anxiety were also observed. However, there was no evidence for intervention efficacy on health care consumption or sick leave.

    The full article can be read here: http://www.jmir.org/2017/7/e273/

    Cernvall M, Carlbring P, Wikman A, Ljungman L, Ljungman G, von Essen L

    Twelve-Month Follow-Up of a Randomized Controlled Trial of Internet-Based Guided Self-Help for Parents of Children on Cancer Treatment

    J Med Internet Res 2017;19(7):e273

    DOI: 10.2196/jmir.6852