$20 Bonus + 25% OFF
Securing Higher Grades Costing Your Pocket?
Book Your Assignment at The Lowest Price
Now!
Students Who Viewed This Also Studied
UW6762002 Bachelor of Counselling With Honours
Question:
A feasibility trial of an internet-delivered psychological intervention to manage mental health and functional outcomes in neurological disorders
Introduction
Mental health difficulties are highly prevalent across neurological disorders, with meta-analytic data indicating rates of anxiety and depressive disorders are as high as approximately 20 to 30% in people with epilepsy [1], multiple sclerosis (MS) [2], Parkinson’s disease [3,4] and acquired brain injury [5]. Across neurological disorders poor mental health is associated with poor quality of life, greater disability, poor treatment response, poor prognosis and disease progression [6–8]. In addition, some studies indicate that up to 30 to 50% of people with neurological disorders will experience significant cognitive difficulties [9–12], including problems with attention, memory and executivefunction.
These cognitive difficulties are also highly disabling [13,14] can exacerbate mental health difficulties and complicate their treatment [15].There is some evidence psychological interventions based on cognitive behavior therapy (CBT) can improve mental health outcomes (e.g., depression, anxiety) [16,17], and interventions based on compensatory cognitive rehabilitation can improve cognitive outcomes (e.g., memory complaints) [18], in patients with both acquired and chronic neurological disorders. Despite this, there are numerous barriers preventing access to effective psychological care for the majority of these patients, including a lack of specialists and services, high costs and travel restrictions [19]. One innovative approach for increasing access to psychologicalinterventions is delivery via the internet [20]. There is now substantial evidence for the effectiveness and acceptability of these interventions for common mental health [21] and physical health conditions [22]. There have also been several trials in certain neurological disorders, which highlight the potential of this approach.
For instance, internetdelivered CBT based interventions have resulted in improvements in depression in epilepsy [23,24], multiple sclerosis [25] and Parkinson’s disease [26]. The present study examines the feasibility of an innovative transdiagnostic internet-delivered psychological intervention, the Wellbeing Neuro Course. The course teaches adults with a variety of neurological disorders psychological skills to manage both their mental health and functional abilities. A single-group open-trial was employed to gain important feasibility, acceptability and efficacy data. It was hypothesized participants would report; (1) the intervention as acceptable, (2) significant improvements on primary outcomes of depression, anxiety and disability at post-intervention and 3-month follow-up; and (3) significant improvements on secondary functional outcomes of cognitive difficulties and fatigue.
Method
The trial was conducted via the online specialist research unit the eCentreClinic, Macquarie University, which offers free psychological interventions for common mental health and chronic health conditions via participation in clinical trials. Participants read details of the trial and made an application via the eCentreClinic website (www. ecentreclinic.org). This website can be located via online searches and is promoted by various health professionals and websites within Australia. Previous participants, who had consented to be emailed about the trial following their participation in an online national mental health survey [19] were sent a link to the website and details of the trial.
All participants self-referred and met the following inclusion criteria:
(1) Australian resident,
(2) ≥18 years of age, and
(3) received formal diagnosis of one of the targeted neurological disorders (epilepsy, multiple sclerosis (MS), Parkinson’s disease (PD), or acquired brain injury (ABI)), with clinical management by a GP or neurologist,
(4) experiencing cognitive difficulties that impact day-to-day activities and quality of life;
(5) wanting to learn information and skills to limit the impact of neurological disorder on their emotional and cognitive wellbeing. Exclusion criteria were: (1) an inability to access or use a computer with the internet, (2) depression symptoms in the very severe range (indicated by a total score > 22 or a score > 2 on item 9 of the Patient Health Questionnaire 9-item [27], (3) acutely suicidal or recent history of attempted suicide or self-harm (i.e., last 12 months), (4) serious cognitive impairment indicative of dementia (
Analytic plan
Analyses were performed in SPSS version 25 (SPSS, Inc., Chicago, IL). Generalised estimation equation (GEE) modelling examined changes over time from baseline to 3-month follow-up [43]. Initial assessment data were employed as baseline from the primary outcomes and pre-intervention data for the secondary outcomes. GEE models specified a gamma with log link response scale to address skewness within the dependent variables [44] and an unstructured working correlation to account for different rates of change from pre-intervention to post-intervention (i.e., bulk of intervention effect), and postintervention to follow-up (i.e., maintenance). Pairwise comparisons examined the statistical significance of changes in the outcomes between time points.
Clinical significance was assessed in two ways. First, the estimated marginal means from the GEE analyses were used to calculate the average percentage change across time for each of the outcome variables with 95% confidence intervals. Second, Cohen’s d effect sizes and 95% confidence intervals were calculated for the within-groups effects based on the estimated marginal means. To address missing values (only 7.6% post-intervention and 13.3% follow-up) a multiple imputations procedure was applied.
This process first considered evidence of systematic dropout probability and nonignorable mechanisms of missing data. [45] From the range of available patient and intervention variables, lesson completion was a single large predictor of missing data portability at post-intervention (Wald’s = 21.863, p
UW6762002 Bachelor of Counselling With Honours
Answer in Detail
Solved by qualified expert
Get Access to This Answer
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Hac habitasse platea dictumst vestibulum rhoncus est pellentesque. Amet dictum sit amet justo donec enim diam vulputate ut. Neque convallis a cras semper auctor neque vitae. Elit at imperdiet dui accumsan. Nisl condimentum id venenatis a condimentum vitae sapien pellentesque. Imperdiet massa tincidunt nunc pulvinar sapien et ligula. Malesuada fames ac turpis egestas maecenas pharetra convallis posuere. Et ultrices neque ornare aenean euismod. Suscipit tellus mauris a diam maecenas sed enim. Potenti nullam ac tortor vitae purus faucibus ornare. Morbi tristique senectus et netus et malesuada. Morbi tristique senectus et netus et malesuada. Tellus pellentesque eu tincidunt tortor aliquam. Sit amet purus gravida quis blandit. Nec feugiat in fermentum posuere urna. Vel orci porta non pulvinar neque laoreet suspendisse interdum. Ultricies tristique nulla aliquet enim tortor at auctor urna. Orci sagittis eu volutpat odio facilisis mauris sit amet.
Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Hac habitasse platea dictumst vestibulum rhoncus est pellentesque. Amet dictum sit amet justo donec enim diam vulputate ut. Neque convallis a cras semper auctor neque vitae. Elit at imperdiet dui accumsan. Nisl condimentum id venenatis a condimentum vitae sapien pellentesque. Imperdiet massa tincidunt nunc pulvinar sapien et ligula. Malesuada fames ac turpis egestas maecenas pharetra convallis posuere. Et ultrices neque ornare aenean euismod. Suscipit tellus mauris a diam maecenas sed enim. Potenti nullam ac tortor vitae purus faucibus ornare. Morbi tristique senectus et netus et malesuada. Morbi tristique senectus et netus et malesuada. Tellus pellentesque eu tincidunt tortor aliquam. Sit amet purus gravida quis blandit. Nec feugiat in fermentum posuere urna. Vel orci porta non pulvinar neque laoreet suspendisse interdum. Ultricies tristique nulla aliquet enim tortor at auctor urna. Orci sagittis eu volutpat odio facilisis mauris sit amet.
Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Hac habitasse platea dictumst vestibulum rhoncus est pellentesque. Amet dictum sit amet justo donec enim diam vulputate ut. Neque convallis a cras semper auctor neque vitae. Elit at imperdiet dui accumsan. Nisl condimentum id venenatis a condimentum vitae sapien pellentesque. Imperdiet massa tincidunt nunc pulvinar sapien et ligula. Malesuada fames ac turpis egestas maecenas pharetra convallis posuere. Et ultrices neque ornare aenean euismod. Suscipit tellus mauris a diam maecenas sed enim. Potenti nullam ac tortor vitae purus faucibus ornare. Morbi tristique senectus et netus et malesuada. Morbi tristique senectus et netus et malesuada. Tellus pellentesque eu tincidunt tortor aliquam. Sit amet purus gravida quis blandit. Nec feugiat in fermentum posuere urna. Vel orci porta non pulvinar neque laoreet suspendisse interdum. Ultricies tristique nulla aliquet enim tortor at auctor urna. Orci sagittis eu volutpat odio facilisis mauris sit amet.
Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.
29 More Pages to Come in This Document. Get access to the complete answer.
Our exclusive quality of online assignment help encourages students to repeat their visit at MyAssignmenthelp.com. We are here to help you with custom essays, assignments and dissertation writing services regardless of any discipline. You will never miss a deadline with us, even if you have reached us late. We are composed of more than 3000 PhD writers eminent in their profession. No matter whether you are a final year student or freshman in college, our dedicated team of writers provides assignment help on any subject on earth. If you wish to get fast, reliable and competent academic assignment help, MyAssignmenthelp.com would be the suitable place for you. We pledge to offer first-rate content at the most reasonable rate ever.
More UW6762002 UW6762002 Bachelor of Counselling With Honours: Questions & Answers
Business Development
Assignment 2: Case Study Purpose: The purpose of this case study is to integrate the understanding of two developmental theories with a practical example. Within this integration is an identification, analysis and evaluation of major life themes with the inclusion of strengths and challenges f …
View Answer
Management
We need to do assignment which is from three parts.Please note Part 1 has 750 word limit;Part two has 50 word limit;and Part three has up to 100 words limit.Part 1 I need to write essay what havewe learned on city road (different cultures,inequality…) As well I’m attaching some photos of material …
View Answer
Behavioral Management
The purposes of this assignment are for you to 1) integrate behavior change theory into your understanding of the health behavior problem and intervention strategies, and 2) finalize the results of your needs assessment.We expect students to use credible, scholarly sources in completing the summarie …
View Answer
PSYC1002 Introduction to Psychology II
Task:
For each article, your answers will be approximately 2-3 pages in length (approximately half of a page perquestion).
Each question is asking you something about your chosen article. You will likely need to read the article at least a few times. But then, when writing your responses to the …
View Answer
Content Removal Request
If you are the original writer of this content and no longer wish to have your work published on Myassignmenthelp.com then please raise the
content removal request.
Choose Our Best Expert to Help You
Jessica Fuller
paediatrician in the USA, and have acquired my degree on Paediatrics from University of Los Angeles.
650 – Completed Orders
Hire Me
Still in Two Minds? The Proof is in Numbers!
33845 Genuine Reviews With a Rating of 4.9/5.
Management
Assignment: 3 Pages, Deadline:
6 days
Very good piece of work, exactly what I needed. Everything was done very smooth from order to the end.
User ID: 5***28 London, Great Britain
Organizational Behavior
Assignment: 10 Pages, Deadline:
9 days
Thank you for your help, I manage to submit my assignment on time and I got a good grade!
User ID: 5***28 London, Great Britain
Marketing
Assignment: 6 Pages, Deadline:
12 days
Fantastic work, I received my order on time and it was very well done. I got exellent mark for my assingment!
User ID: 5***28 London, Great Britain
Project Management
Assignment: 6 Pages, Deadline:
11 days
I have very complicated project to do and your experts helped me with an exellent work. Thank you so much!
User ID: 5***28 London, Great Britain
Statistics
Programming: 1 Page, Deadline:
26 days
A good solution has been provided and I am satisfied with the solution provided.
User ID: 7***32 Zimbabwe
Finance
Home Work: 8 Pages, Deadline:
19 days
Got the assignment ahead of time and it is very good with attention to detail with all the calculations as asked earlier.
User ID: 8***20 India
It Write Up
Assignment: 20 Pages, Deadline:
3 days
Excellent Job, got excellent grades and passed in the assignment highly recommend. Best solution out there
User ID: 6***94 Mauritius
It Write Up
Essay: 0.8 Pages, Deadline:
1 day
I am one of the regular customer and I am happy with experts which helps me to clear my study. I am satisfied with solutions and thank you for helping …
User ID: 2***87 Bexley, Australia
Accounting
Home Work: 1 Page, Deadline:
8 days
thank you you guys, even though i dont have high marks, but im happy with your effort on that. really appreciate for that
User ID: 6***24 Australia
Management
Assignment: 2.4 Pages, Deadline:
4 days
thank you expert and your team. u guys really helpful for my assignment . really appreciate your effort
User ID: 6***24 Australia
Management
Assignment: 3 Pages, Deadline:
6 days
Very good piece of work, exactly what I needed. Everything was done very smooth from order to the end.
User ID: 5***28 London, Great Britain
Organizational Behavior
Assignment: 10 Pages, Deadline:
9 days
Thank you for your help, I manage to submit my assignment on time and I got a good grade!
User ID: 5***28 London, Great Britain
Marketing
Assignment: 6 Pages, Deadline:
12 days
Fantastic work, I received my order on time and it was very well done. I got exellent mark for my assingment!
User ID: 5***28 London, Great Britain
Project Management
Assignment: 6 Pages, Deadline:
11 days
I have very complicated project to do and your experts helped me with an exellent work. Thank you so much!
User ID: 5***28 London, Great Britain
Statistics
Programming: 1 Page, Deadline:
26 days
A good solution has been provided and I am satisfied with the solution provided.
User ID: 7***32 Zimbabwe
Finance
Home Work: 8 Pages, Deadline:
19 days
Got the assignment ahead of time and it is very good with attention to detail with all the calculations as asked earlier.
User ID: 8***20 India
It Write Up
Assignment: 20 Pages, Deadline:
3 days
Excellent Job, got excellent grades and passed in the assignment highly recommend. Best solution out there
User ID: 6***94 Mauritius
It Write Up
Essay: 0.8 Pages, Deadline:
1 day
I am one of the regular customer and I am happy with experts which helps me to clear my study. I am satisfied with solutions and thank you for helping …
User ID: 2***87 Bexley, Australia
Accounting
Home Work: 1 Page, Deadline:
8 days
thank you you guys, even though i dont have high marks, but im happy with your effort on that. really appreciate for that
User ID: 6***24 Australia
Management
Assignment: 2.4 Pages, Deadline:
4 days
thank you expert and your team. u guys really helpful for my assignment . really appreciate your effort
User ID: 6***24 Australia