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Published in: Health and Quality of Life Outcomes 1/2015

Open Access 01-12-2015 | Research

A web-based psychological support program for caregivers of children with cystic fibrosis: a pilot study

Authors: Astrid Fidika, Marion Herle, Christine Lehmann, Christa Weiss, Christine Knaevelsrud, Lutz Goldbeck

Published in: Health and Quality of Life Outcomes | Issue 1/2015

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Abstract

Background

Parents caring for a child with Cystic Fibrosis (CF) are at high risk for psychological distress and have limited access to psychological care. Therefore, a web-based psychological support program for severely distressed parents of children with CF (WEP-CARE) was developed and evaluated for its feasibility and efficacy.

Methods

A clinical expert panel developed WEP-CARE based on principles of cognitive-behavioral therapy. This web-based writing therapy comprises nine sessions, tailored for the specific needs of caregivers. The pilot study was conducted as a single-group intervention with pre-post-follow-up design. Out of 31 participants, 23 parents completed the intervention (21 female; mean age 37 years; SD = 6.2 years, range 25 – 48 years). Psychological symptoms and quality of life were assessed online by self-report measures at pre- and post-treatment and were followed up three months later.

Results

On average, the caregivers’ symptoms of anxiety decreased statistically significant and clinical relevant about five points from an elevated (M = 11.4; SD =2.6) to a normal level (M = 6.7; SD = 2.6; p < .001) between pre and post treatment. Fear of disease progression (p < .001) and symptoms of depression (p = .02) significantly decreased as well. Quality of life significantly improved (p = .01). The effects were maintained at the 3-months follow-up assessment.

Conclusions

WEP-CARE is feasible and promising regarding its efficacy to improve parental mental health and quality of life.
Literature
1.
go back to reference Littlewood JM. History of cystic fibrosis. In: Hodson M, Geddes D, Bush A, editors. Cystic Fibrosis. London: CRC Press, Taylor and Francis Group; 2007. p. 1–19. Littlewood JM. History of cystic fibrosis. In: Hodson M, Geddes D, Bush A, editors. Cystic Fibrosis. London: CRC Press, Taylor and Francis Group; 2007. p. 1–19.
3.
go back to reference Dodge JA, Lewis PA, Stanton M, Wilsher J. Cystic fibrosis mortality and survival in the UK: 1947–2003. Eur Respir J. 2007;29:522–6.CrossRefPubMed Dodge JA, Lewis PA, Stanton M, Wilsher J. Cystic fibrosis mortality and survival in the UK: 1947–2003. Eur Respir J. 2007;29:522–6.CrossRefPubMed
5.
go back to reference Cohen MS. Families coping with childhood chronic illness: a research review. Fam Syst Health. 1999;17(2):149–64.CrossRef Cohen MS. Families coping with childhood chronic illness: a research review. Fam Syst Health. 1999;17(2):149–64.CrossRef
6.
go back to reference Hatzmann J, Heymans HS, Carbonell A, van Praag BM, Grootenhuis MA. Hidden consequences of success in pediatrics: parental health-related quality of life-results from the care project. Pediatrics. 2008;122:e1030–8.CrossRefPubMed Hatzmann J, Heymans HS, Carbonell A, van Praag BM, Grootenhuis MA. Hidden consequences of success in pediatrics: parental health-related quality of life-results from the care project. Pediatrics. 2008;122:e1030–8.CrossRefPubMed
7.
go back to reference Driscoll KA, Bennett Johnson S, Barker D, Quittner AL, Deeb LC, Geller DE, et al. Risk factors associated with depressive symptoms in caregivers of children with Type 1 diabetes or cystic fibrosis. J Pediatr Psychol. 2010;35:814–22.CrossRefPubMedCentralPubMed Driscoll KA, Bennett Johnson S, Barker D, Quittner AL, Deeb LC, Geller DE, et al. Risk factors associated with depressive symptoms in caregivers of children with Type 1 diabetes or cystic fibrosis. J Pediatr Psychol. 2010;35:814–22.CrossRefPubMedCentralPubMed
8.
go back to reference Smith BA, Modi AC, Quittner AL, Wood BL. Depressive symptoms in children with cystic fibrosis and parents and its effects on adherence to airway clearance. Pediatr Pulmonol. 2010;45:756–63.CrossRefPubMed Smith BA, Modi AC, Quittner AL, Wood BL. Depressive symptoms in children with cystic fibrosis and parents and its effects on adherence to airway clearance. Pediatr Pulmonol. 2010;45:756–63.CrossRefPubMed
9.
go back to reference Besier T, Born A, Henrich G, Hinz A, Quittner AL, Goldbeck L, et al. Anxiety, depression, and life satisfaction in parents caring for children with cystic fibrosis. Pediatr Pulmonol. 2011;46:672–82.CrossRefPubMed Besier T, Born A, Henrich G, Hinz A, Quittner AL, Goldbeck L, et al. Anxiety, depression, and life satisfaction in parents caring for children with cystic fibrosis. Pediatr Pulmonol. 2011;46:672–82.CrossRefPubMed
10.
go back to reference Zimmermann T, Herschbach P, Wessarges M, Heinrichs N. Fear of progression in partners of chronically Ill patients. Behav Med. 2011;37:95–104.CrossRefPubMed Zimmermann T, Herschbach P, Wessarges M, Heinrichs N. Fear of progression in partners of chronically Ill patients. Behav Med. 2011;37:95–104.CrossRefPubMed
11.
go back to reference Eccleston C, Palermo TM, Fisher E, Law E. Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database Syst Rev. 2012;8:CD009660.PubMedCentralPubMed Eccleston C, Palermo TM, Fisher E, Law E. Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database Syst Rev. 2012;8:CD009660.PubMedCentralPubMed
12.
go back to reference Goldbeck L, Fidika A, Herle M, Quittner AL. Psychological interventions for individuals with cystic fibrosis and their families. Cochrane Database Syst Rev. 2014;6:CD003148.PubMed Goldbeck L, Fidika A, Herle M, Quittner AL. Psychological interventions for individuals with cystic fibrosis and their families. Cochrane Database Syst Rev. 2014;6:CD003148.PubMed
13.
go back to reference Kerem E, Conway S, Elborn S, Heijerman H. Standards of care for patients with cystic fibrosis: a European consensus. J Cyst Fibros. 2005;4:7–26.CrossRefPubMed Kerem E, Conway S, Elborn S, Heijerman H. Standards of care for patients with cystic fibrosis: a European consensus. J Cyst Fibros. 2005;4:7–26.CrossRefPubMed
14.
go back to reference Conway S, Balfour-Lynn IM, De Rijcke K, Drevinek P, Foweraker J, Havermans T, et al. European Cystic Fibrosis Society Standards of Care: framework for the cystic fibrosis centre. J Cyst Fibros. 2014;13:S3–S22.CrossRefPubMed Conway S, Balfour-Lynn IM, De Rijcke K, Drevinek P, Foweraker J, Havermans T, et al. European Cystic Fibrosis Society Standards of Care: framework for the cystic fibrosis centre. J Cyst Fibros. 2014;13:S3–S22.CrossRefPubMed
15.
go back to reference Besier T, Goldbeck L. Anxiety and depression in adolescents with CF and their caregivers. J Cyst Fibros. 2011;10:435–42.CrossRefPubMed Besier T, Goldbeck L. Anxiety and depression in adolescents with CF and their caregivers. J Cyst Fibros. 2011;10:435–42.CrossRefPubMed
16.
go back to reference Barak A, Hen L, Boniel-Nissim M, Shapira N. A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. J Technol Hum Serv. 2008;26:109–60.CrossRef Barak A, Hen L, Boniel-Nissim M, Shapira N. A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. J Technol Hum Serv. 2008;26:109–60.CrossRef
17.
go back to reference Hedman E, Ljótsson B, Lindefors N. Cognitive behavior therapy via the internet: a systematic review of applications, clinical efficacy and cost-effectiveness. Expert Rev Pharmacoecon Outcomes Res. 2012;12:745–64.CrossRefPubMed Hedman E, Ljótsson B, Lindefors N. Cognitive behavior therapy via the internet: a systematic review of applications, clinical efficacy and cost-effectiveness. Expert Rev Pharmacoecon Outcomes Res. 2012;12:745–64.CrossRefPubMed
18.
go back to reference Grey M, Whittemore R, Jeon S, Murphy K, Faulkner MS, Delamater A, et al. Internet psycho-education programs improve outcomes in youth with type 1 diabetes. Diabetes Care. 2013;36:2475–82.CrossRefPubMedCentralPubMed Grey M, Whittemore R, Jeon S, Murphy K, Faulkner MS, Delamater A, et al. Internet psycho-education programs improve outcomes in youth with type 1 diabetes. Diabetes Care. 2013;36:2475–82.CrossRefPubMedCentralPubMed
19.
go back to reference Mulvaney SA, Rothman RL, Osborn CY, Lybarger C, Dietrich MS, Wallston KA. Self-management problem solving for adolescents with type 1 diabetes: intervention processes associated with an Internet program. Patient Educ Couns. 2011;85:140–2.CrossRefPubMedCentralPubMed Mulvaney SA, Rothman RL, Osborn CY, Lybarger C, Dietrich MS, Wallston KA. Self-management problem solving for adolescents with type 1 diabetes: intervention processes associated with an Internet program. Patient Educ Couns. 2011;85:140–2.CrossRefPubMedCentralPubMed
20.
go back to reference Meischke H, Lozano P, Zhou C, Garrison M, Christakis D. Engagement in "My Child's Asthma", an interactive web-based pediatric asthma management intervention. Int J Med Inform. 2011;80:765–74.CrossRefPubMedCentralPubMed Meischke H, Lozano P, Zhou C, Garrison M, Christakis D. Engagement in "My Child's Asthma", an interactive web-based pediatric asthma management intervention. Int J Med Inform. 2011;80:765–74.CrossRefPubMedCentralPubMed
21.
go back to reference Stewart M, Letourneau N, Masuda JR, Anderson S, McGhan S. Online solutions to support needs and preferences of parents of children with asthma and allergies. J Fam Nurs. 2011;17:357–79.CrossRefPubMed Stewart M, Letourneau N, Masuda JR, Anderson S, McGhan S. Online solutions to support needs and preferences of parents of children with asthma and allergies. J Fam Nurs. 2011;17:357–79.CrossRefPubMed
22.
go back to reference Marsac ML, Hildenbrand AK, Kohser KL, Winston FK, Li Y, Kassam-Adams N. Preventing posttraumatic stress following pediatric injury: a randomized controlled trial of a web-based psycho-educational intervention for parents. J Pediatr Psychol. 2013;38:1101–11.CrossRefPubMedCentralPubMed Marsac ML, Hildenbrand AK, Kohser KL, Winston FK, Li Y, Kassam-Adams N. Preventing posttraumatic stress following pediatric injury: a randomized controlled trial of a web-based psycho-educational intervention for parents. J Pediatr Psychol. 2013;38:1101–11.CrossRefPubMedCentralPubMed
23.
go back to reference Wade SL, Walz NC, Carey J, McMullen KM, Cass J, Mark E, et al. A randomized trial of teen online problem solving: efficacy in improving caregiver outcomes after brain injury. Health Psychol. 2012;31:767–76.CrossRefPubMed Wade SL, Walz NC, Carey J, McMullen KM, Cass J, Mark E, et al. A randomized trial of teen online problem solving: efficacy in improving caregiver outcomes after brain injury. Health Psychol. 2012;31:767–76.CrossRefPubMed
24.
go back to reference Hermann-Lingen C, Buss U, Snaith RP. HADS-D Hospital Anxiety and Depression Scale - German Version. 3rd ed. Bern: Huber; 2011. Hermann-Lingen C, Buss U, Snaith RP. HADS-D Hospital Anxiety and Depression Scale - German Version. 3rd ed. Bern: Huber; 2011.
25.
go back to reference West CA, Besier T, Borth-Bruhns T, Goldbeck L. Effectiveness of a family-oriented rehabilitation program on the quality of life of parents of chronically Ill children. Klin Padiatr. 2009;221:241–6.CrossRefPubMed West CA, Besier T, Borth-Bruhns T, Goldbeck L. Effectiveness of a family-oriented rehabilitation program on the quality of life of parents of chronically Ill children. Klin Padiatr. 2009;221:241–6.CrossRefPubMed
26.
go back to reference Goldbeck L, Hölling I, Schlack R, West C, Besier T. The impact of an inpatient family-oriented rehabilitation program on parent-reported psychological symptoms of chronically Ill children. Klin Padiatr. 2011;223:79–84.CrossRefPubMed Goldbeck L, Hölling I, Schlack R, West C, Besier T. The impact of an inpatient family-oriented rehabilitation program on parent-reported psychological symptoms of chronically Ill children. Klin Padiatr. 2011;223:79–84.CrossRefPubMed
27.
go back to reference Hautzinger M, Bailer M. Allgemeine Depressionsskala, 1st edition edn. Göttingen: Hogrefe; 1993. Hautzinger M, Bailer M. Allgemeine Depressionsskala, 1st edition edn. Göttingen: Hogrefe; 1993.
28.
go back to reference Herschbach P, Berg P, Dankert A, Duran G, Engst-Hastreiter U, Waadt S, et al. Fear of progression in chronic diseases: psychometric properties of the fear of progression questionnaire. J Psychosom Res. 2005;58:505–11.CrossRefPubMed Herschbach P, Berg P, Dankert A, Duran G, Engst-Hastreiter U, Waadt S, et al. Fear of progression in chronic diseases: psychometric properties of the fear of progression questionnaire. J Psychosom Res. 2005;58:505–11.CrossRefPubMed
29.
go back to reference Fidika A, Mai S, Herle M, Goldbeck L. 262 Fear of progression questionnaire for caregivers of youth with cystic fibrosis (FoP-Q/C). J Cyst Fibros. 2014;13(Suppl2):S115.CrossRef Fidika A, Mai S, Herle M, Goldbeck L. 262 Fear of progression questionnaire for caregivers of youth with cystic fibrosis (FoP-Q/C). J Cyst Fibros. 2014;13(Suppl2):S115.CrossRef
30.
go back to reference Goldbeck L, Storck M. Das Ulmer Lebensqualitäts-Inventar für Eltern chronisch kranker Kinder (ULQIE): Entwicklung und psychometrische Eigenschaften. [ULQIE: a quality-of-life inventory for parents of chronically ill children.]. Z Klin Psychol Psychother. 2002;31:31–9.CrossRef Goldbeck L, Storck M. Das Ulmer Lebensqualitäts-Inventar für Eltern chronisch kranker Kinder (ULQIE): Entwicklung und psychometrische Eigenschaften. [ULQIE: a quality-of-life inventory for parents of chronically ill children.]. Z Klin Psychol Psychother. 2002;31:31–9.CrossRef
31.
go back to reference McCubbin H, McCubbin M, Cauble A, Goldbeck L. Fragebogen zur elterlichen Krankheitsbewältigung: coping Health Inventory for Parents (CHIP) - Deutsche Version. Kindheit Entwicklung. 2001;10:28–35.CrossRef McCubbin H, McCubbin M, Cauble A, Goldbeck L. Fragebogen zur elterlichen Krankheitsbewältigung: coping Health Inventory for Parents (CHIP) - Deutsche Version. Kindheit Entwicklung. 2001;10:28–35.CrossRef
32.
go back to reference Jacobsen NS, Truax P. Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol. 1991;59:12–9.CrossRef Jacobsen NS, Truax P. Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol. 1991;59:12–9.CrossRef
33.
go back to reference Melville KM, Casey LM, Kavanagh DJ. Dropout from internet-based treatment for psychological disorders. Br J Clin Psychol. 2010;49:455–71.CrossRefPubMed Melville KM, Casey LM, Kavanagh DJ. Dropout from internet-based treatment for psychological disorders. Br J Clin Psychol. 2010;49:455–71.CrossRefPubMed
34.
go back to reference Hafen GM, Kernen Y, De Halleux QM. Time invested in the global respiratory care of cystic fibrosis paediatrics patients. Clin Respir J. 2013;7:338–41.CrossRefPubMed Hafen GM, Kernen Y, De Halleux QM. Time invested in the global respiratory care of cystic fibrosis paediatrics patients. Clin Respir J. 2013;7:338–41.CrossRefPubMed
35.
go back to reference Spek V, Cuijpers P, Cek I, Riper H, Keyzer J, Pop V. Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med. 2007;37:319–28.CrossRefPubMed Spek V, Cuijpers P, Cek I, Riper H, Keyzer J, Pop V. Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med. 2007;37:319–28.CrossRefPubMed
36.
go back to reference Andrews G, Cuijpers P, Craske MG, McEvoy P, Titov N. Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS One. 2010;5:e13196.CrossRefPubMedCentralPubMed Andrews G, Cuijpers P, Craske MG, McEvoy P, Titov N. Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS One. 2010;5:e13196.CrossRefPubMedCentralPubMed
37.
go back to reference Knaevelsrud C, Maercker A. Internet-based treatment for PTSD reduces distress and facilitates the development of a strong therapeutic alliance: a randomized controlled clinical trial. BMC Psychiatry. 2007;7:13.CrossRefPubMedCentralPubMed Knaevelsrud C, Maercker A. Internet-based treatment for PTSD reduces distress and facilitates the development of a strong therapeutic alliance: a randomized controlled clinical trial. BMC Psychiatry. 2007;7:13.CrossRefPubMedCentralPubMed
38.
go back to reference Andersson G. Using the internet to provide cognitive behaviour therapy. Behav Res Ther. 2009;47:180.CrossRef Andersson G. Using the internet to provide cognitive behaviour therapy. Behav Res Ther. 2009;47:180.CrossRef
39.
go back to reference Watts K, Schechter M. Origins of outcome disparities in pediatric respiratory disease. Pediatr Ann. 2010;39:793–8.CrossRefPubMed Watts K, Schechter M. Origins of outcome disparities in pediatric respiratory disease. Pediatr Ann. 2010;39:793–8.CrossRefPubMed
40.
go back to reference Cousino MK, Hazen RA. Parenting stress among caregivers of children with chronic illness: a systematic review. J Pediatr Psychol. 2013;38:809–28.CrossRefPubMed Cousino MK, Hazen RA. Parenting stress among caregivers of children with chronic illness: a systematic review. J Pediatr Psychol. 2013;38:809–28.CrossRefPubMed
Metadata
Title
A web-based psychological support program for caregivers of children with cystic fibrosis: a pilot study
Authors
Astrid Fidika
Marion Herle
Christine Lehmann
Christa Weiss
Christine Knaevelsrud
Lutz Goldbeck
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2015
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-015-0211-y

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