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Conference Paper: The effect of instant message-delivered cognitive behavioural therapy (IMCBT) for stroke caregivers’ psychological support
| Title | The effect of instant message-delivered cognitive behavioural therapy (IMCBT) for stroke caregivers’ psychological support |
|---|---|
| Authors | |
| Issue Date | 15-May-2024 |
| Abstract | Background and aims: Many stroke patients require long-term care, often relying on assistance from family caregivers within the community. Numerous stroke caregivers need psychological support to cope with caregiver stress. However, a significant proportion of these caregivers receive insufficient psychological support. If left unmanaged, this can lead to adverse health outcomes for both caregivers and care-recipients. This trial aimed to evaluate the effectiveness of instant message-delivered cognitive-behavioural therapy (imCBT) for providing psychological support to caregivers. Methods: A randomised controlled trial was conducted with 256 stroke caregivers, who were randomly allocated to either the Intervention (n=128) or Control (n=128) group. The intervention group received imCBT via WhatsApp, accompanied by nurse-led real-time chat support for three months. Depression (PHQ-9; primary outcome), anxiety (GAD-7), stress (PSS-4), and loneliness (ULS-8) were measured at baseline, three, and six months. Intention-to-treat (ITT) analysis was employed to analyse the data. Generalised estimating equations were used to estimate the parameters and evaluate post-test differences between the groups. Results: The participants' mean age was 51 years(SD=14.2), and 54.3% were male. A significant reduction in depressive symptoms was observed in the intervention group compared to the control group at the 6-month post-intervention (B = 2.771, SE = 0.473, p <.001). Additionally, post-intervention anxiety symptoms (B=2.261, SE=0.498, p<.001), stress (B=1.397, SE=0.308, p<.001), and loneliness (B=2.230, SE=0.504, p<.001) were significantly reduced in the intervention group compared to the control group. Conclusions: This study demonstrated that imCBT is effective in improving the psychological well- being (depressive and anxiety symptoms, stress, and loneliness) of stroke caregivers. |
| Persistent Identifier | http://hdl.handle.net/10722/353366 |
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Lee, Jung Jae | - |
| dc.contributor.author | Lau, Kui Kai | - |
| dc.contributor.author | Lau, Esther Yuet Ying | - |
| dc.contributor.author | Chau, Pui Hing | - |
| dc.contributor.author | Ho, Mu-Hsing | - |
| dc.contributor.author | Cuijpers, Pim | - |
| dc.contributor.author | Wang, Man Ping | - |
| dc.date.accessioned | 2025-01-17T00:35:52Z | - |
| dc.date.available | 2025-01-17T00:35:52Z | - |
| dc.date.issued | 2024-05-15 | - |
| dc.identifier.uri | http://hdl.handle.net/10722/353366 | - |
| dc.description.abstract | <p>Background and aims: Many stroke patients require long-term care, often relying on assistance from family caregivers within the community. Numerous stroke caregivers need psychological support to cope with caregiver stress. However, a significant proportion of these caregivers receive insufficient psychological support. If left unmanaged, this can lead to adverse health outcomes for both caregivers and care-recipients. This trial aimed to evaluate the effectiveness of instant message-delivered cognitive-behavioural therapy (imCBT) for providing psychological support to caregivers. <br></p><p>Methods: A randomised controlled trial was conducted with 256 stroke caregivers, who were randomly allocated to either the Intervention (n=128) or Control (n=128) group. The intervention group received imCBT via WhatsApp, accompanied by nurse-led real-time chat support for three months. Depression (PHQ-9; primary outcome), anxiety (GAD-7), stress (PSS-4), and loneliness (ULS-8) were measured at baseline, three, and six months. Intention-to-treat (ITT) analysis was employed to analyse the data. Generalised estimating equations were used to estimate the parameters and evaluate post-test differences between the groups. <br></p><p>Results: The participants' mean age was 51 years(SD=14.2), and 54.3% were male. A significant reduction in depressive symptoms was observed in the intervention group compared to the control group at the 6-month post-intervention (B = 2.771, SE = 0.473, p <.001). Additionally, post-intervention anxiety symptoms (B=2.261, SE=0.498, p<.001), stress (B=1.397, SE=0.308, p<.001), and loneliness (B=2.230, SE=0.504, p<.001) were significantly reduced in the intervention group compared to the control group. Conclusions: This study demonstrated that imCBT is effective in improving the psychological well- being (depressive and anxiety symptoms, stress, and loneliness) of stroke caregivers.<br></p> | - |
| dc.language | eng | - |
| dc.relation.ispartof | 10th European Stroke Organisation Conference (15/05/2024-17/05/2024, Basel) | - |
| dc.title | The effect of instant message-delivered cognitive behavioural therapy (IMCBT) for stroke caregivers’ psychological support | - |
| dc.type | Conference_Paper | - |