التفاصيل البيبلوغرافية
| العنوان: |
A pragmatic randomized controlled trial of a group self-management support program versus treatment-as-usual for anxiety disorders: study protocol |
| المؤلفون: |
Pasquale Roberge, Janie Houle, Jean-Rémy Provost, Simon Coulombe, Annie Beaudin, Peter Bower, Félix Camirand Lemyre, Martin Drapeau, Marc-Simon Drouin, Catherine Hudon, Martin D. Provencher, Helen-Maria Vasiliadis |
| المصدر: |
BMC Psychiatry, Vol 22, Iss 1, Pp 1-13 (2022) |
| بيانات النشر: |
BMC, 2022. |
| سنة النشر: |
2022 |
| المجموعة: |
LCC:Psychiatry |
| مصطلحات موضوعية: |
Anxiety disorders, Self-management support, Pragmatic trial, Group intervention, Web-based intervention, Transdiagnostic, Psychiatry, RC435-571 |
| الوصف: |
Abstract Background The integration of a personal recovery-oriented practice in mental health services is an emerging principle in policy planning. Self-management support (SMS) is an intervention promoting recovery that aims at educating patients on the nature of their mental disorder, improving their strategies to manage their day-to-day symptoms, fostering self-efficacy and empowerment, preventing relapse, and promoting well-being. While SMS is well established for chronic physical conditions, there is a lack of evidence to support the implementation of structured SMS programs for common mental disorders, and particularly for anxiety disorders. This study aims to examine the effectiveness of a group-based self-management support program for anxiety disorders as an add-on to treatment-as-usual in community-based care settings. Methods/design We will conduct a multicentre pragmatic randomized controlled trial with a pre-treatment, post-treatment (4-month post-randomization), and follow-ups at 8, 12 and 24-months. Treatment and control groups a) group self-management support (10 weekly 2.5-h group web-based sessions with 10–15 patients with two trained facilitators); b) treatment-as-usual. Participants will include adults meeting DSM-5 criteria for Panic Disorder, Agoraphobia, Social Anxiety Disorder, and/or Generalized Anxiety Disorder. The primary outcome measure will be the Beck Anxiety Inventory; secondary outcome measures will comprise self-reported instruments for anxiety and depressive symptoms, recovery, self-management, quality of life, and service utilisation. Statistical analysis Data will be analysed based on intention-to-treat with a mixed effects regression model accounting for between and within-subject variations in the effects of the intervention. Discussion This study will contribute to the limited knowledge base regarding the effectiveness of structured group self-management support for anxiety disorders. It is expected that changes in patients’ self-management behaviour will lead to better anxiety management and, consequently, to improved patient outcomes. Trial registration ClinicalTrials.gov: NCT05124639 . Prospectively registered 18 November 2021. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
1471-244X |
| Relation: |
https://doaj.org/toc/1471-244X |
| DOI: |
10.1186/s12888-021-03675-4 |
| URL الوصول: |
https://doaj.org/article/aac7d1f9f12d4dd6a38eeebbd0d0ec08 |
| رقم الانضمام: |
edsdoj.7d1f9f12d4dd6a38eeebbd0d0ec08 |
| قاعدة البيانات: |
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