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Cognitive behavioural therapy self-help intervention preferences among informal caregivers of adults with chronic kidney disease : an online cross-sectional survey

Coumoundouros, Chelsea (author)
Uppsala universitet,Hälsovetenskap och e-hälsa,Clinical Education, Development and Research (CEDAR), Psychology, University of Exeter, Exeter, UK
Farrand, Paul (author)
Clinical Education, Development and Research (CEDAR), Psychology, University of Exeter, Exeter, UK
Hamilton, Alexander (author)
Faculty of Health and Life Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK; Exeter Kidney Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK
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von Essen, Louise, 1957- (author)
Uppsala universitet,Hälsovetenskap och e-hälsa
Sanderman, Robbert (author)
Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
Woodford, Joanne (author)
Uppsala universitet,Hälsovetenskap och e-hälsa
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 (creator_code:org_t)
2023-01-04
2023
English.
In: BMC Nephrology. - : BioMed Central (BMC). - 1471-2369. ; 24:1
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Informal caregivers (i.e. family and friends) provide essential support to people with chronic kidney disease (CKD). Many informal caregivers experience mental health problems such as anxiety and depression due to the caregiving role, and commonly have unmet psychological support needs. One potential solution is cognitive behavioural therapy (CBT) self-help interventions that are less reliant on extensive involvement of healthcare professionals, which may increase access. Within the intervention development phase of the MRC framework, the study's primary objective was to examine informal caregivers' self-help intervention preferences (e.g. delivery format, content). Secondary objectives were to describe the informal caregiver's situation (e.g. type of care activities) and mental health (symptoms of depression, anxiety, and stress).Methods: An online cross-sectional survey conducted in the United Kingdom. Informal caregivers of adults living with CKD were recruited via social media, websites, newsletters, magazine articles, a podcast episode, and paid Facebook advertisements. The survey examined: informal caregiver characteristics; care recipient characteristics; self-help intervention preferences; and informal caregiver's mental health using the DASS-21. Data were analysed using descriptive statistics.Results: Sixty-five informal caregivers participated. The majority (85%) were female, caring for a male (77%) spouse/partner (74%). Responses indicated 58% of informal caregivers were experiencing at least mild depression. In total, 48% indicated they were likely to use a CBT self-help intervention, preferring an intervention provided via internet (e.g. website) (64%), workbook (56%), or individually in-person (54%). Regarding content, interventions should cover a wide range of topics including living with CKD, support services, informal caregiver's physical health, and diet. Overall, 48% reported a preference for a supported intervention, with support delivered in-person or via email by a trained professional at a community organisation.Conclusions: Results suggest CBT self-help interventions may be an acceptable way to provide psychological support to informal caregivers, however the study is limited by the small sample size. A wide range of intervention preferences were identified indicating a need to tailor intervention content and delivery to enhance acceptability and engagement. Results will inform development of a CBT self-help intervention for informal caregivers of people with CKD.

Subject headings

SAMHÄLLSVETENSKAP  -- Psykologi (hsv//swe)
SOCIAL SCIENCES  -- Psychology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Keyword

Chronic kidney disease
Cognitive behavioural therapy
Informal caregiver
Intervention preferences
Mental health
Online survey
Self-help
Health Care Research
Hälso- och sjukvårdsforskning
Psychology
Psykologi

Publication and Content Type

ref (subject category)
art (subject category)

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Coumoundouros, C ...
Farrand, Paul
Hamilton, Alexan ...
von Essen, Louis ...
Sanderman, Robbe ...
Woodford, Joanne
About the subject
SOCIAL SCIENCES
SOCIAL SCIENCES
and Psychology
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Health Sciences
Articles in the publication
BMC Nephrology
By the university
Uppsala University

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