An Internet-delivered Cognitive-Behavioral Therapy (iCBT) for Prolonged Grief Disorder (PGD) in adults: A multiple-baseline single-case experimental design study
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Other documents of the author: Tur, Cintia; Campos, Daniel; Suso-Ribera, Carlos; Kazlauskas, Evaldas; Castilla, Diana; Zaragoza, Irene; García-Palacios, Azucena; Quero, Soledad
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Title
An Internet-delivered Cognitive-Behavioral Therapy (iCBT) for Prolonged Grief Disorder (PGD) in adults: A multiple-baseline single-case experimental design studyAuthor (s)
Date
2022-07-07Publisher
ElsevierBibliographic citation
Tur, C., Campos, D., Suso-Ribera, C., Kazlauskas, E., Castilla, D., Zaragoza, I., ... & Quero, S. (2022). An Internet-delivered Cognitive-Behavioral Therapy (iCBT) for Prolonged Grief Disorder (PGD) in adults: A multiple-baseline single-case experimental design study. Internet Interventions, 29, 100558.Type
info:eu-repo/semantics/articlePublisher version
https://www.sciencedirect.com/science/article/pii/S2214782922000653#!Version
info:eu-repo/semantics/publishedVersionSubject
Abstract
The death of a loved one has physical, psychological, and social consequences. Between 9.8 and 21.5 % of people
who lose a loved one develop Prolonged Grief Disorder (PGD). Internet- and computer-based interventions ... [+]
The death of a loved one has physical, psychological, and social consequences. Between 9.8 and 21.5 % of people
who lose a loved one develop Prolonged Grief Disorder (PGD). Internet- and computer-based interventions (i.e.,
Internet-delivered Cognitive-Behavioral Therapy, iCBT) are cost-effective and scalable alternatives that make it
possible to reach more people with PGD. The main goal of the present investigation was to examine the effect and
feasibility (usability and satisfaction) of an iCBT (GROw program) for adults with PGD. A secondary objective was
to detect adherence to the app (Emotional Monitor) used to measure daily grief symptoms. The study had a singlecase multiple-baseline AB design with six participants. The GROw program is organized sequentially in eight
modules, and it is based on the dual-process model of coping with bereavement. Evaluations included a pre-topost treatment assessment of depression, grief symptoms, and typical grief beliefs, along with daily measures of
symptom frequency and intensity on the Emotional Monitor App. Treatment opinions and adherence to the App
were also collected. Efficacy data were calculated using a Nonoverlap of All Pairs (NAP) analysis and Reliable
Change Index (RCI). The mean age of the sample was 29.5 years (SD = 8.19). Two participants dropped out of the
study. Adherence to the App varied across patients (4.8 % -77.8 %). Most participants (75 %) showed a clinically
significant change (recovered) in depression, and 50 % obtained a clinically significant improvement (recovered)
in symptoms of loss and typical beliefs in complicated grief. The participants reported high usability and
satisfaction with the treatment content and format. In sum, the GROw program was very well accepted and
generally feasible, and it has strong potential for treating PGD. The results support scaling up the treatment by
using more complex designs with larger samples (i.e., randomized controlled trials comparing GROw with active
conditions). [-]
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Internet Interventions. Volume 29, September 2022, 100558Funder Name
Universitat Jaume I | Ministerio de Ciencia, Innovación y Universidades (Spain) | ISCIII
Project code
UJI-2018-57 | RTI2018- 100993-B-100 | PREDOC/2018/45 | CB06 03/0052
Project title or grant
CIBEROBN
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© 2022 The Authors
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info:eu-repo/semantics/openAccess
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