TY - JOUR
T1 - Online psychosocial group intervention for adolescents with a chronic illness: A randomized controlled trial
AU - Douma, Miriam
AU - Maurice-Stam, Heleen
AU - Gorter, Bianca
AU - Houtzager, Bregje A.
AU - Vreugdenhil, Hestien J. I.
AU - Waaldijk, Maaike
AU - Wiltink, Lianne
AU - Grootenhuis, Martha A.
AU - Scholten, Linde
N1 - Funding Information: we thank the adolescents and their parents who participated in this study and acknowledge the contributors of the staff at the participating centers (with special thanks to the local investigators: I. M. Visser, E. M. van Dijk-Lokkart, E. Kakes, W. Meerstra, Y. Krol and S. Jansen-Kamphorst). Finally, we acknowledge Fonds NutsOhra for funding this study. Funding Information: This study was funded by Fonds NutsOhra (FNO; project number: 100.977 ), a social fund for vulnerable groups in Dutch society. FNO had no role in the study design. Publisher Copyright: © 2021 The Authors Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/12/1
Y1 - 2021/12/1
N2 - Objective: The present study aimed to evaluate the efficacy of Op Koers Online, a protocolled online psychosocial group intervention for adolescents with a chronic illness (CI). Methods: Adolescents (12–18 years) with different types of CI (N = 59; Mean age = 15.1 years, SD = 1.7; 54% female) participated in a parallel multicenter randomized controlled trial comparing Op Koers Online (N = 35) with a waitlist control group (N = 24). Assessments (online questionnaires) took place at baseline (T0), 6-months (T1) and 12-months follow-up (T2). Primary outcomes were internalizing and externalizing behavioral problems and disease-related coping skills. Health-Related Quality of Life was secondary. Efficacy was tested with linear mixed models. Results: Compared to the control group, the intervention had a significant positive effect (p < .05) on disease-related coping skills T1 vs T0 (use of relaxation, β = 0.68; social competence, β = 0.57) and T2 vs T0 (information seeking, β = 0.61), and on HRQoL (social-, school-, psychosocial functioning and total HRQoL) T1 vs T0 (β = 0.52 to β = 0.60). No intervention effects on internalizing and externalizing behavioral problems were found. Conclusion: The results of this randomized controlled trial indicate a positive effect of Op Koers Online. The intervention had beneficial effects on disease-related coping skills and HRQoL. Practice implications: The next step is to implement Op Koers Online for adolescents in clinical practice.
AB - Objective: The present study aimed to evaluate the efficacy of Op Koers Online, a protocolled online psychosocial group intervention for adolescents with a chronic illness (CI). Methods: Adolescents (12–18 years) with different types of CI (N = 59; Mean age = 15.1 years, SD = 1.7; 54% female) participated in a parallel multicenter randomized controlled trial comparing Op Koers Online (N = 35) with a waitlist control group (N = 24). Assessments (online questionnaires) took place at baseline (T0), 6-months (T1) and 12-months follow-up (T2). Primary outcomes were internalizing and externalizing behavioral problems and disease-related coping skills. Health-Related Quality of Life was secondary. Efficacy was tested with linear mixed models. Results: Compared to the control group, the intervention had a significant positive effect (p < .05) on disease-related coping skills T1 vs T0 (use of relaxation, β = 0.68; social competence, β = 0.57) and T2 vs T0 (information seeking, β = 0.61), and on HRQoL (social-, school-, psychosocial functioning and total HRQoL) T1 vs T0 (β = 0.52 to β = 0.60). No intervention effects on internalizing and externalizing behavioral problems were found. Conclusion: The results of this randomized controlled trial indicate a positive effect of Op Koers Online. The intervention had beneficial effects on disease-related coping skills and HRQoL. Practice implications: The next step is to implement Op Koers Online for adolescents in clinical practice.
KW - Developmental/behavioral issues
KW - Psychiatry/psychology
KW - Psychosocial issues
UR - http://www.scopus.com/inward/record.url?scp=85113471554&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.invent.2021.100447
DO - https://doi.org/10.1016/j.invent.2021.100447
M3 - Article
C2 - 34485096
SN - 2214-7829
VL - 26
JO - Internet Interventions
JF - Internet Interventions
M1 - 100447
ER -