Telehealth Cognitive Behavior Therapy to Reduce Anxiety in People Living with Cognitive Impairment: A Randomized Feasibility Pilot Study.

Journal: Clinical gerontologist

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Affiliated Institutions:  UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Brisbane, Australia. School of Psychology, The University of Queensland, St Lucia, Brisbane, Australia. School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, Australia. Centre for Health Services Research, University of Queensland, Woolloongabba, Brisbane, Australia. School of Nursing, Queensland University of Technology, Kelvin Grove, Brisbane, Australia.

Abstract summary 

To evaluate the feasibility of telehealth-based cognitive behavior therapy for people living with cognitive impairment experiencing anxiety (Tele-CBT), and to assess whether this leads to improvements in anxiety, depression, and quality of life post-intervention.This was a single-blind randomized feasibility pilot trial of the Tele-CBT versus usual care. People living with mild cognitive impairment or dementia experiencing anxiety were recruited and randomized to receive Tele-CBT ( = 5) or continue usual care ( = 5). Feasibility data comprised recruitment uptake and retention, adherence, and ease of use. Outcomes of anxiety (primary outcome - Rating Anxiety in Dementia; RAID), depression, stress, and quality of life were measured pre- and post-intervention.Intervention feasibility was demonstrated through minimal attrition, acceptability, and ease of use via videoconferencing. Both groups showed a decrease of anxiety symptoms (RAID) from baseline to post-assessment.The Tele-CBT program was acceptable to use via videoconferencing. Reduced anxiety symptoms were observed in both groups at post-. An RCT with a larger sample is required to determine the efficacy and implementation of the intervention.This study indicates the feasibility of videoconference CBT to address anxiety experienced by people living with cognitive impairment with minimal assistance from support persons.

Authors & Co-authors:  Pacas Fronza Mitchell Pachana Byrne Liddle Yang Brooks Au Pourzinal Worthy Comans Beattie Bennett Russell Dissanayaka

Study Outcome 

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Statistics
Citations : 
Authors :  15
Identifiers
Doi : 10.1080/07317115.2024.2336187
SSN : 1545-2301
Study Population
Male,Female
Mesh Terms
Other Terms
Anxiety;cognitive behavior therapy;cognitive impairment;dementia;feasibility study
Study Design
Study Approach
Country of Study
Publication Country
United States