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Patient Educ Couns. 2010 Aug;80(2):200-4. doi: 10.1016/j.pec.2009.08.014. Epub 2009 Sep 24.

Effects of a cognitive behavioral self-help program and a computerized structured writing intervention on depressed mood for HIV-infected people: a pilot randomized controlled trial.

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1
Department of Medical Psychology, Leiden University Medical Center, Leiden, The Netherlands. V.Kraaij@lumc.nl

Abstract

OBJECTIVE:

The aim of the present study was to examine whether low-resource, cost-effective intervention programs can be effective in improving depressed mood in people with HIV. The efficacy of a cognitive-behavioral self-help program (CBS) and a computerized structured writing intervention (SWI) were tested in a pilot randomized controlled trial.

METHODS:

Participants were members of a patient organization. They completed a pretest and posttest. The questionnaire included the HADS. Participants were randomly allocated to CBS (n=24), SWI (n=25) or a waiting list condition (WLC, n=24). To evaluate changes in the continuous outcome measure, a 3 x 2 (group x time) repeated measures ANCOVA was performed. Also, an ANCOVA was performed using change scores.

RESULTS:

Respondents who followed the CBS improved significantly compared to the WLC. However, for people in the SWI condition no significant improvement on depression was found.

CONCLUSION:

This pilot study suggests that a low-resource, cost-effective CBS program seems to be effective in reducing depressed mood in people living with HIV.

PRACTICE IMPLICATIONS:

Because self-help programs can be delivered through regular mail or the internet, a high number of people could be reached while overcoming geographical and social barriers to treatment.

PMID:
19781889
DOI:
10.1016/j.pec.2009.08.014
[Indexed for MEDLINE]
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