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A mixed-methods study using a nonclinical sample to measure feasibility of ostrich community : a web-based cognitive behavioral therapy program for individuals with debt and associated stress

机译:一项混合方法研究,使用非临床样本来衡量鸵鸟社区的可行性:针对患有债务和相关压力的个人的基于网络的认知行为治疗计划

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摘要

Background: There are increasing concerns about the health and well-being of individuals facing financial troubles. For instance, in the United Kingdom, the relationship between debt and mental health difficulties is becoming more evident due to the economic downturn and welfare reform. Access to debt counseling services is limited and individuals may be reluctant to access services due to stigma. In addition, most of these services may not be appropriately resourced to address the psychological impact of debt. This study describes outcomes from an Internet-based cognitive behavioral therapy (ICBT) program, Ostrich Community (OC), which was developed to provide support to those struggling with debt and associated psychological distress. Objective: The aim of this feasibility study was to assess the suitability and acceptability of the OC program in a nonclinical sample and examine mental health and well-being outcomes from using the program. Methods: A total of 15 participants (who were not suffering from severe financial difficulty) were assisted in working through the 8-week ICBT program. Participants rated usability and satisfaction with the program, and after completion 7 participants took part in a semistructured interview to provide further feedback. Before the first session and after the final session all participants completed questionnaires to measure well-being and levels of depression, stress, and anxiety and pre- and postscores were compared. Results: Satisfaction was high and themes emerging from the interviews indicate that the program has the potential to promote effective financial behaviors and improve financial and global psychosocial well-being. When postcompletion scores were compared with those taken before the program, significant improvements were identified on psychometric measures of well-being, stress, and anxiety. Conclusions: The OC program is the first ICBT program that targets poor mental health associated with financial difficulty. This feasibility study indicates that OC may be an effective intervention for increasing financial resilience, supporting individuals to become financially independent, and promoting positive financial and global well-being. Further work with individuals suffering from debt and associated emotional difficulties will help to examine clinical effectiveness more closely.
机译:背景:人们越来越担心面临财务困难的个人的健康和福祉。例如,在英国,由于经济下滑和福利改革,债务与心理健康困难之间的关系变得越来越明显。获得债务咨询服务的机会是有限的,并且由于污名,个人可能不愿获得服务。此外,大多数此类服务可能没有适当的资源来应对债务的心理影响。这项研究描述了基于互联网的认知行为疗法(ICBT)计划,鸵鸟社区(OC)的成果,该计划旨在为陷入债务和相关心理困扰的人们提供支持。目的:该可行性研究的目的是评估非临床样本中OC计划的适用性和可接受性,并检查使用该计划的心理健康状况和幸福感。方法:共有15名参与者(未遭受严重的财务困难)被协助完成了为期8周的ICBT计划。参与者对程序的可用性和满意度进行了评估,完成后有7位参与者参加了半结构化访谈,以提供进一步的反馈。在第一届会议之前和最后一届会议之后,所有参与者都完成了问卷调查,以测量幸福感,并比较了抑郁,压力和焦虑水平,以及前后得分。结果:满意度很高,访谈产生的主题表明该计划具有促进有效的财务行为以及改善财务和全球心理社会幸福感的潜力。将完成后的分数与计划前的分数进行比较,可以发现幸福感,压力和焦虑的心理测量指标有显着改善。结论:OC计划是第一个针对因财务困难而导致精神健康状况较差的ICBT计划。这项可行性研究表明,OC可能是提高财务弹性,支持个人变得财务独立以及促进积极的财务和全球福祉的有效干预措施。与遭受债务和相关情感障碍困扰的个人的进一步合作将有助于更仔细地检查临床有效性。

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