Exploring Social Networks to Augment Cognitive Behavioural Therapy (ENACT)

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Project title Exploring Social Networks to Augment Cognitive Behavioural Therapy (ENACT): Interview Study
Funding body Engineering and Physical Sciences Research Council (EPSRC) Healthcare Partnerships.  EP/1000615/1
Total funding £463,840
Team/consortium 
  • Professor A. Niroshan Siriwardena, Professor of Primary & Pre-Hospital Health Care, Community and Health Research Unit (CaHRU), University of Lincoln
  • Professor Shaun Lawson, Professor of Social Computing, School of Computer Science, University of Lincoln
  • Professor Kevin Morgan, Professor of Gerontology,School of Sport, Exercise and Health Sciences, Loughborough University
  • Dr Kate Cavanagh, Senior Lecturer in Clinical Psychology,School of Psychology, University of Sussex
  • Dr Zowie Davy, Senior Lecturer, CaHRU, University of Lincoln
  • Dr Conor Linehan, Lecturer, School of Computer Science, University of Lincoln
  • Jo Middlemass, Research Assistant, CaHRU, University of Lincoln.
Overarching aim To design, develop and evaluate software and services that augment the delivery of Computerised Cognitive Behaviour Therapy for insomnia (CCBT-I).
Objectives The objectives of the interview study were:

  • To explore patient and professional perspectives, attitudes, expectations and beliefs towards online health care programmes.
  • Explore participants’ preferences for content, style and information disclosure to health professionals or fellow sufferers.
  • Identify those barriers and facilitators to accessing, using and adhering CCBT-I.
Methods
  • Qualitative focus groups and semi-structured interviews with 23 health professionals and 28 patients.
Outcomes Two meta-themes emerged as core to enhancing the uptake and adherence to a potential new CCBT-I package.

  • There was a need to be able to trust the programme; the patient-professional relationship and the online peer support. The CCBT-I programme should ideally be used within any on-going treatment rather than as a ‘stand-alone’ tool. Any outcomes and progress being discussed with the patients clinician.
  • Any CCBT-I programme needed to be interactive, individualised and easily navigable.
Outputs Peer reviewed publications:

Conference presentations:

  • Integrating on-line communities and social networks with computerised treatment for insomnia, SAPC Regional Conference, March 2012
Impact

The results of the interview study were incorporated into the innovative online CCBT-I package, Sleepful (http://www.sleepful.me/) being designed by the ENACT study team based in the School of Computer Science, University of Lincoln.

The impact from this work and our research on insomnia and hypnotic drugs more generally is summarised at the REST project website, was presented in a case study to REF2014, Improving the primary care management of insomnia, and publicised in the university research showcase, ‘Improving treatment for insomnia sufferers‘.

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