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Feasibility of implementing mobile technology-delivered mental health treatment in routine adult sickle cell disease care.

Publication ,  Journal Article
Jonassaint, CR; Kang, C; Prussien, KV; Yarboi, J; Sanger, MS; Wilson, JD; De Castro, L; Shah, N; Sarkar, U
Published in: Transl Behav Med
February 3, 2020

Sickle cell disease (SCD) is a severe hemoglobinopathy characterized by acute and chronic pain. Sufferers of the disease, most of whom are underrepresented minorities, are at increased risk for mental health disorders. The purpose of this study is to test the acceptability and implementation of a computerized cognitive behavioral therapy (cCBT) intervention, Beating the Blues, to improve depression, anxiety, and pain in patients with SCD. Adults with SCD and significant symptoms of depression (Patient Health Questionnaire [PHQ-9] score ≥ 10) or anxiety (Generalized Anxiety Disorder Scale [GAD-7] score ≥ 10) were eligible to participate and be randomized to either receive eight sessions of cCBT with care coach support or treatment as usual. Participants reported daily pain and mood symptoms using a mobile diary app. Depression, anxiety, and pain symptoms were assessed at 1, 3, and 6 months. Thirty patients were enrolled: 18 to cCBT, and 12 to control. The cCBT intervention was feasible to implement in clinical settings and acceptable to participants. Patients in the cCBT arm reported a marginally greater decrease in depression at 6 months (-3.82, SE = 1.30) than those in the control group (-0.50, SE = 1.60; p = .06). There were no significant effects of treatment on anxiety; however, cCBT was associated with improved daily pain reported via a mobile diary app (p = .014). cCBT, delivered via mobile device, is a feasible strategy to provide mental health care to adults living with SCD. cCBT was acceptable to the target population; was able to be implemented in real-world, nonideal conditions; and has the potential to improve patient-reported outcomes.

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Published In

Transl Behav Med

DOI

EISSN

1613-9860

Publication Date

February 3, 2020

Volume

10

Issue

1

Start / End Page

58 / 67

Location

England

Related Subject Headings

  • Technology
  • Mental Health
  • Humans
  • Feasibility Studies
  • Anxiety Disorders
  • Anemia, Sickle Cell
  • Adult
  • 52 Psychology
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
 

Citation

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Jonassaint, C. R., Kang, C., Prussien, K. V., Yarboi, J., Sanger, M. S., Wilson, J. D., … Sarkar, U. (2020). Feasibility of implementing mobile technology-delivered mental health treatment in routine adult sickle cell disease care. Transl Behav Med, 10(1), 58–67. https://doi.org/10.1093/tbm/iby107
Jonassaint, Charles R., Chaeryon Kang, Kemar V. Prussien, Janet Yarboi, Maureen S. Sanger, J Deanna Wilson, Laura De Castro, Nirmish Shah, and Urmimala Sarkar. “Feasibility of implementing mobile technology-delivered mental health treatment in routine adult sickle cell disease care.Transl Behav Med 10, no. 1 (February 3, 2020): 58–67. https://doi.org/10.1093/tbm/iby107.
Jonassaint CR, Kang C, Prussien KV, Yarboi J, Sanger MS, Wilson JD, et al. Feasibility of implementing mobile technology-delivered mental health treatment in routine adult sickle cell disease care. Transl Behav Med. 2020 Feb 3;10(1):58–67.
Jonassaint, Charles R., et al. “Feasibility of implementing mobile technology-delivered mental health treatment in routine adult sickle cell disease care.Transl Behav Med, vol. 10, no. 1, Feb. 2020, pp. 58–67. Pubmed, doi:10.1093/tbm/iby107.
Jonassaint CR, Kang C, Prussien KV, Yarboi J, Sanger MS, Wilson JD, De Castro L, Shah N, Sarkar U. Feasibility of implementing mobile technology-delivered mental health treatment in routine adult sickle cell disease care. Transl Behav Med. 2020 Feb 3;10(1):58–67.
Journal cover image

Published In

Transl Behav Med

DOI

EISSN

1613-9860

Publication Date

February 3, 2020

Volume

10

Issue

1

Start / End Page

58 / 67

Location

England

Related Subject Headings

  • Technology
  • Mental Health
  • Humans
  • Feasibility Studies
  • Anxiety Disorders
  • Anemia, Sickle Cell
  • Adult
  • 52 Psychology
  • 42 Health sciences
  • 32 Biomedical and clinical sciences