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Developing an internet-delivered intervention targeting residual cognitive symptoms after major depressive disorder: a person-based approach

Developing an internet-delivered intervention targeting residual cognitive symptoms after major depressive disorder: a person-based approach
Developing an internet-delivered intervention targeting residual cognitive symptoms after major depressive disorder: a person-based approach
Background: cognitive difficulties are rarely addressed after the treatment of major depressive dis- order (MDD). New scalable treatments are needed. To ensure relevance and engagement of novel interventions, there is a need to understand the perspectives of the users.

Aim: explore former depressed adults needs and perspectives during the planning and development of a novel internet-delivered intervention targeting residual cognitive symptoms after MDD.

Method: the planning phase included exploratory qualitative interviews with former depressed adults (n1⁄416). In the development phase, a prototype including psychoeducation, attention training and compensatory strategies was tested in think-aloud interviews with former depressed adults (n 1⁄4 7) and psychologists (n 1⁄4 4). Data were analysed thematically.

Results: analysis of exploratory interviews identified four themes. Experiences of residual cognitive symptoms consisted of two sub-themes (Everyday life is more demanding; Concerns about cognitive difficulties). Coping with residual cognitive symptoms had two sub-themes (Compensatory strategies; Acceptance). Needs from an intervention consisted of two-subthemes (Being overwhelmed; Not being motivated; Frequent registration). Analysis of think-aloud interviews was organized into three themes: Positive perceptions of content; Concerns regarding content; Perceptions of Layout, Visuals and Navigation.

Conclusion: the intervention may address concerns and consequences of cognitive difficulties by including psychoeducation, compensatory strategies and elements to increase acceptance and motiv- ation, provided in manageable proportions.
cognitive enhancement therapy, cognitive impairment, cognitive remediation, depression, internet-based treatment, mood disorder, qualitative
0963-8237
Myklebost, Sunniva
ed9844ba-6ad1-4a10-ab51-423e2eb68f46
Amundsen, Ole
dfaf5d8e-00ac-4a0d-a579-1c8d91f6a5bb
Geraghty, Adam
2c6549fe-9868-4806-b65a-21881c1930af
Inal, Yavuz
cd8f983f-99d6-46fe-afeb-612f8cfe7cf5
Hammar, Åsa
3363a56c-74cf-42c2-ba48-637d30c9a2e2
Nordgreen, Tine
500bdc6c-7511-4819-86e7-75fa0b273b44
Myklebost, Sunniva
ed9844ba-6ad1-4a10-ab51-423e2eb68f46
Amundsen, Ole
dfaf5d8e-00ac-4a0d-a579-1c8d91f6a5bb
Geraghty, Adam
2c6549fe-9868-4806-b65a-21881c1930af
Inal, Yavuz
cd8f983f-99d6-46fe-afeb-612f8cfe7cf5
Hammar, Åsa
3363a56c-74cf-42c2-ba48-637d30c9a2e2
Nordgreen, Tine
500bdc6c-7511-4819-86e7-75fa0b273b44

Myklebost, Sunniva, Amundsen, Ole, Geraghty, Adam, Inal, Yavuz, Hammar, Åsa and Nordgreen, Tine (2022) Developing an internet-delivered intervention targeting residual cognitive symptoms after major depressive disorder: a person-based approach. Journal of Mental Health. (doi:10.1080/09638237.2021.2022618).

Record type: Article

Abstract

Background: cognitive difficulties are rarely addressed after the treatment of major depressive dis- order (MDD). New scalable treatments are needed. To ensure relevance and engagement of novel interventions, there is a need to understand the perspectives of the users.

Aim: explore former depressed adults needs and perspectives during the planning and development of a novel internet-delivered intervention targeting residual cognitive symptoms after MDD.

Method: the planning phase included exploratory qualitative interviews with former depressed adults (n1⁄416). In the development phase, a prototype including psychoeducation, attention training and compensatory strategies was tested in think-aloud interviews with former depressed adults (n 1⁄4 7) and psychologists (n 1⁄4 4). Data were analysed thematically.

Results: analysis of exploratory interviews identified four themes. Experiences of residual cognitive symptoms consisted of two sub-themes (Everyday life is more demanding; Concerns about cognitive difficulties). Coping with residual cognitive symptoms had two sub-themes (Compensatory strategies; Acceptance). Needs from an intervention consisted of two-subthemes (Being overwhelmed; Not being motivated; Frequent registration). Analysis of think-aloud interviews was organized into three themes: Positive perceptions of content; Concerns regarding content; Perceptions of Layout, Visuals and Navigation.

Conclusion: the intervention may address concerns and consequences of cognitive difficulties by including psychoeducation, compensatory strategies and elements to increase acceptance and motiv- ation, provided in manageable proportions.

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More information

Accepted/In Press date: 11 November 2021
e-pub ahead of print date: 5 January 2022
Published date: 15 January 2022
Keywords: cognitive enhancement therapy, cognitive impairment, cognitive remediation, depression, internet-based treatment, mood disorder, qualitative

Identifiers

Local EPrints ID: 455544
URI: http://eprints.soton.ac.uk/id/eprint/455544
ISSN: 0963-8237
PURE UUID: 21be2979-d6b6-4057-a788-b7df9aa1de4a
ORCID for Adam Geraghty: ORCID iD orcid.org/0000-0001-7984-8351

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Date deposited: 24 Mar 2022 17:43
Last modified: 28 Apr 2022 02:03

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Contributors

Author: Sunniva Myklebost
Author: Ole Amundsen
Author: Adam Geraghty ORCID iD
Author: Yavuz Inal
Author: Åsa Hammar
Author: Tine Nordgreen

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