Diverse Patient Experiences of Internet-Based Cognitive Behavioral Therapy with Guided Peer Support for Generalized Anxiety Disorders
Opportunities exist to improve patient experience in the emergency department for low-risk (ie, non-cardiac) chest pain patients with anxiety and panic as the underlying cause of symptoms. Referral to internet-based cognitive behavioral therapy (iCBT) with guided support is a scalable, evidence-base...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-01-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735241310322 |
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| author | Jill Nault Connors PhD, MSSW Ernani Magalhaes JD Kevin Prather MSW Nida Khan MD Claire Draucker PhD, RN, FAAN Johanne Eliacin PhD, HSPP Chet Montgomery Julie Hayden BS Michael Millard MD Kurt Kroenke MD Paul Musey MD, MS, FACEP |
| author_facet | Jill Nault Connors PhD, MSSW Ernani Magalhaes JD Kevin Prather MSW Nida Khan MD Claire Draucker PhD, RN, FAAN Johanne Eliacin PhD, HSPP Chet Montgomery Julie Hayden BS Michael Millard MD Kurt Kroenke MD Paul Musey MD, MS, FACEP |
| author_sort | Jill Nault Connors PhD, MSSW |
| collection | DOAJ |
| description | Opportunities exist to improve patient experience in the emergency department for low-risk (ie, non-cardiac) chest pain patients with anxiety and panic as the underlying cause of symptoms. Referral to internet-based cognitive behavioral therapy (iCBT) with guided support is a scalable, evidence-based option that is underused, particularly among non-white patients. In collaboration with a diverse group of patient and community partners, we co-developed and tested an existing iCBT course for generalized anxiety disorder with delivery of guided support by a peer recovery specialist with concordant lived experience. We analyzed patient partner feedback from debriefing sessions during the testing phase using conventional content analysis. Results revealed overall positive experiences with both iCBT lessons and peer support calls. Key points derived from qualitative findings include: (1) iCBT lesson content resonated reasonably well with the diverse group of patient partners, (2) the peer relationship was key to individualizing application of content to various lived experiences, and (3) the guided discussion should be participant-driven and based on content that resonates most with the participant. In conclusion, iCBT with guided peer support was acceptable to patient partners involved in co-development and testing who were representative of a diverse patient population. |
| format | Article |
| id | doaj-art-350ab79c5edc4882968df1a360ec096a |
| institution | Kabale University |
| issn | 2374-3743 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj-art-350ab79c5edc4882968df1a360ec096a2025-02-03T04:03:19ZengSAGE PublishingJournal of Patient Experience2374-37432025-01-011210.1177/23743735241310322Diverse Patient Experiences of Internet-Based Cognitive Behavioral Therapy with Guided Peer Support for Generalized Anxiety DisordersJill Nault Connors PhD, MSSW0Ernani Magalhaes JD1Kevin Prather MSW2Nida Khan MD3Claire Draucker PhD, RN, FAAN4Johanne Eliacin PhD, HSPP5Chet Montgomery6Julie Hayden BS7Michael Millard MD8Kurt Kroenke MD9Paul Musey MD, MS, FACEP10 , Indianapolis, IN, USA Patient & Community Advisory Committee, Indianapolis, IN, USA Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, USA , Indianapolis, IN, USA , USA Regenstrief Institute, Inc., Indianapolis, IN, USA Patient & Community Advisory Committee, Indianapolis, IN, USA National Alliance on Mental Illness (NAMI) of Greater Indianapolis, Inc., Indianapolis, IN, USA Clinical Research Unit for Anxiety and Depression, Regenstrief Institute, Inc., Indianapolis, IN, USA Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, USAOpportunities exist to improve patient experience in the emergency department for low-risk (ie, non-cardiac) chest pain patients with anxiety and panic as the underlying cause of symptoms. Referral to internet-based cognitive behavioral therapy (iCBT) with guided support is a scalable, evidence-based option that is underused, particularly among non-white patients. In collaboration with a diverse group of patient and community partners, we co-developed and tested an existing iCBT course for generalized anxiety disorder with delivery of guided support by a peer recovery specialist with concordant lived experience. We analyzed patient partner feedback from debriefing sessions during the testing phase using conventional content analysis. Results revealed overall positive experiences with both iCBT lessons and peer support calls. Key points derived from qualitative findings include: (1) iCBT lesson content resonated reasonably well with the diverse group of patient partners, (2) the peer relationship was key to individualizing application of content to various lived experiences, and (3) the guided discussion should be participant-driven and based on content that resonates most with the participant. In conclusion, iCBT with guided peer support was acceptable to patient partners involved in co-development and testing who were representative of a diverse patient population.https://doi.org/10.1177/23743735241310322 |
| spellingShingle | Jill Nault Connors PhD, MSSW Ernani Magalhaes JD Kevin Prather MSW Nida Khan MD Claire Draucker PhD, RN, FAAN Johanne Eliacin PhD, HSPP Chet Montgomery Julie Hayden BS Michael Millard MD Kurt Kroenke MD Paul Musey MD, MS, FACEP Diverse Patient Experiences of Internet-Based Cognitive Behavioral Therapy with Guided Peer Support for Generalized Anxiety Disorders Journal of Patient Experience |
| title | Diverse Patient Experiences of Internet-Based Cognitive Behavioral Therapy with Guided Peer Support for Generalized Anxiety Disorders |
| title_full | Diverse Patient Experiences of Internet-Based Cognitive Behavioral Therapy with Guided Peer Support for Generalized Anxiety Disorders |
| title_fullStr | Diverse Patient Experiences of Internet-Based Cognitive Behavioral Therapy with Guided Peer Support for Generalized Anxiety Disorders |
| title_full_unstemmed | Diverse Patient Experiences of Internet-Based Cognitive Behavioral Therapy with Guided Peer Support for Generalized Anxiety Disorders |
| title_short | Diverse Patient Experiences of Internet-Based Cognitive Behavioral Therapy with Guided Peer Support for Generalized Anxiety Disorders |
| title_sort | diverse patient experiences of internet based cognitive behavioral therapy with guided peer support for generalized anxiety disorders |
| url | https://doi.org/10.1177/23743735241310322 |
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