全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

A Qualitative Study Exploring the Experience and Value of Flow Transcranial Direct Current Stimulation (tDCS) and Behaviour Therapy Training Software Used at Home for Community Mental Health Team (CMHT) Patients with Symptoms of Depression

DOI: 10.4236/ojd.2024.131002, PP. 6-23

Keywords: Depression, Community Mental Health Team (CMHT), Transcranial Direct Current Stimulation (tDCS)

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background: Flow FL-100 is a self-administered transcranial direct current stimulation (tDCS) device with evidence of effectiveness in treating symptoms of depression. The Flow intervention also provides access to software application delivered wellbeing behaviour therapy training. Flow was offered by a community mental health team (CMHT) to those who experienced depressive symptoms. Participants completed six weeks use of Flow. This study explored participants’ experiences and views on feasibility, acceptability, useability, and value of Flow. Methods: A qualitative methodological approach was employed, involving in-depth semi-structured interviews. Interpretative Phenomenological Analysis (IPA) was applied. Out of a sample of 27 participants using Flow, 14 participants, seven females and seven males consented to be interviewed. The age range was 21 - 63 years (M = 40.21, SD = 13.99). Results: There was support for the feasibility, acceptability, useability and value of Flow. Most participants used Flow as per standard protocol and described a positive impact on depressive symptoms, mood, motivation, and functioning. Conclusion: Flow has been successfully integrated into a CMHT depression treatment. It is important to offer CMHT patients an evidenced-backed alternative to existing depression treatments (anti-depressant medication and psychotherapies). The results support the use of Flow as a treatment option for CMHT patients with symptoms of depression.

References

[1]  Chhabra, H., Bose, A., Shivakumar, V., Agarwal, S. M., Sreeraj, V. S., Shenoy, S. et al. (2020). Tolerance of Transcranial Direct Current Stimulation in Psychiatric Disorders: An Analysis of 2000+ Sessions. Psychiatry Research, 284, Article 112744.
https://doi.org/10.1016/j.psychres.2020.112744
[2]  Gordon, G., Williamson, G., Gkofa, V., Schmidt, U., Brockmeyer, T., & Campbell, I. (2021). Participants’ Experience of Approach Bias Modification Training with Transcranial Direct Current Stimulation as a Combination Treatment for Binge Eating Disorder. European Eating Disorders Review, 29, 969-984.
https://doi.org/10.1002/erv.2859
[3]  Griffiths, C., Walker, K., Jiang, H., Noel-Johnson, A., & Zafar, A. (2023). A Qualitative Study Exploring the Experience and Value of ‘Flow’ Transcranial Direct Current Stimulation (tDCS) Device and Behaviour Therapy Training Software Application at Home for Symptoms of Depression. Open Journal of Depression, 12, 65-86.
https://doi.org/10.4236/ojd.2023.124007
[4]  Grycuk, L., Moruzzi, F., Bardjesteh, E., Gaughran, F., Campbell, I. C., & Schmidt, U. (2021). Participant Experiences of Transcranial Direct Current Stimulation (tDCS) as a Treatment for Antipsychotic Medication Induced Weight Gain. Frontiers in Psychology, 12, Article 694203.
https://doi.org/10.3389/fpsyg.2021.694203
[5]  Guest, G., Bunce, A., & Johnson, L. (2006). How Many Interviews Are Enough? An Experiment with Data Saturation and Variability. Field Methods, 18, 59-82.
https://doi.org/10.1177/1525822X05279903
[6]  Hengartner, M. P., Davies, J., & Read, J. (2020). Antidepressant Withdrawal—The Tide Is Finally Turning. Epidemiology and Psychiatric Sciences, 29, e52.
https://doi.org/10.1017/S2045796019000465
[7]  Leamy, M., Bird, V., Le Boutillier, C., Williams, J., & Slade, M. (2011). Conceptual Framework for Personal Recovery in Mental Health: Systematic Review and Narrative Synthesis. The British Journal of Psychiatry, 199, 445-452.
https://doi.org/10.1192/bjp.bp.110.083733
[8]  Lépine, J. P., & Briley, M. (2011). The Increasing Burden of Depression. Neuropsychiatric Disease and Treatment, 7, 3-7.
https://doi.org/10.2147/NDT.S19617
[9]  Li, W., Yang, Y., An, F. R., Zhang, L., Ungvari, G. S., Jackson, T. et al. (2020). Prevalence of Comorbid Depression in Schizophrenia: A Meta-Analysis of Observational Studies. Journal of Affective Disorders, 273, 524-531.
https://doi.org/10.1016/j.jad.2020.04.056
[10]  Moffa, A. H., Martin, D., Alonzo, A., Bennabi, D., Blumberger, D. M., Bensenor, I. M. et al. (2020). Efficacy and Acceptability of Transcranial Direct Current Stimulation (tDCS) for Major Depressive Disorder: An Individual Patient Data Meta-Analysis. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 99, Article 109836.
https://doi.org/10.1016/j.pnpbp.2019.109836
[11]  Montgomery, S. A., & Åsberg, M. (1979). A New Depression Scale Designed to Be Sensitive to Change. The British Journal of Psychiatry, 134, 382-389.
https://doi.org/10.1192/bjp.134.4.382
[12]  Mutz, J., Edgcumbe, D. R., Brunoni, A. R., & Fu, C. H. (2018). Efficacy and Acceptability of Non-Invasive Brain Stimulation for the Treatment of Adult Unipolar and Bipolar Depression: A Systematic Review and Meta-Analysis of Randomised Sham-Controlled Trials. Neuroscience & Biobehavioral Reviews, 92, 291-303.
https://doi.org/10.1016/j.neubiorev.2018.05.015
[13]  Mutz, J., Vipulananthan, V., Carter, B., Hurlemann, R., Fu, C. H., & Young, A. H. (2019). Comparative Efficacy and Acceptability of Non-Surgical Brain Stimulation for the Acute Treatment of Major Depressive Episodes in Adults: Systematic Review and Network Meta-Analysis. BMJ, 364, l1079.
https://doi.org/10.1136/bmj.l1079
[14]  NHS England (2023). Community Mental Health Services.
https://www.england.nhs.uk/mental-health/adults/cmhs/
[15]  NICE (2022). Depression in Adults: Treatment and Management NICE Guideline.
https://www.nice.org.uk/guidance/ng222
[16]  NICE (2023). Flow Transcranial Direct Current Stimulation for Treating Depression. Medtech Innovation Briefing.
https://www.nice.org.uk/advice/mib324
[17]  Office for National Statistics (ONS) (2022). Cost of Living and Depression in Adults, Great Britain: 29 September to 23 October 2022.
https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/mentalhealth/articles/costoflivinganddepressioninadultsgreatbritain/29septemberto23october2022
[18]  Paton, C., Anderson, I. M., Cowen, P. J., Delgado, O., & Barnes, T. R. (2020). Prescribing for Moderate or Severe Unipolar Depression in Patients under the Long-Term Care of UK Adult Mental Health Services. Therapeutic Advances in Psychopharmacology, 10.
https://doi.org/10.1177/2045125320930492
[19]  Pietkiewicz, I., & Smith, J. A. (2014). A Practical Guide to Using Interpretative Phenomenological Analysis in Qualitative Research Psychology. Psychological Journal, 20, 7-14.
https://doi.org/10.14691/CPPJ.20.1.7
[20]  Razza, L. B., Palumbo, P., Moffa, A. H., Carvalho, A. F., Solmi, M., Loo, C. K., & Brunoni, A. R. (2020). A Systematic Review and Meta-Analysis on the Effects of Transcranial Direct Current Stimulation in Depressive Episodes. Depression and Anxiety, 37, 594-608.
https://doi.org/10.1002/da.23004
[21]  Rimmer, R. M., Woodham, R. D., Cahill, S., & Fu, C. H. (2022). Acceptability of Community-Based Transcranial Direct Current Stimulation (tDCS) in Major Depression: Mixed Methods Analysis of Individual Experiences. PsyArXiv Psychology Archive.
https://doi.org/10.31234/osf.io/xfvwq
[22]  Shaw, I. (2010). Embedding Reflexivity within Experiential Qualitative Psychology. Qualitative Research in Psychology, 7, 233-243.
https://doi.org/10.1080/14780880802699092
[23]  Smith, J. A., Flowers, P., & Larkin, M. (2012). Interpretative Phenomenological Analysis Theory, Method and Research. Sage.
[24]  Sobral, M., Guiomar, R., Martins, V., & Ganho-ávila, A. (2022). Home-Based Transcranial Direct Current Stimulation in Dual Active Treatments for Symptoms of Depression and Anxiety: A Case Series. Frontiers in Psychiatry, 13, Article 2320.
https://doi.org/10.3389/fpsyt.2022.947435
[25]  Vigo, D., Thornicroft, G., & Atun, R. (2016). Estimating the True Global Burden of Mental Illness. The Lancet Psychiatry, 3, 171-178.
https://doi.org/10.1016/S2215-0366(15)00505-2
[26]  Woodham, R. D., Rimmer, R. M., Young, A. H., & Fu, C. H. (2022). Adjunctive Home-Based Transcranial Direct Current Stimulation Treatment for Major Depression with Real-Time Remote Supervision: An Open-Label, Single-Arm Feasibility Study with Long Term Outcomes. Journal of Psychiatric Research, 153, 197-205.
https://doi.org/10.1016/j.jpsychires.2022.07.026
[27]  World Health Organization (WHO) (2017). Depression and Other Common Mental Disorders. Global Health Estimates.
https://iris.who.int/bitstream/handle/10665/254610/W?sequence=1

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413