Cognitive-Behavioral Therapy in Chronic Somatic Conditions Through e-Health
We offer an e-health self-management intervention that can be tailored and used for treatment of a broad variety of somatic conditions. The programme aims at learning to deal with the condition as optimally as possible. It supports patients in improving their quality of life, diminishing their physical problems (e.g., pain, fatigue, or itch-scratch problems), strengthening their social support, developing coping skills and reducing their acceptance problems.
E-coaching is based on cognitive behavioural methods. Treatment consists of several modules. Online contact with an e-health therapist and a personally tailored treatment make sure that the individual needs of the patients and health care professional are met.
E-coach has been studied in two randomised clinical trials (rheumatoid arthritis and psoriasis) and has been proven effective for specific aspects of psychological and physical functioning.
Grip op Pijn (Grip on Pain)
Cognitive Behavioral Therapy in Chronic or Prolonged Pain Through e-Health
Grip op pijn is a specific application of the e-coach programme. The goal of this self-management programme is to help patients cope with pain and the effects of chronic or prolonged pain on daily life. In that way, quality of life and physical functioning can be improved. The intervention consists of six structured modules that can be tailored to the patient’s and health care professional’s needs.
Beugen, S. van, Ferwerda, M., Spillekom-van Koulil, S., Smit, J.V., Zeeuwen-Franssen, M.E.J., Kroft, E.B.M., De Jong, E.M.G.J., Otero, M.E., Donders, A.R.T., Van de Kerkhof, P.C.M., Van Middendorp, H., & Evers, A.W.M. (2016). Tailored therapist-guided internet-based cognitive behavioral treatment for psoriasis: a randomized controlled trial. Psychotherapy and Psychosomatics, 85: 297-307.
Beugen, S. van, Ferwerda, M., Van Middendorp, H., Smit, J.V., Zeeuwen-Franssen, M.E.J., Kroft, E.B.M., De Jong, E.M.G.J., Van de Kerkhof, P.C.M., Kievit, W., & Evers A.W.M. (2019). Economic evaluation of a tailored therapist-guided internet-based cognitive behavioral treatment (ICBT) for patients with psoriasis: a randomized controlled trial. British Journal of Dermatology, 181, 614-616.
Ciere, Y., van der Vaart, R., van der Meulen-De Jong, A.E., Maljaars, P.W.J., van Buul, A.R., Koopmans, J.G. Snoeck-Stroband, J.B., Chavannes, N.H., Sont, J.K., & Evers, A.W.M. (2019). Implementation of an eHealth self-management care path for chronic somatic conditions. Clinical eHealth, 2, 3-11.
Ferwerda, M., Van Beugen, S., Van Middendorp, H., Visser, H., Vonkeman, H., Creemers, M., Kievit, W., & Evers, A.W.M. (2018). An economic evaluation of a tailored guided internet-based cognitive behavioural intervention for patients with rheumatoid arthritis as an addition to usual care. Journal of Medical Internet Research, 20(10):e260.
Ferwerda, M., Van Beugen, S., Van Middendorp, H., Spillekom-van Koulil, S., Donders, A.R.T., Visser, H., Taal, E., Creemers, M.C.W., Van Riel, P.L.C.M., & Evers, A.W.M. (2017). A tailored guided internet-based cognitive-behavioral intervention for patients with rheumatoid arthritis as an adjunct to standard rheumatological care: Results of a randomized controlled trial. Pain, 158, 868-878.