Brief Online Cognitive Behavioral Therapy for Indian Expatriates with Excessive Worry: a Pilot Feasibility Study

NCT ID: NCT06609395

Last Updated: 2024-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-01

Study Completion Date

2022-10-15

Brief Summary

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Background: Expatriates may face challenges through distance from support systems, cultural adjustments, and language barriers, which may be associated with anxiety and elevated worry, particularly in times of ongoing global crises. Brief online cognitive-behavioral therapy (ICBT) is effective for treating excessive worry but has not been adapted for expatriate communities in Sweden.

Detailed Description

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This pilot study aimed to investigate the feasibility, acceptability, and preliminary treatment effects of a five-week, therapist-guided, culturally adapted ICBT program. The program targeted excessive worry related to ongoing global crises among Indian expatriates.

Conditions

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Excessive Worry

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Open pilot study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Brief online CBT targeting excessive worry

The treatment in this trial was based on an online CBT intervention developed by Wahlund et al. (2021) for dysfunctional worry during the COVID-19 pandemic. Originally designed for the Swedish population, the intervention was translated to English and adapted for Indian expatriates in Sweden, addressing broader global crises, including military conflicts and climate change.

Group Type EXPERIMENTAL

Brief online CBT targeting excessiv worry

Intervention Type BEHAVIORAL

The intervention with a focus on excessive worry lasted five weeks and was delivered through five online modules with therapist support. Modules covered psychoeducation, problem-solving, reducing excessive media consumption, detached mindfulness, and shifting focus from worry. The final module offered relapse prevention strategies.

Interventions

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Brief online CBT targeting excessiv worry

The intervention with a focus on excessive worry lasted five weeks and was delivered through five online modules with therapist support. Modules covered psychoeducation, problem-solving, reducing excessive media consumption, detached mindfulness, and shifting focus from worry. The final module offered relapse prevention strategies.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* identifying as Indian expatriate currently living in Sweden
* self-reported dysfunctional worry, defined as worrying several times a day and the worry being experienced as difficult to control
* age ≥ 18 years;
* able to provide digital informed consent
* having daily access to a device with internet connection.

Exclusion Criteria

* non-English speaking
* self-reported severe depression (\>28 points on the Montgomery Åsberg Depression Rating Scale (MADRS-S; (Svanborg \& Åsberg, 1994)
* suicidal risk (5 points on item 9 on the MADRS-S).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Karolinska Institutet

OTHER

Sponsor Role lead

Responsible Party

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Nitya Jayaram-Lindstrom

PhD, Director of Centre for Psychiatry Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nitya Jayaram-Lindström, PhD

Role: PRINCIPAL_INVESTIGATOR

Karolinska Institutet

Locations

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Centre for Psychiatry Research, Karolinska Institutet, Stockholm Healthcare Services

Stockholm, , Sweden

Site Status

Countries

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Sweden

References

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Uvais NA, Nalakath MJ, Shihabudheen P, Hafi NAB, Salman CA. Depression, Anxiety, and Coping During the COVID-19 Pandemic Among Indian Expats in the Middle East: A Survey Study. Prim Care Companion CNS Disord. 2021 Jan 21;23(1):20m02761. doi: 10.4088/PCC.20m02761.

Reference Type BACKGROUND
PMID: 33480484 (View on PubMed)

Vijayakumar, P. B., & Cunningham, C. J. L. (2016). Cross-cultural adjustment and expatriation motives among Indian expatriates. Journal of Global Mobility: The Home of Expatriate Management Research, 4(3), 326-344. https://doi.org/10.1108/jgm-05-2016-0019

Reference Type BACKGROUND

Zhou ES, Ritterband LM, Bethea TN, Robles YP, Heeren TC, Rosenberg L. Effect of Culturally Tailored, Internet-Delivered Cognitive Behavioral Therapy for Insomnia in Black Women: A Randomized Clinical Trial. JAMA Psychiatry. 2022 Jun 1;79(6):538-549. doi: 10.1001/jamapsychiatry.2022.0653.

Reference Type BACKGROUND
PMID: 35442432 (View on PubMed)

Wahlund T, Mataix-Cols D, Olofsdotter Lauri K, de Schipper E, Ljotsson B, Aspvall K, Andersson E. Brief Online Cognitive Behavioural Intervention for Dysfunctional Worry Related to the COVID-19 Pandemic: A Randomised Controlled Trial. Psychother Psychosom. 2021;90(3):191-199. doi: 10.1159/000512843. Epub 2020 Nov 19.

Reference Type BACKGROUND
PMID: 33212440 (View on PubMed)

Other Identifiers

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000

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

Worry-exp

Identifier Type: -

Identifier Source: org_study_id

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