Internet-based psychoeducation for bipolar disorder: a qualitative analysis of feasibility, acceptability and impact

Ria Poole,Daniel J Smith,Sharon A Simpson

doi:10.1186/1471-244x-12-139

Abstract

BackgroundIn a recent exploratory randomised trial we found that a novel, internet-based psychoeducation programme for bipolar disorder (Beating Bipolar) was relatively easy to deliver and had a modest effect on psychological quality of life. We sought to explore the experiences of participants with respect to feasibility, acceptability and impact of Beating Bipolar.MethodsParticipants were invited to take part in a semi-structured interview. Thematic analysis techniques were employed; to explore and describe participants’ experiences, the data were analysed for emerging themes which were identified and coded.ResultsThe programme was feasible to deliver and acceptable to participants where they felt comfortable using a computer. It was found to impact upon insight into illness, health behaviour, personal routines and positive attitudes towards medication. Many participants regarded the programme as likely to be most beneficial for those recently diagnosed.ConclusionsAn online psychoeducation package for bipolar disorder, such as Beating Bipolar, is feasible and acceptable to patients, has a positive impact on self-management behaviours and may be particularly suited to early intervention. Alternative (non-internet) formats should also be made available to patients.

Highlights

In a recent exploratory randomised trial we found that a novel, internet-based psychoeducation programme for bipolar disorder (Beating Bipolar) was relatively easy to deliver and had a modest effect on psychological quality of life
Larger randomised controlled trials of group psychoeducation for bipolar disorder found that manic symptoms may be reduced for up to 2 years following the intervention [12], and a study by Bauer et al, 2006 [13,14], found that at 3 years follow-up the treatment group had significantly fewer weeks in a bipolar episode, significantly improved social functioning and significantly improved mental quality of life
In a recent exploratory randomised trial we found that Beating Bipolar was relatively easy to deliver, engaging and had a modest effect on psychological quality of life [16]

Summary

Introduction

In a recent exploratory randomised trial we found that a novel, internet-based psychoeducation programme for bipolar disorder (Beating Bipolar) was relatively easy to deliver and had a modest effect on psychological quality of life. In collaboration with patients with bipolar disorder, their families and health professionals we have developed an internet-based psychoeducational intervention called “Beating Bipolar” [5]. Larger randomised controlled trials of group psychoeducation for bipolar disorder found that manic symptoms may be reduced for up to 2 years following the intervention [12], and a study by Bauer et al, 2006 [13,14], found that at 3 years follow-up the treatment group had significantly fewer weeks in a bipolar episode, significantly improved social functioning and significantly improved mental quality of life

Methods

Results

Discussion

Conclusion