Effectiveness Of Group Cognitive Behavioral Therapy Research Articles

Group Cognitive-Behavioral Therapy for Reducing Anxiety in Middle-Aged Women

Middle-aged women are susceptible to experiencing anxiety, which, if left untreated, can lead to decreased productivity and hinder social interactions, ultimately impacting overall well-being. This study aimed to investigate the effectiveness of cognitive-behavioral group therapy in alleviating anxiety in middle-aged women. The research design employed a quasi-experimental approach with a one-group pre-test-post-test design and follow-up assessment. The participants included seven middle-aged women aged between 53 and 60 years (mean age = 56.71). They were selected based on screening results using the DASS42 anxiety scale, which indicated severe and very severe anxiety. Data collection consisted of pre-test, post-test, and follow-up assessments using the Beck Anxiety Inventory (BAI). Data were analyzed using the repeated measures ANOVA method. The results of the data analysis revealed an F-value of 120, p < .001, indicating significant differences between the pre-test, post-test, and follow-up assessments. Specifically, significant differences were found between pre-test and post-test (p < .001), pre-test and follow-up (p < .001), and post-test and follow-up (p < .001) results. These findings demonstrate the effectiveness of cognitive-behavioral group therapy in reducing anxiety among middle-aged women. Therefore, cognitive-behavioral group therapy emerges as a viable intervention for addressing anxiety in this demographic.

Effectiveness of Group Cognitive-Behavioral Therapy for Managing Anxiety and Depression in Women Following Hysterectomy for Uterine Cancer.

Hysterectomy as well as uterine cancer could be associated with a long-term risk of mental disorders. The purpose of this study is to investigate the effectiveness of group cognitive-behavioral therapy (GCBT) in reducing anxiety and depression in women who have undergone hysterectomy for uterine cancer. This experimental, pretest-post-test study was conducted in an academic hospital. 26 women with uterine cancer who underwent hysterectomy were recruited and randomly divided into two equal groups as the experimental and control groups. The experimental group was treated by GCBT for eight 1-hour sessions (by a senior psychology expert) every week until 8 weeks. Otherwise, no intervention was performed for the control group. The anxiety and depression scores of all participants were assessed and compared before and after the therapy sessions by Beck Anxiety (BAI) and Beck Depression-second version (BDI-II) questionnaires. The mean±SD age of the participants was 33.6±4.1. Our result found significant different after GCBT in both anxiety (p=0.000) and depression (p=0.000) scores in the experimental group. However, no differences between pre and post-test scores in the control group were observed. Compared to the control group the rate of depression (p=0.000) and anxiety (p=0.000) in the case group was significantly decreased after therapy. GCBT is effective in reducing anxiety and depression in women after hysterectomy. The use of GCBT in oncology centers along with medical treatments to reduce mental distress, improve mental health, and accelerate the recovery process of patients with uterine cancer and other cancers seems necessary.

Effects of Cognitive-Behavioral Group Therapy on Reducing Levels of Internet Addiction, Depression, Anxiety, and Stress Among Nursing Students in Morocco

Background: Internet addiction (IA) has emerged as a serious threat to the mental health of young individuals. Objectives: The present study aimed to test the effects of cognitive-behavioral group therapy (CBGT) on controlling Internet addictive behaviors and improving levels of depression, anxiety, and stress among nursing students in Morocco. Methods: A total of 60 nursing students participated in the study based on convenience sampling and were then randomly assigned to the intervention group (n = 30) and control group (n = 30). The intervention group received 8 sessions of CBGT, unlike the control group. The Internet Addiction Test and the Depression, Anxiety, and Stress Scale were used as the pretest, posttest, and 3-month follow-up tests to determine participants’ levels of IA, depression, anxiety, and stress. Analysis of covariance (ANCOVA) was applied to assess the effects of this therapeutic intervention. Results: The results showed that following the CBGT program, the intervention group showed a reduction in IA (P < 0.05), depression (P < 0.05), anxiety (P < 0.05), and stress (P < 0.05) scores. Conclusions: Cognitive-behavioral group therapy was observed to be more effective in improving the cognitive, psychological, and behavioral skills of Internet-dependent nursing students, thereby reducing levels of depression, anxiety, and stress. This outcome opens up important perspectives in the field of health sciences education by considering this approach as a preferred way to promote students’ mental health in this context.

Cognitive Behavioral Group Therapy for Anger Management in Juvenile Delinquents: Effectiveness Study in a Turkey Child Prison.

The purpose of this study was to evaluate the effectiveness of cognitive-behavioral group therapy (CBGT) for anger management in Juvenile Delinquents. The therapy program consisted of eight sessions including relaxation, self-instruction, cognitive restructuring, and assertiveness training techniques. The therapy program has been conducted for juvenile delinquents in one of the juvenile prisons in Turkey. Sixty juvenile delinquents, aged between 14 and 18, who met the inclusion criteria (treatment = 30, control = 30), were included at the beginning of the study. To evaluate the effectiveness of the program, State Trait Anger and Expression Inventory (STAXI), and Brief Symptom Inventory (BSI) were administered as pre-test. At the end of the therapy program, final analysis was conducted on 35 participants (20 therapy group, 15 control group) due to participants dropout. Mixed ANOVA was conducted to examine the time (pre-test and post-test) and group effects (therapy and control group). Results showed that the participants in the therapy group showed a significant decrease in trait anger and anger expression scores, both subscales of STAXI and in the hostility subscale of BSI; a statistically significant increase in the anger control scores of the subscale of STAXI when compared to the control group. In conclusion, this culturally attuned CBGT for anger management may be applicable for Juvenile Delinquents in Turkey.

The effectiveness of cognitive-behavioural group therapy on infertile men, a randomised clinical trial

ABSTRACT Background Infertility can result in the emergence of depression and anger, the loss of one’s identity, and the feeling of guilt in the infertile person. Present study aimed to investigate the effects of cognitive behavioural group therapy (CBGT) on infertile men’s anger and positive and negative affect. Materials and methods Forty-three men with infertility for at least five years were selected for the present randomised clinical study. Spielberger’s State-Trait Anger Expression Inventory-II (STAXI-II) and the PANAS scale (positive and negative affect) were filled out by the participants, and they were randomly divided into the experimental (22) and control (21) groups. The experimental group received 18 ninety-minute sessions of hybrid group therapy held twice a week, while the control group received no intervention. When the intervention program was over, all participants performed the post-test. Moreover, the post-hoc stage was held two months later. Results The effects of the intervention were significant in terms of state anger, trait anger, anger expression in, anger expression out, positive effects, and negative effects (p < 0.004), but they were not significant concerning the anger control out index (p = 0.241). The significant differences between the two groups were also observed in the post-hoc stage. Conclusions The CBGT therapy seems to be helpful for infertile men to reduce their anger and negative affect and increase their positive affect by implementing a set of techniques like cognitive regeneration, assertiveness, daily joyful activities, exercises to relax one’s muscles, diaphragm respiration, the identification of various fillings, and emotional expression.

The Effect of Group Cognitive-Behavioral Therapy on the Lifestyle of Patients With Hepatitis B

Background: To promote general health in patients with hepatitis, it is vital to develop effective interventions to improve the lifestyle of these patients. The present study aimed to investigate the effectiveness of group cognitive-behavioral therapy (CBT) on the lifestyle of patients with hepatitis B. Methods: This was a quasi-experimental study with pretest-posttest control group design. A sample of patients with chronic hepatitis B was selected from all patients visiting specialized clinics in Tehran -Iran in 2021. Thirty patients with hepatitis B were selected and randomly allocated to two experimental and control groups (15 patients per group). Eight sessions of group CBT (one 90-minute session per week for two months) were performed, and the post-test was then administered to both groups. The data was collected by the Health Promoting Lifestyle Profile-II (HPLP-II) and analyzed via the analysis of covariance (ANCOVA) and t-test in SPSS 26. Results: There was no significant difference between the lifestyle mean score of the groups in the pre-test stage. The mean post-test score of the experimental and control groups were 133.42±6.28 and 94.76±5.68 respectively (P&lt;0.001). The group CBT increased health promoting lifestyle indicators, including health responsibility (P=0.029), physical activity (P=0.050), nutrition (P=0.045), spiritual growth (P=0.045), interpersonal relations (P=0.002), and stress management (P=0.001) in the patients with hepatitis B. Conclusion: The findings indicated the effectiveness of group CBT in improving the health-promoting lifestyle of patients with hepatitis B. CBT can thus be used by clinical psychologists and psychiatric nurses to promote a healthy lifestyle in these patients.

Effectiveness of Group CBT on Internalizing and Externalizing Symptoms in Children with Mixed Psychiatric Disorders.

Our study addressed the gap in research on the effectiveness of cognitive behavioral therapy (CBT) in treating children with mixed psychiatric disorders. We examined the immediate and long-term effects of group CBT (GCBT), delivered in naturalistic clinical settings, on reducing internalizing and externalizing symptoms in children with mixed psychiatric disorders. Further, we compared the effectiveness of cost-effective, manualized GCBT to treatment as usual (TAU) consisting of individually tailored psychiatric outpatient services delivered by mental health care specialists. Children aged 6-12 years (n = 103) diagnosed with psychiatric disorders, more than 70% with psychiatric comorbidity, were assigned either directly to GCBT (GCBT group; n = 52) or TAU for approximately 3 months, after which they received GCBT (TAU + GCBT group; n = 51). Internalizing and externalizing symptoms were assessed using parent- and teacher-report questionnaires (Child Behavior Checklist and Teacher Report Form) at referral to treatment, pre-treatment, post-treatment, and six-month follow-up. Parent- and teacher-rated internalizing symptoms and parent-rated externalizing symptoms were reduced immediately after GCBT. Long-term GCBT gains were prominent for parent-rated externalizing symptoms. No differences were observed between the effectiveness of GCBT and TAU. Our results suggest that GCBT and TAU services are equally effective in treating internalizing and externalizing symptoms in children with mixed psychiatric disorders, providing support for the broader use of cost-effective manualized GCBT. Manualized GCBT, which requires relatively short training, can also be delivered at primary healthcare levels. Our results are of relevance to cost-effectiveness and global mental health staff shortages.

Effectiveness of Cognitive-behavioral Group Therapy and Acceptance and Commitment Group Therapy in Mental, Spiritual, and Social Health of Addicts

Background: The mental health of addicts and the selection of appropriate treatment methods are essential. Given the role of spirituality and social health of addicts in relapse prevention and treatment, this study aimed to assess cognitive-behavioral group therapy (CBT) and acceptance and commitment therapy (ACT) in the mental, spiritual, and social health of addicted people.&#x0D; Methods: This interventional study utilized a pretest-posttest design with a control group. Addicts referred to the health centers of Birjand were selected in 2018 - 2019 through a convenience sampling method. According to the study’s objectives, eligible individuals were randomly divided into three groups of 32 people. The Social Well-being Questionnaire of Keyes, the Spiritual Health Questionnaire of Alison and Palowtzin, and the General Health Questionnaire of Goldberg were used in the study. Cognitive-behavioral group therapy and acceptance and commitment therapy were held in 12 60-minute sessions based on treatment protocols. After one month, the questionnaires were completed again. The chi-square test, paired t-test, and analysis of variance were used to analyze the data at a significance level of less than 0.05.&#x0D; Results: The three groups were similar in age, occupation, and education level. The mean scores of religious and existential health were significantly higher in the ACT group than in the control group after the intervention. Also, the paired t-test showed that the mean score of religious and existential health in the ACT group and the mean score of religious health in the CBT group significantly increased after the intervention compared to before (P &lt; 0.001). Also, the mean scores of social actualization, social solidarity, social cohesion, social acceptance, and social participation were significantly higher in the ACT group than in the control group after the intervention. The paired t-test showed that the mean scores of social actualization, solidarity, cohesion, and participation in the ACT group and the mean scores of social acceptance and cohesion in the CBT group significantly increased after the intervention compared to before. After the intervention, the mean scores of physical health, low anxiety, non-dysfunction, and low depression were significantly higher in the ACT and CBT groups than in the control group (P &lt; 0.001).&#x0D; Conclusions: Both ACT and CBT are influential in the mental, spiritual, and social health of addicts. Nevertheless, ACT has a more significant impact on the mental, spiritual, and social health of addicts.

Factors Predicting the Effectiveness of Cognitive-Behavioral Group Therapy in the Treatment of Obsessive–Compulsive Disorder

Factors Predicting the Effectiveness of Cognitive-Behavioral Group Therapy in the Treatment of Obsessive–Compulsive Disorder

Comparison of the Effectiveness of Cognitive-Behavioral Group Therapy and Self-healing Therapy on the Quality of Life of Women with Bulimia Nervosa

Comparison of the Effectiveness of Cognitive-Behavioral Group Therapy and Self-healing Therapy on the Quality of Life of Women with Bulimia Nervosa

Efficacy of group cognitive-behavioral therapy in adolescents with obsessive compulsive disorder: a systematic review and meta-analysis.

Objective:To evaluate the effectiveness of group cognitive-behavioral therapy (GCBT) for the treatment of adolescents with obsessive compulsive disorder (OCD).Methods:This review was registered in PROSPERO under number CRD42020158475. Five databases (PubMed, Virtual Health Library, Web of Science, Scopus, and PsycINFO) were searched. After applying the inclusion and exclusion criteria, 13 studies were analyzed in the qualitative synthesis (i.e., systematic review) and eight in the quantitative synthesis (i.e., meta-analysis). For the latter, fixed-effect modeling was used to assess the primary outcome (i.e., OCD symptoms).Results:The main findings suggest that GCBT is effective in reducing the symptoms of OCD in adolescents (d = -1.32). However, these results must be interpreted with caution, since all of the included studies showed some bias in their design.Conclusions:GCBT is effective in reducing OCD symptoms in adolescents.

Comparing the Effects of Cognitive-Behavioral Group Therapy and Mindfulness-Based Cognitive Therapy on Multidimensional Pain Symptoms in Breast Cancer Patients

Background and Aim: In every age of history, human beings have been afflicted with the fear of disease. Undoubtedly, cancer is among the most concerning diseases; cancer pain is among the major pains. The present study aimed to compare the effects of cognitive-behavioral group therapy and mindfulness-based cognitive therapy on multidimensional pain symptoms in patients with breast cancer. Methods &amp; Materials: The present study was applied concerning the purpose and applied a quasi-experimental with pretest-posttest, a two-month follow-up, and control group design. The statistical population was all women with breast cancer referring to Tehran Cancer Research Center in 2018 who were selected by convenience sampling method, consisting of 30 patients. They were randomly divided into two groups of intervention and the control group. The repeated-measures Analysis of Variance (ANOVA) was used to analyze the obtained data. The research instrument was a multidimensional pain questionnaire (West Hyun-Yale) to evaluate multiple pain indices. Results: The current study results suggested that cognitive-behavioral therapy and mindfulness-based cognitive therapy were effective on pain experience (P&lt;0.001); however, there was no significant difference between the intervention groups respecting pain experience. Conclusion Based on the present research findings, cognitive-behavioral therapy and mindfulness-based cognitive therapy impacted the management and pain intensity of patients with breast cancer.

The effectiveness of preventive group cognitive-behavioral interventions on enhancing work performance-related factors and mental health of workers: a systematic review

The promotion of mental health and well-being for the working population is crucial. Several studies have examined the effects of group cognitive-behavioral therapy (CBT)-based interventions on promoting employees’ mental health, but whether their work performance-related factors also improved has not been studied thoroughly. This systematic review was conducted to summarize and synthesize the effectiveness and characteristics of group CBT-based interventions on improving mental health and enhancing work performance-related factors from previous studies. A systematic search of studies published until November 2019 was performed using the Cochrane Central Register of Controlled Trials, PsycINFO, CINAHL, and MEDLINE. Only ten studies investigated the impact of group CBT-based interventions on both mental health and work performance-related factors in a non-clinical working population using a randomized controlled trial study design. Studies on group CBT-based interventions such as psychosocial skills training and communication skills training were included. Eight studies showed that group CBT-based interventions improved aspects of mental health; ten studies demonstrated that group CBT-based interventions influenced some aspects of work performance-related factors. Overall, the reported effect sizes varied widely, from small to large. This review supports the idea that group CBT-based interventions in a non-clinical working population may partially influence mental health and work performance-related factors. All ten included articles were published after 2015. Additional research on this topic, such as through meta-analysis, is necessary to assess whether group CBT-based intervention is effective for supporting mental health and enhancing work performance-related factors in non-clinical working populations.

The Effectiveness of Cognitive-Behavioral Group Therapy on Symptoms of Depression and Anxiety in Women with Chronic Schizophrenia Admitted to Hejazi Hospital in Mashhad

The Effectiveness of Cognitive-Behavioral Group Therapy on Symptoms of Depression and Anxiety in Women with Chronic Schizophrenia Admitted to Hejazi Hospital in Mashhad

Effectiveness of Group Therapy with Cognitive-Behavioral Approach on Negative Feelings of the Women Toward Their Husband’s Family and the Marital Conflicts

Background: Marital life is based on effective reciprocal relations such as quality of communications with the spouse’s family. Objectives: The present study aimed to investigate the effectiveness of cognitive-behavioral group therapy on negative feelings of the women toward their husband’s family and marital conflicts. Methods: This is a quasi-experimental study with a pretest-posttest design and follow-up with a control group. The statistical population included all women referring to Rahgosha Consultation Center in the town of Tiran (due to marital conflicts) in 2018. Thirty samples were selected using a convenient sampling technique. Then, the samples were randomly divided into two groups of experimental (15 women) and control (15 women). Women’s negative feelings toward the husband's family and marital conflicts questionnaires were used to collect data. The experimental group received eighth ninety-minute sessions of cognitive-behavioral group therapy. Finally, a posttest was performed for both groups. Moreover, the follow-up stage was administered a month after the posttest on both groups. Mean and standard deviation were used to analyze the data at descriptive statistics, and MANCOVA was used at the inferential statistics level through SPSS21 software. Results: Cognitive-behavioral group therapy could effectively decrease both the women’s negative feelings toward their husband’s family and marital conflicts (P &lt; 0.05). Conclusions: This study demonstrated that cognitive-behavioral group therapy can be applied to decrease negative feelings toward the husband’s family and to address marital conflicts.

The effects of cognitive-behavioral group therapy for reducing symptoms of internet addiction disorder and promoting quality of life and mental health.

IntroductionInternet addiction disorder has reportedly become an important cause of health and social problems. The aim of this study was to investigate the effectiveness of cognitive-behavioral group therapy for internet addiction symptoms, quality of life, and mental health of students with internet addiction.MethodsThis was a quasi-experimental study with pretest-posttest measures and a control group. The statistical population of the study consisted of all students at Tehran universities in the academic year of 2018-19. The target group was selected through an internet addiction test and a clinical interview using a targeted sampling method and was divided into experimental and control groups by randomization. The experimental group participated in fifteen 90-minute cognitive-behavioral group therapy sessions. Before, immediately after, and 3 months after the treatment, the internet addiction symptoms of both groups were evaluated to assess mental health with the IAT, quality of life (QOL), and SCL-90-R questionnaires. Data were analyzed with ANCOVA analysis using SPSS Statistics 20 software.ResultsAfter treatment, cognitive-behavioral therapy groups showed reductions in internet addiction scores (p < 0.05). Results showed that the cognitive-behavioral group therapy was effective for improving quality of life (p < 0.05) and mental illnesses (p < 0.05) in students with internet addiction.ConclusionsCognitive-behavioral group therapy can enhance awareness and mental health of students with internet addiction. Therefore, this intervention can be used as a beneficial treatment to reduce internet addiction symptoms and improve the condition of people with behavioral addictions such as internet dependency.

Effect of group cognitive behavioural therapy on psychological stress and blood glucose in people with type 2 diabetes mellitus: A community‐based cluster randomized controlled trial in China

AbstractObjectiveTo assess whether group cognitive behavioural therapy (GCBT) delivered by general practitioners reduces anxiety and depression and improves glycaemic levels in adults with type 2 diabetes mellitus.MethodsWe conducted a community‐based cluster randomized controlled trial in adults with type 2 diabetes mellitus from 48 communities in China. Participants received either GCBT plus usual care (UC) or UC only. General practitioners were trained in GCBT before intervention in the intervention group. The primary outcome was glycated haemoglobin (HbA1c) concentration. Outcome data were collected from all participants at baseline, 2 months, 6 months and 1 year. The secondary outcomes were depression (Patient Health Questionnaire‐9; PHQ‐9) and anxiety (General Anxiety Disorder questionnaire; GAD‐7).ResultsThe GCBT group showed greater improvement in GAD‐7 and PHQ‐9 scores, respectively, than the UC group after 2 months post‐baseline (T = −6.46, p &lt; 0.0001; T = −5.29, p &lt; 0.001), 6 months (T = −4.58, p &lt; 0.001; T = −4.37, p &lt; 0.001) and 1 year post‐intervention (T = −3.91, p &lt; 0.001; T = −3.57, p &lt; 0.001). There was no difference in HbA1c values between the GCBT and UC groups at 2 months while the values were lower in the GCBT group at 6 months and 1 year (T = −6.83, p &lt; 0.001; T = −4.93, p &lt; 0.001, respectively). Subgroup analysis indicated a long‐term effect of GCBT only for mild and moderate anxiety and mild depression groups. Similarly, HbA1c values reduced only in the mild and moderate anxiety and the mild depression groups.ConclusionsGeneral practitioners can deliver GCBT interventions. GCBT plus UC is superior to UC for reducing mild/moderate anxiety and depression, and improving glycaemic levels.Trial registrationChinese clinical trials registration (ChiCTR‐IOP‐16008045).

Assessment of the Effectiveness of Group Cognitive Behavioural Therapy in Reducing Pathological Gambling.

Pathological gambling is a developmental disorder usually associated with a continuous loss of control over gambling; it also involves a preoccupation with gambling and with obtaining money for the same purpose of gambling, irrational thinking, and a continuation of the behaviour despite being aware of its adverse consequences. This study examined the effectiveness of group cognitive-behavioural therapy (GCBT) on pathological gambling among Nigerian students. The study used a group randomised controlled trial design to assign participants to intervention and control groups. A total of 40 undergraduate students, aged 18-30, were classified as pathological gamblers (participants) in this study. Participants completed self-report scales titled South oaks gambling screen and Gambling Symptom Assessment Scale at three-time points. The intervention lasted for 8weeks. The data collected were statistically analysed using repeated-measures ANOVA. Results revealed that GCBT has a significant effect in decreasing the symptoms of pathological gambling among the participants in GCBT compared to those in the control group and that the improvements were maintained at follow-up. The study concluded that group cognitive-behavioural therapy is impactful therapy in reducing pathological gambling among students. It has also validated the effectiveness of cognitive-behavioural therapy in altering erroneous thoughts and replacing it with a better alternative realistic way of thinking.

Anxiety Sensitivity and Panic Disorder: Evaluation of the Impact of Cognitive-Behavioral Group Therapy

Anxiety sensitivity (AS) is a multidimensional construct associated with the etiology and maintenance of panic disorder (PD) symptoms. However, only a few studies have evaluated whether cognitive-behavioral group therapy (CBGT) can modify the condition. The objective of this study was to evaluate the impact of CBGT on AS in patients with PD and to analyze AS and its dimensions as predictors of response to CBGT. In the present clinical trial, an intervention group (n = 37) attended 12 CBGT sessions, while a control group (n = 52) did not receive any intervention. The severity of symptoms and of AS were evaluated before and after CBGT in the intervention group and once in the control group. Significant improvement occurred in all specific PD symptoms and in general anxiety and depressive symptoms. Furthermore, AS scores reduced significantly after intervention. This study confirmed that AS is higher in patients with more severe PD. The effectiveness of CBGT for reducing the physical, cognitive, and social dimensions of AS was also observed, supporting the hypothesis of a positive impact of therapy.

Effectiveness of Group Cognitive Behavioral Therapy and Exercise in the Management of Major Depressive Disorder: Protocol for a Pilot Randomized Controlled Trial.

BackgroundDespite evidence in scientific literature indicating the effectiveness of both cognitive behavioral therapy (CBT) and physical exercise in the management of major depressive disorder (MDD), few studies have directly compared them.ObjectiveThis study aims to evaluate and compare the effectiveness of group CBT, physical exercise, and only wait-listing to receive treatment-as-usual (TAU) in the management of MDD. The investigators hypothesize that participants with MDD assigned to the group CBT or exercise arms of the study will achieve superior outcomes compared with participants wait-listed to receive TAU only.MethodsThis prospective rater-blinded randomized controlled trial assesses the benefits of group CBT and exercise for participants with MDD. A total of 120 patients with MDD referred to addiction and mental health clinics in Edmonton, Canada, will be randomly assigned to one of the three equal-sized arms of the study to receive either weekly sessions of group CBT plus TAU, group exercise three times a week plus TAU, or only TAU for 14 weeks. Participants will be assessed at enrollment, 3 and 6 months post enrollment, midtreatment, and upon treatment completion for primary (functional and symptom variables) and secondary outcomes (service variables and health care utilization). In addition, participants in the intervention groups would be evaluated weekly with one functional measure. The data will be analyzed using repeated measures and effect size analyses, and correlational analyses will be completed between measures at each time point.ResultsThe study will be conducted in accordance with the Declaration of Helsinki (Hong Kong amendment) and Good Clinical Practice (Canadian guidelines). Written informed consent will be obtained from each subject. The study received ethical clearance from the Health Ethics Research Board of the University of Alberta on September 7, 2018 (Pro 00080975) and operational approval from the provincial health authority (Alberta Health Services 43638). As of October 13, 2019, we have enrolled 32 participants. The results will be disseminated at several levels, including patients, practitioners, academics, researchers, and health care organizations.ConclusionsThe results of the pilot trial may inform the implementation of a multicenter clinical trial and provide useful information for administrators and clinicians who are interested in incorporating group CBT and group exercise interventions into existing care.Trial RegistrationClinicalTrials.gov NCT03731728; https://clinicaltrials.gov/ct2/show/NCT03731728International Registered Report Identifier (IRRID)PRR1-10.2196/14309