Self-help Program Research Articles

An Analysis of the Impact of Self-Help Group Bank Linkage Program on Sustainable Development

India's banking system has advanced its reach to the poorest people in urban and rural areas. It is recognized that their credit requirements are frequent, unpredictable and very small. However, these are crucial for the development of the rural regions. Therefore, the country's banking system has emphasized this area to promote savings and insurance financial products in this target population. Hence, alternative policies, procedures, and systems have been developed to fulfil these people's credit requirements. One such program is Self-help Group Bank Linkage, which is implemented to provide easy microfinance to members of these groups. This paper adopts a qualitative research methodology to discuss the impact of self-help bank linkage programs on sustainable development. This is assessed through a framework of UN’s 17 sustainable development goals. A systematic review has been conducted to determine the effectiveness of this program in attaining these goals in India. The study's results pointed out this program's impact on sustainable development. It has been found to directly and indirectly impact the attainment of many UN sustainable development goals. The study aims to analyze the effectiveness of microfinancing programs in rural India in achieving UN sustainable development goals. Entire rural India is considered for this paper. A qualitative research methodology has been adopted for this paper. Past research work and governmental data have been used to find the impact of self-help bank linkage programs on poverty alleviation. Household incomes have increased, and people have become financially empowered. There is a broader contribution to sustainable development practice and theory with the implementation of this program. People have gained access to better housing, education, clean drinking water, energy and health.

Program Pendidikan Kecakapan Hidup Bagi Anak Usia Fase A

Imam Al-Ghazali defined that education is the perfection of life in this world and the hereafter. Thus, humans who want to achieve perfection in life in this world and the afterlife must have religious knowledge. Religious knowledge is so important for provision in life, without religious knowledge humans can be said to be far from perfection. Apart from religious knowledge, life skills education is also very important for provisions in life. However, it is very unfortunate that many children who are teenagers or are about to enter puberty do not yet have mature life skills in terms of personal skills and social skills. From KPAI (Indonesian Child Protection Commission) data during January - November 2023, 37 children ended their lives. Self-harm behavior and attempts to end life are major global mental health problems due to their increasing frequency. This case occurred at a vulnerable age (grade 5-6 of elementary school), grade 1 or 2 of junior high school, grade 1.2 of high school. Another case related to juvenile delinquency is the incident involving the death of a student in Bogor which sadistically adds to the number of delinquencies among students. It also leaves a red report card for the world of education, because the sadistic incident was carried out by students. From this background, it is necessary to have a program that will strengthen children's life skills education from pre-adulthood, especially phase A, so that class children can be ready to live life in the next phases. This research uses the Research and Development (R&D) method with the ADDIE model, namely Analyze, Design, Development, Implementation, Evaluation. The program needs analysis was carried out by creating a Google form with a closed questionnaire which was distributed randomly to ten respondents. After the needs analysis, the researcher analyzed previous programs. There were two programs that the researcher used as a reference, namely the entrepreneurship program and the self-help program in an effort to increase independence. then the next step is to design the program, the programs prepared by the researchers are as follows: cookies (cooking with kids), market day, BTS (Bed Time Sirah), PKS (Student Independence Habits), PMO (Habits of Helping Parents) and CLMH (Love of the Environment and Living Creatures). After the program was prepared, it was validated by several experts including Islamic religious education experts, language experts and also child psychology experts. After going through expert validation, the program is implemented to users. After implementation, the final stage is to test the feasibility through evaluation. The feasibility test is carried out by experts by providing an assessment of the program being prepared. From the results of this feasibility test, it was found that this program was good and suitable to be applied to pre-age children, especially in phase A in the life skills education process.

Efficacy of an internet-based guided trauma-focused intervention in reducing ICD-11 posttraumatic stress disorder symptoms: study protocol of a randomized controlled trial

BackgroundPosttraumatic stress disorder (PTSD) is a common mental disorder. However, many cases of PTSD remain untreated because of limited healthcare resources and other treatment-seeking barriers. Effective internet-based interventions could help to improve access to PTSD treatments. Therefore, the main objective of the planned randomized controlled trial is to evaluate the efficacy of the Lithuanian version of the guided internet-based self-help programme (Spring) in reducing ICD-11 PTSD symptoms.MethodsThe planned sample size is 50 participants exposed to different traumatic experiences. Participants eligible for the study will be randomized into two study groups: the immediate treatment group and the delayed treatment control group. Both groups will receive guided trauma-focused ICBT intervention, but the delayed treatment group will receive access to the programme five months after randomization. The International Trauma Interview (ITI) will be used for the assessment of ICD-11 PTSD symptoms at pre-treatment, post-treatment, and at a 3-month follow-up. Changes in disturbances in self-organization, depression and anxiety levels, as well as posttraumatic cognitions and trauma-related shame, will also be evaluated. In addition, associations between changes in symptoms of PTSD and readiness for treatment, treatment expectations and working alliance will be explored. Changes in treatment outcomes will be evaluated using multiple Latent Change Models.DiscussionThis study is expected to contribute to valuable knowledge on the efficacy of internet-based interventions for posttraumatic stress disorder.Trial registrationClinicalTrials.gov NCT06475716. Registered on 25 June 2024.

Diversity-On: A Diversity-Sensitive Online Self-Help Program for Family Caregivers-A Protocol for a Mixed Methods Study.

Scientific research has consistently emphasised the high levels of stress encountered by family caregivers of individuals living with dementia. However, conventional self-help approaches remain underutilised. The 'Diversity-On' study addresses this issue. The study employs a storytelling approach to develop and evaluate an online self-help program that is participatory and diversity-sensitive, thereby ensuring congruence with diverse identities and lifeworlds. The study uses a mixed-methods design, comprising the allocation and implementation of the intervention, the development of stories, a process evaluation (N = 20) and an outcome evaluation (quantitative: N = 130, qualitative: N = 20). The study's primary focus is its comprehensive participatory approach, integrated throughout the research process. The study is dependent on the input of a number of stakeholders, all of whom are committed to advocating for the concerns of patients. Given its participatory methodology and intersectional perspective, the 'Diversity-On' study is anticipated to yield a number of significant outcomes. The study has the potential to empower family caregivers of individuals living with dementia who are under high stress, empowering them to take part in self-help groups despite multiple barriers, thus alleviating their burden. Additionally, it has the capacity to promote the well-being of caregiving relatives who are providing care and are experiencing high levels of stress. The study's objective is to maintain home care arrangements for as long as possible, in accordance with the values and preferences of care recipients and their families. The study intends to develop and assess a customised online self-help resource that is suitable for a diverse range of users and that remains accessible beyond the study period. The project is subsequently registered in ClinicalTrials.gov.

Feasibility, acceptability and outcomes of a contextual schema therapy-based mobile program for depressive symptoms in adults

BackgroundGiven the high prevalence of depression worldwide, there is a pressing need for increasing treatment accessibility and identifying treatment modalities that can sustainably address depression. The present study aims to test the feasibility, acceptability, outcomes and mechanisms of a brief online self-help program for depressive symptoms in adults (nCompass), based on Contextual Schema Therapy principles. Method102 participants scoring above 14 on the Beck Depression Inventory – Second Version were recruited online and randomly allocated to either the 15-day nCompass intervention or a self-administered online psychoeducation group. Participants filled in self-report measures of depression, schema coping and psychological flexibility at baseline, immediately following the intervention and at a two-week follow-up. Additionally, nCompass participants were administered an instrument measuring the acceptability of the program. ResultsThe nCompass intervention was overall feasible and acceptable, with most participants completing the intervention and assessing it as easy to use, satisfactory and useful. Furthermore, results indicate higher decreases in depression and schema coping in the nCompass group by follow-up, compared to the control group. Changes in depressive symptoms from pre-test to post-test and follow-up in the nCompass group were explained by changes in surrender coping. There were no significant differences in psychological flexibility between the groups at either post-test or follow-up. DiscussionOur results highlight the nCompass program as a promising option for treating depressive symptoms in the general population.

Needs analysis for self-help training in the context of cochlear implant rehabilitation

Despite cochlear implantation, CI users experience difficulties in challenging listening situations. In German-speaking countries, there are no interventions to promote specific coping strategies for such situations. The present study examines persistent everyday limitations and the relevance of potential intervention content in order to develop a self-help program for CI rehabilitation. 56 CI users from three German CI centers were recruited and completed an online survey on demographic data, hearing biography, hearing handicap and potentially relevant intervention content. The intervention content presented included the following categories: Medical Aspects, Communication Improvement Aspects, Psychosocial Aspects, Technical Aspects, Specific Aspects. The hearing handicap was moderate to severe in this sample. The content categories presented for the design of a self-help program were all rated as "important". The duration of CI provision correlated significantly negatively with the assessment of the relevance of psychosocial aspects. Further significant correlations were found between the severity of the hearing handicap and the rating of the relevance of aspects for improving communication, psychosocial and technical aspects. A self-help program that takes into account the contents examined could provide promising support for the CI rehabilitation process and will be developed and evaluated subsequently.

Strengthening lupus education and coordinated care in developing countries

SLE is a chronic autoimmune disease with a wide range of manifestations and potential to affect several organ systems. Complications arise from both disease and medications especially glucocorticoids, significantly contributing to overall morbidity and mortality. SLE predominantly affects patients during their prime productive years resulting in substantial economic burden on the patient, caregivers and society due to direct, indirect and intangible costs. In developing countries with limited resources, efficient healthcare delivery for most lupus patients remains elusive. This is magnified by the increasing shortage of rheumatologists and lupus specialists. Physician education starting in medical school as well as practical referral pathways and physician networking in clinical practice ensure continuity of and coordinated care for every lupus patient. Likewise, education of allied health professionals, patient empowerment and self-help programs help improve overall outcomes in SLE.

Efektifitas Pelaksanaan Program Bantuan Stimulan Perumahan Swadaya (BSPS) di Kecamatan Pantai Cermin Kabupaten Solok

One important step in an effort to meet the housing needs of the community is the construction of housing and settlements whose main goal is to prepare prosperous housing with adequate and affordable infrastructure, facilities and utilities. This study aims to be able to see the extent of the effectiveness of the implementation of the self-help housing stimulant assistance program which refers to technical guidelines. The analysis uses a descriptive qualitative approach, by taking assessment indicators about habitable houses based on technical instructions for the implementation of activities, After that, questionnaires were distributed to 26 houses receiving aid, 14 houses in Nagari Surian and 12 houses in Nagari Lolo Sampling take with using a Likert Scale using a Scale of 5, starting from Very Unsuitable (STS) to Very Suitable (SS), so that the implementation process can run optimally to be able to see threats that occur and also see opportunities to be able to optimize the implementation process is carried out also analysis using the SWOT MethodThe results of the study show that the application of assessment indicators taken from technical implementation guidelines falls into the "appropriate" category where for Nagari Surian it is at 4.14 out of a maximum scale of 5 and for Nagari Lolo it is at 4.16. However, in the aspect of assessing access to adequate tap water in Nagari Lolo is included in the "Quite Appropriate" category, this is because not all houses can be reached by water from Water Suplly Company, so people still rely on tap water from residents' wells or spring sources. The results of the analysis for the value of self-help are also very good because the value of community self-help is 83% - 94%, The role of the facilitator is also very influential on the implementation of the self help housing stimulant assistant program because it can help the community to understand the purpose of the BSPS program itself.

Effectiveness of a guided digital self-help intervention to improve sleep and the biological clock in university students – Study protocol for a randomized controlled trial

BackgroundSleep problems occur in many university students which affects their mental health and daily functioning. Cognitive behavioural therapy for insomnia (CBT-I) has been proven effective in adults but research in university students, who struggle to maintain a 24-hour rhythm, is still limited. We hypothesize that a guided digital CBT-I intervention, enriched with components on the biological clock (‘i-Sleep & BioClock’) will be effective in reducing insomnia severity and improving mental health outcomes for students with sleep problems. ObjectivesWe aim to evaluate the effectiveness of a guided online sleep and biological clock self-help intervention in improving sleep, depression symptoms, anxiety symptoms, functioning, academic performance, and quality of life in university students at 6 weeks and 18 weeks. MethodsThis is a two-arm parallel-group superiority randomized controlled trial, comparing a 5-week guided online ‘i-Sleep & BioClock’ intervention to online psychoeducation (PE). We aim to include 192 university students (Bachelor, Master, and PhD) with at least subthreshold insomnia (Insomnia Severity Index ≥10), aged ≥16, who can speak Dutch or English. We are excluding students with current risk for suicide or night shifts. The primary outcome is insomnia severity. Secondary outcomes include sleep estimates (sleep and light exposure diary), depression, anxiety, functioning, quality of life, and academic performance. The effectiveness of the intervention compared to online PE will be evaluated using linear mixed models. DiscussionThe current study tests the effectiveness of an online self-help intervention for university students who suffer from sleep problems. This trial builds upon an open feasibility study and will provide evidence of an online guided self-help program for students. The findings of this study will determine the potential wider dissemination of the intervention to address the high need for available and accessible help for students experiencing insomnia. Trial registrationClinicalTrials.Gov (NCT06023693), registered on August 3rd, 2023.

Comparing the effectiveness of behavioral activation in group vs. self-help format for reducing depression, repetitive thoughts, and enhancing performance of patients with major depressive disorder: a randomized clinical trial

BackgroundBehavioral activation has gained increasing attention as an effective treatment for depression. However, the effectiveness of Behavioral Activation Group Therapy (BAGT) in controlled conditions compared to its self-help programs requires more investigation. The present study aimed to compare their effectiveness on depressive symptoms, repetitive negative thinking (RNT), and performance in patients with major depressive disorder (MDD).MethodsIn this randomized clinical trial, 40 patients diagnosed with Major Depressive Disorder (MDD) were recruited based on a structured clinical interview for DSM-5 (SCID-5). Participants were allocated to BAGT (n = 20) and self-help behavioral activation (SBA; n = 20) groups. BAGT received ten weekly sessions (90 min), while the SBA group followed the same protocol as the self-help intervention. Participants were evaluated at pre-treatment, post-treatment, and the 2-month follow-up using the Beck Depression Inventory-II (BDI-II), repetitive thinking questionnaire (RTQ-31), and work and social adjustment scale (WSAS).ResultsThe results of a Mixed ANOVA analysis revealed that participants who underwent BAGT showed significant improvement in depression, rumination, work, and social functioning post-treatment and at the 2-month follow-up. However, the SBA group did not show significant changes in any outcome. The study also found that, based on clinical significance, 68% of the BAGT participants were responsive to treatment, and 31% achieved a high final performance status at the 2-month follow-up.DiscussionBAGT was more effective than SBA in MDD patients. Participants’ engagement with self-help treatment is discussed.Trial registrationThe present trial has been registered in the Iranian Registry of Clinical Trials Center (IRCT ID: IRCT20181128041782N1|| http://www.irct.ir/) (Registration Date: 04/03/2019).

The effect of an online acceptance and commitment intervention on the meaning-making process in cancer patients following hematopoietic cell transplantation: study protocol for a randomized controlled trial enhanced with single-case experimental design

BackgroundHematopoietic cell transplantation (HCT) is a highly invasive and life-threatening treatment for hematological neoplasms and some types of cancer that can challenge the patient’s meaning structures. Restoring meaning (i.e., building more flexible and significant explanations of the disease and treatment burden) can be aided by strengthening psychological flexibility by means of an Acceptance and Commitment Therapy (ACT) intervention. Thus, this trial aims to examine the effect of the ACT intervention on the meaning-making process and the underlying mechanisms of change in patients following HCT compared to a minimally enhanced usual care (mEUC) control group. The trial will be enhanced with a single-case experimental design (SCED), where ACT interventions will be compared between individuals with various pre-intervention intervals.MethodsIn total, 192 patients who qualify for the first autologous or allogeneic HCT will be recruited for a two-armed parallel randomized controlled trial comparing an online self-help 14-day ACT training to education sessions (recommendations following HCT). In both conditions, participants will receive once a day a short survey and intervention proposal (about 5–10 min a day) in the outpatient period. Double-blinded assessment will be conducted at baseline, during the intervention, immediately, 1 month, and 3 months after the intervention. In addition, 6–9 participants will be invited to SCED and randomly assigned to pre-intervention measurement length (1–3 weeks) before completing ACT intervention, followed by 7-day observations at the 2nd and 3rd post-intervention measure. The primary outcome is meaning-related distress. Secondary outcomes include psychological flexibility, meaning-making coping, meanings made, and well-being as well as global and situational meaning.DiscussionThis trial represents the first study that integrates the ACT and meaning-making frameworks to reduce meaning-related distress, stimulate the meaning-making process, and enhance the well-being of HCT recipients. Testing of an intervention to address existential concerns unique to patients undergoing HCT will be reinforced by a statistically rigorous idiographic approach to see what works for whom and when. Since access to interventions in the HCT population is limited, the web-based ACT self-help program could potentially fill this gap.Trial registrationClinicalTrials.gov ID: NCT06266182. Registered on February 20, 2024.

Effects of Mindfulness-Based Practices in the Perinatal and Postpartum Periods on Women's Health: A Systematic Review

The aim of this systematic review was to evaluate the effects of mindfulness interventions on women's mental health in the perinatal and postpartum period. In the study, randomized controlled studies published in the last five years, from January 2018 to September 2023, were searched in CINAHL, PubMed, Cochrane Library, Science Direct, and Springer Link databases. The keywords "Pregnancy", "Pregnant", "Prenatal", "Perinatal", "Postpartum", "Mindfulness", "Meditation", "Self-compassion" and "Randomized controlled trial" were used while searching the databases. The assessed articles were subjected to quality assessment using the PRISMA checklist and the Joanna Briggs Institute's Critical Appraisal Checklist for Randomized Controlled Trials. As a result of the search, 26 studies were found. The studies revealed that the most commonly applied mindfulness intervention among intervention groups was self-help programs in an online setting. Mindfulness-based practices significantly impacted women's mental health, reducing fear of childbirth, depression, anxiety, and stress levels, while enhancing psychological well-being, self-efficacy, self-compassion, and mindfulness. Furthermore, these practices also benefited women’s physical health, contributing to higher rates of normal vaginal births and increased maternal-fetal attachment. They were found to lessen birth pain, reduce the need for medication or anesthesia, and support the adoption of healthy lifestyle behaviors. These findings suggest that mindfulness interventions, which positively influence the mental health of both mothers and infants, should be widely applied to women, and the results of this study should be disseminated.

The adherence and response of a combined approach of online self-help cognitive behavioral therapy and phone-based psychological guidance among French patients with cancer with insomnia.

12100 Background: Insomnia affects 30–60% of patients with cancer. Cognitive behavioral therapy for insomnia (CBT- I) is the gold-standard treatment for insomnia. However, the uptake of CBT-I in routine care remains low. Technology can be leveraged to facilitate the access and delivery of CBT-I. Nevertheless, adherence rates to online self-help interventions seem low (50-60%), and is associated with reduced intervention efficacy. The Sleep-4-All-2.0 is a prospective multicentric single arm study that evaluated an approach that combined a validated online self-help CBT-I program (Insomnet, 6 modules) to a phone-based guidance with a psychologist (3 orientation meetings). This study assessed: 1) how this combined approach performed in terms of adherence, behavior change and insomnia remission rates compared to prior literature investigating self-help CBT-I, and 2) the patients’ characteristics that are associated with a better or a poorer response. Methods: Data were collected with online questionnaires to compare outcomes: adherence (5 to 6 modules completed), behavior change (ad hoc questionnaire), insomnia remission (Insomnia Severity Index, ISI < 8), sleep perception (ad hoc questionnaire), response to the program (changes in ISI score) at post intervention (week 6, 12 and 24). A descriptive analysis of patient characteristics at each time point was performed. Then, multivariate analyses were conducted: mixed models with a random effect at patient level (repeated measures) and fixed effects for the other variables. The following variables at baseline were used in the adjusted models: socio-demographic and clinical variables, ISI score, symptoms (ESAS), digital skills, barriers to change, motivation, social support and the referring professional. Results: Among the 348 patients included: 79% were women, 59% had breast cancer and 68% were undergoing treatment. A total of 310 patients (89%) initiated Insomnet. The adherence rate was 74% and 79% have changed their behavior. Insomnia remission rates were 34%, 46% and 50% at week 6, 12 and 24, respectively. Insomnia was no longer a problem for 48%, 63% and 66% at week 6, 12 and 24, respectively. Female gender (β=-1.22; p=0.05) and unemployed patients (β=-1.77; p<0.01) were associated with a decrease in ISI scores. Sleep medication (β=1.58; p<0.01), patients with a high sleepiness score (ESAS) (β=0.25; p=0.02) and patients with less digital skills (β=1.85; p<0.01) were associated with an increase in ISI scores. Conclusions: A combination of online self-help CBT-I with phone-based guidance showed satisfactory rates of program adherence, change behavior and insomnia remission. However, some patient profiles such as the ones with lower digital skills and severe insomnia at baseline seemed to benefit less from this approach, and may require further care intensification. Clinical trial information: CONVENTION DE RECHERCHE no. 2020-1-PL SHS-03-IGR-1.

Effect of Cultural Adaptation of a Smartphone-Based Self-Help Programme on Its Acceptability and Efficacy: Randomized Controlled Trial.

Research on cultural adaptation of psychological interventions indicates that a higher level of adaptation is associated with a higher effect size of the intervention. However, direct comparisons of different levels of adaptations are scarce. This study used a smartphone-based self-help programme called Step-by-Step (Albanian: Hap-pas-Hapi) for the treatment of psychological distress among Albanian-speaking immigrants in Switzerland and Germany. Two levels of cultural adaptation (i.e., surface vs. deep structure adaptation) were compared. We hypothesised that the deep structure adaptation would enhance the acceptance and efficacy of the intervention. We conducted a two-arm, single-blind randomised controlled trial. Inclusion criteria were good command of the Albanian language, age above 18, and elevated psychological distress (Kessler Psychological Distress Scale score above 15). Primary outcome measures were the total score of the Hopkins Symptom Checklist and the number of participants who completed at least three (out of five) sessions. Secondary outcomes were global functioning, well-being, post-traumatic stress, and self-defined problems. Two-hundred-twenty-two participants were included, of which 18 (8%) completed the post-assessments. The number of participants who completed the third session was equal in both conditions, with N = 5 (5%) and N = 6 (6%) respectively. Drop-out rates were high in both conditions, and no group difference was found regarding the acceptance of the intervention. The high drop-out rate stands in contrast with other trials testing Step-by-Step. Future research should examine cultural factors impacting recruitment strategies, as insights could help to reduce participant drop-out rates in clinical trials.

Swadaya Masyarakat: Implementasi Metode Takakura dalam Pengelolaan Sampah Organik di Kampung Purbonegaran, Yogyakarta

Waste management is a serious issue, particularly in densely populated urban areas like Yogyakarta City. This study aims to analyze community-driven self-help programs through the Takakura method application, using a participatory action research approach in the management of organik waste in Kampung Purbonegaran, Yogyakarta. The full capacity of the final disposal site (TPA) Piyungan prompted the city government to implement limits on waste accumulation through several regulations. This situation highlights the importance of waste management innovation, one of which is Takakura. The Takakura composting method is presented as a form of organic waste processing innovation by centralizing waste-decomposing fermentation that prevents unpleasant odors. The research was conducted by the KKN-PPM team from Universitas Gadjah Mada through socialization and an action program for creating composters in Kampung Purbonegaran. The implementation results showed high interest and participation from the community of Kampung Purbonegaran. The self-provision of Takakura Baskets was done by 35 people out of 40 members, or reaching 80.7% of PKK members. This initiative fostered gradual social change through cognitive understanding, embedding affective awareness, forming psychomotor skills, and the spirit of behavioral change conatively. This form of social change facilitated the adoption of the Takakura method in the processing of organik waste among 35 PKK members representing the heads of families. The success of this program contributes to achieving the Sustainable Development Goals (SDGs) for environmental preservation.

A Web-Based Intervention Based on Acceptance and Commitment Therapy for Family Caregivers of People With Dementia: Mixed Methods Feasibility Study.

Acceptance and commitment therapy (ACT), as an empirically based third-wave cognitive behavioral therapy, has shown promise in enhancing well-being and functioning across diverse populations. However, in the context of caregiving, the effect size of available ACT interventions remains at best moderate, sometimes accompanied by high dropout rates, highlighting the need for more effective and feasible intervention designs. The objective of our study was to evaluate the feasibility and acceptability of a fully online ACT program designed for family caregivers of people with dementia. This study aimed to boost psychological flexibility and support caregivers, enabling them to realize and prioritize their own life values alongside their caregiving responsibilities. A mixed methods feasibility study using an uncontrolled pretest-posttest design was conducted. This intervention included a 9-week web-based self-help program based on ACT incorporating collaborative goal setting and weekly web-based motivational coaching for family caregivers of people with dementia. This study involved 30 informal caregivers recruited through memory clinics and social media platforms in the Netherlands and received approval from the Medical Ethics Committee of the Maastricht University Medical Center+ (NL77389.068.21/metc21-029). A total of 24 caregivers completed the postintervention assessment, indicating a high adherence rate (24/29, 83%). Caregivers reported positive feedback regarding collaborative goal setting, but some found challenges in implementing new skills due to their own habitual responses or the unpredictable context of dementia caregiving. Personalizing the intervention based on individual value preferences was highlighted as beneficial. Compared to other web-based self-help ACT interventions for family caregivers, this intervention showed a high adherence and sufficient level of feasibility, which underscores the use of personalization in delivering web-based interventions. Moreover, the potential of this ACT-based intervention for family caregivers of people with dementia was demonstrated, suggesting that further research and a larger-scale controlled trial are warranted to validate its effectiveness. RR2-10.1136/bmjopen-2022-070499.

Internet-Delivered Affect-Focused Psychodynamic Therapy for Adolescent Depression: Treatment Principles and Clinical Application in the ERiCA Project

ABSTRACT Internet-delivered, therapist-guided, self-help programs are novel ways to deliver psychotherapeutic interventions adapted from established therapy models. Such programs can be easily accessed online and may offer an important treatment option for patients who struggle with barriers to seeking out and engaging in face-to-face psychotherapy, including depressed adolescents. While there are evidence-based Internet-delivered self-help programs based on cognitive-behavioral therapies (i.e. ICBT) for adolescent depression, a program based on psychodynamic principles (i.e. IPDT) has so far been lacking. In this article we describe the IPDT program developed within the ERiCA project, which has so far been evaluated in two randomized controlled trials (RCTs). We further provide a case example from one of the trials to illustrate the treatment process and therapeutic interaction in detail. Given the novelty of the approach, we will particularly highlight and discuss how a psychodynamic understanding of adolescent development and depressive dynamics as well as affect-focused treatment principles inform the treatment, including the therapist’s role, tasks, and choice of interventions. The potential implications and utility of IPDT for regular clinical practice are elaborated as well as potential research directions for the future.

Burden of Care Among Caregivers of Mentally Ill Patient at Tertiary Level Hospital

Abstract
 Introduction
 Caregivers of people with mental illnesses are a key support system. The caregivers suffer significant burden as a result of the care giving role. The level of burden of caregivers among people with mental illness is considered to be a negative impact on the care provided by the family to their patient.
 Methods
 A descriptive cross sectional research design was used. A total of 96 care givers were selected using purposive sampling technique. The purpose of the study was to assess the burden of care of mentally ill patient among care givers in a selected hospital. The Zarit Burden Interview Scale was use to assess burden care. All the collected data were analyzed by using descriptive statistical method such as frequency, mean, percentage, standard deviation and chi square test to find out the association with level of burden of care and selected demographic variables.
 Results
 Nearly one third (31.3%) of caregivers had moderate level of burden and 9.4% of them had severe burden of care. There was significant association between the level of burden of care with sex of the caregivers and their educational level.
 Conclusion
 Caregivers had moderate level of burden of care while caring their mentally ill patient. In order to reduce their burden of care, self-help and psycho-educational programs will be effective. This action addresses to improve their perceived knowledge on mental illness and develop coping skills to deal with their patient’s behavior.
 Key Words: Burden; Caregivers; Mentally ill patient.

Psychotherapeutic approaches and methods and their effectiveness in treating orgasmic dysfunction in women

Orgasmic dysfunction is a sexual disorder in which an orgasm does not occur or is delayed. The prevalence of orgasmic dysfunction ranges from 16% to 28% in Europe, America and mainland China, and from 30% to 46% in other Asian countries. The causes may be physiological, neurological and psychosocial. A literature review was conducted to examine which psychotherapeutic approaches and methods are used in the treatment of orgasmic dysfunction and to examine the results of their effectiveness. All resources linked in this paper have been taken from sources contained in the Scopus or EbscoHost research databases. Throughout this paper we have researched all relevant research papers, removed any duplicates and by applying all the necessary criteria, we have concluded with 15 research articles. The therapeutic approaches and methods with proven efficacy in the treatment of orgasmic dysfunction are: group sex therapy and couples sex therapy, behavioural approaches (Master and Johnson methods, systematic desensitisation), mindfulness-based programmes (Mindfulness-Based Cognitive Therapy - MBCT, Mindfulness-Based Behavioural and Cognitive Therapy), The Betty Dodson Method (a combination of short-term psychodynamic group therapy and self-stimulation methods) and self-help programmes based on video tracking, Cognitive Behavioural Therapy (CBT) and MBCT, and psychosexual therapy manuals. Some self-help programmes also include minimal contact with a therapist. There is an overlap between these approaches (e.g. sex therapy integrates behavioural methods). The results and the review serve as a basis for the application of effective interventions and opportunities for improvement in the treatment of orgasmic dysfunction.

A Study On “THE IMPACT OF SELF-HELP GROUPS AND WOMEN EMPOWERMENT ON THE SOCIO – ECONOMIC DEVELOPMENT" with reference to Mangalore Taluk, Dakshina Kannada District in Karnataka State, India

Women are considered the second better half of the society. Constitutionally their role in the society is equal to men. Unfortunately, that is not the reality at least in India. In today’s world, women entrepreneurs are playing very vital role and they have become important part of the global business environment and it’s really important for the sustained economic development and social progress. This paper investigates a women’s self-help group program in one of the areas of Mangalore Taluk of Dakshina Kannada. On the basis of this study some suggestions are given to encourage spirit of women empowerment to become a successful entrepreneur. The study has focussed on the social advancement strategies and women's empowerment. Keywords; Capabilities, Self-Help Groups, Sustainable Development, Women Empowerment, Tendency painful matching.