title: A web-based self-management intervention for Bipolar Disorder 'living with bipolar': a feasibility randomised controlled trial.
abstract: BACKGROUND
  Bipolar Disorder (BD) is a severe mental health problem. Psychological interventions are recommended by the National Institute for Health and Care Excellence (NICE) but patients experience severe inequalities in access. This study assessed the feasibility and potential effectiveness of a recovery informed web-based self-management intervention for people with BD.
  
  
  METHODS
  An online randomised controlled trial (n=122) compared treatment as usual (TAU) plus the 'Living with Bipolar' (LWB) intervention with a waiting list control (WLC) group.
  
  
  RESULTS
  The study recruited to target and the retention rates were high. Participants engaged with the approach. Compared with the WLC, those receiving LWB showed the most robust improvement in psychological and physical domains of quality of life, wellbeing and recovery at the end of the intervention.
  
  
  CONCLUSIONS
  The trial was not definitive and requires further investigation.
  
  
  CONCLUSIONS
  There is preliminary evidence that a web-based treatment approach in BD is feasible and potentially effective. Such interventions could form part of the Improving Access to Psychological Therapy (IAPT) initiative in severe mental health.
authors.affiliation: Spectrum Centre for Mental Health Research, Division of Health Research, School of Health and Medicine, Lancaster University, Lancaster LA1 4YT, United Kingdom. Electronic address: nicholas.todd@nhs.net.
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Todd
authors.affiliation: Spectrum Centre for Mental Health Research, Division of Health Research, School of Health and Medicine, Lancaster University, Lancaster LA1 4YT, United Kingdom.
authors.forename: Steven H
authors.initials: SH
authors.lastname: Jones
authors.affiliation: Combining Health Information, Computation & Statistics, Lancaster Medical School, Faculty of Health and Medicine, Lancaster University, Lancaster LA1 4YT, United Kingdom.
authors.forename: Anna
authors.initials: A
authors.lastname: Hart
authors.affiliation: Spectrum Centre for Mental Health Research, Division of Health Research, School of Health and Medicine, Lancaster University, Lancaster LA1 4YT, United Kingdom.
authors.forename: Fiona A
authors.initials: FA
authors.lastname: Lobban
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D009862:Online Systems; D010349:Patient Compliance; D011788:Quality of Life; D012648:Self Care; D016896:Treatment Outcome
chemical_list: D000928:Antidepressive Agents
keywords: Bipolar Disorder; Individual psychotherapy; Online; Quality of life; Randomised controlled trial; Recovery