title: A randomised control trial of an Internet-based cognitive behaviour treatment for mood disorder in adults with chronic spinal cord injury.
abstract: METHODS
  Prospective parallel waitlist randomised controlled trial.
  
  
  OBJECTIVE
  Evaluate the feasibility and effectiveness of an Internet-based psychological intervention treating comorbid mood disorder in adults with spinal cord injury (SCI). Improved mood and satisfaction with life were primary outcomes.
  
  
  METHODS
  Victoria, Australia.
  
  
  METHODS
  Electronic Personal Administration of Cognitive Therapy (ePACT).
  
  
  METHODS
  Depression, Anxiety and Stress Scale-Short Form (DASS21), Personal Well-being Index, Helplessness subscale of the Spinal Cord Lesion Emotional Well-being Scale v1 Australia, at each time point.Participant qualifying criteria:Adults (18-70 years), chronic SCI, attend SCI review clinic at Austin or Caulfield Hospital and score above normative threshold of the Depression, Anxiety and Stress Scale-Short Form (DASS21).
  
  
  METHODS
  Forty-eight participants completed Time 2 post intervention (n=23) or time equivalent for waitlist control group (n=25) telephone interviews. The measures were repeated a third time (Time 3) for a small subgroup (n=12) at 6 months post intervention within the study implementation time frame.
  
  
  RESULTS
  Univariate within group analyses revealed significant improvement in mood in the intervention group at Time 2: (lower depression (effect size (ES)=0.4), anxiety (ES=0.4) and stress (ES=0.3)) and higher satisfaction with life (ES=0.2). Waitlist control group improved in depression only (ES=0.3) by Time 2. Multilevel variance components analyses, although not as positive, were still encouraging. Improvement in mood symptoms was maintained in the small group reinterviewed at Time 3.
  
  
  CONCLUSIONS
  Although Internet-based interventions for mental health issues in SCI not a solution for all, our results indicate that they are a potentially valuable addition to the currently available options.
authors.affiliation: Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, Monash University, Melbourne, Victoria, Australia.|Department of Occupational Therapy, Monash University, Melbourne, Victoria, Australia.
authors.forename: C
authors.initials: C
authors.lastname: Migliorini
authors.affiliation: Case Management and Outreach Services, Independence Australia, Melbourne, Victoria, Australia.
authors.forename: A
authors.initials: A
authors.lastname: Sinclair
authors.affiliation: Spinal Research Institute, Austin Health, Melbourne, Victoria, Australia.
authors.forename: D
authors.initials: D
authors.lastname: Brown
authors.affiliation: Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, Monash University, Melbourne, Victoria, Australia.
authors.forename: B
authors.initials: B
authors.lastname: Tonge
authors.affiliation: Spinal Rehabilitation Service, Caulfield Hospital, Alfred Health, Melbourne, Victoria, Australia.|Epworth-Monash Rehabilitation Medicine Unit, Southern Medical School, Monash University, Melbourne, Victoria, Australia.
authors.forename: P
authors.initials: P
authors.lastname: New
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001315:Australia; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000209:etiology* / Q000534:rehabilitation*; D017063:Outcome Assessment, Health Care; D011569:Psychiatric Status Rating Scales; D013119:Spinal Cord Injuries / Q000150:complications*; D016896:Treatment Outcome; D055815:Young Adult