Universiteit Leiden

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Research project

e-Coach: Tailored cognitive-behavioral e-Health care for patients with chronic somatic conditions

The major aim is to develop, evaluate, and implement disease-generic cognitive-behavioral interventions through the internet in order to optimize tailored health care for patients with chronic somatic conditions.

Contact
Andrea Evers
Funding
ZonMw ZonMw
 
VSB Fonds VSB Fonds
 
Pfizer Pfizer
 
Innovatiefonds Zorfverzekeraars Innovatiefonds Zorfverzekeraars
 
Nierstichting Nierstichting

Having a chronic somatic condition can result in a variety of impairments in patients’ daily lives, including not only physical complaints such as pain, itch, and fatigue, but also problems of negative mood and impairments in social relationships. This is especially true for patients with a psychological risk profile (e.g., patients with elevated levels of distress), which is an estimated 30-40% of patients. Both face-to-face and e-Health cognitive-behavioral treatments have shown to be effective in helping patients cope with these impairments.

This research program encompasses a series of applied studies developing and testing the (cost-)effectiveness of online disease-generic cognitive-behavioral interventions for chronic somatic conditions, termed e-Coach. This intervention enables patients to follow treatment online, potentially saving time and costs for both patients and caregivers. The E-coach intervention is guided by an e-Coach therapist, who gives individualized feedback on treatment assignments.

The goal of the intervention is to reduce the impact of the chronic somatic disease on the patients’ daily life. Patients’ treatment goals can be diverse; while the focus for one patient may be primarily on decreasing high levels of fatigue by finding a better balance of rest and activities, another patient may want to work on his/her mood problems by working on maladaptive negative cognitions, for example. The e-Coach consists of tailored treatment modules corresponding with the specific risk profiles of individual patients. Themes of these modules include physical, psychological, and social adjustment, such as pain, fatigue, mood problems, and social relationships. Each treatment module includes multiple assignments and reading texts, which the e-Coach therapist can tailor to the individual patient to suit individual needs.


This research program is divided into six (PhD) projects: 

1. Tailored cognitive-behavioral e-Health care in patients with rheumatoid arthritis

The objective of this project is to examine the (cost)effectiveness of tailored cognitive-behavioral therapy through e-Health for risk groups of patients with rheumatoid arthritis versus standard care, in collaboration with the Radboud university medical center.

Supervisors Leiden University: Prof.dr. Andrea Evers & Dr. Henriët van Middendorp
PhD student: Maaike Ferwerda

 

2. Tailored cognitive-behavioral E-health care in patients with psoriasis

This project entails a randomized controlled trial to examine the effectiveness of tailored cognitive-behavioral treatment for patients with psoriasis, compared to patients receiving standard dermatological care (care as usual), in collaboration with the Radboud university medical center.

Supervisors Leiden University: Prof.dr. Andrea Evers & Dr. Henriët van Middendorp
PhD student: Sylvia van Beugen

 

3. The role of patient participation in the development and evaluation of e-Health care developments

In this project, the aim is to map and evaluate the input of patient research partners in the development and evaluation of e-Health care interventions on the basis of user friendliness, patient satisfaction, and perceived effectiveness, in collaboration with the Radboud university medical center.

Supervisors Leiden University: Prof.dr. Andrea Evers & Dr. Henriët van Middendorp
PhD student: Maaike Ferwerda

 

4. e-Health cognitive-behavioral therapy for living kidney donors - A pilot study

This project evaluates the feasibility of and satisfaction with an e-Health intervention for living kidney donors in donors, in collaboration with the Radboud University Medical Center  (see also research program ‘Screening and self-management interventions for chronic conditions’).

Supervisors Leiden University: Prof.dr. Andrea Evers & Dr. Henriët van Middendorp
PhD student: Lieke Wirken

 

5. e-Health self-management screening and treatment with e-Coaching for adjustment problems and coping in renal patients

This project entails the development of E-health modules with regard to adjustment problems and coping that will be made broadly available to patients with kidney diseases, in collaboration with the Radboud university medical center  (see also research program ‘Screening and self-management interventions for chronic conditions’) .

Supervisors Leiden University: Prof.dr. Andrea Evers & Dr. Henriët van Middendorp
 

6. Grip on Pain

This project is part of a national project (‘Grip op onbegrepen klachten’) that is conducted in collaboration with the University Medical Center Groningen and the ‘Nijmeegs Kenniscentrum Chronische Vermoeidheid’ (NKCV). Grip on Pain aims to implement and evaluate an online chronic pain treatment within various health care centers.

Researchers Leiden University: Prof.dr. Andrea Evers, Dr. Henriët van Middendorp & Dr. Roos van der Vaart
PhD student: Jessy Terpstra


This research program is part of the Research Group Psychoneurobiology of Health and Disease (www.andreaevers.nl)

Connection with other research

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