eprintid: 10128217
rev_number: 16
eprint_status: archive
userid: 608
dir: disk0/10/12/82/17
datestamp: 2021-05-20 09:21:18
lastmod: 2021-09-25 23:36:59
status_changed: 2021-05-20 09:21:18
type: article
metadata_visibility: show
creators_name: McInnerney, D
creators_name: Candy, B
creators_name: Stone, P
creators_name: Kupeli, N
title: Let It Out (LIO) study: protocol for a mixed-methods study to optimise the design and assess the feasibility of an online emotional disclosure-based intervention in UK hospices
ispublished: pub
divisions: UCL
divisions: B02
divisions: C07
divisions: D79
keywords: mental health, palliative care, psychiatry, qualitative research, statistics & research methods
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abstract: INTRODUCTION: The current COVID-19 pandemic has forced hospices to look for more ways to support people remotely, including psychological support. Emotional disclosure-based interventions hold potential as a way of providing support remotely. However, evidence of their efficacy in people with terminal illness is mixed. Reviews have highlighted this may be due to interventions not being tailored to the unique needs of this population. In response to this, we are developing Let It Out (LIO), an online, self-guided emotional disclosure-based intervention tailored for people living with terminal illness. AIMS: The primary objective of the study is to optimise the design of the LIO intervention. Secondary objectives include assessing its acceptability and feasibility; exploring potential impact on well-being; identifying potential adverse effects; and informing choice of outcome measures for potential future evaluation. METHODS AND ANALYSIS: A single arm, mixed-methods, multisite, longitudinal study. Up to 40 people living with a terminal illness under the care of hospices in England and Scotland will receive the online LIO intervention. LIO consists of 3, self-guided expression sessions over 2 weeks. The primary outcome measures are (1) a structured feedback form completed by participants after the final expression session; and (2) semi-structured interviews and focus groups with ≤15 patient participants, ≤30 hospice staff and ≤15 informal carers. These quantitative and qualitative data will be triangulated via process evaluation to inform optimisation of the intervention design. Secondary outcome measures include validated measures of physical and psychological health collected at baseline and after the final expression session (immediately, 1, 4 and 8 weeks after); and data on recruitment, retention and fidelity. ETHICS AND DISSEMINATION: The study is approved by the University College London Research Ethics Committee (reference: 15281/002). The findings will be shared through peer-reviewed scientific journals and conferences, and traditional, online and social media platforms.
date: 2021-05-11
date_type: published
official_url: http://doi.org/10.1136/bmjopen-2020-047135
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1865309
doi: 10.1136/bmjopen-2020-047135
pii: bmjopen-2020-047135
lyricists_name: Candy, Bridget
lyricists_name: Kupeli, Nuriye
lyricists_name: McInnerney, Daisy
lyricists_name: Stone, Patrick
lyricists_id: BCAND79
lyricists_id: NKUPE48
lyricists_id: DEMCI28
lyricists_id: PCSTO82
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
full_text_status: public
publication: BMJ Open
volume: 11
number: 5
article_number: e047135
event_location: England
citation:        McInnerney, D;    Candy, B;    Stone, P;    Kupeli, N;      (2021)    Let It Out (LIO) study: protocol for a mixed-methods study to optimise the design and assess the feasibility of an online emotional disclosure-based intervention in UK hospices.                   BMJ Open , 11  (5)    , Article e047135.  10.1136/bmjopen-2020-047135 <https://doi.org/10.1136/bmjopen-2020-047135>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10128217/1/e047135.full.pdf