Cargando…
Feasibility, acceptability and costs of nurse-led Alpha-Stim cranial electrostimulation to treat anxiety and depression in university students
BACKGROUND: Only a relatively low proportion of university students seek help for anxiety and depression disorders, partly because they dislike current drug and psychological treatment options and would prefer home-based care. The aim of this study is to determine the feasibility, acceptability and...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051500/ https://www.ncbi.nlm.nih.gov/pubmed/35488189 http://dx.doi.org/10.1186/s12875-022-01681-3 |
_version_ | 1784696571615510528 |
---|---|
author | Royal, Simon Keeling, Stuart Kelsall, Nick Price, Larry Fordham, Richard Xydopoulos, Georgios Dawson, Gerard R. Kingslake, Jonathan Morriss, Richard |
author_facet | Royal, Simon Keeling, Stuart Kelsall, Nick Price, Larry Fordham, Richard Xydopoulos, Georgios Dawson, Gerard R. Kingslake, Jonathan Morriss, Richard |
author_sort | Royal, Simon |
collection | PubMed |
description | BACKGROUND: Only a relatively low proportion of university students seek help for anxiety and depression disorders, partly because they dislike current drug and psychological treatment options and would prefer home-based care. The aim of this study is to determine the feasibility, acceptability and cost utility of Alpha-Stim cranial electrostimulation (CES) delivered through a nurse led primary care clinic as a daily treatment for anxiety and depression symptoms by the student at home in contrast to usual primary care. METHOD: Feasibility and acceptability of a nurse led clinic offering Alpha-Stim CES in terms of the take up and completion of the six-week course of Alpha-Stim CES. Change in score on the GAD-7 and PHQ-9 as measures of anxiety and depression symptoms at baseline and at 8 weeks following a course of Alpha-Stim CES. Similar evaluation in a non-randomised control group attending a family doctor over the same period. Cost-utility analysis of the nurse led Alpha-Stim CES and family doctor pathways with participants failing to improve following further NICE Guideline clinical care (facilitated self-help and cognitive behaviour therapy). RESULTS: Of 47 students (mean age 22.1, years, 79% female opting for Alpha-Stim CES at the nurse-led clinic 46 (97.9%) completed a 6-week daily course. Forty-seven (47) students comprised a comparison group receiving usual family doctor care. Both Alpha-Stim CES and usual family doctor care were associated with large effect size reductions in GAD-7 and PHQ-9 scores from baseline to 8 weeks. There were no adverse effects and only one participant showed a clinically important deterioration in the Alpha-Stim group. In the cost utility analysis, Alpha-Stim CES was a cheaper option than usual family doctor care under all deterministic or probabilistic assumptions. CONCLUSION: Nurse delivered Alpha-Stim CES may be a feasible, acceptable and cheaper way of providing greater choice and home-based care for some university students seeking help from primary care with new presentations of anxiety and depression. |
format | Online Article Text |
id | pubmed-9051500 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-90515002022-04-29 Feasibility, acceptability and costs of nurse-led Alpha-Stim cranial electrostimulation to treat anxiety and depression in university students Royal, Simon Keeling, Stuart Kelsall, Nick Price, Larry Fordham, Richard Xydopoulos, Georgios Dawson, Gerard R. Kingslake, Jonathan Morriss, Richard BMC Prim Care Research BACKGROUND: Only a relatively low proportion of university students seek help for anxiety and depression disorders, partly because they dislike current drug and psychological treatment options and would prefer home-based care. The aim of this study is to determine the feasibility, acceptability and cost utility of Alpha-Stim cranial electrostimulation (CES) delivered through a nurse led primary care clinic as a daily treatment for anxiety and depression symptoms by the student at home in contrast to usual primary care. METHOD: Feasibility and acceptability of a nurse led clinic offering Alpha-Stim CES in terms of the take up and completion of the six-week course of Alpha-Stim CES. Change in score on the GAD-7 and PHQ-9 as measures of anxiety and depression symptoms at baseline and at 8 weeks following a course of Alpha-Stim CES. Similar evaluation in a non-randomised control group attending a family doctor over the same period. Cost-utility analysis of the nurse led Alpha-Stim CES and family doctor pathways with participants failing to improve following further NICE Guideline clinical care (facilitated self-help and cognitive behaviour therapy). RESULTS: Of 47 students (mean age 22.1, years, 79% female opting for Alpha-Stim CES at the nurse-led clinic 46 (97.9%) completed a 6-week daily course. Forty-seven (47) students comprised a comparison group receiving usual family doctor care. Both Alpha-Stim CES and usual family doctor care were associated with large effect size reductions in GAD-7 and PHQ-9 scores from baseline to 8 weeks. There were no adverse effects and only one participant showed a clinically important deterioration in the Alpha-Stim group. In the cost utility analysis, Alpha-Stim CES was a cheaper option than usual family doctor care under all deterministic or probabilistic assumptions. CONCLUSION: Nurse delivered Alpha-Stim CES may be a feasible, acceptable and cheaper way of providing greater choice and home-based care for some university students seeking help from primary care with new presentations of anxiety and depression. BioMed Central 2022-04-29 /pmc/articles/PMC9051500/ /pubmed/35488189 http://dx.doi.org/10.1186/s12875-022-01681-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Royal, Simon Keeling, Stuart Kelsall, Nick Price, Larry Fordham, Richard Xydopoulos, Georgios Dawson, Gerard R. Kingslake, Jonathan Morriss, Richard Feasibility, acceptability and costs of nurse-led Alpha-Stim cranial electrostimulation to treat anxiety and depression in university students |
title | Feasibility, acceptability and costs of nurse-led Alpha-Stim cranial electrostimulation to treat anxiety and depression in university students |
title_full | Feasibility, acceptability and costs of nurse-led Alpha-Stim cranial electrostimulation to treat anxiety and depression in university students |
title_fullStr | Feasibility, acceptability and costs of nurse-led Alpha-Stim cranial electrostimulation to treat anxiety and depression in university students |
title_full_unstemmed | Feasibility, acceptability and costs of nurse-led Alpha-Stim cranial electrostimulation to treat anxiety and depression in university students |
title_short | Feasibility, acceptability and costs of nurse-led Alpha-Stim cranial electrostimulation to treat anxiety and depression in university students |
title_sort | feasibility, acceptability and costs of nurse-led alpha-stim cranial electrostimulation to treat anxiety and depression in university students |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051500/ https://www.ncbi.nlm.nih.gov/pubmed/35488189 http://dx.doi.org/10.1186/s12875-022-01681-3 |
work_keys_str_mv | AT royalsimon feasibilityacceptabilityandcostsofnurseledalphastimcranialelectrostimulationtotreatanxietyanddepressioninuniversitystudents AT keelingstuart feasibilityacceptabilityandcostsofnurseledalphastimcranialelectrostimulationtotreatanxietyanddepressioninuniversitystudents AT kelsallnick feasibilityacceptabilityandcostsofnurseledalphastimcranialelectrostimulationtotreatanxietyanddepressioninuniversitystudents AT pricelarry feasibilityacceptabilityandcostsofnurseledalphastimcranialelectrostimulationtotreatanxietyanddepressioninuniversitystudents AT fordhamrichard feasibilityacceptabilityandcostsofnurseledalphastimcranialelectrostimulationtotreatanxietyanddepressioninuniversitystudents AT xydopoulosgeorgios feasibilityacceptabilityandcostsofnurseledalphastimcranialelectrostimulationtotreatanxietyanddepressioninuniversitystudents AT dawsongerardr feasibilityacceptabilityandcostsofnurseledalphastimcranialelectrostimulationtotreatanxietyanddepressioninuniversitystudents AT kingslakejonathan feasibilityacceptabilityandcostsofnurseledalphastimcranialelectrostimulationtotreatanxietyanddepressioninuniversitystudents AT morrissrichard feasibilityacceptabilityandcostsofnurseledalphastimcranialelectrostimulationtotreatanxietyanddepressioninuniversitystudents |