The Serenity Programme PowerPoint Presentation

The Serenity Programme PowerPoint Presentation

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A brief introduction .... What is it, how it works. Steve Cottrell, . June 2013. #SERENITYPROGRAM. serenity.programme. 2. Contacts. This work is licensed under a . ID: 559280

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The Serenity Programme

A brief introduction ...

What is it, how it works

Steve Cottrell,

June 2013




This work is licensed under a 

Creative Commons Attribution-


-ShareAlike 3.0 Unported License.






Guided Online Self-help

For Generalised Anxiety Disorder, (GAD) Phobias and Panic Disorder


What is it?

A unique, theoretically integrative blended learning approach to treatment of stress and anxiety disorders

A blend of face-to-face contact alongside an interactive Internet programme and telephone support ...



Begins with a two-hoursemi-structured assessment Bespoke template-driven documentation, assessment using CORE-OM, HADS (or GAD-7) & PHQ-9


35 Interactive Assessment Tools, Including ...

GAD-7 (Generalised Anxiety) PHQ-9 (Depression) WSAS (Work Adjustment) PEQ (User Satisfaction) PHQ-15 (Somatisation) IES-R (Trauma) PDSS (Panic Disorder) OCI (OCD) AUDIT (Alcohol Use)


The Programme

Presented in an attractive interactive workbook (in depth programme) and online multimedia format (brief psychoeducational programme)

Assistive technology for people with dyslexia, visual impairment, physical or reading difficulties


Assessment meeting


1 and 2

Support call

Module 3

Goal setting meeting

Module 4

Support call

Module 5

Support call

Module 6

Module 7

Module 8

Module 9

Support call

Support call

Support call

Final meeting

The Programme

Takes most people at least three months to complete ...



Password protected interactive workbooks , users download & keep to form a comprehensive client-held record Use on your PC or print and complete by hand (average reading age of 11 years) With more than 60 tasks and exercises


Benefits - to the user

Increased choice Increased confidentiality Range of options: Internet, CD, paper, USB drive Infrequent contact, longer term approach (CDM model) Reduced need to travel Time flexibility - night shift workers, carers, single parents User involvement during design process, CQI


Benefits - to the service

Prevents wasteful ‘admit > treat> discharge > readmit’ cycle Equity - services for agoraphobia, social phobia, avoidant and fearful, single mothers, young men, people with disabilities No inherent geographical boundary problems 100% increase in throughput


Benefits - to the Wider Community

Materials shared, reducing familial transmission of harm

Use of model alone or as adjunctive treatment - EAP, CFS, MUS, anxiety in COPD and MI etc.

Less paper, less travel, less cost, less waste, less pollution - more efficient use of time!



Interview with researcher, repeated measures (DASS, CORE-OM, HADS, PHQ-9) Studies with Beneficiaries of ‘Want 2 Work’ programme John Moore’s University Student Stress Study Ongoing NHS Study



Awards from WaMH in PC WIsH (2006) RCN (2008) BJN (2008) Best Nurse-led Project 2010 In RCN ‘Top 30’ UK Health Modernisation Projects 2011 (TBA)


The Serenity Programme

Outcome evaluation in BCUHB

Early results ...


' was good for changing thought patterns...'  JC, Abergele

'...the website was compelling and encouraging...'   KJ, Rhyl

'... navigation was easy...'  CM, Colwyn Bay

'...programme gives great insight and understanding to anxiety and the reasons why it is happening...'  CR, Rhyl

 '...layout was very user-friendly...'  CA, Rhyl

'...really liked the points of interest, helpful hints, and breakdown of what was wrong and how I could deal with it...'  RW, Colwyn Bay

'’s absolutely super, I’m really, really very impressed with it, it’s a wonderful thing to have...'   AD, Denbigh

 '...instantly appealed as it immediately seemed to address my problems...'  JT, Rhyl

 '...not loads of medical jargon, so could understand what was being said...'  SW, Rhyl

 '...I liked the gentle approach...' SP, Rhyl

'’s good to know someone else understands how I feel...'   SW, Rhyl

 '...think the programme is good and should be rolled out to others...'  HR, Prestatyn

Mixed-methods quasi-experimental study - semi-structured interview and repeated measures using HADS, PHQ-9 and CORE-OM


Anxiety scores showed an average reduction of 31% over 3 months

Mean baseline score = 16, SD = 3.48, CI = 1.53 | Mean 3-month score = 11, SD = 3.54, CI = 1.55, t-test (2-tailed) p<0.0002

Normal 0 - 7 | Mild 8 - 10 | Moderate 11 - 14 | Severe 15 - 21


Depression scores showed an average reduction of 52% over 3 months

Normal 0 - 7 | Mild 8 - 10 | Moderate 11 - 14 | Severe 15 - 21

Mean baseline score = 10, SD = 4.51, CI = 1.98 | Mean 3-month score = 5, SD = 4.11, CI = 1.80, t-test (2-tailed) p<0.0001


The Serenity Programme

Internet usage data ...

The first seven months




1,821 visitors stayed for

between 3 & 30 minutes

357 visitors stayed formore than 30 minutes




Thanks for Listening!



Thanks for Listening!


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