A self-help online intervention to increase well-being in people with skin conditions: pilot evaluation

Abstract

Background: People with skin conditions can benefit from psychological interventions. Personal characteristic such as attachment orientation may influence the engagement with the intervention and outcomes. This study aimed to pilot online Compassion Focused self-help for people with skin conditions in those with insecure attachment. Method: Two sets of self-help materials were emailed to 9 participants 2 weeks apart. An evaluation form assessed experiences, perceived benefits and suggestions for improvement. Shame (OAS) and self-criticism (FSCRS) were measured at baseline and at 6 weeks follow-up. The reliable Change Index was used to examine change. In addition, a content analysis was used to examine feedback. Findings: Five participants completed the follow-up survey of which 3 also returned the feedback form. Overall, participants reported benefit from taking part. Some aspects of the intervention were more difficult to engage in. Inclusion of further exercises and providing assistance to facilitate regular practise were among suggestions for improvement. Self-criticism decreased in 2 participants. Shame deceased in 2, but increased in other 2 individuals. Discussion: Self-help intervention can be effective but barriers to participation need to be addressed.