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A service-based evaluation of a therapist-supported online cognitive behavioral therapy program for depression.

Sharry J, Davidson R, McLoughlin O, Doherty G - J. Med. Internet Res. (2013)

Bottom Line: A high level of engagement was observed compared to a previous study within the same service, along with extensive use of a range of program features.A statistically significant (P<.001) decrease in self-reported depressive symptomatology from preintervention (mean BDI-II 25.47) to postintervention (mean BDI-II 15.53) with a large effect size (d=1.17) was also observed.The results indicate the potential of unintrusive and easily provided online support to enhance engagement with online interventions.

View Article: PubMed Central - HTML - PubMed

Affiliation: Mater Misericordiae University Hospital, Dublin, Ireland.

ABSTRACT

Background: Evidence suggests that Internet-delivered cognitive behavioral therapy (CBT) may be as effective as face-to-face delivery for depression, but attrition and engagement rates remain a challenge.

Objective: This service-based study aimed to evaluate an online, therapist-supported, CBT-based program for depression. The program was specifically designed to address engagement issues, most notably by integrating online therapist support and communication within the platform.

Methods: Participants were 80 adults who were registered university students. Participants used the modular online program over 8 weeks, supported by a therapist. Engagement information was gathered automatically by the online system, and analyzed for all participants. Severity of participants' self-reported symptoms of depression were assessed preintervention and postintervention using the Beck Depression Inventory-II (BDI-II). Postintervention measures were completed by 53 participants.

Results: A high level of engagement was observed compared to a previous study within the same service, along with extensive use of a range of program features. A statistically significant (P<.001) decrease in self-reported depressive symptomatology from preintervention (mean BDI-II 25.47) to postintervention (mean BDI-II 15.53) with a large effect size (d=1.17) was also observed.

Conclusions: The results indicate the potential of unintrusive and easily provided online support to enhance engagement with online interventions. The system described in the paper also illustrates how such online support can be tightly integrated with interactive online programs by using a range of design strategies intended to improve the user experience.

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Related in: MedlinePlus

Example of an interactive exercise: thoughts, feelings, and behaviors.
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figure2: Example of an interactive exercise: thoughts, feelings, and behaviors.

Mentions: The program includes a number of interactive elements and graphical exercises (an example is shown in Figure 2), which are aimed at engaging clients with the therapeutic content, for example, reflecting on their own thinking. Clients also have the ability to respond to content, indicating whether they like it, and also to comment on it. The client is provided with immediate feedback wherever possible; for example, when a charting exercise, such as a mood chart, is completed, the application item is graphically updated on the home page. Likewise, items are ticked off on the to-do list when completed, and achievements unlocked in each module summary.


A service-based evaluation of a therapist-supported online cognitive behavioral therapy program for depression.

Sharry J, Davidson R, McLoughlin O, Doherty G - J. Med. Internet Res. (2013)

Example of an interactive exercise: thoughts, feelings, and behaviors.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3713925&req=5

figure2: Example of an interactive exercise: thoughts, feelings, and behaviors.
Mentions: The program includes a number of interactive elements and graphical exercises (an example is shown in Figure 2), which are aimed at engaging clients with the therapeutic content, for example, reflecting on their own thinking. Clients also have the ability to respond to content, indicating whether they like it, and also to comment on it. The client is provided with immediate feedback wherever possible; for example, when a charting exercise, such as a mood chart, is completed, the application item is graphically updated on the home page. Likewise, items are ticked off on the to-do list when completed, and achievements unlocked in each module summary.

Bottom Line: A high level of engagement was observed compared to a previous study within the same service, along with extensive use of a range of program features.A statistically significant (P<.001) decrease in self-reported depressive symptomatology from preintervention (mean BDI-II 25.47) to postintervention (mean BDI-II 15.53) with a large effect size (d=1.17) was also observed.The results indicate the potential of unintrusive and easily provided online support to enhance engagement with online interventions.

View Article: PubMed Central - HTML - PubMed

Affiliation: Mater Misericordiae University Hospital, Dublin, Ireland.

ABSTRACT

Background: Evidence suggests that Internet-delivered cognitive behavioral therapy (CBT) may be as effective as face-to-face delivery for depression, but attrition and engagement rates remain a challenge.

Objective: This service-based study aimed to evaluate an online, therapist-supported, CBT-based program for depression. The program was specifically designed to address engagement issues, most notably by integrating online therapist support and communication within the platform.

Methods: Participants were 80 adults who were registered university students. Participants used the modular online program over 8 weeks, supported by a therapist. Engagement information was gathered automatically by the online system, and analyzed for all participants. Severity of participants' self-reported symptoms of depression were assessed preintervention and postintervention using the Beck Depression Inventory-II (BDI-II). Postintervention measures were completed by 53 participants.

Results: A high level of engagement was observed compared to a previous study within the same service, along with extensive use of a range of program features. A statistically significant (P<.001) decrease in self-reported depressive symptomatology from preintervention (mean BDI-II 25.47) to postintervention (mean BDI-II 15.53) with a large effect size (d=1.17) was also observed.

Conclusions: The results indicate the potential of unintrusive and easily provided online support to enhance engagement with online interventions. The system described in the paper also illustrates how such online support can be tightly integrated with interactive online programs by using a range of design strategies intended to improve the user experience.

Show MeSH
Related in: MedlinePlus