Cited by 24Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and Applications

Feasibility study of an interactive multimedia electronic problem solving treatment program for depression: a preliminary uncontrolled trial

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Berman, Margit I., Buckey, Jay C., Hull, Jay G., Linardatos, Eftihia, Song, Sueyoung L., McLellan, Robert K., Hegel, Mark T.·2014·Behavior Therapy

Abstract

Computer-based depression interventions lacking live therapist support have difficulty engaging users. This study evaluated the usability, acceptability, credibility, therapeutic alliance and efficacy of a stand-alone multimedia, interactive, computer-based Problem Solving Treatment program (ePST™) for depression. The program simulated live treatment from an expert PST therapist, and delivered 6 ePST™ sessions over 9weeks. Twenty-nine participants with moderate-severe symptoms received the intervention; 23 completed a minimally adequate dose of ePST™ (at least 4 sessions). Program usability, acceptability, credibility, and therapeutic alliance were assessed at treatment midpoint and endpoint. Depressive symptoms and health-related functioning were assessed at baseline, treatment midpoint (4weeks), and study endpoint (10weeks). Depression outcomes and therapeutic alliance ratings were also compared to previously published research on live PST and computer-based depression therapy. Participants rated the program as highly usable, acceptable, and credible, and reported a therapeutic alliance with the program comparable to that observed in live therapy. Depressive symptoms improved significantly over time. These findings also provide preliminary evidence that ePST™ may be effective as a depression treatment. Larger clinical trials with diverse samples are indicated.

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Crossref · 10.1016/j.beth.2014.02.001

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Authors
Berman, M. I., Buckey, J. C., Hull, J. G., Linardatos, E., Song, S. L., McLellan, R. K., & Hegel, M. T.
Affiliations
Dartmouth College (US)
Corresponding author
Berman, Margit I.
Venue
Behavior Therapy
Publisher
Elsevier BV
Published
2014-05
Volume
45
Issue
3
Pages
358-375
ISSN
0005-7894 (ISSN-L)
OpenAlex
W2077994766
Cited by
23
References
78
Citations by year
2026: 2 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 4 · 2016: 4 · 2014: 1
FWCI
4.64
Type
journal article
Language
en
Open access
Locations
  • Behavior Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (KL2TR001088)
  • National Institute on Drug Abuse (P30DA029926)
  • National Center for Advancing Translational Sciences
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
problem-solving therapy, depression, therapeutic relationship, usability, acceptability, credibility, depressive symptoms, health-related functioning
MeSH terms
Depression, Feasibility Studies, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Compliance, Problem Solving, Surveys and Questionnaires, Retrospective Studies, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Multimedia

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