“Blended” therapy: The development and pilot evaluation of an internet-facilitated cognitive behavioral intervention to supplement face-to-face therapy for hoarding disorder
Open accessAbstract
Mixed findings regarding the long-term efficacy of cognitive behavior therapy (CBT) for the treatment of hoarding has led to the investigation of novel treatment approaches. "Blended" therapy, a combination of face-to-face (f2f) and online therapy, is a form of therapy that enables longer exposure to therapy in a cost-effective and accessible format. Blended therapy holds many benefits, including increased access to content, lower time commitment for clinicians, and lower costs. The aim of the present study was to develop and evaluate a "blended" treatment program for hoarding disorder (HoPE), involving 12-weeks of face-to-face group therapy, and an 8 week online therapist assisted program. A sample of 12 participants with hoarding symptomology were recruited from the Melbourne Metropolitan area, and were involved in one of two conditions; 12 weeks group therapy +8 weeks online therapy (bCBT) or 12 weeks group therapy +8 weeks waitlist +8 weeks online therapy. Questionnaires were completed at all time points. The 8-week online component consists of 8 CBT-based modules, addressing psychoeducation, goal setting, motivation, relapse prevention and other key components. No significant differences were found over time between the bCBT group and waitlist control group, however trends suggested continued improvement in overall hoarding scores for the bCBT group, when compared to the waitlist control group. There were significant differences in scores from pre-treatment to 28 weeks, suggesting that all participants who were involved in the online intervention showed continued improvement from pre-treatment to post-treatment. This study highlights the potential benefit of novel formats of treatment. Future research into the efficacy of blended therapy would prove beneficial.
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Several of these studies have small sample sizes or no control group for the condition that includes a DMHI combined with psychotherapy or health professional support.
“However, several of these studies have small sample sizes [464852] or no control group for the condition that includes a DMHI combined with psychotherapy or health professional support [474950].”
Several research studies show the combination of DMHIs with psychotherapy sessions or health professional support may improve symptoms of depression, anxiety, panic disorder, comorbid depression and alcohol use, and hoarding disorder.
“In principle, blended care could work in Australia, as several research studies show the combination of DMHIs with psychotherapy sessions or health professional support may improve symptoms of depression [46-48], anxiety [48], panic disorder [4950], comorbid depression and alcohol use [51], and hoarding disorder [52].”
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“However, several of these studies have small sample sizes [46,48,52] or no control group for the condition that includes a DMHI combined with psychotherapy or health professional support [47,49,50].”
- Authors
- Fitzpatrick, M., Nedeljkovic, M., Abbott, J.-A., Kyrios, M., & Moulding, R.
- Affiliations
- Swinburne University of Technology (AU)
- Australian National University (AU)
- Deakin University (AU)
- Corresponding author
- Fitzpatrick, Molly
- Nedeljkovic, Maja
- Venue
- Internet Interventions
- Publisher
- Elsevier BV
- Published
- 2018-06
- Volume
- 12
- Pages
- 16-25
- ISSN
- 2214-7829 (ISSN-L)
- PMC
- PMC6096324
- OpenAlex
- W2788759079
- Cited by
- 42
- References
- 79
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 8 · 2022: 10 · 2021: 7 · 2020: 7 · 2019: 1
- FWCI
- 4.41
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Internet Interventions (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Own your potential (DEAKIN) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Figshare (submittedVersion, cc-by-nc-nd)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion, cc-by-nc-nd)
- Swinburne figshare (Swinburne University of Technology)
- Funders
- Barbara Dicker Brain Sciences Foundation
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- hoarding disorder, blended therapy, cognitive behavioral therapy, online intervention, online therapy, group therapy, psychoeducation, relapse prevention, treatment efficacy, waitlist control
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